Hospital

Carrington Health Center

Carrington Health Center in Carrington, ND publishes cash prices for 333 common procedures listed here, from its own machine-readable price file updated Sep 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the North Dakota median for 238 of 330 procedures and above it for 87. By typical cash price it ranks #6 of 33 North Dakota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

800 North Fourth Street, Carrington, ND 58421 Collected Nov 4, 2026 Source price file Check a bill from this hospital (701) 652-3141

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 351318 · CMS hospital register NPI 1205807013

Financial assistance

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

Carrington Health 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.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Carrington Health Center in Carrington, ND:

Jun 6, 2025 Met requirements

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Abdominal CT scan without and with contrast CPT 74170 ABDOMEN W WO CONT	$1,846.70	$3,130.00	$1,064.20–$3,004.80	10% below	41%
Abdominal CT scan without and with contrast inpatient CPT 74170 ABDOMEN W WO CONT	$1,846.70	$3,130.00	$2,284.90–$3,004.80	—	41%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2V AP FLAT UPRIGHT	$202.37	$343.00	$116.62–$329.28	17% above	41%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2V AP FLAT UPRIGHT	$202.37	$343.00	$250.39–$329.28	—	41%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV WRIST BRACHIAL INDEX (WBI)	$228.33	$387.00	$131.58–$371.52	22% below	41%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXTREM STUDY 1-2 LVLS ACU	$300.31	$509.00	$173.06–$488.64	2% above	41%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV WRIST BRACHIAL INDEX (WBI)	$228.33	$387.00	$282.51–$371.52	—	41%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXTREM STUDY 1-2 LVLS ACU	$300.31	$509.00	$371.57–$488.64	—	41%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$349.87	$593.00	$201.62–$569.28	2% below	41%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$349.87	$593.00	$432.89–$569.28	—	41%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$1,454.94	$2,466.00	$838.44–$2,367.36	37% above	41%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY	$1,454.94	$2,466.00	$1,800.18–$2,367.36	—	41%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELV W CONT	$2,100.99	$3,561.00	$1,210.74–$3,418.56	26% below	41%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELV W CONT	$2,100.99	$3,561.00	$2,599.53–$3,418.56	—	41%
CT angiography (CTA) of the head CPT 70496 ANG HEAD CT	$1,883.87	$3,193.00	$1,085.62–$3,065.28	6% below	41%
CT angiography (CTA) of the head inpatient CPT 70496 ANG HEAD CT	$1,883.87	$3,193.00	$2,330.89–$3,065.28	—	41%
CT angiography (CTA) of the neck CPT 70498 ANG NECK CT	$1,772.95	$3,005.00	$1,021.70–$2,884.80	12% below	41%
CT angiography (CTA) of the neck inpatient CPT 70498 ANG NECK CT	$1,772.95	$3,005.00	$2,193.65–$2,884.80	—	41%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 ANG CHEST	$1,949.95	$3,305.00	$1,123.70–$3,172.80	7% below	41%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 ANG CHEST	$1,949.95	$3,305.00	$2,412.65–$3,172.80	—	41%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDOMEN PELVIS WO CONT	$1,289.15	$2,185.00	$742.90–$2,097.60	22% below	41%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABDOMEN PELVIS WO CONT	$1,289.15	$2,185.00	$1,595.05–$2,097.60	—	41%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDOMEN PELVIS CT W CONT	$2,479.18	$4,202.00	$1,428.68–$4,033.92	1% above	41%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABDOMEN PELVIS CT W CONT	$2,479.18	$4,202.00	$3,067.46–$4,033.92	—	41%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABDOMEN PELVIS W WO CONT	$2,876.25	$4,875.00	$1,657.50–$4,680.00	1% below	41%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABDOMEN PELVIS W WO CONT	$2,876.25	$4,875.00	$3,558.75–$4,680.00	—	41%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN W CONT	$1,605.98	$2,722.00	$925.48–$2,613.12	1% below	41%
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN W CONT	$1,605.98	$2,722.00	$1,987.06–$2,613.12	—	41%
CT scan of the abdomen without contrast CPT 74150 ABDOMEN WO CONT	$863.17	$1,463.00	$497.42–$1,404.48	31% below	41%
CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN WO CONT	$863.17	$1,463.00	$1,067.99–$1,404.48	—	41%
CT scan of the face and sinuses, no contrast dye CPT 70486 MAX FACIAL SINUS WO CONT	$1,024.83	$1,737.00	$590.58–$1,667.52	3% below	41%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAX FACIAL SINUS WO CONT	$1,024.83	$1,737.00	$1,268.01–$1,667.52	—	41%
CT scan of the head or brain, no contrast dye CPT 70450 HEAD WO CONT	$731.01	$1,239.00	$421.26–$1,189.44	32% below	41%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD WO CONT	$731.01	$1,239.00	$904.47–$1,189.44	—	41%
CT scan of the head with contrast CPT 70460 HEAD W CONT	$1,067.31	$1,809.00	$615.06–$1,736.64	16% below	41%
CT scan of the head with contrast inpatient CPT 70460 HEAD W CONT	$1,067.31	$1,809.00	$1,320.57–$1,736.64	—	41%
CT scan of the head without and with contrast CPT 70470 HEAD W WO CONT	$1,286.20	$2,180.00	$741.20–$2,092.80	16% below	41%
CT scan of the head without and with contrast inpatient CPT 70470 HEAD W WO CONT	$1,286.20	$2,180.00	$1,591.40–$2,092.80	—	41%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE WO CONT	$1,293.28	$2,192.00	$745.28–$2,104.32	1% below	41%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 LUMBAR SPINE WO CONT	$1,293.28	$2,192.00	$1,600.16–$2,104.32	—	41%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE WO CONT	$1,374.70	$2,330.00	$792.20–$2,236.80	2% above	41%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERVICAL SPINE WO CONT	$1,374.70	$2,330.00	$1,700.90–$2,236.80	—	41%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CONT	$1,521.61	$2,579.00	$876.86–$2,475.84	5% below	41%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W CONT	$1,521.61	$2,579.00	$1,882.67–$2,475.84	—	41%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID (BILAT)	$757.56	$1,284.00	$436.56–$1,232.64	—	41%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID COMP	$647.23	$1,097.00	$372.98–$1,053.12	7% below	41%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID (BILAT)	$757.56	$1,284.00	$937.32–$1,232.64	—	41%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID COMP	$647.23	$1,097.00	$800.81–$1,053.12	—	41%
Chest CT scan without and with contrast CPT 71270 CHEST W WO CONT	$1,738.73	$2,947.00	$1,001.98–$2,829.12	1% above	41%
Chest CT scan without and with contrast inpatient CPT 71270 CHEST W WO CONT	$1,738.73	$2,947.00	$2,151.31–$2,829.12	—	41%
Chest X-ray, 2 views both sides CPT 71046 CHEST DECUBITUS BI	$199.42	$338.00	$114.92–$324.48	—	41%
Chest X-ray, 2 views CPT 71046 CHEST 2V	$186.44	$316.00	$107.44–$303.36	8% above	41%
Chest X-ray, 2 views inpatient both sides CPT 71046 CHEST DECUBITUS BI	$199.42	$338.00	$246.74–$324.48	—	41%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V	$186.44	$316.00	$230.68–$303.36	—	41%
Chest X-ray, single view CPT 71045 CHEST 1V FRONTAL	$143.96	$244.00	$82.96–$234.24	at median	41%
Chest X-ray, single view inpatient CPT 71045 CHEST 1V FRONTAL	$143.96	$244.00	$178.12–$234.24	—	41%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL COMP	$403.56	$684.00	$232.56–$656.64	7% below	41%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RENAL COMP	$403.56	$684.00	$499.32–$656.64	—	41%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY BODY DLC	$67.26	$114.00	$38.76–$109.44	73% below	41%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY BODY	$492.06	$834.00	$283.56–$800.64	94% above	41%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY BODY DLC	$67.26	$114.00	$83.22–$109.44	—	41%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY BODY	$492.06	$834.00	$608.82–$800.64	—	41%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY PERIP DLC	$54.28	$92.00	$31.28–$88.32	53% below	41%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY PERIPHERAL	$113.28	$192.00	$65.28–$184.32	2% below	41%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY PERIP DLC	$54.28	$92.00	$67.16–$88.32	—	41%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY PERIPHERAL	$113.28	$192.00	$140.16–$184.32	—	41%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST WO CONT	$1,108.02	$1,878.00	$638.52–$1,802.88	9% below	41%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHEST WO CONT	$1,108.02	$1,878.00	$1,370.94–$1,802.88	—	41%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST CT W CONT	$1,401.84	$2,376.00	$807.84–$2,280.96	at median	41%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHEST CT W CONT	$1,401.84	$2,376.00	$1,734.48–$2,280.96	—	41%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC DIGITAL BI DLC	$236.00	$400.00	$136.00–$384.00	—	41%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC DIGITAL BI	$546.34	$926.00	$314.84–$888.96	—	41%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC DIGITAL BI DLC	$236.00	$400.00	$292.00–$384.00	—	41%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC DIGITAL BI	$546.34	$926.00	$675.98–$888.96	—	41%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DUPLEX LWR EXT BIL	$861.99	$1,461.00	$496.74–$1,402.56	at median	41%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ARTERIAL DUPLEX LWR EXT BIL	$861.99	$1,461.00	$1,066.53–$1,402.56	—	41%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 EXTREMITY VENOUS(BILAT)	$804.17	$1,363.00	$463.42–$1,308.48	—	41%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CV VENOUS DUPLEX ARMS BI	$898.57	$1,523.00	$517.82–$1,462.08	—	41%
Duplex ultrasound of the leg veins, both legs CPT 93970 VL DUPLEX LWR EXT VEINS COMP	$824.82	$1,398.00	$475.32–$1,342.08	11% above	41%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 EXTREMITY VENOUS(BILAT)	$804.17	$1,363.00	$994.99–$1,308.48	—	41%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 CV VENOUS DUPLEX ARMS BI	$898.57	$1,523.00	$1,111.79–$1,462.08	—	41%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VL DUPLEX LWR EXT VEINS COMP	$824.82	$1,398.00	$1,020.54–$1,342.08	—	41%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO REAL-TIMESPECTRALCOLOR	$612.42	$1,038.00	$352.92–$996.48	21% below	41%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP WO CONT	$731.60	$1,240.00	$421.60–$1,190.40	5% below	41%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO REAL-TIMESPECTRALCOLOR	$612.42	$1,038.00	$757.74–$996.48	—	41%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP WO CONT	$731.60	$1,240.00	$905.20–$1,190.40	—	41%
Eye socket (orbit) CT scan without contrast CPT 70480 ORBIT SELLA PF IAC WO CONT	$1,552.29	$2,631.00	$894.54–$2,525.76	13% above	41%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 ORBIT SELLA PF IAC WO CONT	$1,552.29	$2,631.00	$1,920.63–$2,525.76	—	41%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3V	$246.03	$417.00	$141.78–$400.32	26% above	41%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3V	$246.03	$417.00	$304.41–$400.32	—	41%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 CHOLESCINTIGRAPHY	$1,506.27	$2,553.00	$868.02–$2,450.88	27% above	41%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 CHOLESCINTIGRAPHY	$1,506.27	$2,553.00	$1,863.69–$2,450.88	—	41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP	$2,624.32	$4,448.00	$1,512.32–$4,270.08	8% above	41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W CPAP LTD	$2,660.31	$4,509.00	$1,533.06–$4,328.64	10% above	41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 FULL POLY/CPAP TITRATION	$2,790.11	$4,729.00	$1,607.86–$4,539.84	15% above	41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W BIPAP OR CPAP	$2,839.67	$4,813.00	$1,636.42–$4,620.48	17% above	41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 FULL POLY/CPAP TITR 6 YRS OR >	$3,001.92	$5,088.00	$1,729.92–$4,884.48	24% above	41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY W/CPAP	$2,624.32	$4,448.00	$3,247.04–$4,270.08	—	41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W CPAP LTD	$2,660.31	$4,509.00	$3,291.57–$4,328.64	—	41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 FULL POLY/CPAP TITRATION	$2,790.11	$4,729.00	$3,452.17–$4,539.84	—	41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W BIPAP OR CPAP	$2,839.67	$4,813.00	$3,513.49–$4,620.48	—	41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 FULL POLY/CPAP TITR 6 YRS OR >	$3,001.92	$5,088.00	$3,714.24–$4,884.48	—	41%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LTD	$407.10	$690.00	$234.60–$662.40	5% above	41%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LTD	$407.10	$690.00	$503.70–$662.40	—	41%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG SCREEN PROTOCOL	$813.61	$1,379.00	$468.86–$1,323.84	9% above	41%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG SCREEN PROTOCOL	$813.61	$1,379.00	$1,006.67–$1,323.84	—	41%
MR angiography (MRA) of the head without contrast CPT 70544 ANG HEAD WO CONT	$2,622.55	$4,445.00	$1,511.30–$4,267.20	19% above	41%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 ANG HEAD WO CONT	$2,622.55	$4,445.00	$3,244.85–$4,267.20	—	41%
MRI of the abdomen without contrast CPT 74181 ABDOMEN WO CONT	$1,028.96	$1,744.00	$592.96–$1,674.24	47% below	41%
MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN WO CONT	$1,028.96	$1,744.00	$1,273.12–$1,674.24	—	41%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W WO CONT	$2,236.10	$3,790.00	$1,288.60–$3,638.40	31% below	41%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W WO CONT	$2,236.10	$3,790.00	$2,766.70–$3,638.40	—	41%
MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONT	$1,755.84	$2,976.00	$1,011.84–$2,856.96	at median	41%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONT	$1,755.84	$2,976.00	$2,172.48–$2,856.96	—	41%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W WO CONT	$2,931.71	$4,969.00	$1,689.46–$4,770.24	3% below	41%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W WO CONT	$2,931.71	$4,969.00	$3,627.37–$4,770.24	—	41%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE COMP WO CONT	$1,559.96	$2,644.00	$898.96–$2,538.24	19% below	41%
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE COMP WO CONT	$1,559.96	$2,644.00	$1,930.12–$2,538.24	—	41%
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE COMP W WO CONT	$2,495.70	$4,230.00	$1,438.20–$4,060.80	20% below	41%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR SPINE COMP W WO CONT	$2,495.70	$4,230.00	$3,087.90–$4,060.80	—	41%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE LTD WO CONT	$1,639.61	$2,779.00	$944.86–$2,667.84	21% below	41%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE COMP WO CONT	$1,639.61	$2,779.00	$944.86–$2,667.84	21% below	41%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE COMP WO CONT	$1,639.61	$2,779.00	$2,028.67–$2,667.84	—	41%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE LTD WO CONT	$1,639.61	$2,779.00	$2,028.67–$2,667.84	—	41%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE COMP W WO CONT	$2,799.55	$4,745.00	$1,613.30–$4,555.20	9% below	41%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL SPINE COMP W WO CONT	$2,799.55	$4,745.00	$3,463.85–$4,555.20	—	41%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE COMP WO CONT	$1,656.72	$2,808.00	$954.72–$2,695.68	14% below	41%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL SPINE COMP WO CONT	$1,656.72	$2,808.00	$2,049.84–$2,695.68	—	41%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W WO CONT	$2,566.50	$4,350.00	$1,479.00–$4,176.00	16% below	41%
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W WO CONT	$2,566.50	$4,350.00	$3,175.50–$4,176.00	—	41%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CONT	$1,574.71	$2,669.00	$907.46–$2,562.24	29% below	41%
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS WO CONT	$1,574.71	$2,669.00	$1,948.37–$2,562.24	—	41%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE COMP W OBLIQUES	$358.72	$608.00	$206.72–$583.68	59% above	41%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE COMP W OBLIQUES	$358.72	$608.00	$443.84–$583.68	—	41%
Neck soft tissue CT scan with contrast CPT 70491 SOFT TISSUE NECK CT W CONT	$1,321.01	$2,239.00	$761.26–$2,149.44	8% below	41%
Neck soft tissue CT scan with contrast inpatient CPT 70491 SOFT TISSUE NECK CT W CONT	$1,321.01	$2,239.00	$1,634.47–$2,149.44	—	41%
Neck soft tissue CT scan without contrast CPT 70490 SOFT TISSUE NECK WO CONT	$1,017.16	$1,724.00	$586.16–$1,655.04	17% below	41%
Neck soft tissue CT scan without contrast inpatient CPT 70490 SOFT TISSUE NECK WO CONT	$1,017.16	$1,724.00	$1,258.52–$1,655.04	—	41%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$196.47	$333.00	$113.22–$319.68	34% above	41%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$196.47	$333.00	$243.09–$319.68	—	41%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF SPECT MULTI	$2,614.29	$4,431.00	$1,506.54–$4,253.76	19% above	41%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF SPECT MULTI	$2,614.29	$4,431.00	$3,234.63–$4,253.76	—	41%
Pelvic CT scan without contrast CPT 72192 PELVIS WO CONT	$836.03	$1,417.00	$481.78–$1,360.32	32% below	41%
Pelvic CT scan without contrast inpatient CPT 72192 PELVIS WO CONT	$836.03	$1,417.00	$1,034.41–$1,360.32	—	41%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS NON OB LTD	$322.14	$546.00	$185.64–$524.16	2% below	41%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS NON OB LTD	$322.14	$546.00	$398.58–$524.16	—	41%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS NON OB COMP	$397.66	$674.00	$229.16–$647.04	12% below	41%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS NON OB COMP	$397.66	$674.00	$492.02–$647.04	—	41%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST	$455.48	$772.00	$262.48–$741.12	10% below	41%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST	$455.48	$772.00	$563.56–$741.12	—	41%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB 1ST TRI SGL 1ST GEST	$364.03	$617.00	$209.78–$592.32	9% below	41%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB 1ST TRI SGL 1ST GEST	$364.03	$617.00	$450.41–$592.32	—	41%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LTD 1 OR MORE FETUS	$351.05	$595.00	$202.30–$571.20	9% above	41%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LTD 1 OR MORE FETUS	$351.05	$595.00	$434.35–$571.20	—	41%
