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

CentraState Medical Center

CentraState Medical Center in Freehold Township, NJ publishes cash prices for 518 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New Jersey median for 212 of 516 procedures and above it for 173. By typical cash price it ranks #26 of 55 New Jersey hospitals and #53 of 86 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.

901 W Main St, Freehold Township, NJ 07728 Collected Sep 22, 2026 Source price file Check a bill from this hospital (732) 294-7012

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 310111 · CMS hospital register NPI 1295718450

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W&WO	$226.60	$3,540.00	—	67% below	94%
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W&WO	$226.60	$3,592.56	—	67% below	94%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W&WO	$226.60	$3,540.00	—	—	94%
Abdominal X-ray, 2 views CPT 74019 Xr Abdomen 2 Vw	$110.64	$1,165.00	—	10% below	91%
Abdominal X-ray, 2 views CPT 74019 Xr Abdomen 2 Vw	$141.90	$630.00	—	15% above	77%
Abdominal X-ray, 2 views inpatient CPT 74019 Xr Abdomen 2 Vw	$141.90	$630.00	—	—	77%
Ankle X-ray, complete, 3 or more views CPT 73610 Xr Ankle 3+ Vw	$112.08	$1,224.00	—	5% below	91%
Ankle X-ray, complete, 3 or more views CPT 73610 Xr Ankle 3+ Vw	$112.08	$669.00	—	5% below	83%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Xr Ankle 3+ Vw	$112.08	$669.00	—	—	83%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Nips Art Upp/Low Extrm 3+ Lev Uni/1-2 Lev Bil	$164.08	$749.00	—	7% below	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Nips Art Upp/Low Extrm 3+ Lev Uni/1-2 Lev Bil	$164.08	$749.00	—	7% below	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Nips Art Upp/Low Extrm 1-2 Lev Uni	$164.08	$749.00	—	7% below	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Nips Art Upp/Low Extrm 3+ Lev Uni/1-2 Lev Bil	$164.08	$749.00	—	—	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Nips Art Upp/Low Extrm 1-2 Lev Uni	$164.08	$749.00	—	—	78%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upp Extrm WO	$141.90	$2,538.00	—	69% below	94%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upp Extrm WO	$141.90	$2,908.00	—	69% below	95%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upp Extrm WO	$141.90	$2,538.00	—	—	94%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Dx Esophagus Inc Delay Sng Cntrst	$226.60	$695.89	—	8% above	67%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Dx Esophagus Inc Delay Sng Cntrst	$226.60	$689.00	—	8% above	67%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Dx Esophagus Inc Delay Sng Cntrst	$226.60	$689.00	—	—	67%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone/Joint Whole Body	$511.48	$2,429.00	—	3% below	79%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone/Joint Whole Body	$511.48	$2,499.00	—	3% below	80%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone/Joint Whole Body	$511.48	$2,429.00	—	—	79%
Breast ultrasound, complete, one breast CPT 76641 US Breast Uni Cmplt	$135.36	$450.00	—	5% below	70%
Breast ultrasound, complete, one breast CPT 76641 US Breast Uni Cmplt	$278.93	$1,411.00	—	95% above	80%
Breast ultrasound, complete, one breast inpatient CPT 76641 US Breast Uni Cmplt	$135.36	$450.00	—	—	70%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Uni Lmt	$112.08	$390.00	—	20% below	71%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Uni Lmt	$239.58	$875.00	—	71% above	73%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Uni Lmt	$112.08	$390.00	—	—	71%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd & Pelvis W&WO	$454.59	$5,724.56	—	29% below	92%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd & Pelvis W&WO	$454.59	$5,672.00	—	29% below	92%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abd & Pelvis W&WO	$454.59	$5,672.00	—	—	92%
CT angiography (CTA) of the head CPT 70496 Cta Head W&WO	$226.60	$3,052.62	—	58% below	93%
CT angiography (CTA) of the head CPT 70496 Cta Head W&WO	$226.60	$2,999.00	—	58% below	92%
CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W&WO	$226.60	$2,999.00	—	—	92%
CT angiography (CTA) of the neck CPT 70498 Cta Neck W&WO	$226.60	$3,253.00	—	66% below	93%
CT angiography (CTA) of the neck CPT 70498 Cta Neck W&WO	$226.60	$3,306.62	—	66% below	93%
CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck W&WO	$226.60	$3,253.00	—	—	93%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W&WO	$226.60	$3,505.00	—	70% below	94%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W&WO	$226.60	$3,558.62	—	70% below	94%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W&WO	$226.60	$3,505.00	—	—	94%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Heart Struct/Morph 3d W	$454.59	$1,788.00	—	5% below	75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Heart Struct/Morph 3d W	$454.59	$1,829.57	—	5% below	75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Heart Struct/Morph 3d W	$454.59	$1,788.00	—	—	75%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart W/Ca+ Test WO	$82.00	$294.00	—	17% below	72%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart W/Ca+ Test WO	$112.08	$294.00	—	13% above	62%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart W/Ca+ Test WO	$112.08	$294.00	—	—	62%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis WO	$307.68	$4,515.00	—	51% below	93%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis WO	$307.68	$4,524.00	—	51% below	93%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd & Pelvis WO	$307.68	$4,515.00	—	—	93%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis W	$454.59	$5,672.00	—	39% below	92%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis W	$566.67	$6,844.56	—	24% below	92%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd & Pelvis W	$454.59	$5,672.00	—	—	92%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis W&WO	$454.59	$6,830.00	—	51% below	93%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis W&WO	$454.59	$6,892.62	—	51% below	93%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelvis W&WO	$454.59	$6,830.00	—	—	93%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$226.60	$3,408.51	—	60% below	93%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$226.60	$3,298.00	—	60% below	93%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W	$226.60	$3,298.00	—	—	93%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$135.36	$2,209.00	—	70% below	94%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$135.36	$2,209.00	—	70% below	94%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO	$135.36	$2,209.00	—	—	94%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$135.36	$2,373.00	—	73% below	94%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$135.36	$2,373.00	—	73% below	94%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO	$135.36	$2,373.00	—	—	94%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head WO	$135.36	$2,420.00	—	67% below	94%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head WO	$135.36	$2,420.00	—	67% below	94%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head WO	$135.36	$2,420.00	—	—	94%
CT scan of the head with contrast CPT 70460 CT Head W	$237.54	$2,013.00	—	50% below	88%
CT scan of the head with contrast CPT 70460 CT Head W	$580.61	$10,953.90	—	21% above	95%
CT scan of the head with contrast inpatient CPT 70460 CT Head W	$237.54	$2,013.00	—	—	88%
CT scan of the head without and with contrast CPT 70470 CT Head W&WO	$237.54	$4,374.02	—	61% below	95%
CT scan of the head without and with contrast CPT 70470 CT Head W&WO	$237.54	$2,791.00	—	61% below	91%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head W&WO	$237.54	$2,791.00	—	—	91%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cerv WO	$141.90	$3,288.00	—	74% below	96%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cerv WO	$141.90	$2,820.00	—	74% below	95%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cerv WO	$141.90	$2,820.00	—	—	95%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$237.54	$2,875.00	—	54% below	92%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$237.54	$4,384.08	—	54% below	95%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W	$237.54	$2,875.00	—	—	92%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Extracranial Art Cmplt	$307.68	$2,100.00	—	5% below	85%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Extracranial Art Cmplt	$307.68	$2,100.00	—	5% below	85%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Duplex Extracranial Art Cmplt	$307.68	$2,100.00	—	—	85%
Chest CT scan without and with contrast CPT 71270 CT Thorax Dx W&WO	$226.60	$2,290.00	—	71% below	90%
Chest CT scan without and with contrast CPT 71270 CT Thorax Dx W&WO	$553.86	$9,172.56	—	28% below	94%
Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax Dx W&WO	$226.60	$2,290.00	—	—	90%
Chest X-ray, 2 views CPT 71046 Xr Chest 2 Vw	$112.08	$1,078.00	—	at median	90%
Chest X-ray, 2 views CPT 71046 Xr Chest 2 Vw	$112.08	$478.00	—	at median	77%
Chest X-ray, 2 views inpatient CPT 71046 Xr Chest 2 Vw	$112.08	$478.00	—	—	77%
Chest X-ray, single view CPT 71045 Xr Chest 1vw	$112.08	$2,221.00	—	8% above	95%
Chest X-ray, single view CPT 71045 Xr Chest 1vw	$112.08	$353.00	—	8% above	68%
Chest X-ray, single view inpatient CPT 71045 Xr Chest 1vw	$112.08	$353.00	—	—	68%
Collarbone (clavicle) X-ray, complete CPT 73000 Xr Clavicle Cmplt	$117.49	$541.00	—	at median	78%
Collarbone (clavicle) X-ray, complete CPT 73000 Xr Clavicle Cmplt	$117.49	$509.00	—	at median	77%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Xr Clavicle Cmplt	$117.49	$509.00	—	—	77%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Cmplt	$135.36	$1,423.00	—	35% below	90%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Cmplt	$135.36	$1,423.00	—	35% below	90%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Cmplt	$135.36	$1,423.00	—	—	90%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density 1+ Site Axial	$135.36	$754.00	—	5% below	82%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density 1+ Site Axial	$278.93	$1,265.00	—	97% above	78%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density 1+ Site Axial	$135.36	$754.00	—	—	82%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA Bone Density 1+ Site Appendicular	$308.00	$308.00	—	195% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA Bone Density 1+ Site Appendicular	$308.00	$308.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Uterus OB Det Anat Sng Fetus	$322.54	$773.00	—	4% above	58%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax Dx WO	$135.36	$1,820.00	—	75% below	93%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax Dx WO	$135.36	$1,820.00	—	75% below	93%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax Dx WO	$135.36	$1,820.00	—	—	93%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax Dx W	$226.60	$3,063.00	—	63% below	93%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax Dx W	$553.86	$8,788.62	—	9% below	94%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax Dx W	$226.60	$3,063.00	—	—	93%
Diagnostic mammogram, both breasts CPT 77066 Mammogram Dx Dig Bil	$137.79	$456.00	—	13% below	70%
Diagnostic mammogram, both breasts CPT 77066 Mammogram Dx Dig Bil	$269.20	$1,054.00	—	71% above	74%
Diagnostic mammogram, both breasts inpatient CPT 77066 Mammogram Dx Dig Bil	$137.79	$456.00	—	—	70%
Diagnostic mammogram, one breast CPT 77065 Mammogram Dx Dig Uni	$108.17	$380.00	—	34% below	72%
Diagnostic mammogram, one breast CPT 77065 Mammogram Dx Dig Uni	$239.58	$875.00	—	46% above	73%
Diagnostic mammogram, one breast inpatient CPT 77065 Mammogram Dx Dig Uni	$108.17	$380.00	—	—	72%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex Art/Grft(S) Low Extrm Cmplt Bil	$307.68	$1,500.00	—	1% above	79%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex Art/Grft(S) Low Extrm Cmplt Bil	$307.68	$1,500.00	—	1% above	79%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Duplex Art/Grft(S) Low Extrm Cmplt Bil	$307.68	$1,500.00	—	—	79%
Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Veins Extrm Cmplt Bil	$307.68	$1,500.00	—	5% below	79%
Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Veins Extrm Cmplt Bil	$307.68	$1,500.00	—	5% below	79%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex Veins Extrm Cmplt Bil	$307.68	$1,500.00	—	—	79%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte WO Cntr W Clr&Dpl Cmplt	$697.93	$3,141.00	—	5% below	78%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte WO Cntr W Clr&Dpl Cmplt	$697.93	$3,141.00	—	5% below	78%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte WO Cntr W Clr&Dpl Cmplt	$697.93	$3,141.00	—	—	78%
Elbow X-ray, 2 views CPT 73070 Xr Elbow 2 Vw	$112.08	$444.00	—	1% above	75%
Elbow X-ray, 2 views CPT 73070 Xr Elbow 2 Vw	$112.08	$444.00	—	1% above	75%
Elbow X-ray, 2 views inpatient CPT 73070 Xr Elbow 2 Vw	$112.08	$444.00	—	—	75%
Elbow X-ray, complete, 3 or more views CPT 73080 Xr Elbow 3+ Vw	$112.08	$653.00	—	5% below	83%
Elbow X-ray, complete, 3 or more views CPT 73080 Xr Elbow 3+ Vw	$112.08	$653.00	—	5% below	83%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Xr Elbow 3+ Vw	$112.08	$653.00	—	—	83%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella Mid/Inner Ear WO	$135.36	$1,525.00	—	68% below	91%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella Mid/Inner Ear WO	$135.36	$1,525.00	—	68% below	91%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit Sella Mid/Inner Ear WO	$135.36	$1,525.00	—	—	91%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xr Facial Bones 3+ Vw	$141.90	$1,463.00	—	1% above	90%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xr Facial Bones 3+ Vw	$141.90	$1,004.00	—	1% above	86%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Xr Facial Bones 3+ Vw	$141.90	$1,004.00	—	—	86%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Xr Forearm 2 Vw	$112.08	$536.00	—	5% below	79%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Xr Forearm 2 Vw	$135.36	$1,172.00	—	15% above	88%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Xr Forearm 2 Vw	$112.08	$536.00	—	—	79%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Sys	$511.48	$2,100.00	—	at median	76%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Sys	$511.48	$2,032.00	—	at median	75%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Sys	$511.48	$2,032.00	—	—	75%
Hand X-ray, 2 views CPT 73120 Xr Hand 2 Vw	$135.36	$636.00	—	at median	79%
Hand X-ray, 2 views CPT 73120 Xr Hand 2 Vw	$135.36	$1,394.00	—	at median	90%
Hand X-ray, 2 views inpatient CPT 73120 Xr Hand 2 Vw	$135.36	$636.00	—	—	79%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xr Calcaneous 2+ Vw	$110.64	$1,394.00	—	4% below	92%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xr Calcaneous 2+ Vw	$117.49	$445.00	—	2% above	74%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Xr Calcaneous 2+ Vw	$117.49	$445.00	—	—	74%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattd W Resp Effort	$199.16	$950.00	—	46% below	79%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattd W Resp Effort	$199.16	$950.00	—	46% below	79%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study Unattd W Resp Effort	$199.16	$950.00	—	—	79%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6+ Yrs 4+ Parameters Init Cpap	$1,295.02	$7,600.00	—	5% below	83%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6+ Yrs 4+ Parameters Init Cpap	$1,295.02	$7,600.00	—	5% below	83%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6+ Yrs 4+ Parameters Init Cpap	$1,295.02	$7,600.00	—	—	83%
Knee X-ray, 3 views CPT 73562 Xr Knee 3 Vw	$112.08	$1,379.00	—	5% below	92%
Knee X-ray, 3 views CPT 73562 Xr Knee 3 Vw	$112.08	$689.00	—	5% below	84%
