Edward Hospital
Edward Hospital in Naperville, IL publishes cash prices for 390 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Illinois median for 370 of 383 procedures and below it for 11. By typical cash price it ranks #112 of 114 Illinois hospitals and #59 of 62 hospitals in the Chicago, IL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
801 South Washington, Naperville, IL 60540,24600 W. 127th St, Plainfield, IL 60585 Collected Sep 27, 2026 Source price file Check a bill from this hospital (630) 527-3000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 140231 · CMS hospital register NPI 1427069632
The price file shows no self-pay discount
For 1202 of the 1202 prices listed here, the cash price in Edward Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Edward Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN WITHOUT AND WITH CONTRAST | $4,583.00 | $4,583.00 | — | 62% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN WITHOUT AND WITH CONTRAST | $4,583.00 | $4,583.00 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 HC RAD ABDOMEN TWO VIEWS | $1,075.00 | $1,075.00 | — | 226% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC RAD ABDOMEN TWO VIEWS | $1,075.00 | $1,075.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC RAD ANKLE COMPLETE MINIMUM THREE VIEWS | $759.00 | $759.00 | — | 125% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC RAD ANKLE COMPLETE MINIMUM THREE VIEWS | $759.00 | $759.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC NONINVASIVE PHYSIOLOGIC STUDY EXTREMITY BILAT LTD | $1,091.00 | $1,091.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC NONINVASIVE PHYSIOLOGIC STUDY EXTREMITY BILAT LTD | $1,091.00 | $1,091.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WITHOUT CONTRAST | $2,582.00 | $2,582.00 | — | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WITHOUT CONTRAST | $2,582.00 | $2,582.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC RAD ESOPHAGUS SNGL CONTRAST | $1,929.00 | $1,929.00 | — | 222% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC RAD ESOPHAGUS SNGL CONTRAST | $1,929.00 | $1,929.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NUCLEAR MED BONE AND OR JOINT IMAGING WHOLE BODY | $3,027.00 | $3,027.00 | — | 92% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NUCLEAR MED BONE AND OR JOINT IMAGING WHOLE BODY | $3,027.00 | $3,027.00 | — | — | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 HC US BREAST BILATERAL W IMAGE DOCUMENTATION COMPLETE | $979.00 | $979.00 | — | — | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 HC US BREAST (COSMETIC) BILATERAL COMPLETE | $1,004.00 | $1,004.00 | — | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREASTS UNILATERAL W IMAGE DOCUMENTATION COMPLETE | $922.00 | $922.00 | — | 78% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST (COSMETIC) UNILATERAL COMPLETE | $1,004.00 | $1,004.00 | — | 94% above | — |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 HC US BREAST BILATERAL W IMAGE DOCUMENTATION COMPLETE | $979.00 | $979.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 HC US BREAST (COSMETIC) BILATERAL COMPLETE | $1,004.00 | $1,004.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREASTS UNILATERAL W IMAGE DOCUMENTATION COMPLETE | $922.00 | $922.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST (COSMETIC) UNILATERAL COMPLETE | $1,004.00 | $1,004.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC US BREAST BILATERAL W IMAGE DOCUMENTATION LIMITED | $930.00 | $930.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC US BREAST (COSMETIC) BILATERAL LIMITED | $1,004.00 | $1,004.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILATERAL W IMAGE DOCUMENTATION LIMITED | $864.00 | $864.00 | — | 97% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST (COSMETIC) UNILATERAL LIMITED | $1,004.00 | $1,004.00 | — | 129% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC US BREAST BILATERAL W IMAGE DOCUMENTATION LIMITED | $930.00 | $930.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC US BREAST (COSMETIC) BILATERAL LIMITED | $1,004.00 | $1,004.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILATERAL W IMAGE DOCUMENTATION LIMITED | $864.00 | $864.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST (COSMETIC) UNILATERAL LIMITED | $1,004.00 | $1,004.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN AND PELVIS WITHOUT AND WITH CONTRAST IMAGE POSTPROC | $7,578.00 | $7,578.00 | — | 104% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN AND PELVIS WITHOUT AND WITH CONTRAST IMAGE POSTPROC | $7,578.00 | $7,578.00 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD WITH AND WITHOUT CONTRAST AND IMAGE POST PROCESSING | $4,501.00 | $4,501.00 | — | 76% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD WITH AND WITHOUT CONTRAST AND IMAGE POST PROCESSING | $4,501.00 | $4,501.00 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NECK WITH AND WITHOUT CONTRAST AND IMAGE POST PROCESSING | $4,501.00 | $4,501.00 | — | 73% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK WITH AND WITHOUT CONTRAST AND IMAGE POST PROCESSING | $4,501.00 | $4,501.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST WITHOUT AND WITH CONTRAST AND IMAGE PROCESSING | $4,501.00 | $4,501.00 | — | 54% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST WITHOUT AND WITH CONTRAST AND IMAGE PROCESSING | $4,501.00 | $4,501.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HEART CORONARY ARTERIES BYPASS GRAFTS WITH CONTRAST AND 3D | $5,050.00 | $5,050.00 | — | 185% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA HEART CORONARY ARTERIES BYPASS GRAFTS WITH CONTRAST AND 3D | $5,050.00 | $5,050.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART WO CONTRAST W QUANT EVAL CALCIUM SCORING | $1,391.00 | $1,391.00 | — | 529% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART WO CONTRAST W QUANT EVAL CALCIUM SCORING | $1,391.00 | $1,391.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN AND PELVIS WITHOUT CONTRAST | $5,915.00 | $5,915.00 | — | 62% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN AND PELVIS WITHOUT CONTRAST | $5,915.00 | $5,915.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST | $8,609.00 | $8,609.00 | — | 94% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST | $8,609.00 | $8,609.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN AND PELVIS WITHOUT AND WITH CONTRAST IN ONE OR BOTH REG | $8,610.00 | $8,610.00 | — | 73% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN AND PELVIS WITHOUT AND WITH CONTRAST IN ONE OR BOTH REG | $8,610.00 | $8,610.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN WITH CONTRAST | $4,501.00 | $4,501.00 | — | 98% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN WITH CONTRAST | $4,501.00 | $4,501.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WITHOUT CONTRAST LIMITED | $2,594.00 | $2,594.00 | — | 36% above | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WITHOUT CONTRAST | $2,594.00 | $2,594.00 | — | 36% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WITHOUT CONTRAST | $2,594.00 | $2,594.00 | — | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WITHOUT CONTRAST LIMITED | $2,594.00 | $2,594.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL AREA WITHOUT CONTRAST | $2,888.00 | $2,888.00 | — | 71% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL AREA WITHOUT CONTRAST | $2,888.00 | $2,888.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD OR BRAIN WITHOUT CONTRAST | $2,592.00 | $2,592.00 | — | 41% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD OR BRAIN WITHOUT CONTRAST | $2,592.00 | $2,592.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 HC CT HEAD OR BRAIN WITH CONTRAST | $4,501.00 | $4,501.00 | — | 133% above | — |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD OR BRAIN WITH CONTRAST | $4,501.00 | $4,501.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD OR BRAIN WITHOUT AND WITH CONTRAST | $4,583.00 | $4,583.00 | — | 88% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD OR BRAIN WITHOUT AND WITH CONTRAST | $4,583.00 | $4,583.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR WITH OUT CONTRAST | $3,098.00 | $3,098.00 | — | 41% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR WITH OUT CONTRAST | $3,098.00 | $3,098.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL WITHOUT CONTRAST | $2,888.00 | $2,888.00 | — | 24% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL WITHOUT CONTRAST | $2,888.00 | $2,888.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS WITH CONTRAST | $4,501.00 | $4,501.00 | — | 108% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS WITH CONTRAST | $4,501.00 | $4,501.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART BILAT COMPLETE | $1,936.00 | $1,936.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART BILAT COMPLETE | $1,936.00 | $1,936.00 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX WITHOUT AND WITH CONTRAST AND FURTHER SECTIONS | $4,501.00 | $4,501.00 | — | 59% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX WITHOUT AND WITH CONTRAST AND FURTHER SECTIONS | $4,501.00 | $4,501.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 HC RAD CHEST XRAY TWO VIEWS | $854.00 | $854.00 | — | 177% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC RAD CHEST XRAY TWO VIEWS | $854.00 | $854.00 | — | — | — |
| Chest X-ray, single view CPT 71045 HC RAD CHEST XRAY SINGLE VIEW | $613.00 | $613.00 | — | 141% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC RAD CHEST XRAY SINGLE VIEW | $613.00 | $613.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC RAD CLAVICLE COMPLETE | $665.00 | $665.00 | — | 154% above | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC RAD CLAVICLE COMPLETE | $665.00 | $665.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE REAL TIME W IMAGE DOCUMENTATION | $1,728.00 | $1,728.00 | — | 110% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE REAL TIME W IMAGE DOCUMENTATION | $1,728.00 | $1,728.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC RAD DUAL ENERGY DXA BONE DENSITY STDY ONE OR MORE SITES AXL SKL | $1,202.00 | $1,202.00 | — | 152% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC RAD DUAL ENERGY DXA BONE DENSITY STDY ONE OR MORE SITES AXL SKL | $1,202.00 | $1,202.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC RAD DUAL ENERGY DXA BONE DENSITY STDY ONE OR MORE SITES APND SKL | $235.00 | $235.00 | — | at median | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC RAD DUAL ENERGY DXA BONE DENSITY STDY ONE OR MORE SITES APND SKL | $235.00 | $235.00 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREGNANT UTERUS FTL MATER EVAL DTL FTL ANAT EXAM FST SGL GESTAT | $2,807.00 | $2,807.00 | — | 186% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREGNANT UTERUS FTL MATER EVAL DTL FTL ANAT EXAM FST SGL GESTAT | $2,807.00 | $2,807.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WITHOUT CONTRAST | $2,497.00 | $2,497.00 | — | 35% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WITHOUT CONTRAST | $2,497.00 | $2,497.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX WITH CONTRAST | $4,501.00 | $4,501.00 | — | 88% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX WITH CONTRAST | $4,501.00 | $4,501.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIAG INCL CAD BILAT CONVERT SAME DAY | $828.00 | $828.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAPHY DIAGNOSTIC INCL CAD BILATERAL | $1,226.00 | $1,226.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIAG INCL CAD BILAT CONVERT SAME DAY | $828.00 | $828.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAPHY DIAGNOSTIC INCL CAD BILATERAL | $1,226.00 | $1,226.00 | — | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAPHY DIAGNOSTIC INCL CAD UNILATERAL | $710.00 | $710.00 | — | 132% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC INCL CAD UNILAT CONVERT SAME DAY | $710.00 | $710.00 | — | 132% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAPHY DIAGNOSTIC INCL CAD UNILATERAL | $710.00 | $710.00 | — | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC INCL CAD UNILAT CONVERT SAME DAY | $710.00 | $710.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX SCAN LOW EXTREM ART OR BYPASS BILAT | $2,230.00 | $2,230.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX SCAN LOW EXTREM ART OR BYPASS BILAT | $2,230.00 | $2,230.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX SCAN EXTREMITY VEINS COMPLETE BILAT | $2,230.00 | $2,230.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX SCAN EXTREMITY VEINS COMPLETE BILAT | $2,230.00 | $2,230.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TRANSTHORACIC ECHO W CONTRAST DOPPLER AND COLOR | $3,756.00 | $3,756.00 | — | 77% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TRANSTHORACIC ECHOCARD COMPLETE W DOPPLER AND COLOR | $3,756.00 | $3,756.00 | — | 77% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TRANSTHORACIC ECHO W CONTRAST DOPPLER AND COLOR | $3,756.00 | $3,756.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TRANSTHORACIC ECHOCARD COMPLETE W DOPPLER AND COLOR | $3,756.00 | $3,756.00 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 HC RAD EXAM ELBOW ONE VIEW | $665.00 | $665.00 | — | 142% above | — |
| Elbow X-ray, 2 views CPT 73070 HC RAD ELBOW TWO VIEWS | $731.00 | $731.00 | — | 165% above | — |
| Elbow X-ray, 2 views inpatient CPT 73070 HC RAD EXAM ELBOW ONE VIEW | $665.00 | $665.00 | — | — | — |
| Elbow X-ray, 2 views inpatient CPT 73070 HC RAD ELBOW TWO VIEWS | $731.00 | $731.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC RAD ELBOW COMPLETE MINIMUM OF THREE VIEWS | $806.00 | $806.00 | — | 137% above | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC RAD ELBOW COMPLETE MINIMUM OF THREE VIEWS | $806.00 | $806.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT SELLA POST FOSSA OUT MID INNER EAR WITHOUT CONTRAST | $3,426.00 | $3,426.00 | — | 105% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT SELLA POST FOSSA OUT MID INNER EAR WITHOUT CONTRAST | $3,426.00 | $3,426.00 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC RAD FACIAL BONES COMPLETE MIN 3 VIEWS | $1,202.00 | $1,202.00 | — | 192% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC RAD FACIAL BONES COMPLETE MIN 3 VIEWS | $1,202.00 | $1,202.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC RAD FOREARM TWO VIEWS | $654.00 | $654.00 | — | 106% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC RAD FOREARM TWO VIEWS | $654.00 | $654.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NUCLEAR MED HEPATOBILIARY SYSTEM IMAGING INCL GALLBLADDER IF PRSNT | $2,929.00 | $2,929.00 | — | 94% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NUCLEAR MED HEPATOBILIARY SYSTEM IMAGING INCL GALLBLADDER IF PRSNT | $2,929.00 | $2,929.00 | — | — | — |
| Hand X-ray, 2 views CPT 73120 HC RAD EXAM HAND ONE VIEW | $665.00 | $665.00 | — | 139% above | — |
| Hand X-ray, 2 views CPT 73120 HC RAD HAND TWO VIEWS | $731.00 | $731.00 | — | 163% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 HC RAD EXAM HAND ONE VIEW | $665.00 | $665.00 | — | — | — |
