Northwest Community Hospital
Northwest Community Hospital in Arlington Heights, IL publishes cash prices for 397 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Illinois median for 290 of 392 procedures and below it for 91. By typical cash price it ranks #79 of 114 Illinois hospitals and #46 of 62 hospitals in the Chicago, IL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
800 W Central Road, Arlington Heights, IL 60005 Collected Sep 27, 2026 Source price file Check a bill from this hospital (847) 618-1000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 140252 · CMS hospital register NPI 1770531600
The price file shows no self-pay discount
For 974 of the 974 prices listed here, the cash price in Northwest Community Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Northwest Community Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Hb Ct Abdomen W/O & W/Dye | $2,855.00 | $2,855.00 | — | 1% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Hb Ct Abdomen W/O & W/Dye | $2,855.00 | $2,855.00 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 Hb X-Ray Exam Abdomen 2 Views | $447.00 | $447.00 | — | 36% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Hb X-Ray Exam Abdomen 2 Views | $447.00 | $447.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 Hb Radiologic Examination, Ankle Complete, Minimum Of 3 Views, Bilateral | $849.00 | $849.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 Hb Radiologic Examination, Ankle Complete, Minimum Of 3 Views | $536.00 | $536.00 | — | 59% above | — |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 Hb Radiologic Examination, Ankle Complete, Minimum Of 3 Views, Bilateral | $849.00 | $849.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hb Radiologic Examination, Ankle Complete, Minimum Of 3 Views | $536.00 | $536.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hb Upr/L Xtremity Art 2 Levels | $786.00 | $786.00 | — | 89% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hb Upr/L Xtremity Art 2 Levels | $786.00 | $786.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 Hb Ct Upper Extremity W/O Dye, Bilateral | $3,576.00 | $3,576.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hb Ct Upper Extremity W/O Dye | $1,876.00 | $1,876.00 | — | 3% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 Hb Ct Upper Extremity W/O Dye, Bilateral | $3,576.00 | $3,576.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hb Ct Upper Extremity W/O Dye | $1,876.00 | $1,876.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Hb Contrast X-Ray Esophagus | $838.00 | $838.00 | — | 40% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hb Contrast X-Ray Esophagus | $838.00 | $838.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Hb Bone Imaging Whole Body | $2,803.00 | $2,803.00 | — | 78% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hb Bone Imaging Whole Body | $2,803.00 | $2,803.00 | — | — | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 Hb Ultrasound Breast Complete, Bilateral | $900.00 | $900.00 | — | — | — |
| Breast ultrasound, complete, one breast CPT 76641 Hb Ultrasound Breast Complete | $600.00 | $600.00 | — | 16% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Hb Ultrasound Breast Complete Unilateral Scrn | $600.00 | $600.00 | — | 16% above | — |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 Hb Ultrasound Breast Complete, Bilateral | $900.00 | $900.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Hb Ultrasound Breast Complete | $600.00 | $600.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hb Ultrasound Breast Complete Unilateral Scrn | $600.00 | $600.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Hb Ultrasound Breast Limited, Bilateral | $822.00 | $822.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Hb Ultrasound Breast Limited | $411.00 | $411.00 | — | 6% below | — |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Hb Ultrasound Breast Limited, Bilateral | $822.00 | $822.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Hb Ultrasound Breast Limited | $411.00 | $411.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hb Ct Angio Abd&Pelv W/O&W/Dye | $3,116.00 | $3,116.00 | — | 16% below | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hb Ct Angio Abd&Pelv W/O&W/Dye | $3,116.00 | $3,116.00 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 Hb Ct Angiography Head | $2,334.00 | $2,334.00 | — | 9% below | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Hb Ct Angiography Head | $2,334.00 | $2,334.00 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 Hb Ct Angiography Neck | $2,734.00 | $2,734.00 | — | 5% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Hb Ct Angiography Neck | $2,734.00 | $2,734.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hb Ct Angiography Chest | $2,978.00 | $2,978.00 | — | 2% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hb Ct Angiography Chest | $2,978.00 | $2,978.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hb Ct Angio Hrt W/3D Image | $2,183.00 | $2,183.00 | — | 23% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hb Ct Angio Hrt W/3D Image | $2,183.00 | $2,183.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hb Ct Hrt W/O Dye W/Ca Test | $76.00 | $76.00 | — | 66% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hb Ct Hrt W/O Dye W/Ca Test | $76.00 | $76.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hb Ct Abd & Pelvis W/O Contrast | $2,968.00 | $2,968.00 | — | 19% below | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hb Ct Abd & Pelvis W/O Contrast | $2,968.00 | $2,968.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hb Ct Abd & Pelv W/Contrast | $4,206.00 | $4,206.00 | — | 5% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hb Ct Abd & Pelv W/Contrast | $4,206.00 | $4,206.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hb Ct Abd & Pelv 1/> Regns | $4,250.00 | $4,250.00 | — | 15% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hb Ct Abd & Pelv 1/> Regns | $4,250.00 | $4,250.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 Hb Ct Abdomen W/Dye | $2,695.00 | $2,695.00 | — | 19% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Hb Ct Abdomen W/Dye | $2,695.00 | $2,695.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 Hb Ct Abdomen W/O Dye | $1,619.00 | $1,619.00 | — | 15% below | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Hb Ct Abdomen W/O Dye | $1,619.00 | $1,619.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hb Ct Maxillofacial W/O Dye | $1,378.00 | $1,378.00 | — | 19% below | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hb Ct Maxillofacial W/O Dye | $1,378.00 | $1,378.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Hb Ct Head/Brain W/O Dye | $1,808.00 | $1,808.00 | — | 1% below | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hb Ct Head/Brain W/O Dye | $1,808.00 | $1,808.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 Hb Ct Head/Brain W/Dye | $2,149.00 | $2,149.00 | — | 11% above | — |
| CT scan of the head with contrast inpatient CPT 70460 Hb Ct Head/Brain W/Dye | $2,149.00 | $2,149.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 Hb Ct Head/Brain W/O & W/Dye | $3,038.00 | $3,038.00 | — | 25% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Hb Ct Head/Brain W/O & W/Dye | $3,038.00 | $3,038.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hb Ct Lumbar Spine W/O Dye | $1,813.00 | $1,813.00 | — | 18% below | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hb Ct Lumbar Spine W/O Dye | $1,813.00 | $1,813.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hb Ct Neck Spine W/O Dye | $1,963.00 | $1,963.00 | — | 15% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hb Ct Neck Spine W/O Dye | $1,963.00 | $1,963.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Hb Ct Pelvis W/Dye | $2,348.00 | $2,348.00 | — | 9% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hb Ct Pelvis W/Dye | $2,348.00 | $2,348.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hb Extracranial Bilat Study | $1,936.00 | $1,936.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hb Extracranial Bilat Study | $1,936.00 | $1,936.00 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 Hb Ct Thorax W/O & W/Dye | $2,822.00 | $2,822.00 | — | at median | — |
| Chest CT scan without and with contrast inpatient CPT 71270 Hb Ct Thorax W/O & W/Dye | $2,822.00 | $2,822.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 Hb X-Ray Exam Chest 2 View | $403.00 | $403.00 | — | 31% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 Hb X-Ray Exam Chest 2 View | $403.00 | $403.00 | — | — | — |
| Chest X-ray, single view CPT 71045 Hb X-Ray Exam Chest 1 View | $400.00 | $400.00 | — | 57% above | — |
| Chest X-ray, single view inpatient CPT 71045 Hb X-Ray Exam Chest 1 View | $400.00 | $400.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 Hb X-Ray Exam Of Collar Bone | $330.00 | $330.00 | — | 26% above | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Hb X-Ray Exam Of Collar Bone | $330.00 | $330.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hb Us Exam Abdo Back Wall Comp | $838.00 | $838.00 | — | 2% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hb Us Exam Abdo Back Wall Comp | $838.00 | $838.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hb Dxa Bone Density Axial | $457.00 | $457.00 | — | 4% below | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hb Dxa Bone Density Axial | $457.00 | $457.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hb Dxa Bone Density/Peripheral | $235.00 | $235.00 | — | at median | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hb Dxa Bone Density/Peripheral | $235.00 | $235.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hb Ct Thorax W/O Dye | $1,640.00 | $1,640.00 | — | 11% below | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hb Ct Thorax W/O Dye | $1,640.00 | $1,640.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hb Ct Thorax W/Dye | $2,655.00 | $2,655.00 | — | 11% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hb Ct Thorax W/Dye | $2,655.00 | $2,655.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hb Dx Mammo Incl Cad Bi | $589.00 | $589.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hb Dx Mammo Incl Cad Bi | $589.00 | $589.00 | — | — | — |
| Diagnostic mammogram, one breast CPT 77065 Hb Dx Mammo Incl Cad Uni | $448.00 | $448.00 | — | 46% above | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 Hb Dx Mammo Incl Cad Uni | $448.00 | $448.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hb Duplex Scan Of Lower Extremity Arteries Or Arterial Bypass Grafts Complete Bilateral Study | $1,475.00 | $1,475.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hb Duplex Scan Of Lower Extremity Arteries Or Arterial Bypass Grafts Complete Bilateral Study | $1,475.00 | $1,475.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Hb Duplex Scan Of Extremity Veins Including Responses To Compression And Other Maneuvers Complete B | $2,145.00 | $2,145.00 | — | 49% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Hb Duplex Scan Of Extremity Veins Including Responses To Compression And Other Maneuvers Complete B | $2,145.00 | $2,145.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hb Tte W/Doppler Complete | $3,756.00 | $3,756.00 | — | 77% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hb Tte W/Doppler Complete | $3,756.00 | $3,756.00 | — | — | — |
| Elbow X-ray, 2 views both sides CPT 73070 Hb Radiologic Examination, Elbow 2 Views, Bilateral | $527.00 | $527.00 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 Hb Radiologic Examination, Elbow 2 Views | $303.00 | $303.00 | — | 10% above | — |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 Hb Radiologic Examination, Elbow 2 Views, Bilateral | $527.00 | $527.00 | — | — | — |
| Elbow X-ray, 2 views inpatient CPT 73070 Hb Radiologic Examination, Elbow 2 Views | $303.00 | $303.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 Hb Radiologic Examination, Elbow Complete, Minimum Of 3 Views, Bilateral | $725.00 | $725.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 Hb Radiologic Examination, Elbow Complete, Minimum Of 3 Views | $470.00 | $470.00 | — | 38% above | — |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 Hb Radiologic Examination, Elbow Complete, Minimum Of 3 Views, Bilateral | $725.00 | $725.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Hb Radiologic Examination, Elbow Complete, Minimum Of 3 Views | $470.00 | $470.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Hb Ct Orbit/Ear/Fossa W/O Dye | $1,645.00 | $1,645.00 | — | 1% below | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hb Ct Orbit/Ear/Fossa W/O Dye | $1,645.00 | $1,645.00 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Hb Radiologic Examination, Facial Bones Complete, Minimum Of 3 Views | $677.00 | $677.00 | — | 65% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hb Radiologic Examination, Facial Bones Complete, Minimum Of 3 Views | $677.00 | $677.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Hb X-Ray Exam Of Forearm | $318.00 | $318.00 | — | at median | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Hb X-Ray Exam Of Forearm | $318.00 | $318.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hb Hepatobiliary System Imaging | $1,379.00 | $1,379.00 | — | 9% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hb Hepatobiliary System Imaging | $1,379.00 | $1,379.00 | — | — | — |
