Hospital Cheyenne, WY

Cheyenne Regional Medical Center

Listed in its price file as “Memorial Hospital of Laramie County”.

Cheyenne Regional Medical Center in Cheyenne, WY publishes cash prices for 369 common procedures listed here, from its own machine-readable price file updated Mar 25, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Wyoming median for 247 of 356 procedures and below it for 103. By typical cash price it ranks #15 of 18 Wyoming hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

214 E. 23rd Street, Cheyenne, WY 82001 Collected Sep 23, 2026 Source price file Check a bill from this hospital (307) 633-2273

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 530014 · CMS hospital register NPI 1285621839

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Wyoming	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABD W WO CONTRAST	$3,543.85	$5,062.63	$182.78–$4,860.12	69% above	30%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABD W WO CONTRAST	$3,543.85	$5,062.63	$3,958.98–$4,860.12	—	30%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS	$473.03	$675.75	$108.95–$648.72	25% above	30%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS	$473.03	$675.75	$528.44–$648.72	—	30%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLTE MIN 3V	$483.02	$690.02	$90.69–$662.42	50% above	30%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLTE MIN 3V	$483.02	$690.02	$539.60–$662.42	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR LWR EXTREM ARTER 2 LVLS	$524.74	$749.62	$138.65–$719.64	83% above	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR LWR EXTREM ARTER 2 LVLS	$524.74	$749.62	$586.20–$719.64	—	30%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXT WO CONTRST	$2,214.71	$3,163.87	$108.95–$3,037.32	90% above	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXT WO CONTRST	$2,214.71	$3,163.87	$2,474.15–$3,037.32	—	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS	$756.45	$1,080.64	$182.78–$1,037.41	66% above	30%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS	$756.45	$1,080.64	$845.06–$1,037.41	—	30%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE JOINT WB	$2,461.23	$3,516.04	$416.60–$3,375.40	48% above	30%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE JOINT WB	$2,461.23	$3,516.04	$2,749.54–$3,375.40	—	30%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASND BREAST UNI COMPLETE	$596.98	$852.82	$108.95–$818.71	16% above	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASND BREAST UNI COMPLETE	$596.98	$852.82	$666.91–$818.71	—	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASND BREAST UNI LIMITED	$494.73	$706.75	$90.69–$678.48	4% above	30%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASND BREAST UNI LIMITED	$494.73	$706.75	$552.68–$678.48	—	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD AND PELVIS W O AND W DYE	$5,112.12	$7,303.02	$363.56–$7,010.90	38% above	30%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD AND PELVIS W O AND W DYE	$5,112.12	$7,303.02	$5,710.96–$7,010.90	—	30%
CT angiography (CTA) of the head CPT 70496 HC CT STROKE ANGIOGRAM HEAD W IV CONTRAST	$3,358.48	$4,797.82	$182.78–$4,605.91	97% above	30%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W CONTRAST	$3,364.79	$4,806.83	$182.78–$4,614.56	97% above	30%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT STROKE ANGIOGRAM HEAD W IV CONTRAST	$3,358.48	$4,797.82	$3,751.90–$4,605.91	—	30%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W CONTRAST	$3,364.79	$4,806.83	$3,758.94–$4,614.56	—	30%
CT angiography (CTA) of the neck CPT 70498 HC CT STROKE ANGIOGRAM NECK W IV CONTRAST	$3,226.37	$4,609.09	$182.78–$4,424.73	76% above	30%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W CONTRAST	$3,232.42	$4,617.74	$182.78–$4,433.03	76% above	30%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT STROKE ANGIOGRAM NECK W IV CONTRAST	$3,226.37	$4,609.09	$3,604.31–$4,424.73	—	30%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W CONTRAST	$3,232.42	$4,617.74	$3,611.07–$4,433.03	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W CONTRAST	$3,466.16	$4,951.65	$182.78–$4,753.58	72% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W CONTRAST	$3,466.16	$4,951.65	$3,872.19–$4,753.58	—	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE	$2,533.00	$3,618.56	$363.56–$3,473.82	103% above	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE	$2,533.00	$3,618.56	$2,829.71–$3,473.82	—	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O DYE W/CA TEST	$242.51	$346.44	$90.69–$332.58	103% above	30%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT W/O DYE W/CA TEST	$242.51	$346.44	$270.92–$332.58	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD AND PELVIS WO CONTR	$4,322.15	$6,174.50	$248.65–$5,927.52	53% above	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD AND PELVIS WO CONTR	$4,322.15	$6,174.50	$4,828.46–$5,927.52	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD AND PELVIS W CONTR	$4,913.78	$7,019.68	$363.56–$6,738.89	52% above	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD AND PELVIS W CONTR	$4,913.78	$7,019.68	$5,489.39–$6,738.89	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD PELVIS 1 PLUS REGN	$5,934.70	$8,478.14	$363.56–$8,139.01	90% above	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD PELVIS 1 PLUS REGN	$5,934.70	$8,478.14	$6,629.91–$8,139.01	—	30%
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST	$2,962.93	$4,232.75	$182.78–$4,063.44	63% above	30%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST	$2,962.93	$4,232.75	$3,310.01–$4,063.44	—	30%
CT scan of the abdomen without contrast CPT 74150 HC CT ABD WO CONTRAST	$2,498.35	$3,569.06	$108.95–$3,426.30	59% above	30%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABD WO CONTRAST	$2,498.35	$3,569.06	$2,791.00–$3,426.30	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTR	$2,216.68	$3,166.68	$108.95–$3,040.01	45% above	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTR	$2,216.68	$3,166.68	$2,476.34–$3,040.01	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT STROKE HEAD WO CONTRAST	$2,272.66	$3,246.65	$108.95–$3,116.78	75% above	30%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST	$2,310.63	$3,300.90	$108.95–$3,168.86	78% above	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT STROKE HEAD WO CONTRAST	$2,272.66	$3,246.65	$2,538.88–$3,116.78	—	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST	$2,310.63	$3,300.90	$2,581.30–$3,168.86	—	30%
CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST	$2,603.86	$3,719.80	$182.78–$3,571.01	90% above	30%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST	$2,603.86	$3,719.80	$2,908.88–$3,571.01	—	30%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W WO CONTRAST	$3,071.88	$4,388.39	$182.78–$4,212.85	62% above	30%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W WO CONTRAST	$3,071.88	$4,388.39	$3,431.72–$4,212.85	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L SPINE WO CONTRAST	$2,699.18	$3,855.97	$108.95–$3,701.73	51% above	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT L SPINE WO CONTRAST	$2,699.18	$3,855.97	$3,015.37–$3,701.73	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C SPINE WO CONTRAST	$2,679.32	$3,827.59	$108.95–$3,674.49	38% above	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C SPINE WO CONTRAST	$2,679.32	$3,827.59	$2,993.18–$3,674.49	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$2,897.00	$4,138.57	$182.78–$3,973.03	59% above	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$2,897.00	$4,138.57	$3,236.36–$3,973.03	—	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN BILAT	$1,311.08	$1,872.96	$248.65–$1,798.04	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN BILAT	$1,311.08	$1,872.96	$1,464.65–$1,798.04	—	30%
Chest CT scan without and with contrast CPT 71270 HC CT CHEST W WO CONTRAST	$3,370.07	$4,814.38	$182.78–$4,621.80	65% above	30%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W WO CONTRAST	$3,370.07	$4,814.38	$3,764.85–$4,621.80	—	30%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$452.11	$645.86	$90.69–$620.03	45% above	30%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$452.11	$645.86	$505.06–$620.03	—	30%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$288.98	$412.82	$90.69–$396.31	48% above	30%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$288.98	$412.82	$322.83–$396.31	—	30%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$431.05	$615.78	$90.69–$591.15	32% above	30%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$431.05	$615.78	$481.54–$591.15	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONL CMPLT	$1,026.53	$1,466.46	$108.95–$1,407.80	69% above	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONL CMPLT	$1,026.53	$1,466.46	$1,146.77–$1,407.80	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL 1 OR MORE SITES	$528.66	$755.22	$108.95–$725.01	23% above	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL 1 OR MORE SITES	$528.66	$755.22	$590.58–$725.01	—	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY PERIPHERL 1 OR MORE	$240.27	$343.24	$90.69–$329.51	37% below	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA BONE DENSITY PERIPHERL 1 OR MORE	$240.27	$343.24	$268.41–$329.51	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST	$2,206.20	$3,151.71	$108.95–$3,025.64	67% above	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST	$2,206.20	$3,151.71	$2,464.64–$3,025.64	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST	$2,887.78	$4,125.40	$182.78–$3,960.38	75% above	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST	$2,887.78	$4,125.40	$3,226.06–$3,960.38	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO DX INC CAD BILAT	$341.81	$488.29	$159.42–$468.76	—	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO DX INC CAD BILAT	$341.81	$488.29	$381.84–$468.76	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLX LOW EXT ART BILAT	$1,314.58	$1,877.97	$248.65–$1,802.85	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLX LOW EXT ART BILAT	$1,314.58	$1,877.97	$1,468.57–$1,802.85	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLX EXT VENOUS COMPLT BILAT	$1,662.82	$2,375.45	$248.65–$2,280.43	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLX EXT VENOUS COMPLT BILAT	$1,662.82	$2,375.45	$1,857.60–$2,280.43	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W SPEC COLOR WO CON	$3,025.40	$4,322.00	$569.42–$4,149.12	76% above	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W SPEC COLOR WO CON	$3,025.40	$4,322.00	$3,379.80–$4,149.12	—	30%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2V	$403.82	$576.88	$90.69–$553.80	30% above	30%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2V	$403.82	$576.88	$451.12–$553.80	—	30%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW MIN 3V	$494.01	$705.72	$90.69–$677.49	45% above	30%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW MIN 3V	$494.01	$705.72	$551.87–$677.49	—	30%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT SELLA MID INNER EAR WO CONT	$2,274.23	$3,248.89	$108.95–$3,118.93	52% above	30%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT SELLA MID INNER EAR WO CONT	$2,274.23	$3,248.89	$2,540.63–$3,118.93	—	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES MIN 3V	$563.34	$804.77	$108.95–$772.58	33% above	30%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES MIN 3V	$563.34	$804.77	$629.33–$772.58	—	30%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2V	$440.54	$629.33	$90.69–$604.16	46% above	30%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2V	$440.54	$629.33	$492.14–$604.16	—	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING	$2,247.42	$3,210.60	$416.60–$3,082.18	98% above	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING	$2,247.42	$3,210.60	$2,510.69–$3,082.18	—	30%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2V	$409.71	$585.29	$108.95–$561.88	74% above	30%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2V	$409.71	$585.29	$457.70–$561.88	—	30%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS MIN 2V	$386.50	$552.14	$90.69–$530.05	90% above	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS MIN 2V	$386.50	$552.14	$431.77–$530.05	—	30%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3V	$496.35	$709.06	$90.69–$680.70	39% above	30%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3V	$496.35	$709.06	$554.48–$680.70	—	30%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4V OR MORE	$555.48	$793.54	$108.95–$761.80	52% above	30%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE 4V OR MORE	$555.48	$793.54	$620.55–$761.80	—	30%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXT WO CONTRST	$2,226.44	$3,180.62	$108.95–$3,053.40	64% above	30%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXT WO CONTRST	$2,226.44	$3,180.62	$2,487.24–$3,053.40	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LTD	$915.42	$1,307.74	$108.95–$1,255.43	49% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LTD	$915.42	$1,307.74	$1,022.65–$1,255.43	—	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTRM NON VASC LMTD BEDSIDE	$125.06	$178.65	$108.95–$171.50	66% below	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTRM NON VASC LMTD	$586.63	$838.03	$108.95–$804.51	58% above	30%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTRM NON VASC LMTD BEDSIDE	$125.06	$178.65	$139.70–$171.50	—	30%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTRM NON VASC LMTD	$586.63	$838.03	$655.34–$804.51	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LDCT FOR LUNG CA SCREEN	$231.82	$331.17	$108.95–$317.92	44% below	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LDCT FOR LUNG CA SCREEN	$231.82	$331.17	$258.97–$317.92	—	30%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIB AND FIB 2V	$455.91	$651.29	$90.69–$625.24	81% above	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIB AND FIB 2V	$455.91	$651.29	$509.31–$625.24	—	30%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST	$3,017.66	$4,310.94	$248.65–$4,138.50	60% above	30%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST	$3,017.66	$4,310.94	$3,371.16–$4,138.50	—	30%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MR BREAST BILAT W WO CONTRAST	$3,807.77	$5,439.66	$345.06–$5,222.07	—	30%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MR BREAST BILAT W WO CONTRAST	$3,807.77	$5,439.66	$4,253.81–$5,222.07	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR LOW EXT JT WO CONTR	$3,056.61	$4,366.58	$248.65–$4,191.92	60% above	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR LOW EXT JT WO CONTR	$3,056.61	$4,366.58	$3,414.67–$4,191.92	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR LOW EXT JT W WO CONT	$4,479.40	$6,399.13	$363.56–$6,143.16	60% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR LOW EXT JT W WO CONT	$4,479.40	$6,399.13	$5,004.12–$6,143.16	—	30%
MRI of the abdomen without contrast CPT 74181 HC MR ABD WO CONTRAST	$3,321.42	$4,744.88	$248.65–$4,555.08	27% above	30%
MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABD WO CONTRAST	$3,321.42	$4,744.88	$3,710.50–$4,555.08	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABD W WO CONTRAST	$4,657.17	$6,653.09	$363.56–$6,386.97	28% above	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABD W WO CONTRAST	$4,657.17	$6,653.09	$5,202.72–$6,386.97	—	30%
MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CONTRAST	$3,182.71	$4,546.72	$248.65–$4,364.85	55% above	30%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CONTRAST	$3,182.71	$4,546.72	$3,555.54–$4,364.85	—	30%
MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN W WO CONTRAST	$4,764.95	$6,807.06	$363.56–$6,534.78	60% above	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN W WO CONTRAST	$4,764.95	$6,807.06	$5,323.12–$6,534.78	—	30%
MRI of the lower back, no contrast dye CPT 72148 HC MR L SPINE WO CONTRAST	$3,126.89	$4,466.98	$248.65–$4,288.30	37% above	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR L SPINE WO CONTRAST	$3,126.89	$4,466.98	$3,493.18–$4,288.30	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MR L SPINE W WO CONTRST	$4,638.03	$6,625.75	$363.56–$6,360.72	82% above	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR L SPINE W WO CONTRST	$4,638.03	$6,625.75	$5,181.34–$6,360.72	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR T SPINE WO CONTRAST	$3,171.80	$4,531.14	$248.65–$4,349.89	61% above	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR T SPINE WO CONTRAST	$3,171.80	$4,531.14	$3,543.35–$4,349.89	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR C SPINE W WO CONTRST	$4,650.76	$6,643.93	$363.56–$6,378.17	81% above	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR C SPINE W WO CONTRST	$4,650.76	$6,643.93	$5,195.55–$6,378.17	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR C SPINE WO CONTRAST	$3,131.05	$4,472.92	$248.65–$4,294.00	46% above	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR C SPINE WO CONTRAST	$3,131.05	$4,472.92	$3,497.82–$4,294.00	—	30%
MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS W WO CONTRST	$4,904.86	$7,006.93	$363.56–$6,726.65	47% above	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS W WO CONTRST	$4,904.86	$7,006.93	$5,479.42–$6,726.65	—	30%
MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS WO CONTRAST	$3,182.22	$4,546.02	$248.65–$4,364.18	43% above	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS WO CONTRAST	$3,182.22	$4,546.02	$3,554.99–$4,364.18	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR UPP EXT JT WO CONTRST	$3,014.53	$4,306.46	$248.65–$4,134.20	73% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR UPP EXT JT WO CONTRST	$3,014.53	$4,306.46	$3,367.65–$4,134.20	—	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEW	$702.06	$1,002.93	$108.95–$962.81	32% above	30%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEW	$702.06	$1,002.93	$784.29–$962.81	—	30%
Neck soft tissue CT scan with contrast CPT 70491 HC CT ST NECK W CONTRAST	$2,876.92	$4,109.88	$182.78–$3,945.48	55% above	30%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT ST NECK W CONTRAST	$2,876.92	$4,109.88	$3,213.93–$3,945.48	—	30%
Neck soft tissue CT scan without contrast CPT 70490 HC CT ST NECK WO CONTRST	$2,268.42	$3,240.59	$108.95–$3,110.97	48% above	30%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT ST NECK WO CONTRST	$2,268.42	$3,240.59	$2,534.14–$3,110.97	—	30%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$424.77	$606.81	$90.69–$582.54	63% above	30%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$424.77	$606.81	$474.53–$582.54	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM HRT IMAGE SPECT MULTI	$5,392.42	$7,703.45	$1,349.14–$7,395.31	73% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM HRT IMAGE SPECT MULTI	$5,392.42	$7,703.45	$6,024.10–$7,395.31	—	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC NM PET IMAGE W/CT SKULL-THIGH	$8,198.80	$11,712.56	$1,490.14–$11,244.06	7% above	30%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC NM PET IMAGE W/CT SKULL-THIGH	$8,198.80	$11,712.56	$9,159.22–$11,244.06	—	30%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$2,327.95	$3,325.64	$108.95–$3,192.61	51% above	30%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$2,327.95	$3,325.64	$2,600.65–$3,192.61	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMTD FOLLW UP BEDSIDE	$125.06	$178.65	$108.95–$171.50	64% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMTD FOLLW UP	$618.01	$882.87	$108.95–$847.56	80% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMTD FOLLW UP BEDSIDE	$125.06	$178.65	$139.70–$171.50	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMTD FOLLW UP	$618.01	$882.87	$690.40–$847.56	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON OB COMPLT	$1,028.45	$1,469.21	$108.95–$1,410.44	35% above	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON OB COMPLT	$1,028.45	$1,469.21	$1,148.92–$1,410.44	—	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB GTR 14 WK SGL	$876.76	$1,252.51	$108.95–$1,202.41	26% above	30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB GTR 14 WK SGL	$876.76	$1,252.51	$979.46–$1,202.41	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB LESS 14WK SGL	$823.32	$1,176.17	$108.95–$1,129.12	49% above	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB LESS 14WK SGL	$823.32	$1,176.17	$919.76–$1,129.12	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITD SGL OR MULTI BEDSIDE	$125.06	$178.65	$108.95–$171.50	68% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITD SGL OR MULTI	$605.11	$864.44	$108.95–$829.86	53% above	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITD SGL OR MULTI BEDSIDE	$125.06	$178.65	$139.70–$171.50	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITD SGL OR MULTI	$605.11	$864.44	$675.99–$829.86	—	30%
Rib X-ray, one side, 2 views CPT 71100 HC XR RIBS 2V	$449.98	$642.82	$90.69–$617.11	56% above	30%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIBS 2V	$449.98	$642.82	$502.69–$617.11	—	30%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIB CHEST MIN 3V UNI	$574.03	$820.04	$108.95–$787.24	59% above	30%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIB CHEST MIN 3V UNI	$574.03	$820.04	$641.27–$787.24	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER MIN 2V COMPLT	$484.81	$692.58	$90.69–$664.88	54% above	30%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER MIN 2V COMPLT	$484.81	$692.58	$541.60–$664.88	—	30%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES MIN 3V	$589.35	$841.92	$90.69–$808.24	67% above	30%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES MIN 3V	$589.35	$841.92	$658.38–$808.24	—	30%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL LESS THAN 4V	$479.11	$684.43	$108.95–$657.05	69% above	30%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL LESS THAN 4V	$479.11	$684.43	$535.22–$657.05	—	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS TTE W CONT ECG MONITORING	$2,077.56	$2,967.94	$569.42–$2,849.22	45% above	30%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS TTE W CONT ECG MONITORING	$2,077.56	$2,967.94	$2,320.93–$2,849.22	—	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR SWALLOW FNCT CIN VIDEO	$647.96	$925.65	$182.78–$888.62	30% above	30%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR SWALLOW FNCT CIN VIDEO	$647.96	$925.65	$723.86–$888.62	—	30%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MINIMUM OF 2 VW	$206.60	$295.13	$90.69–$283.32	2% below	30%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MINIMUM OF 2 VW	$206.60	$295.13	$230.79–$283.32	—	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT T SPINE WO CONTRAST	$2,573.65	$3,676.63	$108.95–$3,529.56	44% above	30%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT T SPINE WO CONTRAST	$2,573.65	$3,676.63	$2,875.12–$3,529.56	—	30%