| Hand X-ray, 2 views inpatient CPT 73120 HC RAD HAND TWO VIEWS | $731.00 | $731.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC RAD CALCANEUS TWO VIEWS | $665.00 | $665.00 | — | 176% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC RAD CALCANEUS TWO VIEWS | $665.00 | $665.00 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED | $1,767.00 | $1,767.00 | — | 162% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED | $1,767.00 | $1,767.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W CPAP ATTENDED 6 YRS OR OLDER | $9,365.00 | $9,365.00 | — | 99% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W CPAP ATTENDED < 6 HRS 6 YRS OR OLDER | $9,365.00 | $9,365.00 | — | 99% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W CPAP ATTENDED < 6 HRS 6 YRS OR OLDER | $9,365.00 | $9,365.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W CPAP ATTENDED 6 YRS OR OLDER | $9,365.00 | $9,365.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 HC RAD KNEE THREE VIEWS | $731.00 | $731.00 | — | 109% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 HC RAD KNEE THREE VIEWS | $731.00 | $731.00 | — | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 HC RAD KNEE COMPLETE FOUR OR MORE VIEWS | $1,202.00 | $1,202.00 | — | 172% above | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC RAD KNEE COMPLETE FOUR OR MORE VIEWS | $1,202.00 | $1,202.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WITHOUT CONTRAST | $2,605.00 | $2,605.00 | — | 44% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WITHOUT CONTRAST | $2,605.00 | $2,605.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL LIMITED REAL TIME W IMAGE DOCUMENTATION | $1,720.00 | $1,720.00 | — | 146% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL LIMITED REAL TIME W IMAGE DOCUMENTATION | $1,720.00 | $1,720.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US JOINT LIMITED OR NONVASC EXTREMITY/SOFT TISSUE | $1,404.00 | $1,404.00 | — | 355% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US JOINT LIMITED OR NONVASC EXTREMITY/SOFT TISSUE | $1,404.00 | $1,404.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LD LUNG CA SCREENING | $1,391.00 | $1,391.00 | — | 146% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LD LUNG CA SCREENING ANNUAL | $1,391.00 | $1,391.00 | — | 146% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LD LUNG CA SCREENING | $1,391.00 | $1,391.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LD LUNG CA SCREENING ANNUAL | $1,391.00 | $1,391.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC RAD TIBIA AND FIBULA TWO VIEWS | $665.00 | $665.00 | — | 105% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC RAD TIBIA AND FIBULA TWO VIEWS | $665.00 | $665.00 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WITHOUT CONTRAST | $3,854.00 | $3,854.00 | — | 45% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WITHOUT CONTRAST | $3,854.00 | $3,854.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W WO CONTRAST INCL CAD BILATERAL | $6,200.00 | $6,200.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST W WO CONTRAST INCL CAD BILATERAL | $6,200.00 | $6,200.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 HC MRI ANY JOINT LOWER EXTREMITY WO CONTRAST BILATERAL | $8,084.00 | $8,084.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI HIP LIMITED FX 2 SEQUENCES | $4,766.00 | $4,766.00 | — | 70% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST | $4,766.00 | $4,766.00 | — | 70% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 HC MRI ANY JOINT LOWER EXTREMITY WO CONTRAST BILATERAL | $8,084.00 | $8,084.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI HIP LIMITED FX 2 SEQUENCES | $4,766.00 | $4,766.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST | $4,766.00 | $4,766.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI ANY JOINT OF LOWER EXTREMITY WITHOUT AND WITH CONTRAST | $6,934.00 | $6,934.00 | — | 101% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI ANY JOINT OF LOWER EXTREMITY WITHOUT AND WITH CONTRAST | $6,934.00 | $6,934.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WITHOUT CONTRAST | $4,307.00 | $4,307.00 | — | 56% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WITHOUT CONTRAST | $4,307.00 | $4,307.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WITHOUT AND WITH CONTRAST AND IMAGE POST PROCESSING | $7,973.00 | $7,973.00 | — | 114% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WITHOUT AND WITH CONTRAST AND IMAGE POST PROCESSING | $7,973.00 | $7,973.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST | $4,028.00 | $4,028.00 | — | 44% above | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN ACUTE 3 SEQUENCE | $4,028.00 | $4,028.00 | — | 44% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST | $4,028.00 | $4,028.00 | — | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN ACUTE 3 SEQUENCE | $4,028.00 | $4,028.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN INCLUDING BRAIN STEM WITHOUT AND WITH CONTRAST FURTH SEQ | $7,315.00 | $7,315.00 | — | 81% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN INCLUDING BRAIN STEM WITHOUT AND WITH CONTRAST FURTH SEQ | $7,315.00 | $7,315.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINAL CANAL AND CONTENTS WITHOUT CONTRAST | $4,705.00 | $4,705.00 | — | 63% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINAL CANAL AND CONTENTS WITHOUT CONTRAST | $4,705.00 | $4,705.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINAL CANAL AND CONTENTS WITHOUT AND WITH CONTRAST | $6,934.00 | $6,934.00 | — | 70% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINAL CANAL AND CONTENTS WITHOUT AND WITH CONTRAST | $6,934.00 | $6,934.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINAL CANAL AND CONTENTS WITHOUT CONTRAST | $5,582.00 | $5,582.00 | — | 94% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINAL CANAL AND CONTENTS WITHOUT CONTRAST | $5,582.00 | $5,582.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINAL CANAL AND CONTENTS WITHOUT AND WITH CONTRAST | $7,316.00 | $7,316.00 | — | 83% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINAL CANAL AND CONTENTS WITHOUT AND WITH CONTRAST | $7,316.00 | $7,316.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINAL CANAL AND CONTENTS WITHOUT CONTRAST | $4,287.00 | $4,287.00 | — | 46% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINAL CANAL AND CONTENTS WITHOUT CONTRAST | $4,287.00 | $4,287.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WITHOUT AND WITH CONTRAST | $7,973.00 | $7,973.00 | — | 123% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WITHOUT AND WITH CONTRAST | $7,973.00 | $7,973.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WITHOUT CONTRAST | $4,591.00 | $4,591.00 | — | 72% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WITHOUT CONTRAST | $4,591.00 | $4,591.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXT ANY JOINT WITHOUT CONTRAST | $4,766.00 | $4,766.00 | — | 70% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXT ANY JOINT WITHOUT CONTRAST | $4,766.00 | $4,766.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RAD SPINE CERVICAL 4 OR 5 VIEWS | $1,202.00 | $1,202.00 | — | 119% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RAD SPINE CERVICAL 4 OR 5 VIEWS | $1,202.00 | $1,202.00 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK WITH CONTRAST | $4,501.00 | $4,501.00 | — | 111% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK WITH CONTRAST | $4,501.00 | $4,501.00 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WITHOUT CONTRAST | $2,512.00 | $2,512.00 | — | 43% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WITHOUT CONTRAST | $2,512.00 | $2,512.00 | — | — | — |
| Neck soft tissue X-ray CPT 70360 HC RAD SOFT TISSUE NECK | $610.00 | $610.00 | — | 132% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 HC RAD SOFT TISSUE NECK | $610.00 | $610.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NUCLEAR MED MYOCARDIAL PERFUSION IMAGING SPECT MULTIPLE STUDIES | $8,056.00 | $8,056.00 | — | 102% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NUCLEAR MED MYOCARDIAL PERFUSION IMAGING SPECT MULTIPLE STUDIES | $8,056.00 | $8,056.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET W CT FOR ATTENUAT CORR AND ANAT LCLZTN IMG SKULL BASE MID THIGH | $9,770.00 | $9,770.00 | — | 65% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET W CT FOR ATTENUAT CORR AND ANAT LCLZTN IMG SKULL BASE MID THIGH | $9,770.00 | $9,770.00 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WITHOUT CONTRAST | $2,511.00 | $2,511.00 | — | 32% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WITHOUT CONTRAST | $2,511.00 | $2,511.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC NONOBSTETRICAL LIMITED OR FOLLOW UP | $1,283.00 | $1,283.00 | — | 139% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC NONOBSTETRICAL LIMITED OR FOLLOW UP | $1,283.00 | $1,283.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NONOBSTETRICAL COMPLETE | $1,720.00 | $1,720.00 | — | 117% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NONOBSTETRICAL COMPLETE | $1,720.00 | $1,720.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANT UTERUS FTL MATERN EVAL AFTER FST TRIM SGL FST GESTATION | $1,720.00 | $1,720.00 | — | 131% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANT UTERUS FTL MATERN EVAL AFTER FST TRIM SGL FST GESTATION | $1,720.00 | $1,720.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREGNANT UTERUS FTL MATERN EVAL FST TRIM SGL FST GEST TRNSAB APP | $1,720.00 | $1,720.00 | — | 155% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREGNANT UTERUS FTL MATERN EVAL FST TRIM SGL FST GEST TRNSAB APP | $1,720.00 | $1,720.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LIMITED ONE OR MORE FETUSES | $1,679.00 | $1,679.00 | — | 220% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANT UTERUS LIMITED ONE OR MORE FETUSES | $1,679.00 | $1,679.00 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 HC RAD RIBS UNILATERAL 2 VIEWS | $641.00 | $641.00 | — | 86% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RAD RIBS UNILATERAL 2 VIEWS | $641.00 | $641.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RAD RIBS UNILATERAL INCL PA CHEST XRAY MINIMUM 3 VIEWS | $1,172.00 | $1,172.00 | — | 143% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RAD RIBS UNILATERAL INCL PA CHEST XRAY MINIMUM 3 VIEWS | $1,172.00 | $1,172.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCREEN INCL CAD DIGITAL (COSMETIC) BILATERAL | $404.00 | $404.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMM SCREEN DIGITAL INCL CAD BILAT SELF REQUEST | $986.00 | $986.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAPHY SCREENING INCL CAD BILATERAL | $986.00 | $986.00 | — | — | — |
| Screening mammogram, both breasts one side CPT 77067 HC MAMMO SCREEN INCL CAD (COSMETIC) UNILATERAL | $323.00 | $323.00 | — | 18% above | — |
| Screening mammogram, both breasts one side CPT 77067 HC MAMM SCREEN DIGITAL INCL CAD UNILAT SELF REQUEST | $521.00 | $521.00 | — | 90% above | — |
| Screening mammogram, both breasts one side CPT 77067 HC MAMMOGRAPHY SCREEN INCL CAD UNILATERAL | $521.00 | $521.00 | — | 90% above | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCREEN INCL CAD DIGITAL (COSMETIC) BILATERAL | $404.00 | $404.00 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAPHY SCREENING INCL CAD BILATERAL | $986.00 | $986.00 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMM SCREEN DIGITAL INCL CAD BILAT SELF REQUEST | $986.00 | $986.00 | — | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC MAMMO SCREEN INCL CAD (COSMETIC) UNILATERAL | $323.00 | $323.00 | — | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC MAMM SCREEN DIGITAL INCL CAD UNILAT SELF REQUEST | $521.00 | $521.00 | — | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC MAMMOGRAPHY SCREEN INCL CAD UNILATERAL | $521.00 | $521.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC RAD SHOULDER COMPLETE MINIMUM TWO VIEWS | $757.00 | $757.00 | — | 111% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC RAD SHOULDER COMPLETE MINIMUM TWO VIEWS | $757.00 | $757.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC RAD SINUSES COMPLETE MIN 3 V | $1,142.00 | $1,142.00 | — | 201% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC RAD SINUSES COMPLETE MIN 3 V | $1,142.00 | $1,142.00 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 HC RAD SKULL LESS THAN 4 VIEWS | $1,202.00 | $1,202.00 | — | 290% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC RAD SKULL LESS THAN 4 VIEWS | $1,202.00 | $1,202.00 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY ATTENDED < 6 HRS 6 YRS OR OLDER | $7,100.00 | $7,100.00 | — | 84% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY ATTENDED 6YRS OR OLDER | $7,854.00 | $7,854.00 | — | 104% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY ATTENDED < 6 HRS 6 YRS OR OLDER | $7,100.00 | $7,100.00 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY ATTENDED 6YRS OR OLDER | $7,854.00 | $7,854.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC RAD SWALLOWING FUNCTION WITH CINE OR VIDEO | $965.00 | $965.00 | — | 58% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC RAD SWALLOWING FUNCTION WITH CINE OR VIDEO | $965.00 | $965.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC RAD FEMUR MINIMUM TWO VIEWS | $665.00 | $665.00 | — | 135% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC RAD FEMUR MINIMUM TWO VIEWS | $665.00 | $665.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SPINE THORACIC WITHOUT CONTRAST | $3,098.00 | $3,098.00 | — | 43% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SPINE THORACIC WITHOUT CONTRAST | $3,098.00 | $3,098.00 | — | — | — |
| Toe X-ray, 2 or more views CPT 73660 HC RAD TOE(S) TWO VIEWS | $665.00 | $665.00 | — | 191% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC RAD TOE(S) TWO VIEWS | $665.00 | $665.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $1,679.00 | $1,679.00 | — | 162% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $1,679.00 | $1,679.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANT UTERUS TRANSVAGINAL | $1,679.00 | $1,679.00 | — | 217% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANT UTERUS TRANSVAGINAL | $1,679.00 | $1,679.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE REAL TIME W IMAGE DOCUMENTATION | $2,072.00 | $2,072.00 | — | 102% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL COMPLETE REAL TIME W IMAGE DOCUMENTATION | $2,072.00 | $2,072.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM AND CONTENTS | $1,720.00 | $1,720.00 | — | 130% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM AND CONTENTS | $1,720.00 | $1,720.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUES OF HEAD AND NECK REAL TIME W IMAGE DOCUMENTATION | $1,720.00 | $1,720.00 | — | 152% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUES OF HEAD AND NECK REAL TIME W IMAGE DOCUMENTATION | $1,720.00 | $1,720.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC RAD GI TRACT UPPER DELAY IMAGE SNGL CONTRAST | $1,929.00 | $1,929.00 | — | 178% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC RAD GI TRACT UPPER DELAY IMAGE SNGL CONTRAST | $1,929.00 | $1,929.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC RAD HUMERUS MINIMUM OF TWO VIEWS | $665.00 | $665.00 | — | 126% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC RAD HUMERUS MINIMUM OF TWO VIEWS | $665.00 | $665.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX SCAN EXTREMITY VEINS UNILAT OR LTD | $1,678.00 | $1,678.00 | — | 137% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX SCAN EXTREMITY VEINS UNILAT OR LTD | $1,678.00 | $1,678.00 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 HC RAD EXAM WRIST ONE VIEW | $665.00 | $665.00 | — | 149% above | — |