| Hand X-ray, 2 views both sides CPT 73120 Hb Radiologic Examination, Hand 2 Views, Bilateral | $467.00 | $467.00 | — | — | — |
| Hand X-ray, 2 views CPT 73120 Hb Radiologic Examination, Hand 2 Views | $288.00 | $288.00 | — | 3% above | — |
| Hand X-ray, 2 views inpatient both sides CPT 73120 Hb Radiologic Examination, Hand 2 Views, Bilateral | $467.00 | $467.00 | — | — | — |
| Hand X-ray, 2 views inpatient CPT 73120 Hb Radiologic Examination, Hand 2 Views | $288.00 | $288.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hb X-Ray Exam Of Heel | $265.00 | $265.00 | — | 10% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Hb X-Ray Exam Of Heel | $265.00 | $265.00 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hb Home Sleep Test/Type 3 Porta | $800.00 | $800.00 | — | 18% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hb Home Sleep Test/Type 3 Porta | $800.00 | $800.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hb Polysom 6/>Yrs Cpap/Bilvl | $4,332.00 | $4,332.00 | — | 8% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hb Polysom 6/>Yrs Cpap/Bilvl | $4,332.00 | $4,332.00 | — | — | — |
| Knee X-ray, 3 views both sides CPT 73562 Hb Radiologic Examination, Knee 3 Views, Bilateral | $500.00 | $500.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 Hb X-Ray Exam Of Knee 3 | $350.00 | $350.00 | — | at median | — |
| Knee X-ray, 3 views inpatient both sides CPT 73562 Hb Radiologic Examination, Knee 3 Views, Bilateral | $500.00 | $500.00 | — | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 Hb X-Ray Exam Of Knee 3 | $350.00 | $350.00 | — | — | — |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 Hb X-Ray Exam Knee 4 Or More, Bilateral | $1,001.00 | $1,001.00 | — | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 Hb X-Ray Exam Knee 4 Or More | $519.00 | $519.00 | — | 17% above | — |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 Hb X-Ray Exam Knee 4 Or More, Bilateral | $1,001.00 | $1,001.00 | — | — | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Hb X-Ray Exam Knee 4 Or More | $519.00 | $519.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hb Ct Lower Extremity W/O Dye | $2,114.00 | $2,114.00 | — | 16% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hb Ct Lower Extremity W/O Dye | $2,114.00 | $2,114.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hb Echo Exam Of Abdomen | $714.00 | $714.00 | — | 2% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hb Echo Exam Of Abdomen | $714.00 | $714.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hb Us Xtr Non-Vasc Lmtd | $785.00 | $785.00 | — | 155% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hb Us Xtr Non-Vasc Lmtd | $785.00 | $785.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hb Ct Lung Cancer Screen Promo | $150.00 | $150.00 | — | 73% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hb Ct Thorax Lung Cancer Scr C- | $311.00 | $311.00 | — | 45% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hb Ct Lung Cancer Screen Promo | $150.00 | $150.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hb Ct Thorax Lung Cancer Scr C- | $311.00 | $311.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 Hb Radiologic Examination Tibia And Fibula, 2 Views, Bilateral | $353.00 | $353.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hb X-Ray Exam Of Lower Leg | $324.00 | $324.00 | — | at median | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 Hb Radiologic Examination Tibia And Fibula, 2 Views, Bilateral | $353.00 | $353.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Hb X-Ray Exam Of Lower Leg | $324.00 | $324.00 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Hb Mr Angiography Head W/O Dye | $2,626.00 | $2,626.00 | — | 1% below | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hb Mr Angiography Head W/O Dye | $2,626.00 | $2,626.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hb Mri Breast C-+ W/Cad Bi | $4,131.00 | $4,131.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Hb Mri Breast C-+ W/Cad Bi | $4,131.00 | $4,131.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 Hb Mri Jnt Of Lwr Extre W/O Dye, Bilateral | $5,750.00 | $5,750.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hb Mri Jnt Of Lwr Extre W/O Dye | $2,860.00 | $2,860.00 | — | 2% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 Hb Mri Jnt Of Lwr Extre W/O Dye, Bilateral | $5,750.00 | $5,750.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hb Mri Jnt Of Lwr Extre W/O Dye | $2,860.00 | $2,860.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hb Mri Joint Lwr Extr W/O&W/Dye | $3,448.00 | $3,448.00 | — | at median | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hb Mri Joint Lwr Extr W/O&W/Dye | $3,448.00 | $3,448.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 Hb Mri Abdomen W/O Dye | $2,766.00 | $2,766.00 | — | at median | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Hb Mri Abdomen W/O Dye | $2,766.00 | $2,766.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hb Mri Abdomen W/O & W/Dye | $3,413.00 | $3,413.00 | — | 8% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hb Mri Abdomen W/O & W/Dye | $3,413.00 | $3,413.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 Hb Mri Brain Stem W/O Dye | $2,987.00 | $2,987.00 | — | 7% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hb Mri Brain Stem W/O Dye | $2,987.00 | $2,987.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Hb Mri Brain Stem W/O & W/Dye | $3,992.00 | $3,992.00 | — | 1% below | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hb Mri Brain Stem W/O & W/Dye | $3,992.00 | $3,992.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Hb Mri Lumbar Spine W/O Dye | $3,186.00 | $3,186.00 | — | 10% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hb Mri Lumbar Spine W/O Dye | $3,186.00 | $3,186.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hb Mri Lumbar Spine W/O & W/Dye | $4,397.00 | $4,397.00 | — | 8% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hb Mri Lumbar Spine W/O & W/Dye | $4,397.00 | $4,397.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hb Mri Chest Spine W/O Dye | $3,254.00 | $3,254.00 | — | 13% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hb Mri Chest Spine W/O Dye | $3,254.00 | $3,254.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hb Mri Neck Spine W/O & W/Dye | $4,152.00 | $4,152.00 | — | 4% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hb Mri Neck Spine W/O & W/Dye | $4,152.00 | $4,152.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hb Mri Neck Spine W/O Dye | $2,829.00 | $2,829.00 | — | 3% below | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hb Mri Neck Spine W/O Dye | $2,829.00 | $2,829.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 Hb Mri Pelvis W/O & W/Dye | $3,258.00 | $3,258.00 | — | 9% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Hb Mri Pelvis W/O & W/Dye | $3,258.00 | $3,258.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 Hb Mri Pelvis W/O Dye | $2,768.00 | $2,768.00 | — | 3% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Hb Mri Pelvis W/O Dye | $2,768.00 | $2,768.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 Hb Mri Joint Upr Extrem W/O Dye, Bilateral | $5,603.00 | $5,603.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hb Mri Joint Upr Extrem W/O Dye | $2,734.00 | $2,734.00 | — | 3% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 Hb Mri Joint Upr Extrem W/O Dye, Bilateral | $5,603.00 | $5,603.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hb Mri Joint Upr Extrem W/O Dye | $2,734.00 | $2,734.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hb X-Ray Exam Neck Spine 4/5Vws | $486.00 | $486.00 | — | 12% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hb X-Ray Exam Neck Spine 4/5Vws | $486.00 | $486.00 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 Hb Ct Soft Tissue Neck W/Dye | $2,432.00 | $2,432.00 | — | 14% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Hb Ct Soft Tissue Neck W/Dye | $2,432.00 | $2,432.00 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 Hb Ct Soft Tissue Neck W/O Dye | $1,854.00 | $1,854.00 | — | 6% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Hb Ct Soft Tissue Neck W/O Dye | $1,854.00 | $1,854.00 | — | — | — |
| Neck soft tissue X-ray CPT 70360 Hb X-Ray Exam Of Neck | $351.00 | $351.00 | — | 34% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 Hb X-Ray Exam Of Neck | $351.00 | $351.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hb Ht Muscle Image Spect Mult | $5,056.00 | $5,056.00 | — | 27% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hb Ht Muscle Image Spect Mult | $5,056.00 | $5,056.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hb Pet, Initial Stage | $8,828.00 | $8,828.00 | — | 49% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hb Pet, Restage | $8,828.00 | $8,828.00 | — | 49% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hb Pet, Initial Stage | $8,828.00 | $8,828.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hb Pet, Restage | $8,828.00 | $8,828.00 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 Hb Ct Pelvis W/O Dye | $1,796.00 | $1,796.00 | — | 5% below | — |
| Pelvic CT scan without contrast inpatient CPT 72192 Hb Ct Pelvis W/O Dye | $1,796.00 | $1,796.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hb Us Exam Pelvic Limited | $610.00 | $610.00 | — | 14% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hb Us Exam Pelvic Limited | $610.00 | $610.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hb Us Exam Pelvic Complete | $875.00 | $875.00 | — | 10% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hb Us Exam Pelvic Complete | $875.00 | $875.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hb Ob Us >/= 14 Wks Sngl Fetus | $689.00 | $689.00 | — | 7% below | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hb Ob Us >/= 14 Wks Sngl Fetus | $689.00 | $689.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hb Ob Us < 14 Wks Single Fetus | $628.00 | $628.00 | — | 7% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hb Ob Us < 14 Wks Single Fetus | $628.00 | $628.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hb Ob Us Limited Fetus(S) | $639.00 | $639.00 | — | 22% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hb Ob Us Limited Fetus(S) | $639.00 | $639.00 | — | — | — |
| Rib X-ray, one side, 2 views CPT 71100 Hb X-Ray Exam Ribs Uni 2 Views | $355.00 | $355.00 | — | 3% above | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 Hb X-Ray Exam Ribs Uni 2 Views | $355.00 | $355.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hb X-Ray Exam Unilat Ribs/Chest | $434.00 | $434.00 | — | 10% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hb X-Ray Exam Unilat Ribs/Chest | $434.00 | $434.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Hb Scr Mammo Bi Incl Cad | $625.00 | $625.00 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hb Scr Mammo Bi Incl Cad | $625.00 | $625.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Hb Radiologic Examination, Shoulder Complete, Min Of 2 Views, Bilateral | $630.00 | $630.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Hb Radiologic Examination, Shoulder Complete, Minimum Of 2 Views | $359.00 | $359.00 | — | at median | — |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 Hb Radiologic Examination, Shoulder Complete, Min Of 2 Views, Bilateral | $630.00 | $630.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hb Radiologic Examination, Shoulder Complete, Minimum Of 2 Views | $359.00 | $359.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Hb Radiologic Examination, Sinuses, Paranasal, Complete, Minimum Of 3 Views | $491.00 | $491.00 | — | 30% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hb Radiologic Examination, Sinuses, Paranasal, Complete, Minimum Of 3 Views | $491.00 | $491.00 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 Hb Radiologic Examination, Skull Less Than 4 Views | $441.00 | $441.00 | — | 43% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Hb Radiologic Examination, Skull Less Than 4 Views | $441.00 | $441.00 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hb Polysom 6/> Yrs 4/> Param | $4,250.00 | $4,250.00 | — | 10% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hb Polysom 6/> Yrs 4/> Param | $4,250.00 | $4,250.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Hb Cine/Vid X-Ray Throat/Esoph | $747.00 | $747.00 | — | 22% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hb Cine/Vid X-Ray Throat/Esoph | $747.00 | $747.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 Hb Radiologic Examination, Femur Minimum 2 Views, Bilateral | $758.00 | $758.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hb X-Ray Exam Of Femur, Minimum 2 Vws | $388.00 | $388.00 | — | 37% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 Hb Radiologic Examination, Femur Minimum 2 Views, Bilateral | $758.00 | $758.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Hb X-Ray Exam Of Femur, Minimum 2 Vws | $388.00 | $388.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Hb Ct Chest Spine W/O Dye | $1,861.00 | $1,861.00 | — | 14% below | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hb Ct Chest Spine W/O Dye | $1,861.00 | $1,861.00 | — | — | — |
