Hospital Akron, OH

Children's Hospital Medical Center of Akron

Children's Hospital Medical Center of Akron in Akron, OH publishes cash prices for 406 common procedures listed here, from its own machine-readable price file updated Nov 11, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the Ohio median for 222 of 403 procedures and below it for 179. By typical cash price it ranks #92 of 139 Ohio hospitals and #2 of 6 hospitals in the Akron, OH area, cheapest first. Select a procedure to compare it with other hospitals nearby.

One Perkins Square, Akron, OH 44308 Collected Sep 22, 2026 Source price file Check a bill from this hospital (330) 543-8290

Children's hospital Nonprofit hospital No emergency department CCN 363303 · CMS hospital register NPI 1861506560

Financial assistance

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

Children's Hospital Medical Center of Akron 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

Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Abdominal CT scan without and with contrast CPT 74170 HB CT SCAN OF ABDOMEN COMBO	$3,549.75	$4,733.00	$1,609.22–$4,680.94	167% above	25%
Abdominal X-ray, 2 views CPT 74019 HB RADIOLOGIC EXAMINATION, ABODOMEN TWO VIEWS	$362.25	$483.00	$164.22–$477.69	7% above	25%
Ankle X-ray, complete, 3 or more views CPT 73610 HB X-RAY ANKLE 3+ VW	$323.25	$431.00	$146.54–$426.26	1% above	25%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HB CT SCAN,UPPER EXTREMITY,W/O CONTRAST	$2,206.50	$2,942.00	$1,000.28–$2,909.64	134% above	25%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HB FL-ESOPHAGEAL STUDY	$751.50	$1,002.00	$340.68–$990.98	70% above	25%
Bone scan, whole body (nuclear medicine) CPT 78306 HB BONE IMAGING, WHOLE BODY	$1,875.75	$2,501.00	$850.34–$2,473.49	22% above	25%
Breast ultrasound, complete, one breast CPT 76641 HB US BREAST	$408.75	$545.00	$185.30–$539.01	14% below	25%
Breast ultrasound, limited (one breast or one area) CPT 76642 HB ULTRASOUND BREAST LIMITED	$547.50	$730.00	$248.20–$721.97	34% above	25%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HB COMP TOMOGRPHC ANGIOGRPHY,ABD/PELV	$3,876.00	$5,168.00	$1,757.12–$5,111.15	81% above	25%
CT angiography (CTA) of the head CPT 70496 HB CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS	$2,121.75	$2,829.00	$961.86–$2,797.88	59% above	25%
CT angiography (CTA) of the neck CPT 70498 HB CT ANGIO,NECK COMBO,INCL IMAGE PROCESS	$2,121.75	$2,829.00	$961.86–$2,797.88	63% above	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT ANGIO, CHEST, COMBO, INCL IMAGE PROC	$2,573.25	$3,431.00	$1,166.54–$3,393.26	82% above	25%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CT CARDIAC CORONARY ARTERIES	$2,573.25	$3,431.00	$1,166.54–$3,393.26	61% above	25%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT CARDIAC QUANT EVAL CALCIUM WO CM	$2,573.25	$3,431.00	$1,166.54–$3,393.26	819% above	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT-ABODMEN/PELVIS W/O CONTRAST	$4,676.25	$6,235.00	$2,119.90–$6,166.42	195% above	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT SCAN,ABDOMENT AND PELVIS,W CONTRAST	$5,343.75	$7,125.00	$2,422.50–$7,046.63	169% above	25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT SCAN,ABDOMENT AND PELVIS,COMBO	$6,347.25	$8,463.00	$2,877.42–$8,369.91	172% above	25%
CT scan of the abdomen with contrast CPT 74160 HB CT-ABDOMEN W CM	$2,928.75	$3,905.00	$1,327.70–$3,862.05	151% above	25%
CT scan of the abdomen without contrast CPT 74150 HB CT-ABDOMEN WO CM	$2,491.50	$3,322.00	$1,129.48–$3,285.46	137% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT SINUSES LIMITED STUDY	$634.50	$846.00	$287.64–$836.69	28% below	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT-FACIAL/SINUSES W/O CM	$2,145.75	$2,861.00	$972.74–$2,829.53	145% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT-FACIAL/SINUSES WO CM	$2,206.50	$2,942.00	$1,000.28–$2,909.64	152% above	25%
CT scan of the head or brain, no contrast dye CPT 70450 HB CT-HEAD/BRAIN W/O CM	$2,011.50	$2,682.00	$911.88–$2,652.50	141% above	25%
CT scan of the head with contrast CPT 70460 HB CT-HEAD/BRAIN W/CM	$2,461.50	$3,282.00	$1,115.88–$3,245.90	145% above	25%
CT scan of the head without and with contrast CPT 70470 HB CT SCAN HEAD COMBO	$3,006.00	$4,008.00	$1,362.72–$3,963.91	152% above	25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT-LUMBAR SPINE WO CM	$2,556.75	$3,409.00	$1,159.06–$3,371.50	132% above	25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT SCAN,CERVICAL SPINE,W/O CONTRAST	$2,555.25	$3,407.00	$1,158.38–$3,369.52	138% above	25%
CT scan of the pelvis, with contrast dye CPT 72193 HB CT-PELVIS W CM	$2,901.00	$3,868.00	$1,315.12–$3,825.45	137% above	25%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB SCAN EXTRACRANIAL ART COMPL BI STUDY	$883.50	$1,178.00	$400.52–$1,165.04	—	25%
Chest CT scan without and with contrast CPT 71270 HB CAT SCAN OF CHEST COMBO	$3,669.00	$4,892.00	$1,663.28–$4,838.19	143% above	25%
Chest X-ray, 2 views CPT 71046 HB RADIOLOGIC EXAMINAITON, CHEST, TWO VIEWS	$379.50	$506.00	$172.04–$500.43	44% above	25%
Chest X-ray, single view CPT 71045 HB RADIOLOGIC EXAMINAITON, CHEST, SINGLE VIEW	$297.75	$397.00	$134.98–$392.63	33% above	25%
Collarbone (clavicle) X-ray, complete CPT 73000 HB X-RAY CLAVICLE	$279.75	$373.00	$126.82–$368.90	3% above	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB ULTRASOUND RETROPERI COMPLETE OFFICE	$846.75	$1,129.00	$383.86–$1,116.58	19% above	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB ULTRASOUND RETROPERI COMPLETE	$954.00	$1,272.00	$432.48–$1,258.01	35% above	25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB DEXA,BONE DENSITY,AXIAL SKELETON	$984.75	$1,313.00	$446.42–$1,298.56	117% above	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DEXA BONE DENSITY APPENDICULAR SKELETON	$738.00	$984.00	$334.56–$973.18	187% above	25%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB USDETAILEDSINGLE FETUS	$1,205.25	$1,607.00	$546.38–$1,589.32	42% above	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT-CHEST WO CM	$2,555.25	$3,407.00	$1,158.38–$3,369.52	172% above	25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT-CHEST W CM	$3,030.00	$4,040.00	$1,373.60–$3,995.56	150% above	25%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB LOWER DUPLEX LO EXTREM ART BILATERAL	$1,163.25	$1,551.00	$527.34–$1,533.94	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB DUPLEX EXTREM VENOUS,BILAT	$1,204.50	$1,606.00	$546.04–$1,588.33	—	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO 2DM MODEDOPPLERCOLOR	$2,532.75	$3,377.00	$1,148.18–$3,339.85	50% above	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO 2DM MODEDOPPLERCOLOR WITH MYORCARDIAL STRAIN IMAGING	$2,568.75	$3,425.00	$1,164.50–$3,387.33	52% above	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO 2DM MODEDOPPLERCOLOR WITH CONTRAST	$2,718.00	$3,624.00	$1,232.16–$3,584.14	61% above	25%
Elbow X-ray, 2 views CPT 73070 HB X-RAY ELBOW 2 VW	$294.00	$392.00	$133.28–$387.69	13% above	25%
Elbow X-ray, complete, 3 or more views CPT 73080 HB X-RAY ELBOW 3+ VW	$323.25	$431.00	$146.54–$426.26	3% above	25%
Eye socket (orbit) CT scan without contrast CPT 70480 HB CT-ORBIT/TEMPORAL W/O CM	$2,214.00	$2,952.00	$1,003.68–$2,919.53	157% above	25%
Facial bones X-ray, complete, 3 or more views CPT 70150 HB X-RAY FACIAL BONES 3+ VW	$480.00	$640.00	$217.60–$632.96	27% above	25%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HB X-RAY FOREARM 2 VW	$323.25	$431.00	$146.54–$426.26	19% above	25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB NM HIDA SCAN	$1,540.50	$2,054.00	$698.36–$2,031.41	3% below	25%
Hand X-ray, 2 views CPT 73120 HB X-RAY HAND 2 VW	$291.75	$389.00	$132.26–$384.72	9% above	25%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HB X-RAY HEEL	$264.00	$352.00	$119.68–$348.13	3% below	25%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB SLEEP STUDY UNATTENDED BY TECH	$304.50	$406.00	$138.04–$401.53	57% below	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB PSGW/CPHB PSGW-CPAP 4 PARAMETERS 6 YEARS AND OLDERAP > 3 PARA	$6,360.75	$8,481.00	$2,883.54–$8,387.71	55% above	25%
Knee X-ray, 3 views CPT 73562 HB X-RAY KNEE 3 VIEW	$327.00	$436.00	$148.24–$431.20	7% below	25%
Knee X-ray, complete, 4 or more views CPT 73564 HB X-RAY KNEE 4+ VIEW	$407.25	$543.00	$184.62–$537.03	4% above	25%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HB CT SCAN,LOWER EXTREMITY,W/O CONTRAST	$651.75	$869.00	$295.46–$859.44	31% below	25%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HB CT PATELLA W/O	$2,206.50	$2,942.00	$1,000.28–$2,909.64	134% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB ULTRASOUND ABDOMEN LMTD OFFICE	$651.00	$868.00	$295.12–$858.45	18% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB ULTRASOUND ABDOMEN LMTD	$843.00	$1,124.00	$382.16–$1,111.64	53% above	25%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB US,EXTREMITY,NONVASCULAR,REAL-TIME IMAGE,LIMITED	$544.50	$726.00	$246.84–$718.01	14% above	25%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HB X-RAY TIB + FIB, 2VW	$339.00	$452.00	$153.68–$447.03	24% above	25%
MR angiography (MRA) of the head without contrast CPT 70544 HB MRA HEAD W/O CM	$3,419.25	$4,559.00	$1,550.06–$4,508.85	135% above	25%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 HB MRI HIPS BILAT. W/O CM	$9,971.25	$13,295.00	$4,520.30–$13,148.76	—	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI LOWER EXTREM JT, W/O CONTRAST	$2,605.50	$3,474.00	$1,181.16–$3,435.79	49% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI, JOINT OF LEG. COMBO	$3,908.25	$5,211.00	$1,771.74–$5,153.68	63% above	25%
MRI of the abdomen without contrast CPT 74181 HB MR-ABDOMEN WO CM	$3,247.50	$4,330.00	$1,472.20–$4,282.37	76% above	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI, ABDOMEN, COMBO	$4,189.50	$5,586.00	$1,899.24–$5,524.55	83% above	25%
MRI of the brain, no contrast dye CPT 70551 HB MRI LIMITED STUDY SHUNT	$2,262.75	$3,017.00	$1,025.78–$2,983.81	40% above	25%
MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W/O CONTRAST	$4,548.00	$6,064.00	$2,061.76–$5,997.30	182% above	25%
MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN	$4,548.00	$6,064.00	$2,061.76–$5,997.30	182% above	25%
MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN W/O & W/CM	$6,095.25	$8,127.00	$2,763.18–$8,037.60	179% above	25%
MRI of the lower back, no contrast dye CPT 72148 HB MR-LUMBAR SPINE WO CM	$4,937.25	$6,583.00	$2,238.22–$6,510.59	196% above	25%
MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI, LUMBAR SPINE COMBO	$6,095.25	$8,127.00	$2,763.18–$8,037.60	161% above	25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI, DORSAL SPINE	$4,986.75	$6,649.00	$2,260.66–$6,575.86	197% above	25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI, CERV SPINE COMBO	$6,161.25	$8,215.00	$2,793.10–$8,124.64	172% above	25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MR-CERVICAL WO CM	$4,575.00	$6,100.00	$2,074.00–$6,032.90	177% above	25%
MRI of the pelvis without and with contrast CPT 72197 HB MRI, PELVIS, COMBO	$4,574.25	$6,099.00	$2,073.66–$6,031.91	134% above	25%
MRI of the pelvis, no contrast dye CPT 72195 HB MRI, PELVIS, W/O CONTRAST	$3,247.50	$4,330.00	$1,472.20–$4,282.37	114% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI, JOINT UPPER EXTREM	$2,496.75	$3,329.00	$1,131.86–$3,292.38	65% above	25%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HB X-RAY CERV SPINE 4 VW	$502.50	$670.00	$227.80–$662.63	12% above	25%
Neck soft tissue CT scan with contrast CPT 70491 HB CT-SOFT TISSUE NECK W/CM	$2,577.00	$3,436.00	$1,168.24–$3,398.20	118% above	25%
Neck soft tissue CT scan without contrast CPT 70490 HB CT-SOFT TISSUE NECK W/O CM	$2,214.00	$2,952.00	$1,003.68–$2,919.53	140% above	25%
Neck soft tissue X-ray CPT 70360 HB X-RAY NECK SOFT TISSUE	$353.25	$471.00	$160.14–$465.82	36% above	25%
OCT scan of the retina (optical coherence tomography) CPT 92134 HB COMPUTERIZED OPTHALMAMIC IMAGING RETINA	$361.50	$482.00	$163.88–$476.70	359% above	25%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB NUC THERAPY HYPERTHYROID SUBSEQUENT	$8,157.00	$10,876.00	$3,697.84–$10,756.36	68% above	25%
Pelvic CT scan without contrast CPT 72192 HB CT-PELVIS WO CM	$2,556.75	$3,409.00	$1,159.06–$3,371.50	154% above	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIC FOLLOW-UP/LIMITED	$529.50	$706.00	$240.04–$698.23	22% above	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIC FOLLOW UP LIMITED OFFICE	$564.00	$752.00	$255.68–$743.73	30% above	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HBI US- SOFT TISSUE PENIS	$622.50	$830.00	$282.20–$820.87	43% above	25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB USPELVISNON OBCOMPLETE	$810.75	$1,081.00	$367.54–$1,069.11	61% above	25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US>14 WEEKSSNGL FETUS	$891.00	$1,188.00	$403.92–$1,174.93	48% above	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US<14 WEEKSSNGL FETUS	$682.50	$910.00	$309.40–$899.99	24% above	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB USLIMITED 1 OR >1 FETUS	$496.50	$662.00	$225.08–$654.72	4% above	25%
Rib X-ray, one side, 2 views one side CPT 71100 HB X-RAY RIBS 2 VW UNILAT	$336.00	$448.00	$152.32–$443.07	11% above	25%
Shoulder X-ray, complete, 2 or more views CPT 73030 HB X-RAY SHOULDER 2+ VW	$336.00	$448.00	$152.32–$443.07	at median	25%
Sinus X-ray, complete, 3 or more views CPT 70220 HB X-RAY SINUSES 3+ VW	$483.75	$645.00	$219.30–$637.91	34% above	25%
Skull X-ray, fewer than 4 views CPT 70250 HB X-RAY SKULL <4 VW	$408.00	$544.00	$184.96–$538.02	41% above	25%
Sleep study in a lab (polysomnography) CPT 95810 HB PSG 4 PARAMETERS 6 YEARS AND OLDER	$5,862.00	$7,816.00	$2,657.44–$7,730.02	63% above	25%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB SWALLOWING FCN,W/CINE &/OR VIDEO	$1,219.50	$1,626.00	$552.84–$1,608.11	141% above	25%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HB RAD EXAM, FEMUR, MINIMUM 2 VIEWS	$358.50	$478.00	$162.52–$472.74	32% above	25%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HB CT SCAN,THORACIC SPINE,W/O CONTRAST	$2,555.25	$3,407.00	$1,158.38–$3,369.52	182% above	25%
Toe X-ray, 2 or more views CPT 73660 HB X-RAY TOE(S)	$225.75	$301.00	$102.34–$297.69	10% below	25%
Transvaginal pelvic ultrasound CPT 76830 HB US-TRANSVAGINAL	$843.00	$1,124.00	$382.16–$1,111.64	50% above	25%
Transvaginal ultrasound during pregnancy CPT 76817 HB USTRANSVAGINAL	$681.75	$909.00	$309.06–$899.00	36% above	25%
