Hospital New York-Newark-Jersey City, NY-NJ

Overlook Medical Center

Overlook Medical Center in Summit, NJ publishes cash prices for 518 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New Jersey median for 208 of 516 procedures and below it for 151. By typical cash price it ranks #27 of 55 New Jersey hospitals and #54 of 86 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.

99 Beauvoir Ave, Summit, NJ 07901 Collected Sep 23, 2026 Source price file Check a bill from this hospital (908) 522-2000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 310051 · CMS hospital register NPI 1740254143

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Why New Jersey prices look low: under state law (P.L.2008, c.60), a hospital may not charge an uninsured New Jersey resident whose family income is below 500% of the federal poverty level more than 115% of what Medicare pays for the same service. If that is you, ask the hospital's billing office to apply this limit; a separate physician fee may still apply. Other states' laws.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Overlook Medical Center in Summit, NJ:

Jul 20, 2021 Warning notice
Jan 12, 2022 Corrective action plan requested
May 8, 2023 Case closed
Apr 16, 2025 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W&WO	$237.54	$3,720.00	—	66% below	94%
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W&WO	$237.54	$3,876.02	—	66% below	94%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W&WO	$237.54	$3,720.00	—	—	94%
Abdominal X-ray, 2 views CPT 74019 Xr Abdomen 2 Vw	$117.49	$1,165.00	—	4% below	90%
Abdominal X-ray, 2 views CPT 74019 Xr Abdomen 2 Vw	$141.90	$534.00	—	15% above	73%
Abdominal X-ray, 2 views inpatient CPT 74019 Xr Abdomen 2 Vw	$141.90	$534.00	—	—	73%
Ankle X-ray, complete, 3 or more views CPT 73610 Xr Ankle 3+ Vw	$117.49	$534.00	—	at median	78%
Ankle X-ray, complete, 3 or more views CPT 73610 Xr Ankle 3+ Vw	$141.90	$2,286.00	—	21% above	94%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Xr Ankle 3+ Vw	$117.49	$534.00	—	—	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Nips Art Upp/Low Extrm 3+ Lev Uni/1-2 Lev Bil	$172.00	$1,141.00	—	2% below	85%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Nips Art Upp/Low Extrm 1-2 Lev Uni	$172.00	$1,141.00	—	2% below	85%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Nips Art Upp/Low Extrm 3+ Lev Uni/1-2 Lev Bil	$172.00	$1,141.00	—	2% below	85%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Nips Art Upp/Low Extrm 3+ Lev Uni/1-2 Lev Bil	$172.00	$1,141.00	—	—	85%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Nips Art Upp/Low Extrm 1-2 Lev Uni	$172.00	$1,141.00	—	—	85%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upp Extrm WO	$141.90	$2,328.00	—	69% below	94%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upp Extrm WO	$141.90	$2,328.00	—	69% below	94%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upp Extrm WO	$141.90	$2,328.00	—	—	94%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Dx Esophagus Inc Delay Sng Cntrst	$237.54	$1,091.54	—	13% above	78%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Dx Esophagus Inc Delay Sng Cntrst	$237.54	$1,089.00	—	13% above	78%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Dx Esophagus Inc Delay Sng Cntrst	$237.54	$1,089.00	—	—	78%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone/Joint Whole Body	$536.19	$2,870.00	—	2% above	81%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone/Joint Whole Body	$536.19	$4,073.60	—	2% above	87%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone/Joint Whole Body	$536.19	$2,870.00	—	—	81%
Breast ultrasound, complete, one breast CPT 76641 US Breast Uni Cmplt	$141.90	$663.00	—	1% below	79%
Breast ultrasound, complete, one breast CPT 76641 US Breast Uni Cmplt	$285.47	$2,645.00	—	100% above	89%
Breast ultrasound, complete, one breast inpatient CPT 76641 US Breast Uni Cmplt	$141.90	$663.00	—	—	79%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Uni Lmt	$117.49	$603.00	—	16% below	81%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Uni Lmt	$244.99	$1,775.00	—	75% above	86%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Uni Lmt	$117.49	$603.00	—	—	81%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd & Pelvis W&WO	$476.54	$6,202.02	—	26% below	92%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd & Pelvis W&WO	$476.54	$6,046.00	—	26% below	92%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abd & Pelvis W&WO	$476.54	$6,046.00	—	—	92%
CT angiography (CTA) of the head CPT 70496 Cta Head W&WO	$237.54	$4,032.00	—	56% below	94%
CT angiography (CTA) of the head CPT 70496 Cta Head W&WO	$580.61	$8,220.02	—	7% above	93%
CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W&WO	$237.54	$4,032.00	—	—	94%
CT angiography (CTA) of the neck CPT 70498 Cta Neck W&WO	$237.54	$4,032.00	—	65% below	94%
CT angiography (CTA) of the neck CPT 70498 Cta Neck W&WO	$580.61	$8,669.56	—	14% below	93%
CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck W&WO	$237.54	$4,032.00	—	—	94%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W&WO	$237.54	$4,188.02	—	68% below	94%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W&WO	$237.54	$4,032.00	—	68% below	94%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W&WO	$237.54	$4,032.00	—	—	94%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Heart Struct/Morph 3d W	$476.54	$3,189.00	—	at median	85%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Heart Struct/Morph 3d W	$476.54	$3,871.10	—	at median	88%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Heart Struct/Morph 3d W	$476.54	$3,189.00	—	—	85%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart W/Ca+ Test WO	$99.00	$165.00	—	at median	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart W/Ca+ Test WO	$99.00	$165.00	—	at median	40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart W/Ca+ Test WO	$99.00	$165.00	—	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis WO	$322.54	$3,492.00	—	49% below	91%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis WO	$322.54	$3,492.00	—	49% below	91%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd & Pelvis WO	$322.54	$3,492.00	—	—	91%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis W	$476.54	$4,187.00	—	36% below	89%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis W	$580.61	$7,538.02	—	23% below	92%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd & Pelvis W	$476.54	$4,187.00	—	—	89%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis W&WO	$476.54	$5,738.02	—	49% below	92%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis W&WO	$476.54	$5,582.00	—	49% below	91%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelvis W&WO	$476.54	$5,582.00	—	—	91%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$237.54	$3,351.02	—	58% below	93%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$237.54	$3,195.00	—	58% below	93%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W	$237.54	$3,195.00	—	—	93%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$141.90	$2,328.00	—	68% below	94%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$141.90	$2,328.00	—	68% below	94%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO	$141.90	$2,328.00	—	—	94%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$141.90	$2,328.00	—	72% below	94%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$141.90	$2,328.00	—	72% below	94%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO	$141.90	$2,328.00	—	—	94%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head WO	$141.90	$2,328.00	—	66% below	94%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head WO	$141.90	$2,328.00	—	66% below	94%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head WO	$141.90	$2,328.00	—	—	94%
CT scan of the head with contrast CPT 70460 CT Head W	$237.54	$3,195.00	—	50% below	93%
CT scan of the head with contrast CPT 70460 CT Head W	$237.54	$3,351.02	—	50% below	93%
CT scan of the head with contrast inpatient CPT 70460 CT Head W	$237.54	$3,195.00	—	—	93%
CT scan of the head without and with contrast CPT 70470 CT Head W&WO	$237.54	$3,876.02	—	61% below	94%
CT scan of the head without and with contrast CPT 70470 CT Head W&WO	$237.54	$3,720.00	—	61% below	94%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head W&WO	$237.54	$3,720.00	—	—	94%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumb WO	$141.90	$2,328.00	—	74% below	94%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumb WO	$141.90	$2,328.00	—	74% below	94%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumb WO	$141.90	$2,328.00	—	—	94%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cerv WO	$141.90	$2,328.00	—	74% below	94%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cerv WO	$141.90	$2,328.00	—	74% below	94%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cerv WO	$141.90	$2,328.00	—	—	94%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$237.54	$3,351.02	—	54% below	93%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$237.54	$3,195.00	—	54% below	93%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W	$237.54	$3,195.00	—	—	93%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Extracranial Art Cmplt	$322.54	$1,852.00	—	at median	83%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Extracranial Art Cmplt	$322.54	$1,852.00	—	at median	83%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Duplex Extracranial Art Cmplt	$322.54	$1,852.00	—	—	83%
Chest CT scan without and with contrast CPT 71270 CT Thorax Dx W&WO	$237.54	$3,720.00	—	69% below	94%
Chest CT scan without and with contrast CPT 71270 CT Thorax Dx W&WO	$237.54	$3,876.02	—	69% below	94%
Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax Dx W&WO	$237.54	$3,720.00	—	—	94%
Chest X-ray, 2 views CPT 71046 Xr Chest 2 Vw	$117.49	$534.00	—	5% above	78%
Chest X-ray, 2 views CPT 71046 Xr Chest 2 Vw	$117.49	$534.00	—	5% above	78%
Chest X-ray, 2 views inpatient CPT 71046 Xr Chest 2 Vw	$117.49	$534.00	—	—	78%
Chest X-ray, single view CPT 71045 Xr Chest 1vw	$117.49	$534.00	—	13% above	78%
Chest X-ray, single view CPT 71045 Xr Chest 1vw	$7,785.18	$23,182.09	—	7373% above	66%
Chest X-ray, single view inpatient CPT 71045 Xr Chest 1vw	$117.49	$534.00	—	—	78%
Collarbone (clavicle) X-ray, complete CPT 73000 Xr Clavicle Cmplt	$117.49	$1,068.00	—	at median	89%
Collarbone (clavicle) X-ray, complete CPT 73000 Xr Clavicle Cmplt	$117.49	$534.00	—	at median	78%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Xr Clavicle Cmplt	$117.49	$534.00	—	—	78%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Cmplt	$141.90	$1,108.00	—	32% below	87%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Cmplt	$141.90	$1,108.00	—	32% below	87%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Cmplt	$141.90	$1,108.00	—	—	87%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density 1+ Site Axial	$141.90	$878.00	—	at median	84%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density 1+ Site Axial	$141.90	$878.00	—	at median	84%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density 1+ Site Axial	$141.90	$878.00	—	—	84%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Uterus OB Det Anat Sng Fetus	$322.54	$761.00	—	4% above	58%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Uterus OB Det Anat Sng Fetus	$322.54	$761.00	—	4% above	58%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Uterus OB Det Anat Sng Fetus	$322.54	$761.00	—	—	58%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax Dx WO	$141.90	$2,328.00	—	74% below	94%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax Dx WO	$141.90	$2,328.00	—	74% below	94%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax Dx WO	$141.90	$2,328.00	—	—	94%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax Dx W	$237.54	$3,195.00	—	61% below	93%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax Dx W	$580.61	$7,538.02	—	5% below	92%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax Dx W	$237.54	$3,195.00	—	—	93%
Diagnostic mammogram, both breasts CPT 77066 Mammogram Dx Dig Bil	$137.79	$1,044.00	—	13% below	87%
Diagnostic mammogram, both breasts CPT 77066 Mammogram Dx Dig Bil	$299.02	$2,645.00	—	90% above	89%
Diagnostic mammogram, both breasts inpatient CPT 77066 Mammogram Dx Dig Bil	$137.79	$1,044.00	—	—	87%
Diagnostic mammogram, one breast CPT 77065 Mammogram Dx Dig Uni	$108.17	$894.00	—	34% below	88%
Diagnostic mammogram, one breast CPT 77065 Mammogram Dx Dig Uni	$244.99	$1,775.36	—	49% above	86%
Diagnostic mammogram, one breast inpatient CPT 77065 Mammogram Dx Dig Uni	$108.17	$894.00	—	—	88%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex Art/Grft(S) Low Extrm Cmplt Bil	$322.54	$1,911.00	—	6% above	83%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex Art/Grft(S) Low Extrm Cmplt Bil	$531.32	$3,150.00	—	75% above	83%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Duplex Art/Grft(S) Low Extrm Cmplt Bil	$322.54	$1,911.00	—	—	83%
Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Veins Extrm Cmplt Bil	$322.54	$1,634.00	—	at median	80%
Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Veins Extrm Cmplt Bil	$322.54	$1,634.00	—	at median	80%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex Veins Extrm Cmplt Bil	$322.54	$1,634.00	—	—	80%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte WO Cntr W Clr&Dpl Cmplt	$731.63	$4,397.00	—	at median	83%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte WO Cntr W Clr&Dpl Cmplt	$731.63	$4,397.00	—	at median	83%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte WO Cntr W Clr&Dpl Cmplt	$731.63	$4,397.00	—	—	83%
Elbow X-ray, 2 views CPT 73070 Xr Elbow 2 Vw	$117.49	$1,262.00	—	6% above	91%
Elbow X-ray, 2 views CPT 73070 Xr Elbow 2 Vw	$117.49	$534.00	—	6% above	78%
Elbow X-ray, 2 views inpatient CPT 73070 Xr Elbow 2 Vw	$117.49	$534.00	—	—	78%
Elbow X-ray, complete, 3 or more views CPT 73080 Xr Elbow 3+ Vw	$117.49	$1,068.00	—	at median	89%
Elbow X-ray, complete, 3 or more views CPT 73080 Xr Elbow 3+ Vw	$117.49	$534.00	—	at median	78%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Xr Elbow 3+ Vw	$117.49	$534.00	—	—	78%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella Mid/Inner Ear WO	$141.90	$2,328.00	—	66% below	94%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella Mid/Inner Ear WO	$141.90	$2,328.00	—	66% below	94%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit Sella Mid/Inner Ear WO	$141.90	$2,328.00	—	—	94%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xr Facial Bones 3+ Vw	$141.90	$534.00	—	1% above	73%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xr Facial Bones 3+ Vw	$141.90	$1,463.00	—	1% above	90%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Xr Facial Bones 3+ Vw	$141.90	$534.00	—	—	73%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Xr Forearm 2 Vw	$117.49	$1,068.00	—	at median	89%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Xr Forearm 2 Vw	$117.49	$534.00	—	at median	78%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Xr Forearm 2 Vw	$117.49	$534.00	—	—	78%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Sys	$536.19	$3,003.00	—	5% above	82%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Sys	$536.19	$3,266.84	—	5% above	84%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Sys	$536.19	$3,003.00	—	—	82%
Hand X-ray, 2 views CPT 73120 Xr Hand 2 Vw	$141.90	$1,436.00	—	5% above	90%
Hand X-ray, 2 views CPT 73120 Xr Hand 2 Vw	$141.90	$534.00	—	5% above	73%
Hand X-ray, 2 views inpatient CPT 73120 Xr Hand 2 Vw	$141.90	$534.00	—	—	73%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xr Calcaneous 2+ Vw	$117.49	$1,394.00	—	2% above	92%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xr Calcaneous 2+ Vw	$117.49	$534.00	—	2% above	78%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Xr Calcaneous 2+ Vw	$117.49	$534.00	—	—	78%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattd W Resp Effort	$208.78	$950.00	—	44% below	78%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6+ Yrs 4+ Parameters Init Cpap	$1,357.57	$12,655.00	—	at median	89%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6+ Yrs 4+ Parameters Init Cpap	$1,357.57	$12,427.00	—	at median	89%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6+ Yrs 4+ Parameters Init Cpap	$1,357.57	$12,427.00	—	—	89%
Knee X-ray, 3 views CPT 73562 Xr Knee 3 Vw	$117.49	$534.00	—	at median	78%
Knee X-ray, 3 views CPT 73562 Xr Knee 3 Vw	$117.49	$684.00	—	at median	83%
Knee X-ray, 3 views inpatient CPT 73562 Xr Knee 3 Vw	$117.49	$534.00	—	—	78%
Knee X-ray, complete, 4 or more views CPT 73564 Xr Knee 4+ Vw	$141.90	$534.00	—	at median	73%
