ECU Health Edgecombe Hospital
Listed in its price file as “East Carolina Health-Heritage, Inc.”.
ECU Health Edgecombe Hospital in Tarboro, NC publishes cash prices for 365 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the North Carolina median for 199 of 363 procedures and below it for 155. By typical cash price it ranks #40 of 61 North Carolina hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
111 Hospital Dr., Tarboro, NC 27886 Collected Sep 23, 2026 Source price file Check a bill from this hospital (252) 641-7700
Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 340107 · CMS hospital register NPI 1699757393
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
ECU Health Edgecombe Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W/O and W/ Contrast | $2,599.52 | $4,642.00 | $784.96–$4,409.90 | 4% above | 44% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W/O and W/ Contrast | $2,599.52 | $4,642.00 | $784.96–$4,409.90 | — | 44% |
| Abdominal X-ray, 2 views CPT 74019 Abdomen 2 Views | $343.28 | $613.00 | $103.66–$582.35 | 24% above | 44% |
| Abdominal X-ray, 2 views inpatient CPT 74019 Abdomen 2 Views | $343.28 | $613.00 | $103.66–$582.35 | — | 44% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Ankle Min 3 Views-Bil | $731.92 | $1,307.00 | $82.60–$107.38 | 156% above | 44% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Min 3 Views-Rt | $488.32 | $872.00 | $147.46–$828.40 | 71% above | 44% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Min 3 Views-Lt | $488.32 | $872.00 | $147.46–$828.40 | 71% above | 44% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle Min 3 Views-Bil | $731.92 | $1,307.00 | $82.60–$107.38 | — | 44% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle Min 3 Views-Lt | $488.32 | $872.00 | $147.46–$828.40 | — | 44% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle Min 3 Views-Rt | $488.32 | $872.00 | $147.46–$828.40 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hand W/O Contrast-Bil | $6,051.92 | $10,807.00 | $1,827.46–$10,266.65 | 313% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Finger W/O Contrast-Bil | $6,051.92 | $10,807.00 | $99.76–$129.69 | 313% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Forearm W/O Contrast-Bil | $6,051.92 | $10,807.00 | $99.76–$129.69 | 313% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Shoulder W/O Contrast-Bil | $6,051.92 | $10,807.00 | $99.76–$129.69 | 313% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Elbow W/O Contrast-Bil | $6,051.92 | $10,807.00 | $99.76–$129.69 | 313% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Wrist W/O Contrast-Bil | $6,051.92 | $10,807.00 | $1,827.46–$10,266.65 | 313% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Humerus W/O Contrast-Bil | $6,051.92 | $10,807.00 | $1,827.46–$10,266.65 | 313% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Hand W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Elbow W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Hand W/O Contrast-Rt | $1,956.64 | $3,494.00 | $99.76–$129.69 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm W/O Contrast-Rt | $1,956.64 | $3,494.00 | $99.76–$129.69 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist W/O Contrast-Rt | $1,956.64 | $3,494.00 | $99.76–$129.69 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Elbow W/O Contrast-Rt | $1,956.64 | $3,494.00 | $99.76–$129.69 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus W/O Contrast-Rt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Finger W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Finger W/O Contrast-Rt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder W/O Contrast-Rt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | 34% above | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Elbow W/O Contrast-Bil | $6,051.92 | $10,807.00 | $99.76–$129.69 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Wrist W/O Contrast-Bil | $6,051.92 | $10,807.00 | $1,827.46–$10,266.65 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Finger W/O Contrast-Bil | $6,051.92 | $10,807.00 | $99.76–$129.69 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hand W/O Contrast-Bil | $6,051.92 | $10,807.00 | $1,827.46–$10,266.65 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Forearm W/O Contrast-Bil | $6,051.92 | $10,807.00 | $99.76–$129.69 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Humerus W/O Contrast-Bil | $6,051.92 | $10,807.00 | $1,827.46–$10,266.65 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Shoulder W/O Contrast-Bil | $6,051.92 | $10,807.00 | $99.76–$129.69 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Finger W/O Contrast-Rt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Elbow W/O Contrast-Rt | $1,956.64 | $3,494.00 | $99.76–$129.69 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist W/O Contrast-Rt | $1,956.64 | $3,494.00 | $99.76–$129.69 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Finger W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm W/O Contrast-Rt | $1,956.64 | $3,494.00 | $99.76–$129.69 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder W/O Contrast-Rt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Hand W/O Contrast-Rt | $1,956.64 | $3,494.00 | $99.76–$129.69 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus W/O Contrast-Rt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Elbow W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Hand W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | — | 44% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus W/O Contrast-Lt | $1,956.64 | $3,494.00 | $590.84–$3,319.30 | — | 44% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus | $403.76 | $721.00 | $121.92–$684.95 | 9% below | 44% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus | $403.76 | $721.00 | $121.92–$684.95 | — | 44% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone/Joint Imaging Whole Body | $959.28 | $1,713.00 | $289.67–$1,627.35 | 34% below | 44% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone/Joint Imaging Whole Body | $959.28 | $1,713.00 | $289.67–$1,627.35 | — | 44% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast, Complete-Lt | $2,405.76 | $4,296.00 | $99.76–$129.69 | 426% above | 44% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast, Complete-Rt | $2,405.76 | $4,296.00 | $726.45–$4,081.20 | 426% above | 44% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast, Complete-Rt | $2,405.76 | $4,296.00 | $726.45–$4,081.20 | — | 44% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast, Complete-Lt | $2,405.76 | $4,296.00 | $99.76–$129.69 | — | 44% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast, Ltd-Bi | $1,546.72 | $2,762.00 | $82.60–$107.38 | — | 44% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast, Ltd-Rt | $1,491.28 | $2,663.00 | $450.31–$2,529.85 | 313% above | 44% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast, Ltd-Lt | $1,491.28 | $2,663.00 | $450.31–$2,529.85 | 313% above | 44% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US Breast, Ltd-Bi | $1,546.72 | $2,762.00 | $82.60–$107.38 | — | 44% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast, Ltd-Rt | $1,491.28 | $2,663.00 | $450.31–$2,529.85 | — | 44% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast, Ltd-Lt | $1,491.28 | $2,663.00 | $450.31–$2,529.85 | — | 44% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abdomen and Pelvis W/O and W/ Contrast | $4,762.80 | $8,505.00 | $335.04–$435.55 | 61% above | 44% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abdomen and Pelvis W/O and W/ Contrast | $4,762.80 | $8,505.00 | $335.04–$435.55 | — | 44% |
| CT angiography (CTA) of the head CPT 70496 Cta Head W/O and W/ Contrast | $3,120.32 | $5,572.00 | $167.01–$217.11 | 46% above | 44% |
| CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W/O and W/ Contrast | $3,120.32 | $5,572.00 | $167.01–$217.11 | — | 44% |
| CT angiography (CTA) of the neck CPT 70498 Cta Neck W/O and W/ Contrast | $2,943.92 | $5,257.00 | $167.01–$217.11 | 27% above | 44% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck W/O and W/ Contrast | $2,943.92 | $5,257.00 | $167.01–$217.11 | — | 44% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/O and W/ Contrast | $2,925.44 | $5,224.00 | $167.01–$217.11 | 34% above | 44% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W/O and W/ Contrast | $2,925.44 | $5,224.00 | $167.01–$217.11 | — | 44% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis W/O Contrast | $4,487.84 | $8,014.00 | $1,355.17–$7,613.30 | 50% above | 44% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis W/O Contrast | $4,487.84 | $8,014.00 | $1,355.17–$7,613.30 | — | 44% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis W/ Contrast | $5,416.32 | $9,672.00 | $1,635.54–$9,188.40 | 62% above | 44% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis W/ Contrast | $5,416.32 | $9,672.00 | $1,635.54–$9,188.40 | — | 44% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis W/O and W/ Contrast | $5,724.88 | $10,223.00 | $1,728.71–$9,711.85 | 44% above | 44% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis W/O and W/ Contrast | $5,724.88 | $10,223.00 | $1,728.71–$9,711.85 | — | 44% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/ Contrast | $2,299.36 | $4,106.00 | $694.32–$3,900.70 | 6% above | 44% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/ Contrast | $2,299.36 | $4,106.00 | $694.32–$3,900.70 | — | 44% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast | $2,148.16 | $3,836.00 | $648.67–$3,644.20 | 45% above | 44% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast | $2,148.16 | $3,836.00 | $648.67–$3,644.20 | — | 44% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Maxillo Fac/Sinus W/O Contrast | $2,178.40 | $3,890.00 | $657.80–$3,695.50 | 74% above | 44% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Maxillo Fac/Sinus W/O Contrast | $2,178.40 | $3,890.00 | $657.80–$3,695.50 | — | 44% |
| CT scan of the head or brain, no contrast dye CPT 70450 Head W/O Contrast | $1,445.92 | $2,582.00 | $436.62–$2,452.90 | 9% above | 44% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Head W/O Contrast | $1,445.92 | $2,582.00 | $436.62–$2,452.90 | — | 44% |
| CT scan of the head with contrast CPT 70460 Head W/ Contrast | $1,763.44 | $3,149.00 | $167.01–$217.11 | 10% above | 44% |
| CT scan of the head with contrast inpatient CPT 70460 Head W/ Contrast | $1,763.44 | $3,149.00 | $167.01–$217.11 | — | 44% |
| CT scan of the head without and with contrast CPT 70470 Head W/O and W/ Contrast | $1,908.48 | $3,408.00 | $167.01–$217.11 | 4% below | 44% |
| CT scan of the head without and with contrast inpatient CPT 70470 Head W/O and W/ Contrast | $1,908.48 | $3,408.00 | $167.01–$217.11 | — | 44% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-Spine W/O Contrast | $1,971.20 | $3,520.00 | $595.23–$3,344.00 | 26% above | 44% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-Spine W/O Contrast | $1,971.20 | $3,520.00 | $595.23–$3,344.00 | — | 44% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-Spine W/O Contrast | $2,135.28 | $3,813.00 | $644.78–$3,622.35 | 35% above | 44% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-Spine W/O Contrast | $2,135.28 | $3,813.00 | $644.78–$3,622.35 | — | 44% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/ Contrast | $2,199.68 | $3,928.00 | $664.22–$3,731.60 | 28% above | 44% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/ Contrast | $2,199.68 | $3,928.00 | $664.22–$3,731.60 | — | 44% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Carotid Duplex Study Bilat | $188.16 | $336.00 | $56.82–$319.20 | — | 44% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Carotid Duplex Study Bilat | $188.16 | $336.00 | $56.82–$319.20 | — | 44% |
| Chest CT scan without and with contrast CPT 71270 CT Chest Dx W/O and W/ Contrast | $2,376.64 | $4,244.00 | $717.66–$4,031.80 | 8% above | 44% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest Dx W/O and W/ Contrast | $2,376.64 | $4,244.00 | $717.66–$4,031.80 | — | 44% |
| Chest X-ray, 2 views CPT 71046 Chest 2 Views | $366.24 | $654.00 | $110.59–$621.30 | 51% above | 44% |
| Chest X-ray, 2 views inpatient CPT 71046 Chest 2 Views | $366.24 | $654.00 | $110.59–$621.30 | — | 44% |
| Chest X-ray, single view CPT 71045 Chest Single View | $249.76 | $446.00 | $75.42–$423.70 | 28% above | 44% |
| Chest X-ray, single view inpatient CPT 71045 Chest Single View | $249.76 | $446.00 | $75.42–$423.70 | — | 44% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle-Bil | $668.08 | $1,193.00 | $201.74–$1,133.35 | 189% above | 44% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle-Lt | $334.32 | $597.00 | $100.95–$567.15 | 44% above | 44% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle-Rt | $334.32 | $597.00 | $100.95–$567.15 | 44% above | 44% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Clavicle-Bil | $668.08 | $1,193.00 | $201.74–$1,133.35 | — | 44% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Clavicle-Rt | $334.32 | $597.00 | $100.95–$567.15 | — | 44% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Clavicle-Lt | $334.32 | $597.00 | $100.95–$567.15 | — | 44% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Abdominal Aorta | $145.04 | $259.00 | $43.80–$246.05 | 75% below | 44% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Renal | $145.04 | $259.00 | $43.80–$246.05 | 75% below | 44% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Abdominal Aorta | $145.04 | $259.00 | $43.80–$246.05 | — | 44% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Renal | $145.04 | $259.00 | $43.80–$246.05 | — | 44% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa-Bone Density Study | $374.08 | $668.00 | $112.96–$634.60 | 13% below | 44% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa-Bone Density Study | $374.08 | $668.00 | $112.96–$634.60 | — | 44% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa-Bone Density Peripheral Study | $157.92 | $282.00 | $47.69–$267.90 | 24% below | 44% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa-Bone Density Peripheral Study | $157.92 | $282.00 | $47.69–$267.90 | — | 44% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Dx W/O Contrast | $1,711.36 | $3,056.00 | $516.77–$2,903.20 | 22% above | 44% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Dx W/O Contrast | $1,711.36 | $3,056.00 | $516.77–$2,903.20 | — | 44% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Dx W/ Contrast | $2,337.44 | $4,174.00 | $167.01–$217.11 | 39% above | 44% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Dx W/ Contrast | $2,337.44 | $4,174.00 | $167.01–$217.11 | — | 44% |
| Diagnostic mammogram, both breasts CPT 77066 Mammography Dx-Bil | $739.20 | $1,320.00 | $223.21–$1,254.00 | 96% above | 44% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Mammography Dx-Bil | $739.20 | $1,320.00 | $223.21–$1,254.00 | — | 44% |
| Diagnostic mammogram, one breast one side CPT 77065 Mammography Dx-Rt | $378.00 | $675.00 | $114.14–$641.25 | 56% above | 44% |
| Diagnostic mammogram, one breast one side CPT 77065 Mammography Dx-Lt | $378.00 | $675.00 | $114.14–$641.25 | 56% above | 44% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammography Dx-Rt | $378.00 | $675.00 | $114.14–$641.25 | — | 44% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammography Dx-Lt | $378.00 | $675.00 | $114.14–$641.25 | — | 44% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Ext Art Lower/Grafts Bilat | $416.08 | $743.00 | $125.64–$705.85 | — | 44% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Ext Art Lower/Grafts Bilat | $416.08 | $743.00 | $125.64–$705.85 | — | 44% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Subclavian-Bilateral | $865.76 | $1,546.00 | $261.43–$1,468.70 | — | 44% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Low Ext Vein Dup W/ Comp-Bil | $865.76 | $1,546.00 | $261.43–$1,468.70 | 17% above | 44% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Subclavian-Bilateral | $865.76 | $1,546.00 | $261.43–$1,468.70 | — | 44% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Low Ext Vein Dup W/ Comp-Bil | $865.76 | $1,546.00 | $261.43–$1,468.70 | — | 44% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Transth Rl 2d, Dopp and Color Flow | $633.36 | $1,131.00 | $191.25–$1,074.45 | 62% below | 44% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transth Rl 2d, Dopp and Color Flow | $633.36 | $1,131.00 | $191.25–$1,074.45 | — | 44% |
| Elbow X-ray, 2 views CPT 73070 Elbow 1 View Only-Bil | $416.08 | $743.00 | $125.64–$705.85 | 94% above | 44% |
| Elbow X-ray, 2 views CPT 73070 Elbow 2 Views-Bil | $453.60 | $810.00 | $136.97–$769.50 | 111% above | 44% |
| Elbow X-ray, 2 views one side CPT 73070 Elbow 1 View Only-Lt | $168.00 | $300.00 | $50.73–$285.00 | 22% below | 44% |
| Elbow X-ray, 2 views one side CPT 73070 Elbow 1 View Only-Rt | $168.00 | $300.00 | $50.73–$285.00 | 22% below | 44% |
| Elbow X-ray, 2 views one side CPT 73070 Elbow 2 Views-Lt | $275.52 | $492.00 | $83.20–$467.40 | 28% above | 44% |
| Elbow X-ray, 2 views one side CPT 73070 Elbow 2 Views-Rt | $275.52 | $492.00 | $83.20–$467.40 | 28% above | 44% |
| Elbow X-ray, 2 views inpatient CPT 73070 Elbow 1 View Only-Bil | $416.08 | $743.00 | $125.64–$705.85 | — | 44% |
| Elbow X-ray, 2 views inpatient CPT 73070 Elbow 2 Views-Bil | $453.60 | $810.00 | $136.97–$769.50 | — | 44% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow 1 View Only-Rt | $168.00 | $300.00 | $50.73–$285.00 | — | 44% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow 1 View Only-Lt | $168.00 | $300.00 | $50.73–$285.00 | — | 44% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow 2 Views-Lt | $275.52 | $492.00 | $83.20–$467.40 | — | 44% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow 2 Views-Rt | $275.52 | $492.00 | $83.20–$467.40 | — | 44% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Elbow Min 3 Views-Bil | $774.48 | $1,383.00 | $82.60–$107.38 | 183% above | 44% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow Min 3 Views-Lt | $386.96 | $691.00 | $82.60–$107.38 | 41% above | 44% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow Min 3 Views-Rt | $386.96 | $691.00 | $116.85–$656.45 | 41% above | 44% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Elbow Min 3 Views-Bil | $774.48 | $1,383.00 | $82.60–$107.38 | — | 44% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow Min 3 Views-Rt | $386.96 | $691.00 | $116.85–$656.45 | — | 44% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow Min 3 Views-Lt | $386.96 | $691.00 | $82.60–$107.38 | — | 44% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbital W/O Contrast | $1,083.60 | $1,935.00 | $99.76–$129.69 | 22% below | 44% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Sella W/O Contrast | $1,083.60 | $1,935.00 | $327.21–$1,838.25 | 22% below | 44% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Temporal Bone W/O Contr-Bil | $1,554.56 | $2,776.00 | $469.42–$2,637.20 | 11% above | 44% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Sella W/O Contrast | $1,083.60 | $1,935.00 | $327.21–$1,838.25 | — | 44% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbital W/O Contrast | $1,083.60 | $1,935.00 | $99.76–$129.69 | — | 44% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Temporal Bone W/O Contr-Bil | $1,554.56 | $2,776.00 | $469.42–$2,637.20 | — | 44% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Min 3 Views | $241.92 | $432.00 | $73.05–$410.40 | 31% below | 44% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones Min 3 Views | $241.92 | $432.00 | $73.05–$410.40 | — | 44% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm 1 View Only-Bil | $371.84 | $664.00 | $112.28–$630.80 | 48% above | 44% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm 2 Views-Bil | $445.20 | $795.00 | $82.60–$107.38 | 77% above | 44% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm 1 View Only-Lt | $185.92 | $332.00 | $56.14–$315.40 | 26% below | 44% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm 1 View Only-Rt | $185.92 | $332.00 | $56.14–$315.40 | 26% below | 44% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm 2 Views-Lt | $296.80 | $530.00 | $82.60–$107.38 | 18% above | 44% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm 2 Views-Rt | $296.80 | $530.00 | $89.62–$503.50 | 18% above | 44% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Forearm 1 View Only-Bil | $371.84 | $664.00 | $112.28–$630.80 | — | 44% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Forearm 2 Views-Bil | $445.20 | $795.00 | $82.60–$107.38 | — | 44% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm 1 View Only-Lt | $185.92 | $332.00 | $56.14–$315.40 | — | 44% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm 1 View Only-Rt | $185.92 | $332.00 | $56.14–$315.40 | — | 44% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm 2 Views-Lt | $296.80 | $530.00 | $82.60–$107.38 | — | 44% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm 2 Views-Rt | $296.80 | $530.00 | $89.62–$503.50 | — | 44% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Include Gallbldr | $2,343.60 | $4,185.00 | $707.68–$3,975.75 | 56% above | 44% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Include Gallbldr | $2,343.60 | $4,185.00 | $707.68–$3,975.75 | — | 44% |
| Hand X-ray, 2 views CPT 73120 Hand 1 View Only-Bil | $435.12 | $777.00 | $131.39–$738.15 | 107% above | 44% |
| Hand X-ray, 2 views CPT 73120 Hand 2 Views-Bil | $453.60 | $810.00 | $136.97–$769.50 | 115% above | 44% |
| Hand X-ray, 2 views one side CPT 73120 Hand 1 View Only-Rt | $174.16 | $311.00 | $52.59–$295.45 | 17% below | 44% |
| Hand X-ray, 2 views one side CPT 73120 Hand 1 View Only-Lt | $174.16 | $311.00 | $52.59–$295.45 | 17% below | 44% |
| Hand X-ray, 2 views one side CPT 73120 Hand 2 Views-Rt | $249.20 | $445.00 | $75.25–$422.75 | 18% above | 44% |
| Hand X-ray, 2 views one side CPT 73120 Hand 2 Views-Lt | $249.20 | $445.00 | $75.25–$422.75 | 18% above | 44% |
| Hand X-ray, 2 views inpatient CPT 73120 Hand 1 View Only-Bil | $435.12 | $777.00 | $131.39–$738.15 | — | 44% |
| Hand X-ray, 2 views inpatient CPT 73120 Hand 2 Views-Bil | $453.60 | $810.00 | $136.97–$769.50 | — | 44% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hand 1 View Only-Lt | $174.16 | $311.00 | $52.59–$295.45 | — | 44% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hand 1 View Only-Rt | $174.16 | $311.00 | $52.59–$295.45 | — | 44% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hand 2 Views-Rt | $249.20 | $445.00 | $75.25–$422.75 | — | 44% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hand 2 Views-Lt | $249.20 | $445.00 | $75.25–$422.75 | — | 44% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Heel/Calcaneus Min 2 Views-Bil | $404.32 | $722.00 | $122.09–$685.90 | 84% above | 44% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Heel/Calcaneus Min 2 Views-Lt | $202.16 | $361.00 | $61.05–$342.95 | 8% below | 44% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Heel/Calcaneus Min 2 Views-Rt | $202.16 | $361.00 | $61.05–$342.95 | 8% below | 44% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Heel/Calcaneus Min 2 Views-Bil | $404.32 | $722.00 | $122.09–$685.90 | — | 44% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Heel/Calcaneus Min 2 Views-Rt | $202.16 | $361.00 | $61.05–$342.95 | — | 44% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Heel/Calcaneus Min 2 Views-Lt | $202.16 | $361.00 | $61.05–$342.95 | — | 44% |
| Knee X-ray, 3 views CPT 73562 Knee 3 Views-Both | $642.88 | $1,148.00 | $194.13–$1,090.60 | 122% above | 44% |
| Knee X-ray, 3 views one side CPT 73562 Knee 3 Views-Rt | $449.12 | $802.00 | $135.62–$761.90 | 55% above | 44% |
| Knee X-ray, 3 views one side CPT 73562 Knee 3 Views-Lt | $449.12 | $802.00 | $135.62–$761.90 | 55% above | 44% |
| Knee X-ray, 3 views inpatient CPT 73562 Knee 3 Views-Both | $642.88 | $1,148.00 | $194.13–$1,090.60 | — | 44% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3 Views-Rt | $449.12 | $802.00 | $135.62–$761.90 | — | 44% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3 Views-Lt | $449.12 | $802.00 | $135.62–$761.90 | — | 44% |
