Hospital

Northern Light AR Gould Hospital

Listed in its price file as “The Aroostook Medical Center”.

Northern Light AR Gould Hospital in Presque Isle, ME publishes cash prices for 421 common procedures listed here, from its own machine-readable price file updated Mar 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Maine median for 403 of 410 procedures and above it for 5. By typical cash price it ranks #2 of 28 Maine hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

140 Academy St. Presque Isle, ME 04769 Collected Sep 23, 2026 Source price file Check a bill from this hospital (207) 768-4000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 200018 · CMS hospital register NPI 1396858999

Financial assistance

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

Northern Light AR Gould Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/ AND W/O CONTRAST	$369.39	$1,759.00	$890.05–$1,423.03	74% below	79%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/ AND W/O CONTRAST	$369.39	$1,759.00	$1,143.35–$1,312.21	—	79%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS	$112.56	$536.00	$271.22–$433.62	54% below	79%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS	$112.56	$536.00	$348.40–$399.86	—	79%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3 VIEWS RT	$86.52	$412.00	$208.47–$333.31	59% below	79%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3 VIEWS LT	$86.52	$412.00	$208.47–$333.31	59% below	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3 VIEWS LT	$86.52	$412.00	$267.80–$307.35	—	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3 VIEWS RT	$86.52	$412.00	$267.80–$307.35	—	79%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS	$59.01	$281.00	$142.19–$227.33	60% below	79%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS	$59.01	$281.00	$182.65–$209.63	—	79%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY UPPER LT	$437.01	$2,081.00	$1,052.99–$1,683.53	61% below	79%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY UPPER RT	$437.01	$2,081.00	$1,052.99–$1,683.53	61% below	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY UPPER RT	$437.01	$2,081.00	$1,352.65–$1,552.43	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY UPPER LT	$437.01	$2,081.00	$1,352.65–$1,552.43	—	79%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS RAD EXAM	$112.56	$536.00	$271.22–$433.62	68% below	79%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS RAD EXAM	$112.56	$536.00	$348.40–$399.86	—	79%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN	$466.62	$2,222.00	$1,124.33–$1,797.60	60% below	79%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN	$466.62	$2,222.00	$1,444.30–$1,657.61	—	79%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RT	$86.52	$412.00	$208.47–$333.31	57% below	79%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LT	$86.52	$412.00	$208.47–$333.31	57% below	79%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LT	$86.52	$412.00	$267.80–$307.35	—	79%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE RT	$86.52	$412.00	$267.80–$307.35	—	79%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST SONOGRAM LIMITED RT	$96.81	$461.00	$233.27–$372.95	59% below	79%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST SONOGRAM LIMITED LT	$96.81	$461.00	$233.27–$372.95	59% below	79%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST SONOGRAM LIMITED RT	$96.81	$461.00	$299.65–$343.91	—	79%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST SONOGRAM LIMITED LT	$96.81	$461.00	$299.65–$343.91	—	79%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT CTA ABDOM/PELVIS W/WO CONTR	$648.69	$3,089.00	$1,563.03–$2,499.00	58% below	79%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT CTA ABDOM/PELVIS W/WO CONTR	$648.69	$3,089.00	$2,007.85–$2,304.39	—	79%
CT angiography (CTA) of the head CPT 70496 CT CTA HEAD	$455.49	$2,169.00	$1,097.51–$1,754.72	71% below	79%
CT angiography (CTA) of the head inpatient CPT 70496 CT CTA HEAD	$455.49	$2,169.00	$1,409.85–$1,618.07	—	79%
CT angiography (CTA) of the neck CPT 70498 CT CTA NECK	$447.09	$2,129.00	$1,077.27–$1,722.36	72% below	79%
CT angiography (CTA) of the neck inpatient CPT 70498 CT CTA NECK	$447.09	$2,129.00	$1,383.85–$1,588.23	—	79%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CTA CHEST	$502.74	$2,394.00	$1,211.36–$1,936.75	73% below	79%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CTA CHEST	$502.74	$2,394.00	$1,556.10–$1,785.92	—	79%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT COR CTA CARDIAC STRUC	$238.14	$1,134.00	$573.80–$917.41	55% below	79%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT COR CTA CARDIAC STRUC	$238.14	$1,134.00	$737.10–$845.96	—	79%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CORONARY CALCIUM SCORE	$81.27	$387.00	$195.82–$313.08	38% below	79%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CORONARY CALCIUM SCORE	$81.27	$387.00	$251.55–$288.70	—	79%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$244.65	$1,165.00	$589.49–$942.48	82% below	79%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$244.65	$1,165.00	$757.25–$869.09	—	79%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W CONTRAST	$993.09	$4,729.00	$2,392.87–$3,825.76	50% below	79%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W CONTRAST	$993.09	$4,729.00	$3,073.85–$3,527.83	—	79%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS W&W/O CONTRAST	$1,121.82	$5,342.00	$2,703.05–$4,321.68	49% below	79%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS W&W/O CONTRAST	$1,121.82	$5,342.00	$3,472.30–$3,985.13	—	79%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST	$307.65	$1,465.00	$741.29–$1,185.19	73% below	79%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH CONTRAST	$307.65	$1,465.00	$952.25–$1,092.89	—	79%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$265.86	$1,266.00	$640.60–$1,024.19	68% below	79%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$265.86	$1,266.00	$822.90–$944.44	—	79%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIOFACIAL W/O CONTRAST	$399.00	$1,900.00	$961.40–$1,537.10	55% below	79%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCREENING SINUSES	$399.00	$1,900.00	$961.40–$1,537.10	55% below	79%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXIOFACIAL W/O CONTRAST	$399.00	$1,900.00	$1,235.00–$1,417.40	—	79%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SCREENING SINUSES	$399.00	$1,900.00	$1,235.00–$1,417.40	—	79%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN	$258.93	$1,233.00	$623.90–$997.50	74% below	79%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN	$258.93	$1,233.00	$801.45–$919.82	—	79%
CT scan of the head with contrast CPT 70460 CT BRAIN W/CONTRAST	$299.67	$1,427.00	$722.06–$1,154.44	72% below	79%
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W/CONTRAST	$299.67	$1,427.00	$927.55–$1,064.54	—	79%
CT scan of the head without and with contrast CPT 70470 CT BRAIN WITH & W/O CONTRAST	$402.15	$1,915.00	$968.99–$1,549.24	73% below	79%
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN WITH & W/O CONTRAST	$402.15	$1,915.00	$1,244.75–$1,428.59	—	79%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR	$270.06	$1,286.00	$650.72–$1,040.37	72% below	79%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR	$270.06	$1,286.00	$835.90–$959.36	—	79%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL	$254.73	$1,213.00	$613.78–$981.32	74% below	79%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL	$254.73	$1,213.00	$788.45–$904.90	—	79%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$364.56	$1,736.00	$878.42–$1,404.42	64% below	79%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$364.56	$1,736.00	$1,128.40–$1,295.06	—	79%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID ARTERY SONOGRAM BILAT	$218.82	$1,042.00	$527.25–$842.98	—	79%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID ARTERY SONOGRAM BILAT	$218.82	$1,042.00	$677.30–$777.33	—	79%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/ AND W/O CONTRAST	$456.96	$2,176.00	$1,101.06–$1,760.38	73% below	79%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/ AND W/O CONTRAST	$456.96	$2,176.00	$1,414.40–$1,623.30	—	79%
Chest X-ray, 2 views CPT 71046 CHEST SPECIAL VIEWS	$111.09	$529.00	$267.67–$427.96	48% below	79%
Chest X-ray, 2 views CPT 71046 CXR 2 VIEWS W/FLOURO	$111.09	$529.00	$267.67–$427.96	48% below	79%
Chest X-ray, 2 views CPT 71046 CHEST TWO VIEWS	$111.09	$529.00	$267.67–$427.96	48% below	79%
Chest X-ray, 2 views inpatient CPT 71046 CXR 2 VIEWS W/FLOURO	$111.09	$529.00	$343.85–$394.63	—	79%
Chest X-ray, 2 views inpatient CPT 71046 CHEST TWO VIEWS	$111.09	$529.00	$343.85–$394.63	—	79%
Chest X-ray, 2 views inpatient CPT 71046 CHEST SPECIAL VIEWS	$111.09	$529.00	$343.85–$394.63	—	79%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW	$52.71	$251.00	$127.01–$203.06	74% below	79%
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW	$52.71	$251.00	$163.15–$187.25	—	79%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE XRAY RT	$59.64	$284.00	$143.70–$229.76	73% below	79%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE XRAY LT	$59.64	$284.00	$143.70–$229.76	73% below	79%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE XRAY RT	$59.64	$284.00	$184.60–$211.86	—	79%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE XRAY LT	$59.64	$284.00	$184.60–$211.86	—	79%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ABD RETROPERITINEAL, FULL	$154.35	$735.00	$371.91–$594.62	66% below	79%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ABD RETROPERITINEAL, FULL	$154.35	$735.00	$477.75–$548.31	—	79%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITOM	$98.28	$468.00	$236.81–$378.61	61% below	79%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITOM	$98.28	$468.00	$304.20–$349.13	—	79%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$257.46	$1,226.00	$620.36–$991.83	73% below	79%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST	$257.46	$1,226.00	$796.90–$914.60	—	79%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$370.86	$1,766.00	$893.60–$1,428.69	71% below	79%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST	$370.86	$1,766.00	$1,147.90–$1,317.44	—	79%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAMMO W/CAD BILAT	$132.72	$632.00	$319.79–$511.29	—	79%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG MAMMO W/CAD BILAT	$132.72	$632.00	$410.80–$471.47	—	79%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI-LT	$103.74	$494.00	$249.96–$399.65	34% below	79%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI-RT	$103.74	$494.00	$249.96–$399.65	34% below	79%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI-RT	$103.74	$494.00	$321.10–$368.52	—	79%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI-LT	$103.74	$494.00	$321.10–$368.52	—	79%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US EXTRMTY ARTRY LOWER CMPLETE	$218.82	$1,042.00	$527.25–$842.98	41% below	79%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US EXTRMTY ARTRY LOWER CMPLETE	$218.82	$1,042.00	$677.30–$777.33	—	79%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXT VEINS COMPLETE	$218.82	$1,042.00	$527.25–$842.98	57% below	79%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXT VEINS COMPLETE	$218.82	$1,042.00	$677.30–$777.33	—	79%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE 2D W DOPPLER COMPLETE	$540.96	$2,576.00	$1,303.46–$2,083.98	50% below	79%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE 2D W DOPPLER COMPLETE	$540.96	$2,576.00	$1,674.40–$1,921.70	—	79%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RT 2 VIEWS	$81.27	$387.00	$195.82–$313.08	63% below	79%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LT 2 VIEWS	$81.27	$387.00	$195.82–$313.08	63% below	79%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS LT	$93.87	$447.00	$226.18–$361.62	57% below	79%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS RT	$93.87	$447.00	$226.18–$361.62	57% below	79%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS LT	$93.87	$447.00	$290.55–$333.46	—	79%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS RT	$93.87	$447.00	$290.55–$333.46	—	79%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT, EAR, SELLA	$444.99	$2,119.00	$1,072.21–$1,714.27	55% below	79%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT, EAR, SELLA	$444.99	$2,119.00	$1,377.35–$1,580.77	—	79%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL/ORBIT MIN 3 VIEWS	$98.28	$468.00	$236.81–$378.61	57% below	79%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL/ORBIT MIN 3 VIEWS	$98.28	$468.00	$304.20–$349.13	—	79%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT 2 VIEWS	$48.30	$230.00	$116.38–$186.07	77% below	79%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT 2 VIEWS	$48.30	$230.00	$116.38–$186.07	77% below	79%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT 2 VIEWS	$48.30	$230.00	$149.50–$171.58	—	79%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT 2 VIEWS	$48.30	$230.00	$149.50–$171.58	—	79%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SCAN	$368.13	$1,753.00	$887.02–$1,418.18	63% below	79%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SCAN	$368.13	$1,753.00	$1,139.45–$1,307.74	—	79%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LT	$98.28	$468.00	$236.81–$378.61	54% below	79%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RT	$98.28	$468.00	$236.81–$378.61	54% below	79%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LT	$98.28	$468.00	$304.20–$349.13	—	79%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RT	$98.28	$468.00	$304.20–$349.13	—	79%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL MIN 2 VIEWS RT	$81.27	$387.00	$195.82–$313.08	61% below	79%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL MIN 2 VIEWS LT	$81.27	$387.00	$195.82–$313.08	61% below	79%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL MIN 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL MIN 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STY SIMUL RECORD HOME FF	$139.65	$665.00	$336.49–$537.98	50% below	79%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STY SIMUL RECORD HOME FF	$139.65	$665.00	$432.25–$496.09	—	79%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY THERAPEUT	$952.14	$4,534.00	$2,294.20–$3,668.01	45% below	79%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY THERAPEUT	$952.14	$4,534.00	$2,947.10–$3,382.36	—	79%
Knee X-ray, 3 views one side CPT 73562 KNEE MIN 3 VIEWS RT	$81.27	$387.00	$195.82–$313.08	64% below	79%
Knee X-ray, 3 views one side CPT 73562 KNEE MIN 3 VIEWS LT	$81.27	$387.00	$195.82–$313.08	64% below	79%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE MIN 3 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE MIN 3 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE MIN 4 VIEWS LT	$98.28	$468.00	$236.81–$378.61	61% below	79%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE MIN 4 VIEWS RT	$98.28	$468.00	$236.81–$378.61	61% below	79%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE MIN 4 VIEWS LT	$98.28	$468.00	$304.20–$349.13	—	79%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE MIN 4 VIEWS RT	$98.28	$468.00	$304.20–$349.13	—	79%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LOWER RT	$261.24	$1,244.00	$629.46–$1,006.40	75% below	79%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LOWER LT	$261.24	$1,244.00	$629.46–$1,006.40	75% below	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LOWER LT	$261.24	$1,244.00	$808.60–$928.02	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LOWER RT	$261.24	$1,244.00	$808.60–$928.02	—	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC POCUS ABDOMEN	$148.68	$708.00	$358.25–$572.77	39% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC POCUS GALLBLADDER	$148.68	$708.00	$358.25–$572.77	39% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC POCUS GALLBLADDER	$148.68	$708.00	$460.20–$528.17	—	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC POCUS ABDOMEN	$148.68	$708.00	$460.20–$528.17	—	79%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC POCUS MSK/SOFT TISSUE LT	$74.76	$356.00	$180.14–$288.00	55% below	79%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT NON-VASC LIMITED LT	$74.76	$356.00	$180.14–$288.00	55% below	79%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT NON-VASC LIMITED RT	$74.76	$356.00	$180.14–$288.00	55% below	79%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC POCUS MSK/SOFT TISSUE RT	$74.76	$356.00	$180.14–$288.00	55% below	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC POCUS MSK/SOFT TISSUE LT	$74.76	$356.00	$231.40–$265.58	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT NON-VASC LIMITED LT	$74.76	$356.00	$231.40–$265.58	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT NON-VASC LIMITED RT	$74.76	$356.00	$231.40–$265.58	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC POCUS MSK/SOFT TISSUE RT	$74.76	$356.00	$231.40–$265.58	—	79%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT FOR LUNG CA SCREEN	$98.28	$468.00	$236.81–$378.61	57% below	79%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LDCT FOR LUNG CA SCREEN	$98.28	$468.00	$304.20–$349.13	—	79%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG RT 2 VIEWS	$81.27	$387.00	$195.82–$313.08	62% below	79%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG LT 2 VIEWS	$81.27	$387.00	$195.82–$313.08	62% below	79%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG LT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG RT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WITHOUT CONTRAST	$499.38	$2,378.00	$1,203.27–$1,923.80	72% below	79%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WITHOUT CONTRAST	$499.38	$2,378.00	$1,545.70–$1,773.99	—	79%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W&WO CONTRAST BILAT	$866.88	$4,128.00	$2,088.77–$3,339.55	—	79%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST W&WO CONTRAST BILAT	$866.88	$4,128.00	$2,683.20–$3,079.49	—	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST LT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST RT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST LT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST RT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTR LIMITED LT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTR LIMITED RT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTRAST RT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTRAST LT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP W/O CONTRAST LT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE W/O CONTRAST LT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE W/O CONTRAST RT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE W/O CONTRAST RT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE W/O CONTRAST LT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE W/O CONTR LIMITED RT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE W/O CONTR LIMITED LT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP W/O CONTRAST RT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W & W/O CONTRAST LT	$806.40	$3,840.00	$1,943.04–$3,106.56	69% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W & W/O CONTRAST RT	$806.40	$3,840.00	$1,943.04–$3,106.56	69% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W & W/O CONTRAST LT	$806.40	$3,840.00	$1,943.04–$3,106.56	69% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W & W/O CONTRAST RT	$806.40	$3,840.00	$1,943.04–$3,106.56	69% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W&W/O CONTRAST LT	$806.40	$3,840.00	$1,943.04–$3,106.56	69% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W&W/O CONTRAST RT	$806.40	$3,840.00	$1,943.04–$3,106.56	69% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE W&W/O CONTRAST LT	$806.40	$3,840.00	$2,496.00–$2,864.64	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE W&W/O CONTRAST RT	$806.40	$3,840.00	$2,496.00–$2,864.64	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE W & W/O CONTRAST LT	$806.40	$3,840.00	$2,496.00–$2,864.64	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP W & W/O CONTRAST LT	$806.40	$3,840.00	$2,496.00–$2,864.64	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP W & W/O CONTRAST RT	$806.40	$3,840.00	$2,496.00–$2,864.64	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE W & W/O CONTRAST RT	$806.40	$3,840.00	$2,496.00–$2,864.64	—	79%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WITHOUT CONTRAST	$377.58	$1,798.00	$909.79–$1,454.58	78% below	79%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WITHOUT CONTRAST	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$634.41	$3,021.00	$1,528.63–$2,443.99	71% below	79%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST	$634.41	$3,021.00	$1,963.65–$2,253.67	—	79%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD WITHOUT CONTRAST	$377.58	$1,798.00	$909.79–$1,454.58	74% below	79%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD WITHOUT CONTRAST	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W/WO CONTRAST	$685.02	$3,262.00	$1,650.57–$2,638.96	69% below	79%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD W/WO CONTRAST	$685.02	$3,262.00	$2,120.30–$2,433.45	—	79%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO CONTRAST	$377.58	$1,798.00	$909.79–$1,454.58	73% below	79%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO CONTRAST	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$427.77	$2,037.00	$1,030.72–$1,647.93	82% below	79%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$427.77	$2,037.00	$1,324.05–$1,519.60	—	79%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO CONTRAST	$377.58	$1,798.00	$909.79–$1,454.58	73% below	79%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE WO CONTRAST	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICL SPINE W/WO CONTRST	$660.66	$3,146.00	$1,591.88–$2,545.11	68% below	79%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICL SPINE W/WO CONTRST	$660.66	$3,146.00	$2,044.90–$2,346.92	—	79%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$377.58	$1,798.00	$909.79–$1,454.58	73% below	79%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$840.63	$4,003.00	$2,025.52–$3,238.43	64% below	79%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$840.63	$4,003.00	$2,601.95–$2,986.24	—	79%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WITHOUT CONTRAST	$432.60	$2,060.00	$1,042.36–$1,666.54	72% below	79%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WITHOUT CONTRAST	$432.60	$2,060.00	$1,339.00–$1,536.76	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST LT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST W/O CONTRAST RT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST W/O CONTRAST LT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST RT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST LT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST RT	$377.58	$1,798.00	$909.79–$1,454.58	75% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER W/O CONTRAST RT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST W/O CONTRAST RT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST W/O CONTRAST LT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW W/O CONTRAST LT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW W/O CONTRAST RT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER W/O CONTRAST LT	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE MINIMUM 4 VIEWS	$123.27	$587.00	$297.02–$474.88	58% below	79%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE MINIMUM 4 VIEWS	$123.27	$587.00	$381.55–$437.90	—	79%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST	$326.76	$1,556.00	$787.34–$1,258.80	74% below	79%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/CONTRAST	$326.76	$1,556.00	$1,011.40–$1,160.78	—	79%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK	$243.18	$1,158.00	$585.95–$936.82	76% below	79%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK	$243.18	$1,158.00	$752.70–$863.87	—	79%
Neck soft tissue X-ray CPT 70360 NASOPHARYNX/NECK SOFT TISSUE	$81.27	$387.00	$195.82–$313.08	61% below	79%
Neck soft tissue X-ray inpatient CPT 70360 NASOPHARYNX/NECK SOFT TISSUE	$81.27	$387.00	$251.55–$288.70	—	79%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MI IMAGING SPEC PREFUSION	$1,567.65	$7,465.00	$3,777.29–$6,039.18	24% below	79%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MI IMAGING SPEC PREFUSION	$1,567.65	$7,465.00	$4,852.25–$5,568.89	—	79%
OCT scan of the retina (optical coherence tomography) CPT 92134 OFF SCAN COMP IMAG RETINA FF	$28.56	$136.00	$68.82–$110.02	—	79%
OCT scan of the retina (optical coherence tomography) CPT 92134 SCAN COMP IMAG RETINA FF	$28.56	$136.00	$68.82–$110.02	—	79%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 SCAN COMP IMAG RETINA FF	$28.56	$136.00	$88.40–$101.46	—	79%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 OFF SCAN COMP IMAG RETINA FF	$28.56	$136.00	$88.40–$101.46	—	79%
Pelvic CT scan without contrast CPT 72192 CT PELVIS	$253.89	$1,209.00	$611.75–$978.08	73% below	79%
Pelvic CT scan without contrast CPT 72192 CT LIMITED PELVIS POST REDUCTI	$253.89	$1,209.00	$611.75–$978.08	73% below	79%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS	$253.89	$1,209.00	$785.85–$901.91	—	79%