Knee X-ray, complete, 4 or more views CPT 73564 Xr Knee 4+ Vw	$141.90	$534.00	—	at median	73%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Xr Knee 4+ Vw	$141.90	$534.00	—	—	73%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lwr Extrm WO	$141.90	$4,867.00	—	69% below	97%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lwr Extrm WO	$141.90	$2,328.00	—	69% below	94%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lwr Extrm WO	$141.90	$2,328.00	—	—	94%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Lmt	$141.90	$1,108.00	—	13% below	87%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Lmt	$141.90	$1,108.00	—	13% below	87%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Lmt	$141.90	$1,108.00	—	—	87%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Joint/Nonvasc Struct Extrm Lmt	$141.90	$796.00	—	4% above	82%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Joint/Nonvasc Struct Extrm Lmt	$141.90	$796.00	—	4% above	82%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Joint/Nonvasc Struct Extrm Lmt	$141.90	$796.00	—	—	82%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Scrn Lung Ca WO	$141.90	$1,630.00	—	at median	91%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Scrn Lung Ca WO	$141.90	$1,630.00	—	at median	91%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Thorax Scrn Lung Ca WO	$141.90	$1,630.00	—	—	91%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xr Tibia & Fibula 2 Vw	$117.49	$534.00	—	at median	78%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xr Tibia & Fibula 2 Vw	$117.49	$1,262.00	—	at median	91%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Xr Tibia & Fibula 2 Vw	$117.49	$534.00	—	—	78%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head WO	$322.54	$4,390.00	—	54% below	93%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head WO	$337.94	$7,063.00	—	51% below	95%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head WO	$322.54	$4,390.00	—	—	93%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral	$294.12	$6,968.72	—	—	96%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Joint Lwr Extrm WO	$322.54	$4,390.00	—	22% below	93%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Joint Lwr Extrm WO	$322.54	$4,390.00	—	22% below	93%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Joint Lwr Extrm WO	$322.54	$4,390.00	—	—	93%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Joint Lwr Extrm W&WO	$476.54	$6,311.00	—	34% below	92%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Joint Lwr Extrm W&WO	$476.54	$6,441.34	—	34% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Joint Lwr Extrm W&WO	$476.54	$6,311.00	—	—	92%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$322.54	$4,390.00	—	50% below	93%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$322.54	$4,390.00	—	50% below	93%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO	$322.54	$4,390.00	—	—	93%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W&WO	$476.54	$6,311.00	—	49% below	92%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W&WO	$476.54	$7,086.80	—	49% below	93%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W&WO	$476.54	$6,311.00	—	—	92%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$322.54	$4,390.00	—	52% below	93%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$322.54	$4,390.00	—	52% below	93%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO	$322.54	$4,390.00	—	—	93%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&WO	$476.54	$6,311.00	—	53% below	92%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&WO	$476.54	$7,086.80	—	53% below	93%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W&WO	$476.54	$6,311.00	—	—	92%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumb WO	$322.54	$4,390.00	—	46% below	93%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumb WO	$322.54	$4,390.00	—	46% below	93%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumb WO	$322.54	$4,390.00	—	—	93%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumb W&WO	$476.54	$6,311.00	—	53% below	92%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumb W&WO	$476.54	$7,086.80	—	53% below	93%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumb W&WO	$476.54	$6,311.00	—	—	92%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thor WO	$322.54	$4,390.00	—	48% below	93%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thor WO	$720.92	$8,780.00	—	16% above	92%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thor WO	$322.54	$4,390.00	—	—	93%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cerv W&WO	$476.54	$6,311.00	—	52% below	92%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cerv W&WO	$1,140.66	$12,752.34	—	14% above	91%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cerv W&WO	$476.54	$6,311.00	—	—	92%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cerv WO	$322.54	$4,390.00	—	44% below	93%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cerv WO	$322.54	$4,390.00	—	44% below	93%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cerv WO	$322.54	$4,390.00	—	—	93%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W&WO	$476.54	$6,311.00	—	54% below	92%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W&WO	$476.54	$7,086.80	—	54% below	93%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W&WO	$476.54	$6,311.00	—	—	92%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$322.54	$4,390.00	—	51% below	93%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$322.54	$4,390.00	—	51% below	93%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO	$322.54	$4,390.00	—	—	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Joint Upp Extrm WO	$322.54	$4,390.00	—	22% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Joint Upp Extrm WO	$322.54	$4,390.00	—	22% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Joint Upp Extrm WO	$322.54	$4,390.00	—	—	93%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr Spine Cerv 4-5 Vw	$141.90	$1,436.00	—	18% below	90%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr Spine Cerv 4-5 Vw	$141.90	$902.00	—	18% below	84%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Xr Spine Cerv 4-5 Vw	$141.90	$902.00	—	—	84%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue W	$237.54	$3,195.00	—	60% below	93%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue W	$237.54	$3,351.02	—	60% below	93%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue W	$237.54	$3,195.00	—	—	93%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue WO	$141.90	$2,328.00	—	72% below	94%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue WO	$299.63	$4,656.00	—	41% below	94%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue WO	$141.90	$2,328.00	—	—	94%
Neck soft tissue X-ray CPT 70360 Xr Neck Soft Tissue	$117.49	$534.00	—	5% above	78%
Neck soft tissue X-ray CPT 70360 Xr Neck Soft Tissue	$40,662.98	$144,246.00	—	36180% above	72%
Neck soft tissue X-ray inpatient CPT 70360 Xr Neck Soft Tissue	$117.49	$534.00	—	—	78%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Spect Mult	$1,741.99	$4,721.00	—	14% above	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Spect Mult	$1,741.99	$6,558.87	—	14% above	73%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocard Spect Mult	$1,741.99	$4,721.00	—	—	63%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet CT Neck to Thigh	$1,946.30	$10,950.00	—	5% above	82%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet CT Neck to Thigh	$1,946.30	$11,687.20	—	5% above	83%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet CT Neck to Thigh	$1,946.30	$10,950.00	—	—	82%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$141.90	$2,328.00	—	66% below	94%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$141.90	$2,328.00	—	66% below	94%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis WO	$141.90	$2,328.00	—	—	94%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Lmt	$141.90	$713.00	—	6% above	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Lmt	$141.90	$713.00	—	6% above	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Lmt	$141.90	$713.00	—	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Cmplt	$141.90	$1,108.00	—	40% below	87%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Cmplt	$283.80	$2,216.00	—	20% above	87%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Cmplt	$141.90	$1,108.00	—	—	87%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Uterus OB 14+ Wks Sng Fetus	$141.90	$663.00	—	25% below	79%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Uterus OB 14+ Wks Sng Fetus	$141.90	$663.00	—	25% below	79%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Uterus OB 14+ Wks Sng Fetus	$141.90	$663.00	—	—	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Uterus OB <14 Wks Sng Fetus	$141.90	$687.00	—	at median	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Uterus OB <14 Wks Sng Fetus	$141.90	$1,278.00	—	at median	89%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Uterus OB <14 Wks Sng Fetus	$141.90	$687.00	—	—	79%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Uterus OB 1+ Fetus Lmt	$141.90	$1,335.00	—	22% below	89%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Uterus OB 1+ Fetus Lmt	$141.90	$827.00	—	22% below	83%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Uterus OB 1+ Fetus Lmt	$141.90	$827.00	—	—	83%
Rib X-ray, one side, 2 views CPT 71100 Xr Ribs Uni 2 Vw	$117.49	$534.00	—	5% above	78%
Rib X-ray, one side, 2 views CPT 71100 Xr Ribs Uni 2 Vw	$117.49	$534.00	—	5% above	78%
Rib X-ray, one side, 2 views inpatient CPT 71100 Xr Ribs Uni 2 Vw	$117.49	$534.00	—	—	78%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Xr Ribs Uni W/Pa Chest 3+ Vw	$141.90	$534.00	—	6% above	73%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Xr Ribs Uni W/Pa Chest 3+ Vw	$141.90	$534.00	—	6% above	73%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 Xr Ribs Uni W/Pa Chest 3+ Vw	$141.90	$534.00	—	—	73%
Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Uni	$113.95	$779.00	—	12% below	85%
Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Bil	$113.95	$1,044.00	—	12% below	89%
Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Bil	$143.57	$1,322.00	—	11% above	89%
Screening mammogram, both breasts inpatient CPT 77067 Mammogram Scrn Dig Uni	$113.95	$779.00	—	—	85%
Screening mammogram, both breasts inpatient CPT 77067 Mammogram Scrn Dig Bil	$113.95	$1,044.00	—	—	89%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder 2+ Vw	$117.49	$534.00	—	at median	78%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder 2+ Vw	$117.49	$684.00	—	at median	83%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Xr Shoulder 2+ Vw	$117.49	$534.00	—	—	78%
Sinus X-ray, complete, 3 or more views CPT 70220 Xr Sinuses 3+ Vw	$117.49	$904.00	—	4% above	87%
Sinus X-ray, complete, 3 or more views CPT 70220 Xr Sinuses 3+ Vw	$117.49	$534.00	—	4% above	78%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Xr Sinuses 3+ Vw	$117.49	$534.00	—	—	78%
Skull X-ray, fewer than 4 views CPT 70250 Xr Skull <4 Vw	$117.49	$1,602.00	—	3% below	93%
Skull X-ray, fewer than 4 views CPT 70250 Xr Skull <4 Vw	$141.90	$534.00	—	18% above	73%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Xr Skull <4 Vw	$141.90	$534.00	—	—	73%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6+ Yrs 4+ Paramtrs	$1,357.57	$9,070.00	—	3% above	85%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6+ Yrs 4+ Paramtrs	$1,357.57	$8,907.00	—	3% above	85%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6+ Yrs 4+ Paramtrs	$1,357.57	$8,907.00	—	—	85%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Cmplt WO Cntr	$731.63	$6,696.00	—	4% above	89%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Cmplt WO Cntr	$731.63	$3,964.00	—	4% above	82%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Cmplt WO Cntr	$731.63	$3,964.00	—	—	82%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Dx Swallow Func Cine/Video Inc Delay W Cntrst	$237.54	$1,089.00	—	4% above	78%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Dx Swallow Func Cine/Video Inc Delay W Cntrst	$347.42	$2,118.90	—	53% above	84%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Dx Swallow Func Cine/Video Inc Delay W Cntrst	$237.54	$1,089.00	—	—	78%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xr Femur 2+ Vw	$117.49	$728.00	—	5% above	84%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xr Femur 2+ Vw	$117.49	$1,456.00	—	5% above	92%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Xr Femur 2+ Vw	$117.49	$728.00	—	—	84%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thor WO	$141.90	$2,328.00	—	71% below	94%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thor WO	$299.63	$4,656.00	—	38% below	94%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thor WO	$141.90	$2,328.00	—	—	94%
Toe X-ray, 2 or more views CPT 73660 Xr Toes(S) 2+ Vw	$117.49	$534.00	—	6% above	78%
Toe X-ray, 2 or more views CPT 73660 Xr Toes(S) 2+ Vw	$117.49	$534.00	—	6% above	78%
Toe X-ray, 2 or more views inpatient CPT 73660 Xr Toes(S) 2+ Vw	$117.49	$534.00	—	—	78%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$141.90	$1,108.00	—	36% below	87%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$283.80	$2,216.00	—	28% above	87%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$141.90	$1,108.00	—	—	87%
Transvaginal ultrasound during pregnancy CPT 76817 US Uterus OB Transvaginal	$141.90	$690.00	—	at median	79%
Transvaginal ultrasound during pregnancy CPT 76817 US Uterus OB Transvaginal	$141.90	$1,353.00	—	at median	90%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Uterus OB Transvaginal	$141.90	$690.00	—	—	79%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Cmplt	$141.90	$1,108.00	—	36% below	87%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Cmplt	$141.90	$1,108.00	—	36% below	87%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Cmplt	$141.90	$1,108.00	—	—	87%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum	$141.90	$1,108.00	—	25% below	87%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum	$141.90	$2,990.00	—	25% below	95%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum	$141.90	$1,108.00	—	—	87%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head & Neck	$141.90	$1,108.00	—	39% below	87%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head & Neck	$141.90	$1,108.00	—	39% below	87%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head & Neck	$141.90	$1,108.00	—	—	87%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Dx Ugi Inc Delay Sng Cntrst	$141.90	$2,221.68	—	39% below	94%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Dx Ugi Inc Delay Sng Cntrst	$237.54	$1,089.00	—	2% above	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Dx Ugi Inc Delay Sng Cntrst	$237.54	$1,089.00	—	—	78%
Upper arm X-ray (humerus), 2 views CPT 73060 Xr Humerus 2+ Vw	$117.49	$1,218.00	—	at median	90%
Upper arm X-ray (humerus), 2 views CPT 73060 Xr Humerus 2+ Vw	$117.49	$534.00	—	at median	78%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Xr Humerus 2+ Vw	$117.49	$534.00	—	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Veins Extrm Uni/Lmt	$141.90	$1,293.00	—	29% below	89%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Veins Extrm Uni/Lmt	$141.90	$1,293.00	—	29% below	89%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Veins Extrm Uni/Lmt	$141.90	$1,293.00	—	—	89%
Wrist X-ray, 2 views CPT 73100 Xr Wrist 2 Vw	$117.49	$534.00	—	6% above	78%
Wrist X-ray, 2 views CPT 73100 Xr Wrist 2 Vw	$117.49	$534.00	—	6% above	78%
Wrist X-ray, 2 views inpatient CPT 73100 Xr Wrist 2 Vw	$117.49	$534.00	—	—	78%
Wrist X-ray, complete, 3 or more views CPT 73110 Xr Wrist 3+ Vw	$117.49	$534.00	—	at median	78%
Wrist X-ray, complete, 3 or more views CPT 73110 Xr Wrist 3+ Vw	$141.90	$2,052.00	—	21% above	93%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Xr Wrist 3+ Vw	$117.49	$534.00	—	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip Uni W/Pelvis 2-3 Vw	$117.49	$728.00	—	5% above	84%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip Uni W/Pelvis 2-3 Vw	$141.90	$1,262.00	—	26% above	89%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Xr Hip Uni W/Pelvis 2-3 Vw	$117.49	$728.00	—	—	84%
X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 Vw	$117.49	$534.00	—	6% above	78%
X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 Vw	$117.49	$534.00	—	6% above	78%
X-ray of the abdomen, 1 view inpatient CPT 74018 Xr Abdomen 1 Vw	$117.49	$534.00	—	—	78%
X-ray of the ankle, 2 views CPT 73600 Xr Ankle 2 Vw	$117.49	$534.00	—	5% above	78%
X-ray of the ankle, 2 views CPT 73600 Xr Ankle 2 Vw	$117.49	$1,068.00	—	5% above	89%
X-ray of the ankle, 2 views inpatient CPT 73600 Xr Ankle 2 Vw	$117.49	$534.00	—	—	78%
X-ray of the finger(s), 2 or more views CPT 73140 Xr Finger(S) 2+ Vw	$117.49	$534.00	—	6% above	78%
X-ray of the finger(s), 2 or more views CPT 73140 Xr Finger(S) 2+ Vw	$117.49	$534.00	—	6% above	78%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Xr Finger(S) 2+ Vw	$117.49	$534.00	—	—	78%
X-ray of the foot, 2 views CPT 73620 Xr Foot 2 Vw	$117.49	$534.00	—	1% above	78%
X-ray of the foot, 2 views CPT 73620 Xr Foot 2 Vw	$117.49	$534.00	—	1% above	78%
X-ray of the foot, 2 views inpatient CPT 73620 Xr Foot 2 Vw	$117.49	$534.00	—	—	78%
X-ray of the foot, complete, 3 or more views CPT 73630 Xr Foot 3+ Vw	$117.49	$534.00	—	at median	78%
X-ray of the foot, complete, 3 or more views CPT 73630 Xr Foot 3+ Vw	$287.03	$2,266.75	—	144% above	87%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Xr Foot 3+ Vw	$117.49	$534.00	—	—	78%
X-ray of the hand, 3 or more views CPT 73130 Xr Hand 3+ Vw	$117.49	$1,368.00	—	at median	91%
X-ray of the hand, 3 or more views CPT 73130 Xr Hand 3+ Vw	$117.49	$534.00	—	at median	78%
X-ray of the hand, 3 or more views inpatient CPT 73130 Xr Hand 3+ Vw	$117.49	$534.00	—	—	78%
X-ray of the knee, 1 or 2 views CPT 73560 Xr Knee 1-2 Vw	$117.49	$534.00	—	at median	78%