| Knee X-ray, complete, 4 or more views CPT 73564 Knee 4 or More Views-Bil | $716.24 | $1,279.00 | $216.28–$1,215.05 | 106% above | 44% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Knee 4 or More Views-Rt | $477.68 | $853.00 | $144.24–$810.35 | 37% above | 44% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Knee 4 or More Views-Lt | $477.68 | $853.00 | $144.24–$810.35 | 37% above | 44% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Knee 4 or More Views-Bil | $716.24 | $1,279.00 | $216.28–$1,215.05 | — | 44% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Knee 4 or More Views-Lt | $477.68 | $853.00 | $144.24–$810.35 | — | 44% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Knee 4 or More Views-Rt | $477.68 | $853.00 | $144.24–$810.35 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Knee W/O Contrast-Bil | $3,355.52 | $5,992.00 | $1,013.25–$5,692.40 | 157% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Toe W/O Contrast-Bil | $3,355.52 | $5,992.00 | $1,013.25–$5,692.40 | 157% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Foot W/O Contrast-Bil | $3,355.52 | $5,992.00 | $1,013.25–$5,692.40 | 157% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Tibia/Fibula W/O Contrast-Bil | $3,355.52 | $5,992.00 | $1,013.25–$5,692.40 | 157% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ankle W/O Contrast-Bil | $3,355.52 | $5,992.00 | $99.76–$129.69 | 157% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Femur W/O Contrast-Bil | $3,355.52 | $5,992.00 | $99.76–$129.69 | 157% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hip W/O Contrast-Bil | $3,355.52 | $5,992.00 | $1,013.25–$5,692.40 | 157% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur W/O Contrast-Lt | $1,673.28 | $2,988.00 | $99.76–$129.69 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Hip W/O Contrast-Lt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Hip W/O Contrast-Rt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Foot W/O Contrast-Lt | $1,673.28 | $2,988.00 | $99.76–$129.69 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee W/O Contrast-Rt | $1,673.28 | $2,988.00 | $99.76–$129.69 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia/Fibula W/O Contrast-Rt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Toe W/O Contrast-Rt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Toe W/O Contrast-Lt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur W/O Contrast-Rt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia/Fibula W/O Contrast-Lt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ankle W/O Contrast-Rt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ankle W/O Contrast-Lt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Foot W/O Contrast-Rt | $1,673.28 | $2,988.00 | $99.76–$129.69 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee W/O Contrast-Lt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | 28% above | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Toe W/O Contrast-Bil | $3,355.52 | $5,992.00 | $1,013.25–$5,692.40 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Knee W/O Contrast-Bil | $3,355.52 | $5,992.00 | $1,013.25–$5,692.40 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hip W/O Contrast-Bil | $3,355.52 | $5,992.00 | $1,013.25–$5,692.40 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Femur W/O Contrast-Bil | $3,355.52 | $5,992.00 | $99.76–$129.69 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ankle W/O Contrast-Bil | $3,355.52 | $5,992.00 | $99.76–$129.69 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Tibia/Fibula W/O Contrast-Bil | $3,355.52 | $5,992.00 | $1,013.25–$5,692.40 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Foot W/O Contrast-Bil | $3,355.52 | $5,992.00 | $1,013.25–$5,692.40 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Hip W/O Contrast-Rt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee W/O Contrast-Lt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Toe W/O Contrast-Lt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Toe W/O Contrast-Rt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia/Fibula W/O Contrast-Rt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia/Fibula W/O Contrast-Lt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur W/O Contrast-Rt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee W/O Contrast-Rt | $1,673.28 | $2,988.00 | $99.76–$129.69 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ankle W/O Contrast-Lt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Foot W/O Contrast-Lt | $1,673.28 | $2,988.00 | $99.76–$129.69 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Foot W/O Contrast-Rt | $1,673.28 | $2,988.00 | $99.76–$129.69 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur W/O Contrast-Lt | $1,673.28 | $2,988.00 | $99.76–$129.69 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ankle W/O Contrast-Rt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | — | 44% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Hip W/O Contrast-Lt | $1,673.28 | $2,988.00 | $505.27–$2,838.60 | — | 44% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abd Ltd/Sngl Organ/Quad/Fu | $1,826.16 | $3,261.00 | $551.44–$3,097.95 | 234% above | 44% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abd Ltd/Sngl Organ/Quad/Fu | $1,826.16 | $3,261.00 | $551.44–$3,097.95 | — | 44% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Joint or Nonvasc Ext, Limited-Bil | $2,708.72 | $4,837.00 | $817.94–$4,595.15 | 558% above | 44% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Joint or Nonvasc Ext, Limited-Lt | $1,354.64 | $2,419.00 | $409.05–$2,298.05 | 229% above | 44% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Joint or Nonvasc Ext, Limited-Rt | $1,354.64 | $2,419.00 | $409.05–$2,298.05 | 229% above | 44% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Joint or Nonvasc Ext, Limited-Bil | $2,708.72 | $4,837.00 | $817.94–$4,595.15 | — | 44% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Joint or Nonvasc Ext, Limited-Rt | $1,354.64 | $2,419.00 | $409.05–$2,298.05 | — | 44% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Joint or Nonvasc Ext, Limited-Lt | $1,354.64 | $2,419.00 | $409.05–$2,298.05 | — | 44% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low Dose CT Thorax W/O Contrast | $292.88 | $523.00 | $88.44–$496.85 | 19% below | 44% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low Dose CT Thorax W/O Contrast | $292.88 | $523.00 | $88.44–$496.85 | — | 44% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibia/Fibula 1 View-Bil | $509.04 | $909.00 | $153.71–$863.55 | 128% above | 44% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibia/Fibula 2 Views-Bil | $545.44 | $974.00 | $164.70–$925.30 | 145% above | 44% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Tibia/Fibula 1 View-Lt | $254.80 | $455.00 | $76.94–$432.25 | 14% above | 44% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Tibia/Fibula 1 View-Rt | $254.80 | $455.00 | $82.60–$107.38 | 14% above | 44% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Tibia/Fibula 2 Views-Rt | $363.44 | $649.00 | $109.75–$616.55 | 63% above | 44% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Tibia/Fibula 2 Views-Lt | $363.44 | $649.00 | $109.75–$616.55 | 63% above | 44% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Tibia/Fibula 1 View-Bil | $509.04 | $909.00 | $153.71–$863.55 | — | 44% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Tibia/Fibula 2 Views-Bil | $545.44 | $974.00 | $164.70–$925.30 | — | 44% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Tibia/Fibula 1 View-Rt | $254.80 | $455.00 | $82.60–$107.38 | — | 44% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Tibia/Fibula 1 View-Lt | $254.80 | $455.00 | $76.94–$432.25 | — | 44% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Tibia/Fibula 2 Views-Rt | $363.44 | $649.00 | $109.75–$616.55 | — | 44% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Tibia/Fibula 2 Views-Lt | $363.44 | $649.00 | $109.75–$616.55 | — | 44% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast | $3,108.56 | $5,551.00 | $938.67–$5,273.45 | 72% above | 44% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrast | $3,108.56 | $5,551.00 | $938.67–$5,273.45 | — | 44% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI Breast W/O and W/ Contrast Incl Cad-Bil | $7,106.40 | $12,690.00 | $2,145.88–$12,055.50 | 49% above | 44% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI Breast W/O and W/ Contrast Incl Cad-Bil | $7,106.40 | $12,690.00 | $2,145.88–$12,055.50 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Knee Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $1,369.71–$7,695.00 | 120% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Toe Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $1,369.71–$7,695.00 | 120% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Ankle Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $1,369.71–$7,695.00 | 120% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hip Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $1,369.71–$7,695.00 | 120% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hip Joint W/O Contrast-Lt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | 50% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Ankle Joint W/O Contrast-Rt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | 50% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hip Joint W/O Contrast-Rt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | 50% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Ankle Joint W/O Contrast-Lt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | 50% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Joint W/O Contrast-Lt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | 50% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Toe Joint W/O Contrast-Lt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | 50% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Joint W/O Contrast-Rt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | 50% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Toe Joint W/O Contrast-Rt | $3,099.60 | $5,535.00 | $226.77–$294.80 | 50% above | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hip Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $1,369.71–$7,695.00 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Knee Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $1,369.71–$7,695.00 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Ankle Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $1,369.71–$7,695.00 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Toe Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $1,369.71–$7,695.00 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hip Joint W/O Contrast-Lt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Toe Joint W/O Contrast-Lt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Ankle Joint W/O Contrast-Lt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Joint W/O Contrast-Lt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hip Joint W/O Contrast-Rt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Toe Joint W/O Contrast-Rt | $3,099.60 | $5,535.00 | $226.77–$294.80 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Ankle Joint W/O Contrast-Rt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | — | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Joint W/O Contrast-Rt | $3,099.60 | $5,535.00 | $935.97–$5,258.25 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Toe Joint W/O and W/ Contrast-Bil | $8,938.72 | $15,962.00 | $2,699.17–$15,163.90 | 206% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Ankle Joint W/O and W/ Contrast-Bil | $8,938.72 | $15,962.00 | $2,699.17–$15,163.90 | 206% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Knee Joint W/O and W/ Contrast-Bil | $8,938.72 | $15,962.00 | $335.04–$435.55 | 206% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hip Joint W/O and W/ Contrast-Bil | $8,938.72 | $15,962.00 | $2,699.17–$15,163.90 | 206% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hip Joint W/O and W/ Contrast-Lt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | 84% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Toe Joint W/O and W/ Contrast-Rt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | 84% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hip Joint W/O and W/ Contrast-Rt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | 84% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Joint W/O and W/ Contrast-Lt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | 84% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Joint W/O and W/ Contrast-Rt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | 84% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Ankle Joint W/O and W/ Contrast-Lt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | 84% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Toe Joint W/O and W/ Contrast-Lt | $5,367.60 | $9,585.00 | $335.04–$435.55 | 84% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Ankle Joint W/O and W/ Contrast-Rt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | 84% above | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Toe Joint W/O and W/ Contrast-Bil | $8,938.72 | $15,962.00 | $2,699.17–$15,163.90 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Ankle Joint W/O and W/ Contrast-Bil | $8,938.72 | $15,962.00 | $2,699.17–$15,163.90 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hip Joint W/O and W/ Contrast-Bil | $8,938.72 | $15,962.00 | $2,699.17–$15,163.90 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Knee Joint W/O and W/ Contrast-Bil | $8,938.72 | $15,962.00 | $335.04–$435.55 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hip Joint W/O and W/ Contrast-Rt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hip Joint W/O and W/ Contrast-Lt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Joint W/O and W/ Contrast-Rt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Joint W/O and W/ Contrast-Lt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Toe Joint W/O and W/ Contrast-Rt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Toe Joint W/O and W/ Contrast-Lt | $5,367.60 | $9,585.00 | $335.04–$435.55 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Ankle Joint W/O and W/ Contrast-Rt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | — | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Ankle Joint W/O and W/ Contrast-Lt | $5,367.60 | $9,585.00 | $1,620.82–$9,105.75 | — | 44% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast | $2,994.32 | $5,347.00 | $904.18–$5,079.65 | 43% above | 44% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Contrast | $2,994.32 | $5,347.00 | $904.18–$5,079.65 | — | 44% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O and W/ Contrast | $4,546.64 | $8,119.00 | $1,372.92–$7,713.05 | 56% above | 44% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W/O and W/ Contrast | $4,546.64 | $8,119.00 | $1,372.92–$7,713.05 | — | 44% |
| MRI of the brain, no contrast dye CPT 70551 Iac W/O Contrast | $2,877.84 | $5,139.00 | $869.00–$4,882.05 | 45% above | 44% |
| MRI of the brain, no contrast dye CPT 70551 MRI Posterior Fossa W/O Contrast | $2,877.84 | $5,139.00 | $869.00–$4,882.05 | 45% above | 44% |
| MRI of the brain, no contrast dye CPT 70551 Pituitary W/O Contrast | $2,877.84 | $5,139.00 | $869.00–$4,882.05 | 45% above | 44% |
| MRI of the brain, no contrast dye CPT 70551 Brain W/O Contrast | $2,877.84 | $5,139.00 | $869.00–$4,882.05 | 45% above | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Iac W/O Contrast | $2,877.84 | $5,139.00 | $869.00–$4,882.05 | — | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Posterior Fossa W/O Contrast | $2,877.84 | $5,139.00 | $869.00–$4,882.05 | — | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Brain W/O Contrast | $2,877.84 | $5,139.00 | $869.00–$4,882.05 | — | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Pituitary W/O Contrast | $2,877.84 | $5,139.00 | $869.00–$4,882.05 | — | 44% |
| MRI of the brain, with and without contrast dye CPT 70553 Pituitary W/O and W/ Contrast | $3,343.76 | $5,971.00 | $1,009.70–$5,672.45 | 19% above | 44% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Posterior Fossa W/O and W/ Contrast | $3,343.76 | $5,971.00 | $1,009.70–$5,672.45 | 19% above | 44% |
| MRI of the brain, with and without contrast dye CPT 70553 Brain W/O and W/ Contrast | $3,343.76 | $5,971.00 | $1,009.70–$5,672.45 | 19% above | 44% |
| MRI of the brain, with and without contrast dye CPT 70553 Iac W/O and W/ Contrast | $3,343.76 | $5,971.00 | $1,009.70–$5,672.45 | 19% above | 44% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Posterior Fossa W/O and W/ Contrast | $3,343.76 | $5,971.00 | $1,009.70–$5,672.45 | — | 44% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Pituitary W/O and W/ Contrast | $3,343.76 | $5,971.00 | $1,009.70–$5,672.45 | — | 44% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Iac W/O and W/ Contrast | $3,343.76 | $5,971.00 | $1,009.70–$5,672.45 | — | 44% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Brain W/O and W/ Contrast | $3,343.76 | $5,971.00 | $1,009.70–$5,672.45 | — | 44% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-Spine W/O Contrast | $2,294.32 | $4,097.00 | $692.80–$3,892.15 | 3% above | 44% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-Spine W/O Contrast | $2,294.32 | $4,097.00 | $692.80–$3,892.15 | — | 44% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-Spine W/O and W/ Con | $3,800.72 | $6,787.00 | $1,147.68–$6,447.65 | 32% above | 44% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-Spine W/O and W/ Con | $3,800.72 | $6,787.00 | $1,147.68–$6,447.65 | — | 44% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-Spine W/O Contrast | $2,668.96 | $4,766.00 | $805.93–$4,527.70 | 27% above | 44% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-Spine W/O Contrast | $2,668.96 | $4,766.00 | $805.93–$4,527.70 | — | 44% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-Spine W/O and W/ Con | $4,996.32 | $8,922.00 | $1,508.71–$8,475.90 | 90% above | 44% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-Spine W/O and W/ Con | $4,996.32 | $8,922.00 | $1,508.71–$8,475.90 | — | 44% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-Spine W/O Contrast | $3,141.60 | $5,610.00 | $226.77–$294.80 | 53% above | 44% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-Spine W/O Contrast | $3,141.60 | $5,610.00 | $226.77–$294.80 | — | 44% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O and W/ Contrast | $4,126.64 | $7,369.00 | $1,246.10–$7,000.55 | 50% above | 44% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W/O and W/ Contrast | $4,126.64 | $7,369.00 | $1,246.10–$7,000.55 | — | 44% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast | $1,107.12 | $1,977.00 | $334.31–$1,878.15 | 37% below | 44% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Contrast | $1,107.12 | $1,977.00 | $334.31–$1,878.15 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Wrist Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $226.77–$294.80 | 125% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Elbow Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $226.77–$294.80 | 125% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Shoulder Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $226.77–$294.80 | 125% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Finger Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $1,369.71–$7,695.00 | 125% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Elbow Joint W/O Contrast-Lt | $3,024.00 | $5,400.00 | $913.14–$5,130.00 | 50% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Joint W/O Contrast-Rt | $3,024.00 | $5,400.00 | $226.77–$294.80 | 50% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Joint W/O Contrast-Rt | $3,024.00 | $5,400.00 | $226.77–$294.80 | 50% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Elbow Joint W/O Contrast-Rt | $3,024.00 | $5,400.00 | $913.14–$5,130.00 | 50% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Joint W/O Contrast-Lt | $3,024.00 | $5,400.00 | $913.14–$5,130.00 | 50% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Joint W/O Contrast-Lt | $3,024.00 | $5,400.00 | $226.77–$294.80 | 50% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Finger Joint W/O Contrast-Lt | $3,024.00 | $5,400.00 | $913.14–$5,130.00 | 50% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Finger Joint W/O Contrast-Rt | $3,024.00 | $5,400.00 | $913.14–$5,130.00 | 50% above | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Elbow Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $226.77–$294.80 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Wrist Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $226.77–$294.80 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Finger Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $1,369.71–$7,695.00 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Shoulder Joint W/O Contrast-Bil | $4,536.00 | $8,100.00 | $226.77–$294.80 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Elbow Joint W/O Contrast-Rt | $3,024.00 | $5,400.00 | $913.14–$5,130.00 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Joint W/O Contrast-Rt | $3,024.00 | $5,400.00 | $226.77–$294.80 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Finger Joint W/O Contrast-Lt | $3,024.00 | $5,400.00 | $913.14–$5,130.00 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Elbow Joint W/O Contrast-Lt | $3,024.00 | $5,400.00 | $913.14–$5,130.00 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Finger Joint W/O Contrast-Rt | $3,024.00 | $5,400.00 | $913.14–$5,130.00 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Joint W/O Contrast-Lt | $3,024.00 | $5,400.00 | $226.77–$294.80 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Joint W/O Contrast-Lt | $3,024.00 | $5,400.00 | $913.14–$5,130.00 | — | 44% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Joint W/O Contrast-Rt | $3,024.00 | $5,400.00 | $226.77–$294.80 | — | 44% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Spine Cervical 4 or 5 Views | $518.56 | $926.00 | $156.59–$879.70 | 22% above | 44% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Spine Cervical 4 or 5 Views | $518.56 | $926.00 | $156.59–$879.70 | — | 44% |
| Neck soft tissue CT scan with contrast CPT 70491 Soft Tis Neck W/ Contrast | $2,469.04 | $4,409.00 | $167.01–$217.11 | 42% above | 44% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Soft Tis Neck W/ Contrast | $2,469.04 | $4,409.00 | $167.01–$217.11 | — | 44% |
| Neck soft tissue CT scan without contrast CPT 70490 Soft Tis Neck W/O Contrast | $2,177.28 | $3,888.00 | $657.46–$3,693.60 | 53% above | 44% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Soft Tis Neck W/O Contrast | $2,177.28 | $3,888.00 | $657.46–$3,693.60 | — | 44% |
| Neck soft tissue X-ray CPT 70360 Neck Soft Tissue | $267.68 | $478.00 | $80.83–$454.10 | 8% above | 44% |
| Neck soft tissue X-ray inpatient CPT 70360 Neck Soft Tissue | $267.68 | $478.00 | $80.83–$454.10 | — | 44% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Dobutamine Mibi (Gated, Spect) | $12,783.12 | $22,827.00 | $3,860.05–$21,685.65 | 267% above | 44% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Adenosine Mibi (Gated, Spect) | $12,783.12 | $22,827.00 | $3,860.05–$21,685.65 | 267% above | 44% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard Prf Spect Thal Mult | $13,063.12 | $23,327.00 | $3,944.60–$22,160.65 | 275% above | 44% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard Prf Spect Mult | $13,063.12 | $23,327.00 | $3,944.60–$22,160.65 | 275% above | 44% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard Prf Spect Gate Mult | $13,063.12 | $23,327.00 | $3,944.60–$22,160.65 | 275% above | 44% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Adenosine Mibi (Gated, Spect) | $12,783.12 | $22,827.00 | $3,860.05–$21,685.65 | — | 44% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Dobutamine Mibi (Gated, Spect) | $12,783.12 | $22,827.00 | $3,860.05–$21,685.65 | — | 44% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocard Prf Spect Mult | $13,063.12 | $23,327.00 | $3,944.60–$22,160.65 | — | 44% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocard Prf Spect Gate Mult | $13,063.12 | $23,327.00 | $3,944.60–$22,160.65 | — | 44% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocard Prf Spect Thal Mult | $13,063.12 | $23,327.00 | $3,944.60–$22,160.65 | — | 44% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/CT Skull-Thigh Netspot | $5,205.20 | $9,295.00 | $1,571.78–$8,830.25 | 32% above | 44% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Psma Subsequent St | $5,205.20 | $9,295.00 | $1,368.36–$1,778.87 | 32% above | 44% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Psma Initial St | $5,205.20 | $9,295.00 | $1,368.36–$1,778.87 | 32% above | 44% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Psma Initial St | $5,205.20 | $9,295.00 | $1,368.36–$1,778.87 | — | 44% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet/CT Skull-Thigh Netspot | $5,205.20 | $9,295.00 | $1,571.78–$8,830.25 | — | 44% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Psma Subsequent St | $5,205.20 | $9,295.00 | $1,368.36–$1,778.87 | — | 44% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Contrast | $1,809.92 | $3,232.00 | $546.53–$3,070.40 | 25% above | 44% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis W/O Contrast | $1,809.92 | $3,232.00 | $546.53–$3,070.40 | — | 44% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvis Non OB Limited/Follow Up | $574.56 | $1,026.00 | $173.50–$974.70 | 83% above | 44% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvis Non OB Limited/Follow Up | $574.56 | $1,026.00 | $173.50–$974.70 | — | 44% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvis Non OB | $2,391.20 | $4,270.00 | $722.06–$4,056.50 | 256% above | 44% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvis Non OB | $2,391.20 | $4,270.00 | $722.06–$4,056.50 | — | 44% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB Ultra > 14 Weeks 1st Fetus, Complete | $703.92 | $1,257.00 | $212.56–$1,194.15 | 31% above | 44% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB Ultra > 14 Weeks 1st Fetus, Complete | $703.92 | $1,257.00 | $212.56–$1,194.15 | — | 44% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB Ultra Less 14 Weeks 1st Gest | $1,842.96 | $3,291.00 | $556.51–$3,126.45 | 290% above | 44% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB Ultra Less 14 Weeks 1st Gest | $1,842.96 | $3,291.00 | $556.51–$3,126.45 | — | 44% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB Ultra Any Number of Fetuses, Limited | $288.96 | $516.00 | $87.26–$490.20 | 9% below | 44% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB Ultra Any Number of Fetuses, Limited | $288.96 | $516.00 | $87.26–$490.20 | — | 44% |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs 2 Views-Rt | $315.84 | $564.00 | $95.37–$535.80 | 30% above | 44% |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs 2 Views-Lt | $315.84 | $564.00 | $95.37–$535.80 | 30% above | 44% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs 2 Views-Lt | $315.84 | $564.00 | $95.37–$535.80 | — | 44% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs 2 Views-Rt | $315.84 | $564.00 | $95.37–$535.80 | — | 44% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs W/ Pa Chest Min 3 Views-Rt | $442.40 | $790.00 | $133.59–$750.50 | 37% above | 44% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs W/ Pa Chest Min 3 Views-Lt | $442.40 | $790.00 | $99.76–$129.69 | 37% above | 44% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs W/ Pa Chest Min 3 Views-Rt | $442.40 | $790.00 | $133.59–$750.50 | — | 44% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs W/ Pa Chest Min 3 Views-Lt | $442.40 | $790.00 | $99.76–$129.69 | — | 44% |