Pelvic CT scan without contrast inpatient CPT 72192 CT LIMITED PELVIS POST REDUCTI	$253.89	$1,209.00	$785.85–$901.91	—	79%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC POCUS POST VOID RESID BLADR	$98.28	$468.00	$236.81–$378.61	44% below	79%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC POCUS POST VOID RESID BLADR	$98.28	$468.00	$304.20–$349.13	—	79%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC SONOGRAM	$136.50	$650.00	$328.90–$525.85	65% below	79%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON/OB BSCAN	$136.50	$650.00	$328.90–$525.85	65% below	79%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON/OB BSCAN	$136.50	$650.00	$422.50–$484.90	—	79%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC SONOGRAM	$136.50	$650.00	$422.50–$484.90	—	79%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PREGNANCY COMPLETE STUDY	$150.99	$719.00	$363.81–$581.67	66% below	79%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTER AFTR 1ST TRI	$150.99	$719.00	$363.81–$581.67	66% below	79%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTER AFTR 1ST TRI	$150.99	$719.00	$467.35–$536.37	—	79%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PREGNANCY COMPLETE STUDY	$150.99	$719.00	$467.35–$536.37	—	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UTERUS SNGL/1ST GEST	$98.28	$468.00	$236.81–$378.61	68% below	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG UTERUS SNGL/1ST GEST	$98.28	$468.00	$304.20–$349.13	—	79%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC POCUS PREGNANT TRANSABDOM	$98.28	$468.00	$236.81–$378.61	49% below	79%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC POCUS PREGNANT TRANSABDOM	$98.28	$468.00	$304.20–$349.13	—	79%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VIEWS RT	$81.27	$387.00	$195.82–$313.08	65% below	79%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VIEWS LT	$81.27	$387.00	$195.82–$313.08	65% below	79%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/CHEST MIN 3 V RT	$116.97	$557.00	$281.84–$450.61	64% below	79%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/CHEST MIN 3 V LT	$116.97	$557.00	$281.84–$450.61	64% below	79%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/CHEST MIN 3 V RT	$116.97	$557.00	$362.05–$415.52	—	79%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/CHEST MIN 3 V LT	$116.97	$557.00	$362.05–$415.52	—	79%
Screening mammogram, both breasts both sides CPT 77067 SCREEN MAMMO BILAT W/CAD	$124.53	$593.00	$300.06–$479.74	—	79%
Screening mammogram, both breasts one side CPT 77067 SCREEN MAMMO RT OR LT W/CAD	$124.53	$593.00	$300.06–$479.74	26% below	79%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREEN MAMMO BILAT W/CAD	$124.53	$593.00	$385.45–$442.38	—	79%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREEN MAMMO RT OR LT W/CAD	$124.53	$593.00	$385.45–$442.38	—	79%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER XRAY MIN 2 VIEWS LT	$81.27	$387.00	$195.82–$313.08	64% below	79%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER XRAY MIN 2 VIEWS RT	$81.27	$387.00	$195.82–$313.08	64% below	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER XRAY MIN 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER XRAY MIN 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES MIN 3 VIEWS	$94.71	$451.00	$228.21–$364.86	58% below	79%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES MIN 3 VIEWS	$94.71	$451.00	$293.15–$336.45	—	79%
Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 VIEWS	$77.91	$371.00	$187.73–$300.14	64% below	79%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL < 4 VIEWS	$77.91	$371.00	$241.15–$276.77	—	79%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY DIAGNOSTI	$933.03	$4,443.00	$2,248.16–$3,594.39	43% below	79%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY DIAGNOSTI	$933.03	$4,443.00	$2,887.95–$3,314.48	—	79%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 TTE W ORWO EXER STRESS COMPLET	$492.45	$2,345.00	$1,186.57–$1,897.10	56% below	79%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 TTE W ORWO EXER STRESS COMPLET	$492.45	$2,345.00	$1,524.25–$1,749.37	—	79%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHAGUS WITH VIDEO	$166.53	$793.00	$401.26–$641.54	62% below	79%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPHAGUS WITH VIDEO	$166.53	$793.00	$515.45–$591.58	—	79%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT 2 VIEWS	$76.23	$363.00	$183.68–$293.67	64% below	79%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT 2 VIEWS	$76.23	$363.00	$183.68–$293.67	64% below	79%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LT 2 VIEWS	$76.23	$363.00	$235.95–$270.80	—	79%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT 2 VIEWS	$76.23	$363.00	$235.95–$270.80	—	79%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC	$481.11	$2,291.00	$1,159.25–$1,853.42	55% below	79%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC	$481.11	$2,291.00	$1,489.15–$1,709.09	—	79%
Toe X-ray, 2 or more views one side CPT 73660 TOE 2/4 VIEWS RT	$68.46	$326.00	$164.96–$263.73	62% below	79%
Toe X-ray, 2 or more views one side CPT 73660 TOE 2/4 VIEWS LT	$68.46	$326.00	$164.96–$263.73	62% below	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE 2/4 VIEWS LT	$68.46	$326.00	$211.90–$243.20	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE 2/4 VIEWS RT	$68.46	$326.00	$211.90–$243.20	—	79%
Transvaginal pelvic ultrasound CPT 76830 HC POCUS NON-PREGNANT TRANSVAG	$115.29	$549.00	$277.79–$444.14	69% below	79%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC POCUS NON-PREGNANT TRANSVAG	$115.29	$549.00	$356.85–$409.55	—	79%
Transvaginal ultrasound during pregnancy CPT 76817 HC POCUS PREGNANT TRANSVAGINAL	$135.45	$645.00	$326.37–$521.81	56% below	79%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC POCUS PREGNANT TRANSVAGINAL	$135.45	$645.00	$419.25–$481.17	—	79%
Ultrasound of the abdomen, complete CPT 76700 ABDOMINAL SONOGRAM	$157.92	$752.00	$380.51–$608.37	66% below	79%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMINAL SONOGRAM	$157.92	$752.00	$488.80–$560.99	—	79%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR SONOGRAM	$150.15	$715.00	$361.79–$578.44	67% below	79%
Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR SONOGRAM	$150.15	$715.00	$464.75–$533.39	—	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 NECK/HEAD SONOGRAM	$152.25	$725.00	$366.85–$586.53	62% below	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 NECK/HEAD SONOGRAM	$152.25	$725.00	$471.25–$540.85	—	79%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI SERIES	$167.16	$796.00	$402.78–$643.96	62% below	79%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI SERIES	$167.16	$796.00	$517.40–$593.82	—	79%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEWS RT	$81.27	$387.00	$195.82–$313.08	61% below	79%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEWS LT	$81.27	$387.00	$195.82–$313.08	61% below	79%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC POCUS FOCUSED DVT STUDY RT	$153.30	$730.00	$369.38–$590.57	69% below	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC POCUS FOCUSED DVT STUDY LT	$153.30	$730.00	$369.38–$590.57	69% below	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC POCUS FOCUSED DVT STUDY RT	$153.30	$730.00	$474.50–$544.58	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC POCUS FOCUSED DVT STUDY LT	$153.30	$730.00	$474.50–$544.58	—	79%
Wrist X-ray, 2 views one side CPT 73100 WRIST RT 2 VIEWS	$61.95	$295.00	$149.27–$238.66	73% below	79%
Wrist X-ray, 2 views one side CPT 73100 WRIST LT 2 VIEWS	$61.95	$295.00	$149.27–$238.66	73% below	79%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LT 2 VIEWS	$61.95	$295.00	$191.75–$220.07	—	79%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RT 2 VIEWS	$61.95	$295.00	$191.75–$220.07	—	79%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS RT	$81.27	$387.00	$195.82–$313.08	63% below	79%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS LT	$81.27	$387.00	$195.82–$313.08	63% below	79%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP MIN 2-3 VIEWS RT	$81.27	$387.00	$195.82–$313.08	60% below	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP MIN 2-3 VIEWS LT	$81.27	$387.00	$195.82–$313.08	60% below	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP MIN 2-3 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP MIN 2-3 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the abdomen, 1 view CPT 74018 SITZMARKER MOTILITY STUDY	$93.87	$447.00	$226.18–$361.62	56% below	79%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SINGLE VIEW	$93.87	$447.00	$226.18–$361.62	56% below	79%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN SINGLE VIEW	$93.87	$447.00	$290.55–$333.46	—	79%
X-ray of the abdomen, 1 view inpatient CPT 74018 SITZMARKER MOTILITY STUDY	$93.87	$447.00	$290.55–$333.46	—	79%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEWS	$81.27	$387.00	$195.82–$313.08	61% below	79%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEWS	$81.27	$387.00	$195.82–$313.08	61% below	79%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VIEWS LT	$81.27	$387.00	$195.82–$313.08	59% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VIEWS RT	$81.27	$387.00	$195.82–$313.08	59% below	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER MIN 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER MIN 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VIEWS	$81.27	$387.00	$195.82–$313.08	60% below	79%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEWS	$81.27	$387.00	$195.82–$313.08	60% below	79%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3 VIEWS RT	$100.38	$478.00	$241.87–$386.70	53% below	79%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3 VIEWS LT	$100.38	$478.00	$241.87–$386.70	53% below	79%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3 VIEWS LT	$100.38	$478.00	$310.70–$356.59	—	79%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3 VIEWS RT	$100.38	$478.00	$310.70–$356.59	—	79%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS LT	$120.33	$573.00	$289.94–$463.56	45% below	79%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS RT	$120.33	$573.00	$289.94–$463.56	45% below	79%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS RT	$120.33	$573.00	$372.45–$427.46	—	79%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS LT	$120.33	$573.00	$372.45–$427.46	—	79%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS RT	$70.98	$338.00	$171.03–$273.44	68% below	79%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS LT	$70.98	$338.00	$171.03–$273.44	68% below	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS RT	$70.98	$338.00	$219.70–$252.15	—	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS LT	$70.98	$338.00	$219.70–$252.15	—	79%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$86.10	$410.00	$207.46–$331.69	65% below	79%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$86.10	$410.00	$266.50–$305.86	—	79%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4 VIEWS	$98.28	$468.00	$236.81–$378.61	69% below	79%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4 VIEWS	$98.28	$468.00	$304.20–$349.13	—	79%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$67.83	$323.00	$163.44–$261.31	70% below	79%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS	$67.83	$323.00	$209.95–$240.96	—	79%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3 VIEWS	$81.27	$387.00	$195.82–$313.08	64% below	79%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2 3 VIEWS	$81.27	$387.00	$195.82–$313.08	62% below	79%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 2 3 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$90.30	$430.00	$217.58–$347.87	57% below	79%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$90.30	$430.00	$279.50–$320.78	—	79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM / CCOCYX	$89.25	$425.00	$215.05–$343.83	61% below	79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM / CCOCYX	$89.25	$425.00	$276.25–$317.05	—	79%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
ACTH blood test CPT 82024 ACTH/LAB	$34.65	$165.00	$83.49–$133.49	78% below	79%
ACTH blood test inpatient CPT 82024 ACTH/LAB	$34.65	$165.00	$107.25–$123.09	—	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE-Q	$10.50	$50.00	$25.30–$40.45	69% below	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 FIBROMETER ALT	$10.50	$50.00	$25.30–$40.45	69% below	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 FIBROSURE ALT	$10.50	$50.00	$25.30–$40.45	69% below	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) LAB	$10.50	$50.00	$25.30–$40.45	69% below	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FIBROMETER ALT	$10.50	$50.00	$32.50–$37.30	—	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE-Q	$10.50	$50.00	$32.50–$37.30	—	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) LAB	$10.50	$50.00	$32.50–$37.30	—	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FIBROSURE ALT	$10.50	$50.00	$32.50–$37.30	—	79%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) LAB	$10.29	$49.00	$24.79–$39.64	67% below	79%
AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROMETER AST	$10.29	$49.00	$24.79–$39.64	67% below	79%
AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROSURE AST	$10.29	$49.00	$24.79–$39.64	67% below	79%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE-Q	$10.29	$49.00	$24.79–$39.64	67% below	79%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FIBROMETER AST	$10.29	$49.00	$31.85–$36.55	—	79%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTATE AMINOTRANSFERASE-Q	$10.29	$49.00	$31.85–$36.55	—	79%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) LAB	$10.29	$49.00	$31.85–$36.55	—	79%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FIBROSURE AST	$10.29	$49.00	$31.85–$36.55	—	79%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEP SCREEN BUNDLED	$75.39	$359.00	$181.65–$290.43	53% below	79%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PAN	$75.39	$359.00	$181.65–$290.43	53% below	79%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEP SCREEN BUNDLED	$75.39	$359.00	$233.35–$267.81	—	79%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PAN	$75.39	$359.00	$233.35–$267.81	—	79%
Albumin blood test CPT 82040 ALBUMIN/LAB	$6.30	$30.00	$15.18–$24.27	73% below	79%
Albumin blood test CPT 82040 ALBUMIN LEVEL-Q	$6.30	$30.00	$15.18–$24.27	73% below	79%
Albumin blood test CPT 82040 ALBUMIN SERUM	$6.30	$30.00	$15.18–$24.27	73% below	79%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$6.30	$30.00	$19.50–$22.38	—	79%
Albumin blood test inpatient CPT 82040 ALBUMIN LEVEL-Q	$6.30	$30.00	$19.50–$22.38	—	79%
Albumin blood test inpatient CPT 82040 ALBUMIN/LAB	$6.30	$30.00	$19.50–$22.38	—	79%
Aldosterone blood test CPT 82088 ALDOSTERONE, URINE	$32.34	$154.00	$77.92–$124.59	79% below	79%
Aldosterone blood test CPT 82088 ALDOSTERONE/LAB	$32.34	$154.00	$77.92–$124.59	79% below	79%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE/LAB	$32.34	$154.00	$100.10–$114.88	—	79%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, URINE	$32.34	$154.00	$100.10–$114.88	—	79%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE-Q	$9.24	$44.00	$22.26–$35.60	66% below	79%
Alkaline phosphatase (ALP) blood test CPT 84075 BONE SPECIFIC ALKALINE PHOS	$9.24	$44.00	$22.26–$35.60	66% below	79%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$9.24	$44.00	$22.26–$35.60	66% below	79%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS ISO TOTAL	$9.24	$44.00	$22.26–$35.60	66% below	79%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS ISO TOTAL	$9.24	$44.00	$28.60–$32.82	—	79%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE-Q	$9.24	$44.00	$28.60–$32.82	—	79%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$9.24	$44.00	$28.60–$32.82	—	79%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 BONE SPECIFIC ALKALINE PHOS	$9.24	$44.00	$28.60–$32.82	—	79%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST 13 ALLERGEN/LAB	$10.29	$49.00	$24.79–$39.64	55% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN	$10.29	$49.00	$24.79–$39.64	55% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS PROFILE	$10.29	$49.00	$24.79–$39.64	55% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CARP IGE/VIRACOR	$10.29	$49.00	$24.79–$39.64	55% below	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 13 ALLERGEN/LAB	$10.29	$49.00	$31.85–$36.55	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS PROFILE	$10.29	$49.00	$31.85–$36.55	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN	$10.29	$49.00	$31.85–$36.55	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CARP IGE/VIRACOR	$10.29	$49.00	$31.85–$36.55	—	79%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN	$28.77	$137.00	$69.32–$110.83	56% below	79%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP PROFILE 4	$28.77	$137.00	$69.32–$110.83	56% below	79%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER/LAB	$28.77	$137.00	$69.32–$110.83	56% below	79%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP PROFILE 4	$28.77	$137.00	$89.05–$102.20	—	79%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN	$28.77	$137.00	$89.05–$102.20	—	79%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER/LAB	$28.77	$137.00	$89.05–$102.20	—	79%
Ammonia blood test CPT 82140 STONE ANALYSIS AMMONIA	$27.72	$132.00	$66.79–$106.79	70% below	79%
Ammonia blood test CPT 82140 AMMONIA/LAB	$27.72	$132.00	$66.79–$106.79	70% below	79%
Ammonia blood test inpatient CPT 82140 AMMONIA/LAB	$27.72	$132.00	$85.80–$98.47	—	79%
Ammonia blood test inpatient CPT 82140 STONE ANALYSIS AMMONIA	$27.72	$132.00	$85.80–$98.47	—	79%
Amylase blood test CPT 82150 AMYLASE, BODY FLUID	$17.01	$81.00	$40.99–$65.53	59% below	79%
Amylase blood test CPT 82150 AMYLASE URINE/LAB	$17.01	$81.00	$40.99–$65.53	59% below	79%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES	$17.01	$81.00	$40.99–$65.53	59% below	79%
Amylase blood test CPT 82150 AMYLASE LEVEL RANDOM URINE-Q	$17.01	$81.00	$40.99–$65.53	59% below	79%
Amylase blood test CPT 82150 AMYLASE BODY FLUID-Q	$17.01	$81.00	$40.99–$65.53	59% below	79%
Amylase blood test CPT 82150 AMYLASE LEVEL-Q	$17.01	$81.00	$40.99–$65.53	59% below	79%
Amylase blood test CPT 82150 AMYLASE,SERUM/LAB	$17.01	$81.00	$40.99–$65.53	59% below	79%
Amylase blood test inpatient CPT 82150 AMYLASE,SERUM/LAB	$17.01	$81.00	$52.65–$60.43	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES	$17.01	$81.00	$52.65–$60.43	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE LEVEL RANDOM URINE-Q	$17.01	$81.00	$52.65–$60.43	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID-Q	$17.01	$81.00	$52.65–$60.43	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE LEVEL-Q	$17.01	$81.00	$52.65–$60.43	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE, BODY FLUID	$17.01	$81.00	$52.65–$60.43	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE URINE/LAB	$17.01	$81.00	$52.65–$60.43	—	79%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRUL PEPTIDE ABY/ARUP	$24.99	$119.00	$60.21–$96.27	65% below	79%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRIC PEPTIDE AB, IGG	$24.99	$119.00	$60.21–$96.27	65% below	79%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRUL PEPTIDE ABY/ARUP	$24.99	$119.00	$77.35–$88.77	—	79%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRIC PEPTIDE AB, IGG	$24.99	$119.00	$77.35–$88.77	—	79%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (FBR)	$22.05	$105.00	$53.13–$84.94	60% below	79%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA/LAB	$22.05	$105.00	$53.13–$84.94	60% below	79%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY	$22.05	$105.00	$53.13–$84.94	60% below	79%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA/LAB	$22.05	$105.00	$68.25–$78.33	—	79%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY	$22.05	$105.00	$68.25–$78.33	—	79%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (FBR)	$22.05	$105.00	$68.25–$78.33	—	79%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$63.63	$303.00	$153.32–$245.13	60% below	79%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$63.63	$303.00	$196.95–$226.04	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE	$21.21	$101.00	$51.11–$81.71	61% below	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, ROUTINE/LAB	$21.21	$101.00	$51.11–$81.71	61% below	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, ROUTINE/LAB	$21.21	$101.00	$65.65–$75.35	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE	$21.21	$101.00	$65.65–$75.35	—	79%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PAN	$20.37	$97.00	$49.08–$78.47	74% below	79%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL-Q	$20.37	$97.00	$49.08–$78.47	74% below	79%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL-Q	$20.37	$97.00	$63.05–$72.36	—	79%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PAN	$20.37	$97.00	$63.05–$72.36	—	79%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$13.02	$62.00	$31.37–$50.16	58% below	79%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL-Q	$13.02	$62.00	$31.37–$50.16	58% below	79%
Bilirubin blood test, total CPT 82247 FIBROSURE TOTAL BILIRUBIN	$13.02	$62.00	$31.37–$50.16	58% below	79%
Bilirubin blood test, total inpatient CPT 82247 FIBROSURE TOTAL BILIRUBIN	$13.02	$62.00	$40.30–$46.25	—	79%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL-Q	$13.02	$62.00	$40.30–$46.25	—	79%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL	$13.02	$62.00	$40.30–$46.25	—	79%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RENAL BIOPSY LEVEL IV	$87.99	$419.00	$212.01–$338.97	37% below	79%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CYTOLOGY CELL BLOCK	$87.99	$419.00	$212.01–$338.97	37% below	79%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4	$87.99	$419.00	$212.01–$338.97	37% below	79%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH LEVEL 4	$87.99	$419.00	$272.35–$312.57	—	79%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RENAL BIOPSY LEVEL IV	$87.99	$419.00	$272.35–$312.57	—	79%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CYTOLOGY CELL BLOCK	$87.99	$419.00	$272.35–$312.57	—	79%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$46.20	$220.00	$111.32–$177.98	46% below	79%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$46.20	$220.00	$143.00–$164.12	—	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$4.83	$23.00	$11.64–$18.61	66% below	79%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$4.83	$23.00	$14.95–$17.16	—	79%
Blood glucose (sugar) test CPT 82947 GLUCOSE,SERUM/LAB	$9.24	$44.00	$22.26–$35.60	60% below	79%
Blood glucose (sugar) test CPT 82947 GLUCOSE LEVEL-Q	$9.24	$44.00	$22.26–$35.60	60% below	79%
Blood glucose (sugar) test CPT 82947 ISTAT GLUCOSE	$9.24	$44.00	$22.26–$35.60	60% below	79%
Blood glucose (sugar) test CPT 82947 FIBROSURE GLUCOSE	$9.24	$44.00	$22.26–$35.60	60% below	79%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE LEVEL-Q	$9.24	$44.00	$28.60–$32.82	—	79%
Blood glucose (sugar) test inpatient CPT 82947 ISTAT GLUCOSE	$9.24	$44.00	$28.60–$32.82	—	79%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE,SERUM/LAB	$9.24	$44.00	$28.60–$32.82	—	79%
Blood glucose (sugar) test inpatient CPT 82947 FIBROSURE GLUCOSE	$9.24	$44.00	$28.60–$32.82	—	79%
Blood lead test CPT 83655 LEAD URINE	$15.12	$72.00	$36.43–$58.25	66% below	79%
Blood lead test CPT 83655 LEAD, BLOOD/LAB	$15.12	$72.00	$36.43–$58.25	66% below	79%
Blood lead test CPT 83655 LEAD WHOLE BLOOD	$15.12	$72.00	$36.43–$58.25	66% below	79%
Blood lead test CPT 83655 LEAD INDUSTRIAL EXP	$15.12	$72.00	$36.43–$58.25	66% below	79%
Blood lead test inpatient CPT 83655 LEAD, BLOOD/LAB	$15.12	$72.00	$46.80–$53.71	—	79%
Blood lead test inpatient CPT 83655 LEAD INDUSTRIAL EXP	$15.12	$72.00	$46.80–$53.71	—	79%
Blood lead test inpatient CPT 83655 LEAD WHOLE BLOOD	$15.12	$72.00	$46.80–$53.71	—	79%
Blood lead test inpatient CPT 83655 LEAD URINE	$15.12	$72.00	$46.80–$53.71	—	79%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUALITATIVE-Q	$20.58	$98.00	$49.59–$79.28	52% below	79%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST	$20.58	$98.00	$49.59–$79.28	52% below	79%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST,SERUM	$20.58	$98.00	$49.59–$79.28	52% below	79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 BETA HCG QUALITATIVE-Q	$20.58	$98.00	$63.70–$73.11	—	79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST	$20.58	$98.00	$63.70–$73.11	—	79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST,SERUM	$20.58	$98.00	$63.70–$73.11	—	79%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$30.45	$145.00	$73.37–$117.30	38% below	79%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE	$30.45	$145.00	$94.25–$108.17	—	79%
Blood urea nitrogen (BUN) test CPT 84520 ISTAT BUN/LAB	$8.82	$42.00	$21.25–$33.98	65% below	79%
Blood urea nitrogen (BUN) test CPT 84520 FIBROMETER BUN	$8.82	$42.00	$21.25–$33.98	65% below	79%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN (BUN)-Q	$8.82	$42.00	$21.25–$33.98	65% below	79%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN/LAB	$8.82	$42.00	$21.25–$33.98	65% below	79%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN,BF	$8.82	$42.00	$21.25–$33.98	65% below	79%
Blood urea nitrogen (BUN) test inpatient CPT 84520 FIBROMETER BUN	$8.82	$42.00	$27.30–$31.33	—	79%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN (BUN)-Q	$8.82	$42.00	$27.30–$31.33	—	79%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN/LAB	$8.82	$42.00	$27.30–$31.33	—	79%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN,BF	$8.82	$42.00	$27.30–$31.33	—	79%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ISTAT BUN/LAB	$8.82	$42.00	$27.30–$31.33	—	79%
C-peptide blood test CPT 84681 C-PEPTIDE REACTIVITY	$29.40	$140.00	$70.84–$113.26	58% below	79%
C-peptide blood test CPT 84681 C PEPTIDE/LAB	$29.40	$140.00	$70.84–$113.26	58% below	79%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE REACTIVITY	$29.40	$140.00	$91.00–$104.44	—	79%
C-peptide blood test inpatient CPT 84681 C PEPTIDE/LAB	$29.40	$140.00	$91.00–$104.44	—	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN MG/L-Q	$10.29	$49.00	$24.79–$39.64	72% below	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$10.29	$49.00	$24.79–$39.64	72% below	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN CRP	$10.29	$49.00	$24.79–$39.64	72% below	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$10.29	$49.00	$24.79–$39.64	72% below	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP / IA TO FBR	$10.29	$49.00	$24.79–$39.64	72% below	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$10.29	$49.00	$31.85–$36.55	—	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN MG/L-Q	$10.29	$49.00	$31.85–$36.55	—	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP / IA TO FBR	$10.29	$49.00	$31.85–$36.55	—	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$10.29	$49.00	$31.85–$36.55	—	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN CRP	$10.29	$49.00	$31.85–$36.55	—	79%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE AMPLIFIED PROBE	$32.13	$153.00	$77.42–$123.78	69% below	79%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE AMPLIFIED PROBE	$32.13	$153.00	$99.45–$114.14	—	79%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$19.95	$95.00	$48.07–$76.86	69% below	79%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$19.95	$95.00	$61.75–$70.87	—	79%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125/LAB	$31.50	$150.00	$75.90–$121.35	63% below	79%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA, 125	$31.50	$150.00	$75.90–$121.35	63% below	79%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125/LAB	$31.50	$150.00	$97.50–$111.90	—	79%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA, 125	$31.50	$150.00	$97.50–$111.90	—	79%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 (SARS-COV-2) NLL LAB	$12.60	$60.00	$30.36–$48.54	86% below	79%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID AMPLIFIED PROBE	$27.09	$129.00	$65.27–$104.36	69% below	79%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 (SARS-COV-2) NLL LAB	$12.60	$60.00	$39.00–$44.76	—	79%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID AMPLIFIED PROBE	$27.09	$129.00	$83.85–$96.23	—	79%