X-ray of the knee, 1 or 2 views CPT 73560 Xr Knee 1-2 Vw	$17,864.61	$63,339.42	—	15105% above	72%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Xr Knee 1-2 Vw	$117.49	$534.00	—	—	78%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacr 2-3 Vw	$141.90	$534.00	—	9% above	73%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacr 2-3 Vw	$141.90	$1,068.00	—	9% above	87%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr Spine Lumbosacr 2-3 Vw	$141.90	$534.00	—	—	73%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbosacr 4+ Vw	$141.90	$902.00	—	12% below	84%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbosacr 4+ Vw	$141.90	$1,436.00	—	12% below	90%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Spine Lumbosacr 4+ Vw	$141.90	$902.00	—	—	84%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thor 2 Vw	$141.90	$534.00	—	6% above	73%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thor 2 Vw	$141.90	$1,068.00	—	6% above	87%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xr Spine Thor 2 Vw	$141.90	$534.00	—	—	73%
X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Vw	$117.49	$534.00	—	3% above	78%
X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Vw	$117.49	$534.00	—	3% above	78%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Xr Nasal Bones 3+ Vw	$117.49	$534.00	—	—	78%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cerv 2-3 Vw	$117.49	$534.00	—	at median	78%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cerv 2-3 Vw	$117.49	$534.00	—	at median	78%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr Spine Cerv 2-3 Vw	$117.49	$534.00	—	—	78%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1-2 Vw	$141.90	$534.00	—	14% above	73%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1-2 Vw	$17,414.93	$64,546.02	—	13891% above	73%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr Pelvis 1-2 Vw	$141.90	$534.00	—	—	73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum Coccyx 2+ Vw	$117.49	$534.00	—	at median	78%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum Coccyx 2+ Vw	$141.90	$1,068.00	—	21% above	87%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xr Sacrum Coccyx 2+ Vw	$117.49	$534.00	—	—	78%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
ACTH blood test CPT 82024 ACTH	$44.41	$113.00	—	at median	61%
ACTH blood test CPT 82024 ACTH	$169.50	$1,396.00	—	282% above	88%
ACTH blood test inpatient CPT 82024 ACTH	$44.41	$113.00	—	—	61%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase Alt Sgt	$6.10	$40.00	—	at median	85%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase Alt Sgt	$82.23	$869.00	—	1248% above	91%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Transferase Alt Sgt	$6.10	$40.00	—	—	85%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase Ast Sgot	$5.96	$40.00	—	at median	85%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase Ast Sgot	$53.60	$549.00	—	799% above	90%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase Ast Sgot	$5.96	$40.00	—	—	85%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$54.77	$747.00	—	at median	93%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$213.85	$2,839.00	—	290% above	92%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$54.77	$747.00	—	—	93%
Albumin blood test CPT 82040 Albumin Serum	$5.69	$90.00	—	at median	94%
Albumin blood test CPT 82040 Albumin Serum	$933.51	$12,643.48	—	16306% above	93%
Albumin blood test inpatient CPT 82040 Albumin Serum	$5.69	$90.00	—	—	94%
Aldosterone blood test CPT 82088 Aldosterone Urine 24 Hr	$46.86	$1,258.00	—	at median	96%
Aldosterone blood test CPT 82088 Aldosterone Serum	$46.86	$82.00	—	at median	43%
Aldosterone blood test CPT 82088 Aldosterone Serum	$250.13	$2,412.00	—	434% above	90%
Aldosterone blood test inpatient CPT 82088 Aldosterone Urine 24 Hr	$46.86	$1,258.00	—	—	96%
Aldosterone blood test inpatient CPT 82088 Aldosterone Serum	$46.86	$82.00	—	—	43%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase Alkaline	$5.96	$108.00	—	at median	94%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase Alkaline	$62.47	$1,040.00	—	948% above	94%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase Alkaline	$5.96	$108.00	—	—	94%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant/Semiquant	$6.00	$34.00	—	at median	82%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige Panels Ea	$6.00	$6.00	—	at median	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant/Semiquant	$234.41	$1,224.00	—	3807% above	81%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant/Semiquant	$6.00	$34.00	—	—	82%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige Panels Ea	$6.00	$6.00	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Serum	$19.29	$36.00	—	at median	46%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Serum	$108.37	$1,551.00	—	462% above	93%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Serum	$19.29	$36.00	—	—	46%
Ammonia blood test CPT 82140 Ammonia	$16.76	$207.00	—	at median	92%
Ammonia blood test CPT 82140 Ammonia	$128.67	$2,135.00	—	668% above	94%
Ammonia blood test inpatient CPT 82140 Ammonia	$16.76	$207.00	—	—	92%
Amylase blood test CPT 82150 Amylase Body Fluid	$7.45	$113.00	—	at median	93%
Amylase blood test CPT 82150 Amylase Urine	$7.45	$113.00	—	at median	93%
Amylase blood test CPT 82150 Amylase	$7.45	$113.00	—	at median	93%
Amylase blood test CPT 82150 Amylase	$229.79	$4,731.00	—	2984% above	95%
Amylase blood test inpatient CPT 82150 Amylase Body Fluid	$7.45	$113.00	—	—	93%
Amylase blood test inpatient CPT 82150 Amylase Urine	$7.45	$113.00	—	—	93%
Amylase blood test inpatient CPT 82150 Amylase	$7.45	$113.00	—	—	93%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullin Peptide Ab	$14.89	$40.00	—	at median	63%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullin Peptide Ab	$304.72	$3,387.00	—	1946% above	91%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullin Peptide Ab	$14.89	$40.00	—	—	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab Ana	$13.90	$365.00	—	5% above	96%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab Ana	$448.07	$3,581.27	—	3269% above	87%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab Ana	$13.90	$365.00	—	—	96%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide Bnp	$45.15	$412.00	—	at median	89%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide Bnp	$150.92	$1,789.00	—	234% above	92%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide Bnp	$45.15	$412.00	—	—	89%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Tissue/Wound	$9.91	$215.00	—	at median	95%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Body Fld	$9.91	$375.00	—	at median	97%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Other	$9.91	$232.00	—	at median	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Respiratory	$9.91	$245.00	—	at median	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Genital	$9.91	$215.00	—	at median	95%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Tissue/Wound	$7,213.19	$22,245.06	—	72687% above	68%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Genital	$9.91	$215.00	—	—	95%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Tissue/Wound	$9.91	$215.00	—	—	95%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Respiratory	$9.91	$245.00	—	—	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Other	$9.91	$232.00	—	—	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Body Fld	$9.91	$375.00	—	—	97%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Total Ca	$9.73	$159.00	—	at median	94%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Total Ca	$1,757.39	$11,453.60	—	17962% above	85%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Total Ca	$9.73	$159.00	—	—	94%
Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid	$5.77	$70.00	—	at median	92%
Bilirubin blood test, total CPT 82247 Bilirubin Total Cord Blood	$5.77	$70.00	—	at median	92%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$5.77	$70.00	—	at median	92%
Bilirubin blood test, total CPT 82247 Bilirubin Total Amniotic Fluid	$5.77	$70.00	—	at median	92%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$16.22	$85.00	—	181% above	81%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Amniotic Fluid	$5.77	$70.00	—	—	92%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Body Fluid	$5.77	$70.00	—	—	92%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$5.77	$70.00	—	—	92%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Cord Blood	$5.77	$70.00	—	—	92%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Gross & Micro Level 4	$71.30	$675.00	—	27% below	89%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Gross & Micro Level 4	$2,359.99	$13,362.61	—	2310% above	82%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surg Path Gross & Micro Level 4	$71.30	$675.00	—	—	89%
Blood culture for bacteria CPT 87040 Culture Bact Aerobic Blood	$259.39	$2,825.00	—	369% above	91%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$10.45	$15.00	—	8% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$88.45	$984.00	—	811% above	91%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$10.45	$15.00	—	—	30%
Blood glucose (sugar) test CPT 82947 Glucose Quant Blood	$4.52	$67.00	—	at median	93%
Blood glucose (sugar) test CPT 82947 Glucose Quant Blood	$92.83	$944.00	—	1954% above	90%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Quant Blood	$4.52	$67.00	—	—	93%
Blood lead test CPT 83655 LEAD	$13.93	$54.00	—	at median	74%
Blood lead test CPT 83655 Lead, Capillary	$13.93	$133.00	—	at median	90%
Blood lead test CPT 83655 LEAD	$107.12	$786.00	—	669% above	86%
Blood lead test inpatient CPT 83655 LEAD	$13.93	$54.00	—	—	74%
Blood lead test inpatient CPT 83655 Lead, Capillary	$13.93	$133.00	—	—	90%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual	$8.65	$203.00	—	at median	96%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual	$3,659.36	$17,356.52	—	42205% above	79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Qual	$8.65	$203.00	—	—	96%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo	$172.00	$180.00	—	21% above	4%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo	$1,583.31	$9,367.80	—	1010% above	83%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Abo	$172.00	$180.00	—	—	4%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant	$4.54	$63.00	—	at median	93%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant	$20.88	$128.00	—	360% above	84%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Quant	$4.54	$63.00	—	—	93%
C-peptide blood test CPT 84681 C-Peptide	$23.93	$58.00	—	at median	59%
C-peptide blood test CPT 84681 C-Peptide	$110.51	$1,686.00	—	362% above	93%
C-peptide blood test inpatient CPT 84681 C-Peptide	$23.93	$58.00	—	—	59%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$5.96	$113.00	—	at median	95%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$258.48	$2,925.00	—	4237% above	91%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$5.96	$113.00	—	—	95%
C. difficile toxin gene test (stool PCR) CPT 87493 Ia C Diff Toxin Amp Probe	$42.86	$654.00	—	at median	93%
C. difficile toxin gene test (stool PCR) CPT 87493 Ia C Diff Toxin Amp Probe	$501.87	$1,319.00	—	1071% above	62%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Ia C Diff Toxin Amp Probe	$42.86	$654.00	—	—	93%
CA 19-9 blood test (tumor marker) CPT 86301 Ia Quant Ca19-9, Siemens (Clia)	$23.93	$175.00	—	at median	86%
CA 19-9 blood test (tumor marker) CPT 86301 Ia Quant Ca19-9	$23.93	$63.00	—	at median	62%
CA 19-9 blood test (tumor marker) CPT 86301 Ia Quant Ca19-9	$601.96	$6,690.00	—	2416% above	91%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ia Quant Ca19-9	$23.93	$63.00	—	—	62%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ia Quant Ca19-9, Siemens (Clia)	$23.93	$175.00	—	—	86%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ia Quant Ca125	$23.93	$62.00	—	at median	61%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ia Quant Ca125	$3,096.62	$25,119.67	—	12840% above	88%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ia Quant Ca125	$23.93	$62.00	—	—	61%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars Cov-2 Covid-19 Amp Probe	$59.01	$225.00	—	5% above	74%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars Cov-2 Covid-19 Amp Probe	$59.01	$234.00	—	5% above	75%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Iadna Sars Cov-2 Covid-19 Amp Probe	$59.01	$225.00	—	—	74%
Calcium blood test, total CPT 82310 Calcium Total Urine	$5.93	$42.00	—	at median	86%
Calcium blood test, total CPT 82310 Calcium Total	$5.93	$42.00	—	at median	86%
Calcium blood test, total CPT 82310 Calcium Total	$116.02	$1,397.00	—	1856% above	92%
Calcium blood test, total inpatient CPT 82310 Calcium Total	$5.93	$42.00	—	—	86%
Calcium blood test, total inpatient CPT 82310 Calcium Total Urine	$5.93	$42.00	—	—	86%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$21.80	$57.00	—	at median	62%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen Body Fld	$21.80	$103.00	—	at median	79%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$1,103.31	$7,963.11	—	4961% above	86%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$21.80	$57.00	—	—	62%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen Body Fld	$21.80	$103.00	—	—	79%
Chickenpox (varicella) immunity blood test CPT 86787 Ia Quant Varicella Zoster Ab Igm	$14.81	$146.00	—	at median	90%
Chickenpox (varicella) immunity blood test CPT 86787 Ia Quant Varicella Zoster Ab Igg	$14.81	$528.00	—	at median	97%
Chickenpox (varicella) immunity blood test CPT 86787 Ia Quant Varicella Zoster Ab Igg	$170.05	$2,108.00	—	1048% above	92%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Ia Quant Varicella Zoster Ab Igg	$14.81	$528.00	—	—	97%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Ia Quant Varicella Zoster Ab Igm	$14.81	$146.00	—	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Na Chlamydia Trachomatis Amp Probe	$40.35	$51.00	—	at median	21%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Na Chlamydia Trachomatis Amp Probe	$346.14	$1,626.00	—	758% above	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Na Chlamydia Trachomatis Amp Probe	$40.35	$51.00	—	—	21%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$15.40	$208.00	—	at median	93%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$83.99	$1,508.00	—	445% above	94%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$15.40	$208.00	—	—	93%
Complete blood count (CBC) with differential CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff	$8.94	$148.00	—	at median	94%
Complete blood count (CBC) with differential CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff	$137.02	$1,816.00	—	1433% above	92%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff	$8.94	$148.00	—	—	94%
Complete blood count (CBC), no differential CPT 85027 Cbc Cmplt W Plt WO Diff	$7.44	$108.00	—	at median	93%
Complete blood count (CBC), no differential CPT 85027 Cbc Cmplt W Plt WO Diff	$306.95	$2,808.00	—	4026% above	89%
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Cmplt W Plt WO Diff	$7.44	$108.00	—	—	93%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$12.14	$375.00	—	at median	97%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$89.23	$1,640.00	—	635% above	95%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$12.14	$375.00	—	—	97%
Cortisol blood test, total CPT 82533 Cortisol Total	$18.75	$79.00	—	at median	76%
Cortisol blood test, total CPT 82533 Cortisol Total, Adrenal	$18.75	$219.00	—	at median	91%
Cortisol blood test, total CPT 82533 Cortisol Total	$315.12	$2,068.00	—	1581% above	85%
Cortisol blood test, total inpatient CPT 82533 Cortisol Total, Adrenal	$18.75	$219.00	—	—	91%
Cortisol blood test, total inpatient CPT 82533 Cortisol Total	$18.75	$79.00	—	—	76%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase CK Cpk Total	$7.49	$137.00	—	at median	95%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase CK Cpk Total	$216.89	$2,461.00	—	2796% above	91%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase CK Cpk Total	$7.49	$137.00	—	—	95%
Creatinine blood test CPT 82565 Creatinine	$5.89	$50.00	—	at median	88%
Creatinine blood test CPT 82565 Creatinine	$20.88	$133.00	—	254% above	84%
Creatinine blood test inpatient CPT 82565 Creatinine	$5.89	$50.00	—	—	88%
Cytomegalovirus (CMV) antibody test CPT 86644 Ia Quant Cytomegalovirus Cmv Ab Igg	$16.55	$280.00	—	5% above	94%
Cytomegalovirus (CMV) antibody test CPT 86644 Ia Quant Cytomegalovirus Cmv Ab Igg	$194.33	$2,926.00	—	1128% above	93%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Ia Quant Cytomegalovirus Cmv Ab Igg	$16.55	$280.00	—	—	94%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin Degradatn Prod D-Dimer Quant	$11.71	$49.00	—	at median	76%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin Degradatn Prod D-Dimer Quant	$79.26	$4,198.00	—	577% above	98%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin Degradatn Prod D-Dimer Quant	$11.71	$49.00	—	—	76%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$25.56	$105.00	—	2% above	76%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$268.55	$2,903.00	—	974% above	91%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate	$25.56	$105.00	—	—	76%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Urine	$71.46	$151.00	—	at median	53%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day	$71.46	$146.00	—	at median	51%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Meconium	$71.46	$242.00	—	at median	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Urine	$172.00	$3,100.00	—	141% above	94%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Meconium	$71.46	$242.00	—	—	70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day	$71.46	$146.00	—	—	51%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Urine	$71.46	$151.00	—	—	53%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$8.06	$159.00	—	at median	95%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$51.29	$738.00	—	536% above	93%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel	$8.06	$159.00	—	—	95%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igg	$20.86	$217.00	—	1% above	90%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igm	$20.86	$217.00	—	1% above	90%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igm	$252.69	$2,951.00	—	1121% above	91%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igm	$20.86	$217.00	—	—	90%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igg	$20.86	$217.00	—	—	90%
