Hospital Pittsburgh, PA

Jefferson Regional Medical Center

Jefferson Regional Medical Center in Jefferson Hills, PA publishes cash prices for 372 common procedures listed here, from its own machine-readable price file updated Oct 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Pennsylvania median for 316 of 366 procedures and below it for 46. By typical cash price it ranks #65 of 108 Pennsylvania hospitals and #16 of 26 hospitals in the Pittsburgh, PA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

565 COAL VALLEY ROAD, JEFFERSON HILLS, PA 15025 Collected Nov 7, 2026 Source price file Check a bill from this hospital (412) 469-5000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 390265 · CMS hospital register NPI 1578560504

Financial assistance

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

Jefferson 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 Pennsylvania	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABD W/WO CNTRST	$2,483.46	$3,066.00	$79.94–$561.00	32% above	19%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABD W/WO CNTRST	$2,483.46	$3,066.00	$197.75–$511.37	—	19%
Abdominal X-ray, 2 views CPT 74019 HC XR ABD AP W OBL CONE V	$450.36	$556.00	$26.37–$335.11	38% above	19%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABD AP W OBL CONE V	$450.36	$556.00	$29.75–$66.02	—	19%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE >=3V COMPLT	$465.75	$575.00	$29.66–$277.47	28% above	19%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE >=3V COMPLT	$465.75	$575.00	$29.66–$63.83	—	19%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC STDY EXT ARTERY 1-2 LVLS BIL	$496.53	$613.00	$56.11–$406.20	11% above	19%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC STDY EXT ARTERY 1-2 LVLS BIL	$496.53	$613.00	$66.38–$227.00	—	19%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXT WO CONTRAST	$1,186.65	$1,465.00	$47.75–$335.11	1% above	19%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXT WO CONTRAST	$1,186.65	$1,465.00	$124.59–$328.12	—	19%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS W CNTRST	$753.30	$930.00	$36.00–$561.00	64% above	19%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS W CNTRST	$753.30	$930.00	$79.03–$177.06	—	19%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE/JOINT IMG WB	$1,082.16	$1,336.00	$98.40–$1,266.29	12% below	19%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE/JOINT IMG WB	$1,082.16	$1,336.00	$217.71–$558.59	—	19%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI COMPLETE	$613.98	$758.00	$47.75–$335.11	12% above	19%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI COMPLETE	$613.98	$758.00	$83.45–$197.57	—	19%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI LIMITED	$507.87	$627.00	$39.54–$277.47	10% above	19%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI LIMITED	$507.87	$627.00	$69.15–$161.95	—	19%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD&PELVIS W/WO CNTRST	$3,984.39	$4,919.00	$160.38–$1,125.43	33% above	19%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD&PELVIS W/WO CNTRST	$3,984.39	$4,919.00	$316.62–$743.35	—	19%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO CNTRST	$2,483.46	$3,066.00	$79.94–$561.00	45% above	19%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W/WO CNTRST	$2,483.46	$3,066.00	$211.23–$545.08	—	19%
CT angiography (CTA) of the neck CPT 70498 HC CTA NK W/WO CNTRST	$2,483.46	$3,066.00	$79.94–$561.00	49% above	19%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NK W/WO CNTRST	$2,483.46	$3,066.00	$211.23–$544.45	—	19%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/WO CNTRST	$2,483.46	$3,066.00	$79.94–$561.00	29% above	19%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/WO CNTRST	$2,483.46	$3,066.00	$213.95–$556.97	—	19%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CORONARIES W CNTRST	$3,984.39	$4,919.00	$160.38–$1,125.43	102% above	19%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CORONARIES W CNTRST	$3,984.39	$4,919.00	$235.67–$662.45	—	19%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT WO CNTRST W CA TEST	$982.53	$1,213.00	$39.54–$277.47	456% above	19%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT WO CNTRST W CA TEST	$982.53	$1,213.00	$82.96–$192.41	—	19%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD&PELVIS WO CNTRST	$2,697.30	$3,330.00	$108.55–$761.74	30% above	19%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD&PELVIS WO CNTRST	$2,697.30	$3,330.00	$153.01–$369.98	—	19%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD&PELVIS W CNTRST	$3,984.39	$4,919.00	$160.38–$1,125.43	33% above	19%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD&PELVIS W CNTRST	$3,984.39	$4,919.00	$252.74–$600.72	—	19%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD&PELVIS W/WO CNTRST	$4,980.69	$6,149.00	$160.38–$1,125.43	67% above	19%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD&PELVIS W/WO CNTRST	$4,980.69	$6,149.00	$283.50–$674.92	—	19%
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CNTRST	$1,986.12	$2,452.00	$79.94–$561.00	20% above	19%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CNTRST	$1,986.12	$2,452.00	$193.00–$453.48	—	19%
CT scan of the abdomen without contrast CPT 74150 HC CT ABD WO CNTRST	$1,186.65	$1,465.00	$47.75–$335.11	5% above	19%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABD WO CNTRST	$1,186.65	$1,465.00	$114.06–$275.54	—	19%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAX/FAC WO CNTRST	$1,186.65	$1,465.00	$47.75–$335.11	5% above	19%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAX/FAC WO CNTRST	$1,186.65	$1,465.00	$106.71–$256.03	—	19%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CNTRST	$1,186.65	$1,465.00	$47.75–$335.11	10% above	19%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CNTRST	$1,186.65	$1,465.00	$88.46–$212.91	—	19%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W CNTRST	$1,986.12	$2,452.00	$79.94–$561.00	47% above	19%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W CNTRST	$1,986.12	$2,452.00	$123.64–$300.35	—	19%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W/WO CNTRST	$2,483.46	$3,066.00	$79.94–$561.00	49% above	