| Screening mammogram, both breasts CPT 77067 Mammography Screening-Bil | $449.12 | $802.00 | $135.62–$761.90 | 96% above | 44% |
| Screening mammogram, both breasts one side CPT 77067 Mammography Screening-Rt | $234.64 | $419.00 | $70.85–$398.05 | 3% above | 44% |
| Screening mammogram, both breasts one side CPT 77067 Mammography Screening-Lt | $234.64 | $419.00 | $70.85–$398.05 | 3% above | 44% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammography Screening-Bil | $449.12 | $802.00 | $135.62–$761.90 | — | 44% |
| Screening mammogram, both breasts inpatient one side CPT 77067 Mammography Screening-Rt | $234.64 | $419.00 | $70.85–$398.05 | — | 44% |
| Screening mammogram, both breasts inpatient one side CPT 77067 Mammography Screening-Lt | $234.64 | $419.00 | $70.85–$398.05 | — | 44% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Min 2 Views-Bil | $613.76 | $1,096.00 | $185.33–$1,041.20 | 111% above | 44% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Min 2 Views-Lt | $409.36 | $731.00 | $123.61–$694.45 | 41% above | 44% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Min 2 Views-Rt | $409.36 | $731.00 | $123.61–$694.45 | 41% above | 44% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Min 2 Views-Bil | $613.76 | $1,096.00 | $185.33–$1,041.20 | — | 44% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Min 2 Views-Lt | $409.36 | $731.00 | $123.61–$694.45 | — | 44% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Min 2 Views-Rt | $409.36 | $731.00 | $123.61–$694.45 | — | 44% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses Paranasal Min 3 Views | $248.08 | $443.00 | $74.91–$420.85 | 27% below | 44% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinuses Paranasal Min 3 Views | $248.08 | $443.00 | $74.91–$420.85 | — | 44% |
| Skull X-ray, fewer than 4 views CPT 70250 Skull Less 4 Views | $116.48 | $208.00 | $99.76–$129.69 | 61% below | 44% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull Less 4 Views | $116.48 | $208.00 | $99.76–$129.69 | — | 44% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Transth Rl 2d Stress Test and Ecg Monitoring | $1,261.12 | $2,252.00 | $380.81–$2,139.40 | at median | 44% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Transth Rl 2d Stress Test and Ecg Monitoring | $1,261.12 | $2,252.00 | $380.81–$2,139.40 | — | 44% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallow Function W/Fluro/Video | $400.40 | $715.00 | $120.91–$679.25 | 6% above | 44% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallow Function W/Fluro/Video | $400.40 | $715.00 | $120.91–$679.25 | — | 44% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Femur Min 2 Views-Bil | $739.20 | $1,320.00 | $223.21–$1,254.00 | 241% above | 44% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Min 2 Views-Rt | $370.16 | $661.00 | $111.78–$627.95 | 71% above | 44% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Min 2 Views-Lt | $370.16 | $661.00 | $111.78–$627.95 | 71% above | 44% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Femur Min 2 Views-Bil | $739.20 | $1,320.00 | $223.21–$1,254.00 | — | 44% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Femur Min 2 Views-Rt | $370.16 | $661.00 | $111.78–$627.95 | — | 44% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Femur Min 2 Views-Lt | $370.16 | $661.00 | $111.78–$627.95 | — | 44% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-Spine W/O Contrast | $1,802.64 | $3,219.00 | $544.33–$3,058.05 | 21% above | 44% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-Spine W/O Contrast | $1,802.64 | $3,219.00 | $544.33–$3,058.05 | — | 44% |
| Toe X-ray, 2 or more views CPT 73660 Toes Min 2 Views-Bil | $438.48 | $783.00 | $82.60–$107.38 | 130% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Right Foot, Second Digit | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Toes Min 2 Views-Lt | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Toes Min 2 Views-Rt | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Left Foot, Second Digit | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Right Foot, Fourth Digit | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Left Foot, Third Digit | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Right Foot, Third Digit | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Right Foot, Great Toe | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Left Foot, Fifth Digit | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Left Foot, Great Toe | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Right Foot, Fifth Digit | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views one side CPT 73660 Left Foot, Fourth Digit | $217.84 | $389.00 | $65.78–$369.55 | 14% above | 44% |
| Toe X-ray, 2 or more views inpatient CPT 73660 Toes Min 2 Views-Bil | $438.48 | $783.00 | $82.60–$107.38 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Right Foot, Great Toe | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Left Foot, Third Digit | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Right Foot, Second Digit | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Right Foot, Third Digit | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Right Foot, Fifth Digit | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Toes Min 2 Views-Lt | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Left Foot, Fourth Digit | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Left Foot, Second Digit | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Left Foot, Fifth Digit | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Toes Min 2 Views-Rt | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Right Foot, Fourth Digit | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Left Foot, Great Toe | $217.84 | $389.00 | $65.78–$369.55 | — | 44% |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal US Non OB | $832.16 | $1,486.00 | $251.28–$1,411.70 | 53% above | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal US Non OB | $832.16 | $1,486.00 | $251.28–$1,411.70 | — | 44% |
| Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal US OB, Any Number of Fetuses | $1,914.64 | $3,419.00 | $578.15–$3,248.05 | 329% above | 44% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal US OB, Any Number of Fetuses | $1,914.64 | $3,419.00 | $578.15–$3,248.05 | — | 44% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $2,482.48 | $4,433.00 | $749.62–$4,211.35 | 258% above | 44% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $2,482.48 | $4,433.00 | $749.62–$4,211.35 | — | 44% |
| Ultrasound of the scrotum and testicles CPT 76870 Testicular | $1,486.80 | $2,655.00 | $448.96–$2,522.25 | 176% above | 44% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Testicular | $1,486.80 | $2,655.00 | $448.96–$2,522.25 | — | 44% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Thyroid/Soft Tissue Head/Neck | $2,008.72 | $3,587.00 | $606.56–$3,407.65 | 252% above | 44% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Thyroid/Soft Tissue Head/Neck | $2,008.72 | $3,587.00 | $606.56–$3,407.65 | — | 44% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper GI Study, Single Contrast | $358.40 | $640.00 | $167.01–$217.11 | 31% below | 44% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper GI Study, Single Contrast | $358.40 | $640.00 | $167.01–$217.11 | — | 44% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Humerus 1 View Only-Bil | $408.80 | $730.00 | $123.44–$693.50 | 69% above | 44% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Humerus Min 2 Views-Bil | $652.40 | $1,165.00 | $197.00–$1,106.75 | 170% above | 44% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus 1 View Only-Rt | $204.40 | $365.00 | $61.72–$346.75 | 15% below | 44% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus 1 View Only-Lt | $204.40 | $365.00 | $61.72–$346.75 | 15% below | 44% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus Min 2 Views-Rt | $326.48 | $583.00 | $98.59–$553.85 | 35% above | 44% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus Min 2 Views-Lt | $326.48 | $583.00 | $98.59–$553.85 | 35% above | 44% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Humerus 1 View Only-Bil | $408.80 | $730.00 | $123.44–$693.50 | — | 44% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Humerus Min 2 Views-Bil | $652.40 | $1,165.00 | $197.00–$1,106.75 | — | 44% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus 1 View Only-Rt | $204.40 | $365.00 | $61.72–$346.75 | — | 44% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus 1 View Only-Lt | $204.40 | $365.00 | $61.72–$346.75 | — | 44% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus Min 2 Views-Rt | $326.48 | $583.00 | $98.59–$553.85 | — | 44% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus Min 2 Views-Lt | $326.48 | $583.00 | $98.59–$553.85 | — | 44% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Subclavian-Rt | $412.72 | $737.00 | $124.63–$700.15 | 26% below | 44% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Low Ext Vein Dup W/ Comp-Lt | $412.72 | $737.00 | $124.63–$700.15 | 26% below | 44% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Subclavian-Lt | $412.72 | $737.00 | $124.63–$700.15 | 26% below | 44% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Low Ext Vein Dup W/ Comp-Rt | $412.72 | $737.00 | $124.63–$700.15 | 26% below | 44% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Low Ext Vein Dup W/ Comp-Lt | $412.72 | $737.00 | $124.63–$700.15 | — | 44% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Subclavian-Lt | $412.72 | $737.00 | $124.63–$700.15 | — | 44% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Subclavian-Rt | $412.72 | $737.00 | $124.63–$700.15 | — | 44% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Low Ext Vein Dup W/ Comp-Rt | $412.72 | $737.00 | $124.63–$700.15 | — | 44% |
| Wrist X-ray, 2 views CPT 73100 Wrist 1 View Only-Bil | $538.72 | $962.00 | $162.67–$913.90 | 187% above | 44% |
| Wrist X-ray, 2 views CPT 73100 Wrist 2 Views-Bil | $627.20 | $1,120.00 | $189.39–$1,064.00 | 235% above | 44% |
| Wrist X-ray, 2 views one side CPT 73100 Wrist 1 View Only-Lt | $269.36 | $481.00 | $81.34–$456.95 | 44% above | 44% |
| Wrist X-ray, 2 views one side CPT 73100 Wrist 1 View Only-Rt | $269.36 | $481.00 | $81.34–$456.95 | 44% above | 44% |
| Wrist X-ray, 2 views one side CPT 73100 Wrist 2 Views-Lt | $418.32 | $747.00 | $126.32–$709.65 | 123% above | 44% |
| Wrist X-ray, 2 views one side CPT 73100 Wrist 2 Views-Rt | $418.32 | $747.00 | $126.32–$709.65 | 123% above | 44% |
| Wrist X-ray, 2 views inpatient CPT 73100 Wrist 1 View Only-Bil | $538.72 | $962.00 | $162.67–$913.90 | — | 44% |
| Wrist X-ray, 2 views inpatient CPT 73100 Wrist 2 Views-Bil | $627.20 | $1,120.00 | $189.39–$1,064.00 | — | 44% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Wrist 1 View Only-Rt | $269.36 | $481.00 | $81.34–$456.95 | — | 44% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Wrist 1 View Only-Lt | $269.36 | $481.00 | $81.34–$456.95 | — | 44% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Wrist 2 Views-Lt | $418.32 | $747.00 | $126.32–$709.65 | — | 44% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Wrist 2 Views-Rt | $418.32 | $747.00 | $126.32–$709.65 | — | 44% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Wrist Min 3 Views-Bil | $862.40 | $1,540.00 | $260.41–$1,463.00 | 261% above | 44% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Min 3 Views-Lt | $430.64 | $769.00 | $130.04–$730.55 | 80% above | 44% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Min 3 Views-Rt | $430.64 | $769.00 | $130.04–$730.55 | 80% above | 44% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist Min 3 Views-Bil | $862.40 | $1,540.00 | $260.41–$1,463.00 | — | 44% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Min 3 Views-Lt | $430.64 | $769.00 | $130.04–$730.55 | — | 44% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Min 3 Views-Rt | $430.64 | $769.00 | $130.04–$730.55 | — | 44% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip-2-3 Views-Lt | $308.56 | $551.00 | $93.17–$523.45 | 29% above | 44% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip-2-3 Views-Rt | $308.56 | $551.00 | $93.17–$523.45 | 29% above | 44% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip-2-3 Views-Rt | $308.56 | $551.00 | $93.17–$523.45 | — | 44% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip-2-3 Views-Lt | $308.56 | $551.00 | $93.17–$523.45 | — | 44% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen Single View | $324.24 | $579.00 | $97.91–$550.05 | 39% above | 44% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen Single View | $324.24 | $579.00 | $97.91–$550.05 | — | 44% |
| X-ray of the ankle, 2 views CPT 73600 Ankle 2 Views-Bil | $694.40 | $1,240.00 | $82.60–$107.38 | 199% above | 44% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 Views-Rt | $477.12 | $852.00 | $144.07–$809.40 | 105% above | 44% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 Views-Lt | $477.12 | $852.00 | $144.07–$809.40 | 105% above | 44% |
| X-ray of the ankle, 2 views inpatient CPT 73600 Ankle 2 Views-Bil | $694.40 | $1,240.00 | $82.60–$107.38 | — | 44% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle 2 Views-Lt | $477.12 | $852.00 | $144.07–$809.40 | — | 44% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle 2 Views-Rt | $477.12 | $852.00 | $144.07–$809.40 | — | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Fifth Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | 10% below | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Second Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | 10% below | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Third Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | 10% below | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand Thumb 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | 10% below | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand Second Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | 10% below | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand Fifth Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | 10% below | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand Fourth Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | 10% below | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Thumb 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | 10% below | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Fourth Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | 10% below | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand Third Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | 10% below | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Second Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | 51% above | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Thumb Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | 51% above | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Fifth Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | 51% above | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand Second Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | 51% above | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand Thumb Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | 51% above | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand Third Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | 51% above | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand Fifth Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | 51% above | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Fourth Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | 51% above | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand Fourth Digit Min 2 Views | $295.12 | $527.00 | $82.60–$107.38 | 51% above | 44% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Third Digit Min 2 Views | $295.12 | $527.00 | $82.60–$107.38 | 51% above | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Fifth Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Thumb 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand Thumb 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand Second Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand Fifth Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand Fourth Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Fourth Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Third Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Second Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand Third Digit 1 View Only | $175.84 | $314.00 | $53.10–$298.30 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Second Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand Thumb Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Fifth Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Thumb Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand Fourth Digit Min 2 Views | $295.12 | $527.00 | $82.60–$107.38 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand Second Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand Third Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand Fifth Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Fourth Digit Min 2 Views | $295.12 | $527.00 | $89.12–$500.65 | — | 44% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Third Digit Min 2 Views | $295.12 | $527.00 | $82.60–$107.38 | — | 44% |
| X-ray of the foot, 2 views CPT 73620 Foot 1 View Only-Bil | $378.00 | $675.00 | $114.14–$641.25 | 58% above | 44% |
| X-ray of the foot, 2 views CPT 73620 Foot 2 Views-Bil | $393.12 | $702.00 | $118.71–$666.90 | 65% above | 44% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 1 View Only-Lt | $365.12 | $652.00 | $110.25–$619.40 | 53% above | 44% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 1 View Only-Rt | $365.12 | $652.00 | $110.25–$619.40 | 53% above | 44% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 2 Views-Lt | $385.84 | $689.00 | $116.51–$654.55 | 62% above | 44% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 2 Views-Rt | $385.84 | $689.00 | $116.51–$654.55 | 62% above | 44% |
| X-ray of the foot, 2 views inpatient CPT 73620 Foot 1 View Only-Bil | $378.00 | $675.00 | $114.14–$641.25 | — | 44% |
| X-ray of the foot, 2 views inpatient CPT 73620 Foot 2 Views-Bil | $393.12 | $702.00 | $118.71–$666.90 | — | 44% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Foot 1 View Only-Lt | $365.12 | $652.00 | $110.25–$619.40 | — | 44% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Foot 1 View Only-Rt | $365.12 | $652.00 | $110.25–$619.40 | — | 44% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Foot 2 Views-Lt | $385.84 | $689.00 | $116.51–$654.55 | — | 44% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Foot 2 Views-Rt | $385.84 | $689.00 | $116.51–$654.55 | — | 44% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Foot Min 3 Views-Bil | $744.80 | $1,330.00 | $224.90–$1,263.50 | 156% above | 44% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Min 3 Views-Lt | $496.72 | $887.00 | $149.99–$842.65 | 70% above | 44% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Min 3 Views-Rt | $496.72 | $887.00 | $149.99–$842.65 | 70% above | 44% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot Min 3 Views-Bil | $744.80 | $1,330.00 | $224.90–$1,263.50 | — | 44% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Min 3 Views-Rt | $496.72 | $887.00 | $149.99–$842.65 | — | 44% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Min 3 Views-Lt | $496.72 | $887.00 | $149.99–$842.65 | — | 44% |
| X-ray of the hand, 3 or more views CPT 73130 Hand Min 3 Views-Bil | $591.36 | $1,056.00 | $178.57–$1,003.20 | 113% above | 44% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3 Views-Rt | $394.24 | $704.00 | $119.05–$668.80 | 42% above | 44% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3 Views-Lt | $394.24 | $704.00 | $119.05–$668.80 | 42% above | 44% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hand Min 3 Views-Bil | $591.36 | $1,056.00 | $178.57–$1,003.20 | — | 44% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Min 3 Views-Lt | $394.24 | $704.00 | $119.05–$668.80 | — | 44% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Min 3 Views-Rt | $394.24 | $704.00 | $119.05–$668.80 | — | 44% |
| X-ray of the knee, 1 or 2 views CPT 73560 Knee 1 or 2 Views-Bil | $616.00 | $1,100.00 | $82.60–$107.38 | 158% above | 44% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 or 2 Views-Lt | $411.04 | $734.00 | $124.12–$697.30 | 72% above | 44% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 or 2 Views-Rt | $411.04 | $734.00 | $124.12–$697.30 | 72% above | 44% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee 1 or 2 Views-Bil | $616.00 | $1,100.00 | $82.60–$107.38 | — | 44% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 1 or 2 Views-Rt | $411.04 | $734.00 | $124.12–$697.30 | — | 44% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 1 or 2 Views-Lt | $411.04 | $734.00 | $124.12–$697.30 | — | 44% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbosacral 2 or 3 Views | $454.72 | $812.00 | $137.31–$771.40 | 51% above | 44% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Spine Lumbosacral 2 or 3 Views | $454.72 | $812.00 | $137.31–$771.40 | — | 44% |
| X-ray of the lower back, 4 or more views CPT 72110 Spine Lumbosacral Min 4 Views | $701.68 | $1,253.00 | $211.88–$1,190.35 | 53% above | 44% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Spine Lumbosacral Min 4 Views | $701.68 | $1,253.00 | $211.88–$1,190.35 | — | 44% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2 Views | $434.00 | $775.00 | $131.05–$736.25 | 46% above | 44% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Spine Thoracic 2 Views | $434.00 | $775.00 | $131.05–$736.25 | — | 44% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Complte Less 3 Views | $426.72 | $762.00 | $128.85–$723.90 | 37% above | 44% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Complte Min 3 Views | $556.64 | $994.00 | $168.09–$944.30 | 79% above | 44% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Complte Less 3 Views | $426.72 | $762.00 | $128.85–$723.90 | — | 44% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Complte Min 3 Views | $556.64 | $994.00 | $168.09–$944.30 | — | 44% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 2-3 Views | $458.08 | $818.00 | $138.32–$777.10 | 47% above | 44% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Spine Cervical 2-3 Views | $458.08 | $818.00 | $138.32–$777.10 | — | 44% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 or 2 Views | $330.40 | $590.00 | $99.77–$560.50 | 29% above | 44% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 or 2 Views | $330.40 | $590.00 | $99.77–$560.50 | — | 44% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum and Coccyx Min 2 Views | $286.72 | $512.00 | $86.58–$486.40 | 8% above | 44% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum and Coccyx Min 2 Views | $286.72 | $512.00 | $86.58–$486.40 | — | 44% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 211 Acth-Ref-Qu | $73.36 | $131.00 | $33.01–$124.45 | 31% below | 44% |
| ACTH blood test inpatient CPT 82024 211 Acth-Ref-Qu | $73.36 | $131.00 | $33.01–$124.45 | — | 44% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amino (Alt) (Sgpt) | $57.12 | $102.00 | $25.70–$96.90 | 31% above | 44% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amnio (Alt) (Sgpt)-Ref | $58.24 | $104.00 | $26.21–$98.80 | 34% above | 44% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Amino (Alt) (Sgpt) | $57.12 | $102.00 | $25.70–$96.90 | — | 44% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Amnio (Alt) (Sgpt)-Ref | $58.24 | $104.00 | $26.21–$98.80 | — | 44% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot-Ast | $56.56 | $101.00 | $25.45–$95.95 | 24% above | 44% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgot-Ast | $56.56 | $101.00 | $25.45–$95.95 | — | 44% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel | $383.60 | $685.00 | $47.63–$86.70 | 39% above | 44% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel | $383.60 | $685.00 | $47.63–$86.70 | — | 44% |
| Albumin blood test CPT 82040 7558 Assay of Albumin-Ref-Qu | $9.52 | $17.00 | $4.28–$16.15 | 70% below | 44% |
| Albumin blood test CPT 82040 37581 Serum Albumin-Ref-Qu | $9.52 | $17.00 | $4.95–$9.21 | 70% below | 44% |
| Albumin blood test CPT 82040 Assay of Serum Albumin | $54.88 | $98.00 | $24.70–$93.10 | 72% above | 44% |