Estradiol blood test CPT 82670 Estradoil Total	$32.13	$181.00	—	at median	82%
Estradiol blood test CPT 82670 Estradoil Total	$233.65	$2,418.00	—	627% above	90%
Estradiol blood test inpatient CPT 82670 Estradoil Total	$32.13	$181.00	—	—	82%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin Follicle Stim Hormone	$21.37	$89.00	—	at median	76%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin Follicle Stim Hormone	$507.32	$2,209.00	—	2274% above	77%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin Follicle Stim Hormone	$21.37	$89.00	—	—	76%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool	$22.57	$458.00	—	at median	95%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool	$141.90	$992.00	—	529% above	86%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool	$22.57	$458.00	—	—	95%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$15.67	$207.00	—	at median	92%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$79.26	$2,266.00	—	406% above	97%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$15.67	$207.00	—	—	92%
Fibrinogen blood test CPT 85384 Fibrinogen Activity	$11.18	$34.00	—	at median	67%
Fibrinogen blood test CPT 85384 Fibrinogen Activity	$79.26	$3,840.00	—	609% above	98%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity	$11.18	$34.00	—	—	67%
Folate (folic acid) blood test CPT 82746 Folic Acid	$16.91	$207.00	—	at median	92%
Folate (folic acid) blood test CPT 82746 Folic Acid	$223.03	$2,471.00	—	1219% above	91%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid	$16.91	$207.00	—	—	92%
Free T3 thyroid hormone test CPT 84481 T3 Free	$19.48	$44.00	—	at median	56%
Free T3 thyroid hormone test CPT 84481 T3 Free	$167.92	$2,067.00	—	762% above	92%
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free	$19.48	$44.00	—	—	56%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free	$10.37	$63.00	—	at median	84%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free	$133.41	$1,895.00	—	1186% above	93%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free	$10.37	$63.00	—	—	84%
Free testosterone test CPT 84402 Testosterone Free	$29.29	$85.00	—	5% above	66%
Free testosterone test CPT 84402 Testosterone Free	$187.77	$1,926.00	—	570% above	90%
Free testosterone test inpatient CPT 84402 Testosterone Free	$29.29	$85.00	—	—	66%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$8.28	$300.00	—	at median	97%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$132.89	$4,330.00	—	1505% above	97%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$8.28	$300.00	—	—	97%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$246.28	$1,601.00	—	at median	85%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Glucose Dose	$5.46	$159.00	—	at median	97%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Glucose Dose	$629.84	$1,304.00	—	11436% above	52%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Post Glucose Dose	$5.46	$159.00	—	—	97%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens Serum	$14.80	$227.00	—	at median	93%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens Serum	$37.39	$601.00	—	153% above	94%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt 3 Specimens Serum	$14.80	$227.00	—	—	93%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Na N Gonorrhea Amp Probe	$40.35	$51.00	—	at median	21%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Na N Gonorrhea Amp Probe	$346.14	$1,626.00	—	758% above	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Na N Gonorrhea Amp Probe	$40.35	$51.00	—	—	21%
H. pylori antibody blood test CPT 86677 Ia Quant H Pylori Ab Iga	$19.38	$43.00	—	at median	55%
H. pylori antibody blood test CPT 86677 Ia Quant H Pylori Ab Igm	$19.38	$43.00	—	at median	55%
H. pylori antibody blood test CPT 86677 Ia Quant H Pylori Ab Igg	$19.38	$43.00	—	at median	55%
H. pylori antibody blood test CPT 86677 Ia Quant H Pylori Ab Igg	$261.86	$3,025.00	—	1251% above	91%
H. pylori antibody blood test inpatient CPT 86677 Ia Quant H Pylori Ab Igg	$19.38	$43.00	—	—	55%
H. pylori antibody blood test inpatient CPT 86677 Ia Quant H Pylori Ab Iga	$19.38	$43.00	—	—	55%
H. pylori antibody blood test inpatient CPT 86677 Ia Quant H Pylori Ab Igm	$19.38	$43.00	—	—	55%
H. pylori stool antigen test CPT 87338 Ia Helicobacter Pylori Ag Stool	$16.54	$169.00	—	5% above	90%
H. pylori stool antigen test CPT 87338 Ia Helicobacter Pylori Ag Stool	$39.11	$627.00	—	147% above	94%
H. pylori stool antigen test inpatient CPT 87338 Ia Helicobacter Pylori Ag Stool	$16.54	$169.00	—	—	90%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Na Hiv 1 Quantificatn	$97.87	$1,024.00	—	at median	90%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Na Hiv 1 Quantificatn	$395.13	$2,940.00	—	304% above	87%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Na Hiv 1 Quantificatn	$97.87	$1,024.00	—	—	90%
HIV-1 and HIV-2 antibody test CPT 86703 Ia Quant Hiv-1 & Hiv-2 Ab Sng Result	$15.77	$1,137.00	—	at median	99%
HIV-1 and HIV-2 antibody test CPT 86703 Ia Quant Hiv-1 & Hiv-2 Ab Sng Result	$113.83	$2,241.00	—	622% above	95%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Ia Quant Hiv-1 & Hiv-2 Ab Sng Result	$15.77	$1,137.00	—	—	99%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Ia Hiv 1 Ag 2 Hiv 1 & Hiv 2 Ab Sng Result	$27.69	$141.00	—	at median	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Ia Hiv 1 Ag 2 Hiv 1 & Hiv 2 Ab Sng Result	$149.16	$2,236.00	—	439% above	93%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Ia Hiv 1 Ag 2 Hiv 1 & Hiv 2 Ab Sng Result	$27.69	$141.00	—	—	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Iadna Hpv High Risk Types	$40.35	$221.00	—	5% above	82%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Iadna Hpv High Risk Types	$308.21	$1,943.00	—	698% above	84%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Iadna Hpv High Risk Types	$40.35	$221.00	—	—	82%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb Glycosylated A1c	$11.17	$179.00	—	at median	94%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb Glycosylated A1c	$133.45	$1,797.00	—	1095% above	93%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb Glycosylated A1c	$11.17	$179.00	—	—	94%
Hemoglobin blood test CPT 85018 Hemoglobin Hgb	$2.73	$106.00	—	33% below	97%
Hemoglobin blood test CPT 85018 Hemoglobin Hgb	$4,709.06	$20,272.88	—	115602% above	77%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin Hgb	$2.73	$106.00	—	—	97%
Hepatitis B core antibody test (total) CPT 86704 Ia Quant Hep B Core Hbcab Total	$13.86	$207.00	—	5% above	93%
Hepatitis B core antibody test (total) CPT 86704 Ia Quant Hep B Core Hbcab Total	$141.90	$3,006.00	—	970% above	95%
Hepatitis B core antibody test (total) inpatient CPT 86704 Ia Quant Hep B Core Hbcab Total	$13.86	$207.00	—	—	93%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Ia Quant Hep B Surface Hbsab	$12.35	$184.00	—	at median	93%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Ia Quant Hep B Surface Hbsab	$244.61	$2,658.00	—	1881% above	91%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Ia Quant Hep B Surface Hbsab	$12.35	$184.00	—	—	93%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Ia Hep B Surface Ag	$11.88	$210.00	—	at median	94%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Ia Hep B Surface Ag	$325.30	$3,497.00	—	2638% above	91%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Ia Hep B Surface Ag	$11.88	$210.00	—	—	94%
Hepatitis C antibody blood test (screening) CPT 86803 Ia Quant Hep C Ab	$16.41	$267.00	—	at median	94%
Hepatitis C antibody blood test (screening) CPT 86803 Ia Quant Hep C Ab	$157.13	$3,517.00	—	858% above	96%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Ia Quant Hep C Ab	$16.41	$267.00	—	—	94%
Hepatitis C viral load (HCV RNA) test CPT 87522 Na Hep C Quantificatn	$49.27	$513.00	—	at median	90%
Hepatitis C viral load (HCV RNA) test CPT 87522 Na Hep C Quantificatn	$415.52	$2,987.00	—	743% above	86%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Na Hep C Quantificatn	$49.27	$513.00	—	—	90%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Ab	$15.17	$84.00	—	at median	82%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Ab	$283.20	$2,651.00	—	1767% above	89%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Type 1 Ab	$15.17	$84.00	—	—	82%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 Ab	$22.25	$84.00	—	at median	74%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 Ab	$283.20	$2,651.00	—	1173% above	89%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv Type 2 Ab	$22.25	$84.00	—	—	74%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sens Hscrp	$14.89	$280.00	—	at median	95%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sens Hscrp	$126.42	$2,238.00	—	749% above	94%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sens Hscrp	$14.89	$280.00	—	—	95%
Homocysteine blood test CPT 83090 Homocysteine	$20.61	$669.00	—	at median	97%
Homocysteine blood test CPT 83090 Homocysteine	$256.84	$3,361.00	—	1146% above	92%
Homocysteine blood test inpatient CPT 83090 Homocysteine	$20.61	$669.00	—	—	97%
Insulin blood test CPT 83525 Insulin Total	$13.14	$160.00	—	at median	92%
Insulin blood test CPT 83525 Insulin Total	$128.34	$2,019.00	—	877% above	94%
Insulin blood test inpatient CPT 83525 Insulin Total	$13.14	$160.00	—	—	92%
Iron blood test (serum iron) CPT 83540 IRON	$7.44	$108.00	—	at median	93%
Iron blood test (serum iron) CPT 83540 IRON	$194.02	$2,430.00	—	2508% above	92%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$7.44	$108.00	—	—	93%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$10.05	$29.00	—	at median	65%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$174.47	$1,973.00	—	1636% above	91%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$10.05	$29.00	—	—	65%
Kidney function blood test panel CPT 80069 Renal Function Panel	$9.98	$208.00	—	66% below	95%
Kidney function blood test panel CPT 80069 Renal Function Panel	$54.11	$825.00	—	84% above	93%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$9.98	$208.00	—	—	95%
LH (luteinizing hormone) test CPT 83002 Gonadotropin Luteinizing Hormone	$21.30	$88.00	—	5% above	76%
LH (luteinizing hormone) test CPT 83002 Gonadotropin Luteinizing Hormone	$243.43	$2,273.00	—	1095% above	89%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin Luteinizing Hormone	$21.30	$88.00	—	—	76%
Lactate (lactic acid) blood test CPT 83605 Lactate	$13.31	$334.00	—	at median	96%
Lactate (lactic acid) blood test CPT 83605 Lactate	$1,566.35	$34,462.53	—	11668% above	95%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate	$13.31	$334.00	—	—	96%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$6.95	$53.00	—	at median	87%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fld	$6.95	$111.00	—	at median	94%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$2,750.56	$24,311.19	—	39476% above	89%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$6.95	$53.00	—	—	87%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fld	$6.95	$111.00	—	—	94%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fld	$7.92	$87.00	—	at median	91%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$7.92	$87.00	—	at median	91%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$358.96	$2,876.86	—	4432% above	88%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$7.92	$87.00	—	—	91%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fld	$7.92	$87.00	—	—	91%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$9.40	$186.00	—	63% below	95%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$632.25	$2,695.00	—	2375% above	77%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$9.40	$186.00	—	—	95%
Lyme disease antibody test CPT 86618 Ia Qual Borrelia Burgdorferi Ab	$19.58	$509.00	—	at median	96%
Lyme disease antibody test CPT 86618 Ia Qual Borrelia Burgdorferi Ab CSF	$19.58	$509.00	—	at median	96%
Lyme disease antibody test CPT 86618 Ia Qual Borrelia Burgdorferi Ab	$244.88	$3,346.00	—	1151% above	93%
Lyme disease antibody test inpatient CPT 86618 Ia Qual Borrelia Burgdorferi Ab	$19.58	$509.00	—	—	96%
Lyme disease antibody test inpatient CPT 86618 Ia Qual Borrelia Burgdorferi Ab CSF	$19.58	$509.00	—	—	96%
Magnesium blood test CPT 83735 Magnesium RBC	$7.71	$62.00	—	at median	88%
Magnesium blood test CPT 83735 Magnesium Urine 24 Hr	$7.71	$62.00	—	at median	88%
Magnesium blood test CPT 83735 Magnesium Urine	$7.71	$62.00	—	at median	88%
Magnesium blood test CPT 83735 Magnesium	$7.71	$62.00	—	at median	88%
Magnesium blood test CPT 83735 Magnesium	$632.85	$3,608.00	—	8108% above	82%
Magnesium blood test inpatient CPT 83735 Magnesium	$7.71	$62.00	—	—	88%
Magnesium blood test inpatient CPT 83735 Magnesium Urine 24 Hr	$7.71	$62.00	—	—	88%
Magnesium blood test inpatient CPT 83735 Magnesium Urine	$7.71	$62.00	—	—	88%
Magnesium blood test inpatient CPT 83735 Magnesium RBC	$7.71	$62.00	—	—	88%
Measles (rubeola) antibody test CPT 86765 Ia Quant Rubeola Ab Igg	$14.81	$338.00	—	at median	96%
Measles (rubeola) antibody test CPT 86765 Ia Quant Rubeola Ab Igm	$14.81	$338.00	—	at median	96%
Measles (rubeola) antibody test CPT 86765 Ia Quant Rubeola Ab Igm	$187.23	$2,418.00	—	1164% above	92%
Measles (rubeola) antibody test inpatient CPT 86765 Ia Quant Rubeola Ab Igg	$14.81	$338.00	—	—	96%
Measles (rubeola) antibody test inpatient CPT 86765 Ia Quant Rubeola Ab Igm	$14.81	$338.00	—	—	96%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab Scrn	$5.96	$160.00	—	49% below	96%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab Scrn	$162.65	$2,458.00	—	1284% above	93%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Ab Scrn	$5.96	$160.00	—	—	96%
Mumps immunity blood test CPT 86735 Ia Quant Mumps Ab	$15.01	$98.00	—	at median	85%
Mumps immunity blood test CPT 86735 Ia Quant Mumps Ab	$197.41	$2,390.00	—	1215% above	92%
Mumps immunity blood test inpatient CPT 86735 Ia Quant Mumps Ab	$15.01	$98.00	—	—	85%
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen Psa Free	$21.15	$378.00	—	at median	94%
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen Psa Free	$52.75	$880.00	—	149% above	94%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prostate Specific Antigen Psa Free	$21.15	$378.00	—	—	94%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Psa Total	$21.15	$454.00	—	at median	95%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Psa Total	$82.44	$1,227.00	—	290% above	93%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Psa Total	$21.15	$454.00	—	—	95%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytop Fld Athin Prep Manu Scrn Cerv/Vag	$23.30	$251.00	—	at median	91%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytop Fld Athin Prep Manu Scrn Cerv/Vag	$223.46	$939.02	—	859% above	76%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytop Fld Athin Prep Manu Scrn Cerv/Vag	$23.30	$251.00	—	—	91%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone Intraop POC	$47.47	$2,860.00	—	at median	98%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone	$47.47	$189.00	—	at median	75%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone	$167.41	$2,008.00	—	253% above	92%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone Intraop POC	$47.47	$2,860.00	—	—	98%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone	$47.47	$189.00	—	—	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt	$6.91	$149.00	—	at median	95%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt Alupp	$6.91	$22.00	—	at median	69%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt	$2,162.00	$10,818.49	—	31188% above	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Ptt	$6.91	$149.00	—	—	95%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Ptt Alupp	$6.91	$22.00	—	—	69%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic	$5.45	$87.00	—	at median	94%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic	$630.44	$3,403.00	—	11468% above	81%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Inorganic	$5.45	$87.00	—	—	94%
Potassium blood test CPT 84132 Potassium	$5.47	$106.00	—	at median	95%
Potassium blood test CPT 84132 Potassium	$4,199.92	$20,127.03	—	76681% above	79%
Potassium blood test inpatient CPT 84132 Potassium	$5.47	$106.00	—	—	95%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Gsp Fetal Chromosomal Aneuploidy	$872.91	$929.00	—	5% above	6%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Gsp Fetal Chromosomal Aneuploidy	$1,954.71	$4,576.00	—	134% above	57%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Gsp Fetal Chromosomal Aneuploidy	$872.91	$929.00	—	—	6%
Progesterone blood test CPT 84144 Progesterone	$23.99	$720.00	—	at median	97%
Progesterone blood test CPT 84144 Progesterone	$104.69	$1,750.00	—	336% above	94%
Progesterone blood test inpatient CPT 84144 Progesterone	$23.99	$720.00	—	—	97%
Prolactin blood test CPT 84146 Prolactin	$22.29	$229.00	—	at median	90%
Prolactin blood test CPT 84146 Prolactin	$291.93	$2,035.00	—	1210% above	86%