19%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W/WO CNTRST	$2,483.46	$3,066.00	$144.67–$351.83	—	19%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CNTRST	$1,186.65	$1,465.00	$47.75–$335.11	3% above	19%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CNTRST	$1,186.65	$1,465.00	$107.67–$284.99	—	19%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERV SPINE WO CNTRST	$1,186.65	$1,465.00	$47.75–$335.11	1% above	19%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERV SPINE WO CNTRST	$1,186.65	$1,465.00	$108.48–$286.29	—	19%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CNTRST	$1,986.12	$2,452.00	$79.94–$561.00	17% above	19%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CNTRST	$1,986.12	$2,452.00	$188.61–$443.34	—	19%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUP SCAN EXTRACRANIAL ARTY BI	$930.69	$1,149.00	$108.55–$761.74	—	19%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUP SCAN EXTRACRANIAL ARTY BI	$930.69	$1,149.00	$153.59–$366.54	—	19%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W/WO CNTRST	$2,483.46	$3,066.00	$79.94–$561.00	54% above	19%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W/WO CNTRST	$2,483.46	$3,066.00	$163.49–$426.29	—	19%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2V	$465.75	$575.00	$23.76–$277.47	44% above	19%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2V	$465.75	$575.00	$27.31–$60.19	—	19%
Chest X-ray, single view CPT 71045 HC XR CHEST 1V	$372.60	$460.00	$12.98–$277.47	98% above	19%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1V	$372.60	$460.00	$20.81–$47.14	—	19%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLT	$372.60	$460.00	$18.40–$277.47	30% above	19%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLT	$372.60	$460.00	$26.42–$57.36	—	19%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RPERIT COMPLT	$613.98	$758.00	$47.75–$335.11	15% below	19%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RPERIT COMPLT	$613.98	$758.00	$88.03–$208.55	—	19%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BN DENSITY AXIAL	$450.36	$556.00	$31.58–$335.11	66% above	19%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BN DENSITY AXIAL	$450.36	$556.00	$31.58–$72.33	—	19%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA BN DENSITY PERIPHERAL	$372.60	$460.00	$25.67–$277.47	106% above	19%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA BN DENSITY PERIPHERAL	$372.60	$460.00	$25.67–$59.45	—	19%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SINGLE FETUS	$1,394.82	$1,722.00	$108.55–$761.74	11% above	19%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US DETAILED SINGLE FETUS	$1,394.82	$1,722.00	$145.16–$330.74	—	19%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CNTRST	$1,186.65	$1,465.00	$47.75–$335.11	8% above	19%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CNTRST	$1,186.65	$1,465.00	$110.95–$291.48	—	19%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CNTRST	$1,986.12	$2,452.00	$79.94–$561.00	39% above	19%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CNTRST	$1,986.12	$2,452.00	$139.20–$360.69	—	19%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI	$469.80	$580.00	$128.83–$310.74	—	19%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI	$469.80	$580.00	$128.83–$310.74	—	19%
Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI	$377.46	$466.00	$101.82–$246.86	19% above	19%
Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI	$377.46	$466.00	$101.82–$246.86	—	19%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP SCAN LWR EXT ARTY BI	$930.69	$1,149.00	$108.55–$761.74	—	19%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUP SCAN LWR EXT ARTY BI	$930.69	$1,149.00	$194.08–$465.00	—	19%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP SCAN EXT VEIN BI	$930.69	$1,149.00	$108.55–$761.74	—	19%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUP SCAN EXT VEIN BI	$930.69	$1,149.00	$151.09–$357.73	—	19%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE 2D W DPLR COMPLT	$1,687.23	$2,083.00	$157.02–$1,727.87	10% below	19%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE 2D W DPLR COMPLT	$1,687.23	$2,083.00	$159.77–$630.00	—	19%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2V	$372.60	$460.00	$18.40–$277.47	22% above	19%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2V	$372.60	$460.00	$23.74–$52.20	—	19%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLT MIN 3V	$465.75	$575.00	$18.40–$277.47	35% above	19%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLT MIN 3V	$465.75	$575.00	$26.71–$56.75	—	19%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA WO CNTRST	$1,186.65	$1,465.00	$47.75–$368.59	9% above	19%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA WO CNTRST	$1,186.65	$1,465.00	$132.60–$368.59	—	19%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BN MIN 3V	$450.36	$556.00	$36.00–$335.11	10% above	19%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BN MIN 3V	$450.36	$556.00	$38.38–$84.17	—	19%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2V	$372.60	$460.00	$18.40–$277.47	33% above	19%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2V	$372.60	$460.00	$23.74–$52.85	—	19%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILI SYS IMG W/WO GB IMG	$1,082.16	$1,336.00	$180.45–$1,266.29	12% below	19%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILI SYS IMG W/WO GB IMG	$1,082.16	$1,336.00	$239.49–$606.94	—	19%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2V	$450.36	$556.00	$16.00–$335.11	61% above	19%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2V	$450.36	$556.00	$25.62–$55.42	—	19%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS MIN 2V	$372.60	$460.00	$18.40–$277.47	41% above	19%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS MIN 2V	$372.60	$460.00	$23.20–$51.55	—	19%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED	$601.83	$743.00	$70.26–$493.06	1% below	19%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED	$601.83	$743.00	$77.02–$216.45	—	19%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY >=4 W CPAP	$3,914.73	$4,833.00	$456.88–$3,206.12	25% above	19%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY >=4 W CPAP	$3,914.73	$4,833.00	$527.64–$1,168.61	—	19%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3V	$465.75	$575.00	$26.40–$277.47	17% above	19%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3V	$465.75	$575.00	$33.16–$71.59	—	19%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE MIN 4V COMPLT	$450.36	$556.00	$35.87–$335.11	3% above	19%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE MIN 4V COMPLT	$450.36	$556.00	$38.32–$80.14	—	19%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXT WO CONTRAST	$1,186.65	$1,465.00	$47.75–$335.11	12% above	19%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXT WO CONTRAST	$1,186.65	$1,465.00	$107.94–$284.99	—	19%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABD LTD	$613.98	$758.00	$47.75–$335.11	1% above	19%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABD LTD	$613.98	$758.00	$70.69–$168.00	—	19%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/NONVASC EXTREM STRUCT	$613.98	$758.00	$12.56–$335.11	56% above	19%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/NONVASC EXTREM STRUCT	$613.98	$758.00	$51.71–$161.13	—	19%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCRN WO CONTRAST	$1,186.65	$1,465.00	$47.75–$335.11	199% above	19%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCRN WO CONTRAST	$1,186.65	$1,465.00	$114.65–$286.63	—	19%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA&FIBULA 2V	$372.60	$460.00	$25.62–$277.47	12% above	19%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA&FIBULA 2V	$372.60	$460.00	$25.62–$56.06	—	19%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CNTRST	$2,232.36	$2,756.00	$108.55–$761.74	24% above	19%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CNTRST	$2,232.36	$2,756.00	$179.74–$449.34	—	19%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BILAT W/CONTRAST	$2,302.02	$2,842.00	$286.22–$730.26	—	19%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BILAT W/OUT & W/CON	$2,302.02	$2,842.00	$286.22–$730.26	—	19%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST BILAT W/OUT & W/CON	$2,302.02	$2,842.00	$286.22–$730.26	—	19%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST BILAT W/CONTRAST	$2,302.02	$2,842.00	$286.22–$730.26	—	19%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LE JNT WO CNTRST	$2,232.36	$2,756.00	$108.55–$761.74	10% above	19%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LE JNT WO CNTRST	$2,232.36	$2,756.00	$169.22–$420.39	—	19%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LE JNT W/WO CNTRST	$4,122.09	$5,089.00	$160.38–$1,125.43	17% above	19%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LE JNT W/WO CNTRST	$4,122.09	$5,089.00	$321.77–$826.74	—	19%
MRI of the abdomen without contrast CPT 74181 HC MRI ABD WO CNTRST	$2,232.36	$2,756.00	$108.55–$761.74	13% above	19%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABD WO CNTRST	$2,232.36	$2,756.00	$163.68–$414.45	—	19%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABD W/WO CNTRST	$4,122.09	$5,089.00	$160.38–$1,125.43	17% above	19%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABD W/WO CNTRST	$4,122.09	$5,089.00	$282.38–$718.21	—	19%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CNTRST	$2,232.36	$2,756.00	$108.55–$761.74	23% above	19%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CNTRST	$2,232.36	$2,756.00	$163.97–$410.69	—	19%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CNTRST	$4,122.09	$5,089.00	$160.38–$1,125.43	42% above	19%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CNTRST	$4,122.09	$5,089.00	$266.06–$671.00	—	19%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMB SPINE WO CNTRST	$2,232.36	$2,756.00	$108.55–$761.74	25% above	19%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMB SPINE WO CNTRST	$2,232.36	$2,756.00	$159.94–$400.37	—	19%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMB SPINE W/WO CNTRST	$4,122.09	$5,089.00	$160.38–$1,125.43	26% above	19%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMB SPINE W/WO CNTRST	$4,122.09	$5,089.00	$266.87–$674.86	—	19%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THOR SPINE WO CNTRST	$2,232.36	$2,756.00	$108.55–$761.74	8% above	19%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THOR SPINE WO CNTRST	$2,232.36	$2,756.00	$159.14–$399.74	—	19%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERV SPINE W/WO CNTRST	$4,122.09	$5,089.00	$160.38–$1,125.43	41% above	19%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERV SPINE W/WO CNTRST	$4,122.09	$5,089.00	$267.41–$676.15	—	19%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERV SPINE WO CNTRST	$2,232.36	$2,756.00	$108.55–$761.74	27% above	19%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERV SPINE WO CNTRST	$2,232.36	$2,756.00	$159.41–$399.74	—	19%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO CNTRST	$4,122.09	$5,089.00	$160.38–$1,125.43	17% above	19%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO CNTRST	$4,122.09	$5,089.00	$281.30–$716.92	—	19%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CNTRST	$2,232.36	$2,756.00	$108.55–$761.74	14% above	19%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CNTRST	$2,232.36	$2,756.00	$191.33–$488.46	—	19%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPR EXT JNT WO CNTRST	$2,232.36	$2,756.00	$108.55–$761.74	5% above	19%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPR EXT JNT WO CNTRST	$2,232.36	$2,756.00	$169.49–$422.35	—	19%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERV MIN 4V	$450.36	$556.00	$42.40–$335.11	2% above	19%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERV MIN 4V	$450.36	$556.00	$43.50–$92.58	—	19%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NK/SOFT TISS W CNTRST	$1,986.12	$2,452.00	$79.94–$561.00	47% above	19%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NK/SOFT TISS W CNTRST	$1,986.12	$2,452.00	$153.69–$372.89	—	19%
Neck soft tissue CT scan without contrast CPT 70490 HC CT NK/SOFT TISS WO CNTRST	$1,186.65	$1,465.00	$47.75–$335.11	10% above	19%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NK/SOFT TISS WO CNTRST	$1,186.65	$1,465.00	$125.14–$303.60	—	19%