| Toe X-ray, 2 or more views CPT 73660 Hb X-Ray Exam Of Toe(S) | $221.00 | $221.00 | — | 3% below | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 Hb X-Ray Exam Of Toe(S) | $221.00 | $221.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Hb Transvaginal Us Non-Ob | $510.00 | $510.00 | — | 20% below | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hb Transvaginal Us Non-Ob | $510.00 | $510.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Hb Transvaginal Us Obstetric | $501.00 | $501.00 | — | 5% below | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hb Transvaginal Us Obstetric | $501.00 | $501.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Hb Us Exam Abdom Complete | $1,045.00 | $1,045.00 | — | 2% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hb Us Exam Abdom Complete | $1,045.00 | $1,045.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Hb Us Exam Scrotum | $893.00 | $893.00 | — | 19% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Hb Us Exam Scrotum | $893.00 | $893.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hb Us Exam Of Head And Neck | $763.00 | $763.00 | — | 12% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hb Us Exam Of Head And Neck | $763.00 | $763.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hb X-Ray Upper Gi Delay W/O Kub | $795.00 | $795.00 | — | 15% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hb X-Ray Upper Gi Delay W/O Kub | $795.00 | $795.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 Hb X-Ray Exam Of Humerus | $349.00 | $349.00 | — | 19% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Hb X-Ray Exam Of Humerus | $349.00 | $349.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hb Duplex Scan Of Extremity Veins Including Responses To Compression And Other Maneuvers Unilateral | $1,010.00 | $1,010.00 | — | 42% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hb Duplex Scan Of Extremity Veins Including Responses To Compression And Other Maneuvers Unilateral | $1,010.00 | $1,010.00 | — | — | — |
| Wrist X-ray, 2 views both sides CPT 73100 Hb Radiologic Examination, Wrist 2 Views, Bilateral | $506.00 | $506.00 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 Hb Radiologic Examination, Wrist 2 Views | $349.00 | $349.00 | — | 31% above | — |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 Hb Radiologic Examination, Wrist 2 Views, Bilateral | $506.00 | $506.00 | — | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 Hb Radiologic Examination, Wrist 2 Views | $349.00 | $349.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 Hb Radiologic Examination, Wrist Complete, Minimum Of 3 Views, Bilateral | $634.00 | $634.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Hb Radiologic Examination, Wrist Complete, Minimum Of 3 Views | $389.00 | $389.00 | — | 19% above | — |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 Hb Radiologic Examination, Wrist Complete, Minimum Of 3 Views, Bilateral | $634.00 | $634.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hb Radiologic Examination, Wrist Complete, Minimum Of 3 Views | $389.00 | $389.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hb X-Ray Exam Hip W/Pelvis Uni 2-3 Views | $341.00 | $341.00 | — | 13% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hb Radiologic Examination, Hip, During Operative Procedure | $385.00 | $385.00 | — | 27% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hb X-Ray Exam Hip W/Pelvis Uni 2-3 Views | $341.00 | $341.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hb Radiologic Examination, Hip, During Operative Procedure | $385.00 | $385.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Hb X-Ray Exam Abdomen 1 View | $340.00 | $340.00 | — | 28% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Hb X-Ray Exam Abdomen 1 View | $340.00 | $340.00 | — | — | — |
| X-ray of the ankle, 2 views both sides CPT 73600 Hb Radiologic Examination, Ankle 2 Views, Bilateral | $519.00 | $519.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 Hb Radiologic Examination, Ankle 2 Views | $282.00 | $282.00 | — | 2% above | — |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 Hb Radiologic Examination, Ankle 2 Views, Bilateral | $519.00 | $519.00 | — | — | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 Hb Radiologic Examination, Ankle 2 Views | $282.00 | $282.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Hb X-Ray Exam Of Finger(S) | $234.00 | $234.00 | — | 10% below | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hb X-Ray Exam Of Finger(S) | $234.00 | $234.00 | — | — | — |
| X-ray of the foot, 2 views both sides CPT 73620 Hb Radiologic Examination, Foot 2 Views, Bilateral | $399.00 | $399.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 Hb Radiologic Examination, Foot 2 Views | $266.00 | $266.00 | — | 3% below | — |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 Hb Radiologic Examination, Foot 2 Views, Bilateral | $399.00 | $399.00 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 Hb Radiologic Examination, Foot 2 Views | $266.00 | $266.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 Hb Radiologic Examination, Foot Complete, Minimum Of 3 Views, Bilateral | $404.00 | $404.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Hb Radiologic Examination, Foot Complete, Minimum Of 3 Views | $332.00 | $332.00 | — | 4% below | — |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 Hb Radiologic Examination, Foot Complete, Minimum Of 3 Views, Bilateral | $404.00 | $404.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hb Radiologic Examination, Foot Complete, Minimum Of 3 Views | $332.00 | $332.00 | — | — | — |
| X-ray of the hand, 3 or more views both sides CPT 73130 Hb Radiologic Examination, Hand Minimum Of 3 Views, Bilateral | $495.00 | $495.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 Hb Radiologic Examination, Hand Minimum Of 3 Views | $383.00 | $383.00 | — | 11% above | — |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 Hb Radiologic Examination, Hand Minimum Of 3 Views, Bilateral | $495.00 | $495.00 | — | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hb Radiologic Examination, Hand Minimum Of 3 Views | $383.00 | $383.00 | — | — | — |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 Hb Radiologic Examination, Knee 1 Or 2 Views, Bilateral | $450.00 | $450.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Hb X-Ray Exam Of Knee 1 Or 2 | $300.00 | $300.00 | — | 4% above | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Hb Radiologic Examination, Knee 1 Or 2 Views, Bilateral | $450.00 | $450.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hb X-Ray Exam Of Knee 1 Or 2 | $300.00 | $300.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hb X-Ray Exam L-S Spine 2/3 Vws | $404.00 | $404.00 | — | 9% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hb X-Ray Exam L-S Spine 2/3 Vws | $404.00 | $404.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 Hb X-Ray Exam L-2 Spine 4/>Vws | $505.00 | $505.00 | — | 12% below | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hb X-Ray Exam L-2 Spine 4/>Vws | $505.00 | $505.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hb X-Ray Exam Thorac Spine 2Vws | $366.00 | $366.00 | — | at median | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hb X-Ray Exam Thorac Spine 2Vws | $366.00 | $366.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Hb X-Ray Exam Of Nasal Bones | $335.00 | $335.00 | — | 12% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hb X-Ray Exam Of Nasal Bones | $335.00 | $335.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hb X-Ray Exam Neck Spine 2-3 Vw | $407.00 | $407.00 | — | 14% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hb X-Ray Exam Neck Spine 2-3 Vw | $407.00 | $407.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hb Radiologic Examination, Pelvis 1 Or 2 Views | $364.00 | $364.00 | — | 5% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hb Radiologic Examination, Pelvis 1 Or 2 Views | $364.00 | $364.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hb X-Ray Exam Sacrum Tailbone | $344.00 | $344.00 | — | at median | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hb X-Ray Exam Sacrum Tailbone | $344.00 | $344.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Hb Assay Of Acth | $874.00 | $874.00 | — | 337% above | — |
| ACTH blood test inpatient CPT 82024 Hb Assay Of Acth | $874.00 | $874.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hb Alanine Amino (Alt) (Sgpt) | $66.00 | $66.00 | — | 20% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hb Alanine Amino (Alt) (Sgpt) | $66.00 | $66.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hb Transferase (Ast) (Sgot) | $66.00 | $66.00 | — | 20% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hb Transferase (Ast) (Sgot) | $66.00 | $66.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hb Acute Hepatitis Panel | $541.00 | $541.00 | — | 107% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hb Acute Hepatitis Panel | $541.00 | $541.00 | — | — | — |
| Albumin blood test CPT 82040 Hb Assay Of Serum Albumin | $74.00 | $74.00 | — | 72% above | — |
| Albumin blood test inpatient CPT 82040 Hb Assay Of Serum Albumin | $74.00 | $74.00 | — | — | — |
| Aldosterone blood test CPT 82088 Hb Assay Of Aldosterone | $401.00 | $401.00 | — | 143% above | — |
| Aldosterone blood test inpatient CPT 82088 Hb Assay Of Aldosterone | $401.00 | $401.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hb Assay Alkaline Phosphatase | $63.00 | $63.00 | — | 15% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hb Assay Alkaline Phosphatase | $63.00 | $63.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hb Formaldehyde | $7.00 | $7.00 | — | 75% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hb Allergen Specific Ige | $105.00 | $105.00 | — | 282% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hb Peanut Component Panel | $319.00 | $319.00 | — | 1060% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hb Allg Spec Ige Crude Xtrc Ea | $319.00 | $319.00 | — | 1060% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Formaldehyde | $7.00 | $7.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Allergen Specific Ige | $105.00 | $105.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Allg Spec Ige Crude Xtrc Ea | $319.00 | $319.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Peanut Component Panel | $319.00 | $319.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Alpha-Fetoprotein Serum | $225.00 | $225.00 | — | 106% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Alpha-Fetoprotein Serum | $225.00 | $225.00 | — | — | — |
| Ammonia blood test CPT 82140 Hb Assay Of Ammonia | $182.00 | $182.00 | — | 64% above | — |
| Ammonia blood test inpatient CPT 82140 Hb Assay Of Ammonia | $182.00 | $182.00 | — | — | — |
| Amylase blood test CPT 82150 Hb Assay Of Amylase | $104.00 | $104.00 | — | 29% above | — |
| Amylase blood test inpatient CPT 82150 Hb Assay Of Amylase | $104.00 | $104.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hb Ccp Antibody | $188.00 | $188.00 | — | 124% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hb Ccp Antibody | $188.00 | $188.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hb Anachioice Specific Antibody Cascading Reflex | $146.00 | $146.00 | — | 58% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hb Antinuclear Antibodies | $146.00 | $146.00 | — | 58% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hb Antinuclear Antibodies | $146.00 | $146.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hb Anachioice Specific Antibody Cascading Reflex | $146.00 | $146.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hb Assay Of Natriuretic Peptide | $120.00 | $120.00 | — | 36% below | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hb Assay Of Natriuretic Peptide | $120.00 | $120.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Culture, Blood Bank | $12.00 | $12.00 | — | 86% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Culture Othr Specimn Aerobic | $167.00 | $167.00 | — | 91% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Culture, Environmental | $167.00 | $167.00 | — | 91% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Culture, Blood Bank | $12.00 | $12.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Culture, Environmental | $167.00 | $167.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Culture Othr Specimn Aerobic | $167.00 | $167.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 Hb Metabolic Panel Total Ca | $162.00 | $162.00 | — | 26% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hb Metabolic Panel Total Ca | $162.00 | $162.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 Hb Bilirubin Total | $67.00 | $67.00 | — | 9% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Hb Bilirubin Total | $67.00 | $67.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hb Level Iv Surgical Path-Histo | $540.00 | $540.00 | — | 120% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hb Cytology,Cell Block | $575.00 | $575.00 | — | 135% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hb Level Iv - Cyto Path | $1,024.00 | $1,024.00 | — | 318% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hb Level Iv Surgical Path-Histo | $540.00 | $540.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hb Cytology,Cell Block | $575.00 | $575.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hb Level Iv - Cyto Path | $1,024.00 | $1,024.00 | — | — | — |