Screening mammogram, both breasts both sides CPT 77067 SCREENING DIGITAL BI	$477.90	$810.00	$90.99–$777.60	—	41%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING DIGITAL BI	$477.90	$810.00	$591.30–$777.60	—	41%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMP MIN 3V	$151.63	$257.00	$87.38–$246.72	15% below	41%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS COMP MIN 3V	$151.63	$257.00	$187.61–$246.72	—	41%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS 4V	$184.08	$312.00	$106.08–$299.52	11% above	41%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS 4V	$184.08	$312.00	$227.76–$299.52	—	41%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY	$2,558.24	$4,336.00	$1,474.24–$4,162.56	5% above	41%
Sleep study in a lab (polysomnography) CPT 95810 FULL POLY	$2,593.05	$4,395.00	$1,494.30–$4,219.20	7% above	41%
Sleep study in a lab (polysomnography) CPT 95810 FULL POLY AGE 6 OR >	$2,786.57	$4,723.00	$1,605.82–$4,534.08	15% above	41%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY > 4	$2,894.54	$4,906.00	$1,668.04–$4,709.76	19% above	41%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY	$2,558.24	$4,336.00	$3,165.28–$4,162.56	—	41%
Sleep study in a lab (polysomnography) inpatient CPT 95810 FULL POLY	$2,593.05	$4,395.00	$3,208.35–$4,219.20	—	41%
Sleep study in a lab (polysomnography) inpatient CPT 95810 FULL POLY AGE 6 OR >	$2,786.57	$4,723.00	$3,447.79–$4,534.08	—	41%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY > 4	$2,894.54	$4,906.00	$3,581.38–$4,709.76	—	41%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION W VIDEO	$510.94	$866.00	$294.44–$831.36	2% above	41%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION W VIDEO	$510.94	$866.00	$632.18–$831.36	—	41%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 FEMUR MIN 2 VIEW BI	$146.91	$249.00	$84.66–$239.04	—	41%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 FEMUR MIN 2 VIEW BI	$146.91	$249.00	$181.77–$239.04	—	41%
Thoracic spine (mid back) CT scan without contrast CPT 72128 THORACIC SPINE WO CONT	$1,299.77	$2,203.00	$749.02–$2,114.88	at median	41%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 THORACIC SPINE WO CONT	$1,299.77	$2,203.00	$1,608.19–$2,114.88	—	41%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL NON OB	$471.41	$799.00	$271.66–$767.04	2% below	41%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL NON OB	$471.41	$799.00	$583.27–$767.04	—	41%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAGINAL	$294.41	$499.00	$169.66–$479.04	11% below	41%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAGINAL	$294.41	$499.00	$364.27–$479.04	—	41%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMP	$569.94	$966.00	$328.44–$927.36	11% above	41%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMP	$569.94	$966.00	$705.18–$927.36	—	41%
Ultrasound of the scrotum and testicles CPT 76870 SCROTUM AND CONTENTS	$387.63	$657.00	$223.38–$630.72	7% below	41%
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM AND CONTENTS	$387.63	$657.00	$479.61–$630.72	—	41%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD NECK SOFT TISSUE	$509.17	$863.00	$293.42–$828.48	6% above	41%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD NECK SOFT TISSUE	$509.17	$863.00	$629.99–$828.48	—	41%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI	$416.54	$706.00	$240.04–$677.76	20% below	41%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI	$416.54	$706.00	$515.38–$677.76	—	41%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CV VENOUS DUPLEX UNI	$585.28	$992.00	$337.28–$952.32	13% above	41%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXTREMITY VENOUS UNILAT	$487.34	$826.00	$280.84–$792.96	6% below	41%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CV VENOUS DUPLEX UNI	$585.28	$992.00	$724.16–$952.32	—	41%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXTREMITY VENOUS UNILAT	$487.34	$826.00	$602.98–$792.96	—	41%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V DECUBITIS	$224.79	$381.00	$129.54–$365.76	61% above	41%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V DECUBITIS	$224.79	$381.00	$278.13–$365.76	—	41%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3V	$245.44	$416.00	$141.44–$399.36	27% above	41%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3V	$245.44	$416.00	$303.68–$399.36	—	41%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4V	$350.46	$594.00	$201.96–$570.24	48% above	41%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4V	$350.46	$594.00	$433.62–$570.24	—	41%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2V	$149.27	$253.00	$86.02–$242.88	2% below	41%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2V	$149.27	$253.00	$184.69–$242.88	—	41%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3V	$169.92	$288.00	$97.92–$276.48	12% above	41%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3V	$169.92	$288.00	$210.24–$276.48	—	41%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2V OR 3V	$214.76	$364.00	$123.76–$349.44	32% above	41%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2V OR 3V	$214.76	$364.00	$265.72–$349.44	—	41%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V OR 2V	$135.11	$229.00	$77.86–$219.84	13% below	41%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1V OR 2V	$135.11	$229.00	$167.17–$219.84	—	41%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM	$196.47	$333.00	$113.22–$319.68	28% above	41%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM	$196.47	$333.00	$243.09–$319.68	—	41%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORM ACTH	$68.36	$115.86	$38.62–$111.23	53% below	41%
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE AS	$253.70	$430.00	$38.62–$412.80	75% above	41%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORM ACTH	$68.36	$115.86	$84.58–$111.23	—	41%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE AS	$253.70	$430.00	$313.90–$412.80	—	41%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$70.80	$120.00	$5.30–$115.20	74% above	41%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$70.80	$120.00	$87.60–$115.20	—	41%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$73.75	$125.00	$5.18–$120.00	78% above	41%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$73.75	$125.00	$91.25–$120.00	—	41%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE W HCV NAA RFL	$84.31	$142.89	$47.63–$137.18	63% below	41%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$287.92	$488.00	$47.63–$468.48	27% above	41%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE W HCV NAA RFL	$84.31	$142.89	$104.31–$137.18	—	41%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE	$287.92	$488.00	$356.24–$468.48	—	41%
Albumin blood test CPT 82040 ALBUMIN SERUM	$8.77	$14.85	$4.95–$14.26	75% below	41%
Albumin blood test CPT 82040 ALBUMIN	$50.15	$85.00	$4.95–$81.60	43% above	41%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$8.77	$14.85	$10.85–$14.26	—	41%
Albumin blood test inpatient CPT 82040 ALBUMIN	$50.15	$85.00	$62.05–$81.60	—	41%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM	$72.13	$122.25	$40.75–$117.36	41% below	41%
Aldosterone blood test CPT 82088 ALDOSTERONE	$286.74	$486.00	$40.75–$466.56	133% above	41%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM	$72.13	$122.25	$89.25–$117.36	—	41%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$286.74	$486.00	$354.78–$466.56	—	41%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS TOTAL	$9.17	$15.54	$5.18–$14.92	73% below	41%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS	$64.90	$110.00	$5.18–$105.60	94% above	41%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS TOTAL	$9.17	$15.54	$11.35–$14.92	—	41%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS	$64.90	$110.00	$80.30–$105.60	—	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD GLUTEN	$9.24	$15.66	$5.22–$15.04	65% below	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD LEMON	$9.44	$16.00	$5.22–$15.36	65% below	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EGG YOLK IGE	$36.58	$62.00	$5.22–$59.52	37% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D. PTERONYSSINUS	$39.53	$67.00	$5.22–$64.32	48% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COWS MILK IGE	$40.71	$69.00	$5.22–$66.24	52% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROF FOOD IGE II X1	$43.07	$73.00	$5.22–$70.08	61% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN A. FUMIGATUS IGE	$48.38	$82.00	$5.22–$78.72	81% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ADULT COMMON FOOD PROFILE 15X1	$52.51	$89.00	$5.22–$85.44	96% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGEN X14	$97.35	$165.00	$5.22–$158.40	264% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS NUTS 6 X5	$145.73	$247.00	$5.22–$237.12	444% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RESP AREA 9 X23	$153.99	$261.00	$5.22–$250.56	475% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS SEAFOOD X7	$231.28	$392.00	$5.22–$376.32	764% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ADULT COMMON FOOD PROF 15X14	$267.27	$453.00	$5.22–$434.88	898% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE MOLD IGE X12	$405.33	$687.00	$5.22–$659.52	1414% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SCREEN 31 X 30	$453.71	$769.00	$5.22–$738.24	1594% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 RESP. PANEL GREAT PLAINS X 21	$542.80	$920.00	$5.22–$883.20	1927% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 RESP PNL N MIDWEST 7 X22	$607.70	$1,030.00	$5.22–$988.80	2169% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS SCREEN 36 X35	$611.83	$1,037.00	$5.22–$995.52	2185% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROF FOOD IGE II X18	$642.51	$1,089.00	$5.22–$1,045.44	2299% above	41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS 22 X21	$684.99	$1,161.00	$5.22–$1,114.56	2458% above	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD GLUTEN	$9.24	$15.66	$11.44–$15.04	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD LEMON	$9.44	$16.00	$11.68–$15.36	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EGG YOLK IGE	$36.58	$62.00	$45.26–$59.52	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN D. PTERONYSSINUS	$39.53	$67.00	$48.91–$64.32	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COWS MILK IGE	$40.71	$69.00	$50.37–$66.24	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROF FOOD IGE II X1	$43.07	$73.00	$53.29–$70.08	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN A. FUMIGATUS IGE	$48.38	$82.00	$59.86–$78.72	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADULT COMMON FOOD PROFILE 15X1	$52.51	$89.00	$64.97–$85.44	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILDHOOD ALLERGEN X14	$97.35	$165.00	$120.45–$158.40	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS NUTS 6 X5	$145.73	$247.00	$180.31–$237.12	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RESP AREA 9 X23	$153.99	$261.00	$190.53–$250.56	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS SEAFOOD X7	$231.28	$392.00	$286.16–$376.32	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADULT COMMON FOOD PROF 15X14	$267.27	$453.00	$330.69–$434.88	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE MOLD IGE X12	$405.33	$687.00	$501.51–$659.52	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SCREEN 31 X 30	$453.71	$769.00	$561.37–$738.24	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP. PANEL GREAT PLAINS X 21	$542.80	$920.00	$671.60–$883.20	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP PNL N MIDWEST 7 X22	$607.70	$1,030.00	$751.90–$988.80	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS SCREEN 36 X35	$611.83	$1,037.00	$757.01–$995.52	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROF FOOD IGE II X18	$642.51	$1,089.00	$794.97–$1,045.44	—	41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS 22 X21	$684.99	$1,161.00	$847.53–$1,114.56	—	41%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN S TUMOR MRK	$29.69	$50.31	$16.77–$48.30	69% below	41%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$110.92	$188.00	$16.77–$180.48	16% above	41%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN S TUMOR MRK	$29.69	$50.31	$36.73–$48.30	—	41%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$110.92	$188.00	$137.24–$180.48	—	41%
Ammonia blood test CPT 82140 AMMONIA PLASMA	$25.79	$43.71	$14.57–$41.97	48% below	41%
Ammonia blood test CPT 82140 AMMONIA	$65.49	$111.00	$14.57–$106.56	32% above	41%
Ammonia blood test inpatient CPT 82140 AMMONIA PLASMA	$25.79	$43.71	$31.91–$41.97	—	41%
Ammonia blood test inpatient CPT 82140 AMMONIA	$65.49	$111.00	$81.03–$106.56	—	41%
Amylase blood test CPT 82150 URINE AMYLASE	$11.21	$19.00	$6.48–$18.24	75% below	41%
Amylase blood test CPT 82150 AMYLASE SERUM	$11.47	$19.44	$6.48–$18.67	75% below	41%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$11.80	$20.00	$6.48–$19.20	74% below	41%
Amylase blood test CPT 82150 AMYLASE	$68.44	$116.00	$6.48–$111.36	50% above	41%
Amylase blood test inpatient CPT 82150 URINE AMYLASE	$11.21	$19.00	$13.87–$18.24	—	41%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$11.47	$19.44	$14.20–$18.67	—	41%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID	$11.80	$20.00	$14.60–$19.20	—	41%
Amylase blood test inpatient CPT 82150 AMYLASE	$68.44	$116.00	$84.68–$111.36	—	41%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRUL PEPTIDE CCP IGG	$22.93	$38.85	$12.95–$37.30	72% below	41%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEP AB	$23.01	$39.00	$12.95–$37.44	72% below	41%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDEAB	$96.17	$163.00	$12.95–$156.48	17% above	41%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRUL PEPTIDE CCP IGG	$22.93	$38.85	$28.37–$37.30	—	41%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEP AB	$23.01	$39.00	$28.47–$37.44	—	41%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDEAB	$96.17	$163.00	$118.99–$156.48	—	41%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY ELISA IGG W/RFLX IFA	$21.40	$36.27	$12.09–$34.82	66% below	41%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$89.09	$151.00	$12.09–$144.96	40% above	41%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX TO EIGHT AUTOA	$110.33	$187.00	$12.09–$179.52	73% above	41%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY ELISA IGG W/RFLX IFA	$21.40	$36.27	$26.48–$34.82	—	41%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$89.09	$151.00	$110.23–$144.96	—	41%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX TO EIGHT AUTOA	$110.33	$187.00	$136.51–$179.52	—	41%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$287.33	$487.00	$39.26–$467.52	24% above	41%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$287.33	$487.00	$355.51–$467.52	—	41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BORDETELLA PERTUSSIS CULTURE	$53.69	$91.00	$8.62–$87.36	17% below	41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BODY FLUID	$87.91	$149.00	$8.62–$143.04	36% above	41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BORDETELLA PERTUSSIS CULTURE	$53.69	$91.00	$66.43–$87.36	—	41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT BODY FLUID	$87.91	$149.00	$108.77–$143.04	—	41%
Basic metabolic panel (blood test) CPT 80048 BMP	$93.81	$159.00	$8.46–$152.64	26% above	41%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$93.81	$159.00	$116.07–$152.64	—	41%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL SERUM/PLASMA	$8.89	$15.06	$5.02–$14.46	75% below	41%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$64.90	$110.00	$5.02–$105.60	85% above	41%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL SERUM/PLASMA	$8.89	$15.06	$11.00–$14.46	—	41%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$64.90	$110.00	$80.30–$105.60	—	41%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$91.39	$154.89	$52.67–$148.70	26% below	41%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS/MICRO L4	$132.16	$224.00	$76.16–$215.04	7% above	41%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$91.39	$154.89	$113.07–$148.70	—	41%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS/MICRO L4	$132.16	$224.00	$163.52–$215.04	—	41%
Blood culture for bacteria CPT 87040 CULT BLOOD AEROBIC	$90.27	$153.00	$10.32–$146.88	6% above	41%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD AEROBIC	$90.27	$153.00	$111.69–$146.88	—	41%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE DLC	$15.93	$27.00	$9.27–$25.92	7% below	41%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$19.47	$33.00	$9.27–$31.68	14% above	41%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE DLC	$15.93	$27.00	$19.71–$25.92	—	41%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$19.47	$33.00	$24.09–$31.68	—	41%
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM	$28.91	$49.00	$3.93–$47.04	2% below	41%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$29.50	$50.00	$3.93–$48.00	at median	41%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM	$28.91	$49.00	$35.77–$47.04	—	41%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$29.50	$50.00	$36.50–$48.00	—	41%
Blood lead test CPT 83655 LEAD BLOOD VENOUS	$21.44	$36.33	$12.11–$34.88	53% below	41%
Blood lead test CPT 83655 LEAD	$79.65	$135.00	$12.11–$129.60	73% above	41%
Blood lead test CPT 83655 LEAD PEDIATRIC	$86.14	$146.00	$12.11–$140.16	87% above	41%
Blood lead test CPT 83655 HEAVY METALS (LEAD) UR RANDOM	$92.04	$156.00	$12.11–$149.76	100% above	41%
Blood lead test inpatient CPT 83655 LEAD BLOOD VENOUS	$21.44	$36.33	$26.53–$34.88	—	41%
Blood lead test inpatient CPT 83655 LEAD	$79.65	$135.00	$98.55–$129.60	—	41%
Blood lead test inpatient CPT 83655 LEAD PEDIATRIC	$86.14	$146.00	$106.58–$140.16	—	41%
Blood lead test inpatient CPT 83655 HEAVY METALS (LEAD) UR RANDOM	$92.04	$156.00	$113.88–$149.76	—	41%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL. SERUM	$83.19	$141.00	$7.52–$135.36	29% above	41%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL. SERUM	$83.19	$141.00	$102.93–$135.36	—	41%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$42.48	$72.00	$2.99–$69.12	8% above	41%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$42.48	$72.00	$52.56–$69.12	—	41%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$41.30	$70.00	$3.95–$67.20	12% above	41%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$41.30	$70.00	$51.10–$67.20	—	41%
C-peptide blood test CPT 84681 C-PEPTIDE SERUM	$36.84	$62.43	$20.81–$59.94	66% below	41%
C-peptide blood test CPT 84681 C PEPTIDE	$137.47	$233.00	$20.81–$223.68	26% above	41%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE SERUM	$36.84	$62.43	$45.58–$59.94	—	41%