Neck soft tissue X-ray CPT 70360 HC XR NK/SOFT TISS	$372.60	$460.00	$16.00–$277.47	33% above	19%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NK/SOFT TISS	$372.60	$460.00	$25.38–$56.16	—	19%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARDIAL PERF SPECT MULT	$3,516.21	$4,341.00	$350.28–$4,113.98	10% below	19%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARDIAL PERF SPECT MULT	$3,516.21	$4,341.00	$350.28–$871.48	—	19%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W/CT SKULL-THIGH	$9,821.25	$12,125.00	$655.01–$4,596.48	36% above	19%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE W/CT SKULL-THIGH	$9,821.25	$12,125.00	$1,101.68–$2,800.36	—	19%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CNTRST	$1,186.65	$1,465.00	$47.75–$335.11	8% above	19%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CNTRST	$1,186.65	$1,465.00	$110.97–$268.02	—	19%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LTD/FU	$613.98	$758.00	$30.40–$335.11	37% above	19%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LTD/FU	$613.98	$758.00	$40.28–$90.37	—	19%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS COMPLT	$613.98	$758.00	$47.75–$335.11	5% above	19%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS COMPLT	$613.98	$758.00	$85.60–$201.89	—	19%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB OVER 14WKS SNGL	$613.98	$758.00	$47.75–$335.11	at median	19%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB OVER 14WKS SNGL	$613.98	$758.00	$110.35–$258.56	—	19%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB 1ST TRIMST TXABD SNGL	$613.98	$758.00	$47.75–$335.11	9% above	19%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB 1ST TRIMST TXABD SNGL	$613.98	$758.00	$95.64–$226.40	—	19%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREG 1 OR MORE FETUSES LTD	$613.98	$758.00	$47.75–$335.11	15% above	19%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREG 1 OR MORE FETUSES LTD	$613.98	$758.00	$65.94–$155.38	—	19%
Rib X-ray, one side, 2 views CPT 71100 HC XR RIB UNI 2V	$372.60	$460.00	$26.40–$277.47	11% above	19%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIB UNI 2V	$372.60	$460.00	$29.73–$65.33	—	19%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIB UNI MIN 3V INCL PA CHST	$450.36	$556.00	$26.40–$335.11	10% above	19%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIB UNI MIN 3V INCL PA CHST	$450.36	$556.00	$34.37–$75.21	—	19%
Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD	$385.56	$476.00	$103.90–$251.79	—	19%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD	$385.56	$476.00	$103.90–$251.79	—	19%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLT MIN 2V	$465.75	$575.00	$26.40–$277.47	38% above	19%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLT MIN 2V	$465.75	$575.00	$28.33–$60.65	—	19%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUS MIN 3V	$465.75	$575.00	$30.54–$277.47	10% above	19%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUS MIN 3V	$465.75	$575.00	$30.54–$67.27	—	19%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1-3V	$450.36	$556.00	$29.14–$335.11	26% above	19%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1-3V	$450.36	$556.00	$29.14–$65.16	—	19%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY >=4	$3,914.73	$4,833.00	$398.54–$3,206.12	13% above	19%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY >=4	$3,914.73	$4,833.00	$504.79–$1,118.62	—	19%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO TTE STRESS INCL EKG MONITOR	$1,687.23	$2,083.00	$188.80–$1,727.87	7% below	19%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO TTE STRESS INCL EKG MONITOR	$1,687.23	$2,083.00	$188.80–$686.00	—	19%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR SWALLOWING STUDY W VIDEO	$753.30	$930.00	$44.80–$561.00	28% above	19%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR SWALLOWING STUDY W VIDEO	$753.30	$930.00	$100.94–$236.58	—	19%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/>	$465.75	$575.00	$27.28–$277.47	17% above	19%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/>	$465.75	$575.00	$28.87–$63.24	—	19%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THOR SPINE WO CNTRST	$1,186.65	$1,465.00	$47.75–$335.11	1% above	19%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THOR SPINE WO CNTRST	$1,186.65	$1,465.00	$108.21–$286.29	—	19%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) MIN 2V	$372.60	$460.00	$14.40–$277.47	33% above	19%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) MIN 2V	$372.60	$460.00	$23.69–$51.44	—	19%
Transvaginal pelvic ultrasound CPT 76830 HC US TV	$613.98	$758.00	$47.75–$335.11	10% above	19%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TV	$613.98	$758.00	$96.82–$226.34	—	19%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TV	$613.98	$758.00	$47.75–$335.11	11% above	19%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TV	$613.98	$758.00	$75.48–$177.06	—	19%
Ultrasound of the abdomen, complete CPT 76700 HC US ABD COMPLT	$613.98	$758.00	$47.75–$335.11	22% below	19%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABD COMPLT	$613.98	$758.00	$94.51–$226.89	—	19%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM	$613.98	$758.00	$47.75–$335.11	at median	19%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM	$613.98	$758.00	$81.23–$193.31	—	19%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD&NK SOFT TISS	$613.98	$758.00	$47.75–$335.11	7% above	19%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD&NK SOFT TISS	$613.98	$758.00	$89.44–$212.91	—	19%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR UGI SINGLE CONTRAST	$753.30	$930.00	$62.40–$561.00	20% above	19%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR UGI SINGLE CONTRAST	$753.30	$930.00	$99.66–$221.70	—	19%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS MIN 2V	$372.60	$460.00	$18.40–$277.47	35% above	19%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS MIN 2V	$372.60	$460.00	$25.89–$57.36	—	19%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUP SCAN EXT VEIN UNI/LTD	$409.05	$505.00	$47.75–$335.11	36% below	19%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUP SCAN EXT VEIN UNI/LTD	$409.05	$505.00	