| Blood culture for bacteria CPT 87040 Hb Blood Culture For Bacteria | $250.00 | $250.00 | — | 73% above | — |
| Blood culture for bacteria inpatient CPT 87040 Hb Blood Culture For Bacteria | $250.00 | $250.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hb Drawing Fee | $4.00 | $4.00 | — | 83% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hb Routine Venipuncture | $46.00 | $46.00 | — | 95% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hb Drawing Fee | $4.00 | $4.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hb Routine Venipuncture | $46.00 | $46.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Hb Glucose Quant, Whole Blood Poct | $77.00 | $77.00 | — | 88% above | — |
| Blood glucose (sugar) test CPT 82947 Hb Assay Glucose Blood Quant | $77.00 | $77.00 | — | 88% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hb Assay Glucose Blood Quant | $77.00 | $77.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hb Glucose Quant, Whole Blood Poct | $77.00 | $77.00 | — | — | — |
| Blood lead test CPT 83655 Hb Assay Of Lead | $51.00 | $51.00 | — | 7% below | — |
| Blood lead test inpatient CPT 83655 Hb Assay Of Lead | $51.00 | $51.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hb Chorionic Gonadotropin Assay | $226.00 | $226.00 | — | 151% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hb Chorionic Gonadotropin Assay | $226.00 | $226.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hb Blood Typing Abo | $60.00 | $60.00 | — | 29% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hb Blood Typing Abo | $60.00 | $60.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Hb Assay Of Urea Nitrogen | $83.00 | $83.00 | — | 71% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hb Assay Of Urea Nitrogen | $83.00 | $83.00 | — | — | — |
| C-peptide blood test CPT 84681 Hb Assay Of C-Peptide | $202.00 | $202.00 | — | 95% above | — |
| C-peptide blood test inpatient CPT 84681 Hb Assay Of C-Peptide | $202.00 | $202.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hb C-Reactive Protein | $113.00 | $113.00 | — | 60% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hb C-Reactive Protein | $113.00 | $113.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hb C Diff Amplified Probe | $158.00 | $158.00 | — | 14% below | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hb C Diff Amplified Probe | $158.00 | $158.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Hb Immunoassay Tumor Ca 19-9 | $91.00 | $91.00 | — | 19% below | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hb Immunoassay Tumor Ca 19-9 | $91.00 | $91.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hb Immunoassay Tumor Ca 125 | $281.00 | $281.00 | — | 75% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hb Immunoassay Tumor Ca 125 | $281.00 | $281.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hb Sars-Cov-2 Covid-19 Amp Prb - Cepheid | $152.00 | $152.00 | — | 32% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hb Sars-Cov-2 Covid-19 Amp Prb | $200.00 | $200.00 | — | 73% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hb Sars-Cov-2 Covid-19 Amp Prb - Cepheid | $152.00 | $152.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hb Sars-Cov-2 Covid-19 Amp Prb | $200.00 | $200.00 | — | — | — |
| Calcium blood test, total CPT 82310 Hb Calcium, Total | $63.00 | $63.00 | — | 43% above | — |
| Calcium blood test, total inpatient CPT 82310 Hb Calcium, Total | $63.00 | $63.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hb Carcinoembryonic Antigen | $245.00 | $245.00 | — | 71% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hb Carcinoembryonic Antigen | $245.00 | $245.00 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Hb Varicella-Zoster Antibody | $144.00 | $144.00 | — | 99% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hb Varicella-Zoster Antibody | $144.00 | $144.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hb Chylmd Trach Dna Amp Probe | $159.00 | $159.00 | — | 29% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hb Chylmd Trach Dna Amp Probe | $159.00 | $159.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Panel | $137.00 | $137.00 | — | 9% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Prof With Calc Ldl | $137.00 | $137.00 | — | 9% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Panel | $137.00 | $137.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Prof With Calc Ldl | $137.00 | $137.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 Hb Complete Cbc W/Auto Diff Wbc | $103.00 | $103.00 | — | 26% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hb Complete Cbc W/Auto Diff Wbc | $103.00 | $103.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 Hb Complete Cbc Automated | $63.00 | $63.00 | — | 3% below | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hb Complete Cbc Automated | $63.00 | $63.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Hb Comprehen Metabolic Panel | $237.00 | $237.00 | — | 54% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hb Comprehen Metabolic Panel | $237.00 | $237.00 | — | — | — |
| Cortisol blood test, total CPT 82533 Hb Total Cortisol | $220.00 | $220.00 | — | 96% above | — |
| Cortisol blood test, total inpatient CPT 82533 Hb Total Cortisol | $220.00 | $220.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Hb Assay Of Ck (Cpk) | $100.00 | $100.00 | — | 63% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hb Assay Of Ck (Cpk) | $100.00 | $100.00 | — | — | — |
| Creatinine blood test CPT 82565 Hb Assay Of Creatinine | $75.00 | $75.00 | — | 58% above | — |
| Creatinine blood test inpatient CPT 82565 Hb Assay Of Creatinine | $75.00 | $75.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hb Cmv Antibody | $165.00 | $165.00 | — | 89% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hb Cmv Antibody | $165.00 | $165.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 Hb Fibrin Degradation Quant | $134.00 | $134.00 | — | 12% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Hb Fibrin Degradation Quant | $134.00 | $134.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hb Dehydroepiandrosterone-Sulfate (Dhea-S) | $449.00 | $449.00 | — | 308% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hb Dehydroepiandrosterone-Sulfate (Dhea-S) | $449.00 | $449.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drug Test Prsmv Chem Anlyzr | $300.00 | $300.00 | — | 200% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drug Test Prsmv Chem Anlyzr | $300.00 | $300.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hb Electrolyte Panel | $163.00 | $163.00 | — | 68% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hb Electrolyte Panel | $163.00 | $163.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hb Epstein-Barr Capsid Vca | $229.00 | $229.00 | — | 112% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hb Epstein-Barr Capsid Vca | $229.00 | $229.00 | — | — | — |
| Estradiol blood test CPT 82670 Hb Assay Of Estradiol | $277.00 | $277.00 | — | 159% above | — |
| Estradiol blood test inpatient CPT 82670 Hb Assay Of Estradiol | $277.00 | $277.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Hb Assay Of Gonadotropin (Fsh) | $269.00 | $269.00 | — | 126% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hb Assay Of Gonadotropin (Fsh) | $269.00 | $269.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Hb Assay For Calprotectin Fecal | $61.00 | $61.00 | — | 65% below | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hb Assay For Calprotectin Fecal | $61.00 | $61.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 Hb Ferritin | $190.00 | $190.00 | — | 46% above | — |
| Ferritin blood test (iron stores) CPT 82728 Hb Assay Of Ferritin | $190.00 | $190.00 | — | 46% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hb Assay Of Ferritin | $190.00 | $190.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hb Ferritin | $190.00 | $190.00 | — | — | — |
| Fibrinogen blood test CPT 85384 Hb Fibrinogen Activity | $83.00 | $83.00 | — | 1% below | — |
| Fibrinogen blood test inpatient CPT 85384 Hb Fibrinogen Activity | $83.00 | $83.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 Hb Assay Of Folic Acid Serum | $150.00 | $150.00 | — | 34% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Hb Assay Of Folic Acid Serum | $150.00 | $150.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 Hb Free Assay (Ft-3) | $189.00 | $189.00 | — | 56% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Hb Free Assay (Ft-3) | $189.00 | $189.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hb Assay Of Free Thyroxine | $85.00 | $85.00 | — | 26% below | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hb Assay Of Free Thyroxine | $85.00 | $85.00 | — | — | — |
| Free testosterone test CPT 84402 Hb Assay Of Free Testosterone | $224.00 | $224.00 | — | 79% above | — |
| Free testosterone test inpatient CPT 84402 Hb Assay Of Free Testosterone | $224.00 | $224.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hb Assay Of Ggt | $76.00 | $76.00 | — | 32% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hb Assay Of Ggt | $76.00 | $76.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hb General Health Panel | $202.00 | $202.00 | — | 33% below | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hb General Health Panel | $202.00 | $202.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hb Glucose Test | $51.00 | $51.00 | — | 15% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hb Glucose Test | $51.00 | $51.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Hb Glucose Tolerance Test (Gtt) | $170.00 | $170.00 | — | 26% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Hb Glucose Tolerance Test (Gtt) | $170.00 | $170.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hb N.Gonorrhoeae Dna Amp Prob | $149.00 | $149.00 | — | 23% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hb N.Gonorrhoeae Dna Amp Prob | $149.00 | $149.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 Hb Helicobacter Pylori Antibody | $145.00 | $145.00 | — | 25% above | — |
| H. pylori antibody blood test inpatient CPT 86677 Hb Helicobacter Pylori Antibody | $145.00 | $145.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 Hb Hpylori Stool Eia | $69.00 | $69.00 | — | 41% below | — |
| H. pylori stool antigen test inpatient CPT 87338 Hb Hpylori Stool Eia | $69.00 | $69.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hb Hiv-1 Quant&Revrse Trnscrpj | $368.00 | $368.00 | — | 8% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hb Hiv-1 Quant&Revrse Trnscrpj | $368.00 | $368.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hb Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $104.00 | $104.00 | — | 10% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hb Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $104.00 | $104.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hb Hpv Dna Amp Probe | $169.00 | $169.00 | — | 17% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hb Hpv Dna Amp Probe | $169.00 | $169.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hb Glycosylated Hemoglobin Test | $133.00 | $133.00 | — | 49% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hb Glycosylated Hemoglobin Test | $133.00 | $133.00 | — | — | — |
| Hemoglobin blood test CPT 85018 Hb Total Hemoglobin | $54.00 | $54.00 | — | 73% above | — |
| Hemoglobin blood test inpatient CPT 85018 Hb Total Hemoglobin | $54.00 | $54.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hb Hep B Core Antibody Total | $65.00 | $65.00 | — | 19% below | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hb Hep B Core Antibody Total | $65.00 | $65.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hb Hep B Surface Antibody | $151.00 | $151.00 | — | 61% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hb Hep B Surface Antibody | $151.00 | $151.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hb Hepatitis B Surface Ag Eia | $167.00 | $167.00 | — | 90% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hb Hepatitis B Surface Ag Eia | $167.00 | $167.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hb Hepatitis C Ab Test | $200.00 | $200.00 | — | 79% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Hepatitis C Ab Test | $200.00 | $200.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hb Hepatitis C Rna Pcr | $58.00 | $58.00 | — | 78% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hb Hepatitis C Revrs Trnscrpj | $691.00 | $691.00 | — | 161% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hb Hepatitis C Rna Pcr | $58.00 | $58.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hb Hepatitis C Revrs Trnscrpj | $691.00 | $691.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hb Herpes Simplex Type 1 Test | $90.00 | $90.00 | — | 33% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hb Herpes Simplex Type 1 Test | $90.00 | $90.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hb Herpes Simplex Type 2 Test | $101.00 | $101.00 | — | 13% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hb Herpes Simplex Type 2 Test | $101.00 | $101.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hb C-Reactive Protein Hs | $117.00 | $117.00 | — | 27% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hb C-Reactive Protein Hs | $117.00 | $117.00 | — | — | — |