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$137.47	$233.00	$170.09–$223.68	—	41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$9.17	$15.54	$5.18–$14.92	75% below	41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$45.43	$77.00	$5.18–$73.92	26% above	41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$9.17	$15.54	$11.35–$14.92	—	41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$45.43	$77.00	$56.21–$73.92	—	41%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR	$65.97	$111.81	$37.27–$107.34	66% below	41%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFF PCR	$248.98	$422.00	$37.27–$405.12	30% above	41%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR	$65.97	$111.81	$81.63–$107.34	—	41%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFF PCR	$248.98	$422.00	$308.06–$405.12	—	41%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN GI (19-9)	$36.84	$62.43	$20.81–$59.94	66% below	41%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$141.60	$240.00	$20.81–$230.40	29% above	41%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN GI (19-9)	$36.84	$62.43	$45.58–$59.94	—	41%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$141.60	$240.00	$175.20–$230.40	—	41%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$36.84	$62.43	$20.81–$59.94	71% below	41%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$138.65	$235.00	$20.81–$225.60	9% above	41%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125	$36.84	$62.43	$45.58–$59.94	—	41%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$138.65	$235.00	$171.55–$225.60	—	41%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV ND HLTH	$24.78	$42.00	$20.16–$42.84	80% below	41%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C	$46.61	$79.00	$37.92–$75.84	63% below	41%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV INHOUSE A	$122.72	$208.00	$51.31–$199.68	2% below	41%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV ND HLTH	$24.78	$42.00	$30.66–$40.32	—	41%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C	$46.61	$79.00	$57.67–$75.84	—	41%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV INHOUSE A	$122.72	$208.00	$151.84–$199.68	—	41%
Calcium blood test, total CPT 82310 CALCIUM	$9.14	$15.48	$5.16–$14.87	71% below	41%
Calcium blood test, total CPT 82310 CALCIUM SERUM	$69.62	$118.00	$5.16–$113.28	118% above	41%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$9.14	$15.48	$11.31–$14.87	—	41%
Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM	$69.62	$118.00	$86.14–$113.28	—	41%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$33.56	$56.88	$18.96–$54.61	73% below	41%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$120.36	$204.00	$18.96–$195.84	3% below	41%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$33.56	$56.88	$41.53–$54.61	—	41%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$120.36	$204.00	$148.92–$195.84	—	41%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG	$22.80	$38.64	$12.88–$37.10	61% below	41%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIRUS AB IGG	$23.01	$39.00	$12.88–$37.44	61% below	41%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG ANTIBODY	$108.56	$184.00	$12.88–$176.64	83% above	41%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGG	$22.80	$38.64	$28.21–$37.10	—	41%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER VIRUS AB IGG	$23.01	$39.00	$28.47–$37.44	—	41%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG ANTIBODY	$108.56	$184.00	$134.32–$176.64	—	41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS BY TMA	$61.95	$105.00	$35.09–$100.80	60% below	41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS BY TMA	$62.11	$105.27	$35.09–$101.06	60% below	41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PROBE	$241.90	$410.00	$35.09–$393.60	57% above	41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS BY TMA	$61.95	$105.00	$76.65–$100.80	—	41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS BY TMA	$62.11	$105.27	$76.85–$101.06	—	41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PROBE	$241.90	$410.00	$299.30–$393.60	—	41%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL	$35.99	$61.00	$13.39–$58.56	51% below	41%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$132.75	$225.00	$13.39–$216.00	79% above	41%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PNL	$35.99	$61.00	$44.53–$58.56	—	41%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$132.75	$225.00	$164.25–$216.00	—	41%
Complete blood count (CBC) with differential CPT 85025 CBC W/MANUAL DIFF	$82.60	$140.00	$7.77–$134.40	42% above	41%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/MANUAL DIFF	$82.60	$140.00	$102.20–$134.40	—	41%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF	$46.02	$78.00	$6.47–$74.88	at median	41%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF	$46.02	$78.00	$56.94–$74.88	—	41%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$148.09	$251.00	$10.56–$240.96	57% above	41%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$148.09	$251.00	$183.23–$240.96	—	41%
Cortisol blood test, total CPT 82533 CORTISOLSERUM	$28.86	$48.90	$16.30–$46.95	47% below	41%
Cortisol blood test, total CPT 82533 CORTISOL	$127.44	$216.00	$16.30–$207.36	134% above	41%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION RAN	$136.29	$231.00	$16.30–$221.76	151% above	41%
Cortisol blood test, total CPT 82533 SALIVARY CORTISOL X3 MS	$404.15	$685.00	$16.30–$657.60	643% above	41%
Cortisol blood test, total inpatient CPT 82533 CORTISOLSERUM	$28.86	$48.90	$35.70–$46.95	—	41%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$127.44	$216.00	$157.68–$207.36	—	41%
Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION RAN	$136.29	$231.00	$168.63–$221.76	—	41%
Cortisol blood test, total inpatient CPT 82533 SALIVARY CORTISOL X3 MS	$404.15	$685.00	$500.05–$657.60	—	41%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL	$11.53	$19.53	$6.51–$18.75	75% below	41%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL (CREATINE KINASE)	$77.88	$132.00	$6.51–$126.72	66% above	41%
Creatine kinase (CK) blood test, total CPT 82550 CK	$85.55	$145.00	$6.51–$139.20	82% above	41%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL	$11.53	$19.53	$14.26–$18.75	—	41%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL (CREATINE KINASE)	$77.88	$132.00	$96.36–$126.72	—	41%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK	$85.55	$145.00	$105.85–$139.20	—	41%
Creatinine blood test CPT 82565 CREAT W/GFR	$60.18	$102.00	$5.12–$97.92	52% above	41%
Creatinine blood test inpatient CPT 82565 CREAT W/GFR	$60.18	$102.00	$74.46–$97.92	—	41%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$25.48	$43.17	$14.39–$41.45	51% below	41%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB IGG	$99.12	$168.00	$14.39–$161.28	90% above	41%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$25.48	$43.17	$31.52–$41.45	—	41%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS AB IGG	$99.12	$168.00	$122.64–$161.28	—	41%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$115.05	$195.00	$10.18–$187.20	57% above	41%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT	$115.05	$195.00	$142.35–$187.20	—	41%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$39.35	$66.69	$22.23–$64.03	64% below	41%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SO4	$145.73	$247.00	$22.23–$237.12	35% above	41%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$39.35	$66.69	$48.69–$64.03	—	41%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SO4	$145.73	$247.00	$180.31–$237.12	—	41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM S/P	$96.76	$164.00	$62.14–$157.44	33% below	41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB WREFLEX TO CONFIRMATION	$109.74	$186.00	$62.14–$178.56	24% below	41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE 9 PANEL S OR P	$109.99	$186.42	$62.14–$178.97	24% below	41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL SERUM	$112.10	$190.00	$62.14–$182.40	22% below	41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETOH BLD	$361.08	$612.00	$62.14–$587.52	150% above	41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE (NPL)	$523.92	$888.00	$62.14–$852.48	263% above	41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEPAM S/P	$96.76	$164.00	$119.72–$157.44	—	41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GHB WREFLEX TO CONFIRMATION	$109.74	$186.00	$135.78–$178.56	—	41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE 9 PANEL S OR P	$109.99	$186.42	$136.09–$178.97	—	41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL SERUM	$112.10	$190.00	$138.70–$182.40	—	41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETOH BLD	$361.08	$612.00	$446.76–$587.52	—	41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE (NPL)	$523.92	$888.00	$648.24–$852.48	—	41%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$71.98	$122.00	$7.01–$117.12	30% above	41%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$71.98	$122.00	$89.06–$117.12	—	41%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB TO VIRAL CAPSID AG IGG	$32.11	$54.42	$18.14–$52.25	62% below	41%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA 1	$119.77	$203.00	$18.14–$194.88	42% above	41%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB TO VIRAL CAPSID AG IGG	$32.11	$54.42	$39.73–$52.25	—	41%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA 1	$119.77	$203.00	$148.19–$194.88	—	41%
Estradiol blood test CPT 82670 ESTRADIOL BY IMMUNOASSAY	$49.46	$83.82	$27.94–$80.47	62% below	41%
Estradiol blood test CPT 82670 ESTRADIOL (LCMSMS)	$204.14	$346.00	$27.94–$332.16	58% above	41%
Estradiol blood test CPT 82670 ESTRADIOL	$210.63	$357.00	$27.94–$342.72	63% above	41%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BY IMMUNOASSAY	$49.46	$83.82	$61.19–$80.47	—	41%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (LCMSMS)	$204.14	$346.00	$252.58–$332.16	—	41%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$210.63	$357.00	$260.61–$342.72	—	41%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$32.89	$55.74	$18.58–$53.52	69% below	41%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$32.89	$55.74	$40.70–$53.52	—	41%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$34.75	$58.89	$19.63–$56.54	78% below	41%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$34.75	$58.89	$42.99–$56.54	—	41%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$24.13	$40.89	$13.63–$39.26	74% below	41%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$24.13	$40.89	$29.85–$39.26	—	41%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$17.11	$29.00	$9.72–$27.84	69% below	41%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$17.21	$29.16	$9.72–$28.00	69% below	41%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$17.11	$29.00	$21.17–$27.84	—	41%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$17.21	$29.16	$21.29–$28.00	—	41%
Folate (folic acid) blood test CPT 82746 FOLATESERUM	$26.02	$44.10	$14.70–$42.34	72% below	41%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$108.56	$184.00	$14.70–$176.64	15% above	41%
Folate (folic acid) blood test inpatient CPT 82746 FOLATESERUM	$26.02	$44.10	$32.20–$42.34	—	41%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$108.56	$184.00	$134.32–$176.64	—	41%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINEFREE FREE T3	$29.99	$50.82	$16.94–$48.79	70% below	41%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$177.00	$300.00	$16.94–$288.00	75% above	41%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINEFREE FREE T3	$29.99	$50.82	$37.10–$48.79	—	41%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$177.00	$300.00	$219.00–$288.00	—	41%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$15.97	$27.06	$9.02–$25.98	75% below	41%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE) FREE	$69.62	$118.00	$9.02–$113.28	11% above	41%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$71.39	$121.00	$9.02–$116.16	14% above	41%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$15.97	$27.06	$19.76–$25.98	—	41%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (THYROXINE) FREE	$69.62	$118.00	$86.14–$113.28	—	41%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$71.39	$121.00	$88.33–$116.16	—	41%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$45.09	$76.41	$25.47–$73.36	41% below	41%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$45.09	$76.41	$55.78–$73.36	—	41%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASES/P	$12.75	$21.60	$7.20–$20.74	71% below	41%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE (GG	$62.54	$106.00	$7.20–$101.76	40% above	41%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP	$66.08	$112.00	$7.20–$107.52	48% above	41%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASES/P	$12.75	$21.60	$15.77–$20.74	—	41%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASE (GG	$62.54	$106.00	$77.38–$101.76	—	41%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP	$66.08	$112.00	$81.76–$107.52	—	41%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$233.64	$396.00	$134.64–$380.16	1% below	41%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$233.64	$396.00	$289.08–$380.16	—	41%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUC GEST	$61.36	$104.00	$4.75–$99.84	73% above	41%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR	$65.49	$111.00	$4.75–$106.56	85% above	41%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUC GEST	$61.36	$104.00	$75.92–$99.84	—	41%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR	$65.49	$111.00	$81.03–$106.56	—	41%
Glucose tolerance test, 3 samples CPT 82951 GTT2	$88.50	$150.00	$12.87–$144.00	3% below	41%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT2	$88.50	$150.00	$109.50–$144.00	—	41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE BY TMA	$62.11	$105.27	$35.09–$101.06	60% below	41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CULT GONORRHEA	$220.66	$374.00	$35.09–$359.04	44% above	41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC PROBE	$241.90	$410.00	$35.09–$393.60	57% above	41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE BY TMA	$62.11	$105.27	$76.85–$101.06	—	41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CULT GONORRHEA	$220.66	$374.00	$273.02–$359.04	—	41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC PROBE	$241.90	$410.00	$299.30–$393.60	—	41%
H. pylori antibody blood test CPT 86677 H. PYLORI IGG	$84.96	$144.00	$16.85–$138.24	at median	41%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGG	$84.96	$144.00	$105.12–$138.24	—	41%
H. pylori stool antigen test CPT 87338 HELICOBACT PYLORI AGFECAL EIA	$25.46	$43.14	$14.38–$41.42	75% below	41%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL ANTI	$96.17	$163.00	$14.38–$156.48	4% below	41%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACT PYLORI AGFECAL EIA	$25.46	$43.14	$31.50–$41.42	—	41%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL ANTI	$96.17	$163.00	$118.99–$156.48	—	41%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QNT BY NAAT	$150.63	$255.30	$85.10–$245.09	37% below	41%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QNT BY NAAT	$150.63	$255.30	$186.37–$245.09	—	41%
HIV-1 and HIV-2 antibody test CPT 86703 HIV	$90.27	$153.00	$13.71–$146.88	16% above	41%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV	$90.27	$153.00	$111.69–$146.88	—	41%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 12 COMBO AG/AB CIA W/RFLX	$42.63	$72.24	$24.08–$69.36	64% below	41%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB COMBO	$156.94	$266.00	$24.08–$255.36	34% above	41%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 12 COMBO AG/AB CIA W/RFLX	$42.63	$72.24	$52.74–$69.36	—	41%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB COMBO	$156.94	$266.00	$194.18–$255.36	—	41%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV NUCLEIC ACID AMPLIFICATION	$62.11	$105.27	$35.09–$101.06	36% below	41%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HVP HIGH RISK	$243.67	$413.00	$35.09–$396.48	150% above	41%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV NUCLEIC ACID AMPLIFICATION	$62.11	$105.27	$76.85–$101.06	—	41%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HVP HIGH RISK	$243.67	$413.00	$301.49–$396.48	—	41%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN (HA1C)	$79.65	$135.00	$9.71–$129.60	14% above	41%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO HGB	$82.01	$139.00	$9.71–$133.44	18% above	41%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN (HA1C)	$79.65	$135.00	$98.55–$129.60	—	41%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO HGB	$82.01	$139.00	$101.47–$133.44	—	41%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$39.53	$67.00	$2.37–$64.32	70% above	41%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$39.53	$67.00	$48.91–$64.32	—	41%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL	$21.33	$36.15	$12.05–$34.71	68% below	41%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY TOTA	$79.65	$135.00	$12.05–$129.60	20% above	41%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL	$21.33	$36.15	$26.39–$34.71	—	41%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY TOTA	$79.65	$135.00	$98.55–$129.60	—	41%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$18.88	$32.00	$10.74–$30.72	66% below	41%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$19.01	$32.22	$10.74–$30.94	66% below	41%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIB QUAL	$73.75	$125.00	$10.74–$120.00	31% above	41%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$18.88	$32.00	$23.36–$30.72	—	41%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$19.01	$32.22	$23.53–$30.94	—	41%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIB QUAL	$73.75	$125.00	$91.25–$120.00	—	41%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG W/RFLX	$18.29	$30.99	$10.33–$29.76	66% below	41%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$20.65	$35.00	$10.33–$33.60	62% below	41%
Hepatitis B surface antigen (HBsAg) test CPT 87340 PRENATAL HBSAG (PHL CHG)	$63.13	$107.00	$10.33–$102.72	17% above	41%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$71.39	$121.00	$10.33–$116.16	32% above	41%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG W/RFLX	$18.29	$30.99	$22.63–$29.76	—	41%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA	$20.65	$35.00	$25.55–$33.60	—	41%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 PRENATAL HBSAG (PHL CHG)	$63.13	$107.00	$78.11–$102.72	—	41%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$71.39	$121.00	$88.33–$116.16	—	41%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA	$25.26	$42.81	$14.27–$41.10	66% below	41%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$120.36	$204.00	$14.27–$195.84	62% above	41%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA	$25.26	$42.81	$31.26–$41.10	—	41%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$120.36	$204.00	$148.92–$195.84	—	41%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QNT BY NAAT	$75.83	$128.52	$42.84–$123.38	42% below	41%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV BY QUANT NAA	$200.60	$340.00	$42.84–$326.40	53% above	41%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT BY PCR	$280.25	$475.00	$42.84–$456.00	114% above	41%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QNT BY NAAT	$75.83	$128.52	$93.82–$123.38	—	41%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV BY QUANT NAA	$200.60	$340.00	$248.20–$326.40	—	41%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT BY PCR	$280.25	$475.00	$346.75–$456.00	—	41%