$96.20–$223.37	—	19%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2V	$372.60	$460.00	$18.40–$277.47	36% above	19%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2V	$372.60	$460.00	$27.50–$59.93	—	19%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST>=3V COMPLT	$465.75	$575.00	$18.40–$277.47	45% above	19%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST>=3V COMPLT	$465.75	$575.00	$33.42–$70.91	—	19%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY HIP UNI 2-3 VIEWS	$465.75	$575.00	$35.78–$277.47	31% above	19%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY HIP UNI 2-3 VIEWS	$465.75	$575.00	$38.59–$82.70	—	19%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABD AP	$372.60	$460.00	$22.03–$277.47	33% above	19%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABD AP	$372.60	$460.00	$24.57–$53.57	—	19%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2V	$372.60	$460.00	$18.40–$277.47	10% above	19%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2V	$372.60	$460.00	$26.15–$58.00	—	19%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S) MIN 2V	$372.60	$460.00	$14.40–$277.47	54% above	19%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S) MIN 2V	$372.60	$460.00	$30.94–$64.95	—	19%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2V	$372.60	$460.00	$16.00–$277.47	15% above	19%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2V	$372.60	$460.00	$23.20–$50.92	—	19%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT >=3V COMPLT	$465.75	$575.00	$18.40–$277.47	28% above	19%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT >=3V COMPLT	$465.75	$575.00	$27.78–$59.96	—	19%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3V	$372.60	$460.00	$18.40–$277.47	25% above	19%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3V	$372.60	$460.00	$30.20–$63.83	—	19%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2V	$372.60	$460.00	$26.40–$277.47	32% above	19%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2V	$372.60	$460.00	$27.77–$61.22	—	19%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBOSACRAL 2-3V	$450.36	$556.00	$32.42–$335.11	24% above	19%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBOSACRAL 2-3V	$450.36	$556.00	$32.42–$69.84	—	19%
X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBOSACRAL MIN 4V	$562.14	$694.00	$36.00–$335.11	24% above	19%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBOSACRAL MIN 4V	$562.14	$694.00	$42.14–$88.68	—	19%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THOR 2V	$450.36	$556.00	$26.75–$335.11	23% above	19%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THOR 2V	$450.36	$556.00	$26.75–$58.17	—	19%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BN MIN 3V	$372.60	$460.00	$18.40–$277.47	37% above	19%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BN MIN 3V	$372.60	$460.00	$30.46–$66.41	—	19%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERV 2-3V	$465.75	$575.00	$26.40–$277.47	40% above	19%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERV 2-3V	$465.75	$575.00	$32.15–$69.84	—	19%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2V	$450.36	$556.00	$16.00–$335.11	54% above	19%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2V	$450.36	$556.00	$22.68–$52.26	—	19%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM COCCYX MIN 2V	$372.60	$460.00	$26.40–$277.47	11% above	19%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM COCCYX MIN 2V	$372.60	$460.00	$26.44–$57.39	—	19%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ACTH blood test CPT 82024 HC ADRENOCORT HORMONE (ACTH)	$268.11	$331.00	$18.71–$94.08	21% above	19%
ACTH blood test inpatient CPT 82024 HC ADRENOCORT HORMONE (ACTH)	$268.11	$331.00	$25.49–$46.42	—	19%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT (SGPT)	$37.26	$46.00	$2.57–$14.70	2% above	19%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT (SGPT)	$37.26	$46.00	$3.50–$14.70	—	19%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST (SGOT)	$36.45	$45.00	$2.51–$14.70	1% above	19%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST (SGOT)	$36.45	$45.00	$3.42–$14.70	—	19%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL	$330.48	$408.00	$23.07–$116.03	7% above	19%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL	$330.48	$408.00	$31.44–$57.25	—	19%
Albumin blood test CPT 82040 HC ALBUMIN SRM/PLAS/WHOLE BLD	$34.83	$43.00	$2.40–$12.06	9% above	19%
Albumin blood test inpatient CPT 82040 HC ALBUMIN SRM/PLAS/WHOLE BLD	$34.83	$43.00	$3.27–$8.40	—	19%
Aldosterone blood test CPT 82088 HC ALDOSTERONE	$282.69	$349.00	$19.74–$99.27	36% above	19%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE	$282.69	$349.00	$26.00–$48.98	—	19%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOSPHATASE	$36.45	$45.00	$2.51–$14.70	at median	19%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOSPHATASE	$36.45	$45.00	$3.42–$14.70	—	19%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGN IGE QN CRUDE EXTRT EA	$36.45	$45.00	$2.53–$12.72	13% above	19%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGN IGE QN CRUDE EXTRT EA	$36.45	$45.00	$3.44–$7.21	—	19%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM	$115.83	$143.00	$8.12–$40.85	5% above	19%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM	$115.83	$143.00	$11.07–$20.16	—	19%
Ammonia blood test CPT 82140 HC AMMONIA	$100.44	$124.00	$5.00–$35.49	10% above	19%
Ammonia blood test inpatient CPT 82140 HC AMMONIA	$100.44	$124.00	$5.00–$17.51	—	19%
Amylase blood test CPT 82150 HC AMYLASE	$44.55	$55.00	$3.14–$17.85	2% above	19%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$44.55	$55.00	$4.28–$17.85	—	19%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATE PEPT AB	$89.91	$111.00	$6.27–$31.55	6% above	19%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATE PEPT AB	$89.91	$111.00	$8.55–$15.56	—	19%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ABS (ANA)	$84.24	$104.00	$5.86–$29.45	13% above	19%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ABS (ANA)	$84.24	$104.00	$7.98–$15.00	—	19%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE	$271.35	$335.00	$19.02–$95.64	36% above	19%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE	$271.35	$335.00	$25.92–$47.19	—	19%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT AERBC OTHR PRESUM ID	$59.94	$74.00	$4.18–$21.00	15% above	19%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULT AERBC OTHR PRESUM ID	$59.94	$74.00	$5.69–$10.36	—	19%