| Wrist X-ray, 2 views CPT 73100 HC RAD WRIST TWO VIEWS | $731.00 | $731.00 | — | 174% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 HC RAD EXAM WRIST ONE VIEW | $665.00 | $665.00 | — | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 HC RAD WRIST TWO VIEWS | $731.00 | $731.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC RAD WRIST COMPLETE MINIMUM OF THREE VIEWS | $806.00 | $806.00 | — | 146% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC RAD WRIST COMPLETE MINIMUM OF THREE VIEWS | $806.00 | $806.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC RAD HIP UNILATERAL W PELVIS 2 TO 3 VIEWS | $665.00 | $665.00 | — | 120% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC RAD HIP UNILATERAL W PELVIS 2 TO 3 VIEWS | $665.00 | $665.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC RAD ABDOMEN ONE VIEW | $610.00 | $610.00 | — | 129% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC RAD ABDOMEN ONE VIEW | $610.00 | $610.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC RAD EXAM ANKLE ONE VIEW | $665.00 | $665.00 | — | 142% above | — |
| X-ray of the ankle, 2 views CPT 73600 HC RAD ANKLE TWO VIEWS | $731.00 | $731.00 | — | 166% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC RAD EXAM ANKLE ONE VIEW | $665.00 | $665.00 | — | — | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC RAD ANKLE TWO VIEWS | $731.00 | $731.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC RAD FINGER(S) MINIMUM OF TWO VIEWS | $665.00 | $665.00 | — | 155% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC RAD FINGER(S) MINIMUM OF TWO VIEWS | $665.00 | $665.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 HC RAD EXAM FOOT ONE VIEW | $580.00 | $580.00 | — | 111% above | — |
| X-ray of the foot, 2 views CPT 73620 HC RAD FOOT TWO VIEWS | $665.00 | $665.00 | — | 142% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC RAD EXAM FOOT ONE VIEW | $580.00 | $580.00 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC RAD FOOT TWO VIEWS | $665.00 | $665.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC RAD FOOT COMPLETE MINIMUM THREE VIEWS | $731.00 | $731.00 | — | 112% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC RAD FOOT COMPLETE MINIMUM THREE VIEWS | $731.00 | $731.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HC RAD HAND MINIMUM OF THREE VIEWS | $806.00 | $806.00 | — | 134% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC RAD HAND MINIMUM OF THREE VIEWS | $806.00 | $806.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC RAD KNEE ONE OR TWO VIEWS | $680.00 | $680.00 | — | 136% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC RAD KNEE ONE OR TWO VIEWS | $680.00 | $680.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC RAD SPINE LUMBOSACRAL TWO OR THREE VIEWS | $1,202.00 | $1,202.00 | — | 170% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC RAD SPINE LUMBOSACRAL TWO OR THREE VIEWS | $1,202.00 | $1,202.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC RAD SPINE LUMBOSACRAL MINIMUM FOUR VIEWS | $1,321.00 | $1,321.00 | — | 129% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC RAD SPINE LUMBOSACRAL MINIMUM FOUR VIEWS | $1,321.00 | $1,321.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC RAD SPINE THORACIC TWO VIEWS | $1,172.00 | $1,172.00 | — | 220% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC RAD SPINE THORACIC TWO VIEWS | $1,172.00 | $1,172.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC RAD NASAL BONES COMPLETE MIN 3 VIEWS | $665.00 | $665.00 | — | 122% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC RAD NASAL BONES COMPLETE MIN 3 VIEWS | $665.00 | $665.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RAD SPINE CERVICAL TWO OR THREE VIEWS | $731.00 | $731.00 | — | 105% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RAD SPINE CERVICAL TWO OR THREE VIEWS | $731.00 | $731.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC RAD PELVIS ONE OR TWO VIEWS | $1,172.00 | $1,172.00 | — | 239% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC RAD PELVIS ONE OR TWO VIEWS | $1,172.00 | $1,172.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC RAD SACRUM AND COCCYX MINIMUM OF TWO VIEWS | $721.00 | $721.00 | — | 110% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC RAD SACRUM AND COCCYX MINIMUM OF TWO VIEWS | $721.00 | $721.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE (ACTH) | $553.00 | $553.00 | — | 176% above | — |
| ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE (ACTH) | $553.00 | $553.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO | $105.00 | $105.00 | — | 91% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO | $105.00 | $105.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO | $105.00 | $105.00 | — | 91% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO | $105.00 | $105.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $724.00 | $724.00 | — | 176% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $724.00 | $724.00 | — | — | — |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM | $74.00 | $74.00 | — | 72% above | — |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM | $74.00 | $74.00 | — | — | — |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $604.00 | $604.00 | — | 266% above | — |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE | $604.00 | $604.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE | $66.00 | $66.00 | — | 20% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE | $66.00 | $66.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE LATEX | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE ELM | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS PANEL#3 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE MOLD PANEL | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS PANEL#2 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE NUT PANEL #1 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS PANEL #1 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE NUT PANEL #2 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FEATHER PANEL #2 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE FOOD PANEL | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE PANEL #4 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE HOUSE DUST PANEL | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE STING PROFILE | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE PANEL #3 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE NUTS PROFILE | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE PANEL #2 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE SEAFOOD PANEL | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE OAK | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE TIMOTHY GRASS | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE JUNE KB | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE COMMON RAGWEED | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED PANEL #4 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE LAMB'S QTRS | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED PANEL #3 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE CAT EPITHELIUM | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED PANEL #1 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE DOG DANDER | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE GOOSE FEATHERS | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE PANEL #1 | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE CLADOSPORIUM | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE HOUSE DUST MITES D.P. | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE ALTERNARIA TENIUS | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE BERMUDA GRASS | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE D FARINAE | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE EGG WHITE | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE MILK | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE WHEAT | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE SOYBEAN | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE COTTONWOOD | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE HOUSE DUST MITES D.F. | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE GOLDENROD | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE SHORT RAGWEED | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE EGG YOLK | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE DOG EPITHELIUM | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE RAST EACH | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE CHICKEN FEATHERS | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE BOX ELDER MAPLE | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE EACH SPECIAL SENDOUT | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE DUCK FEATHERS | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE CORN FOOD | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE CANDIDA ALBICANS | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE PEANUT | $69.00 | $69.00 | — | 151% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE HOUSE DUST PANEL | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE RAST EACH | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE LATEX | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE MOLD PANEL | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE NUT PANEL #1 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE NUT PANEL #2 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE FOOD PANEL | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE STING PROFILE | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE NUTS PROFILE | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE SEAFOOD PANEL | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE OAK | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE TIMOTHY GRASS | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE JUNE KB | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE COMMON RAGWEED | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE LAMB'S QTRS | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE CAT EPITHELIUM | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE DOG DANDER | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE CLADOSPORIUM | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE ALTERNARIA TENIUS | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE D FARINAE | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE EGG WHITE | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE MILK | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE WHEAT | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE SOYBEAN | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE HOUSE DUST MITES D.F. | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE SHORT RAGWEED | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE EGG YOLK | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE DOG EPITHELIUM | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE BOX ELDER MAPLE | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE PEANUT | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE ELM | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE CANDIDA ALBICANS | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE CORN FOOD | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE DUCK FEATHERS | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE CHICKEN FEATHERS | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE GOOSE FEATHERS | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE GOLDENROD | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE COTTONWOOD | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE BERMUDA GRASS | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE HOUSE DUST MITES D.P. | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE PANEL #1 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED PANEL #1 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED PANEL #3 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED PANEL #4 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE PANEL #2 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE PANEL #3 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE PANEL #4 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FEATHER PANEL #2 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS PANEL #1 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS PANEL#2 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS PANEL#3 | $69.00 | $69.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE EACH SPECIAL SENDOUT | $69.00 | $69.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (AFP) SERUM | $348.00 | $348.00 | — | 219% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (AFP) SERUM | $348.00 | $348.00 | — | — | — |
| Ammonia blood test CPT 82140 HC AMMONIA | $294.00 | $294.00 | — | 165% above | — |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA | $294.00 | $294.00 | — | — | — |
| Amylase blood test CPT 82150 HC AMYLASE | $135.00 | $135.00 | — | 68% above | — |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $135.00 | $135.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULINATED PEPTIDE ANTIBODY IGG | $174.00 | $174.00 | — | 107% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULINATED PEPTIDE ANTIBODY IGG | $174.00 | $174.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANBITODIES (ANA) | $169.00 | $169.00 | — | 83% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANBITODIES (ANA) | $169.00 | $169.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $386.00 | $386.00 | — | 104% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $386.00 | $386.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL THROAT | $340.00 | $340.00 | — | 288% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL ROUTINE | $340.00 | $340.00 | — | 288% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL CSF | $340.00 | $340.00 | — | 288% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL RESPIRATORY | $340.00 | $340.00 | — | 288% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL CATHETER TIP | $340.00 | $340.00 | — | 288% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL TISSUE BIOPSY | $340.00 | $340.00 | — | 288% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL BODY FLUID | $340.00 | $340.00 | — | 288% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL GENITAL | $340.00 | $340.00 | — | 288% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL ROUTINE | $340.00 | $340.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL THROAT | $340.00 | $340.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL RESPIRATORY | $340.00 | $340.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL GENITAL | $340.00 | $340.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL CSF | $340.00 | $340.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL CATHETER TIP | $340.00 | $340.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL BODY FLUID | $340.00 | $340.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL TISSUE BIOPSY | $340.00 | $340.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $217.00 | $217.00 | — | 69% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $217.00 | $217.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $117.00 | $117.00 | — | 90% above | — |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $117.00 | $117.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATHOLOGY GROSS AND MICRO LEVEL 4 MUSCLE | $724.00 | $724.00 | — | 196% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATHOLOGY GROSS AND MICRO LEVEL 4 NERVE | $724.00 | $724.00 | — | 196% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATHOLOGY GROSS AND MICRO LEVEL 4 | $724.00 | $724.00 | — | 196% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATHOLOGY GROSS AND MICRO LEVEL 4 RENAL BX | $724.00 | $724.00 | — | 196% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATHOLOGY GROSS AND MICRO LEVEL 4 GLOBAL | $724.00 | $724.00 | — | 196% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATHOLOGY GROSS AND MICRO LEVEL 4 NERVE | $724.00 | $724.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATHOLOGY GROSS AND MICRO LEVEL 4 MUSCLE | $724.00 | $724.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATHOLOGY GROSS AND MICRO LEVEL 4 RENAL BX | $724.00 | $724.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATHOLOGY GROSS AND MICRO LEVEL 4 | $724.00 | $724.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATHOLOGY GROSS AND MICRO LEVEL 4 GLOBAL | $724.00 | $724.00 | — | — | — |