Ultrasound of the abdomen, complete CPT 76700 HB US-EXAM ABDOM COMPLETE	$928.50	$1,238.00	$420.92–$1,224.38	48% above	25%
Ultrasound of the scrotum and testicles CPT 76870 HB US SCROTOM OFFICE	$723.75	$965.00	$328.10–$954.39	35% above	25%
Ultrasound of the scrotum and testicles CPT 76870 HB US-SCROTUM	$806.25	$1,075.00	$365.50–$1,063.18	50% above	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US-HEAD AND NECK(THYROID)	$964.50	$1,286.00	$437.24–$1,271.85	68% above	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB XRAY UPPER GI TRACT	$813.00	$1,084.00	$368.56–$1,072.08	37% above	25%
Upper arm X-ray (humerus), 2 views CPT 73060 HB X-RAY HUMERUS	$361.50	$482.00	$163.88–$476.70	31% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US-DUPLEX EXT UNILAT VEIN	$807.75	$1,077.00	$366.18–$1,065.15	10% above	25%
Wrist X-ray, 2 views CPT 73100 HB X-RAY WRIST 2 VW	$307.50	$410.00	$139.40–$405.49	18% above	25%
Wrist X-ray, complete, 3 or more views CPT 73110 HB X-RAY WRIST 3+ VW	$307.50	$410.00	$139.40–$405.49	8% below	25%
Wrist X-ray, complete, 3 or more views CPT 73110 HB ROX/RAD WRIST COMPL MIN 3VIEWS	$323.25	$431.00	$146.54–$426.26	3% below	25%
Wrist X-ray, complete, 3 or more views CPT 73110 HB NAVICULAR EXAM	$323.25	$431.00	$146.54–$426.26	3% below	25%
Wrist X-ray, complete, 3 or more views CPT 73110 HB ACM NAVICULAR	$323.25	$431.00	$146.54–$426.26	3% below	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB RAD EXAM, HIP, UNILATERAL WITH PELVIS WHEN PERFORMED, 2-3 VIE	$295.50	$394.00	$133.96–$389.67	4% below	25%
X-ray of the abdomen, 1 view CPT 74018 HB RADIOLOGIC EXAMINATION, ABODOMEN ONE VIEW	$294.00	$392.00	$133.28–$387.69	15% above	25%
X-ray of the ankle, 2 views CPT 73600 HB X-RAY ANKLE 2 VW	$291.75	$389.00	$132.26–$384.72	17% above	25%
X-ray of the finger(s), 2 or more views CPT 73140 HB X-RAY EXAM OF FINGER(S)	$231.75	$309.00	$105.06–$305.60	10% below	25%
X-ray of the foot, 2 views CPT 73620 HB X-RAY FOOT 2 VW	$291.75	$389.00	$132.26–$384.72	26% above	25%
X-ray of the foot, complete, 3 or more views CPT 73630 HB X-RAY FOOT 3+ VW	$323.25	$431.00	$146.54–$426.26	6% above	25%
X-ray of the hand, 3 or more views CPT 73130 HB X-RAY HAND 3+ VW	$327.00	$436.00	$148.24–$431.20	at median	25%
X-ray of the knee, 1 or 2 views CPT 73560 HB X-RAY KNEE 1 OR 2 VIEW	$295.50	$394.00	$133.96–$389.67	8% above	25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB X-RAY LUMBAR SPINE 2/3 VW	$477.75	$637.00	$216.58–$629.99	48% above	25%
X-ray of the lower back, 4 or more views CPT 72110 HB X-RAY LUMBAR SPINE 4 VW	$670.50	$894.00	$303.96–$884.17	43% above	25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB X-RAY THORACIC SPINE 2 VW	$483.75	$645.00	$219.30–$637.91	60% above	25%
X-ray of the nasal bones, 3 or more views CPT 70160 HB X-RAY NASAL BONES	$483.75	$645.00	$219.30–$637.91	66% above	25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB X-RAY CERV SPINE 2 VW	$345.00	$460.00	$156.40–$454.94	3% above	25%
X-ray of the pelvis, 1 or 2 views CPT 72170 HB X-RAY PELVIS 1/2 VW	$295.50	$394.00	$133.96–$389.67	17% above	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB X-RAY SACRUM/COCCYX 2+ VW	$483.75	$645.00	$219.30–$637.91	63% above	25%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
ACTH blood test CPT 82024 HBI ACTH	$219.00	$292.00	$99.28–$288.79	66% above	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HBI ALT (SGPT)	$80.25	$107.00	$36.38–$105.82	187% above	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALT (SGPT)	$80.25	$107.00	$36.38–$105.82	187% above	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 HBI AST (SGOT)	$80.25	$107.00	$36.38–$105.82	218% above	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB AST (SGOT)	$80.25	$107.00	$36.38–$105.82	218% above	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB HEPATITIS ACUTE PANEL	$204.00	$272.00	$92.48–$269.01	6% below	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HBI HEPATITIS, ACUTE PANEL	$213.00	$284.00	$96.56–$280.88	2% below	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB LAB/HEPATITUS DIAGNOSTIC	$213.00	$284.00	$96.56–$280.88	2% below	25%
Albumin blood test CPT 82040 HBI CEREBROSPINAL FLUID(CSF) IGG INDEX-ALBUMIN SERUM	$12.19	$16.25	$5.53–$16.07	45% below	25%
Albumin blood test CPT 82040 HB ALBUMIN	$57.75	$77.00	$26.18–$76.15	161% above	25%
Albumin blood test CPT 82040 HBI ALBUMIN	$57.75	$77.00	$26.18–$76.15	161% above	25%
Aldosterone blood test CPT 82088 HBI ALDOSTERONE	$187.50	$250.00	$85.00–$247.25	34% above	25%
Aldosterone blood test CPT 82088 HB ALDOSTERONE	$187.50	$250.00	$85.00–$247.25	34% above	25%
Alkaline phosphatase (ALP) blood test CPT 84075 HBI PHOSPHATASE, ALK-HEAT	$73.50	$98.00	$33.32–$96.92	206% above	25%
Alkaline phosphatase (ALP) blood test CPT 84075 HBI PHOSPHATASE, ALKALINE	$87.75	$117.00	$39.78–$115.71	266% above	25%
Alkaline phosphatase (ALP) blood test CPT 84075 HB PHOSPHATASE ALKALINE	$87.75	$117.00	$39.78–$115.71	266% above	25%
Alkaline phosphatase (ALP) blood test CPT 84075 HBI AKLALINE PHOSPHATASE TOTAL	$130.50	$174.00	$59.16–$172.09	444% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HBI PEANUT COMPONENT REFLEX S	$8.44	$11.25	$3.83–$11.13	64% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HBI ALLERGEN-SENDOUT	$43.50	$58.00	$19.72–$57.36	86% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HBI ALLERGEN (MAYO)	$43.50	$58.00	$19.72–$57.36	86% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HBI ASP FUMIGATIS IGE	$43.50	$58.00	$19.72–$57.36	86% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HBI ALLERGEN, IGE(IMMUNOCAP)	$43.50	$58.00	$19.72–$57.36	86% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HBI ALLERGEN-SENDOUT,ADDITIONAL	$43.50	$58.00	$19.72–$57.36	86% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HBI PEANUT COMPONENTS ALLERGEN SPECIFIC IGE	$78.75	$105.00	$35.70–$103.85	237% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HBI AMPICILLIN IGE	$84.75	$113.00	$38.42–$111.76	262% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 HBI AFP, MATERNAL SERUM	$41.25	$55.00	$18.70–$54.40	32% below	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 HBI ALPHA FETOPROTEIN, SERUM	$113.25	$151.00	$51.34–$149.34	87% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 HBI QUAD SCREEN, AFP	$114.00	$152.00	$51.68–$150.33	88% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 HBI AFP, CWRU	$114.00	$152.00	$51.68–$150.33	88% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 HBI ALPHA FETO PROTEIN,TUMOR MARKE	$114.00	$152.00	$51.68–$150.33	88% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 HBI SEQ SCR 2 AFP	$238.50	$318.00	$108.12–$314.50	294% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 HBI AFP (SEQUENTIAL 2)	$238.50	$318.00	$108.12–$314.50	294% above	25%
Ammonia blood test CPT 82140 HB AMMONIA SERUM	$229.50	$306.00	$104.04–$302.63	319% above	25%
Ammonia blood test CPT 82140 HBI AMMONIA	$229.50	$306.00	$104.04–$302.63	319% above	25%
Amylase blood test CPT 82150 HB AMYLASE, PLEURA	$34.88	$46.50	$15.81–$45.99	27% below	25%
Amylase blood test CPT 82150 HBI AMYLASE, URINE	$153.75	$205.00	$69.70–$202.75	221% above	25%
Amylase blood test CPT 82150 HBI AMYLASE	$153.75	$205.00	$69.70–$202.75	221% above	25%
Amylase blood test CPT 82150 HB AMYLASE	$153.75	$205.00	$69.70–$202.75	221% above	25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CYCLIC CITRULLINATED PEPTIDE IGG	$20.81	$27.75	$9.44–$27.44	64% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HBI ANA AB SCREEN	$106.50	$142.00	$48.28–$140.44	93% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB LAB/ANTINUCLEAR ANTIBODY	$106.50	$142.00	$48.28–$140.44	93% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HBI ANALYZER(ANA)	$106.50	$142.00	$48.28–$140.44	93% above	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB N-TERMINAL PRO B-TYPE NATRIURETIC PEPTIDE	$222.00	$296.00	$100.64–$292.74	49% above	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB BNP(B-NAT. PEPTIDE)	$258.75	$345.00	$117.30–$341.21	73% above	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HBI BNP(B-NAT. PEPTIDE)	$258.75	$345.00	$117.30–$341.21	73% above	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HBI B-NATRUIERETIC PEPTIDE (BNP)	$258.75	$345.00	$117.30–$341.21	73% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HBI CULTURE, RESPIRATORY	$169.50	$226.00	$76.84–$223.51	157% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HBI TRACH ASP CULTURE	$169.50	$226.00	$76.84–$223.51	157% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HBI CULTURE, GENITAL	$169.50	$226.00	$76.84–$223.51	157% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HBI CULTURE, ROUTINE (AEROBIC)	$169.50	$226.00	$76.84–$223.51	157% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HBI CULTURE, SPUTUM	$169.50	$226.00	$76.84–$223.51	157% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HBI CULTURE, CSF	$169.50	$226.00	$76.84–$223.51	157% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE, OTHER (AEROBIC ONLY)	$169.50	$226.00	$76.84–$223.51	157% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB/ABSCESS CULTURE	$214.50	$286.00	$97.24–$282.85	225% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE OTHER (AEROBIC ONLY)	$214.50	$286.00	$97.24–$282.85	225% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB/EYE CULTURE	$214.50	$286.00	$97.24–$282.85	225% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB/COLONIC WASHING CULT	$214.50	$286.00	$97.24–$282.85	225% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE, ROUTINE (AEROBIC)	$214.50	$286.00	$97.24–$282.85	225% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB/CSF CULTURE	$214.50	$286.00	$97.24–$282.85	225% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB/SPUTUM CULTURE	$214.50	$286.00	$97.24–$282.85	225% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE, GENITAL	$214.50	$286.00	$97.24–$282.85	225% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB/WOUND CULTURE	$214.50	$286.00	$97.24–$282.85	225% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HBI CULTURE, WOUND	$214.50	$286.00	$97.24–$282.85	225% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB/THROAT CULTURE	$214.50	$286.00	$97.24–$282.85	225% above	25%
Basic metabolic panel (blood test) CPT 80048 HB BASIC METABOLIC PANEL	$47.25	$63.00	$21.42–$62.31	28% below	25%
Basic metabolic panel (blood test) CPT 80048 HBI BASIC METABOLIC PANEL	$47.25	$63.00	$21.42–$62.31	28% below	25%
Bilirubin blood test, total CPT 82247 HBI BILIRUBIN, TOTAL	$69.00	$92.00	$31.28–$90.99	188% above	25%
Bilirubin blood test, total CPT 82247 HB BILIRUBIN BODY FLUID	$69.00	$92.00	$31.28–$90.99	188% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SENDOUT SURG PATH LEVEL IV	$223.50	$298.00	$101.32–$294.72	10% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HBI FETAL EVALUATION, SMALL	$259.50	$346.00	$117.64–$342.19	28% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HBI PLACENTA <27 WEEKS	$333.00	$444.00	$150.96–$439.12	64% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HBI KIDNEY BIOPSY STUDIES	$333.00	$444.00	$150.96–$439.12	64% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HBI NERVE BIOPSY SPECIMEN	$333.00	$444.00	$150.96–$439.12	64% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HBI MUSCLE BIOPSY	$333.00	$444.00	$150.96–$439.12	64% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SURG PATH LEVEL 4	$412.50	$550.00	$187.00–$543.95	103% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HBI SURG PATH LEVEL 4	$412.50	$550.00	$187.00–$543.95	103% above	25%
Blood culture for bacteria CPT 87040 HBI CULTURE, BLOOD	$234.75	$313.00	$106.42–$309.56	151% above	25%
Blood culture for bacteria CPT 87040 HB CULTURE BLOOD	$234.75	$313.00	$106.42–$309.56	151% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB VENIPUNCTURE ROUTINE	$10.13	$13.50	$4.59–$13.35	36% below	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HBI VENIPUNCTURE FOR SPECIMEN	$17.44	$23.25	$7.91–$22.99	10% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HBI VENIPUNCTURE CHARGE	$17.44	$23.25	$7.91–$22.99	10% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HBI VZV STUDY	$17.44	$23.25	$7.91–$22.99	10% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB VENIPUNCTURE FOR SPECIMEN	$17.44	$23.25	$7.91–$22.99	10% above	25%
Blood glucose (sugar) test CPT 82947 HBI GLUCOSE-WB	$63.00	$84.00	$28.56–$83.08	167% above	25%
Blood glucose (sugar) test CPT 82947 HBI GLUCOSE, ISTAT	$63.00	$84.00	$28.56–$83.08	167% above	25%
Blood glucose (sugar) test CPT 82947 HBI ISTAT GLUCOSE	$63.00	$84.00	$28.56–$83.08	167% above	25%
Blood glucose (sugar) test CPT 82947 HBI GLUCOSE, SERUM	$63.00	$84.00	$28.56–$83.08	167% above	25%
Blood glucose (sugar) test CPT 82947 HB GLUCOSE SERUM	$63.00	$84.00	$28.56–$83.08	167% above	25%
Blood lead test CPT 83655 HB LEAD/CREATININE RATIO, U	$9.00	$12.00	$4.08–$11.87	81% below	25%
Blood lead test CPT 83655 HBI LEAD	$123.75	$165.00	$56.10–$163.19	155% above	25%
Blood lead test CPT 83655 HBI LEAD, URINE	$153.75	$205.00	$69.70–$202.75	216% above	25%
Blood lead test CPT 83655 HB LAB/LEAD-PEDIATRIC	$153.75	$205.00	$69.70–$202.75	216% above	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HBI HCG, SERUM	$121.50	$162.00	$55.08–$160.22	123% above	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HBI HCG,SERUM	$121.50	$162.00	$55.08–$160.22	123% above	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB HCG SERUM	$121.50	$162.00	$55.08–$160.22	123% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HBI CONFIRM TYPING, ABO	$33.94	$45.25	$15.39–$44.75	43% below	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HBI NORC ABO BLOOD TYPING	$59.25	$79.00	$26.86–$78.13	at median	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HBI ROUTINE TYPING, ABO(STE)	$72.75	$97.00	$32.98–$95.93	22% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HBI ROUTINE TYPING, ABO	$72.75	$97.00	$32.98–$95.93	22% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB ABO GROUP	$72.75	$97.00	$32.98–$95.93	22% above	25%
Blood urea nitrogen (BUN) test CPT 84520 HB BUN, PERIT. DIALYSATE	$34.88	$46.50	$15.81–$45.99	49% above	25%
Blood urea nitrogen (BUN) test CPT 84520 HB UREA NITROGEN S	$61.50	$82.00	$27.88–$81.10	163% above	25%
Blood urea nitrogen (BUN) test CPT 84520 HBI UREA NITROGEN, BLOOD	$61.50	$82.00	$27.88–$81.10	163% above	25%
C-peptide blood test CPT 84681 HB C-PEPTIDE	$153.75	$205.00	$69.70–$202.75	94% above	25%