Basic metabolic panel (blood test) CPT 80048 HC BMP TOTAL CALCIUM	$58.32	$72.00	$4.10–$23.10	25% below	19%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BMP TOTAL CALCIUM	$58.32	$72.00	$5.59–$23.10	—	19%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$34.83	$43.00	$2.43–$13.65	9% above	19%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$34.83	$43.00	$3.31–$13.65	—	19%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH GR&M LVL 4	$164.43	$203.00	$14.40–$168.37	7% below	19%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH GR&M LVL 4	$164.43	$203.00	$34.00–$97.04	—	19%
Blood culture for bacteria CPT 87040 HC CULT BLOOD ISOL W ID	$71.28	$88.00	$5.00–$25.14	16% below	19%
Blood culture for bacteria inpatient CPT 87040 HC CULT BLOOD ISOL W ID	$71.28	$88.00	$6.81–$14.00	—	19%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC RESEARCH VENIPUNCTURE	$63.18	$78.00	$3.10–$22.14	321% above	19%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$63.18	$78.00	$3.10–$22.14	321% above	19%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$63.18	$78.00	$3.10–$11.74	—	19%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC RESEARCH VENIPUNCTURE	$63.18	$78.00	$3.10–$11.74	—	19%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD QUANT POC	$26.73	$33.00	$1.90–$11.55	4% above	19%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD QUANT	$26.73	$33.00	$1.90–$11.55	4% above	19%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BLOOD QUANT	$26.73	$33.00	$2.60–$11.55	—	19%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BLOOD QUANT POC	$26.73	$33.00	$2.60–$11.55	—	19%
Blood lead test CPT 83655 HC LEAD	$84.24	$104.00	$5.87–$33.60	8% above	19%
Blood lead test inpatient CPT 83655 HC LEAD	$84.24	$104.00	$8.00–$33.60	—	19%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUAL	$52.65	$65.00	$3.64–$21.00	5% above	19%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUAL	$52.65	$65.00	$4.96–$21.00	—	19%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO	$892.62	$1,102.00	$1.45–$406.20	571% above	19%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO	$892.62	$1,102.00	$1.97–$4.12	—	19%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN (BUN)	$27.54	$34.00	$1.91–$11.55	2% above	19%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN (BUN)	$27.54	$34.00	$2.61–$11.55	—	19%
C-peptide blood test CPT 84681 HC C-PEPTIDE	$144.18	$178.00	$10.08–$50.69	33% above	19%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE	$144.18	$178.00	$13.74–$28.75	—	19%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$36.45	$45.00	$2.51–$14.00	2% above	19%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$36.45	$45.00	$3.00–$14.00	—	19%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE TOXIN AMPL PROB	$257.58	$318.00	$18.05–$90.79	24% above	19%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFFICILE TOXIN AMPL PROB	$257.58	$318.00	$24.60–$44.80	—	19%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSY TUMOR CA 19-9	$144.18	$178.00	$10.08–$50.69	8% above	19%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSY TUMOR CA 19-9	$144.18	$178.00	$13.74–$25.01	—	19%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSY TUMO CA 125	$144.18	$178.00	$10.08–$50.69	10% above	19%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSY TUMO CA 125	$144.18	$178.00	$13.74–$25.01	—	19%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COV2 COVID AMB PROBE	$355.59	$439.00	$24.85–$124.99	290% above	19%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS COV2 COVID AMB PROBE	$355.59	$439.00	$33.87–$102.00	—	19%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL	$35.64	$44.00	$2.50–$14.70	6% above	19%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL	$35.64	$44.00	$3.41–$14.70	—	19%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC AG (CEA)	$131.22	$162.00	$9.18–$65.00	11% above	19%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC AG (CEA)	$131.22	$162.00	$12.52–$65.00	—	19%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER AB	$89.10	$110.00	$6.24–$31.38	5% above	19%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER AB	$89.10	$110.00	$8.50–$17.81	—	19%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLMDA TRACH DNA AMPL PROBE	$243.00	$300.00	$17.00–$85.48	24% above	19%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLMDA TRACH DNA AMPL PROBE	$243.00	$300.00	$23.16–$42.18	—	19%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$93.15	$115.00	$6.49–$36.75	4% above	19%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$93.15	$115.00	$8.83–$36.75	—	19%
Complete blood count (CBC) with differential CPT 85025 HC CBC AUTO W AUTO DIFF	$54.27	$67.00	$3.76–$22.05	6% above	19%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC AUTO W AUTO DIFF	$54.27	$67.00	$5.13–$22.05	—	19%
Complete blood count (CBC), no differential CPT 85027 HC CBC AUTO WO DIFF	$44.55	$55.00	$3.13–$17.85	3% above	19%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTO WO DIFF	$44.55	$55.00	$4.27–$17.85	—	19%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PNL	$72.90	$90.00	$5.12–$29.40	18% below	19%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PNL	$72.90	$90.00	$6.97–$29.40	—	19%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL	$113.40	$140.00	$7.90–$39.71	10% above	19%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL	$113.40	$140.00	$10.76–$19.59	—	19%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL	$45.36	$56.00	$3.15–$17.85	1% above	19%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE TOTAL	$45.36	$56.00	$4.30–$17.85	—	19%
Creatinine blood test CPT 82565 HC CREATININE BLOOD POC	$35.64	$44.00	$2.48–$14.70	5% above	19%