Prolactin blood test inpatient CPT 84146 Prolactin	$22.29	$229.00	—	—	90%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time Alupp	$4.93	$22.00	—	at median	78%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time	$4.93	$101.00	—	at median	95%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time	$141.90	$4,867.00	—	2778% above	97%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothombin Time Alupp	$4.93	$22.00	—	—	78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothombin Time	$4.93	$101.00	—	—	95%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Tst(S) Pres Dir Opt Obs per Day	$14.49	$41.00	—	at median	65%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Tst(S) Pres Dir Opt Obs per Day	$204.77	$2,141.00	—	1313% above	90%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Tst(S) Pres Dir Opt Obs per Day	$14.49	$41.00	—	—	65%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Ia Dir Opt Strep a Ag	$19.01	$146.00	—	5% above	87%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Ia Dir Opt Strep a Ag	$96.83	$946.00	—	433% above	90%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Ia Dir Opt Strep a Ag	$19.01	$146.00	—	—	87%
Renin blood test CPT 84244 Renin	$25.29	$69.00	—	2% above	63%
Renin blood test CPT 84244 Renin	$141.90	$2,183.00	—	474% above	93%
Renin blood test inpatient CPT 84244 Renin	$25.29	$69.00	—	—	63%
Rh blood typing CPT 86901 Blood Typing Rh(D)	$52.37	$180.00	—	13% above	71%
Rh blood typing CPT 86901 Blood Typing Rh(D)	$1,583.31	$9,367.80	—	3326% above	83%
Rh blood typing inpatient CPT 86901 Blood Typing Rh(D)	$52.37	$180.00	—	—	71%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant	$6.52	$61.00	—	at median	89%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant	$304.72	$3,387.00	—	4574% above	91%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant	$6.52	$61.00	—	—	89%
Rubella antibody test (immunity check) CPT 86762 Ia Quant Rubella Ab Igg	$16.55	$72.00	—	at median	77%
Rubella antibody test (immunity check) CPT 86762 Ia Quant Rubella Ab Igm	$16.55	$72.00	—	at median	77%
Rubella antibody test (immunity check) CPT 86762 Ia Quant Rubella Ab Igg	$1,903.14	$4,083.00	—	11399% above	53%
Rubella antibody test (immunity check) inpatient CPT 86762 Ia Quant Rubella Ab Igm	$16.55	$72.00	—	—	77%
Rubella antibody test (immunity check) inpatient CPT 86762 Ia Quant Rubella Ab Igg	$16.55	$72.00	—	—	77%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate Erythrocyte Auto	$159.74	$3,078.00	—	931% above	95%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Anlys Volume CT Motil Diff Semen	$14.16	$263.00	—	5% above	95%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Anlys Volume CT Motil Diff Semen	$14.16	$263.00	—	5% above	95%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Anlys Volume CT Motil Diff Semen	$14.16	$263.00	—	—	95%
Sodium blood test CPT 84295 Sodium	$5.53	$92.00	—	5% above	94%
Sodium blood test CPT 84295 Sodium	$4,242.66	$35,565.77	—	80102% above	88%
Sodium blood test inpatient CPT 84295 Sodium	$5.53	$92.00	—	—	94%
Stool ova and parasites exam CPT 87177 Ova & Parasites Direct Smear & ID	$10.24	$44.00	—	at median	77%
Stool ova and parasites exam CPT 87177 Ova & Parasites Direct Smear & ID	$565.08	$1,558.00	—	5418% above	64%
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites Direct Smear & ID	$10.24	$44.00	—	—	77%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Quiac Ca Screen Feces	$5.04	$71.00	—	at median	93%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Quiac Ca Screen Feces	$36.57	$482.00	—	626% above	92%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult Quiac Ca Screen Feces	$5.04	$71.00	—	—	93%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Hemogl 1-3 Stool	$18.31	$71.00	—	at median	74%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Hemogl 1-3 Stool	$28.76	$81.00	—	57% above	64%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood Occult Hemogl 1-3 Stool	$18.31	$71.00	—	—	74%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ia Quant Treponema Pallidum Ab Igg	$15.23	$100.00	—	at median	85%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ia Quant Treponema Pallidum Ab Igg	$311.03	$2,587.00	—	1942% above	88%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Ia Quant Treponema Pallidum Ab Igg	$15.23	$100.00	—	—	85%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/Rpr Qual CSF	$4.91	$125.00	—	at median	96%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/Rpr Qual	$4.91	$125.00	—	at median	96%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/Rpr Qual	$1,938.47	$4,410.00	—	39380% above	56%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl/Rpr Qual CSF	$4.91	$125.00	—	—	96%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl/Rpr Qual	$4.91	$125.00	—	—	96%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Cell Immune Ag Response Gamma Interf	$71.28	$471.00	—	5% above	85%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Cell Immune Ag Response Gamma Interf	$290.87	$3,224.00	—	327% above	91%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Cell Immune Ag Response Gamma Interf	$71.28	$471.00	—	—	85%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$29.68	$112.00	—	at median	74%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$155.42	$1,706.00	—	424% above	91%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$29.68	$112.00	—	—	74%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab	$16.73	$222.00	—	4% above	92%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase Ab	$16.73	$84.00	—	4% above	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab	$513.12	$2,786.00	—	3105% above	82%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Ab	$16.73	$222.00	—	—	92%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroperoxidase Ab	$16.73	$84.00	—	—	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone Tsh	$19.32	$317.00	—	at median	94%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone Tsh	$94.66	$1,754.00	—	390% above	95%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone Tsh	$19.32	$317.00	—	—	94%
Total IgE blood test CPT 82785 IGE	$18.93	$229.00	—	at median	92%
Total IgE blood test CPT 82785 IGE	$373.45	$2,483.00	—	1873% above	85%
Total IgE blood test inpatient CPT 82785 IGE	$18.93	$229.00	—	—	92%
Total cholesterol blood test CPT 82465 Cholesterol Total	$5.00	$122.00	—	at median	96%
Total cholesterol blood test CPT 82465 Cholesterol Total	$51.84	$760.00	—	937% above	93%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$5.00	$122.00	—	—	96%
Total thyroxine (T4) blood test CPT 84436 Thyroxine Total	$7.90	$176.00	—	at median	96%
Total thyroxine (T4) blood test CPT 84436 Thyroxine Total	$169.04	$2,107.00	—	2040% above	92%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine Total	$7.90	$176.00	—	—	96%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$16.31	$184.00	—	at median	91%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$165.70	$1,984.00	—	916% above	92%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total	$16.31	$184.00	—	—	91%
Transferrin blood test CPT 84466 Transferrin	$14.67	$302.00	—	at median	95%
Transferrin blood test CPT 84466 Transferrin	$213.34	$2,660.00	—	1354% above	92%
Transferrin blood test inpatient CPT 84466 Transferrin	$14.67	$302.00	—	—	95%
Trichomonas test (NAAT) CPT 87661 Na T Vaginalis Amp Probe	$40.35	$331.00	—	at median	88%
Trichomonas test (NAAT) CPT 87661 Na T Vaginalis Amp Probe	$360.31	$1,922.00	—	793% above	81%
Trichomonas test (NAAT) inpatient CPT 87661 Na T Vaginalis Amp Probe	$40.35	$331.00	—	—	88%
Triglycerides blood test CPT 84478 Triglycerides Body Fld	$6.60	$110.00	—	at median	94%
Triglycerides blood test CPT 84478 Triglycerides	$6.60	$67.00	—	at median	90%
Triglycerides blood test CPT 84478 Triglycerides	$1,257.65	$8,402.04	—	18955% above	85%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$6.60	$67.00	—	—	90%
Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fld	$6.60	$110.00	—	—	94%
Troponin test, quantitative CPT 84484 Troponin Quant	$14.34	$249.00	—	at median	94%
Troponin test, quantitative CPT 84484 Troponin Quant	$1,216.42	$16,184.88	—	8383% above	92%
Troponin test, quantitative inpatient CPT 84484 Troponin Quant	$14.34	$249.00	—	—	94%
Uric acid blood test CPT 84550 Uric Acid	$5.20	$111.00	—	at median	95%
Uric acid blood test CPT 84550 Uric Acid	$141.90	$1,941.00	—	2629% above	93%
Uric acid blood test inpatient CPT 84550 Uric Acid	$5.20	$111.00	—	—	95%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro	$450.68	$4,186.86	—	1714% above	89%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Micro	$2.59	$113.00	—	49% below	98%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Micro	$95.19	$1,810.00	—	1770% above	95%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto WO Micro	$2.59	$113.00	—	—	98%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Auto WO Micro	$4.00	$63.00	—	4% above	94%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Auto WO Micro	$611.55	$3,147.00	—	15867% above	81%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non Auto WO Micro	$4.00	$63.00	—	—	94%
Urine culture for bacteria, with colony count CPT 87086 Culture Bact Quant Col Count Urine	$9.28	$162.00	—	at median	94%
Urine culture for bacteria, with colony count CPT 87086 Culture Bact Quant Col Count Urine	$255.44	$2,765.67	—	2653% above	91%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Bact Quant Col Count Urine	$9.28	$162.00	—	—	94%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine	$6.65	$160.00	—	at median	96%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine	$85.90	$1,599.00	—	1192% above	95%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine	$6.65	$160.00	—	—	96%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine Visual	$9.90	$151.00	—	at median	93%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine Visual	$2,198.86	$17,006.35	—	22111% above	87%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine Visual	$9.90	$151.00	—	—	93%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin	$17.34	$207.00	—	at median	92%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin	$197.24	$2,285.00	—	1037% above	91%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin	$17.34	$207.00	—	—	92%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$34.04	$280.00	—	at median	88%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$171.59	$2,501.00	—	404% above	93%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy	$34.04	$280.00	—	—	88%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25-Dihydroxy	$44.28	$488.00	—	at median	91%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25-Dihydroxy	$317.56	$3,184.00	—	617% above	90%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit D 1 25-Dihydroxy	$44.28	$488.00	—	—	91%
Zinc blood test CPT 84630 ZINC	$13.10	$58.00	—	at median	77%
Zinc blood test CPT 84630 Zinc RBC	$13.10	$117.00	—	at median	89%
Zinc blood test CPT 84630 ZINC	$132.89	$4,439.00	—	914% above	97%
Zinc blood test inpatient CPT 84630 Zinc RBC	$13.10	$117.00	—	—	89%
Zinc blood test inpatient CPT 84630 ZINC	$13.10	$58.00	—	—	77%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant	$17.31	$34.00	—	at median	49%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant	$174.98	$500.00	—	911% above	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quant	$17.31	$34.00	—	—	49%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12	$4,327.45	$15,343.74	—	at median	72%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2	$17,169.77	$93,013.71	—	21% above	82%
Appendectomy, open surgery CPT 44950 Appendectomy	$8,326.12	$39,461.38	—	21% above	79%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj	$17,398.22	$60,428.13	—	123% above	71%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr	$9,760.71	$57,590.97	—	25% above	83%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus	$9,237.12	$50,366.93	—	52% above	82%
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc(S) Migraine	$393.89	$1,967.00	—	79% below	80%
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc(S) Migraine	$1,889.35	$4,205.56	—	1% above	55%
Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc(S) Migraine	$393.89	$1,967.00	—	—	80%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesn Stereo Gdx	$2,162.00	$8,621.00	—	27% below	75%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesn Stereo Gdx	$2,162.00	$10,963.92	—	27% below	80%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1st Lesn Stereo Gdx	$2,162.00	$8,621.00	—	—	75%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot	$4,329.50	$34,571.73	—	6% below	87%
Bunion correction with removal of part of the big toe joint CPT 28292 Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base	$9,533.16	$35,878.01	—	106% above	73%
Cardiac catheterization with coronary angiogram CPT 93458 Lhc W Vntrgrphy W Angio Coron Art(S)	$4,291.87	$38,076.39	—	3% above	89%
Cardiac catheterization with coronary angiogram CPT 93458 Lhc W Vntrgrphy W Angio Coron Art(S)	$4,291.87	$29,361.00	—	3% above	85%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lhc W Vntrgrphy W Angio Coron Art(S)	$4,291.87	$29,361.00	—	—	85%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elec Ext	$873.18	$2,343.00	—	5% above	63%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elec Ext	$1,604.81	$12,612.45	—	93% above	87%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elec Ext	$873.18	$2,343.00	—	—	63%
Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne	$2,605.71	$9,070.73	—	at median	71%
Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$3,043.33	$17,384.00	—	at median	82%
Catheter ablation for atrial fibrillation CPT 93656 Ep Eval Cmp W Ablation Afib < 3 Hr	$32,735.12	$225,263.83	—	21% above	85%
Cervical biopsy CPT 57500 Bx(S) Cervix Sng/Mult	$1,161.89	$2,895.00	—	7% below	60%
Cervical biopsy CPT 57500 Bx(S) Cervix Sng/Mult	$1,251.45	$16,467.77	—	at median	92%
Cervical biopsy inpatient CPT 57500 Bx(S) Cervix Sng/Mult	$1,161.89	$2,895.00	—	—	60%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days	$2,733.87	$16,038.07	—	28% below	83%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$4,603.00	$14,950.51	—	6% above	69%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$3,813.75	$20,665.66	—	94% above	82%
Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux	$2,359.99	$16,379.03	—	5% below	86%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$2,359.99	$12,623.94	—	14% above	81%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$1,573.33	$12,668.59	—	1% below	88%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$1,216.56	$8,998.80	—	at median	86%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix W Leep	$1,945.00	$1,945.00	—	54% below	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$4,242.66	$17,814.56	—	at median	76%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Colposcopy Cervix W Leep	$1,945.00	$1,945.00	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy	$405.90	$608.00	—	22% below	33%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy	$520.43	$5,745.00	—	at median	91%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy	$405.90	$608.00	—	—	33%
Coronary stent placement, one artery CPT 92928 Pci Stent/Ang Maj Cor Art Sng	$15,132.49	$29,166.00	—	12% above	48%
Coronary stent placement, one artery CPT 92928 Pci Stent/Ang Maj Cor Art Sng	$18,338.15	$167,267.58	—	36% above	89%
Coronary stent placement, one artery inpatient CPT 92928 Pci Stent/Ang Maj Cor Art Sng	$15,132.49	$29,166.00	—	—	48%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$4,603.00	$17,291.89	—	at median	73%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$890.65	$17,366.66	—	8% above	95%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$4,243.46	$16,073.81	—	at median	74%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Tx Nonob	$9,267.00	$9,267.00	—	118% above	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation & Curettage Dx&/Tx Nonob	$9,267.00	$9,267.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest Premalign Lesn 1st Lesn	$926.00	$926.00	—	118% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Dest Premalign Lesn 1st Lesn	$926.00	$926.00	—	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia	$1,976.57	$10,803.15	—	54% below	82%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia	$1,019.29	$4,316.20	—	74% below	76%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Cerumen Ear Irrig/Lavage	$79.26	$612.00	—	79% below	87%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Cerumen Ear Irrig/Lavage	$248.80	$1,605.00	—	33% below	84%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Rem Cerumen Ear Irrig/Lavage	$79.26	$612.00	—	—	87%
Earwax removal with instruments, one ear CPT 69210 Rem Cerumen Ear Instrument	$80.06	$23,527.13	—	71% below	100%
