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

New York Eye and Ear Infirmary of Mount Sinai

New York Eye and Ear Infirmary of Mount Sinai in New York, NY publishes cash prices for 188 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 184 of 186 procedures and below it for 2. By typical cash price it ranks #112 of 115 New York hospitals and #81 of 86 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.

230 Second Ave, New York, NY 10003 Collected Oct 3, 2026 Source price file Check a bill from this hospital (212) 979-4000

Acute care hospital Nonprofit hospital No emergency department CCN 330100 · CMS hospital register

Financial assistance

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

New York Eye and Ear Infirmary of Mount Sinai 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

New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Abdominal X-ray, 2 views CPT 74019 X-RAY ABDOMEN - 2 VIEWS	$452.42	$502.69	—	76% above	10%
Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY ABDOMEN - 2 VIEWS	$452.42	$502.69	—	—	10%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM	$742.29	$824.77	—	117% above	10%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM	$742.29	$824.77	—	—	10%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX SCAN BILATERAL	$1,530.00	$1,700.00	—	—	10%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX SCAN BILATERAL	$1,530.00	$1,700.00	—	—	10%
Chest X-ray, 2 views CPT 71046 X-RAY CHEST - 2 VIEWS	$423.00	$470.00	—	110% above	10%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY CHEST - 2 VIEWS	$423.00	$470.00	—	—	10%
Chest X-ray, single view CPT 71045 X-RAY CHEST - SINGLE VIEW	$336.15	$373.50	—	69% above	10%
Chest X-ray, single view inpatient CPT 71045 X-RAY CHEST - SINGLE VIEW	$336.15	$373.50	—	—	10%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE COMPLETE - BILATERAL	$576.00	$640.00	—	—	10%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE, COMPLETE LT	$382.50	$425.00	—	90% above	10%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE, COMPLETE RT	$382.50	$425.00	—	90% above	10%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE COMPLETE - BILATERAL	$576.00	$640.00	—	—	10%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE, COMPLETE RT	$382.50	$425.00	—	—	10%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE, COMPLETE LT	$382.50	$425.00	—	—	10%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$6,975.00	$7,750.00	—	1674% above	10%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$6,975.00	$7,750.00	—	—	10%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSMNOGRPHY,SLP W/4+PAR,CPAP	$8,730.00	$9,700.00	—	309% above	10%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSMNOGRPHY,SLP W/4+PAR,CPA	$8,730.00	$9,700.00	—	309% above	10%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSMNOGRPHY,SLP W/4+PAR,CPA	$8,730.00	$9,700.00	—	—	10%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSMNOGRPHY,SLP W/4+PAR,CPAP	$8,730.00	$9,700.00	—	—	10%
Neck soft tissue X-ray CPT 70360 XRAY-NECK, SOFT TISSUE	$336.15	$373.50	—	67% above	10%
Neck soft tissue X-ray inpatient CPT 70360 XRAY-NECK, SOFT TISSUE	$336.15	$373.50	—	—	10%
OCT scan of the retina (optical coherence tomography) CPT 92134 CMP DX POS SEG RETINA - UNI -	$283.14	$314.60	—	303% above	10%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 CMP DX POS SEG RETINA - UNI -	$283.14	$314.60	—	—	10%
Rib X-ray, one side, 2 views one side CPT 71100 XRAY-RIBS UNILAT.	$369.00	$410.00	—	76% above	10%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY-RIBS UNILAT.	$369.00	$410.00	—	—	10%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XRAY-SHOULDER BILATERAL (X2)	$900.00	$1,000.00	—	—	10%
Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY-SHOULDER	$630.00	$700.00	—	199% above	10%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XRAY-SHOULDER BILATERAL (X2)	$900.00	$1,000.00	—	—	10%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XRAY-SHOULDER	$630.00	$700.00	—	—	10%
Sinus X-ray, complete, 3 or more views CPT 70220 XRAY-SINUS PARA.	$336.15	$373.50	—	61% above	10%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XRAY-SINUS PARA.	$336.15	$373.50	—	—	10%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM, SKULL < 4 VIEW	$452.42	$502.69	—	96% above	10%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-RAY EXAM, SKULL < 4 VIEW	$452.42	$502.69	—	—	10%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRPHY,SLP W/4+PARAMET	$8,370.00	$9,300.00	—	299% above	10%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRPHY,SLP W/4+PARAME	$8,370.00	$9,300.00	—	299% above	10%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRPHY,SLP W/4+PARAMET	$8,370.00	$9,300.00	—	—	10%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRPHY,SLP W/4+PARAME	$8,370.00	$9,300.00	—	—	10%
Toe X-ray, 2 or more views both sides CPT 73660 XRAY-TOE BILATERAL	$630.00	$700.00	—	—	10%
Toe X-ray, 2 or more views CPT 73660 XRAY-TOE	$477.00	$530.00	—	184% above	10%
Toe X-ray, 2 or more views inpatient both sides CPT 73660 XRAY-TOE BILATERAL	$630.00	$700.00	—	—	10%
Toe X-ray, 2 or more views inpatient CPT 73660 XRAY-TOE	$477.00	$530.00	—	—	10%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XRAY-WRIST BILATERAL	$585.00	$650.00	—	—	10%
Wrist X-ray, complete, 3 or more views CPT 73110 XRAY-WRIST	$585.00	$650.00	—	190% above	10%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XRAY-WRIST BILATERAL	$585.00	$650.00	—	—	10%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XRAY-WRIST	$585.00	$650.00	—	—	10%
X-ray of the abdomen, 1 view CPT 74018 X-RAY ABDOMEN - SINGLE VIEW	$336.15	$373.50	—	61% above	10%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY ABDOMEN - SINGLE VIEW	$336.15	$373.50	—	—	10%
X-ray of the lower back, 4 or more views CPT 72110 XRAY-SPINE LUMBAR	$675.00	$750.00	—	123% above	10%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XRAY-SPINE LUMBAR	$675.00	$750.00	—	—	10%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY-SPINE CERVICAL	$360.00	$400.00	—	69% above	10%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XRAY-SPINE CERVICAL	$360.00	$400.00	—	—	10%
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY-PELVIS AP	$452.42	$502.69	—	99% above	10%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY-PELVIS AP	$452.42	$502.69	—	—	10%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ACTH blood test CPT 82024 ACTH	$273.24	$303.60	—	92% above	10%
ACTH blood test inpatient CPT 82024 ACTH	$273.24	$303.60	—	—	10%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 BLOOD-SGPT	$273.24	$303.60	—	1081% above	10%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 BLOOD-SGPT	$273.24	$303.60	—	—	10%
AST (aspartate aminotransferase) enzyme test CPT 84450 BLOOD-SGOT	$273.24	$303.60	—	1038% above	10%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 BLOOD-SGOT	$273.24	$303.60	—	—	10%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$310.50	$345.00	—	78% above	10%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$310.50	$345.00	—	—	10%
Albumin blood test CPT 82040 ALBUMIN, BLOOD	$273.24	$303.60	—	1396% above	10%
Albumin blood test CPT 82040 ALBUMIN, SERUM	$273.24	$303.60	—	1396% above	10%
Albumin blood test inpatient CPT 82040 ALBUMIN, BLOOD	$273.24	$303.60	—	—	10%
Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM	$273.24	$303.60	—	—	10%
Aldosterone blood test CPT 82088 ALDOSTERONE	$273.24	$303.60	—	118% above	10%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$273.24	$303.60	—	—	10%
Alkaline phosphatase (ALP) blood test CPT 84075 BLOOD-ALK PHOS	$273.24	$303.60	—	1256% above	10%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 BLOOD-ALK PHOS	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PENCILLIN G-C1	$18.39	$20.43	—	15% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ZUCCHINI IGE	$54.00	$60.00	—	238% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 RG MARCH ELDER IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATO(WHITE)-F35	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE - OYSTER	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 AUST PARROT FEATHERS IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY FEATHERS	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHERS (E86) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 F131 FLOUNDER	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 F270 GINGER	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 F110 CINNAMON	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 TRICHODERMA VIRIDAE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS NIGER IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 RED KIDNEY BEAN (F287) IG	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 GARLIC (F47) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN(IGE),IMMUNOCAP-C	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW (T12) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE (T10) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 TURMERIC IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SAGE (F344) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE (W11) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED (W14)IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 RHIZOPUS NIGRICANS (M11)	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PERENNIAL RYE GRASS (G5)	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN TREE IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE TREE (T9) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE (W20) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS (M4) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 L. DESTRUCTOR (D71) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 E. PURPURASCENS(M14) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 DANDELION (W8) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON REED (G7) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR (W13) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS (G17) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,HOUSE DUST,GREER	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE (F210) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MANGO FRUIT (F91) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE (F259) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM (T8) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS (G2) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW FESCUE (G4) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 GOOSE FEATHERS IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 RASPBERRY IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS (E85) IG	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPER WASP VENOM IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW HORNET VENOM IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET VERNAL GRASS (G1) I	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE-FACED HIRNET VENOM IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CRANBERRY IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD TREE IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY BEE IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEDDAR CHEESE (F81) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MOLD PROFILE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET (I3) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY RF288	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATO SWEET	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 KENTUCKY BLUE GRASS	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PLANTAIN-W9	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PLUM	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST-H2	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS-EGG WHITE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BEANN WHITE F15	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 COM.RAGWEED (SGORT)-W1	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK(WHITE)-T7	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE (BOX ELDER)	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH- T3	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ENHANCED-RK82	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PEN. NOTATUM	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CL.HERBARUM	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS-M5	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ASP. FUMIGATUS-M3	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENIUS-M6	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH-R1206	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH-I6	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 DER. PTERONYSSINUS	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 DER.FARINAE-D2	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY-G6	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD-G3	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS-WHEAT	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT-F256	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY-F284	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA-F40	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO-F25	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED-K84	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY-F44	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN F-14	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP-F24	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED-F10	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON-F41	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE-F5	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE-F9	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST PROFILE (6 ALLERGENS)	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA-LACTALBUMIN (F76) I	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CORIANDER/CILANTRO IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE PINON NUT	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKPEA	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OCCUPATIONAL LATEX	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 EGGPLANT	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 KIDNEY BEAN	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN (F315) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN (IgE)CUMIN SEED	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUID F258 IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 GELATIN	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 OCTOPUS	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUID	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 OREGANO IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PARSLEY IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 FLAXSEED IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEPPER IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 A. PULLULANS IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PIGEON DROPPINGS IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE PINE (T16) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM MONILIFORME (M9)	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CULT. RYE GRASS IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSHROOM IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PARROT/PKEET DROP IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKBERRY IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LIMA BEANS	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK BEAN IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 AMPICILLIN IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 INSULIN HUMAN IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 H. HALODES (M8) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER BLACK	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ARTICHOKE IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BETA LACTALBUMIN (F77) IG	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PINTO BEAN IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPER IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER (BELL)	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 GOLDENROD (W12) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON PIGWEED IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP GRASS (G9) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPRIKA IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 SARDINE IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 THYME IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALDER IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BEECH (T5) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTERS IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CAYENNE PEPPER IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER-E1	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER-E5	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER-E3	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIUM-E71	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE PROTEIN-E72	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT EPITH. E82	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND F-20	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE-F49	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA-F92	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF-F27	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUE MUSSEL-F37	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT-F18	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT-F11	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT-F31	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT-F202	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN (F78) IGE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CELERY-F85	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICK PEA-RF309	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN MEAT-F83	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE/COCOA-F93	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM-F207	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COCONUT	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 COD FISH-F3	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN (MAIZE)-F8	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB-F23	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK-F75	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT-F17	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 KIWI FRUIT-F84	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 KLAMB/MUTTON-F88	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LENTIL-F235	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE-F215	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER-F80	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT-RF345	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MELON-F87	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK-F2	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSTARD-F89	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT-F7	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ONION-F48	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE-F33	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PEA-F12	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT-F13	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT-F201	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT-RF2563	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO NUT-F203	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK-F26	$273.24	$303.60	—	1608% above	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENCILLIN G-C1	$18.39	$20.43	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ZUCCHINI IGE	$54.00	$60.00	