Creatinine blood test CPT 82565 HC CREATININE BLOOD	$35.64	$44.00	$2.48–$14.70	5% above	19%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD	$35.64	$44.00	$3.38–$14.70	—	19%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD POC	$35.64	$44.00	$3.38–$14.70	—	19%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS AB	$100.44	$124.00	$6.97–$35.05	16% above	19%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS AB	$100.44	$124.00	$9.49–$19.83	—	19%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANTITATIVE	$70.47	$87.00	$4.93–$24.80	3% above	19%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANTITATIVE	$70.47	$87.00	$6.72–$12.24	—	19%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE	$153.90	$190.00	$10.77–$54.15	15% above	19%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE	$153.90	$190.00	$14.67–$26.72	—	19%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCRN CHEMISTRY ANALYZER	$430.11	$531.00	$30.10–$151.37	136% above	19%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCRN CHEMISTRY ANALYZER	$430.11	$531.00	$41.01–$74.69	—	19%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$48.60	$60.00	$3.40–$19.95	8% below	19%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$48.60	$60.00	$4.63–$19.95	—	19%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR VCA AB	$125.55	$155.00	$8.79–$44.19	9% above	19%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR VCA AB	$125.55	$155.00	$11.97–$25.07	—	19%
Estradiol blood test CPT 82670 HC ESTRADIOL TOTAL	$192.78	$238.00	$13.53–$68.06	16% above	19%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL TOTAL	$192.78	$238.00	$18.44–$33.58	—	19%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH (FOLLICLE STIM HORMONE)	$128.79	$159.00	$9.00–$63.00	8% above	19%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH (FOLLICLE STIM HORMONE)	$128.79	$159.00	$12.27–$63.00	—	19%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL	$136.08	$168.00	$9.51–$47.82	5% above	19%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL	$136.08	$168.00	$12.96–$23.59	—	19%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$94.77	$117.00	$6.60–$37.80	9% above	19%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$94.77	$117.00	$9.00–$37.80	—	19%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTVTY	$67.23	$83.00	$4.71–$23.68	2% above	19%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTVTY	$67.23	$83.00	$6.41–$11.68	—	19%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM	$101.25	$125.00	$7.12–$40.95	17% above	19%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM	$101.25	$125.00	$9.70–$40.95	—	19%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE (T3) FREE	$116.64	$144.00	$8.21–$41.27	9% above	19%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE (T3) FREE	$116.64	$144.00	$11.18–$23.41	—	19%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE (T4) FREE	$62.37	$77.00	$4.37–$25.20	4% above	19%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE (T4) FREE	$62.37	$77.00	$5.95–$25.20	—	19%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE	$176.58	$218.00	$12.34–$87.00	11% above	19%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE	$176.58	$218.00	$16.81–$87.00	—	19%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFE GAMMA (GGT)	$50.22	$62.00	$3.49–$17.54	6% above	19%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFE GAMMA (GGT)	$50.22	$62.00	$4.75–$9.36	—	19%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL	$209.79	$259.00	$32.49–$99.48	11% above	19%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL	$209.79	$259.00	$32.49–$99.48	—	19%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$33.21	$41.00	$2.30–$16.00	11% below	19%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$33.21	$41.00	$3.14–$16.00	—	19%
Glucose tolerance test, 3 samples CPT 82951 HC GTT 3 SPECIMENS	$89.10	$110.00	$6.23–$35.70	10% above	19%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GTT 3 SPECIMENS	$89.10	$110.00	$8.49–$35.70	—	19%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GON DNA AMPL PROB	$243.00	$300.00	$17.00–$85.48	32% above	19%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GON DNA AMPL PROB	$243.00	$300.00	$23.16–$42.18	—	19%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB	$116.64	$144.00	$8.16–$49.00	1% above	19%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB	$116.64	$144.00	$11.12–$49.00	—	19%
H. pylori stool antigen test CPT 87338 HC H PYLORI STOOL AG EIA	$99.63	$123.00	$6.97–$35.03	3% above	19%
H. pylori stool antigen test inpatient CPT 87338 HC H PYLORI STOOL AG EIA	$99.63	$123.00	$9.49–$17.28	—	19%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 PCR QUANT	$589.68	$728.00	$41.22–$207.30	19% above	19%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 PCR QUANT	$589.68	$728.00	$56.17–$116.09	—	19%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1&2 AB SNGL RESULT DIAG	$135.27	$167.00	$6.64–$33.40	31% above	19%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1&2 AB SNGL RESULT DIAG	$135.27	$167.00	$9.05–$29.40	—	19%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC 1AG W 1/2AB SNGL RESULT EIA	$166.86	$206.00	$11.66–$59.00	18% above	19%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC 1AG W 1/2AB SNGL RESULT EIA	$166.86	$206.00	$15.90–$59.00	—	19%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC INFECT AGENT PCR 87624	$243.00	$300.00	$17.00–$85.48	17% above	19%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC INFECT AGENT PCR 87624	$243.00	$300.00	$23.16–$42.18	—	19%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCATED A1C	$67.23	$83.00	$4.70–$27.30	32% above	19%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCATED A1C	$67.23	$83.00	$6.41–$27.30	—	19%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$16.20	$20.00	$1.15–$7.35	5% below	19%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$16.20	$20.00	$1.56–$7.35	—	19%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB TOTAL	$83.43	$103.00	$5.84–$29.35	1% below	19%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB TOTAL	$83.43	$103.00	$7.95–$15.00	—	19%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB	$74.52	$92.00	$5.20–$26.16	2% above	19%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB	$74.52	$92.00	$7.08–$13.18	—	19%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA	$71.28	$88.00	$5.00–$25.16	2% above	