Toe X-ray, 2 or more views CPT 73660 HC XR TOES MIN 2V	$363.13	$518.75	$90.69–$498.00	58% above	30%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOES MIN 2V	$363.13	$518.75	$405.66–$498.00	—	30%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$902.02	$1,288.60	$108.95–$1,237.06	59% above	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$902.02	$1,288.60	$1,007.69–$1,237.06	—	30%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL BEDSIDE	$125.06	$178.65	$108.95–$171.50	74% below	30%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL	$724.00	$1,034.28	$108.95–$992.91	48% above	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL BEDSIDE	$125.06	$178.65	$139.70–$171.50	—	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL	$724.00	$1,034.28	$808.81–$992.91	—	30%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMP	$1,245.09	$1,778.69	$108.95–$1,707.54	23% above	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMP	$1,245.09	$1,778.69	$1,390.94–$1,707.54	—	30%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM	$948.04	$1,354.33	$108.95–$1,300.16	54% above	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM	$948.04	$1,354.33	$1,059.09–$1,300.16	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SFT TISSUE HEAD NCK	$897.66	$1,282.37	$108.95–$1,231.08	43% above	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SFT TISSUE HEAD NCK	$897.66	$1,282.37	$1,002.81–$1,231.08	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY XM UPR GI TRC 1CNTRST	$953.55	$1,362.21	$182.78–$1,307.72	45% above	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR UGI SINGLE WO KUB	$956.30	$1,366.14	$182.78–$1,311.49	45% above	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY XM UPR GI TRC 1CNTRST	$953.55	$1,362.21	$1,065.25–$1,307.72	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR UGI SINGLE WO KUB	$956.30	$1,366.14	$1,068.32–$1,311.49	—	30%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS MIN 2V	$339.97	$485.66	$90.69–$466.23	32% above	30%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS MIN 2V	$339.97	$485.66	$379.79–$466.23	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLX EXT VEN UNI LIMTD BEDSIDE	$125.06	$178.65	$108.95–$171.50	83% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLX EXT VEN UNI LIMTD	$1,157.20	$1,653.13	$108.95–$1,587.00	58% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLX EXT VEN UNI LIMTD BEDSIDE	$125.06	$178.65	$139.70–$171.50	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLX EXT VEN UNI LIMTD	$1,157.20	$1,653.13	$1,292.75–$1,587.00	—	30%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2V	$392.00	$560.00	$90.69–$537.60	38% above	30%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2V	$392.00	$560.00	$437.92–$537.60	—	30%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST MIN 3V	$453.99	$648.55	$90.69–$622.61	67% above	30%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST MIN 3V	$453.99	$648.55	$507.17–$622.61	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIP UNI 2-3 VIEWS	$277.93	$397.03	$90.69–$381.15	2% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIP UNI 2-3 VIEWS	$277.93	$397.03	$310.48–$381.15	—	30%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$400.25	$571.78	$90.69–$548.91	63% above	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$400.25	$571.78	$447.13–$548.91	—	30%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2V	$388.97	$555.66	$90.69–$533.43	73% above	30%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2V	$388.97	$555.66	$434.53–$533.43	—	30%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS MIN 2V	$363.01	$518.58	$90.69–$497.84	101% above	30%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS MIN 2V	$363.01	$518.58	$405.53–$497.84	—	30%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2V	$373.10	$532.99	$90.69–$511.67	34% above	30%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2V	$373.10	$532.99	$416.80–$511.67	—	30%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3V	$454.65	$649.50	$90.69–$623.52	37% above	30%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3V	$454.65	$649.50	$507.91–$623.52	—	30%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3V	$479.04	$684.33	$90.69–$656.96	66% above	30%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3V	$479.04	$684.33	$535.15–$656.96	—	30%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1V OR 2V	$396.92	$567.02	$90.69–$544.34	33% above	30%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1V OR 2V	$396.92	$567.02	$443.41–$544.34	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBR 2 OR 3V	$523.62	$748.02	$108.95–$718.10	60% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBR 2 OR 3V	$523.62	$748.02	$584.95–$718.10	—	30%
X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBR MIN 4V	$773.34	$1,104.76	$108.95–$1,060.57	44% above	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBR MIN 4V	$773.34	$1,104.76	$863.92–$1,060.57	—	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2V	$457.51	$653.58	$108.95–$627.44	28% above	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2V	$457.51	$653.58	$511.10–$627.44	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES MIN 3V	$490.73	$701.03	$90.69–$672.99	81% above	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES MIN 3V	$490.73	$701.03	$548.21–$672.99	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERVICAL 3V OR LESS	$510.53	$729.32	$90.69–$700.15	72% above	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERVICAL 3V OR LESS	$510.53	$729.32	$570.33–$700.15	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 OR 2V	$423.35	$604.78	$108.95–$580.59	64% above	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1 OR 2V	$423.35	$604.78	$472.94–$580.59	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM COCCYX MIN 2V	$456.54	$652.19	$90.69–$626.10	76% above	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM COCCYX MIN 2V	$456.54	$652.19	$510.01–$626.10	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Wyoming	Off list
ACTH blood test CPT 82024 HC ADRENOCORTICORTOPHIC HORMONE ACTH 50075	$154.31	$220.44	$39.39–$211.62	19% above	30%
ACTH blood test inpatient CPT 82024 HC ADRENOCORTICORTOPHIC HORMONE ACTH 50075	$154.31	$220.44	$172.38–$211.62	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO 4033	$13.68	$19.53	$5.41–$18.75	45% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO 4031	$13.89	$19.83	$5.41–$19.04	45% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO 22950	$17.11	$24.43	$5.41–$23.45	32% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO 3300	$33.03	$47.18	$5.41–$45.29	32% above	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO 3071	$34.68	$49.54	$5.41–$47.56	38% above	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC LIVER FIBROSIS, VIR. HEP-ALT	$43.24	$61.77	$5.41–$59.30	72% above	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO 4033	$13.68	$19.53	$15.27–$18.75	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO 4031	$13.89	$19.83	$15.51–$19.04	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO 22950	$17.11	$24.43	$19.10–$23.45	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO 3300	$33.03	$47.18	$36.89–$45.29	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO 3071	$34.68	$49.54	$38.74–$47.56	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC LIVER FIBROSIS, VIR. HEP-ALT	$43.24	$61.77	$48.30–$59.30	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE AST OR SGOT 4033	$13.40	$19.13	$5.28–$18.36	45% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE AST OR SGOT 4031	$13.68	$19.53	$5.28–$18.75	44% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE AST OR SGOT 22950	$16.75	$23.92	$5.28–$22.96	32% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE AST OR SGOT 3300	$32.17	$45.95	$5.28–$44.11	31% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE AST OR SGOT 3038	$34.68	$49.54	$5.28–$47.56	41% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC LIVER FIBROSIS, VIR. HEP-AST	$43.24	$61.77	$5.28–$59.30	76% above	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE AST OR SGOT 4033	$13.40	$19.13	$14.96–$18.36	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE AST OR SGOT 4031	$13.68	$19.53	$15.27–$18.75	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE AST OR SGOT 22950	$16.75	$23.92	$18.71–$22.96	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE AST OR SGOT 3300	$32.17	$45.95	$35.93–$44.11	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE AST OR SGOT 3038	$34.68	$49.54	$38.74–$47.56	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC LIVER FIBROSIS, VIR. HEP-AST	$43.24	$61.77	$48.30–$59.30	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL 1327	$226.78	$323.96	$48.58–$311.00	20% below	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL 130320	$323.75	$462.50	$48.58–$444.00	14% above	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL 1327	$226.78	$323.96	$253.34–$311.00	—	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL 130320	$323.75	$462.50	$361.68–$444.00	—	30%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN 4033	$10.33	$14.75	$5.05–$14.16	61% below	30%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN 4031	$10.62	$15.16	$5.05–$14.55	59% below	30%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN 22950	$13.05	$18.63	$5.05–$17.88	50% below	30%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN 30250	$21.98	$31.39	$5.05–$30.13	16% below	30%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN 3055	$34.37	$49.09	$5.05–$47.13	31% above	30%
Albumin blood test CPT 82040 HC MS PROFILE MAYO ASSAY ALBUMIN SERUM	$47.78	$68.25	$5.05–$65.52	82% above	30%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN 4033	$10.33	$14.75	$11.53–$14.16	—	30%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN 4031	$10.62	$15.16	$11.86–$14.55	—	30%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN 22950	$13.05	$18.63	$14.57–$17.88	—	30%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN 30250	$21.98	$31.39	$24.55–$30.13	—	30%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN 3055	$34.37	$49.09	$38.39–$47.13	—	30%
Albumin blood test inpatient CPT 82040 HC MS PROFILE MAYO ASSAY ALBUMIN SERUM	$47.78	$68.25	$53.37–$65.52	—	30%
Aldosterone blood test CPT 82088 HC ALDOSTERONE 50210	$119.70	$171.00	$41.57–$164.16	18% below	30%
Aldosterone blood test CPT 82088 HC ALDOSTERONE 362500	$205.17	$293.09	$41.57–$281.37	40% above	30%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE 50210	$119.70	$171.00	$133.72–$164.16	—	30%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE 362500	$205.17	$293.09	$229.20–$281.37	—	30%
Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE 4033	$13.40	$19.13	$5.28–$18.36	43% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE 4031	$13.68	$19.53	$5.28–$18.75	41% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE 22950	$16.75	$23.92	$5.28–$22.96	28% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE 30465	$31.52	$45.02	$5.28–$43.22	35% above	30%
Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE 3300	$32.17	$45.95	$5.28–$44.11	38% above	30%
Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE 3075	$34.37	$49.09	$5.28–$47.13	47% above	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE 4033	$13.40	$19.13	$14.96–$18.36	—	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE 4031	$13.68	$19.53	$15.27–$18.75	—	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE 22950	$16.75	$23.92	$18.71–$22.96	—	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE 30465	$31.52	$45.02	$35.21–$43.22	—	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE 3300	$32.17	$45.95	$35.93–$44.11	—	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE 3075	$34.37	$49.09	$38.39–$47.13	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE- FOOD PANEL	$18.83	$26.90	$5.32–$25.82	48% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGN SP IGE QUANT OR SEMIQUAN	$18.83	$26.90	$5.32–$25.82	48% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE QUAN OR SEMIQUAN 130266	$23.20	$33.14	$5.32–$31.81	36% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE QUAN OR SEMIQUAN 130182	$26.53	$37.89	$5.32–$36.37	26% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE QUAN OR SEMIQUAN 130181	$27.00	$38.56	$5.32–$37.02	25% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE QUAN OR SEMIQUAN 22797	$57.17	$81.67	$5.32–$78.40	59% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LATEX ALLERGEN SP IGE QUAN OR SEMIQUAN	$74.89	$106.98	$5.32–$102.70	108% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE QUAN OR SEMIQUAN 130099	$79.04	$112.91	$5.32–$108.39	120% above	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGN SP IGE QUANT OR SEMIQUAN	$18.83	$26.90	$21.04–$25.82	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE- FOOD PANEL	$18.83	$26.90	$21.04–$25.82	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE QUAN OR SEMIQUAN 130266	$23.20	$33.14	$25.92–$31.81	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE QUAN OR SEMIQUAN 130182	$26.53	$37.89	$29.63–$36.37	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE QUAN OR SEMIQUAN 130181	$27.00	$38.56	$30.15–$37.02	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE QUAN OR SEMIQUAN 22797	$57.17	$81.67	$63.87–$78.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LATEX ALLERGEN SP IGE QUAN OR SEMIQUAN	$74.89	$106.98	$83.66–$102.70	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE QUAN OR SEMIQUAN 130099	$79.04	$112.91	$88.30–$108.39	—	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN SERUM 2474	$83.69	$119.55	$17.11–$114.77	11% below	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN SERUM 30225 30226	$101.50	$145.00	$17.11–$139.20	8% above	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN SERUM 2474	$83.69	$119.55	$93.49–$114.77	—	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN SERUM 30225 30226	$101.50	$145.00	$113.39–$139.20	—	30%
Ammonia blood test CPT 82140 HC AMMONIA 130159 3255	$140.28	$200.39	$14.86–$192.37	102% above	30%
Ammonia blood test inpatient CPT 82140 HC AMMONIA 130159 3255	$140.28	$200.39	$156.70–$192.37	—	30%
Amylase blood test CPT 82150 HC AMYLASE 14025	$37.65	$53.78	$6.61–$51.63	31% below	30%
Amylase blood test CPT 82150 HC AMYLASE 3265 3275	$64.91	$92.72	$6.61–$89.01	19% above	30%
Amylase blood test CPT 82150 HC AMYLASE 22940 3870 3875	$93.10	$132.99	$6.61–$127.67	70% above	30%
Amylase blood test inpatient CPT 82150 HC AMYLASE 14025	$37.65	$53.78	$42.06–$51.63	—	30%
Amylase blood test inpatient CPT 82150 HC AMYLASE 3265 3275	$64.91	$92.72	$72.51–$89.01	—	30%
Amylase blood test inpatient CPT 82150 HC AMYLASE 22940 3870 3875	$93.10	$132.99	$104.00–$127.67	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC IS LUNG-CCP AB	$49.54	$70.76	$13.21–$67.93	27% below	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY 13958	$103.65	$148.07	$13.21–$142.15	52% above	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC IS LUNG-CCP AB	$49.54	$70.76	$55.33–$67.93	—	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY 13958	$103.65	$148.07	$115.79–$142.15	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB ANA 130052	$70.56	$100.79	$12.33–$96.76	1% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB ANA 4330	$77.61	$110.87	$12.33–$106.44	9% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC SYMPHONY ANA	$79.38	$113.40	$12.33–$108.86	11% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB ANA 130213 100076 12443	$117.74	$168.19	$12.33–$161.46	65% above	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR AB ANA 130052	$70.56	$100.79	$78.82–$96.76	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR AB ANA 4330	$77.61	$110.87	$86.70–$106.44	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC SYMPHONY ANA	$79.38	$113.40	$88.68–$108.86	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR AB ANA 130213 100076 12443	$117.74	$168.19	$131.52–$161.46	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE 130063	$222.18	$317.40	$40.05–$304.70	52% above	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE 130063	$222.18	$317.40	$248.21–$304.70	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 88400	$80.12	$114.45	$8.79–$109.87	3% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25630	$81.31	$116.15	$8.79–$111.50	5% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25540	$88.36	$126.22	$8.79–$121.17	14% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 88040 88340	$91.49	$130.69	$8.79–$125.46	18% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25561 25620	$91.49	$130.69	$8.79–$125.46	18% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25610	$91.54	$130.76	$8.79–$125.53	18% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25553	$94.83	$135.47	$8.79–$130.05	22% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 8830	$95.55	$136.50	$8.79–$131.04	23% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25570	$99.73	$142.46	$8.79–$136.76	29% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25590	$107.02	$152.88	$8.79–$146.76	38% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 88080	$109.44	$156.34	$8.79–$150.09	41% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25580	$110.51	$157.86	$8.79–$151.55	42% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 88400	$80.12	$114.45	$89.50–$109.87	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25630	$81.31	$116.15	$90.83–$111.50	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25540	$88.36	$126.22	$98.70–$121.17	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25561 25620	$91.49	$130.69	$102.20–$125.46	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 88040 88340	$91.49	$130.69	$102.20–$125.46	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25610	$91.54	$130.76	$102.25–$125.53	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25553	$94.83	$135.47	$105.94–$130.05	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 8830	$95.55	$136.50	$106.74–$131.04	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25570	$99.73	$142.46	$111.40–$136.76	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25590	$107.02	$152.88	$119.55–$146.76	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 88080	$109.44	$156.34	$122.26–$150.09	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE 25580	$110.51	$157.86	$123.45–$151.55	—	30%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL W TOTAL CA 2422 23061	$123.04	$175.76	$8.63–$168.73	48% above	30%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL W TOTAL CA 2422 23061	$123.04	$175.76	$137.44–$168.73	—	30%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL 4033	$12.21	$17.44	$5.12–$16.74	54% below	30%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL 4031	$12.54	$17.91	$5.12–$17.19	53% below	30%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL 22950	$15.32	$21.88	$5.12–$21.00	42% below	30%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL 3300	$29.58	$42.25	$5.12–$40.56	12% above	30%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL 3061	$35.31	$50.44	$5.12–$48.42	33% above	30%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL 3060	$38.60	$55.13	$5.12–$52.92	46% above	30%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL 3064	$42.27	$60.38	$5.12–$57.96	60% above	30%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL 130074	$52.78	$75.39	$5.12–$72.37	99% above	30%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL 4033	$12.21	$17.44	$13.64–$16.74	—	30%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL 4031	$12.54	$17.91	$14.01–$17.19	—	30%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL 22950	$15.32	$21.88	$17.11–$21.00	—	30%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL 3300	$29.58	$42.25	$33.04–$40.56	—	30%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL 3061	$35.31	$50.44	$39.44–$48.42	—	30%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL 3060	$38.60	$55.13	$43.11–$52.92	—	30%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL 3064	$42.27	$60.38	$47.22–$57.96	—	30%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL 130074	$52.78	$75.39	$58.95–$72.37	—	30%