| Albumin blood test CPT 82040 Assay of Serum Albumin-Ref | $60.48 | $108.00 | $4.95–$9.21 | 89% above | 44% |
| Albumin blood test inpatient CPT 82040 37581 Serum Albumin-Ref-Qu | $9.52 | $17.00 | $4.95–$9.21 | — | 44% |
| Albumin blood test inpatient CPT 82040 7558 Assay of Albumin-Ref-Qu | $9.52 | $17.00 | $4.28–$16.15 | — | 44% |
| Albumin blood test inpatient CPT 82040 Assay of Serum Albumin | $54.88 | $98.00 | $24.70–$93.10 | — | 44% |
| Albumin blood test inpatient CPT 82040 Assay of Serum Albumin-Ref | $60.48 | $108.00 | $4.95–$9.21 | — | 44% |
| Aldosterone blood test CPT 82088 17181/19552/16845 Assay of Aldosterone Hormone-Ref-Qu | $77.28 | $138.00 | $34.78–$131.10 | 15% below | 44% |
| Aldosterone blood test CPT 82088 Assay of Aldosterone-Ref | $208.32 | $372.00 | $93.74–$353.40 | 130% above | 44% |
| Aldosterone blood test inpatient CPT 82088 17181/19552/16845 Assay of Aldosterone Hormone-Ref-Qu | $77.28 | $138.00 | $34.78–$131.10 | — | 44% |
| Aldosterone blood test inpatient CPT 82088 Assay of Aldosterone-Ref | $208.32 | $372.00 | $93.74–$353.40 | — | 44% |
| Alkaline phosphatase (ALP) blood test CPT 84075 17514 Assay Alkaline Phosphatase-Ref-Qu | $11.76 | $21.00 | $5.29–$19.95 | 63% below | 44% |
| Alkaline phosphatase (ALP) blood test CPT 84075 231 Alkaline Phosphatase-Ref-Qu | $19.04 | $34.00 | $8.57–$32.30 | 40% below | 44% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Assay Alkaline Phosphatase | $46.48 | $83.00 | $20.92–$78.85 | 48% above | 44% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 17514 Assay Alkaline Phosphatase-Ref-Qu | $11.76 | $21.00 | $5.29–$19.95 | — | 44% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 231 Alkaline Phosphatase-Ref-Qu | $19.04 | $34.00 | $8.57–$32.30 | — | 44% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Assay Alkaline Phosphatase | $46.48 | $83.00 | $20.92–$78.85 | — | 44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allg Spec Ige Crude Xtrc Ea-Ref-Qu | $5.60 | $10.00 | $2.52–$9.50 | 71% below | 44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allg Sepc Ige Crude Xtrc Ea-Ref-Qu | $10.08 | $18.00 | $4.54–$17.10 | 47% below | 44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Antibody Crude Xtrc Ea-Ref-Qu | $34.16 | $61.00 | $5.22–$9.72 | 80% above | 44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 30531 Allergen, Pepper, Cayenne-Ref-Qu | $34.16 | $61.00 | $15.37–$57.95 | 80% above | 44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 94463 Tree Nut Panel Igg-Ref-Qu | $48.72 | $87.00 | $5.22–$9.72 | 156% above | 44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 900534 Allg Sepc Ige Crude Xtrc -Ref-Qu | $52.64 | $94.00 | $5.22–$9.72 | 177% above | 44% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg Spec Ige Crude Xtrc Ea-Ref-Qu | $5.60 | $10.00 | $2.52–$9.50 | — | 44% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg Sepc Ige Crude Xtrc Ea-Ref-Qu | $10.08 | $18.00 | $4.54–$17.10 | — | 44% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Antibody Crude Xtrc Ea-Ref-Qu | $34.16 | $61.00 | $5.22–$9.72 | — | 44% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 30531 Allergen, Pepper, Cayenne-Ref-Qu | $34.16 | $61.00 | $15.37–$57.95 | — | 44% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 94463 Tree Nut Panel Igg-Ref-Qu | $48.72 | $87.00 | $5.22–$9.72 | — | 44% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 900534 Allg Sepc Ige Crude Xtrc -Ref-Qu | $52.64 | $94.00 | $5.22–$9.72 | — | 44% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein Serum-Ref-Qu | $31.92 | $57.00 | $16.77–$31.20 | 50% below | 44% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein Serum-Ref-Qu | $31.92 | $57.00 | $16.77–$31.20 | — | 44% |
| Ammonia blood test CPT 82140 442 Assay of Ammonia-Ref-Qu | $16.24 | $29.00 | $14.57–$27.11 | 77% below | 44% |
| Ammonia blood test CPT 82140 Ammonia | $95.76 | $171.00 | $14.57–$27.11 | 37% above | 44% |
| Ammonia blood test inpatient CPT 82140 442 Assay of Ammonia-Ref-Qu | $16.24 | $29.00 | $14.57–$27.11 | — | 44% |
| Ammonia blood test inpatient CPT 82140 Ammonia | $95.76 | $171.00 | $14.57–$27.11 | — | 44% |
| Amylase blood test CPT 82150 Peritoneal or Body Fluid Amylase Assay-Ref–Qu or Genedx | $12.32 | $22.00 | $5.54–$20.90 | 77% below | 44% |
| Amylase blood test CPT 82150 Assay of Amylase | $92.40 | $165.00 | $41.58–$156.75 | 70% above | 44% |
| Amylase blood test CPT 82150 Assay of Amylase-Ref | $117.60 | $210.00 | $6.48–$12.07 | 117% above | 44% |
| Amylase blood test inpatient CPT 82150 Peritoneal or Body Fluid Amylase Assay-Ref–Qu or Genedx | $12.32 | $22.00 | $5.54–$20.90 | — | 44% |
| Amylase blood test inpatient CPT 82150 Assay of Amylase | $92.40 | $165.00 | $41.58–$156.75 | — | 44% |
| Amylase blood test inpatient CPT 82150 Assay of Amylase-Ref | $117.60 | $210.00 | $6.48–$12.07 | — | 44% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 17669 Cyclic Citrulline Peptide-Ref-Qu | $17.92 | $32.00 | $8.06–$30.40 | 76% below | 44% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 11173 Cyclic Citrulline Peptide-Ref-Qu | $21.84 | $39.00 | $12.95–$24.08 | 70% below | 44% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 36378 Cyclic Citrulline Peptide-Ref-Qu | $34.72 | $62.00 | $12.95–$24.08 | 53% below | 44% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 17669 Cyclic Citrulline Peptide-Ref-Qu | $17.92 | $32.00 | $8.06–$30.40 | — | 44% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 11173 Cyclic Citrulline Peptide-Ref-Qu | $21.84 | $39.00 | $12.95–$24.08 | — | 44% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 36378 Cyclic Citrulline Peptide-Ref-Qu | $34.72 | $62.00 | $12.95–$24.08 | — | 44% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 249 Antinuclear Antibodies-Ref-Qu | $22.96 | $41.00 | $10.33–$38.95 | 55% below | 44% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 90136 Antinuclear Antibodies-Ref-Qu | $26.32 | $47.00 | $11.84–$44.65 | 48% below | 44% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab Autoimmune-Ref-Qu | $27.44 | $49.00 | $12.35–$46.55 | 46% below | 44% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 19880 Antinuclear Antibodies-Ref-Qu | $29.68 | $53.00 | $13.36–$50.35 | 41% below | 44% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 36378 Antinuclear Antibodies-Ref-Qu | $34.72 | $62.00 | $12.09–$22.48 | 31% below | 44% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies-Ref | $126.00 | $225.00 | $56.70–$213.75 | 150% above | 44% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies | $127.12 | $227.00 | $57.20–$215.65 | 152% above | 44% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 249 Antinuclear Antibodies-Ref-Qu | $22.96 | $41.00 | $10.33–$38.95 | — | 44% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 90136 Antinuclear Antibodies-Ref-Qu | $26.32 | $47.00 | $11.84–$44.65 | — | 44% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab Autoimmune-Ref-Qu | $27.44 | $49.00 | $12.35–$46.55 | — | 44% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 19880 Antinuclear Antibodies-Ref-Qu | $29.68 | $53.00 | $13.36–$50.35 | — | 44% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 36378 Antinuclear Antibodies-Ref-Qu | $34.72 | $62.00 | $12.09–$22.48 | — | 44% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies-Ref | $126.00 | $225.00 | $56.70–$213.75 | — | 44% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies | $127.12 | $227.00 | $57.20–$215.65 | — | 44% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 11188 Bnp-Brain Naturetic Peptide Level-Ref-Qu | $74.48 | $133.00 | $33.52–$126.35 | 35% below | 44% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of Natriuretic Peptide-Ref | $161.28 | $288.00 | $39.26–$63.16 | 41% above | 44% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp-Brain Naturetic Peptide | $175.84 | $314.00 | $39.26–$63.16 | 54% above | 44% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 11188 Bnp-Brain Naturetic Peptide Level-Ref-Qu | $74.48 | $133.00 | $33.52–$126.35 | — | 44% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of Natriuretic Peptide-Ref | $161.28 | $288.00 | $39.26–$63.16 | — | 44% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Bnp-Brain Naturetic Peptide | $175.84 | $314.00 | $39.26–$63.16 | — | 44% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 1273 Culture Other Specimn Aerobic-Ref-Qu | $14.56 | $26.00 | $6.55–$24.70 | 80% below | 44% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Othr Specimn Aerobic | $117.60 | $210.00 | $8.62–$16.02 | 64% above | 44% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Other Specimn Aerobic-Ref | $123.76 | $221.00 | $55.69–$209.95 | 72% above | 44% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 1273 Culture Other Specimn Aerobic-Ref-Qu | $14.56 | $26.00 | $6.55–$24.70 | — | 44% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Othr Specimn Aerobic | $117.60 | $210.00 | $8.62–$16.02 | — | 44% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Other Specimn Aerobic-Ref | $123.76 | $221.00 | $55.69–$209.95 | — | 44% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $160.72 | $287.00 | $72.32–$272.65 | 25% above | 44% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $160.72 | $287.00 | $72.32–$272.65 | — | 44% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $50.96 | $91.00 | $22.93–$86.45 | 6% above | 44% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total-Ref | $62.16 | $111.00 | $27.97–$105.45 | 30% above | 44% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $50.96 | $91.00 | $22.93–$86.45 | — | 44% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total-Ref | $62.16 | $111.00 | $27.97–$105.45 | — | 44% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $61.60 | $110.00 | $50.12–$65.16 | 66% below | 44% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical Level IV | $321.44 | $574.00 | $51.93–$77.54 | 80% above | 44% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $61.60 | $110.00 | $50.12–$65.16 | — | 44% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgical Level IV | $321.44 | $574.00 | $51.93–$77.54 | — | 44% |
| Blood culture for bacteria CPT 87040 Blood Culture | $160.72 | $287.00 | $72.32–$272.65 | 6% above | 44% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $160.72 | $287.00 | $72.32–$272.65 | — | 44% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $30.24 | $54.00 | $13.61–$51.30 | 241% above | 44% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $30.24 | $54.00 | $13.61–$51.30 | — | 44% |
| Blood glucose (sugar) test CPT 82947 Assay Glucose Blood Quant | $44.80 | $80.00 | $20.16–$76.00 | 25% above | 44% |
| Blood glucose (sugar) test inpatient CPT 82947 Assay Glucose Blood Quant | $44.80 | $80.00 | $20.16–$76.00 | — | 44% |
| Blood lead test CPT 83655 599 Assay of Lead-Ref-Qu | $22.96 | $41.00 | $10.33–$38.95 | 36% below | 44% |
| Blood lead test CPT 83655 35386 Assay of Lead-Ref-Qu | $33.60 | $60.00 | $15.12–$57.00 | 6% below | 44% |
| Blood lead test inpatient CPT 83655 599 Assay of Lead-Ref-Qu | $22.96 | $41.00 | $10.33–$38.95 | — | 44% |
| Blood lead test inpatient CPT 83655 35386 Assay of Lead-Ref-Qu | $33.60 | $60.00 | $15.12–$57.00 | — | 44% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic Gonadotropin Assay-POC | $140.00 | $250.00 | $63.00–$237.50 | 15% above | 44% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic Gonadotropin Assay | $140.00 | $250.00 | $7.52–$13.97 | 15% above | 44% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic Gonadotropin Assay | $140.00 | $250.00 | $7.52–$13.97 | — | 44% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic Gonadotropin Assay-POC | $140.00 | $250.00 | $63.00–$237.50 | — | 44% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo | $108.08 | $193.00 | $48.64–$183.35 | 108% above | 44% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic Abo | $108.08 | $193.00 | $48.64–$183.35 | — | 44% |
| Blood urea nitrogen (BUN) test CPT 84520 Assay of Urea Nitrogen | $44.24 | $79.00 | $19.91–$75.05 | at median | 44% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Assay of Urea Nitrogen | $44.24 | $79.00 | $19.91–$75.05 | — | 44% |
| C-peptide blood test CPT 84681 36509 Assay of C-Peptide-Ref-Qu | $30.80 | $55.00 | $13.86–$52.25 | 59% below | 44% |
| C-peptide blood test CPT 84681 372 Assay of C-Peptide-Ref-Qu | $39.76 | $71.00 | $17.89–$67.45 | 47% below | 44% |
| C-peptide blood test inpatient CPT 84681 36509 Assay of C-Peptide-Ref-Qu | $30.80 | $55.00 | $13.86–$52.25 | — | 44% |
| C-peptide blood test inpatient CPT 84681 372 Assay of C-Peptide-Ref-Qu | $39.76 | $71.00 | $17.89–$67.45 | — | 44% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 4420 C-Reactive Protein-Ref-Qu | $6.16 | $11.00 | $2.77–$10.45 | 90% below | 44% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein-Ref | $74.48 | $133.00 | $33.52–$126.35 | 23% above | 44% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $75.04 | $134.00 | $33.77–$127.30 | 24% above | 44% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 4420 C-Reactive Protein-Ref-Qu | $6.16 | $11.00 | $2.77–$10.45 | — | 44% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein-Ref | $74.48 | $133.00 | $33.52–$126.35 | — | 44% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $75.04 | $134.00 | $33.77–$127.30 | — | 44% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe | $44.80 | $80.00 | $20.16–$76.00 | 64% below | 44% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe-Ref | $103.04 | $184.00 | $46.37–$174.80 | 18% below | 44% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe | $44.80 | $80.00 | $20.16–$76.00 | — | 44% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe-Ref | $103.04 | $184.00 | $46.37–$174.80 | — | 44% |
| CA 19-9 blood test (tumor marker) CPT 86301 4698 Ca 19-9 Tumor Ag Quantitative-Ref-Qu | $39.76 | $71.00 | $17.89–$67.45 | 55% below | 44% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9-Ref | $136.08 | $243.00 | $20.81–$38.70 | 53% above | 44% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 4698 Ca 19-9 Tumor Ag Quantitative-Ref-Qu | $39.76 | $71.00 | $17.89–$67.45 | — | 44% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9-Ref | $136.08 | $243.00 | $20.81–$38.70 | — | 44% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 29256x Ca-125 Antigen-Ref-Qu | $39.76 | $71.00 | $17.89–$67.45 | 53% below | 44% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 29256x Ca-125 Antigen-Ref-Qu | $39.76 | $71.00 | $17.89–$67.45 | — | 44% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb | $44.80 | $80.00 | $20.16–$76.00 | 50% below | 44% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb-Ref | $82.32 | $147.00 | $37.04–$139.65 | 8% below | 44% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb | $44.80 | $80.00 | $20.16–$76.00 | — | 44% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb-Ref | $82.32 | $147.00 | $37.04–$139.65 | — | 44% |
| Calcium blood test, total CPT 82310 Assay of Calcium-Ref | $50.96 | $91.00 | $5.16–$9.59 | 25% above | 44% |
| Calcium blood test, total CPT 82310 Assay of Calcium | $50.96 | $91.00 | $22.93–$86.45 | 25% above | 44% |
| Calcium blood test, total inpatient CPT 82310 Assay of Calcium-Ref | $50.96 | $91.00 | $5.16–$9.59 | — | 44% |
| Calcium blood test, total inpatient CPT 82310 Assay of Calcium | $50.96 | $91.00 | $22.93–$86.45 | — | 44% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $184.24 | $329.00 | $18.96–$35.29 | 22% above | 44% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $184.24 | $329.00 | $18.96–$35.29 | — | 44% |
| Chickenpox (varicella) immunity blood test CPT 86787 4439 Varicella-Zoster Igg Antibody-Ref-Qu | $24.64 | $44.00 | $11.09–$41.80 | 52% below | 44% |
| Chickenpox (varicella) immunity blood test CPT 86787 37612 Varicella-Zoster Antibody CSF-Ref-Qu | $53.20 | $95.00 | $23.94–$90.25 | 3% above | 44% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Antibody-Ref | $94.08 | $168.00 | $42.34–$159.60 | 83% above | 44% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 4439 Varicella-Zoster Igg Antibody-Ref-Qu | $24.64 | $44.00 | $11.09–$41.80 | — | 44% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 37612 Varicella-Zoster Antibody CSF-Ref-Qu | $53.20 | $95.00 | $23.94–$90.25 | — | 44% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Antibody-Ref | $94.08 | $168.00 | $42.34–$159.60 | — | 44% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 15031 Chylmd Trach Dna Amp Probe-Ref-Qu | $66.64 | $119.00 | $29.99–$113.05 | 38% below | 44% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd Trach Dna Amp Probe-Ref | $96.32 | $172.00 | $43.34–$163.40 | 11% below | 44% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd Trach Dna Amp Probe | $211.12 | $377.00 | $30.56–$45.62 | 96% above | 44% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 15031 Chylmd Trach Dna Amp Probe-Ref-Qu | $66.64 | $119.00 | $29.99–$113.05 | — | 44% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd Trach Dna Amp Probe-Ref | $96.32 | $172.00 | $43.34–$163.40 | — | 44% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd Trach Dna Amp Probe | $211.12 | $377.00 | $30.56–$45.62 | — | 44% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 94220 Lipid Panel-Ref-Qu | $45.36 | $81.00 | $20.41–$76.95 | 46% below | 44% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel-Ref | $142.24 | $254.00 | $64.01–$241.30 | 69% above | 44% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile | $164.64 | $294.00 | $74.09–$279.30 | 96% above | 44% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 94220 Lipid Panel-Ref-Qu | $45.36 | $81.00 | $20.41–$76.95 | — | 44% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel-Ref | $142.24 | $254.00 | $64.01–$241.30 | — | 44% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile | $164.64 | $294.00 | $74.09–$279.30 | — | 44% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W/Pit and Diff | $126.00 | $225.00 | $7.77–$14.45 | 24% above | 44% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W/Pit and Diff | $126.00 | $225.00 | $7.77–$14.45 | — | 44% |
| Complete blood count (CBC), no differential CPT 85027 Cbc W'pit W/O Diff | $77.84 | $139.00 | $6.47–$12.05 | 22% above | 44% |
| Complete blood count (CBC), no differential CPT 85027 Complete Cbc Automated-Ref | $80.08 | $143.00 | $36.04–$135.85 | 25% above | 44% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc W'pit W/O Diff | $77.84 | $139.00 | $6.47–$12.05 | — | 44% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Cbc Automated-Ref | $80.08 | $143.00 | $36.04–$135.85 | — | 44% |
| Comprehensive metabolic panel (blood test) CPT 80053 10231 Quest Chantilly Only Comp Metabolic Panel-Ref-Qu | $20.16 | $36.00 | $9.07–$34.20 | 87% below | 44% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comp Metabolic Panel | $334.32 | $597.00 | $150.44–$567.15 | 116% above | 44% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 10231 Quest Chantilly Only Comp Metabolic Panel-Ref-Qu | $20.16 | $36.00 | $9.07–$34.20 | — | 44% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comp Metabolic Panel | $334.32 | $597.00 | $150.44–$567.15 | — | 44% |
| Cortisol blood test, total CPT 82533 398 Total Cortisol-Ref-Qu | $47.04 | $84.00 | $21.17–$79.80 | 48% below | 44% |
| Cortisol blood test, total CPT 82533 96 Total Cortisol-Ref-Qu | $55.44 | $99.00 | $24.95–$94.05 | 39% below | 44% |
| Cortisol blood test, total CPT 82533 90398 Total Cortisol-Ref-Qu | $86.24 | $154.00 | $38.81–$146.30 | 5% below | 44% |
| Cortisol blood test, total CPT 82533 Total Cortisol-Ref | $119.84 | $214.00 | $53.93–$203.30 | 32% above | 44% |
| Cortisol blood test, total CPT 82533 Total Cortisol | $175.84 | $314.00 | $16.30–$30.33 | 94% above | 44% |
| Cortisol blood test, total inpatient CPT 82533 398 Total Cortisol-Ref-Qu | $47.04 | $84.00 | $21.17–$79.80 | — | 44% |
| Cortisol blood test, total inpatient CPT 82533 96 Total Cortisol-Ref-Qu | $55.44 | $99.00 | $24.95–$94.05 | — | 44% |
| Cortisol blood test, total inpatient CPT 82533 90398 Total Cortisol-Ref-Qu | $86.24 | $154.00 | $38.81–$146.30 | — | 44% |
| Cortisol blood test, total inpatient CPT 82533 Total Cortisol-Ref | $119.84 | $214.00 | $53.93–$203.30 | — | 44% |
| Cortisol blood test, total inpatient CPT 82533 Total Cortisol | $175.84 | $314.00 | $16.30–$30.33 | — | 44% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK | $72.80 | $130.00 | $32.76–$123.50 | 6% above | 44% |
| Creatine kinase (CK) blood test, total CPT 82550 Assay of CK (Cok)-Ref | $76.72 | $137.00 | $6.51–$12.11 | 11% above | 44% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK | $72.80 | $130.00 | $32.76–$123.50 | — | 44% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Assay of CK (Cok)-Ref | $76.72 | $137.00 | $6.51–$12.11 | — | 44% |
| Creatinine blood test CPT 82565 Creatinine | $56.00 | $100.00 | $5.12–$9.54 | 7% above | 44% |
| Creatinine blood test inpatient CPT 82565 Creatinine | $56.00 | $100.00 | $5.12–$9.54 | — | 44% |
| Cytomegalovirus (CMV) antibody test CPT 86644 403 Cmv Igg Antibody-Ref-Qu | $27.44 | $49.00 | $12.35–$46.55 | 45% below | 44% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Antibody-Ref | $126.56 | $226.00 | $14.39–$26.72 | 154% above | 44% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 403 Cmv Igg Antibody-Ref-Qu | $27.44 | $49.00 | $12.35–$46.55 | — | 44% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Antibody-Ref | $126.56 | $226.00 | $14.39–$26.72 | — | 44% |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin Degradation Quant-Ref | $146.16 | $261.00 | $65.77–$247.95 | at median | 44% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer; Quant | $152.88 | $273.00 | $68.80–$259.35 | 5% above | 44% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin Degradation Quant-Ref | $146.16 | $261.00 | $65.77–$247.95 | — | 44% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer; Quant | $152.88 | $273.00 | $68.80–$259.35 | — | 44% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 4002x Dhea Sulfate-Ref-Qu | $42.56 | $76.00 | $19.15–$72.20 | 59% below | 44% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 4002x Dhea Sulfate-Ref-Qu | $42.56 | $76.00 | $19.15–$72.20 | — | 44% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 30427x Drug Screen Meconium-Ref-Qu | $92.40 | $165.00 | $41.58–$156.75 | 91% above | 44% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for Presence of Drug Chem Analyzer-Ref-Qu | $117.60 | $210.00 | $62.14–$108.45 | 142% above | 44% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 39366 Drug Test Prsmv Chem Anlyzr-Ref-Qu | $117.60 | $210.00 | $62.14–$108.45 | 142% above | 44% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 15712 Clonaxepam Screen Urine-Ref-Qu | $129.92 | $232.00 | $58.46–$220.40 | 168% above | 44% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Prsmv Chem Anlyzr-Ref | $260.40 | $465.00 | $62.14–$108.45 | 437% above | 44% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Prsmv Chem Anlyzr | $318.64 | $569.00 | $143.39–$540.55 | 557% above | 44% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 30427x Drug Screen Meconium-Ref-Qu | $92.40 | $165.00 | $41.58–$156.75 | — | 44% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for Presence of Drug Chem Analyzer-Ref-Qu | $117.60 | $210.00 | $62.14–$108.45 | — | 44% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 39366 Drug Test Prsmv Chem Anlyzr-Ref-Qu | $117.60 | $210.00 | $62.14–$108.45 | — | 44% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 15712 Clonaxepam Screen Urine-Ref-Qu | $129.92 | $232.00 | $58.46–$220.40 | — | 44% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Test Prsmv Chem Anlyzr-Ref | $260.40 | $465.00 | $62.14–$108.45 | — | 44% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Test Prsmv Chem Anlyzr | $318.64 | $569.00 | $143.39–$540.55 | — | 44% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes, Serum | $123.76 | $221.00 | $7.01–$12.82 | 60% above | 44% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes, Serum | $123.76 | $221.00 | $7.01–$12.82 | — | 44% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 6421 Epstein-Barr Capsid Vca-Ref-Qu | $31.92 | $57.00 | $14.36–$54.15 | 53% below | 44% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 8474 Epstein-Barr Capsid Vca-Ref-Qu | $34.72 | $62.00 | $15.62–$58.90 | 49% below | 44% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Barr Capsid Vca-Ref | $83.44 | $149.00 | $37.55–$141.55 | 24% above | 44% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 6421 Epstein-Barr Capsid Vca-Ref-Qu | $31.92 | $57.00 | $14.36–$54.15 | — | 44% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 8474 Epstein-Barr Capsid Vca-Ref-Qu | $34.72 | $62.00 | $15.62–$58.90 | — | 44% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Capsid Vca-Ref | $83.44 | $149.00 | $37.55–$141.55 | — | 44% |
| Estradiol blood test CPT 82670 4021 Estradiol-Ref-Qu | $52.08 | $93.00 | $23.44–$88.35 | 55% below | 44% |
| Estradiol blood test CPT 82670 30289 Assay of Total Estradiol-Ref-Qu | $53.20 | $95.00 | $27.94–$44.30 | 54% below | 44% |
| Estradiol blood test CPT 82670 Assay of Total Estradiol | $269.92 | $482.00 | $121.46–$457.90 | 131% above | 44% |
| Estradiol blood test inpatient CPT 82670 4021 Estradiol-Ref-Qu | $52.08 | $93.00 | $23.44–$88.35 | — | 44% |
| Estradiol blood test inpatient CPT 82670 30289 Assay of Total Estradiol-Ref-Qu | $53.20 | $95.00 | $27.94–$44.30 | — | 44% |
| Estradiol blood test inpatient CPT 82670 Assay of Total Estradiol | $269.92 | $482.00 | $121.46–$457.90 | — | 44% |