C-peptide blood test CPT 84681 HBI C-PEPTIDE	$153.75	$205.00	$69.70–$202.75	94% above	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN QUANT	$80.25	$107.00	$36.38–$105.82	60% above	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HBI CRP(HYPERCOAG)	$80.25	$107.00	$36.38–$105.82	60% above	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HBI C-REACTIVE PROTEIN, QUANT	$80.25	$107.00	$36.38–$105.82	60% above	25%
C. difficile toxin gene test (stool PCR) CPT 87493 HBI C.DIFFICILE BY AMPLIFICATION	$174.75	$233.00	$79.22–$230.44	34% above	25%
CA-125 blood test (ovarian cancer marker) CPT 86304 HBI CANCER ANTIGEN 125	$172.50	$230.00	$78.20–$227.47	84% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB SARS-COV-2 COVID-19, AMPLIFIED PROBE TECHNIQUE	$70.50	$94.00	$31.96–$92.97	50% below	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB CORONAVIRUS2(SARS-COV2)COVID19, AMPLFD PROBE TCHNQ	$396.00	$528.00	$179.52–$522.19	181% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19	$397.50	$530.00	$180.20–$524.17	182% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HB SARS-COV-2 RT-PCR, TEST ID COVID	$148.50	$198.00	$67.32–$195.82	5% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HB ARIES SARS-COV-2 ASSAY (COVID-19) - RT-PCR	$397.50	$530.00	$180.20–$524.17	182% above	25%
Calcium blood test, total CPT 82310 HBI CALCIUM	$63.00	$84.00	$28.56–$83.08	99% above	25%
Calcium blood test, total CPT 82310 HB CALCIUMS	$63.00	$84.00	$28.56–$83.08	99% above	25%
Carcinoembryonic antigen (CEA) test CPT 82378 HBI CARCINOEMBRYONIC ANTIGEN	$153.75	$205.00	$69.70–$202.75	77% above	25%
Carcinoembryonic antigen (CEA) test CPT 82378 HB CARCINOEMBRYONIC ANTIGEN	$153.75	$205.00	$69.70–$202.75	77% above	25%
Chickenpox (varicella) immunity blood test CPT 86787 HB VARICELLA ZOSWTER VIRUS IGG	$17.63	$23.50	$7.99–$23.24	70% below	25%
Chickenpox (varicella) immunity blood test CPT 86787 HBI VZV IGM AB	$110.25	$147.00	$49.98–$145.38	91% above	25%
Chickenpox (varicella) immunity blood test CPT 86787 HB VARICELLA-ZOSTER ANTIBODY	$110.25	$147.00	$49.98–$145.38	91% above	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HBI CHLAMYDIA TRACHOMATIS AMPLIFIED RNA	$32.81	$43.75	$14.88–$43.27	64% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE (OSU)	$32.81	$43.75	$14.88–$43.27	64% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HBI C TRACHOMATIS AMP PROBE	$216.75	$289.00	$98.26–$285.82	135% above	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB LAB/CHLAMYDIA AMP DNA	$216.75	$289.00	$98.26–$285.82	135% above	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HBI LIPID PROFILE	$78.75	$105.00	$35.70–$103.85	49% above	25%
Complete blood count (CBC) with differential CPT 85025 HB CBC W/AUTO DIFFERENTIAL	$36.19	$48.25	$16.41–$47.72	1% below	25%
Complete blood count (CBC) with differential CPT 85025 HBI CBC W/ DIFFERENTIAL	$36.19	$48.25	$16.41–$47.72	1% below	25%
Complete blood count (CBC), no differential CPT 85027 HBI HEMOGRAM AND PLATELET COUNT	$32.63	$43.50	$14.79–$43.02	4% below	25%
Complete blood count (CBC), no differential CPT 85027 HB HEMOGRAM	$32.63	$43.50	$14.79–$43.02	4% below	25%
Comprehensive metabolic panel (blood test) CPT 80053 HB COMPREHENSIVE METABOLIC PANEL	$56.25	$75.00	$25.50–$74.18	12% below	25%
Comprehensive metabolic panel (blood test) CPT 80053 HBI COMPREHENSIVE METABOLIC PANEL	$56.25	$75.00	$25.50–$74.18	12% below	25%
Cortisol blood test, total CPT 82533 HB CORTISOL, SALIVA	$84.75	$113.00	$38.42–$111.76	17% above	25%
Cortisol blood test, total CPT 82533 HB CORTISOL, PLASMA	$150.75	$201.00	$68.34–$198.79	108% above	25%
Cortisol blood test, total CPT 82533 HB CORTISOL	$214.50	$286.00	$97.24–$282.85	196% above	25%
Cortisol blood test, total CPT 82533 HBI CORTISOL	$214.50	$286.00	$97.24–$282.85	196% above	25%
Creatine kinase (CK) blood test, total CPT 82550 HBI CK TOTAL(STE)	$40.50	$54.00	$18.36–$53.41	14% above	25%
Creatine kinase (CK) blood test, total CPT 82550 HBI CK ISOENZYMES, TOTAL	$94.50	$126.00	$42.84–$124.61	167% above	25%
Creatine kinase (CK) blood test, total CPT 82550 HB LAB/CPK	$121.50	$162.00	$55.08–$160.22	243% above	25%
Creatine kinase (CK) blood test, total CPT 82550 HBI CPK	$121.50	$162.00	$55.08–$160.22	243% above	25%
Creatine kinase (CK) blood test, total CPT 82550 HBI CREATINE KINASE	$196.50	$262.00	$89.08–$259.12	455% above	25%
Creatine kinase (CK) blood test, total CPT 82550 HB CREATINE KINASE	$196.50	$262.00	$89.08–$259.12	455% above	25%
Creatinine blood test CPT 82565 HBI CREATININE, SERUM	$74.25	$99.00	$33.66–$97.91	201% above	25%
Creatinine blood test CPT 82565 HB CREATININE SERUM	$74.25	$99.00	$33.66–$97.91	201% above	25%
Cytomegalovirus (CMV) antibody test CPT 86644 HB CYTOMEGALOVIRUS IGG	$21.75	$29.00	$9.86–$28.68	68% below	25%
Cytomegalovirus (CMV) antibody test CPT 86644 HBI CMV SCREEN (1U)	$125.25	$167.00	$56.78–$165.16	82% above	25%
Cytomegalovirus (CMV) antibody test CPT 86644 HBI CMV SCREEN (1U)(STE)	$125.25	$167.00	$56.78–$165.16	82% above	25%
Cytomegalovirus (CMV) antibody test CPT 86644 HB CMV AB TITER	$179.25	$239.00	$81.26–$236.37	161% above	25%
Cytomegalovirus (CMV) antibody test CPT 86644 HB CMV IGG AVIDITY	$209.25	$279.00	$94.86–$275.93	204% above	25%
Cytomegalovirus (CMV) antibody test CPT 86644 HBI CMV IGG (FOCUS)	$234.00	$312.00	$106.08–$308.57	241% above	25%
Cytomegalovirus (CMV) antibody test CPT 86644 HB CMV IGG (FOCUS)	$234.00	$312.00	$106.08–$308.57	241% above	25%
D-dimer blood test (blood clot marker) CPT 85379 HB D-DIMER QUANTITATIVE MV	$72.00	$96.00	$32.64–$94.94	3% above	25%
D-dimer blood test (blood clot marker) CPT 85379 HBI D DIMER QUANTITATIVE	$72.00	$96.00	$32.64–$94.94	3% above	25%
D-dimer blood test (blood clot marker) CPT 85379 HB FIBRIN DEGRADATION,QUANT	$297.75	$397.00	$134.98–$392.63	328% above	25%
DHEA sulfate (DHEA-S) blood test CPT 82627 HBI DHEA-SULFATE	$189.00	$252.00	$85.68–$249.23	90% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB BUPRENORPHINE SCREEN	$46.50	$62.00	$21.08–$61.32	51% below	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB AMPHETAMINE SCREEN URINE	$58.50	$78.00	$26.52–$77.14	39% below	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB FENTANYL SCREEN URINE	$83.25	$111.00	$37.74–$109.78	13% below	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB DRUGS OF ABUSE SCREEN, MECONIUM 5	$127.50	$170.00	$57.80–$168.13	33% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI SALICYLATE MV	$129.00	$172.00	$58.48–$170.11	35% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI SALICYLATE	$129.00	$172.00	$58.48–$170.11	35% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI GAMMA HYDROXYBUTYRIC ACID SERUM	$167.25	$223.00	$75.82–$220.55	75% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI ACETAMINOPHEN MV	$186.75	$249.00	$84.66–$246.26	95% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI ACETAMINOPHEN	$186.75	$249.00	$84.66–$246.26	95% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI GAMMA HYDROXYBUTRIC ACID URINE	$190.50	$254.00	$86.36–$251.21	99% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI DRUGS OF ABUSE URINE ST E	$203.25	$271.00	$92.14–$268.02	113% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI ALCOHOL	$215.25	$287.00	$97.58–$283.84	125% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI ALCOHOL MV	$215.25	$287.00	$97.58–$283.84	125% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI TCA SCREEN	$235.50	$314.00	$106.76–$310.55	146% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI COMA PANEL MULTI DRUG CLASS	$305.25	$407.00	$138.38–$402.52	219% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI THC 50 URINE	$312.00	$416.00	$141.44–$411.42	227% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI THC 20 URINE	$328.50	$438.00	$148.92–$433.18	244% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB DRUGS OF ABUSE URINE	$407.25	$543.00	$184.62–$537.03	326% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI FLUNITRAZEPAM URINE	$432.00	$576.00	$195.84–$569.66	352% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB HIB CORDSTAT DRUG SCREEN	$463.50	$618.00	$210.12–$611.20	385% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI DRUGS OF ABUSE W THC MV	$732.00	$976.00	$331.84–$965.26	666% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBI DRUGS OF ABUSE W THC	$732.00	$976.00	$331.84–$965.26	666% above	25%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB ELECTROLYTE PANEL	$152.25	$203.00	$69.02–$200.77	219% above	25%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HBI ELECTROLYTE PANEL	$152.25	$203.00	$69.02–$200.77	219% above	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB EPSTEIN-BARR IGG(VCA)	$90.75	$121.00	$41.14–$119.67	40% above	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB EBV (VCA) IGM AB	$90.75	$121.00	$41.14–$119.67	40% above	25%
Estradiol blood test CPT 82670 HB ESTADIOL	$150.75	$201.00	$68.34–$198.79	35% above	25%
Estradiol blood test CPT 82670 HBI ESTRADIOL	$234.75	$313.00	$106.42–$309.56	110% above	25%
FSH (follicle-stimulating hormone) test CPT 83001 HBI FOLLICLE STIMULATING HORMONE	$204.75	$273.00	$92.82–$270.00	139% above	25%
Fecal calprotectin (stool inflammation test) CPT 83993 HBI CALPROTECTIN STOOL	$219.00	$292.00	$99.28–$288.79	47% above	25%
Fecal calprotectin (stool inflammation test) CPT 83993 HBI CALPROTECTIN	$396.00	$528.00	$179.52–$522.19	165% above	25%
Ferritin blood test (iron stores) CPT 82728 HB LAB/FERRITIN	$289.50	$386.00	$131.24–$381.75	281% above	25%
Ferritin blood test (iron stores) CPT 82728 HBI FERRITIN	$289.50	$386.00	$131.24–$381.75	281% above	25%
Fibrinogen blood test CPT 85384 HB FIBRINOGEN QUANTITATIVE	$147.75	$197.00	$66.98–$194.83	228% above	25%
Fibrinogen blood test CPT 85384 HBI FIBRINOGEN, QUANTITATIVE	$147.75	$197.00	$66.98–$194.83	228% above	25%
Fibrinogen blood test CPT 85384 HBI FIBRINOGEN(HYPERCOAG)	$147.75	$197.00	$66.98–$194.83	228% above	25%
Folate (folic acid) blood test CPT 82746 HB FOLATE	$85.50	$114.00	$38.76–$112.75	27% above	25%
Folate (folic acid) blood test CPT 82746 HBI FOLATE	$101.25	$135.00	$45.90–$133.52	50% above	25%
Free T3 thyroid hormone test CPT 84481 HBI T3 FREE	$165.75	$221.00	$75.14–$218.57	118% above	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB T4, FREE MV	$54.75	$73.00	$24.82–$72.20	29% above	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HBI T4, FREE	$55.50	$74.00	$25.16–$73.19	31% above	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB THYROXINE FREE	$55.50	$74.00	$25.16–$73.19	31% above	25%
Free testosterone test CPT 84402 HB TESTOSTERONE FREE, SERUM	$20.25	$27.00	$9.18–$26.70	79% below	25%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HBI GAMMA GLUTAMYL TRANSFERASE	$113.25	$151.00	$51.34–$149.34	166% above	25%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB GGTP	$113.25	$151.00	$51.34–$149.34	166% above	25%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HBI GENERAL HEALTH PANEL	$163.50	$218.00	$74.12–$228.90	26% below	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HBI GLUCOSE CHALLENGE, 1 HR	$113.25	$151.00	$51.34–$149.34	195% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HBI GLUCOSE CHALLENGE, 1HR	$113.25	$151.00	$51.34–$149.34	195% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE CH1ENGE 1 HR	$113.25	$151.00	$51.34–$149.34	195% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HBI GLUCOSE CHALLENGE, 2HR	$113.25	$151.00	$51.34–$149.34	195% above	25%
Glucose tolerance test, 3 samples CPT 82951 HB 3 HR GTT-GLUCOSE, FASTING	$58.50	$78.00	$26.52–$77.14	13% below	25%
Glucose tolerance test, 3 samples CPT 82951 HB 3HR GTT MV - GLUCOSE FASTING	$58.50	$78.00	$26.52–$77.14	13% below	25%
Glucose tolerance test, 3 samples CPT 82951 HB 2HR GTT MV - GLUCOSE FASTING	$60.75	$81.00	$27.54–$80.11	10% below	25%
Glucose tolerance test, 3 samples CPT 82951 HB GLUCOSE, 2HR CHALLENGE-SALICYLATE GLUCOSE FASTING	$60.75	$81.00	$27.54–$80.11	10% below	25%
Glucose tolerance test, 3 samples CPT 82951 HBI TOLERANCE TEST,3 SPEC	$171.75	$229.00	$77.86–$226.48	156% above	25%
Glucose tolerance test, 3 samples CPT 82951 HBI TOLERANCE TEST, 3 SPEC	$171.75	$229.00	$77.86–$226.48	156% above	25%
Glucose tolerance test, 3 samples CPT 82951 HB GLUCOSE TOLERANCE TEST (GTT)	$171.75	$229.00	$77.86–$226.48	156% above	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB NEISSEIRA GONORRHEA AMPLIFIED PROBE (OSU)	$32.81	$43.75	$14.88–$43.27	65% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HBI NEISSERIA GONORRHEA AMPLIFIED RNA	$32.81	$43.75	$14.88–$43.27	65% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HBI GC AMP PROBE	$216.75	$289.00	$98.26–$285.82	133% above	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB LAB/GONORRHEA AMP DNA	$216.75	$289.00	$98.26–$285.82	133% above	25%
H. pylori antibody blood test CPT 86677 H.PYLORI AB IGM	$87.00	$116.00	$39.44–$114.72	15% above	25%
H. pylori antibody blood test CPT 86677 H.PYLORI AB IGA	$87.00	$116.00	$39.44–$114.72	15% above	25%
H. pylori antibody blood test CPT 86677 H.PYLORI AB, IGM (MAYO)	$87.75	$117.00	$39.78–$115.71	16% above	25%
H. pylori antibody blood test CPT 86677 HBI H. PYLORI IGG (CCF)	$87.75	$117.00	$39.78–$115.71	16% above	25%
H. pylori antibody blood test CPT 86677 H.PYLORI AB, IGA,MAYO	$87.75	$117.00	$39.78–$115.71	16% above	25%
H. pylori antibody blood test CPT 86677 HB LAB/H. PYLORI IGG	$196.50	$262.00	$89.08–$259.12	161% above	25%
H. pylori antibody blood test CPT 86677 HBI H. PYLORI IGG	$196.50	$262.00	$89.08–$259.12	161% above	25%
H. pylori antibody blood test CPT 86677 HBI HELICOBACTER PYLORI IGG	$196.50	$262.00	$89.08–$259.12	161% above	25%
H. pylori stool antigen test CPT 87338 HB HPYLORI,EIA,STOOL,MULT STEP	$414.00	$552.00	$187.68–$545.93	492% above	25%
H. pylori stool antigen test CPT 87338 HBI H PYLORI ANTIGEN	$414.00	$552.00	$187.68–$545.93	492% above	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV-1 RNA DETECTION AND QUANTIFICTION, PLASMA	$144.00	$192.00	$65.28–$189.89	60% below	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV RNA QUANT BY BDNA	$234.75	$313.00	$106.42–$309.56	34% below	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HBI HIV ULTRA QUANT	$462.00	$616.00	$209.44–$609.22	29% above	25%
HIV-1 and HIV-2 antibody test CPT 86703 HB HIV 1 & 2 AB	$139.50	$186.00	$63.24–$183.95	126% above	25%