Blood culture for bacteria CPT 87040 HC CULTURE BACTERIAL BLOOD AEROBIC 25600 5110	$132.84	$189.77	$10.53–$182.18	20% above	30%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BACTERIAL BLOOD AEROBIC 25600 5110	$132.84	$189.77	$148.40–$182.18	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE 130211 9010	$23.90	$34.14	$9.53–$32.77	7% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE NON-CLINICAL 25017 9050	$39.70	$56.71	$9.53–$54.44	78% above	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE 130211 9010	$23.90	$34.14	$26.70–$32.77	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE NON-CLINICAL 25017 9050	$39.70	$56.71	$44.35–$54.44	—	30%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUAN BLOOD 130244 22744	$5.32	$7.59	$4.01–$7.86	87% below	30%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUAN BLOOD 22798	$8.42	$12.02	$4.01–$11.54	80% below	30%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUAN BLOOD 3111	$10.65	$15.21	$4.01–$14.60	74% below	30%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUAN BLOOD 130245	$11.11	$15.86	$4.01–$15.23	73% below	30%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUAN BLOOD 3108	$11.57	$16.52	$4.01–$15.86	72% below	30%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUAN BLOOD 3127	$12.14	$17.34	$4.01–$16.65	71% below	30%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUAN BLOOD 3017415	$21.19	$30.26	$4.01–$29.05	49% below	30%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUAN BLOOD 3015518 3025 3026 3005162	$39.75	$56.78	$4.01–$54.51	4% below	30%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUAN BLOOD 3601	$51.53	$73.61	$4.01–$70.67	24% above	30%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUAN BLOOD 130244 22744	$5.32	$7.59	$5.94–$7.29	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUAN BLOOD 22798	$8.42	$12.02	$9.40–$11.54	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUAN BLOOD 3111	$10.65	$15.21	$11.89–$14.60	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUAN BLOOD 130245	$11.11	$15.86	$12.40–$15.23	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUAN BLOOD 3108	$11.57	$16.52	$12.92–$15.86	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUAN BLOOD 3127	$12.14	$17.34	$13.56–$16.65	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUAN BLOOD 3017415	$21.19	$30.26	$23.66–$29.05	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUAN BLOOD 3015518 3025 3026 3005162	$39.75	$56.78	$44.40–$54.51	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUAN BLOOD 3601	$51.53	$73.61	$57.56–$70.67	—	30%
Blood lead test CPT 83655 HC LEAD 130233	$57.52	$82.17	$12.35–$78.88	3% above	30%
Blood lead test CPT 83655 HC LEAD 50015 50390	$69.49	$99.27	$12.35–$95.30	25% above	30%
Blood lead test CPT 83655 HC LEAD 22895 30340	$76.12	$108.74	$12.35–$104.39	37% above	30%
Blood lead test CPT 83655 HC LEAD 50300	$76.16	$108.80	$12.35–$104.45	37% above	30%
Blood lead test inpatient CPT 83655 HC LEAD 130233	$57.52	$82.17	$64.26–$78.88	—	30%
Blood lead test inpatient CPT 83655 HC LEAD 50015 50390	$69.49	$99.27	$77.63–$95.30	—	30%
Blood lead test inpatient CPT 83655 HC LEAD 22895 30340	$76.12	$108.74	$85.03–$104.39	—	30%
Blood lead test inpatient CPT 83655 HC LEAD 50300	$76.16	$108.80	$85.08–$104.45	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUAL	$20.49	$29.27	$7.67–$28.10	62% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUAL 3108	$23.27	$33.24	$7.67–$31.91	57% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUAL 6130	$83.89	$119.83	$7.67–$115.04	56% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUAL	$20.49	$29.27	$22.89–$28.10	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUAL 3108	$23.27	$33.24	$25.99–$31.91	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUAL 6130	$83.89	$119.83	$93.71–$115.04	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO 130041	$24.41	$34.86	$28.41–$271.86	70% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO 8190	$25.86	$36.93	$30.10–$271.86	68% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO 251265	$26.92	$38.45	$31.34–$271.86	67% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO 8010	$26.92	$38.45	$31.34–$271.86	67% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO 8020	$29.84	$42.62	$34.74–$271.86	63% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO 8005	$36.95	$52.78	$43.02–$271.86	54% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO 8180	$54.84	$78.33	$63.84–$271.86	32% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO DISCREPANCY	$91.88	$131.25	$106.97–$271.86	14% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO 130041	$24.41	$34.86	$27.26–$33.47	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO 8190	$25.86	$36.93	$28.88–$35.45	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO 251265	$26.92	$38.45	$30.07–$36.91	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO 8010	$26.92	$38.45	$30.07–$36.91	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO 8020	$29.84	$42.62	$33.33–$40.92	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO 8005	$36.95	$52.78	$41.27–$50.67	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO 8180	$54.84	$78.33	$61.25–$75.20	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO DISCREPANCY	$91.88	$131.25	$102.64–$126.00	—	30%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUAN 130244 22744	$5.49	$7.84	$4.03–$7.90	76% below	30%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUAN 22798	$8.89	$12.70	$4.03–$12.19	62% below	30%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUAN 3111	$11.25	$16.07	$4.03–$15.43	52% below	30%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUAN 130245	$11.86	$16.94	$4.03–$16.26	49% below	30%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUAN 3108	$12.23	$17.47	$4.03–$16.77	48% below	30%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUAN 3127	$12.86	$18.36	$4.03–$17.63	45% below	30%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUAN 22527	$14.07	$20.10	$4.03–$19.30	40% below	30%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUAN 3017415	$22.36	$31.93	$4.03–$30.65	4% below	30%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUAN 3030	$34.68	$49.54	$4.03–$47.56	49% above	30%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUAN 3015567	$36.21	$51.72	$4.03–$49.65	55% above	30%
Blood urea nitrogen (BUN) test CPT 84520 HC LIVER FIBROSIS, VIR. HEP-BUN	$51.36	$73.37	$4.03–$70.44	120% above	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUAN 130244 22744	$5.49	$7.84	$6.13–$7.53	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUAN 22798	$8.89	$12.70	$9.93–$12.19	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUAN 3111	$11.25	$16.07	$12.57–$15.43	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUAN 130245	$11.86	$16.94	$13.25–$16.26	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUAN 3108	$12.23	$17.47	$13.66–$16.77	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUAN 3127	$12.86	$18.36	$14.36–$17.63	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUAN 22527	$14.07	$20.10	$15.72–$19.30	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUAN 3017415	$22.36	$31.93	$24.97–$30.65	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUAN 3030	$34.68	$49.54	$38.74–$47.56	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUAN 3015567	$36.21	$51.72	$40.45–$49.65	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC LIVER FIBROSIS, VIR. HEP-BUN	$51.36	$73.37	$57.38–$70.44	—	30%
C-peptide blood test CPT 84681 HC C-PEPTIDE 50215	$117.74	$168.20	$21.23–$161.47	5% above	30%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE 50215	$117.74	$168.20	$131.53–$161.47	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN 23006	$88.83	$126.90	$5.28–$121.82	23% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN 23006	$88.83	$126.90	$99.24–$121.82	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF AMPLIFIED PROBE 130252	$155.75	$222.49	$38.02–$213.59	at median	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF AMPLIFIED PROBE 130252	$155.75	$222.49	$173.99–$213.59	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 HC IA QUANT CA 19-9 130275	$133.75	$191.06	$21.23–$183.42	36% above	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IA QUANT CA 19-9 130275	$133.75	$191.06	$149.41–$183.42	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IA QUANT CA 125 130272	$133.75	$191.06	$21.23–$183.42	16% above	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC ROMA-CA125	$173.67	$248.09	$21.23–$238.17	50% above	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IA QUANT CA 125 130272	$133.75	$191.06	$149.41–$183.42	—	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC ROMA-CA125	$173.67	$248.09	$194.01–$238.17	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 CDC HIGH THROUGHPUT	$84.09	$120.12	$52.34–$115.32	23% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC NON-CDC 2019 NOVEL CORONAVIRUS RT-PCR DIAGNOSTIC PANEL	$84.09	$120.12	$52.34–$115.32	23% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 CDC HIGH THROUGHPUT	$84.09	$120.12	$93.93–$115.32	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC NON-CDC 2019 NOVEL CORONAVIRUS RT-PCR DIAGNOSTIC PANEL	$84.09	$120.12	$93.93–$115.32	—	30%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL 130244 22744	$7.00	$9.99	$5.26–$10.32	73% below	30%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL 22798	$11.64	$16.62	$5.26–$15.96	55% below	30%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL 22527	$12.32	$17.60	$5.26–$16.90	52% below	30%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL 3111	$14.68	$20.97	$5.26–$20.13	43% below	30%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL 130245	$15.32	$21.88	$5.26–$21.00	41% below	30%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL 3108	$15.91	$22.72	$5.26–$21.81	39% below	30%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL 3127	$16.80	$24.00	$5.26–$23.04	35% below	30%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL 3017415	$29.21	$41.72	$5.26–$40.05	13% above	30%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL 3040	$34.68	$49.54	$5.26–$47.56	34% above	30%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL 130244 22744	$7.00	$9.99	$7.81–$9.59	—	30%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL 22798	$11.64	$16.62	$13.00–$15.96	—	30%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL 22527	$12.32	$17.60	$13.76–$16.90	—	30%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL 3111	$14.68	$20.97	$16.40–$20.13	—	30%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL 130245	$15.32	$21.88	$17.11–$21.00	—	30%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL 3108	$15.91	$22.72	$17.77–$21.81	—	30%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL 3127	$16.80	$24.00	$18.77–$23.04	—	30%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL 3017415	$29.21	$41.72	$32.63–$40.05	—	30%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL 3040	$34.68	$49.54	$38.74–$47.56	—	30%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA 3365	$139.71	$199.58	$19.34–$191.60	55% above	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA 3365	$139.71	$199.58	$156.07–$191.60	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER AB 50130	$60.97	$87.09	$13.14–$83.61	14% above	30%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER AB	$60.99	$87.12	$13.14–$83.64	14% above	30%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER AB 130084	$63.48	$90.68	$13.14–$87.05	19% above	30%
Chickenpox (varicella) immunity blood test CPT 86787 HC AB VARICELLA-ZOSTER	$79.03	$112.90	$13.14–$108.38	48% above	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER AB 50130	$60.97	$87.09	$68.10–$83.61	—	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER AB	$60.99	$87.12	$68.13–$83.64	—	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER AB 130084	$63.48	$90.68	$70.91–$87.05	—	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC AB VARICELLA-ZOSTER	$79.03	$112.90	$88.29–$108.38	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T AMPLIF NA PROBE 5295	$97.26	$138.93	$35.79–$133.37	1% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T AMPLIF NA PROBE 25523	$116.95	$167.07	$35.79–$160.39	22% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T AMPLIF NA PROBE 5293	$126.93	$181.32	$35.79–$174.07	32% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T AMPLIF NA PROBE 130218	$133.73	$191.04	$35.79–$183.40	39% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T AMPLIF NA PROBE 5295	$97.26	$138.93	$108.64–$133.37	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T AMPLIF NA PROBE 25523	$116.95	$167.07	$130.65–$160.39	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T AMPLIF NA PROBE 5293	$126.93	$181.32	$141.79–$174.07	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T AMPLIF NA PROBE 130218	$133.73	$191.04	$149.39–$183.40	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 22798	$25.26	$36.08	$13.66–$34.64	65% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 4033	$28.75	$41.07	$13.66–$39.43	60% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 4031	$29.52	$42.16	$13.66–$40.47	59% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 3111	$31.78	$45.39	$13.66–$43.57	56% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 130245	$33.14	$47.33	$13.66–$45.44	54% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 3108	$34.53	$49.32	$13.66–$47.35	52% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 22950	$36.00	$51.42	$13.66–$49.36	50% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 3127	$36.26	$51.79	$13.66–$49.72	50% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 130332	$44.13	$63.03	$13.66–$60.51	39% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 3016847	$56.45	$80.64	$13.66–$77.41	22% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 3016854	$60.88	$86.96	$13.66–$83.48	16% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 3016870	$61.16	$87.37	$13.66–$83.88	16% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 3017415	$63.24	$90.33	$13.66–$86.72	13% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 22744	$63.93	$91.32	$13.66–$87.67	12% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 3016862	$67.00	$95.71	$13.66–$91.88	7% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 3016839	$71.43	$102.03	$13.66–$97.95	1% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 130177	$80.99	$115.70	$13.66–$111.07	12% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROTEIN ELECTROPHORESIS LIPID PANEL	$107.65	$153.78	$13.66–$147.63	49% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL PR137	$108.34	$154.76	$13.66–$148.57	50% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 3400 130280	$113.44	$162.05	$13.66–$155.57	57% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL 6676	$159.65	$228.06	$13.66–$218.94	120% above	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 22798	$25.26	$36.08	$28.21–$34.64	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 4033	$28.75	$41.07	$32.12–$39.43	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 4031	$29.52	$42.16	$32.97–$40.47	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 3111	$31.78	$45.39	$35.49–$43.57	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 130245	$33.14	$47.33	$37.01–$45.44	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 3108	$34.53	$49.32	$38.57–$47.35	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 22950	$36.00	$51.42	$40.21–$49.36	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 3127	$36.26	$51.79	$40.50–$49.72	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 130332	$44.13	$63.03	$49.29–$60.51	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 3016847	$56.45	$80.64	$63.06–$77.41	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 3016854	$60.88	$86.96	$68.00–$83.48	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 3016870	$61.16	$87.37	$68.32–$83.88	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 3017415	$63.24	$90.33	$70.64–$86.72	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 22744	$63.93	$91.32	$71.41–$87.67	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 3016862	$67.00	$95.71	$74.85–$91.88	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 3016839	$71.43	$102.03	$79.79–$97.95	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 130177	$80.99	$115.70	$90.48–$111.07	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROTEIN ELECTROPHORESIS LIPID PANEL	$107.65	$153.78	$120.26–$147.63	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL PR137	$108.34	$154.76	$121.02–$148.57	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 3400 130280	$113.44	$162.05	$126.72–$155.57	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL 6676	$159.65	$228.06	$178.34–$218.94	—	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 4031	$21.91	$31.29	$7.93–$30.04	60% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3111 4033	$22.36	$31.93	$7.93–$30.65	59% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3108	$23.96	$34.22	$7.93–$32.85	56% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 22950	$25.16	$35.93	$7.93–$34.49	54% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3127	$25.24	$36.05	$7.93–$34.61	54% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 130332	$30.82	$44.02	$7.93–$42.26	43% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3016847	$39.34	$56.20	$7.93–$53.95	28% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3016854	$42.47	$60.67	$7.93–$58.24	22% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3016870	$42.76	$61.08	$7.93–$58.64	22% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3016862	$46.70	$66.71	$7.93–$64.04	14% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3016839	$49.90	$71.28	$7.93–$68.43	8% below	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF PR137	$99.01	$141.43	$7.93–$135.77	82% above	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF PR147	$99.01	$141.43	$7.93–$135.77	82% above	30%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 130173 1500 22744	$104.96	$149.94	$7.93–$143.94	93% above	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 4031	$21.91	$31.29	$24.47–$30.04	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3111 4033	$22.36	$31.93	$24.97–$30.65	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3108	$23.96	$34.22	$26.76–$32.85	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 22950	$25.16	$35.93	$28.10–$34.49	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3127	$25.24	$36.05	$28.19–$34.61	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 130332	$30.82	$44.02	$34.42–$42.26	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3016847	$39.34	$56.20	$43.95–$53.95	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3016854	$42.47	$60.67	$47.44–$58.24	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3016870	$42.76	$61.08	$47.76–$58.64	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3016862	$46.70	$66.71	$52.17–$64.04	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 3016839	$49.90	$71.28	$55.74–$68.43	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF PR147	$99.01	$141.43	$110.60–$135.77	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF PR137	$99.01	$141.43	$110.60–$135.77	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF 130173 1500 22744	$104.96	$149.94	$117.25–$143.94	—	30%
Complete blood count (CBC), no differential CPT 85027 HC COMPL AUTOM CBC W PLT 130212 3890 3895	$78.83	$112.61	$6.60–$108.11	57% above	30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPL AUTOM CBC W PLT 130212 3890 3895	$78.83	$112.61	$88.06–$108.11	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREH METABOLIC PANEL 130332	$41.94	$59.91	$10.77–$57.51	63% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSVE METABOLIC PANEL 3016847	$53.53	$76.46	$10.77–$73.40	52% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSVE METABOLIC PANEL 3016854	$59.62	$85.17	$10.77–$81.76	47% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSVE METABOLIC PANEL 3016870	$60.07	$85.81	$10.77–$82.38	46% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSVE METABOLIC PANEL 3016862	$65.60	$93.71	$10.77–$89.96	41% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSVE METABOLIC PANEL 3016839	$70.10	$100.13	$10.77–$96.12	37% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSVE METABOLIC PANEL PR147	$98.56	$140.79	$10.77–$135.16	12% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSVE METABOLIC PANEL PR137	$98.56	$140.79	$10.77–$135.16	12% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREH METABOLIC PANEL 23063	$98.56	$140.79	$10.77–$135.16	12% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMP METABOLIC PANEL 3017415	$138.82	$198.31	$10.77–$190.38	24% above	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSVE METABOLIC PANEL 2425 130280	$144.72	$206.74	$10.77–$198.47	29% above	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREH METABOLIC PANEL 130332	$41.94	$59.91	$46.85–$57.51	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSVE METABOLIC PANEL 3016847	$53.53	$76.46	$59.79–$73.40	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSVE METABOLIC PANEL 3016854	$59.62	$85.17	$66.60–$81.76	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSVE METABOLIC PANEL 3016870	$60.07	$85.81	$67.10–$82.38	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSVE METABOLIC PANEL 3016862	$65.60	$93.71	$73.28–$89.96	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSVE METABOLIC PANEL 3016839	$70.10	$100.13	$78.30–$96.12	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREH METABOLIC PANEL 23063	$98.56	$140.79	$110.10–$135.16	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSVE METABOLIC PANEL PR137	$98.56	$140.79	$110.10–$135.16	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSVE METABOLIC PANEL PR147	$98.56	$140.79	$110.10–$135.16	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMP METABOLIC PANEL 3017415	$138.82	$198.31	$155.08–$190.38	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSVE METABOLIC PANEL 2425 130280	$144.72	$206.74	$161.67–$198.47	—	30%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL 3015435	$128.61	$183.72	$16.63–$176.37	23% above	30%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL CORT1HR 30MIN BASE	$131.70	$188.13	$16.63–$180.60	26% above	30%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL 3015435	$128.61	$183.72	$143.67–$176.37	—	30%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL CORT1HR 30MIN BASE	$131.70	$188.13	$147.12–$180.60	—	30%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CK CPK TOTAL 22948	$45.55	$65.07	$6.64–$62.47	5% above	30%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CK CPK TOTAL 4350	$49.61	$70.86	$6.64–$68.03	14% above	30%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CK CPK TOTAL 22546	$51.24	$73.20	$6.64–$70.27	18% above	30%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CK CPK TOTAL 3034	$66.91	$95.58	$6.64–$91.76	54% above	30%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CK CPK TOTAL 10949	$66.91	$95.58	$6.64–$91.76	54% above	30%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CK CPK TOTAL CKCKMB	$69.69	$99.55	$6.64–$95.57	60% above	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CK CPK TOTAL 22948	$45.55	$65.07	$50.88–$62.47	—	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CK CPK TOTAL 4350	$49.61	$70.86	$55.41–$68.03	—	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CK CPK TOTAL 22546	$51.24	$73.20	$57.24–$70.27	—	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CK CPK TOTAL 10949	$66.91	$95.58	$74.74–$91.76	—	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CK CPK TOTAL 3034	$66.91	$95.58	$74.74–$91.76	—	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CK CPK TOTAL CKCKMB	$69.69	$99.55	$77.85–$95.57	—	30%