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE-F215	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PROFILE (6 ALLERGENS)	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPRIKA IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA-LACTALBUMIN (F76) I	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN MEAT-F83	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORIANDER/CILANTRO IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SARDINE IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE PINON NUT	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION-F48	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKPEA	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THYME IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OCCUPATIONAL LATEX	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHOCOLATE/COCOA-F93	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALDER IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICK PEA-RF309	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPEFRUIT IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY-F85	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY-F44	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON PIGWEED IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN F-14	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT-F13	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP-F24	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED TOP GRASS (G9) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED-F10	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK-F26	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON-F41	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RG MARCH ELDER IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE-F5	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE-F9	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE - OYSTER	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGGPLANT	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUST PARROT FEATHERS IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER-F80	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY FEATHERS	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIDNEY BEAN	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUCK FEATHERS (E86) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEECH (T5) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F131 FLOUNDER	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN (F315) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F270 GINGER	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM-F207	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F110 CINNAMON	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TRICHODERMA VIRIDAE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMBS QUARTERS IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS NIGER IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN (IgE)CUMIN SEED	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED KIDNEY BEAN (F287) IG	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT-RF2563	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GARLIC (F47) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID F258 IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN(IGE),IMMUNOCAP-C	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAYENNE PEPPER IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILLOW (T12) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GELATIN	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE (T10) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POTATO(WHITE)-F35	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURMERIC IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OCTOPUS	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAGE (F344) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RUSSIAN THISTLE (W11) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED (W14)IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COCONUT	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RHIZOPUS NIGRICANS (M11)	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERENNIAL RYE GRASS (G5)	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER-E1	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN TREE IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OREGANO IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE TREE (T9) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT-RF345	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NETTLE (W20) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARSLEY IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR RACEMOSUS (M4) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER-E5	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L. DESTRUCTOR (D71) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLAXSEED IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E. PURPURASCENS(M14) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COD FISH-F3	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DANDELION (W8) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON REED (G7) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE DANDER-E3	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKLEBUR (W13) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN PEPPER IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS (G17) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE-F33	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,HOUSE DUST,GREER	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. PULLULANS IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE (F210) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIUM-E71	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO FRUIT (F91) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGEON DROPPINGS IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE (F259) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN (MAIZE)-F8	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM (T8) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE PINE (T16) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS (G2) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE PROTEIN-E72	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MEADOW FESCUE (G4) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM MONILIFORME (M9)	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELON-F87	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PROFILE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CULT. RYE GRASS IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RABBIT EPITH. E82	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MULBERRY IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSHROOM IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE ASH IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB-F23	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMORE IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARROT/PKEET DROP IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND F-20	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOOSE FEATHERS IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN V IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RASPBERRY IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT-F201	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHERS (E85) IG	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPER WASP VENOM IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE-F49	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW HORNET VENOM IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET VERNAL GRASS (G1) I	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE-FACED HIRNET VENOM IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK-F75	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRANBERRY IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACKBERRY IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD TREE IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA-F92	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY BEE IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIMA BEANS	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEDDAR CHEESE (F81) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK-F2	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD PROFILE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW JACKET (I3) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY RF288	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POTATO SWEET	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK BEAN IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KENTUCKY BLUE GRASS	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF-F27	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLIN IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLANTAIN-W9	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEA-F12	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMPICILLIN IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLUM	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUE MUSSEL-F37	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST-H2	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIRE ANT IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS-EGG WHITE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT-F17	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEANN WHITE F15	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 INSULIN HUMAN IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT-F18	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSTARD-F89	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COM.RAGWEED (SGORT)-W1	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 H. HALODES (M8) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK(WHITE)-T7	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCOLI	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE (BOX ELDER)	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUCUMBER IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH- T3	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI FRUIT-F84	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX ENHANCED-RK82	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEPPER BLACK	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEN. NOTATUM	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUCKWHEAT-F11	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CL.HERBARUM	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ARTICHOKE IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS-M5	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO NUT-F203	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASP. FUMIGATUS-M3	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BETA LACTALBUMIN (F77) IG	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENIUS-M6	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT-F31	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH-R1206	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH-I6	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KLAMB/MUTTON-F88	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DER. PTERONYSSINUS	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINTO BEAN IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DER.FARINAE-D2	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT-F202	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY-G6	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILI PEPPER IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORCHARD-G3	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT-F7	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS-WHEAT	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEPPER (BELL)	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT-F256	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN (F78) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY-F284	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOLDENROD (W12) IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA-F40	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LENTIL-F235	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO-F25	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$273.24	$303.60	—	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED-K84	$273.24	$303.60	—	—	10%
Alpha-fetoprotein (AFP) blood test CPT 82105 LAB-ALPHA FETOPROTEIN;SERUM	$273.24	$303.60	—	341% above	10%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LAB-ALPHA FETOPROTEIN;SERUM	$273.24	$303.60	—	—	10%
Ammonia blood test CPT 82140 AMMONIA, BLOOD	$273.24	$303.60	—	408% above	10%
Ammonia blood test inpatient CPT 82140 AMMONIA, BLOOD	$273.24	$303.60	—	—	10%
Amylase blood test CPT 82150 AMYLASE, BLOOD	$273.24	$303.60	—	804% above	10%
Amylase blood test CPT 82150 AMYLASE, FLUID	$273.24	$303.60	—	804% above	10%
Amylase blood test inpatient CPT 82150 AMYLASE, FLUID	$273.24	$303.60	—	—	10%
Amylase blood test inpatient CPT 82150 AMYLASE, BLOOD	$273.24	$303.60	—	—	10%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINE PEPTIDE	$273.24	$303.60	—	472% above	10%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINE PEPTIDE	$273.24	$303.60	—	—	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE AB W/TITER RFX	$273.24	$303.60	—	513% above	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUALITATIVE	$273.24	$303.60	—	513% above	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$273.24	$303.60	—	513% above	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA QUALITATIVE	$273.24	$303.60	—	—	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE AB W/TITER RFX	$273.24	$303.60	—	—	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$273.24	$303.60	—	—	10%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE	$273.24	$303.60	—	122% above	10%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WOUND CULTURE	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EYE CULTURE	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NOSE	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATHETER TIP CULT	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACT CULTURE OTHER	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 RESPIR. CULTURE	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE	$273.24	$303.60	—	759% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 RESPIR. CULTURE	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EYE CULTURE	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TISSUE	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CATHETER TIP CULT	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BODY FLUID CULTURE	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF CULTURE	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 WOUND CULTURE	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EAR	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE NOSE	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT	$273.24	$303.60	—	—	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BACT CULTURE OTHER	$273.24	$303.60	—	—	10%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$273.24	$303.60	—	371% above	10%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$273.24	$303.60	—	—	10%
Bilirubin blood test, total CPT 82247 BILIRUBIN,INDIRECT, UNCONJUGAT	$273.24	$303.60	—	1114% above	10%
Bilirubin blood test, total CPT 82247 BLOOD-BILI. TOTAL	$273.24	$303.60	—	1114% above	10%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN,INDIRECT, UNCONJUGAT	$273.24	$303.60	—	—	10%
Bilirubin blood test, total inpatient CPT 82247 BLOOD-BILI. TOTAL	$273.24	$303.60	—	—	10%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL IV	$359.39	$399.32	—	135% above	10%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH LEVEL IV	$359.39	$399.32	—	—	10%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$273.24	$303.60	—	335% above	10%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$273.24	$303.60	—	—	10%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$310.50	$345.00	—	1969% above	10%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$310.50	$345.00	—	—	10%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$273.24	$303.60	—	1418% above	10%
Blood glucose (sugar) test CPT 82947 ISTAT LAB-GLUCOSE	$310.50	$345.00	—	1625% above	10%
Blood glucose (sugar) test CPT 82947 ISTAT - GLUCOSE, BLD	$310.50	$345.00	—	1625% above	10%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$273.24	$303.60	—	—	10%
Blood glucose (sugar) test inpatient CPT 82947 ISTAT LAB-GLUCOSE	$310.50	$345.00	—	—	10%
Blood glucose (sugar) test inpatient CPT 82947 ISTAT - GLUCOSE, BLD	$310.50	$345.00	—	—	10%
Blood lead test CPT 83655 LEAD	$273.24	$303.60	—	524% above	10%
Blood lead test inpatient CPT 83655 LEAD	$273.24	$303.60	—	—	10%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG-QUAL.	$273.24	$303.60	—	753% above	10%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG-QUAL.	$273.24	$303.60	—	—	10%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$468.58	$520.65	—	207% above	10%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$468.58	$520.65	—	—	10%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN	$273.24	$303.60	—	1123% above	10%
Blood urea nitrogen (BUN) test CPT 84520 ISTAT LAB-UREA NITROGEN QUANT	$273.24	$303.60	—	1123% above	10%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY - UREA NITROGEN, FLUID	$273.24	$303.60	—	1123% above	10%
Blood urea nitrogen (BUN) test CPT 84520 ISTAT - BUN	$310.50	$345.00	—	1289% above	10%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN	$273.24	$303.60	—	—	10%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ASSAY - UREA NITROGEN, FLUID	$273.24	$303.60	—	—	10%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ISTAT LAB-UREA NITROGEN QUANT	$273.24	$303.60	—	—	10%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ISTAT - BUN	$310.50	$345.00	—	—	10%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$273.24	$303.60	—	933% above	10%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$273.24	$303.60	—	—	10%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE PCR	$273.24	$303.60	—	116% above	10%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE PCR	$273.24	$303.60	—	—	10%
CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE ANTIGEN,SERUM	$273.24	$303.60	—	263% above	10%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE ANTIGEN,SERUM	$273.24	$303.60	—	—	10%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR, CANCER ANTI	$273.24	$303.60	—	256% above	10%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR, CANCER ANTI	$273.24	$303.60	—	—	10%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IADNA SARS-COV-2 COVID-19 AMPL	$173.17	$192.41	—	77% above	10%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IADNA SARS-COV-2 COVID-19 AMPL	$173.17	$192.41	—	—	10%
Calcium blood test, total CPT 82310 CALCIUM, BLOOD	$273.24	$303.60	—	978% above	10%
Calcium blood test, total inpatient CPT 82310 CALCIUM, BLOOD	$273.24	$303.60	—	—	10%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$273.24	$303.60	—	238% above	10%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$273.24	$303.60	—	—	10%
Chickenpox (varicella) immunity blood test CPT 86787 AB; VARICELLA-ZOSTER	$273.24	$303.60	—	507% above	10%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOST IGG AB	$273.24	$303.60	—	507% above	10%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOST IGG AB	$273.24	$303.60	—	—	10%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 AB; VARICELLA-ZOSTER	$273.24	$303.60	—	—	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP PROBE TEC	$273.24	$303.60	—	173% above	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH AMP PROBE TEC	$273.24	$303.60	—	—	10%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID/CARDIAC PROFILE	$310.50	$345.00	—	357% above	10%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID/CARDIAC PROFILE	$310.50	$345.00	—	—	10%