| FSH (follicle-stimulating hormone) test CPT 83001 36087 Fsh Pediatric-Ref-Qu | $26.32 | $47.00 | $11.84–$44.65 | 72% below | 44% |
| FSH (follicle-stimulating hormone) test CPT 83001 470 Assay of Gonado Tropin (Fsh)-Ref-Qu | $35.28 | $63.00 | $18.58–$34.58 | 62% below | 44% |
| FSH (follicle-stimulating hormone) test CPT 83001 Assay of Gonado Tropin (Fsh)-Ref | $210.00 | $375.00 | $94.50–$356.25 | 126% above | 44% |
| FSH (follicle-stimulating hormone) test CPT 83001 Assay of Gonadotropin (Fsh) | $340.48 | $608.00 | $153.22–$577.60 | 266% above | 44% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 36087 Fsh Pediatric-Ref-Qu | $26.32 | $47.00 | $11.84–$44.65 | — | 44% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 470 Assay of Gonado Tropin (Fsh)-Ref-Qu | $35.28 | $63.00 | $18.58–$34.58 | — | 44% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay of Gonado Tropin (Fsh)-Ref | $210.00 | $375.00 | $94.50–$356.25 | — | 44% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay of Gonadotropin (Fsh) | $340.48 | $608.00 | $153.22–$577.60 | — | 44% |
| Fecal calprotectin (stool inflammation test) CPT 83993 16796 Calprotectin Stool-Ref-Qu | $21.84 | $39.00 | $19.63–$36.51 | 87% below | 44% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 16796 Calprotectin Stool-Ref-Qu | $21.84 | $39.00 | $19.63–$36.51 | — | 44% |
| Ferritin blood test (iron stores) CPT 82728 17365 Ferritin-Ref-Qu | $15.12 | $27.00 | $6.80–$25.65 | 82% below | 44% |
| Ferritin blood test (iron stores) CPT 82728 Assay of Ferritin-Ref | $148.96 | $266.00 | $13.63–$25.34 | 75% above | 44% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $161.28 | $288.00 | $72.58–$273.60 | 89% above | 44% |
| Ferritin blood test (iron stores) inpatient CPT 82728 17365 Ferritin-Ref-Qu | $15.12 | $27.00 | $6.80–$25.65 | — | 44% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Assay of Ferritin-Ref | $148.96 | $266.00 | $13.63–$25.34 | — | 44% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $161.28 | $288.00 | $72.58–$273.60 | — | 44% |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity | $90.16 | $161.00 | $40.57–$152.95 | 5% above | 44% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity | $90.16 | $161.00 | $40.57–$152.95 | — | 44% |
| Folate (folic acid) blood test CPT 82746 Asay of Folic Acid Serum-Ref | $122.08 | $218.00 | $54.94–$207.10 | 42% above | 44% |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid, | $181.44 | $324.00 | $81.65–$307.80 | 112% above | 44% |
| Folate (folic acid) blood test inpatient CPT 82746 Asay of Folic Acid Serum-Ref | $122.08 | $218.00 | $54.94–$207.10 | — | 44% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid, | $181.44 | $324.00 | $81.65–$307.80 | — | 44% |
| Free T3 thyroid hormone test CPT 84481 34429 Free Triiodothyroxine (T3)-Ref-Qu | $32.48 | $58.00 | $16.94–$31.52 | 62% below | 44% |
| Free T3 thyroid hormone test inpatient CPT 84481 34429 Free Triiodothyroxine (T3)-Ref-Qu | $32.48 | $58.00 | $16.94–$31.52 | — | 44% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 35167 Assay of Free Thyroxine-Ref-Qu | $10.08 | $18.00 | $9.02–$16.78 | 84% below | 44% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of Free Thyroxine-Ref | $110.88 | $198.00 | $49.90–$188.10 | 72% above | 44% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of Free Thyroxine | $143.36 | $256.00 | $9.02–$16.78 | 122% above | 44% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 35167 Assay of Free Thyroxine-Ref-Qu | $10.08 | $18.00 | $9.02–$16.78 | — | 44% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of Free Thyroxine-Ref | $110.88 | $198.00 | $49.90–$188.10 | — | 44% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of Free Thyroxine | $143.36 | $256.00 | $9.02–$16.78 | — | 44% |
| Free testosterone test CPT 84402 36170 Assay of Free Testosterone-Ref-Qu | $48.72 | $87.00 | $21.92–$82.65 | 31% below | 44% |
| Free testosterone test inpatient CPT 84402 36170 Assay of Free Testosterone-Ref-Qu | $48.72 | $87.00 | $21.92–$82.65 | — | 44% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay of Ggt | $32.48 | $58.00 | $7.20–$13.39 | 44% below | 44% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay of Ggt-Ref | $59.36 | $106.00 | $26.71–$100.70 | 2% above | 44% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Assay of Ggt | $32.48 | $58.00 | $7.20–$13.39 | — | 44% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Assay of Ggt-Ref | $59.36 | $106.00 | $26.71–$100.70 | — | 44% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 ‘@General Health Panel W/ Manual Diff | $566.16 | $1,011.00 | $170.96–$960.45 | 11% above | 44% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 '@General Health Panel W/Diff | $595.28 | $1,063.00 | $179.75–$1,009.85 | 17% above | 44% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 ‘@General Health Panel W/ Manual Diff | $566.16 | $1,011.00 | $170.96–$960.45 | — | 44% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 '@General Health Panel W/Diff | $595.28 | $1,063.00 | $179.75–$1,009.85 | — | 44% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucola Screen | $78.96 | $141.00 | $35.53–$133.95 | 102% above | 44% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucola Screen | $78.96 | $141.00 | $35.53–$133.95 | — | 44% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Panel Up to 3 Specimens | $53.76 | $96.00 | $24.19–$91.20 | 45% below | 44% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Panel Up to 3 Specimens | $53.76 | $96.00 | $24.19–$91.20 | — | 44% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N Gonorrhoeae Dna Amp Prob-Ref-Qu | $66.64 | $119.00 | $30.56–$45.62 | 28% below | 44% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhoeae Dna Amp Prob-Ref | $92.40 | $165.00 | $41.58–$156.75 | 1% below | 44% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhoeae Dna Amp Prob | $202.16 | $361.00 | $30.56–$45.62 | 117% above | 44% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N Gonorrhoeae Dna Amp Prob-Ref-Qu | $66.64 | $119.00 | $30.56–$45.62 | — | 44% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae Dna Amp Prob-Ref | $92.40 | $165.00 | $41.58–$156.75 | — | 44% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae Dna Amp Prob | $202.16 | $361.00 | $30.56–$45.62 | — | 44% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibody-Ref | $130.48 | $233.00 | $16.85–$27.00 | 3% below | 44% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Antibody-Ref | $130.48 | $233.00 | $16.85–$27.00 | — | 44% |
| H. pylori stool antigen test CPT 87338 34838 Helicob Pylori Ag Stool-Ref-Qu | $19.60 | $35.00 | $8.82–$33.25 | 82% below | 44% |
| H. pylori stool antigen test inpatient CPT 87338 34838 Helicob Pylori Ag Stool-Ref-Qu | $19.60 | $35.00 | $8.82–$33.25 | — | 44% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quant&Revrse Trnscrpj | $96.88 | $173.00 | $43.60–$164.35 | 58% below | 44% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 -Ref-Quanitative & Reverse Transcription-Ref-Qu | $161.28 | $288.00 | $72.58–$273.60 | 31% below | 44% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quant&Revrse Trnscrpj-Ref | $182.00 | $325.00 | $81.90–$308.75 | 22% below | 44% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Quant&Revrse Trnscrpj | $96.88 | $173.00 | $43.60–$164.35 | — | 44% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 -Ref-Quanitative & Reverse Transcription-Ref-Qu | $161.28 | $288.00 | $72.58–$273.60 | — | 44% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Quant&Revrse Trnscrpj-Ref | $182.00 | $325.00 | $81.90–$308.75 | — | 44% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2 1 Result Antbdy | $43.68 | $78.00 | $19.66–$74.10 | 23% below | 44% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/Hiv-2 1 Result Antbdy | $43.68 | $78.00 | $19.66–$74.10 | — | 44% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 91431 Hiv-1/2 Ag/Ab Differentiation S/Rflx-Ref-Qu | $24.64 | $44.00 | $11.09–$41.80 | 66% below | 44% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab-Ref | $62.16 | $111.00 | $24.08–$44.68 | 13% below | 44% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $136.08 | $243.00 | $24.08–$44.68 | 90% above | 44% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 91431 Hiv-1/2 Ag/Ab Differentiation S/Rflx-Ref-Qu | $24.64 | $44.00 | $11.09–$41.80 | — | 44% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab-Ref | $62.16 | $111.00 | $24.08–$44.68 | — | 44% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $136.08 | $243.00 | $24.08–$44.68 | — | 44% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 15095 Hpv Hi-Risk Typed Pooled Result-Ref-Qu | $24.64 | $44.00 | $11.09–$41.80 | 79% below | 44% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 19863 Hpv Hi-Risk Typ 16,18 Only Result Thinprep-Ref-Qu | $66.64 | $119.00 | $29.99–$113.05 | 44% below | 44% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 92211 E6/E7 Hpv Hi-Risk Typ Pooled Rslt-Ref | $66.64 | $119.00 | $30.38–$45.62 | 44% below | 44% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Hi-Risk Typ Pooled Rslt-Ref | $85.68 | $153.00 | $38.56–$145.35 | 28% below | 44% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 15095 Hpv Hi-Risk Typed Pooled Result-Ref-Qu | $24.64 | $44.00 | $11.09–$41.80 | — | 44% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 92211 E6/E7 Hpv Hi-Risk Typ Pooled Rslt-Ref | $66.64 | $119.00 | $30.38–$45.62 | — | 44% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 19863 Hpv Hi-Risk Typ 16,18 Only Result Thinprep-Ref-Qu | $66.64 | $119.00 | $29.99–$113.05 | — | 44% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Hi-Risk Typ Pooled Rslt-Ref | $85.68 | $153.00 | $38.56–$145.35 | — | 44% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin Test-Ref | $125.44 | $224.00 | $56.45–$212.80 | 71% above | 44% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin Test | $166.32 | $297.00 | $9.71–$18.05 | 126% above | 44% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin Test-Ref | $125.44 | $224.00 | $56.45–$212.80 | — | 44% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin Test | $166.32 | $297.00 | $9.71–$18.05 | — | 44% |
| Hemoglobin blood test CPT 85018 17365 Hemoglobin-Ref-Qu | $3.92 | $7.00 | $1.76–$6.65 | 84% below | 44% |
| Hemoglobin blood test CPT 85018 35489 Hemoglobin-Ref-Qu | $10.08 | $18.00 | $2.37–$4.41 | 58% below | 44% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $35.28 | $63.00 | $2.37–$4.41 | 47% above | 44% |
| Hemoglobin blood test inpatient CPT 85018 17365 Hemoglobin-Ref-Qu | $3.92 | $7.00 | $1.76–$6.65 | — | 44% |
| Hemoglobin blood test inpatient CPT 85018 35489 Hemoglobin-Ref-Qu | $10.08 | $18.00 | $2.37–$4.41 | — | 44% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $35.28 | $63.00 | $2.37–$4.41 | — | 44% |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Antibody Total-Ref | $90.16 | $161.00 | $40.57–$152.95 | 1% above | 44% |
| Hepatitis B core antibody test (total) CPT 86704 Hbc-Ab | $103.60 | $185.00 | $12.05–$21.65 | 16% above | 44% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Antibody Total-Ref | $90.16 | $161.00 | $40.57–$152.95 | — | 44% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hbc-Ab | $103.60 | $185.00 | $12.05–$21.65 | — | 44% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 499 Hepatitis B Surface Ab Qualitative-Ref-Qu | $20.72 | $37.00 | $9.32–$35.15 | 72% below | 44% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hbs-Ab-Ref | $115.36 | $206.00 | $51.91–$195.70 | 56% above | 44% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 499 Hepatitis B Surface Ab Qualitative-Ref-Qu | $20.72 | $37.00 | $9.32–$35.15 | — | 44% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hbs-Ab-Ref | $115.36 | $206.00 | $51.91–$195.70 | — | 44% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Ia-Ref | $81.76 | $146.00 | $36.79–$138.70 | at median | 44% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Ia | $82.88 | $148.00 | $10.33–$17.31 | 1% above | 44% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Ia-Ref | $81.76 | $146.00 | $36.79–$138.70 | — | 44% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Ia | $82.88 | $148.00 | $10.33–$17.31 | — | 44% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab Test | $90.72 | $162.00 | $40.82–$153.90 | 28% below | 44% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab Test | $90.72 | $162.00 | $40.82–$153.90 | — | 44% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 902095 Hepatitis C Virus (Hcv)-Ref-Qu | $45.92 | $82.00 | $20.66–$77.90 | 72% below | 44% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 35645 Hepatitis C Virus (Hcv)-Ref-Qu | $46.48 | $83.00 | $20.92–$78.85 | 71% below | 44% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Revrs Trnscrpj | $75.60 | $135.00 | $40.58–$60.59 | 53% below | 44% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus (Hcv)-Ref | $205.52 | $367.00 | $92.48–$348.65 | 27% above | 44% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 902095 Hepatitis C Virus (Hcv)-Ref-Qu | $45.92 | $82.00 | $20.66–$77.90 | — | 44% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 35645 Hepatitis C Virus (Hcv)-Ref-Qu | $46.48 | $83.00 | $20.92–$78.85 | — | 44% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Revrs Trnscrpj | $75.60 | $135.00 | $40.58–$60.59 | — | 44% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus (Hcv)-Ref | $205.52 | $367.00 | $92.48–$348.65 | — | 44% |
| Herpes blood test, HSV-1 antibody CPT 86695 6447 Herpes Simplex Type 1 Test-Ref-Qu | $30.80 | $55.00 | $13.86–$52.25 | 32% below | 44% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 6447 Herpes Simplex Type 1 Test-Ref-Qu | $30.80 | $55.00 | $13.86–$52.25 | — | 44% |
| Herpes blood test, HSV-2 antibody CPT 86696 6447 Herpes Simplex 2 Ab-Ref-Qu | $30.80 | $55.00 | $19.35–$36.03 | 53% below | 44% |
| Herpes blood test, HSV-2 antibody CPT 86696 17170 Herpes Simplex 2 Ab-Ref-Qu | $36.96 | $66.00 | $19.35–$36.03 | 43% below | 44% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 6447 Herpes Simplex 2 Ab-Ref-Qu | $30.80 | $55.00 | $19.35–$36.03 | — | 44% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 17170 Herpes Simplex 2 Ab-Ref-Qu | $36.96 | $66.00 | $19.35–$36.03 | — | 44% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 10124 C-Reactive Protein Hs-Ref-Qu | $24.64 | $44.00 | $12.95–$24.08 | 67% below | 44% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 94220 C-Reactive Protein Hs-Ref-Qu | $45.36 | $81.00 | $20.41–$76.95 | 40% below | 44% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein Hs | $92.96 | $166.00 | $12.95–$24.08 | 24% above | 44% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 10124 C-Reactive Protein Hs-Ref-Qu | $24.64 | $44.00 | $12.95–$24.08 | — | 44% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 94220 C-Reactive Protein Hs-Ref-Qu | $45.36 | $81.00 | $20.41–$76.95 | — | 44% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein Hs | $92.96 | $166.00 | $12.95–$24.08 | — | 44% |
| Homocysteine blood test CPT 83090 31789 Assay of Homocystine-Ref-Qu | $34.16 | $61.00 | $15.37–$57.95 | 59% below | 44% |
| Homocysteine blood test inpatient CPT 83090 31789 Assay of Homocystine-Ref-Qu | $34.16 | $61.00 | $15.37–$57.95 | — | 44% |
| Insulin blood test CPT 83525 561 Assay of Insulin-Ref-Qu | $21.84 | $39.00 | $9.83–$37.05 | 60% below | 44% |
| Insulin blood test CPT 83525 36509 Assay of Insulin-Ref-Qu | $30.80 | $55.00 | $13.86–$52.25 | 43% below | 44% |
| Insulin blood test CPT 83525 Assay of Insulin-Ref | $154.00 | $275.00 | $69.30–$261.25 | 185% above | 44% |
| Insulin blood test inpatient CPT 83525 561 Assay of Insulin-Ref-Qu | $21.84 | $39.00 | $9.83–$37.05 | — | 44% |
| Insulin blood test inpatient CPT 83525 36509 Assay of Insulin-Ref-Qu | $30.80 | $55.00 | $13.86–$52.25 | — | 44% |
| Insulin blood test inpatient CPT 83525 Assay of Insulin-Ref | $154.00 | $275.00 | $69.30–$261.25 | — | 44% |
| Iron blood test (serum iron) CPT 83540 Assay of Iron-Ref | $84.56 | $151.00 | $38.05–$143.45 | 32% above | 44% |
| Iron blood test (serum iron) CPT 83540 Assay of Iron | $85.12 | $152.00 | $6.47–$12.07 | 33% above | 44% |
| Iron blood test (serum iron) inpatient CPT 83540 Assay of Iron-Ref | $84.56 | $151.00 | $38.05–$143.45 | — | 44% |
| Iron blood test (serum iron) inpatient CPT 83540 Assay of Iron | $85.12 | $152.00 | $6.47–$12.07 | — | 44% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $26.88 | $48.00 | $8.74–$16.26 | 42% below | 44% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $26.88 | $48.00 | $8.74–$16.26 | — | 44% |
| Kidney function blood test panel CPT 80069 Renal Panel | $160.72 | $287.00 | $8.68–$14.91 | 36% above | 44% |
| Kidney function blood test panel inpatient CPT 80069 Renal Panel | $160.72 | $287.00 | $8.68–$14.91 | — | 44% |
| LH (luteinizing hormone) test CPT 83002 Assay of Gonadotropin (Lh)-Ref-Qu | $35.28 | $63.00 | $15.88–$59.85 | 64% below | 44% |
| LH (luteinizing hormone) test CPT 83002 Assay of Gonadotropin (Lh) | $220.08 | $393.00 | $18.52–$34.46 | 126% above | 44% |
| LH (luteinizing hormone) test inpatient CPT 83002 Assay of Gonadotropin (Lh)-Ref-Qu | $35.28 | $63.00 | $15.88–$59.85 | — | 44% |
| LH (luteinizing hormone) test inpatient CPT 83002 Assay of Gonadotropin (Lh) | $220.08 | $393.00 | $18.52–$34.46 | — | 44% |
| Lactate (lactic acid) blood test CPT 83605 Assay of Lactic Acid-Ref | $79.52 | $142.00 | $11.57–$19.87 | 6% below | 44% |
| Lactate (lactic acid) blood test CPT 83605 Assay of Lactic Acid | $87.36 | $156.00 | $11.57–$19.87 | 3% above | 44% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Assay of Lactic Acid-Ref | $79.52 | $142.00 | $11.57–$19.87 | — | 44% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Assay of Lactic Acid | $87.36 | $156.00 | $11.57–$19.87 | — | 44% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 4411 Lactate (Ld) (Ldh) Enzyme-Ref-Qu | $16.80 | $30.00 | $7.56–$28.50 | 61% below | 44% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate (Ld) (Ldh) Enzyme | $64.96 | $116.00 | $6.04–$11.24 | 50% above | 44% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 4411 Lactate (Ld) (Ldh) Enzyme-Ref-Qu | $16.80 | $30.00 | $7.56–$28.50 | — | 44% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate (Ld) (Ldh) Enzyme | $64.96 | $116.00 | $6.04–$11.24 | — | 44% |
| Lipase blood test (pancreas enzyme) CPT 83690 Assay of Lipase | $127.12 | $227.00 | $6.89–$12.81 | 36% above | 44% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Body Fluid | $127.12 | $227.00 | $6.89–$12.81 | 36% above | 44% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Body Fluid | $127.12 | $227.00 | $6.89–$12.81 | — | 44% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of Lipase | $127.12 | $227.00 | $6.89–$12.81 | — | 44% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $174.16 | $311.00 | $78.37–$295.45 | 11% above | 44% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $174.16 | $311.00 | $78.37–$295.45 | — | 44% |
| Lyme disease antibody test CPT 86618 36942 Tick Borne Disease Ab Panel-Ref-Qu | $19.04 | $34.00 | $8.57–$32.30 | 73% below | 44% |
| Lyme disease antibody test CPT 86618 6646 Lyme Disease Antibody-Ref-Qu | $32.48 | $58.00 | $17.03–$27.00 | 55% below | 44% |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibody-Ref | $33.04 | $59.00 | $14.87–$56.05 | 54% below | 44% |
| Lyme disease antibody test inpatient CPT 86618 36942 Tick Borne Disease Ab Panel-Ref-Qu | $19.04 | $34.00 | $8.57–$32.30 | — | 44% |
| Lyme disease antibody test inpatient CPT 86618 6646 Lyme Disease Antibody-Ref-Qu | $32.48 | $58.00 | $17.03–$27.00 | — | 44% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody-Ref | $33.04 | $59.00 | $14.87–$56.05 | — | 44% |
| Magnesium blood test CPT 83735 442 Assay of Magnesium-Ref-Qu | $16.24 | $29.00 | $6.70–$12.46 | 59% below | 44% |
| Magnesium blood test CPT 83735 Assay of Magnesium | $79.52 | $142.00 | $6.70–$12.46 | 99% above | 44% |
| Magnesium blood test CPT 83735 Assay of Magnesium-Ref | $79.52 | $142.00 | $6.70–$12.46 | 99% above | 44% |
| Magnesium blood test inpatient CPT 83735 442 Assay of Magnesium-Ref-Qu | $16.24 | $29.00 | $6.70–$12.46 | — | 44% |
| Magnesium blood test inpatient CPT 83735 Assay of Magnesium | $79.52 | $142.00 | $6.70–$12.46 | — | 44% |
| Magnesium blood test inpatient CPT 83735 Assay of Magnesium-Ref | $79.52 | $142.00 | $6.70–$12.46 | — | 44% |
| Measles (rubeola) antibody test CPT 86765 964 Rubeola Antibody-Ref-Qu | $19.60 | $35.00 | $12.88–$23.96 | 59% below | 44% |
| Measles (rubeola) antibody test inpatient CPT 86765 964 Rubeola Antibody-Ref-Qu | $19.60 | $35.00 | $12.88–$23.96 | — | 44% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Spot | $115.36 | $206.00 | $5.18–$9.63 | 41% above | 44% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Spot | $115.36 | $206.00 | $5.18–$9.63 | — | 44% |
| Mumps immunity blood test CPT 86735 Mumps Antibody Igm-Ref-Qu | $13.44 | $24.00 | $6.05–$22.80 | 77% below | 44% |
| Mumps immunity blood test CPT 86735 8624 Mumps Antibody-Ref-Qu | $25.20 | $45.00 | $11.34–$42.75 | 57% below | 44% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibody Igm-Ref-Qu | $13.44 | $24.00 | $6.05–$22.80 | — | 44% |
| Mumps immunity blood test inpatient CPT 86735 8624 Mumps Antibody-Ref-Qu | $25.20 | $45.00 | $11.34–$42.75 | — | 44% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 31348 Assay of Psa Free-Ref-Qu | $35.28 | $63.00 | $18.39–$34.22 | 47% below | 44% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 31348 Assay of Psa Free-Ref-Qu | $35.28 | $63.00 | $18.39–$34.22 | — | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 31348 Assay of Psa Total-Ref-Qu | $35.28 | $63.00 | $18.39–$34.22 | 63% below | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Antigen Screening | $110.88 | $198.00 | $49.90–$188.10 | 15% above | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Psa Total | $110.88 | $198.00 | $49.90–$188.10 | 15% above | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 31348 Assay of Psa Total-Ref-Qu | $35.28 | $63.00 | $18.39–$34.22 | — | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Antigen Screening | $110.88 | $198.00 | $49.90–$188.10 | — | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Psa Total | $110.88 | $198.00 | $49.90–$188.10 | — | 44% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 15095 Cytopath C/V Thin Layer-Ref-Qu | $24.64 | $44.00 | $20.26–$37.69 | 60% below | 44% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath C/V Thin Layer-Ref | $92.40 | $165.00 | $20.26–$37.69 | 51% above | 44% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath C/V Thin Layer | $139.44 | $249.00 | $20.26–$37.69 | 128% above | 44% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 15095 Cytopath C/V Thin Layer-Ref-Qu | $24.64 | $44.00 | $20.26–$37.69 | — | 44% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath C/V Thin Layer-Ref | $92.40 | $165.00 | $20.26–$37.69 | — | 44% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath C/V Thin Layer | $139.44 | $249.00 | $20.26–$37.69 | — | 44% |
| Parathyroid hormone (PTH) blood test CPT 83970 16560 Assay of Parathormone-Ref-Qu | $102.48 | $183.00 | $41.28–$76.79 | 22% below | 44% |
| Parathyroid hormone (PTH) blood test CPT 83970 Assay of Parathormone-Ref | $290.08 | $518.00 | $130.54–$492.10 | 120% above | 44% |
| Parathyroid hormone (PTH) blood test CPT 83970 Assay of Parathormone | $356.72 | $637.00 | $41.28–$76.79 | 171% above | 44% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 16560 Assay of Parathormone-Ref-Qu | $102.48 | $183.00 | $41.28–$76.79 | — | 44% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of Parathormone-Ref | $290.08 | $518.00 | $130.54–$492.10 | — | 44% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of Parathormone | $356.72 | $637.00 | $41.28–$76.79 | — | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 763 Ptt-Ref-Qu | $11.76 | $21.00 | $5.29–$19.95 | 76% below | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 7079 Thromboplastin Time Partial-Ref-Qu | $15.12 | $27.00 | $6.80–$25.65 | 69% below | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial-Ref | $66.64 | $119.00 | $29.99–$113.05 | 36% above | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial | $66.64 | $119.00 | $29.99–$113.05 | 36% above | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 763 Ptt-Ref-Qu | $11.76 | $21.00 | $5.29–$19.95 | — | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 7079 Thromboplastin Time Partial-Ref-Qu | $15.12 | $27.00 | $6.80–$25.65 | — | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial | $66.64 | $119.00 | $29.99–$113.05 | — | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial-Ref | $66.64 | $119.00 | $29.99–$113.05 | — | 44% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $50.40 | $90.00 | $22.68–$85.50 | 6% above | 44% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus | $50.40 | $90.00 | $22.68–$85.50 | — | 44% |
| Potassium blood test CPT 84132 Assay of Serum Potassium | $36.40 | $65.00 | $16.38–$61.75 | 11% below | 44% |
| Potassium blood test inpatient CPT 84132 Assay of Serum Potassium | $36.40 | $65.00 | $16.38–$61.75 | — | 44% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Chrmoml Aneuploidy-Ref | $1,137.36 | $2,031.00 | $690.74–$1,031.33 | 33% above | 44% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 92777q Natal Fetal Chrmoml Aneuploidy-Ref-Qu | $1,148.00 | $2,050.00 | $690.74–$1,031.33 | 35% above | 44% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal Chrmoml Aneuploidy-Ref | $1,137.36 | $2,031.00 | $690.74–$1,031.33 | — | 44% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 92777q Natal Fetal Chrmoml Aneuploidy-Ref-Qu | $1,148.00 | $2,050.00 | $690.74–$1,031.33 | — | 44% |