HIV-1 and HIV-2 antibody test CPT 86703 HBI HIV 1 & 2 AB	$139.50	$186.00	$63.24–$183.95	126% above	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV 1&2 ANTIGEN & ANTIBODY SCREEN	$21.94	$29.25	$9.95–$28.93	70% below	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1&2 AB SCREEN	$139.50	$186.00	$63.24–$183.95	88% above	25%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HBI HPV DNA ASSAY	$241.50	$322.00	$109.48–$318.46	103% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HB HEMOGLOBIN A1C MV	$114.00	$152.00	$51.68–$150.33	150% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HEMOGLOBIN A1C POCT	$114.00	$152.00	$51.68–$150.33	150% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBI HEMOGLOBIN A1C, POCT	$114.00	$152.00	$51.68–$150.33	150% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBI GLYCOSYLATED (AIC)	$114.00	$152.00	$51.68–$150.33	150% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBI HEMOGLOBIN, A1C POCT	$114.00	$152.00	$51.68–$150.33	150% above	25%
Hemoglobin blood test CPT 85018 HBI HEMOGLOBIN	$21.94	$29.25	$9.95–$28.93	35% above	25%
Hemoglobin blood test CPT 85018 HB HEMOGLOBIN	$22.31	$29.75	$10.12–$29.42	38% above	25%
Hemoglobin blood test CPT 85018 HB POCT HEMOGLOBIN	$46.50	$62.00	$21.08–$61.32	187% above	25%
Hepatitis B core antibody test (total) CPT 86704 HBI HEP REMOTE (HBCAB)	$58.50	$78.00	$26.52–$77.14	8% above	25%
Hepatitis B core antibody test (total) CPT 86704 HB HEPATITIS B CORE ANTIBODY HBCAB TOTAL	$89.25	$119.00	$40.46–$117.69	65% above	25%
Hepatitis B core antibody test (total) CPT 86704 HB HEPATITIS B CORE ANTIBODIES(IGM)	$90.00	$120.00	$40.80–$118.68	67% above	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEPATITIS B SURFACE ANTIBODY TOTAL	$87.75	$117.00	$39.78–$115.71	81% above	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBI HEP REMOTE (HBSAB)	$197.25	$263.00	$89.42–$260.11	308% above	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEPATITIS B SURFACE AB TEST	$197.25	$263.00	$89.42–$260.11	308% above	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBI HEPATITIS B SURFACE AB	$197.25	$263.00	$89.42–$260.11	308% above	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBI HEP REMOTE (HBSAG)	$58.50	$78.00	$26.52–$77.14	24% above	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEPATITIS B SURGACE AG	$98.25	$131.00	$44.54–$129.56	108% above	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEPATITIS B SURFACE AG	$197.25	$263.00	$89.42–$260.11	317% above	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBI HEPATITIS B SURFACE AG	$197.25	$263.00	$89.42–$260.11	317% above	25%
Hepatitis C antibody blood test (screening) CPT 86803 HBI HEP REMOTE (HEP C AB)	$58.50	$78.00	$26.52–$77.14	9% below	25%
Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C ANTIBODY	$201.75	$269.00	$91.46–$266.04	215% above	25%
Hepatitis C antibody blood test (screening) CPT 86803 HBI HEPATITIS C ANTIBODY	$201.75	$269.00	$91.46–$266.04	215% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HBI HEPATITIS C QUANT PCR	$806.25	$1,075.00	$365.50–$1,063.18	319% above	25%
Herpes blood test, HSV-1 antibody CPT 86695 HBI HSV TYPE 1 AB IGG S	$12.56	$16.75	$5.70–$16.57	79% below	25%
Herpes blood test, HSV-1 antibody CPT 86695 HB HERPES SIMPLEX VIRUS TYPE 1 AB	$13.50	$18.00	$6.12–$17.80	77% below	25%
Herpes blood test, HSV-1 antibody CPT 86695 HB HERPES TYPE I IGG	$179.25	$239.00	$81.26–$236.37	203% above	25%
Herpes blood test, HSV-2 antibody CPT 86696 HB HERPES SIMPLEX VIRUS TYPE 2 AB	$9.38	$12.50	$4.25–$12.36	86% below	25%
Herpes blood test, HSV-2 antibody CPT 86696 HBI HSV TYPE 2 AB IGG S	$18.56	$24.75	$8.42–$24.48	72% below	25%
Herpes blood test, HSV-2 antibody CPT 86696 HB HERPES TYPE II IGG	$179.25	$239.00	$81.26–$236.37	170% above	25%
High-sensitivity CRP (hs-CRP) test CPT 86141 HBI CRP, ULTRASENSATIVE	$187.50	$250.00	$85.00–$247.25	178% above	25%
Homocysteine blood test CPT 83090 HBI HOMOCYSTEINE,PL(HYPERCOAG)	$130.50	$174.00	$59.16–$172.09	62% above	25%
Homocysteine blood test CPT 83090 HBI HOMOCYSTEINE TOTAL PLASMA	$526.50	$702.00	$238.68–$694.28	553% above	25%
Homocysteine blood test CPT 83090 HBI HOMOCYSTEINE, TOTAL URINE	$613.50	$818.00	$278.12–$809.00	661% above	25%
Insulin blood test CPT 83525 HBI INSULIN	$94.50	$126.00	$42.84–$124.61	84% above	25%
Insulin blood test CPT 83525 HB INSULIN	$94.50	$126.00	$42.84–$124.61	84% above	25%
Iron blood test (serum iron) CPT 83540 HB IRON AND TIBC	$93.00	$124.00	$42.16–$122.64	145% above	25%
Iron blood test (serum iron) CPT 83540 HBI IRON AND TIBC	$93.00	$124.00	$42.16–$122.64	145% above	25%
Iron blood test (serum iron) CPT 83540 HBI IRON, URINE	$93.00	$124.00	$42.16–$122.64	145% above	25%
Iron-binding capacity (TIBC) test CPT 83550 HB TIBC MV	$120.00	$160.00	$54.40–$158.24	208% above	25%
Iron-binding capacity (TIBC) test CPT 83550 HBI IRON, UIBC	$125.25	$167.00	$56.78–$165.16	221% above	25%
Iron-binding capacity (TIBC) test CPT 83550 HB IRON UIBC	$125.25	$167.00	$56.78–$165.16	221% above	25%
Kidney function blood test panel CPT 80069 HB RENAL PANEL	$50.25	$67.00	$22.78–$66.26	30% below	25%
Kidney function blood test panel CPT 80069 HBI RENAL FUNCTION PANEL	$50.25	$67.00	$22.78–$66.26	30% below	25%
LH (luteinizing hormone) test CPT 83002 HBI LUTEINIZING HORMONE (LH)	$183.75	$245.00	$83.30–$242.31	92% above	25%
Lactate (lactic acid) blood test CPT 83605 HBI LACTIC ACID-WB	$141.75	$189.00	$64.26–$186.92	173% above	25%
Lactate (lactic acid) blood test CPT 83605 HBI LACTIC ACID .	$141.75	$189.00	$64.26–$186.92	173% above	25%
Lactate (lactic acid) blood test CPT 83605 HBI LACTIC ACID-CSF	$141.75	$189.00	$64.26–$186.92	173% above	25%
Lactate (lactic acid) blood test CPT 83605 HB LACTIC ACID .	$141.75	$189.00	$64.26–$186.92	173% above	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB LACTATE DEHYDROGENASE, PLEURAL	$25.50	$34.00	$11.56–$33.63	7% below	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB LACTATE DEHYDROGENASE	$182.25	$243.00	$82.62–$240.33	568% above	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 HBI LACTATE DEHYDROGENASE	$182.25	$243.00	$82.62–$240.33	568% above	25%
Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE, PLEURAL	$47.25	$63.00	$21.42–$62.31	19% below	25%
Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE	$123.75	$165.00	$56.10–$163.19	113% above	25%
Lipase blood test (pancreas enzyme) CPT 83690 HBI LIPASE	$123.75	$165.00	$56.10–$163.19	113% above	25%
Liver function blood test panel CPT 80076 HB HEPATIC PANEL	$41.25	$55.00	$18.70–$54.40	32% below	25%
Liver function blood test panel CPT 80076 HBI HEPATIC PANEL	$41.25	$55.00	$18.70–$54.40	32% below	25%
Lyme disease antibody test CPT 86618 HBI LYME DISEASE IGG(EIA) AB	$94.50	$126.00	$42.84–$124.61	23% above	25%
Lyme disease antibody test CPT 86618 HBI LYME DISEASE SEROLOGIES	$94.50	$126.00	$42.84–$124.61	23% above	25%
Lyme disease antibody test CPT 86618 HB LAB/LYME DISES ANTIB-QUAL	$94.50	$126.00	$42.84–$124.61	23% above	25%
Magnesium blood test CPT 83735 HB MAGNESIUM	$81.75	$109.00	$37.06–$107.80	142% above	25%
Magnesium blood test CPT 83735 HBI MAGNESIUM, URINE	$81.75	$109.00	$37.06–$107.80	142% above	25%
Magnesium blood test CPT 83735 HBI MAGNESIUM	$81.75	$109.00	$37.06–$107.80	142% above	25%
Magnesium blood test CPT 83735 HBI CATHARTIC LAXATIVE, UR MAG	$150.75	$201.00	$68.34–$198.79	346% above	25%
Magnesium blood test CPT 83735 HBI CATHARTIC LAXATIVE, ST. MAG	$150.75	$201.00	$68.34–$198.79	346% above	25%
Measles (rubeola) antibody test CPT 86765 HB RUBEOLA (MEASLES) IGG	$38.25	$51.00	$17.34–$50.44	33% below	25%
Measles (rubeola) antibody test CPT 86765 HBI RUBEOLA IGM AB	$182.25	$243.00	$82.62–$240.33	219% above	25%
Mono test (heterophile antibody, Monospot) CPT 86308 HBI MONO SCREEN, NURSING	$110.25	$147.00	$49.98–$145.38	107% above	25%
Mono test (heterophile antibody, Monospot) CPT 86308 HBI MONO SCREEN	$110.25	$147.00	$49.98–$145.38	107% above	25%
Mono test (heterophile antibody, Monospot) CPT 86308 HB MONO SCREEN	$110.25	$147.00	$49.98–$145.38	107% above	25%
Mumps immunity blood test CPT 86735 HB RUBEOLA IGM AB	$101.25	$135.00	$45.90–$133.52	73% above	25%
Mumps immunity blood test CPT 86735 HB MUMPS IGG AB	$114.00	$152.00	$51.68–$150.33	95% above	25%
Mumps immunity blood test CPT 86735 HBI MUMPS IGM AB	$135.75	$181.00	$61.54–$179.01	132% above	25%
Mumps immunity blood test CPT 86735 HBI MUMPS IGG AB	$135.75	$181.00	$61.54–$179.01	132% above	25%
Obstetric blood test panel CPT 80055 HBI OBSTETRIC PANEL	$1,086.00	$1,448.00	$492.32–$1,432.07	406% above	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 HBI PROSTATE SPECIFIC ANTIGEN	$83.25	$111.00	$37.74–$109.78	5% above	25%
Pap test (liquid-based, automated screening with review) CPT 88175 HBI ANTI-CD22	$107.25	$143.00	$48.62–$141.43	10% above	25%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HBI THIN PREP PAP SMEAR	$183.75	$245.00	$83.30–$242.31	102% above	25%
Parathyroid hormone (PTH) blood test CPT 83970 HBI PARATHYROID HORMONE	$101.25	$135.00	$45.90–$133.52	28% below	25%
Parathyroid hormone (PTH) blood test CPT 83970 HB INTACT PARATHYROID HORMONE	$230.25	$307.00	$104.38–$303.62	63% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 HBI ACTIVATED PTT	$49.50	$66.00	$22.44–$65.27	32% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT	$49.50	$66.00	$22.44–$65.27	32% above	25%
Phosphorus (phosphate) blood test CPT 84100 HBI PHOSPHORUS	$74.25	$99.00	$33.66–$97.91	108% above	25%
Phosphorus (phosphate) blood test CPT 84100 HB PHOSPHORUS	$74.25	$99.00	$33.66–$97.91	108% above	25%
Phosphorus (phosphate) blood test CPT 84100 HBI CATHARTIC LAXATIVE, ST. PHOS	$186.75	$249.00	$84.66–$246.26	422% above	25%
Potassium blood test CPT 84132 HBI POTASSIUM-WB	$61.50	$82.00	$27.88–$81.10	163% above	25%
Potassium blood test CPT 84132 HBI ISTAT POTASSIUM	$61.50	$82.00	$27.88–$81.10	163% above	25%
Potassium blood test CPT 84132 HB POTASSIUM SERUM	$61.50	$82.00	$27.88–$81.10	163% above	25%
Potassium blood test CPT 84132 HBI POTASSIUM ISTAT	$61.50	$82.00	$27.88–$81.10	163% above	25%
Potassium blood test CPT 84132 HBI POTASSIUM	$61.50	$82.00	$27.88–$81.10	163% above	25%
Progesterone blood test CPT 84144 HB PROGESTERONE	$151.50	$202.00	$68.68–$199.78	87% above	25%
Progesterone blood test CPT 84144 HBI PROGESTERONE	$151.50	$202.00	$68.68–$199.78	87% above	25%
Prolactin blood test CPT 84146 HBI PROLACTIN	$352.50	$470.00	$159.80–$464.83	305% above	25%
Prolactin blood test CPT 84146 HB PROLACTIN	$352.50	$470.00	$159.80–$464.83	305% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 HB PRO TIME	$24.94	$33.25	$11.31–$32.88	4% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 HBI PROTHROMBIN TIME	$24.94	$33.25	$11.31–$32.88	4% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 HBI PROTHROMBIN TIME BY MONITOR	$24.94	$33.25	$11.31–$32.88	4% above	25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB DRUG TEST(POCT)DIRECT OPTICAL OBSERVATION	$12.94	$17.25	$5.87–$17.06	78% below	25%
Rapid flu test (influenza antigen) CPT 87804 HB POCT INFLUENZA A ANTIGEN DETECTION	$37.13	$49.50	$16.83–$48.96	43% below	25%
Rapid flu test (influenza antigen) CPT 87804 HBI INFLUENZA B ANTIGEN DETECTION	$37.13	$49.50	$16.83–$48.96	43% below	25%
Rapid flu test (influenza antigen) CPT 87804 HBI INFLUENZA A ANTIGEN DETECTION	$37.13	$49.50	$16.83–$48.96	43% below	25%
Rapid flu test (influenza antigen) CPT 87804 HB POCT INFLUENZA B ANTIGEN DETECTION	$37.13	$49.50	$16.83–$48.96	43% below	25%
Rapid flu test (influenza antigen) CPT 87804 HB INFLUENZA A ANTIGEN DETECTION	$37.13	$49.50	$16.83–$48.96	43% below	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB STREP A AG SCREEN	$37.13	$49.50	$16.83–$48.96	35% below	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HBI STREP A AG SCREEN	$37.13	$49.50	$16.83–$48.96	35% below	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HBI GROUP A STREP LATEX	$37.13	$49.50	$16.83–$48.96	35% below	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HBI STREP SCREEN, NURSING	$37.13	$49.50	$16.83–$48.96	35% below	25%
Renin blood test CPT 84244 HBI PLASMA RENIN ACTIVITY	$174.75	$233.00	$79.22–$230.44	104% above	25%
Renin blood test CPT 84244 HB PLASMA RENIN ACTIVITY	$174.75	$233.00	$79.22–$230.44	104% above	25%
Rh blood typing CPT 86901 HBI CONFIRM TYPING, RH(D)	$33.94	$45.25	$15.39–$44.75	9% below	25%
Rh blood typing CPT 86901 HBI NORC RH TYPING	$59.25	$79.00	$26.86–$78.13	59% above	25%
Rh blood typing CPT 86901 HBI ROUTINE TYPING, RH(D)(STE)	$72.75	$97.00	$32.98–$95.93	95% above	25%
Rh blood typing CPT 86901 HBI ROUTINE TYPING, RH(D)	$72.75	$97.00	$32.98–$95.93	95% above	25%
Rh blood typing CPT 86901 HB RH TYPE	$72.75	$97.00	$32.98–$95.93	95% above	25%
Rheumatoid factor (RF) test CPT 86431 HBI ANA REFLEX (RF IGM)	$23.06	$30.75	$10.46–$30.41	30% below	25%
Rheumatoid factor (RF) test CPT 86431 HBI ANALYZER(RFLGM)	$27.19	$36.25	$12.33–$35.85	18% below	25%
Rheumatoid factor (RF) test CPT 86431 HBI RHEUMATOID FACTOR FLUID	$98.25	$131.00	$44.54–$129.56	196% above	25%
Rubella antibody test (immunity check) CPT 86762 HB RUBELLA ANTIBODY IGG	$83.25	$111.00	$37.74–$109.78	69% above	25%
Rubella antibody test (immunity check) CPT 86762 HBI RUBELLA IMMUNE STATUS	$214.50	$286.00	$97.24–$282.85	336% above	25%
Rubella antibody test (immunity check) CPT 86762 HBI RUBELLA IGM AB	$230.25	$307.00	$104.38–$303.62	368% above	25%
Rubella antibody test (immunity check) CPT 86762 HB RUBELLA IGM	$230.25	$307.00	$104.38–$303.62	368% above	25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB ERYTHROCYTE SEDIMNTATION RATE	$42.75	$57.00	$19.38–$56.37	13% above	25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB ERYTHROCYTE SEDIMENTATION RATE MV	$42.75	$57.00	$19.38–$56.37	13% above	25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB RBC SED RATE, AUTO	$78.00	$104.00	$35.36–$102.86	106% above	25%
Sodium blood test CPT 84295 HB SODIUM S	$61.50	$82.00	$27.88–$81.10	126% above	25%
Sodium blood test CPT 84295 HBI SODIUM	$61.50	$82.00	$27.88–$81.10	126% above	25%
Sodium blood test CPT 84295 HBI ISTAT SODIUM	$61.50	$82.00	$27.88–$81.10	126% above	25%
Sodium blood test CPT 84295 HBI SODIUM ISTAT	$61.50	$82.00	$27.88–$81.10	126% above	25%
Stool ova and parasites exam CPT 87177 HB OVA AND PARASITE EXAM SMEARS	$11.44	$15.25	$5.19–$15.08	71% below	25%
Stool ova and parasites exam CPT 87177 HB LAB/OVA AND PARASITES	$195.75	$261.00	$88.74–$258.13	394% above	25%
Stool ova and parasites exam CPT 87177 HB SPECIAL PARASITOLOGY	$195.75	$261.00	$88.74–$258.13	394% above	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HBI OCCULT BLOOD,FECES 1-3NEOPLASIA SCR	$17.44	$23.25	$7.91–$22.99	39% below	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB OCCULT BLOOD	$17.44	$23.25	$7.91–$22.99	39% below	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HBI OCC BLOOD,FECES 1-3 NEOPLASIA SCRN	$17.44	$23.25	$7.91–$22.99	39% below	25%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB FOB TEST 1 SPECIMEN	$130.50	$174.00	$59.16–$172.09	144% above	25%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB SYPHILIS IGG ENZYME IMMUNOASSAY, SERUM	$15.75	$21.00	$7.14–$20.77	73% below	25%