| Blood culture for bacteria CPT 87040 HC CULTURE BACTERIAL BLOOD | $288.00 | $288.00 | — | 99% above | — |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BACTERIAL BLOOD | $288.00 | $288.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $49.00 | $49.00 | — | 108% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $49.00 | $49.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD QUANTITATIVE | $58.00 | $58.00 | — | 41% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BLOOD QUANTITATIVE | $58.00 | $58.00 | — | — | — |
| Blood lead test CPT 83655 HC LEAD | $174.00 | $174.00 | — | 218% above | — |
| Blood lead test inpatient CPT 83655 HC LEAD | $174.00 | $174.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC (HCG) QUALITATIVE | $108.00 | $108.00 | — | 20% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC (HCG) QUALITATIVE | $108.00 | $108.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $346.00 | $346.00 | — | 312% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO | $346.00 | $346.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUANTITATIVE | $52.00 | $52.00 | — | 7% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN; QUANTITATIVE | $60.00 | $60.00 | — | 24% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUANTITATIVE | $52.00 | $52.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN; QUANTITATIVE | $60.00 | $60.00 | — | — | — |
| C-peptide blood test CPT 84681 HC C - PEPTIDE | $298.00 | $298.00 | — | 188% above | — |
| C-peptide blood test inpatient CPT 84681 HC C - PEPTIDE | $298.00 | $298.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $248.00 | $248.00 | — | 252% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $248.00 | $248.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC INFECTIOUS AGENT CLOSTRIDIUM DIFFICILE AMPLIFIED | $414.00 | $414.00 | — | 125% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC INFECTIOUS AGENT CLOSTRIDIUM DIFFICILE AMPLIFIED | $414.00 | $414.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 | $326.00 | $326.00 | — | 191% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 | $326.00 | $326.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 | $320.00 | $320.00 | — | 99% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 | $320.00 | $320.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC INFECT AGENT DETECT COVID-19 AMPLIFIED PROBE TECHNIQUE | $363.00 | $363.00 | — | 214% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC INFECT AGENT DETECT COVID-19 AMPLIFIED PROBE TECHNIQUE | $363.00 | $363.00 | — | — | — |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL | $141.00 | $141.00 | — | 221% above | — |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL | $141.00 | $141.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) | $373.00 | $373.00 | — | 161% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA | $373.00 | $373.00 | — | 161% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) | $373.00 | $373.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA | $373.00 | $373.00 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA ZOSTER | $173.00 | $173.00 | — | 139% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA ZOSTER IGM | $173.00 | $173.00 | — | 139% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA ZOSTER IGG | $206.00 | $206.00 | — | 184% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ANTIBODY VARICELLA ZOSTER | $173.00 | $173.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ANTIBODY VARICELLA ZOSTER IGM | $173.00 | $173.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ANTIBODY VARICELLA ZOSTER IGG | $206.00 | $206.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC INFECTOUS AGENT CHLAMYDIA TRACHOMATIS AMPLIFIED | $286.00 | $286.00 | — | 131% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC INFECTOUS AGENT CHLAMYDIA TRACHOMATIS AMPLIFIED | $286.00 | $286.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $251.00 | $251.00 | — | 100% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $251.00 | $251.00 | — | 100% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $251.00 | $251.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $251.00 | $251.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFFERENTIAL | $115.00 | $115.00 | — | 40% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFFERENTIAL | $115.00 | $115.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AUTOMATED | $135.00 | $135.00 | — | 107% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTOMATED | $135.00 | $135.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $244.00 | $244.00 | — | 58% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $244.00 | $244.00 | — | — | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL OTHER | $410.00 | $410.00 | — | 264% above | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $410.00 | $410.00 | — | 264% above | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $410.00 | $410.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL OTHER | $410.00 | $410.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CK)(CPK) TOTAL | $132.00 | $132.00 | — | 115% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CK)(CPK) TOTAL | $132.00 | $132.00 | — | — | — |
| Creatinine blood test CPT 82565 HC ISTAT CREATININE | $92.00 | $92.00 | — | 93% above | — |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $92.00 | $92.00 | — | 93% above | — |
| Creatinine blood test inpatient CPT 82565 HC ISTAT CREATININE | $92.00 | $92.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD | $92.00 | $92.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS | $193.00 | $193.00 | — | 121% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS | $193.00 | $193.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADATION PRODUCT D DIMER | $189.00 | $189.00 | — | 58% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADATION PRODUCT D DIMER | $189.00 | $189.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA-S) | $327.00 | $327.00 | — | 197% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA-S) | $327.00 | $327.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN RAPID 5 PANEL | $298.00 | $298.00 | — | 198% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 10 PANEL | $298.00 | $298.00 | — | 198% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN NON DOT | $298.00 | $298.00 | — | 198% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC FENTANYL DRUG SCREEN | $379.00 | $379.00 | — | 279% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRESUMPTIVE KRATOM URINE QUANTITATIVE | $406.00 | $406.00 | — | 306% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG NO CONFIRMATION | $472.00 | $472.00 | — | 372% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN SNGL DRUG CLASS PER DOS | $472.00 | $472.00 | — | 372% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PRESUMPTIVE SNGL DRUG CLASS EACH PROC | $472.00 | $472.00 | — | 372% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 11 PANEL W CONFIRMATION | $647.00 | $647.00 | — | 547% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE MECSTAT 5 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 2 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 3 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 4 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 5 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 6 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 7 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE MECSTAT 1 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE MECSTAT 2 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE MECSTAT 3 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE MECSTAT 4 | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG EACH | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CANNABINOID SYNTHETIC (THC) | $664.00 | $664.00 | — | 564% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 1 | $765.00 | $765.00 | — | 665% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN RAPID 5 PANEL | $298.00 | $298.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN NON DOT | $298.00 | $298.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 10 PANEL | $298.00 | $298.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC FENTANYL DRUG SCREEN | $379.00 | $379.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRESUMPTIVE KRATOM URINE QUANTITATIVE | $406.00 | $406.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN SNGL DRUG CLASS PER DOS | $472.00 | $472.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG NO CONFIRMATION | $472.00 | $472.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PRESUMPTIVE SNGL DRUG CLASS EACH PROC | $472.00 | $472.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 11 PANEL W CONFIRMATION | $647.00 | $647.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CANNABINOID SYNTHETIC (THC) | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG EACH | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE MECSTAT 4 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE MECSTAT 3 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE MECSTAT 2 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE MECSTAT 1 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE MECSTAT 5 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 7 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 6 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 5 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 4 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 3 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 2 | $664.00 | $664.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUALITATIVE SINGLE DRUG CLASS 1 | $765.00 | $765.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $81.00 | $81.00 | — | 16% below | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $81.00 | $81.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR VIRUS VIRAL CAPSID IGG | $270.00 | $270.00 | — | 150% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN BARR VIRUS VCA IGG | $270.00 | $270.00 | — | 150% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN BARR VCA IGM | $270.00 | $270.00 | — | 150% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR VIRUS VIRAL CAPSID IGG | $270.00 | $270.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC ANTIBODY EPSTEIN BARR VIRUS VCA IGG | $270.00 | $270.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC ANTIBODY EPSTEIN BARR VCA IGM | $270.00 | $270.00 | — | — | — |
| Estradiol blood test CPT 82670 HC ESTRADIOL TOTAL | $494.00 | $494.00 | — | 362% above | — |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL TOTAL | $494.00 | $494.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FSH | $444.00 | $444.00 | — | 272% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FSH | $444.00 | $444.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL | $320.00 | $320.00 | — | 83% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL | $320.00 | $320.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $342.00 | $342.00 | — | 163% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $342.00 | $342.00 | — | — | — |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $163.00 | $163.00 | — | 94% above | — |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY | $163.00 | $163.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM | $270.00 | $270.00 | — | 141% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM | $270.00 | $270.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE T3 FREE | $203.00 | $203.00 | — | 67% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE T3 FREE | $203.00 | $203.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE | $175.00 | $175.00 | — | 52% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE | $175.00 | $175.00 | — | — | — |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $377.00 | $377.00 | — | 202% above | — |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $377.00 | $377.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA (GGT) | $107.00 | $107.00 | — | 85% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA (GGT) | $107.00 | $107.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL | $567.00 | $567.00 | — | 88% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL | $567.00 | $567.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $98.00 | $98.00 | — | 64% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $98.00 | $98.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST 3 SPECIMENS | $184.00 | $184.00 | — | 36% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST 3 SPECIMENS | $184.00 | $184.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC INFECTIOUS AGENT NEISSERIA GONORRHOEAE AMPLIFIED | $280.00 | $280.00 | — | 131% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC INFECTIOUS AGENT NEISSERIA GONORRHOEAE AMPLIFIED | $280.00 | $280.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 HC ANTIBODY HELICOBACTER PYLORI | $178.00 | $178.00 | — | 53% above | — |