| Progesterone blood test CPT 84144 745 Progesterone-Ref-Qu | $39.76 | $71.00 | $17.89–$67.45 | 53% below | 44% |
| Progesterone blood test inpatient CPT 84144 745 Progesterone-Ref-Qu | $39.76 | $71.00 | $17.89–$67.45 | — | 44% |
| Prolactin blood test CPT 84146 Prolactin, Total and Monomeric-Ref-Qu | $51.52 | $92.00 | $23.18–$87.40 | 56% below | 44% |
| Prolactin blood test CPT 84146 Assay of Prolactin-Ref | $100.80 | $180.00 | $45.36–$171.00 | 14% below | 44% |
| Prolactin blood test CPT 84146 Prolactin | $220.08 | $393.00 | $99.04–$373.35 | 88% above | 44% |
| Prolactin blood test inpatient CPT 84146 Prolactin, Total and Monomeric-Ref-Qu | $51.52 | $92.00 | $23.18–$87.40 | — | 44% |
| Prolactin blood test inpatient CPT 84146 Assay of Prolactin-Ref | $100.80 | $180.00 | $45.36–$171.00 | — | 44% |
| Prolactin blood test inpatient CPT 84146 Prolactin | $220.08 | $393.00 | $99.04–$373.35 | — | 44% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time-Ref | $45.92 | $82.00 | $4.29–$7.31 | 13% above | 44% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt/Inr-POC | $53.76 | $96.00 | $24.19–$91.20 | 33% above | 44% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $53.76 | $96.00 | $24.19–$91.20 | 33% above | 44% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time-Ref | $45.92 | $82.00 | $4.29–$7.31 | — | 44% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $53.76 | $96.00 | $24.19–$91.20 | — | 44% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt/Inr-POC | $53.76 | $96.00 | $24.19–$91.20 | — | 44% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Assay With Optic (B) | $97.44 | $174.00 | $14.28–$21.52 | 94% above | 44% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Assay With Optic (A) | $97.44 | $174.00 | $43.85–$165.30 | 94% above | 44% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Assay With Optic (B) | $97.44 | $174.00 | $14.28–$21.52 | — | 44% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Assay With Optic (A) | $97.44 | $174.00 | $43.85–$165.30 | — | 44% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a Assay W/Optic | $48.16 | $86.00 | $14.28–$21.49 | 16% below | 44% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a Assay W/Optic | $48.16 | $86.00 | $14.28–$21.49 | — | 44% |
| Renin blood test CPT 84244 16845 Renin Activity Plasma-Ref-Qu | $42.00 | $75.00 | $18.90–$71.25 | 21% below | 44% |
| Renin blood test CPT 84244 Renin Activity; Plasma-Ref | $79.52 | $142.00 | $21.99–$40.91 | 49% above | 44% |
| Renin blood test inpatient CPT 84244 16845 Renin Activity Plasma-Ref-Qu | $42.00 | $75.00 | $18.90–$71.25 | — | 44% |
| Renin blood test inpatient CPT 84244 Renin Activity; Plasma-Ref | $79.52 | $142.00 | $21.99–$40.91 | — | 44% |
| Rh blood typing CPT 86901 Blood Typing Serologic Rh(D) | $85.12 | $152.00 | $3.71–$5.54 | 81% above | 44% |
| Rh blood typing inpatient CPT 86901 Blood Typing Serologic Rh(D) | $85.12 | $152.00 | $3.71–$5.54 | — | 44% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant-Ref-Qu | $11.20 | $20.00 | $5.67–$10.57 | 74% below | 44% |
| Rheumatoid factor (RF) test CPT 86431 17669 Rheumatoid Factor Quant-Ref-Qu | $17.92 | $32.00 | $5.67–$10.57 | 58% below | 44% |
| Rheumatoid factor (RF) test CPT 86431 90136 Rheumatoid Factor Quant-Ref-Qu | $26.32 | $47.00 | $11.84–$44.65 | 38% below | 44% |
| Rheumatoid factor (RF) test CPT 86431 19880 Rheumatoid Factor Quant-Ref-Qu | $29.68 | $53.00 | $13.36–$50.35 | 30% below | 44% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant | $57.12 | $102.00 | $5.67–$10.57 | 34% above | 44% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant-Ref-Qu | $11.20 | $20.00 | $5.67–$10.57 | — | 44% |
| Rheumatoid factor (RF) test inpatient CPT 86431 17669 Rheumatoid Factor Quant-Ref-Qu | $17.92 | $32.00 | $5.67–$10.57 | — | 44% |
| Rheumatoid factor (RF) test inpatient CPT 86431 90136 Rheumatoid Factor Quant-Ref-Qu | $26.32 | $47.00 | $11.84–$44.65 | — | 44% |
| Rheumatoid factor (RF) test inpatient CPT 86431 19880 Rheumatoid Factor Quant-Ref-Qu | $29.68 | $53.00 | $13.36–$50.35 | — | 44% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant | $57.12 | $102.00 | $5.67–$10.57 | — | 44% |
| Rubella antibody test (immunity check) CPT 86762 4422 Rubella Antibody Igm-Ref-Qu | $27.44 | $49.00 | $12.35–$46.55 | 40% below | 44% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody | $47.60 | $85.00 | $14.39–$26.72 | 5% above | 44% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody-Ref | $47.60 | $85.00 | $21.42–$80.75 | 5% above | 44% |
| Rubella antibody test (immunity check) inpatient CPT 86762 4422 Rubella Antibody Igm-Ref-Qu | $27.44 | $49.00 | $12.35–$46.55 | — | 44% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody | $47.60 | $85.00 | $14.39–$26.72 | — | 44% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody-Ref | $47.60 | $85.00 | $21.42–$80.75 | — | 44% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed-Rate | $80.08 | $143.00 | $2.70–$5.02 | 6% above | 44% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sed-Rate | $80.08 | $143.00 | $2.70–$5.02 | — | 44% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Anal Vol/Count/Mot-Ref | $154.56 | $276.00 | $69.55–$262.20 | 11% above | 44% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Anal Vol/Count/Mot | $350.56 | $626.00 | $157.75–$594.70 | 151% above | 44% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Anal Vol/Count/Mot-Ref | $154.56 | $276.00 | $69.55–$262.20 | — | 44% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Anal Vol/Count/Mot | $350.56 | $626.00 | $157.75–$594.70 | — | 44% |
| Sodium blood test CPT 84295 Sodium | $39.76 | $71.00 | $17.89–$67.45 | 10% below | 44% |
| Sodium blood test inpatient CPT 84295 Sodium | $39.76 | $71.00 | $17.89–$67.45 | — | 44% |
| Stool ova and parasites exam CPT 87177 Ova and Parasite Smears-Ref-Qu | $24.64 | $44.00 | $8.90–$16.54 | 25% below | 44% |
| Stool ova and parasites exam CPT 87177 681x Ova and Parasite Smear Exam-Ref-Qu | $95.20 | $170.00 | $42.84–$161.50 | 191% above | 44% |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Smears-Ref-Qu | $24.64 | $44.00 | $8.90–$16.54 | — | 44% |
| Stool ova and parasites exam inpatient CPT 87177 681x Ova and Parasite Smear Exam-Ref-Qu | $95.20 | $170.00 | $42.84–$161.50 | — | 44% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Peroxidase Actv Qual Feces 1 Deter | $8.40 | $15.00 | $4.05–$6.05 | 49% below | 44% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult Peroxidase Actv Qual Feces 1 Deter | $8.40 | $15.00 | $4.05–$6.05 | — | 44% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Palidum-Ref | $10.08 | $18.00 | $4.54–$17.10 | 82% below | 44% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 90349 Syphilis Total Antibody Wreflex-Ref-Qu | $14.00 | $25.00 | $13.24–$25.25 | 76% below | 44% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum | $21.28 | $38.00 | $13.24–$25.25 | 63% below | 44% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 4112 Treponema Palidum-Ref-Qu | $25.20 | $45.00 | $11.34–$42.75 | 56% below | 44% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Palidum-Ref | $10.08 | $18.00 | $4.54–$17.10 | — | 44% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 90349 Syphilis Total Antibody Wreflex-Ref-Qu | $14.00 | $25.00 | $13.24–$25.25 | — | 44% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum | $21.28 | $38.00 | $13.24–$25.25 | — | 44% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 4112 Treponema Palidum-Ref-Qu | $25.20 | $45.00 | $11.34–$42.75 | — | 44% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Trep Qual | $80.64 | $144.00 | $36.29–$136.80 | 37% above | 44% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Trep Qual-Ref | $81.76 | $146.00 | $36.79–$138.70 | 39% above | 44% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test Non-Trep Qual | $80.64 | $144.00 | $36.29–$136.80 | — | 44% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test Non-Trep Qual-Ref | $81.76 | $146.00 | $36.79–$138.70 | — | 44% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 36971 TB Test Gamma Interferon-Ref-Qu | $117.60 | $210.00 | $52.92–$199.50 | at median | 44% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Test Cell Immun Measure-Ref | $170.80 | $305.00 | $76.86–$289.75 | 45% above | 44% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 36971 TB Test Gamma Interferon-Ref-Qu | $117.60 | $210.00 | $52.92–$199.50 | — | 44% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Test Cell Immun Measure-Ref | $170.80 | $305.00 | $76.86–$289.75 | — | 44% |
| Testosterone blood test, total (not free testosterone) CPT 84403 36170 Assay of Total Testosterone-Ref-Qu | $48.72 | $87.00 | $21.92–$82.65 | 45% below | 44% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Assay of Total Testosterone | $179.20 | $320.00 | $80.64–$304.00 | 102% above | 44% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 36170 Assay of Total Testosterone-Ref-Qu | $48.72 | $87.00 | $21.92–$82.65 | — | 44% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of Total Testosterone | $179.20 | $320.00 | $80.64–$304.00 | — | 44% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 15038 Liver Kidney Microsome Ab-Ref-Qu | $18.48 | $33.00 | $8.32–$31.35 | 54% below | 44% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 16440 Microsomal Antibody Each-Ref-Qu | $27.44 | $49.00 | $14.55–$25.79 | 32% below | 44% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 5081 Microsomal Antibody Each-Ref-Qu | $28.00 | $50.00 | $12.60–$47.50 | 31% below | 44% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 19880 Microsomal Antibody Each-Ref-Qu | $29.68 | $53.00 | $13.36–$50.35 | 27% below | 44% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 36378 Microsomal Antibody Each-Ref-Qu | $34.72 | $62.00 | $14.55–$25.79 | 14% below | 44% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 15038 Liver Kidney Microsome Ab-Ref-Qu | $18.48 | $33.00 | $8.32–$31.35 | — | 44% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 16440 Microsomal Antibody Each-Ref-Qu | $27.44 | $49.00 | $14.55–$25.79 | — | 44% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 5081 Microsomal Antibody Each-Ref-Qu | $28.00 | $50.00 | $12.60–$47.50 | — | 44% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 19880 Microsomal Antibody Each-Ref-Qu | $29.68 | $53.00 | $13.36–$50.35 | — | 44% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 36378 Microsomal Antibody Each-Ref-Qu | $34.72 | $62.00 | $14.55–$25.79 | — | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 16440 Assay Thyroid Stim Hormone-Ref-Qu | $27.44 | $49.00 | $16.80–$30.32 | 63% below | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $136.08 | $243.00 | $16.80–$30.32 | 83% above | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay Thyroid Stim Hormone-Ref | $152.88 | $273.00 | $68.80–$259.35 | 105% above | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 16440 Assay Thyroid Stim Hormone-Ref-Qu | $27.44 | $49.00 | $16.80–$30.32 | — | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $136.08 | $243.00 | $16.80–$30.32 | — | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay Thyroid Stim Hormone-Ref | $152.88 | $273.00 | $68.80–$259.35 | — | 44% |
| Total IgE blood test CPT 82785 10285 Assay of Ige-Ref-Qu | $7.28 | $13.00 | $3.28–$12.35 | 88% below | 44% |
| Total IgE blood test CPT 82785 91863 Assay of Ige-Ref-Qu | $7.28 | $13.00 | $3.28–$12.35 | 88% below | 44% |
| Total IgE blood test CPT 82785 10646 Resp Allergy Assay of Ige-Ref-Qu | $23.52 | $42.00 | $10.58–$39.90 | 60% below | 44% |
| Total IgE blood test CPT 82785 10644 Assay of Ige-Ref-Qu | $31.36 | $56.00 | $14.11–$53.20 | 47% below | 44% |
| Total IgE blood test CPT 82785 Assay of Ige-Ref | $54.88 | $98.00 | $24.70–$93.10 | 8% below | 44% |
| Total IgE blood test inpatient CPT 82785 10285 Assay of Ige-Ref-Qu | $7.28 | $13.00 | $3.28–$12.35 | — | 44% |
| Total IgE blood test inpatient CPT 82785 91863 Assay of Ige-Ref-Qu | $7.28 | $13.00 | $3.28–$12.35 | — | 44% |
| Total IgE blood test inpatient CPT 82785 10646 Resp Allergy Assay of Ige-Ref-Qu | $23.52 | $42.00 | $10.58–$39.90 | — | 44% |
| Total IgE blood test inpatient CPT 82785 10644 Assay of Ige-Ref-Qu | $31.36 | $56.00 | $14.11–$53.20 | — | 44% |
| Total IgE blood test inpatient CPT 82785 Assay of Ige-Ref | $54.88 | $98.00 | $24.70–$93.10 | — | 44% |
| Total cholesterol blood test CPT 82465 91716 Assay Bld/Serum Cholesterol-Ref-Qu | $11.76 | $21.00 | $5.29–$19.95 | 58% below | 44% |
| Total cholesterol blood test CPT 82465 Assay Bld/Serum Cholesterol | $40.32 | $72.00 | $18.14–$68.40 | 43% above | 44% |
| Total cholesterol blood test CPT 82465 Assay Bld/Serum Cholesterol-Ref | $41.44 | $74.00 | $4.35–$8.09 | 47% above | 44% |
| Total cholesterol blood test inpatient CPT 82465 91716 Assay Bld/Serum Cholesterol-Ref-Qu | $11.76 | $21.00 | $5.29–$19.95 | — | 44% |
| Total cholesterol blood test inpatient CPT 82465 Assay Bld/Serum Cholesterol | $40.32 | $72.00 | $18.14–$68.40 | — | 44% |
| Total cholesterol blood test inpatient CPT 82465 Assay Bld/Serum Cholesterol-Ref | $41.44 | $74.00 | $4.35–$8.09 | — | 44% |
| Total thyroxine (T4) blood test CPT 84436 Assay of Total Thyroxine-Ref | $105.28 | $188.00 | $47.38–$178.60 | 43% above | 44% |
| Total thyroxine (T4) blood test CPT 84436 T-4 | $170.24 | $304.00 | $76.61–$288.80 | 132% above | 44% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Assay of Total Thyroxine-Ref | $105.28 | $188.00 | $47.38–$178.60 | — | 44% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T-4 | $170.24 | $304.00 | $76.61–$288.80 | — | 44% |
| Total triiodothyronine (T3) blood test CPT 84480 859 T3 Total-Ref-Qu | $26.88 | $48.00 | $14.18–$26.39 | 58% below | 44% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 859 T3 Total-Ref-Qu | $26.88 | $48.00 | $14.18–$26.39 | — | 44% |
| Transferrin blood test CPT 84466 16985 Transferrin Carb Deficit-Ref-Qu | $44.24 | $79.00 | $12.76–$23.76 | 37% below | 44% |
| Transferrin blood test CPT 84466 Transferrin | $136.08 | $243.00 | $61.24–$230.85 | 95% above | 44% |
| Transferrin blood test inpatient CPT 84466 16985 Transferrin Carb Deficit-Ref-Qu | $44.24 | $79.00 | $12.76–$23.76 | — | 44% |
| Transferrin blood test inpatient CPT 84466 Transferrin | $136.08 | $243.00 | $61.24–$230.85 | — | 44% |
| Trichomonas test (NAAT) CPT 87661 19550 Trichomonas Vaginalis Amplify-Ref-Qu | $40.88 | $73.00 | $29.84–$45.62 | 32% below | 44% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif-Ref | $50.96 | $91.00 | $22.93–$86.45 | 15% below | 44% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif | $51.52 | $92.00 | $23.18–$87.40 | 14% below | 44% |
| Trichomonas test (NAAT) CPT 87661 36963 Trichomonas Vaginalis Amplif-Ref-Qu | $66.64 | $119.00 | $29.99–$113.05 | 11% above | 44% |
| Trichomonas test (NAAT) CPT 87661 90801 Trichomonas Vaginalis Amplify-Ref-Qu | $81.76 | $146.00 | $29.84–$45.62 | 36% above | 44% |
| Trichomonas test (NAAT) inpatient CPT 87661 19550 Trichomonas Vaginalis Amplify-Ref-Qu | $40.88 | $73.00 | $29.84–$45.62 | — | 44% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplif-Ref | $50.96 | $91.00 | $22.93–$86.45 | — | 44% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplif | $51.52 | $92.00 | $23.18–$87.40 | — | 44% |
| Trichomonas test (NAAT) inpatient CPT 87661 36963 Trichomonas Vaginalis Amplif-Ref-Qu | $66.64 | $119.00 | $29.99–$113.05 | — | 44% |
| Trichomonas test (NAAT) inpatient CPT 87661 90801 Trichomonas Vaginalis Amplify-Ref-Qu | $81.76 | $146.00 | $29.84–$45.62 | — | 44% |
| Triglycerides blood test CPT 84478 91716 Assay of Triglycerides-Ref-Qu | $11.76 | $21.00 | $5.74–$10.71 | 76% below | 44% |
| Triglycerides blood test CPT 84478 Triglycerides | $49.84 | $89.00 | $5.74–$10.71 | 3% above | 44% |
| Triglycerides blood test inpatient CPT 84478 91716 Assay of Triglycerides-Ref-Qu | $11.76 | $21.00 | $5.74–$10.71 | — | 44% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $49.84 | $89.00 | $5.74–$10.71 | — | 44% |
| Troponin test, quantitative CPT 84484 38685 Assay of Troponin Quanitative-Ref- Qu | $33.04 | $59.00 | $14.87–$56.05 | 68% below | 44% |
| Troponin test, quantitative CPT 84484 34693 Assay of Troponin Quanitative-Ref-Qu | $40.88 | $73.00 | $18.40–$69.35 | 61% below | 44% |
| Troponin test, quantitative CPT 84484 Assay of Troponin Quant | $172.48 | $308.00 | $77.62–$292.60 | 66% above | 44% |
| Troponin test, quantitative CPT 84484 Assay of Troponin Quant-Ref | $192.64 | $344.00 | $12.26–$18.31 | 85% above | 44% |
| Troponin test, quantitative inpatient CPT 84484 38685 Assay of Troponin Quanitative-Ref- Qu | $33.04 | $59.00 | $14.87–$56.05 | — | 44% |
| Troponin test, quantitative inpatient CPT 84484 34693 Assay of Troponin Quanitative-Ref-Qu | $40.88 | $73.00 | $18.40–$69.35 | — | 44% |
| Troponin test, quantitative inpatient CPT 84484 Assay of Troponin Quant | $172.48 | $308.00 | $77.62–$292.60 | — | 44% |
| Troponin test, quantitative inpatient CPT 84484 Assay of Troponin Quant-Ref | $192.64 | $344.00 | $12.26–$18.31 | — | 44% |
| Uric acid blood test CPT 84550 Uric Acid | $89.04 | $159.00 | $40.07–$151.05 | 50% above | 44% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $89.04 | $159.00 | $40.07–$151.05 | — | 44% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis | $56.00 | $100.00 | $3.17–$5.90 | 22% above | 44% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis | $56.00 | $100.00 | $3.17–$5.90 | — | 44% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Macroscopic | $49.28 | $88.00 | $22.18–$83.60 | 25% above | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Macroscopic | $49.28 | $88.00 | $22.18–$83.60 | — | 44% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope-Ref | $25.76 | $46.00 | $11.59–$43.70 | 2% below | 44% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $68.32 | $122.00 | $3.19–$4.76 | 160% above | 44% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope-Ref | $25.76 | $46.00 | $11.59–$43.70 | — | 44% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $68.32 | $122.00 | $3.19–$4.76 | — | 44% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture/Colony Count | $15.68 | $28.00 | $8.07–$15.00 | 58% below | 44% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture/Colony Count | $15.68 | $28.00 | $8.07–$15.00 | — | 44% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin, Urine-Ref-Qu | $11.20 | $20.00 | $5.04–$19.00 | 76% below | 44% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin, Urine | $178.64 | $319.00 | $5.78–$10.76 | 284% above | 44% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Urine-Ref-Qu | $11.20 | $20.00 | $5.04–$19.00 | — | 44% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Urine | $178.64 | $319.00 | $5.78–$10.76 | — | 44% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy, Urine | $106.40 | $190.00 | $7.88–$11.76 | 42% above | 44% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy, Urine | $106.40 | $190.00 | $7.88–$11.76 | — | 44% |
| Vitamin B12 (cobalamin) blood test CPT 82607 927 Vitamin B-12-Ref-Qu | $28.56 | $51.00 | $12.85–$48.45 | 59% below | 44% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12-Ref | $167.44 | $299.00 | $15.08–$28.04 | 141% above | 44% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 | $174.16 | $311.00 | $78.37–$295.45 | 151% above | 44% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 927 Vitamin B-12-Ref-Qu | $28.56 | $51.00 | $12.85–$48.45 | — | 44% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12-Ref | $167.44 | $299.00 | $15.08–$28.04 | — | 44% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 | $174.16 | $311.00 | $78.37–$295.45 | — | 44% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 92888 Vitamin D 25 Hydroxy D2 D3-Ref-Qu | $56.00 | $100.00 | $29.60–$55.08 | 54% below | 44% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy | $187.04 | $334.00 | $29.60–$55.08 | 54% above | 44% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy-Ref | $275.52 | $492.00 | $123.98–$467.40 | 127% above | 44% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 92888 Vitamin D 25 Hydroxy D2 D3-Ref-Qu | $56.00 | $100.00 | $29.60–$55.08 | — | 44% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy | $187.04 | $334.00 | $29.60–$55.08 | — | 44% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy-Ref | $275.52 | $492.00 | $123.98–$467.40 | — | 44% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 16558 1-25 Dihydroxy Vit D-Ref-Qu | $72.80 | $130.00 | $32.76–$123.50 | 48% below | 44% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 16558 1-25 Dihydroxy Vit D-Ref-Qu | $72.80 | $130.00 | $32.76–$123.50 | — | 44% |
| Zinc blood test CPT 84630 945 Assay of Zinc-Ref-Qu | $21.84 | $39.00 | $9.83–$37.05 | 41% below | 44% |
| Zinc blood test CPT 84630 6354 Assay of Zinc-Ref-Qu | $22.96 | $41.00 | $11.39–$21.19 | 37% below | 44% |
| Zinc blood test inpatient CPT 84630 945 Assay of Zinc-Ref-Qu | $21.84 | $39.00 | $9.83–$37.05 | — | 44% |
| Zinc blood test inpatient CPT 84630 6354 Assay of Zinc-Ref-Qu | $22.96 | $41.00 | $11.39–$21.19 | — | 44% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic Gonadotropin Test | $171.36 | $306.00 | $77.11–$290.70 | 12% above | 44% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic Gonadotropin Test-Ref | $185.36 | $331.00 | $10.90–$19.57 | 21% above | 44% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic Gonadotropin Test | $171.36 | $306.00 | $77.11–$290.70 | — | 44% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic Gonadotropin Test-Ref | $185.36 | $331.00 | $10.90–$19.57 | — | 44% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversn, Elective, Externl | $770.56 | $1,376.00 | $232.68–$1,307.20 | 23% below | 44% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversn, Elective, Externl | $770.56 | $1,376.00 | $232.68–$1,307.20 | — | 44% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy, Flexible W/ Rem Snare | $1,692.88 | $3,023.00 | $511.19–$2,871.85 | at median | 44% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy, Flexible W/ Rem Snare | $1,692.88 | $3,023.00 | $511.19–$2,871.85 | — | 44% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy, Flexible W/ Bx Single or Multi | $1,675.52 | $2,992.00 | $1,106.14–$1,437.98 | 4% above | 44% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy, Flexible W/ Bx Single or Multi | $1,675.52 | $2,992.00 | $1,106.14–$1,437.98 | — | 44% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy, Flexible Dx W/ Spec Brush, W/ or W/O Washing | $1,162.56 | $2,076.00 | $351.05–$1,972.20 | 19% below | 44% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy, Flexible Dx W/ Spec Brush, W/ or W/O Washing | $1,162.56 | $2,076.00 | $351.05–$1,972.20 | — | 44% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Bil-ED | $100.24 | $179.00 | $30.27–$170.05 | 6% below | 44% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Bil | $100.24 | $179.00 | $55.73–$72.44 | 6% below | 44% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Uni-Rt | $67.20 | $120.00 | $20.29–$114.00 | 37% below | 44% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Uni-Rt-ED | $67.20 | $120.00 | $20.29–$114.00 | 37% below | 44% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Uni-Lt-ED | $67.20 | $120.00 | $55.73–$72.44 | 37% below | 44% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Uni-Lt | $67.20 | $120.00 | $55.73–$72.44 | 37% below | 44% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Bil-ED | $100.24 | $179.00 | $30.27–$170.05 | — | 44% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Bil | $100.24 | $179.00 | $55.73–$72.44 | — | 44% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Uni-Rt | $67.20 | $120.00 | $20.29–$114.00 | — | 44% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Uni-Rt-ED | $67.20 | $120.00 | $20.29–$114.00 | — | 44% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Uni-Lt-ED | $67.20 | $120.00 | $55.73–$72.44 | — | 44% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Rem Impacted Cerumen (Ear Wax) W/ Irrig/Lavage, Uni-Lt | $67.20 | $120.00 | $55.73–$72.44 | — | 44% |
| Earwax removal with instruments, one ear CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Bil | $216.16 | $386.00 | $65.27–$366.70 | 48% above | 44% |
| Earwax removal with instruments, one ear CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Bil-ED | $216.16 | $386.00 | $65.27–$366.70 | 48% above | 44% |
| Earwax removal with instruments, one ear one side CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Uni-Rt | $64.96 | $116.00 | $19.62–$110.20 | 55% below | 44% |
| Earwax removal with instruments, one ear one side CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Uni-Lt-ED | $64.96 | $116.00 | $19.62–$110.20 | 55% below | 44% |
| Earwax removal with instruments, one ear one side CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Uni-Rt-ED | $64.96 | $116.00 | $19.62–$110.20 | 55% below | 44% |