Knee X-ray, 3 views inpatient CPT 73562 Xr Knee 3 Vw	$112.08	$689.00	—	—	84%
Knee X-ray, complete, 4 or more views CPT 73564 Xr Knee 4+ Vw	$135.36	$1,502.00	—	5% below	91%
Knee X-ray, complete, 4 or more views CPT 73564 Xr Knee 4+ Vw	$135.36	$751.00	—	5% below	82%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Xr Knee 4+ Vw	$135.36	$751.00	—	—	82%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lwr Extrm WO	$135.36	$2,464.00	—	71% below	95%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lwr Extrm WO	$247.44	$2,942.00	—	46% below	92%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lwr Extrm WO	$135.36	$2,464.00	—	—	95%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Lmt	$135.36	$1,423.00	—	17% below	90%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Lmt	$135.36	$1,423.00	—	17% below	90%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Lmt	$135.36	$1,423.00	—	—	90%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Joint/Nonvasc Struct Extrm Lmt	$135.36	$476.00	—	1% below	72%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Joint/Nonvasc Struct Extrm Lmt	$135.36	$476.00	—	1% below	72%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Joint/Nonvasc Struct Extrm Lmt	$135.36	$476.00	—	—	72%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Scrn Lung Ca WO	$135.36	$877.00	—	5% below	85%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Scrn Lung Ca WO	$135.36	$877.00	—	5% below	85%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Thorax Scrn Lung Ca WO	$135.36	$877.00	—	—	85%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xr Tibia & Fibula 2 Vw	$112.08	$638.00	—	5% below	82%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xr Tibia & Fibula 2 Vw	$112.08	$1,307.00	—	5% below	91%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Xr Tibia & Fibula 2 Vw	$112.08	$638.00	—	—	82%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head WO	$322.54	$753.00	—	54% below	57%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head WO	$720.92	$8,780.00	—	4% above	92%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head WO	$322.54	$753.00	—	—	57%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral	$294.12	$6,968.72	—	—	96%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Joint Lwr Extrm WO	$322.54	$4,469.00	—	22% below	93%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Joint Lwr Extrm WO	$322.54	$753.00	—	22% below	57%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Joint Lwr Extrm WO	$322.54	$753.00	—	—	57%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Joint Lwr Extrm W&WO	$476.54	$7,086.80	—	34% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Joint Lwr Extrm W&WO	$476.54	$966.00	—	34% below	51%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Joint Lwr Extrm W&WO	$476.54	$966.00	—	—	51%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$322.54	$4,469.00	—	50% below	93%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$322.54	$753.00	—	50% below	57%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO	$322.54	$753.00	—	—	57%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W&WO	$476.54	$1,208.00	—	49% below	61%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W&WO	$476.54	$7,086.80	—	49% below	93%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W&WO	$476.54	$1,208.00	—	—	61%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$322.54	$753.00	—	52% below	57%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$322.54	$4,469.00	—	52% below	93%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO	$322.54	$753.00	—	—	57%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&WO	$476.54	$7,086.80	—	53% below	93%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&WO	$476.54	$1,208.00	—	53% below	61%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W&WO	$476.54	$1,208.00	—	—	61%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumb WO	$322.54	$753.00	—	46% below	57%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumb WO	$322.54	$4,469.00	—	46% below	93%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumb WO	$322.54	$753.00	—	—	57%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumb W&WO	$476.54	$1,208.00	—	53% below	61%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumb W&WO	$618.44	$9,575.80	—	39% below	94%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumb W&WO	$476.54	$1,208.00	—	—	61%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thor WO	$322.54	$753.00	—	48% below	57%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thor WO	$678.91	$8,852.00	—	9% above	92%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thor WO	$322.54	$753.00	—	—	57%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cerv W&WO	$476.54	$1,208.00	—	52% below	61%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cerv W&WO	$1,140.66	$13,397.80	—	14% above	91%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cerv W&WO	$476.54	$1,208.00	—	—	61%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cerv WO	$322.54	$5,390.00	—	44% below	94%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cerv WO	$322.54	$753.00	—	44% below	57%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cerv WO	$322.54	$753.00	—	—	57%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W&WO	$476.54	$1,208.00	—	54% below	61%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W&WO	$476.54	$7,037.34	—	54% below	93%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W&WO	$476.54	$1,208.00	—	—	61%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$322.54	$753.00	—	51% below	57%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$322.54	$4,469.00	—	51% below	93%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO	$322.54	$753.00	—	—	57%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Joint Upp Extrm WO	$322.54	$753.00	—	22% below	57%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Joint Upp Extrm WO	$322.54	$4,469.00	—	22% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Joint Upp Extrm WO	$322.54	$753.00	—	—	57%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr Spine Cerv 4-5 Vw	$135.36	$1,030.00	—	22% below	87%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr Spine Cerv 4-5 Vw	$135.36	$1,597.00	—	22% below	92%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Xr Spine Cerv 4-5 Vw	$135.36	$1,030.00	—	—	87%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue W	$226.60	$3,204.22	—	62% below	93%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue W	$226.60	$2,998.00	—	62% below	92%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue W	$226.60	$2,998.00	—	—	92%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue WO	$135.36	$2,661.00	—	73% below	95%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue WO	$285.83	$4,481.00	—	43% below	94%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue WO	$135.36	$2,661.00	—	—	95%
Neck soft tissue X-ray CPT 70360 Xr Neck Soft Tissue	$112.08	$1,042.00	—	at median	89%
Neck soft tissue X-ray CPT 70360 Xr Neck Soft Tissue	$112.08	$564.00	—	at median	80%
Neck soft tissue X-ray inpatient CPT 70360 Xr Neck Soft Tissue	$112.08	$564.00	—	—	80%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Spect Mult	$1,661.73	$7,816.92	—	9% above	79%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Spect Mult	$1,661.73	$6,292.00	—	9% above	74%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocard Spect Mult	$1,661.73	$6,292.00	—	—	74%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet CT Neck to Thigh	$1,946.30	$15,391.20	—	5% above	87%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$135.36	$2,298.00	—	68% below	94%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$135.36	$2,307.00	—	68% below	94%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis WO	$135.36	$2,298.00	—	—	94%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Lmt	$135.36	$666.00	—	1% above	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Lmt	$135.36	$506.00	—	1% above	73%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Lmt	$135.36	$506.00	—	—	73%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Cmplt	$135.36	$912.00	—	43% below	85%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Cmplt	$270.72	$1,843.00	—	15% above	85%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Cmplt	$135.36	$912.00	—	—	85%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Uterus OB 14+ Wks Sng Fetus	$141.90	$663.00	—	25% below	79%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Uterus OB 14+ Wks Sng Fetus	$141.90	$629.00	—	25% below	77%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Uterus OB 14+ Wks Sng Fetus	$141.90	$629.00	—	—	77%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Uterus OB <14 Wks Sng Fetus	$141.90	$772.00	—	at median	82%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Uterus OB <14 Wks Sng Fetus	$141.90	$1,219.00	—	at median	88%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Uterus OB <14 Wks Sng Fetus	$141.90	$772.00	—	—	82%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Uterus OB 1+ Fetus Lmt	$135.36	$529.00	—	25% below	74%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Uterus OB 1+ Fetus Lmt	$135.36	$529.00	—	25% below	74%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Uterus OB 1+ Fetus Lmt	$135.36	$529.00	—	—	74%
Rib X-ray, one side, 2 views CPT 71100 Xr Ribs Uni 2 Vw	$112.08	$764.00	—	at median	85%
Rib X-ray, one side, 2 views CPT 71100 Xr Ribs Uni 2 Vw	$112.08	$612.00	—	at median	82%
Rib X-ray, one side, 2 views inpatient CPT 71100 Xr Ribs Uni 2 Vw	$112.08	$612.00	—	—	82%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Xr Ribs Uni W/Pa Chest 3+ Vw	$135.36	$614.00	—	1% above	78%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Xr Ribs Uni W/Pa Chest 3+ Vw	$135.36	$614.00	—	1% above	78%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 Xr Ribs Uni W/Pa Chest 3+ Vw	$135.36	$614.00	—	—	78%
Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Bil	$113.95	$411.00	—	12% below	72%
Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Uni	$113.95	$411.00	—	12% below	72%
Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Bil	$143.57	$511.00	—	11% above	72%
Screening mammogram, both breasts inpatient CPT 77067 Mammogram Scrn Dig Bil	$113.95	$411.00	—	—	72%
Screening mammogram, both breasts inpatient CPT 77067 Mammogram Scrn Dig Uni	$113.95	$411.00	—	—	72%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder 2+ Vw	$112.08	$622.00	—	5% below	82%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder 2+ Vw	$135.36	$1,111.00	—	15% above	88%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Xr Shoulder 2+ Vw	$112.08	$622.00	—	—	82%
Sinus X-ray, complete, 3 or more views CPT 70220 Xr Sinuses 3+ Vw	$112.08	$840.00	—	1% below	87%
Sinus X-ray, complete, 3 or more views CPT 70220 Xr Sinuses 3+ Vw	$112.08	$840.00	—	1% below	87%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Xr Sinuses 3+ Vw	$112.08	$840.00	—	—	87%
Skull X-ray, fewer than 4 views CPT 70250 Xr Skull <4 Vw	$117.49	$1,623.00	—	3% below	93%
Skull X-ray, fewer than 4 views CPT 70250 Xr Skull <4 Vw	$141.90	$390.00	—	18% above	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Xr Skull <4 Vw	$141.90	$390.00	—	—	64%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6+ Yrs 4+ Paramtrs	$1,295.02	$7,600.00	—	1% below	83%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6+ Yrs 4+ Paramtrs	$1,295.02	$7,600.00	—	1% below	83%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6+ Yrs 4+ Paramtrs	$1,295.02	$7,600.00	—	—	83%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Cmplt WO Cntr	$697.93	$2,786.00	—	1% below	75%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Cmplt WO Cntr	$697.93	$4,314.00	—	1% below	84%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Cmplt WO Cntr	$697.93	$2,786.00	—	—	75%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Dx Swallow Func Cine/Video Inc Delay W Cntrst	$226.60	$888.00	—	at median	74%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Dx Swallow Func Cine/Video Inc Delay W Cntrst	$336.48	$1,877.09	—	48% above	82%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Dx Swallow Func Cine/Video Inc Delay W Cntrst	$226.60	$888.00	—	—	74%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xr Femur 2+ Vw	$112.08	$1,257.00	—	at median	91%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xr Femur 2+ Vw	$112.08	$568.00	—	at median	80%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Xr Femur 2+ Vw	$112.08	$568.00	—	—	80%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thor WO	$141.90	$2,095.00	—	71% below	93%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thor WO	$299.63	$4,734.00	—	38% below	94%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thor WO	$141.90	$2,095.00	—	—	93%
Toe X-ray, 2 or more views CPT 73660 Xr Toes(S) 2+ Vw	$112.08	$435.00	—	1% above	74%
Toe X-ray, 2 or more views CPT 73660 Xr Toes(S) 2+ Vw	$112.08	$435.00	—	1% above	74%
Toe X-ray, 2 or more views inpatient CPT 73660 Xr Toes(S) 2+ Vw	$112.08	$435.00	—	—	74%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$135.36	$931.00	—	39% below	85%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$278.93	$1,442.00	—	26% above	81%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$135.36	$931.00	—	—	85%
Transvaginal ultrasound during pregnancy CPT 76817 US Uterus OB Transvaginal	$135.36	$595.00	—	5% below	77%
Transvaginal ultrasound during pregnancy CPT 76817 US Uterus OB Transvaginal	$135.36	$595.00	—	5% below	77%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Uterus OB Transvaginal	$135.36	$595.00	—	—	77%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Cmplt	$135.36	$1,423.00	—	39% below	90%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Cmplt	$135.36	$1,423.00	—	39% below	90%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Cmplt	$135.36	$1,423.00	—	—	90%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum	$135.36	$2,134.00	—	28% below	94%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum	$135.36	$1,184.00	—	28% below	89%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum	$135.36	$1,184.00	—	—	89%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head & Neck	$135.36	$1,078.00	—	42% below	87%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head & Neck	$135.36	$1,078.00	—	42% below	87%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head & Neck	$135.36	$1,078.00	—	—	87%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Dx Ugi Inc Delay Sng Cntrst	$1,995.29	$35,669.50	—	759% above	94%
Upper arm X-ray (humerus), 2 views CPT 73060 Xr Humerus 2+ Vw	$112.08	$1,721.00	—	5% below	93%
Upper arm X-ray (humerus), 2 views CPT 73060 Xr Humerus 2+ Vw	$112.08	$563.00	—	5% below	80%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Xr Humerus 2+ Vw	$112.08	$563.00	—	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Veins Extrm Uni/Lmt	$135.36	$1,500.00	—	32% below	91%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Veins Extrm Uni/Lmt	$135.36	$1,500.00	—	32% below	91%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Veins Extrm Uni/Lmt	$135.36	$1,500.00	—	—	91%
Wrist X-ray, 2 views CPT 73100 Xr Wrist 2 Vw	$112.08	$485.00	—	1% above	77%
Wrist X-ray, 2 views CPT 73100 Xr Wrist 2 Vw	$255.65	$1,629.00	—	130% above	84%
Wrist X-ray, 2 views inpatient CPT 73100 Xr Wrist 2 Vw	$112.08	$485.00	—	—	77%
Wrist X-ray, complete, 3 or more views CPT 73110 Xr Wrist 3+ Vw	$112.08	$758.00	—	5% below	85%
Wrist X-ray, complete, 3 or more views CPT 73110 Xr Wrist 3+ Vw	$112.08	$1,391.00	—	5% below	92%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Xr Wrist 3+ Vw	$112.08	$758.00	—	—	85%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip Uni W/Pelvis 2-3 Vw	$112.08	$555.00	—	at median	80%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip Uni W/Pelvis 2-3 Vw	$112.08	$555.00	—	at median	80%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Xr Hip Uni W/Pelvis 2-3 Vw	$112.08	$555.00	—	—	80%