| H. pylori antibody blood test inpatient CPT 86677 HC ANTIBODY HELICOBACTER PYLORI | $178.00 | $178.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 HC INFECTIOUS AGENT ANTIGEN HELICOBACTER PYLORI STOOL | $290.00 | $290.00 | — | 150% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HC INFECTIOUS AGENT ANTIGEN HELICOBACTER PYLORI STOOL | $290.00 | $290.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC INFECTIOUS AGENT HIV -1 QUANTIFICATION | $1,007.00 | $1,007.00 | — | 196% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC INFECTIOUS AGENT HIV -1 QUANTIFICATION | $1,007.00 | $1,007.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HC ANTIBODY HIV 1 AND HIV 2 SINGLE RESULT | $158.00 | $158.00 | — | 34% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC ANTIBODY HIV 1 AND HIV 2 SINGLE RESULT | $158.00 | $158.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC INFECT AGENT HIV 1 ANTIG W HIV 1 HIV 2 AB ASSAY | $215.00 | $215.00 | — | 87% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC INFECT AGENT HIV 1 ANTIG W HIV 1 HIV 2 AB ASSAY | $215.00 | $215.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC INFECTIOUS AGENT NUCLEIC ACID HPV HIGH RISK | $384.00 | $384.00 | — | 165% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC INFECTIOUS AGENT DETECT HUMAN PAPILLOMA VIRUS | $386.00 | $386.00 | — | 166% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC INFECTIOUS AGENT NUCLEIC ACID HPV HIGH RISK | $384.00 | $384.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC INFECTIOUS AGENT DETECT HUMAN PAPILLOMA VIRUS | $386.00 | $386.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED (A1C) | $131.00 | $131.00 | — | 47% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCOSYLATED (A1C) | $131.00 | $131.00 | — | — | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (HGB) | $66.00 | $66.00 | — | 111% above | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (HGB) | $66.00 | $66.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL | $168.00 | $168.00 | — | 110% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL | $168.00 | $168.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB | $205.00 | $205.00 | — | 119% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $205.00 | $205.00 | — | 119% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $205.00 | $205.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB | $205.00 | $205.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC INFECTIOUS AGENT ANTIGEN HEPATITIS B SURFACE AG | $199.00 | $199.00 | — | 127% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC INFECTIOUS AGENT ANTIGEN HEPATITIS B SURFACE AG | $199.00 | $199.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY | $357.00 | $357.00 | — | 219% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY | $357.00 | $357.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC INFECTIOUS AGENT HEPATITIS C QUANTIFICATION | $634.00 | $634.00 | — | 139% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC INFECTIOUS AGENT HEPATITIS C QUANTIFICATION | $634.00 | $634.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SIMPLEX TYPE 1 | $178.00 | $178.00 | — | 164% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SIMPLEX TYPE 1 | $178.00 | $178.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SIMPLEX TYPE 2 | $261.00 | $261.00 | — | 192% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY HERPES SIMPLEX TYPE 2 | $261.00 | $261.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY | $174.00 | $174.00 | — | 88% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY | $174.00 | $174.00 | — | — | — |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE | $241.00 | $241.00 | — | 100% above | — |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE | $241.00 | $241.00 | — | — | — |
| Insulin blood test CPT 83525 HC INSULIN TOTAL | $165.00 | $165.00 | — | 127% above | — |
| Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL | $165.00 | $165.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 HC IRON | $131.00 | $131.00 | — | 69% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $131.00 | $131.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $178.00 | $178.00 | — | 126% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $178.00 | $178.00 | — | — | — |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $166.00 | $166.00 | — | 12% above | — |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $166.00 | $166.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LH | $444.00 | $444.00 | — | 287% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LH | $444.00 | $444.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $137.00 | $137.00 | — | 53% above | — |
| Lactate (lactic acid) blood test CPT 83605 HC LACTATE (LACTIC ACID) | $217.00 | $217.00 | — | 142% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $137.00 | $137.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE (LACTIC ACID) | $217.00 | $217.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LD)(LDH) | $112.00 | $112.00 | — | 108% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LD) (LDH) | $112.00 | $112.00 | — | 108% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LD)(LDH) | $112.00 | $112.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LD) (LDH) | $112.00 | $112.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $319.00 | $319.00 | — | 258% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $319.00 | $319.00 | — | — | — |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $217.00 | $217.00 | — | 57% above | — |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $217.00 | $217.00 | — | — | — |
| Lyme disease antibody test CPT 86618 HC ANTIBODY LYME DISEASE | $324.00 | $324.00 | — | 347% above | — |
| Lyme disease antibody test inpatient CPT 86618 HC ANTIBODY LYME DISEASE | $324.00 | $324.00 | — | — | — |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $131.00 | $131.00 | — | 93% above | — |
| Magnesium blood test CPT 83735 HC MAGNESIUM URINE | $131.00 | $131.00 | — | 93% above | — |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $131.00 | $131.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM URINE | $131.00 | $131.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA | $173.00 | $173.00 | — | 131% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBODY RUBEOLA | $173.00 | $173.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILES ANTIBODY SCREENING MONO | $73.00 | $73.00 | — | 5% below | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILES ANTIBODY SCREENING MONO | $73.00 | $73.00 | — | — | — |
| Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS | $175.00 | $175.00 | — | 133% above | — |
| Mumps immunity blood test inpatient CPT 86735 HC ANTIBODY MUMPS | $175.00 | $175.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN (PSA) FREE | $267.00 | $267.00 | — | 173% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN (PSA) FREE | $267.00 | $267.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) | $235.00 | $235.00 | — | 107% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $256.00 | $256.00 | — | 126% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) | $235.00 | $235.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $256.00 | $256.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH CERV OR VAG AUTO THIN LAYER PREP | $213.00 | $213.00 | — | 60% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH CERVICAL OR VAGINAL THIN PREP | $213.00 | $213.00 | — | 60% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH CERVICAL OR VAGINAL THIN PREP W/HPV REFLEX | $213.00 | $213.00 | — | 60% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATHOLOGY CERV OR VAG THIN PREP SCREENING | $310.00 | $310.00 | — | 134% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH CERVICAL OR VAGINAL THIN PREP W/HPV REFLEX | $213.00 | $213.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH CERV OR VAG AUTO THIN LAYER PREP | $213.00 | $213.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH CERVICAL OR VAGINAL THIN PREP | $213.00 | $213.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATHOLOGY CERV OR VAG THIN PREP SCREENING | $310.00 | $310.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE | $290.00 | $290.00 | — | 29% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE | $290.00 | $290.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (PTT) | $100.00 | $100.00 | — | 54% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (PTT) | $100.00 | $100.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC | $98.00 | $98.00 | — | 67% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC | $98.00 | $98.00 | — | — | — |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLOOD | $96.00 | $96.00 | — | 122% above | — |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLOOD | $96.00 | $96.00 | — | — | — |
| Progesterone blood test CPT 84144 HC PROGESTERONE HPLC MS/MS | $261.00 | $261.00 | — | 86% above | — |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $485.00 | $485.00 | — | 246% above | — |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE HPLC MS/MS | $261.00 | $261.00 | — | — | — |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $485.00 | $485.00 | — | — | — |
| Prolactin blood test CPT 84146 HC PROLACTIN | $365.00 | $365.00 | — | 185% above | — |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $365.00 | $365.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $66.00 | $66.00 | — | 57% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $66.00 | $66.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 HC INFECTIOUS AGENT ANTIGEN INFLUENZA B (RAPID) | $130.00 | $130.00 | — | 82% above | — |
| Rapid flu test (influenza antigen) CPT 87804 HC INFECTIOUS AGENT ANTIGEN INFLUENZA A (RAPID) | $130.00 | $130.00 | — | 82% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFECTIOUS AGENT ANTIGEN INFLUENZA B (RAPID) | $130.00 | $130.00 | — | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFECTIOUS AGENT ANTIGEN INFLUENZA A (RAPID) | $130.00 | $130.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC INFECT AGENT ANTIGEN RAPID STREPTOCOCCUS A | $185.00 | $185.00 | — | 206% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC INFECT AGENT ANTIGEN RAPID STREPTOCOCCUS A | $185.00 | $185.00 | — | — | — |
| Renin blood test CPT 84244 HC RENIN | $316.00 | $316.00 | — | 175% above | — |
| Renin blood test inpatient CPT 84244 HC RENIN | $316.00 | $316.00 | — | — | — |
| Rh blood typing CPT 86901 HC BLOOD TYPING RH (D) | $129.00 | $129.00 | — | 89% above | — |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH (D) | $129.00 | $129.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE | $112.00 | $112.00 | — | 79% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE | $112.00 | $112.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA | $202.00 | $202.00 | — | 170% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBODY RUBELLA | $202.00 | $202.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE ERYTHROCYTE AUTOMATED | $170.00 | $170.00 | — | 260% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE ERYTHROCYTE AUTOMATED | $170.00 | $170.00 | — | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS VOLUME COUNT MOTILITY AND DIFF | $163.00 | $163.00 | — | 12% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS VOLUME COUNT MOTILITY AND DIFF | $163.00 | $163.00 | — | — | — |
| Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLOOD | $99.00 | $99.00 | — | 102% above | — |
| Sodium blood test inpatient CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLOOD | $99.00 | $99.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES CONCENTRATION AND ID | $180.00 | $180.00 | — | 144% above | — |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES CONCENTRATION AND ID | $180.00 | $180.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT FECAL HGB 1-3 DETERMINATIONS | $52.00 | $52.00 | — | 80% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT QUALIT FECES COLORECTAL SCREEN | $52.00 | $52.00 | — | 80% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT FECES COLORECTAL SCREEN POC | $52.00 | $52.00 | — | 80% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT QUALIT FECES COLORECTAL SCREEN | $52.00 | $52.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT FECES COLORECTAL SCREEN POC | $52.00 | $52.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT FECAL HGB 1-3 DETERMINATIONS | $52.00 | $52.00 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB QUALITAT 1-3 DETERM | $222.00 | $222.00 | — | 198% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB QUALITAT 1-3 DETERM | $222.00 | $222.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM | $184.00 | $184.00 | — | 176% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM | $184.00 | $184.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST QUALITATIVE (VDRL RPR ART) | $52.00 | $52.00 | — | 2% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST QUALITATIVE (VDRL RPR ART) | $52.00 | $52.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TUBERCULOSIS GAMMA INTERFERON | $242.00 | $242.00 | — | 10% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TUBERCULOSIS TEST GAMMA INTERFERON | $452.00 | $452.00 | — | 105% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TUBERCULOSIS GAMMA INTERFERON | $242.00 | $242.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TUBERCULOSIS TEST GAMMA INTERFERON | $452.00 | $452.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $367.00 | $367.00 | — | 190% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $367.00 | $367.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY THYROID OR LIVER KIDNEY | $197.00 | $197.00 | — | 148% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY THYROPEROXIDASE | $204.00 | $204.00 | — | 157% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY THYROID OR LIVER KIDNEY | $197.00 | $197.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY THYROPEROXIDASE | $204.00 | $204.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMINE (TSH) | $230.00 | $230.00 | — | 94% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMINE (TSH) | $230.00 | $230.00 | — | — | — |
| Total IgE blood test CPT 82785 HC IGE | $331.00 | $331.00 | — | 278% above | — |
| Total IgE blood test inpatient CPT 82785 HC IGE | $331.00 | $331.00 | — | — | — |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL TOTAL | $64.00 | $64.00 | — | 50% above | — |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL TOTAL | $64.00 | $64.00 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL | $99.00 | $99.00 | — | 21% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL | $99.00 | $99.00 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE T3 TOTAL | $205.00 | $205.00 | — | 115% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE T3 TOTAL | $205.00 | $205.00 | — | — | — |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $175.00 | $175.00 | — | 85% above | — |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $175.00 | $175.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIFIED PROBE | $393.00 | $393.00 | — | 215% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIFIED PROBE | $393.00 | $393.00 | — | — | — |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $73.00 | $73.00 | — | 54% above | — |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $73.00 | $73.00 | — | — | — |
| Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE | $327.00 | $327.00 | — | 115% above | — |
| Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE POC | $367.00 | $367.00 | — | 141% above | — |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE | $327.00 | $327.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE POC | $367.00 | $367.00 | — | — | — |