Calcium blood test, total CPT 82310 CALCIUM/LAB	$9.24	$44.00	$22.26–$35.60	67% below	79%
Calcium blood test, total CPT 82310 CALCIUM	$9.24	$44.00	$22.26–$35.60	67% below	79%
Calcium blood test, total CPT 82310 CALCIUM LEVEL TOTAL-Q	$9.24	$44.00	$22.26–$35.60	67% below	79%
Calcium blood test, total inpatient CPT 82310 CALCIUM/LAB	$9.24	$44.00	$28.60–$32.82	—	79%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$9.24	$44.00	$28.60–$32.82	—	79%
Calcium blood test, total inpatient CPT 82310 CALCIUM LEVEL TOTAL-Q	$9.24	$44.00	$28.60–$32.82	—	79%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA/LAB	$25.41	$121.00	$61.23–$97.89	71% below	79%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA/LAB	$25.41	$121.00	$78.65–$90.27	—	79%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER TITER	$22.05	$105.00	$53.13–$84.94	55% below	79%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM	$22.05	$105.00	$53.13–$84.94	55% below	79%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG	$22.05	$105.00	$53.13–$84.94	55% below	79%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ABY	$22.05	$105.00	$53.13–$84.94	55% below	79%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ABY	$22.05	$105.00	$68.25–$78.33	—	79%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER TITER	$22.05	$105.00	$68.25–$78.33	—	79%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM	$22.05	$105.00	$68.25–$78.33	—	79%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG	$22.05	$105.00	$68.25–$78.33	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED PROBE	$34.02	$162.00	$81.97–$131.06	53% below	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DIRECT/LAB	$34.02	$162.00	$81.97–$131.06	53% below	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TMA THROAT/RECTAL	$43.26	$206.00	$104.24–$166.65	40% below	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DIRECT/LAB	$34.02	$162.00	$105.30–$120.85	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLIFIED PROBE	$34.02	$162.00	$105.30–$120.85	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TMA THROAT/RECTAL	$43.26	$206.00	$133.90–$153.68	—	79%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HDL II	$23.52	$112.00	$56.67–$90.61	68% below	79%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HDL PROFILE	$23.52	$112.00	$56.67–$90.61	68% below	79%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HDL PROFILE	$23.52	$112.00	$72.80–$83.55	—	79%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HDL II	$23.52	$112.00	$72.80–$83.55	—	79%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF-Q	$15.12	$72.00	$36.43–$58.25	68% below	79%
Complete blood count (CBC) with differential CPT 85025 CBC/AUTO DIFF	$15.12	$72.00	$36.43–$58.25	68% below	79%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/AUTO DIFF	$15.12	$72.00	$46.80–$53.71	—	79%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF-Q	$15.12	$72.00	$46.80–$53.71	—	79%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$13.65	$65.00	$32.89–$52.58	56% below	79%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFFERENTIAL-Q	$13.65	$65.00	$32.89–$52.58	56% below	79%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFFERENTIAL-Q	$13.65	$65.00	$42.25–$48.49	—	79%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$13.65	$65.00	$42.25–$48.49	—	79%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PAN	$35.91	$171.00	$86.53–$138.34	66% below	79%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANL-Q	$35.91	$171.00	$86.53–$138.34	66% below	79%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PAN	$35.91	$171.00	$111.15–$127.57	—	79%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANL-Q	$35.91	$171.00	$111.15–$127.57	—	79%
Cortisol blood test, total CPT 82533 CORTISOL, SALIVA	$27.51	$131.00	$66.29–$105.98	61% below	79%
Cortisol blood test, total CPT 82533 CORTISOL,PLASMA/LAB	$27.51	$131.00	$66.29–$105.98	61% below	79%
Cortisol blood test, total CPT 82533 CORTISOL PEDS COSYNTROPIN TEST	$27.51	$131.00	$66.29–$105.98	61% below	79%
Cortisol blood test, total CPT 82533 CORTISOL/LAB	$27.51	$131.00	$66.29–$105.98	61% below	79%
Cortisol blood test, total CPT 82533 ACTH STIMULATION	$27.51	$131.00	$66.29–$105.98	61% below	79%
Cortisol blood test, total CPT 82533 CORTISOL SERUM PLASMA	$27.51	$131.00	$66.29–$105.98	61% below	79%
Cortisol blood test, total inpatient CPT 82533 ACTH STIMULATION	$27.51	$131.00	$85.15–$97.73	—	79%
Cortisol blood test, total inpatient CPT 82533 CORTISOL/LAB	$27.51	$131.00	$85.15–$97.73	—	79%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SERUM PLASMA	$27.51	$131.00	$85.15–$97.73	—	79%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, SALIVA	$27.51	$131.00	$85.15–$97.73	—	79%
Cortisol blood test, total inpatient CPT 82533 CORTISOL,PLASMA/LAB	$27.51	$131.00	$85.15–$97.73	—	79%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PEDS COSYNTROPIN TEST	$27.51	$131.00	$85.15–$97.73	—	79%
Creatine kinase (CK) blood test, total CPT 82550 CPK/LAB	$13.86	$66.00	$33.40–$53.39	69% below	79%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL-Q	$13.86	$66.00	$33.40–$53.39	69% below	79%
Creatine kinase (CK) blood test, total CPT 82550 TOTAL CK (ARUP)	$13.86	$66.00	$33.40–$53.39	69% below	79%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL	$13.86	$66.00	$33.40–$53.39	69% below	79%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL	$13.86	$66.00	$42.90–$49.24	—	79%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL-Q	$13.86	$66.00	$42.90–$49.24	—	79%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK/LAB	$13.86	$66.00	$42.90–$49.24	—	79%
Creatine kinase (CK) blood test, total inpatient CPT 82550 TOTAL CK (ARUP)	$13.86	$66.00	$42.90–$49.24	—	79%
Creatinine blood test CPT 82565 CREATININE, SERUM	$9.24	$44.00	$22.26–$35.60	68% below	79%
Creatinine blood test CPT 82565 CREATININE SERUM-Q	$9.24	$44.00	$22.26–$35.60	68% below	79%
Creatinine blood test inpatient CPT 82565 CREATININE, SERUM	$9.24	$44.00	$28.60–$32.82	—	79%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM-Q	$9.24	$44.00	$28.60–$32.82	—	79%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY IGG	$11.55	$55.00	$27.83–$44.50	82% below	79%
Cytomegalovirus (CMV) antibody test CPT 86644 ARC-DNOR CMV TEST	$11.55	$55.00	$27.83–$44.50	82% below	79%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY IGG	$11.55	$55.00	$35.75–$41.03	—	79%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ARC-DNOR CMV TEST	$11.55	$55.00	$35.75–$41.03	—	79%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANTITATIVE	$19.95	$95.00	$48.07–$76.86	72% below	79%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANTITATIVE	$19.95	$95.00	$61.75–$70.87	—	79%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE/LAB	$29.40	$140.00	$70.84–$113.26	68% below	79%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE/LAB	$29.40	$140.00	$91.00–$104.44	—	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTIDEPRES QNT URINE	$40.32	$192.00	$97.15–$155.33	58% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG URINE SCREEN RAPID	$51.45	$245.00	$123.97–$198.20	47% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COTININE SCREEN URINE	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 U TOX SCREEN, RAPID	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE PHENCYCLIDINE	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGLE DRUG CLASS	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN RAPID ALI	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SEMI-QUANT	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN URINE	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COTININE URINE SNGL DRUG	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MECONIUM PANEL/LAB	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES URINE QUAL	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL 9 SERUM	$53.97	$257.00	$130.04–$207.91	44% below	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC ANTIDEPRES QNT URINE	$40.32	$192.00	$124.80–$143.23	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG URINE SCREEN RAPID	$51.45	$245.00	$159.25–$182.77	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE PHENCYCLIDINE	$53.97	$257.00	$167.05–$191.72	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES URINE QUAL	$53.97	$257.00	$167.05–$191.72	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN URINE	$53.97	$257.00	$167.05–$191.72	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SINGLE DRUG CLASS	$53.97	$257.00	$167.05–$191.72	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MECONIUM PANEL/LAB	$53.97	$257.00	$167.05–$191.72	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COTININE URINE SNGL DRUG	$53.97	$257.00	$167.05–$191.72	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG PANEL 9 SERUM	$53.97	$257.00	$167.05–$191.72	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COTININE SCREEN URINE	$53.97	$257.00	$167.05–$191.72	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 U TOX SCREEN, RAPID	$53.97	$257.00	$167.05–$191.72	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SEMI-QUANT	$53.97	$257.00	$167.05–$191.72	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN RAPID ALI	$53.97	$257.00	$167.05–$191.72	—	79%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$27.30	$130.00	$65.78–$105.17	46% below	79%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYES-Q	$27.30	$130.00	$65.78–$105.17	46% below	79%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$27.30	$130.00	$84.50–$96.98	—	79%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYES-Q	$27.30	$130.00	$84.50–$96.98	—	79%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV ABY PANEL II	$19.74	$94.00	$47.56–$76.05	68% below	79%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB V.CAPSID AG	$19.74	$94.00	$47.56–$76.05	68% below	79%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB V.CAPSID AG	$19.74	$94.00	$61.10–$70.12	—	79%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV ABY PANEL II	$19.74	$94.00	$61.10–$70.12	—	79%
Estradiol blood test CPT 82670 ESTRADIOL/LAB	$41.37	$197.00	$99.68–$159.37	59% below	79%
Estradiol blood test inpatient CPT 82670 ESTRADIOL/LAB	$41.37	$197.00	$128.05–$146.96	—	79%
FSH (follicle-stimulating hormone) test CPT 83001 FSH/LAB	$36.96	$176.00	$89.06–$142.38	54% below	79%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH/LAB	$36.96	$176.00	$114.40–$131.30	—	79%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$47.67	$227.00	$114.86–$183.64	69% below	79%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN	$47.67	$227.00	$147.55–$169.34	—	79%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$26.04	$124.00	$62.74–$100.32	65% below	79%
Ferritin blood test (iron stores) CPT 82728 FERRITIN/FBR	$26.04	$124.00	$62.74–$100.32	65% below	79%
Ferritin blood test (iron stores) CPT 82728 FIBROSURE FERRITIN	$26.04	$124.00	$62.74–$100.32	65% below	79%
Ferritin blood test (iron stores) CPT 82728 FERRITIN/LAB	$26.04	$124.00	$62.74–$100.32	65% below	79%
Ferritin blood test (iron stores) inpatient CPT 82728 FIBROSURE FERRITIN	$26.04	$124.00	$80.60–$92.50	—	79%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN/LAB	$26.04	$124.00	$80.60–$92.50	—	79%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$26.04	$124.00	$80.60–$92.50	—	79%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN/FBR	$26.04	$124.00	$80.60–$92.50	—	79%
Fibrinogen blood test CPT 85384 FIBRINOGEN, ACTIVITY	$17.01	$81.00	$40.99–$65.53	72% below	79%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN, ACTIVITY	$17.01	$81.00	$52.65–$60.43	—	79%
Folate (folic acid) blood test CPT 82746 FOLATE,SERUM/LAB	$15.33	$73.00	$36.94–$59.06	80% below	79%
Folate (folic acid) blood test CPT 82746 FOLATE	$15.33	$73.00	$36.94–$59.06	80% below	79%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$15.33	$73.00	$47.45–$54.46	—	79%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE,SERUM/LAB	$15.33	$73.00	$47.45–$54.46	—	79%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$34.23	$163.00	$82.48–$131.87	60% below	79%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$34.23	$163.00	$105.95–$121.60	—	79%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS	$21.42	$102.00	$51.61–$82.52	64% below	79%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4/LAB	$21.42	$102.00	$51.61–$82.52	64% below	79%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4/LAB	$21.42	$102.00	$66.30–$76.09	—	79%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT DIALYSIS	$21.42	$102.00	$66.30–$76.09	—	79%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$32.55	$155.00	$78.43–$125.40	68% below	79%
Free testosterone test CPT 84402 TESTOSTERONE FREE/ESOTERIX	$32.55	$155.00	$78.43–$125.40	68% below	79%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$32.55	$155.00	$100.75–$115.63	—	79%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE/ESOTERIX	$32.55	$155.00	$100.75–$115.63	—	79%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 FIBROMETER GGT	$16.80	$80.00	$40.48–$64.72	62% below	79%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT/LAB	$16.80	$80.00	$40.48–$64.72	62% below	79%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 FIBROSURE GGT	$16.80	$80.00	$40.48–$64.72	62% below	79%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE-Q	$16.80	$80.00	$40.48–$64.72	62% below	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASE-Q	$16.80	$80.00	$52.00–$59.68	—	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 FIBROMETER GGT	$16.80	$80.00	$52.00–$59.68	—	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 FIBROSURE GGT	$16.80	$80.00	$52.00–$59.68	—	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT/LAB	$16.80	$80.00	$52.00–$59.68	—	79%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$16.38	$78.00	$39.47–$63.10	56% below	79%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$16.38	$78.00	$50.70–$58.19	—	79%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL. HYPOGLY	$24.99	$119.00	$60.21–$96.27	61% below	79%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE	$24.99	$119.00	$60.21–$96.27	61% below	79%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL. GEST.	$24.99	$119.00	$60.21–$96.27	61% below	79%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL. GEST.	$24.99	$119.00	$77.35–$88.77	—	79%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL. HYPOGLY	$24.99	$119.00	$77.35–$88.77	—	79%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE	$24.99	$119.00	$77.35–$88.77	—	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DIRECT/LAB	$33.81	$161.00	$81.47–$130.25	49% below	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED PROBE	$33.81	$161.00	$81.47–$130.25	49% below	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NG BY TMS THROAT/RECTAL ONLY	$42.00	$200.00	$101.20–$161.80	36% below	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DIRECT/LAB	$33.81	$161.00	$104.65–$120.11	—	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED PROBE	$33.81	$161.00	$104.65–$120.11	—	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NG BY TMS THROAT/RECTAL ONLY	$42.00	$200.00	$130.00–$149.20	—	79%
H. pylori antibody blood test CPT 86677 HELICOBACTER TITER	$25.83	$123.00	$62.24–$99.51	66% below	79%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB	$25.83	$123.00	$62.24–$99.51	66% below	79%
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY	$25.83	$123.00	$62.24–$99.51	66% below	79%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER TITER	$25.83	$123.00	$79.95–$91.76	—	79%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY	$25.83	$123.00	$79.95–$91.76	—	79%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB	$25.83	$123.00	$79.95–$91.76	—	79%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT/PCR	$62.79	$299.00	$151.29–$241.89	73% below	79%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT BDNA	$62.79	$299.00	$151.29–$241.89	73% below	79%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUANT BDNA	$62.79	$299.00	$194.35–$223.05	—	79%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUANT/PCR	$62.79	$299.00	$194.35–$223.05	—	79%
HIV-1 and HIV-2 antibody test CPT 86703 IHIV RAPID	$17.85	$85.00	$43.01–$68.76	61% below	79%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 IHIV RAPID	$17.85	$85.00	$55.25–$63.41	—	79%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV COMBO ANTIGEN/ANTIBODY REF	$17.64	$84.00	$42.50–$67.96	63% below	79%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV COMBO ANTIGEN/ANTIBODY REF	$17.64	$84.00	$54.60–$62.66	—	79%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA PROBE	$31.29	$149.00	$75.39–$120.54	56% below	79%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA ASSAY	$31.29	$149.00	$75.39–$120.54	56% below	79%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA ASSAY	$31.29	$149.00	$96.85–$111.15	—	79%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA PROBE	$31.29	$149.00	$96.85–$111.15	—	79%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSALATED HGB/LAB	$19.95	$95.00	$48.07–$76.86	62% below	79%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSALATED HGB/LAB	$19.95	$95.00	$61.75–$70.87	—	79%
Hemoglobin blood test CPT 85018 HEMOGLOBIN-Q	$5.25	$25.00	$12.65–$20.23	65% below	79%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$5.25	$25.00	$12.65–$20.23	65% below	79%
Hemoglobin blood test CPT 85018 HEMOGLOBIN/LAB	$5.25	$25.00	$12.65–$20.23	65% below	79%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN-Q	$5.25	$25.00	$16.25–$18.65	—	79%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN/LAB	$5.25	$25.00	$16.25–$18.65	—	79%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$5.25	$25.00	$16.25–$18.65	—	79%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B ABY, TOT	$24.78	$118.00	$59.71–$95.46	59% below	79%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B ABY, TOT	$24.78	$118.00	$76.70–$88.03	—	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB DENTAL	$21.21	$101.00	$51.11–$81.71	58% below	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ABY	$21.21	$101.00	$51.11–$81.71	58% below	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$21.21	$101.00	$51.11–$81.71	58% below	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$21.21	$101.00	$65.65–$75.35	—	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ABY	$21.21	$101.00	$65.65–$75.35	—	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB DENTAL	$21.21	$101.00	$65.65–$75.35	—	79%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN	$31.08	$148.00	$74.89–$119.73	36% below	79%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B ANTIGEN	$31.08	$148.00	$74.89–$119.73	36% below	79%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B ANTIGEN	$31.08	$148.00	$74.89–$119.73	36% below	79%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B ANTIGEN	$31.08	$148.00	$96.20–$110.41	—	79%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN	$31.08	$148.00	$96.20–$110.41	—	79%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B ANTIGEN	$31.08	$148.00	$96.20–$110.41	—	79%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ABY	$29.19	$139.00	$70.33–$112.45	60% below	79%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C	$29.19	$139.00	$70.33–$112.45	60% below	79%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ABY	$29.19	$139.00	$90.35–$103.69	—	79%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C	$29.19	$139.00	$90.35–$103.69	—	79%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA, QUANT	$53.34	$254.00	$128.52–$205.49	69% below	79%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA, QUANT	$53.34	$254.00	$165.10–$189.48	—	79%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$11.97	$57.00	$28.84–$46.11	77% below	79%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1	$11.97	$57.00	$37.05–$42.52	—	79%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$15.54	$74.00	$37.44–$59.87	78% below	79%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$15.54	$74.00	$48.10–$55.20	—	79%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY Q	$15.96	$76.00	$38.46–$61.48	69% below	79%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$15.96	$76.00	$38.46–$61.48	69% below	79%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGHLY SENSITIVE	$15.96	$76.00	$38.46–$61.48	69% below	79%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HIGH SENSITIVITY-Q	$15.96	$76.00	$38.46–$61.48	69% below	79%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$15.96	$76.00	$49.40–$56.70	—	79%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY Q	$15.96	$76.00	$49.40–$56.70	—	79%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGHLY SENSITIVE	$15.96	$76.00	$49.40–$56.70	—	79%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HIGH SENSITIVITY-Q	$15.96	$76.00	$49.40–$56.70	—	79%
Homocysteine blood test CPT 83090 HOMOCYSTINE/LAB	$29.82	$142.00	$71.85–$114.88	59% below	79%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$29.82	$142.00	$71.85–$114.88	59% below	79%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE/LAB	$29.82	$142.00	$92.30–$105.93	—	79%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$29.82	$142.00	$92.30–$105.93	—	79%
Insulin blood test CPT 83525 INSULIN/LAB	$23.94	$114.00	$57.68–$92.23	63% below	79%
Insulin blood test inpatient CPT 83525 INSULIN/LAB	$23.94	$114.00	$74.10–$85.04	—	79%
Iron blood test (serum iron) CPT 83540 IRON/FBR	$13.02	$62.00	$31.37–$50.16	65% below	79%
Iron blood test (serum iron) CPT 83540 IRON	$13.02	$62.00	$31.37–$50.16	65% below	79%
Iron blood test (serum iron) CPT 83540 IRON URINE	$13.02	$62.00	$31.37–$50.16	65% below	79%
Iron blood test (serum iron) CPT 83540 IRON/LAB	$13.02	$62.00	$31.37–$50.16	65% below	79%
Iron blood test (serum iron) CPT 83540 IRON/IA TO FBR	$13.02	$62.00	$31.37–$50.16	65% below	79%
Iron blood test (serum iron) inpatient CPT 83540 IRON/FBR	$13.02	$62.00	$40.30–$46.25	—	79%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$13.02	$62.00	$40.30–$46.25	—	79%
Iron blood test (serum iron) inpatient CPT 83540 IRON URINE	$13.02	$62.00	$40.30–$46.25	—	79%
Iron blood test (serum iron) inpatient CPT 83540 IRON/IA TO FBR	$13.02	$62.00	$40.30–$46.25	—	79%
Iron blood test (serum iron) inpatient CPT 83540 IRON/LAB	$13.02	$62.00	$40.30–$46.25	—	79%
Iron-binding capacity (TIBC) test CPT 83550 IBC/LAB	$14.28	$68.00	$34.41–$55.01	65% below	79%
Iron-binding capacity (TIBC) test CPT 83550 IRON BIND CAPACITY	$14.28	$68.00	$34.41–$55.01	65% below	79%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IBC/LAB	$14.28	$68.00	$44.20–$50.73	—	79%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BIND CAPACITY	$14.28	$68.00	$44.20–$50.73	—	79%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL-Q	$15.75	$75.00	$37.95–$60.68	76% below	79%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$15.75	$75.00	$37.95–$60.68	76% below	79%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL-Q	$15.75	$75.00	$48.75–$55.95	—	79%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$15.75	$75.00	$48.75–$55.95	—	79%
LH (luteinizing hormone) test CPT 83002 LH/LAB	$37.17	$177.00	$89.56–$143.19	56% below	79%
LH (luteinizing hormone) test inpatient CPT 83002 LH/LAB	$37.17	$177.00	$115.05–$132.04	—	79%
Lactate (lactic acid) blood test CPT 83605 CSF LACTIC ACID/LAB	$30.45	$145.00	$73.37–$117.30	48% below	79%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID/LAB	$30.45	$145.00	$73.37–$117.30	48% below	79%
Lactate (lactic acid) blood test CPT 83605 LACTATE-MAYO	$30.45	$145.00	$73.37–$117.30	48% below	79%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$30.45	$145.00	$73.37–$117.30	48% below	79%
Lactate (lactic acid) blood test CPT 83605 LACTATE	$30.45	$145.00	$73.37–$117.30	48% below	79%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE-MAYO	$30.45	$145.00	$94.25–$108.17	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 CSF LACTIC ACID/LAB	$30.45	$145.00	$94.25–$108.17	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE	$30.45	$145.00	$94.25–$108.17	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$30.45	$145.00	$94.25–$108.17	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID/LAB	$30.45	$145.00	$94.25–$108.17	—	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH,SERUM/LAB	$10.50	$50.00	$25.30–$40.45	71% below	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH,BODY FLUID/LAB	$10.50	$50.00	$25.30–$40.45	71% below	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH,SPINAL FLUID/LAB	$10.50	$50.00	$25.30–$40.45	71% below	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 TOTAL LD (ARUP)	$10.50	$50.00	$25.30–$40.45	71% below	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LDH)-Q	$10.50	$50.00	$25.30–$40.45	71% below	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUID-Q	$10.50	$50.00	$25.30–$40.45	71% below	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH,SERUM/LAB	$10.50	$50.00	$32.50–$37.30	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 TOTAL LD (ARUP)	$10.50	$50.00	$32.50–$37.30	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH,BODY FLUID/LAB	$10.50	$50.00	$32.50–$37.30	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH,SPINAL FLUID/LAB	$10.50	$50.00	$32.50–$37.30	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BODY FLUID-Q	$10.50	$50.00	$32.50–$37.30	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LDH)-Q	$10.50	$50.00	$32.50–$37.30	—	79%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE/LAB	$14.91	$71.00	$35.93–$57.44	68% below	79%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL-Q	$14.91	$71.00	$35.93–$57.44	68% below	79%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE/LAB	$14.91	$71.00	$46.15–$52.97	—	79%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LEVEL-Q	$14.91	$71.00	$46.15–$52.97	—	79%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL-Q	$21.84	$104.00	$52.62–$84.14	74% below	79%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$21.84	$104.00	$52.62–$84.14	74% below	79%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$21.84	$104.00	$67.60–$77.58	—	79%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL-Q	$21.84	$104.00	$67.60–$77.58	—	79%