| Homocysteine blood test CPT 83090 Hb Assay Of Homocystine | $210.00 | $210.00 | — | 74% above | — |
| Homocysteine blood test inpatient CPT 83090 Hb Assay Of Homocystine | $210.00 | $210.00 | — | — | — |
| Insulin blood test CPT 83525 Hb Assay Of Insulin | $117.00 | $117.00 | — | 61% above | — |
| Insulin blood test inpatient CPT 83525 Hb Assay Of Insulin | $117.00 | $117.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 Hb Assay Of Iron | $103.00 | $103.00 | — | 33% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Hb Assay Of Iron | $103.00 | $103.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Hb Iron Binding Test | $127.00 | $127.00 | — | 61% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hb Iron Binding Test | $127.00 | $127.00 | — | — | — |
| Kidney function blood test panel CPT 80069 Hb Renal Function Panel | $235.00 | $235.00 | — | 58% above | — |
| Kidney function blood test panel inpatient CPT 80069 Hb Renal Function Panel | $235.00 | $235.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 Hb Assay Of Gonadotropin (Lh) | $282.00 | $282.00 | — | 146% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Hb Assay Of Gonadotropin (Lh) | $282.00 | $282.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid | $165.00 | $165.00 | — | 84% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid | $165.00 | $165.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hb Lactate (Ld) (Ldh) Enzyme | $70.00 | $70.00 | — | 30% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hb Lactate (Ld) (Ldh) Enzyme | $70.00 | $70.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Hb Assay Of Lipase | $120.00 | $120.00 | — | 35% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hb Assay Of Lipase | $120.00 | $120.00 | — | — | — |
| Liver function blood test panel CPT 80076 Hb Hepatic Function Panel | $168.00 | $168.00 | — | 22% above | — |
| Liver function blood test panel inpatient CPT 80076 Hb Hepatic Function Panel | $168.00 | $168.00 | — | — | — |
| Lyme disease antibody test CPT 86618 Hb Antibody Borrelia Burgdorferi (Lyme Disease) | $169.00 | $169.00 | — | 133% above | — |
| Lyme disease antibody test inpatient CPT 86618 Hb Antibody Borrelia Burgdorferi (Lyme Disease) | $169.00 | $169.00 | — | — | — |
| Magnesium blood test CPT 83735 Hb Magnesium,Rbc&Plasma | $100.00 | $100.00 | — | 47% above | — |
| Magnesium blood test CPT 83735 Hb 24Hr.Ur Magnesium | $100.00 | $100.00 | — | 47% above | — |
| Magnesium blood test CPT 83735 Hb Assay Of Magnesium | $100.00 | $100.00 | — | 47% above | — |
| Magnesium blood test inpatient CPT 83735 Hb Assay Of Magnesium | $100.00 | $100.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Hb Magnesium,Rbc&Plasma | $100.00 | $100.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Hb 24Hr.Ur Magnesium | $100.00 | $100.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 Hb Rubeola Antibody | $103.00 | $103.00 | — | 37% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Hb Rubeola Antibody | $103.00 | $103.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Hb Heterophile Antibody Screen | $77.00 | $77.00 | — | at median | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hb Heterophile Antibody Screen | $77.00 | $77.00 | — | — | — |
| Mumps immunity blood test CPT 86735 Hb Mumps G Or M Csf | $153.00 | $153.00 | — | 104% above | — |
| Mumps immunity blood test CPT 86735 Hb Mumps Antibody | $153.00 | $153.00 | — | 104% above | — |
| Mumps immunity blood test inpatient CPT 86735 Hb Mumps G Or M Csf | $153.00 | $153.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Hb Mumps Antibody | $153.00 | $153.00 | — | — | — |
| Obstetric blood test panel CPT 80055 Hb Obstetric Panel | $204.00 | $204.00 | — | 3% below | — |
| Obstetric blood test panel inpatient CPT 80055 Hb Obstetric Panel | $204.00 | $204.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Assay Of Psa Free | $149.00 | $149.00 | — | 52% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Assay Of Psa Free | $149.00 | $149.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hb Assay Of Psa Total | $170.00 | $170.00 | — | 50% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hb Assay Of Psa Total | $170.00 | $170.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Hb Cytopath C/V Auto Fluid Redo | $160.00 | $160.00 | — | 21% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Hb Cytopath C/V Auto Fluid Redo | $160.00 | $160.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hb Screen Cerv/Vag Thin Layer | $160.00 | $160.00 | — | 42% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hb Screen Cerv/Vag Thin Layer | $160.00 | $160.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Hb Assay Of Parathormone | $413.00 | $413.00 | — | 84% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hb Assay Of Parathormone | $413.00 | $413.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Thromboplastin Time, Partial (Ptt) Plasma Or Whole Blood | $121.00 | $121.00 | — | 86% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Thromboplastin Time, Partial (Ptt) Plasma Or Whole Blood | $121.00 | $121.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Hb Assay Of Phosphorus | $35.00 | $35.00 | — | 40% below | — |
| Phosphorus (phosphate) blood test CPT 84100 Hb Assay Of Phosphorous | $54.00 | $54.00 | — | 8% below | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hb Assay Of Phosphorus | $35.00 | $35.00 | — | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hb Assay Of Phosphorous | $54.00 | $54.00 | — | — | — |
| Potassium blood test CPT 84132 Hb Assay Of Serum Potassium | $69.00 | $69.00 | — | 60% above | — |
| Potassium blood test CPT 84132 Hb Potassium, Whole Blood Poct | $69.00 | $69.00 | — | 60% above | — |
| Potassium blood test inpatient CPT 84132 Hb Potassium, Whole Blood Poct | $69.00 | $69.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 Hb Assay Of Serum Potassium | $69.00 | $69.00 | — | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Hb Fetal Chrmoml Aneuploidy | $1,380.00 | $1,380.00 | — | 57% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Hb Fetal Chrmoml Aneuploidy | $1,380.00 | $1,380.00 | — | — | — |
| Progesterone blood test CPT 84144 Hb Assay Of Progesterone | $260.00 | $260.00 | — | 86% above | — |
| Progesterone blood test inpatient CPT 84144 Hb Assay Of Progesterone | $260.00 | $260.00 | — | — | — |
| Prolactin blood test CPT 84146 Hb Assay Of Prolactin | $399.00 | $399.00 | — | 211% above | — |
| Prolactin blood test inpatient CPT 84146 Hb Assay Of Prolactin | $399.00 | $399.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time | $52.00 | $52.00 | — | 24% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time | $52.00 | $52.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hb Drug Test Prsmv Dir Opt Obs | $30.00 | $30.00 | — | 63% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Hb Drug Test Prsmv Dir Opt Obs | $30.00 | $30.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Hb Influenza Assay W/Optic | $96.00 | $96.00 | — | 34% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Hb Influenza Assay W/Optic | $96.00 | $96.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hb Strep A Assay W/Optic | $100.00 | $100.00 | — | 65% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hb Strep A Assay W/Optic | $100.00 | $100.00 | — | — | — |
| Renin blood test CPT 84244 Hb Assay Of Renin | $213.00 | $213.00 | — | 85% above | — |
| Renin blood test inpatient CPT 84244 Hb Assay Of Renin | $213.00 | $213.00 | — | — | — |
| Rh blood typing CPT 86901 Hb Blood Typing Rh (D) | $71.00 | $71.00 | — | 4% above | — |
| Rh blood typing inpatient CPT 86901 Hb Blood Typing Rh (D) | $71.00 | $71.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 Hb Rheumatoid Factor Quant | $123.00 | $123.00 | — | 96% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hb Rheumatoid Factor Quant | $123.00 | $123.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 Hb Rubella Antibody | $145.00 | $145.00 | — | 94% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hb Rubella Antibody | $145.00 | $145.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hb Rbc Sed Rate Automated | $123.00 | $123.00 | — | 161% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hb Rbc Sed Rate Automated | $123.00 | $123.00 | — | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Hb Semen Anal Vol/Count/Mot | $154.00 | $154.00 | — | 6% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Hb Semen Anal Vol/Count/Mot | $154.00 | $154.00 | — | — | — |
| Sodium blood test CPT 84295 Hb Sodium, Whole Blood Poct | $81.00 | $81.00 | — | 65% above | — |
| Sodium blood test CPT 84295 Hb Assay Of Serum Sodium | $81.00 | $81.00 | — | 65% above | — |
| Sodium blood test inpatient CPT 84295 Hb Sodium, Whole Blood Poct | $81.00 | $81.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 Hb Assay Of Serum Sodium | $81.00 | $81.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 Hb Ova And Parasites Smears | $180.00 | $180.00 | — | 144% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Hb Ova And Parasites Smears | $180.00 | $180.00 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hb Assay Test For Blood Fecal | $143.00 | $143.00 | — | 92% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hb Assay Test For Blood Fecal | $143.00 | $143.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Treponema Pallidum | $57.00 | $57.00 | — | 14% below | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Treponema Pallidum | $57.00 | $57.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hb Syphilis Test Non-Trep Qual | $102.00 | $102.00 | — | 100% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hb Syphilis Test Non-Trep Qual | $102.00 | $102.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hb Tb Test Cell Immun Measure | $191.00 | $191.00 | — | 14% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hb Tb Test Cell Immun Measure | $191.00 | $191.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hb Assay Of Total Testosterone | $254.00 | $254.00 | — | 100% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hb Assay Of Total Testosterone | $254.00 | $254.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hb Microsomal Antibody Each | $100.00 | $100.00 | — | 26% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hb Microsomal Antibody Each | $100.00 | $100.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hb Assay Thyroid Stim Hormone | $158.00 | $158.00 | — | 34% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hb Assay Thyroid Stim Hormone | $158.00 | $158.00 | — | — | — |
| Total IgE blood test CPT 82785 Hb Assay Of Ige | $71.00 | $71.00 | — | 19% below | — |
| Total IgE blood test inpatient CPT 82785 Hb Assay Of Ige | $71.00 | $71.00 | — | — | — |
| Total cholesterol blood test CPT 82465 Hb Assay Bld/Serum Cholesterol | $73.00 | $73.00 | — | 71% above | — |
| Total cholesterol blood test inpatient CPT 82465 Hb Assay Bld/Serum Cholesterol | $73.00 | $73.00 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 Hb Assay Of Total Thyroxine | $123.00 | $123.00 | — | 50% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Hb Assay Of Total Thyroxine | $123.00 | $123.00 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 Hb Assay Triiodothyronine (T3) | $185.00 | $185.00 | — | 94% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Hb Assay Triiodothyronine (T3) | $185.00 | $185.00 | — | — | — |
| Transferrin blood test CPT 84466 Hb Assay Of Transferrin | $107.00 | $107.00 | — | 13% above | — |
| Transferrin blood test inpatient CPT 84466 Hb Assay Of Transferrin | $107.00 | $107.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 Hb Trichomonas Vaginalis Amplif | $47.00 | $47.00 | — | 62% below | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Hb Trichomonas Vaginalis Amplif | $47.00 | $47.00 | — | — | — |
| Triglycerides blood test CPT 84478 Hb Assay Of Triglycerides | $75.00 | $75.00 | — | 58% above | — |
| Triglycerides blood test inpatient CPT 84478 Hb Assay Of Triglycerides | $75.00 | $75.00 | — | — | — |
| Troponin test, quantitative CPT 84484 Hb Assay Of Troponin Quant | $130.00 | $130.00 | — | 14% below | — |
| Troponin test, quantitative inpatient CPT 84484 Hb Assay Of Troponin Quant | $130.00 | $130.00 | — | — | — |
| Uric acid blood test CPT 84550 Hb Assay Of Blood/Uric Acid | $71.00 | $71.00 | — | 1% above | — |