| Uric acid blood test CPT 84550 HC URIC ACID BLOOD | $94.00 | $94.00 | — | 34% above | — |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD | $94.00 | $94.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS DIP STICK AUTOMATED W MICROSCOPY | $119.00 | $119.00 | — | 86% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS DIP STICK AUTOMATED W MICROSCOPY | $119.00 | $119.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS DIP STICK AUTOMATED WO MICROSCOPY | $116.00 | $116.00 | — | 363% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS DIP STICK AUTOMATED WO MICROSCOPY | $116.00 | $116.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS DIP STICK NON AUTO WO MICROSCOPY | $98.00 | $98.00 | — | 336% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS DIP STICK NON AUTO WO MICROSCOPY | $98.00 | $98.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACTERIAL QUANTITATIVE URINE | $104.00 | $104.00 | — | 13% above | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACTERIAL URINE | $108.00 | $108.00 | — | 18% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE BACTERIAL QUANTITATIVE URINE | $104.00 | $104.00 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE BACTERIAL URINE | $108.00 | $108.00 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE SEMIQUANTATIVE | $106.00 | $106.00 | — | 64% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE SEMIQUANTATIVE | $106.00 | $106.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST VISUAL COLOR | $223.00 | $223.00 | — | 201% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST VISUAL COLOR | $223.00 | $223.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 | $219.00 | $219.00 | — | 69% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $219.00 | $219.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $404.00 | $404.00 | — | 120% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY | $404.00 | $404.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1, 25 DIHYDROXY | $570.00 | $570.00 | — | 195% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1, 25 DIHYDROXY | $570.00 | $570.00 | — | — | — |
| Zinc blood test CPT 84630 HC ZINC | $165.00 | $165.00 | — | 129% above | — |
| Zinc blood test inpatient CPT 84630 HC ZINC | $165.00 | $165.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC (HCG) | $193.00 | $193.00 | — | 80% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC (HCG) QUANTITATIVE | $296.00 | $296.00 | — | 175% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC (HCG) | $193.00 | $193.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC (HCG) QUANTITATIVE | $296.00 | $296.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 HC CHEMODENERVATION MUSCLE INNERV FACIAL BILAT | $808.00 | $808.00 | — | — | — |
| Botox injections for chronic migraine inpatient both sides CPT 64615 HC CHEMODENERVATION MUSCLE INNERV FACIAL BILAT | $808.00 | $808.00 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BREAST BX W PLMT LOC DEVICE STEREOTACTIC FIRST LESION | $7,110.00 | $7,110.00 | — | 130% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BREAST BX W PLMT LOC DEVICE STEREOTACTIC FIRST LESION | $7,110.00 | $7,110.00 | — | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX METATARSAL FRACTURE EACH | $1,807.00 | $1,807.00 | — | 180% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TX METATARSAL FRACTURE EACH | $1,807.00 | $1,807.00 | — | — | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC CORONARY ANGIOGRAPHY W LEFT HEART CATH | $21,689.00 | $21,689.00 | — | 111% above | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CORONARY ANGIOGRAPHY W LEFT HEART CATH | $21,689.00 | $21,689.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL | $3,252.00 | $3,252.00 | — | 171% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL | $3,252.00 | $3,252.00 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 HC COMP EPS EVAL ATRIAL FIB TX BY PULM VEIN ISOLATION | $42,847.00 | $42,847.00 | — | 52% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMP EPS EVAL ATRIAL FIB TX BY PULM VEIN ISOLATION | $42,847.00 | $42,847.00 | — | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION AGE >28 DAYS | $3,903.00 | $3,903.00 | — | 68% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION AGE >28 DAYS | $3,903.00 | $3,903.00 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION NEWBORN | $3,225.00 | $3,225.00 | — | 55% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION USING CLAMP OR OTHER DEVICE | $3,225.00 | $3,225.00 | — | 55% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION USING CLAMP OR OTHER DEVICE | $3,225.00 | $3,225.00 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION NEWBORN | $3,225.00 | $3,225.00 | — | — | — |
| Coronary stent placement, one artery CPT 92928 HC PERC TRANSCATH PLMT CORONARY STENT/ANGIO SNGL ARTERY | $31,704.00 | $31,704.00 | — | 126% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 HC PERC TRANSCATH PLMT CORONARY STENT/ANGIO SNGL ARTERY | $31,704.00 | $31,704.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $5,062.00 | $5,062.00 | — | 300% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $5,062.00 | $5,062.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACT CERUMEN IRRIG LAVAGE UNILATERAL | $293.00 | $293.00 | — | 154% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACT CERUMEN IRRIG LAVAGE UNILATERAL | $293.00 | $293.00 | — | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN W INSTRUMENT UNILAT | $212.00 | $212.00 | — | 70% above | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN W INSTRUMENT UNILAT | $212.00 | $212.00 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL SAMPLING W OR WO ENDOCERV SAMPLING ANY METHOD | $1,245.00 | $1,245.00 | — | 258% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL SAMPLING W OR WO ENDOCERV SAMPLING ANY METHOD | $1,245.00 | $1,245.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ EPIDURAL STEROID CERV OR THORACIC WITH IMG GUIDANCE | $3,191.00 | $3,191.00 | — | 76% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ EPIDURAL STEROID CERV OR THORACIC WITH IMG GUIDANCE | $3,191.00 | $3,191.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC PARVERT FACET INJECT W IMAGING LUMB OR SACRAL SNGL | $5,666.00 | $5,666.00 | — | 266% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC PARVERT FACET INJECT W IMAGING LUMB OR SACRAL SNGL | $5,666.00 | $5,666.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATHETER AND INTRO SALINE OR CONTRAST | $706.00 | $706.00 | — | 82% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATHETER AND INTRO SALINE OR CONTRAST | $706.00 | $706.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION AND DRAINAGE SIMPLE | $951.00 | $951.00 | — | 139% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION AND DRAINAGE SIMPLE | $951.00 | $951.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT SINGLE TENDON SHEATH | $1,047.00 | $1,047.00 | — | 143% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT SINGLE TENDON SHEATH | $1,047.00 | $1,047.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS OR INJECT MAJOR JOINT W/O US | $1,175.00 | $1,175.00 | — | 133% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS OR INJECT MAJOR JOINT W/O US | $1,175.00 | $1,175.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS OR INJECT INTERMED JOINT W/O US | $873.00 | $873.00 | — | 110% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS OR INJECT INTERMED JOINT W/O US | $873.00 | $873.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS OR INJECT SMALL JOINT W/O US | $1,772.00 | $1,772.00 | — | 467% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS OR INJECT SMALL JOINT W/O US | $1,772.00 | $1,772.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTERM WOUND SCALP AXILLAE TRUNK EXTREM 0 TO 2.5 CM | $1,013.00 | $1,013.00 | — | 68% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INTERM WOUND SCALP AXILLAE TRUNK EXTREM 0 TO 2.5 CM | $1,013.00 | $1,013.00 | — | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH W INJECTION AND S&I | $13,382.00 | $13,382.00 | — | 84% above | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH W INJECTION AND S&I | $13,382.00 | $13,382.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPIDURAL STEROID LUMBAR OR SACRAL W IMG GUIDANCE | $3,176.00 | $3,176.00 | — | 117% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ EPIDURAL STEROID LUMBAR OR SACRAL W IMG GUIDANCE | $3,176.00 | $3,176.00 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ EPIDURAL STEROID LUMBAR OR SACRAL W/O IMAGE | $3,503.00 | $3,503.00 | — | 140% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ EPIDURAL STEROID LUMBAR OR SACRAL W/O IMAGE | $3,503.00 | $3,503.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC TRANSFORAM EPID INJECT W IMAGING LUMB OR SACRAL SNGL | $2,792.00 | $2,792.00 | — | 97% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC TRANSFORAM EPID INJECT W IMAGING LUMB OR SACRAL SNGL | $2,792.00 | $2,792.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE | $612.00 | $612.00 | — | 112% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE | $612.00 | $612.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECT ANESTHETIC AGENT GREATER OCCIPITAL NERVE | $2,719.00 | $2,719.00 | — | 428% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT ANESTHETIC AGENT GREATER OCCIPITAL NERVE | $2,719.00 | $2,719.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HC INSERT OR REPLACE PERM PACEMAKER AV | $27,836.00 | $27,836.00 | — | 141% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERT OR REPLACE PERM PACEMAKER AV | $27,836.00 | $27,836.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING | $3,133.00 | $3,133.00 | — | 116% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING | $3,133.00 | $3,133.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL PERMANENT REMOVAL | $1,883.00 | $1,883.00 | — | 200% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL PERMANENT REMOVAL | $1,883.00 | $1,883.00 | — | — | — |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE OR PUNCH SINGLE OR MULTIPLE | $7,255.00 | $7,255.00 | — | 126% above | — |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE OR PUNCH SINGLE OR MULTIPLE | $7,255.00 | $7,255.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCISION AND REMOVAL FB SIMPLE | $2,586.00 | $2,586.00 | — | 436% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION AND REMOVAL FB SIMPLE | $2,586.00 | $2,586.00 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 HC APPLICATION CAST SHORT ARM | $831.00 | $831.00 | — | 160% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION CAST SHORT ARM | $831.00 | $831.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SHORT ARM SPLINT STATIC | $857.00 | $857.00 | — | 240% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION SHORT ARM SPLINT STATIC | $857.00 | $857.00 | — | — | — |
| Short leg cast (below the knee) CPT 29405 HC APPLICATION SHORT LEG CAST | $524.00 | $524.00 | — | 48% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION SHORT LEG CAST | $524.00 | $524.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION SHORT LEG SPLINT | $886.00 | $886.00 | — | 235% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION SHORT LEG SPLINT | $886.00 | $886.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REP SIMPLE WOUND SCALP NECK AXILLAE GENITAL TRUNK EXTREM 0 TO 2.5 C | $1,329.00 | $1,329.00 | — | 262% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REP SIMPLE WOUND SCALP NECK AXILLAE GENITAL TRUNK EXTREM 0 TO 2.5 C | $1,329.00 | $1,329.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $996.00 | $996.00 | — | 168% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $996.00 | $996.00 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL SKIN TAGS UP TO 15 | $426.00 | $426.00 | — | 70% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL SKIN TAGS UP TO 15 | $426.00 | $426.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $2,464.00 | $2,464.00 | — | 159% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $2,464.00 | $2,464.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REP SIMPLE WOUND SCALP NECK AXILLAE GENITAL TRUNK EXTREM 2.6 TO 7.5 | $1,385.00 | $1,385.00 | — | 234% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REP SIMPLE WOUND SCALP NECK AXILLAE GENITAL TRUNK EXTREM 2.6 TO 7.5 | $1,385.00 | $1,385.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR SIMPLE WOUND FACE EARS EYELIDS NOSE LIPS 0 TO 2.5 CM | $1,329.00 | $1,329.00 | — | 231% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR SIMPLE WOUND FACE EARS EYELIDS NOSE LIPS 0 TO 2.5 CM | $1,329.00 | $1,329.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS ASPIRATION PLEURAL SPACE W IMAGING | $2,220.00 | $2,220.00 | — | 78% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS ASPIRATION PLEURAL SPACE W IMAGING | $2,220.00 | $2,220.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT SINGLE MULTIPLE TRIGGER POINT 1 OR 2 MUSC | $1,329.00 | $1,329.00 | — | 156% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT SINGLE MULTIPLE TRIGGER POINT 1 OR 2 MUSC | $1,329.00 | $1,329.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BREAST NEEDLE CORE BX W PLMT LOC DEVICE US FIRST LESION | $5,660.00 | $5,660.00 | — | 130% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BREAST BX W PLMT LOC DEVICE ULTRASOUND FIRST LESION | $5,660.00 | $5,660.00 | — | 130% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BREAST BX W PLMT LOC DEVICE ULTRASOUND FIRST LESION | $5,660.00 | $5,660.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BREAST NEEDLE CORE BX W PLMT LOC DEVICE US FIRST LESION | $5,660.00 | $5,660.00 | — | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC UPPER GI ENDO W BALLOON DILATION ESOPHAGUS | $10,613.00 | $10,613.00 | — | 353% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC UPPER GI ENDO W BALLOON DILATION ESOPHAGUS | $10,613.00 | $10,613.00 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION UP TO 14 LESIONS | $537.00 | $537.00 | — | 124% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESION UP TO 14 LESIONS | $537.00 | $537.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SUBCUTANEOUS TISSUE 1ST 20 SQ CM | $3,192.00 | $3,192.00 | — | 363% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SUBCUTANEOUS TISSUE 1ST 20 SQ CM | $3,192.00 | $3,192.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD OR BLOOD COMPONENTS | $1,828.00 | $1,828.00 | — | 107% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD OR BLOOD COMPONENTS | $1,828.00 | $1,828.