Lyme disease antibody test CPT 86618 LYME DISEASE, CSF	$23.52	$112.00	$56.67–$90.61	70% below	79%
Lyme disease antibody test CPT 86618 LYME DIS TITER/LAB	$23.52	$112.00	$56.67–$90.61	70% below	79%
Lyme disease antibody test CPT 86618 IGM/IGB LYME DISEASE AB	$23.52	$112.00	$56.67–$90.61	70% below	79%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$23.52	$112.00	$56.67–$90.61	70% below	79%
Lyme disease antibody test inpatient CPT 86618 IGM/IGB LYME DISEASE AB	$23.52	$112.00	$72.80–$83.55	—	79%
Lyme disease antibody test inpatient CPT 86618 LYME DIS TITER/LAB	$23.52	$112.00	$72.80–$83.55	—	79%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE, CSF	$23.52	$112.00	$72.80–$83.55	—	79%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$23.52	$112.00	$72.80–$83.55	—	79%
Magnesium blood test CPT 83735 MAGNESIUM/LAB	$10.08	$48.00	$24.29–$38.83	75% below	79%
Magnesium blood test CPT 83735 URINE MAGNESIUM/LAB	$10.08	$48.00	$24.29–$38.83	75% below	79%
Magnesium blood test CPT 83735 STONE ANALYSIS MAGNESIUM	$10.08	$48.00	$24.29–$38.83	75% below	79%
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$10.08	$48.00	$24.29–$38.83	75% below	79%
Magnesium blood test CPT 83735 MAGNESIUM URINE RANDOM COLCT-Q	$10.08	$48.00	$24.29–$38.83	75% below	79%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL-Q	$10.08	$48.00	$24.29–$38.83	75% below	79%
Magnesium blood test CPT 83735 MAGNESIUM 24H URINE	$10.08	$48.00	$24.29–$38.83	75% below	79%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE RANDOM COLCT-Q	$10.08	$48.00	$31.20–$35.81	—	79%
Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL-Q	$10.08	$48.00	$31.20–$35.81	—	79%
Magnesium blood test inpatient CPT 83735 MAGNESIUM/LAB	$10.08	$48.00	$31.20–$35.81	—	79%
Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM/LAB	$10.08	$48.00	$31.20–$35.81	—	79%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC	$10.08	$48.00	$31.20–$35.81	—	79%
Magnesium blood test inpatient CPT 83735 MAGNESIUM 24H URINE	$10.08	$48.00	$31.20–$35.81	—	79%
Magnesium blood test inpatient CPT 83735 STONE ANALYSIS MAGNESIUM	$10.08	$48.00	$31.20–$35.81	—	79%
Measles (rubeola) antibody test CPT 86765 RUBEOLA STATE	$24.36	$116.00	$58.70–$93.84	31% below	79%
Measles (rubeola) antibody test CPT 86765 RUBEOLA SCREEN/LAB	$24.36	$116.00	$58.70–$93.84	31% below	79%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$24.36	$116.00	$58.70–$93.84	31% below	79%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) ANTIBODY,IGM	$24.36	$116.00	$58.70–$93.84	31% below	79%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA SCREEN/LAB	$24.36	$116.00	$75.40–$86.54	—	79%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA	$24.36	$116.00	$75.40–$86.54	—	79%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA STATE	$24.36	$116.00	$75.40–$86.54	—	79%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) ANTIBODY,IGM	$24.36	$116.00	$75.40–$86.54	—	79%
Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONO/LAB	$13.02	$62.00	$31.37–$50.16	64% below	79%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT	$13.02	$62.00	$31.37–$50.16	64% below	79%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST HETEROPHILE	$13.02	$62.00	$31.37–$50.16	64% below	79%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCRN	$13.02	$62.00	$31.37–$50.16	64% below	79%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST HETEROPHILE	$13.02	$62.00	$40.30–$46.25	—	79%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT	$13.02	$62.00	$40.30–$46.25	—	79%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCRN	$13.02	$62.00	$40.30–$46.25	—	79%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECTIOUS MONO/LAB	$13.02	$62.00	$40.30–$46.25	—	79%
Mumps immunity blood test CPT 86735 MUMPS IGG	$20.58	$98.00	$49.59–$79.28	44% below	79%
Mumps immunity blood test CPT 86735 MUMPS TITER, IGM	$20.58	$98.00	$49.59–$79.28	44% below	79%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY, IGM	$20.58	$98.00	$49.59–$79.28	44% below	79%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY, IGM	$20.58	$98.00	$63.70–$73.11	—	79%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG	$20.58	$98.00	$63.70–$73.11	—	79%
Mumps immunity blood test inpatient CPT 86735 MUMPS TITER, IGM	$20.58	$98.00	$63.70–$73.11	—	79%
Obstetric blood test panel CPT 80055 PRENATAL PANEL	$43.26	$206.00	$104.24–$166.65	70% below	79%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$43.26	$206.00	$104.24–$166.65	70% below	79%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$43.26	$206.00	$133.90–$153.68	—	79%
Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL	$43.26	$206.00	$133.90–$153.68	—	79%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$28.77	$137.00	$69.32–$110.83	69% below	79%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$28.77	$137.00	$89.05–$102.20	—	79%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPE-AG/LAB	$26.25	$125.00	$63.25–$101.12	63% below	79%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPECIFIC ANTIG PSA	$26.25	$125.00	$63.25–$101.12	63% below	79%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (PART OF PSA FREE)	$26.25	$125.00	$63.25–$101.12	63% below	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPE-AG/LAB	$26.25	$125.00	$81.25–$93.25	—	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (PART OF PSA FREE)	$26.25	$125.00	$81.25–$93.25	—	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROS SPECIFIC ANTIG PSA	$26.25	$125.00	$81.25–$93.25	—	79%
Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP TEST IMAGINE	$23.52	$112.00	$56.67–$90.61	63% below	79%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP TEST IMAGINE	$23.52	$112.00	$72.80–$83.55	—	79%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR, LIQUID	$20.37	$97.00	$49.08–$78.47	71% below	79%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP LP (ARG)	$20.37	$97.00	$49.08–$78.47	71% below	79%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP LP (ARG)	$20.37	$97.00	$63.05–$72.36	—	79%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR, LIQUID	$20.37	$97.00	$63.05–$72.36	—	79%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT/LAB	$32.55	$155.00	$78.43–$125.40	67% below	79%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$32.55	$155.00	$78.43–$125.40	67% below	79%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT/LAB	$32.55	$155.00	$100.75–$115.63	—	79%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$32.55	$155.00	$100.75–$115.63	—	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT/LAB	$20.16	$96.00	$48.58–$77.66	54% below	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT SUBSTITUTION, EA	$20.16	$96.00	$48.58–$77.66	54% below	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$20.16	$96.00	$48.58–$77.66	54% below	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT SUBSTITUTION, EA	$20.16	$96.00	$62.40–$71.62	—	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$20.16	$96.00	$62.40–$71.62	—	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT/LAB	$20.16	$96.00	$62.40–$71.62	—	79%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS/LAB	$8.61	$41.00	$20.75–$33.17	69% below	79%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL-Q	$8.61	$41.00	$20.75–$33.17	69% below	79%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS/LAB	$8.61	$41.00	$26.65–$30.59	—	79%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS LEVEL-Q	$8.61	$41.00	$26.65–$30.59	—	79%
Potassium blood test CPT 84132 POTASSIUM,SERUM/LAB	$9.45	$45.00	$22.77–$36.40	61% below	79%
Potassium blood test CPT 84132 POTASSIUM LEVEL-Q	$9.45	$45.00	$22.77–$36.40	61% below	79%
Potassium blood test CPT 84132 ISTAT POTASSIUM/LAB	$9.45	$45.00	$22.77–$36.40	61% below	79%
Potassium blood test inpatient CPT 84132 POTASSIUM LEVEL-Q	$9.45	$45.00	$29.25–$33.57	—	79%
Potassium blood test inpatient CPT 84132 POTASSIUM,SERUM/LAB	$9.45	$45.00	$29.25–$33.57	—	79%
Potassium blood test inpatient CPT 84132 ISTAT POTASSIUM/LAB	$9.45	$45.00	$29.25–$33.57	—	79%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NIPT FETAL ANEUPLOIDY SCREEN	$398.79	$1,899.00	$960.89–$1,536.29	62% below	79%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NIPT FETAL ANEUPLOIDY SCREEN	$398.79	$1,899.00	$1,234.35–$1,416.65	—	79%
Progesterone blood test CPT 84144 PROGESTERONE/LAB	$32.55	$155.00	$78.43–$125.40	63% below	79%
Progesterone blood test CPT 84144 PROGESTERONE	$32.55	$155.00	$78.43–$125.40	63% below	79%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$32.55	$155.00	$100.75–$115.63	—	79%
Progesterone blood test inpatient CPT 84144 PROGESTERONE/LAB	$32.55	$155.00	$100.75–$115.63	—	79%
Prolactin blood test CPT 84146 PROLACTIN DILUTION STUDY	$37.17	$177.00	$89.56–$143.19	50% below	79%
Prolactin blood test CPT 84146 PROLACTIN	$37.17	$177.00	$89.56–$143.19	50% below	79%
Prolactin blood test CPT 84146 PROLACTIN/LAB	$37.17	$177.00	$89.56–$143.19	50% below	79%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$37.17	$177.00	$115.05–$132.04	—	79%
Prolactin blood test inpatient CPT 84146 PROLACTIN DILUTION STUDY	$37.17	$177.00	$115.05–$132.04	—	79%
Prolactin blood test inpatient CPT 84146 PROLACTIN/LAB	$37.17	$177.00	$115.05–$132.04	—	79%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/LAB	$9.87	$47.00	$23.78–$38.02	66% below	79%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$9.87	$47.00	$23.78–$38.02	66% below	79%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$9.87	$47.00	$30.55–$35.06	—	79%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME/LAB	$9.87	$47.00	$30.55–$35.06	—	79%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN RAPID TAMC	$8.61	$41.00	$20.75–$33.17	67% below	79%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN RAPID TAMC	$8.61	$41.00	$26.65–$30.59	—	79%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ANTIGEN	$12.81	$61.00	$30.87–$49.35	84% below	79%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ANTIGEN	$12.81	$61.00	$39.65–$45.51	—	79%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN	$14.49	$69.00	$34.91–$55.82	63% below	79%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP SCREEN	$14.49	$69.00	$44.85–$51.47	—	79%
Renin blood test CPT 84244 RENIN 1/LAB	$19.74	$94.00	$47.56–$76.05	73% below	79%
Renin blood test inpatient CPT 84244 RENIN 1/LAB	$19.74	$94.00	$61.10–$70.12	—	79%
Rh blood typing CPT 86901 RH TYPE	$22.68	$108.00	$54.65–$87.37	38% below	79%
Rh blood typing inpatient CPT 86901 RH TYPE	$22.68	$108.00	$70.20–$80.57	—	79%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$7.56	$36.00	$18.22–$29.12	78% below	79%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$7.56	$36.00	$18.22–$29.12	78% below	79%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$7.56	$36.00	$23.40–$26.86	—	79%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$7.56	$36.00	$23.40–$26.86	—	79%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER/LAB	$24.99	$119.00	$60.21–$96.27	50% below	79%
Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGM ABY	$24.99	$119.00	$60.21–$96.27	50% below	79%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$24.99	$119.00	$60.21–$96.27	50% below	79%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA, IGM ABY	$24.99	$119.00	$77.35–$88.77	—	79%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG	$24.99	$119.00	$77.35–$88.77	—	79%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER/LAB	$24.99	$119.00	$77.35–$88.77	—	79%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE (ESR)-Q	$12.18	$58.00	$29.35–$46.92	59% below	79%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE (ESR)	$12.18	$58.00	$29.35–$46.92	59% below	79%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE (ESR)-Q	$12.18	$58.00	$37.70–$43.27	—	79%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE (ESR)	$12.18	$58.00	$37.70–$43.27	—	79%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS/LAB	$21.84	$104.00	$52.62–$84.14	74% below	79%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE	$21.84	$104.00	$52.62–$84.14	74% below	79%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE	$21.84	$104.00	$67.60–$77.58	—	79%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS/LAB	$21.84	$104.00	$67.60–$77.58	—	79%
Sodium blood test CPT 84295 SODIUM,SERUM/LAB	$9.45	$45.00	$22.77–$36.40	60% below	79%
Sodium blood test CPT 84295 ISTAT SODIUM/LAB	$9.45	$45.00	$22.77–$36.40	60% below	79%
Sodium blood test CPT 84295 SODIUM LEVEL-Q	$9.45	$45.00	$22.77–$36.40	60% below	79%
Sodium blood test inpatient CPT 84295 SODIUM,SERUM/LAB	$9.45	$45.00	$29.25–$33.57	—	79%
Sodium blood test inpatient CPT 84295 SODIUM LEVEL-Q	$9.45	$45.00	$29.25–$33.57	—	79%
Sodium blood test inpatient CPT 84295 ISTAT SODIUM/LAB	$9.45	$45.00	$29.25–$33.57	—	79%
Stool ova and parasites exam CPT 87177 OVA & PARASITE COMP	$10.50	$50.00	$25.30–$40.45	71% below	79%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE COMP	$10.50	$50.00	$32.50–$37.30	—	79%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT AMB POC	$3.99	$19.00	$9.61–$15.37	81% below	79%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD ANNUAL SCREEN/LAB	$3.99	$19.00	$9.61–$15.37	81% below	79%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCCULT AMB POC	$3.99	$19.00	$12.35–$14.17	—	79%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD ANNUAL SCREEN/LAB	$3.99	$19.00	$12.35–$14.17	—	79%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD STOOL IMMUNOCHEM	$18.27	$87.00	$44.02–$70.38	55% below	79%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD STOOL IMMUNOCHEM	$18.27	$87.00	$56.55–$64.90	—	79%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABSORPTION/LAB	$11.34	$54.00	$27.32–$43.69	79% below	79%
Syphilis antibody test (Treponema pallidum) CPT 86780 RPR-FTA-ABS/LAB	$11.34	$54.00	$27.32–$43.69	79% below	79%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA ABSORPTION/LAB	$11.34	$54.00	$35.10–$40.28	—	79%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 RPR-FTA-ABS/LAB	$11.34	$54.00	$35.10–$40.28	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/LAB	$9.66	$46.00	$23.28–$37.21	69% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR VDRL	$9.66	$46.00	$23.28–$37.21	69% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR/LAB	$9.66	$46.00	$23.28–$37.21	69% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR(PREMARITAL)/LAB	$9.66	$46.00	$23.28–$37.21	69% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL/LAB	$9.66	$46.00	$29.90–$34.32	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR VDRL	$9.66	$46.00	$29.90–$34.32	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR/LAB	$9.66	$46.00	$29.90–$34.32	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR(PREMARITAL)/LAB	$9.66	$46.00	$29.90–$34.32	—	79%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB QUANTIFERON GOLD	$69.30	$330.00	$166.98–$266.97	41% below	79%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB QUANTIFERON GOLD	$69.30	$330.00	$214.50–$246.18	—	79%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL/ESOTERIX	$42.84	$204.00	$103.22–$165.04	53% below	79%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$42.84	$204.00	$103.22–$165.04	53% below	79%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE/LAB	$42.84	$204.00	$103.22–$165.04	53% below	79%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL/ESOTERIX	$42.84	$204.00	$132.60–$152.18	—	79%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE/LAB	$42.84	$204.00	$132.60–$152.18	—	79%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$42.84	$204.00	$132.60–$152.18	—	79%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME AB	$33.39	$159.00	$80.45–$128.63	61% below	79%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID AUTOANTIBODY	$33.39	$159.00	$80.45–$128.63	61% below	79%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL/LAB	$33.39	$159.00	$80.45–$128.63	61% below	79%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-MICROSOMAL/LAB	$33.39	$159.00	$103.35–$118.61	—	79%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME AB	$33.39	$159.00	$103.35–$118.61	—	79%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID AUTOANTIBODY	$33.39	$159.00	$103.35–$118.61	—	79%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH/LAB	$32.55	$155.00	$78.43–$125.40	58% below	79%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH/LAB	$32.55	$155.00	$100.75–$115.63	—	79%
Total IgE blood test CPT 82785 IGE	$30.66	$146.00	$73.88–$118.11	52% below	79%
Total IgE blood test CPT 82785 IGE/LAB	$30.66	$146.00	$73.88–$118.11	52% below	79%
Total IgE blood test inpatient CPT 82785 IGE	$30.66	$146.00	$94.90–$108.92	—	79%
Total IgE blood test inpatient CPT 82785 IGE/LAB	$30.66	$146.00	$94.90–$108.92	—	79%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$10.08	$48.00	$24.29–$38.83	59% below	79%
Total cholesterol blood test CPT 82465 CHOLESTEROL/LAB	$10.08	$48.00	$24.29–$38.83	59% below	79%
Total cholesterol blood test CPT 82465 FIBROSURE CHOLESTEROL	$10.08	$48.00	$24.29–$38.83	59% below	79%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL-Q	$10.08	$48.00	$24.29–$38.83	59% below	79%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL/LAB	$10.08	$48.00	$31.20–$35.81	—	79%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL-Q	$10.08	$48.00	$31.20–$35.81	—	79%
Total cholesterol blood test inpatient CPT 82465 FIBROSURE CHOLESTEROL	$10.08	$48.00	$31.20–$35.81	—	79%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$10.08	$48.00	$31.20–$35.81	—	79%
Total thyroxine (T4) blood test CPT 84436 T4/LAB	$14.91	$71.00	$35.93–$57.44	69% below	79%
Total thyroxine (T4) blood test inpatient CPT 84436 T4/LAB	$14.91	$71.00	$46.15–$52.97	—	79%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$24.78	$118.00	$59.71–$95.46	71% below	79%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$24.78	$118.00	$76.70–$88.03	—	79%
Transferrin blood test CPT 84466 TRANSFERRIN / IA TO FBR	$18.06	$86.00	$43.52–$69.57	69% below	79%
Transferrin blood test CPT 84466 TRANSFERRIN/LAB	$18.06	$86.00	$43.52–$69.57	69% below	79%
Transferrin blood test CPT 84466 TRANSFERRIN	$18.06	$86.00	$43.52–$69.57	69% below	79%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN/LAB	$18.06	$86.00	$55.90–$64.16	—	79%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN / IA TO FBR	$18.06	$86.00	$55.90–$64.16	—	79%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$18.06	$86.00	$55.90–$64.16	—	79%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS DIRECT	$40.11	$191.00	$96.65–$154.52	55% below	79%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS DIRECT	$40.11	$191.00	$124.15–$142.49	—	79%
Triglycerides blood test CPT 84478 TRIGLYCERIDE (ARUP)	$12.81	$61.00	$30.87–$49.35	71% below	79%
Triglycerides blood test CPT 84478 TRIGLYCERIDES/LAB	$12.81	$61.00	$30.87–$49.35	71% below	79%
Triglycerides blood test CPT 84478 BODY FLUID TRIG	$12.81	$61.00	$30.87–$49.35	71% below	79%
Triglycerides blood test CPT 84478 FIBROSURE TRIGLYCERIDE	$12.81	$61.00	$30.87–$49.35	71% below	79%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE (ARUP)	$12.81	$61.00	$39.65–$45.51	—	79%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES/LAB	$12.81	$61.00	$39.65–$45.51	—	79%
Triglycerides blood test inpatient CPT 84478 BODY FLUID TRIG	$12.81	$61.00	$39.65–$45.51	—	79%
Triglycerides blood test inpatient CPT 84478 FIBROSURE TRIGLYCERIDE	$12.81	$61.00	$39.65–$45.51	—	79%
Troponin test, quantitative CPT 84484 TROPONIN T HS (RANDOM)-Q	$20.79	$99.00	$50.09–$80.09	74% below	79%
Troponin test, quantitative CPT 84484 TROPONIN	$20.79	$99.00	$50.09–$80.09	74% below	79%
Troponin test, quantitative CPT 84484 TROPONIN I-POCT	$20.79	$99.00	$50.09–$80.09	74% below	79%
Troponin test, quantitative CPT 84484 TROPONIN I	$20.79	$99.00	$50.09–$80.09	74% below	79%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I-POCT	$20.79	$99.00	$64.35–$73.85	—	79%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T HS (RANDOM)-Q	$20.79	$99.00	$64.35–$73.85	—	79%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$20.79	$99.00	$64.35–$73.85	—	79%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$20.79	$99.00	$64.35–$73.85	—	79%
Uric acid blood test CPT 84550 URIC ACID-Q	$14.07	$67.00	$33.90–$54.20	55% below	79%
Uric acid blood test CPT 84550 URIC ACID,SERUM/LAB	$14.07	$67.00	$33.90–$54.20	55% below	79%
Uric acid blood test inpatient CPT 84550 URIC ACID-Q	$14.07	$67.00	$43.55–$49.98	—	79%
Uric acid blood test inpatient CPT 84550 URIC ACID,SERUM/LAB	$14.07	$67.00	$43.55–$49.98	—	79%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS/AUTO/MIC	$8.82	$42.00	$21.25–$33.98	74% below	79%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS REFLEX TO CULTURE-Q	$8.82	$42.00	$21.25–$33.98	74% below	79%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS REFLEX TO CULTURE-Q	$8.82	$42.00	$27.30–$31.33	—	79%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS/AUTO/MIC	$8.82	$42.00	$27.30–$31.33	—	79%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS ROUTINE	$5.25	$25.00	$12.65–$20.23	79% below	79%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS WITH MICROSCOPIC	$5.25	$25.00	$12.65–$20.23	79% below	79%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS/REFLEX CULTURE	$5.25	$25.00	$12.65–$20.23	79% below	79%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS/REFLEX CULTURE	$5.25	$25.00	$16.25–$18.65	—	79%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS ROUTINE	$5.25	$25.00	$16.25–$18.65	—	79%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS WITH MICROSCOPIC	$5.25	$25.00	$16.25–$18.65	—	79%
Urinalysis without microscope exam, automated CPT 81003 URINE SCREEN/LAB	$7.35	$35.00	$17.71–$28.32	66% below	79%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/MICROSCOPIC-Q	$7.35	$35.00	$17.71–$28.32	66% below	79%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MACROSCOPIC-Q	$7.35	$35.00	$17.71–$28.32	66% below	79%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE-Q	$7.35	$35.00	$17.71–$28.32	66% below	79%
Urinalysis without microscope exam, automated CPT 81003 UA MACROSCOPIC	$7.35	$35.00	$17.71–$28.32	66% below	79%
Urinalysis without microscope exam, automated CPT 81003 URINE PH/LAB	$7.35	$35.00	$17.71–$28.32	66% below	79%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY/LAB	$7.35	$35.00	$17.71–$28.32	66% below	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY/LAB	$7.35	$35.00	$22.75–$26.11	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS MACROSCOPIC-Q	$7.35	$35.00	$22.75–$26.11	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/MICROSCOPIC-Q	$7.35	$35.00	$22.75–$26.11	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE-Q	$7.35	$35.00	$22.75–$26.11	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA MACROSCOPIC	$7.35	$35.00	$22.75–$26.11	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE SCREEN/LAB	$7.35	$35.00	$22.75–$26.11	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH/LAB	$7.35	$35.00	$22.75–$26.11	—	79%
Urinalysis without microscope exam, manual CPT 81002 URINE SUGAR/LAB	$4.20	$20.00	$10.12–$16.18	73% below	79%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$4.20	$20.00	$10.12–$16.18	73% below	79%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK (MANUAL)	$4.20	$20.00	$10.12–$16.18	73% below	79%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK ONLY	$4.20	$20.00	$10.12–$16.18	73% below	79%
Urinalysis without microscope exam, manual CPT 81002 ICTOTEST, URINE	$4.20	$20.00	$10.12–$16.18	73% below	79%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP	$4.20	$20.00	$10.12–$16.18	73% below	79%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY URINE	$4.20	$20.00	$10.12–$16.18	73% below	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE SUGAR/LAB	$4.20	$20.00	$13.00–$14.92	—	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$4.20	$20.00	$13.00–$14.92	—	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK (MANUAL)	$4.20	$20.00	$13.00–$14.92	—	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 ICTOTEST, URINE	$4.20	$20.00	$13.00–$14.92	—	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY URINE	$4.20	$20.00	$13.00–$14.92	—	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK ONLY	$4.20	$20.00	$13.00–$14.92	—	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP	$4.20	$20.00	$13.00–$14.92	—	79%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/LAB	$18.06	$86.00	$43.52–$69.57	72% below	79%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/LAB	$18.06	$86.00	$55.90–$64.16	—	79%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RANDOM URINE	$11.97	$57.00	$28.84–$46.11	77% below	79%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24HR URINE	$11.97	$57.00	$28.84–$46.11	77% below	79%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE RNDM CLCT-Q	$11.97	$57.00	$28.84–$46.11	77% below	79%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, URINE	$11.97	$57.00	$28.84–$46.11	77% below	79%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN, URINE	$11.97	$57.00	$37.05–$42.52	—	79%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE RNDM CLCT-Q	$11.97	$57.00	$37.05–$42.52	—	79%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24HR URINE	$11.97	$57.00	$37.05–$42.52	—	79%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RANDOM URINE	$11.97	$57.00	$37.05–$42.52	—	79%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$19.95	$95.00	$48.07–$76.86	29% below	79%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST,URINE	$19.95	$95.00	$48.07–$76.86	29% below	79%