| Uric acid blood test inpatient CPT 84550 Hb Assay Of Blood/Uric Acid | $71.00 | $71.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Hb Urinalysis Auto W/Scope | $88.00 | $88.00 | — | 37% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hb Urinalysis Auto W/Scope | $88.00 | $88.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Hb Urine,Ua Dipstick* | $3.00 | $3.00 | — | 88% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Hb Urinalysis Auto W/O Scope | $63.00 | $63.00 | — | 151% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hb Urine,Ua Dipstick* | $3.00 | $3.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hb Urinalysis Auto W/O Scope | $63.00 | $63.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 Hb Urinalysis Nonauto W/O Scope | $9.00 | $9.00 | — | 60% below | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hb Urinalysis Nonauto W/O Scope | $9.00 | $9.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Hb Urine Culture/Colony Count | $123.00 | $123.00 | — | 34% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hb Urine Culture/Colony Count | $123.00 | $123.00 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 Hb Microalbumin Quantitative | $123.00 | $123.00 | — | 91% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hb Microalbumin Quantitative | $123.00 | $123.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 Hb Urine Pregnancy Test | $108.00 | $108.00 | — | 46% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hb Urine Pregnancy Test | $108.00 | $108.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hb Vitamin B-12 | $191.00 | $191.00 | — | 48% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hb Vitamin B-12 | $191.00 | $191.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hb Vitamin D 25 Hydroxy | $90.00 | $90.00 | — | 51% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hb Vitamin D 25 Hydroxy | $90.00 | $90.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hb Vit D 1 25-Dihydroxy | $266.00 | $266.00 | — | 37% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hb Vit D 1 25-Dihydroxy | $266.00 | $266.00 | — | — | — |
| Zinc blood test CPT 84630 Hb Assay Of Zinc | $105.00 | $105.00 | — | 46% above | — |
| Zinc blood test inpatient CPT 84630 Hb Assay Of Zinc | $105.00 | $105.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Chorionic Gonadotropin Test | $192.00 | $192.00 | — | 79% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Chorionic Gonadotropin Test | $192.00 | $192.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Hb Chemodenerv Musc Migraine | $808.00 | $808.00 | — | 113% above | — |
| Botox injections for chronic migraine inpatient CPT 64615 Hb Chemodenerv Musc Migraine | $808.00 | $808.00 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hb Bx Breast 1St Lesion Strtctc | $4,689.00 | $4,689.00 | — | 52% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hb Bx Breast 1St Lesion Strtctc | $4,689.00 | $4,689.00 | — | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hb Closed Treatment Of Distal Fibular Fracture (Lateral Malleolus) Without Manipulation | $135.00 | $135.00 | — | 68% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hb Closed Treatment Of Distal Fibular Fracture (Lateral Malleolus) Without Manipulation | $135.00 | $135.00 | — | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hb Closed Treatment Of Metatarsal Fracture, Without Manipulation, Each | $639.00 | $639.00 | — | 1% below | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Hb Closed Treatment Of Metatarsal Fracture, Without Manipulation, Each | $639.00 | $639.00 | — | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 Hb L Hrt Artery/Ventricle Angio | $21,689.00 | $21,689.00 | — | 111% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Hb L Hrt Artery/Ventricle Angio | $21,689.00 | $21,689.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hb Cardioversion Electric Ext | $2,110.00 | $2,110.00 | — | 76% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hb Cardioversion Electric Ext | $2,110.00 | $2,110.00 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 Hb Tx Atrial Fib Pulm Vein Isol | $42,847.00 | $42,847.00 | — | 52% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Hb Tx Atrial Fib Pulm Vein Isol | $42,847.00 | $42,847.00 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hb Closed Treatment Of Distal Radial Fracture (Eg, Colles Or Smith Type) Or Epiphyseal Separation, I | $639.00 | $639.00 | — | 23% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hb Closed Treatment Of Distal Radial Fracture (Eg, Colles Or Smith Type) Or Epiphyseal Separation, I | $639.00 | $639.00 | — | — | — |
| Coronary stent placement, one artery CPT 92928 Hb Prq Card Stent W/Angio 1 Vsl | $31,704.00 | $31,704.00 | — | 126% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 Hb Prq Card Stent W/Angio 1 Vsl | $31,704.00 | $31,704.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hb Cystoscopy | $2,420.00 | $2,420.00 | — | 91% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hb Cystoscopy | $2,420.00 | $2,420.00 | — | — | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Hb Create Eardrum Opening | $597.00 | $597.00 | — | 9% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Hb Create Eardrum Opening | $597.00 | $597.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Hb Remove Impacted Ear Wax Uni | $334.00 | $334.00 | — | 189% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hb Remove Impacted Ear Wax Uni | $334.00 | $334.00 | — | — | — |
| Earwax removal with instruments, one ear CPT 69210 Hb Remove Impacted Ear Wax Uni | $212.00 | $212.00 | — | 70% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Hb Remove Impacted Ear Wax Uni | $212.00 | $212.00 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hb Biopsy Of Uterus Lining | $1,245.00 | $1,245.00 | — | 258% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hb Biopsy Of Uterus Lining | $1,245.00 | $1,245.00 | — | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Hb Endoscopy Maxillary Sinus | $14,570.00 | $14,570.00 | — | 94% above | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Hb Endoscopy Maxillary Sinus | $14,570.00 | $14,570.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hb Inject Spine Cerv/Thoracic | $3,266.00 | $3,266.00 | — | 80% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hb Inject Spine Cerv/Thoracic | $3,266.00 | $3,266.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hb Inj Paravert F Jnt L/S 1 Lev | $3,533.00 | $3,533.00 | — | 128% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hb Inj Paravert F Jnt L/S 1 Lev | $3,533.00 | $3,533.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hb Catheter For Hysterography | $1,003.00 | $1,003.00 | — | 159% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hb Catheter For Hysterography | $1,003.00 | $1,003.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hb Incision And Drainage Of Abscess (Eg, Carbuncle, Suppurative Hidradenitis, Cutaneous Or Subcutane | $536.00 | $536.00 | — | 35% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hb Incision And Drainage Of Abscess (Eg, Carbuncle, Suppurative Hidradenitis, Cutaneous Or Subcutane | $536.00 | $536.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hb Inj Tendon Sheath/Ligament | $1,047.00 | $1,047.00 | — | 143% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hb Inj Tendon Sheath/Ligament | $1,047.00 | $1,047.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hb Arthrocentesis, Aspiration, And/Or Inj Major Joint Or Bursa | $326.00 | $326.00 | — | 35% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hb Arthrocentesis, Aspiration, And/Or Inj Major Joint Or Bursa | $326.00 | $326.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hb Arthrocentesis, Aspiration, And/Or Inj Intermediate Joint Or Bursa | $430.00 | $430.00 | — | 4% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hb Arthrocentesis, Aspiration, And/Or Inj Intermediate Joint Or Bursa | $430.00 | $430.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hb Arthrocentesis, Aspiration, And/Or Inj Small Joint Or Bursa | $273.00 | $273.00 | — | 13% below | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hb Arthrocentesis, Aspiration, And/Or Inj Small Joint Or Bursa | $273.00 | $273.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hb Intmd Rpr S/A/T/Ext 2.5 Cm/< | $1,013.00 | $1,013.00 | — | 68% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hb Intmd Rpr S/A/T/Ext 2.5 Cm/< | $1,013.00 | $1,013.00 | — | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 Hb Left Hrt Cath W/Ventrclgrphy | $13,382.00 | $13,382.00 | — | 84% above | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Hb Left Hrt Cath W/Ventrclgrphy | $13,382.00 | $13,382.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hb Inject Spine Lumbar/Sacral | $3,176.00 | $3,176.00 | — | 117% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hb Inject Spine Lumbar/Sacral | $3,176.00 | $3,176.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hb Inj Foramen Epidural L/S | $2,792.00 | $2,792.00 | — | 97% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hb Inj Foramen Epidural L/S | $2,792.00 | $2,792.00 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hb Exc Face-Mm B9+Marg 0.5 Cm/< | $355.00 | $355.00 | — | 48% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hb Exc Face-Mm B9+Marg 0.5 Cm/< | $355.00 | $355.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 Hb Removal Of Nail Plate | $612.00 | $612.00 | — | 112% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hb Removal Of Nail Plate | $612.00 | $612.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 Hb N Block Inj Occipital | $1,828.00 | $1,828.00 | — | 255% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Hb N Block Inj Occipital | $1,828.00 | $1,828.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 Hb Insrt Heart Pm Atrial & Vent | $27,836.00 | $27,836.00 | — | 141% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Hb Insrt Heart Pm Atrial & Vent | $27,836.00 | $27,836.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 Hb Abd Paracentesis W/Imaging | $2,627.00 | $2,627.00 | — | 81% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Hb Abd Paracentesis W/Imaging | $2,627.00 | $2,627.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hb Removal Of Nail Bed | $1,883.00 | $1,883.00 | — | 200% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hb Removal Of Nail Bed | $1,883.00 | $1,883.00 | — | — | — |
| Prostate biopsy CPT 55700 Hb Biopsy Of Prostate | $3,229.00 | $3,229.00 | — | at median | — |
| Prostate biopsy inpatient CPT 55700 Hb Biopsy Of Prostate | $3,229.00 | $3,229.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hb Destroy Lumb/Sac Facet Jnt | $4,388.00 | $4,388.00 | — | 57% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hb Destroy Lumb/Sac Facet Jnt | $4,388.00 | $4,388.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 Hb Incision And Removal Of Foreign Body, Subcutaneous Tissues Simple | $671.00 | $671.00 | — | 39% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Hb Incision And Removal Of Foreign Body, Subcutaneous Tissues Simple | $671.00 | $671.00 | — | — | — |
| Septoplasty to straighten the nasal septum CPT 30520 Hb Repair Of Nasal Septum | $6,287.00 | $6,287.00 | — | at median | — |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 Hb Repair Of Nasal Septum | $6,287.00 | $6,287.00 | — | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Hb Fragmenting Of Kidney Stone | $9,524.00 | $9,524.00 | — | 35% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Hb Fragmenting Of Kidney Stone | $9,524.00 | $9,524.00 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 Hb Application Of Forearm Cast | $831.00 | $831.00 | — | 160% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hb Application Of Forearm Cast | $831.00 | $831.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 Hb Application Of Short Arm Splint (Forearm To Hand) Static | $425.00 | $425.00 | — | 69% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hb Application Of Short Arm Splint (Forearm To Hand) Static | $425.00 | $425.00 | — | — | — |
| Short leg cast (below the knee) CPT 29405 Hb Application Of Short Leg Cast (Below Knee To Toes) | $524.00 | $524.00 | — | 48% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 Hb Application Of Short Leg Cast (Below Knee To Toes) | $524.00 | $524.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 Hb Application Lower Leg Splint | $324.00 | $324.00 | — | 22% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Hb Application Lower Leg Splint | $324.00 | $324.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hb Rpr S/N/Ax/Gen/Trnk 2.5Cm/< | $865.00 | $865.00 | — | 136% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hb Rpr S/N/Ax/Gen/Trnk 2.5Cm/< | $865.00 | $865.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 Hb Punch Bx Skin Single Lesion | $996.00 | $996.00 | — | 168% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hb Punch Bx Skin Single Lesion | $996.00 | $996.00 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Hb Removal Of Skin Tags <W/15 | $426.00 | $426.00 | — | 70% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hb Removal Of Skin Tags <W/15 | $426.00 | $426.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hb Spinal Fluid Tap Diagnostic | $1,458.00 | $1,458.00 | — | 53% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hb Spinal Fluid Tap Diagnostic | $1,458.00 | $1,458.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hb Rpr S/N/Ax/Gen/Trnk2.6-7.5Cm | $907.00 | $907.00 | — | 119% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hb Rpr S/N/Ax/Gen/Trnk2.6-7.5Cm | $907.00 | $907.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hb Rpr F/E/E/N/L/M 2.5 Cm/< | $865.00 | $865.00 | — | 115% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hb Rpr F/E/E/N/L/M 2.5 Cm/< | $865.00 | $865.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hb Tangntl Bx Skin Single Les | $182.00 | $182.00 | — | 39% below | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hb Tangntl Bx Skin Single Les | $182.00 | $182.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 Hb Aspirate Pleura W/ Imaging | $2,955.00 | $2,955.00 | — | 136% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hb Aspirate Pleura W/ Imaging | $2,955.00 | $2,955.