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI AERSOL/VAPOR ACUTE AIRWAY OBSTRUCT INITIAL | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB TX ACUTE AIRWAY OBSTRUCTION REPEAT | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB TX ACUTE AIRWAY OBSTRUCTION INITIAL | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC CPAP MASK ACUTE AIRWAY OBSTRUCTION REPEAT | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC CPAP MASK ACUTE AIRWAY OBSTRUCTION INITIAL | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPUL PERCUSS VENTILAT ACUTE AIRWAY OBSTRUCT REPEAT | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPUL PERCUSS VENTILAT ACUTE AIRWAY OBSTRUCT INIT | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MESH NEBULIZER TX ACUTE AIRWAY OBSTRUCTION REPEAT | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MESH NEBULIZER TX ACUTE AIRWAY OBSTRUCTION INITIAL | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC HE/O2 THERAPY ACUTE AIRWAY OBSTRUCTION | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI AERSOL/VAPOR ACUTE AIRWAY OBSTRUCT REPEAT | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL TX FOR ACUTE AIRWAY OBSTRUCTION REPEAT | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEBULIZER TREATMENT FOR ACUTE AIRWAY OBSTRUCT INITIAL | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEBULIZER TX FOR ACUTE AIRWAY OBSTRUCTION REPEAT | $435.00 | $435.00 | — | 126% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEBULIZER TX FOR ACUTE AIRWAY OBSTRUCTION REPEAT | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC HE/O2 THERAPY ACUTE AIRWAY OBSTRUCTION | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB TX ACUTE AIRWAY OBSTRUCTION INITIAL | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL TX FOR ACUTE AIRWAY OBSTRUCTION REPEAT | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC CPAP MASK ACUTE AIRWAY OBSTRUCTION REPEAT | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI AERSOL/VAPOR ACUTE AIRWAY OBSTRUCT REPEAT | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC CPAP MASK ACUTE AIRWAY OBSTRUCTION INITIAL | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI AERSOL/VAPOR ACUTE AIRWAY OBSTRUCT INITIAL | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPUL PERCUSS VENTILAT ACUTE AIRWAY OBSTRUCT REPEAT | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB TX ACUTE AIRWAY OBSTRUCTION REPEAT | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPUL PERCUSS VENTILAT ACUTE AIRWAY OBSTRUCT INIT | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEBULIZER TREATMENT FOR ACUTE AIRWAY OBSTRUCT INITIAL | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MESH NEBULIZER TX ACUTE AIRWAY OBSTRUCTION REPEAT | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION | $435.00 | $435.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MESH NEBULIZER TX ACUTE AIRWAY OBSTRUCTION INITIAL | $435.00 | $435.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN IV INFUSION UP TO 1 HR SNGL OR INIT | $2,436.00 | $2,436.00 | — | 281% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN IV INFUSION UP TO 1 HR SNGL OR INIT | $2,436.00 | $2,436.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE FIRST 30 TO 74 MIN W PROC | $6,762.00 | $6,762.00 | — | 226% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE FIRST 30 TO 74 MIN W PROC | $6,762.00 | $6,762.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY | $2,075.00 | $2,075.00 | — | 139% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY | $2,075.00 | $2,075.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG TRACING | $542.00 | $542.00 | — | 133% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG TRACING | $542.00 | $542.00 | — | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY | $1,800.00 | $1,800.00 | — | 99% above | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY | $1,800.00 | $1,800.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 | $593.00 | $593.00 | — | 165% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 W PROCED | $593.00 | $593.00 | — | 165% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 | $593.00 | $593.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 W PROCED | $593.00 | $593.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 W PROCED | $1,088.00 | $1,088.00 | — | 172% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 | $1,088.00 | $1,088.00 | — | 172% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 | $1,088.00 | $1,088.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 W PROCED | $1,088.00 | $1,088.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 W PROCED | $1,892.00 | $1,892.00 | — | 170% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 | $1,892.00 | $1,892.00 | — | 170% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 | $1,892.00 | $1,892.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 W PROCED | $1,892.00 | $1,892.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 W PROCED | $3,059.00 | $3,059.00 | — | 167% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 | $3,059.00 | $3,059.00 | — | 167% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 | $3,059.00 | $3,059.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 W PROCED | $3,059.00 | $3,059.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 W PROCED | $4,457.00 | $4,457.00 | — | 179% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 | $4,457.00 | $4,457.00 | — | 179% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 | $4,457.00 | $4,457.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 W PROCED | $4,457.00 | $4,457.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST | $1,787.00 | $1,787.00 | — | 88% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST | $1,787.00 | $1,787.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INITIAL 31 MIN TO 1 HR | $1,373.00 | $1,373.00 | — | 307% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INITIAL 31 MIN TO 1 HR | $1,373.00 | $1,373.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAPY INITIAL UP TO 1 HR DIFF SITE | $1,321.00 | $1,321.00 | — | 224% above | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAPY INITIAL UP TO 1 HR | $1,635.00 | $1,635.00 | — | 301% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THERAPY INITIAL UP TO 1 HR DIFF SITE | $1,321.00 | $1,321.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THERAPY INITIAL UP TO 1 HR | $1,635.00 | $1,635.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 HC THERAPEUTIC INJECTION IV PUSH INITIAL OR SNGL | $993.00 | $993.00 | — | 362% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC THERAPEUTIC INJECTION IV PUSH INITIAL OR SNGL | $993.00 | $993.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTIC INJECTION SUBQ OR IM | $243.00 | $243.00 | — | 123% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THERAPEUTIC INJECTION SUBQ OR IM | $243.00 | $243.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION | $335.00 | $335.00 | — | 26% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION | $335.00 | $335.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION 7-8 STUDIES | $3,081.00 | $3,081.00 | — | 323% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION 7-8 STUDIES | $3,081.00 | $3,081.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC THERAP PROCED NEUROMUSCULAR REEDUC EA 15 MIN PT | $273.00 | $273.00 | — | 130% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC THERAP PROCED NEUROMUSCULAR REEDUC EA 15 MIN OT | $315.00 | $315.00 | — | 165% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC THERAP PROCED NEUROMUSCULAR REEDUC EA 15 MIN PT | $273.00 | $273.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC THERAP PROCED NEUROMUSCULAR REEDUC EA 15 MIN OT | $315.00 | $315.00 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 HC PHYSICAL EXAMINATION BASIC | $536.00 | $536.00 | — | 142% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC PHYSICAL EXAM BASIS WITH PT COMP | $541.00 | $541.00 | — | 145% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC OUTPT EVAL AND MGNT NEW PT LEVEL 3 | $668.00 | $668.00 | — | 202% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC OUTPT EVAL AND MGNT NEW PT LEVEL 3 W PROCED | $668.00 | $668.00 | — | 202% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PHYSICAL EXAMINATION BASIC | $536.00 | $536.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PHYSICAL EXAM BASIS WITH PT COMP | $541.00 | $541.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OUTPT EVAL AND MGNT NEW PT LEVEL 3 W PROCED | $668.00 | $668.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OUTPT EVAL AND MGNT NEW PT LEVEL 3 | $668.00 | $668.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 HC NFPA ANNUAL EXAM | $584.00 | $584.00 | — | 96% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC PHYSICAL EXAM INTERMEDIATE | $584.00 | $584.00 | — | 96% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC PHYSICAL EXAM - DOT | $811.00 | $811.00 | — | 173% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC OUTPT EVAL AND MGNT NEW PT LEVEL 4 | $1,010.00 | $1,010.00 | — | 240% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC OUTPT EVAL AND MGNT NEW PT LEVEL 4 W PROCED | $1,010.00 | $1,010.00 | — | 240% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NFPA ANNUAL EXAM | $584.00 | $584.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PHYSICAL EXAM INTERMEDIATE | $584.00 | $584.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PHYSICAL EXAM - DOT | $811.00 | $811.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OUTPT EVAL AND MGNT NEW PT LEVEL 4 W PROCED | $1,010.00 | $1,010.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OUTPT EVAL AND MGNT NEW PT LEVEL 4 | $1,010.00 | $1,010.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 HC HEALTH DYNAMICS EXAM | $668.00 | $668.00 | — | 72% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC EXECUTIVE PHYSICAL | $668.00 | $668.00 | — | 72% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC PREMIER EXECUTIVE EXAM | $1,018.00 | $1,018.00 | — | 161% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC PHYSICAL EXAMINATION COMPREHENSIVE | $1,018.00 | $1,018.00 | — | 161% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC OUTPT EVAL AND MGNT NEW PT LEVEL 5 W PROCED | $1,267.00 | $1,267.00 | — | 225% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC OUTPT EVAL AND MGNT NEW PT LEVEL 5 | $1,267.00 | $1,267.00 | — | 225% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC EXECUTIVE PHYSICAL | $668.00 | $668.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC HEALTH DYNAMICS EXAM | $668.00 | $668.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PHYSICAL EXAMINATION COMPREHENSIVE | $1,018.00 | $1,018.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PREMIER EXECUTIVE EXAM | $1,018.00 | $1,018.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OUTPT EVAL AND MGNT NEW PT LEVEL 5 | $1,267.00 | $1,267.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OUTPT EVAL AND MGNT NEW PT LEVEL 5 W PROCED | $1,267.00 | $1,267.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC PHYSICIAN CONSULTATION PER 15 MIN | $377.00 | $377.00 | — | 117% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OUTPT EVAL AND MGNT NEW PT LEVEL 2 W PROCED | $468.00 | $468.00 | — | 169% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OUTPT EVAL AND MGNT NEW PT LEVEL 2 | $468.00 | $468.00 | — | 169% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC PHYSICIAN CONSULTATION PER 15 MIN | $377.00 | $377.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OUTPT EVAL AND MGNT NEW PT LEVEL 2 W PROCED | $468.00 | $468.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OUTPT EVAL AND MGNT NEW PT LEVEL 2 | $468.00 | $468.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTRITION THERAPY INDIVID EA 15 MIN | $182.00 | $182.00 | — | 239% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MEDICAL NUTRITION THERAPY INDIVID EA 15 MIN | $182.00 | $182.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY | $684.00 | $684.00 | — | 168% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY | $684.00 | $684.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY | $757.00 | $757.00 | — | 121% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY | $757.00 | $757.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY | $636.00 | $636.00 | — | 182% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY | $636.00 | $636.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MODERATE COMPLEXITY | $709.00 | $709.00 | — | 132% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MODERATE COMPLEXITY | $709.00 | $709.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TECH EA 15 MIN PT | $253.00 | $253.00 | — | 90% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TECH EA 15 MIN OT | $257.00 | $257.00 | — | 93% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TECH EA 15 MIN PT | $253.00 | $253.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TECH EA 15 MIN OT | $257.00 | $257.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE 1 OR MORE AREA EA 15 MIN | $276.00 | $276.00 | — | 147% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAP EXERCISE STRENGTH AND ENDURANCE EA 15 MIN | $281.00 | $281.00 | — | 151% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE 1 OR MORE AREA EA 15 MIN | $276.00 | $276.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAP EXERCISE STRENGTH AND ENDURANCE EA 15 MIN | $281.00 | $281.00 | — | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC INITIAL PREVENT MEDICINE NEW PT 18 TO 39 YRS | $301.00 | $301.00 | — | 21% above | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INITIAL PREVENT MEDICINE NEW PT 18 TO 39 YRS | $301.00 | $301.00 | — | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC ESTAB PT PREVENT MEDICINE 18 TO 39 YRS | $298.00 | $298.00 | — | 58% above | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC ESTAB PT PREVENT MEDICINE 18 TO 39 YRS | $298.00 | $298.00 | — | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC ESTAB PREVENT MEDICINE NEW PT 40 TO 64 YRS | $329.00 | $329.00 | — | 55% above | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC ESTAB PREVENT MEDICINE NEW PT 40 TO 64 YRS | $329.00 | $329.00 | — | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC CRISIS PSYCHOTHERAPY - INITIAL 60 MINS | $304.00 | $304.00 | — | 22% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC CRISIS PSYCHOTHERAPY - INITIAL 60 MINS | $304.00 | $304.00 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES | $216.00 | $216.00 | — | 14% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES | $216.00 | $216.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC WOUND/OSTOMY CARE EST PT 61-90 MIN | $560.00 | $560.00 | — | 102% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OUTPT EVAL AND MGNT EST PT LEVEL 5 W PROCED | $841.00 | $841.00 | — | 204% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OUTPT EVAL AND MGNT EST PT LEVEL 5 | $841.00 | $841.00 | — | 204% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC PAH OUTPT E&M EST PT LEVEL 5 | $841.00 | $841.00 | — | 204% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC TAVR OUTPT E&M EST PT LEVEL 5 | $841.00 | $841.00 | — | 204% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC WOUND/OSTOMY CARE EST PT 61-90 MIN | $560.00 | $560.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC PAH OUTPT E&M EST PT LEVEL 5 | $841.00 | $841.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OUTPT EVAL AND MGNT EST PT LEVEL 5 W PROCED | $841.00 | $841.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OUTPT EVAL AND MGNT EST PT LEVEL 5 | $841.00 | $841.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC TAVR OUTPT E&M EST PT LEVEL 5 | $841.00 | $841.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC WOUND/OSTOMY CARE EST PT 26-40 MIN | $287.00 | $287.00 | — | 88% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OUTPT EVAL AND MGNT EST PT LEVEL 3 | $429.00 | $429.00 | — | 181% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OUTPT EVAL AND MGNT EST PT LEVEL 3 W PROCED | $429.00 | $429.00 | — | 181% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC PAH OUTPT E&M EST PT LEVEL 3 | $429.00 | $429.00 | — | 181% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC TAVR OUTPT E&M EST PT LEVEL 3 | $429.00 | $429.00 | — | 181% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC WOUND/OSTOMY CARE EST PT 26-40 MIN | $287.00 | $287.