X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 Vw	$112.08	$572.00	—	1% above	80%
X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 Vw	$4,390.96	$11,862.81	—	3857% above	63%
X-ray of the abdomen, 1 view inpatient CPT 74018 Xr Abdomen 1 Vw	$112.08	$572.00	—	—	80%
X-ray of the ankle, 2 views CPT 73600 Xr Ankle 2 Vw	$112.08	$251.00	—	at median	55%
X-ray of the ankle, 2 views CPT 73600 Xr Ankle 2 Vw	$112.08	$910.00	—	at median	88%
X-ray of the ankle, 2 views inpatient CPT 73600 Xr Ankle 2 Vw	$112.08	$251.00	—	—	55%
X-ray of the finger(s), 2 or more views CPT 73140 Xr Finger(S) 2+ Vw	$112.08	$454.00	—	1% above	75%
X-ray of the finger(s), 2 or more views CPT 73140 Xr Finger(S) 2+ Vw	$112.08	$454.00	—	1% above	75%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Xr Finger(S) 2+ Vw	$112.08	$454.00	—	—	75%
X-ray of the foot, 2 views CPT 73620 Xr Foot 2 Vw	$112.08	$659.00	—	3% below	83%
X-ray of the foot, 2 views CPT 73620 Xr Foot 2 Vw	$112.08	$1,318.00	—	3% below	91%
X-ray of the foot, 2 views inpatient CPT 73620 Xr Foot 2 Vw	$112.08	$659.00	—	—	83%
X-ray of the foot, complete, 3 or more views CPT 73630 Xr Foot 3+ Vw	$112.08	$594.00	—	5% below	81%
X-ray of the foot, complete, 3 or more views CPT 73630 Xr Foot 3+ Vw	$135.36	$1,471.00	—	15% above	91%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Xr Foot 3+ Vw	$112.08	$594.00	—	—	81%
X-ray of the hand, 3 or more views CPT 73130 Xr Hand 3+ Vw	$112.08	$633.00	—	5% below	82%
X-ray of the hand, 3 or more views CPT 73130 Xr Hand 3+ Vw	$112.08	$1,391.00	—	5% below	92%
X-ray of the hand, 3 or more views inpatient CPT 73130 Xr Hand 3+ Vw	$112.08	$633.00	—	—	82%
X-ray of the knee, 1 or 2 views CPT 73560 Xr Knee 1-2 Vw	$112.08	$706.00	—	5% below	84%
X-ray of the knee, 1 or 2 views CPT 73560 Xr Knee 1-2 Vw	$112.08	$1,375.00	—	5% below	92%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Xr Knee 1-2 Vw	$112.08	$706.00	—	—	84%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacr 2-3 Vw	$135.36	$929.00	—	4% above	85%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacr 2-3 Vw	$135.36	$489.00	—	4% above	72%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr Spine Lumbosacr 2-3 Vw	$135.36	$489.00	—	—	72%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbosacr 4+ Vw	$135.36	$1,216.00	—	16% below	89%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbosacr 4+ Vw	$135.36	$1,216.00	—	16% below	89%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Spine Lumbosacr 4+ Vw	$135.36	$1,216.00	—	—	89%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thor 2 Vw	$135.36	$1,417.00	—	1% above	90%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thor 2 Vw	$135.36	$440.00	—	1% above	69%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xr Spine Thor 2 Vw	$135.36	$440.00	—	—	69%
X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Vw	$117.49	$541.00	—	3% above	78%
X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Vw	$117.49	$663.00	—	3% above	82%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Xr Nasal Bones 3+ Vw	$117.49	$663.00	—	—	82%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cerv 2-3 Vw	$112.08	$488.00	—	5% below	77%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cerv 2-3 Vw	$135.36	$977.00	—	15% above	86%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr Spine Cerv 2-3 Vw	$112.08	$488.00	—	—	77%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1-2 Vw	$135.36	$466.00	—	9% above	71%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1-2 Vw	$135.36	$1,158.00	—	9% above	88%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr Pelvis 1-2 Vw	$135.36	$466.00	—	—	71%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum Coccyx 2+ Vw	$112.08	$590.00	—	5% below	81%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum Coccyx 2+ Vw	$112.08	$590.00	—	5% below	81%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xr Sacrum Coccyx 2+ Vw	$112.08	$590.00	—	—	81%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
ACTH blood test CPT 82024 ACTH	$44.41	$429.00	—	at median	90%
ACTH blood test CPT 82024 ACTH	$268.18	$1,525.81	—	504% above	82%
ACTH blood test inpatient CPT 82024 ACTH	$44.41	$429.00	—	—	90%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase Alt Sgt	$6.10	$132.00	—	at median	95%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase Alt Sgt	$117.04	$670.00	—	1819% above	83%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Transferase Alt Sgt	$6.10	$132.00	—	—	95%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase Ast Sgot	$5.96	$112.00	—	at median	95%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase Ast Sgot	$117.04	$670.00	—	1864% above	83%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase Ast Sgot	$5.96	$112.00	—	—	95%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$54.77	$145.00	—	at median	62%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$457.88	$1,911.00	—	736% above	76%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$54.77	$145.00	—	—	62%
Albumin blood test CPT 82040 Albumin Serum	$5.69	$55.00	—	at median	90%
Albumin blood test CPT 82040 Albumin Serum	$112.08	$1,535.00	—	1870% above	93%
Albumin blood test inpatient CPT 82040 Albumin Serum	$5.69	$55.00	—	—	90%
Aldosterone blood test CPT 82088 Aldosterone Serum	$46.86	$153.00	—	at median	69%
Aldosterone blood test CPT 82088 Aldosterone Urine 24 Hr	$46.86	$393.00	—	at median	88%
Aldosterone blood test CPT 82088 Aldosterone Serum	$193.84	$1,602.00	—	314% above	88%
Aldosterone blood test inpatient CPT 82088 Aldosterone Serum	$46.86	$153.00	—	—	69%
Aldosterone blood test inpatient CPT 82088 Aldosterone Urine 24 Hr	$46.86	$393.00	—	—	88%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase Alkaline	$5.96	$70.00	—	at median	91%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase Alkaline	$72.45	$743.00	—	1116% above	90%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase Alkaline	$5.96	$70.00	—	—	91%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant/Semiquant	$6.00	$40.00	—	at median	85%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant/Semiquant	$202.26	$1,534.60	—	3271% above	87%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant/Semiquant	$6.00	$40.00	—	—	85%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Serum	$19.29	$258.00	—	at median	93%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Serum	$54.25	$486.00	—	181% above	89%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Serum	$19.29	$258.00	—	—	93%
Ammonia blood test CPT 82140 Ammonia	$16.76	$215.00	—	at median	92%
Ammonia blood test CPT 82140 Ammonia	$60.16	$527.00	—	259% above	89%
Ammonia blood test inpatient CPT 82140 Ammonia	$16.76	$215.00	—	—	92%
Amylase blood test CPT 82150 Amylase Body Fluid	$7.45	$120.00	—	at median	94%
Amylase blood test CPT 82150 Amylase	$7.45	$120.00	—	at median	94%
Amylase blood test CPT 82150 Amylase	$298.13	$1,265.00	—	3902% above	76%
Amylase blood test inpatient CPT 82150 Amylase Body Fluid	$7.45	$120.00	—	—	94%
Amylase blood test inpatient CPT 82150 Amylase	$7.45	$120.00	—	—	94%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullin Peptide Ab	$14.89	$124.00	—	at median	88%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullin Peptide Ab	$203.55	$1,853.00	—	1267% above	89%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullin Peptide Ab	$14.89	$124.00	—	—	88%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab Ana	$13.90	$176.00	—	5% above	92%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab Ana	$260.75	$2,000.00	—	1861% above	87%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab Ana	$13.90	$176.00	—	—	92%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide Bnp	$45.15	$120.00	—	at median	62%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide Bnp	$146.82	$577.00	—	225% above	75%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide Bnp	$45.15	$120.00	—	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Genital	$9.91	$252.00	—	at median	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Tissue/Wound	$9.91	$252.00	—	at median	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Other	$9.91	$252.00	—	at median	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Respiratory	$9.91	$252.00	—	at median	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Body Fld	$9.91	$252.00	—	at median	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Tissue/Wound	$508.56	$3,516.32	—	5032% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Body Fld	$9.91	$252.00	—	—	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Tissue/Wound	$9.91	$252.00	—	—	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Genital	$9.91	$252.00	—	—	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Respiratory	$9.91	$252.00	—	—	96%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Other	$9.91	$252.00	—	—	96%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Total Ca	$9.73	$75.00	—	at median	87%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Total Ca	$62.48	$633.00	—	542% above	90%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Total Ca	$9.73	$75.00	—	—	87%
Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid	$5.77	$139.00	—	at median	96%
Bilirubin blood test, total CPT 82247 Bilirubin Total Cord Blood	$5.77	$96.00	—	at median	94%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$5.77	$65.00	—	at median	91%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$16.22	$82.00	—	181% above	80%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Body Fluid	$5.77	$139.00	—	—	96%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$5.77	$65.00	—	—	91%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Cord Blood	$5.77	$96.00	—	—	94%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Gross & Micro Level 4	$68.01	$522.00	—	31% below	87%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Gross & Micro Level 4	$2,251.26	$10,500.03	—	2199% above	79%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surg Path Gross & Micro Level 4	$68.01	$522.00	—	—	87%
Blood culture for bacteria CPT 87040 Culture Bact Aerobic Blood	$55.27	$736.00	—	at median	92%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$10.45	$17.00	—	8% above	39%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$69.28	$496.00	—	613% above	86%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$10.45	$17.00	—	—	39%
Blood glucose (sugar) test CPT 82947 Glucose Quant Blood	$4.52	$62.00	—	at median	93%
Blood glucose (sugar) test CPT 82947 Glucose Quant Blood	$61.72	$620.00	—	1265% above	90%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Quant Blood	$4.52	$62.00	—	—	93%
Blood lead test CPT 83655 Lead, Capillary	$13.93	$54.00	—	at median	74%
Blood lead test CPT 83655 LEAD	$13.93	$164.00	—	at median	92%
Blood lead test CPT 83655 LEAD	$67.36	$425.00	—	384% above	84%
Blood lead test inpatient CPT 83655 Lead, Capillary	$13.93	$54.00	—	—	74%
Blood lead test inpatient CPT 83655 LEAD	$13.93	$164.00	—	—	92%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual	$8.65	$183.00	—	at median	95%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual	$112.08	$2,725.00	—	1196% above	96%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Qual	$8.65	$183.00	—	—	95%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo	$58.73	$3,844.41	—	59% below	98%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo	$164.08	$754.00	—	15% above	78%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Abo	$164.08	$754.00	—	—	78%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant	$4.54	$85.00	—	at median	95%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant	$20.88	$170.00	—	360% above	88%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Quant	$4.54	$85.00	—	—	95%
C-peptide blood test CPT 84681 C-Peptide	$23.93	$184.00	—	at median	87%
C-peptide blood test CPT 84681 C-Peptide	$116.87	$1,143.00	—	388% above	90%
C-peptide blood test inpatient CPT 84681 C-Peptide	$23.93	$184.00	—	—	87%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$5.96	$122.00	—	at median	95%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$111.84	$1,295.00	—	1777% above	91%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$5.96	$122.00	—	—	95%
C. difficile toxin gene test (stool PCR) CPT 87493 Ia C Diff Toxin Amp Probe	$42.86	$169.00	—	at median	75%
C. difficile toxin gene test (stool PCR) CPT 87493 Ia C Diff Toxin Amp Probe	$56.64	$488.00	—	32% above	88%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Ia C Diff Toxin Amp Probe	$42.86	$169.00	—	—	75%
CA 19-9 blood test (tumor marker) CPT 86301 Ia Quant Ca19-9, Siemens (Clia)	$23.93	$175.00	—	at median	86%
CA 19-9 blood test (tumor marker) CPT 86301 Ia Quant Ca19-9	$23.93	$219.00	—	at median	89%
CA 19-9 blood test (tumor marker) CPT 86301 Ia Quant Ca19-9	$326.91	$1,122.36	—	1266% above	71%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ia Quant Ca19-9, Siemens (Clia)	$23.93	$175.00	—	—	86%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ia Quant Ca19-9	$23.93	$219.00	—	—	89%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ia Quant Ca125	$23.93	$334.00	—	at median	93%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ia Quant Ca125	$137.98	$1,183.00	—	477% above	88%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ia Quant Ca125	$23.93	$334.00	—	—	93%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars Cov-2 Covid-19 Amp Probe	$59.01	$234.00	—	5% above	75%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars Cov-2 Covid-19 Amp Probe	$59.01	$165.00	—	5% above	64%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Iadna Sars Cov-2 Covid-19 Amp Probe	$59.01	$165.00	—	—	64%
Calcium blood test, total CPT 82310 Calcium Total	$5.93	$69.00	—	at median	91%
Calcium blood test, total CPT 82310 Calcium Total Urine	$5.93	$69.00	—	at median	91%
Calcium blood test, total CPT 82310 Calcium Total	$101.89	$837.00	—	1618% above	88%
Calcium blood test, total inpatient CPT 82310 Calcium Total Urine	$5.93	$69.00	—	—	91%
Calcium blood test, total inpatient CPT 82310 Calcium Total	$5.93	$69.00	—	—	91%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$21.80	$265.00	—	at median	92%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen Body Fld	$21.80	$103.00	—	at median	79%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$175.30	$1,507.00	—	704% above	88%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen Body Fld	$21.80	$103.00	—	—	79%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$21.80	$265.00	—	—	92%
Chickenpox (varicella) immunity blood test CPT 86787 Ia Quant Varicella Zoster Ab Igg	$14.81	$122.00	—	at median	88%
Chickenpox (varicella) immunity blood test CPT 86787 Ia Quant Varicella Zoster Ab Igm	$14.81	$175.00	—	at median	92%
Chickenpox (varicella) immunity blood test CPT 86787 Ia Quant Varicella Zoster Ab Igg	$179.31	$2,393.00	—	1111% above	93%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Ia Quant Varicella Zoster Ab Igm	$14.81	$175.00	—	—	92%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Ia Quant Varicella Zoster Ab Igg	$14.81	$122.00	—	—	88%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Na Chlamydia Trachomatis Amp Probe	$40.35	$256.00	—	at median	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Na Chlamydia Trachomatis Amp Probe	$202.84	$1,110.00	—	403% above	82%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Na Chlamydia Trachomatis Amp Probe	$40.35	$256.00	—	—	84%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$15.40	$115.00	—	at median	87%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$98.69	$632.00	—	541% above	84%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$15.40	$115.00	—	—	87%