Urine pregnancy test, read by color change CPT 81025 BETA HCG QUAL URINE	$19.95	$95.00	$48.07–$76.86	29% below	79%
Urine pregnancy test, read by color change CPT 81025 BETA HCG QUALITATIVE URINE-Q	$19.95	$95.00	$48.07–$76.86	29% below	79%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST,URINE	$19.95	$95.00	$61.75–$70.87	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 BETA HCG QUAL URINE	$19.95	$95.00	$61.75–$70.87	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 BETA HCG QUALITATIVE URINE-Q	$19.95	$95.00	$61.75–$70.87	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE	$19.95	$95.00	$61.75–$70.87	—	79%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 REFLEX	$17.01	$81.00	$40.99–$65.53	80% below	79%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12/LAB	$17.01	$81.00	$40.99–$65.53	80% below	79%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12/LAB	$17.01	$81.00	$52.65–$60.43	—	79%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 REFLEX	$17.01	$81.00	$52.65–$60.43	—	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY VIT	$31.08	$148.00	$74.89–$119.73	73% below	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 AND D3 BY LCMS	$31.08	$148.00	$74.89–$119.73	73% below	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25/LAB	$31.08	$148.00	$74.89–$119.73	73% below	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 AND D3 BY LCMS	$31.08	$148.00	$96.20–$110.41	—	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXY VIT	$31.08	$148.00	$96.20–$110.41	—	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25/LAB	$31.08	$148.00	$96.20–$110.41	—	79%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1.25/LAB	$30.45	$145.00	$73.37–$117.30	77% below	79%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1.25/LAB	$30.45	$145.00	$94.25–$108.17	—	79%
Zinc blood test CPT 84630 ZINC/LAB	$10.29	$49.00	$24.79–$39.64	76% below	79%
Zinc blood test CPT 84630 ZINC, RBC	$10.29	$49.00	$24.79–$39.64	76% below	79%
Zinc blood test inpatient CPT 84630 ZINC/LAB	$10.29	$49.00	$31.85–$36.55	—	79%
Zinc blood test inpatient CPT 84630 ZINC, RBC	$10.29	$49.00	$31.85–$36.55	—	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG	$34.44	$164.00	$82.98–$132.68	58% below	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG-BETA SUBUNIT/LAB	$34.44	$164.00	$82.98–$132.68	58% below	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE SERUM-Q	$34.44	$164.00	$82.98–$132.68	58% below	79%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG	$34.44	$164.00	$106.60–$122.34	—	79%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG-BETA SUBUNIT/LAB	$34.44	$164.00	$106.60–$122.34	—	79%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANTITATIVE SERUM-Q	$34.44	$164.00	$106.60–$122.34	—	79%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Botox injections for chronic migraine both sides CPT 64615 CHEMODEN BILAT CHRON MIGRAN FF	$207.90	$990.00	$500.94–$800.91	—	79%
Botox injections for chronic migraine inpatient both sides CPT 64615 CHEMODEN BILAT CHRON MIGRAN FF	$207.90	$990.00	$643.50–$738.54	—	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$593.88	$2,828.00	$1,430.97–$2,287.85	68% below	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LSN STRTCTC-RT	$593.88	$2,828.00	$1,430.97–$2,287.85	68% below	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LSN STRTCTC-LT	$593.88	$2,828.00	$1,430.97–$2,287.85	68% below	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC	$593.88	$2,828.00	$1,838.20–$2,109.69	—	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LSN STRTCTC-RT	$593.88	$2,828.00	$1,838.20–$2,109.69	—	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LSN STRTCTC-LT	$593.88	$2,828.00	$1,838.20–$2,109.69	—	79%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE FF	$210.63	$1,003.00	$507.52–$811.43	24% below	79%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLS TRT DISTL FIB WO FFEE	$210.63	$1,003.00	$507.52–$811.43	24% below	79%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX DSTAL FIB FX WO MNP FF	$210.63	$1,003.00	$507.52–$811.43	24% below	79%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TX DSTAL FIB FX WO MNP FF	$210.63	$1,003.00	$651.95–$748.24	—	79%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLS TRT DISTL FIB WO FFEE	$210.63	$1,003.00	$651.95–$748.24	—	79%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMENT OF ANKLE FRACTURE FF	$210.63	$1,003.00	$651.95–$748.24	—	79%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLS TRT METATAR FX FACFEE	$130.83	$623.00	$315.24–$504.01	46% below	79%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLS TREAT METATARSAL FX FF	$130.83	$623.00	$315.24–$504.01	46% below	79%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLS TRT METATAR FX FACFEE	$130.83	$623.00	$404.95–$464.76	—	79%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLS TREAT METATARSAL FX FF	$130.83	$623.00	$404.95–$464.76	—	79%
Cardiac catheterization with coronary angiogram CPT 93458 LHC W COR ANGIO	$2,456.16	$11,696.00	$5,918.18–$9,462.06	36% below	79%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHC W COR ANGIO	$2,456.16	$11,696.00	$7,602.40–$8,725.22	—	79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL CARDIOVERSION	$425.04	$2,024.00	$1,024.14–$1,637.42	13% below	79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXTERN	$510.09	$2,429.00	$1,229.07–$1,965.06	5% above	79%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EXTERNAL CARDIOVERSION	$425.04	$2,024.00	$1,315.60–$1,509.90	—	79%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXTERN	$510.09	$2,429.00	$1,578.85–$1,812.03	—	79%
Carpal tunnel release, open surgery one side CPT 64721 CARPAL TUNNEL SURGERY LT	$1,640.31	$7,811.00	$3,952.37–$6,319.10	64% above	79%
Carpal tunnel release, open surgery one side CPT 64721 CARPAL TUNNEL SURGERY RT	$1,640.31	$7,811.00	$3,952.37–$6,319.10	64% above	79%
Carpal tunnel release, open surgery inpatient one side CPT 64721 CARPAL TUNNEL SURGERY LT	$1,640.31	$7,811.00	$5,077.15–$5,827.01	—	79%
Carpal tunnel release, open surgery inpatient one side CPT 64721 CARPAL TUNNEL SURGERY RT	$1,640.31	$7,811.00	$5,077.15–$5,827.01	—	79%
Cervical biopsy CPT 57500 BX CERVIX SNG/MULI FACFEE	$198.45	$945.00	$478.17–$764.50	45% below	79%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX FFEE	$198.45	$945.00	$478.17–$764.50	45% below	79%
Cervical biopsy inpatient CPT 57500 BX CERVIX SNG/MULI FACFEE	$198.45	$945.00	$614.25–$704.97	—	79%
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX FFEE	$198.45	$945.00	$614.25–$704.97	—	79%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCIS 28 DAYS OR OLDER FF	$375.48	$1,788.00	$904.73–$1,446.49	38% below	79%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER FF	$375.48	$1,788.00	$904.73–$1,446.49	38% below	79%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCIS 28 DAYS OR OLDER FF	$375.48	$1,788.00	$1,162.20–$1,333.85	—	79%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28 DAYS OR OLDER FF	$375.48	$1,788.00	$1,162.20–$1,333.85	—	79%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLS TRT DIST RAD FX FFEE	$210.63	$1,003.00	$507.52–$811.43	29% below	79%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLS TRT DIST RAD FX W/O MNP FF	$210.63	$1,003.00	$507.52–$811.43	29% below	79%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLS TRT DIST RAD FX W/O MNP FF	$210.63	$1,003.00	$651.95–$748.24	—	79%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLS TRT DIST RAD FX FFEE	$210.63	$1,003.00	$651.95–$748.24	—	79%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 LEEP FAC FEE	$508.20	$2,420.00	$1,224.52–$1,957.78	40% below	79%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 LEEP FAC FEE	$508.20	$2,420.00	$1,573.00–$1,805.32	—	79%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY W/BX FAC FEE	$156.03	$743.00	$375.96–$601.09	25% below	79%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY W/BX FAC FEE	$156.03	$743.00	$482.95–$554.28	—	79%
Coronary stent placement, one artery CPT 92928 HC PRQ CARD STNT W/ANGIO 1 VSL	$9,526.02	$45,362.00	$22,953.17–$36,697.86	16% below	79%
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STNT W/ANGIO 1 VSL	$9,526.02	$45,362.00	$29,485.30–$33,840.05	—	79%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETHROSC W/URETL WIRE FF	$1,008.00	$4,800.00	$2,428.80–$3,883.20	75% below	79%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOURETHROSC W/URETL WIRE FF	$1,008.00	$4,800.00	$3,120.00–$3,580.80	—	79%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY FF	$249.90	$1,190.00	$602.14–$962.71	55% below	79%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY FF	$249.90	$1,190.00	$773.50–$887.74	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUC LES CRYOSURGERY 1ST FF	$64.05	$305.00	$154.33–$246.74	30% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION ONE LESS FF	$64.05	$305.00	$154.33–$246.74	30% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION ONE LES F/FEE	$64.05	$305.00	$154.33–$246.74	30% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRCT ONE LES FAC FEE	$64.05	$305.00	$154.33–$246.74	30% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT 1 LES FAC FEE	$64.05	$305.00	$154.33–$246.74	30% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION ONE LESION FF	$64.05	$305.00	$154.33–$246.74	30% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 REMOVE LES 1ST LES FFEE	$64.05	$305.00	$154.33–$246.74	30% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT ONE LESION FF	$64.05	$305.00	$154.33–$246.74	30% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION ONE LES F/FEE	$64.05	$305.00	$198.25–$227.53	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION ONE LESS FF	$64.05	$305.00	$198.25–$227.53	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT ONE LESION FF	$64.05	$305.00	$198.25–$227.53	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 REMOVE LES 1ST LES FFEE	$64.05	$305.00	$198.25–$227.53	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRCT ONE LES FAC FEE	$64.05	$305.00	$198.25–$227.53	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT 1 LES FAC FEE	$64.05	$305.00	$198.25–$227.53	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUC LES CRYOSURGERY 1ST FF	$64.05	$305.00	$198.25–$227.53	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION ONE LESION FF	$64.05	$305.00	$198.25–$227.53	—	79%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY W/TUBE INSERT FF	$270.69	$1,289.00	$652.23–$1,042.80	21% below	79%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTOMY W/TUBE INSERT FF	$270.69	$1,289.00	$837.85–$961.59	—	79%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 OFF RMV IMPACT CERUM UNILAT FF	$43.89	$209.00	$105.75–$169.08	12% below	79%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOV IMPACT CERUMEN UNILAT FF	$52.71	$251.00	$127.01–$203.06	5% above	79%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 OFF RMV IMPACT CERUM UNILAT FF	$43.89	$209.00	$135.85–$155.91	—	79%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOV IMPACT CERUMEN UNILAT FF	$52.71	$251.00	$163.15–$187.25	—	79%
Earwax removal with instruments, one ear CPT 69210 REMOV IMPACT CERUMEN 1/BOTH FF	$40.53	$193.00	$97.66–$156.14	30% below	79%
Earwax removal with instruments, one ear CPT 69210 REMOV CERUMEN EARS FACFEE	$40.53	$193.00	$97.66–$156.14	30% below	79%
Earwax removal with instruments, one ear CPT 69210 RMV CERUMEN EARS FF	$40.53	$193.00	$97.66–$156.14	30% below	79%
Earwax removal with instruments, one ear CPT 69210 REMOV CERUMEN EARS F/FEE	$40.53	$193.00	$97.66–$156.14	30% below	79%
Earwax removal with instruments, one ear CPT 69210 RMV CERUMEN EAR FF	$40.53	$193.00	$97.66–$156.14	30% below	79%
Earwax removal with instruments, one ear CPT 69210 RMV IMPACT CERUMEN W/INSTRUMNT	$48.72	$232.00	$117.39–$187.69	16% below	79%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOV IMPACT CERUMEN 1/BOTH FF	$40.53	$193.00	$125.45–$143.98	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 RMV CERUMEN EARS FF	$40.53	$193.00	$125.45–$143.98	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 RMV CERUMEN EAR FF	$40.53	$193.00	$125.45–$143.98	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOV CERUMEN EARS FACFEE	$40.53	$193.00	$125.45–$143.98	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOV CERUMEN EARS F/FEE	$40.53	$193.00	$125.45–$143.98	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 RMV IMPACT CERUMEN W/INSTRUMNT	$48.72	$232.00	$150.80–$173.07	—	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDO BIOPSY FAC FEE	$113.19	$539.00	$272.73–$436.05	43% below	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY FFEE	$113.19	$539.00	$272.73–$436.05	43% below	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX W/O DILAT FF	$135.87	$647.00	$327.38–$523.42	32% below	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDO BIOPSY FAC FEE	$113.19	$539.00	$350.35–$402.09	—	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY FFEE	$113.19	$539.00	$350.35–$402.09	—	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX W/O DILAT FF	$135.87	$647.00	$420.55–$482.66	—	79%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERV/THOR EPI STEROID W/IMG FF	$617.19	$2,939.00	$1,487.13–$2,377.65	34% below	79%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECT SPINE CERV/THOR W/IMAG	$617.19	$2,939.00	$1,487.13–$2,377.65	34% below	79%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CERV/THOR EPI STEROID W/IMG FF	$617.19	$2,939.00	$1,910.35–$2,192.49	—	79%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJECT SPINE CERV/THOR W/IMAG	$617.19	$2,939.00	$1,910.35–$2,192.49	—	79%
Eye injection into the vitreous (intravitreal injection) CPT 67028 OFF INTRAVITREAL DRUG FF	$211.26	$1,006.00	$509.04–$813.85	—	79%
Eye injection into the vitreous (intravitreal injection) one side CPT 67028 OFF INTRAVITREAL DRUG LT FF	$211.26	$1,006.00	$509.04–$813.85	—	79%
Eye injection into the vitreous (intravitreal injection) one side CPT 67028 OFF INTRAVITREAL DRUG RT FF	$211.26	$1,006.00	$509.04–$813.85	—	79%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 OFF INTRAVITREAL DRUG FF	$211.26	$1,006.00	$653.90–$750.48	—	79%
Eye injection into the vitreous (intravitreal injection) inpatient one side CPT 67028 OFF INTRAVITREAL DRUG LT FF	$211.26	$1,006.00	$653.90–$750.48	—	79%
Eye injection into the vitreous (intravitreal injection) inpatient one side CPT 67028 OFF INTRAVITREAL DRUG RT FF	$211.26	$1,006.00	$653.90–$750.48	—	79%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 OFF INJ PARAVERT L/S 1 LEV FF	$885.78	$4,218.00	$2,134.31–$3,412.36	10% below	79%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECT PARAVERTEBRAL L/S	$885.78	$4,218.00	$2,134.31–$3,412.36	10% below	79%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 OFF INJ PARAVERT L/S 1 LEV FF	$885.78	$4,218.00	$2,741.70–$3,146.63	—	79%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJECT PARAVERTEBRAL L/S	$885.78	$4,218.00	$2,741.70–$3,146.63	—	79%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHO SIMP LIGAT F/FEE	$158.34	$754.00	$381.52–$609.99	79% below	79%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHO SIMP LIGAT F/FEE	$158.34	$754.00	$490.10–$562.48	—	79%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH AND INDUC SAL OR CON FF	$71.19	$339.00	$171.53–$274.25	79% below	79%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH AND INDUC SAL OR CON FF	$71.19	$339.00	$220.35–$252.89	—	79%
Incision and drainage of a simple or single skin abscess CPT 10060 DERM CL I&D ABCESS SIMPLE FF	$135.03	$643.00	$325.36–$520.19	16% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SEBS CYST/FURN/ABSCESS FF	$135.03	$643.00	$325.36–$520.19	16% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SEBS CYST/FURN/ABSC FF	$135.03	$643.00	$325.36–$520.19	16% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SKIN ABSCESS-SIMPLE/SINGLE	$135.03	$643.00	$325.36–$520.19	16% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SEBS CYST/FURN/ABSCES FF	$135.03	$643.00	$325.36–$520.19	16% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMP FAC FEE	$135.03	$643.00	$325.36–$520.19	16% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D CYST/ABS SIMP FAC FEE	$135.03	$643.00	$325.36–$520.19	16% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE F/FEE	$135.03	$643.00	$325.36–$520.19	16% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SEBS CYST/FUR FAC FEE	$135.03	$643.00	$325.36–$520.19	16% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE FF	$162.12	$772.00	$390.63–$624.55	1% above	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SKIN ABSCESS-SIMPLE/SINGLE	$135.03	$643.00	$417.95–$479.68	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SEBS CYST/FURN/ABSCESS FF	$135.03	$643.00	$417.95–$479.68	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DERM CL I&D ABCESS SIMPLE FF	$135.03	$643.00	$417.95–$479.68	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SEBS CYST/FUR FAC FEE	$135.03	$643.00	$417.95–$479.68	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE F/FEE	$135.03	$643.00	$417.95–$479.68	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D CYST/ABS SIMP FAC FEE	$135.03	$643.00	$417.95–$479.68	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMP FAC FEE	$135.03	$643.00	$417.95–$479.68	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SEBS CYST/FURN/ABSCES FF	$135.03	$643.00	$417.95–$479.68	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SEBS CYST/FURN/ABSC FF	$135.03	$643.00	$417.95–$479.68	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE FF	$162.12	$772.00	$501.80–$575.91	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH LIG FF	$173.25	$825.00	$417.45–$667.42	8% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH FF	$173.25	$825.00	$417.45–$667.42	8% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH FFEE	$173.25	$825.00	$417.45–$667.42	8% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEND SHEATH LIG FFEE	$173.25	$825.00	$417.45–$667.42	8% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT FF	$173.25	$825.00	$417.45–$667.42	8% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIG SNGL	$173.25	$825.00	$417.45–$667.42	8% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIG SNGL FF	$207.90	$990.00	$500.94–$800.91	10% above	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT FF	$173.25	$825.00	$536.25–$615.45	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TEND SHEATH LIG FFEE	$173.25	$825.00	$536.25–$615.45	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIG SNGL	$173.25	$825.00	$536.25–$615.45	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH FF	$173.25	$825.00	$536.25–$615.45	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH FFEE	$173.25	$825.00	$536.25–$615.45	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH LIG FF	$173.25	$825.00	$536.25–$615.45	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIG SNGL FF	$207.90	$990.00	$643.50–$738.54	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO/ASPIR MAJOR JOINT FF	$190.47	$907.00	$458.94–$733.76	28% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ MAJOR JOINT FF	$190.47	$907.00	$458.94–$733.76	28% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASPIR MJR JT FFEE	$190.47	$907.00	$458.94–$733.76	28% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHO ASPIR MJR JT F/FEE	$190.47	$907.00	$458.94–$733.76	28% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA MAJOR JT	$190.47	$907.00	$458.94–$733.76	28% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT JNT/BURSA FFEE	$190.47	$907.00	$458.94–$733.76	28% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RHEUM CL ARTHROCENT MJR JT FF	$190.47	$907.00	$458.94–$733.76	28% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION MAJOR FF	$228.48	$1,088.00	$550.53–$880.19	14% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO/ASPIR MAJ JNT W/O US FF	$264.39	$1,259.00	$637.05–$1,018.53	at median	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC DRN/INJ MJR JNT/B WO US RT	$190.47	$907.00	$458.94–$733.76	28% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC DRN/INJ MJR JNT/B WO US LT	$190.47	$907.00	$458.94–$733.76	28% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 RHEUM CL ARTHROCENT MJR JT FF	$190.47	$907.00	$589.55–$676.62	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ MAJOR JOINT FF	$190.47	$907.00	$589.55–$676.62	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO/ASPIR MAJOR JOINT FF	$190.47	$907.00	$589.55–$676.62	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENT JNT/BURSA FFEE	$190.47	$907.00	$589.55–$676.62	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHO ASPIR MJR JT F/FEE	$190.47	$907.00	$589.55–$676.62	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA MAJOR JT	$190.47	$907.00	$589.55–$676.62	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO ASPIR MJR JT FFEE	$190.47	$907.00	$589.55–$676.62	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION MAJOR FF	$228.48	$1,088.00	$707.20–$811.65	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO/ASPIR MAJ JNT W/O US FF	$264.39	$1,259.00	$818.35–$939.21	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC DRN/INJ MJR JNT/B WO US LT	$190.47	$907.00	$589.55–$676.62	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC DRN/INJ MJR JNT/B WO US RT	$190.47	$907.00	$589.55–$676.62	—	79%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE FF	$56.49	$269.00	$136.11–$217.62	51% below	79%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE FF	$56.49	$269.00	$174.85–$200.67	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS/INJ-IM JT	$181.44	$864.00	$437.18–$698.98	at median	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO/ASPIR INTERM JOINT FF	$181.44	$864.00	$437.18–$698.98	at median	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ INTERMEDIATE JOINT FF	$181.44	$864.00	$437.18–$698.98	at median	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 RHEUM CL ARTHRO INTERM JT FF	$181.44	$864.00	$437.18–$698.98	at median	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT JNT/CYST FFEE	$181.44	$864.00	$437.18–$698.98	at median	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JT/BURSA INTERMED JT	$181.44	$864.00	$437.18–$698.98	at median	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ INTERM JR/BURSA FFEE	$181.44	$864.00	$437.18–$698.98	at median	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHR ASPIR INTM JT F/FEE	$181.44	$864.00	$437.18–$698.98	at median	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JNT BURSA INTERM FF	$217.77	$1,037.00	$524.72–$838.93	20% above	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRN/INTERM JT/BURSA W/O US FF	$217.77	$1,037.00	$524.72–$838.93	20% above	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT JNT/CYST FFEE	$181.44	$864.00	$561.60–$644.54	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 RHEUM CL ARTHRO INTERM JT FF	$181.44	$864.00	$561.60–$644.54	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ INTERM JR/BURSA FFEE	$181.44	$864.00	$561.60–$644.54	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHR ASPIR INTM JT F/FEE	$181.44	$864.00	$561.60–$644.54	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ INTERMEDIATE JOINT FF	$181.44	$864.00	$561.60–$644.54	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS/INJ-IM JT	$181.44	$864.00	$561.60–$644.54	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO/ASPIR INTERM JOINT FF	$181.44	$864.00	$561.60–$644.54	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JT/BURSA INTERMED JT	$181.44	$864.00	$561.60–$644.54	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JNT BURSA INTERM FF	$217.77	$1,037.00	$674.05–$773.60	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRN/INTERM JT/BURSA W/O US FF	$217.77	$1,037.00	$674.05–$773.60	—	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 RHEUM CL ARTHROCENT SM JT FF	$173.25	$825.00	$417.45–$667.42	14% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRN/INJ JOINT/BURS W/O US	$173.25	$825.00	$417.45–$667.42	14% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS/INJ-SM JT	$173.25	$825.00	$417.45–$667.42	14% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHR ASPIR SM JT FAC FEE	$173.25	$825.00	$417.45–$667.42	14% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS FAC FEE	$173.25	$825.00	$417.45–$667.42	14% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURS W/O US FF	$173.25	$825.00	$417.45–$667.42	14% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHRO/ASPIR SMALL JOINT FF	$207.90	$990.00	$500.94–$800.91	3% above	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHR ASPIR SM JT FAC FEE	$173.25	$825.00	$536.25–$615.45	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS FAC FEE	$173.25	$825.00	$536.25–$615.45	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 RHEUM CL ARTHROCENT SM JT FF	$173.25	$825.00	$536.25–$615.45	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ JOINT/BURS W/O US FF	$173.25	$825.00	$536.25–$615.45	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS/INJ-SM JT	$173.25	$825.00	$536.25–$615.45	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRN/INJ JOINT/BURS W/O US	$173.25	$825.00	$536.25–$615.45	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHRO/ASPIR SMALL JOINT FF	$207.90	$990.00	$643.50–$738.54	—	79%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG CAPSULOTOMY FF	$284.13	$1,353.00	$684.62–$1,094.58	12% below	79%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG CAPSULOTOMY FF	$284.13	$1,353.00	$879.45–$1,009.34	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAY CLS WND SATE <=2.5CM FF	$182.91	$871.00	$440.73–$704.64	37% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAY CLS WND SATE 2.5CM /LESS F	$182.91	$871.00	$440.73–$704.64	37% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S) FFEE	$182.91	$871.00	$440.73–$704.64	37% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 DERM REPAIR INT SATE 2.5C FF	$182.91	$871.00	$440.73–$704.64	37% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LYR CLS OF WND<=2.5CM FF	$182.91	$871.00	$440.73–$704.64	37% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR WND INTERMD SATE 2.5CM< FF	$219.45	$1,045.00	$528.77–$845.41	24% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LYR CLS OF WND<=2.5CM FF	$182.91	$871.00	$566.15–$649.77	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAY CLS WND SATE 2.5CM /LESS F	$182.91	$871.00	$566.15–$649.77	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE OF WOUND(S) FFEE	$182.91	$871.00	$566.15–$649.77	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 DERM REPAIR INT SATE 2.5C FF	$182.91	$871.00	$566.15–$649.77	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAY CLS WND SATE <=2.5CM FF	$182.91	$871.00	$566.15–$649.77	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR WND INTERMD SATE 2.5CM< FF	$219.45	$1,045.00	$679.25–$779.57	—	79%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATHETERIZATION	$1,670.13	$7,953.00	$4,024.22–$6,433.98	31% below	79%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATHETERIZATION	$1,670.13	$7,953.00	$5,169.45–$5,932.94	—	79%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTERLAMIN LMBR/SAC W/IMAG	$617.19	$2,939.00	$1,487.13–$2,377.65	34% below	79%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ INTERLAMIN LMBR/SAC W/IMAG	$617.19	$2,939.00	$1,910.35–$2,192.49	—	79%