Syphilis antibody test (Treponema pallidum) CPT 86780 HBI TREPONEMA PALLIDUM	$213.00	$284.00	$96.56–$280.88	268% above	25%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB TREPONEMA P1IDUM	$213.00	$284.00	$96.56–$280.88	268% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB STS (SEROLOGIC TEST FOR SYPHIL	$65.25	$87.00	$29.58–$86.04	174% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR	$65.25	$87.00	$29.58–$86.04	174% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HBI STS (SEROLOGIC TEST FOR SYPHIL	$65.25	$87.00	$29.58–$86.04	174% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HBI VDRL, CSF	$150.75	$201.00	$68.34–$198.79	532% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB VDRL, CSF	$150.75	$201.00	$68.34–$198.79	532% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB VDRL SPINAL FLUID QUAL	$150.75	$201.00	$68.34–$198.79	532% above	25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HBI QUANTIFERON TB GOLD	$162.00	$216.00	$73.44–$213.62	38% above	25%
Testosterone blood test, total (not free testosterone) CPT 84403 HB TOTAL TESTOSTERONE	$14.25	$19.00	$6.46–$18.79	85% below	25%
Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE TOTAL, SERUM	$20.25	$27.00	$9.18–$26.70	78% below	25%
Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE	$203.25	$271.00	$92.14–$268.02	121% above	25%
Testosterone blood test, total (not free testosterone) CPT 84403 HBI TESTOSTERONE	$203.25	$271.00	$92.14–$268.02	121% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 HBI ANALYZER(TPA)	$27.19	$36.25	$12.33–$35.85	58% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 HBI LIVER KIDNEY MICROSOMAL AB	$121.50	$162.00	$55.08–$160.22	87% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 HBI LIVER-KIDNEY MICRO.AB	$153.75	$205.00	$69.70–$202.75	137% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 HBI THYROID MICROSOMAL AB	$239.25	$319.00	$108.46–$315.49	268% above	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB THYROID STIMULATING HORMONE MV	$74.25	$99.00	$33.66–$97.91	1% below	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH WITH REFLEX T4 FREE MV	$74.25	$99.00	$33.66–$97.91	1% below	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HBI TSH NBS	$75.00	$100.00	$34.00–$98.90	at median	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH W/REFLEX T4FR	$75.00	$100.00	$34.00–$98.90	at median	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH	$75.00	$100.00	$34.00–$98.90	at median	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HBI THYROID STIMULATING HORMONE	$75.00	$100.00	$34.00–$98.90	at median	25%
Total IgE blood test CPT 82785 HBI IGE(CCF)	$24.38	$32.50	$11.05–$32.14	61% below	25%
Total IgE blood test CPT 82785 HBI TOTAL IGE(IBT)	$94.50	$126.00	$42.84–$124.61	52% above	25%
Total IgE blood test CPT 82785 HB LAB/IGE QUANT	$101.25	$135.00	$45.90–$133.52	63% above	25%
Total IgE blood test CPT 82785 HBI IMMUNOGLOBULIN E	$101.25	$135.00	$45.90–$133.52	63% above	25%
Total cholesterol blood test CPT 82465 HB CHOLESTEROL MV	$59.25	$79.00	$26.86–$78.13	62% above	25%
Total cholesterol blood test CPT 82465 HBI CHOLESTEROL, TOTAL	$61.50	$82.00	$27.88–$81.10	68% above	25%
Total cholesterol blood test CPT 82465 HB CHOLESTEROL TOTAL	$61.50	$82.00	$27.88–$81.10	68% above	25%
Total thyroxine (T4) blood test CPT 84436 HB T4 THYROXINE TOTAL ONLY, SERUM	$31.31	$41.75	$14.20–$41.29	25% below	25%
Total thyroxine (T4) blood test CPT 84436 HBI THYROXINE, T4	$156.00	$208.00	$70.72–$205.71	273% above	25%
Total thyroxine (T4) blood test CPT 84436 HB T4	$156.00	$208.00	$70.72–$205.71	273% above	25%
Total triiodothyronine (T3) blood test CPT 84480 HB T3 TOTAL	$19.13	$25.50	$8.67–$25.22	68% below	25%
Total triiodothyronine (T3) blood test CPT 84480 HBI T3 (RIA)	$338.25	$451.00	$153.34–$446.04	463% above	25%
Total triiodothyronine (T3) blood test CPT 84480 HB TRIIODOTHYRONINE TOTAL ASSAY, TT-3	$516.00	$688.00	$233.92–$680.43	758% above	25%
Transferrin blood test CPT 84466 HB TRANSFERRIN	$86.25	$115.00	$39.10–$113.74	16% above	25%
Transferrin blood test CPT 84466 HB LAB/TRANSFERRIN	$258.75	$345.00	$117.30–$341.21	249% above	25%
Transferrin blood test CPT 84466 HBI TRANSFERRIN	$258.75	$345.00	$117.30–$341.21	249% above	25%
Triglycerides blood test CPT 84478 HB TRIGLYCERIDES, PLEURAL	$36.75	$49.00	$16.66–$48.46	7% above	25%
Triglycerides blood test CPT 84478 HB TRIGLYCERIDES MV	$98.25	$131.00	$44.54–$129.56	185% above	25%
Triglycerides blood test CPT 84478 HBI TRIGLYCERIDES	$102.75	$137.00	$46.58–$135.49	198% above	25%
Triglycerides blood test CPT 84478 HB TRIGLYCERIDES	$102.75	$137.00	$46.58–$135.49	198% above	25%
Troponin test, quantitative CPT 84484 HB TROPONIN T MV	$93.75	$125.00	$42.50–$123.63	12% above	25%
Troponin test, quantitative CPT 84484 HB TROPONIN T(5TH GENERATION)	$94.50	$126.00	$42.84–$124.61	12% above	25%
Troponin test, quantitative CPT 84484 HB TROPONIN T	$474.00	$632.00	$214.88–$625.05	464% above	25%
Troponin test, quantitative CPT 84484 HBI TROPONIN I (STE)	$495.75	$661.00	$224.74–$653.73	490% above	25%
Troponin test, quantitative CPT 84484 HB TROPONIN I	$495.75	$661.00	$224.74–$653.73	490% above	25%
Uric acid blood test CPT 84550 HB URIC ACID	$119.25	$159.00	$54.06–$157.25	239% above	25%
Uric acid blood test CPT 84550 HBI URIC ACID	$119.25	$159.00	$54.06–$157.25	239% above	25%
Urinalysis with microscope exam, automated CPT 81001 HBI URINALYSIS, ROUTINE MFM POCT	$15.38	$20.50	$6.97–$20.27	43% below	25%
Urinalysis with microscope exam, automated CPT 81001 HB URINALYSIS ROUTINE	$30.94	$41.25	$14.03–$40.80	15% above	25%
Urinalysis with microscope exam, automated CPT 81001 HBI URINALYSIS, ROUTINE	$30.94	$41.25	$14.03–$40.80	15% above	25%
Urinalysis with microscope exam, manual CPT 81000 HB URINALYSIS MANUAL	$30.94	$41.25	$14.03–$40.80	70% above	25%
Urinalysis without microscope exam, automated CPT 81003 HBI URINALYSIS CHEMISTRIES	$24.00	$32.00	$10.88–$31.65	3% above	25%
Urinalysis without microscope exam, automated CPT 81003 HB GLUCOSE URINE QUAL	$24.00	$32.00	$10.88–$31.65	3% above	25%
Urinalysis without microscope exam, automated CPT 81003 HBI GLUCOSE URINE, QUAL	$24.00	$32.00	$10.88–$31.65	3% above	25%
Urinalysis without microscope exam, automated CPT 81003 HBI HEMOGLOBIN, URINE QUAL	$24.00	$32.00	$10.88–$31.65	3% above	25%
Urinalysis without microscope exam, automated CPT 81003 HB GLUCOSE URINE, QUAL	$24.00	$32.00	$10.88–$31.65	3% above	25%
Urinalysis without microscope exam, automated CPT 81003 HB LAB/URINALYSIS ROUTINE	$24.00	$32.00	$10.88–$31.65	3% above	25%
Urinalysis without microscope exam, automated CPT 81003 HBI PROTEIN, QUAL, URINE	$24.00	$32.00	$10.88–$31.65	3% above	25%
Urinalysis without microscope exam, automated CPT 81003 HBI SPECIFIC GRAVITY, URINE	$24.00	$32.00	$10.88–$31.65	3% above	25%
Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS AUTO W/O MICRO	$24.00	$32.00	$10.88–$31.65	3% above	25%
Urinalysis without microscope exam, manual CPT 81002 HBI URINE PH - NURSING	$15.75	$21.00	$7.14–$20.77	3% below	25%
Urinalysis without microscope exam, manual CPT 81002 HBI MFM URINE CHEMISTRIES	$15.75	$21.00	$7.14–$20.77	3% below	25%
Urinalysis without microscope exam, manual CPT 81002 HBI URINALYSIS STRIP	$15.75	$21.00	$7.14–$20.77	3% below	25%
Urinalysis without microscope exam, manual CPT 81002 HBI URINE SP. GRAVITY-NURSING	$15.75	$21.00	$7.14–$20.77	3% below	25%
Urinalysis without microscope exam, manual CPT 81002 HBI URINE GLUCOSE - NURSING	$15.75	$21.00	$7.14–$20.77	3% below	25%
Urinalysis without microscope exam, manual CPT 81002 HB URINALYSIS, W/O MICROSCOPY	$15.75	$21.00	$7.14–$20.77	3% below	25%
Urinalysis without microscope exam, manual CPT 81002 HB URINALYSIS NONAUTO W/O SCOPE	$15.75	$21.00	$7.14–$20.77	3% below	25%
Urinalysis without microscope exam, manual CPT 81002 HB URINE DIPSTICK	$15.75	$21.00	$7.14–$20.77	3% below	25%
Urinalysis without microscope exam, manual CPT 81002 HB URINE KETONES BY DIPSTICK, POCT	$30.38	$40.50	$13.77–$40.05	88% above	25%
Urine culture for bacteria, with colony count CPT 87086 HBI CULTURE, URINE	$130.50	$174.00	$59.16–$172.09	129% above	25%
Urine culture for bacteria, with colony count CPT 87086 HB URINE CULTURE	$130.50	$174.00	$59.16–$172.09	129% above	25%
Urine microalbumin (albumin) test CPT 82043 HBI MICROALBUMIN	$168.00	$224.00	$76.16–$221.54	231% above	25%
Urine pregnancy test, read by color change CPT 81025 HB HCG URINE	$29.25	$39.00	$13.26–$38.57	40% below	25%
Urine pregnancy test, read by color change CPT 81025 HBI HCG, NURSING	$29.63	$39.50	$13.43–$39.07	39% below	25%
Urine pregnancy test, read by color change CPT 81025 HBI HCG, URINE	$29.63	$39.50	$13.43–$39.07	39% below	25%
Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B12	$90.00	$120.00	$40.80–$118.68	21% above	25%
Vitamin B12 (cobalamin) blood test CPT 82607 HBI VITAMIN B12	$98.25	$131.00	$44.54–$129.56	32% above	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB ANA AB SCREEN	$274.50	$366.00	$124.44–$361.97	191% above	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB 25-HYDROXY VITAMIN D	$274.50	$366.00	$124.44–$361.97	191% above	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HBI 25-HYDROXY VITAMIN D	$274.50	$366.00	$124.44–$361.97	191% above	25%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HBI 1,25-OH VITAMIN D	$290.25	$387.00	$131.58–$382.74	88% above	25%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB 125-OH VITAMIN D	$290.25	$387.00	$131.58–$382.74	88% above	25%
Zinc blood test CPT 84630 HB ASSAY OF ZINC	$12.75	$17.00	$5.78–$16.81	75% below	25%
Zinc blood test CPT 84630 HB ZINC	$26.06	$34.75	$11.82–$34.37	49% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT MV	$40.50	$54.00	$18.36–$53.41	40% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HBI BETA HCG, QUANT	$41.25	$55.00	$18.70–$54.40	39% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HBI QUAD SCREEN, BETA HCG, QNT	$80.25	$107.00	$36.38–$105.82	19% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HBI BETA HCG, CWRU	$98.25	$131.00	$44.54–$129.56	45% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCGQNBLOOD	$151.50	$202.00	$68.68–$199.78	124% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HBI HCG QN. BLOOD	$151.50	$202.00	$68.68–$199.78	124% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HBI SEQ SCR 2 HCG QNT	$238.50	$318.00	$108.12–$314.50	253% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HBI HCG QNT (SEQUENTIAL)	$258.75	$345.00	$117.30–$341.21	283% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HBI SEQ SCR 1 HCG QNT	$258.75	$345.00	$117.30–$341.21	283% above	25%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Botox injections for chronic migraine CPT 64615 HB CHEMODENERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$585.75	$781.00	$265.54–$772.41	6% above	25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION ELECTIVE	$697.50	$930.00	$316.20–$919.77	66% below	25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HB TX CARDIOVERSION	$1,694.25	$2,259.00	$768.06–$2,234.15	18% below	25%
Catheter ablation for atrial fibrillation CPT 93656 HB EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$28,745.25	$38,327.00	$13,031.18–$37,905.40	15% below	25%
Cesarean delivery, including prenatal and postpartum care CPT 59510 HB FULL ROUT OBSTE CARE CESAREAN DELIV	$6,614.25	$8,819.00	$2,998.46–$9,259.95	38% above	25%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HB CIRCUMCISION AGE>28 DAYS	$388.50	$518.00	$176.12–$512.30	94% below	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB CIRCUMCISION USING CLAMP OTHER DEV	$388.50	$518.00	$176.12–$512.30	78% below	25%
Circumcision, surgical, older than a newborn CPT 54160 HB CIRCUMCISION W/O CLAMP OR OTHER DEVICE <28 DAYS	$277.50	$370.00	$125.80–$365.93	86% below	25%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HB COLPOSCOPY-BIOPSY	$241.50	$322.00	$109.48–$318.46	73% below	25%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 HB TYMPANOSTOMY W/TUBES UNILATERAL	$663.75	$885.00	$300.90–$875.27	50% below	25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HB REMOVE IMPACTED CERUMEN USING IRRIGATION, EACH EAR	$40.50	$54.00	$18.36–$53.41	74% below	25%
Earwax removal with instruments, one ear CPT 69210 HB EAR IRRIGATION/REM IMP CERUMEN	$112.50	$150.00	$51.00–$148.35	27% below	25%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB ENDOMETRIAL BIOPSY	$209.25	$279.00	$94.86–$275.93	46% below	25%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HB INTRAVITREAL INJECTION OF PHARMACOLOGIC AGENT	$180.75	$241.00	$81.94–$238.35	54% below	25%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HB SIGMOIDOSCOPY DIAGNOSTIC	$454.50	$606.00	$206.04–$599.33	82% below	25%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB HYSTEROGRAPHY MEDINA ONLY	$171.00	$228.00	$77.52–$225.49	55% below	25%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB HYSTEROGRAPHY	$341.25	$455.00	$154.70–$450.00	11% below	25%
IUD insertion (the device itself billed separately) CPT 58300 HB IUD INSERTION	$152.25	$203.00	$69.02–$200.77	70% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 HB I&D ABSCESS/SIM/SING/PARONYCHI	$162.75	$217.00	$73.78–$214.61	58% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 HB DRAIN SKIN ABSCESS SIMPLE	$310.50	$414.00	$140.76–$409.45	20% below	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB INJ-TENDLIG	$51.75	$69.00	$23.46–$68.24	85% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB ASP/INJ MAJOR JOINT	$320.25	$427.00	$145.18–$422.30	54% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB ASP/INJ INTERMEDIATE JOINT	$237.75	$317.00	$107.78–$313.51	61% below	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB ASP/INJ SM1 JOINT	$161.25	$215.00	$73.10–$212.64	67% below	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB SUTURE TRUNK INT 0.1- 2.5CM	$209.25	$279.00	$94.86–$275.93	61% below	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB LAYR CLOS WND TRUNK ARM LEG	$310.50	$414.00	$140.76–$409.45	42% below	25%
Left heart catheterization, diagnostic CPT 93452 HB CATH-RETRO L HEART	$35,931.00	$47,908.00	$16,288.72–$47,381.01	287% above	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB EXC BENIGN LESIONS TRUNK ARMS OR LEGS LESS THAN 5MM	$78.75	$105.00	$35.70–$103.85	94% below	25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HB EXC SKIN BENIGN 5MM FACE FACIAL	$82.50	$110.00	$37.40–$108.79	94% below	25%