Earwax removal with instruments, one ear CPT 69210 Rem Cerumen Ear Instrument	$402.00	$402.00	—	44% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Rem Cerumen Ear Instrument	$402.00	$402.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Bx Endometrial WO Cerv Dil	$268.43	$1,061.00	—	at median	75%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Bx Endometrial WO Cerv Dil	$268.43	$1,989.37	—	at median	87%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Bx Endometrial WO Cerv Dil	$268.43	$1,061.00	—	—	75%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy	$9,237.12	$36,055.97	—	46% above	74%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$9,237.12	$48,120.78	—	46% above	81%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$9,237.12	$36,095.38	—	61% above	74%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus	$9,237.12	$44,621.45	—	40% above	79%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj(S) Dx/Tx Epi/Subar Crv/Thr W Img	$924.08	$3,117.00	—	2% below	70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj(S) Dx/Tx Epi/Subar Crv/Thr W Img	$924.08	$3,876.98	—	2% below	76%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj(S) Dx/Tx Epi/Subar Crv/Thr W Img	$924.08	$3,117.00	—	—	70%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj(S) Dx/Tx Paravt Facet Lumb/Sacr Sng	$1,187.97	$2,724.00	—	58% below	56%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj(S) Dx/Tx Paravt Facet Lumb/Sacr Sng	$1,187.97	$7,327.69	—	58% below	84%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj(S) Dx/Tx Paravt Facet Lumb/Sacr Sng	$1,187.97	$2,724.00	—	—	56%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$8,326.12	$22,748.26	—	22% above	63%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible	$8,326.12	$46,743.10	—	21% above	82%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$4,709.06	$20,204.20	—	2% above	77%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$1,216.56	$10,178.43	—	at median	88%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$7,785.18	$25,790.93	—	21% above	70%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$7,785.18	$24,065.76	—	21% above	68%
Hammertoe correction surgery CPT 28285 Correction Hammertoe	$4,330.20	$27,165.20	—	4% above	84%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$2,531.28	$13,052.12	—	at median	81%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$3,659.36	$18,170.53	—	1% above	80%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft	$8,096.80	$71,018.98	—	40% above	89%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$1,700.23	$51,383.88	—	65% below	97%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath&Intro Cntrast/Saline Sis/Hystero	$464.44	$4,533.40	—	at median	90%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath&Intro Cntrast/Saline Sis/Hystero	$663.00	$663.00	—	43% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cath&Intro Cntrast/Saline Sis/Hystero	$663.00	$663.00	—	—	—
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$6,587.04	$22,193.96	—	20% above	70%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy W Bx/Polypectomy W/WO D&C	$4,243.46	$19,889.71	—	6% above	79%
IUD insertion (the device itself billed separately) CPT 58300 Ins Intrauterine Device	$198.18	$1,006.00	—	93% below	80%
IUD insertion (the device itself billed separately) CPT 58300 Ins Intrauterine Device	$1,074.03	$12,416.03	—	61% below	91%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Ins Intrauterine Device	$198.18	$1,006.00	—	—	80%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Smp/Sng	$265.14	$926.00	—	23% below	71%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Smp/Sng	$665.69	$3,231.79	—	93% above	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Smp/Sng	$265.14	$926.00	—	—	71%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$4,709.06	$18,591.71	—	1% below	75%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj(S) Sng Tendon Shth Aponeuro	$393.89	$1,293.00	—	54% below	70%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj(S) Sng Tendon Shth Aponeuro	$2,135.54	$11,266.60	—	149% above	81%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj(S) Sng Tendon Shth Aponeuro	$393.89	$1,293.00	—	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthroc Asp Inj Jnt Bursa Major	$393.89	$1,509.00	—	63% below	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthroc Asp Inj Jnt Bursa Major	$855.09	$5,114.70	—	20% below	83%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthroc Asp Inj Jnt Bursa Major	$393.89	$1,509.00	—	—	74%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insrt Drug Delivery Impl	$172.00	$500.00	—	at median	66%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insrt Drug Delivery Impl	$172.80	$7,684.97	—	at median	98%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insrt Drug Delivery Impl	$172.00	$500.00	—	—	66%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthroc Asp Inj Jnt Bursa Intmd	$393.89	$1,251.00	—	54% below	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthroc Asp Inj Jnt Bursa Intmd	$590.84	$3,177.69	—	31% below	81%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthroc Asp Inj Jnt Bursa Intmd	$393.89	$1,251.00	—	—	69%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthroc Asp Inj Jnt Bursa Sm	$393.89	$1,089.00	—	46% below	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthroc Asp Inj Jnt Bursa Sm	$590.84	$3,177.69	—	19% below	81%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthroc Asp Inj Jnt Bursa Sm	$393.89	$1,089.00	—	—	64%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral	$17,397.42	$51,784.65	—	300% above	66%
Knee arthroscopy with meniscus trim CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$4,330.30	$20,035.06	—	1% below	78%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving	$4,555.04	$22,870.20	—	2% above	80%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs Knee Debridement/Shaving Artclr Crtlg	$4,557.85	$22,776.92	—	6% above	80%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm	$9,550.56	$83,702.47	—	87% above	89%
Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 Laps Gastric Restrictive Procedure Place Device	$13,892.40	$48,506.00	—	21% above	71%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$7,785.58	$26,314.14	—	21% above	70%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty	$13,893.20	$59,427.44	—	21% above	77%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/<	$13,893.20	$36,514.27	—	21% above	62%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$13,892.40	$53,778.87	—	21% above	74%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$7,785.18	$33,346.39	—	23% above	77%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$7,785.18	$44,097.24	—	23% above	82%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Laps Gastric Restrictive Px Remove Device & Port	$5,076.64	$30,943.52	—	10% above	84%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$7,785.18	$27,485.37	—	23% above	72%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy	$1,792.84	$53,905.24	—	63% below	97%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Intmd Wnd S/Ax/T/Ex 2.5/< Cm	$799.68	$13,313.82	—	44% below	94%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Intmd Wnd S/Ax/T/Ex 2.5/< Cm	$1,355.00	$1,355.00	—	6% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Rpr Intmd Wnd S/Ax/T/Ex 2.5/< Cm	$1,355.00	$1,355.00	—	—	—
Left heart catheterization, diagnostic CPT 93452 Lhc W Vntrgrphy	$4,291.87	$24,720.00	—	20% above	83%
Left heart catheterization, diagnostic CPT 93452 Lhc W Vntrgrphy	$23,960.87	$112,769.40	—	572% above	79%
Left heart catheterization, diagnostic inpatient CPT 93452 Lhc W Vntrgrphy	$4,291.87	$24,720.00	—	—	83%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$924.08	$3,117.00	—	62% below	70%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$935.12	$3,861.33	—	61% below	76%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$924.08	$3,117.00	—	—	70%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$4,602.20	$23,181.55	—	133% above	80%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx	$1,187.97	$5,597.71	—	60% below	79%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx	$1,187.97	$2,725.00	—	60% below	56%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx	$1,187.97	$2,725.00	—	—	56%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr	$9,757.20	$31,695.66	—	75% above	69%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Arthrodesis Combined Tq 1ntrspc Lumbar	$25,100.24	$155,249.01	—	24% above	84%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Arthrodesis Posterior Interbody 1 Ntrspc Lumbar	$24,660.02	$151,418.72	—	22% above	84%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$9,757.20	$37,445.86	—	23% above	74%
Lumbar spinal fusion (posterior), one level CPT 22612 Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar	$25,116.73	$138,811.72	—	23% above	82%
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial	$5,237.17	$33,309.60	—	2% above	84%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete	$23,672.51	$122,917.86	—	222% above	81%
Miscarriage treatment with D&C, first trimester CPT 59820 Surg Tx Missed Abortion 1st Trimester	$4,242.66	$14,842.49	—	6% above	71%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Benign Lesn T/a/L 0.5/< Cm	$2,655.00	$2,655.00	—	103% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$7,785.18	$19,729.10	—	497% above	61%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Benign Lesn T/a/L 0.5/< Cm	$2,655.00	$2,655.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$938.85	$12,203.17	—	1% below	92%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Smp Sng	$265.14	$926.00	—	13% below	71%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Smp Sng	$2,605.71	$15,847.53	—	751% above	84%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Smp Sng	$265.14	$926.00	—	—	71%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anes/Steroid Nerve Occipital	$393.89	$2,239.00	—	71% below	82%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anes/Steroid Nerve Occipital	$590.84	$7,381.63	—	56% below	92%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Anes/Steroid Nerve Occipital	$393.89	$2,239.00	—	—	82%
Pacemaker implant (dual chamber) CPT 33208 Ins/Rplcmt Pm W Tv Elctrd(S) Atr Vntr	$14,511.55	$50,407.74	—	25% above	71%
Paracentesis with imaging guidance CPT 49083 Paracentesis Abd Dx/Tx W Img	$1,251.05	$5,094.53	—	3% above	75%
Paracentesis with imaging guidance CPT 49083 Paracentesis Abd Dx/Tx W Img	$1,251.05	$3,359.00	—	3% above	63%
Paracentesis with imaging guidance inpatient CPT 49083 Paracentesis Abd Dx/Tx W Img	$1,251.05	$3,359.00	—	—	63%
Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt	$17,609.95	$61,340.53	—	179% above	71%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail & Nail Matrix Part/Cmplt	$533.12	$1,759.00	—	7% below	70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail & Nail Matrix Part/Cmplt	$1,349.93	$9,095.02	—	136% above	85%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Exc Nail & Nail Matrix Part/Cmplt	$533.12	$1,759.00	—	—	70%
Prostate biopsy CPT 55700 Bx Prostate Ndl/Punch Sng/Mult	$2,733.47	$8,678.00	—	at median	69%
Prostate biopsy CPT 55700 Bx Prostate Ndl/Punch Sng/Mult	$2,733.47	$21,912.51	—	at median	88%
Prostate biopsy inpatient CPT 55700 Bx Prostate Ndl/Punch Sng/Mult	$2,733.47	$8,678.00	—	—	69%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$13,893.10	$73,216.38	—	21% above	81%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Neurolyt Paravt Facet Sng Lumb/Sacr	$2,605.71	$13,512.70	—	32% below	81%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Neurolyt Paravt Facet Sng Lumb/Sacr	$2,605.71	$5,888.00	—	32% below	56%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dest Neurolyt Paravt Facet Sng Lumb/Sacr	$2,605.71	$5,888.00	—	—	56%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$5,110.47	$18,111.50	—	at median	72%
Removal of a foreign object under the skin, simple CPT 10120 Inc & Rem FB Subq Tiss Smp	$533.12	$1,639.00	—	2% below	67%
Removal of a foreign object under the skin, simple CPT 10120 Inc & Rem FB Subq Tiss Smp	$2,162.00	$10,606.32	—	297% above	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Inc & Rem FB Subq Tiss Smp	$533.12	$1,639.00	—	—	67%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$7,785.18	$31,503.67	—	21% above	75%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$1,216.56	$9,141.18	—	11% above	87%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$1,216.56	$8,424.70	—	13% above	86%
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf	$4,327.45	$25,024.03	—	at median	83%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Xtrcorp Shock Wave	$4,602.20	$20,199.95	—	5% above	77%
Short arm cast (elbow to hand) CPT 29075 Apply Cast Elbow-Finger	$1,048.00	$1,048.00	—	19% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 Apply Cast Elbow-Finger	$1,048.00	$1,048.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 App Splint Forearm-Hand Static	$744.00	$744.00	—	3% below	—
Short arm splint (forearm and hand) inpatient CPT 29125 App Splint Forearm-Hand Static	$744.00	$744.00	—	—	—
Short leg cast (below the knee) CPT 29405 Apply Cast Below Knee-Toes	$354.38	$688.00	—	46% below	48%
Short leg cast (below the knee) CPT 29405 Apply Cast Below Knee-Toes	$1,063.14	$2,902.00	—	63% above	63%
Short leg cast (below the knee) inpatient CPT 29405 Apply Cast Below Knee-Toes	$354.38	$688.00	—	—	48%
Short leg splint (calf to foot) CPT 29515 App Splint Calf-Foot	$744.00	$744.00	—	17% above	—
Short leg splint (calf to foot) inpatient CPT 29515 App Splint Calf-Foot	$744.00	$744.00	—	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc	$9,760.71	$59,980.74	—	111% above	84%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$9,760.71	$55,233.30	—	67% above	82%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.5/< Cm	$265.14	$1,355.00	—	37% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.5/< Cm	$379.67	$2,852.70	—	10% below	87%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.5/< Cm	$265.14	$1,355.00	—	—	80%
Skin biopsy, punch, one lesion CPT 11104 Bx Punch Skin Lesn Sng	$533.12	$1,604.00	—	1% below	67%
Skin biopsy, punch, one lesion CPT 11104 Bx Punch Skin Lesn Sng	$914.21	$5,955.96	—	70% above	85%
Skin biopsy, punch, one lesion inpatient CPT 11104 Bx Punch Skin Lesn Sng	$533.12	$1,604.00	—	—	67%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$938.85	$5,084.99	—	6% below	82%
Skin tag removal, up to 15 tags CPT 11200 Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$406.30	$15,996.29	—	16% below	97%
Skin tag removal, up to 15 tags CPT 11200 Rem Skin Tags 1-15 Lesn	$632.00	$632.00	—	30% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Rem Skin Tags 1-15 Lesn	$632.00	$632.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Punc Spinal Lumbar Dx	$924.08	$6,881.29	—	2% below	87%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Punc Spinal Lumbar Dx	$924.08	$3,632.00	—	2% below	75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Punc Spinal Lumbar Dx	$924.08	$3,632.00	—	—	75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.6-7.5 Cm	$265.14	$1,355.00	—	49% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.6-7.5 Cm	$379.67	$1,792.69	—	27% 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 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.6-7.5 Cm	$265.14	$1,355.00	—	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smp Wnd F/E/L/Mm 2.5/< Cm	$1,355.00	$1,355.00	—	37% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smp Wnd F/E/L/Mm 2.5/< Cm	$7,893.67	$60,907.71	—	700% above	87%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr Smp Wnd F/E/L/Mm 2.5/< Cm	$1,355.00	$1,355.00	—	—	—
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$6,783.42	$21,682.22	—	20% above	69%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Bx Tangential Skin Lesn Sng	$265.14	$1,604.00	—	51% below	83%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Bx Tangential Skin Lesn Sng	$379.67	$5,753.72	—	30% below	93%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Bx Tangential Skin Lesn Sng	$265.14	$1,604.00	—	—	83%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Img Gdx	$824.99	$3,105.00	—	54% below	73%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Img Gdx	$942.48	$5,591.20	—	47% below	83%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W Img Gdx	$824.99	$3,105.00	—	—	73%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/>	$4,327.45	$18,683.69	—	3% above	77%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12	$7,893.67	$18,681.08	—	21% above	58%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Primary/Secondary Age 12/>	$4,327.45	$17,141.08	—	at median	75%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$7,893.67	$16,403.46	—	21% above	52%
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$17,414.23	$64,537.71	—	176% above	73%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$17,639.77	$67,380.63	—	180% above	74%
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder	$24,995.79	$113,902.38	—	296% above	78%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete	$7,785.18	$36,590.55	—	21% above	79%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$2,135.54	$6,428.62	—	at median	67%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj(S) Trig Point(S) 1-2 Musc	$393.89	$1,293.00	—	1% below	70%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj(S) Trig Point(S) 1-2 Musc	$399.41	$904.85	—	1% above	56%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj(S) Trig Point(S) 1-2 Musc	$393.89	$1,293.00	—	—	70%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy Fulguration Oviducts	$7,785.58	$25,437.01	—	21% above	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesn US Gdx	$2,162.00	$6,483.00	—	27% below	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesn US Gdx	$2,289.50	$11,235.44	—	23% below	80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1st Lesn US Gdx	$2,162.00	$6,483.00	—	—	67%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$2,531.28	$13,666.50	—	at median	81%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$1,251.05	$13,369.66	—	10% below	91%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Submucosal Injection	$2,625.31	$14,858.72	—	4% above	82%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$2,531.28	$15,316.42	—	at median	83%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$1,251.05	$9,964.59	—	27% below	87%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$2,563.09	$51,854.98	—	19% above	95%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd Dx Brush Wash	$3,861.00	$3,861.00	—	79% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Dx Brush Wash	$3,861.00	$3,861.00	—	—	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Egd Transoral Transmural Drainage Pseudocyst	$7,943.24	$39,772.22	—	21% above	80%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy	$6,784.22	$19,820.56	—	22% above	66%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$6,783.42	$21,797.52	—	12% above	69%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$2,733.47	$15,907.80	—	—	83%