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hb Inj Trigger Point 1/2 Muscl | $1,017.00 | $1,017.00 | — | 96% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hb Inj Trigger Point 1/2 Muscl | $1,017.00 | $1,017.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 Hb Bx Breast 1St Lesion Us Imag, Bilateral | $8,088.00 | $8,088.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hb Bx Breast 1St Lesion Us Imag | $4,286.00 | $4,286.00 | — | 74% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient both sides CPT 19083 Hb Bx Breast 1St Lesion Us Imag, Bilateral | $8,088.00 | $8,088.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hb Bx Breast 1St Lesion Us Imag | $4,286.00 | $4,286.00 | — | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 Hb Endovenous Rf 1St Vein | $8,990.00 | $8,990.00 | — | 73% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Hb Endovenous Rf 1St Vein | $8,990.00 | $8,990.00 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 Hb Destruct B9 Lesion 1-14 | $537.00 | $537.00 | — | 124% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Hb Destruct B9 Lesion 1-14 | $537.00 | $537.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hb Deb Subq Tissue 20 Sq Cm/< | $2,057.00 | $2,057.00 | — | 198% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hb Deb Subq Tissue 20 Sq Cm/< | $2,057.00 | $2,057.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Hb Blood Transfusion Service | $1,078.00 | $1,078.00 | — | 22% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hb Blood Transfusion Service | $1,078.00 | $1,078.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hb Airway Inhalation Treatment | $313.00 | $313.00 | — | 63% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hb Airway Inhalation Treatment | $313.00 | $313.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 Hb Chemo Iv Infusion 1 Hr | $1,075.00 | $1,075.00 | — | 68% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Hb Chemo Iv Infusion 1 Hr | $1,075.00 | $1,075.00 | — | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hb Comprehensive Hearing Test | $156.00 | $156.00 | — | 39% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hb Comprehensive Hearing Test | $156.00 | $156.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hb Critical Care First Hour | $4,454.00 | $4,454.00 | — | 115% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hb Critical Care First Hour | $4,454.00 | $4,454.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hb Electrocardiogram Tracing | $355.00 | $355.00 | — | 53% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hb Electrocardiogram Tracing | $355.00 | $355.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hb Ed E&M Level 1 | $435.00 | $435.00 | — | 94% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hb Ed E&M Level 1 | $435.00 | $435.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hb Ed E&M Level 2 | $820.00 | $820.00 | — | 105% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hb Ed E&M Level 2 | $820.00 | $820.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hb Ed E&M Level 3 | $1,443.00 | $1,443.00 | — | 106% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hb Ed E&M Level 3 | $1,443.00 | $1,443.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hb Ed E&M Level 4 | $1,802.00 | $1,802.00 | — | 58% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hb Ed E&M Level 4 | $1,802.00 | $1,802.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hb Ed E&M Level 5 | $3,115.00 | $3,115.00 | — | 95% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hb Ed E&M Level 5 | $3,115.00 | $3,115.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hb Cardiovascular Stress Test | $1,633.00 | $1,633.00 | — | 71% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hb Cardiovascular Stress Test | $1,633.00 | $1,633.00 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hb Family Psytx W/Pt 50 Min | $302.00 | $302.00 | — | 69% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hb Family Psytx W/Pt 50 Min | $302.00 | $302.00 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hb Family Psytx W/O Pt 50 Min | $277.00 | $277.00 | — | 51% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hb Family Psytx W/O Pt 50 Min | $277.00 | $277.00 | — | — | — |
| Group psychotherapy session CPT 90853 Hb Group Psychotherapy | $500.00 | $500.00 | — | 288% above | — |
| Group psychotherapy session CPT 90853 Hb Group Psychotherapy (Iop) | $500.00 | $500.00 | — | 288% above | — |
| Group psychotherapy session CPT 90853 Hb Group Psychotherapy (Php) | $750.00 | $750.00 | — | 482% above | — |
| Group psychotherapy session inpatient CPT 90853 Hb Group Psychotherapy (Iop) | $500.00 | $500.00 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hb Group Psychotherapy | $500.00 | $500.00 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hb Group Psychotherapy (Php) | $750.00 | $750.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hb Hydration Iv Infusion Init | $558.00 | $558.00 | — | 65% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hb Hydration Iv Infusion Init | $558.00 | $558.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 Hb Ther/Proph/Diag Iv Inf Init | $604.00 | $604.00 | — | 48% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Hb Ther/Proph/Diag Iv Inf Init | $604.00 | $604.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 Hb Ther/Proph/Diag Inj Iv Push | $299.00 | $299.00 | — | 39% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 Hb Ther/Proph/Diag Inj Iv Push | $299.00 | $299.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hb Ther/Proph/Diag Inj Sc/Im | $214.00 | $214.00 | — | 96% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hb Ther/Proph/Diag Inj Sc/Im | $214.00 | $214.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hb Psych Diagnostic Evaluation | $335.00 | $335.00 | — | 26% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hb Psych Diagnostic Evaluation | $335.00 | $335.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hb Nrv Cndj Test 7-8 Studies | $1,982.00 | $1,982.00 | — | 172% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hb Nrv Cndj Test 7-8 Studies | $1,982.00 | $1,982.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hb Neuromuscular Reeducation - Ot | $141.00 | $141.00 | — | 19% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hb Neuromuscular Reeducation - Pt | $141.00 | $141.00 | — | 19% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hb Neuromuscular Reeducation - Pt | $141.00 | $141.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hb Neuromuscular Reeducation - Ot | $141.00 | $141.00 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 Hb E&M New Pt - Level 3 | $594.00 | $594.00 | — | 168% above | — |
| New patient office visit, about 30 minutes CPT 99203 Hb E&M New L&D Pt - Level 3 | $594.00 | $594.00 | — | 168% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hb E&M New Pt - Level 3 | $594.00 | $594.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hb E&M New L&D Pt - Level 3 | $594.00 | $594.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 Hb E&M New Pt - Level 4 | $639.00 | $639.00 | — | 115% above | — |
| New patient office visit, about 45 minutes CPT 99204 Hb E&M New L&D Pt - Level 4 | $639.00 | $639.00 | — | 115% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Hb E&M New L&D Pt - Level 4 | $639.00 | $639.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Hb E&M New Pt - Level 4 | $639.00 | $639.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 Hb E&M New L&D Pt - Level 5 | $710.00 | $710.00 | — | 82% above | — |
| New patient office visit, about 60 minutes CPT 99205 Hb E&M New Pt - Level 5 | $710.00 | $710.00 | — | 82% above | — |
| New patient office visit, about 60 minutes CPT 99205 Hb Level 5 New Pt Visit W/Px | $862.00 | $862.00 | — | 121% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Hb E&M New L&D Pt - Level 5 | $710.00 | $710.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Hb E&M New Pt - Level 5 | $710.00 | $710.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Hb Level 5 New Pt Visit W/Px | $862.00 | $862.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hb E&M New Pt - Level 2 | $291.00 | $291.00 | — | 67% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hb E&M New L&D Pt - Level 2 | $291.00 | $291.00 | — | 67% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hb E&M New Pt - Level 2 | $291.00 | $291.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hb E&M New L&D Pt - Level 2 | $291.00 | $291.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hb Medical Nutrition Therapy .25H | $37.00 | $37.00 | — | 31% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hb Medical Nutrition Indiv In | $67.00 | $67.00 | — | 25% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hb Medical Nutrition Therapy .25H | $37.00 | $37.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hb Medical Nutrition Indiv In | $67.00 | $67.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Hb Ot Eval Low Complex | $278.00 | $278.00 | — | 9% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Hb Ot Eval Low Complex | $278.00 | $278.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hb Pt Eval High Complex | $342.00 | $342.00 | — | at median | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hb Pt Eval High Complex | $342.00 | $342.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hb Pt Eval Low Complex | $281.00 | $281.00 | — | 25% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hb Pt Eval Low Complex | $281.00 | $281.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hb Pt Eval Mod Complex | $318.00 | $318.00 | — | 4% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hb Pt Eval Mod Complex | $318.00 | $318.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hb Manual Therapy 1/> Regions-Ot | $155.00 | $155.00 | — | 16% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hb Manual Therapy 1/> Regions-Pt | $155.00 | $155.00 | — | 16% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hb Manual Therapy 1/> Regions-Pt | $155.00 | $155.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hb Manual Therapy 1/> Regions-Ot | $155.00 | $155.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Therapeutic Exercises-Ot | $148.00 | $148.00 | — | 32% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Therapeutic Exercises-Pt | $148.00 | $148.00 | — | 32% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Therapeutic Exercises-Ot | $148.00 | $148.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Therapeutic Exercises-Pt | $148.00 | $148.00 | — | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Hb Psytx Crisis Initial 60 Min | $304.00 | $304.00 | — | 22% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hb Psytx Crisis Initial 60 Min | $304.00 | $304.00 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 Hb Psytx W Pt 30 Minutes | $216.00 | $216.00 | — | 14% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hb Psytx W Pt 30 Minutes | $216.00 | $216.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 Hb Psytx W Pt 45 Minutes | $346.00 | $346.00 | — | 79% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hb Psytx W Pt 45 Minutes | $346.00 | $346.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 Hb Psytx W Pt 60 Minutes | $419.00 | $419.00 | — | 46% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hb Psytx W Pt 60 Minutes | $419.00 | $419.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hb Behav Chng Smoking 3-10 Min | $106.00 | $106.00 | — | 159% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hb Behav Chng Smoking 3-10 Min | $106.00 | $106.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hb E&M Est L&D Pt - Level 5 | $524.00 | $524.00 | — | 89% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hb E&M Est Pt - Level 5 | $524.00 | $524.00 | — | 89% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hb Level 5 Est Pt Visit X/Px | $524.00 | $524.00 | — | 89% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hb E&M Est L&D Pt - Level 5 | $524.00 | $524.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hb Level 5 Est Pt Visit X/Px | $524.00 | $524.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hb E&M Est Pt - Level 5 | $524.00 | $524.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hb Level 3 Est Pt Visit W/Px | $349.00 | $349.00 | — | 129% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hb E&M Est Pt - Level 3 | $349.00 | $349.00 | — | 129% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hb E&M Est L&D Pt - Level 3 | $349.00 | $349.00 | — | 129% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hb E&M Est Pt - Level 3 | $349.00 | $349.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hb Level 3 Est Pt Visit W/Px | $349.00 | $349.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hb E&M Est L&D Pt - Level 3 | $349.00 | $349.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hb E&M Est Pt - Level 4 | $432.00 | $432.00 | — | 134% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hb Level 4 Est Pt Visit X/Px | $432.00 | $432.00 | — | 134% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hb E&M Est L&D Pt - Level 4 | $432.00 | $432.00 | — | 134% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hb Level 4 Est Pt Visit X/Px | $432.00 | $432.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hb E&M Est Pt - Level 4 | $432.00 | $432.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hb E&M Est L&D Pt - Level 4 | $432.00 | $432.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hb E&M Est L&D Pt - Level 2 | $233.00 | $233.00 | — | 86% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hb E&M Est Pt - Level 2 | $233.00 | $233.00 | — | 86% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hb Level 2 Est Pt Visit X/Px | $281.00 | $281.00 | — | 125% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hb E&M Est Pt - Level 2 | $233.00 | $233.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hb E&M Est L&D Pt - Level 2 | $233.00 | $233.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hb Level 2 Est Pt Visit X/Px | $281.00 | $281.00 | — | — | — |