Creatinine blood test CPT 82565 HC CREATININE BLOOD 130244 22744	$6.92	$9.88	$5.22–$10.24	72% below	30%
Creatinine blood test CPT 82565 HC CREATININE BLOOD 22798	$11.55	$16.50	$5.22–$15.84	53% below	30%
Creatinine blood test CPT 82565 HC CREATININE BLOOD 22527	$12.32	$17.60	$5.22–$16.90	50% below	30%
Creatinine blood test CPT 82565 HC CREATININE BLOOD 3111	$14.53	$20.75	$5.22–$19.92	40% below	30%
Creatinine blood test CPT 82565 HC CREATININE BLOOD 130245	$15.11	$21.58	$5.22–$20.72	38% below	30%
Creatinine blood test CPT 82565 HC CREATININE BLOOD 3108	$15.73	$22.47	$5.22–$21.57	36% below	30%
Creatinine blood test CPT 82565 HC CREATININE BLOOD 3127	$16.44	$23.48	$5.22–$22.54	33% below	30%
Creatinine blood test CPT 82565 HC CREATININE BLOOD 3017415	$28.83	$41.18	$5.22–$39.53	18% above	30%
Creatinine blood test CPT 82565 HC CREATININE BLOOD 301865 23020 23065 3031	$39.05	$55.78	$5.22–$53.55	60% above	30%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD 130244 22744	$6.92	$9.88	$7.73–$9.48	—	30%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD 22798	$11.55	$16.50	$12.90–$15.84	—	30%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD 22527	$12.32	$17.60	$13.76–$16.90	—	30%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD 3111	$14.53	$20.75	$16.23–$19.92	—	30%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD 130245	$15.11	$21.58	$16.88–$20.72	—	30%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD 3108	$15.73	$22.47	$17.57–$21.57	—	30%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD 3127	$16.44	$23.48	$18.36–$22.54	—	30%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD 3017415	$28.83	$41.18	$32.20–$39.53	—	30%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD 301865 23020 23065 3031	$39.05	$55.78	$43.62–$53.55	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS AB 1815	$65.05	$92.92	$14.68–$89.20	8% below	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS AB 22915	$65.38	$93.39	$14.68–$89.65	8% below	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS AB 4335	$69.96	$99.93	$14.68–$95.93	1% below	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS AB CMV IGG BY ELISHA	$129.01	$184.29	$14.68–$176.92	82% above	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS AB 1815	$65.05	$92.92	$72.66–$89.20	—	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS AB 22915	$65.38	$93.39	$73.03–$89.65	—	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS AB 4335	$69.96	$99.93	$78.15–$95.93	—	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS AB CMV IGG BY ELISHA	$129.01	$184.29	$144.11–$176.92	—	30%
D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUAN 3012192	$251.14	$358.76	$10.38–$344.41	124% above	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QUAN 3012192	$251.14	$358.76	$280.55–$344.41	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA S 130037 130270	$101.55	$145.07	$22.67–$139.27	26% below	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA S 23030 3122	$137.74	$196.77	$22.67–$188.90	1% above	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA S 130037 130270	$101.55	$145.07	$113.44–$139.27	—	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA S 23030 3122	$137.74	$196.77	$153.87–$188.90	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN MGMT DRUG SCREEN	$26.69	$38.12	$31.07–$124.28	79% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PRESUMPTV 1 CLASS LIST B PAIN MGT	$30.17	$43.10	$35.13–$124.28	76% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CLASS LIST A PAIN MGT	$30.20	$43.14	$35.16–$124.28	76% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CLASS LIST A URINE ETHAN QUAL	$103.69	$148.12	$63.38–$142.20	19% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC FENTANYL SCREEN, URINE	$120.40	$172.00	$63.38–$165.12	6% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BLOOD ALCOHOL SCREEN PRSMV CHEM ANLYZR	$136.49	$194.98	$63.38–$187.18	6% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ACETAMINOPHEN SCREEN PRSMV CHEM ANLYZR	$142.72	$203.88	$63.38–$195.72	11% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SALICYLATE SCREEN PRSMV CHEM ANLYZR	$142.72	$203.88	$63.38–$195.72	11% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DOT URINE DRUG SCREEN	$147.00	$210.00	$63.38–$201.60	15% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN ONE/MULT CLASS PAIN MGT	$150.81	$215.44	$63.38–$206.82	18% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CLASS LIST A URINE ETHYL GLUC	$194.63	$278.03	$63.38–$266.91	52% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CLASS LIST A URINE DRUG	$195.04	$278.62	$63.38–$267.48	52% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC KRATOM QNT URINE	$255.28	$364.68	$63.38–$350.09	99% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC UMBILICAL CORD DRUG SCREEN (NMS)	$358.67	$512.38	$63.38–$491.88	180% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CLASS LIST A MECONIUM	$416.59	$595.12	$63.38–$571.32	225% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CLASS LIST A DRUG ABUSE PNL 7	$507.82	$725.45	$63.38–$696.43	296% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CLASS LIST A DRUG PNL 9	$571.28	$816.11	$63.38–$783.47	345% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN MULTI CLASS MOD CMPLX UMBIL CORD	$662.16	$945.94	$63.38–$908.10	416% above	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PAIN MGMT DRUG SCREEN	$26.69	$38.12	$29.81–$36.60	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PRESUMPTV 1 CLASS LIST B PAIN MGT	$30.17	$43.10	$33.70–$41.38	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CLASS LIST A PAIN MGT	$30.20	$43.14	$33.74–$41.41	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CLASS LIST A URINE ETHAN QUAL	$103.69	$148.12	$115.83–$142.20	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC FENTANYL SCREEN, URINE	$120.40	$172.00	$134.50–$165.12	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BLOOD ALCOHOL SCREEN PRSMV CHEM ANLYZR	$136.49	$194.98	$152.47–$187.18	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ACETAMINOPHEN SCREEN PRSMV CHEM ANLYZR	$142.72	$203.88	$159.43–$195.72	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SALICYLATE SCREEN PRSMV CHEM ANLYZR	$142.72	$203.88	$159.43–$195.72	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DOT URINE DRUG SCREEN	$147.00	$210.00	$164.22–$201.60	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN ONE/MULT CLASS PAIN MGT	$150.81	$215.44	$168.47–$206.82	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CLASS LIST A URINE ETHYL GLUC	$194.63	$278.03	$217.42–$266.91	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CLASS LIST A URINE DRUG	$195.04	$278.62	$217.88–$267.48	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC KRATOM QNT URINE	$255.28	$364.68	$285.18–$350.09	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC UMBILICAL CORD DRUG SCREEN (NMS)	$358.67	$512.38	$400.68–$491.88	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CLASS LIST A MECONIUM	$416.59	$595.12	$465.38–$571.32	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CLASS LIST A DRUG ABUSE PNL 7	$507.82	$725.45	$567.30–$696.43	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CLASS LIST A DRUG PNL 9	$571.28	$816.11	$638.20–$783.47	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN MULTI CLASS MOD CMPLX UMBIL CORD	$662.16	$945.94	$739.73–$908.10	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL 22527	$14.98	$21.40	$7.15–$20.54	74% below	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL 3000 3015526	$62.56	$89.37	$7.15–$85.80	9% above	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL 22527	$14.98	$21.40	$16.73–$20.54	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL 3000 3015526	$62.56	$89.37	$69.89–$85.80	—	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPS BARR VIRUS VCA 14737	$85.85	$122.64	$18.50–$117.73	15% below	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPS BARR VIRUS VCA AB BY IFA	$86.63	$123.75	$18.50–$118.80	14% below	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPS BARR VIRUS VCA 22519	$94.65	$135.21	$18.50–$129.80	7% below	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPS BARR VIRUS VCA 372750	$95.61	$136.58	$18.50–$131.12	6% below	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPS BARR VIRUS VCA 14737	$85.85	$122.64	$95.90–$117.73	—	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPS BARR VIRUS VCA AB BY IFA	$86.63	$123.75	$96.77–$118.80	—	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPS BARR VIRUS VCA 22519	$94.65	$135.21	$105.73–$129.80	—	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPS BARR VIRUS VCA 372750	$95.61	$136.58	$106.81–$131.12	—	30%
Estradiol blood test CPT 82670 HC ESTRADIOL 130273	$145.14	$207.33	$28.50–$199.04	17% above	30%
Estradiol blood test CPT 82670 HC ESTRADIOL 3006764	$181.18	$258.82	$28.50–$248.47	46% above	30%
Estradiol blood test CPT 82670 HC ESTRADIOL SENSITIVE	$372.97	$532.81	$28.50–$511.50	201% above	30%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL 130273	$145.14	$207.33	$162.13–$199.04	—	30%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL 3006764	$181.18	$258.82	$202.40–$248.47	—	30%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL SENSITIVE	$372.97	$532.81	$416.66–$511.50	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FSH 3313	$164.17	$234.52	$18.95–$225.14	43% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FSH 3311	$172.60	$246.56	$18.95–$236.70	50% above	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FSH 3313	$164.17	$234.52	$183.39–$225.14	—	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FSH 3311	$172.60	$246.56	$192.81–$236.70	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL	$369.23	$527.46	$20.02–$506.36	73% above	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL	$369.23	$527.46	$412.47–$506.36	—	30%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$39.76	$56.79	$13.90–$54.52	56% below	30%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN 3108	$39.97	$57.09	$13.90–$54.81	56% below	30%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN 23007	$120.26	$171.80	$13.90–$164.93	32% above	30%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$39.76	$56.79	$44.41–$54.52	—	30%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN 3108	$39.97	$57.09	$44.64–$54.81	—	30%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN 23007	$120.26	$171.80	$134.35–$164.93	—	30%
Fibrinogen blood test CPT 85384 HC TEG6 W PLATELET MAP FIBR ACT	$28.73	$41.04	$9.91–$39.40	60% below	30%
Fibrinogen blood test CPT 85384 HC TEG6 HEM FIBR ACT	$57.28	$81.82	$9.91–$78.55	20% below	30%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN PANEL ACTIVITY	$61.21	$87.43	$9.91–$83.93	14% below	30%
Fibrinogen blood test CPT 85384 HC TEG6 HEM W LYS FIBR ACT	$61.37	$87.67	$9.91–$84.16	14% below	30%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY 7080	$88.66	$126.65	$9.91–$121.58	24% above	30%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY 7050	$114.60	$163.71	$9.91–$157.16	60% above	30%
Fibrinogen blood test inpatient CPT 85384 HC TEG6 W PLATELET MAP FIBR ACT	$28.73	$41.04	$32.09–$39.40	—	30%
Fibrinogen blood test inpatient CPT 85384 HC TEG6 HEM FIBR ACT	$57.28	$81.82	$63.98–$78.55	—	30%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN PANEL ACTIVITY	$61.21	$87.43	$68.37–$83.93	—	30%
Fibrinogen blood test inpatient CPT 85384 HC TEG6 HEM W LYS FIBR ACT	$61.37	$87.67	$68.56–$84.16	—	30%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY 7080	$88.66	$126.65	$99.04–$121.58	—	30%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY 7050	$114.60	$163.71	$128.02–$157.16	—	30%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM 3364 3014990	$101.56	$145.08	$14.99–$139.28	10% above	30%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM 3364 3014990	$101.56	$145.08	$113.45–$139.28	—	30%
Free T3 thyroid hormone test CPT 84481 HC T3 FREE 30255	$99.92	$142.74	$17.28–$137.03	7% below	30%
Free T3 thyroid hormone test CPT 84481 HC T3 FREE 3015682	$111.84	$159.77	$17.28–$153.38	4% above	30%
Free T3 thyroid hormone test CPT 84481 HC T3 FREE 22520	$121.83	$174.03	$17.28–$167.07	14% above	30%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE 30255	$99.92	$142.74	$111.62–$137.03	—	30%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE 3015682	$111.84	$159.77	$124.94–$153.38	—	30%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE 22520	$121.83	$174.03	$136.09–$167.07	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 3016847	$45.69	$65.27	$9.20–$62.66	41% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 3016854	$46.76	$66.79	$9.20–$64.12	39% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 22552	$50.57	$72.24	$9.20–$69.35	35% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 3016862	$51.43	$73.46	$9.20–$70.52	33% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 3016839	$55.02	$78.60	$9.20–$75.46	29% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 22746	$60.65	$86.64	$9.20–$83.17	22% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 22520	$61.70	$88.14	$9.20–$84.61	20% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 3163	$64.22	$91.73	$9.20–$88.06	17% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 130221	$94.99	$135.70	$9.20–$130.27	23% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 3173	$99.74	$142.48	$9.20–$136.78	29% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 130058	$109.99	$157.12	$9.20–$150.84	42% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE 3381	$109.99	$157.12	$9.20–$150.84	42% above	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 3016847	$45.69	$65.27	$51.04–$62.66	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 3016854	$46.76	$66.79	$52.23–$64.12	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 22552	$50.57	$72.24	$56.49–$69.35	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 3016862	$51.43	$73.46	$57.45–$70.52	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 3016839	$55.02	$78.60	$61.47–$75.46	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 22746	$60.65	$86.64	$67.75–$83.17	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 22520	$61.70	$88.14	$68.93–$84.61	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 3163	$64.22	$91.73	$71.73–$88.06	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 130221	$94.99	$135.70	$106.12–$130.27	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 3173	$99.74	$142.48	$111.42–$136.78	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 130058	$109.99	$157.12	$122.87–$150.84	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE 3381	$109.99	$157.12	$122.87–$150.84	—	30%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE 30545	$104.91	$149.87	$25.98–$143.88	9% below	30%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE DIRECT MEAS	$115.17	$164.52	$25.98–$157.94	1% below	30%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE 22507	$135.51	$193.58	$25.98–$185.84	17% above	30%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE 30545	$104.91	$149.87	$117.20–$143.88	—	30%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE DIRECT MEAS	$115.17	$164.52	$128.65–$157.94	—	30%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE 22507	$135.51	$193.58	$151.38–$185.84	—	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 130244 22744	$9.90	$14.14	$7.34–$14.40	69% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 22798	$15.46	$22.08	$7.34–$21.20	52% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 3111	$19.58	$27.97	$7.34–$26.85	39% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 130245	$20.34	$29.05	$7.34–$27.89	36% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 3108	$21.12	$30.16	$7.34–$28.95	34% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 3127	$22.27	$31.81	$7.34–$30.54	30% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 130332	$28.59	$40.84	$7.34–$39.21	11% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 130280 3070	$36.04	$51.48	$7.34–$49.42	13% above	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA PR147	$36.21	$51.72	$7.34–$49.65	13% above	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 3017415	$38.11	$54.44	$7.34–$52.26	19% above	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 3300	$43.58	$62.25	$7.34–$59.76	36% above	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC LIVER FIBROSIS, VIR. HEP-GGT	$55.58	$79.39	$7.34–$76.21	74% above	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 130244 22744	$9.90	$14.14	$11.06–$13.57	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 22798	$15.46	$22.08	$17.27–$21.20	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 3111	$19.58	$27.97	$21.87–$26.85	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 130245	$20.34	$29.05	$22.72–$27.89	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 3108	$21.12	$30.16	$23.59–$28.95	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 3127	$22.27	$31.81	$24.88–$30.54	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 130332	$28.59	$40.84	$31.94–$39.21	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 130280 3070	$36.04	$51.48	$40.26–$49.42	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA PR147	$36.21	$51.72	$40.45–$49.65	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 3017415	$38.11	$54.44	$42.57–$52.26	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA 3300	$43.58	$62.25	$48.68–$59.76	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC LIVER FIBROSIS, VIR. HEP-GGT	$55.58	$79.39	$62.08–$76.21	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE 3024	$55.85	$79.78	$4.85–$76.59	28% above	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE 3601	$56.15	$80.21	$4.85–$77.00	29% above	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE 3024	$55.85	$79.78	$62.39–$76.59	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE 3601	$56.15	$80.21	$62.72–$77.00	—	30%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST 3 SPECM 2645	$135.04	$192.91	$13.13–$185.19	48% above	30%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST 3 SPECM 130306	$145.42	$207.73	$13.13–$199.42	59% above	30%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST 3 SPECM 3028	$195.15	$278.78	$13.13–$267.63	114% above	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST 3 SPECM 2645	$135.04	$192.91	$150.86–$185.19	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST 3 SPECM 130306	$145.42	$207.73	$162.44–$199.42	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST 3 SPECM 3028	$195.15	$278.78	$218.01–$267.63	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA AMPLIF NA PROBE 5295	$97.26	$138.93	$35.79–$133.37	2% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA AMPLIF NA PROBE 25523	$116.95	$167.07	$35.79–$160.39	23% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA AMPLIF NA PROBE 130218	$132.52	$189.31	$35.79–$181.74	39% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA AMPLIF NA PROBE 5297	$132.98	$189.96	$35.79–$182.36	40% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA AMPLIF NA PROBE 5295	$97.26	$138.93	$108.64–$133.37	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA AMPLIF NA PROBE 25523	$116.95	$167.07	$130.65–$160.39	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA AMPLIF NA PROBE 130218	$132.52	$189.31	$148.04–$181.74	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA AMPLIF NA PROBE 5297	$132.98	$189.96	$148.55–$182.36	—	30%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB 14775	$74.35	$106.21	$17.19–$101.96	28% below	30%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGA	$123.12	$175.88	$17.19–$168.84	19% above	30%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB 14735	$158.23	$226.04	$17.19–$217.00	54% above	30%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB 14775	$74.35	$106.21	$83.06–$101.96	—	30%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGA	$123.12	$175.88	$137.54–$168.84	—	30%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB 14735	$158.23	$226.04	$176.76–$217.00	—	30%
H. pylori stool antigen test CPT 87338 HC HPYLORI STOOL IMMUNOASSAY 30595	$94.08	$134.40	$14.67–$129.02	at median	30%
H. pylori stool antigen test inpatient CPT 87338 HC HPYLORI STOOL IMMUNOASSAY 30595	$94.08	$134.40	$105.10–$129.02	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 NA QUAN 30540	$357.38	$510.53	$86.80–$490.11	47% above	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 NA QUAN 30540	$357.38	$510.53	$399.23–$490.11	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 SINGLE RESULT AB 25525	$47.88	$68.40	$13.98–$65.66	34% below	30%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 SINGLE RESULT AB 130276 130310	$85.53	$122.18	$13.98–$117.29	18% above	30%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 SINGLE RESULT AB 3407	$190.59	$272.26	$13.98–$261.37	162% above	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2 SINGLE RESULT AB 25525	$47.88	$68.40	$53.49–$65.66	—	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2 SINGLE RESULT AB 130276 130310	$85.53	$122.18	$95.54–$117.29	—	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2 SINGLE RESULT AB 3407	$190.59	$272.26	$212.91–$261.37	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1/2 AB & P24 AG	$89.56	$127.94	$24.56–$122.82	24% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1/2 AB & P24 AG	$89.56	$127.94	$100.05–$122.82	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C 130032 130267 130285	$121.43	$173.46	$9.90–$166.52	150% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C 130032 130267 130285	$121.43	$173.46	$135.65–$166.52	—	30%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN 1535 22506 3017274	$32.06	$45.80	$2.42–$43.97	6% above	30%