| Earwax removal with instruments, one ear one side CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Uni-Lt | $64.96 | $116.00 | $19.62–$110.20 | 55% below | 44% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Bil | $216.16 | $386.00 | $65.27–$366.70 | — | 44% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Bil-ED | $216.16 | $386.00 | $65.27–$366.70 | — | 44% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Uni-Rt-ED | $64.96 | $116.00 | $19.62–$110.20 | — | 44% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Uni-Rt | $64.96 | $116.00 | $19.62–$110.20 | — | 44% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Uni-Lt | $64.96 | $116.00 | $19.62–$110.20 | — | 44% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Rem Impacted Cerumen (Ear Wax) W/ Instrument, Uni-Lt-ED | $64.96 | $116.00 | $19.62–$110.20 | — | 44% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Cerv/Thoracic Epidural Steroid W/ Image | $3,786.16 | $6,761.00 | $1,143.29–$6,422.95 | 181% above | 44% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Cerv/Thoracic Epidural Steroid W/ Image | $3,786.16 | $6,761.00 | $1,143.29–$6,422.95 | — | 44% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Opthalmology Apc 5694 | $510.72 | $912.00 | $326.73 | at median | 44% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Opthalmology Apc 5694-ED | $510.72 | $912.00 | $326.73 | at median | 44% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Inj Intravitreal Pharmalogical Agent | $603.68 | $1,078.00 | $642.49–$1,024.10 | 18% above | 44% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Inj Intravitreal Pharmalogical Agent-ED | $603.68 | $1,078.00 | $326.73 | 18% above | 44% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Opthalmology Apc 5694 | $510.72 | $912.00 | $326.73 | — | 44% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Opthalmology Apc 5694-ED | $510.72 | $912.00 | $326.73 | — | 44% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Inj Intravitreal Pharmalogical Agent-ED | $603.68 | $1,078.00 | $326.73 | — | 44% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Inj Intravitreal Pharmalogical Agent | $603.68 | $1,078.00 | $642.49–$1,024.10 | — | 44% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Fact Jnt/Nv Lumb/Sacr 1st Lev-Bil | $911.12 | $1,627.00 | $275.13–$1,545.65 | 30% below | 44% |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Inj Fact Jnt/Nv Lumb/Sacr 1st Lev-Rt | $607.60 | $1,085.00 | $183.47–$1,030.75 | 53% below | 44% |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Inj Fact Jnt/Nv Lumb/Sacr 1st Lev-Lt | $607.60 | $1,085.00 | $183.47–$1,030.75 | 53% below | 44% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Fact Jnt/Nv Lumb/Sacr 1st Lev-Bil | $911.12 | $1,627.00 | $275.13–$1,545.65 | — | 44% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 Inj Fact Jnt/Nv Lumb/Sacr 1st Lev-Lt | $607.60 | $1,085.00 | $183.47–$1,030.75 | — | 44% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 Inj Fact Jnt/Nv Lumb/Sacr 1st Lev-Rt | $607.60 | $1,085.00 | $183.47–$1,030.75 | — | 44% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmdscpy Flx Dx W/ Spec Brush, W/ or W/O Washing | $700.00 | $1,250.00 | $52.13–$67.77 | 43% below | 44% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmdscpy Flx Dx W/ Spec Brush, W/ or W/O Washing | $700.00 | $1,250.00 | $52.13–$67.77 | — | 44% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy, Simple Lig | $466.48 | $833.00 | $140.86–$791.35 | 36% below | 44% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy, Simple Lig | $466.48 | $833.00 | $140.86–$791.35 | — | 44% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Injection Hysterosalpingograph | $110.32 | $197.00 | $33.31–$187.15 | 50% below | 44% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Injection Hysterosalpingograph | $110.32 | $197.00 | $33.31–$187.15 | — | 44% |
| IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device Iud | $252.00 | $450.00 | $166.50–$427.50 | 5% below | 44% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device Iud | $252.00 | $450.00 | $166.50–$427.50 | — | 44% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I and D Absc; Smpl or Sgl-ED | $583.52 | $1,042.00 | $176.20–$989.90 | 58% above | 44% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I and D Absc; Smpl or Sgl | $583.52 | $1,042.00 | $176.20–$989.90 | 58% above | 44% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I and D Absc; Smpl or Sgl-ED | $583.52 | $1,042.00 | $176.20–$989.90 | — | 44% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I and D Absc; Smpl or Sgl | $583.52 | $1,042.00 | $176.20–$989.90 | — | 44% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inject Tendon Sheath | $259.28 | $463.00 | $78.29–$439.85 | 30% below | 44% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inject Tendon Sheath | $259.28 | $463.00 | $78.29–$439.85 | — | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Bil | $1,043.28 | $1,863.00 | $315.03–$1,769.85 | 149% above | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Bil-ED | $1,043.28 | $1,863.00 | $315.03–$1,769.85 | 149% above | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Lt | $460.32 | $822.00 | $139.00–$780.90 | 10% above | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Lt-ED | $460.32 | $822.00 | $139.00–$780.90 | 10% above | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Rt-ED | $460.32 | $822.00 | $139.00–$780.90 | 10% above | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Rt | $460.32 | $822.00 | $139.00–$780.90 | 10% above | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Bil | $1,043.28 | $1,863.00 | $315.03–$1,769.85 | — | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Bil-ED | $1,043.28 | $1,863.00 | $315.03–$1,769.85 | — | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Lt-ED | $460.32 | $822.00 | $139.00–$780.90 | — | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Rt | $460.32 | $822.00 | $139.00–$780.90 | — | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Lt | $460.32 | $822.00 | $139.00–$780.90 | — | 44% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Joint/Bursa Asp/Inj W/O US Guide, Large-Rt-ED | $460.32 | $822.00 | $139.00–$780.90 | — | 44% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant | $135.52 | $242.00 | $120.93–$157.20 | 5% above | 44% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant-ED | $135.52 | $242.00 | $40.92–$229.90 | 5% above | 44% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant-ED | $135.52 | $242.00 | $40.92–$229.90 | — | 44% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant | $135.52 | $242.00 | $120.93–$157.20 | — | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Bil | $831.60 | $1,485.00 | $251.11–$1,410.75 | 140% above | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Bil-ED | $831.60 | $1,485.00 | $251.11–$1,410.75 | 140% above | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Lt-ED | $181.44 | $324.00 | $54.79–$307.80 | 48% below | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Rt | $181.44 | $324.00 | $54.79–$307.80 | 48% below | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Lt | $181.44 | $324.00 | $54.79–$307.80 | 48% below | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Rt-ED | $181.44 | $324.00 | $54.79–$307.80 | 48% below | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Bil-ED | $831.60 | $1,485.00 | $251.11–$1,410.75 | — | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Bil | $831.60 | $1,485.00 | $251.11–$1,410.75 | — | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Rt | $181.44 | $324.00 | $54.79–$307.80 | — | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Lt-ED | $181.44 | $324.00 | $54.79–$307.80 | — | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Lt | $181.44 | $324.00 | $54.79–$307.80 | — | 44% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 Joint/Bursa Asp/Inj W/O US Guide, Intrmd-Rt-ED | $181.44 | $324.00 | $54.79–$307.80 | — | 44% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Bil | $529.20 | $945.00 | $159.80–$897.75 | 73% above | 44% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Bil-ED | $529.20 | $945.00 | $159.80–$897.75 | 73% above | 44% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Lt | $107.52 | $192.00 | $32.47–$182.40 | 65% below | 44% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Rt-ED | $107.52 | $192.00 | $32.47–$182.40 | 65% below | 44% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Lt-ED | $107.52 | $192.00 | $32.47–$182.40 | 65% below | 44% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Rt | $107.52 | $192.00 | $276.93–$360.01 | 65% below | 44% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Bil | $529.20 | $945.00 | $159.80–$897.75 | — | 44% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Bil-ED | $529.20 | $945.00 | $159.80–$897.75 | — | 44% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Lt-ED | $107.52 | $192.00 | $32.47–$182.40 | — | 44% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Rt | $107.52 | $192.00 | $276.93–$360.01 | — | 44% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Lt | $107.52 | $192.00 | $32.47–$182.40 | — | 44% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 Joint/Bursa Asp/Inj W/O US Guide, Small-Rt-ED | $107.52 | $192.00 | $32.47–$182.40 | — | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Lumb/Caud Epidural Steroid W/ Image | $2,076.48 | $3,708.00 | $627.02–$3,522.60 | 71% above | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Lumb/Caud Epidural Steroid W/ Image | $2,076.48 | $3,708.00 | $627.02–$3,522.60 | — | 44% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inj Lumb/Caud Epidural Steroid W/O Image | $1,901.20 | $3,395.00 | $574.09–$3,225.25 | 55% above | 44% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj Lumb/Caud Epidural Steroid W/O Image | $1,901.20 | $3,395.00 | $574.09–$3,225.25 | — | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Bil | $2,121.84 | $3,789.00 | $835.22–$1,085.78 | 38% above | 44% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Lt | $1,061.20 | $1,895.00 | $835.22–$1,085.78 | 31% below | 44% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Rt | $1,061.20 | $1,895.00 | $835.22–$1,085.78 | 31% below | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Bil | $2,121.84 | $3,789.00 | $835.22–$1,085.78 | — | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Lt | $1,061.20 | $1,895.00 | $835.22–$1,085.78 | — | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Rt | $1,061.20 | $1,895.00 | $835.22–$1,085.78 | — | 44% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Ex Bl Tk/Arm/Leg 0.5cmless-ED | $797.44 | $1,424.00 | $78.04–$101.45 | 69% above | 44% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Ex Bl Tk/Arm/Leg 0.5cmless-ED | $797.44 | $1,424.00 | $78.04–$101.45 | — | 44% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Ex Bl Nse/Eye/Ear/Lp 0.5cmless-ED | $131.04 | $234.00 | $693.07 | 80% below | 44% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Ex Bl Nse/Eye/Ear/Lp 0.5cmless-ED | $131.04 | $234.00 | $693.07 | — | 44% |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plt,Part/Cmp,Smp,Sgl-ED | $169.12 | $302.00 | $51.07–$286.90 | 21% below | 44% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avul Nail Plt,Part/Cmp,Smp,Sgl-ED | $169.12 | $302.00 | $51.07–$286.90 | — | 44% |
| Occipital nerve block (injection for headaches) CPT 64405 Inj Greater Occipital Nerve Block-Bil | $905.52 | $1,617.00 | $276.93–$360.01 | 52% above | 44% |
| Occipital nerve block (injection for headaches) one side CPT 64405 Inj Greater Occipital Nerve Block-Rt | $453.04 | $809.00 | $136.80–$768.55 | 24% below | 44% |
| Occipital nerve block (injection for headaches) one side CPT 64405 Inj Greater Occipital Nerve Block-Lt | $453.04 | $809.00 | $136.80–$768.55 | 24% below | 44% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Greater Occipital Nerve Block-Bil | $905.52 | $1,617.00 | $276.93–$360.01 | — | 44% |
| Occipital nerve block (injection for headaches) inpatient one side CPT 64405 Inj Greater Occipital Nerve Block-Lt | $453.04 | $809.00 | $136.80–$768.55 | — | 44% |
| Occipital nerve block (injection for headaches) inpatient one side CPT 64405 Inj Greater Occipital Nerve Block-Rt | $453.04 | $809.00 | $136.80–$768.55 | — | 44% |
| Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis, W/ Image | $604.80 | $1,080.00 | $182.63–$1,026.00 | 53% below | 44% |
| Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis, W/ Image-ED | $604.80 | $1,080.00 | $182.63–$1,026.00 | 53% below | 44% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abdominal Paracentesis, W/ Image | $604.80 | $1,080.00 | $182.63–$1,026.00 | — | 44% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abdominal Paracentesis, W/ Image-ED | $604.80 | $1,080.00 | $182.63–$1,026.00 | — | 44% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Remove Nail, Part/Cmplt Permnt-ED | $1,481.76 | $2,646.00 | $447.44–$2,513.70 | 157% above | 44% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Remove Nail, Part/Cmplt Permnt-ED | $1,481.76 | $2,646.00 | $447.44–$2,513.70 | — | 44% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Fact Jnt Nv Lumb/Sacr Int W/ Image-Bil | $1,660.40 | $2,965.00 | $501.38–$2,816.75 | 45% below | 44% |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 Dest Fact Jnt Nv Lumb/Sacr Int W/ Image-Lt | $1,107.12 | $1,977.00 | $1,831.97–$2,381.56 | 63% below | 44% |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 Dest Fact Jnt Nv Lumb/Sacr Int W/ Image-Rt | $1,107.12 | $1,977.00 | $1,831.97–$2,381.56 | 63% below | 44% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dest Fact Jnt Nv Lumb/Sacr Int W/ Image-Bil | $1,660.40 | $2,965.00 | $501.38–$2,816.75 | — | 44% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 Dest Fact Jnt Nv Lumb/Sacr Int W/ Image-Rt | $1,107.12 | $1,977.00 | $1,831.97–$2,381.56 | — | 44% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 Dest Fact Jnt Nv Lumb/Sacr Int W/ Image-Lt | $1,107.12 | $1,977.00 | $1,831.97–$2,381.56 | — | 44% |
| Removal of a foreign object under the skin, simple CPT 10120 Incision and Rem FB Subq, Simple-ED | $201.04 | $359.00 | $213.96–$341.05 | 55% below | 44% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision and Rem FB Subq, Simple-ED | $201.04 | $359.00 | $213.96–$341.05 | — | 44% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy Scr Non Hi Risk Pt | $1,530.48 | $2,733.00 | $462.15–$2,596.35 | 14% above | 44% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colonoscopy Scr Non Hi Risk Pt | $1,530.48 | $2,733.00 | $462.15–$2,596.35 | — | 44% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colonoscopy Scr Hi Risk Pt | $791.84 | $1,414.00 | $842.74–$1,343.30 | 35% below | 44% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colonoscopy Scr Hi Risk Pt | $791.84 | $1,414.00 | $842.74–$1,343.30 | — | 44% |
| Short arm cast (elbow to hand) CPT 29075 Appl Plaster Elbow to Finger-ED | $256.48 | $458.00 | $249.15–$323.90 | 23% below | 44% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Appl Plaster Elbow to Finger-ED | $256.48 | $458.00 | $249.15–$323.90 | — | 44% |
| Short arm splint (forearm and hand) CPT 29125 Appl Short Arm Splint/Pt | $312.48 | $558.00 | $94.36–$530.10 | 23% above | 44% |
| Short arm splint (forearm and hand) CPT 29125 Appl Short Arm Splint | $312.48 | $558.00 | $94.36–$530.10 | 23% above | 44% |
| Short arm splint (forearm and hand) CPT 29125 Appl Short Arm Splint/Ot | $312.48 | $558.00 | $94.36–$530.10 | 23% above | 44% |
| Short arm splint (forearm and hand) CPT 29125 Appl Short Arm Splint-ED | $312.48 | $558.00 | $94.36–$530.10 | 23% above | 44% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Appl Short Arm Splint/Pt | $312.48 | $558.00 | $94.36–$530.10 | — | 44% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Appl Short Arm Splint/Ot | $312.48 | $558.00 | $94.36–$530.10 | — | 44% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Appl Short Arm Splint | $312.48 | $558.00 | $94.36–$530.10 | — | 44% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Appl Short Arm Splint-ED | $312.48 | $558.00 | $94.36–$530.10 | — | 44% |
| Short leg cast (below the knee) CPT 29405 Appl Short Leg Cast-ED | $256.48 | $458.00 | $77.45–$435.10 | 32% below | 44% |
| Short leg cast (below the knee) CPT 29405 Appl Short Leg Cast | $256.48 | $458.00 | $77.45–$435.10 | 32% below | 44% |
| Short leg cast (below the knee) inpatient CPT 29405 Appl Short Leg Cast | $256.48 | $458.00 | $77.45–$435.10 | — | 44% |
| Short leg cast (below the knee) inpatient CPT 29405 Appl Short Leg Cast-ED | $256.48 | $458.00 | $77.45–$435.10 | — | 44% |
| Short leg splint (calf to foot) CPT 29515 Appl Short Leg Splint-Bil-ED | $669.20 | $1,195.00 | $202.07–$1,135.25 | 203% above | 44% |
| Short leg splint (calf to foot) CPT 29515 Appl Short Leg Splint-Bil | $669.20 | $1,195.00 | $202.07–$1,135.25 | 203% above | 44% |
| Short leg splint (calf to foot) one side CPT 29515 Appl Short Leg Splint-Rt-ED | $317.52 | $567.00 | $95.88–$538.65 | 44% above | 44% |
| Short leg splint (calf to foot) one side CPT 29515 HB-Appl Short Leg Splint-Lt-ED | $317.52 | $567.00 | $95.88–$538.65 | 44% above | 44% |
| Short leg splint (calf to foot) one side CPT 29515 Appl Short Leg Splint-Rt | $317.52 | $567.00 | $95.88–$538.65 | 44% above | 44% |
| Short leg splint (calf to foot) one side CPT 29515 HB-Appl Short Leg Splint-Lt | $317.52 | $567.00 | $95.88–$538.65 | 44% above | 44% |
| Short leg splint (calf to foot) inpatient CPT 29515 Appl Short Leg Splint-Bil | $669.20 | $1,195.00 | $202.07–$1,135.25 | — | 44% |
| Short leg splint (calf to foot) inpatient CPT 29515 Appl Short Leg Splint-Bil-ED | $669.20 | $1,195.00 | $202.07–$1,135.25 | — | 44% |
| Short leg splint (calf to foot) inpatient one side CPT 29515 HB-Appl Short Leg Splint-Lt-ED | $317.52 | $567.00 | $95.88–$538.65 | — | 44% |
| Short leg splint (calf to foot) inpatient one side CPT 29515 Appl Short Leg Splint-Rt-ED | $317.52 | $567.00 | $95.88–$538.65 | — | 44% |
| Short leg splint (calf to foot) inpatient one side CPT 29515 Appl Short Leg Splint-Rt | $317.52 | $567.00 | $95.88–$538.65 | — | 44% |
| Short leg splint (calf to foot) inpatient one side CPT 29515 HB-Appl Short Leg Splint-Lt | $317.52 | $567.00 | $95.88–$538.65 | — | 44% |
| Skin tag removal, up to 15 tags CPT 11200 Remove Skin Tags, 1-15 | $285.04 | $509.00 | $86.07–$483.55 | at median | 44% |
| Skin tag removal, up to 15 tags CPT 11200 Remove Skin Tags, 1-15-ED | $285.04 | $509.00 | $86.07–$483.55 | at median | 44% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Remove Skin Tags, 1-15-ED | $285.04 | $509.00 | $86.07–$483.55 | — | 44% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Remove Skin Tags, 1-15 | $285.04 | $509.00 | $86.07–$483.55 | — | 44% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Diagnostic-ED | $355.04 | $634.00 | $107.21–$602.30 | 56% below | 44% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Diagnostic | $355.04 | $634.00 | $107.21–$602.30 | 56% below | 44% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Diagnostic-ED | $355.04 | $634.00 | $107.21–$602.30 | — | 44% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Diagnostic | $355.04 | $634.00 | $107.21–$602.30 | — | 44% |
| Thoracentesis with imaging guidance both sides CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Bi-ED | $960.96 | $1,716.00 | $290.18–$1,630.20 | — | 44% |
| Thoracentesis with imaging guidance both sides CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Bi | $960.96 | $1,716.00 | $290.18–$1,630.20 | — | 44% |
| Thoracentesis with imaging guidance one side CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Lt | $480.48 | $858.00 | $145.09–$815.10 | 53% below | 44% |
| Thoracentesis with imaging guidance one side CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Rt | $480.48 | $858.00 | $145.09–$815.10 | 53% below | 44% |
| Thoracentesis with imaging guidance one side CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Rt-ED | $480.48 | $858.00 | $145.09–$815.10 | 53% below | 44% |
| Thoracentesis with imaging guidance one side CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Lt-ED | $480.48 | $858.00 | $145.09–$815.10 | 53% below | 44% |
| Thoracentesis with imaging guidance inpatient both sides CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Bi | $960.96 | $1,716.00 | $290.18–$1,630.20 | — | 44% |
| Thoracentesis with imaging guidance inpatient both sides CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Bi-ED | $960.96 | $1,716.00 | $290.18–$1,630.20 | — | 44% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Rt-ED | $480.48 | $858.00 | $145.09–$815.10 | — | 44% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Rt | $480.48 | $858.00 | $145.09–$815.10 | — | 44% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Lt | $480.48 | $858.00 | $145.09–$815.10 | — | 44% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 Thoracentesis Ndl/Cath, Asp Pleural W/ Imaging-Lt-ED | $480.48 | $858.00 | $145.09–$815.10 | — | 44% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inject Tpi 1 or 2 Muscle Grp-ED | $369.04 | $659.00 | $111.44–$626.05 | 20% below | 44% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inject Tpi 1 or 2 Muscle Grp-ED | $369.04 | $659.00 | $111.44–$626.05 | — | 44% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd W/ Balloon Dil Less Than 30mm | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | 21% below | 44% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Egd W/ Balloon Dil Less Than 30mm | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | — | 44% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd W/ Biopsy Single or Multiple | $1,252.16 | $2,236.00 | $378.11–$2,124.20 | 21% below | 44% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd W/ Biopsy Single or Multiple | $1,252.16 | $2,236.00 | $378.11–$2,124.20 | — | 44% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd W/ Removal by Snare Technique | $1,481.76 | $2,646.00 | $447.44–$2,513.70 | 37% below | 44% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd W/ Removal by Snare Technique | $1,481.76 | $2,646.00 | $447.44–$2,513.70 | — | 44% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd W/ Guide Wire and Dilators | $1,570.24 | $2,804.00 | $474.16–$2,663.80 | 33% above | 44% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd W/ Guide Wire and Dilators | $1,570.24 | $2,804.00 | $474.16–$2,663.80 | — | 44% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Dx W/ Spec by Brush/Wash When Done | $1,072.40 | $1,915.00 | $879.56–$1,143.43 | 29% below | 44% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Dx W/ Spec by Brush/Wash When Done | $1,072.40 | $1,915.00 | $879.56–$1,143.43 | — | 44% |
| Wart removal, up to 14 warts CPT 17110 Destruc Benign Lsn 1-14 | $196.00 | $350.00 | $59.19–$332.50 | 20% above | 44% |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruc Benign Lsn 1-14 | $196.00 | $350.00 | $59.19–$332.50 | — | 44% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride, Sq Tiss 1st 20 Sq Cm or Less-ED | $389.76 | $696.00 | $117.69–$661.20 | 10% below | 44% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride, Sq Tiss 1st 20 Sq Cm or Less | $389.76 | $696.00 | $117.69–$661.20 | 10% below | 44% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride, Sq Tiss 1st 20 Sq Cm or Less-ED | $389.76 | $696.00 | $117.69–$661.20 | — | 44% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride, Sq Tiss 1st 20 Sq Cm or Less | $389.76 | $696.00 | $117.69–$661.20 | — | 44% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Once per Day-ED | $906.64 | $1,619.00 | $273.77–$1,538.05 | 22% above | 44% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Once per Day | $906.64 | $1,619.00 | $410.14–$533.18 | 22% above | 44% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Once per Day-ED | $906.64 | $1,619.00 | $273.77–$1,538.05 | — | 44% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Once per Day | $906.64 | $1,619.00 | $410.14–$533.18 | — | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Collection Neb/Tx, Sub | $156.24 | $279.00 | $190.81–$248.05 | 50% above | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment Sub | $156.24 | $279.00 | $47.18–$265.05 | 50% above | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment Sub-ED/Hstep | $156.24 | $279.00 | $47.18–$265.05 | 50% above | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Collection Neb/Tx, Int | $162.96 | $291.00 | $49.21–$276.45 | 56% above | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment Initial-ED/Hstep | $162.96 | $291.00 | $49.21–$276.45 | 56% above | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment Initial | $162.96 | $291.00 | $190.81–$248.05 | 56% above | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment Sub-ED/Hstep | $156.24 | $279.00 | $47.18–$265.05 | — | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment Sub | $156.24 | $279.00 | $47.18–$265.05 | — | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Collection Neb/Tx, Sub | $156.24 | $279.00 | $190.81–$248.05 | — | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Collection Neb/Tx, Int | $162.96 | $291.00 | $49.21–$276.45 | — | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment Initial | $162.96 | $291.00 | $190.81–$248.05 | — | 44% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment Initial-ED/Hstep | $162.96 | $291.00 | $49.21–$276.45 | — | 44% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion/Initial 16-60 Min | $612.08 | $1,093.00 | $184.83–$1,038.35 | at median | 44% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion/Initial 16-60 Min | $612.08 | $1,093.00 | $184.83–$1,038.35 | — | 44% |
| Critical care, first 30 to 74 minutes CPT 99291 OB ED Level 6 Critical/Trauma-OB ED | $2,536.24 | $4,529.00 | $765.85–$4,302.55 | 7% above | 44% |