Nail removal (partial or complete), one nail CPT 11730 HB AVULSION ONE NAIL	$289.50	$386.00	$131.24–$381.75	9% below	25%
Occipital nerve block (injection for headaches) CPT 64405 HB INJ ANES AGNT-GR.OCCIPITAL NRV	$141.75	$189.00	$64.26–$186.92	82% below	25%
Pacemaker implant (dual chamber) CPT 33208 HB TRANS PERM PM DUAL CHAMBER	$12,306.00	$16,408.00	$5,578.72–$16,227.51	21% below	25%
Paracentesis with imaging guidance CPT 49083 HB ABD PARACENTISES W/IMAGING	$1,736.25	$2,315.00	$787.10–$2,289.54	at median	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB REMOVAL OF NAIL	$289.50	$386.00	$131.24–$381.75	63% below	25%
Removal of a breast lump, open surgery CPT 19120 HB EXC CYST-ABERRANT BREAST TISSUE OPEN 1-LESION	$310.50	$414.00	$140.76–$409.45	93% below	25%
Removal of a foreign object under the skin, simple CPT 10120 HB I&R SUBCUT TISSUE SIMP	$223.50	$298.00	$101.32–$294.72	67% below	25%
Removal of a foreign object under the skin, simple CPT 10120 HB REMOVE FOREIGN BODY SIMPLE	$310.50	$414.00	$140.76–$409.45	54% below	25%
Short arm cast (elbow to hand) CPT 29075 HB APPLY FOREARM CAST	$219.00	$292.00	$99.28–$288.79	27% below	25%
Short arm cast (elbow to hand) CPT 29075 HB SHORT ARM CAST	$420.75	$561.00	$190.74–$554.83	40% above	25%
Short arm splint (forearm and hand) CPT 29125 HB SPLINT / SLING APPLICATION FOREARM TO HAND STATIC	$153.75	$205.00	$69.70–$202.75	47% below	25%
Short arm splint (forearm and hand) CPT 29125 HB APPLY FOREARM SPLINT,STATIC	$323.25	$431.00	$146.54–$426.26	11% above	25%
Short leg cast (below the knee) CPT 29405 HB APPLY SHORT LEG CAST	$433.50	$578.00	$196.52–$571.64	14% above	25%
Short leg splint (calf to foot) CPT 29515 HB SPLINT / SLING APPLICATION CALF TO FOOT	$172.50	$230.00	$78.20–$227.47	41% below	25%
Short leg splint (calf to foot) CPT 29515 HB SPLINTAPPLIC SHORT LEG	$312.75	$417.00	$141.78–$412.41	6% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB SUTURE SKIN SIM 0.1- 2.5CM	$243.75	$325.00	$110.50–$321.43	26% below	25%
Skin biopsy, punch, one lesion CPT 11104 HB PUNCH BIOPSY SKIN SINGLE LESION	$286.50	$382.00	$129.88–$377.80	36% below	25%
Skin tag removal, up to 15 tags CPT 11200 HB REMOVAL OF SKIN TAGS UP TO 15	$78.00	$104.00	$35.36–$102.86	73% below	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB LUMBAR PUNCTURE	$218.25	$291.00	$98.94–$287.80	80% below	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB TX LUMBAR PUNCTURE	$605.25	$807.00	$274.38–$798.12	43% below	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB SUTURE SKIN SIM 2.6- 7.5CM	$317.25	$423.00	$143.82–$418.35	10% below	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB SUTURE FACE SIM 0.1- 2.5CM	$257.25	$343.00	$116.62–$339.23	19% below	25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB TANGENITAL BIOPSY SKIN SINGLE LESION	$286.50	$382.00	$129.88–$377.80	5% below	25%
Thoracentesis with imaging guidance CPT 32555 HB THORACENTESIS, NEEDLE OR CATH, ASP OF PLEURAL SPACE G	$305.25	$407.00	$138.38–$402.52	82% below	25%
Trigger point injections, 1 or 2 muscles CPT 20552 HB INJ-TRIG PT 1 0R 2 MUSCLES	$81.00	$108.00	$36.72–$106.81	88% below	25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB BX BREAST 1ST LESION US IMAGING	$213.00	$284.00	$96.56–$280.88	94% below	25%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 HB ROUT OB CARE VAG DELIV PREV C-SEC	$4,920.00	$6,560.00	$2,230.40–$6,888.00	at median	25%
Vaginal delivery, including prenatal and postpartum care CPT 59400 HB FULL ROUT OBSTE CARE VAGINAL DELIV	$4,920.00	$6,560.00	$2,230.40–$6,888.00	17% above	25%
Wart removal, up to 14 warts CPT 17110 HB DESTRUCT BENIGN LESIONS UP TO 14 WITHOUT LASER	$63.00	$84.00	$28.56–$83.08	80% below	25%
Wart removal, up to 14 warts CPT 17110 HB DESCRUCT BENIGN LESIONS UP TO 14 W LASER	$569.25	$759.00	$258.06–$750.65	81% above	25%
Wart removal, up to 14 warts CPT 17110 HB DESTRUCT BENIGN LESIONS 15 OR MORE WITH LASER	$781.50	$1,042.00	$354.28–$1,030.54	149% above	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DBRDMT SUBQ TISSUE<=20 SQ CM	$289.50	$386.00	$131.24–$381.75	63% below	25%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HBI TRANSFUSION,BLOOD/BLOOD COMP	$287.25	$383.00	$130.22–$378.79	74% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLOOD TRANSFUSION SERVICE	$287.25	$383.00	$130.22–$378.79	74% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 HB TX TRANSFUSION, BLOOD/COMP.	$1,728.00	$2,304.00	$783.36–$2,278.66	56% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL	$38.25	$51.00	$17.34–$50.44	78% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB VAPORIZER INHALATION	$38.25	$51.00	$17.34–$50.44	78% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB NEBULIZATION	$38.25	$51.00	$17.34–$50.44	78% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB HIGH FLOW NASAL GAS	$38.25	$51.00	$17.34–$50.44	78% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB HELIOX THERAPY	$38.25	$51.00	$17.34–$50.44	78% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB IPV/IPPB TREATMENT,SUBSQT	$38.25	$51.00	$17.34–$50.44	78% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HBI AEROSOL	$38.25	$51.00	$17.34–$50.44	78% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB NEBULIZATION	$38.25	$51.00	$17.34–$50.44	78% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL CONTINUOUS	$302.25	$403.00	$137.02–$398.57	72% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB NEBULIZATION	$38.25	$51.00	$17.34–$50.44	—	25%
Chemotherapy IV infusion, first hour CPT 96413 HB TX CHEMO INF, 1ST HR, INIT SUB	$804.75	$1,073.00	$364.82–$1,061.20	5% above	25%
Chemotherapy IV infusion, first hour CPT 96413 HB CHEMOINF1ST HRINIT SUB	$999.75	$1,333.00	$453.22–$1,318.34	30% above	25%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HB EYE EXAM NEW PATIENT - TX ROOM	$125.25	$167.00	$56.78–$164.63	51% below	25%
Comprehensive eye exam, returning patient CPT 92014 HB EST OPTH COMPREHENSIVE	$125.25	$167.00	$56.78–$164.63	46% below	25%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB BASIC COMP AUDIO	$567.00	$756.00	$257.04–$747.68	116% above	25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB EEG AW/DR W/HV	$864.75	$1,153.00	$392.02–$1,140.32	9% below	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HBI EKG/ECG	$277.50	$370.00	$125.80–$365.93	50% above	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB EKG/ECG	$277.50	$370.00	$125.80–$365.93	50% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB TRAUMA EVAL W/O PRIOR LEVEL 1	$352.50	$470.00	$159.80–$464.83	13% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB TRAUMA FULL W/O PRIOR LEVEL 1	$352.50	$470.00	$159.80–$464.83	13% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB TRAUMA PARTIAL W/O PRIOR LEVEL 1	$352.50	$470.00	$159.80–$464.83	13% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ER SVCS-PROBLEM FOCUSED, LEVEL I	$466.50	$622.00	$211.48–$615.16	50% above	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ER SVCS-EXPAND PROB FOCUSED, LEVEL II	$650.25	$867.00	$294.78–$857.46	28% above	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB TRAUMA PARTIAL W/O PRIOR LEVEL 2	$828.75	$1,105.00	$375.70–$1,092.85	62% above	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB TRAUMA EVAL W/O PRIOR LEVEL 2	$828.75	$1,105.00	$375.70–$1,092.85	62% above	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB TRAUMA FULL W/O PRIOR LEVEL 2	$828.75	$1,105.00	$375.70–$1,092.85	62% above	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ER SVCS-MODERATE, LEVEL III	$1,148.25	$1,531.00	$520.54–$1,514.16	36% above	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB TRAUMA FULL W/O PRIOR LEVEL 3	$1,899.00	$2,532.00	$860.88–$2,504.15	125% above	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB TRAUMA EVAL W/O PRIOR LEVEL 3	$1,899.00	$2,532.00	$860.88–$2,504.15	125% above	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB TRAUMA PARTIAL W/O PRIOR LEVEL 3	$1,899.00	$2,532.00	$860.88–$2,504.15	125% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ER SVCS-DETAILED, LEVEL IV	$1,771.50	$2,362.00	$803.08–$2,336.02	33% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB TRAUMA EVAL W/O PRIOR LEVEL 4	$2,569.50	$3,426.00	$1,164.84–$3,388.31	93% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB TRAUMA PARTIAL W/O PRIOR LEVEL 4	$3,368.25	$4,491.00	$1,526.94–$4,441.60	154% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB TRAUMA FULL W/O PRIOR LEVEL 4	$3,368.25	$4,491.00	$1,526.94–$4,441.60	154% above	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ER SVCS-COMPREHENSIVE, LEVEL V	$3,255.00	$4,340.00	$1,475.60–$4,292.26	87% above	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB TRAUMA EVAL W/O PRIOR LEVEL 5	$3,368.25	$4,491.00	$1,526.94–$4,441.60	94% above	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB TRAUMA PARTIAL W/O PRIOR LEVEL 5	$4,191.00	$5,588.00	$1,899.92–$5,526.53	141% above	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB TRAUMA FULL W/O PRIOR LEVEL 5	$9,240.75	$12,321.00	$4,189.14–$12,185.47	432% above	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB STRESS TEST TRACING	$1,594.50	$2,126.00	$722.84–$2,102.61	78% above	25%
Eye exam, returning patient, intermediate CPT 92012 HB MEDICAL EXAM AND EVAL, W/INITAT OR CONT OF DX OR TX PRO	$81.75	$109.00	$37.06–$107.45	73% below	25%
Family therapy with the patient, 50 minutes CPT 90847 HB PHD/LISW/CNS FAMILY PSYCHOTHERAPY	$399.75	$533.00	$181.22–$527.14	35% above	25%
Family therapy without the patient, 50 minutes CPT 90846 HB PHD/LISW/CNS/FMLY TRPY PT NT PRSNT	$395.25	$527.00	$179.18–$521.20	28% above	25%
Group psychotherapy session CPT 90853 HB PHD/LISW/CNS COGNITIVE BEHAVORL GRP	$96.75	$129.00	$43.86–$127.58	43% below	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV INF HYD 1ST HR	$187.50	$250.00	$85.00–$247.25	55% below	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB TX IV INF, HYD, 1ST HR	$297.75	$397.00	$134.98–$392.63	29% below	25%
IV infusion of a medicine, first hour CPT 96365 HB TX IV INF, MED, 1ST HR	$362.25	$483.00	$164.22–$477.69	16% below	25%
IV infusion of a medicine, first hour CPT 96365 HB IV INF MED 1ST HR	$415.50	$554.00	$188.36–$547.91	4% below	25%
IV push of a medicine, first drug CPT 96374 HB IV PUSHSINGLE/INIT	$172.50	$230.00	$78.20–$227.47	33% below	25%
IV push of a medicine, first drug CPT 96374 HB TX IV PUSH,SINGLE/INIT	$273.00	$364.00	$123.76–$360.00	6% above	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB RSV MONOCLONAL INJECTION ADMIN	$36.38	$48.50	$16.49–$47.97	74% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB TX INJECT,SUB Q/IM,THER/PR/DX	$159.75	$213.00	$72.42–$210.66	13% above	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB INJECTSUB Q/IM THER/PROF/DX	$180.00	$240.00	$81.60–$237.36	27% above	25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAG EVALUATION	$312.75	$417.00	$141.78–$412.41	at median	25%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB NERVE CONDUCTION STUDIES 7-8 STUDIES	$417.75	$557.00	$189.38–$550.87	70% below	25%
Neuromuscular re-education, 15 minutes CPT 97112 HB VISION THERAPY NEUROMUSC REEDUCATE 1 OR MORE AREAS EA 15 MIN	$19.31	$25.75	$8.76–$25.38	82% below	25%
Neuromuscular re-education, 15 minutes CPT 97112 HB CBIT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN	$46.50	$62.00	$21.08–$61.32	58% below	25%
Neuromuscular re-education, 15 minutes CPT 97112 HB SPORTS REHAB NEUROMUSC REEDUCAT1+ AREAS, EA 15 MIN	$105.00	$140.00	$47.60–$138.46	4% below	25%
Neuromuscular re-education, 15 minutes CPT 97112 HB SCHROTH NEUROMUSC REEDUCAT, 1+ AREAS, EA 15MINS	$139.50	$186.00	$63.24–$183.95	27% above	25%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN	$139.50	$186.00	$63.24–$183.95	27% above	25%
Neuromuscular re-education, 15 minutes CPT 97112 HB DAY REHAB NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN	$191.25	$255.00	$86.70–$252.20	74% above	25%
New patient office visit, about 30 minutes CPT 99203 HB OFFICE/OUTPT VISIT,NEW,LEVL III	$69.00	$92.00	$31.28–$90.69	37% below	25%
New patient office visit, about 45 minutes CPT 99204 HB OFFICE/OUTPT VISIT,NEW,LEVL IV	$90.00	$120.00	$40.80–$118.30	26% below	25%
New patient office visit, about 60 minutes CPT 99205 HB OFFICE/OUTPT VISIT,NEW,LEVL V	$123.75	$165.00	$56.10–$162.66	28% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB OFFICE/OUTPT VISIT,NEW,LEVL II	$52.50	$70.00	$23.80–$69.01	48% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 EDS 99202T	$72.75	$97.00	$32.98–$95.62	28% below	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB NUTRITION THERAPYINITIAL ASSMNT/IN	$72.75	$97.00	$32.98–$95.93	12% above	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB NUTRITION CONSULTATION: FOLLOW	$104.25	$139.00	$47.26–$137.47	61% above	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB NUTRITION CONSULTATION: LIMIT.	$182.25	$243.00	$82.62–$240.33	181% above	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB NUTRITION CONSULTATION: COMP	$299.25	$399.00	$135.66–$394.61	362% above	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB NUTRITION EVALUATION FOR FEEDING TM	$456.00	$608.00	$206.72–$601.31	604% above	25%
Occupational therapy evaluation, low complexity CPT 97165 HB OT EVALUATION - LIMITED - LOW COMPLEX	$299.25	$399.00	$135.66–$394.61	15% above	25%
Occupational therapy evaluation, low complexity CPT 97165 HB DAY REHAB OT EVAL LIMITED LOW COMPLEX	$359.25	$479.00	$162.86–$473.73	38% above	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL II HIGH COMPLEX	$624.00	$832.00	$282.88–$822.85	107% above	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB DAY REHAB PT EVAL II HIGH COMPLEX	$747.75	$997.00	$338.98–$986.03	148% above	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL LIMITED LOW COMPLEX	$299.25	$399.00	$135.66–$394.61	15% above	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB DAY REHAB PT EVAL LIMITED LOW COMPLEX	$359.25	$479.00	$162.86–$473.73	38% above	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL I MOD COMPLEX	$498.75	$665.00	$226.10–$657.69	79% above	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB DAY REHAB PT EVAL I MOD COMPLEX	$600.00	$800.00	$272.00–$791.20	116% above	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY PC	$51.75	$69.00	$23.46–$68.24	53% below	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB SPORTS REHAB MANUAL THER TECH1+REGIONSEA 15 MIN	$109.50	$146.00	$49.64–$144.39	1% below	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY15MIN	$134.25	$179.00	$60.86–$177.03	21% above	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB SCHROTH MANUAL THER TECH, 1+REGIONS, EA 15MINS	$134.25	$179.00	$60.86–$177.03	21% above	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THER TECH,1+REGIONS,EA 15 MIN	$134.25	$179.00	$60.86–$177.03	21% above	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB DAY REHAB-MANUAL THERAPY EA 15MIN	$186.75	$249.00	$84.66–$246.26	68% above	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB VISION THERAPY - THERAPEUTIC EXERCISES, EA 15 MIN	$19.31	$25.75	$8.76–$25.47	84% below	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB OT VISION THERAPY - THERAPEUTIC EXERCISE	$70.50	$94.00	$31.96–$92.97	41% below	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB SPORTS REHAB THERAPEUTIC EXERCISE EA 15 MIN	$114.00	$152.00	$51.68–$150.33	4% below	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB POSITIONING (EACH 15 MINUTES)	$146.25	$195.00	$66.30–$192.86	23% above	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB SCHROTH THERAPEUTIC EXERCISE EA 15MIN	$146.25	$195.00	$66.30–$192.86	23% above	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE EA 15 MIN	$146.25	$195.00	$66.30–$192.86	23% above	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB DAY REHAB-THERAPEUTIC EXERCISE 15 MIN	$196.50	$262.00	$89.08–$259.12	66% above	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB DAY REHAB-POSITIONING 15 MIN	$196.50	$262.00	$89.08–$259.12	66% above	25%