Vein ablation, radiofrequency, first vein CPT 36475 Ablate Rf Vein Extrm 1st Vein	$1,679.97	$13,305.09	—	65% below	87%
Vein ablation, radiofrequency, first vein CPT 36475 Ablate Rf Vein Extrm 1st Vein	$4,199.92	$13,187.00	—	14% below	68%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Ablate Rf Vein Extrm 1st Vein	$4,199.92	$13,187.00	—	—	68%
Wart removal, up to 14 warts CPT 17110 Dest Benign Lesn 1-14 Lesn	$265.14	$926.00	—	1% below	71%
Wart removal, up to 14 warts CPT 17110 Dest Benign Lesn 1-14 Lesn	$266.29	$15,136.41	—	1% below	98%
Wart removal, up to 14 warts inpatient CPT 17110 Dest Benign Lesn 1-14 Lesn	$265.14	$926.00	—	—	71%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Tiss 1st 20sqcm	$533.12	$2,199.00	—	1% below	76%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Tiss 1st 20sqcm	$533.12	$2,321.78	—	1% below	77%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Subq Tiss 1st 20sqcm	$533.12	$2,199.00	—	—	76%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep	$9,760.71	$34,025.97	—	60% above	71%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood Product/Day	$583.36	$2,398.00	—	30% below	76%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood Product/Day	$1,171.70	$5,876.09	—	41% above	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood Product/Day	$583.36	$2,398.00	—	—	76%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Tx Airway Inhalation	$256.00	$256.00	—	14% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Tx Airway Inhalation	$17,863.91	$65,020.54	—	7832% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Tx Airway Inhalation	$256.00	$256.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 Admin Chemo IV Inf Initial 1st Hr	$442.60	$1,573.00	—	at median	72%
Chemotherapy IV infusion, first hour CPT 96413 Admin Chemo IV Inf Initial 1st Hr	$4,284.56	$38,723.74	—	868% above	89%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Admin Chemo IV Inf Initial 1st Hr	$442.60	$1,573.00	—	—	72%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Audio Threshold Eval & Speech Recog	$208.78	$618.00	—	13% above	66%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Audio Threshold Eval & Speech Recog	$208.78	$882.00	—	13% above	76%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Audio Threshold Eval & Speech Recog	$208.78	$618.00	—	—	66%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care E&M 30-74 Min	$1,124.35	$7,594.00	—	4% above	85%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care E&M 30-74 Min	$1,728.03	$13,589.63	—	59% above	87%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care E&M 30-74 Min	$1,124.35	$7,594.00	—	—	85%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$415.52	$1,435.00	—	20% above	71%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$415.52	$1,435.00	—	20% above	71%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy	$415.52	$1,435.00	—	—	71%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing	$79.26	$434.00	—	6% above	82%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing	$731.63	$4,831.00	—	881% above	85%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Lead Tracing	$79.26	$434.00	—	—	82%
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Tx	$708.02	$1,659.00	—	20% above	57%
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Tx	$710.81	$6,102.74	—	21% above	88%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive Tx	$708.02	$1,659.00	—	—	57%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED E&M Level I	$117.49	$584.00	—	46% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED E&M Level I	$117.49	$584.00	—	46% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED E&M Level I	$117.49	$584.00	—	—	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED E&M Level 2	$211.31	$1,133.00	—	29% below	81%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED E&M Level 2	$211.31	$1,133.00	—	29% below	81%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED E&M Level 2	$211.31	$1,133.00	—	—	81%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED E&M Level 3	$369.47	$1,716.00	—	at median	78%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED E&M Level 3	$369.47	$2,401.28	—	at median	85%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED E&M Level 3	$369.47	$1,716.00	—	—	78%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M Level 4	$568.20	$2,039.00	—	3% above	72%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M Level 4 W/Crisis Mhp	$568.20	$3,139.00	—	3% above	82%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M Level 4	$991.24	$5,945.79	—	80% above	83%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED E&M Level 4 W/Crisis Mhp	$568.20	$3,139.00	—	—	82%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED E&M Level 4	$568.20	$2,039.00	—	—	72%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED E&M Level 5	$818.10	$3,265.00	—	4% above	75%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED E&M Level 5 W/Crisis Mhpmd	$818.10	$4,340.00	—	4% above	81%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED E&M Level 5	$1,737.43	$7,351.36	—	120% above	76%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED E&M Level 5	$818.10	$3,265.00	—	—	75%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED E&M Level 5 W/Crisis Mhpmd	$818.10	$4,340.00	—	—	81%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Stress Test	$415.52	$1,304.00	—	5% above	68%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Stress Test	$731.63	$5,701.00	—	85% above	87%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cv Stress Test	$415.52	$1,304.00	—	—	68%
Family therapy with the patient, 50 minutes CPT 90847 Psytx Family W Pt 50 Min	$214.39	$684.00	—	11% above	69%
Family therapy with the patient, 50 minutes CPT 90847 Psytx Family W Pt 50 Min	$214.39	$684.00	—	11% above	69%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Psytx Family W Pt 50 Min	$214.39	$684.00	—	—	69%
Family therapy without the patient, 50 minutes CPT 90846 Psytx Family WO Pt 50 Min	$214.39	$684.00	—	14% above	69%
Family therapy without the patient, 50 minutes CPT 90846 Psytx Family WO Pt 50 Min	$214.39	$684.00	—	14% above	69%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Psytx Family WO Pt 50 Min	$214.39	$684.00	—	—	69%
Group psychotherapy session CPT 90853 Psytx Group	$123.43	$599.00	—	13% above	79%
Group psychotherapy session CPT 90853 Psytx Group	$370.29	$1,797.00	—	240% above	79%
Group psychotherapy session inpatient CPT 90853 Psytx Group	$123.43	$599.00	—	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Inf Hyd IV 1st Hr	$281.14	$1,088.00	—	13% above	74%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Inf Hyd IV 1st Hr	$1,073.80	$4,666.72	—	331% above	77%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Inf Hyd IV 1st Hr	$281.14	$1,088.00	—	—	74%
IV infusion of a medicine, first hour CPT 96365 Inf Tx/Dx IV 1st Hr	$281.14	$1,290.00	—	7% above	78%
IV infusion of a medicine, first hour CPT 96365 Inf Tx/Dx IV 1st Hr	$1,267.84	$6,752.92	—	383% above	81%
IV infusion of a medicine, first hour inpatient CPT 96365 Inf Tx/Dx IV 1st Hr	$281.14	$1,290.00	—	—	78%
IV push of a medicine, first drug CPT 96374 Inj Tx/Dx IV Push Init Drug	$281.14	$563.00	—	21% above	50%
IV push of a medicine, first drug CPT 96374 Inj Tx/Dx IV Push Init Drug	$686.22	$3,062.49	—	194% above	78%
IV push of a medicine, first drug inpatient CPT 96374 Inj Tx/Dx IV Push Init Drug	$281.14	$563.00	—	—	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Tx/Dx Sc/Im	$94.97	$329.00	—	13% above	71%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Tx/Dx Sc/Im	$2,733.47	$18,690.75	—	3162% above	85%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Tx/Dx Sc/Im	$94.97	$329.00	—	—	71%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Mcd Php/Aph Psy Dx Eval 30 Min	$214.39	$229.00	—	13% above	6%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psy Dx Eval	$214.39	$749.00	—	13% above	71%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psy Dx Eval	$214.39	$749.00	—	13% above	71%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psy Dx Eval	$214.39	$749.00	—	—	71%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Mcd Php/Aph Psy Dx Eval 30 Min	$214.39	$229.00	—	—	6%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies	$415.52	$1,886.00	—	20% above	78%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies	$415.52	$1,210.00	—	20% above	66%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction 7-8 Studies	$415.52	$1,210.00	—	—	66%
Neuromuscular re-education, 15 minutes CPT 97112 Tx Proc Neuromusc Reedctn 15 Min	$39.53	$222.00	—	4% below	82%
Neuromuscular re-education, 15 minutes CPT 97112 Tx Proc Neuromusc Reedctn 15 Min	$296.31	$1,998.00	—	619% above	85%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Tx Proc Neuromusc Reedctn 15 Min	$39.53	$222.00	—	—	82%
New patient office visit, about 30 minutes CPT 99203 Bh E&M New Patient Level 3	$96.77	$813.00	—	1% below	88%
New patient office visit, about 30 minutes CPT 99203 E&M New Patient Level 3	$96.77	$726.00	—	1% below	87%
New patient office visit, about 30 minutes CPT 99203 E&M New Patient Level 3	$96.77	$755.00	—	1% below	87%
New patient office visit, about 30 minutes CPT 99203 Antepartum OB Visit	$96.77	$353.00	—	1% below	73%
New patient office visit, about 30 minutes inpatient CPT 99203 E&M New Patient Level 3	$96.77	$726.00	—	—	87%
New patient office visit, about 30 minutes inpatient CPT 99203 Bh E&M New Patient Level 3	$96.77	$813.00	—	—	88%
New patient office visit, about 30 minutes inpatient CPT 99203 Antepartum OB Visit	$96.77	$353.00	—	—	73%
New patient office visit, about 45 minutes CPT 99204 Bh E&M New Patient Level 4	$157.63	$1,087.00	—	7% above	85%
New patient office visit, about 45 minutes CPT 99204 E&M New Patient Level 4	$157.63	$925.00	—	7% above	83%
New patient office visit, about 45 minutes CPT 99204 E&M New Patient Level 4	$157.63	$939.27	—	7% above	83%
New patient office visit, about 45 minutes inpatient CPT 99204 Bh E&M New Patient Level 4	$157.63	$1,087.00	—	—	85%
New patient office visit, about 45 minutes inpatient CPT 99204 E&M New Patient Level 4	$157.63	$925.00	—	—	83%
New patient office visit, about 60 minutes CPT 99205 New Patient	$214.60	$1,679.00	—	25% above	87%
New patient office visit, about 60 minutes CPT 99205 Bh E&M New Patient Level 5	$214.60	$1,355.00	—	25% above	84%
New patient office visit, about 60 minutes CPT 99205 New Patient	$747.72	$4,001.87	—	336% above	81%
New patient office visit, about 60 minutes inpatient CPT 99205 Bh E&M New Patient Level 5	$214.60	$1,355.00	—	—	84%
New patient office visit, about 60 minutes inpatient CPT 99205 New Patient	$214.60	$1,679.00	—	—	87%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ANTEPARTUM OB Visit	$55.29	$353.00	—	27% below	84%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ANTEPARTUM OB Visit	$55.29	$353.00	—	27% below	84%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Bh E&M New Patient Level 2	$55.29	$704.00	—	27% below	92%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M New Patient Level 1	$55.29	$460.00	—	27% below	88%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M New Patient Level 2	$55.29	$525.00	—	27% below	89%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ANTEPARTUM OB Visit	$55.29	$353.00	—	—	84%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Bh E&M New Patient Level 2	$55.29	$704.00	—	—	92%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E&M New Patient Level 1	$55.29	$460.00	—	—	88%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E&M New Patient Level 2	$55.29	$525.00	—	—	89%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Assess & Interv Init 15 Min	$38.63	$146.00	—	6% below	74%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Assess & Interv Init 15 Min	$154.51	$584.00	—	277% above	74%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Mnt Assess & Interv Init 15 Min	$38.63	$146.00	—	—	74%
Occupational therapy evaluation, low complexity CPT 97165 Eval Occ Therapy Low Complex	$124.23	$748.00	—	4% below	83%
Occupational therapy evaluation, low complexity CPT 97165 Eval Occ Therapy Low Complex	$17,864.61	$63,307.76	—	13750% above	72%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Eval Occ Therapy Low Complex	$124.23	$748.00	—	—	83%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Eval Phys Therapy High Complex	$120.93	$1,164.00	—	4% below	90%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Eval Phys Therapy High Complex	$338.37	$2,718.00	—	168% above	88%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Eval Phys Therapy High Complex	$120.93	$1,164.00	—	—	90%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Eval Phys Therapy Low Complx	$120.93	$748.00	—	4% below	84%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Eval Phys Therapy Low Complx	$313.29	$2,080.00	—	148% above	85%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Eval Phys Therapy Low Complx	$120.93	$748.00	—	—	84%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Eval Phys Therapy Mod Complex	$120.93	$953.00	—	4% below	87%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Eval Phys Therapy Mod Complex	$245.37	$1,841.00	—	94% above	87%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Eval Phys Therapy Mod Complex	$120.93	$953.00	—	—	87%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Tx Technq 15 Min	$33.52	$222.00	—	5% below	85%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Tx Technq 15 Min	$298.07	$2,220.00	—	747% above	87%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Tx Technq 15 Min	$33.52	$222.00	—	—	85%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tx Proc 1+ Tx Exercises 15 Min	$35.54	$222.00	—	4% below	84%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tx Proc 1+ Tx Exercises 15 Min	$298.07	$2,220.00	—	704% above	87%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Tx Proc 1+ Tx Exercises 15 Min	$35.54	$222.00	—	—	84%
Preventive checkup, new patient aged 18–39 CPT 99385 Prev Med E&M New 18-39 Yr	$85.70	$435.00	—	120% above	80%
Preventive checkup, new patient aged 18–39 CPT 99385 Prev Med E&M New 18-39 Yr	$188.11	$1,639.00	—	382% above	89%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev Med E&M New 18-39 Yr	$85.70	$435.00	—	—	80%
Preventive checkup, returning patient aged 18–39 CPT 99395 Preventative Well Visit	$67.57	$343.00	—	35% above	80%
Preventive checkup, returning patient aged 18–39 CPT 99395 Preventative Well Visit	$171.37	$927.00	—	242% above	82%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Preventative Well Visit	$67.57	$343.00	—	—	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 Preventative Well Visit	$101.43	$572.00	—	94% above	82%
Preventive checkup, returning patient aged 65 or older CPT 99397 Preventative Well Visit	$85.70	$435.00	—	37% above	80%
Psychiatric evaluation with medical services CPT 90792 Psy Dx Eval W Med Srvs	$214.39	$1,021.00	—	13% above	79%
Psychiatric evaluation with medical services CPT 90792 Psy Dx Eval W Med Srvs	$214.39	$1,021.00	—	13% above	79%
Psychiatric evaluation with medical services inpatient CPT 90792 Psy Dx Eval W Med Srvs	$214.39	$1,021.00	—	—	79%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl Test Eval Phys/Qhp 1st Hr	$244.00	$244.00	—	29% below	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl Test Eval Phys/Qhp 1st Hr	$545.16	$732.00	—	58% above	26%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psycl Test Eval Phys/Qhp 1st Hr	$244.00	$244.00	—	—	—
Psychotherapy session, 30 minutes CPT 90832 Psytx Pt 16-37 Min	$214.39	$413.00	—	20% above	48%
Psychotherapy session, 30 minutes CPT 90832 Psytx Pt 16-37 Min	$214.39	$413.00	—	20% above	48%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx Pt 16-37 Min	$214.39	$413.00	—	—	48%
Psychotherapy session, 45 minutes CPT 90834 Psytx Pt 38-52 Min	$214.39	$522.00	—	21% above	59%
Psychotherapy session, 45 minutes CPT 90834 Psytx Pt 38-52 Min	$214.39	$522.00	—	21% above	59%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx Pt 38-52 Min	$214.39	$522.00	—	—	59%
Psychotherapy session, 60 minutes CPT 90837 Psytx Pt 53+ Min	$214.39	$734.00	—	20% above	71%