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OUTPT EVAL AND MGNT EST PT LEVEL 3 | $429.00 | $429.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC TAVR OUTPT E&M EST PT LEVEL 3 | $429.00 | $429.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC PAH OUTPT E&M EST PT LEVEL 3 | $429.00 | $429.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OUTPT EVAL AND MGNT EST PT LEVEL 3 W PROCED | $429.00 | $429.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC WOUND/OSTOMY CARE EST PT 41-60 MIN | $419.00 | $419.00 | — | 126% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PAH OUTPT E&M EST PT LEVEL 4 | $629.00 | $629.00 | — | 240% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OUTPT EVAL AND MGNT EST PT LEVEL 4 | $629.00 | $629.00 | — | 240% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OUTPT EVAL AND MGNT EST PT LEVEL 4 W PROCED | $629.00 | $629.00 | — | 240% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC TAVR OUTPT E&M EST PT LEVEL 4 | $629.00 | $629.00 | — | 240% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC WOUND/OSTOMY CARE EST PT 41-60 MIN | $419.00 | $419.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OUTPT EVAL AND MGNT EST PT LEVEL 4 W PROCED | $629.00 | $629.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC PAH OUTPT E&M EST PT LEVEL 4 | $629.00 | $629.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC TAVR OUTPT E&M EST PT LEVEL 4 | $629.00 | $629.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OUTPT EVAL AND MGNT EST PT LEVEL 4 | $629.00 | $629.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC WOUND/OSTOMY CARE EST PT 16-25 MIN | $175.00 | $175.00 | — | 40% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OUTPT EVAL AND MGNT EST PT LEVEL 2 | $289.00 | $289.00 | — | 131% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PAH OUTPT E&M EST PT LEVEL 2 | $289.00 | $289.00 | — | 131% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OUTPT EVAL AND MGNT EST PT LEVEL 2 W PROCED | $289.00 | $289.00 | — | 131% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC TAVR OUTPT E&M EST PT LEVEL 2 | $289.00 | $289.00 | — | 131% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC WOUND/OSTOMY CARE EST PT 16-25 MIN | $175.00 | $175.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC PAH OUTPT E&M EST PT LEVEL 2 | $289.00 | $289.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC TAVR OUTPT E&M EST PT LEVEL 2 | $289.00 | $289.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OUTPT EVAL AND MGNT EST PT LEVEL 2 W PROCED | $289.00 | $289.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OUTPT EVAL AND MGNT EST PT LEVEL 2 | $289.00 | $289.00 | — | — | — |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PROD W EVAL COMPREH EXPRESSION | $1,393.00 | $1,393.00 | — | 302% above | — |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PROD W EVAL COMPREH EXPRESSION | $1,393.00 | $1,393.00 | — | — | — |
| Speech therapy session, individual CPT 92507 HC TREAT SPEECH LANGUAGE VOICE COMMUNICATION INDIVID | $765.00 | $765.00 | — | 346% above | — |
| Speech therapy session, individual inpatient CPT 92507 HC TREAT SPEECH LANGUAGE VOICE COMMUNICATION INDIVID | $765.00 | $765.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY | $800.00 | $800.00 | — | 165% above | — |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY | $800.00 | $800.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILATION RESPONSE W SPIROMETRY | $930.00 | $930.00 | — | 71% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODILATION RESPONSE W SPIROMETRY | $930.00 | $930.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAP ACTIVITIES DIRECT EA 15 MIN OT | $302.00 | $302.00 | — | 142% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAP ACTIVITIES DIRECT EA 15 MIN PT | $302.00 | $302.00 | — | 142% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAP ACTIVITIES DIRECT EA 15 MIN PT | $302.00 | $302.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAP ACTIVITIES DIRECT EA 15 MIN OT | $302.00 | $302.00 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $730.00 | $730.00 | — | 240% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $730.00 | $730.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty: 10 Syringe, Glass In 1 Carton (0069-2432-10) / .418 Ml In 1 Syringe, Glass (0069-2432-01) | $817.82 | $817.82 | — | 234% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 NDC Description Not Available | $817.82 | $817.82 | — | 234% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty: 10 Vial, Single-Dose In 1 Carton (0069-2362-10) / .48 Ml In 1 Vial, Single-Dose (0069-2362-01) | $817.82 | $817.82 | — | 234% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC SARSCOV2 VACCINE TRIS-SUCROSE 30 MCG/0.3ML | $818.00 | $818.00 | — | 234% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Comirnaty: 10 Syringe, Glass In 1 Carton (0069-2432-10) / .418 Ml In 1 Syringe, Glass (0069-2432-01) | $817.82 | $817.82 | — | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Comirnaty: 10 Vial, Single-Dose In 1 Carton (0069-2362-10) / .48 Ml In 1 Vial, Single-Dose (0069-2362-01) | $817.82 | $817.82 | — | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 NDC Description Not Available | $817.82 | $817.82 | — | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC SARSCOV2 VACCINE TRIS-SUCROSE 30 MCG/0.3ML | $818.00 | $818.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VARICELLA VACCINE SUBCUT | $131.00 | $131.00 | — | 53% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01) | $727.18 | $727.18 | — | 163% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VARICELLA VACCINE SUBCUT | $131.00 | $131.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01) | $727.18 | $727.18 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 NDC Description Not Available | $238.96 | $238.96 | — | 277% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 NDC Description Not Available | $238.96 | $238.96 | — | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pediarix: 10 Syringe In 1 Carton (58160-811-52) / .5 Ml In 1 Syringe (58160-811-43) | $563.41 | $563.41 | — | 254% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Pediarix: 10 Syringe In 1 Carton (58160-811-52) / .5 Ml In 1 Syringe (58160-811-43) | $563.41 | $563.41 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC INFLUENZA VACCINE TRIVALENT SPLIT VIRUS PF 0.5ML IM | $44.00 | $44.00 | — | 23% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC INFLUENZA VACCINE TRIVALENT SPLIT VIRUS PF 0.5ML IM | $44.00 | $44.00 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01) | $1,660.36 | $1,660.36 | — | 239% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01) | $1,660.36 | $1,660.36 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HC HEPATITIS A VACCINE ADULT IM | $89.00 | $89.00 | — | 26% below | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEPATITIS A VACCINE ADULT IM | $89.00 | $89.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B VACCINE ADULT IM DISCOUNTED | $58.00 | $58.00 | — | 46% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B VACCINE ADULT IM | $91.00 | $91.00 | — | 16% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01) | $469.68 | $469.68 | — | 335% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B VACCINE ADULT IM DISCOUNTED | $58.00 | $58.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B VACCINE ADULT IM | $91.00 | $91.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01) | $469.68 | $469.68 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 NDC Description Not Available | $121.98 | $121.98 | — | 130% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 NDC Description Not Available | $121.98 | $121.98 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC INFLUENZA VACCINE SPLIT VIRUS PF INCREASED ANTIGEN IM | $77.00 | $77.00 | — | at median | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 NDC Description Not Available | $613.04 | $613.04 | — | 696% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC INFLUENZA VACCINE SPLIT VIRUS PF INCREASED ANTIGEN IM | $77.00 | $77.00 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 NDC Description Not Available | $613.04 | $613.04 | — | — | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC JAPANESE ENCEPHALITIS VACCINE SUBCUT | $346.00 | $346.00 | — | 19% below | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HC JAPANESE ENCEPHALITIS VACCINE SUBCUT | $346.00 | $346.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01) | $628.58 | $628.58 | — | 224% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 NDC Description Not Available | $655.49 | $655.49 | — | 238% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01) | $628.58 | $628.58 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 NDC Description Not Available | $655.49 | $655.49 | — | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC MMRV VACCINE SUBCUT | $230.00 | $230.00 | — | 45% below | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC MMRV VACCINE SUBCUT | $230.00 | $230.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01) | $413.29 | $413.29 | — | 67% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01) | $413.29 | $413.29 | — | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 NDC Description Not Available | $1,362.69 | $1,362.69 | — | 277% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 NDC Description Not Available | $1,362.69 | $1,362.69 | — | — | — |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 HC INFLUENZA VACCINE TRIVALENT (LAIV3) INTRANASAL | $64.00 | $64.00 | — | 135% above | — |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC INFLUENZA VACCINE TRIVALENT (LAIV3) INTRANASAL | $64.00 | $64.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01) | $1,587.23 | $1,587.23 | — | 257% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01) | $1,587.23 | $1,587.23 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL VACCINE | $139.00 | $139.00 | — | 26% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23: 10 Vial, Single-Dose In 1 Carton (0006-4943-00) / .5 Ml In 1 Vial, Single-Dose (0006-4943-01) | $805.46 | $805.46 | — | 328% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL VACCINE | $139.00 | $139.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23: 10 Vial, Single-Dose In 1 Carton (0006-4943-00) / .5 Ml In 1 Vial, Single-Dose (0006-4943-01) | $805.46 | $805.46 | — | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 HC POLIO VACCINE INJECTABLE | $42.00 | $42.00 | — | 70% below | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC POLIO VACCINE INJECTABLE | $42.00 | $42.00 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HC RSV MONOCLONAL AB SEASONAL 1 ML DOSE IM USE | $1,275.00 | $1,275.00 | — | 49% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HC RSV MONOCLONAL AB SEASONAL 1 ML DOSE IM USE | $1,275.00 | $1,275.00 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC RSV MONOCLONAL AB SEASONAL 0.5 ML DOSE IM USE | $1,275.00 | $1,275.00 | — | 26% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Synagis: .5 mL in 1 VIAL, SINGLE-DOSE (60574-4114-1) | $5,401.94 | $5,401.94 | — | 436% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC RSV MONOCLONAL AB SEASONAL 0.5 ML DOSE IM USE | $1,275.00 | $1,275.00 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Synagis: .5 mL in 1 VIAL, SINGLE-DOSE (60574-4114-1) | $5,401.94 | $5,401.94 | — | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $2,097.08 | $2,097.08 | — | 356% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $2,097.08 | $2,097.08 | — | — | — |
| Rabies vaccine, one dose CPT 90675 RabAvert: 1 KIT in 1 CARTON (58160-964-12) * 1 mL in 1 VIAL, GLASS (58160-966-01) * 1 mL in 1 SYRINGE (58160-967-02) | $2,395.78 | $2,395.78 | — | 217% above | — |
| Rabies vaccine, one dose CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01) | $2,894.80 | $2,894.80 | — | 283% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RabAvert: 1 KIT in 1 CARTON (58160-964-12) * 1 mL in 1 VIAL, GLASS (58160-966-01) * 1 mL in 1 SYRINGE (58160-967-02) | $2,395.78 | $2,395.78 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01) | $2,894.80 | $2,894.80 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETANUS DIPHTHERIA VACCINE IM | $147.00 | $147.00 | — | 91% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 NDC Description Not Available | $217.33 | $217.33 | — | 182% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tdvax: 10 Vial, Single-Dose In 1 Carton (13533-131-01) / .5 Ml In 1 Vial, Single-Dose (13533-131-00) | $225.38 | $225.38 | — | 193% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58) | $235.76 | $235.76 | — | 206% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETANUS DIPHTHERIA VACCINE IM | $147.00 | $147.00 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 NDC Description Not Available | $217.33 | $217.33 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tdvax: 10 Vial, Single-Dose In 1 Carton (13533-131-01) / .5 Ml In 1 Vial, Single-Dose (13533-131-00) | $225.38 | $225.38 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58) | $235.76 | $235.76 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE IM | $270.00 | $270.00 | — | 158% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01) | $389.23 | $389.23 | — | 271% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE IM | $270.00 | $270.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01) | $389.23 | $389.23 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC TYPHOID VACCINE IM | $71.00 | $71.00 | — | 66% below | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC TYPHOID VACCINE IM | $71.00 | $71.00 | — | — | — |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 NDC Description Not Available | $55.62 | $55.62 | — | 272% above | — |
| Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 NDC Description Not Available | $55.62 | $55.62 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMINISTRATION 1 VACCINE | $228.00 | $228.00 | — | 296% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMINISTRATION HEPATITIS B VACCINE | $229.00 | $229.00 | — | 298% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMINISTRATION INFLUENZA VACCINE | $229.00 | $229.00 | — | 298% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMINISTRATION PNEUMOCOCCAL VACCINE | $229.00 | $229.00 | — | 298% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMINISTRATION 1 VACCINE | $228.00 | $228.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMINISTRATION INFLUENZA VACCINE | $229.00 | $229.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMINISTRATION HEPATITIS B VACCINE | $229.00 | $229.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMINISTRATION PNEUMOCOCCAL VACCINE | $229.00 | $229.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMINISTRATION EA ADDL | $45.00 | $45.00 | — | 16% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMINISTRATION EA ADDL | $45.00 | $45.00 | — | — | — |
| Yellow fever vaccine, live CPT 90717 HC YELLOW FEVER VACCINE | $123.00 | $123.00 | — | 56% below | — |
| Yellow fever vaccine, live inpatient CPT 90717 HC YELLOW FEVER VACCINE | $123.00 | $123.00 | — | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.endeavorhealth.org:443/363297173_1427069632_edward-hospital_standardcharges.json