Complete blood count (CBC) with differential CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff	$8.94	$104.00	—	at median	91%
Complete blood count (CBC) with differential CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff	$109.86	$682.00	—	1129% above	84%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff	$8.94	$104.00	—	—	91%
Complete blood count (CBC), no differential CPT 85027 Cbc Cmplt W Plt WO Diff	$7.44	$72.00	—	at median	90%
Complete blood count (CBC), no differential CPT 85027 Cbc Cmplt W Plt WO Diff	$99.43	$768.00	—	1236% above	87%
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Cmplt W Plt WO Diff	$7.44	$72.00	—	—	90%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$12.14	$135.00	—	at median	91%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$131.39	$597.00	—	982% above	78%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$12.14	$135.00	—	—	91%
Cortisol blood test, total CPT 82533 Cortisol Total	$18.75	$184.00	—	at median	90%
Cortisol blood test, total CPT 82533 Cortisol Total	$150.47	$1,521.00	—	703% above	90%
Cortisol blood test, total inpatient CPT 82533 Cortisol Total	$18.75	$184.00	—	—	90%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase CK Cpk Total	$7.49	$138.00	—	at median	95%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase CK Cpk Total	$134.97	$982.00	—	1702% above	86%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase CK Cpk Total	$7.49	$138.00	—	—	95%
Creatinine blood test CPT 82565 Creatinine	$5.89	$68.00	—	at median	91%
Creatinine blood test CPT 82565 Creatinine	$83.53	$437.50	—	1318% above	81%
Creatinine blood test inpatient CPT 82565 Creatinine	$5.89	$68.00	—	—	91%
Cytomegalovirus (CMV) antibody test CPT 86644 Ia Quant Cytomegalovirus Cmv Ab Igg	$16.55	$165.00	—	5% above	90%
Cytomegalovirus (CMV) antibody test CPT 86644 Ia Quant Cytomegalovirus Cmv Ab Igg	$232.41	$2,189.00	—	1368% above	89%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Ia Quant Cytomegalovirus Cmv Ab Igg	$16.55	$165.00	—	—	90%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin Degradatn Prod D-Dimer Quant	$11.71	$105.00	—	at median	89%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin Degradatn Prod D-Dimer Quant	$411.99	$2,486.00	—	3418% above	83%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin Degradatn Prod D-Dimer Quant	$11.71	$105.00	—	—	89%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$25.56	$247.00	—	2% above	90%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$268.55	$2,903.00	—	974% above	91%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate	$25.56	$247.00	—	—	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Meconium	$71.46	$108.00	—	at median	34%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Urine	$71.46	$139.00	—	at median	49%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day	$71.46	$139.00	—	at median	49%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Urine	$209.72	$1,394.37	—	193% above	85%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day	$71.46	$139.00	—	—	49%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Meconium	$71.46	$108.00	—	—	34%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Urine	$71.46	$139.00	—	—	49%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$8.06	$69.00	—	at median	88%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$51.29	$738.00	—	536% above	93%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel	$8.06	$69.00	—	—	88%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igm	$20.86	$209.00	—	1% above	90%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igg	$20.86	$232.00	—	1% above	91%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igm	$188.35	$2,257.00	—	810% above	92%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igm	$20.86	$209.00	—	—	90%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igg	$20.86	$232.00	—	—	91%
Estradiol blood test CPT 82670 Estradoil Total	$32.13	$418.00	—	at median	92%
Estradiol blood test CPT 82670 Estradoil Total	$112.08	$2,234.00	—	249% above	95%
Estradiol blood test inpatient CPT 82670 Estradoil Total	$32.13	$418.00	—	—	92%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin Follicle Stim Hormone	$21.37	$226.00	—	at median	91%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin Follicle Stim Hormone	$305.68	$2,265.00	—	1330% above	87%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin Follicle Stim Hormone	$21.37	$226.00	—	—	91%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool	$22.57	$386.00	—	at median	94%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool	$126.77	$1,009.00	—	462% above	87%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool	$22.57	$386.00	—	—	94%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$15.67	$182.00	—	at median	91%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$162.74	$1,156.00	—	939% above	86%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$15.67	$182.00	—	—	91%
Fibrinogen blood test CPT 85384 Fibrinogen Activity	$11.18	$50.00	—	at median	78%
Fibrinogen blood test CPT 85384 Fibrinogen Activity	$409.77	$2,283.00	—	3565% above	82%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity	$11.18	$50.00	—	—	78%
Folate (folic acid) blood test CPT 82746 Folic Acid	$16.91	$172.00	—	at median	90%
Folate (folic acid) blood test CPT 82746 Folic Acid	$206.75	$1,544.00	—	1123% above	87%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid	$16.91	$172.00	—	—	90%
Free T3 thyroid hormone test CPT 84481 T3 Free	$19.48	$452.00	—	at median	96%
Free T3 thyroid hormone test CPT 84481 T3 Free	$119.14	$1,456.00	—	512% above	92%
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free	$19.48	$452.00	—	—	96%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free	$10.37	$190.00	—	at median	95%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free	$134.11	$846.00	—	1193% above	84%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free	$10.37	$190.00	—	—	95%
Free testosterone test CPT 84402 Testosterone Free	$29.29	$202.00	—	5% above	86%
Free testosterone test CPT 84402 Testosterone Free	$231.50	$1,844.00	—	726% above	87%
Free testosterone test inpatient CPT 84402 Testosterone Free	$29.29	$202.00	—	—	86%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$8.28	$100.00	—	at median	92%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$139.67	$1,024.00	—	1587% above	86%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$8.28	$100.00	—	—	92%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$127.10	$1,630.00	—	48% below	92%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Glucose Dose	$5.46	$53.00	—	at median	90%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Glucose Dose	$23.35	$157.00	—	328% above	85%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Post Glucose Dose	$5.46	$53.00	—	—	90%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens Serum	$14.80	$224.00	—	at median	93%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens Serum	$29.76	$309.00	—	101% above	90%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt 3 Specimens Serum	$14.80	$224.00	—	—	93%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Na N Gonorrhea Amp Probe	$40.35	$88.00	—	at median	54%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Na N Gonorrhea Amp Probe	$202.84	$1,110.00	—	403% above	82%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Na N Gonorrhea Amp Probe	$40.35	$88.00	—	—	54%
H. pylori antibody blood test CPT 86677 Ia Quant H Pylori Ab Igg	$261.86	$3,025.00	—	1251% above	91%
H. pylori stool antigen test CPT 87338 Ia Helicobacter Pylori Ag Stool	$16.54	$173.00	—	5% above	90%
H. pylori stool antigen test CPT 87338 Ia Helicobacter Pylori Ag Stool	$65.53	$664.00	—	314% above	90%
H. pylori stool antigen test inpatient CPT 87338 Ia Helicobacter Pylori Ag Stool	$16.54	$173.00	—	—	90%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Na Hiv 1 Quantificatn	$97.87	$825.00	—	at median	88%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Na Hiv 1 Quantificatn	$181.93	$1,251.00	—	86% above	85%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Na Hiv 1 Quantificatn	$97.87	$825.00	—	—	88%
HIV-1 and HIV-2 antibody test CPT 86703 Ia Quant Hiv-1 & Hiv-2 Ab Sng Result	$15.77	$320.00	—	at median	95%
HIV-1 and HIV-2 antibody test CPT 86703 Ia Quant Hiv-1 & Hiv-2 Ab Sng Result	$113.83	$2,241.00	—	622% above	95%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Ia Quant Hiv-1 & Hiv-2 Ab Sng Result	$15.77	$320.00	—	—	95%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Ia Hiv 1 Ag 2 Hiv 1 & Hiv 2 Ab Sng Result	$27.69	$186.00	—	at median	85%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Ia Hiv 1 Ag 2 Hiv 1 & Hiv 2 Ab Sng Result	$275.66	$1,893.00	—	896% above	85%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Ia Hiv 1 Ag 2 Hiv 1 & Hiv 2 Ab Sng Result	$27.69	$186.00	—	—	85%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Iadna Hpv High Risk Types	$23.30	$78.00	—	40% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Iadna Hpv High Risk Types	$40.35	$237.00	—	5% above	83%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Iadna Hpv High Risk Types	$40.35	$237.00	—	—	83%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb Glycosylated A1c	$11.17	$95.00	—	at median	88%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb Glycosylated A1c	$141.76	$697.00	—	1169% above	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb Glycosylated A1c	$11.17	$95.00	—	—	88%
Hemoglobin blood test CPT 85018 Hemoglobin Hgb	$2.73	$54.00	—	33% below	95%
Hemoglobin blood test CPT 85018 Hemoglobin Hgb	$96.03	$850.00	—	2259% above	89%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin Hgb	$2.73	$54.00	—	—	95%
Hepatitis B core antibody test (total) CPT 86704 Ia Quant Hep B Core Hbcab Total	$13.86	$154.00	—	5% above	91%
Hepatitis B core antibody test (total) CPT 86704 Ia Quant Hep B Core Hbcab Total	$184.88	$1,616.00	—	1294% above	89%
Hepatitis B core antibody test (total) inpatient CPT 86704 Ia Quant Hep B Core Hbcab Total	$13.86	$154.00	—	—	91%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Ia Quant Hep B Surface Hbsab	$12.35	$176.00	—	at median	93%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Ia Quant Hep B Surface Hbsab	$226.09	$1,777.00	—	1731% above	87%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Ia Quant Hep B Surface Hbsab	$12.35	$176.00	—	—	93%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Ia Hep B Surface Ag	$11.88	$165.00	—	at median	93%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Ia Hep B Surface Ag	$126.98	$1,695.00	—	969% above	93%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Ia Hep B Surface Ag	$11.88	$165.00	—	—	93%
Hepatitis C antibody blood test (screening) CPT 86803 Ia Quant Hep C Ab	$16.41	$274.00	—	at median	94%
Hepatitis C antibody blood test (screening) CPT 86803 Ia Quant Hep C Ab	$149.10	$1,783.00	—	809% above	92%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Ia Quant Hep C Ab	$16.41	$274.00	—	—	94%
Hepatitis C viral load (HCV RNA) test CPT 87522 Na Hep C Quantificatn	$49.27	$292.00	—	at median	83%
Hepatitis C viral load (HCV RNA) test CPT 87522 Na Hep C Quantificatn	$185.13	$1,585.00	—	276% above	88%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Na Hep C Quantificatn	$49.27	$292.00	—	—	83%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Ab	$15.17	$141.00	—	at median	89%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Ab	$329.18	$2,091.00	—	2070% above	84%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Type 1 Ab	$15.17	$141.00	—	—	89%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 Ab	$22.25	$171.00	—	at median	87%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 Ab	$329.18	$2,091.00	—	1379% above	84%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv Type 2 Ab	$22.25	$171.00	—	—	87%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sens Hscrp	$14.89	$75.00	—	at median	80%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sens Hscrp	$172.03	$977.00	—	1055% above	82%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sens Hscrp	$14.89	$75.00	—	—	80%
Homocysteine blood test CPT 83090 Homocysteine	$20.61	$449.00	—	at median	95%
Homocysteine blood test CPT 83090 Homocysteine	$294.07	$2,394.00	—	1327% above	88%
Homocysteine blood test inpatient CPT 83090 Homocysteine	$20.61	$449.00	—	—	95%
Insulin blood test CPT 83525 Insulin Total	$13.14	$114.00	—	at median	88%
Insulin blood test CPT 83525 Insulin Total	$195.04	$1,648.00	—	1384% above	88%
Insulin blood test inpatient CPT 83525 Insulin Total	$13.14	$114.00	—	—	88%
Iron blood test (serum iron) CPT 83540 IRON	$7.44	$108.00	—	at median	93%
Iron blood test (serum iron) CPT 83540 IRON	$144.62	$1,179.00	—	1844% above	88%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$7.44	$108.00	—	—	93%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$10.05	$95.00	—	at median	89%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$156.82	$1,279.00	—	1460% above	88%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$10.05	$95.00	—	—	89%
Kidney function blood test panel CPT 80069 Renal Function Panel	$9.98	$154.00	—	66% below	94%
Kidney function blood test panel CPT 80069 Renal Function Panel	$45.70	$603.00	—	55% above	92%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$9.98	$154.00	—	—	94%
LH (luteinizing hormone) test CPT 83002 Gonadotropin Luteinizing Hormone	$21.30	$226.00	—	5% above	91%
LH (luteinizing hormone) test CPT 83002 Gonadotropin Luteinizing Hormone	$244.80	$2,317.00	—	1102% above	89%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin Luteinizing Hormone	$21.30	$226.00	—	—	91%
Lactate (lactic acid) blood test CPT 83605 Lactate	$13.31	$98.00	—	at median	86%
Lactate (lactic acid) blood test CPT 83605 Lactate	$485.96	$2,926.21	—	3551% above	83%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate	$13.31	$98.00	—	—	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$6.95	$120.00	—	at median	94%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fld	$6.95	$120.00	—	at median	94%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$176.66	$1,726.00	—	2442% above	90%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fld	$6.95	$120.00	—	—	94%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$6.95	$120.00	—	—	94%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$7.92	$138.00	—	at median	94%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fld	$7.92	$84.00	—	at median	91%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$107.07	$1,150.00	—	1252% above	91%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$7.92	$138.00	—	—	94%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fld	$7.92	$84.00	—	—	91%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$9.40	$166.00	—	63% below	94%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$81.56	$634.00	—	219% above	87%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$9.40	$166.00	—	—	94%
Lyme disease antibody test CPT 86618 Ia Qual Borrelia Burgdorferi Ab CSF	$19.58	$347.00	—	at median	94%
Lyme disease antibody test CPT 86618 Ia Qual Borrelia Burgdorferi Ab	$19.58	$347.00	—	at median	94%
Lyme disease antibody test CPT 86618 Ia Qual Borrelia Burgdorferi Ab	$147.37	$1,763.00	—	653% above	92%
Lyme disease antibody test inpatient CPT 86618 Ia Qual Borrelia Burgdorferi Ab CSF	$19.58	$347.00	—	—	94%
Lyme disease antibody test inpatient CPT 86618 Ia Qual Borrelia Burgdorferi Ab	$19.58	$347.00	—	—	94%
Magnesium blood test CPT 83735 Magnesium	$7.71	$55.00	—	at median	86%
Magnesium blood test CPT 83735 Magnesium Urine 24 Hr	$7.71	$60.00	—	at median	87%
Magnesium blood test CPT 83735 Magnesium Urine	$7.71	$141.00	—	at median	95%