Lower-back epidural injection, without imaging guidance CPT 62322 LUM/CAUD EPI STERIOD WO/IMG FF	$438.69	$2,089.00	$1,057.03–$1,690.00	52% below	79%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECT SPINE L/S (CD) WO/IMAG	$438.69	$2,089.00	$1,057.03–$1,690.00	52% below	79%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECT SPINE L/S (CD) WO/IMAG	$438.69	$2,089.00	$1,357.85–$1,558.39	—	79%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 LUM/CAUD EPI STERIOD WO/IMG FF	$438.69	$2,089.00	$1,357.85–$1,558.39	—	79%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRANSFORAMINAL EPIDUR W/IG	$813.33	$3,873.00	$1,959.74–$3,133.26	16% below	79%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUM/SAC TRANS EPI STERIOD FF	$813.33	$3,873.00	$1,959.74–$3,133.26	16% below	79%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECT FORAMEN EPIDURAL L/S	$813.33	$3,873.00	$1,959.74–$3,133.26	16% below	79%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUM/SAC TRANS EPI STEROID FFEE	$813.33	$3,873.00	$1,959.74–$3,133.26	16% below	79%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUM/SAC TRANS EPI STEROID FFEE	$813.33	$3,873.00	$2,517.45–$2,889.26	—	79%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRANSFORAMINAL EPIDUR W/IG	$813.33	$3,873.00	$2,517.45–$2,889.26	—	79%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUM/SAC TRANS EPI STERIOD FF	$813.33	$3,873.00	$2,517.45–$2,889.26	—	79%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJECT FORAMEN EPIDURAL L/S	$813.33	$3,873.00	$2,517.45–$2,889.26	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< FF	$119.28	$568.00	$287.41–$459.51	30% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BNGN LES TAL<.5CM FF	$119.28	$568.00	$287.41–$459.51	30% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES .5CM FAC FEE	$119.28	$568.00	$287.41–$459.51	30% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BNG LES T,A<.5C F/FEE	$119.28	$568.00	$287.41–$459.51	30% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BNG LES TAL <.5C FF	$119.28	$568.00	$287.41–$459.51	30% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BNG LES TAL<.5C FF	$119.28	$568.00	$287.41–$459.51	30% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 DERM BNGN LESN TRNK ARM L FF	$119.28	$568.00	$287.41–$459.51	30% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< FF	$119.28	$568.00	$369.20–$423.73	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BNGN LES TAL<.5CM FF	$119.28	$568.00	$369.20–$423.73	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BEN LES .5CM FAC FEE	$119.28	$568.00	$369.20–$423.73	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BNG LES T,A<.5C F/FEE	$119.28	$568.00	$369.20–$423.73	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BNG LES TAL <.5C FF	$119.28	$568.00	$369.20–$423.73	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BNG LES TAL<.5C FF	$119.28	$568.00	$369.20–$423.73	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 DERM BNGN LESN TRNK ARM L FF	$119.28	$568.00	$369.20–$423.73	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 OFF EXC BEN LES FEENLM .5C> FF	$210.63	$1,003.00	$507.52–$811.43	22% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BNGN LES FEENL 0.5CM OR<FF	$210.63	$1,003.00	$507.52–$811.43	22% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES FENL.5CM<FFEE	$210.63	$1,003.00	$507.52–$811.43	22% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES FENL .5CM OR< FF	$210.63	$1,003.00	$507.52–$811.43	22% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES FENL .5CM<FFEE	$210.63	$1,003.00	$507.52–$811.43	22% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES FENL .5CM OR LS FF	$210.63	$1,003.00	$507.52–$811.43	22% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BNGN LES FEENL 0.5CM OR<FF	$210.63	$1,003.00	$651.95–$748.24	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BEN LES FENL .5CM<FFEE	$210.63	$1,003.00	$651.95–$748.24	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 OFF EXC BEN LES FEENLM .5C> FF	$210.63	$1,003.00	$651.95–$748.24	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BEN LES FENL .5CM OR LS FF	$210.63	$1,003.00	$651.95–$748.24	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BEN LES FENL .5CM OR< FF	$210.63	$1,003.00	$651.95–$748.24	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BEN LES FENL.5CM<FFEE	$210.63	$1,003.00	$651.95–$748.24	—	79%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE FF	$110.25	$525.00	$265.65–$424.72	15% below	79%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGL FF	$110.25	$525.00	$265.65–$424.72	15% below	79%
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLATE SNG F/FEE	$110.25	$525.00	$265.65–$424.72	15% below	79%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL FAC FEE	$110.25	$525.00	$265.65–$424.72	15% below	79%
Nail removal (partial or complete), one nail CPT 11730 DERM AVULSION NAIL PLATE FF	$110.25	$525.00	$265.65–$424.72	15% below	79%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE FF	$132.30	$630.00	$318.78–$509.67	2% above	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLATE SNG F/FEE	$110.25	$525.00	$341.25–$391.65	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGL FF	$110.25	$525.00	$341.25–$391.65	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 DERM AVULSION NAIL PLATE FF	$110.25	$525.00	$341.25–$391.65	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGLE FF	$110.25	$525.00	$341.25–$391.65	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL FAC FEE	$110.25	$525.00	$341.25–$391.65	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE FF	$132.30	$630.00	$409.50–$469.98	—	79%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGT OCC NRV FFEE	$173.25	$825.00	$417.45–$667.42	42% below	79%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH AGENT OCC NRV FF	$173.25	$825.00	$417.45–$667.42	42% below	79%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGENT OCC NERVE FFEE	$173.25	$825.00	$417.45–$667.42	42% below	79%
Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJECTION OCCIPITAL	$173.25	$825.00	$417.45–$667.42	42% below	79%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGENT OCCIP NERVE FF	$207.90	$990.00	$500.94–$800.91	30% below	79%
Occipital nerve block (injection for headaches) CPT 64405 THERAPEU NRV BLK OCCIP NRV FF	$207.90	$990.00	$500.94–$800.91	30% below	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH AGENT OCC NRV FF	$173.25	$825.00	$536.25–$615.45	—	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES AGT OCC NRV FFEE	$173.25	$825.00	$536.25–$615.45	—	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES AGENT OCC NERVE FFEE	$173.25	$825.00	$536.25–$615.45	—	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK INJECTION OCCIPITAL	$173.25	$825.00	$536.25–$615.45	—	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES AGENT OCCIP NERVE FF	$207.90	$990.00	$643.50–$738.54	—	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 THERAPEU NRV BLK OCCIP NRV FF	$207.90	$990.00	$643.50–$738.54	—	79%
Pacemaker implant (dual chamber) CPT 33208 INSERT PERM PACEMAKER DUAL	$4,378.08	$20,848.00	$10,549.09–$16,866.03	55% below	79%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT PERM PACEMAKER DUAL	$4,378.08	$20,848.00	$13,551.20–$15,552.61	—	79%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS (ABD) W/ IMAGING	$482.16	$2,296.00	$1,161.78–$1,857.46	41% below	79%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAG GUIDE	$482.16	$2,296.00	$1,161.78–$1,857.46	41% below	79%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMG GUID FF	$578.55	$2,755.00	$1,394.03–$2,228.80	29% below	79%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAG GUIDE	$482.16	$2,296.00	$1,492.40–$1,712.82	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS (ABD) W/ IMAGING	$482.16	$2,296.00	$1,492.40–$1,712.82	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMG GUID FF	$578.55	$2,755.00	$1,790.75–$2,055.23	—	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL MATRIX P/C F/FEE	$237.51	$1,131.00	$572.29–$914.98	28% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL PAR/COM FAC FEE	$237.51	$1,131.00	$572.29–$914.98	28% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL PART/COM FF	$237.51	$1,131.00	$572.29–$914.98	28% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCIS NAIL MATRIX PART/COMP FF	$284.97	$1,357.00	$686.64–$1,097.81	13% below	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL MATRIX P/C F/FEE	$237.51	$1,131.00	$735.15–$843.73	—	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL PAR/COM FAC FEE	$237.51	$1,131.00	$735.15–$843.73	—	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL PART/COM FF	$237.51	$1,131.00	$735.15–$843.73	—	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCIS NAIL MATRIX PART/COMP FF	$284.97	$1,357.00	$882.05–$1,012.32	—	79%
Prostate biopsy CPT 55700 BIOPSY PROSTATE FF	$438.90	$2,090.00	$1,057.54–$1,690.81	at median	79%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE FF	$438.90	$2,090.00	$1,358.50–$1,559.14	—	79%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DEST PARAVERT NERVE L/S SINGLE	$854.70	$4,070.00	$2,059.42–$3,292.63	41% below	79%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DEST PARAVERT NERVE L/S SINGLE	$854.70	$4,070.00	$2,645.50–$3,036.22	—	79%
Removal of a breast lump, open surgery CPT 19120 REMOVE BREAST LESION FFEE	$1,238.58	$5,898.00	$2,984.39–$4,771.48	13% below	79%
Removal of a breast lump, open surgery CPT 19120 REMV BREAST LES 1 OR MORE FF	$1,238.58	$5,898.00	$2,984.39–$4,771.48	13% below	79%
Removal of a breast lump, open surgery inpatient CPT 19120 REMV BREAST LES 1 OR MORE FF	$1,238.58	$5,898.00	$3,833.70–$4,399.91	—	79%
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVE BREAST LESION FFEE	$1,238.58	$5,898.00	$3,833.70–$4,399.91	—	79%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FB SBCUT TIS SIMPLE FF	$170.94	$814.00	$411.88–$658.53	25% below	79%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FB SUBCUT TIS SIMPLE FF	$213.78	$1,018.00	$515.11–$823.56	7% below	79%
Removal of a foreign object under the skin, simple CPT 10120 REMOV FB SUBCUT TISS SIMPLE FF	$213.78	$1,018.00	$515.11–$823.56	7% below	79%
Removal of a foreign object under the skin, simple CPT 10120 OFF REM FB SUBCUT TIS SIMP FF	$213.78	$1,018.00	$515.11–$823.56	7% below	79%
Removal of a foreign object under the skin, simple CPT 10120 REM FRGN BODY SUBCUTANEOUS FF	$256.62	$1,222.00	$618.33–$988.60	12% above	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FB SBCUT TIS SIMPLE FF	$170.94	$814.00	$529.10–$607.24	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 OFF REM FB SUBCUT TIS SIMP FF	$213.78	$1,018.00	$661.70–$759.43	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FB SUBCUT TIS SIMPLE FF	$213.78	$1,018.00	$661.70–$759.43	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOV FB SUBCUT TISS SIMPLE FF	$213.78	$1,018.00	$661.70–$759.43	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REM FRGN BODY SUBCUTANEOUS FF	$256.62	$1,222.00	$794.30–$911.61	—	79%
Short arm cast (elbow to hand) CPT 29075 APP CAST ELBOW TO FINGER FFEE	$102.90	$490.00	$247.94–$396.41	41% below	79%
Short arm cast (elbow to hand) CPT 29075 APP CAST ELBOW-FINGR FFEE	$102.90	$490.00	$247.94–$396.41	41% below	79%
Short arm cast (elbow to hand) CPT 29075 OT SHORT ARM CAST UNITS	$102.90	$490.00	$247.94–$396.41	41% below	79%
Short arm cast (elbow to hand) inpatient CPT 29075 APP CAST ELBOW TO FINGER FFEE	$102.90	$490.00	$318.50–$365.54	—	79%
Short arm cast (elbow to hand) inpatient CPT 29075 APP CAST ELBOW-FINGR FFEE	$102.90	$490.00	$318.50–$365.54	—	79%
Short arm cast (elbow to hand) inpatient CPT 29075 OT SHORT ARM CAST UNITS	$102.90	$490.00	$318.50–$365.54	—	79%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT FF	$59.85	$285.00	$144.21–$230.57	48% below	79%
Short arm splint (forearm and hand) CPT 29125 PTA APPL SPL SHORT STATIC FH	$59.85	$285.00	$144.21–$230.57	48% below	79%
Short arm splint (forearm and hand) CPT 29125 PT SHORT ARM CAST UNITS	$59.85	$285.00	$144.21–$230.57	48% below	79%
Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLINT FF	$59.85	$285.00	$144.21–$230.57	48% below	79%
Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPL F/FEE	$59.85	$285.00	$144.21–$230.57	48% below	79%
Short arm splint (forearm and hand) CPT 29125 APP SPLT FOREARM-HND FFEE	$59.85	$285.00	$144.21–$230.57	48% below	79%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT	$59.85	$285.00	$144.21–$230.57	48% below	79%
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM FF	$71.82	$342.00	$173.05–$276.68	38% below	79%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SHORT ARM SPLINT FF	$59.85	$285.00	$185.25–$212.61	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 PTA APPL SPL SHORT STATIC FH	$59.85	$285.00	$185.25–$212.61	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 PT SHORT ARM CAST UNITS	$59.85	$285.00	$185.25–$212.61	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT	$59.85	$285.00	$185.25–$212.61	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT FF	$59.85	$285.00	$185.25–$212.61	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SHORT ARM SPL F/FEE	$59.85	$285.00	$185.25–$212.61	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 APP SPLT FOREARM-HND FFEE	$59.85	$285.00	$185.25–$212.61	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM FF	$71.82	$342.00	$222.30–$255.13	—	79%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST FACFEE	$126.63	$603.00	$305.12–$487.83	21% below	79%
Short leg cast (below the knee) CPT 29405 PTA SHORT LEG CAST APP UNITS	$126.63	$603.00	$305.12–$487.83	21% below	79%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST FF	$152.04	$724.00	$366.34–$585.72	5% below	79%
Short leg cast (below the knee) inpatient CPT 29405 PTA SHORT LEG CAST APP UNITS	$126.63	$603.00	$391.95–$449.84	—	79%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST FACFEE	$126.63	$603.00	$391.95–$449.84	—	79%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST FF	$152.04	$724.00	$470.60–$540.10	—	79%
Short leg splint (calf to foot) CPT 29515 PTA SHORT LEG SPLINT APP UNITS	$97.65	$465.00	$235.29–$376.18	23% below	79%
Short leg splint (calf to foot) CPT 29515 PT SHORT LEG SPLINT APP UNITS	$97.65	$465.00	$235.29–$376.18	23% below	79%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT FFEE	$97.65	$465.00	$235.29–$376.18	23% below	79%
Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG FF	$117.18	$558.00	$282.35–$451.42	7% below	79%
Short leg splint (calf to foot) inpatient CPT 29515 PT SHORT LEG SPLINT APP UNITS	$97.65	$465.00	$302.25–$346.89	—	79%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT FFEE	$97.65	$465.00	$302.25–$346.89	—	79%
Short leg splint (calf to foot) inpatient CPT 29515 PTA SHORT LEG SPLINT APP UNITS	$97.65	$465.00	$302.25–$346.89	—	79%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT SHORT LEG FF	$117.18	$558.00	$362.70–$416.27	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC RPR SNATE 2.5CM OR LESS FF	$123.48	$588.00	$297.53–$475.69	17% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC RPR SNATE 2.5CM< DERMA	$123.48	$588.00	$297.53–$475.69	17% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC RPR SNATE 2.5CM OR LESS FF	$123.48	$588.00	$382.20–$438.65	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC RPR SNATE 2.5CM< DERMA	$123.48	$588.00	$382.20–$438.65	—	79%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LES FF	$157.08	$748.00	$378.49–$605.13	39% below	79%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LES FF	$157.08	$748.00	$486.20–$558.01	—	79%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LES TAL.5CM OR LESS FF	$170.10	$810.00	$409.86–$655.29	48% below	79%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MAL LES TAL.5CM OR LESS FF	$170.10	$810.00	$526.50–$604.26	—	79%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN-15 FAC FEE	$87.78	$418.00	$211.51–$338.16	33% below	79%
Skin tag removal, up to 15 tags CPT 11200 REMOV SKIN TAG UP TO 15 FF	$87.78	$418.00	$211.51–$338.16	33% below	79%
Skin tag removal, up to 15 tags CPT 11200 REMOV SKIN TAG-15 FAC FEE	$87.78	$418.00	$211.51–$338.16	33% below	79%
Skin tag removal, up to 15 tags CPT 11200 REMOV SKIN TAG T15 FFEE	$87.78	$418.00	$211.51–$338.16	33% below	79%
Skin tag removal, up to 15 tags CPT 11200 OFF REMOV SKIN TAG UP TO 15 FF	$87.78	$418.00	$211.51–$338.16	33% below	79%
Skin tag removal, up to 15 tags CPT 11200 RMV SKN TAG UP/TO15 F/FEE	$87.78	$418.00	$211.51–$338.16	33% below	79%
Skin tag removal, up to 15 tags CPT 11200 RMV SKIN TAG UP TO 15 FF	$87.78	$418.00	$211.51–$338.16	33% below	79%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAG-15 FF	$87.78	$418.00	$211.51–$338.16	33% below	79%
Skin tag removal, up to 15 tags CPT 11200 ELECTRODIS SKIN TAGS 15 FF	$105.42	$502.00	$254.01–$406.12	20% below	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 OFF REMOV SKIN TAG UP TO 15 FF	$87.78	$418.00	$271.70–$311.83	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN-15 FAC FEE	$87.78	$418.00	$271.70–$311.83	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAG-15 FF	$87.78	$418.00	$271.70–$311.83	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 RMV SKIN TAG UP TO 15 FF	$87.78	$418.00	$271.70–$311.83	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 RMV SKN TAG UP/TO15 F/FEE	$87.78	$418.00	$271.70–$311.83	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOV SKIN TAG T15 FFEE	$87.78	$418.00	$271.70–$311.83	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOV SKIN TAG-15 FAC FEE	$87.78	$418.00	$271.70–$311.83	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOV SKIN TAG UP TO 15 FF	$87.78	$418.00	$271.70–$311.83	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 ELECTRODIS SKIN TAGS 15 FF	$105.42	$502.00	$326.30–$374.49	—	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 OFF LUMBAR PUNCTURE DIAG FF	$420.00	$2,000.00	$1,012.00–$1,618.00	14% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCT LUMBAR DX FF	$420.00	$2,000.00	$1,012.00–$1,618.00	14% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG FF	$420.00	$2,000.00	$1,012.00–$1,618.00	14% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$420.00	$2,000.00	$1,012.00–$1,618.00	14% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG	$420.00	$2,000.00	$1,012.00–$1,618.00	14% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE (SPINAL TAP)	$420.00	$2,000.00	$1,012.00–$1,618.00	14% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL LUMBAR PUNC W/PRES FF	$504.00	$2,400.00	$1,214.40–$1,941.60	3% above	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAG FF	$420.00	$2,000.00	$1,300.00–$1,492.00	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCT LUMBAR DX FF	$420.00	$2,000.00	$1,300.00–$1,492.00	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 OFF LUMBAR PUNCTURE DIAG FF	$420.00	$2,000.00	$1,300.00–$1,492.00	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAG	$420.00	$2,000.00	$1,300.00–$1,492.00	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE (SPINAL TAP)	$420.00	$2,000.00	$1,300.00–$1,492.00	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$420.00	$2,000.00	$1,300.00–$1,492.00	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL LUMBAR PUNC W/PRES FF	$504.00	$2,400.00	$1,560.00–$1,790.40	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR WOUND2.6-7.5 F/FEE	$134.40	$640.00	$323.84–$517.76	28% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR WOUND 2.6-7.5CM FFEE	$134.40	$640.00	$323.84–$517.76	28% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR WOUND 2.6-7.5CM FFEE	$134.40	$640.00	$323.84–$517.76	28% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL RPR SNATE 2.6-7.5CM FF	$134.40	$640.00	$323.84–$517.76	28% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC RPR SNATE 2.6-7.5CM FF	$134.40	$640.00	$323.84–$517.76	28% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC 2.6-7.5CM TRK EXT SCP FF	$161.28	$768.00	$388.61–$621.31	13% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR WOUND2.6-7.5 F/FEE	$134.40	$640.00	$416.00–$477.44	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL RPR SNATE 2.6-7.5CM FF	$134.40	$640.00	$416.00–$477.44	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR WOUND 2.6-7.5CM FFEE	$134.40	$640.00	$416.00–$477.44	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR WOUND 2.6-7.5CM FFEE	$134.40	$640.00	$416.00–$477.44	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC RPR SNATE 2.6-7.5CM FF	$134.40	$640.00	$416.00–$477.44	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC 2.6-7.5CM TRK EXT SCP FF	$161.28	$768.00	$499.20–$572.93	—	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC RPR FEENL 2.5CMOR LESS FF	$122.64	$584.00	$295.50–$472.46	26% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC RPR FEENL 2.5CM OR LESS FF	$147.21	$701.00	$354.71–$567.11	11% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC RPR FEENL 2.5CMOR LESS FF	$122.64	$584.00	$379.60–$435.66	—	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC RPR FEENL 2.5CM OR LESS FF	$147.21	$701.00	$455.65–$522.95	—	79%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) FF	$926.10	$4,410.00	$2,231.46–$3,567.69	28% below	79%
TURP (transurethral resection of the prostate) inpatient CPT 52601 PROSTATECTOMY (TURP) FF	$926.10	$4,410.00	$2,866.50–$3,289.86	—	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SNGL LES FF	$119.28	$568.00	$287.41–$459.51	39% below	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BX SKIN SNGL LES	$119.28	$568.00	$287.41–$459.51	39% below	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES FF	$119.28	$568.00	$287.41–$459.51	39% below	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES FF	$119.28	$568.00	$369.20–$423.73	—	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BX SKIN SNGL LES	$119.28	$568.00	$369.20–$423.73	—	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX SKIN SNGL LES FF	$119.28	$568.00	$369.20–$423.73	—	79%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING	$424.20	$2,020.00	$1,022.12–$1,634.18	37% below	79%
Thoracentesis with imaging guidance CPT 32555 THORACENT W/ASPIR & IMAG GUID	$424.20	$2,020.00	$1,022.12–$1,634.18	37% below	79%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING FF	$424.20	$2,020.00	$1,022.12–$1,634.18	37% below	79%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAG GUID FF	$424.20	$2,020.00	$1,022.12–$1,634.18	37% below	79%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$509.04	$2,424.00	$1,226.54–$1,961.02	24% below	79%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENT W/ASPIR & IMAG GUID	$424.20	$2,020.00	$1,313.00–$1,506.92	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAG GUID FF	$424.20	$2,020.00	$1,313.00–$1,506.92	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING FF	$424.20	$2,020.00	$1,313.00–$1,506.92	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING	$424.20	$2,020.00	$1,313.00–$1,506.92	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING	$509.04	$2,424.00	$1,575.60–$1,808.30	—	79%
Trigger finger release surgery CPT 26055 HC TENDON SHEATH INCISION	$587.37	$2,797.00	$1,415.28–$2,262.77	76% below	79%
Trigger finger release surgery CPT 26055 TEND SHEATH INCIS TRIG FING FF	$587.37	$2,797.00	$1,415.28–$2,262.77	76% below	79%
Trigger finger release surgery inpatient CPT 26055 TEND SHEATH INCIS TRIG FING FF	$587.37	$2,797.00	$1,818.05–$2,086.56	—	79%
Trigger finger release surgery inpatient CPT 26055 HC TENDON SHEATH INCISION	$587.37	$2,797.00	$1,818.05–$2,086.56	—	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TEND TRIGGER 1-2 FFEE	$140.49	$669.00	$338.51–$541.22	27% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TENDON TRIGGER 1-2 FF	$140.49	$669.00	$338.51–$541.22	27% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRG PT 1-2 MCLE FFEE	$140.49	$669.00	$338.51–$541.22	27% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TENDON TRIGGER 1-2FF	$140.49	$669.00	$338.51–$541.22	27% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TEND TRIGGER PT 1-2 FF	$140.49	$669.00	$338.51–$541.22	27% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TENDO TRIGG 1-2 FFEE	$140.49	$669.00	$338.51–$541.22	27% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGGER POINT 1OR2 MUS	$140.49	$669.00	$338.51–$541.22	27% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TENDON TRIGGER 1-2 MUSC FF	$168.63	$803.00	$406.32–$649.63	12% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSC FF	$168.63	$803.00	$406.32–$649.63	12% below	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TEND TRIGGER 1-2 FFEE	$140.49	$669.00	$434.85–$499.07	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TENDON TRIGGER 1-2 FF	$140.49	$669.00	$434.85–$499.07	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRG PT 1-2 MCLE FFEE	$140.49	$669.00	$434.85–$499.07	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TENDON TRIGGER 1-2FF	$140.49	$669.00	$434.85–$499.07	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TEND TRIGGER PT 1-2 FF	$140.49	$669.00	$434.85–$499.07	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TENDO TRIGG 1-2 FFEE	$140.49	$669.00	$434.85–$499.07	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECT TRIGGER POINT 1OR2 MUS	$140.49	$669.00	$434.85–$499.07	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1-2 MUSC FF	$168.63	$803.00	$521.95–$599.04	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TENDON TRIGGER 1-2 MUSC FF	$168.63	$803.00	$521.95–$599.04	—	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST BX 1ST LESION	$672.84	$3,204.00	$1,621.22–$2,592.04	51% below	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$672.84	$3,204.00	$1,621.22–$2,592.04	51% below	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US IMG-RT	$672.84	$3,204.00	$1,621.22–$2,592.04	51% below	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US IMG-LT	$672.84	$3,204.00	$1,621.22–$2,592.04	51% below	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG	$672.84	$3,204.00	$2,082.60–$2,390.18	—	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BREAST BX 1ST LESION	$672.84	$3,204.00	$2,082.60–$2,390.18	—	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LESION US IMG-RT	$672.84	$3,204.00	$2,082.60–$2,390.18	—	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LESION US IMG-LT	$672.84	$3,204.00	$2,082.60–$2,390.18	—	79%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY FF	$577.08	$2,748.00	$1,390.49–$2,223.13	14% above	79%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASECTOMY FF	$577.08	$2,748.00	$1,786.20–$2,050.01	—	79%