Herpes blood test, HSV-1 antibody CPT 86695 HSV1-GLYCO-G ABIGGBYCIA	$23.35	$39.57	$13.19–$37.99	59% below	41%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 G SPECIFIC IGG	$23.60	$40.00	$13.19–$38.40	58% below	41%
Herpes blood test, HSV-1 antibody CPT 86695 H SIMPLEX IGG	$86.73	$147.00	$13.19–$141.12	53% above	41%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1 (IGG)	$96.17	$163.00	$13.19–$156.48	69% above	41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1-GLYCO-G ABIGGBYCIA	$23.35	$39.57	$28.89–$37.99	—	41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 G SPECIFIC IGG	$23.60	$40.00	$29.20–$38.40	—	41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 H SIMPLEX IGG	$86.73	$147.00	$107.31–$141.12	—	41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS 1 (IGG)	$96.17	$163.00	$118.99–$156.48	—	41%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 G SPECIFIC IGG	$34.22	$58.00	$19.35–$55.68	49% below	41%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2-GLYCO-G ABIGGBYCIA	$34.25	$58.05	$19.35–$55.73	49% below	41%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGG	$141.01	$239.00	$19.35–$229.44	109% above	41%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 G SPECIFIC IGG	$34.22	$58.00	$42.34–$55.68	—	41%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2-GLYCO-G ABIGGBYCIA	$34.25	$58.05	$42.38–$55.73	—	41%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 2 IGG	$141.01	$239.00	$174.47–$229.44	—	41%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRPHIGH SENSITIVITY	$22.93	$38.85	$12.95–$37.30	70% below	41%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HS	$88.50	$150.00	$12.95–$144.00	14% above	41%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRPHIGH SENSITIVITY	$22.93	$38.85	$28.37–$37.30	—	41%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HS	$88.50	$150.00	$109.50–$144.00	—	41%
Homocysteine blood test CPT 83090 HOMOCYSTINE TOTAL	$31.72	$53.76	$17.92–$51.61	67% below	41%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$31.86	$54.00	$17.92–$51.84	67% below	41%
Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIAC RISK	$111.51	$189.00	$17.92–$181.44	15% above	41%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE TOTAL	$31.72	$53.76	$39.25–$51.61	—	41%
Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTEINE	$31.86	$54.00	$39.42–$51.84	—	41%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIAC RISK	$111.51	$189.00	$137.97–$181.44	—	41%
Insulin blood test CPT 83525 TOTAL INSULIN	$20.06	$34.00	$11.43–$32.64	66% below	41%
Insulin blood test CPT 83525 INSULIN	$20.24	$34.29	$11.43–$32.92	65% below	41%
Insulin blood test CPT 83525 INSULIN ASSAY	$76.11	$129.00	$11.43–$123.84	31% above	41%
Insulin blood test inpatient CPT 83525 TOTAL INSULIN	$20.06	$34.00	$24.82–$32.64	—	41%
Insulin blood test inpatient CPT 83525 INSULIN	$20.24	$34.29	$25.04–$32.92	—	41%
Insulin blood test inpatient CPT 83525 INSULIN ASSAY	$76.11	$129.00	$94.17–$123.84	—	41%
Iron blood test (serum iron) CPT 83540 IRONPLASMA OR SERUM	$11.46	$19.41	$6.47–$18.64	70% below	41%
Iron blood test (serum iron) CPT 83540 IRON	$60.77	$103.00	$6.47–$98.88	58% above	41%
Iron blood test (serum iron) inpatient CPT 83540 IRONPLASMA OR SERUM	$11.46	$19.41	$14.17–$18.64	—	41%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$60.77	$103.00	$75.19–$98.88	—	41%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL	$15.47	$26.22	$8.74–$25.18	71% below	41%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$74.34	$126.00	$8.74–$120.96	39% above	41%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOTAL	$15.47	$26.22	$19.15–$25.18	—	41%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$74.34	$126.00	$91.98–$120.96	—	41%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$113.87	$193.00	$8.68–$185.28	70% above	41%
Kidney function blood test panel CPT 80069 RENAL PROFILE	$117.41	$199.00	$8.68–$191.04	75% above	41%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$113.87	$193.00	$140.89–$185.28	—	41%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE	$117.41	$199.00	$145.27–$191.04	—	41%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONESERUM	$32.79	$55.56	$18.52–$53.34	70% below	41%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$125.08	$212.00	$18.52–$203.52	16% above	41%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONESERUM	$32.79	$55.56	$40.56–$53.34	—	41%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$125.08	$212.00	$154.76–$203.52	—	41%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$74.93	$127.00	$11.57–$121.92	3% below	41%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$74.93	$127.00	$92.71–$121.92	—	41%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE BODY FLD	$10.70	$18.12	$6.04–$17.40	75% below	41%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$67.85	$115.00	$6.04–$110.40	56% above	41%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE BODY FLD	$10.70	$18.12	$13.23–$17.40	—	41%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$67.85	$115.00	$83.95–$110.40	—	41%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM OR PLASMA	$12.20	$20.67	$6.89–$19.85	77% below	41%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE FLUID	$12.39	$21.00	$6.89–$20.16	77% below	41%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$71.98	$122.00	$6.89–$117.12	34% above	41%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM OR PLASMA	$12.20	$20.67	$15.09–$19.85	—	41%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE FLUID	$12.39	$21.00	$15.33–$20.16	—	41%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$71.98	$122.00	$89.06–$117.12	—	41%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$120.95	$205.00	$8.17–$196.80	70% above	41%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION	$125.08	$212.00	$8.17–$203.52	76% above	41%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$120.95	$205.00	$149.65–$196.80	—	41%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION	$125.08	$212.00	$154.76–$203.52	—	41%
Lyme disease antibody test CPT 86618 LYME DISEASE ACUTE REFLEXIVE	$30.15	$51.09	$17.03–$49.05	54% below	41%
Lyme disease antibody test CPT 86618 LYME(B BURGDORFERI) AB IGG/IGM	$124.49	$211.00	$17.03–$202.56	90% above	41%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ACUTE REFLEXIVE	$30.15	$51.09	$37.30–$49.05	—	41%
Lyme disease antibody test inpatient CPT 86618 LYME(B BURGDORFERI) AB IGG/IGM	$124.49	$211.00	$154.03–$202.56	—	41%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$8.26	$14.00	$6.70–$13.44	74% below	41%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$11.86	$20.10	$6.70–$19.30	63% below	41%
Magnesium blood test CPT 83735 SSP - MAGNESIUM URINE	$60.18	$102.00	$6.70–$97.92	90% above	41%
Magnesium blood test CPT 83735 MAGNESIUM	$64.90	$110.00	$6.70–$105.60	105% above	41%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$8.26	$14.00	$10.22–$13.44	—	41%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$11.86	$20.10	$14.68–$19.30	—	41%
Magnesium blood test inpatient CPT 83735 SSP - MAGNESIUM URINE	$60.18	$102.00	$74.46–$97.92	—	41%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$64.90	$110.00	$80.30–$105.60	—	41%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) AB IGG	$22.80	$38.64	$12.88–$37.10	60% below	41%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$23.01	$39.00	$12.88–$37.44	59% below	41%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG	$78.47	$133.00	$12.88–$127.68	38% above	41%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) AB IGG	$22.80	$38.64	$28.21–$37.10	—	41%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$23.01	$39.00	$28.47–$37.44	—	41%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG	$78.47	$133.00	$97.09–$127.68	—	41%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$58.41	$99.00	$5.18–$95.04	32% above	41%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$58.41	$99.00	$72.27–$95.04	—	41%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$23.01	$39.00	$13.05–$37.44	44% below	41%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGG	$23.10	$39.15	$13.05–$37.59	43% below	41%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY	$23.01	$39.00	$28.47–$37.44	—	41%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY IGG	$23.10	$39.15	$28.58–$37.59	—	41%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$32.45	$55.00	$18.39–$52.80	50% below	41%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$32.56	$55.17	$18.39–$52.97	50% below	41%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE	$32.45	$55.00	$40.15–$52.80	—	41%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$32.56	$55.17	$40.28–$52.97	—	41%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG TOT R PSA	$32.45	$55.00	$18.39–$52.80	66% below	41%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN	$32.56	$55.17	$18.39–$52.97	66% below	41%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN DIAG	$130.39	$221.00	$18.39–$212.16	35% above	41%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$131.57	$223.00	$18.39–$214.08	36% above	41%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG TOT R PSA	$32.45	$55.00	$40.15–$52.80	—	41%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN	$32.56	$55.17	$40.28–$52.97	—	41%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN DIAG	$130.39	$221.00	$161.33–$212.16	—	41%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$131.57	$223.00	$162.79–$214.08	—	41%
Pap test (liquid-based, automated screening with review) CPT 88175 THINPREP PAP TEST WITH CO-TEST	$47.20	$80.00	$26.61–$76.80	59% below	41%
Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP PAP SMEAR	$181.72	$308.00	$26.61–$295.68	58% above	41%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THINPREP PAP TEST WITH CO-TEST	$47.20	$80.00	$58.40–$76.80	—	41%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP PAP SMEAR	$181.72	$308.00	$224.84–$295.68	—	41%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV	$35.87	$60.78	$20.26–$58.35	65% below	41%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG IN OR B	$133.34	$226.00	$20.26–$216.96	30% above	41%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV	$35.87	$60.78	$44.37–$58.35	—	41%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG IN OR B	$133.34	$226.00	$164.98–$216.96	—	41%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT	$73.07	$123.84	$41.28–$118.89	65% below	41%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT	$73.07	$123.84	$90.41–$118.89	—	41%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$10.62	$18.00	$6.01–$17.28	68% below	41%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN (PTT-D)	$10.64	$18.03	$6.01–$17.31	68% below	41%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$56.64	$96.00	$6.01–$92.16	72% above	41%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$10.62	$18.00	$13.14–$17.28	—	41%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN (PTT-D)	$10.64	$18.03	$13.17–$17.31	—	41%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$56.64	$96.00	$70.08–$92.16	—	41%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$44.84	$76.00	$4.74–$72.96	33% above	41%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$44.84	$76.00	$55.48–$72.96	—	41%
Potassium blood test CPT 84132 POTASSIUM	$66.67	$113.00	$4.76–$108.48	64% above	41%
Potassium blood test inpatient CPT 84132 POTASSIUM	$66.67	$113.00	$82.49–$108.48	—	41%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NON INV PRENATAL SCREENING	$1,343.52	$2,277.15	$759.05–$2,186.07	5% above	41%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NON INV PRENATAL SCREENING	$1,343.52	$2,277.15	$1,662.32–$2,186.07	—	41%
Progesterone blood test CPT 84144 PROGESTERONE QUANTSER/PLAS	$36.93	$62.58	$20.86–$60.08	69% below	41%
Progesterone blood test CPT 84144 PROGESTERONE	$149.27	$253.00	$20.86–$242.88	24% above	41%
Progesterone blood test inpatient CPT 84144 PROGESTERONE QUANTSER/PLAS	$36.93	$62.58	$45.69–$60.08	—	41%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$149.27	$253.00	$184.69–$242.88	—	41%
Prolactin blood test CPT 84146 PROLACTIN	$34.31	$58.14	$19.38–$55.82	66% below	41%
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN	$34.81	$59.00	$19.38–$56.64	66% below	41%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$34.31	$58.14	$42.45–$55.82	—	41%
Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN	$34.81	$59.00	$43.07–$56.64	—	41%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$7.60	$12.87	$4.29–$12.36	71% below	41%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR	$53.69	$91.00	$4.29–$87.36	107% above	41%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$7.60	$12.87	$9.40–$12.36	—	41%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR	$53.69	$91.00	$66.43–$87.36	—	41%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AG	$119.18	$202.00	$16.55–$193.92	42% above	41%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AG	$119.18	$202.00	$147.46–$193.92	—	41%
Renin blood test CPT 84244 RENIN ACTIVITY	$38.93	$65.97	$21.99–$63.34	48% below	41%
Renin blood test CPT 84244 RENIN PLASMA	$155.76	$264.00	$21.99–$253.44	107% above	41%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY	$38.93	$65.97	$48.16–$63.34	—	41%
Renin blood test inpatient CPT 84244 RENIN PLASMA	$155.76	$264.00	$192.72–$253.44	—	41%
Rh blood typing CPT 86901 RH	$45.43	$77.00	$2.99–$73.92	19% above	41%
Rh blood typing inpatient CPT 86901 RH	$45.43	$77.00	$56.21–$73.92	—	41%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$10.03	$17.00	$5.67–$16.32	73% below	41%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$10.03	$17.00	$12.41–$16.32	—	41%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODYIGG	$25.48	$43.17	$14.39–$41.45	62% below	41%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$59.00	$100.00	$14.39–$96.00	11% below	41%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$71.39	$121.00	$14.39–$116.16	7% above	41%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODYIGG	$25.48	$43.17	$31.52–$41.45	—	41%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$59.00	$100.00	$73.00–$96.00	—	41%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$71.39	$121.00	$88.33–$116.16	—	41%
Sodium blood test CPT 84295 SODIUM	$47.20	$80.00	$4.81–$76.80	21% above	41%
Sodium blood test inpatient CPT 84295 SODIUM	$47.20	$80.00	$58.40–$76.80	—	41%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$15.76	$26.70	$8.90–$25.64	68% below	41%
Stool ova and parasites exam CPT 87177 O&P SMEAR	$59.00	$100.00	$8.90–$96.00	21% above	41%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS	$15.76	$26.70	$19.50–$25.64	—	41%
Stool ova and parasites exam inpatient CPT 87177 O&P SMEAR	$59.00	$100.00	$73.00–$96.00	—	41%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN	$25.37	$43.00	$4.38–$41.28	10% below	41%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREENING	$33.63	$57.00	$4.38–$54.72	19% above	41%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN	$25.37	$43.00	$31.39–$41.28	—	41%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREENING	$33.63	$57.00	$41.61–$54.72	—	41%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD BY IA	$28.18	$47.76	$15.92–$45.85	66% below	41%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD (FIT)	$116.23	$197.00	$15.92–$189.12	38% above	41%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD IMMUNOASSAY-DIAG.	$133.34	$226.00	$15.92–$216.96	59% above	41%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD BY IA	$28.18	$47.76	$34.87–$45.85	—	41%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD (FIT)	$116.23	$197.00	$143.81–$189.12	—	41%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD IMMUNOASSAY-DIAG.	$133.34	$226.00	$164.98–$216.96	—	41%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG/IFASER	$23.44	$39.72	$13.24–$38.14	45% below	41%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP PALLIDUM IGG ELISA	$23.60	$40.00	$13.24–$38.40	45% below	41%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALL PART AGG (PHL)	$99.12	$168.00	$13.24–$161.28	132% above	41%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB	$102.66	$174.00	$13.24–$167.04	140% above	41%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGG/IFASER	$23.44	$39.72	$29.00–$38.14	—	41%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP PALLIDUM IGG ELISA	$23.60	$40.00	$29.20–$38.40	—	41%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALL PART AGG (PHL)	$99.12	$168.00	$122.64–$161.28	—	41%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB	$102.66	$174.00	$127.02–$167.04	—	41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TO TITER	$7.56	$12.81	$4.27–$12.30	74% below	41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHYLLISQUAL	$44.25	$75.00	$4.27–$72.00	51% above	41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TO TITER	$7.56	$12.81	$9.36–$12.30	—	41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHYLLISQUAL	$44.25	$75.00	$54.75–$72.00	—	41%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS4TUBE	$109.71	$185.94	$61.98–$178.51	at median	41%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD	$397.07	$673.00	$61.98–$646.08	262% above	41%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS4TUBE	$109.71	$185.94	$135.74–$178.51	—	41%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD	$397.07	$673.00	$491.29–$646.08	—	41%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTO ADULT MALE	$45.69	$77.43	$25.81–$74.34	39% below	41%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$287.33	$487.00	$25.81–$467.52	281% above	41%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTO ADULT MALE	$45.69	$77.43	$56.53–$74.34	—	41%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$287.33	$487.00	$355.51–$467.52	—	41%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY (TPO)	$25.76	$43.65	$14.55–$41.91	60% below	41%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$139.24	$236.00	$14.55–$226.56	117% above	41%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY (TPO)	$25.76	$43.65	$31.87–$41.91	—	41%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$139.24	$236.00	$172.28–$226.56	—	41%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$29.74	$50.40	$16.80–$48.39	71% below	41%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE3RD	$123.31	$209.00	$16.80–$200.64	20% above	41%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CONG HYPOTHYROIDISM	$127.44	$216.00	$16.80–$207.36	24% above	41%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$29.74	$50.40	$36.80–$48.39	—	41%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE3RD	$123.31	$209.00	$152.57–$200.64	—	41%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CONG HYPOTHYROIDISM	$127.44	$216.00	$157.68–$207.36	—	41%