Magnesium blood test CPT 83735 Magnesium RBC	$7.71	$38.00	—	at median	80%
Magnesium blood test CPT 83735 Magnesium	$132.99	$1,083.00	—	1625% above	88%
Magnesium blood test inpatient CPT 83735 Magnesium RBC	$7.71	$38.00	—	—	80%
Magnesium blood test inpatient CPT 83735 Magnesium Urine	$7.71	$141.00	—	—	95%
Magnesium blood test inpatient CPT 83735 Magnesium Urine 24 Hr	$7.71	$60.00	—	—	87%
Magnesium blood test inpatient CPT 83735 Magnesium	$7.71	$55.00	—	—	86%
Measles (rubeola) antibody test CPT 86765 Ia Quant Rubeola Ab Igg	$14.81	$259.00	—	at median	94%
Measles (rubeola) antibody test CPT 86765 Ia Quant Rubeola Ab Igm	$14.81	$259.00	—	at median	94%
Measles (rubeola) antibody test CPT 86765 Ia Quant Rubeola Ab Igm	$179.31	$2,193.00	—	1111% above	92%
Measles (rubeola) antibody test inpatient CPT 86765 Ia Quant Rubeola Ab Igm	$14.81	$259.00	—	—	94%
Measles (rubeola) antibody test inpatient CPT 86765 Ia Quant Rubeola Ab Igg	$14.81	$259.00	—	—	94%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab Scrn	$5.96	$154.00	—	49% below	96%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab Scrn	$125.62	$1,592.00	—	969% above	92%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Ab Scrn	$5.96	$154.00	—	—	96%
Mumps immunity blood test CPT 86735 Ia Quant Mumps Ab	$15.01	$98.00	—	at median	85%
Mumps immunity blood test CPT 86735 Ia Quant Mumps Ab	$185.40	$1,664.00	—	1135% above	89%
Mumps immunity blood test inpatient CPT 86735 Ia Quant Mumps Ab	$15.01	$98.00	—	—	85%
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen Psa Free	$21.15	$201.00	—	at median	89%
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen Psa Free	$161.44	$1,328.00	—	663% above	88%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prostate Specific Antigen Psa Free	$21.15	$201.00	—	—	89%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Psa Total	$21.15	$340.00	—	at median	94%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Psa Total	$131.01	$1,022.00	—	519% above	87%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Psa Total	$21.15	$340.00	—	—	94%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytop Fld Athin Prep Manu Scrn Cerv/Vag	$23.30	$78.00	—	at median	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytop Fld Athin Prep Manu Scrn Cerv/Vag	$23.30	$78.00	—	at median	70%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytop Fld Athin Prep Manu Scrn Cerv/Vag	$23.30	$78.00	—	—	70%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone	$47.47	$452.00	—	at median	89%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone	$142.95	$1,299.00	—	201% above	89%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone	$47.47	$452.00	—	—	89%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt Alupp	$6.91	$35.00	—	at median	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt	$6.91	$97.00	—	at median	93%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt	$112.08	$1,498.00	—	1522% above	93%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Ptt Alupp	$6.91	$35.00	—	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Ptt	$6.91	$97.00	—	—	93%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic	$5.45	$60.00	—	at median	91%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic	$162.68	$1,118.00	—	2885% above	85%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Inorganic	$5.45	$60.00	—	—	91%
Potassium blood test CPT 84132 Potassium	$5.47	$70.00	—	at median	92%
Potassium blood test CPT 84132 Potassium	$7,883.20	$12,375.36	—	144017% above	36%
Potassium blood test inpatient CPT 84132 Potassium	$5.47	$70.00	—	—	92%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Gsp Fetal Chromosomal Aneuploidy	$872.91	$2,756.00	—	5% above	68%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Gsp Fetal Chromosomal Aneuploidy	$1,865.88	$4,155.00	—	123% above	55%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Gsp Fetal Chromosomal Aneuploidy	$872.91	$2,756.00	—	—	68%
Progesterone blood test CPT 84144 Progesterone	$23.99	$242.00	—	at median	90%
Progesterone blood test CPT 84144 Progesterone	$275.25	$1,687.00	—	1047% above	84%
Progesterone blood test inpatient CPT 84144 Progesterone	$23.99	$242.00	—	—	90%
Prolactin blood test CPT 84146 Prolactin	$22.29	$339.00	—	at median	93%
Prolactin blood test CPT 84146 Prolactin	$238.02	$2,288.00	—	968% above	90%
Prolactin blood test inpatient CPT 84146 Prolactin	$22.29	$339.00	—	—	93%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time Alupp	$4.93	$21.00	—	at median	77%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time	$4.93	$86.00	—	at median	94%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time	$112.08	$1,078.00	—	2173% above	90%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothombin Time Alupp	$4.93	$21.00	—	—	77%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothombin Time	$4.93	$86.00	—	—	94%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Tst(S) Pres Dir Opt Obs per Day	$14.49	$71.00	—	at median	80%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Tst(S) Pres Dir Opt Obs per Day	$94.50	$1,602.00	—	552% above	94%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Tst(S) Pres Dir Opt Obs per Day	$14.49	$71.00	—	—	80%
Rapid flu test (influenza antigen) CPT 87804 Na Dir Opt Influenza Ag	$90.00	$90.00	—	394% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Na Dir Opt Influenza Ag	$90.00	$90.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Ia Dir Opt Strep a Ag	$19.01	$88.00	—	5% above	78%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Ia Dir Opt Strep a Ag	$96.83	$946.00	—	433% above	90%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Ia Dir Opt Strep a Ag	$19.01	$88.00	—	—	78%
Renin blood test CPT 84244 Renin	$25.29	$83.00	—	2% above	70%
Renin blood test CPT 84244 Renin	$183.83	$1,795.00	—	643% above	90%
Renin blood test inpatient CPT 84244 Renin	$25.29	$83.00	—	—	70%
Rh blood typing CPT 86901 Blood Typing Rh(D)	$49.96	$754.00	—	8% above	93%
Rh blood typing CPT 86901 Blood Typing Rh(D)	$58.73	$3,844.41	—	27% above	98%
Rh blood typing inpatient CPT 86901 Blood Typing Rh(D)	$49.96	$754.00	—	—	93%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant	$6.52	$61.00	—	at median	89%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant	$102.94	$1,807.00	—	1479% above	94%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant	$6.52	$61.00	—	—	89%
Rubella antibody test (immunity check) CPT 86762 Ia Quant Rubella Ab Igm	$16.55	$124.00	—	at median	87%
Rubella antibody test (immunity check) CPT 86762 Ia Quant Rubella Ab Igg	$16.55	$124.00	—	at median	87%
Rubella antibody test (immunity check) CPT 86762 Ia Quant Rubella Ab Igg	$179.31	$2,203.00	—	983% above	92%
Rubella antibody test (immunity check) inpatient CPT 86762 Ia Quant Rubella Ab Igg	$16.55	$124.00	—	—	87%
Rubella antibody test (immunity check) inpatient CPT 86762 Ia Quant Rubella Ab Igm	$16.55	$124.00	—	—	87%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate Erythrocyte Auto	$281.14	$2,451.65	—	1714% above	89%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Anlys Volume CT Motil Diff Semen	$14.16	$379.00	—	5% above	96%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Anlys Volume CT Motil Diff Semen	$14.16	$379.00	—	5% above	96%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Anlys Volume CT Motil Diff Semen	$14.16	$379.00	—	—	96%
Sodium blood test CPT 84295 Sodium	$5.53	$70.00	—	5% above	92%
Sodium blood test CPT 84295 Sodium	$127.92	$876.00	—	2318% above	85%
Sodium blood test inpatient CPT 84295 Sodium	$5.53	$70.00	—	—	92%
Stool ova and parasites exam CPT 87177 Ova & Parasites Direct Smear & ID	$10.24	$154.00	—	at median	93%
Stool ova and parasites exam CPT 87177 Ova & Parasites Direct Smear & ID	$55.56	$643.00	—	443% above	91%
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites Direct Smear & ID	$10.24	$154.00	—	—	93%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Quiac Ca Screen Feces	$5.04	$101.00	—	at median	95%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Quiac Ca Screen Feces	$36.57	$482.00	—	626% above	92%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult Quiac Ca Screen Feces	$5.04	$101.00	—	—	95%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Hemogl 1-3 Stool	$18.31	$65.00	—	at median	72%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Hemogl 1-3 Stool	$18.31	$65.00	—	at median	72%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood Occult Hemogl 1-3 Stool	$18.31	$65.00	—	—	72%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ia Quant Treponema Pallidum Ab Igm	$15.23	$100.00	—	at median	85%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ia Quant Treponema Pallidum Ab Igg	$15.23	$100.00	—	at median	85%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ia Quant Treponema Pallidum Ab Igg	$205.79	$2,008.00	—	1251% above	90%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Ia Quant Treponema Pallidum Ab Igg	$15.23	$100.00	—	—	85%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Ia Quant Treponema Pallidum Ab Igm	$15.23	$100.00	—	—	85%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/Rpr Qual CSF	$4.91	$105.00	—	at median	95%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/Rpr Qual	$4.91	$105.00	—	at median	95%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/Rpr Qual	$116.21	$2,249.00	—	2267% above	95%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl/Rpr Qual CSF	$4.91	$105.00	—	—	95%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl/Rpr Qual	$4.91	$105.00	—	—	95%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Cell Immune Ag Response Gamma Interf	$71.28	$410.00	—	5% above	83%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Cell Immune Ag Response Gamma Interf	$170.07	$1,381.00	—	149% above	88%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Cell Immune Ag Response Gamma Interf	$71.28	$410.00	—	—	83%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$29.68	$202.00	—	at median	85%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$259.61	$1,693.00	—	775% above	85%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$29.68	$202.00	—	—	85%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab	$16.73	$160.00	—	4% above	90%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase Ab	$16.73	$160.00	—	4% above	90%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab	$131.00	$1,508.00	—	718% above	91%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroperoxidase Ab	$16.73	$160.00	—	—	90%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Ab	$16.73	$160.00	—	—	90%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone Tsh	$19.32	$188.00	—	at median	90%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone Tsh	$127.20	$757.00	—	558% above	83%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone Tsh	$19.32	$188.00	—	—	90%
Total IgE blood test CPT 82785 IGE	$18.93	$154.00	—	at median	88%
Total IgE blood test CPT 82785 IGE	$317.93	$1,670.00	—	1580% above	81%
Total IgE blood test inpatient CPT 82785 IGE	$18.93	$154.00	—	—	88%
Total cholesterol blood test CPT 82465 Cholesterol Total	$5.00	$119.00	—	at median	96%
Total cholesterol blood test CPT 82465 Cholesterol Total	$85.79	$669.00	—	1616% above	87%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$5.00	$119.00	—	—	96%
Total thyroxine (T4) blood test CPT 84436 Thyroxine Total	$7.90	$127.00	—	at median	94%
Total thyroxine (T4) blood test CPT 84436 Thyroxine Total	$119.36	$921.00	—	1411% above	87%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine Total	$7.90	$127.00	—	—	94%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$16.31	$208.00	—	at median	92%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$173.98	$1,099.00	—	967% above	84%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total	$16.31	$208.00	—	—	92%
Transferrin blood test CPT 84466 Transferrin	$14.67	$79.00	—	at median	81%
Transferrin blood test CPT 84466 Transferrin	$196.45	$1,190.00	—	1239% above	83%
Transferrin blood test inpatient CPT 84466 Transferrin	$14.67	$79.00	—	—	81%
Trichomonas test (NAAT) CPT 87661 Na T Vaginalis Amp Probe	$40.35	$140.00	—	at median	71%
Trichomonas test (NAAT) CPT 87661 Na T Vaginalis Amp Probe	$213.66	$2,022.00	—	430% above	89%
Trichomonas test (NAAT) inpatient CPT 87661 Na T Vaginalis Amp Probe	$40.35	$140.00	—	—	71%
Triglycerides blood test CPT 84478 Triglycerides	$6.60	$154.00	—	at median	96%
Triglycerides blood test CPT 84478 Triglycerides Body Fld	$6.60	$154.00	—	at median	96%
Triglycerides blood test CPT 84478 Triglycerides	$48.76	$719.00	—	639% above	93%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$6.60	$154.00	—	—	96%
Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fld	$6.60	$154.00	—	—	96%
Troponin test, quantitative CPT 84484 Troponin Quant	$14.34	$108.00	—	at median	87%
Troponin test, quantitative CPT 84484 Troponin Quant	$2,512.38	$5,192.54	—	17420% above	52%
Troponin test, quantitative inpatient CPT 84484 Troponin Quant	$14.34	$108.00	—	—	87%
Uric acid blood test CPT 84550 Uric Acid	$5.20	$101.00	—	at median	95%
Uric acid blood test CPT 84550 Uric Acid	$239.00	$1,327.00	—	4496% above	82%
Uric acid blood test inpatient CPT 84550 Uric Acid	$5.20	$101.00	—	—	95%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro	$149.62	$1,426.00	—	502% above	90%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Micro	$2.59	$55.00	—	49% below	95%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Micro	$94.50	$790.00	—	1757% above	88%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto WO Micro	$2.59	$55.00	—	—	95%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Auto WO Micro	$4.00	$3,147.00	—	4% above	100%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Auto WO Micro	$4.00	$36.00	—	4% above	89%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non Auto WO Micro	$4.00	$36.00	—	—	89%
Urine culture for bacteria, with colony count CPT 87086 Culture Bact Quant Col Count Urine	$9.28	$105.00	—	at median	91%
Urine culture for bacteria, with colony count CPT 87086 Culture Bact Quant Col Count Urine	$112.08	$1,016.00	—	1108% above	89%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Bact Quant Col Count Urine	$9.28	$105.00	—	—	91%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine	$6.65	$147.00	—	at median	95%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine	$150.55	$887.00	—	2164% above	83%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine	$6.65	$147.00	—	—	95%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine Visual	$9.90	$169.00	—	at median	94%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine Visual	$4,327.45	$17,679.45	—	43612% above	76%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine Visual	$9.90	$169.00	—	—	94%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin	$17.34	$75.00	—	at median	77%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin	$180.34	$1,203.00	—	940% above	85%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin	$17.34	$75.00	—	—	77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$34.04	$140.00	—	at median	76%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$145.65	$1,092.00	—	328% above	87%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy	$34.04	$140.00	—	—	76%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25-Dihydroxy	$44.28	$270.00	—	at median	84%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25-Dihydroxy	$172.23	$1,371.00	—	289% above	87%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit D 1 25-Dihydroxy	$44.28	$270.00	—	—	84%
Zinc blood test CPT 84630 ZINC	$13.10	$129.00	—	at median	90%
Zinc blood test CPT 84630 Zinc RBC	$13.10	$117.00	—	at median	89%
Zinc blood test CPT 84630 ZINC	$234.99	$2,358.00	—	1694% above	90%