Complete blood count (CBC) with differential CPT 85025 CBC PLT & DIFF RUTT	$273.24	$303.60	—	566% above	10%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC PLT & DIFF RUTT	$273.24	$303.60	—	—	10%
Complete blood count (CBC), no differential CPT 85027 CBC PLUS PLATELET	$273.24	$303.60	—	849% above	10%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC PLUS PLATELET	$273.24	$303.60	—	—	10%
Comprehensive metabolic panel (blood test) CPT 80053 COMP. METABOLIC PANEL	$273.24	$303.60	—	368% above	10%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP. METABOLIC PANEL	$273.24	$303.60	—	—	10%
Cortisol blood test, total CPT 82533 CORTIOSL SERUM P.M.	$273.24	$303.60	—	458% above	10%
Cortisol blood test, total CPT 82533 SERUM CORTISOL TOTAL	$273.24	$303.60	—	458% above	10%
Cortisol blood test, total inpatient CPT 82533 CORTIOSL SERUM P.M.	$273.24	$303.60	—	—	10%
Cortisol blood test, total inpatient CPT 82533 SERUM CORTISOL TOTAL	$273.24	$303.60	—	—	10%
Creatine kinase (CK) blood test, total CPT 82550 BLOOD-CPK	$273.24	$303.60	—	995% above	10%
Creatine kinase (CK) blood test, total inpatient CPT 82550 BLOOD-CPK	$273.24	$303.60	—	—	10%
Creatinine blood test CPT 82565 BLD-CREATININE	$273.24	$303.60	—	1007% above	10%
Creatinine blood test CPT 82565 LAB-CREATININE,SERUM - ISTAT L	$273.24	$303.60	—	1007% above	10%
Creatinine blood test CPT 82565 ISTAT - CREATININE, BLD	$310.50	$345.00	—	1158% above	10%
Creatinine blood test inpatient CPT 82565 BLD-CREATININE	$273.24	$303.60	—	—	10%
Creatinine blood test inpatient CPT 82565 LAB-CREATININE,SERUM - ISTAT L	$273.24	$303.60	—	—	10%
Creatinine blood test inpatient CPT 82565 ISTAT - CREATININE, BLD	$310.50	$345.00	—	—	10%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV (AB) IGG	$273.24	$303.60	—	424% above	10%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV (AB) IGG	$273.24	$303.60	—	—	10%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$273.24	$303.60	—	222% above	10%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$273.24	$303.60	—	—	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$381.63	$424.03	—	213% above	10%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$381.63	$424.03	—	—	10%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL	$310.50	$345.00	—	894% above	10%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ISTAT - ELECTROLYTE PANEL	$310.50	$345.00	—	894% above	10%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ISTAT - ELECTROLYTE PANEL	$310.50	$345.00	—	—	10%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES PANEL	$310.50	$345.00	—	—	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID IGG/IGM	$273.24	$303.60	—	500% above	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA CAPSID AB	$273.24	$303.60	—	500% above	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID AG(VCA) IGA AB	$273.24	$303.60	—	500% above	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGM	$273.24	$303.60	—	500% above	10%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGM	$273.24	$303.60	—	—	10%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID IGG/IGM	$273.24	$303.60	—	—	10%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA CAPSID AB	$273.24	$303.60	—	—	10%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV CAPSID AG(VCA) IGA AB	$273.24	$303.60	—	—	10%
Estradiol blood test CPT 82670 ESTRADIOL	$307.24	$341.38	—	201% above	10%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$307.24	$341.38	—	—	10%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$273.24	$303.60	—	263% above	10%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$273.24	$303.60	—	—	10%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$273.24	$303.60	—	350% above	10%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$273.24	$303.60	—	—	10%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$273.24	$303.60	—	622% above	10%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$273.24	$303.60	—	—	10%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$273.24	$303.60	—	396% above	10%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$273.24	$303.60	—	—	10%
Free T3 thyroid hormone test CPT 84481 FREE T4 INDEX (T7)	$273.24	$303.60	—	331% above	10%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY, T3, FREE	$273.24	$303.60	—	331% above	10%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T4 INDEX (T7)	$273.24	$303.60	—	—	10%
Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY, T3, FREE	$273.24	$303.60	—	—	10%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE, FREE	$273.24	$303.60	—	469% above	10%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE, FREE	$273.24	$303.60	—	—	10%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$273.24	$303.60	—	197% above	10%
Free testosterone test CPT 84402 ASSAY - FREE TESTOSTERONE	$273.24	$303.60	—	197% above	10%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$273.24	$303.60	—	—	10%
Free testosterone test inpatient CPT 84402 ASSAY - FREE TESTOSTERONE	$273.24	$303.60	—	—	10%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 BLOOD-GAMMA GTP	$273.24	$303.60	—	917% above	10%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$273.24	$303.60	—	917% above	10%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$273.24	$303.60	—	—	10%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 BLOOD-GAMMA GTP	$273.24	$303.60	—	—	10%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORR AMP PROBE TEC	$273.24	$303.60	—	172% above	10%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORR AMP PROBE TEC	$273.24	$303.60	—	—	10%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY -	$273.24	$303.60	—	420% above	10%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIBODY -	$273.24	$303.60	—	—	10%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA-1 QUANT	$315.00	$350.00	—	35% above	10%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ RN	$417.10	$463.44	—	78% above	10%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA-1 QUANT	$315.00	$350.00	—	—	10%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ RN	$417.10	$463.44	—	—	10%
HIV-1 and HIV-2 antibody test CPT 86703 NEEDLESTICK: HIV-1/HIV-2 1 RES	$273.24	$303.60	—	445% above	10%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 NEEDLESTICK: HIV-1/HIV-2 1 RES	$273.24	$303.60	—	—	10%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 NEEDLESTICK: HIV-1 AG W/HIV-1	$273.24	$303.60	—	280% above	10%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 NEEDLESTICK: HIV-1 AG W/HIV-1	$273.24	$303.60	—	—	10%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$273.24	$303.60	—	188% above	10%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$273.24	$303.60	—	—	10%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$273.24	$303.60	—	662% above	10%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$273.24	$303.60	—	—	10%
Hemoglobin blood test CPT 85018 HEMOGLOBIN, BLOOD COUNT - ISTA	$273.24	$303.60	—	1794% above	10%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$273.24	$303.60	—	1794% above	10%
Hemoglobin blood test CPT 85018 ISTAT LAB-HEMOGLOBIN	$310.50	$345.00	—	2052% above	10%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$273.24	$303.60	—	—	10%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN, BLOOD COUNT - ISTA	$273.24	$303.60	—	—	10%
Hemoglobin blood test inpatient CPT 85018 ISTAT LAB-HEMOGLOBIN	$310.50	$345.00	—	—	10%
Hepatitis B core antibody test (total) CPT 86704 HBC AB	$273.24	$303.60	—	526% above	10%
Hepatitis B core antibody test (total) inpatient CPT 86704 HBC AB	$273.24	$303.60	—	—	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$273.24	$303.60	—	589% above	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$273.24	$303.60	—	—	10%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG	$273.24	$303.60	—	631% above	10%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG	$273.24	$303.60	—	—	10%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB	$273.24	$303.60	—	415% above	10%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS AB	$273.24	$303.60	—	—	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV REVRS TRNSCRPJ, RNA QUAL P	$282.60	$314.00	—	107% above	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS REVRS TRNSC	$282.60	$314.00	—	107% above	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS REVRS TRNSCR	$282.60	$314.00	—	107% above	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT PCR	$282.60	$314.00	—	107% above	10%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT PCR	$282.60	$314.00	—	—	10%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS REVRS TRNSC	$282.60	$314.00	—	—	10%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV REVRS TRNSCRPJ, RNA QUAL P	$282.60	$314.00	—	—	10%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS REVRS TRNSCR	$282.60	$314.00	—	—	10%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1, IGM	$273.24	$303.60	—	578% above	10%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1, IGG	$273.24	$303.60	—	578% above	10%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1, IGG	$273.24	$303.60	—	—	10%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1, IGM	$273.24	$303.60	—	—	10%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2, IGM	$273.24	$303.60	—	371% above	10%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2, IGG	$273.24	$303.60	—	371% above	10%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2, IGM	$273.24	$303.60	—	—	10%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2, IGG	$273.24	$303.60	—	—	10%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN - HS	$273.24	$303.60	—	472% above	10%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN - HS	$273.24	$303.60	—	—	10%