Total IgE blood test CPT 82785 IMMUNOGLBULIN E SERUM	$9.24	$15.66	$7.52–$15.98	89% below	41%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E	$28.91	$49.00	$16.46–$47.04	66% below	41%
Total IgE blood test inpatient CPT 82785 IMMUNOGLBULIN E SERUM	$9.24	$15.66	$11.44–$15.04	—	41%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E	$28.91	$49.00	$35.77–$47.04	—	41%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$54.87	$93.00	$4.35–$89.28	63% above	41%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$54.87	$93.00	$67.89–$89.28	—	41%
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL T4	$12.16	$20.61	$6.87–$19.79	73% below	41%
Total thyroxine (T4) blood test CPT 84436 T4 BY ICMA	$61.36	$104.00	$6.87–$99.84	37% above	41%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL T4	$12.16	$20.61	$15.05–$19.79	—	41%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 BY ICMA	$61.36	$104.00	$75.92–$99.84	—	41%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINETOTAL T3 TTL	$25.10	$42.54	$14.18–$40.84	72% below	41%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE TOTAL	$25.37	$43.00	$14.18–$41.28	72% below	41%
Total triiodothyronine (T3) blood test CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL	$129.21	$219.00	$14.18–$210.24	43% above	41%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINETOTAL T3 TTL	$25.10	$42.54	$31.06–$40.84	—	41%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE TOTAL	$25.37	$43.00	$31.39–$41.28	—	41%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL	$129.21	$219.00	$159.87–$210.24	—	41%
Transferrin blood test CPT 84466 TRANSFERRINSERUM	$22.59	$38.28	$12.76–$36.75	70% below	41%
Transferrin blood test CPT 84466 TRANSFERRIN	$84.37	$143.00	$12.76–$137.28	12% above	41%
Transferrin blood test inpatient CPT 84466 TRANSFERRINSERUM	$22.59	$38.28	$27.95–$36.75	—	41%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$84.37	$143.00	$104.39–$137.28	—	41%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS BY TMA	$61.95	$105.00	$35.09–$100.80	38% below	41%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS BY TMA	$61.95	$105.00	$76.65–$100.80	—	41%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$48.38	$82.00	$5.74–$78.72	13% above	41%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$48.38	$82.00	$59.86–$78.72	—	41%
Troponin test, quantitative CPT 84484 TROP-T	$34.25	$58.05	$12.47–$55.73	57% below	41%
Troponin test, quantitative CPT 84484 TROPONIN	$77.88	$132.00	$12.47–$126.72	3% below	41%
Troponin test, quantitative inpatient CPT 84484 TROP-T	$34.25	$58.05	$42.38–$55.73	—	41%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$77.88	$132.00	$96.36–$126.72	—	41%
Uric acid blood test CPT 84550 URIC ACID	$80.83	$137.00	$4.52–$131.52	101% above	41%
Uric acid blood test inpatient CPT 84550 URIC ACID	$80.83	$137.00	$100.01–$131.52	—	41%
Urinalysis with microscope exam, automated CPT 81001 UA MICROSCOPIC	$30.68	$52.00	$3.17–$49.92	14% below	41%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPIC	$52.51	$89.00	$3.17–$85.44	46% above	41%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA MICROSCOPIC	$30.68	$52.00	$37.96–$49.92	—	41%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPIC	$52.51	$89.00	$64.97–$85.44	—	41%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPIC	$27.14	$46.00	$2.25–$44.16	52% above	41%
Urinalysis without microscope exam, automated CPT 81003 GLUCOSE URINE	$37.17	$63.00	$2.25–$60.48	109% above	41%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPIC	$27.14	$46.00	$33.58–$44.16	—	41%
Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE URINE	$37.17	$63.00	$45.99–$60.48	—	41%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK	$29.50	$50.00	$3.48–$48.00	40% above	41%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK	$29.50	$50.00	$36.50–$48.00	—	41%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE	$67.26	$114.00	$8.07–$109.44	11% above	41%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE	$67.26	$114.00	$83.22–$109.44	—	41%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN - MG/DL	$10.24	$17.34	$5.78–$16.65	75% below	41%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE	$46.02	$78.00	$5.78–$74.88	14% above	41%
Urine microalbumin (albumin) test CPT 82043 MICROALB CREAT RATIO URINE	$79.06	$134.00	$5.78–$128.64	95% above	41%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN - MG/DL	$10.24	$17.34	$12.66–$16.65	—	41%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE	$46.02	$78.00	$56.94–$74.88	—	41%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB CREAT RATIO URINE	$79.06	$134.00	$97.82–$128.64	—	41%
Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE	$69.03	$117.00	$8.61–$112.32	24% above	41%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE	$69.03	$117.00	$85.41–$112.32	—	41%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 WITH REFLEX	$26.55	$45.00	$15.08–$43.20	73% below	41%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$26.70	$45.24	$15.08–$43.44	72% below	41%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 WITH REFLEX	$26.55	$45.00	$32.85–$43.20	—	41%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$26.70	$45.24	$33.03–$43.44	—	41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25-HYDROXY	$52.40	$88.80	$29.60–$85.25	69% below	41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 D3 25-HYDROXY	$230.69	$391.00	$29.60–$375.36	39% above	41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25-HYDROXY	$52.40	$88.80	$64.83–$85.25	—	41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 D3 25-HYDROXY	$230.69	$391.00	$285.43–$375.36	—	41%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125-DIHYDROXY	$68.15	$115.50	$38.50–$110.88	47% below	41%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 HYDROXY	$278.48	$472.00	$38.50–$453.12	115% above	41%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125-DIHYDROXY	$68.15	$115.50	$84.32–$110.88	—	41%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125 HYDROXY	$278.48	$472.00	$344.56–$453.12	—	41%
Zinc blood test CPT 84630 ZINC WHOLE BLOOD	$20.06	$34.00	$11.39–$32.64	57% below	41%
Zinc blood test CPT 84630 ZINC	$20.17	$34.17	$11.39–$32.81	57% below	41%
Zinc blood test inpatient CPT 84630 ZINC WHOLE BLOOD	$20.06	$34.00	$24.82–$32.64	—	41%
Zinc blood test inpatient CPT 84630 ZINC	$20.17	$34.17	$24.95–$32.81	—	41%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$26.64	$45.15	$15.05–$43.35	66% below	41%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA SUBUNIT QUANT	$106.79	$181.00	$15.05–$173.76	34% above	41%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER	$26.64	$45.15	$32.96–$43.35	—	41%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG BETA SUBUNIT QUANT	$106.79	$181.00	$132.13–$173.76	—	41%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV FACE MIGRANE PM	$410.05	$695.00	$236.30–$667.20	7% above	41%
Botox injections for chronic migraine CPT 64615 CHEMODENERV FACE MIGRAINE PM	$564.63	$957.00	$325.38–$918.72	48% above	41%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV FACE MIGRANE PM	$410.05	$695.00	$507.35–$667.20	—	41%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV FACE MIGRAINE PM	$564.63	$957.00	$698.61–$918.72	—	41%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX DISTAL FIB FX FAC	$113.87	$193.00	$65.62–$185.28	71% below	41%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TX FX FIB DIST WO MAN CLSD ER	$323.32	$548.00	$186.32–$526.08	19% below	41%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TX DISTAL FIB FX FAC	$113.87	$193.00	$140.89–$185.28	—	41%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TX FX FIB DIST WO MAN CLSD ER	$323.32	$548.00	$400.04–$526.08	—	41%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TX FX METATARS WO MAN CLSD ER	$288.51	$489.00	$166.26–$469.44	28% below	41%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TX FX METATARS WO MAN CLSD ER	$288.51	$489.00	$356.97–$469.44	—	41%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL ER	$569.35	$965.00	$328.10–$926.40	44% below	41%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$670.83	$1,137.00	$386.58–$1,091.52	34% below	41%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNA ER	$928.07	$1,573.00	$534.82–$1,510.08	9% below	41%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL ER	$569.35	$965.00	$704.45–$926.40	—	41%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$670.83	$1,137.00	$830.01–$1,091.52	—	41%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNA ER	$928.07	$1,573.00	$1,148.29–$1,510.08	—	41%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX RADL DIST WO MANIP ER	$323.32	$548.00	$186.32–$526.08	27% below	41%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD TRMT OF COLLES FX	$413.59	$701.00	$238.34–$672.96	7% below	41%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TX FX RADL DIST WO MANIP ER	$323.32	$548.00	$400.04–$526.08	—	41%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLSD TRMT OF COLLES FX	$413.59	$701.00	$511.73–$672.96	—	41%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W POLYP W SNARE	$1,282.66	$2,174.00	$739.16–$2,087.04	36% below	41%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE	$1,781.21	$3,019.00	$1,026.46–$2,898.24	12% below	41%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W POLYP W SNARE	$1,282.66	$2,174.00	$1,587.02–$2,087.04	—	41%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/SNARE	$1,781.21	$3,019.00	$2,203.87–$2,898.24	—	41%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W BX SNGL/MULTI	$1,781.21	$3,019.00	$1,026.46–$2,898.24	4% below	41%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W BX SNGL/MULTI	$1,781.21	$3,019.00	$2,203.87–$2,898.24	—	41%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT LES PREMAL SINGLE FAC	$22.42	$38.00	$12.92–$36.48	89% below	41%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT LES PREML 1ST DLC FAC	$62.54	$106.00	$36.04–$101.76	68% below	41%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST LESN PREMALIG 1ST LES ER	$286.74	$486.00	$165.24–$466.56	44% above	41%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT LES PREMALG 1ST ER	$332.76	$564.00	$191.76–$541.44	68% above	41%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT LES PREMAL SINGLE FAC	$22.42	$38.00	$27.74–$36.48	—	41%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT LES PREML 1ST DLC FAC	$62.54	$106.00	$77.38–$101.76	—	41%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST LESN PREMALIG 1ST LES ER	$286.74	$486.00	$354.78–$466.56	—	41%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT LES PREMALG 1ST ER	$332.76	$564.00	$411.72–$541.44	—	41%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNICLI	$20.06	$34.00	$11.56–$32.64	67% below	41%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE CERUMEN IMPACTED UNI ER	$89.09	$151.00	$51.34–$144.96	47% above	41%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UN DLC	$108.56	$184.00	$62.56–$176.64	79% above	41%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNICLI	$20.06	$34.00	$24.82–$32.64	—	41%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE CERUMEN IMPACTED UNI ER	$89.09	$151.00	$110.23–$144.96	—	41%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UN DLC	$108.56	$184.00	$134.32–$176.64	—	41%
Earwax removal with instruments, one ear CPT 69210 REM IMPACTD EAR WAX W INST FAC	$19.47	$33.00	$11.22–$31.68	83% below	41%
Earwax removal with instruments, one ear CPT 69210 REM IMPACT CERUMEN DLC FAC	$27.14	$46.00	$15.64–$44.16	76% below	41%
Earwax removal with instruments, one ear CPT 69210 REMOVAL CERUMEN IMPACTED ER	$101.48	$172.00	$58.48–$165.12	12% below	41%
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACTD EAR WAX W INST FAC	$19.47	$33.00	$24.09–$31.68	—	41%
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACT CERUMEN DLC FAC	$27.14	$46.00	$33.58–$44.16	—	41%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL CERUMEN IMPACTED ER	$101.48	$172.00	$125.56–$165.12	—	41%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BX ENDOMETRIAL SMPLING WO ER	$316.83	$537.00	$182.58–$515.52	10% above	41%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BX ENDOMETRIAL SMPLING WO ER	$316.83	$537.00	$392.01–$515.52	—	41%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 THOR EPIDURAL INJ W GUID PM	$1,085.01	$1,839.00	$625.26–$1,765.44	at median	41%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 THORACIC EPIDURAL INJ W GUIDE	$1,166.43	$1,977.00	$672.18–$1,897.92	8% above	41%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 THOR EPIDURAL INJ W GUID PM	$1,085.01	$1,839.00	$1,342.47–$1,765.44	—	41%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 THORACIC EPIDURAL INJ W GUIDE	$1,166.43	$1,977.00	$1,443.21–$1,897.92	—	41%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMB/SAC FACET INJ L1 PM	$1,367.03	$2,317.00	$787.78–$2,224.32	2% above	41%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ SNGL FACET LUMBAR	$1,559.37	$2,643.00	$898.62–$2,537.28	16% above	41%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 LUMB/SAC FACET INJ L1 PM	$1,367.03	$2,317.00	$1,691.41–$2,224.32	—	41%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ SNGL FACET LUMBAR	$1,559.37	$2,643.00	$1,929.39–$2,537.28	—	41%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG	$739.27	$1,253.00	$426.02–$1,202.88	33% below	41%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC	$1,396.53	$2,367.00	$804.78–$2,272.32	27% above	41%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEX SIG	$739.27	$1,253.00	$914.69–$1,202.88	—	41%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC	$1,396.53	$2,367.00	$1,727.91–$2,272.32	—	41%
IUD insertion (the device itself billed separately) CPT 58300 INSERT IUD DLC FAC	$46.02	$78.00	$26.52–$74.88	64% below	41%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT IUD DLC FAC	$46.02	$78.00	$56.94–$74.88	—	41%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE FAC	$42.48	$72.00	$24.48–$69.12	86% below	41%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE FAC	$43.66	$74.00	$25.16–$71.04	86% below	41%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMP/SNG DLC FAC	$69.03	$117.00	$39.78–$112.32	77% below	41%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE ER	$289.69	$491.00	$166.94–$471.36	5% below	41%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABCESS ACU	$290.87	$493.00	$167.62–$473.28	4% below	41%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$317.42	$538.00	$182.92–$516.48	4% above	41%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE MS	$320.37	$543.00	$184.62–$521.28	5% above	41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE FAC	$42.48	$72.00	$52.56–$69.12	—	41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE FAC	$43.66	$74.00	$54.02–$71.04	—	41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMP/SNG DLC FAC	$69.03	$117.00	$85.41–$112.32	—	41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE ER	$289.69	$491.00	$358.43–$471.36	—	41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABCESS ACU	$290.87	$493.00	$359.89–$473.28	—	41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS	$317.42	$538.00	$392.74–$516.48	—	41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE MS	$320.37	$543.00	$396.39–$521.28	—	41%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEND/LIGAMENT SING PM	$416.54	$706.00	$240.04–$677.76	34% above	41%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEND SHTH/LIG SINGLE ER	$418.90	$710.00	$241.40–$681.60	34% above	41%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON/LIGAMENT ER	$420.08	$712.00	$242.08–$683.52	35% above	41%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TEND/LIGAMENT SING PM	$416.54	$706.00	$515.38–$677.76	—	41%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TEND SHTH/LIG SINGLE ER	$418.90	$710.00	$518.30–$681.60	—	41%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SINGLE TENDON/LIGAMENT ER	$420.08	$712.00	$519.76–$683.52	—	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJ JNT/BUR WO US FAC	$59.59	$101.00	$34.34–$96.96	80% below	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JOINT WO PM	$402.97	$683.00	$232.22–$655.68	33% above	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP JNT-HIP/KNE/SHLD	$438.96	$744.00	$252.96–$714.24	45% above	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION/INJ MAJOR JOINT	$450.76	$764.00	$259.76–$733.44	49% above	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJ JOINT WO GUID MS	$483.80	$820.00	$278.80–$787.20	60% above	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHEOCENT ASP/INJ JT MAJ ER	$504.45	$855.00	$290.70–$820.80	66% above	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJ JOINT INJ	$543.98	$922.00	$313.48–$885.12	79% above	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT ASP/INJ JT MAJ ER	$616.55	$1,045.00	$355.30–$1,003.20	103% above	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJ JNT/BUR WO US FAC	$59.59	$101.00	$73.73–$96.96	—	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JOINT WO PM	$402.97	$683.00	$498.59–$655.68	—	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP JNT-HIP/KNE/SHLD	$438.96	$744.00	$543.12–$714.24	—	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATION/INJ MAJOR JOINT	$450.76	$764.00	$557.72–$733.44	—	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJ JOINT WO GUID MS	$483.80	$820.00	$598.60–$787.20	—	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHEOCENT ASP/INJ JT MAJ ER	$504.45	$855.00	$624.15–$820.80	—	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJ JOINT INJ	$543.98	$922.00	$673.06–$885.12	—	41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENT ASP/INJ JT MAJ ER	$616.55	$1,045.00	$762.85–$1,003.20	—	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION INJ JOINT OP	$402.38	$682.00	$231.88–$654.72	18% above	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ JOINT WO INTERMED PM	$402.97	$683.00	$232.22–$655.68	18% above	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION/INJ INTERMED JOINT	$450.76	$764.00	$259.76–$733.44	32% above	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASP/INJ JT INTER ER	$463.74	$786.00	$267.24–$754.56	35% above	