Wart removal, up to 14 warts CPT 17110 DEST BEN LES NO SKN TAG1-14FF	$51.66	$246.00	$124.48–$199.01	70% below	79%
Wart removal, up to 14 warts CPT 17110 DEST BEN LESNO SKN TAG 1-14 FF	$51.66	$246.00	$124.48–$199.01	70% below	79%
Wart removal, up to 14 warts CPT 17110 DEST BEN LES NO SKN TAG1-14 FF	$51.66	$246.00	$124.48–$199.01	70% below	79%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BEN LES 1-14 FFEE	$51.66	$246.00	$124.48–$199.01	70% below	79%
Wart removal, up to 14 warts CPT 17110 OFF DEST BEN SKN LES 1-14 FF	$51.66	$246.00	$124.48–$199.01	70% below	79%
Wart removal, up to 14 warts CPT 17110 DEST BEN LES NO SKN TAG 1-14FF	$61.95	$295.00	$149.27–$238.66	63% below	79%
Wart removal, up to 14 warts inpatient CPT 17110 DEST BEN LESNO SKN TAG 1-14 FF	$51.66	$246.00	$159.90–$183.52	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BEN LES 1-14 FFEE	$51.66	$246.00	$159.90–$183.52	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 OFF DEST BEN SKN LES 1-14 FF	$51.66	$246.00	$159.90–$183.52	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 DEST BEN LES NO SKN TAG1-14FF	$51.66	$246.00	$159.90–$183.52	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 DEST BEN LES NO SKN TAG1-14 FF	$51.66	$246.00	$159.90–$183.52	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 DEST BEN LES NO SKN TAG 1-14FF	$61.95	$295.00	$191.75–$220.07	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRD SUBCUT TISS 1ST 20SQ<FF	$183.12	$872.00	$441.23–$705.45	2% below	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN SUBCUT TISSUE FFEE	$228.90	$1,090.00	$551.54–$881.81	23% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN SUBCUT TISS FF	$228.90	$1,090.00	$551.54–$881.81	23% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKN SUBCUT TIS FFEE	$228.90	$1,090.00	$551.54–$881.81	23% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKN SUB TISS F/FEE	$228.90	$1,090.00	$551.54–$881.81	23% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKN SBCUT TIS FFEE	$228.90	$1,090.00	$551.54–$881.81	23% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRD SUBCUT TIS 1ST 20SQ< FF	$228.90	$1,090.00	$551.54–$881.81	23% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 OFF DEBRIDE SKIN SUBCUT TIS FF	$228.90	$1,090.00	$551.54–$881.81	23% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SUBCUT TISS 20SQ CM< FF	$274.68	$1,308.00	$661.85–$1,058.17	48% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRD SUBCUT TISS 1ST 20SQ<FF	$183.12	$872.00	$566.80–$650.51	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKN SUBCUT TIS FFEE	$228.90	$1,090.00	$708.50–$813.14	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKN SUB TISS F/FEE	$228.90	$1,090.00	$708.50–$813.14	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKN SBCUT TIS FFEE	$228.90	$1,090.00	$708.50–$813.14	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRD SUBCUT TIS 1ST 20SQ< FF	$228.90	$1,090.00	$708.50–$813.14	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 OFF DEBRIDE SKIN SUBCUT TIS FF	$228.90	$1,090.00	$708.50–$813.14	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKIN SUBCUT TISSUE FFEE	$228.90	$1,090.00	$708.50–$813.14	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKIN SUBCUT TISS FF	$228.90	$1,090.00	$708.50–$813.14	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SUBCUT TISS 20SQ CM< FF	$274.68	$1,308.00	$850.20–$975.77	—	79%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$380.10	$1,810.00	$915.86–$1,464.29	23% below	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$380.10	$1,810.00	$1,176.50–$1,350.26	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMNT FACFEE	$190.47	$907.00	$458.94–$733.76	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL NEBULIZER TREATMENT	$190.47	$907.00	$458.94–$733.76	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$190.47	$907.00	$458.94–$733.76	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER ADMIN	$190.47	$907.00	$458.94–$733.76	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT FF	$190.47	$907.00	$458.94–$733.76	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX INITIAL	$190.47	$907.00	$458.94–$733.76	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMT FAC FEE	$190.47	$907.00	$458.94–$733.76	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX INITIAL	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METER DOSE INHALER ADMIN	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL NEBULIZER TREATMENT	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT FF	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMT FAC FEE	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMNT FACFEE	$190.47	$907.00	$589.55–$676.62	—	79%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INITIAL INFUSE1 HOUR	$211.26	$1,006.00	$509.04–$813.85	46% below	79%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INITIAL INFUS 1 HR	$211.26	$1,006.00	$509.04–$813.85	46% below	79%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INITIAL INFUSE 1 HOUR	$211.26	$1,006.00	$509.04–$813.85	46% below	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INITIAL INFUSE 1 HOUR	$211.26	$1,006.00	$653.90–$750.48	—	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INITIAL INFUSE1 HOUR	$211.26	$1,006.00	$653.90–$750.48	—	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INITIAL INFUS 1 HR	$211.26	$1,006.00	$653.90–$750.48	—	79%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 NP COMPREHENSIVE FF	$76.02	$362.00	$183.17–$292.86	—	79%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 NP COMPREHENSIVE FF	$76.02	$362.00	$235.30–$270.05	—	79%
Comprehensive eye exam, returning patient CPT 92014 EP COMPREHENSIVE FF	$57.54	$274.00	$138.64–$221.67	—	79%
Comprehensive eye exam, returning patient inpatient CPT 92014 EP COMPREHENSIVE FF	$57.54	$274.00	$178.10–$204.40	—	79%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREH AUDIOMETRY EVAL/SP FF	$84.63	$403.00	$203.92–$326.03	32% below	79%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREH AUDIOMETRY EVAL/SP FF	$84.63	$403.00	$261.95–$300.64	—	79%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 74 MINS	$974.40	$4,640.00	$2,347.84–$3,753.76	5% below	79%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 74 MINS	$974.40	$4,640.00	$3,016.00–$3,461.44	—	79%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY TC	$266.49	$1,269.00	$642.11–$1,026.62	25% below	79%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY TC	$266.49	$1,269.00	$824.85–$946.67	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG W/O INTERPRETATION FF	$70.56	$336.00	$170.02–$271.82	37% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD	$70.56	$336.00	$170.02–$271.82	37% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG W/O INTERP FAC FEE	$70.56	$336.00	$170.02–$271.82	37% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG W/O INTERPRETATION FF	$70.56	$336.00	$218.40–$250.66	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD	$70.56	$336.00	$218.40–$250.66	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG W/O INTERP FAC FEE	$70.56	$336.00	$218.40–$250.66	—	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$83.37	$397.00	$200.88–$321.17	19% below	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1	$83.37	$397.00	$258.05–$296.16	—	79%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$177.24	$844.00	$427.06–$682.80	15% below	79%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2	$177.24	$844.00	$548.60–$629.62	—	79%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$335.37	$1,597.00	$808.08–$1,291.97	at median	79%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3	$335.37	$1,597.00	$1,038.05–$1,191.36	—	79%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$781.20	$3,720.00	$1,882.32–$3,009.48	28% above	79%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4	$781.20	$3,720.00	$2,418.00–$2,775.12	—	79%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$1,310.40	$6,240.00	$3,157.44–$5,048.16	33% above	79%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5	$1,310.40	$6,240.00	$4,056.00–$4,655.04	—	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 ECG NONEXERCISE STRES TST	$280.14	$1,334.00	$675.00–$1,079.21	52% below	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 ECG TREADMILL TEST	$280.14	$1,334.00	$675.00–$1,079.21	52% below	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$280.14	$1,334.00	$675.00–$1,079.21	52% below	79%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECG NONEXERCISE STRES TST	$280.14	$1,334.00	$867.10–$995.16	—	79%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECG TREADMILL TEST	$280.14	$1,334.00	$867.10–$995.16	—	79%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST	$280.14	$1,334.00	$867.10–$995.16	—	79%
Eye exam, returning patient, intermediate CPT 92012 EP INTERMEDIATE FF	$48.93	$233.00	$117.90–$188.50	—	79%
Eye exam, returning patient, intermediate inpatient CPT 92012 EP INTERMEDIATE FF	$48.93	$233.00	$151.45–$173.82	—	79%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY CONJNT 50 MN FF	$76.65	$365.00	$184.69–$295.29	57% below	79%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY CONJOINT 50M FF	$76.65	$365.00	$184.69–$295.29	57% below	79%
Family therapy with the patient, 50 minutes CPT 90847 LCSW FAMILY THERAPY	$76.65	$365.00	$184.69–$295.29	57% below	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY CONJNT 50 MN FF	$76.65	$365.00	$237.25–$272.29	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY CONJOINT 50M FF	$76.65	$365.00	$237.25–$272.29	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 LCSW FAMILY THERAPY	$76.65	$365.00	$237.25–$272.29	—	79%
Family therapy without the patient, 50 minutes CPT 90846 LCSW FAMILY THER W/O PT	$73.50	$350.00	$177.10–$283.15	46% below	79%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PT 50 MN FF	$73.50	$350.00	$177.10–$283.15	46% below	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY W/O PT 50 MN FF	$73.50	$350.00	$227.50–$261.10	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 LCSW FAMILY THER W/O PT	$73.50	$350.00	$227.50–$261.10	—	79%
Group psychotherapy session CPT 90853 LCSW GROUP THERAPY 15 MIN	$40.53	$193.00	$97.66–$156.14	33% below	79%
Group psychotherapy session CPT 90853 LCSW GROUP THERAPY 45 MIN	$40.53	$193.00	$97.66–$156.14	33% below	79%
Group psychotherapy session CPT 90853 LCSW GROUP THERAPY 30 MIN	$40.53	$193.00	$97.66–$156.14	33% below	79%
Group psychotherapy session inpatient CPT 90853 LCSW GROUP THERAPY 15 MIN	$40.53	$193.00	$125.45–$143.98	—	79%
Group psychotherapy session inpatient CPT 90853 LCSW GROUP THERAPY 45 MIN	$40.53	$193.00	$125.45–$143.98	—	79%
Group psychotherapy session inpatient CPT 90853 LCSW GROUP THERAPY 30 MIN	$40.53	$193.00	$125.45–$143.98	—	79%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ECG MONITOR/REPORT COMPLETE	$192.36	$916.00	$463.50–$741.04	—	79%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 ECG MONITOR/REPORT COMPLETE	$192.36	$916.00	$595.40–$683.34	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRA UP TO 1 HR FFEE	$191.52	$912.00	$461.47–$737.81	9% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO 1HR	$191.52	$912.00	$461.47–$737.81	9% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO 1 HR FF	$191.52	$912.00	$461.47–$737.81	9% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO 1 HR. FFEE	$191.52	$912.00	$461.47–$737.81	9% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO 1 HOUR	$191.52	$912.00	$461.47–$737.81	9% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO 1 HR	$229.74	$1,094.00	$553.56–$885.05	9% above	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION UP TO 1HR	$191.52	$912.00	$592.80–$680.35	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION UP TO 1 HOUR	$191.52	$912.00	$592.80–$680.35	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRA UP TO 1 HR FFEE	$191.52	$912.00	$592.80–$680.35	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION UP TO 1 HR. FFEE	$191.52	$912.00	$592.80–$680.35	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION UP TO 1 HR FF	$191.52	$912.00	$592.80–$680.35	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION UP TO 1 HR	$229.74	$1,094.00	$711.10–$816.12	—	79%
IV infusion of a medicine, first hour CPT 96365 NON-CHEMO INFUSION INITL TO1HR	$210.63	$1,003.00	$507.52–$811.43	35% below	79%
IV infusion of a medicine, first hour CPT 96365 NONCHEMO INFUSION INITL TO 1HR	$210.63	$1,003.00	$507.52–$811.43	35% below	79%
IV infusion of a medicine, first hour inpatient CPT 96365 NONCHEMO INFUSION INITL TO 1HR	$210.63	$1,003.00	$651.95–$748.24	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 NON-CHEMO INFUSION INITL TO1HR	$210.63	$1,003.00	$651.95–$748.24	—	79%
IV push of a medicine, first drug CPT 96374 IV PUSH SNGL INITIAL DRUG	$142.59	$679.00	$343.57–$549.31	28% below	79%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PSH INT	$142.59	$679.00	$343.57–$549.31	28% below	79%
IV push of a medicine, first drug CPT 96374 IV PUSH SNGL INIT DRUG FF	$142.59	$679.00	$343.57–$549.31	28% below	79%
IV push of a medicine, first drug CPT 96374 IV PUSH SNGL INIT DRUG FFEE	$142.59	$679.00	$343.57–$549.31	28% below	79%
IV push of a medicine, first drug CPT 96374 IV PUSH SNGL INIT DRUG	$142.59	$679.00	$343.57–$549.31	28% below	79%
IV push of a medicine, first drug CPT 96374 IV AND INJECTION	$142.59	$679.00	$343.57–$549.31	28% below	79%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PSH INT	$142.59	$679.00	$441.35–$506.53	—	79%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SNGL INITIAL DRUG	$142.59	$679.00	$441.35–$506.53	—	79%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SNGL INIT DRUG	$142.59	$679.00	$441.35–$506.53	—	79%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SNGL INIT DRUG FF	$142.59	$679.00	$441.35–$506.53	—	79%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SNGL INIT DRUG FFEE	$142.59	$679.00	$441.35–$506.53	—	79%
IV push of a medicine, first drug inpatient CPT 96374 IV AND INJECTION	$142.59	$679.00	$441.35–$506.53	—	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION FEE	$41.58	$198.00	$100.19–$160.18	40% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NON CHEMO SQ/IM INJ	$41.58	$198.00	$100.19–$160.18	40% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ICF INJECTION FEE	$41.58	$198.00	$100.19–$160.18	40% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SNF INJECTION FEE	$41.58	$198.00	$100.19–$160.18	40% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ADMIN	$41.58	$198.00	$100.19–$160.18	40% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION FEE FF	$41.58	$198.00	$100.19–$160.18	40% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBCUT/INTRAMUSC FF	$41.58	$198.00	$100.19–$160.18	40% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ SC/IM	$41.58	$198.00	$100.19–$160.18	40% below	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ICF INJECTION FEE	$41.58	$198.00	$128.70–$147.71	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ SC/IM	$41.58	$198.00	$128.70–$147.71	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBCUT/INTRAMUSC FF	$41.58	$198.00	$128.70–$147.71	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION FEE FF	$41.58	$198.00	$128.70–$147.71	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NON CHEMO SQ/IM INJ	$41.58	$198.00	$128.70–$147.71	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION FEE	$41.58	$198.00	$128.70–$147.71	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SNF INJECTION FEE	$41.58	$198.00	$128.70–$147.71	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION ADMIN	$41.58	$198.00	$128.70–$147.71	—	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL	$95.76	$456.00	$230.74–$368.90	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAG EVAL W/O MED SRV FF	$95.76	$456.00	$230.74–$368.90	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 FP LCSW PSYCH DIAG EVAL	$95.76	$456.00	$230.74–$368.90	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 LCSW PSYCH DIAG EVAL W/O MED	$95.76	$456.00	$230.74–$368.90	56% below	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAG EVAL W/O MED SRV FF	$95.76	$456.00	$296.40–$340.18	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 FP LCSW PSYCH DIAG EVAL	$95.76	$456.00	$296.40–$340.18	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL	$95.76	$456.00	$296.40–$340.18	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 LCSW PSYCH DIAG EVAL W/O MED	$95.76	$456.00	$296.40–$340.18	—	79%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES FF	$190.05	$905.00	$457.93–$732.15	12% below	79%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES FF	$190.05	$905.00	$588.25–$675.13	—	79%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-EDUC 15MN	$27.93	$133.00	$67.30–$107.60	72% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCUL RE EDUC 15MN	$27.93	$133.00	$67.30–$107.60	72% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 OTA NEUROMUSC RE-EDUC 15MN	$27.93	$133.00	$67.30–$107.60	72% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 SP NEUROMUSCULAR RE-ED 15 MIN	$27.93	$133.00	$67.30–$107.60	72% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCUL RE EDUC 15MN	$27.93	$133.00	$67.30–$107.60	72% below	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 SP NEUROMUSCULAR RE-ED 15 MIN	$27.93	$133.00	$86.45–$99.22	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCUL RE EDUC 15MN	$27.93	$133.00	$86.45–$99.22	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSCUL RE EDUC 15MN	$27.93	$133.00	$86.45–$99.22	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSC RE-EDUC 15MN	$27.93	$133.00	$86.45–$99.22	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEUROMUSC RE-EDUC 15MN	$27.93	$133.00	$86.45–$99.22	—	79%
New patient office visit, about 30 minutes CPT 99203 NEPH CL NEW PT EXTND SERV FF	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 HO OFF VST NEW LEV3 FFEE	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 NEW PT EXTEND SERV FACFEE	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 NEW PT EXT SERV FF	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 DIABETES MANGMT MOD NEWPT	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 RHEUM CL ROOM NEW LEVEL 3	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 NEW PT LEV3 H&E FF	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 NEUROSURG CL NEW LEV 3	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 DERM CL ROOM NEW LEVEL 3	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 NEW PT EXTND SERV FAC FEE	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 NEW PT EXTEND SERV FFEE	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 PAIN CL RM NEW PT LEV3	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 NEW PT EXTENDED SERVICE FF	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 NEW PT EXTENDED SERV FF	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes CPT 99203 NEW PT EXTENDED SERV FFEE	$37.38	$178.00	$90.07–$144.00	74% below	79%
New patient office visit, about 30 minutes inpatient CPT 99203 DIABETES MANGMT MOD NEWPT	$37.38	$178.00	$115.70–$132.79	—	79%
New patient office visit, about 45 minutes CPT 99204 NEW PT COMPREH SERV FF	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 NEW PT COMPR SERV FAC FEE	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 NEW PT COMP SERV FF	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 PAIN CL RM NEW PT LEV4	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 HO OFF VST NEW LEV4 FFEE	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 NEPH CL NEW PT COMPR SERV FF	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 DERM CL ROOM NEW LEVEL 4	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 NEW PT COMPREHEN SERV FF	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 RHEUM CL ROOM NEW LEVEL 4	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 DIABETES MANGMT HI NEW PT	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 NEW PT COMPREH SERV FFEE	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 NEW PT LEV4 H&E FF	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 NEUROSURG CL NEW LEV 4	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes CPT 99204 NEW PT COMPREH SERVICE FF	$51.03	$243.00	$122.96–$196.59	76% below	79%
New patient office visit, about 45 minutes inpatient CPT 99204 DIABETES MANGMT HI NEW PT	$51.03	$243.00	$157.95–$181.28	—	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT HIGH COMPLX SERV FF	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 DIABETES MANGMT EXT NEWPT	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 PODIATRY CL ROOM NEW LEV5	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NWPT COMP H&E HI FACFEE	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEUROSURG CL NEW LEV 5	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 DERM CL ROOM NEW LEVEL 5	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 RHEUM CL ROOM NEW LEVEL 5	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT EXCOMPREH SER FFEE	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEPHROLOGY CL EXCOMP SERV FF	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 WOC CL RM FEE NEWPT LEV5	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 HO OFF VST NEW LEV5 FFEE	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT EXCOMPRH SERV FF	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT HIGH COMPLEX FFEE	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT HI COMPLEX SERVICE FF	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT EX COMP SER F/FEE	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT EXCOMP SERV FACFEE	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT EX COMPRH SER FFEE	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT EXCOMPRH SERV FFEE	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT HI COMPLEX SERV FF	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT EX COMPREH SERV FF	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PT EX COMPREH SERVICE FF	$89.88	$428.00	$216.57–$346.25	73% below	79%
New patient office visit, about 60 minutes inpatient CPT 99205 DIABETES MANGMT EXT NEWPT	$89.88	$428.00	$278.20–$319.29	—	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEWPT EXP H&E FACFEE	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT INTERMED SERVICE FF	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HO OFF VST NEW LEV2 FFEE	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT INTERMED SERV FF	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEUROSURG CL NEW LEV 2	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 DERM CL ROOM NEW LEVEL 2	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHEUM CL ROOM NEW LEVEL 2	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEPH CL NEW PT INTERM SERV FF	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT INTERMED SERV FFEE	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT INTERM SERV FFEE	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT INTERM SERV FACFEE	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT INTER SER FAC FEE	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PAIN CL RM NEW PT LEV2	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 DIABETES MANGMT LO NEW PT	$31.71	$151.00	$76.41–$122.16	64% below	79%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 DIABETES MANGMT LO NEW PT	$31.71	$151.00	$98.15–$112.65	—	79%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTR THER INDIV NEW PT 15 MIN	$17.43	$83.00	$42.00–$67.15	62% below	79%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTR THER INDIV NEWPT 15M	$17.43	$83.00	$42.00–$67.15	62% below	79%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT ASSESS F/FACE NURSE 15MIN	$17.43	$83.00	$42.00–$67.15	62% below	79%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTR THER INDIV NEW PT 15 MIN	$17.43	$83.00	$53.95–$61.92	—	79%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTR THER INDIV NEWPT 15M	$17.43	$83.00	$53.95–$61.92	—	79%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT ASSESS F/FACE NURSE 15MIN	$17.43	$83.00	$53.95–$61.92	—	79%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY	$57.96	$276.00	$139.66–$223.28	74% below	79%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY	$57.96	$276.00	$179.40–$205.90	—	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY	$72.03	$343.00	$173.56–$277.49	74% below	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY	$72.03	$343.00	$222.95–$255.88	—	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY	$55.23	$263.00	$133.08–$212.77	75% below	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY	$55.23	$263.00	$170.95–$196.20	—	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY	$60.27	$287.00	$145.22–$232.18	78% below	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY	$60.27	$287.00	$186.55–$214.10	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15MIN	$25.83	$123.00	$62.24–$99.51	74% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL TRACTION 15 MINS	$25.83	$123.00	$62.24–$99.51	74% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL TRACTION 15 MINS	$25.83	$123.00	$62.24–$99.51	74% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTA MANUAL THERAPY UNITS	$25.83	$123.00	$62.24–$99.51	74% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUALY THERAPY 15MIN	$25.83	$123.00	$62.24–$99.51	74% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL TRACTION 15 MINS	$25.83	$123.00	$79.95–$91.76	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15MIN	$25.83	$123.00	$79.95–$91.76	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUALY THERAPY 15MIN	$25.83	$123.00	$79.95–$91.76	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTA MANUAL THERAPY UNITS	$25.83	$123.00	$79.95–$91.76	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL TRACTION 15 MINS	$25.83	$123.00	$79.95–$91.76	—	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT INDIV 15MINS TP	$24.36	$116.00	$58.70–$93.84	64% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SP THERAPEUTIC EXER 15 MIN	$24.36	$116.00	$58.70–$93.84	64% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA INDIV 15MINS TP	$24.36	$116.00	$58.70–$93.84	64% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA 15 MIN THER PROCED	$24.36	$116.00	$58.70–$93.84	64% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT 15 MIN THER PROCED	$24.36	$116.00	$58.70–$93.84	64% below	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT 15 MIN THER PROCED	$24.36	$116.00	$75.40–$86.54	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA 15 MIN THER PROCED	$24.36	$116.00	$75.40–$86.54	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT INDIV 15MINS TP	$24.36	$116.00	$75.40–$86.54	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA INDIV 15MINS TP	$24.36	$116.00	$75.40–$86.54	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SP THERAPEUTIC EXER 15 MIN	$24.36	$116.00	$75.40–$86.54	—	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PREVNT HLTH PHY 18-39 NP	$30.24	$144.00	$72.86–$116.50	79% below	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREVNT HLTH PHY 18-39 NP	$30.24	$144.00	$93.60–$107.42	—	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PREVNT HLTH PHY 40-64 NP	$36.54	$174.00	$88.04–$140.77	79% below	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREVNT HLTH PHY 40-64 NP	$36.54	$174.00	$113.10–$129.80	—	79%