Homocysteine blood test CPT 83090 ASSAY - HOMOCYSTINE URINE	$273.24	$303.60	—	274% above	10%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$273.24	$303.60	—	274% above	10%
Homocysteine blood test CPT 83090 ASSAY - HOMOCYSTINE (Cardio),F	$273.24	$303.60	—	274% above	10%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$273.24	$303.60	—	—	10%
Homocysteine blood test inpatient CPT 83090 ASSAY - HOMOCYSTINE (Cardio),F	$273.24	$303.60	—	—	10%
Homocysteine blood test inpatient CPT 83090 ASSAY - HOMOCYSTINE URINE	$273.24	$303.60	—	—	10%
Insulin blood test CPT 83525 INSULIN TOTAL	$273.24	$303.60	—	548% above	10%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$273.24	$303.60	—	—	10%
Iron blood test (serum iron) CPT 83540 IRON	$273.24	$303.60	—	962% above	10%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$273.24	$303.60	—	—	10%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$273.24	$303.60	—	582% above	10%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$273.24	$303.60	—	—	10%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$310.50	$345.00	—	360% above	10%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$310.50	$345.00	—	—	10%
LH (luteinizing hormone) test CPT 83002 LH	$273.24	$303.60	—	254% above	10%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$273.24	$303.60	—	—	10%
Lactate (lactic acid) blood test CPT 83605 BLOOD-LACTATE	$273.24	$303.60	—	577% above	10%
Lactate (lactic acid) blood test CPT 83605 LACTATE	$273.24	$303.60	—	577% above	10%
Lactate (lactic acid) blood test inpatient CPT 83605 BLOOD-LACTATE	$273.24	$303.60	—	—	10%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE	$273.24	$303.60	—	—	10%
Lactate dehydrogenase (LDH) blood test CPT 83615 FLUID-LDH	$273.24	$303.60	—	1126% above	10%
Lactate dehydrogenase (LDH) blood test CPT 83615 BLOOD-LDH	$273.24	$303.60	—	1126% above	10%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 BLOOD-LDH	$273.24	$303.60	—	—	10%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 FLUID-LDH	$273.24	$303.60	—	—	10%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$273.24	$303.60	—	872% above	10%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$273.24	$303.60	—	—	10%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$273.24	$303.60	—	383% above	10%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$273.24	$303.60	—	—	10%
Lyme disease antibody test CPT 86618 LYME DISEASE	$273.24	$303.60	—	464% above	10%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE	$273.24	$303.60	—	—	10%
Magnesium blood test CPT 83735 BLOOD-MAGNESIUM	$273.24	$303.60	—	1005% above	10%
Magnesium blood test inpatient CPT 83735 BLOOD-MAGNESIUM	$273.24	$303.60	—	—	10%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) IgG Antibody	$273.24	$303.60	—	490% above	10%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) IgG Antibody	$273.24	$303.60	—	—	10%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$273.24	$303.60	—	694% above	10%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$273.24	$303.60	—	—	10%
Mumps immunity blood test CPT 86735 MUMPS VIRUS IgG ANTIBODY	$273.24	$303.60	—	543% above	10%
Mumps immunity blood test CPT 86735 MUMPS (AB)	$273.24	$303.60	—	543% above	10%
Mumps immunity blood test CPT 86735 LAB-MUMPS VIRUS ATBY	$310.50	$345.00	—	631% above	10%
Mumps immunity blood test inpatient CPT 86735 MUMPS (AB)	$273.24	$303.60	—	—	10%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS IgG ANTIBODY	$273.24	$303.60	—	—	10%
Mumps immunity blood test inpatient CPT 86735 LAB-MUMPS VIRUS ATBY	$310.50	$345.00	—	—	10%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPEC AG -POST PROSTAT	$273.24	$303.60	—	310% above	10%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL, SERUM	$310.50	$345.00	—	366% above	10%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC AG -POST PROSTAT	$273.24	$303.60	—	—	10%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL, SERUM	$310.50	$345.00	—	—	10%
Parathyroid hormone (PTH) blood test CPT 83970 INTRAOP.PTH (Q-PTH)	$273.24	$303.60	—	86% above	10%
Parathyroid hormone (PTH) blood test CPT 83970 PTH- INTACT	$273.24	$303.60	—	86% above	10%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTRAOP.PTH (Q-PTH)	$273.24	$303.60	—	—	10%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH- INTACT	$273.24	$303.60	—	—	10%
Partial thromboplastin time (PTT) clotting test CPT 85730 PART.THROMPPLA TIME	$273.24	$303.60	—	1059% above	10%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PART.THROMPPLA TIME	$273.24	$303.60	—	—	10%
Phosphorus (phosphate) blood test CPT 84100 BLOOD-PHOSPHORUS	$273.24	$303.60	—	1243% above	10%
Phosphorus (phosphate) blood test inpatient CPT 84100 BLOOD-PHOSPHORUS	$273.24	$303.60	—	—	10%
Potassium blood test CPT 84132 ISTAT LAB-POTASSIUM,SERUM	$273.24	$303.60	—	1088% above	10%
Potassium blood test CPT 84132 POTASSIUM	$273.24	$303.60	—	1088% above	10%
Potassium blood test CPT 84132 ISTAT - POTASSIUM, BLD,SRM,PLS	$310.50	$345.00	—	1250% above	10%
Potassium blood test inpatient CPT 84132 ISTAT LAB-POTASSIUM,SERUM	$273.24	$303.60	—	—	10%
Potassium blood test inpatient CPT 84132 POTASSIUM	$273.24	$303.60	—	—	10%
Potassium blood test inpatient CPT 84132 ISTAT - POTASSIUM, BLD,SRM,PLS	$310.50	$345.00	—	—	10%
Prolactin blood test CPT 84146 PROLACTIN SINGLE	$273.24	$303.60	—	279% above	10%
Prolactin blood test inpatient CPT 84146 PROLACTIN SINGLE	$273.24	$303.60	—	—	10%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$273.24	$303.60	—	1663% above	10%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$273.24	$303.60	—	1663% above	10%
Prothrombin time (PT/INR) clotting test CPT 85610 ISTAT - COAG - PROTHROMBIN TIM	$310.50	$345.00	—	1903% above	10%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$273.24	$303.60	—	—	10%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME	$273.24	$303.60	—	—	10%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ISTAT - COAG - PROTHROMBIN TIM	$310.50	$345.00	—	—	10%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$273.24	$303.60	—	684% above	10%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$273.24	$303.60	—	—	10%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP-A RAPID	$273.24	$303.60	—	583% above	10%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP-A RAPID	$273.24	$303.60	—	—	10%
Rh blood typing CPT 86901 BLOOD TYPING RH(D)	$310.50	$345.00	—	465% above	10%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH(D)	$310.50	$345.00	—	—	10%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$273.24	$303.60	—	1205% above	10%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$273.24	$303.60	—	—	10%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ELISA	$273.24	$303.60	—	513% above	10%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGM	$273.24	$303.60	—	513% above	10%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGG AB (GERMAN)	$273.24	$303.60	—	513% above	10%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ELISA	$273.24	$303.60	—	—	10%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGM	$273.24	$303.60	—	—	10%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS IGG AB (GERMAN)	$273.24	$303.60	—	—	10%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$273.24	$303.60	—	1003% above	10%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED	$273.24	$303.60	—	—	10%
Sodium blood test CPT 84295 ISTAT LAB-SODIUM;SERUM	$273.24	$303.60	—	1158% above	10%
Sodium blood test CPT 84295 SODIUM	$273.24	$303.60	—	1158% above	10%
Sodium blood test CPT 84295 ISTAT - SODIUM, BLD,SRM,PLSMA	$310.50	$345.00	—	1330% above	10%
Sodium blood test inpatient CPT 84295 ISTAT LAB-SODIUM;SERUM	$273.24	$303.60	—	—	10%
Sodium blood test inpatient CPT 84295 SODIUM	$273.24	$303.60	—	—	10%
Sodium blood test inpatient CPT 84295 ISTAT - SODIUM, BLD,SRM,PLSMA	$310.50	$345.00	—	—	10%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS CONFIRMATORY	$273.24	$303.60	—	546% above	10%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM,CSF.FTA	$273.24	$303.60	—	546% above	10%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM,CSF.FTA	$273.24	$303.60	—	—	10%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS CONFIRMATORY	$273.24	$303.60	—	—	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL/VD	$273.24	$303.60	—	1634% above	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL/VD	$273.24	$303.60	—	—	10%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD	$303.79	$337.54	—	86% above	10%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 EMPLOYEE TB TEST CELL INTERF	$303.79	$337.54	—	86% above	10%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD	$303.79	$337.54	—	—	10%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 EMPLOYEE TB TEST CELL INTERF	$303.79	$337.54	—	—	10%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$273.24	$303.60	—	192% above	10%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$273.24	$303.60	—	—	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI TPO THYROID ANTIBODY	$273.24	$303.60	—	414% above	10%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI TPO THYROID ANTIBODY	$273.24	$303.60	—	—	10%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W FREE T4 REFLEX	$273.24	$303.60	—	273% above	10%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$273.24	$303.60	—	273% above	10%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W FREE T4 REFLEX	$273.24	$303.60	—	—	10%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$273.24	$303.60	—	—	10%
Total IgE blood test CPT 82785 ASSAY - IgE - SERUM	$273.24	$303.60	—	350% above	10%
Total IgE blood test inpatient CPT 82785 ASSAY - IgE - SERUM	$273.24	$303.60	—	—	10%
Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM TOTAL	$273.24	$303.60	—	1108% above	10%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM TOTAL	$273.24	$303.60	—	—	10%