Zinc blood test inpatient CPT 84630 ZINC	$13.10	$129.00	—	—	90%
Zinc blood test inpatient CPT 84630 Zinc RBC	$13.10	$117.00	—	—	89%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant	$17.31	$263.00	—	at median	93%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant	$51.75	$522.00	—	199% above	90%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quant	$17.31	$263.00	—	—	93%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12	$4,327.45	$16,099.54	—	at median	73%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2	$16,593.37	$38,886.49	—	17% above	57%
Appendectomy, open surgery CPT 44950 Appendectomy	$8,326.12	$39,461.38	—	21% above	79%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj	$9,214.11	$28,743.57	—	18% above	68%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr	$9,093.18	$24,747.51	—	16% above	63%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus	$9,237.12	$50,366.93	—	52% above	82%
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc(S) Migraine	$375.74	$1,600.00	—	80% below	77%
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc(S) Migraine	$1,871.20	$4,205.56	—	at median	56%
Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc(S) Migraine	$375.74	$1,600.00	—	—	77%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesn Stereo Gdx	$2,062.39	$5,051.00	—	31% below	59%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesn Stereo Gdx	$2,170.56	$6,693.56	—	27% below	68%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1st Lesn Stereo Gdx	$2,062.39	$5,051.00	—	—	59%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot	$4,130.03	$24,701.81	—	11% below	83%
Bunion correction with removal of part of the big toe joint CPT 28292 Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base	$9,533.16	$35,878.01	—	106% above	73%
Cardiac catheterization with coronary angiogram CPT 93458 Lhc W Vntrgrphy W Angio Coron Art(S)	$4,094.13	$12,234.00	—	2% below	67%
Cardiac catheterization with coronary angiogram CPT 93458 Lhc W Vntrgrphy W Angio Coron Art(S)	$4,094.13	$9,483.00	—	2% below	57%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lhc W Vntrgrphy W Angio Coron Art(S)	$4,094.13	$9,483.00	—	—	57%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elec Ext	$832.95	$2,629.00	—	at median	68%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elec Ext	$1,530.88	$6,745.40	—	84% above	77%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elec Ext	$832.95	$2,629.00	—	—	68%
Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne	$2,485.66	$13,560.16	—	5% below	82%
Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$3,043.33	$17,384.00	—	at median	82%
Catheter ablation for atrial fibrillation CPT 93656 Ep Eval Cmp W Ablation Afib < 3 Hr	$41,136.53	$225,263.83	—	51% above	82%
Cervical biopsy CPT 57500 Bx(S) Cervix Sng/Mult	$1,251.45	$16,467.77	—	at median	92%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days	$2,607.93	$10,306.38	—	31% below	75%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$4,603.00	$14,950.51	—	6% above	69%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$3,813.75	$20,665.66	—	94% above	82%
Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux	$2,986.52	$12,257.63	—	20% above	76%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$2,251.26	$12,448.49	—	9% above	82%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$1,500.84	$12,364.26	—	6% below	88%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$1,160.51	$10,768.65	—	5% below	89%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$4,242.66	$17,814.56	—	at median	76%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy	$520.43	$5,745.00	—	at median	91%
Coronary stent placement, one artery CPT 92928 Pci Stent/Ang Maj Cor Art Sng	$15,132.49	$26,046.00	—	12% above	42%
Coronary stent placement, one artery CPT 92928 Pci Stent/Ang Maj Cor Art Sng	$29,398.72	$167,267.58	—	118% above	82%
Coronary stent placement, one artery inpatient CPT 92928 Pci Stent/Ang Maj Cor Art Sng	$15,132.49	$26,046.00	—	—	42%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$4,390.56	$11,172.04	—	5% below	61%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$356.26	$9,823.96	—	57% below	96%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$4,243.46	$16,073.81	—	at median	74%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia	$4,327.45	$15,843.99	—	at median	73%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia	$1,019.29	$4,316.20	—	74% below	76%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Cerumen Ear Irrig/Lavage	$79.26	$197.00	—	79% below	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Cerumen Ear Irrig/Lavage	$248.80	$1,605.00	—	33% below	84%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Rem Cerumen Ear Irrig/Lavage	$79.26	$197.00	—	—	60%
Earwax removal with instruments, one ear CPT 69210 Rem Cerumen Ear Instrument	$75.44	$23,527.13	—	73% below	100%
Earwax removal with instruments, one ear CPT 69210 Rem Cerumen Ear Instrument	$197.00	$197.00	—	30% below	—
Earwax removal with instruments, one ear inpatient CPT 69210 Rem Cerumen Ear Instrument	$197.00	$197.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Bx Endometrial WO Cerv Dil	$268.43	$1,989.37	—	at median	87%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy	$9,237.12	$36,055.97	—	46% above	74%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$9,237.12	$50,151.45	—	46% above	82%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$9,237.12	$36,095.38	—	61% above	74%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus	$9,237.12	$49,515.69	—	40% above	81%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj(S) Dx/Tx Epi/Subar Crv/Thr W Img	$924.08	$3,707.56	—	2% below	75%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj(S) Dx/Tx Paravt Facet Lumb/Sacr Sng	$1,187.97	$5,182.00	—	58% below	77%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj(S) Dx/Tx Paravt Facet Lumb/Sacr Sng	$1,781.96	$8,268.49	—	37% below	78%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj(S) Dx/Tx Paravt Facet Lumb/Sacr Sng	$1,187.97	$5,182.00	—	—	77%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$7,883.20	$18,869.54	—	16% above	58%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible	$8,326.12	$46,743.10	—	21% above	82%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$7,654.84	$16,967.08	—	65% above	55%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$1,160.51	$9,192.45	—	5% below	87%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$7,883.20	$17,621.19	—	22% above	55%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$7,426.49	$17,387.42	—	15% above	57%
Hammertoe correction surgery CPT 28285 Correction Hammertoe	$4,130.73	$17,865.12	—	1% below	77%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$2,531.28	$13,052.12	—	at median	81%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$3,490.76	$10,903.84	—	4% below	68%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft	$11,643.15	$71,018.98	—	101% above	84%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$6,553.66	$51,383.88	—	34% above	87%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath&Intro Cntrast/Saline Sis/Hystero	$307.68	$2,428.91	—	34% below	87%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath&Intro Cntrast/Saline Sis/Hystero	$986.00	$986.00	—	112% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cath&Intro Cntrast/Saline Sis/Hystero	$986.00	$986.00	—	—	—
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$6,283.55	$15,727.38	—	15% above	60%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy W Bx/Polypectomy W/WO D&C	$4,047.99	$13,324.38	—	1% above	70%
IUD insertion (the device itself billed separately) CPT 58300 Ins Intrauterine Device	$4,047.89	$14,348.64	—	48% above	72%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Smp/Sng	$265.14	$701.00	—	23% below	62%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Smp/Sng	$434.68	$3,051.91	—	26% above	86%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Smp/Sng	$265.14	$701.00	—	—	62%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$4,941.77	$12,394.30	—	4% above	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj(S) Sng Tendon Shth Aponeuro	$2,135.54	$11,266.60	—	149% above	81%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthroc Asp Inj Jnt Bursa Major	$393.89	$953.00	—	63% below	59%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthroc Asp Inj Jnt Bursa Major	$556.41	$4,339.43	—	48% below	87%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthroc Asp Inj Jnt Bursa Major	$393.89	$953.00	—	—	59%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insrt Drug Delivery Impl	$172.80	$7,684.97	—	at median	98%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthroc Asp Inj Jnt Bursa Intmd	$393.89	$953.00	—	54% below	59%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthroc Asp Inj Jnt Bursa Intmd	$590.84	$3,177.69	—	31% below	81%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthroc Asp Inj Jnt Bursa Intmd	$393.89	$953.00	—	—	59%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthroc Asp Inj Jnt Bursa Sm	$393.89	$857.00	—	46% below	54%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthroc Asp Inj Jnt Bursa Sm	$590.84	$3,177.69	—	19% below	81%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthroc Asp Inj Jnt Bursa Sm	$393.89	$857.00	—	—	54%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral	$9,214.11	$22,562.70	—	112% above	59%
Knee arthroscopy with meniscus trim CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$4,130.03	$11,386.98	—	5% below	64%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving	$4,130.03	$12,102.58	—	8% below	66%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs Knee Debridement/Shaving Artclr Crtlg	$4,130.83	$10,348.62	—	4% below	60%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm	$2,138.82	$79,245.97	—	58% below	97%
Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 Laps Gastric Restrictive Procedure Place Device	$13,892.40	$48,506.00	—	21% above	71%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$8,241.89	$29,436.25	—	28% above	72%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty	$13,893.20	$59,427.44	—	21% above	77%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/<	$13,893.20	$36,514.27	—	21% above	62%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$13,253.13	$28,820.82	—	15% above	54%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$7,883.20	$21,845.95	—	25% above	64%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$7,883.60	$26,719.02	—	25% above	70%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Laps Gastric Restrictive Px Remove Device & Port	$5,076.64	$30,943.52	—	10% above	84%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$7,427.29	$20,560.60	—	17% above	64%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy	$2,223.65	$35,618.71	—	54% below	94%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Intmd Wnd S/Ax/T/Ex 2.5/< Cm	$1,149.87	$4,609.32	—	20% below	75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Intmd Wnd S/Ax/T/Ex 2.5/< Cm	$1,204.00	$1,204.00	—	16% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Rpr Intmd Wnd S/Ax/T/Ex 2.5/< Cm	$1,204.00	$1,204.00	—	—	—
Left heart catheterization, diagnostic CPT 93452 Lhc W Vntrgrphy	$4,291.87	$8,979.00	—	20% above	52%
Left heart catheterization, diagnostic CPT 93452 Lhc W Vntrgrphy	$23,960.87	$112,769.40	—	572% above	79%
Left heart catheterization, diagnostic inpatient CPT 93452 Lhc W Vntrgrphy	$4,291.87	$8,979.00	—	—	52%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$924.08	$2,497.00	—	62% below	63%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$924.08	$3,861.79	—	62% below	76%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$924.08	$2,497.00	—	—	63%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$4,602.20	$23,181.55	—	133% above	80%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx	$1,781.96	$5,679.81	—	40% below	69%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr	$9,670.82	$20,001.72	—	73% above	52%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Arthrodesis Combined Tq 1ntrspc Lumbar	$24,080.54	$73,921.58	—	19% above	67%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Arthrodesis Posterior Interbody 1 Ntrspc Lumbar	$27,948.68	$151,418.72	—	38% above	82%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$9,670.82	$27,483.47	—	22% above	65%
Lumbar spinal fusion (posterior), one level CPT 22612 Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar	$24,073.50	$50,671.64	—	18% above	52%
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial	$4,874.25	$18,960.92	—	5% below	74%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete	$23,215.80	$106,520.85	—	216% above	78%
Miscarriage treatment with D&C, first trimester CPT 59820 Surg Tx Missed Abortion 1st Trimester	$4,047.59	$10,944.11	—	1% above	63%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Benign Lesn T/a/L 0.5/< Cm	$2,067.00	$2,067.00	—	58% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$7,426.49	$19,729.10	—	469% above	62%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Benign Lesn T/a/L 0.5/< Cm	$2,067.00	$2,067.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$938.85	$12,203.17	—	1% below	92%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Smp Sng	$265.14	$701.00	—	13% below	62%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Smp Sng	$2,605.71	$15,847.53	—	751% above	84%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Smp Sng	$265.14	$701.00	—	—	62%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anes/Steroid Nerve Occipital	$556.41	$7,381.63	—	59% below	92%
Pacemaker implant (dual chamber) CPT 33208 Ins/Rplcmt Pm W Tv Elctrd(S) Atr Vntr	$13,321.20	$32,129.00	—	15% above	59%
Pacemaker implant (dual chamber) CPT 33208 Ins/Rplcmt Pm W Tv Elctrd(S) Atr Vntr	$13,964.60	$57,657.40	—	21% above	76%
Pacemaker implant (dual chamber) inpatient CPT 33208 Ins/Rplcmt Pm W Tv Elctrd(S) Atr Vntr	$13,321.20	$32,129.00	—	—	59%
Paracentesis with imaging guidance CPT 49083 Paracentesis Abd Dx/Tx W Img	$1,193.41	$2,522.00	—	2% below	53%
Paracentesis with imaging guidance CPT 49083 Paracentesis Abd Dx/Tx W Img	$1,193.41	$3,490.54	—	2% below	66%
Paracentesis with imaging guidance inpatient CPT 49083 Paracentesis Abd Dx/Tx W Img	$1,193.41	$2,522.00	—	—	53%
Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt	$16,499.66	$29,919.95	—	161% above	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail & Nail Matrix Part/Cmplt	$502.05	$1,315.00	—	12% below	62%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail & Nail Matrix Part/Cmplt	$1,349.93	$9,095.02	—	136% above	85%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Exc Nail & Nail Matrix Part/Cmplt	$502.05	$1,315.00	—	—	62%
Prostate biopsy CPT 55700 Bx Prostate Ndl/Punch Sng/Mult	$2,607.53	$17,520.34	—	5% below	85%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$13,254.22	$31,583.98	—	15% above	58%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Neurolyt Paravt Facet Sng Lumb/Sacr	$2,485.66	$9,217.30	—	35% below	73%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$5,109.67	$18,833.03	—	at median	73%
Removal of a foreign object under the skin, simple CPT 10120 Inc & Rem FB Subq Tiss Smp	$502.05	$5,499.00	—	8% below	91%
Removal of a foreign object under the skin, simple CPT 10120 Inc & Rem FB Subq Tiss Smp	$2,162.00	$10,606.32	—	297% above	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Inc & Rem FB Subq Tiss Smp	$502.05	$5,499.00	—	—	91%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$7,426.49	$19,921.61	—	15% above	63%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$1,160.51	$10,740.49	—	6% above	89%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$1,160.51	$10,798.93	—	8% above	89%