Preventive checkup, new patient aged 65 or older CPT 99387 HC PREVNT HLTH PHY 65+ NP	$39.27	$187.00	$94.62–$151.28	67% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 HC PREVNT HLTH PHY 65 NP	$39.27	$187.00	$94.62–$151.28	67% below	79%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PREVNT HLTH PHY 65+ NP	$39.27	$187.00	$121.55–$139.50	—	79%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PREVNT HLTH PHY 65 NP	$39.27	$187.00	$121.55–$139.50	—	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC SCHOOL PHYSICAL 18-39 YRS	$25.20	$120.00	$60.72–$97.08	78% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREVNT HLTH PHY 18-39 EP	$25.20	$120.00	$60.72–$97.08	78% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC SCHOOL PHYSCIAL 18-39 YRS	$25.20	$120.00	$60.72–$97.08	78% below	79%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC SCHOOL PHYSICAL 18-39 YRS	$25.20	$120.00	$78.00–$89.52	—	79%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PREVNT HLTH PHY 18-39 EP	$25.20	$120.00	$78.00–$89.52	—	79%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC SCHOOL PHYSCIAL 18-39 YRS	$25.20	$120.00	$78.00–$89.52	—	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC SCHOOL PHYSCIAL 40-64 YRS	$27.30	$130.00	$65.78–$105.17	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC SCHOOL PHYSICAL 40-64 YRS	$27.30	$130.00	$65.78–$105.17	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREVNT HLTH PHY 40-64 EP	$27.30	$130.00	$65.78–$105.17	76% below	79%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC SCHOOL PHYSICAL 40-64 YRS	$27.30	$130.00	$84.50–$96.98	—	79%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC SCHOOL PHYSCIAL 40-64 YRS	$27.30	$130.00	$84.50–$96.98	—	79%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PREVNT HLTH PHY 40-64 EP	$27.30	$130.00	$84.50–$96.98	—	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PREVNT HLTH PHY 65 EP	$28.56	$136.00	$68.82–$110.02	81% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PREVNT HLTH PHY 65+ EP	$28.56	$136.00	$68.82–$110.02	81% below	79%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PREVNT HLTH PHY 65 EP	$28.56	$136.00	$88.40–$101.46	—	79%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PREVNT HLTH PHY 65+ EP	$28.56	$136.00	$88.40–$101.46	—	79%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS	$107.73	$513.00	$259.58–$415.02	52% below	79%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SERV FF	$107.73	$513.00	$259.58–$415.02	52% below	79%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SERV FF	$107.73	$513.00	$333.45–$382.70	—	79%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS	$107.73	$513.00	$333.45–$382.70	—	79%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN FF	$82.74	$394.00	$199.36–$318.75	70% below	79%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN FF	$82.74	$394.00	$256.10–$293.92	—	79%
Psychotherapy session, 30 minutes CPT 90832 FP LCSW PSYTX PATIENT 30 MIN	$41.79	$199.00	$100.69–$160.99	69% below	79%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&FAMILY 30 MIN	$41.79	$199.00	$100.69–$160.99	69% below	79%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PATIENT 30 MIN FF	$41.79	$199.00	$100.69–$160.99	69% below	79%
Psychotherapy session, 30 minutes CPT 90832 LCSW PSYTX PATIENT 30 MIN	$41.79	$199.00	$100.69–$160.99	69% below	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&FAMILY 30 MIN	$41.79	$199.00	$129.35–$148.45	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 LCSW PSYTX PATIENT 30 MIN	$41.79	$199.00	$129.35–$148.45	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PATIENT 30 MIN FF	$41.79	$199.00	$129.35–$148.45	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 FP LCSW PSYTX PATIENT 30 MIN	$41.79	$199.00	$129.35–$148.45	—	79%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PATIENT 45 MIN FF	$55.23	$263.00	$133.08–$212.77	68% below	79%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&FAMILY 45 MIN	$55.23	$263.00	$133.08–$212.77	68% below	79%
Psychotherapy session, 45 minutes CPT 90834 FP LCSW PSYTX PATIENT 45 MIN	$55.23	$263.00	$133.08–$212.77	68% below	79%
Psychotherapy session, 45 minutes CPT 90834 LCSW PSYTX PATIENT 45 MIN	$55.23	$263.00	$133.08–$212.77	68% below	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 LCSW PSYTX PATIENT 45 MIN	$55.23	$263.00	$170.95–$196.20	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 FP LCSW PSYTX PATIENT 45 MIN	$55.23	$263.00	$170.95–$196.20	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&FAMILY 45 MIN	$55.23	$263.00	$170.95–$196.20	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PATIENT 45 MIN FF	$55.23	$263.00	$170.95–$196.20	—	79%
Psychotherapy session, 60 minutes CPT 90837 LCSW PSYTX PATIENT 60 MIN	$81.06	$386.00	$195.32–$312.27	52% below	79%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&FAMILY 60 MIN	$81.06	$386.00	$195.32–$312.27	52% below	79%
Psychotherapy session, 60 minutes CPT 90837 FP LCSW PSYTX PATIENT 60 MIN	$81.06	$386.00	$195.32–$312.27	52% below	79%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PATIENT 60 MIN FF	$81.06	$386.00	$195.32–$312.27	52% below	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&FAMILY 60 MIN	$81.06	$386.00	$250.90–$287.96	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PATIENT 60 MIN FF	$81.06	$386.00	$250.90–$287.96	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 FP LCSW PSYTX PATIENT 60 MIN	$81.06	$386.00	$250.90–$287.96	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 LCSW PSYTX PATIENT 60 MIN	$81.06	$386.00	$250.90–$287.96	—	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOB COUNSEL 3-11 FF	$18.90	$90.00	$45.54–$72.81	24% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN	$18.90	$90.00	$45.54–$72.81	24% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMK/TOB COUNSEL 3-10 FF	$18.90	$90.00	$45.54–$72.81	24% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOB COUNSEL 3-10MIN FF	$18.90	$90.00	$45.54–$72.81	24% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOB COUNSEL 3-10 FFEE	$18.90	$90.00	$45.54–$72.81	24% below	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOB COUNSEL 3-10 FFEE	$18.90	$90.00	$58.50–$67.14	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOB COUNSEL 3-11 FF	$18.90	$90.00	$58.50–$67.14	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOB COUNSEL 3-10MIN FF	$18.90	$90.00	$58.50–$67.14	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN	$18.90	$90.00	$58.50–$67.14	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMK/TOB COUNSEL 3-10 FF	$18.90	$90.00	$58.50–$67.14	—	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPREH SERV FF	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPREH SERVICE FF	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTPT VST COMP FACFEE	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 NEUROSURG CL EST LEV 5	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 DERM CL ROOM EST LEVEL 5	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHEUM CL ROOM EST LEVEL 5	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT HI COMPLEX SERV FF	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB LEVEL 5	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 NEPHROLOGY CL ESTPT COMPREH FF	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WOC CL RM FEE EST LEV5	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HO OFF VST EST LEV5 FFEE	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 DIABETES MANGMT EXT ESTPT	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PAIN CL RM ESTPT LEV5	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPH SERV FAC FEE	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPRE SER FAC FEE	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPRH SERV FACFEE	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPREH SERVICE FFEE	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPREH SERV F/FEE	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPREH SERV FFEE	$68.67	$327.00	$165.46–$264.54	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAIN CL RM EST PT LEV3	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LIMIT SERV FF	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LIMIT SERV FACFEE	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LIMITED SERVICE FFEE	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LIMIT SERV FAC FEE	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT EXTENDED SERV FF	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 NEPHROLOGY CL EST PT LEV 3 FF	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHEUM CL ROOM EST LEVEL 3	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LIMITED SERV FFEE	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LIMITED SERV FF	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 NEUROSURG CL EST LEV 3	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT VST LEV3 FF	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LIMIT SERVICE FF	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB LEVEL 3	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LIMITED SERVICE FF	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 DERM CL ROOM EST LEVEL 3	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HO OFF VST EST LEV3 FFEE	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 DIABETES MANGMT MOD ESTPT	$34.44	$164.00	$82.98–$132.68	53% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT INTERMED SERVICE FFEE	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHEUM CL ROOM EST LEVEL 4	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT COMPREHEN SERV FF	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB LEVEL 4	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 NEPHROLOGY CL EST PT LEV 4 FF	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HO OFF VST EST LEV4 FFEE	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 DIABETES MANGMT HI EST PT	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN CL RM ESTPT LEV4	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT INTER SER FAC FEE	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 DERM CL ROOM EST LEVEL 4	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT INTERM SERV FACFEE	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT INTERMED SERV FFEE	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT INTERMED SERV FF	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT INTERMED SERVICE FF	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTPT VST DETL FACFEE	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 NEUROSURG CL EST LEV 4	$45.15	$215.00	$108.79–$173.94	57% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 NEUROSURG CL EST LEV 2	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT BRIEF SERVICE FF	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HO OFF VST EST LEV2 FFEE	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DIABETES MANGMT LO EST PT	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAIN CL RM ESTPT LEV2	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT BRIEF SERV FFEE	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT BRIEF SER FAC FEE	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT BRIEF SERV FACFEE	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT BRIEF SERVICE FFEE	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT BRIEF SERV FAC FEE	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT BRIEF SERV FF	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT INTERMED SERV FF	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHEUM CL ROOM EST LEVEL 2	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DERM CL ROOM EST LEVEL 2	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT BRIEF SERVICE FF	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB LEVEL 2	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTPT VST FOC FACFEE	$26.67	$127.00	$64.26–$102.74	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 NEPHROLOGY CL ESTPT LEV 2 FF	$26.67	$127.00	$64.26–$102.74	53% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CONSUL NEW/EST 30MIN FF	$42.84	$204.00	$103.22–$165.04	5% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFF/OP CONSUL NEW/EST 30MIN	$42.84	$204.00	$103.22–$165.04	5% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULT LVL 4 EST PT	$50.40	$240.00	$121.44–$194.16	21% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CONSUL NEW/EST 40MIN FF	$50.40	$240.00	$121.44–$194.16	21% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULT LVL 4 NEW PT	$50.40	$240.00	$121.44–$194.16	21% below	79%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$119.70	$570.00	$288.42–$461.13	63% below	79%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$119.70	$570.00	$370.50–$425.22	—	79%
Speech therapy session, individual CPT 92507 SPEECH/LANG THERAPY	$50.19	$239.00	$120.93–$193.35	69% below	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG THERAPY	$50.19	$239.00	$155.35–$178.29	—	79%
Spirometry (breathing test) CPT 94010 SPIROMETRY SIMPLE	$139.65	$665.00	$336.49–$537.98	1% below	79%
Spirometry (breathing test) CPT 94010 SPIROMETRY PFT FAC FEE	$139.65	$665.00	$336.49–$537.98	1% below	79%
Spirometry (breathing test) CPT 94010 SPIROMETRY INCL GRAPHIC REC FF	$139.65	$665.00	$336.49–$537.98	1% below	79%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY INCL GRAPHIC REC FF	$139.65	$665.00	$432.25–$496.09	—	79%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY SIMPLE	$139.65	$665.00	$432.25–$496.09	—	79%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY PFT FAC FEE	$139.65	$665.00	$432.25–$496.09	—	79%
Spirometry before and after a bronchodilator CPT 94060 BREATH TEST FAC FEE	$175.35	$835.00	$422.51–$675.52	45% below	79%
Spirometry before and after a bronchodilator CPT 94060 SPIROM W/PRE&POST BRONCH	$175.35	$835.00	$422.51–$675.52	45% below	79%
Spirometry before and after a bronchodilator inpatient CPT 94060 BREATH TEST FAC FEE	$175.35	$835.00	$542.75–$622.91	—	79%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROM W/PRE&POST BRONCH	$175.35	$835.00	$542.75–$622.91	—	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPY ACTIVITIES 15MINS	$27.30	$130.00	$65.78–$105.17	76% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 OTA THERAPY ACTIVITIES 15MINS	$27.30	$130.00	$65.78–$105.17	76% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 SP THERAPEUTIC ACT EA 15 MIN	$27.30	$130.00	$65.78–$105.17	76% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTIVITIES 15MNS	$27.30	$130.00	$65.78–$105.17	76% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAP ACTIVITIES 15MNS	$27.30	$130.00	$65.78–$105.17	76% below	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPY ACTIVITIES 15MINS	$27.30	$130.00	$84.50–$96.98	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTA THERAPY ACTIVITIES 15MINS	$27.30	$130.00	$84.50–$96.98	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 SP THERAPEUTIC ACT EA 15 MIN	$27.30	$130.00	$84.50–$96.98	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTIVITIES 15MNS	$27.30	$130.00	$84.50–$96.98	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAP ACTIVITIES 15MNS	$27.30	$130.00	$84.50–$96.98	—	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLBOTOM	$112.35	$535.00	$270.71–$432.82	27% below	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLBOTOMY	$112.35	$535.00	$270.71–$432.82	27% below	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$112.35	$535.00	$270.71–$432.82	27% below	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY FF	$112.35	$535.00	$270.71–$432.82	27% below	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$112.35	$535.00	$347.75–$399.11	—	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLBOTOM	$112.35	$535.00	$347.75–$399.11	—	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLBOTOMY	$112.35	$535.00	$347.75–$399.11	—	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY FF	$112.35	$535.00	$347.75–$399.11	—	79%
Visual field test, extended CPT 92083 VISUAL FIELD EXTENDED FF	$85.68	$408.00	$206.45–$330.07	—	79%
Visual field test, extended CPT 92083 OFF VISUAL FIELD EXTENDED FF	$85.68	$408.00	$206.45–$330.07	—	79%
Visual field test, extended inpatient CPT 92083 VISUAL FIELD EXTENDED FF	$85.68	$408.00	$265.20–$304.37	—	79%
Visual field test, extended inpatient CPT 92083 OFF VISUAL FIELD EXTENDED FF	$85.68	$408.00	$265.20–$304.37	—	79%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX PF (CVX 312) 0.5 ML	$53.60	$255.24	$129.15–$206.49	66% below	79%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SPIKEVAX PF (CVX 312) 0.5 ML	$53.60	$255.24	$165.91–$190.41	—	79%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE	$69.17	$329.40	$166.68–$266.48	55% below	79%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE	$69.17	$329.40	$214.11–$245.73	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DAPTACEL 0.5ML PEDIATRIC INJ	$12.77	$60.80	$30.76–$49.19	46% below	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DAPTACEL 0.5ML PEDIATRIC INJ	$12.77	$60.80	$39.52–$45.36	—	79%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VAC PF TIV 0.5 ML	$7.46	$35.51	$17.97–$28.73	66% below	79%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VAC PF TIV 0.5 ML	$7.46	$35.51	$23.08–$26.49	—	79%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9	$101.55	$483.57	$244.69–$391.21	32% below	79%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9	$101.55	$483.57	$314.32–$360.74	—	79%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS-A VAC(ADULT)	$29.85	$142.13	$71.92–$114.98	70% below	79%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS-A(HAVRIX) VAC(ADULT)	$29.85	$142.13	$71.92–$114.98	70% below	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS-A(HAVRIX) VAC(ADULT)	$29.85	$142.13	$92.38–$106.03	—	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS-A VAC(ADULT)	$29.85	$142.13	$92.38–$106.03	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX HEPATITIS-A VAC(PEDS)	$13.67	$65.11	$32.95–$52.67	63% below	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS-A(HAVRIX) VAC(PEDS)	$13.67	$65.11	$32.95–$52.67	63% below	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS-A(HAVRIX) VAC(PEDS)	$13.67	$65.11	$42.32–$48.57	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX HEPATITIS-A VAC(PEDS)	$13.67	$65.11	$42.32–$48.57	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS-B (20/1) INJ (ADULT)	$24.98	$118.97	$60.20–$96.25	61% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS-B (20/1) INJ (ADULT)	$24.98	$118.97	$77.33–$88.75	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS-B 10/0.5INJ (PED)	$10.06	$47.90	$24.24–$38.75	72% below	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS-B 10/0.5INJ (PED)	$10.06	$47.90	$31.14–$35.73	—	79%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B CONJ INJ(PRP-T)	$6.85	$32.60	$16.50–$26.37	65% below	79%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B CONJ INJ(PRP-T)	$6.85	$32.60	$21.19–$24.32	—	79%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC-PF HIGH D 65YRS+	$23.19	$110.43	$55.88–$89.34	68% below	79%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC-PFHIGHDOSE65YRS+	$27.68	$131.83	$66.71–$106.65	61% below	79%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC-PF HIGH D 65YRS+	$23.19	$110.43	$71.78–$82.38	—	79%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC-PFHIGHDOSE65YRS+	$27.68	$131.83	$85.69–$98.35	—	79%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES-MUMP-RUB VAC T5	$33.83	$161.08	$81.51–$130.31	74% below	79%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES-MUMP-RUB VAC T5	$33.83	$161.08	$104.70–$120.17	—	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A, C, YAND W-135	$55.85	$265.93	$134.56–$215.14	46% below	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A, C, YAND W-135	$55.85	$265.93	$172.85–$198.38	—	79%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL(BEXSERO)BVACCINE	$79.60	$379.03	$191.79–$306.64	59% below	79%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL(BEXSERO)BVACCINE	$79.60	$379.03	$246.37–$282.76	—	79%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21 VACC(CVX 327)	$108.49	$516.60	$261.40–$417.93	46% below	79%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21 VACC(CVX 327)	$108.49	$516.60	$335.79–$385.38	—	79%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INJ	$14.60	$69.51	$35.17–$56.23	66% below	79%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INJ	$14.60	$69.51	$45.18–$51.85	—	79%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE, PREF A-PREF B	$96.64	$460.20	$232.86–$372.30	48% below	79%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACCINE, PREF A-PREF B	$96.64	$460.20	$299.13–$343.31	—	79%
Rabies vaccine, one dose CPT 90675 RABAVERT VACCINE INJ	$155.41	$740.06	$374.47–$598.71	79% below	79%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT VACCINE INJ	$155.41	$740.06	$481.04–$552.08	—	79%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE INACTIVATED	$69.33	$330.13	$167.05–$267.08	19% below	79%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACCINE INACTIVATED	$69.33	$330.13	$214.58–$246.28	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPH TOX 5UN/2UN/0.5ML	$10.58	$50.37	$25.49–$40.75	74% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPTHERIA/TETANUS 0.5ML INJ	$10.58	$50.37	$25.49–$40.75	74% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPH TOX 5UN/2UN/0.5ML	$10.58	$50.37	$32.74–$37.58	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPTHERIA/TETANUS 0.5ML INJ	$10.58	$50.37	$32.74–$37.58	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TDAP) 0.5MLINJ	$16.57	$78.89	$39.92–$63.82	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (TDAP) 0.5MLINJ	$16.57	$78.89	$51.28–$58.85	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMU ADMINISTRATION	$16.80	$80.00	$40.48–$64.72	5% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMINSTRATION	$16.80	$80.00	$40.48–$64.72	5% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUNIZATION	$16.80	$80.00	$40.48–$64.72	5% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$16.80	$80.00	$40.48–$64.72	5% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMINISTRATION	$16.80	$80.00	$40.48–$64.72	5% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN/VACCINE/TOXOID DPT	$20.16	$96.00	$48.58–$77.66	14% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMINSTRATION	$16.80	$80.00	$52.00–$59.68	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMINISTRATION	$16.80	$80.00	$52.00–$59.68	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMU ADMINISTRATION	$16.80	$80.00	$52.00–$59.68	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN IMMUNIZATION	$16.80	$80.00	$52.00–$59.68	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$16.80	$80.00	$52.00–$59.68	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN/VACCINE/TOXOID DPT	$20.16	$96.00	$62.40–$71.62	—	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 STATE ADMIN ADDL VACCINE	$4.53	$21.58	$10.92–$17.46	74% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADDL IMMU ADMIN	$12.18	$58.00	$29.35–$46.92	31% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADDL IMMUN ADMIN	$12.18	$58.00	$29.35–$46.92	31% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADDL ADMIN IMMUNIZA	$12.18	$58.00	$29.35–$46.92	31% below	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 STATE ADMIN ADDL VACCINE	$4.53	$21.58	$14.03–$16.10	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADDL IMMU ADMIN	$12.18	$58.00	$37.70–$43.27	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADDL ADMIN IMMUNIZA	$12.18	$58.00	$37.70–$43.27	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADDL IMMUN ADMIN	$12.18	$58.00	$37.70–$43.27	—	79%

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://northernlighthealth.org/NLH/media/Price-Transparency/010372148_AR-Gould-hospital_standardcharges.csv