Psychotherapy session, 60 minutes CPT 90837 Psytx Pt 53+ Min	$214.39	$734.00	—	20% above	71%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx Pt 53+ Min	$214.39	$734.00	—	—	71%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Counsel Tobacco Cessation 3-10 Min	$145.00	$145.00	—	339% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Counsel Tobacco Cessation 3-10 Min	$145.00	$145.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Bh Med Mgmt OP Est 40 Min	$169.54	$526.00	—	20% above	68%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Bh E&M Est Patient Level 5	$169.54	$526.00	—	20% above	68%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Eval Nonlabor Upto 4 Hr	$169.54	$2,134.00	—	20% above	92%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M Est Patient	$169.54	$1,679.00	—	20% above	90%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M Est Patient	$575.44	$2,847.00	—	308% above	80%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Eval Nonlabor Upto 4 Hr	$169.54	$2,134.00	—	—	92%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E&M Est Patient	$169.54	$1,679.00	—	—	90%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Bh Med Mgmt OP Est 40 Min	$169.54	$526.00	—	—	68%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Bh E&M Est Patient Level 5	$169.54	$526.00	—	—	68%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Eval Nonlabor Up to 2 Hr	$77.82	$1,065.00	—	27% below	93%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M Est Patient Level 3	$77.82	$726.00	—	27% below	89%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Bh E&M Est Patient Level 3	$77.82	$447.00	—	27% below	83%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Adjust Lap Band Visit	$77.82	$1,014.00	—	27% below	92%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Bh Med Mgmt OP Est 15 Min	$77.82	$447.00	—	27% below	83%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp	$77.82	$1,014.00	—	27% below	92%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M Est Patient Level 3	$77.82	$747.48	—	27% below	90%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Non-Gold Eval & Careplan	$77.82	$331.00	—	27% below	76%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M Est Patient Level 3	$77.82	$726.00	—	—	89%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Non-Gold Eval & Careplan	$77.82	$331.00	—	—	76%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Eval Nonlabor Up to 2 Hr	$77.82	$1,065.00	—	—	93%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Bh Med Mgmt OP Est 15 Min	$77.82	$447.00	—	—	83%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp	$77.82	$1,014.00	—	—	92%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Adjust Lap Band Visit	$77.82	$1,014.00	—	—	92%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Bh E&M Est Patient Level 3	$77.82	$447.00	—	—	83%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Eval Nonlabor Upto 3 Hr	$114.53	$1,601.00	—	2% below	93%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Check/Rem Picc/Peg/Cath/DRN/Trach/Fistula Cmplx	$114.53	$2,112.00	—	2% below	95%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M Est Patient Level 4	$114.53	$925.00	—	2% below	88%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Bh Med Mgmt OP Est 25 Min	$114.53	$929.09	—	2% below	88%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Bh E&M Est Patient Level 4	$114.53	$487.00	—	2% below	76%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Bh Med Mgmt OP Est 25 Min	$114.53	$487.00	—	2% below	76%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Bh E&M Est Patient Level 4	$114.53	$487.00	—	—	76%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M Est Patient Level 4	$114.53	$925.00	—	—	88%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Check/Rem Picc/Peg/Cath/DRN/Trach/Fistula Cmplx	$114.53	$2,112.00	—	—	95%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Bh Med Mgmt OP Est 25 Min	$114.53	$487.00	—	—	76%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Eval Nonlabor Upto 3 Hr	$114.53	$1,601.00	—	—	93%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Bh E&M Est Patient Level 2	$41.47	$391.00	—	57% below	89%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Counsel Alcohol Misuse 15 Min	$41.47	$447.00	—	57% below	91%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Eval Nonlabor Up to 1 Hr	$41.47	$534.00	—	57% below	92%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M Est Patient	$41.47	$525.00	—	57% below	92%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M Est Patient	$41.47	$533.98	—	57% below	92%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Bh E&M Est Patient Level 2	$41.47	$391.00	—	—	89%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Counsel Alcohol Misuse 15 Min	$41.47	$447.00	—	—	91%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M Est Patient	$41.47	$525.00	—	—	92%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Eval Nonlabor Up to 1 Hr	$41.47	$534.00	—	—	92%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Consultation Visits	$250.00	$250.00	—	at median	—
Speech and language evaluation CPT 92523 Eval Speech Sound Lang Comp	$275.01	$1,184.00	—	6% below	77%
Speech and language evaluation CPT 92523 Eval Speech Sound Lang Comp	$367.32	$1,823.00	—	26% above	80%
Speech and language evaluation inpatient CPT 92523 Eval Speech Sound Lang Comp	$275.01	$1,184.00	—	—	77%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 1 Hr	$92.31	$705.00	—	6% below	87%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 1/2 Hr	$92.31	$572.00	—	6% below	84%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 1/4 Hr	$92.31	$508.00	—	6% below	82%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 3/4 Hr	$92.31	$639.00	—	6% below	86%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 3/4 Hr	$276.93	$1,917.00	—	182% above	86%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 3/4 Hr	$92.31	$639.00	—	—	86%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 1 Hr	$92.31	$705.00	—	—	87%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 1/2 Hr	$92.31	$572.00	—	—	84%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 1/4 Hr	$92.31	$508.00	—	—	82%
Spirometry (breathing test) CPT 94010 Spirometry W/WO Mvv	$208.78	$635.00	—	12% above	67%
Spirometry (breathing test) CPT 94010 Spirometry W/WO Mvv	$307.78	$1,473.00	—	65% above	79%
Spirometry (breathing test) inpatient CPT 94010 Spirometry W/WO Mvv	$208.78	$635.00	—	—	67%
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Pre & Post Bd	$415.52	$1,183.00	—	21% above	65%
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Pre & Post Bd	$415.52	$1,183.00	—	21% above	65%
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm Pre & Post Bd	$415.52	$1,183.00	—	—	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 Tx Activities Direct 15 Min	$42.96	$222.00	—	4% below	81%
Therapeutic activities (functional training), 15 minutes CPT 97530 Tx Activities Direct 15 Min	$533.26	$3,856.00	—	1095% above	86%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Tx Activities Direct 15 Min	$42.96	$222.00	—	—	81%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$172.00	$715.00	—	8% above	76%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$172.00	$715.00	—	8% above	76%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic	$172.00	$715.00	—	—	76%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE	$63.04	$320.00	—	17% below	80%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use	$452.39	$27,552.92	—	493% above	98%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE	$63.04	$320.00	—	—	80%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use	$168.85	$663.04	—	16% above	75%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$279.06	$1,416.57	—	91% above	80%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$279.06	$1,416.57	—	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$168.85	$591.03	—	92% above	71%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im	$168.85	$591.03	—	290% above	71%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$223.94	$223.94	—	417% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$223.94	$223.94	—	—	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$643.02	$4,230.98	—	696% above	85%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Ipv/Hib Vaccine for Intramuscular Use	$168.85	$519.02	—	77% above	67%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION	$512.32	$512.32	—	436% above	—
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION	$512.32	$512.32	—	—	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Dtap-Ipv-Hib-Hepb Vaccine Intramuscular	$152.89	$482.03	—	64% above	68%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG	$153.20	$777.68	—	65% above	80%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG	$153.20	$777.68	—	—	80%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE	$78.00	$395.92	—	25% above	80%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Riv3 Vaccine Preservative Free for Im Use	$17,492.23	$64,441.25	—	27829% above	73%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE	$78.00	$395.92	—	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$168.85	$447.01	—	300% above	62%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use	$152.89	$438.02	—	36% below	65%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis a & B Vaccine Hepa-Hepb Adult Im	$109.75	$460.00	—	16% above	76%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE	$235.00	$235.00	—	147% above	—
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE	$235.00	$235.00	—	—	—
Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$114.67	$435.00	—	24% above	74%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$458.82	$458.82	—	395% above	—
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$541.45	$541.45	—	484% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$458.82	$458.82	—	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$541.45	$541.45	—	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$168.85	$519.02	—	365% above	67%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$212.32	$212.32	—	485% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$212.32	$212.32	—	—	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb Vaccine Adult 2/4 Dose Schedule for Im Use	$140.69	$504.00	—	6% above	72%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$29.51	$149.78	—	2% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$33.29	$168.96	—	11% above	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$168.85	$447.01	—	463% above	62%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$29.51	$149.78	—	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$33.29	$168.96	—	—	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$168.85	$591.03	—	262% above	71%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN	$211.47	$211.47	—	354% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN	$211.47	$211.47	—	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$102.36	$102.36	—	833% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib Prp-T Vaccine 4 Dose Schedule Im Use	$195.93	$1,572.41	—	1686% above	88%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$102.36	$102.36	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv Vaccine Preserv Free Increased Ag Content Im	$25,282.08	$131,945.86	—	21948% above	81%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Japanese Encephalitis Vaccine Inactivated Im	$183.23	$520.00	—	33% above	65%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles Mumps Rubella Virus Vaccine Live Subq	$168.85	$663.04	—	157% above	75%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$684.58	$684.58	—	941% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$684.58	$684.58	—	—	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Measles Mumps Rubella Varicella Vacc Live Subq	$168.85	$591.03	—	18% above	71%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT	$2,009.07	$2,009.07	—	1308% above	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT	$2,009.07	$2,009.07	—	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use	$152.89	$438.02	—	30% above	65%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION	$252.85	$1,283.52	—	114% above	80%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$252.85	$1,283.52	—	114% above	80%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$252.85	$1,283.52	—	—	80%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION	$252.85	$1,283.52	—	—	80%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$141.27	$831.00	—	65% above	83%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$162.54	$825.08	—	90% above	80%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$162.54	$825.08	—	—	80%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im	$162.54	$487.02	—	19% below	67%
Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$229.94	$1,167.20	—	2% above	80%
Meningococcal B vaccine (Trumenba) CPT 90621 Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im	$332.79	$2,181.20	—	48% above	85%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$229.94	$1,167.20	—	—	80%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pcv13 Vaccine for Intramuscular Use	$287.84	$1,605.52	—	17% above	82%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pcv15 Vaccine for Intramuscular Use	$209.50	$1,312.02	—	6% above	84%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use	$152.89	$510.03	—	22% below	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$326.82	$1,658.96	—	67% above	80%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$326.82	$1,658.96	—	—	80%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$358.20	$1,818.29	—	13% below	80%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Pneumococcal Conjugate Vaccine	$17,821.61	$64,754.38	—	4250% above	72%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$358.20	$1,818.29	—	—	80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$277.13	$4,028.65	—	56% above	93%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine Inactivated Subq/Im	$109.75	$369.00	—	29% above	70%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$234.88	$234.88	—	176% above	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$234.88	$234.88	—	—	—
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use	$176.74	$554.04	—	68% below	68%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$738.30	$3,747.71	—	33% above	80%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$738.30	$3,747.71	—	—	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$691.08	$3,508.03	—	23% below	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$691.08	$3,508.03	—	—	80%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$818.34	$1,486.86	—	at median	45%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv Vacc Pref Recombinant Adjuvanted for Im Use	$720.19	$3,389.69	—	21% above	79%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$358.83	$2,370.84	—	1% below	85%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine Intramuscular	$473.50	$849.00	—	31% above	44%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$358.83	$2,370.84	—	—	85%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rv1 Vaccine 2 Dose Schedule Live for Oral Use	$152.89	$482.03	—	89% above	68%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION	$46.61	$236.62	—	8% below	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$152.89	$482.03	—	203% above	68%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION	$46.61	$236.62	—	—	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Use	$221.06	$921.00	—	230% above	76%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im	$181.98	$1,014.02	—	223% above	82%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$375.60	$375.60	—	567% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$375.60	$375.60	—	—	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine VI Capsular Polysaccharide Im	$109.75	$410.00	—	16% above	73%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 Typhoid Vaccine Live Oral	$114.67	$284.00	—	274% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vfc Admin Immun Sq/Im/ID 1 Vacc	$72.00	$72.00	—	at median	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immun Sq/Im/ID 1 Vacc	$72.00	$72.00	—	at median	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immun Sq/Im/ID 1 Vacc	$586.02	$586.02	—	714% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vfc Admin Immun Sq/Im/ID 1 Vacc	$72.00	$72.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immun Sq/Im/ID 1 Vacc	$72.00	$72.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immun Sq/Im/ID Add Vacc	$72.00	$72.00	—	107% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vfc Admin Immun Sq/Im/ID Add Vacc	$72.00	$72.00	—	107% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vfc Admin Immun Sq/Im/ID Add Vacc	$168.85	$519.02	—	386% above	67%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vfc Admin Immun Sq/Im/ID Add Vacc	$72.00	$72.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immun Sq/Im/ID Add Vacc	$72.00	$72.00	—	—	—
Yellow fever vaccine, live CPT 90717 Yellow Fever Vaccine Live Subq	$109.75	$559.00	—	2% above	80%

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

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

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

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

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

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

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

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

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

Source file: https://www.atlantichealth.org/content/dam/ahs/insurance/price-transparency/52-1958352_overlook-medical-center_standardcharges.csv