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf	$9,237.12	$35,880.56	—	113% above	74%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Xtrcorp Shock Wave	$4,390.16	$12,009.99	—	at median	63%
Short arm cast (elbow to hand) CPT 29075 Apply Cast Elbow-Finger	$701.00	$701.00	—	20% below	—
Short arm cast (elbow to hand) inpatient CPT 29075 Apply Cast Elbow-Finger	$701.00	$701.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 App Splint Forearm-Hand Static	$449.00	$449.00	—	42% below	—
Short arm splint (forearm and hand) inpatient CPT 29125 App Splint Forearm-Hand Static	$449.00	$449.00	—	—	—
Short leg cast (below the knee) CPT 29405 Apply Cast Below Knee-Toes	$354.38	$701.00	—	46% below	49%
Short leg cast (below the knee) CPT 29405 Apply Cast Below Knee-Toes	$1,063.14	$2,902.00	—	63% above	63%
Short leg cast (below the knee) inpatient CPT 29405 Apply Cast Below Knee-Toes	$354.38	$701.00	—	—	49%
Short leg splint (calf to foot) CPT 29515 App Splint Calf-Foot	$449.00	$449.00	—	29% below	—
Short leg splint (calf to foot) inpatient CPT 29515 App Splint Calf-Foot	$449.00	$449.00	—	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc	$9,093.18	$26,444.34	—	97% above	66%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$9,318.02	$23,775.18	—	59% above	61%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.5/< Cm	$265.14	$701.00	—	37% below	62%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.5/< Cm	$379.67	$2,852.70	—	10% below	87%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.5/< Cm	$265.14	$701.00	—	—	62%
Skin biopsy, punch, one lesion CPT 11104 Bx Punch Skin Lesn Sng	$508.56	$1,505.24	—	6% below	66%
Skin biopsy, punch, one lesion CPT 11104 Bx Punch Skin Lesn Sng	$508.56	$715.00	—	6% below	29%
Skin biopsy, punch, one lesion inpatient CPT 11104 Bx Punch Skin Lesn Sng	$508.56	$715.00	—	—	29%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$938.85	$5,084.99	—	6% below	82%
Skin tag removal, up to 15 tags CPT 11200 Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$387.60	$15,996.29	—	20% below	98%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Punc Spinal Lumbar Dx	$924.08	$2,211.00	—	2% below	58%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Punc Spinal Lumbar Dx	$1,008.34	$8,977.65	—	7% above	89%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Punc Spinal Lumbar Dx	$924.08	$2,211.00	—	—	58%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.6-7.5 Cm	$265.14	$701.00	—	49% below	62%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.6-7.5 Cm	$379.67	$1,792.69	—	27% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.6-7.5 Cm	$265.14	$701.00	—	—	62%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smp Wnd F/E/L/Mm 2.5/< Cm	$701.00	$701.00	—	29% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smp Wnd F/E/L/Mm 2.5/< Cm	$11,002.98	$60,907.71	—	1015% above	82%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr Smp Wnd F/E/L/Mm 2.5/< Cm	$701.00	$701.00	—	—	—
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$6,470.88	$18,365.34	—	15% above	65%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Bx Tangential Skin Lesn Sng	$249.69	$599.00	—	54% below	58%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Bx Tangential Skin Lesn Sng	$379.67	$5,753.72	—	30% below	93%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Bx Tangential Skin Lesn Sng	$249.69	$599.00	—	—	58%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Img Gdx	$786.98	$3,088.72	—	56% below	75%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Img Gdx	$786.98	$2,328.00	—	56% below	66%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W Img Gdx	$786.98	$2,328.00	—	—	66%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/>	$4,075.26	$36,185.34	—	3% below	89%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12	$7,893.67	$19,166.77	—	21% above	59%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Primary/Secondary Age 12/>	$4,327.45	$17,754.76	—	at median	76%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$7,893.67	$16,403.46	—	21% above	52%
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$16,623.99	$35,615.97	—	163% above	53%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$16,594.17	$32,290.72	—	163% above	49%
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder	$23,408.49	$47,505.59	—	271% above	51%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete	$7,426.49	$21,542.46	—	15% above	66%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$2,037.94	$10,006.47	—	5% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj(S) Trig Point(S) 1-2 Musc	$381.26	$904.85	—	4% below	58%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj(S) Trig Point(S) 1-2 Musc	$393.89	$886.00	—	1% below	56%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj(S) Trig Point(S) 1-2 Musc	$393.89	$886.00	—	—	56%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy Fulguration Oviducts	$7,785.58	$25,437.01	—	21% above	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesn US Gdx	$2,062.39	$5,051.00	—	31% below	59%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesn US Gdx	$2,170.56	$7,541.91	—	27% below	71%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1st Lesn US Gdx	$2,062.39	$5,051.00	—	—	59%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$2,414.66	$11,287.49	—	5% below	79%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$1,193.41	$11,900.92	—	14% below	90%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Submucosal Injection	$2,537.84	$11,704.37	—	at median	78%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$2,414.66	$10,107.39	—	5% below	76%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$1,790.11	$11,612.41	—	5% above	85%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$1,193.41	$15,470.19	—	45% below	92%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Egd Transoral Transmural Drainage Pseudocyst	$7,943.24	$39,772.22	—	21% above	80%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy	$6,783.42	$23,039.34	—	22% above	71%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$8,100.90	$15,276.13	—	33% above	47%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$2,733.47	$14,372.79	—	—	81%
Vein ablation, radiofrequency, first vein CPT 36475 Ablate Rf Vein Extrm 1st Vein	$1,679.97	$13,305.09	—	65% below	87%
Vein ablation, radiofrequency, first vein CPT 36475 Ablate Rf Vein Extrm 1st Vein	$4,199.92	$10,815.00	—	14% below	61%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Ablate Rf Vein Extrm 1st Vein	$4,199.92	$10,815.00	—	—	61%
Wart removal, up to 14 warts CPT 17110 Dest Benign Lesn 1-14 Lesn	$266.29	$15,136.41	—	1% below	98%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Tiss 1st 20sqcm	$508.56	$1,204.00	—	6% below	58%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Tiss 1st 20sqcm	$508.56	$1,230.20	—	6% below	59%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Subq Tiss 1st 20sqcm	$508.56	$1,204.00	—	—	58%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep	$9,760.71	$34,025.97	—	60% above	71%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood Product/Day	$556.48	$1,619.00	—	33% below	66%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood Product/Day	$1,236.54	$4,753.44	—	49% above	74%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood Product/Day	$556.48	$1,619.00	—	—	66%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Tx Airway Inhalation	$250.00	$250.00	—	11% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Tx Airway Inhalation	$12,653.27	$28,551.70	—	5518% above	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Tx Airway Inhalation	$250.00	$250.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 Admin Chemo IV Inf Initial 1st Hr	$422.20	$1,181.00	—	5% below	64%
Chemotherapy IV infusion, first hour CPT 96413 Admin Chemo IV Inf Initial 1st Hr	$13,163.59	$25,887.72	—	2874% above	49%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Admin Chemo IV Inf Initial 1st Hr	$422.20	$1,181.00	—	—	64%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Audio Threshold Eval & Speech Recog	$208.78	$882.00	—	13% above	76%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care E&M 30-74 Min	$1,072.55	$4,900.00	—	1% below	78%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care E&M 30-74 Min	$1,575.65	$8,240.37	—	45% above	81%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care E&M 30-74 Min	$1,072.55	$4,900.00	—	—	78%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$396.38	$886.00	—	15% above	55%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$396.38	$886.00	—	15% above	55%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy	$396.38	$886.00	—	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing	$75.61	$265.00	—	1% above	71%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing	$112.08	$1,150.00	—	50% above	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Lead Tracing	$75.61	$265.00	—	—	71%
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Tx	$675.39	$2,516.57	—	15% above	73%
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Tx	$675.39	$1,302.00	—	15% above	48%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive Tx	$675.39	$1,302.00	—	—	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED E&M Level I	$112.08	$774.00	—	49% below	86%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED E&M Level I	$112.08	$774.00	—	49% below	86%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED E&M Level I	$112.08	$774.00	—	—	86%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED E&M Level 2	$201.57	$1,414.00	—	32% below	86%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED E&M Level 2	$201.57	$1,414.00	—	32% below	86%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED E&M Level 2	$201.57	$1,414.00	—	—	86%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED E&M Level 3	$352.45	$2,500.00	—	5% below	86%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED E&M Level 3	$464.53	$3,209.50	—	26% above	86%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED E&M Level 3	$352.45	$2,500.00	—	—	86%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M Level 4	$542.02	$3,032.00	—	2% below	82%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M Level 4 W/Crisis Mhp	$542.02	$4,243.00	—	2% below	87%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M Level 4	$768.62	$6,375.07	—	40% above	88%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED E&M Level 4 W/Crisis Mhp	$542.02	$4,243.00	—	—	87%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED E&M Level 4	$542.02	$3,032.00	—	—	82%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED E&M Level 5 W/Crisis Mhpmd	$780.41	$4,515.00	—	1% below	83%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED E&M Level 5	$780.41	$4,266.00	—	1% below	82%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED E&M Level 5	$1,640.37	$7,486.12	—	108% above	78%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED E&M Level 5 W/Crisis Mhpmd	$780.41	$4,515.00	—	—	83%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED E&M Level 5	$780.41	$4,266.00	—	—	82%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Stress Test	$396.38	$1,389.00	—	at median	71%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Stress Test	$697.93	$4,530.00	—	76% above	85%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cv Stress Test	$396.38	$1,389.00	—	—	71%
Family therapy with the patient, 50 minutes CPT 90847 Psytx Family W Pt 50 Min	$214.39	$684.00	—	11% above	69%
Family therapy without the patient, 50 minutes CPT 90846 Psytx Family WO Pt 50 Min	$214.39	$684.00	—	14% above	69%
Group psychotherapy session CPT 90853 Psytx Group	$116.24	$917.00	—	7% above	87%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Inf Hyd IV 1st Hr	$268.18	$523.00	—	8% above	49%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Inf Hyd IV 1st Hr	$326.91	$876.00	—	31% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Inf Hyd IV 1st Hr	$268.18	$523.00	—	—	49%
IV infusion of a medicine, first hour CPT 96365 Inf Tx/Dx IV 1st Hr	$268.18	$821.00	—	2% above	67%
IV infusion of a medicine, first hour CPT 96365 Inf Tx/Dx IV 1st Hr	$268.18	$1,445.05	—	2% above	81%
IV infusion of a medicine, first hour inpatient CPT 96365 Inf Tx/Dx IV 1st Hr	$268.18	$821.00	—	—	67%
IV push of a medicine, first drug CPT 96374 Inj Tx/Dx IV Push Init Drug	$268.18	$627.68	—	15% above	57%
IV push of a medicine, first drug CPT 96374 Inj Tx/Dx IV Push Init Drug	$268.18	$490.00	—	15% above	45%
IV push of a medicine, first drug inpatient CPT 96374 Inj Tx/Dx IV Push Init Drug	$268.18	$490.00	—	—	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Tx/Dx Sc/Im	$90.59	$160.00	—	8% above	43%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Tx/Dx Sc/Im	$1,169.91	$4,580.33	—	1296% above	74%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Tx/Dx Sc/Im	$90.59	$160.00	—	—	43%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psy Dx Eval	$214.39	$749.00	—	13% above	71%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies	$415.52	$1,886.00	—	20% above	78%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies	$415.52	$759.00	—	20% above	45%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction 7-8 Studies	$415.52	$759.00	—	—	45%
Neuromuscular re-education, 15 minutes CPT 97112 Tx Proc Neuromusc Reedctn 15 Min	$39.53	$275.00	—	4% below	86%
Neuromuscular re-education, 15 minutes CPT 97112 Tx Proc Neuromusc Reedctn 15 Min	$398.24	$3,485.00	—	866% above	89%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Tx Proc Neuromusc Reedctn 15 Min	$39.53	$275.00	—	—	86%
New patient office visit, about 30 minutes CPT 99203 E&M New Patient Level 3	$96.77	$181.00	—	1% below	47%
New patient office visit, about 30 minutes CPT 99203 E&M New Patient Level 3	$96.77	$181.00	—	1% below	47%
New patient office visit, about 30 minutes inpatient CPT 99203 E&M New Patient Level 3	$96.77	$181.00	—	—	47%
New patient office visit, about 45 minutes CPT 99204 E&M New Patient Level 4	$157.63	$195.00	—	7% above	19%
New patient office visit, about 45 minutes CPT 99204 E&M New Patient Level 4	$157.63	$195.00	—	7% above	19%
New patient office visit, about 45 minutes inpatient CPT 99204 E&M New Patient Level 4	$157.63	$195.00	—	—	19%
New patient office visit, about 60 minutes CPT 99205 New Patient	$208.00	$208.00	—	21% above	—
New patient office visit, about 60 minutes CPT 99205 New Patient	$210.77	$210.77	—	23% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 New Patient	$208.00	$208.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M New Patient Level 2	$55.29	$169.00	—	27% below	67%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ANTEPARTUM OB Visit	$55.29	$570.00	—	27% below	90%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E&M New Patient Level 2	$55.29	$169.00	—	—	67%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Assess & Interv Init 15 Min	$91.00	$91.00	—	122% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Assess & Interv Init 15 Min	$150.00	$364.00	—	266% above	59%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Mnt Assess & Interv Init 15 Min	$91.00	$91.00	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 Eval Occ Therapy Low Complex	$124.23	$466.00	—	4% below	73%