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION/INJ INT JNT	$483.80	$820.00	$278.80–$787.20	41% above	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ MED JOINT INJ	$501.50	$850.00	$289.00–$816.00	46% above	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATION INJ JOINT OP	$402.38	$682.00	$497.86–$654.72	—	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP/INJ JOINT WO INTERMED PM	$402.97	$683.00	$498.59–$655.68	—	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATION/INJ INTERMED JOINT	$450.76	$764.00	$557.72–$733.44	—	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT ASP/INJ JT INTER ER	$463.74	$786.00	$573.78–$754.56	—	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATION/INJ INT JNT	$483.80	$820.00	$598.60–$787.20	—	41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP/INJ MED JOINT INJ	$501.50	$850.00	$620.50–$816.00	—	41%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASP/INJ JT SMALL ER	$391.17	$663.00	$225.42–$636.48	37% above	41%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ JOINT WO SM PM	$402.97	$683.00	$232.22–$655.68	41% above	41%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION/INJ SMALL JOINT	$450.76	$764.00	$259.76–$733.44	58% above	41%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SMALL JOINT/BURSA	$483.80	$820.00	$278.80–$787.20	69% above	41%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP.INJ SMALL JOINT	$501.50	$850.00	$289.00–$816.00	75% above	41%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENT ASP/INJ JT SMALL ER	$391.17	$663.00	$483.99–$636.48	—	41%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ JOINT WO SM PM	$402.97	$683.00	$498.59–$655.68	—	41%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIRATION/INJ SMALL JOINT	$450.76	$764.00	$557.72–$733.44	—	41%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SMALL JOINT/BURSA	$483.80	$820.00	$598.60–$787.20	—	41%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP.INJ SMALL JOINT	$501.50	$850.00	$620.50–$816.00	—	41%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR LAC INT SCLP AXIL <2.5C ER	$262.55	$445.00	$151.30–$427.20	49% below	41%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR LAC INT SCLP AXIL <2.5C ER	$262.55	$445.00	$324.85–$427.20	—	41%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMB EPIDURAL W GUIDE PM	$1,085.01	$1,839.00	$625.26–$1,765.44	2% below	41%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR EPIDURAL W GUIDE	$1,166.43	$1,977.00	$672.18–$1,897.92	5% above	41%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMB EPIDURAL W GUIDE PM	$1,085.01	$1,839.00	$1,342.47–$1,765.44	—	41%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMBAR EPIDURAL W GUIDE	$1,166.43	$1,977.00	$1,443.21–$1,897.92	—	41%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMB EPID WO GUIDE SURG	$979.99	$1,661.00	$564.74–$1,594.56	6% below	41%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMB EPID WO GUIDE PM	$1,085.01	$1,839.00	$625.26–$1,765.44	4% above	41%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMBAR EPIDURAL WO GUIDE	$1,166.43	$1,977.00	$672.18–$1,897.92	12% above	41%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMB EPID WO GUIDE ACU	$1,267.32	$2,148.00	$730.32–$2,062.08	21% above	41%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ EPIDL SUBAR L/S WO IMG ER	$1,457.30	$2,470.00	$839.80–$2,371.20	39% above	41%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMB EPID WO GUIDE ED	$1,564.68	$2,652.00	$901.68–$2,545.92	50% above	41%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMB EPID WO GUIDE SURG	$979.99	$1,661.00	$1,212.53–$1,594.56	—	41%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMB EPID WO GUIDE PM	$1,085.01	$1,839.00	$1,342.47–$1,765.44	—	41%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMBAR EPIDURAL WO GUIDE	$1,166.43	$1,977.00	$1,443.21–$1,897.92	—	41%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMB EPID WO GUIDE ACU	$1,267.32	$2,148.00	$1,568.04–$2,062.08	—	41%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ EPIDL SUBAR L/S WO IMG ER	$1,457.30	$2,470.00	$1,803.10–$2,371.20	—	41%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMB EPID WO GUIDE ED	$1,564.68	$2,652.00	$1,935.96–$2,545.92	—	41%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S PM	$1,358.77	$2,303.00	$783.02–$2,210.88	7% above	41%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMN EPID L/S L1 PM	$1,384.73	$2,347.00	$797.98–$2,253.12	9% above	41%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ.EPIDURAL LUMBAR/SACRAL	$1,559.96	$2,644.00	$898.96–$2,538.24	23% above	41%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S PM	$1,358.77	$2,303.00	$1,681.19–$2,210.88	—	41%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMN EPID L/S L1 PM	$1,384.73	$2,347.00	$1,713.31–$2,253.12	—	41%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ.EPIDURAL LUMBAR/SACRAL	$1,559.96	$2,644.00	$1,930.12–$2,538.24	—	41%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LES B9 T/A/L <.5CM DLC FAC	$53.69	$91.00	$30.94–$87.36	90% below	41%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LES B9 TRN/ARM/LEG <.5CM	$54.87	$93.00	$31.62–$89.28	89% below	41%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LES B9 T/A/L <.5CM DLC FAC	$53.69	$91.00	$66.43–$87.36	—	41%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LES B9 TRN/ARM/LEG <.5CM	$54.87	$93.00	$67.89–$89.28	—	41%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9 LES FACE >0.5CM DLC FAC	$71.98	$122.00	$41.48–$117.12	87% below	41%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC LESN BGN FACE EAR <0.5C ER	$1,089.14	$1,846.00	$627.64–$1,772.16	93% above	41%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC B9 LES FACE >0.5CM DLC FAC	$71.98	$122.00	$89.06–$117.12	—	41%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC LESN BGN FACE EAR <0.5C ER	$1,089.14	$1,846.00	$1,347.58–$1,772.16	—	41%
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLATE CLI FAC	$37.17	$63.00	$21.42–$60.48	87% below	41%
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLATE DLC FAC	$56.05	$95.00	$32.30–$91.20	80% below	41%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE ER	$207.68	$352.00	$119.68–$337.92	26% below	41%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE M/	$306.80	$520.00	$176.80–$499.20	9% above	41%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLATE CLI FAC	$37.17	$63.00	$45.99–$60.48	—	41%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLATE DLC FAC	$56.05	$95.00	$69.35–$91.20	—	41%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGLE ER	$207.68	$352.00	$256.96–$337.92	—	41%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGLE M/	$306.80	$520.00	$379.60–$499.20	—	41%
Occipital nerve block (injection for headaches) CPT 64405 N BLOCK GREAT OCCIPITAL ER	$362.85	$615.00	$209.10–$590.40	1% above	41%
Occipital nerve block (injection for headaches) CPT 64405 N BLOCK GREAT OCCIPITAL PM	$477.90	$810.00	$275.40–$777.60	33% above	41%
Occipital nerve block (injection for headaches) CPT 64405 N BLK GREAT OCCIPITAL PM	$486.75	$825.00	$280.50–$792.00	35% above	41%
Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK GREAT OCCIPITAL ER	$362.85	$615.00	$448.95–$590.40	—	41%
Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK GREAT OCCIPITAL PM	$477.90	$810.00	$591.30–$777.60	—	41%
Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLK GREAT OCCIPITAL PM	$486.75	$825.00	$602.25–$792.00	—	41%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE ER	$608.29	$1,031.00	$350.54–$989.76	37% below	41%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W IMAGING ER	$664.34	$1,126.00	$382.84–$1,080.96	31% below	41%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE MS	$958.16	$1,624.00	$552.16–$1,559.04	at median	41%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE ACU	$1,126.90	$1,910.00	$649.40–$1,833.60	17% above	41%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE ER	$608.29	$1,031.00	$752.63–$989.76	—	41%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W IMAGING ER	$664.34	$1,126.00	$821.98–$1,080.96	—	41%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE MS	$958.16	$1,624.00	$1,185.52–$1,559.04	—	41%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE ACU	$1,126.90	$1,910.00	$1,394.30–$1,833.60	—	41%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL & MATRIX DLC FAC	$57.82	$98.00	$33.32–$94.08	90% below	41%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL & MATRIX FAC	$84.37	$143.00	$48.62–$137.28	85% below	41%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL & MATRIX ER	$608.88	$1,032.00	$350.88–$990.72	8% above	41%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL & MATRIX DLC FAC	$57.82	$98.00	$71.54–$94.08	—	41%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL & MATRIX FAC	$84.37	$143.00	$104.39–$137.28	—	41%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL & MATRIX ER	$608.88	$1,032.00	$753.36–$990.72	—	41%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DEST LUM/SAC FACET JT UNI PM	$3,361.82	$5,698.00	$1,937.32–$5,470.08	29% above	41%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DEST LUM/SAC FACET JT UNI PM	$3,361.82	$5,698.00	$4,159.54–$5,470.08	—	41%
Removal of a foreign object under the skin, simple CPT 10120 INCISE & REMOVE FB SIMPLE FAC	$61.95	$105.00	$35.70–$100.80	85% below	41%
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REM FB SIMPLE ER	$289.69	$491.00	$166.94–$471.36	32% below	41%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SIMP	$530.41	$899.00	$305.66–$863.04	24% above	41%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$568.17	$963.00	$327.42–$924.48	33% above	41%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISE & REMOVE FB SIMPLE FAC	$61.95	$105.00	$76.65–$100.80	—	41%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REM FB SIMPLE ER	$289.69	$491.00	$358.43–$471.36	—	41%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY SIMP	$530.41	$899.00	$656.27–$863.04	—	41%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY	$568.17	$963.00	$702.99–$924.48	—	41%
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST SHORT ARM FAC	$33.04	$56.00	$19.04–$53.76	89% below	41%
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST ARM SHORT ER	$345.74	$586.00	$199.24–$562.56	12% above	41%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST SHORT ARM FAC	$33.04	$56.00	$40.88–$53.76	—	41%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST ARM SHORT ER	$345.74	$586.00	$427.78–$562.56	—	41%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT DLC FAC	$69.03	$117.00	$39.78–$112.32	64% below	41%
Short arm splint (forearm and hand) CPT 29125 APPL SPLINT ARM SHORT STAT ER	$212.40	$360.00	$122.40–$345.60	10% above	41%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT DLC FAC	$69.03	$117.00	$85.41–$112.32	—	41%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SPLINT ARM SHORT STAT ER	$212.40	$360.00	$262.80–$345.60	—	41%
Short leg cast (below the knee) CPT 29405 APPL CAST LEG SHORT ER	$345.74	$586.00	$199.24–$562.56	2% below	41%
Short leg cast (below the knee) inpatient CPT 29405 APPL CAST LEG SHORT ER	$345.74	$586.00	$427.78–$562.56	—	41%
Short leg splint (calf to foot) CPT 29515 APPL SPLINT LEG SHORT ER	$207.09	$351.00	$119.34–$336.96	7% below	41%
Short leg splint (calf to foot) CPT 29515 SPLINT-SHORT LEG - OP	$214.17	$363.00	$123.42–$348.48	4% below	41%
Short leg splint (calf to foot) inpatient CPT 29515 APPL SPLINT LEG SHORT ER	$207.09	$351.00	$256.23–$336.96	—	41%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT-SHORT LEG - OP	$214.17	$363.00	$264.99–$348.48	—	41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/< FAC	$34.22	$58.00	$19.72–$55.68	89% below	41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR LAC SMP SCALP <2.5 CM ER	$339.84	$576.00	$195.84–$552.96	10% above	41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR	$345.15	$585.00	$198.90–$561.60	12% above	41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/< FAC	$34.22	$58.00	$42.34–$55.68	—	41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR LAC SMP SCALP <2.5 CM ER	$339.84	$576.00	$420.48–$552.96	—	41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION REPAIR	$345.15	$585.00	$427.05–$561.60	—	41%
Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SINGLE LES FAC	$51.92	$88.00	$29.92–$84.48	85% below	41%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SINGLE LES FAC	$51.92	$88.00	$64.24–$84.48	—	41%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MALT MARG .5CM/<FAC	$82.60	$140.00	$47.60–$134.40	84% below	41%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC TR-EXT MALT MARG .5CM/<FAC	$82.60	$140.00	$102.20–$134.40	—	41%
Skin tag removal, up to 15 tags CPT 11200 REM SKINTAG < OR =15 ORT FAC	$32.45	$55.00	$18.70–$52.80	86% below	41%
Skin tag removal, up to 15 tags CPT 11200 REM SKINTAG < OR =15 RHC FAC	$33.04	$56.00	$19.04–$53.76	86% below	41%
Skin tag removal, up to 15 tags CPT 11200 REM SKINTAG < OR =15 DLC FAC	$53.69	$91.00	$30.94–$87.36	77% below	41%
Skin tag removal, up to 15 tags CPT 11200 REM SKINTAG < OR =15 ER	$336.30	$570.00	$193.80–$547.20	46% above	41%
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKINTAG < OR =15 ORT FAC	$32.45	$55.00	$40.15–$52.80	—	41%
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKINTAG < OR =15 RHC FAC	$33.04	$56.00	$40.88–$53.76	—	41%
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKINTAG < OR =15 DLC FAC	$53.69	$91.00	$66.43–$87.36	—	41%
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKINTAG < OR =15 ER	$336.30	$570.00	$416.10–$547.20	—	41%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - PROC ROOM	$694.43	$1,177.00	$400.18–$1,129.92	20% below	41%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC ER	$753.43	$1,277.00	$434.18–$1,225.92	13% below	41%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG MS	$1,223.66	$2,074.00	$705.16–$1,991.04	42% above	41%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC ACU	$1,259.65	$2,135.00	$725.90–$2,049.60	46% above	41%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG ER	$1,340.48	$2,272.00	$772.48–$2,181.12	55% above	41%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG ACU	$1,386.50	$2,350.00	$799.00–$2,256.00	61% above	41%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE - PROC ROOM	$694.43	$1,177.00	$859.21–$1,129.92	—	41%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC ER	$753.43	$1,277.00	$932.21–$1,225.92	—	41%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG MS	$1,223.66	$2,074.00	$1,514.02–$1,991.04	—	41%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC ACU	$1,259.65	$2,135.00	$1,558.55–$2,049.60	—	41%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG ER	$1,340.48	$2,272.00	$1,658.56–$2,181.12	—	41%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG ACU	$1,386.50	$2,350.00	$1,715.50–$2,256.00	—	41%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP SUPERFIC WOUND(S) CLI FAC	$41.89	$71.00	$24.14–$68.16	86% below	41%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR LAC SMP SCALP 2.6-7.5CM ER	$359.90	$610.00	$207.40–$585.60	21% above	41%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REP SUPERFIC WOUND(S) CLI FAC	$41.89	$71.00	$51.83–$68.16	—	41%
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 LAC SMP SCALP 2.6-7.5CM ER	$359.90	$610.00	$445.30–$585.60	—	41%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LAC SIMP FACE <2.5CM FAC	$41.89	$71.00	$24.14–$68.16	86% below	41%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LAC SMP FACE <2.5CM ER	$339.84	$576.00	$195.84–$552.96	16% above	41%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL RPR LAC 2.5/LESS	$345.15	$585.00	$198.90–$561.60	18% above	41%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR LAC SIMP FACE <2.5CM FAC	$41.89	$71.00	$51.83–$68.16	—	41%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR LAC SMP FACE <2.5CM ER	$339.84	$576.00	$420.48–$552.96	—	41%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL RPR LAC 2.5/LESS	$345.15	$585.00	$427.05–$561.60	—	41%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN TANGENT SINGLE LES ER	$268.45	$455.00	$154.70–$436.80	at median	41%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKIN TANGENT SINGLE LES ER	$268.45	$455.00	$332.15–$436.80	—	41%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING FAC	$132.75	$225.00	$76.50–$216.00	83% below	41%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING MS	$671.42	$1,138.00	$386.92–$1,092.48	15% below	41%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGING SWG	$854.32	$1,448.00	$492.32–$1,390.08	8% above	41%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGING MS	$941.64	$1,596.00	$542.64–$1,532.16	19% above	41%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING ACU	$987.07	$1,673.00	$568.82–$1,606.08	25% above	41%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING FAC	$132.75	$225.00	$164.25–$216.00	—	41%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING MS	$671.42	$1,138.00	$830.74–$1,092.48	—	41%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ IMAGING SWG	$854.32	$1,448.00	$1,057.04–$1,390.08	—	41%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ IMAGING MS	$941.64	$1,596.00	$1,165.08–$1,532.16	—	41%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING ACU	$987.07	$1,673.00	$1,221.29–$1,606.08	—	41%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIG PNT 1-2 MUSC PM	$373.47	$633.00	$215.22–$607.68	2% above	41%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIG PNT 1-2 MUSC MS	$399.43	$677.00	$230.18–$649.92	10% above	41%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGR PT 1-2 MUSCLE(S) ER	$440.73	$747.00	$253.98–$717.12	21% above	41%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIG PNT 1-2 MUSC ACU	$483.80	$820.00	$278.80–$787.20	33% above	41%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIG PNT 1-2 MUSC SUR	$518.02	$878.00	$298.52–$842.88	42% above	41%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIG PNT 1-2 MUSC ED	$541.62	$918.00	$312.12–$881.28	49% above	41%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIG PNT 1-2 MUSC PM	$373.47	$633.00	$462.09–$607.68	—	41%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIG PNT 1-2 MUSC MS	$399.43	$677.00	$494.21–$649.92	—	41%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGR PT 1-2 MUSCLE(S) ER	$440.73	$747.00	$545.31–$717.12	—	41%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIG PNT 1-2 MUSC ACU	$483.80	$820.00	$598.60–$787.20	—	41%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIG PNT 1-2 MUSC SUR	$518.02	$878.00	$640.94–$842.88	—	41%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIG PNT 1-2 MUSC ED	$541.62	$918.00	$670.14–$881.28	—	41%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESPOH EGD DILAT <30MM DIA	$3,108.71	$5,269.00	$1,791.46–$5,058.24	7% above	41%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESPOH EGD DILAT <30MM DIA	$3,108.71	$5,269.00	$3,846.37–$5,058.24	—	41%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY/BIOPSY	$1,306.85	$2,215.00	$753.10–$2,126.40	16% below	41%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY/BIOPSY	$1,306.85	$2,215.00	$1,616.95–$2,126.40	—	41%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY	$1,062.00	$1,800.00	$612.00–$1,728.00	31% below	41%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD FLEX DX W BRUSH/WASH ER	$1,234.28	$2,092.00	$711.28–$2,008.32	20% below	41%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY	$1,062.00	$1,800.00	$1,314.00–$1,728.00	—	41%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD FLEX DX W BRUSH/WASH ER	$1,234.28	$2,092.00	$1,527.16–$2,008.32	—	41%