Hemoglobin blood test CPT 85018 HC POC HEMOGLOBIN (CO-OX)	$42.69	$60.98	$2.42–$58.54	41% above	30%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN 1535 22506 3017274	$32.06	$45.80	$35.82–$43.97	—	30%
Hemoglobin blood test inpatient CPT 85018 HC POC HEMOGLOBIN (CO-OX)	$42.69	$60.98	$47.69–$58.54	—	30%
Hepatitis B core antibody test (total) CPT 86704 HC HBCAB TOTAL AB 130213 3088	$49.49	$70.69	$12.29–$67.86	14% below	30%
Hepatitis B core antibody test (total) CPT 86704 HC HBCAB TOTAL AB 30090	$75.25	$107.49	$12.29–$103.19	31% above	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HBCAB TOTAL AB 130213 3088	$49.49	$70.69	$55.28–$67.86	—	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HBCAB TOTAL AB 30090	$75.25	$107.49	$84.06–$103.19	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY 130213 3088	$45.08	$64.40	$10.95–$61.82	29% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY 130313 30080	$93.80	$134.00	$10.95–$128.64	47% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP PANEL-HBSAB	$95.37	$136.23	$10.95–$130.78	49% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY 130213 3088	$45.08	$64.40	$50.36–$61.82	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY 130313 30080	$93.80	$134.00	$104.79–$128.64	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP PANEL-HBSAB	$95.37	$136.23	$106.53–$130.78	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA 130213 3088	$43.35	$61.92	$10.54–$59.44	31% below	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA HEP B PANEL	$70.07	$100.09	$10.54–$96.09	12% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA 30110	$89.58	$127.96	$10.54–$122.84	43% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA 130312	$93.36	$133.36	$10.54–$128.03	50% above	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG EIA 130213 3088	$43.35	$61.92	$48.42–$59.44	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG EIA HEP B PANEL	$70.07	$100.09	$78.27–$96.09	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG EIA 30110	$89.58	$127.96	$100.06–$122.84	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG EIA 130312	$93.36	$133.36	$104.29–$128.03	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB 130213 3088	$59.90	$85.57	$14.56–$82.15	10% below	30%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB 130113 130311	$112.40	$160.57	$14.56–$154.15	69% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV AB HI-RISK SCREENING	$114.31	$163.30	$14.56–$156.77	72% above	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB 130213 3088	$59.90	$85.57	$66.92–$82.15	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB 130113 130311	$112.40	$160.57	$125.57–$154.15	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV AB HI-RISK SCREENING	$114.31	$163.30	$127.70–$156.77	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEP C NA QUANT 130133 50240	$318.95	$455.64	$43.70–$437.41	43% above	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEP C NA QUANT 130133 50240	$318.95	$455.64	$356.31–$437.41	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 AB 130282	$78.57	$112.24	$13.45–$107.75	31% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 AB 130281	$79.34	$113.34	$13.45–$108.81	33% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 3017688	$85.78	$122.53	$13.45–$117.63	43% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 AB 3015419	$89.90	$128.42	$13.45–$123.28	50% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 AB 26002	$95.37	$136.24	$13.45–$130.79	59% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 AB HSV 1/2 IGM TYPE SPECIFIC IGG	$129.36	$184.79	$13.45–$177.40	116% above	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 AB 130282	$78.57	$112.24	$87.77–$107.75	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 AB 130281	$79.34	$113.34	$88.63–$108.81	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 3017688	$85.78	$122.53	$95.82–$117.63	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 AB 3015419	$89.90	$128.42	$100.42–$123.28	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 AB 26002	$95.37	$136.24	$106.54–$130.79	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 AB HSV 1/2 IGM TYPE SPECIFIC IGG	$129.36	$184.79	$144.51–$177.40	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 AB 3015427 3017696	$99.86	$142.65	$19.74–$136.94	27% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 AB 26002	$114.31	$163.30	$19.74–$156.77	46% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 AB 130282	$115.30	$164.71	$19.74–$158.12	47% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 AB 130281	$116.42	$166.31	$19.74–$159.66	48% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 AB HSV 1/2 IGM TYPE SPECIFIC IGG	$189.81	$271.15	$19.74–$260.30	142% above	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 AB 3015427 3017696	$99.86	$142.65	$111.55–$136.94	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 AB 26002	$114.31	$163.30	$127.70–$156.77	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 AB 130282	$115.30	$164.71	$128.80–$158.12	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 AB 130281	$116.42	$166.31	$130.05–$159.66	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 AB HSV 1/2 IGM TYPE SPECIFIC IGG	$189.81	$271.15	$212.04–$260.30	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROTEIN HS 3016847	$65.59	$93.69	$13.21–$89.94	1% below	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROTEIN HS 3016862	$77.82	$111.17	$13.21–$106.72	17% above	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROTEIN HS 11428 23010	$90.55	$129.35	$13.21–$124.18	36% above	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROTEIN HS 3016847	$65.59	$93.69	$73.27–$89.94	—	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROTEIN HS 3016862	$77.82	$111.17	$86.93–$106.72	—	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROTEIN HS 11428 23010	$90.55	$129.35	$101.15–$124.18	—	30%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE ASSAY 3016847	$81.18	$115.97	$18.28–$111.33	1% below	30%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE ASSAY 11430	$91.17	$130.24	$18.28–$125.03	12% above	30%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE ASSAY 3016862	$96.41	$137.72	$18.28–$132.21	18% above	30%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE ASSAY 130316	$138.70	$198.14	$18.28–$190.21	70% above	30%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE ASSAY 130137	$161.62	$230.88	$18.28–$221.64	98% above	30%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE ASSAY 3016847	$81.18	$115.97	$90.69–$111.33	—	30%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE ASSAY 11430	$91.17	$130.24	$101.85–$125.03	—	30%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE ASSAY 3016862	$96.41	$137.72	$107.70–$132.21	—	30%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE ASSAY 130316	$138.70	$198.14	$154.95–$190.21	—	30%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE ASSAY 130137	$161.62	$230.88	$180.55–$221.64	—	30%
Insulin blood test CPT 83525 HC INSULIN TOTAL	$88.40	$126.28	$11.66–$121.23	78% above	30%
Insulin blood test CPT 83525 HC INSULIN TOTAL 130274 3016573	$92.38	$131.96	$11.66–$126.68	86% above	30%
Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL	$88.40	$126.28	$98.75–$121.23	—	30%
Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL 130274 3016573	$92.38	$131.96	$103.19–$126.68	—	30%
Iron blood test (serum iron) CPT 83540 HC IRON 130245	$18.29	$26.12	$6.60–$25.08	50% below	30%
Iron blood test (serum iron) CPT 83540 HC IRON 130244 22798 3111 22744	$18.62	$26.60	$6.60–$25.54	49% below	30%
Iron blood test (serum iron) CPT 83540 HC IRON 3108	$19.02	$27.16	$6.60–$26.07	48% below	30%
Iron blood test (serum iron) CPT 83540 HC IRON 3127	$19.95	$28.50	$6.60–$27.36	45% below	30%
Iron blood test (serum iron) CPT 83540 HC IRON 3017415	$34.97	$49.95	$6.60–$47.95	4% below	30%
Iron blood test (serum iron) CPT 83540 HC IRON 23005 3285	$54.62	$78.02	$6.60–$74.90	50% above	30%
Iron blood test (serum iron) CPT 83540 HC IRON PR147	$60.35	$86.21	$6.60–$82.76	66% above	30%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON 130245	$18.29	$26.12	$20.43–$25.08	—	30%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON 130244 22798 3111 22744	$18.62	$26.60	$20.80–$25.54	—	30%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON 3108	$19.02	$27.16	$21.24–$26.07	—	30%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON 3127	$19.95	$28.50	$22.29–$27.36	—	30%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON 3017415	$34.97	$49.95	$39.06–$47.95	—	30%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON 23005 3285	$54.62	$78.02	$61.01–$74.90	—	30%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON PR147	$60.35	$86.21	$67.42–$82.76	—	30%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL 2426	$83.65	$119.50	$8.85–$114.72	5% below	30%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL 2426	$83.65	$119.50	$93.45–$114.72	—	30%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE 3312	$156.27	$223.24	$18.89–$214.31	42% above	30%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINILING HORMONE 3313	$172.69	$246.70	$18.89–$236.83	57% above	30%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE 3312	$156.27	$223.24	$174.57–$214.31	—	30%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINILING HORMONE 3313	$172.69	$246.70	$192.92–$236.83	—	30%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE	$106.76	$152.51	$11.80–$146.41	49% above	30%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID 3320	$175.66	$250.94	$11.80–$240.90	145% above	30%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID 130029 130030	$187.62	$268.02	$11.80–$257.30	162% above	30%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE	$106.76	$152.51	$119.26–$146.41	—	30%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID 3320	$175.66	$250.94	$196.24–$240.90	—	30%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID 130029 130030	$187.62	$268.02	$209.59–$257.30	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 130244 22744	$8.43	$12.03	$6.16–$12.08	76% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 22798	$12.80	$18.28	$6.16–$17.55	64% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 3111	$16.20	$23.14	$6.16–$22.21	54% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 130245	$16.87	$24.09	$6.16–$23.13	52% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 3108	$17.51	$25.01	$6.16–$24.01	50% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 3127	$18.38	$26.25	$6.16–$25.20	48% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 130332	$23.57	$33.66	$6.16–$32.31	33% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 3017415	$32.10	$45.85	$6.16–$44.02	9% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 4350	$43.04	$61.48	$6.16–$59.02	22% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 17350	$50.10	$71.56	$6.16–$68.70	42% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 13085	$60.06	$85.79	$6.16–$82.36	70% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE 130280 3036	$60.85	$86.92	$6.16–$83.44	72% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE PR147	$60.88	$86.96	$6.16–$83.48	72% above	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 130244 22744	$8.43	$12.03	$9.41–$11.55	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 22798	$12.80	$18.28	$14.29–$17.55	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 3111	$16.20	$23.14	$18.10–$22.21	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 130245	$16.87	$24.09	$18.84–$23.13	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 3108	$17.51	$25.01	$19.56–$24.01	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 3127	$18.38	$26.25	$20.53–$25.20	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 130332	$23.57	$33.66	$26.32–$32.31	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 3017415	$32.10	$45.85	$35.85–$44.02	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 4350	$43.04	$61.48	$48.08–$59.02	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 17350	$50.10	$71.56	$55.96–$68.70	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 13085	$60.06	$85.79	$67.09–$82.36	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE 130280 3036	$60.85	$86.92	$67.97–$83.44	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE PR147	$60.88	$86.96	$68.00–$83.48	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE 0020715	$109.44	$156.34	$7.03–$150.09	51% above	30%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE 3280	$118.39	$169.12	$7.03–$162.36	64% above	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE 0020715	$109.44	$156.34	$122.26–$150.09	—	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE 3280	$118.39	$169.12	$132.25–$162.36	—	30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL 130244 22744	$10.50	$14.99	$8.33–$16.34	87% below	30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL 22798	$17.46	$24.94	$8.33–$23.94	78% below	30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL 3111	$22.07	$31.52	$8.33–$30.26	72% below	30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL 130245	$22.87	$32.66	$8.33–$31.35	71% below	30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL 3108	$23.80	$33.99	$8.33–$32.63	70% below	30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL 3127	$25.00	$35.71	$8.33–$34.28	69% below	30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL 3017415	$43.63	$62.32	$8.33–$59.83	45% below	30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL 2045	$86.59	$123.70	$8.33–$118.75	9% above	30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL 130244 22744	$10.50	$14.99	$11.72–$14.39	—	30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL 22798	$17.46	$24.94	$19.50–$23.94	—	30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL 3111	$22.07	$31.52	$24.65–$30.26	—	30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL 130245	$22.87	$32.66	$25.54–$31.35	—	30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL 3108	$23.80	$33.99	$26.58–$32.63	—	30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL 3127	$25.00	$35.71	$27.93–$34.28	—	30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL 3017415	$43.63	$62.32	$48.73–$59.83	—	30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL 2045	$86.59	$123.70	$96.73–$118.75	—	30%
Lyme disease antibody test CPT 86618 HC BORELLIA BURGDORFERI IGG/IGM, ELISA	$83.56	$119.36	$17.37–$114.59	11% below	30%
Lyme disease antibody test CPT 86618 HC LYME'S DISEASE AB 26020	$136.06	$194.37	$17.37–$186.60	46% above	30%
Lyme disease antibody test inpatient CPT 86618 HC BORELLIA BURGDORFERI IGG/IGM, ELISA	$83.56	$119.36	$93.34–$114.59	—	30%
Lyme disease antibody test inpatient CPT 86618 HC LYME'S DISEASE AB 26020	$136.06	$194.37	$152.00–$186.60	—	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 130244 22744	$9.15	$13.06	$6.83–$13.40	79% below	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 22798	$14.44	$20.62	$6.83–$19.80	67% below	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 22527	$15.98	$22.82	$6.83–$21.91	63% below	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 3111	$18.15	$25.92	$6.83–$24.88	58% below	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 130245	$19.02	$27.17	$6.83–$26.08	56% below	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 3108	$19.66	$28.08	$6.83–$26.96	55% below	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 3127	$20.68	$29.53	$6.83–$28.35	53% below	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 130332	$26.58	$37.97	$6.83–$36.45	39% below	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 3017415	$36.20	$51.71	$6.83–$49.64	17% below	30%
Magnesium blood test CPT 83735 HC URINE STONE PANEL MAGNESIUM	$40.01	$57.15	$6.83–$54.86	8% below	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 3860	$58.15	$83.07	$6.83–$79.75	33% above	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 3863	$58.94	$84.20	$6.83–$80.83	35% above	30%
Magnesium blood test CPT 83735 HC MAGNESIUM PR147	$60.88	$86.96	$6.83–$83.48	39% above	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 23008 3043	$66.82	$95.45	$6.83–$91.63	53% above	30%
Magnesium blood test CPT 83735 HC MAGNESIUM 40000	$102.99	$147.12	$6.83–$141.24	136% above	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 130244 22744	$9.15	$13.06	$10.21–$12.54	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 22798	$14.44	$20.62	$16.12–$19.80	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 22527	$15.98	$22.82	$17.85–$21.91	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 3111	$18.15	$25.92	$20.27–$24.88	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 130245	$19.02	$27.17	$21.25–$26.08	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 3108	$19.66	$28.08	$21.96–$26.96	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 3127	$20.68	$29.53	$23.09–$28.35	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 130332	$26.58	$37.97	$29.69–$36.45	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 3017415	$36.20	$51.71	$40.44–$49.64	—	30%
Magnesium blood test inpatient CPT 83735 HC URINE STONE PANEL MAGNESIUM	$40.01	$57.15	$44.69–$54.86	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 3860	$58.15	$83.07	$64.96–$79.75	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 3863	$58.94	$84.20	$65.84–$80.83	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM PR147	$60.88	$86.96	$68.00–$83.48	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 23008 3043	$66.82	$95.45	$74.64–$91.63	—	30%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 40000	$102.99	$147.12	$115.05–$141.24	—	30%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB 15208	$46.23	$66.04	$13.14–$63.40	18% below	30%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB 130084	$63.48	$90.68	$13.14–$87.05	13% above	30%
Measles (rubeola) antibody test CPT 86765 HC AB RUBEOLA	$74.13	$105.90	$13.14–$101.66	32% above	30%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB 15205	$77.24	$110.34	$13.14–$105.93	37% above	30%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB 15208	$46.23	$66.04	$51.64–$63.40	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB 130084	$63.48	$90.68	$70.91–$87.05	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 HC AB RUBEOLA	$74.13	$105.90	$82.81–$101.66	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB 15205	$77.24	$110.34	$86.29–$105.93	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE QUAL AB 22774 130195 130298 6180	$68.39	$97.70	$5.28–$93.79	18% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE QUAL AB 30155	$71.82	$102.59	$5.28–$98.49	24% above	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE QUAL AB 22774 130195 130298 6180	$68.39	$97.70	$76.40–$93.79	—	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE QUAL AB 30155	$71.82	$102.59	$80.23–$98.49	—	30%
Mumps immunity blood test CPT 86735 HC MUMPS AB 130084	$64.48	$92.11	$13.31–$88.43	2% above	30%
Mumps immunity blood test CPT 86735 HC MUMPS AB 23060	$83.17	$118.81	$13.31–$114.06	31% above	30%
Mumps immunity blood test CPT 86735 HC MUMPS AB 3015401	$87.00	$124.28	$13.31–$119.31	37% above	30%