Occupational therapy evaluation, low complexity CPT 97165 Eval Occ Therapy Low Complex	$334.65	$2,136.00	—	159% above	84%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Eval Occ Therapy Low Complex	$124.23	$466.00	—	—	73%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Eval Phys Therapy High Complex	$120.93	$570.00	—	4% below	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Eval Phys Therapy High Complex	$297.34	$2,145.00	—	136% above	86%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Eval Phys Therapy High Complex	$120.93	$570.00	—	—	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Eval Phys Therapy Low Complx	$120.93	$466.00	—	4% below	74%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Eval Phys Therapy Low Complx	$382.07	$2,791.00	—	203% above	86%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Eval Phys Therapy Low Complx	$120.93	$466.00	—	—	74%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Eval Phys Therapy Mod Complex	$120.93	$512.00	—	4% below	76%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Eval Phys Therapy Mod Complex	$303.93	$2,092.00	—	141% above	85%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Eval Phys Therapy Mod Complex	$120.93	$512.00	—	—	76%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Tx Technq 15 Min	$33.52	$250.00	—	5% below	87%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Tx Technq 15 Min	$362.10	$3,110.00	—	929% above	88%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Tx Technq 15 Min	$33.52	$250.00	—	—	87%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tx Proc 1+ Tx Exercises 15 Min	$35.54	$265.00	—	4% below	87%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tx Proc 1+ Tx Exercises 15 Min	$354.97	$3,125.00	—	858% above	89%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Tx Proc 1+ Tx Exercises 15 Min	$35.54	$265.00	—	—	87%
Preventive checkup, new patient aged 18–39 CPT 99385 Prev Med E&M New 18-39 Yr	$32.68	$1,639.00	—	16% below	98%
Preventive checkup, returning patient aged 18–39 CPT 99395 Preventative Well Visit	$32.68	$927.00	—	35% below	96%
Preventive checkup, returning patient aged 40–64 CPT 99396 Preventative Well Visit	$32.68	$572.00	—	38% below	94%
Preventive checkup, returning patient aged 65 or older CPT 99397 Preventative Well Visit	$435.00	$435.00	—	597% above	—
Psychiatric evaluation with medical services CPT 90792 Psy Dx Eval W Med Srvs	$201.90	$1,116.00	—	7% above	82%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl Test Eval Phys/Qhp 1st Hr	$545.16	$732.00	—	58% above	26%
Psychotherapy session, 30 minutes CPT 90832 Psytx Pt 16-37 Min	$214.39	$464.00	—	20% above	54%
Psychotherapy session, 45 minutes CPT 90834 Psytx Pt 38-52 Min	$201.90	$968.00	—	14% above	79%
Psychotherapy session, 60 minutes CPT 90837 Psytx Pt 53+ Min	$214.39	$730.00	—	20% above	71%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Counsel Tobacco Cessation 3-10 Min	$100.00	$100.00	—	203% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Counsel Tobacco Cessation 3-10 Min	$100.00	$100.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M Est Patient	$169.54	$190.00	—	20% above	11%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Eval Nonlabor Upto 4 Hr	$169.54	$190.00	—	20% above	11%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M Est Patient	$218.03	$651.59	—	55% above	67%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E&M Est Patient	$169.54	$190.00	—	—	11%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Eval Nonlabor Upto 4 Hr	$169.54	$190.00	—	—	11%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Eval Nonlabor Up to 2 Hr	$77.82	$171.00	—	27% below	54%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M Est Patient Level 3	$77.82	$189.62	—	27% below	59%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp	$77.82	$171.00	—	27% below	54%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M Est Patient Level 3	$77.82	$171.00	—	27% below	54%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M Est Patient Level 3	$77.82	$171.00	—	—	54%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Eval Nonlabor Up to 2 Hr	$77.82	$171.00	—	—	54%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp	$77.82	$171.00	—	—	54%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Eval Nonlabor Upto 3 Hr	$114.53	$180.00	—	2% below	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M Est Patient Level 4	$114.53	$180.00	—	2% below	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Bh Med Mgmt OP Est 25 Min	$114.53	$206.89	—	2% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Check/Rem Picc/Peg/Cath/DRN/Trach/Fistula Cmplx	$114.53	$180.00	—	2% below	36%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M Est Patient Level 4	$114.53	$180.00	—	—	36%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Check/Rem Picc/Peg/Cath/DRN/Trach/Fistula Cmplx	$114.53	$180.00	—	—	36%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Eval Nonlabor Upto 3 Hr	$114.53	$180.00	—	—	36%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M Est Patient	$41.47	$162.00	—	57% below	74%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Eval Nonlabor Up to 1 Hr	$41.47	$162.00	—	57% below	74%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M Est Patient	$41.47	$162.00	—	57% below	74%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Eval Nonlabor Up to 1 Hr	$41.47	$162.00	—	—	74%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M Est Patient	$41.47	$162.00	—	—	74%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Consultation Visits	$250.00	$250.00	—	at median	—
Speech and language evaluation CPT 92523 Eval Speech Sound Lang Comp	$275.01	$1,500.00	—	6% below	82%
Speech and language evaluation CPT 92523 Eval Speech Sound Lang Comp	$459.63	$2,800.00	—	57% above	84%
Speech and language evaluation inpatient CPT 92523 Eval Speech Sound Lang Comp	$275.01	$1,500.00	—	—	82%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 1 Hr	$92.31	$650.00	—	6% below	86%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 1/2 Hr	$92.31	$650.00	—	6% below	86%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 3/4 Hr	$92.31	$650.00	—	6% below	86%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 1/4 Hr	$92.31	$650.00	—	6% below	86%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 3/4 Hr	$550.71	$3,441.00	—	460% above	84%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 1 Hr	$92.31	$650.00	—	—	86%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 1/4 Hr	$92.31	$650.00	—	—	86%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 3/4 Hr	$92.31	$650.00	—	—	86%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 1/2 Hr	$92.31	$650.00	—	—	86%
Spirometry (breathing test) CPT 94010 Spirometry W/WO Mvv	$199.16	$380.00	—	7% above	48%
Spirometry (breathing test) CPT 94010 Spirometry W/WO Mvv	$396.38	$1,647.00	—	113% above	76%
Spirometry (breathing test) inpatient CPT 94010 Spirometry W/WO Mvv	$199.16	$380.00	—	—	48%
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Pre & Post Bd	$396.38	$524.00	—	15% above	24%
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Pre & Post Bd	$396.38	$1,791.00	—	15% above	78%
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm Pre & Post Bd	$396.38	$524.00	—	—	24%
Therapeutic activities (functional training), 15 minutes CPT 97530 Tx Activities Direct 15 Min	$42.96	$275.00	—	4% below	84%
Therapeutic activities (functional training), 15 minutes CPT 97530 Tx Activities Direct 15 Min	$509.13	$4,280.00	—	1041% above	88%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Tx Activities Direct 15 Min	$42.96	$275.00	—	—	84%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$164.08	$631.00	—	3% above	74%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$164.08	$404.00	—	3% above	59%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic	$164.08	$404.00	—	—	59%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE	$193.88	$193.88	—	154% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use	$381.47	$27,552.92	—	400% above	99%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE	$193.88	$193.88	—	—	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use	$94.97	$663.04	—	35% below	86%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$365.09	$365.09	—	150% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$365.09	$365.09	—	—	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$94.97	$776.01	—	8% above	88%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im	$94.97	$591.03	—	119% above	84%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$94.97	$4,230.98	—	18% above	98%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Ipv/Hib Vaccine for Intramuscular Use	$209.50	$1,312.02	—	119% above	84%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Dtap-Ipv-Hib-Hepb Vaccine Intramuscular	$94.97	$510.03	—	2% above	81%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE	$102.04	$102.04	—	63% above	—
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Riv3 Vaccine Preservative Free for Im Use	$4,152.86	$12,718.61	—	6531% above	67%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE	$102.04	$102.04	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$172.79	$872.01	—	310% above	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use	$252.60	$1,069.02	—	6% above	76%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis a & B Vaccine Hepa-Hepb Adult Im	$94.97	$460.00	—	at median	79%
Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$94.97	$435.00	—	2% above	78%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$118.25	$118.25	—	28% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$118.25	$118.25	—	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$94.97	$663.04	—	161% above	86%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$140.65	$140.65	—	86% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$140.65	$140.65	—	86% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$140.65	$140.65	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$140.65	$140.65	—	—	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb Vaccine Adult 2/4 Dose Schedule for Im Use	$105.23	$504.00	—	20% below	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$38.60	$38.60	—	29% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$43.55	$43.55	—	45% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$209.50	$1,284.02	—	599% above	84%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$38.60	$38.60	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$43.55	$43.55	—	—	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$94.97	$591.03	—	104% above	84%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$26.38	$26.38	—	140% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib Prp-T Vaccine 4 Dose Schedule Im Use	$58.73	$1,572.41	—	435% above	96%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$26.38	$26.38	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv Vaccine Preserv Free Increased Ag Content Im	$24,877.57	$131,945.86	—	21595% above	81%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Japanese Encephalitis Vaccine Inactivated Im	$94.97	$520.00	—	31% below	82%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles Mumps Rubella Virus Vaccine Live Subq	$94.97	$735.05	—	44% above	87%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$176.44	$176.44	—	168% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$176.44	$176.44	—	—	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Measles Mumps Rubella Varicella Vacc Live Subq	$94.97	$776.01	—	33% below	88%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use	$94.97	$1,089.00	—	20% below	91%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$90.59	$1,141.72	—	6% above	92%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$229.61	$229.61	—	168% above	—
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$229.61	$229.61	—	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im	$94.97	$487.02	—	53% below	80%
Meningococcal B vaccine (Trumenba) CPT 90621 Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im	$94.97	$2,181.20	—	58% below	96%
Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$300.82	$300.82	—	34% above	—
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$300.82	$300.82	—	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pcv13 Vaccine for Intramuscular Use	$94.97	$1,605.52	—	61% below	94%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pcv15 Vaccine for Intramuscular Use	$209.50	$1,312.02	—	6% above	84%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use	$94.97	$591.03	—	51% below	84%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$427.57	$427.57	—	119% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$427.57	$427.57	—	—	—
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$468.63	$468.63	—	14% above	—
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Pneumococcal Conjugate Vaccine	$4,094.13	$11,965.80	—	899% above	66%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$468.63	$468.63	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$94.97	$4,028.65	—	47% below	98%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine Inactivated Subq/Im	$94.97	$369.00	—	12% above	74%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use	$118.82	$582.04	—	79% below	80%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$609.15	$1,703.86	—	26% below	64%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv Vacc Pref Recombinant Adjuvanted for Im Use	$94.97	$3,389.69	—	84% below	97%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$358.83	$780.50	—	1% below	54%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$358.83	$611.04	—	1% below	41%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine Intramuscular	$453.80	$849.00	—	25% above	47%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$358.83	$780.50	—	—	54%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$358.83	$611.04	—	—	41%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rv1 Vaccine 2 Dose Schedule Live for Oral Use	$141.90	$772.01	—	76% above	82%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$94.97	$482.03	—	88% above	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Use	$172.79	$921.00	—	158% above	81%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$90.37	$90.37	—	60% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$96.80	$96.80	—	72% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im	$609.15	$794.00	—	981% above	23%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$90.37	$90.37	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$96.80	$96.80	—	—	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine VI Capsular Polysaccharide Im	$94.97	$410.00	—	at median	77%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 Typhoid Vaccine Live Oral	$94.97	$284.00	—	210% above	67%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immun Sq/Im/ID 1 Vacc	$90.59	$182.00	—	26% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immun Sq/Im/ID 1 Vacc	$90.59	$223.50	—	26% above	59%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immun Sq/Im/ID 1 Vacc	$90.59	$182.00	—	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vfc Admin Immun Sq/Im/ID Add Vacc	$58.73	$1,572.41	—	69% above	96%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immun Sq/Im/ID Add Vacc	$97.00	$97.00	—	179% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immun Sq/Im/ID Add Vacc	$97.00	$97.00	—	—	—
Yellow fever vaccine, live CPT 90717 Yellow Fever Vaccine Live Subq	$94.97	$559.00	—	12% below	83%

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

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

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

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

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

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

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

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

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

Source file: https://www.atlantichealth.org/content/dam/ahs/insurance/price-transparency/221750190_centrastate-medical-center_standardcharges.csv