Wart removal, up to 14 warts CPT 17110 DESTRUC B9 LESION 1-14 DLC FAC	$38.35	$65.00	$22.10–$62.40	85% below	41%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION <15 FAC	$42.48	$72.00	$24.48–$69.12	83% below	41%
Wart removal, up to 14 warts CPT 17110 DESTRUC B9 LESION 1-14 ER	$136.88	$232.00	$78.88–$222.72	45% below	41%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESN <15 ER	$272.58	$462.00	$157.08–$443.52	9% above	41%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUC B9 LESION 1-14 DLC FAC	$38.35	$65.00	$47.45–$62.40	—	41%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESION <15 FAC	$42.48	$72.00	$52.56–$69.12	—	41%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUC B9 LESION 1-14 ER	$136.88	$232.00	$169.36–$222.72	—	41%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESN <15 ER	$272.58	$462.00	$337.26–$443.52	—	41%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSU 20SQCM/<DLC FAC	$57.82	$98.00	$33.32–$94.08	86% below	41%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SKIN SUBQ TISSUE ER	$493.83	$837.00	$284.58–$803.52	16% above	41%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$499.73	$847.00	$287.98–$813.12	18% above	41%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ <=20SQ CM MS	$555.78	$942.00	$320.28–$904.32	31% above	41%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSU 20SQCM/<DLC FAC	$57.82	$98.00	$71.54–$94.08	—	41%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SKIN SUBQ TISSUE ER	$493.83	$837.00	$611.01–$803.52	—	41%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/TISSUE	$499.73	$847.00	$618.31–$813.12	—	41%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ <=20SQ CM MS	$555.78	$942.00	$687.66–$904.32	—	41%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$828.95	$1,405.00	$477.70–$1,348.80	17% above	41%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$828.95	$1,405.00	$1,025.65–$1,348.80	—	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/NEBULIZER SMALL VOL SWG	$55.46	$94.00	$31.96–$90.24	47% below	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/NEBULIZER SMALL VOL ACU	$57.23	$97.00	$32.98–$93.12	45% below	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/NEBULIZER SMALL VOL ER	$64.90	$110.00	$37.40–$105.60	38% below	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 MDI/NEBULIZER SMALL VOL RT	$59.00	$100.00	$34.00–$96.00	44% below	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI/NEBULIZER SMALL VOL SWG	$55.46	$94.00	$68.62–$90.24	—	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI/NEBULIZER SMALL VOL ACU	$57.23	$97.00	$70.81–$93.12	—	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI/NEBULIZER SMALL VOL ER	$64.90	$110.00	$80.30–$105.60	—	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 MDI/NEBULIZER SMALL VOL RT	$59.00	$100.00	$73.00–$96.00	—	41%
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO 16-90M MS	$588.23	$997.00	$338.98–$957.12	15% below	41%
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO 16-90M IVT	$680.27	$1,153.00	$392.02–$1,106.88	1% below	41%
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO 16-90M ACU	$728.65	$1,235.00	$419.90–$1,185.60	6% above	41%
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO 16-90M AMB	$759.33	$1,287.00	$437.58–$1,235.52	10% above	41%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO 16-90M MS	$588.23	$997.00	$727.81–$957.12	—	41%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO 16-90M IVT	$680.27	$1,153.00	$841.69–$1,106.88	—	41%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO 16-90M ACU	$728.65	$1,235.00	$901.55–$1,185.60	—	41%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO 16-90M AMB	$759.33	$1,287.00	$939.51–$1,235.52	—	41%
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 30-74 MIN ER	$1,112.74	$1,886.00	$641.24–$1,810.56	43% below	41%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE 30-74 MIN ER	$1,112.74	$1,886.00	$1,376.78–$1,810.56	—	41%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG	$487.93	$827.00	$281.18–$793.92	24% below	41%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$522.15	$885.00	$300.90–$849.60	18% below	41%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG	$487.93	$827.00	$603.71–$793.92	—	41%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$522.15	$885.00	$646.05–$849.60	—	41%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACE EKG	$122.72	$208.00	$70.72–$199.68	9% above	41%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACE	$139.83	$237.00	$80.58–$227.52	24% above	41%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACE EKG	$122.72	$208.00	$151.84–$199.68	—	41%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACE	$139.83	$237.00	$173.01–$227.52	—	41%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 ER	$172.87	$293.00	$99.62–$281.28	2% below	41%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 ER	$172.87	$293.00	$213.89–$281.28	—	41%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 ER	$250.16	$424.00	$144.16–$407.04	16% below	41%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ER	$250.16	$424.00	$309.52–$407.04	—	41%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 ER	$374.65	$635.00	$215.90–$609.60	24% below	41%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ER	$374.65	$635.00	$463.55–$609.60	—	41%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 ER	$543.39	$921.00	$313.14–$884.16	33% below	41%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ER	$543.39	$921.00	$672.33–$884.16	—	41%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 ER	$1,011.26	$1,714.00	$582.76–$1,645.44	18% below	41%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ER	$1,011.26	$1,714.00	$1,251.22–$1,645.44	—	41%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST TRACING	$148.09	$251.00	$85.34–$240.96	54% below	41%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE TEST - TREADMILL	$371.11	$629.00	$213.86–$603.84	16% above	41%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST TRACING	$148.09	$251.00	$183.23–$240.96	—	41%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE TEST - TREADMILL	$371.11	$629.00	$459.17–$603.84	—	41%
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYTX W PT 50 MIN SLS	$201.19	$341.00	$115.94–$327.36	57% below	41%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYTX W PT 50 MIN SLS	$201.19	$341.00	$248.93–$327.36	—	41%
Family therapy without the patient, 50 minutes CPT 90846 FAM PSYTX W/O PT 50 MIN SLS	$201.19	$341.00	$115.94–$327.36	55% below	41%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYTX W/O PT 50 MIN SLS	$201.19	$341.00	$248.93–$327.36	—	41%
Group psychotherapy session CPT 90853 GROUP PSYTX SLS	$515.07	$873.00	$296.82–$838.08	13% above	41%
Group psychotherapy session inpatient CPT 90853 GROUP PSYTX SLS	$515.07	$873.00	$637.29–$838.08	—	41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) DLC	$52.51	$89.00	$30.26–$85.44	84% below	41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) PM	$253.11	$429.00	$145.86–$411.84	24% below	41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) ACU	$268.45	$455.00	$154.70–$436.80	20% below	41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) ER	$268.45	$455.00	$154.70–$436.80	20% below	41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) IVT	$319.19	$541.00	$183.94–$519.36	5% below	41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) MS	$470.82	$798.00	$271.32–$766.08	41% above	41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) DLC	$52.51	$89.00	$64.97–$85.44	—	41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) PM	$253.11	$429.00	$313.17–$411.84	—	41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) ER	$268.45	$455.00	$332.15–$436.80	—	41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) ACU	$268.45	$455.00	$332.15–$436.80	—	41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) IVT	$319.19	$541.00	$394.93–$519.36	—	41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) MS	$470.82	$798.00	$582.54–$766.08	—	41%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M OB	$338.07	$573.00	$194.82–$550.08	13% below	41%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M ACU	$383.50	$650.00	$221.00–$624.00	1% below	41%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M ER	$383.50	$650.00	$221.00–$624.00	1% below	41%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M PM	$404.74	$686.00	$233.24–$658.56	5% above	41%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M IVT	$439.55	$745.00	$253.30–$715.20	14% above	41%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M MS	$470.82	$798.00	$271.32–$766.08	22% above	41%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M OB	$338.07	$573.00	$418.29–$550.08	—	41%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M ER	$383.50	$650.00	$474.50–$624.00	—	41%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M ACU	$383.50	$650.00	$474.50–$624.00	—	41%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M PM	$404.74	$686.00	$500.78–$658.56	—	41%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M IVT	$439.55	$745.00	$543.85–$715.20	—	41%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M MS	$470.82	$798.00	$582.54–$766.08	—	41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE DLC	$59.59	$101.00	$34.34–$96.96	80% below	41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE ER	$137.47	$233.00	$79.22–$223.68	54% below	41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE MS	$141.01	$239.00	$81.26–$229.44	53% below	41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE MS OP	$184.08	$312.00	$106.08–$299.52	38% below	41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE PM	$405.33	$687.00	$233.58–$659.52	36% above	41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE IVT	$414.77	$703.00	$239.02–$674.88	39% above	41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE OB	$427.75	$725.00	$246.50–$696.00	43% above	41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE ACU	$486.16	$824.00	$280.16–$791.04	63% above	41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE MS SDS	$517.43	$877.00	$298.18–$841.92	73% above	41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE DLC	$59.59	$101.00	$73.73–$96.96	—	41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE ER	$137.47	$233.00	$170.09–$223.68	—	41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE MS	$141.01	$239.00	$174.47–$229.44	—	41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE MS OP	$184.08	$312.00	$227.76–$299.52	—	41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE PM	$405.33	$687.00	$501.51–$659.52	—	41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE IVT	$414.77	$703.00	$513.19–$674.88	—	41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE OB	$427.75	$725.00	$529.25–$696.00	—	41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE ACU	$486.16	$824.00	$601.52–$791.04	—	41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE MS SDS	$517.43	$877.00	$640.21–$841.92	—	41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM CLIN	$24.19	$41.00	$13.94–$39.36	71% below	41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM ER	$57.23	$97.00	$32.98–$93.12	32% below	41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM MS	$73.75	$125.00	$42.50–$120.00	13% below	41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM IVT	$100.30	$170.00	$57.80–$163.20	19% above	41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM PM	$130.39	$221.00	$75.14–$212.16	54% above	41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM ACU	$145.14	$246.00	$83.64–$236.16	72% above	41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM SUR	$155.76	$264.00	$89.76–$253.44	84% above	41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM AMB	$155.76	$264.00	$89.76–$253.44	84% above	41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM OB	$170.51	$289.00	$98.26–$277.44	102% above	41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM CLIN	$24.19	$41.00	$29.93–$39.36	—	41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM ER	$57.23	$97.00	$70.81–$93.12	—	41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM MS	$73.75	$125.00	$91.25–$120.00	—	41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM IVT	$100.30	$170.00	$124.10–$163.20	—	41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM PM	$130.39	$221.00	$161.33–$212.16	—	41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM ACU	$145.14	$246.00	$179.58–$236.16	—	41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM SUR	$155.76	$264.00	$192.72–$253.44	—	41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM AMB	$155.76	$264.00	$192.72–$253.44	—	41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM OB	$170.51	$289.00	$210.97–$277.44	—	41%
New patient office visit, about 30 minutes CPT 99203 OFF/OP NEW LVL 3 CLIN FAC	$46.61	$79.00	$26.86–$75.84	79% below	41%
New patient office visit, about 30 minutes CPT 99203 PAIN E&M - NEW PT LEVEL 3 PM	$94.99	$161.00	$54.74–$154.56	58% below	41%
New patient office visit, about 30 minutes CPT 99203 PAIN E&M-NEW PT LEVEL 3 PM	$97.35	$165.00	$56.10–$158.40	57% below	41%
New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP NEW LVL 3 CLIN FAC	$46.61	$79.00	$57.67–$75.84	—	41%
New patient office visit, about 30 minutes inpatient CPT 99203 PAIN E&M - NEW PT LEVEL 3 PM	$94.99	$161.00	$117.53–$154.56	—	41%
New patient office visit, about 30 minutes inpatient CPT 99203 PAIN E&M-NEW PT LEVEL 3 PM	$97.35	$165.00	$120.45–$158.40	—	41%
New patient office visit, about 45 minutes CPT 99204 OFF/OP NEW LVL 4 CLIN FAC	$69.62	$118.00	$40.12–$113.28	78% below	41%
New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LEVEL 4 FAC	$70.21	$119.00	$40.46–$114.24	78% below	41%
New patient office visit, about 45 minutes CPT 99204 PAIN E&M - NEW PT LEVEL 4 PM	$105.02	$178.00	$60.52–$170.88	67% below	41%
New patient office visit, about 45 minutes CPT 99204 PAIN E&M-NEW PT LEVEL 4 PM	$106.79	$181.00	$61.54–$173.76	67% below	41%
New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP NEW LVL 4 CLIN FAC	$69.62	$118.00	$86.14–$113.28	—	41%
New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LEVEL 4 FAC	$70.21	$119.00	$86.87–$114.24	—	41%
New patient office visit, about 45 minutes inpatient CPT 99204 PAIN E&M - NEW PT LEVEL 4 PM	$105.02	$178.00	$129.94–$170.88	—	41%
New patient office visit, about 45 minutes inpatient CPT 99204 PAIN E&M-NEW PT LEVEL 4 PM	$106.79	$181.00	$132.13–$173.76	—	41%
New patient office visit, about 60 minutes CPT 99205 OFF/OP NEW LVL 5 CLIN FAC	$92.04	$156.00	$53.04–$149.76	76% below	41%
New patient office visit, about 60 minutes CPT 99205 PAIN E&M- NEW PT LEVEL 5 PM	$112.69	$191.00	$64.94–$183.36	71% below	41%
New patient office visit, about 60 minutes CPT 99205 PAIN E&M-NEW PT LEVEL 5 PM	$116.82	$198.00	$67.32–$190.08	70% below	41%
New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP NEW LVL 5 CLIN FAC	$92.04	$156.00	$113.88–$149.76	—	41%
New patient office visit, about 60 minutes inpatient CPT 99205 PAIN E&M- NEW PT LEVEL 5 PM	$112.69	$191.00	$139.43–$183.36	—	41%
New patient office visit, about 60 minutes inpatient CPT 99205 PAIN E&M-NEW PT LEVEL 5 PM	$116.82	$198.00	$144.54–$190.08	—	41%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF/OP NEW LVL 2 CLIN FAC	$30.09	$51.00	$17.34–$48.96	81% below	41%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PAIN E&M - NEW PT LEVEL 2 PM	$76.70	$130.00	$44.20–$124.80	51% below	41%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PAIN E&M-NEW PT LEVEL 2 PM	$77.88	$132.00	$44.88–$126.72	50% below	41%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFF/OP NEW LVL 2 CLIN FAC	$30.09	$51.00	$37.23–$48.96	—	41%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PAIN E&M - NEW PT LEVEL 2 PM	$76.70	$130.00	$94.90–$124.80	—	41%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PAIN E&M-NEW PT LEVEL 2 PM	$77.88	$132.00	$96.36–$126.72	—	41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTR THERAPY IND PER 15MIN	$55.46	$94.00	$22.26–$90.24	45% below	41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRI THERAPY ASSESS 15MIN FAC	$61.95	$105.00	$22.26–$100.80	38% below	41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS IND EA 15MI	$84.96	$144.00	$22.26–$138.24	15% below	41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THERAPY ASSESS 15MIN	$87.32	$148.00	$22.26–$142.08	13% below	41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTR THERAPY IND PER 15MIN	$55.46	$94.00	$68.62–$90.24	—	41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRI THERAPY ASSESS 15MIN FAC	$61.95	$105.00	$76.65–$100.80	—	41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INIT ASSESS IND EA 15MI	$84.96	$144.00	$105.12–$138.24	—	41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THERAPY ASSESS 15MIN	$87.32	$148.00	$108.04–$142.08	—	41%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX	$195.29	$331.00	$112.54–$317.76	26% below	41%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX	$195.29	$331.00	$241.63–$317.76	—	41%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE/15 MIN	$79.06	$134.00	$45.56–$128.64	28% below	41%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE/15 MIN	$79.06	$134.00	$97.82–$128.64	—	41%
Preventive checkup, new patient aged 18–39 CPT 99385 NP 18-39 YR WELL VISIT FAC	$55.46	$94.00	$31.96–$90.24	49% below	41%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 NP 18-39 YR WELL VISIT FAC	$55.46	$94.00	$68.62–$90.24	—	41%
Preventive checkup, new patient aged 40–64 CPT 99386 NP 40-64 WELL VISIT FAC	$64.31	$109.00	$37.06–$104.64	56% below	41%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 NP 40-64 WELL VISIT FAC	$64.31	$109.00	$79.57–$104.64	—	41%
Preventive checkup, new patient aged 65 or older CPT 99387 NP 65+ WELL VISIT FAC	$69.62	$118.00	$40.12–$113.28	58% below	41%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 NP 65+ WELL VISIT FAC	$69.62	$118.00	$86.14–$113.28	—	41%