Preventive checkup, new patient aged 18–39 CPT 99385 HB PREVENTIVE VISIT,NEW,18-39	$82.50	$110.00	$37.40–$108.44	31% below	25%
Preventive checkup, new patient aged 40–64 CPT 99386 HB PREVENTIVE VISIT,NEW,40-64	$91.50	$122.00	$41.48–$120.27	37% below	25%
Preventive checkup, new patient aged 65 or older CPT 99387 HB PREV MED, NEW 65 YRS & OLDER	$91.50	$122.00	$41.48–$120.27	42% below	25%
Preventive checkup, returning patient aged 18–39 CPT 99395 HB PREVENTIVE VISIT,EST,18-39	$59.25	$79.00	$26.86–$77.88	53% below	25%
Preventive checkup, returning patient aged 40–64 CPT 99396 HB PREVENTIVE VISIT,EST,40-64	$74.25	$99.00	$33.66–$97.59	41% below	25%
Preventive checkup, returning patient aged 65 or older CPT 99397 HB PREV MEDESTAB65 YEARS & OVER	$63.00	$84.00	$28.56–$82.81	51% below	25%
Psychiatric evaluation with medical services CPT 90792 HB PSYCHIATRIC DX EVAL W/MED SERV	$312.75	$417.00	$141.78–$412.41	12% below	25%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HB PSYCH TEST EVAL BY PROVIDER 1ST 60MIN T96130	$335.25	$447.00	$151.98–$442.08	21% below	25%
Psychotherapy for crisis, first 60 minutes CPT 90839 HB PSYCHOTHERAPY FOR CRISIS FIRST 60 MIN	$630.00	$840.00	$285.60–$830.76	101% above	25%
Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30MINS W/PT AND OR FAM MEMBER	$153.75	$205.00	$69.70–$202.75	19% below	25%
Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY,45MNS W/PT A/O FAM MEMBER	$312.75	$417.00	$141.78–$412.41	17% above	25%
Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY,60MNS W/PT A/O FAM MEMBER	$467.25	$623.00	$211.82–$616.15	49% above	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB OFFICE/OUTPT VISIT,EST,LEVL V	$72.75	$97.00	$32.98–$95.62	57% below	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB TX:WATER DEP.TEST 1 DAY	$173.25	$231.00	$78.54–$228.46	3% above	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB TX GROWTH HORMONE TEST	$173.25	$231.00	$78.54–$228.46	3% above	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB TX:WATER DEP.TEST OVERNITE	$173.25	$231.00	$78.54–$228.46	3% above	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB OFFICE/OUTPT VISIT,EST,LEVL III	$22.31	$29.75	$10.12–$29.33	81% below	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB OFFICE/OUTPT VISIT,EST,LEVL IV	$45.00	$60.00	$20.40–$59.15	67% below	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB OFFICE/OUTPT VISIT,EST,LEVL II	$24.19	$32.25	$10.97–$31.79	76% below	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB POST OP FOLLOW UP VISIT	$35.81	$47.75	$16.24–$47.07	64% below	25%
Speech and language evaluation CPT 92523 HB EVAL/RE EVAL LANG COMP & EXPRESSION LIMITED	$310.50	$414.00	$140.76–$409.45	9% below	25%
Speech and language evaluation CPT 92523 HB DAY REHAB EVAL/RE EVAL LANG COMP & EXPRESSION LIMITED	$468.00	$624.00	$212.16–$617.14	37% above	25%
Speech and language evaluation CPT 92523 HB EVAL/RE EVAL LANG COMP & EXPRESSION I	$642.00	$856.00	$291.04–$846.58	88% above	25%
Speech and language evaluation CPT 92523 HB SPEECH SOUND LANG COMPREHENSION	$665.25	$887.00	$301.58–$877.24	95% above	25%
Speech and language evaluation CPT 92523 HB DAY REHAB - EVAL - RE EVAL LANG COMP LEVEL 1	$805.50	$1,074.00	$365.16–$1,062.19	136% above	25%
Speech and language evaluation CPT 92523 HB DAY REHAB EVAL/RE EVAL LANG COMP & EXPRESSION I	$806.25	$1,075.00	$365.50–$1,063.18	137% above	25%
Speech and language evaluation CPT 92523 HB EVAL - RE EVAL LANG COMP EXPRESSION - LEVEL 1	$918.75	$1,225.00	$416.50–$1,211.53	170% above	25%
Speech and language evaluation CPT 92523 HB EVAL - RE EVAL LANG COMP EXPRESSION - LEVEL 2	$918.75	$1,225.00	$416.50–$1,211.53	170% above	25%
Speech and language evaluation CPT 92523 HB DAY REHAB û EVAL û RE EVAL LANG COMP LEVEL 2	$918.75	$1,225.00	$416.50–$1,211.53	170% above	25%
Speech and language evaluation CPT 92523 HB EVAL/RE EVAL LANG COMP & EXPRESSION II	$1,123.50	$1,498.00	$509.32–$1,481.52	230% above	25%
Speech and language evaluation CPT 92523 HB DAY REHAB EVAL/RE EVAL LANG COMP & EXPRESSION II	$1,401.00	$1,868.00	$635.12–$1,847.45	311% above	25%
Speech and language evaluation CPT 92523 HB EVAL/RE EVAL LANG COMP & EXPRESSION III	$1,493.25	$1,991.00	$676.94–$1,969.10	338% above	25%
Speech and language evaluation CPT 92523 HB EVAL/RE EVAL LANG COMP & EXPRESSION IV	$1,858.50	$2,478.00	$842.52–$2,450.74	445% above	25%
Speech therapy session, individual CPT 92507 HB SPEECH LANGUAGE THERAPY I 15 MIN	$117.75	$157.00	$53.38–$155.27	46% below	25%
Speech therapy session, individual CPT 92507 HB AUDITORY TRAINING - I (15 MINS)	$117.75	$157.00	$53.38–$155.27	46% below	25%
Speech therapy session, individual CPT 92507 HB DAY REHAB INDIVIDUAL THERAPY I	$161.25	$215.00	$73.10–$212.64	26% below	25%
Speech therapy session, individual CPT 92507 HB AUDITORY TRAINING 30MINS	$234.75	$313.00	$106.42–$309.56	7% above	25%
Speech therapy session, individual CPT 92507 HB SPEECH LANGUAGE THERAPY II 1/2HR	$234.75	$313.00	$106.42–$309.56	7% above	25%
Speech therapy session, individual CPT 92507 HB DAY REHAB INDIVIDUAL THERAPY II	$277.50	$370.00	$125.80–$365.93	27% above	25%
Speech therapy session, individual CPT 92507 HB SPEECH LANGUAGE THERAPY III 45 MIN	$351.00	$468.00	$159.12–$462.85	60% above	25%
Speech therapy session, individual CPT 92507 HB AUDITORY TRAINING - III (45 MINS)	$351.00	$468.00	$159.12–$462.85	60% above	25%
Speech therapy session, individual CPT 92507 HB SPEECH LANGUAGE THERAPY	$376.50	$502.00	$170.68–$496.48	72% above	25%
Speech therapy session, individual CPT 92507 HB DAY REHAB INDIVIDUAL THERAPY III	$411.00	$548.00	$186.32–$541.97	88% above	25%
Speech therapy session, individual CPT 92507 HB SPEECH LANGUAGE THERAPY IV 1HR	$467.25	$623.00	$211.82–$616.15	113% above	25%
Speech therapy session, individual CPT 92507 HB AUDITORY TRAINING - IV (1 HOUR)	$467.25	$623.00	$211.82–$616.15	113% above	25%
Speech therapy session, individual CPT 92507 HB DAY REHAB INDIVIDUAL THERAPY	$531.00	$708.00	$240.72–$700.21	143% above	25%
Speech therapy session, individual CPT 92507 HB DAY REHAB INDIVIDUAL THERAPY IV	$549.75	$733.00	$249.22–$724.94	151% above	25%
Speech therapy session, individual CPT 92507 HB SPEECH LANGUAGE THERAPY V (75 MINS)	$584.25	$779.00	$264.86–$770.43	167% above	25%
Speech therapy session, individual CPT 92507 HB AUDITORY TRAINING VI(90 MINS)	$697.50	$930.00	$316.20–$919.77	219% above	25%
Speech therapy session, individual CPT 92507 HB SPEECH THERAPY VI (90 MINS)	$699.75	$933.00	$317.22–$922.74	220% above	25%
Spirometry (breathing test) CPT 94010 HB SPIROMETRY	$61.50	$82.00	$27.88–$81.10	80% below	25%
Spirometry before and after a bronchodilator CPT 94060 HB BRONCHODILATOR SPIRO PRE/POST	$90.75	$121.00	$41.14–$119.67	84% below	25%
Spirometry before and after a bronchodilator CPT 94060 HB PRE/POST BRONCHODILATOR SPIROMETRY	$90.75	$121.00	$41.14–$119.67	84% below	25%
Spirometry before and after a bronchodilator CPT 94060 HB BRONCHIDILATOR SPIROMETRY	$90.75	$121.00	$41.14–$119.67	84% below	25%
Spirometry before and after a bronchodilator CPT 94060 HB BRONCHODILATOR SPIROMETRY	$90.75	$121.00	$41.14–$119.67	84% below	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB VISION THERAPY THERAPEUTIC ACTIVITY DIRECT PT CONTACT EA 15 M	$19.31	$25.75	$8.76–$25.38	84% below	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNCTIONAL ACTIVITY	$139.50	$186.00	$63.24–$183.95	14% above	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB DAY REHAB-FUNCTIONAL ACT EA 15MIN	$191.25	$255.00	$86.70–$252.20	57% above	25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB PHLEBOTOMY	$360.75	$481.00	$163.54–$475.71	52% above	25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB TX THERAPEUTIC PHLEBOTOMY	$1,346.25	$1,795.00	$610.30–$1,775.26	468% above	25%
Visual field test, extended CPT 92083 HB VISUAL FIELD EXTENDED	$377.25	$503.00	$171.02–$497.47	145% above	25%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HB CORONAVIRUS 2 (SARS-COV-2) (COVID-19) VACCINE, MRNA-LNP, 50 M	$292.50	$390.00	$132.60–$385.71	41% above	25%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HB CORONAVIRUS 2 (SARS-COV-2) (COVID-19) VACCINE, MRNA-LNP, 50 M	$292.50	$390.00	$13.62–$14.28	41% above	25%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HB CORONAVIRUS 2 (SARS-COV-2) (COVID-19) VACCINE, MRNA-LNP, 50 M	$292.50	$390.00	$132.60–$385.71	—	25%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HB CORONAVIRUS 2 (SARS-COV-2) (COVID-19) VACCINE, MRNA-LNP, 30 M	$292.50	$390.00	$132.60–$385.71	12% below	25%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HB CORONAVIRUS 2 (SARS-COV-2) (COVID-19) VACCINE, MRNA-LNP, 30 M	$292.50	$390.00	$13.62–$14.28	12% below	25%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HB CORONAVIRUS 2 (SARS-COV-2) (COVID-19) VACCINE, MRNA-LNP, 30 M	$292.50	$390.00	$132.60–$385.71	—	25%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HB VARICELLA VACCINE DOSE	$272.25	$363.00	$22.96–$24.07	27% below	25%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HB VARICELLA VACCINE DOSE	$272.25	$363.00	$123.42–$359.01	27% below	25%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HB VARICELLA VACCINE DOSE	$272.25	$363.00	$123.42–$359.01	—	25%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HB DTAP-IPV INACTIVATED ADMIN PTS AGE 4-6 YRS IM	$92.25	$123.00	$41.82–$121.65	28% below	25%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HB DTAP-IPV INACTIVATED ADMIN PTS AGE 4-6 YRS IM	$92.25	$123.00	$13.62–$14.28	28% below	25%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HB DTAP-IPV INACTIVATED ADMIN PTS AGE 4-6 YRS IM	$92.25	$123.00	$41.82–$121.65	—	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HB DAPTACEL DOSE 0.5ML	$44.25	$59.00	$13.62–$14.28	32% below	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HB DAPTACEL DOSE 0.5ML	$44.25	$59.00	$20.06–$58.35	32% below	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HB DTAP (INFANRIX) - .50ML DOSE	$44.25	$59.00	$13.62–$14.28	32% below	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HB DTAP (INFANRIX) - .50ML DOSE	$44.25	$59.00	$20.06–$58.35	32% below	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HB TRIPEDIA DOSE	$45.75	$61.00	$20.74–$60.33	29% below	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HB TRIPEDIA DOSE	$45.75	$61.00	$13.62–$14.28	29% below	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HB DTAP (INFANRIX) - .50ML DOSE	$44.25	$59.00	$20.06–$58.35	—	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HB DAPTACEL DOSE 0.5ML	$44.25	$59.00	$20.06–$58.35	—	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HB TRIPEDIA DOSE	$45.75	$61.00	$20.74–$60.33	—	25%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HB DTAP-HEPB-IPV	$114.75	$153.00	$13.62–$14.28	41% below	25%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HB DTAP-HEPB-IPV	$114.75	$153.00	$52.02–$151.32	41% below	25%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HB DTAP-HEPB-IPV	$114.75	$153.00	$52.02–$151.32	—	25%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HB PENTACEL VACCINE DOSE 0.5 ML	$173.25	$231.00	$78.54–$228.46	9% above	25%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HB PENTACEL VACCINE DOSE 0.5 ML	$173.25	$231.00	$13.62–$14.28	9% above	25%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HB PENTACEL VACCINE DOSE 0.5 ML	$173.25	$231.00	$78.54–$228.46	—	25%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HB DTAP-IPV-HIB-HEPB(VAXELIS) COMBO VAC, IM USE	$228.00	$304.00	$103.36–$300.66	33% below	25%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HB DTAP-IPV-HIB-HEPB(VAXELIS) COMBO VAC, IM USE	$228.00	$304.00	$13.62–$14.28	33% below	25%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 HB DTAP-IPV-HIB-HEPB(VAXELIS) COMBO VAC, IM USE	$228.00	$304.00	$103.36–$300.66	—	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HB IIV3 VACC PRESERV FREE 0.5ML DOSAGE IM USE	$29.81	$39.75	$13.62–$14.28	35% below	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HB IIV3 VACC PRESERV FREE 0.5ML DOSAGE IM USE	$29.81	$39.75	$13.52–$39.31	35% below	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HB FLU VACCINE =>3YO PRESERVATIVE FREE IM	$91.50	$122.00	$41.48–$120.66	100% above	25%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HB IIV3 VACC PRESERV FREE 0.5ML DOSAGE IM USE	$29.81	$39.75	$13.52–$39.31	—	25%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HB HUMAN PAPILOMA VIRUS (HPV) VACCINE (GARDASIL 9)	$446.25	$595.00	$22.96–$24.07	14% below	25%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HB HUMAN PAPILOMA VIRUS (HPV) VACCINE (GARDASIL 9)	$446.25	$595.00	$202.30–$588.46	14% below	25%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HB HUMAN PAPILOMA VIRUS (HPV) VACCINE (GARDASIL 9)	$446.25	$595.00	$202.30–$588.46	—	25%
Hepatitis A vaccine, adult dose CPT 90632 HB HEPATITIS A VACCINE ADULT FOR INTRAMUSCULAR USE	$122.25	$163.00	$55.42–$161.21	37% below	25%