Mumps immunity blood test CPT 86735 HC MUMPS AB 26003	$160.28	$228.96	$13.31–$219.80	153% above	30%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB 130084	$64.48	$92.11	$72.03–$88.43	—	30%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB 23060	$83.17	$118.81	$92.91–$114.06	—	30%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB 3015401	$87.00	$124.28	$97.19–$119.31	—	30%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB 26003	$160.28	$228.96	$179.05–$219.80	—	30%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL 25523 25525 8170	$248.48	$354.96	$48.77–$340.76	12% below	30%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL 25523 25525 8170	$248.48	$354.96	$277.58–$340.76	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC FREE PSA	$95.65	$136.63	$18.76–$131.16	8% above	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE 23003	$171.47	$244.95	$18.76–$235.15	94% above	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC FREE PSA	$95.65	$136.63	$106.84–$131.16	—	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE 23003	$171.47	$244.95	$191.55–$235.15	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING MALE PANEL B 3016854	$100.42	$143.45	$18.76–$137.71	23% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING MALE PANEL C 3016862	$110.49	$157.83	$18.76–$151.52	35% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA FREE PERCENTAGE 23003	$114.37	$163.38	$18.76–$156.84	40% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA DIAGNOSTIC 12634 130219	$163.31	$233.29	$18.76–$223.96	100% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING 12631 23043 130002	$163.31	$233.29	$18.76–$223.96	100% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA ULTRASENSITIVE 22608	$373.60	$533.71	$18.76–$512.36	357% above	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREENING MALE PANEL B 3016854	$100.42	$143.45	$112.18–$137.71	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREENING MALE PANEL C 3016862	$110.49	$157.83	$123.42–$151.52	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA FREE PERCENTAGE 23003	$114.37	$163.38	$127.76–$156.84	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREENING 12631 23043 130002	$163.31	$233.29	$182.43–$223.96	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA DIAGNOSTIC 12634 130219	$163.31	$233.29	$182.43–$223.96	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA ULTRASENSITIVE 22608	$373.60	$533.71	$417.36–$512.36	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE 3015443	$243.86	$348.36	$42.11–$334.43	34% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE 3015450	$304.95	$435.64	$42.11–$418.21	68% above	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE 3015443	$243.86	$348.36	$272.42–$334.43	—	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE 3015450	$304.95	$435.64	$340.67–$418.21	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC ANTIPHOSPHOLIPID SYN PTT	$30.02	$42.88	$6.13–$41.16	40% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 25517	$61.35	$87.64	$6.13–$84.13	23% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 130137	$61.65	$88.07	$6.13–$84.55	24% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 130234 7040	$64.74	$92.48	$6.13–$88.78	30% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 6664	$74.84	$106.91	$6.13–$102.63	50% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT HEPARIN 1 WHOLE BLOOD OR PLASMA LUPUS REFLEX	$79.85	$114.06	$6.13–$109.50	60% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 7050	$80.96	$115.65	$6.13–$111.02	63% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 220007	$85.81	$122.58	$6.13–$117.68	72% above	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ANTIPHOSPHOLIPID SYN PTT	$30.02	$42.88	$33.53–$41.16	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 25517	$61.35	$87.64	$68.53–$84.13	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 130137	$61.65	$88.07	$68.87–$84.55	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 130234 7040	$64.74	$92.48	$72.32–$88.78	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 6664	$74.84	$106.91	$83.60–$102.63	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT HEPARIN 1 WHOLE BLOOD OR PLASMA LUPUS REFLEX	$79.85	$114.06	$89.19–$109.50	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 7050	$80.96	$115.65	$90.44–$111.02	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PLASMA OR WHOLE BLOOD 220007	$85.81	$122.58	$95.86–$117.68	—	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 130244 22744	$6.47	$9.23	$4.83–$9.48	84% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 22798	$10.55	$15.07	$4.83–$14.47	74% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 22527	$11.49	$16.41	$4.83–$15.75	72% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 3111	$13.39	$19.12	$4.83–$18.36	67% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 130245	$13.89	$19.83	$4.83–$19.04	66% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 3108	$14.45	$20.64	$4.83–$19.81	65% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 3127	$15.28	$21.82	$4.83–$20.95	63% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 130332	$18.55	$26.49	$4.83–$25.43	55% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 3017415	$26.62	$38.02	$4.83–$36.50	35% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 130280	$36.21	$51.72	$4.83–$49.65	12% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC PR147	$36.21	$51.72	$4.83–$49.65	12% below	30%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC 3041	$41.94	$59.91	$4.83–$57.51	2% above	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 130244 22744	$6.47	$9.23	$7.22–$8.86	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 22798	$10.55	$15.07	$11.78–$14.47	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 22527	$11.49	$16.41	$12.83–$15.75	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 3111	$13.39	$19.12	$14.95–$18.36	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 130245	$13.89	$19.83	$15.51–$19.04	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 3108	$14.45	$20.64	$16.14–$19.81	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 3127	$15.28	$21.82	$17.06–$20.95	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 130332	$18.55	$26.49	$20.72–$25.43	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 3017415	$26.62	$38.02	$29.73–$36.50	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC PR147	$36.21	$51.72	$40.45–$49.65	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 130280	$36.21	$51.72	$40.45–$49.65	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC 3041	$41.94	$59.91	$46.85–$57.51	—	30%
Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 130244 22744	$6.32	$9.02	$4.86–$9.52	74% below	30%
Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 22798	$10.41	$14.86	$4.86–$14.27	57% below	30%
Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 3111	$13.07	$18.67	$4.86–$17.92	47% below	30%
Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 130245	$13.68	$19.53	$4.86–$18.75	44% below	30%
Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 3108	$14.15	$20.21	$4.86–$19.40	42% below	30%
Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 3127	$14.82	$21.17	$4.86–$20.32	39% below	30%
Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 3017415	$26.08	$37.25	$4.86–$35.76	7% above	30%
Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 3010 3005105	$41.94	$59.91	$4.86–$57.51	71% above	30%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 130244 22744	$6.32	$9.02	$7.05–$8.66	—	30%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 22798	$10.41	$14.86	$11.62–$14.27	—	30%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 3111	$13.07	$18.67	$14.60–$17.92	—	30%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 130245	$13.68	$19.53	$15.27–$18.75	—	30%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 3108	$14.15	$20.21	$15.80–$19.40	—	30%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 3127	$14.82	$21.17	$16.55–$20.32	—	30%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 3017415	$26.08	$37.25	$29.13–$35.76	—	30%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM PLASMA OR WHOLE BLD 3010 3005105	$41.94	$59.91	$46.85–$57.51	—	30%
Progesterone blood test CPT 84144 HC PROGESTERONE ASSAY 3015666 3369	$127.02	$181.45	$21.28–$174.19	20% above	30%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE ASSAY 3015666 3369	$127.02	$181.45	$141.89–$174.19	—	30%
Prolactin blood test CPT 84146 HC MACROPROLACTIN	$100.55	$143.63	$19.77–$137.88	1% below	30%
Prolactin blood test CPT 84146 HC PROLACTIN ASSAY 23030 3122	$126.23	$180.32	$19.77–$173.11	25% above	30%
Prolactin blood test CPT 84146 HC PROLACTIN ASSAY 4045	$172.06	$245.79	$19.77–$235.96	70% above	30%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN	$100.55	$143.63	$112.32–$137.88	—	30%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN ASSAY 23030 3122	$126.23	$180.32	$141.01–$173.11	—	30%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN ASSAY 4045	$172.06	$245.79	$192.21–$235.96	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC ANTIPHOSPHOLIPID SYN PROTIME	$21.42	$30.60	$4.38–$29.38	39% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 25516	$32.83	$46.90	$4.38–$45.02	7% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 130234	$38.06	$54.37	$4.38–$52.20	8% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 6664	$39.68	$56.68	$4.38–$54.41	13% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 7050	$42.91	$61.30	$4.38–$58.85	22% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 3015559 7030	$45.87	$65.52	$4.38–$62.90	30% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 220007	$47.28	$67.53	$4.38–$64.83	35% above	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ANTIPHOSPHOLIPID SYN PROTIME	$21.42	$30.60	$23.93–$29.38	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 25516	$32.83	$46.90	$36.68–$45.02	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 130234	$38.06	$54.37	$42.52–$52.20	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 6664	$39.68	$56.68	$44.32–$54.41	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 7050	$42.91	$61.30	$47.94–$58.85	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 3015559 7030	$45.87	$65.52	$51.24–$62.90	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 220007	$47.28	$67.53	$52.81–$64.83	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE DRUG SCREEN (ONE-STEP)	$33.51	$47.87	$12.85–$45.96	at median	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE DRUG SCREEN KIT DIRECT OPTICAL	$96.74	$138.20	$12.85–$132.67	189% above	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC URINE DRUG SCREEN (ONE-STEP)	$33.51	$47.87	$37.43–$45.96	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC URINE DRUG SCREEN KIT DIRECT OPTICAL	$96.74	$138.20	$108.07–$132.67	—	30%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA IA W DO 130197 130300 3004157	$65.17	$93.10	$16.88–$89.38	at median	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA IA W DO 130197 130300 3004157	$65.17	$93.10	$72.80–$89.38	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC	$94.65	$135.21	$16.86–$129.80	78% above	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC	$94.65	$135.21	$105.73–$129.80	—	30%
Renin blood test CPT 84244 HC RENIN 50085	$148.18	$211.68	$22.43–$203.21	21% above	30%
Renin blood test inpatient CPT 84244 HC RENIN 50085	$148.18	$211.68	$165.53–$203.21	—	30%
Rh blood typing CPT 86901 HC BLOOD TYPING RH D 130041 3014958	$27.56	$39.36	$32.08–$76.32	48% below	30%
Rh blood typing CPT 86901 HC BLOOD TYPING RH D 8190	$27.92	$39.88	$32.50–$76.32	48% below	30%
Rh blood typing CPT 86901 HC BLOOD TYPING RH D 8010	$30.20	$43.14	$35.16–$76.32	43% below	30%
Rh blood typing CPT 86901 HC BLOOD TYPING RH D 251265	$30.20	$43.14	$35.16–$76.32	43% below	30%
Rh blood typing CPT 86901 HC BLOOD TYPING RH D 8030	$36.80	$52.57	$38.92–$76.32	31% below	30%
Rh blood typing CPT 86901 HC BLOOD TYPING RH D 8005	$38.22	$54.60	$38.92–$76.32	28% below	30%
Rh blood typing CPT 86901 HC BLOOD TYPING RH D 8180	$53.86	$76.94	$38.92–$76.32	1% above	30%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH D 130041 3014958	$27.56	$39.36	$30.78–$37.79	—	30%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH D 8190	$27.92	$39.88	$31.19–$38.28	—	30%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH D 8010	$30.20	$43.14	$33.74–$41.41	—	30%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH D 251265	$30.20	$43.14	$33.74–$41.41	—	30%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH D 8030	$36.80	$52.57	$41.11–$50.47	—	30%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH D 8005	$38.22	$54.60	$42.70–$52.42	—	30%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH D 8180	$53.86	$76.94	$60.17–$73.86	—	30%
Rheumatoid factor (RF) test CPT 86431 HC IS LUNG-RA QUANT	$21.70	$30.99	$5.78–$29.75	53% below	30%
Rheumatoid factor (RF) test CPT 86431 HC RHEUM FACTOR QUAN 130052	$30.43	$43.47	$5.78–$41.73	34% below	30%
Rheumatoid factor (RF) test CPT 86431 HC RHEUM FACTOR QUAN 4330	$33.46	$47.79	$5.78–$45.88	27% below	30%
Rheumatoid factor (RF) test CPT 86431 HC RHEUM FACTOR QUAN 130213 130214 6020	$55.91	$79.86	$5.78–$76.67	22% above	30%
Rheumatoid factor (RF) test CPT 86431 HC RHEUM FACTOR QUAN 3015351	$158.53	$226.46	$5.78–$217.40	246% above	30%
Rheumatoid factor (RF) test inpatient CPT 86431 HC IS LUNG-RA QUANT	$21.70	$30.99	$24.23–$29.75	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUM FACTOR QUAN 130052	$30.43	$43.47	$33.99–$41.73	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUM FACTOR QUAN 4330	$33.46	$47.79	$37.37–$45.88	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUM FACTOR QUAN 130213 130214 6020	$55.91	$79.86	$62.45–$76.67	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUM FACTOR QUAN 3015351	$158.53	$226.46	$177.09–$217.40	—	30%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB 6150	$91.19	$130.26	$14.68–$125.05	41% above	30%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB 6150	$91.19	$130.26	$101.86–$125.05	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RAD ARTHRITIS PANEL 1 AUTOMATED 4330	$31.70	$45.28	$2.75–$43.47	at median	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE AUTOMATED 1140 130213	$47.11	$67.30	$2.75–$64.61	49% above	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RAD ARTHRITIS PANEL 1 AUTOMATED 4330	$31.70	$45.28	$35.41–$43.47	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE AUTOMATED 1140 130213	$47.11	$67.30	$52.63–$64.61	—	30%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANAL VOL COUNT MOT 1260	$228.34	$326.19	$12.56–$313.14	30% above	30%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANAL VOL COUNT MOT 1260	$228.34	$326.19	$255.08–$313.14	—	30%
Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 130244 22744	$6.62	$9.45	$4.91–$9.62	66% below	30%
Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 22798	$10.32	$14.73	$4.91–$14.14	47% below	30%
Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 3111	$13.08	$18.68	$4.91–$17.93	33% below	30%
Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 130245	$13.62	$19.45	$4.91–$18.67	30% below	30%
Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 3108	$14.09	$20.12	$4.91–$19.32	27% below	30%
Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 3127	$14.81	$21.15	$4.91–$20.30	24% below	30%
Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 3017415	$24.35	$34.78	$4.91–$33.39	26% above	30%
Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 3005 3005170	$41.94	$59.91	$4.91–$57.51	116% above	30%
Sodium blood test inpatient CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 130244 22744	$6.62	$9.45	$7.39–$9.07	—	30%
Sodium blood test inpatient CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 22798	$10.32	$14.73	$11.52–$14.14	—	30%
Sodium blood test inpatient CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 3111	$13.08	$18.68	$14.61–$17.93	—	30%
Sodium blood test inpatient CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 130245	$13.62	$19.45	$15.21–$18.67	—	30%
Sodium blood test inpatient CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 3108	$14.09	$20.12	$15.73–$19.32	—	30%
Sodium blood test inpatient CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 3127	$14.81	$21.15	$16.54–$20.30	—	30%
Sodium blood test inpatient CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 3017415	$24.35	$34.78	$27.20–$33.39	—	30%
Sodium blood test inpatient CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLD 3005 3005170	$41.94	$59.91	$46.85–$57.51	—	30%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES DIR SMR W ID 130111	$54.11	$77.29	$9.08–$74.20	4% above	30%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES DIR SMR W ID 130111	$54.11	$77.29	$60.44–$74.20	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES 22508	$48.54	$69.34	$4.47–$66.57	131% above	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES 22508	$48.54	$69.34	$54.22–$66.57	—	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLD FHG QUAL 1-3 3016318	$84.69	$120.98	$16.24–$116.14	56% above	30%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLD FHG QUAL 1-3 3016318	$84.69	$120.98	$94.61–$116.14	—	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB 130091 130092	$85.24	$121.77	$13.50–$116.90	29% above	30%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB 130091 130092	$85.24	$121.77	$95.22–$116.90	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREP QUAL 3017753	$32.53	$46.46	$4.36–$44.60	24% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREP QUAL 130025 6050	$44.69	$63.84	$4.36–$61.29	5% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREP QUAL 3017753	$32.53	$46.46	$36.33–$44.60	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREP QUAL 130025 6050	$44.69	$63.84	$49.92–$61.29	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMMUN MEASURE 130033	$143.18	$204.53	$63.22–$196.35	at median	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL IMMUN MEASURE 130033	$143.18	$204.53	$159.94–$196.35	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL 22597	$94.54	$135.05	$26.33–$129.65	2% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL 130037 23033	$127.48	$182.11	$26.33–$174.83	33% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL 23035	$131.68	$188.11	$26.33–$180.59	37% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL 30145 3015674	$135.22	$193.17	$26.33–$185.44	41% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL 23000	$136.04	$194.33	$26.33–$186.56	41% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL 3122	$159.91	$228.44	$26.33–$219.30	66% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL 23030	$166.00	$237.14	$26.33–$227.65	73% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL 22574	$191.87	$274.09	$26.33–$263.13	99% above	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL 22597	$94.54	$135.05	$105.61–$129.65	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL 130037 23033	$127.48	$182.11	$142.41–$174.83	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL 23035	$131.68	$188.11	$147.10–$180.59	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL 30145 3015674	$135.22	$193.17	$151.06–$185.44	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL 23000	$136.04	$194.33	$151.97–$186.56	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL 3122	$159.91	$228.44	$178.64–$219.30	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL 23030	$166.00	$237.14	$185.44–$227.65	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL 22574	$191.87	$274.09	$214.34–$263.13	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB EACH 374940	$63.15	$90.21	$14.84–$86.60	16% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB EACH 30285	$79.87	$114.10	$14.84–$109.54	6% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB EACH 130269	$82.82	$118.31	$14.84–$113.58	10% above	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB EACH 374940	$63.15	$90.21	$70.54–$86.60	—	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB EACH 30285	$79.87	$114.10	$89.23–$109.54	—	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB EACH 130269	$82.82	$118.31	$92.52–$113.58	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 22798	$44.19	$63.12	$17.14–$60.60	43% below	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 3127	$50.60	$72.28	$17.14–$69.39	35% below	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 3016847	$79.00	$112.85	$17.14–$108.34	2% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 3016854	$85.16	$121.65	$17.14–$116.78	10% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 3017415	$88.55	$126.49	$17.14–$121.43	14% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 22552	$92.04	$131.48	$17.14–$126.22	19% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 3016862	$93.78	$133.96	$17.14–$128.60	21% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 3016839	$100.15	$143.07	$17.14–$137.35	29% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 22746	$110.10	$157.28	$17.14–$150.99	42% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 22520	$110.18	$157.40	$17.14–$151.10	42% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 3163	$123.03	$175.75	$17.14–$168.72	58% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 3016870	$128.06	$182.93	$17.14–$175.61	65% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE PR147	$128.29	$183.26	$17.14–$175.93	65% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE PR137	$128.29	$183.26	$17.14–$175.93	65% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 130220 3385	$134.27	$191.81	$17.14–$184.14	73% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 3116	$152.88	$218.39	$17.14–$209.65	97% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE 130058 3173	$152.95	$218.49	$17.14–$209.75	97% above	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 22798	$44.19	$63.12	$49.36–$60.60	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 3127	$50.60	$72.28	$56.52–$69.39	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 3016847	$79.00	$112.85	$88.25–$108.34	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 3016854	$85.16	$121.65	$95.13–$116.78	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 3017415	$88.55	$126.49	$98.92–$121.43	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 22552	$92.04	$131.48	$102.82–$126.22	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 3016862	$93.78	$133.96	$104.76–$128.60	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 3016839	$100.15	$143.07	$111.88–$137.35	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 22746	$110.10	$157.28	$122.99–$150.99	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 22520	$110.18	$157.40	$123.09–$151.10	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 3163	$123.03	$175.75	$137.44–$168.72	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 3016870	$128.06	$182.93	$143.05–$175.61	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE PR137	$128.29	$183.26	$143.31–$175.93	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE PR147	$128.29	$183.26	$143.31–$175.93	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 130220 3385	$134.27	$191.81	$150.00–$184.14	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 3116	$152.88	$218.39	$170.78–$209.65	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE 130058 3173	$152.95	$218.49	$170.86–$209.75	—	30%
Total IgE blood test CPT 82785 HC GAMMAGLOBULIN IGE 30220	$78.94	$112.77	$16.79–$108.26	at median	30%
Total IgE blood test CPT 82785 HC GAMMAGLOBULIN IGE 130266	$79.74	$113.91	$16.79–$109.35	1% above	30%
Total IgE blood test CPT 82785 HC GAMMAGLOBULIN IGE 130182	$85.25	$121.78	$16.79–$116.91	7% above	30%
Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN IGE 30220	$78.94	$112.77	$88.19–$108.26	—	30%
Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN IGE 130266	$79.74	$113.91	$89.08–$109.35	—	30%
Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN IGE 130182	$85.25	$121.78	$95.23–$116.91	—	30%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL SERUM WB TOTAL 130244	$5.62	$8.02	$4.44–$8.70	84% below	30%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL SERUM WB TOTAL 3080	$36.21	$51.72	$4.44–$49.65	4% above	30%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL SERUM WB TOTAL 130244	$5.62	$8.02	$6.27–$7.70	—	30%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL SERUM WB TOTAL 3080	$36.21	$51.72	$40.45–$49.65	—	30%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL 3127	$22.36	$31.93	$7.01–$30.65	51% below	30%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL 22746	$46.09	$65.84	$7.01–$63.21	1% above	30%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL 3116	$65.03	$92.90	$7.01–$89.18	43% above	30%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL T7 PROF	$65.10	$93.00	$7.01–$89.28	43% above	30%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL 3382	$74.91	$107.01	$7.01–$102.73	65% above	30%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL 3127	$22.36	$31.93	$24.97–$30.65	—	30%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL 22746	$46.09	$65.84	$51.49–$63.21	—	30%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL 3116	$65.03	$92.90	$72.65–$89.18	—	30%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL T7 PROF	$65.10	$93.00	$72.73–$89.28	—	30%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL 3382	$74.91	$107.01	$83.68–$102.73	—	30%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL 22552	$83.67	$119.52	$14.46–$114.74	2% below	30%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL 30470 130314	$111.81	$159.72	$14.46–$153.33	32% above	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL 22552	$83.67	$119.52	$93.46–$114.74	—	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL 30470 130314	$111.81	$159.72	$124.90–$153.33	—	30%
Transferrin blood test CPT 84466 HC TRANSFERRIN 3017415	$68.51	$97.87	$13.02–$93.96	7% above	30%
Transferrin blood test CPT 84466 HC TRANSFERRIN 23004 23005	$103.65	$148.07	$13.02–$142.15	61% above	30%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN 3017415	$68.51	$97.87	$76.53–$93.96	—	30%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN 23004 23005	$103.65	$148.07	$115.79–$142.15	—	30%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS TMA	$171.04	$244.33	$35.79–$234.56	24% above	30%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS TMA	$171.04	$244.33	$191.07–$234.56	—	30%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES 130244	$7.83	$11.18	$5.85–$11.48	71% below	30%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES 3097	$35.10	$50.13	$5.85–$48.12	29% above	30%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES 3095	$53.24	$76.05	$5.85–$73.01	96% above	30%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES 3017373	$251.95	$359.92	$5.85–$345.52	829% above	30%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES 130244	$7.83	$11.18	$8.74–$10.73	—	30%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES 3097	$35.10	$50.13	$39.20–$48.12	—	30%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES 3095	$53.24	$76.05	$59.47–$73.01	—	30%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES 3017373	$251.95	$359.92	$281.46–$345.52	—	30%
Troponin test, quantitative CPT 84484 HC TROPONIN T	$150.49	$214.98	$12.72–$206.38	46% above	30%
Troponin test, quantitative CPT 84484 HC TROPONIN QUAN 3006392 3404	$203.91	$291.30	$12.72–$279.65	98% above	30%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T	$150.49	$214.98	$168.11–$206.38	—	30%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUAN 3006392 3404	$203.91	$291.30	$227.80–$279.65	—	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 130244 22744	$6.47	$9.23	$4.61–$9.04	83% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 22798	$10.29	$14.69	$4.61–$14.10	74% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 22527	$10.57	$15.09	$4.61–$14.49	73% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 3111	$12.94	$18.48	$4.61–$17.74	67% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 130245	$13.47	$19.23	$4.61–$18.46	65% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 3108	$13.99	$19.98	$4.61–$19.18	64% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 3127	$14.68	$20.97	$4.61–$20.13	62% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 130332	$17.92	$25.59	$4.61–$24.57	54% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 3017415	$25.62	$36.59	$4.61–$35.13	34% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 130280 3016839 3016847 3016854 3016862 3016870 3045	$34.21	$48.86	$4.61–$46.91	12% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD PR147	$36.21	$51.72	$4.61–$49.65	7% below	30%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD 4330	$37.77	$53.95	$4.61–$51.79	3% below	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 130244 22744	$6.47	$9.23	$7.22–$8.86	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 22798	$10.29	$14.69	$11.49–$14.10	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 22527	$10.57	$15.09	$11.80–$14.49	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 3111	$12.94	$18.48	$14.45–$17.74	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 130245	$13.47	$19.23	$15.04–$18.46	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 3108	$13.99	$19.98	$15.62–$19.18	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 3127	$14.68	$20.97	$16.40–$20.13	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 130332	$17.92	$25.59	$20.01–$24.57	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 3017415	$25.62	$36.59	$28.61–$35.13	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 130280 3016839 3016847 3016854 3016862 3016870 3045	$34.21	$48.86	$38.21–$46.91	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD PR147	$36.21	$51.72	$40.45–$49.65	—	30%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD 4330	$37.77	$53.95	$42.19–$51.79	—	30%
Urinalysis with microscope exam, automated CPT 81001 HC AUTOM URINALYS W MICRO 2005 2006 22628	$41.92	$59.88	$3.23–$57.48	at median	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC AUTOM URINALYS W MICRO 2005 2006 22628	$41.92	$59.88	$46.83–$57.48	—	30%
Urinalysis without microscope exam, automated CPT 81003 HC AUTOM URINALYSIS WO MICRO 2010 2011 22626 23022	$21.05	$30.07	$2.30–$28.87	at median	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC AUTOM URINALYSIS WO MICRO 2010 2011 22626 23022	$21.05	$30.07	$23.51–$28.87	—	30%
Urinalysis without microscope exam, manual CPT 81002 HC UA DIP NON-AUTOMATED WO MICRO BENZENE EXPOS PANEL NMS	$21.35	$30.49	$3.55–$29.27	4% below	30%
Urinalysis without microscope exam, manual CPT 81002 HC NON AUTOM URINALYS WO MICRO 10777	$28.42	$40.60	$3.55–$38.98	28% above	30%
Urinalysis without microscope exam, manual CPT 81002 HC NON AUTOM URINALYS WO MICRO 10795	$30.40	$43.42	$3.55–$41.68	37% above	30%
Urinalysis without microscope exam, manual CPT 81002 HC NON AUTOM URINALYS WO MICRO	$35.64	$50.91	$3.55–$48.87	61% above	30%
Urinalysis without microscope exam, manual CPT 81002 HC NON AUTOM URINALYS WO MICRO 10805	$36.19	$51.69	$3.55–$49.62	64% above	30%
Urinalysis without microscope exam, manual CPT 81002 HC NON AUTOM URINALYS WO MICRO 10657	$38.06	$54.37	$3.55–$52.20	72% above	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC UA DIP NON-AUTOMATED WO MICRO BENZENE EXPOS PANEL NMS	$21.35	$30.49	$23.84–$29.27	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC NON AUTOM URINALYS WO MICRO 10777	$28.42	$40.60	$31.75–$38.98	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC NON AUTOM URINALYS WO MICRO 10795	$30.40	$43.42	$33.95–$41.68	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC NON AUTOM URINALYS WO MICRO	$35.64	$50.91	$39.81–$48.87	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC NON AUTOM URINALYS WO MICRO 10805	$36.19	$51.69	$40.42–$49.62	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC NON AUTOM URINALYS WO MICRO 10657	$38.06	$54.37	$42.52–$52.20	—	30%
Urine culture for bacteria, with colony count CPT 87086 HC BACT CULTURE - URINE QUAN COUNT 5090	$93.10	$133.00	$8.23–$127.68	22% above	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC BACT CULTURE - URINE QUAN COUNT 5090	$93.10	$133.00	$104.01–$127.68	—	30%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QUAN 50490	$86.39	$123.41	$5.90–$118.47	47% above	30%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QUAN 30183	$133.42	$190.59	$5.90–$182.97	127% above	30%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QUAN 30175	$153.52	$219.31	$5.90–$210.54	162% above	30%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QUAN 50490	$86.39	$123.41	$96.51–$118.47	—	30%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QUAN 30183	$133.42	$190.59	$149.04–$182.97	—	30%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QUAN 30175	$153.52	$219.31	$171.50–$210.54	—	30%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY VISUAL COLOR 130196 130299 23019 6140	$85.41	$122.01	$8.78–$117.13	90% above	30%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY VISUAL COLOR 130196 130299 23019 6140	$85.41	$122.01	$95.41–$117.13	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12 LEVEL 3015658	$129.67	$185.23	$15.38–$177.82	47% above	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12 LEVEL 3015658	$129.67	$185.23	$144.85–$177.82	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$121.59	$173.69	$30.19–$166.74	3% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D2/D3 25-OH TMS	$126.02	$180.02	$30.19–$172.82	7% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VIT 25-OH D2,D3	$166.67	$238.09	$30.19–$228.57	41% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$121.59	$173.69	$135.83–$166.74	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D2/D3 25-OH TMS	$126.02	$180.02	$140.78–$172.82	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VIT 25-OH D2,D3	$166.67	$238.09	$186.19–$228.57	—	30%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VIT D 1 25 DIHYDROXY 50110	$112.70	$160.99	$39.27–$154.55	3% below	30%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VIT D 1 25 DIHYDROXY 50110	$112.70	$160.99	$125.89–$154.55	—	30%
Zinc blood test CPT 84630 HC ZINC	$41.29	$58.98	$11.62–$56.62	40% below	30%
Zinc blood test CPT 84630 HC ZINC 50275	$67.03	$95.75	$11.62–$91.92	2% below	30%
Zinc blood test inpatient CPT 84630 HC ZINC	$41.29	$58.98	$46.12–$56.62	—	30%
Zinc blood test inpatient CPT 84630 HC ZINC 50275	$67.03	$95.75	$74.88–$91.92	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUAN 22950	$48.76	$69.65	$15.35–$66.86	41% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUAN 2474	$74.41	$106.29	$15.35–$102.04	10% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANT ISTAT	$133.31	$190.44	$15.35–$182.82	61% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUAN 130043	$147.24	$210.34	$15.35–$201.93	78% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUAN 3370	$241.53	$345.03	$15.35–$331.23	191% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUAN 30475	$247.41	$353.43	$15.35–$339.29	198% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUAN 22950	$48.76	$69.65	$54.47–$66.86	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUAN 2474	$74.41	$106.29	$83.12–$102.04	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANT ISTAT	$133.31	$190.44	$148.92–$182.82	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUAN 130043	$147.24	$210.34	$164.49–$201.93	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUAN 3370	$241.53	$345.03	$269.81–$331.23	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUAN 30475	$247.41	$353.43	$276.38–$339.29	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Wyoming	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST PLC DVC 1ST LESION W STERO GUID	$4,196.20	$5,994.57	$1,721.12–$5,754.79	15% above	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST PLC DVC 1ST LESION W STERO GUID	$4,196.20	$5,994.57	$4,687.75–$5,754.79	—	30%
Cardiac catheterization with coronary angiogram CPT 93458 HC L HRT ARTERY VENTRCL ANGIO	$21,970.10	$31,385.85	$3,378.39–$30,130.42	138% above	30%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L HRT ARTERY VENTRCL ANGIO	$21,970.10	$31,385.85	$24,543.73–$30,130.42	—	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT	$2,272.02	$3,245.73	$688.77–$3,115.90	101% above	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXT	$2,272.02	$3,245.73	$2,538.16–$3,115.90	—	30%
Catheter ablation for atrial fibrillation CPT 93656 HC TX ATRIAL FIB PULM VEIN ISOL	$48,287.76	$68,982.51	$27,238.07–$66,223.21	—	30%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC TX ATRIAL FIB PULM VEIN ISOL	$48,287.76	$68,982.51	$53,944.32–$66,223.21	—	30%
Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY RM TUMR POLYP LSN SNARE	$4,245.48	$6,064.96	$1,247.01–$5,822.36	111% above	30%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY RM TUMR POLYP LSN SNARE	$4,245.48	$6,064.96	$4,742.80–$5,822.36	—	30%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY BX SGL OR MULT	$3,932.50	$5,617.85	$1,247.01–$5,393.14	100% above	30%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY BX SGL OR MULT	$3,932.50	$5,617.85	$4,393.16–$5,393.14	—	30%
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLEX DX	$3,796.99	$5,424.26	$969.10–$5,207.29	89% above	30%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLEX DX	$3,796.99	$5,424.26	$4,241.77–$5,207.29	—	30%
Coronary stent placement, one artery CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL	$13,979.55	$19,970.78	$12,030.11–$19,171.95	63% above	30%
Coronary stent placement, one artery CPT 92928 HC PRQ TCAT PLMT NTRAC ST 1 LES	$20,639.91	$29,485.58	$12,030.11–$28,306.16	141% above	30%
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL	$13,979.55	$19,970.78	$15,617.15–$19,171.95	—	30%
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ TCAT PLMT NTRAC ST 1 LES	$20,639.91	$29,485.58	$23,057.72–$28,306.16	—	30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY	$3,235.14	$4,621.62	$726.65–$4,436.76	—	30%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY	$3,235.14	$4,621.62	$3,614.11–$4,436.76	—	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVL IMPACTED EAR WAX USING IRRIG/LAVAGE UNI	$192.93	$275.61	$61.48–$264.59	112% above	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVL IMPACTED EAR WAX USING IRRIG/LAVAGE UNI	$192.93	$275.61	$215.53–$264.59	—	30%
Earwax removal with instruments, one ear CPT 69210 HC REMOVL CERUMEN IMPACTED	$176.00	$251.42	$61.48–$241.36	12% above	30%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVL CERUMEN IMPACTED	$176.00	$251.42	$196.61–$241.36	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ SPINE CERV/THOR W/GUIDANCE	$3,345.88	$4,779.82	$735.59–$4,588.63	136% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ SPINE CERV/THOR W/GUIDANCE	$3,345.88	$4,779.82	$3,737.82–$4,588.63	—	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVERT F JNT L S 1 LVL	$1,914.11	$2,734.44	$921.70–$2,625.06	9% above	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVERT F JNT L S 1 LVL	$1,914.11	$2,734.44	$2,138.33–$2,625.06	—	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOIDOSCOPY FLEX DX	$1,594.07	$2,277.24	$969.10–$2,186.15	1% below	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMOIDOSCOPY FLEX DX	$1,594.07	$2,277.24	$1,780.80–$2,186.15	—	30%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY LIGATION BAND	$799.05	$1,141.50	$833.30–$1,095.84	33% below	30%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY LIGATION BAND	$799.05	$1,141.50	$892.65–$1,095.84	—	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC HEMORRHOID INT EXT SINGLE COL GROUP	$2,803.88	$4,005.53	$2,892.50–$3,845.31	5% above	30%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC HEMORRHOID INT EXT SINGLE COL GROUP	$2,803.88	$4,005.53	$3,132.32–$3,845.31	—	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC HYSTEROGR SIS CONTR SALINE INJ	$651.56	$930.80	$240.31–$893.57	56% above	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC HYSTEROGR SIS CONTR SALINE INJ	$651.56	$930.80	$727.89–$893.57	—	30%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERT IUD	$341.44	$487.76	$106.68–$468.25	42% below	30%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT IUD	$341.44	$487.76	$381.43–$468.25	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INC DRN ABSC SMPL SGL	$471.40	$673.42	$209.08–$646.48	45% above	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INC DRN ABSC SMPL SGL	$471.40	$673.42	$526.61–$646.48	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRN INJ MAJR JNT BURSA W/O US	$564.43	$806.32	$319.87–$774.07	38% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRN INJ MAJR JNT BURSA W/O US	$564.43	$806.32	$630.54–$774.07	—	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION DRUG DLVR IMPLANT	$175.00	$250.00	$138.65–$240.00	4% below	30%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION DRUG DLVR IMPLANT	$175.00	$250.00	$195.50–$240.00	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRN INJ INTERMED JNT BURSA W/O US	$480.13	$685.89	$319.87–$658.45	64% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRN INJ INTERMED JNT BURSA W/O US	$480.13	$685.89	$536.37–$658.45	—	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRN INJ SMALL JNT BURSA W/O US	$375.68	$536.68	$319.87–$515.21	55% above	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRN INJ SMALL JNT BURSA W/O US	$375.68	$536.68	$419.68–$515.21	—	30%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W VENTRCLGRPHY	$19,976.30	$28,537.56	$3,378.39–$27,396.06	131% above	30%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W VENTRCLGRPHY	$19,976.30	$28,537.56	$22,316.37–$27,396.06	—	30%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ SPINE LUMBR/SACRL CAUDAL W/GUIDANCE	$3,077.55	$4,396.49	$735.59–$4,220.63	142% above	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ SPINE LUMBR/SACRL CAUDAL W/GUIDANCE	$3,077.55	$4,396.49	$3,438.06–$4,220.63	—	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURL L S SGL LVL	$2,483.74	$3,548.20	$921.70–$3,406.27	112% above	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ FORAMEN EPIDURL L S SGL LVL	$2,483.74	$3,548.20	$2,774.69–$3,406.27	—	30%
Nail removal (partial or complete), one nail CPT 11730 HC AVUL NAIL PLATE SIMPLE SGL	$270.76	$386.79	$209.08–$371.32	16% above	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVUL NAIL PLATE SIMPLE SGL	$270.76	$386.79	$302.47–$371.32	—	30%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANES NRV GREAT OCCIPITAL	$589.54	$842.20	$319.87–$808.51	20% above	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANES NRV GREAT OCCIPITAL	$589.54	$842.20	$658.60–$808.51	—	30%
Pacemaker implant (dual chamber) CPT 33208 HC INSRT HEART PM ATR AND VENT	$19,018.24	$27,168.91	$10,891.95–$26,082.15	107% above	30%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSRT HEART PM ATR AND VENT	$19,018.24	$27,168.91	$21,246.09–$26,082.15	—	30%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTSIS W IMAG BEDSIDE	$1,800.89	$2,572.70	$945.16–$2,469.79	81% above	30%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTSIS W IMAG	$2,143.62	$3,062.31	$945.16–$2,939.82	115% above	30%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTSIS W IMAG BEDSIDE	$1,800.89	$2,572.70	$2,011.85–$2,469.79	—	30%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTSIS W IMAG	$2,143.62	$3,062.31	$2,394.73–$2,939.82	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTROY LUMBR/SACRL SNGL FACET JNT	$3,802.40	$5,431.99	$2,034.92–$5,214.71	94% above	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTROY LUMBR/SACRL SNGL FACET JNT	$3,802.40	$5,431.99	$4,247.82–$5,214.71	—	30%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION W REMOVAL FB SUBQ SIMPLE	$326.95	$467.07	$340.96–$448.39	11% above	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION W REMOVAL FB SUBQ SIMPLE	$326.95	$467.07	$365.25–$448.39	—	30%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SPLINT SHORT ARM	$510.80	$729.71	$138.65–$700.52	84% above	30%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION SPLINT SHORT ARM	$510.80	$729.71	$570.63–$700.52	—	30%
Short leg cast (below the knee) CPT 29405 HC APPLICATION CAST LEG SHORT	$624.67	$892.38	$291.47–$856.68	35% above	30%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION CAST LEG SHORT	$624.67	$892.38	$697.84–$856.68	—	30%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION SPLINT SHORT LEG	$497.61	$710.87	$169.34–$682.44	64% above	30%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION SPLINT SHORT LEG	$497.61	$710.87	$555.90–$682.44	—	30%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$652.72	$932.45	$423.63–$895.15	151% above	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$652.72	$932.45	$729.18–$895.15	—	30%
Skin tag removal, up to 15 tags CPT 11200 HC RMVL SKIN TAGS UP TO&INC 15	$349.13	$498.75	$209.08–$478.80	78% above	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC RMVL SKIN TAGS UP TO&INC 15	$349.13	$498.75	$390.02–$478.80	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCT LUMBAR DIAG	$1,046.65	$1,495.21	$735.59–$1,435.40	44% above	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCT DIAGNOSTIC	$1,046.65	$1,495.21	$735.59–$1,435.40	44% above	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCT LUMBAR DIAG	$1,046.65	$1,495.21	$1,169.25–$1,435.40	—	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCT DIAGNOSTIC	$1,046.65	$1,495.21	$1,169.25–$1,435.40	—	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LES	$552.28	$788.97	$423.63–$757.41	60% above	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SINGLE LES	$552.28	$788.97	$616.97–$757.41	—	30%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS ASP W/IMG BEDSIDE	$727.08	$1,038.68	$653.71–$997.13	33% below	30%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS ASP W/IMG	$1,354.73	$1,935.32	$653.71–$1,857.91	24% above	30%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS ASP W/IMG BEDSIDE	$727.08	$1,038.68	$812.25–$997.13	—	30%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS ASP W/IMG	$1,354.73	$1,935.32	$1,513.42–$1,857.91	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER PT 1 2 MUSC	$461.68	$659.54	$319.87–$633.16	34% above	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER PT 1 2 MUSC	$461.68	$659.54	$515.76–$633.16	—	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST PLC DVC 1ST LESION US IMAG	$3,270.22	$4,671.73	$1,721.12–$4,484.86	38% above	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST PLC DVC 1ST LESION US IMAG	$3,270.22	$4,671.73	$3,653.29–$4,484.86	—	30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC UGI W DIL ESOPH BALLN LESS 30MM DIA	$2,446.52	$3,495.02	$1,999.68–$3,355.22	34% above	30%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC UGI W DIL ESOPH BALLN LESS 30MM DIA	$2,446.52	$3,495.02	$2,733.11–$3,355.22	—	30%
Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI W BIOPSY SGL OR MULTI	$2,701.86	$3,859.80	$945.16–$3,705.41	33% above	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI W BIOPSY SGL OR MULTI	$2,701.86	$3,859.80	$3,018.36–$3,705.41	—	30%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC UGI W DIRECT SUBMUCOS INJECT	$2,246.03	$3,208.61	$945.16–$3,080.27	—	30%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC UGI W DIRECT SUBMUCOS INJECT	$2,246.03	$3,208.61	$2,509.13–$3,080.27	—	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC UGI W REMOVE TUMR POLYP LESN SNARE	$2,487.23	$3,553.18	$1,999.68–$3,411.05	37% above	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC UGI W REMOVE TUMR POLYP LESN SNARE	$2,487.23	$3,553.18	$2,778.59–$3,411.05	—	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC UGI W DIL ESOPH OVER GW SAVARY	$2,612.64	$3,732.34	$945.16–$3,583.05	—	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC UGI W DIL ESOPH OVER GW SAVARY	$2,612.64	$3,732.34	$2,918.69–$3,583.05	—	30%
Upper endoscopy (EGD), diagnostic CPT 43235 HC UGI ENDOSCOPY DIAGNOSTIC	$2,204.74	$3,149.62	$945.16–$3,023.64	15% above	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UGI ENDOSCOPY DIAGNOSTIC	$2,204.74	$3,149.62	$2,463.00–$3,023.64	—	30%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD W/TRANSMURAL DRAIN CYST	$2,459.84	$3,514.05	$2,565.26–$6,512.51	—	30%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD W/TRANSMURAL DRAIN CYST	$2,459.84	$3,514.05	$2,747.99–$3,373.49	—	30%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RADIO FREQ 1ST VEIN	$6,981.94	$9,974.20	$3,290.39–$9,575.23	—	30%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RADIO FREQ 1ST VEIN	$6,981.94	$9,974.20	$7,799.82–$9,575.23	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE UP TO 1ST 20SQ CM	$921.83	$1,316.89	$423.63–$1,264.21	157% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUBQ TISSUE UP TO 1ST 20SQ CM	$921.83	$1,316.89	$1,029.81–$1,264.21	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Wyoming	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/COMP	$1,129.34	$1,613.34	$459.74–$1,548.81	58% above	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD/COMP	$1,129.34	$1,613.34	$1,261.63–$1,548.81	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI/INHALER TX WITHOUT SPACER	$47.67	$68.10	$49.71–$234.91	56% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC HANDHELD NEB TX	$98.32	$140.45	$102.53–$234.91	10% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC CONT O2 AEROSOL/DAY	$136.60	$195.14	$142.45–$234.91	25% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB	$213.25	$304.63	$222.38–$292.44	95% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC LOW LEVEL INHALATION TREATMENT	$303.78	$433.97	$228.19–$416.61	178% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC HIGH LEVEL INHALATION TREATMENT	$588.62	$840.88	$228.19–$807.24	439% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI/INHALER TX WITHOUT SPACER	$47.67	$68.10	$53.25–$65.38	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC HANDHELD NEB TX	$98.32	$140.45	$109.83–$134.83	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC CONT O2 AEROSOL/DAY	$136.60	$195.14	$152.60–$187.33	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB	$213.25	$304.63	$238.22–$292.44	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC LOW LEVEL INHALATION TREATMENT	$303.78	$433.97	$339.36–$416.61	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC HIGH LEVEL INHALATION TREATMENT	$588.62	$840.88	$657.57–$807.24	—	30%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INF SGL INITL DRUG 1ST HR	$718.68	$1,026.68	$344.21–$985.61	43% above	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INF SGL INITL DRUG 1ST HR	$718.68	$1,026.68	$802.86–$985.61	—	30%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, FIRST HR (30-74MIN)	$3,400.86	$4,858.36	$860.80–$4,664.03	47% above	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE, FIRST HR (30-74MIN)	$3,400.86	$4,858.36	$3,799.24–$4,664.03	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD TRACING ONLY	$366.71	$523.86	$61.48–$502.91	94% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD TRACING ONLY	$366.71	$523.86	$409.66–$502.91	—	30%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY	$1,362.58	$1,946.54	$894.89–$1,868.68	—	30%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY	$1,362.58	$1,946.54	$1,522.19–$1,868.68	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC SUPPORTIVE CARE	$147.09	$210.12	$87.87–$201.72	43% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC LEVEL I EMERGENCY CARE	$319.23	$456.03	$87.87–$437.79	23% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC SUPPORTIVE CARE	$147.09	$210.12	$164.31–$201.72	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC LEVEL I EMERGENCY CARE	$319.23	$456.03	$356.62–$437.79	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC LEVEL II EMERGENCY CARE	$637.99	$911.41	$160.01–$874.95	77% above	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC LEVEL II EMERGENCY CARE	$637.99	$911.41	$712.72–$874.95	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC LEVEL III EMERGENCY CARE	$1,090.80	$1,558.28	$284.47–$1,495.95	53% above	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC LEVEL III EMERGENCY CARE	$1,090.80	$1,558.28	$1,218.57–$1,495.95	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC LEVEL IV EMERGENCY CARE	$1,779.42	$2,542.02	$434.83–$2,440.34	50% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC LEVEL IV ED CARE W TRAUMA LEVEL 2	$3,810.90	$5,444.14	$434.83–$5,226.37	221% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC LEVEL IV EMERGENCY CARE	$1,779.42	$2,542.02	$1,987.86–$2,440.34	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC LEVEL IV ED CARE W TRAUMA LEVEL 2	$3,810.90	$5,444.14	$4,257.32–$5,226.37	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC LEVEL V EMERGENCY CARE	$2,377.60	$3,396.56	$620.60–$3,260.70	43% above	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC LEVEL V ED CARE W TRAUMA LEVEL 2	$4,944.70	$7,063.85	$620.60–$6,781.30	197% above	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC LEVEL V ED CARE W TRAUMA LEVEL 1	$5,964.67	$8,520.95	$620.60–$8,180.11	258% above	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC LEVEL V EMERGENCY CARE	$2,377.60	$3,396.56	$2,656.11–$3,260.70	—	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC LEVEL V ED CARE W TRAUMA LEVEL 2	$4,944.70	$7,063.85	$5,523.93–$6,781.30	—	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC LEVEL V ED CARE W TRAUMA LEVEL 1	$5,964.67	$8,520.95	$6,663.38–$8,180.11	—	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASC STRESS TEST TRACING	$1,911.08	$2,730.11	$225.01–$2,620.91	125% above	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASC STRESS TEST TRACING	$1,911.08	$2,730.11	$2,134.95–$2,620.91	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRATION INIT 31 60MIN	$424.20	$606.00	$221.66–$581.76	48% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRATION INIT 31 60MIN	$424.20	$606.00	$473.89–$581.76	—	30%
IV infusion of a medicine, first hour CPT 96365 HC IV INF THER INIT UP TO 1 HR	$500.91	$715.58	$221.66–$686.96	32% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF THER INIT UP TO 1 HR	$500.91	$715.58	$559.58–$686.96	—	30%
IV push of a medicine, first drug CPT 96374 HC INJ IV PUSH INITIAL DRUG	$133.32	$190.45	$139.03–$228.18	38% below	30%
IV push of a medicine, first drug inpatient CPT 96374 HC INJ IV PUSH INITIAL DRUG	$133.32	$190.45	$148.93–$182.83	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ THER DIAG SUBQ IM EA	$148.50	$212.14	$75.03–$203.65	57% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ THER DIAG SUBQ IM EA	$148.50	$212.14	$165.89–$203.65	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEURO RE ED EA 15 MIN	$111.03	$158.61	$33.30–$152.27	6% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEURO RE ED EA 15 MIN	$111.03	$158.61	$33.30–$152.27	6% above	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEURO RE ED EA 15 MIN	$111.03	$158.61	$124.03–$152.27	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEURO RE ED EA 15 MIN	$111.03	$158.61	$124.03–$152.27	—	30%
New patient office visit, about 30 minutes CPT 99203 HC OUTPATIENT VISIT NEW LVL 3	$502.44	$717.76	$118.51–$689.05	236% above	30%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OUTPATIENT VISIT NEW LVL 3	$502.44	$717.76	$561.29–$689.05	—	30%
New patient office visit, about 45 minutes CPT 99204 HC OUTPATIENT VISIT NEW LVL 4	$630.69	$900.98	$178.78–$864.94	157% above	30%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OUTPATIENT VISIT NEW LVL 4	$630.69	$900.98	$704.57–$864.94	—	30%
New patient office visit, about 60 minutes CPT 99205 HC OUTPATIENT VISIT NEW LVL 5	$630.69	$900.98	$238.36–$864.94	104% above	30%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OUTPATIENT VISIT NEW LVL 5	$630.69	$900.98	$704.57–$864.94	—	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OUTPATIENT VISIT NEW LVL 2	$378.57	$540.81	$76.04–$519.18	329% above	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OUTPATIENT VISIT NEW LVL 2	$378.57	$540.81	$422.91–$519.18	—	30%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30MIN	$132.02	$188.59	$102.46–$181.05	32% below	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30MIN	$132.02	$188.59	$147.48–$181.05	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45MIN	$274.40	$392.00	$99.73–$376.32	3% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45MIN	$274.40	$392.00	$306.54–$376.32	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20MIN	$213.24	$304.62	$99.73–$292.44	17% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20MIN	$213.24	$304.62	$238.21–$292.44	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30MIN	$237.42	$339.17	$99.73–$325.60	3% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30MIN	$237.42	$339.17	$265.23–$325.60	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY EA 15 MIN	$126.07	$180.09	$28.19–$172.89	9% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY EA 15 MIN	$126.07	$180.09	$28.19–$172.89	9% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY EA 15 MIN	$126.07	$180.09	$140.83–$172.89	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY EA 15 MIN	$126.07	$180.09	$140.83–$172.89	—	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THER EXERCISE EA 15 MIN	$112.91	$161.30	$29.55–$154.85	2% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EXERCISE EA 15 MIN	$112.91	$161.30	$29.55–$154.85	2% above	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER EXERCISE EA 15 MIN	$112.91	$161.30	$126.14–$154.85	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THER EXERCISE EA 15 MIN	$112.91	$161.30	$126.14–$154.85	—	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOK CESS COUN INTMED 3-10 MIN	$31.26	$44.65	$32.59–$42.86	22% above	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOK CESS COUN INTMED 3-10 MIN	$31.26	$44.65	$34.92–$42.86	—	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC ESTABLISHED PT LEVEL 5	$385.35	$550.49	$194.38–$528.47	53% above	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC ESTABLISHED PT LEVEL 5	$385.35	$550.49	$430.48–$528.47	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC REMOVAL OF GASTROSTOMY TUBE	$274.41	$392.01	$96.30–$376.33	65% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC ESTABLISHED PT LEVEL 3	$298.65	$426.63	$96.30–$409.56	79% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC LD OUTPATIENT 7-12 HOUR ESTAB	$693.14	$990.20	$96.30–$950.59	317% above	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC REMOVAL OF GASTROSTOMY TUBE	$274.41	$392.01	$306.55–$376.33	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC ESTABLISHED PT LEVEL 3	$298.65	$426.63	$333.62–$409.56	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC LD OUTPATIENT 7-12 HOUR ESTAB	$693.14	$990.20	$774.34–$950.59	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC ESTABLISHED PT LEVEL 4	$385.35	$550.49	$137.08–$528.47	88% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC LD OUTPATIENT 13-18 HOUR ESTAB	$1,144.59	$1,635.12	$137.08–$1,569.72	459% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC LD OUTPATIENT 19-24 HOUR ESTAB	$1,647.60	$2,353.71	$137.08–$2,259.56	705% above	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC ESTABLISHED PT LEVEL 4	$385.35	$550.49	$430.48–$528.47	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC LD OUTPATIENT 13-18 HOUR ESTAB	$1,144.59	$1,635.12	$1,278.66–$1,569.72	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC LD OUTPATIENT 19-24 HOUR ESTAB	$1,647.60	$2,353.71	$1,840.60–$2,259.56	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTABLISHED PT LEVEL 2	$254.97	$364.24	$60.11–$349.67	90% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC NSY OUTPATIENT 2-6 HOUR	$394.97	$564.24	$60.11–$541.67	195% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC LD OUTPATIENT 2-6 HOUR ESTAB	$459.79	$656.84	$60.11–$630.57	243% above	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC ESTABLISHED PT LEVEL 2	$254.97	$364.24	$284.84–$349.67	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC NSY OUTPATIENT 2-6 HOUR	$394.97	$564.24	$441.24–$541.67	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC LD OUTPATIENT 2-6 HOUR ESTAB	$459.79	$656.84	$513.65–$630.57	—	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC LEVEL 3 CONSULTATION	$198.32	$283.31	$113.84–$271.98	31% below	30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC LEVEL 3 CONSULTATION	$198.32	$283.31	$221.55–$271.98	—	30%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC LEVEL 4 CONSULTATION	$199.64	$285.20	$162.71–$273.79	20% below	30%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC LEVEL 4 CONSULTATION	$199.64	$285.20	$223.03–$273.79	—	30%
Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN	$224.66	$320.94	$230.90–$308.10	53% below	30%
Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN	$224.66	$320.94	$250.98–$308.10	—	30%
Speech therapy session, individual CPT 92507 HC TREAT SPEECH LANG INDIV	$171.38	$244.82	$77.59–$235.03	18% below	30%
Speech therapy session, individual inpatient CPT 92507 HC TREAT SPEECH LANG INDIV	$171.38	$244.82	$191.45–$235.03	—	30%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$426.42	$609.17	$225.01–$584.80	90% above	30%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$426.42	$609.17	$476.37–$584.80	—	30%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE POST BRONCHODILTR	$870.71	$1,243.86	$388.86–$1,194.11	99% above	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE POST BRONCHODILTR	$870.71	$1,243.86	$972.70–$1,194.11	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVTY DIR EA 15 MIN	$96.72	$138.16	$35.68–$132.63	at median	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVTY DIR EA 15 MIN	$96.72	$138.16	$35.68–$132.63	at median	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVTY DIR EA 15 MIN	$96.72	$138.16	$108.04–$132.63	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVTY DIR EA 15 MIN	$96.72	$138.16	$108.04–$132.63	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC 22740	$193.23	$276.03	$138.65–$264.99	1% below	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$213.36	$304.80	$138.65–$292.61	9% above	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC 22740	$193.23	$276.03	$215.86–$264.99	—	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$213.36	$304.80	$238.35–$292.61	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Wyoming	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$678.10	$968.71	$707.16–$929.96	107% above	30%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$678.10	$968.71	$757.53–$929.96	—	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$137.19	$195.98	$143.07–$188.14	69% above	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$137.19	$195.98	$153.26–$188.14	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$15.75	$22.50	$16.43–$24.38	30% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$15.75	$22.50	$17.60–$21.60	—	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$1,078.24	$1,540.33	$1,124.44–$1,478.72	126% above	30%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$1,078.24	$1,540.33	$1,204.54–$1,478.72	—	30%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$173.91	$248.44	$181.36–$238.50	50% above	30%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$600.07	$857.23	$625.78–$822.94	416% above	30%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$173.91	$248.44	$194.28–$238.50	—	30%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$600.07	$857.23	$670.35–$822.94	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$214.50	$306.42	$71.79–$294.16	32% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$214.50	$306.42	$71.79–$294.16	32% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$214.50	$306.42	$239.62–$294.16	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$214.50	$306.42	$239.62–$294.16	—	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$92.19	$131.69	$32.30–$126.42	32% above	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$92.19	$131.69	$102.98–$126.42	—	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$98.17	$140.24	$102.38–$134.63	124% above	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$98.17	$140.24	$109.67–$134.63	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$42.36	$60.51	$44.17–$103.07	58% below	30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$42.36	$60.51	$47.32–$58.09	—	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$441.48	$630.68	$460.40–$605.45	158% above	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$441.48	$630.68	$493.19–$605.45	—	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION	$377.29	$538.98	$393.46–$517.42	17% above	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION	$377.29	$538.98	$421.48–$517.42	—	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$561.05	$801.49	$585.09–$769.43	4% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$561.05	$801.49	$626.77–$769.43	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$747.70	$1,068.13	$319.16–$1,025.40	83% above	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$747.70	$1,068.13	$835.28–$1,025.40	—	30%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$1,968.97	$2,812.81	$2,053.35–$2,700.30	—	30%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$1,968.97	$2,812.81	$2,199.62–$2,700.30	—	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,562.61	$2,232.29	$1,629.57–$2,143.00	at median	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,562.61	$2,232.29	$1,745.65–$2,143.00	—	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$984.06	$1,405.80	$319.95–$1,349.57	149% above	30%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$984.06	$1,405.80	$1,099.34–$1,349.57	—	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$476.24	$680.34	$496.65–$653.13	at median	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION	$641.77	$916.81	$669.27–$880.14	35% above	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$476.24	$680.34	$532.03–$653.13	—	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION	$641.77	$916.81	$716.95–$880.14	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$197.80	$282.57	$206.28–$271.27	187% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$197.80	$282.57	$220.97–$271.27	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$172.16	$245.93	$179.53–$236.09	47% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$172.16	$245.93	$192.32–$236.09	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN FLU VIRUS VACCINE PER IM SUB	$54.48	$77.82	$56.81–$77.24	4% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMONIA VACCINE PER IM SUB	$56.66	$80.93	$59.08–$77.69	at median	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE PER IM SUB	$57.75	$82.49	$60.22–$79.19	2% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUN ADMIN ONE VACC PER IM SUB	$59.83	$85.47	$62.39–$82.05	6% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN FLU VIRUS VACCINE PER IM SUB	$54.48	$77.82	$60.86–$74.71	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMONIA VACCINE PER IM SUB	$56.66	$80.93	$63.29–$77.69	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE PER IM SUB	$57.75	$82.49	$64.51–$79.19	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUN ADMIN ONE VACC PER IM SUB	$59.83	$85.47	$66.84–$82.05	—	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN PNEUMONIA VACCINE EA ADDL	$48.65	$69.50	$16.26–$66.72	113% above	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN FLU VIRUS VACCINE EA ADDL	$48.71	$69.58	$16.26–$66.80	113% above	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUN ADMIN EA ADDL VACCINE	$58.08	$82.97	$16.26–$79.65	154% above	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN PNEUMONIA VACCINE EA ADDL	$48.65	$69.50	$54.35–$66.72	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN FLU VIRUS VACCINE EA ADDL	$48.71	$69.58	$54.41–$66.80	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUN ADMIN EA ADDL VACCINE	$58.08	$82.97	$64.88–$79.65	—	30%

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://sthpiprd.blob.core.windows.net/machine-readable-files/10177/836000194_memorial-hospital-of-laramie-county_standardcharges.csv