Preventive checkup, returning patient aged 18–39 CPT 99395 EST PT 18-39 YR WELL VISIT FAC	$50.15	$85.00	$28.90–$81.60	59% below	41%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 EST PT 18-39 YR WELL VISIT FAC	$50.15	$85.00	$62.05–$81.60	—	41%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST 40-64 FAC	$53.10	$90.00	$30.60–$86.40	72% below	41%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT EST 40-64 FAC	$53.10	$90.00	$65.70–$86.40	—	41%
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PT 65+ YR WELL VISIT FAC	$57.23	$97.00	$32.98–$93.12	72% below	41%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 EST PT 65+ YR WELL VISIT FAC	$57.23	$97.00	$70.81–$93.12	—	41%
Psychotherapy session, 30 minutes CPT 90832 BH IND THER 16-37 MIN SLS	$120.95	$205.00	$69.70–$196.80	36% below	41%
Psychotherapy session, 30 minutes inpatient CPT 90832 BH IND THER 16-37 MIN SLS	$120.95	$205.00	$149.65–$196.80	—	41%
Psychotherapy session, 45 minutes CPT 90834 BH IND THER 38-52 MIN SLS	$180.54	$306.00	$104.04–$293.76	30% below	41%
Psychotherapy session, 45 minutes inpatient CPT 90834 BH IND THER 38-52 MIN SLS	$180.54	$306.00	$223.38–$293.76	—	41%
Psychotherapy session, 60 minutes CPT 90837 BH IND THER 53-67 MIN SLS	$241.90	$410.00	$139.40–$393.60	at median	41%
Psychotherapy session, 60 minutes inpatient CPT 90837 BH IND THER 53-67 MIN SLS	$241.90	$410.00	$299.30–$393.60	—	41%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOK3-10MIN DLC FAC	$5.90	$10.00	$3.40–$9.60	84% below	41%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10 MIN ER	$26.55	$45.00	$15.30–$43.20	26% below	41%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOK3-10MIN DLC FAC	$5.90	$10.00	$7.30–$9.60	—	41%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION 3-10 MIN ER	$26.55	$45.00	$32.85–$43.20	—	41%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFF/OP EST LVL 5 CLIN FAC	$74.93	$127.00	$43.18–$121.92	78% below	41%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFF/OP VISIT EST LEVEL 5 FAC	$76.11	$129.00	$43.86–$123.84	78% below	41%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PAIN E&M - EST PT LEVEL 5 PM	$103.25	$175.00	$59.50–$168.00	70% below	41%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PAIN E&M-LEVEL 5 PM	$105.02	$178.00	$60.52–$170.88	69% below	41%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M BY NURSE-COMPREHENSIV	$132.16	$224.00	$76.16–$215.04	62% below	41%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PAIN >84 MINS NEW PATIENT PM	$220.66	$374.00	$127.16–$359.04	36% below	41%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB OP VISIT ESTABLISHED LVL 5	$277.89	$471.00	$160.14–$452.16	19% below	41%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFF/OP EST LVL 5 CLIN FAC	$74.93	$127.00	$92.71–$121.92	—	41%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFF/OP VISIT EST LEVEL 5 FAC	$76.11	$129.00	$94.17–$123.84	—	41%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PAIN E&M - EST PT LEVEL 5 PM	$103.25	$175.00	$127.75–$168.00	—	41%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PAIN E&M-LEVEL 5 PM	$105.02	$178.00	$129.94–$170.88	—	41%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E&M BY NURSE-COMPREHENSIV	$132.16	$224.00	$163.52–$215.04	—	41%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PAIN >84 MINS NEW PATIENT PM	$220.66	$374.00	$273.02–$359.04	—	41%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB OP VISIT ESTABLISHED LVL 5	$277.89	$471.00	$343.83–$452.16	—	41%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFF/OP EST LVL 3 CLIN FAC	$38.35	$65.00	$22.10–$62.40	79% below	41%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAIN E&M - EST PT LEVEL 3 PM	$68.44	$116.00	$39.44–$111.36	63% below	41%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAIN E&M-LEVEL 3 PM	$70.21	$119.00	$40.46–$114.24	62% below	41%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M BY NURSE-EXP PROB FOC	$71.39	$121.00	$41.14–$116.16	61% below	41%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB OP VISIT ESTABLISHED LVL 3	$177.00	$300.00	$102.00–$288.00	4% below	41%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFF/OP EST LVL 3 CLIN FAC	$38.35	$65.00	$47.45–$62.40	—	41%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PAIN E&M - EST PT LEVEL 3 PM	$68.44	$116.00	$84.68–$111.36	—	41%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PAIN E&M-LEVEL 3 PM	$70.21	$119.00	$86.87–$114.24	—	41%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M BY NURSE-EXP PROB FOC	$71.39	$121.00	$88.33–$116.16	—	41%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB OP VISIT ESTABLISHED LVL 3	$177.00	$300.00	$219.00–$288.00	—	41%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF/OP EST LVL 4 CLIN FAC	$53.69	$91.00	$30.94–$87.36	78% below	41%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF/OP VISIT EST LEVEL 4 FAC	$54.28	$92.00	$31.28–$88.32	78% below	41%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN E&M - EST PT LEVEL 4 PM	$89.09	$151.00	$51.34–$144.96	64% below	41%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN E&M-LEVEL 4 PM	$91.45	$155.00	$52.70–$148.80	63% below	41%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M BY NURSE-DETAILED	$94.99	$161.00	$54.74–$154.56	62% below	41%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB OP VISIT ESTABLISHED LVL 4	$237.77	$403.00	$137.02–$386.88	4% below	41%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFF/OP EST LVL 4 CLIN FAC	$53.69	$91.00	$66.43–$87.36	—	41%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFF/OP VISIT EST LEVEL 4 FAC	$54.28	$92.00	$67.16–$88.32	—	41%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAIN E&M - EST PT LEVEL 4 PM	$89.09	$151.00	$110.23–$144.96	—	41%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAIN E&M-LEVEL 4 PM	$91.45	$155.00	$113.15–$148.80	—	41%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M BY NURSE-DETAILED	$94.99	$161.00	$117.53–$154.56	—	41%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB OP VISIT ESTABLISHED LVL 4	$237.77	$403.00	$294.19–$386.88	—	41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF/OP EST LVL 2 CLIN FAC	$23.60	$40.00	$13.60–$38.40	73% below	41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DRESSING CHANGE COMPLICATED	$57.23	$97.00	$32.98–$93.12	34% below	41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAIN E&M - EST PT LEVEL 2 PM	$58.41	$99.00	$33.66–$95.04	33% below	41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAIN E&M-LEVEL 2 PM	$60.18	$102.00	$34.68–$97.92	31% below	41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M BY NURSE-PROB FOCUSED	$60.77	$103.00	$35.02–$98.88	30% below	41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DRESSING CHANGE COMPLEX MS	$66.08	$112.00	$38.08–$107.52	24% below	41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB OP VISIT ESTABLISHED LVL 2	$151.04	$256.00	$87.04–$245.76	73% above	41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FETAL MONITOR/NSG TX (NON-ER)	$233.05	$395.00	$134.30–$379.20	167% above	41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFF/OP EST LVL 2 CLIN FAC	$23.60	$40.00	$29.20–$38.40	—	41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 DRESSING CHANGE COMPLICATED	$57.23	$97.00	$70.81–$93.12	—	41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PAIN E&M - EST PT LEVEL 2 PM	$58.41	$99.00	$72.27–$95.04	—	41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PAIN E&M-LEVEL 2 PM	$60.18	$102.00	$74.46–$97.92	—	41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M BY NURSE-PROB FOCUSED	$60.77	$103.00	$75.19–$98.88	—	41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 DRESSING CHANGE COMPLEX MS	$66.08	$112.00	$81.76–$107.52	—	41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB OP VISIT ESTABLISHED LVL 2	$151.04	$256.00	$186.88–$245.76	—	41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FETAL MONITOR/NSG TX (NON-ER)	$233.05	$395.00	$288.35–$379.20	—	41%
Speech and language evaluation CPT 92523 SPEECH/SOUND EVAL W/LANG EVAL	$632.48	$1,072.00	$364.48–$1,029.12	11% above	41%
Speech and language evaluation inpatient CPT 92523 SPEECH/SOUND EVAL W/LANG EVAL	$632.48	$1,072.00	$782.56–$1,029.12	—	41%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION TEST	$101.48	$172.00	$58.48–$165.12	27% below	41%
Spirometry (breathing test) CPT 94010 SPIROMETRY VT CAPACITY TEST	$114.46	$194.00	$65.96–$186.24	17% below	41%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$135.70	$230.00	$78.20–$220.80	2% below	41%
Spirometry (breathing test) CPT 94010 SPIROMETERY W/O BD	$136.29	$231.00	$78.54–$221.76	2% below	41%
Spirometry (breathing test) CPT 94010 PEAK FLOW	$141.60	$240.00	$81.60–$230.40	2% above	41%
Spirometry (breathing test) CPT 94010 PFT PART	$148.68	$252.00	$85.68–$241.92	7% above	41%
Spirometry (breathing test) CPT 94010 SPIROMETRYVITAL CAPACITY TEST	$152.81	$259.00	$88.06–$248.64	10% above	41%
Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION TEST	$101.48	$172.00	$125.56–$165.12	—	41%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY VT CAPACITY TEST	$114.46	$194.00	$141.62–$186.24	—	41%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$135.70	$230.00	$167.90–$220.80	—	41%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETERY W/O BD	$136.29	$231.00	$168.63–$221.76	—	41%
Spirometry (breathing test) inpatient CPT 94010 PEAK FLOW	$141.60	$240.00	$175.20–$230.40	—	41%
Spirometry (breathing test) inpatient CPT 94010 PFT PART	$148.68	$252.00	$183.96–$241.92	—	41%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRYVITAL CAPACITY TEST	$152.81	$259.00	$189.07–$248.64	—	41%
Spirometry before and after a bronchodilator CPT 94060 P & P BRONCHODILATOR/PFT	$228.33	$387.00	$131.58–$371.52	11% below	41%
Spirometry before and after a bronchodilator CPT 94060 PEAK FLOW PRE/POST BRONCH	$232.46	$394.00	$133.96–$378.24	9% below	41%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL W/WO BD	$233.64	$396.00	$134.64–$380.16	9% below	41%
Spirometry before and after a bronchodilator CPT 94060 PFT STUDY	$238.36	$404.00	$137.36–$387.84	7% below	41%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY & BRONCHO	$241.90	$410.00	$139.40–$393.60	6% below	41%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPSM EVAL-PRE/POST	$294.41	$499.00	$169.66–$479.04	15% above	41%
Spirometry before and after a bronchodilator inpatient CPT 94060 P & P BRONCHODILATOR/PFT	$228.33	$387.00	$282.51–$371.52	—	41%
Spirometry before and after a bronchodilator inpatient CPT 94060 PEAK FLOW PRE/POST BRONCH	$232.46	$394.00	$287.62–$378.24	—	41%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL W/WO BD	$233.64	$396.00	$289.08–$380.16	—	41%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT STUDY	$238.36	$404.00	$294.92–$387.84	—	41%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY & BRONCHO	$241.90	$410.00	$299.30–$393.60	—	41%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPSM EVAL-PRE/POST	$294.41	$499.00	$364.27–$479.04	—	41%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY/15 MIN	$96.76	$164.00	$55.76–$157.44	18% below	41%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY/15 MIN	$96.76	$164.00	$119.72–$157.44	—	41%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$141.60	$240.00	$81.60–$230.40	44% below	41%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$354.00	$600.00	$204.00–$576.00	40% above	41%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY	$419.49	$711.00	$241.74–$682.56	66% above	41%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$141.60	$240.00	$175.20–$230.40	—	41%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$354.00	$600.00	$438.00–$576.00	—	41%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY	$419.49	$711.00	$519.03–$682.56	—	41%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD AIIV3 65+ 2019-20 SYR	$72.79	$123.36	$41.95–$118.43	at median	41%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU (FLUAD TRIV) 25-26 (65UP)/	$77.92	$132.06	$44.91–$126.78	7% above	41%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD AIIV3 65+ 2019-20 SYR	$72.79	$123.36	$90.06–$118.43	—	41%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU (FLUAD TRIV) 25-26 (65UP)/	$77.92	$132.06	$96.41–$126.78	—	41%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU (FLUARIX TRIV) 25-26 (6MOS	$46.32	$78.50	$22.66–$75.36	40% above	41%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU (FLUARIX TRIV) 25-26 (6MOS	$46.32	$78.50	$57.31–$75.36	—	41%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML	$106.20	$180.00	$61.20–$172.80	5% above	41%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML	$106.20	$180.00	$131.40–$172.80	—	41%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM	$49.56	$84.00	$28.56–$84.00	23% below	41%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD 65+ 2019-20 SYR CLI	$103.25	$175.00	$59.50–$168.00	60% above	41%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 IIV NO PRSV INCREASED AG IM	$49.56	$84.00	$61.32–$80.64	—	41%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HD 65+ 2019-20 SYR CLI	$103.25	$175.00	$127.75–$168.00	—	41%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL CONJ 13 VALENT	$218.30	$370.00	$125.80–$355.20	22% below	41%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEU 13-VAL CRM 0.5ML SYR	$319.78	$542.00	$184.28–$520.32	14% above	41%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL CONJ 13 VALENT	$218.30	$370.00	$270.10–$355.20	—	41%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEU 13-VAL CRM 0.5ML SYR	$319.78	$542.00	$395.66–$520.32	—	41%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM CLI	$369.82	$626.81	$213.12–$601.74	2% below	41%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOL 20-VAL CONJUG 0.5 ML	$508.58	$862.00	$293.08–$827.52	35% above	41%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE IM CLI	$369.82	$626.81	$457.58–$601.74	—	41%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOL 20-VAL CONJUG 0.5 ML	$508.58	$862.00	$629.26–$827.52	—	41%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML	$165.79	$281.00	$95.54–$269.76	19% above	41%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL PSAC VAC 25MCG CLI	$184.08	$312.00	$106.08–$299.52	32% above	41%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML	$165.79	$281.00	$205.13–$269.76	—	41%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL PSAC VAC 25MCG CLI	$184.08	$312.00	$227.76–$299.52	—	41%
Rabies vaccine, one dose CPT 90675 RABIES VAC (AVIAN) 1 ML	$706.82	$1,198.00	$360.16–$1,150.08	11% above	41%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC (AVIAN) 1 ML	$706.82	$1,198.00	$874.54–$1,150.08	—	41%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM CLI	$66.67	$113.00	$38.42–$108.48	33% above	41%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP TOXOIDS ADULT TD .5ML	$129.80	$220.00	$44.12–$211.20	160% above	41%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM CLI	$66.67	$113.00	$82.49–$108.48	—	41%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP TOXOIDS ADULT TD .5ML	$129.80	$220.00	$160.60–$211.20	—	41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 IM DLC	$77.88	$132.00	$43.71–$126.72	12% above	41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE > 7 YRS IM	$113.25	$191.94	$43.71–$184.27	63% above	41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 10+YRS 0.5ML SYRNG	$141.01	$239.00	$43.71–$229.44	103% above	41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE >7 IM DLC	$77.88	$132.00	$96.36–$126.72	—	41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE > 7 YRS IM	$113.25	$191.94	$140.12–$184.27	—	41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 10+YRS 0.5ML SYRNG	$141.01	$239.00	$174.47–$229.44	—	41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN RSV NB (STATE)	$12.39	$20.99	$7.14–$20.16	74% below	41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN OTHER SWG	$33.63	$57.00	$19.38–$54.72	30% below	41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN OTHER DLC	$34.81	$59.00	$20.06–$56.64	27% below	41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN PNEUMO SWG	$37.76	$64.00	$21.76–$61.44	21% below	41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN FLU ACU	$40.71	$69.00	$23.46–$66.24	15% below	41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN OTHER MS	$42.48	$72.00	$24.48–$69.12	12% below	41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN OTHER ER	$48.38	$82.00	$27.88–$78.72	1% above	41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN FLU DLC	$58.41	$99.00	$33.66–$95.04	22% above	41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TETANUS ADMIN (STATE SUPPLY)**	$64.31	$109.00	$37.06–$104.64	34% above	41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN OTHER ACU	$74.34	$126.00	$42.84–$120.96	55% above	41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN RSV NB (STATE)	$12.39	$20.99	$15.33–$20.16	—	41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN OTHER SWG	$33.63	$57.00	$41.61–$54.72	—	41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN OTHER DLC	$34.81	$59.00	$43.07–$56.64	—	41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN PNEUMO SWG	$37.76	$64.00	$46.72–$61.44	—	41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN FLU ACU	$40.71	$69.00	$50.37–$66.24	—	41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN OTHER MS	$42.48	$72.00	$52.56–$69.12	—	41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN OTHER ER	$48.38	$82.00	$59.86–$78.72	—	41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN FLU DLC	$58.41	$99.00	$72.27–$95.04	—	41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TETANUS ADMIN (STATE SUPPLY)**	$64.31	$109.00	$79.57–$104.64	—	41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN OTHER ACU	$74.34	$126.00	$91.98–$120.96	—	41%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN ADDL EACH SWG	$20.06	$34.00	$11.56–$32.64	31% below	41%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN ADDL EACH ACU	$24.78	$42.00	$14.28–$40.32	15% below	41%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN ADDL EACH MS	$25.96	$44.00	$14.96–$42.24	11% below	41%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN ADDL EACH SWG	$20.06	$34.00	$24.82–$32.64	—	41%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN ADDL EACH ACU	$24.78	$42.00	$30.66–$40.32	—	41%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN ADDL EACH MS	$25.96	$44.00	$32.12–$42.24	—	41%

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.chistalexiushealth.org/content/dam/stalexiushealthorg/documents/financial/price-transparency-standard-charges/450227311-1205807013_carrington-health-center_standardcharges.json