| Critical care, first 30 to 74 minutes CPT 99291 ED Level 6 Critical/Trauma-ED | $3,550.96 | $6,341.00 | $1,072.26–$6,023.95 | 50% above | 44% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 OB ED Level 6 Critical/Trauma-OB ED | $2,536.24 | $4,529.00 | $765.85–$4,302.55 | — | 44% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED Level 6 Critical/Trauma-ED | $3,550.96 | $6,341.00 | $1,072.26–$6,023.95 | — | 44% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg-Awake and Drowsy | $477.12 | $852.00 | $292.14–$379.78 | 41% below | 44% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg-Awake and Drowsy | $477.12 | $852.00 | $292.14–$379.78 | — | 44% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead, Tracing Only | $316.96 | $566.00 | $95.71–$537.70 | 82% above | 44% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Lead, Tracing Only | $316.96 | $566.00 | $95.71–$537.70 | — | 44% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Level 0 Returns or Rechecks-ED | $327.60 | $585.00 | $98.92–$555.75 | 72% above | 44% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ED Level 0 Returns or Rechecks-OB ED | $327.60 | $585.00 | $98.92–$555.75 | 72% above | 44% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ED Level 1 Simple-OB ED | $540.40 | $965.00 | $163.18–$916.75 | 183% above | 44% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Level 1 Simple-ED | $756.00 | $1,350.00 | $228.29–$1,282.50 | 296% above | 44% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor one side CPT 99281 Left Before Tx Complete-Orders Placed | $343.61 | $613.59 | $82.60–$107.38 | 80% above | 44% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB ED Level 0 Returns or Rechecks-OB ED | $327.60 | $585.00 | $98.92–$555.75 | — | 44% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Level 0 Returns or Rechecks-ED | $327.60 | $585.00 | $98.92–$555.75 | — | 44% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB ED Level 1 Simple-OB ED | $540.40 | $965.00 | $163.18–$916.75 | — | 44% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Level 1 Simple-ED | $756.00 | $1,350.00 | $228.29–$1,282.50 | — | 44% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient one side CPT 99281 Left Before Tx Complete-Orders Placed | $343.61 | $613.59 | $82.60–$107.38 | — | 44% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB ED Level 2 Brief-OB ED | $756.00 | $1,350.00 | $228.29–$1,282.50 | 61% above | 44% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Level 2 Brief-ED | $1,058.40 | $1,890.00 | $319.60–$1,795.50 | 125% above | 44% |
| Emergency room visit, level 2 of 5, straightforward problem one side CPT 99282 Left Before Tx Complete-Orders Completed | $469.59 | $838.56 | $148.56–$193.13 | at median | 44% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB ED Level 2 Brief-OB ED | $756.00 | $1,350.00 | $228.29–$1,282.50 | — | 44% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Level 2 Brief-ED | $1,058.40 | $1,890.00 | $319.60–$1,795.50 | — | 44% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient one side CPT 99282 Left Before Tx Complete-Orders Completed | $469.59 | $838.56 | $148.56–$193.13 | — | 44% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB ED Level 3 Involved-OB ED | $1,023.12 | $1,827.00 | $308.95–$1,735.65 | 19% above | 44% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Level 3 Involved-ED | $1,431.92 | $2,557.00 | $432.39–$2,429.15 | 67% above | 44% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB ED Level 3 Involved-OB ED | $1,023.12 | $1,827.00 | $308.95–$1,735.65 | — | 44% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Level 3 Involved-ED | $1,431.92 | $2,557.00 | $432.39–$2,429.15 | — | 44% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB ED Level 4 Urgent-OB ED | $1,554.56 | $2,776.00 | $469.42–$2,637.20 | 26% above | 44% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Level 4 Urgent-ED | $2,176.72 | $3,887.00 | $657.29–$3,692.65 | 77% above | 44% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB ED Level 4 Urgent-OB ED | $1,554.56 | $2,776.00 | $469.42–$2,637.20 | — | 44% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Level 4 Urgent-ED | $2,176.72 | $3,887.00 | $657.29–$3,692.65 | — | 44% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB ED Level 5 Comprehensive/Major-OB ED | $1,799.84 | $3,214.00 | $543.49–$3,053.30 | 4% below | 44% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Level 5 Comprehensive/Major-ED | $2,520.00 | $4,500.00 | $760.95–$4,275.00 | 34% above | 44% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB ED Level 5 Comprehensive/Major-OB ED | $1,799.84 | $3,214.00 | $543.49–$3,053.30 | — | 44% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Level 5 Comprehensive/Major-ED | $2,520.00 | $4,500.00 | $760.95–$4,275.00 | — | 44% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Dobutamine/Cardiolite Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | 88% above | 44% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | 88% above | 44% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Lexiscan/Cardiolite Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | 88% above | 44% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Adenosine/Cardiolite Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | 88% above | 44% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Thallium Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | 88% above | 44% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Persantine/Thallium Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | 88% above | 44% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiolite Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | 88% above | 44% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Persantine/Cardiolite Cst | $1,916.88 | $3,423.00 | $292.14–$379.78 | 88% above | 44% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiolite Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | — | 44% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Dobutamine/Cardiolite Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | — | 44% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Thallium Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | — | 44% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Lexiscan/Cardiolite Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | — | 44% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Adenosine/Cardiolite Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | — | 44% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | — | 44% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Persantine/Thallium Cst | $1,916.88 | $3,423.00 | $578.83–$3,251.85 | — | 44% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Persantine/Cardiolite Cst | $1,916.88 | $3,423.00 | $292.14–$379.78 | — | 44% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Therapy W/ Pt Present 50 Mins | $176.96 | $316.00 | $53.44–$300.20 | 20% above | 44% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Therapy W/ Pt Present 50 Mins | $176.96 | $316.00 | $53.44–$300.20 | — | 44% |
| Group psychotherapy session CPT 90853 Group Therapy | $62.72 | $112.00 | $18.94–$106.40 | 40% below | 44% |
| Group psychotherapy session inpatient CPT 90853 Group Therapy | $62.72 | $112.00 | $18.94–$106.40 | — | 44% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration Initial 31-60 Min-OP-ED | $1,154.72 | $2,062.00 | $348.68–$1,958.90 | 278% above | 44% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration Initial 31-60 Min-OP | $1,154.72 | $2,062.00 | $348.68–$1,958.90 | 278% above | 44% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration Initial 31-60 Min-OP-ED | $1,154.72 | $2,062.00 | $348.68–$1,958.90 | — | 44% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration Initial 31-60 Min-OP | $1,154.72 | $2,062.00 | $348.68–$1,958.90 | — | 44% |
| IV infusion of a medicine, first hour CPT 96365 IV Infusion Initial/1st Hr-OP | $181.44 | $324.00 | $54.79–$307.80 | 45% below | 44% |
| IV infusion of a medicine, first hour CPT 96365 IV Infusion/Initial 16-60 Min Insulin-OP-ED | $181.44 | $324.00 | $54.79–$307.80 | 45% below | 44% |
| IV infusion of a medicine, first hour CPT 96365 IV Infusion/Initial 16-60 Min Insulin-OP | $181.44 | $324.00 | $54.79–$307.80 | 45% below | 44% |
| IV infusion of a medicine, first hour CPT 96365 IV Infusion/Initial 16-60 Min-OP-ED | $181.44 | $324.00 | $54.79–$307.80 | 45% below | 44% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion/Initial 16-60 Min Insulin-OP-ED | $181.44 | $324.00 | $54.79–$307.80 | — | 44% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion/Initial 16-60 Min-OP-ED | $181.44 | $324.00 | $54.79–$307.80 | — | 44% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion Initial/1st Hr-OP | $181.44 | $324.00 | $54.79–$307.80 | — | 44% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion/Initial 16-60 Min Insulin-OP | $181.44 | $324.00 | $54.79–$307.80 | — | 44% |
| IV push of a medicine, first drug CPT 96374 IV Push/Initial 15 Min or Less-OP | $551.04 | $984.00 | $166.39–$934.80 | 152% above | 44% |
| IV push of a medicine, first drug CPT 96374 IV Push/Initial 15 Min or Less Insulin-OP-ED | $551.04 | $984.00 | $166.39–$934.80 | 152% above | 44% |
| IV push of a medicine, first drug CPT 96374 IV Push/Initial 15 Min or Less-OP-ED | $551.04 | $984.00 | $197.66–$256.95 | 152% above | 44% |
| IV push of a medicine, first drug CPT 96374 IV Push/Initial 15 Min or Less Insulin-OP | $551.04 | $984.00 | $166.39–$934.80 | 152% above | 44% |
| IV push of a medicine, first drug inpatient CPT 96374 IV Push/Initial 15 Min or Less-OP-ED | $551.04 | $984.00 | $197.66–$256.95 | — | 44% |
| IV push of a medicine, first drug inpatient CPT 96374 IV Push/Initial 15 Min or Less-OP | $551.04 | $984.00 | $166.39–$934.80 | — | 44% |
| IV push of a medicine, first drug inpatient CPT 96374 IV Push/Initial 15 Min or Less Insulin-OP | $551.04 | $984.00 | $166.39–$934.80 | — | 44% |
| IV push of a medicine, first drug inpatient CPT 96374 IV Push/Initial 15 Min or Less Insulin-OP-ED | $551.04 | $984.00 | $166.39–$934.80 | — | 44% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq/Im Injection Each Insulin Admin-OP | $147.28 | $263.00 | $44.47–$249.85 | 48% above | 44% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq/Im Injection Each-OP | $147.28 | $263.00 | $44.47–$249.85 | 48% above | 44% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq/Im Injection Each-OP-ED | $147.28 | $263.00 | $44.47–$249.85 | 48% above | 44% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq/Im Injection Each Insulin Admin-OP-ED | $147.28 | $263.00 | $44.47–$249.85 | 48% above | 44% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Sq/Im Injection Each-OP | $147.28 | $263.00 | $44.47–$249.85 | — | 44% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Sq/Im Injection Each Insulin Admin-OP | $147.28 | $263.00 | $44.47–$249.85 | — | 44% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Sq/Im Injection Each-OP-ED | $147.28 | $263.00 | $44.47–$249.85 | — | 44% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Sq/Im Injection Each Insulin Admin-OP-ED | $147.28 | $263.00 | $44.47–$249.85 | — | 44% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Eval | $195.44 | $349.00 | $59.02–$331.55 | 25% above | 44% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Eval | $195.44 | $349.00 | $59.02–$331.55 | — | 44% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction, 7-8 Studies | $801.92 | $1,432.00 | $242.15–$1,360.40 | at median | 44% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction, 7-8 Studies | $801.92 | $1,432.00 | $242.15–$1,360.40 | — | 44% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ED 1 to 1 per 15 Min/Pt | $113.68 | $203.00 | $34.33–$192.85 | 22% above | 44% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ED 1 to 1 per 15 Min/Ot | $113.68 | $203.00 | $34.33–$192.85 | 22% above | 44% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-ED 1 to 1 per 15 Min/Pt | $113.68 | $203.00 | $34.33–$192.85 | — | 44% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-ED 1 to 1 per 15 Min/Ot | $113.68 | $203.00 | $34.33–$192.85 | — | 44% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nut Ther/Int per 15 Min (8 Unit Max/Dos) | $57.12 | $102.00 | $17.25–$96.90 | 23% above | 44% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Med Nut Ther/Int per 15 Min (8 Unit Max/Dos) | $57.12 | $102.00 | $17.25–$96.90 | — | 44% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex (1 Unit Only) | $243.04 | $434.00 | $73.39–$412.30 | 29% above | 44% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex (1 Unit Only) | $243.04 | $434.00 | $73.39–$412.30 | — | 44% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex (1 Unit Only) | $358.40 | $640.00 | $108.22–$608.00 | 20% above | 44% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complex (1 Unit Only) | $358.40 | $640.00 | $108.22–$608.00 | — | 44% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex (1 Unit Only) | $318.08 | $568.00 | $96.05–$539.60 | 51% above | 44% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complex (1 Unit Only) | $318.08 | $568.00 | $96.05–$539.60 | — | 44% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Med Complex (1 Unit Only) | $341.60 | $610.00 | $103.15–$579.50 | 37% above | 44% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Med Complex (1 Unit Only) | $341.60 | $610.00 | $103.15–$579.50 | — | 44% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 1 to 1 per 15 Min/Ot | $128.24 | $229.00 | $38.72–$217.55 | 1% above | 44% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 1 to 1 per 15 Min/Pt | $128.24 | $229.00 | $38.72–$217.55 | 1% above | 44% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy 1 to 1 per 15 Min/Pt | $128.24 | $229.00 | $38.72–$217.55 | — | 44% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy 1 to 1 per 15 Min/Ot | $128.24 | $229.00 | $38.72–$217.55 | — | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Cont Pass Motion Ther 1 to 1 per 15 Min/Pt | $141.68 | $253.00 | $42.78–$240.35 | 45% above | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Int Setup Cont Pass Motion 1 to 1 per 15 Min/Pt | $141.68 | $253.00 | $42.78–$240.35 | 45% above | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises 1 to 1 per 15 Min/Ot | $141.68 | $253.00 | $27.65–$35.95 | 45% above | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises 1 to 1 per 15 Min/Pt | $141.68 | $253.00 | $42.78–$240.35 | 45% above | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Int Setup Cont Pass Motion 1 to 1 per 15 Min/Pt | $141.68 | $253.00 | $42.78–$240.35 | — | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises 1 to 1 per 15 Min/Ot | $141.68 | $253.00 | $27.65–$35.95 | — | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises 1 to 1 per 15 Min/Pt | $141.68 | $253.00 | $42.78–$240.35 | — | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Cont Pass Motion Ther 1 to 1 per 15 Min/Pt | $141.68 | $253.00 | $42.78–$240.35 | — | 44% |
| Psychiatric evaluation with medical services CPT 90792 Psych Diagnostic Eval W/ Medical Srvcs | $107.52 | $192.00 | $32.47–$182.40 | 3% above | 44% |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psych Diagnostic Eval W/ Medical Srvcs | $107.52 | $192.00 | $32.47–$182.40 | — | 44% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for Crisis 60 Mins | $105.84 | $189.00 | $31.96–$179.55 | 8% below | 44% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for Crisis 60 Mins | $105.84 | $189.00 | $31.96–$179.55 | — | 44% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/ Pt 30 Mins | $98.56 | $176.00 | $29.76–$167.20 | 16% above | 44% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/ Pt 30 Mins | $98.56 | $176.00 | $29.76–$167.20 | — | 44% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/ Pt 45 Mins | $131.60 | $235.00 | $39.74–$223.25 | 18% above | 44% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/ Pt 45 Mins | $131.60 | $235.00 | $39.74–$223.25 | — | 44% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/ Pt 60 Mins | $139.44 | $249.00 | $42.11–$236.55 | 4% above | 44% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/ Pt 60 Mins | $139.44 | $249.00 | $42.11–$236.55 | — | 44% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoke/Tobacco Counseling 3-10 | $26.88 | $48.00 | $8.12–$45.60 | 22% above | 44% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoke/Tobacco Counseling 3-10 | $26.88 | $48.00 | $8.12–$45.60 | — | 44% |
| Speech and language evaluation CPT 92523 Eval Speech Sound Prod W/ Lang Comp & Express (per Procedure)/Sp | $319.20 | $570.00 | $96.39–$541.50 | at median | 44% |
| Speech and language evaluation CPT 92523 Eval Lang Only (per Procedure)/Sp | $319.20 | $570.00 | $96.39–$541.50 | at median | 44% |
| Speech and language evaluation inpatient CPT 92523 Eval Speech Sound Prod W/ Lang Comp & Express (per Procedure)/Sp | $319.20 | $570.00 | $96.39–$541.50 | — | 44% |
| Speech and language evaluation inpatient CPT 92523 Eval Lang Only (per Procedure)/Sp | $319.20 | $570.00 | $96.39–$541.50 | — | 44% |
| Speech therapy session, individual CPT 92507 Ind Speech/Lang Therapy (per Procedure)/Sp | $347.20 | $620.00 | $104.84–$589.00 | 96% above | 44% |
| Speech therapy session, individual inpatient CPT 92507 Ind Speech/Lang Therapy (per Procedure)/Sp | $347.20 | $620.00 | $104.84–$589.00 | — | 44% |
| Spirometry (breathing test) CPT 94010 Basic Spirometry | $296.80 | $530.00 | $89.62–$503.50 | 21% above | 44% |
| Spirometry (breathing test) inpatient CPT 94010 Basic Spirometry | $296.80 | $530.00 | $89.62–$503.50 | — | 44% |
| Spirometry before and after a bronchodilator CPT 94060 Before and Aftr Bronchodilator | $511.84 | $914.00 | $154.56–$868.30 | 2% below | 44% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Before and Aftr Bronchodilator | $511.84 | $914.00 | $154.56–$868.30 | — | 44% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities 1 to 1 per 15 Min/Ot | $118.72 | $212.00 | $35.85–$201.40 | 12% above | 44% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities 1 to 1 per 15 Min/Pt | $118.72 | $212.00 | $35.85–$201.40 | 12% above | 44% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities 1 to 1 per 15 Min/Ot | $118.72 | $212.00 | $35.85–$201.40 | — | 44% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities 1 to 1 per 15 Min/Pt | $118.72 | $212.00 | $35.85–$201.40 | — | 44% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $146.72 | $262.00 | $66.02–$248.90 | 32% below | 44% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy-Nursing | $146.72 | $262.00 | $54.94–$82.03 | 32% below | 44% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $146.72 | $262.00 | $66.02–$248.90 | — | 44% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy-Nursing | $146.72 | $262.00 | $54.94–$82.03 | — | 44% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | $115.93–$651.27 | at median | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | $115.93–$651.27 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1,350 UNIT/0.5 ML SUBQ SUSR | $1,534.75 | $1,534.75 | $259.53–$1,458.01 | 375% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1,350 UNIT/0.5 ML SUBQ SUSR | $1,534.75 | $1,534.75 | $259.53–$1,458.01 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM SYRG | $228.05 | $228.05 | $38.56–$216.65 | 263% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM SYRG | $228.05 | $228.05 | $38.56–$216.65 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(ACELL)T-POLIO VAC-PF 10-25-25-10-80 MCG-LF-MCG-LF-D IM SYRG | $861.83 | $861.83 | $145.74–$818.74 | 506% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(ACELL)T-POLIO VAC-PF 10-25-25-10-80 MCG-LF-MCG-LF-D IM SYRG | $861.83 | $861.83 | $145.74–$818.74 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE (6 MOS+)(PF) 45 MCG/0.5 ML IM SYRG | $158.31 | $158.31 | $26.77–$150.39 | 300% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE (3 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $173.86 | $173.86 | $29.40–$165.17 | 339% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE (6 MOS+)(PF) 45 MCG/0.5 ML IM SYRG | $158.31 | $158.31 | $26.77–$150.39 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE (3 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $173.86 | $173.86 | $29.40–$165.17 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SUSP | $596.29 | $596.29 | $100.83–$566.48 | 356% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SUSP | $596.29 | $596.29 | $100.83–$566.48 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM SYRG | $235.44 | $235.44 | $39.81–$223.67 | 123% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM SYRG | $235.44 | $235.44 | $39.81–$223.67 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR | $102.55 | $102.55 | $17.34–$97.42 | 195% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR | $102.55 | $102.55 | $17.34–$97.42 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR | $767.84 | $767.84 | $129.84–$729.45 | 251% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR | $767.84 | $767.84 | $129.84–$729.45 | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING VAC A,C,Y,W135,TET (PF) 10 MCG/0.5 ML IM SOLN | $1,414.41 | $1,414.41 | $239.18–$1,343.69 | 438% above | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING VAC A,C,Y,W135,TET (PF) 10 MCG/0.5 ML IM SOLN | $1,414.41 | $1,414.41 | $239.18–$1,343.69 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG | $2,009.48 | $2,009.48 | $339.80–$1,909.01 | 585% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG | $2,009.48 | $2,009.48 | $339.80–$1,909.01 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | $412.71–$2,318.61 | 219% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | $412.71–$2,318.61 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG | $938.99 | $938.99 | $158.78–$892.04 | 255% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG | $938.99 | $938.99 | $158.78–$892.04 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | $415.27–$2,332.96 | 162% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | $415.27–$2,332.96 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNIT IM SUSR | $2,611.72 | $2,611.72 | $327.78–$426.11 | 260% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNIT IM SUSR | $2,611.72 | $2,611.72 | $327.78–$426.11 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GE VAC,2 OF 2 50 MCG IM SUSR | $1,882.20 | $1,882.20 | $318.28–$1,788.09 | 554% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GE VAC,2 OF 2 50 MCG IM SUSR | $1,882.20 | $1,882.20 | $318.28–$1,788.09 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG | $384.09 | $384.09 | $64.95–$364.89 | 243% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG | $384.09 | $384.09 | $64.95–$364.89 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immuniza/Vaccine/Im/Jet/1 Vac-ED | $92.40 | $165.00 | $27.90–$156.75 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Flu Vaccine-IP Mcare | $92.40 | $165.00 | $27.90–$156.75 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Flu Vaccine-IP/OP | $92.40 | $165.00 | $27.90–$156.75 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Hep B Vaccine-IP Mcare | $92.40 | $165.00 | $27.90–$156.75 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumonia Vaccine-IP Mcare | $92.40 | $165.00 | $27.90–$156.75 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumonia Vaccine-IP/OP | $92.40 | $165.00 | $43.29–$56.27 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immuniza/Vaccine/Im/Jet/1 Vac-IP/OP | $92.40 | $165.00 | $27.90–$156.75 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Flu Vaccine-OP-ED | $92.40 | $165.00 | $27.90–$156.75 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumonia Vaccine-OP-ED | $92.40 | $165.00 | $27.90–$156.75 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Hep B Vaccine-OP-ED | $92.40 | $165.00 | $27.90–$156.75 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Hep B Vaccine-IP/OP | $92.40 | $165.00 | $27.90–$156.75 | 28% above | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Flu Vaccine-IP Mcare | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumonia Vaccine-IP/OP | $92.40 | $165.00 | $43.29–$56.27 | — | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immuniza/Vaccine/Im/Jet/1 Vac-ED | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Flu Vaccine-IP/OP | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Hep B Vaccine-IP Mcare | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immuniza/Vaccine/Im/Jet/1 Vac-IP/OP | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Hep B Vaccine-IP/OP | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Hep B Vaccine-OP-ED | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumonia Vaccine-OP-ED | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Flu Vaccine-OP-ED | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumonia Vaccine-IP Mcare | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immuniza/Vaccine/Ea Addt'l Vac-ED | $92.40 | $165.00 | $27.90–$156.75 | 54% above | 44% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immuniza/Vaccine/Ea Addt'l Vac-IP/OP | $92.40 | $165.00 | $27.90–$156.75 | 54% above | 44% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immuniza/Vaccine/Ea Addt'l Vac-IP/OP | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immuniza/Vaccine/Ea Addt'l Vac-ED | $92.40 | $165.00 | $27.90–$156.75 | — | 44% |
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.ecuhealth.org/mrf-files/562093700_ecu-health-edgecombe-hospital_standardcharges.zip