Total thyroxine (T4) blood test CPT 84436 T4-TOTAL	$273.24	$303.60	—	834% above	10%
Total thyroxine (T4) blood test inpatient CPT 84436 T4-TOTAL	$273.24	$303.60	—	—	10%
Total triiodothyronine (T3) blood test CPT 84480 T3	$273.24	$303.60	—	331% above	10%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3	$273.24	$303.60	—	—	10%
Transferrin blood test CPT 84466 TRANSFERRIN SERUM	$273.24	$303.60	—	480% above	10%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN SERUM	$273.24	$303.60	—	—	10%
Triglycerides blood test CPT 84478 TRIGLYC, BLOOD	$273.24	$303.60	—	1016% above	10%
Triglycerides blood test inpatient CPT 84478 TRIGLYC, BLOOD	$273.24	$303.60	—	—	10%
Troponin test, quantitative CPT 84484 TROPININ-I	$273.24	$303.60	—	531% above	10%
Troponin test, quantitative inpatient CPT 84484 TROPININ-I	$273.24	$303.60	—	—	10%
Uric acid blood test CPT 84550 BLOOD-URIC ACID	$273.24	$303.60	—	1257% above	10%
Uric acid blood test inpatient CPT 84550 BLOOD-URIC ACID	$273.24	$303.60	—	—	10%
Urinalysis with microscope exam, automated CPT 81001 ROUTINE AUTO URINE W/MICRO	$273.24	$303.60	—	741% above	10%
Urinalysis with microscope exam, automated inpatient CPT 81001 ROUTINE AUTO URINE W/MICRO	$273.24	$303.60	—	—	10%
Urinalysis without microscope exam, automated CPT 81003 URINE - CHEM AUTO W/O MICRO	$310.50	$345.00	—	1726% above	10%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE - CHEM AUTO W/O MICRO	$310.50	$345.00	—	—	10%
Urine culture for bacteria, with colony count CPT 87086 URINE CULT COLONY CNT	$273.24	$303.60	—	617% above	10%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULT COLONY CNT	$273.24	$303.60	—	—	10%
Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN-U RAN	$273.24	$303.60	—	818% above	10%
Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN-U RAN	$273.24	$303.60	—	—	10%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$310.50	$345.00	—	975% above	10%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$310.50	$345.00	—	—	10%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 SERUM	$273.24	$303.60	—	391% above	10%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 SERUM	$273.24	$303.60	—	—	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$273.24	$303.60	—	155% above	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$273.24	$303.60	—	—	10%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25 DH	$273.24	$303.60	—	155% above	10%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25 DH	$273.24	$303.60	—	—	10%
Zinc blood test CPT 84630 HIV AG/AB, 4th GEN	$273.24	$303.60	—	575% above	10%
Zinc blood test CPT 84630 ZINC	$273.24	$303.60	—	575% above	10%
Zinc blood test inpatient CPT 84630 HIV AG/AB, 4th GEN	$273.24	$303.60	—	—	10%
Zinc blood test inpatient CPT 84630 ZINC	$273.24	$303.60	—	—	10%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG-TOTAL	$273.24	$303.60	—	392% above	10%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG- QUANT	$273.24	$303.60	—	392% above	10%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG- QUANT	$273.24	$303.60	—	—	10%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG-TOTAL	$273.24	$303.60	—	—	10%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY BENIGN/PREMLG LESION	$746.24	$829.16	—	157% above	10%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTROY BENIGN/PREMLG LESION	$746.24	$829.16	—	—	10%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY LOCAL WITH TUBE	$1,879.47	$2,088.30	—	73% above	10%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTOMY LOCAL WITH TUBE	$1,879.47	$2,088.30	—	—	10%
Earwax removal with instruments, one ear both sides CPT 69210 REMOV IMPACTD CERUMN UNI OR BI	$326.70	$363.00	—	—	10%
Earwax removal with instruments, one ear inpatient both sides CPT 69210 REMOV IMPACTD CERUMN UNI OR BI	$326.70	$363.00	—	—	10%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECT.,INTRAVITREAL OF PHARMA	$1,325.02	$1,472.25	—	84% above	10%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INTRAVITREAL INJECTION OF DRUG	$1,727.15	$1,919.06	—	140% above	10%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJECT.,INTRAVITREAL OF PHARMA	$1,325.02	$1,472.25	—	—	10%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INTRAVITREAL INJECTION OF DRUG	$1,727.15	$1,919.06	—	—	10%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION/DRAIN ABSCESS SIMPLE	$746.24	$829.16	—	84% above	10%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL	$746.24	$829.16	—	84% above	10%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION/DRAIN ABSCESS SIMPLE	$746.24	$829.16	—	—	10%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL	$746.24	$829.16	—	—	10%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 DISCISSION OF SECOND MEMBRAND	$2,091.35	$2,323.72	—	67% above	10%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 CAPSULOTOMY, LASER YAG	$2,091.35	$2,323.72	—	67% above	10%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 DISCISSION OF SECOND MEMBRAND	$2,091.35	$2,323.72	—	—	10%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 CAPSULOTOMY, LASER YAG	$2,091.35	$2,323.72	—	—	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 CLOSE WOUNDS OF SCLP/EXT<2.5CM	$1,436.33	$1,595.92	—	143% above	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 CLOSE WOUNDS OF SCLP/EXT<2.5CM	$1,436.33	$1,595.92	—	—	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION LESION .05CM OR LESS	$2,585.99	$2,873.32	—	139% above	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION LESION .05CM OR LESS	$2,585.99	$2,873.32	—	—	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5<CM	$2,585.99	$2,873.32	—	146% above	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 < CM	$2,585.99	$2,873.32	—	146% above	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REM BEN LES FFC/E/L/L<0.5CM	$2,585.99	$2,873.32	—	146% above	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5<CM	$2,585.99	$2,873.32	—	—	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 REM BEN LES FFC/E/L/L<0.5CM	$2,585.99	$2,873.32	—	—	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5 < CM	$2,585.99	$2,873.32	—	—	10%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SUB TISSUE	$1,436.33	$1,595.92	—	123% above	10%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY SUB TISSUE	$1,436.33	$1,595.92	—	—	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL RPR SCLP NK EXTRM 2.5CM<	$746.24	$829.16	—	97% above	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL RPR SCLP NK EXTRM 2.5CM<	$746.24	$829.16	—	—	10%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$1,436.33	$1,595.92	—	108% above	10%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$1,436.33	$1,595.92	—	—	10%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS <= 15 LES	$746.24	$829.16	—	105% above	10%
Skin tag removal, up to 15 tags CPT 11200 REMV SKIN TAGS,ANY AREA;TO 15	$746.24	$829.16	—	105% above	10%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS <= 15 LES	$746.24	$829.16	—	—	10%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMV SKIN TAGS,ANY AREA;TO 15	$746.24	$829.16	—	—	10%
Spinal tap (lumbar puncture), diagnostic CPT 62270 MINOR SURGERY-LUMBAR PUNCTURE	$2,638.81	$2,932.01	—	123% above	10%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 MINOR SURGERY-LUMBAR PUNCTURE	$2,638.81	$2,932.01	—	—	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL RPR SCLP EXTRM 2.5-7.5CM	$746.24	$829.16	—	88% above	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL RPR SCLP EXTRM 2.5-7.5CM	$746.24	$829.16	—	—	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPL REPR FACE/MM;2.5CM<	$746.24	$829.16	—	97% above	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REP<2.5CM	$746.24	$829.16	—	97% above	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE RPR FACE/EARS/EYE<2.5CM	$746.24	$829.16	—	97% above	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR TORN EAR LOBE <2.5cm	$746.24	$829.16	—	97% above	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE RPR FACE/EARS/EYE<2.5CM	$746.24	$829.16	—	—	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPL REPR FACE/MM;2.5CM<	$746.24	$829.16	—	—	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REP<2.5CM	$746.24	$829.16	—	—	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR TORN EAR LOBE <2.5cm	$746.24	$829.16	—	—	10%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LESION	$746.24	$829.16	—	50% above	10%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LESION	$746.24	$829.16	—	—	10%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION, 1-14	$746.24	$829.16	—	115% above	10%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION, 1-14	$746.24	$829.16	—	—	10%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMP NEW EXAM	$675.00	$750.00	—	193% above	10%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 NEW OPHTH VISIT COMPR	$675.00	$750.00	—	193% above	10%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 EYE EXAM, NEW PATIENT	$675.00	$750.00	—	193% above	10%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPREH EYE EXAM NEW PT	$675.00	$750.00	—	193% above	10%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPREHENSVE NEW EXAM	$675.00	$750.00	—	193% above	10%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 OPHTHALMOLOGICAL NEWVISIT COMP	$765.00	$850.00	—	233% above	10%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 COMPREH EYE EXAM NEW PT	$675.00	$750.00	—	—	10%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 COMPREHENSVE NEW EXAM	$675.00	$750.00	—	—	10%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 NEW OPHTH VISIT COMPR	$675.00	$750.00	—	—	10%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 EYE EXAM, NEW PATIENT	$675.00	$750.00	—	—	10%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 COMP NEW EXAM	$675.00	$750.00	—	—	10%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 OPHTHALMOLOGICAL NEWVISIT COMP	$765.00	$850.00	—	—	10%