Hepatitis A vaccine, adult dose CPT 90632 HB HEPATITIS A VACCINE ADULT FOR INTRAMUSCULAR USE	$122.25	$163.00	$13.62–$14.28	37% below	25%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HB HEPATITIS A VACCINE ADULT FOR INTRAMUSCULAR USE	$122.25	$163.00	$55.42–$161.21	—	25%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HB HEPATITIS A VACCINE (2DOSE)	$50.25	$67.00	$22.78–$66.26	44% below	25%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HB HEPATITIS A VACCINE (2DOSE)	$50.25	$67.00	$13.62–$14.28	44% below	25%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HB HEPATITIS A VACCINE (2DOSE)	$50.25	$67.00	$22.78–$66.26	—	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HB HEP B ADULT RECOMBIVAX	$104.25	$139.00	$47.26–$137.47	33% below	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HB HEP B ADULT RECOMBIVAX	$104.25	$139.00	$13.62–$14.28	33% below	25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HB HEP B ADULT RECOMBIVAX	$104.25	$139.00	$47.26–$137.47	—	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5 ML OR 5 MCG/0.5 ML SUPERORDERABLE	$15.94	$21.25	$7.23–$21.02	73% below	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5 ML OR 5 MCG/0.5 ML SUPERORDERABLE	$15.94	$21.25	$13.62–$14.28	73% below	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HB ENGERIX B PED SDV (NS)	$57.75	$77.00	$13.62–$14.28	4% below	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HB RECOMBIVAX PED 5MCG/0.5ML DOSE	$57.75	$77.00	$13.62–$14.28	4% below	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HB ENGERIX B PED SDV (NS)	$57.75	$77.00	$26.18–$76.15	4% below	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HB RECOMBIVAX PED 5MCG/0.5ML DOSE	$57.75	$77.00	$26.18–$76.15	4% below	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5 ML OR 5 MCG/0.5 ML SUPERORDERABLE	$15.94	$21.25	$7.23–$21.02	—	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HB RECOMBIVAX PED 5MCG/0.5ML DOSE	$57.75	$77.00	$26.18–$76.15	—	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HB ENGERIX B PED SDV (NS)	$57.75	$77.00	$26.18–$76.15	—	25%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HB PEDVAXHIB SDV-(NS)	$87.00	$116.00	$13.62–$14.28	24% above	25%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HB PEDVAXHIB SDV-(NS)	$87.00	$116.00	$39.44–$114.72	24% above	25%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HB PEDVAXHIB SDV-(NS)	$87.00	$116.00	$39.44–$114.72	—	25%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HB ACTHIB VACCINE-DOSE	$65.25	$87.00	$29.58–$86.04	114% above	25%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HB ACTHIB VACCINE-DOSE	$65.25	$87.00	$13.62–$14.28	114% above	25%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HB ACTHIB VACCINE-DOSE	$65.25	$87.00	$29.58–$86.04	—	25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HB - IIV3, VACC PF, ENHANCED IMMUNOGENICITY VIA INCREASED ANTIGE	$102.75	$137.00	$13.62–$14.28	1% below	25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HB - IIV3, VACC PF, ENHANCED IMMUNOGENICITY VIA INCREASED ANTIGE	$102.75	$137.00	$46.58–$135.49	1% below	25%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HB - IIV3, VACC PF, ENHANCED IMMUNOGENICITY VIA INCREASED ANTIGE	$102.75	$137.00	$46.58–$135.49	—	25%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HB JAPANESE ENCEPHALITIS VIRUS VACCINE	$328.50	$438.00	$22.96–$24.07	76% below	25%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HB JAPANESE ENCEPHALITIS VIRUS VACCINE	$328.50	$438.00	$148.92–$433.18	76% below	25%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HB JAPANESE ENCEPHALITIS VIRUS VACCINE	$328.50	$438.00	$148.92–$433.18	—	25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HB M M R VACCINE DOSE	$142.50	$190.00	$64.60–$187.91	32% below	25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HB M M R VACCINE DOSE	$142.50	$190.00	$13.62–$14.28	32% below	25%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HB M M R VACCINE DOSE	$142.50	$190.00	$64.60–$187.91	—	25%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HB PROQUAD PF VACCINE DOSE	$420.75	$561.00	$190.74–$554.83	18% below	25%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HB PROQUAD PF VACCINE DOSE	$420.75	$561.00	$13.62–$14.28	18% below	25%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HB PROQUAD PF VACCINE DOSE	$420.75	$561.00	$190.74–$554.83	—	25%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HB MENINGOCOCCAL CONJUGATE VACCINE, QUADRIVALENT IM	$210.00	$280.00	$95.20–$276.92	34% below	25%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HB MENINGOCOCCAL CONJUGATE VACCINE, QUADRIVALENT IM	$210.00	$280.00	$22.96–$24.07	34% below	25%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HB MENACTRA VACCINE 4MCG/0.5ML DOSE	$228.00	$304.00	$22.96–$24.07	28% below	25%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HB MENACTRA VACCINE 4MCG/0.5ML DOSE	$228.00	$304.00	$103.36–$300.66	28% below	25%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HB MENINGOCOCCAL CONJUGATE VACCINE, QUADRIVALENT IM	$210.00	$280.00	$95.20–$276.92	—	25%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HB MENACTRA VACCINE 4MCG/0.5ML DOSE	$228.00	$304.00	$103.36–$300.66	—	25%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HB MENINGOCOCCAL CONJUGATE VAC, QDRVLNT, TT CARIER(MENQUADFI) IM	$243.75	$325.00	$110.50–$321.43	39% below	25%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HB MENINGOCOCCAL CONJUGATE VAC, QDRVLNT, TT CARIER(MENQUADFI) IM	$243.75	$325.00	$22.96–$24.07	39% below	25%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HB MENINGOCOCCAL CONJUGATE VAC, QDRVLNT, TT CARIER(MENQUADFI) IM	$243.75	$325.00	$110.50–$321.43	—	25%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HB MENINGOC RECMB PROTN/OUTR MMBRN VESILE VAC SEROGRP B 2-IM(BEX	$316.50	$422.00	$143.48–$417.36	43% below	25%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HB MENINGOC RECMB PROTN/OUTR MMBRN VESILE VAC SEROGRP B 2-IM(BEX	$316.50	$422.00	$22.96–$24.07	43% below	25%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HB MENINGOC RECMB PROTN/OUTR MMBRN VESILE VAC SEROGRP B 2-IM(BEX	$316.50	$422.00	$143.48–$417.36	—	25%
Meningococcal B vaccine (Trumenba) CPT 90621 HB MENINGC RECOMB LIPOPROTEIN VACC, SEROGROUP B, 3 DOSE-IM(TRUME	$211.50	$282.00	$22.96–$24.07	46% below	25%
Meningococcal B vaccine (Trumenba) CPT 90621 HB MENINGC RECOMB LIPOPROTEIN VACC, SEROGROUP B, 3 DOSE-IM(TRUME	$211.50	$282.00	$95.88–$278.90	46% below	25%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 HB MENINGC RECOMB LIPOPROTEIN VACC, SEROGROUP B, 3 DOSE-IM(TRUME	$211.50	$282.00	$95.88–$278.90	—	25%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HB INFLUENZA VIRUS VACC,LIVE/INTRANASL	$35.06	$46.75	$15.90–$46.24	12% below	25%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HB INFLUENZA VIRUS VACC,LIVE/INTRANASL	$35.06	$46.75	$13.62–$14.28	12% below	25%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HB LAIV3 VACCINE LIVE(FLUMIST) FOR INTRANASAL USE	$41.25	$55.00	$13.62–$14.28	4% above	25%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HB LAIV3 VACCINE LIVE(FLUMIST) FOR INTRANASAL USE	$41.25	$55.00	$18.70–$54.40	4% above	25%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HB INFLUENZA VIRUS VACC,LIVE/INTRANASL	$35.06	$46.75	$15.90–$46.24	—	25%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HB LAIV3 VACCINE LIVE(FLUMIST) FOR INTRANASAL USE	$41.25	$55.00	$18.70–$54.40	—	25%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HB PREVNAR (13) DOSE - 0.5ML SYRINGE	$353.25	$471.00	$160.14–$465.82	19% below	25%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HB PREVNAR (13) DOSE - 0.5ML SYRINGE	$353.25	$471.00	$22.96–$24.07	19% below	25%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HB PREVNAR (13) DOSE - 0.5ML SYRINGE	$353.25	$471.00	$160.14–$465.82	—	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HB PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAM	$589.50	$786.00	$22.96–$24.07	11% below	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HB PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAM	$589.50	$786.00	$267.24–$777.35	11% below	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HB PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAM	$589.50	$786.00	$267.24–$777.35	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HB PNEUMOVAX POLYVAL 25MCG/0.5ML	$205.50	$274.00	$13.62–$14.28	25% below	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HB PNEUMOVAX POLYVAL 25MCG/0.5ML	$205.50	$274.00	$93.16–$270.99	25% below	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HB PNEUMOVAX POLYVAL 25MCG/0.5ML	$205.50	$274.00	$93.16–$270.99	—	25%
Polio vaccine, inactivated (IPV) CPT 90713 HB IPOL VAC DOSE SUBQ OR IM	$61.50	$82.00	$27.88–$81.10	3% below	25%
Polio vaccine, inactivated (IPV) CPT 90713 HB IPOL VAC DOSE SUBQ OR IM	$61.50	$82.00	$13.62–$14.28	3% below	25%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HB IPOL VAC DOSE SUBQ OR IM	$61.50	$82.00	$27.88–$81.10	—	25%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RESPIRATORY SYNCYTIAL VIRUS,(RSV) MONOCLONAL ANTIBODY, SEASONAL	$774.75	$1,033.00	$1,909.21–$2,001.89	26% below	25%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RESPIRATORY SYNCYTIAL VIRUS,(RSV) MONOCLONAL ANTIBODY, SEASONAL	$774.75	$1,033.00	$351.22–$1,021.64	26% below	25%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 RESPIRATORY SYNCYTIAL VIRUS,(RSV) MONOCLONAL ANTIBODY, SEASONAL	$774.75	$1,033.00	$351.22–$1,021.64	—	25%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RESP SYNCYTIAL VIRUS,(RSV) MONOCLONAL ANTIBODY, SEASONAL DOSE; 0	$774.75	$1,033.00	$1,909.21–$2,001.89	43% below	25%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RESP SYNCYTIAL VIRUS,(RSV) MONOCLONAL ANTIBODY, SEASONAL DOSE; 0	$774.75	$1,033.00	$351.22–$1,021.64	43% below	25%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$798.19	$1,064.25	$361.85–$1,052.54	41% below	25%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$798.19	$1,064.25	$1,909.21–$2,001.89	41% below	25%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RESP SYNCYTIAL VIRUS,(RSV) MONOCLONAL ANTIBODY, SEASONAL DOSE; 0	$774.75	$1,033.00	$351.22–$1,021.64	—	25%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$798.19	$1,064.25	$361.85–$1,052.54	—	25%
Rabies vaccine, one dose CPT 90675 HB RABAVERT 2.5IU VIAL-1ML	$421.50	$562.00	$22.96–$24.07	56% below	25%
Rabies vaccine, one dose CPT 90675 HB RABAVERT 2.5IU VIAL-1ML	$421.50	$562.00	$191.08–$555.82	56% below	25%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PCEC IM SUSR	$573.41	$764.55	$22.96–$24.07	40% below	25%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PCEC IM SUSR	$573.41	$764.55	$259.95–$756.14	40% below	25%
Rabies vaccine, one dose CPT 90675 HB IMOVAX 2.5IU/ML VIAL	$597.00	$796.00	$270.64–$787.24	37% below	25%
Rabies vaccine, one dose CPT 90675 HB IMOVAX 2.5IU/ML VIAL	$597.00	$796.00	$22.96–$24.07	37% below	25%
Rabies vaccine, one dose inpatient CPT 90675 HB RABAVERT 2.5IU VIAL-1ML	$421.50	$562.00	$191.08–$555.82	—	25%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PCEC IM SUSR	$573.41	$764.55	$259.95–$756.14	—	25%
Rabies vaccine, one dose inpatient CPT 90675 HB IMOVAX 2.5IU/ML VIAL	$597.00	$796.00	$270.64–$787.24	—	25%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 HB ROTAVIRUS VACC HUMAN ATTENUATED 2 DOSE LIVE ORAL	$136.50	$182.00	$61.88–$180.00	48% below	25%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 HB ROTAVIRUS VACC HUMAN ATTENUATED 2 DOSE LIVE ORAL	$136.50	$182.00	$13.62–$14.28	48% below	25%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 HB ROTAVIRUS VACC HUMAN ATTENUATED 2 DOSE LIVE ORAL	$136.50	$182.00	$61.88–$180.00	—	25%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HB ROTAVIRUS VACC, PENTAVALENT,3 DOSE	$150.00	$200.00	$68.00–$197.80	11% above	25%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HB ROTAVIRUS VACC, PENTAVALENT,3 DOSE	$150.00	$200.00	$22.96–$24.07	11% above	25%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HB ROTAVIRUS VACC, PENTAVALENT,3 DOSE	$150.00	$200.00	$68.00–$197.80	—	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM AND 2-2 LF/0.5ML IM SUPERORDERABLE	$36.64	$48.85	$13.62–$14.28	59% below	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM AND 2-2 LF/0.5ML IM SUPERORDERABLE	$36.64	$48.85	$16.61–$48.31	59% below	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HB TD PRES FREE, 7 AND >, IM	$90.00	$120.00	$13.62–$14.28	at median	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HB TD PRES FREE, 7 AND >, IM	$90.00	$120.00	$40.80–$118.68	at median	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM AND 2-2 LF/0.5ML IM SUPERORDERABLE	$36.64	$48.85	$16.61–$48.31	—	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HB TD PRES FREE, 7 AND >, IM	$90.00	$120.00	$40.80–$118.68	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS (BOOSTRIX ADACEL) TDAP VACCINE S	$15.94	$21.25	$7.23–$21.02	86% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS (BOOSTRIX ADACEL) TDAP VACCINE S	$15.94	$21.25	$13.62–$14.28	86% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HB BOOSTRIX VACCINE 0.5 ML DOSE	$62.25	$83.00	$13.62–$14.28	44% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HB BOOSTRIX VACCINE 0.5 ML DOSE	$62.25	$83.00	$28.22–$82.09	44% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HB ADACEL VACCINE DOSE	$71.25	$95.00	$32.30–$93.96	36% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HB ADACEL VACCINE DOSE	$71.25	$95.00	$13.62–$14.28	36% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS (BOOSTRIX ADACEL) TDAP VACCINE S	$15.94	$21.25	$7.23–$21.02	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HB BOOSTRIX VACCINE 0.5 ML DOSE	$62.25	$83.00	$28.22–$82.09	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HB ADACEL VACCINE DOSE	$71.25	$95.00	$32.30–$93.96	—	25%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HB TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$161.25	$215.00	$73.10–$212.64	44% below	25%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HB TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$161.25	$215.00	$13.62–$14.28	44% below	25%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HB TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$161.25	$215.00	$73.10–$212.64	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUN ADMIN, SINGLE	$30.38	$40.50	$13.77–$40.05	25% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUN ADMIN SINGLE	$30.75	$41.00	$13.94–$40.55	24% below	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB IMMUN ADMIN,EA ADDTL VAC	$30.38	$40.50	$13.77–$40.05	13% below	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB IMMUN ADMIN EA ADDTL VAC	$30.75	$41.00	$13.94–$40.55	12% below	25%

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://akronchildrens.pt.panaceainc.com/MRFDownload/akronchildrens/akronchildrenshospital