| Speech and language evaluation CPT 92523 Hb Speech Sound Lang Comprehen | $975.00 | $975.00 | — | 181% above | — |
| Speech and language evaluation inpatient CPT 92523 Hb Speech Sound Lang Comprehen | $975.00 | $975.00 | — | — | — |
| Speech therapy session, individual CPT 92507 Hb Speech/Hearing Therapy | $329.00 | $329.00 | — | 92% above | — |
| Speech therapy session, individual inpatient CPT 92507 Hb Speech/Hearing Therapy | $329.00 | $329.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 Hb Breathing Capacity Test | $483.00 | $483.00 | — | 60% above | — |
| Spirometry (breathing test) inpatient CPT 94010 Hb Breathing Capacity Test | $483.00 | $483.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Hb Bronchodilation Responsiveness, Spirometry As In 94010, Pre- And Post-Bronchodilator Administrati | $861.00 | $861.00 | — | 58% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hb Bronchodilation Responsiveness, Spirometry As In 94010, Pre- And Post-Bronchodilator Administrati | $861.00 | $861.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Therapeutic Activities-Ot | $199.00 | $199.00 | — | 60% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Therapeutic Activities-Pt | $199.00 | $199.00 | — | 60% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Therapeutic Activities-Ot | $199.00 | $199.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Therapeutic Activities-Pt | $199.00 | $199.00 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hb Phlebotomy | $349.00 | $349.00 | — | 62% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hb Phlebotomy | $349.00 | $349.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Hb Sarscv2 Vac 30Mcg Trs-Suc Im - 12+ Yrs | $404.79 | $404.79 | — | 66% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty: 10 Syringe, Glass In 1 Carton (0069-2432-10) / .418 Ml In 1 Syringe, Glass (0069-2432-01) | $404.79 | $404.79 | — | 66% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 NDC Description Not Available | $404.79 | $404.79 | — | 66% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Hb Sarscv2 Vac 30Mcg Trs-Suc Im - 12+ Yrs | $404.79 | $404.79 | — | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 NDC Description Not Available | $404.79 | $404.79 | — | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Comirnaty: 10 Syringe, Glass In 1 Carton (0069-2432-10) / .418 Ml In 1 Syringe, Glass (0069-2432-01) | $404.79 | $404.79 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 NDC Description Not Available | $122.57 | $122.57 | — | 56% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Hb Chicken Pox Vaccine Sc | $175.10 | $175.10 | — | 37% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 NDC Description Not Available | $122.57 | $122.57 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Hb Chicken Pox Vaccine Sc | $175.10 | $175.10 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Hb Dtap Vaccine < 7 Yrs Im | $93.73 | $93.73 | — | 48% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Hb Dtap Vaccine < 7 Yrs Im | $93.73 | $93.73 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88) | $11.33 | $11.33 | — | 68% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Hb Flu Vaccine No Preserv 3 & > | $15.45 | $15.45 | — | 57% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 NDC Description Not Available | $80.40 | $80.40 | — | 125% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88) | $11.33 | $11.33 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Hb Flu Vaccine No Preserv 3 & > | $15.45 | $15.45 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 NDC Description Not Available | $80.40 | $80.40 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hb Hep A/Hep B Vacc Adult Im | $200.85 | $200.85 | — | 1% below | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 NDC Description Not Available | $433.89 | $433.89 | — | 113% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hb Hep A/Hep B Vacc Adult Im | $200.85 | $200.85 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 NDC Description Not Available | $433.89 | $433.89 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 NDC Description Not Available | $106.09 | $106.09 | — | 12% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hb Hep A Vaccine Adult Im | $151.41 | $151.41 | — | 26% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 NDC Description Not Available | $106.09 | $106.09 | — | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hb Hep A Vaccine Adult Im | $151.41 | $151.41 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hb Hep A Vacc Ped/Adol 2 Dose | $123.60 | $123.60 | — | 49% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hb Hep A Vacc Ped/Adol 2 Dose | $123.60 | $123.60 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 NDC Description Not Available | $105.06 | $105.06 | — | 3% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hb Hep B Vacc Adult 3 Dose Im | $149.35 | $149.35 | — | 38% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 NDC Description Not Available | $105.06 | $105.06 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hb Hep B Vacc Adult 3 Dose Im | $149.35 | $149.35 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 NDC Description Not Available | $99.33 | $99.33 | — | 14% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43) | $102.27 | $102.27 | — | 18% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hb Hepb Vacc Ped/Adol 3 Dose Im | $123.60 | $123.60 | — | 42% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 NDC Description Not Available | $99.33 | $99.33 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43) | $102.27 | $102.27 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hb Hepb Vacc Ped/Adol 3 Dose Im | $123.60 | $123.60 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hb Hib Prp-Omp Vacc 3 Dose Im | $62.83 | $62.83 | — | 1% above | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 NDC Description Not Available | $90.24 | $90.24 | — | 46% above | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Hb Hib Prp-Omp Vacc 3 Dose Im | $62.83 | $62.83 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 NDC Description Not Available | $90.24 | $90.24 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88) | $210.47 | $210.47 | — | 173% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Hb Iiv No Prsv Increased Ag Im | $210.47 | $210.47 | — | 173% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 NDC Description Not Available | $225.07 | $225.07 | — | 192% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Hb Iiv No Prsv Increased Ag Im | $210.47 | $210.47 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88) | $210.47 | $210.47 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 NDC Description Not Available | $225.07 | $225.07 | — | — | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Hb Japanese Encephalitis Vaccine Inactivated Im | $412.00 | $412.00 | — | 3% below | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 Hb Japanese Encephalitis Vaccine Inactivated Im | $412.00 | $412.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Hb Mmr Vaccine Sc | $76.22 | $76.22 | — | 61% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 NDC Description Not Available | $293.94 | $293.94 | — | 52% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01) | $293.94 | $293.94 | — | 52% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Hb Mmr Vaccine Sc | $76.22 | $76.22 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01) | $293.94 | $293.94 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 NDC Description Not Available | $293.94 | $293.94 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Hb Meningococcal Vaccine Im | $206.00 | $206.00 | — | 17% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 NDC Description Not Available | $411.86 | $411.86 | — | 66% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Hb Meningococcal Vaccine Im | $206.00 | $206.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 NDC Description Not Available | $411.86 | $411.86 | — | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Hb Menacwy-Tt Vaccine Im | $220.42 | $220.42 | — | 14% below | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 Hb Menacwy-Tt Vaccine Im | $220.42 | $220.42 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Hb Pneumococcal Vacc 13 Val Im | $523.50 | $523.50 | — | 45% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Hb Pneumococcal Vacc 13 Val Im | $523.50 | $523.50 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 NDC Description Not Available | $937.49 | $937.49 | — | 111% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 NDC Description Not Available | $937.49 | $937.49 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Hb Pneumococcal Vacc 23 Val Im | $193.64 | $193.64 | — | 3% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Hb Pneumococcal Vacc 23 Val Im | $193.64 | $193.64 | — | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Hb Poliovirus Ipv Sc/Im | $72.10 | $72.10 | — | 49% below | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Hb Poliovirus Ipv Sc/Im | $72.10 | $72.10 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe | $1,898.68 | $1,898.68 | — | 88% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe | $1,898.68 | $1,898.68 | — | — | — |
| Rabies vaccine, one dose CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01) | $1,049.47 | $1,049.47 | — | 39% above | — |
| Rabies vaccine, one dose CPT 90675 NDC Description Not Available | $1,148.56 | $1,148.56 | — | 52% above | — |
| Rabies vaccine, one dose CPT 90675 Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58) | $1,256.04 | $1,256.04 | — | 66% above | — |
| Rabies vaccine, one dose CPT 90675 Hb Rabies Vaccine Im | $1,272.59 | $1,272.59 | — | 68% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01) | $1,049.47 | $1,049.47 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 NDC Description Not Available | $1,148.56 | $1,148.56 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58) | $1,256.04 | $1,256.04 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Hb Rabies Vaccine Im | $1,272.59 | $1,272.59 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 NDC Description Not Available | $206.00 | $206.00 | — | 17% below | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hb Hzv Vacc Recombinant Im | $206.00 | $206.00 | — | 17% below | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hb Hzv Vacc Recombinant Im | $206.00 | $206.00 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 NDC Description Not Available | $206.00 | $206.00 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 NDC Description Not Available | $87.55 | $87.55 | — | 14% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Hb Td Vaccine No Prsrv 7/> Im | $124.63 | $124.63 | — | 62% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 NDC Description Not Available | $87.55 | $87.55 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Hb Td Vaccine No Prsrv 7/> Im | $124.63 | $124.63 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43) | $98.88 | $98.88 | — | 6% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Hb Tdap Vaccine 7 Yrs/> Im | $141.99 | $141.99 | — | 35% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 NDC Description Not Available | $166.80 | $166.80 | — | 59% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43) | $98.88 | $98.88 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Hb Tdap Vaccine 7 Yrs/> Im | $141.99 | $141.99 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 NDC Description Not Available | $166.80 | $166.80 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Hb Typhoid Vaccine Im | $108.15 | $108.15 | — | 48% below | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Hb Typhoid Vaccine Im | $108.15 | $108.15 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Immunization Admin | $64.00 | $64.00 | — | 11% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Immunization Admin | $64.00 | $64.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hb Immunization Admin Each Add | $45.00 | $45.00 | — | 16% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hb Immunization Admin Each Add | $45.00 | $45.00 | — | — | — |
| Yellow fever vaccine, live CPT 90717 Hb Yellow Fever Vaccine Sc | $175.10 | $175.10 | — | 37% below | — |
| Yellow fever vaccine, live inpatient CPT 90717 Hb Yellow Fever Vaccine Sc | $175.10 | $175.10 | — | — | — |
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.endeavorhealth.org:443/362340313_1770531600_northwest-community-hospital_standardcharges.json