Comprehensive eye exam, returning patient CPT 92014 EST OPTHALMOLOGY VISIT COMP	$585.00	$650.00	—	200% above	10%
Comprehensive eye exam, returning patient CPT 92014 OPTHM SERVICES; COMPREH; EST	$585.00	$650.00	—	200% above	10%
Comprehensive eye exam, returning patient CPT 92014 OPTHM SERVICES;COMPREH;EST	$585.00	$650.00	—	200% above	10%
Comprehensive eye exam, returning patient CPT 92014 COMP EST EXAM	$585.00	$650.00	—	200% above	10%
Comprehensive eye exam, returning patient CPT 92014 COMPREH EYE EXAM EST PT	$585.00	$650.00	—	200% above	10%
Comprehensive eye exam, returning patient CPT 92014 EST. OPHTH VISIT COMP	$585.00	$650.00	—	200% above	10%
Comprehensive eye exam, returning patient CPT 92014 EST. OPHTHALMOLOGY VISIT COMP	$585.00	$650.00	—	200% above	10%
Comprehensive eye exam, returning patient CPT 92014 OPHTHALMOLOGICAL EST COMPREHEN	$666.00	$740.00	—	241% above	10%
Comprehensive eye exam, returning patient inpatient CPT 92014 COMP EST EXAM	$585.00	$650.00	—	—	10%
Comprehensive eye exam, returning patient inpatient CPT 92014 OPTHM SERVICES; COMPREH; EST	$585.00	$650.00	—	—	10%
Comprehensive eye exam, returning patient inpatient CPT 92014 OPTHM SERVICES;COMPREH;EST	$585.00	$650.00	—	—	10%
Comprehensive eye exam, returning patient inpatient CPT 92014 EST. OPHTH VISIT COMP	$585.00	$650.00	—	—	10%
Comprehensive eye exam, returning patient inpatient CPT 92014 COMPREH EYE EXAM EST PT	$585.00	$650.00	—	—	10%
Comprehensive eye exam, returning patient inpatient CPT 92014 EST OPTHALMOLOGY VISIT COMP	$585.00	$650.00	—	—	10%
Comprehensive eye exam, returning patient inpatient CPT 92014 EST. OPHTHALMOLOGY VISIT COMP	$585.00	$650.00	—	—	10%
Comprehensive eye exam, returning patient inpatient CPT 92014 OPHTHALMOLOGICAL EST COMPREHEN	$666.00	$740.00	—	—	10%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPRH AUDIOM THRESHLD EVAL W	$580.19	$644.66	—	213% above	10%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 CAE W SR	$580.19	$644.66	—	213% above	10%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPRH AUDIOM THRESHLD EVAL W	$580.19	$644.66	—	—	10%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 CAE W SR	$580.19	$644.66	—	—	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG; TRACING ONLY	$310.50	$345.00	—	117% above	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG; TRACING ONLY	$310.50	$345.00	—	—	10%
Eye exam, returning patient, intermediate CPT 92012 EST OPTHALMOLOGY VISIT INT	$540.00	$600.00	—	135% above	10%
Eye exam, returning patient, intermediate CPT 92012 INTERM EYE EXAM EST PT	$540.00	$600.00	—	135% above	10%
Eye exam, returning patient, intermediate CPT 92012 OPTHM SERVICES;INTERM;EST	$540.00	$600.00	—	135% above	10%
Eye exam, returning patient, intermediate CPT 92012 OPTHM SERVICES; INTERM; EST	$540.00	$600.00	—	135% above	10%
Eye exam, returning patient, intermediate CPT 92012 EST. OPHTHALMOLOGY VISIT INT	$540.00	$600.00	—	135% above	10%
Eye exam, returning patient, intermediate CPT 92012 INTERMED EST EXAM	$540.00	$600.00	—	135% above	10%
Eye exam, returning patient, intermediate CPT 92012 EST. OPHTH VISIT INTERM	$540.00	$600.00	—	135% above	10%
Eye exam, returning patient, intermediate CPT 92012 OPHTHALMOLOGICAL EST. INTERMED	$630.00	$700.00	—	174% above	10%
Eye exam, returning patient, intermediate inpatient CPT 92012 OPTHM SERVICES; INTERM; EST	$540.00	$600.00	—	—	10%
Eye exam, returning patient, intermediate inpatient CPT 92012 EST. OPHTHALMOLOGY VISIT INT	$540.00	$600.00	—	—	10%
Eye exam, returning patient, intermediate inpatient CPT 92012 EST. OPHTH VISIT INTERM	$540.00	$600.00	—	—	10%
Eye exam, returning patient, intermediate inpatient CPT 92012 INTERM EYE EXAM EST PT	$540.00	$600.00	—	—	10%
Eye exam, returning patient, intermediate inpatient CPT 92012 EST OPTHALMOLOGY VISIT INT	$540.00	$600.00	—	—	10%
Eye exam, returning patient, intermediate inpatient CPT 92012 OPTHM SERVICES;INTERM;EST	$540.00	$600.00	—	—	10%
Eye exam, returning patient, intermediate inpatient CPT 92012 INTERMED EST EXAM	$540.00	$600.00	—	—	10%
Eye exam, returning patient, intermediate inpatient CPT 92012 OPHTHALMOLOGICAL EST. INTERMED	$630.00	$700.00	—	—	10%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPTC PROPHY/DX INJ SQ/IM	$256.50	$285.00	—	130% above	10%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ, SC/IM	$442.53	$491.70	—	297% above	10%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPTC PROPHY/DX INJ SQ/IM	$256.50	$285.00	—	—	10%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ, SC/IM	$442.53	$491.70	—	—	10%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDY 7-8	$1,350.00	$1,500.00	—	195% above	10%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDY 7-8	$1,350.00	$1,500.00	—	—	10%
Neuromuscular re-education, 15 minutes CPT 97112 VEST.REHAB-NEUROMUSC RE-ED 15M	$257.40	$286.00	—	214% above	10%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 VEST.REHAB-NEUROMUSC RE-ED 15M	$257.40	$286.00	—	—	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 VEST.REHAB-PHYS THERAPY EVAL,	$396.22	$440.25	—	50% above	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 VEST.REHAB-PHYS THERAPY EVAL,	$396.22	$440.25	—	—	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 VEST.REHAB-PHYS THERAPY EVAL,	$396.22	$440.25	—	120% above	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 VEST.REHAB-PHYS THERAPY EVAL,	$396.22	$440.25	—	—	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 VEST.REHAB-PHYS THERAPY EVAL,	$396.22	$440.25	—	65% above	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 VEST.REHAB-PHYS THERAPY EVAL,	$396.22	$440.25	—	—	10%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY; EA 15 MIN	$257.40	$286.00	—	209% above	10%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY; EA 15 MIN	$257.40	$286.00	—	—	10%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 VEST.REHAB-TX EXERCISE/15 MIN	$257.40	$286.00	—	241% above	10%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 VEST.REHAB-TX EXERCISE/15 MIN	$257.40	$286.00	—	—	10%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$903.02	$1,003.35	—	130% above	10%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN, E	$903.02	$1,003.35	—	130% above	10%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN, E	$903.02	$1,003.35	—	—	10%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$903.02	$1,003.35	—	—	10%
Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY	$315.00	$350.00	—	88% above	10%
Speech therapy session, individual CPT 92507 SPCH-THERAPY INDIV. SESSION	$315.00	$350.00	—	88% above	10%
Speech therapy session, individual inpatient CPT 92507 SPCH-THERAPY INDIV. SESSION	$315.00	$350.00	—	—	10%
Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY	$315.00	$350.00	—	—	10%
Therapeutic activities (functional training), 15 minutes CPT 97530 VEST.REHAB-TX ACTIVITY/15 MIN	$257.40	$286.00	—	199% above	10%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 VEST.REHAB-TX ACTIVITY/15 MIN	$257.40	$286.00	—	—	10%
Visual field test, extended CPT 92083 VISUAL FIELDS EXTENDED	$468.58	$520.65	—	40% above	10%
Visual field test, extended CPT 92083 ORTH-PEDIATRIC VISUAL FIELDS	$468.58	$520.65	—	40% above	10%
Visual field test, extended CPT 92083 VISUAL FIELDS, EXTENDED	$468.58	$520.65	—	40% above	10%
Visual field test, extended CPT 92083 VISUAL FIELD EXTENDED GOLDMANN	$468.58	$520.65	—	40% above	10%
Visual field test, extended inpatient CPT 92083 VISUAL FIELDS, EXTENDED	$468.58	$520.65	—	—	10%
Visual field test, extended inpatient CPT 92083 ORTH-PEDIATRIC VISUAL FIELDS	$468.58	$520.65	—	—	10%
Visual field test, extended inpatient CPT 92083 VISUAL FIELDS EXTENDED	$468.58	$520.65	—	—	10%
Visual field test, extended inpatient CPT 92083 VISUAL FIELD EXTENDED GOLDMANN	$468.58	$520.65	—	—	10%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE NO PRESERV 3 YRS &	$20.48	$22.75	—	28% below	10%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE NO PRESERV 3 YRS &	$20.48	$22.75	—	—	10%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC -ENGERIX-B 20	$119.19	$132.43	—	33% above	10%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC -ENGERIX-B 20	$119.19	$132.43	—	—	10%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS, AND RUBELLA	$184.90	$205.44	—	37% above	10%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS, AND RUBELLA	$184.90	$205.44	—	—	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE PPSV23, >	$117.00	$130.00	—	31% below	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE PPSV23 VA	$181.77	$201.97	—	7% above	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE PPSV23, >	$117.00	$130.00	—	—	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE PPSV23 VA	$181.77	$201.97	—	—	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$59.62	$66.25	—	12% above	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$59.62	$66.25	—	—	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 IM	$91.04	$101.16	—	64% above	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE >7 IM	$91.04	$101.16	—	—	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION, SINGLE VACCINE	$257.65	$286.28	—	206% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN SINGLE	$257.65	$286.28	—	206% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION, SINGLE VACCINE	$257.65	$286.28	—	—	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN SINGLE	$257.65	$286.28	—	—	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD'L	$88.20	$98.00	—	96% above	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION,ADDITIONAL VACCIN	$88.20	$98.00	—	96% above	10%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD'L	$88.20	$98.00	—	—	10%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION,ADDITIONAL VACCIN	$88.20	$98.00	—	—	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.mountsinai.org/files/mrf/135562304_new-york-eye-and-ear-infirmary-of-mount-sinai_standardcharges.json