19%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG EIA	$71.28	$88.00	$6.82–$14.17	—	19%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB	$98.82	$122.00	$6.91–$34.76	1% below	19%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB	$98.82	$122.00	$9.42–$32.55	—	19%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C PCR QUANT	$297.27	$367.00	$20.75–$104.36	5% above	19%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C PCR QUANT	$297.27	$367.00	$28.27–$51.49	—	19%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 AB	$91.53	$113.00	$6.39–$32.13	14% above	19%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 AB	$91.53	$113.00	$8.70–$18.22	—	19%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 AB	$133.65	$165.00	$9.37–$47.14	24% above	19%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 AB	$133.65	$165.00	$12.77–$23.26	—	19%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PRO SENSITIVE	$89.91	$111.00	$6.27–$35.70	14% above	19%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PRO SENSITIVE	$89.91	$111.00	$8.55–$35.70	—	19%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE	$123.93	$153.00	$8.68–$43.65	4% above	19%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE	$123.93	$153.00	$11.83–$21.54	—	19%
Insulin blood test CPT 83525 HC INSULIN TOTAL	$79.38	$98.00	$5.54–$27.84	9% above	19%
Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL	$79.38	$98.00	$7.55–$13.74	—	19%
Iron blood test (serum iron) CPT 83540 HC IRON	$44.55	$55.00	$3.13–$17.85	2% below	19%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$44.55	$55.00	$4.27–$17.85	—	19%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$60.75	$75.00	$4.23–$24.15	2% above	19%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$60.75	$75.00	$5.00–$24.15	—	19%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$59.94	$74.00	$4.20–$24.15	12% below	19%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$59.94	$74.00	$5.73–$24.15	—	19%
LH (luteinizing hormone) test CPT 83002 HC LH (LUTENIZING HORMONE)	$128.79	$159.00	$8.97–$63.00	8% above	19%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH (LUTENIZING HORMONE)	$128.79	$159.00	$12.22–$63.00	—	19%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID (LACT)	$80.19	$99.00	$5.60–$28.18	4% above	19%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID (LACT) POC	$80.19	$99.00	$5.60–$28.18	4% above	19%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID (LACT) POC	$80.19	$99.00	$7.63–$13.91	—	19%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID (LACT)	$80.19	$99.00	$7.63–$13.91	—	19%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACT DEHYDROGENASE (LDH)	$41.31	$51.00	$2.93–$14.71	12% above	19%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACT DEHYDROGENASE (LDH)	$41.31	$51.00	$3.98–$7.26	—	19%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$47.79	$59.00	$3.34–$18.90	2% above	19%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$47.79	$59.00	$4.54–$18.90	—	19%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$56.70	$70.00	$3.96–$23.10	27% below	19%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$56.70	$70.00	$5.39–$23.10	—	19%
Lyme disease antibody test CPT 86618 HC LYME DISEASE AB	$117.45	$145.00	$8.25–$41.49	24% above	19%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE AB	$117.45	$145.00	$11.24–$38.85	—	19%
Magnesium blood test CPT 83735 HC MAGNESIUM	$46.17	$57.00	$3.25–$18.90	11% above	19%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$46.17	$57.00	$4.42–$18.90	—	19%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB	$89.10	$110.00	$6.24–$35.70	11% above	19%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB	$89.10	$110.00	$8.50–$35.70	—	19%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ABS SCREEN	$36.45	$45.00	$2.51–$14.70	2% below	19%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ABS SCREEN	$36.45	$45.00	$3.42–$14.70	—	19%
Mumps immunity blood test CPT 86735 HC MUMPS AB	$89.91	$111.00	$6.32–$35.70	10% above	19%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB	$89.91	$111.00	$8.61–$35.70	—	19%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL	$331.29	$409.00	$12.00–$116.47	7% above	19%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL	$331.29	$409.00	$12.00–$57.46	—	19%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$127.98	$158.00	$8.91–$44.80	12% above	19%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$127.98	$158.00	$12.13–$22.10	—	19%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL	$133.65	$165.00	$8.91–$50.40	22% above	19%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL	$133.65	$165.00	$12.13–$50.40	—	19%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTO CERV/VAG AUTO SYS DX	$81.81	$101.00	$12.89–$64.82	at median	19%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTO CERV/VAG AUTO SYS DX	$81.81	$101.00	$17.57–$37.60	—	19%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTO CER/VAG THIN PREP DX	$62.37	$77.00	$9.81–$49.35	2% above	19%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTO CER/VAG THIN PREP DX	$62.37	$77.00	$13.38–$28.63	—	19%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PTH)	$285.93	$353.00	$20.00–$100.56	31% above	19%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PTH)	$285.93	$353.00	$27.25–$49.62	—	19%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME (APTT)	$41.31	$51.00	$2.91–$20.00	at median	19%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME (APTT)	$41.31	$51.00	$3.97–$20.00	—	19%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$33.21	$41.00	$2.30–$13.65	2% above	19%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$33.21	$41.00	$3.12–$13.65	—	19%
Potassium blood test CPT 84132 HC POTASS SRM/PLAS/WHOLE BLOOD	$33.21	$41.00	$2.31–$12.60	4% above	19%
Potassium blood test CPT 84132 HC POTASS SRM/PLAS/WHOLE BLD POC	$33.21	$41.00	$2.31–$12.60	4% above	19%
Potassium blood test inpatient CPT 84132 HC POTASS SRM/PLAS/WHOLE BLD POC	$33.21	$41.00	$3.15–$12.60	—	19%
Potassium blood test inpatient CPT 84132 HC POTASS SRM/PLAS/WHOLE BLOOD	$33.21	$41.00	$3.15–$12.60	—	19%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROM ANEUPLOIDY GENOMIC SEQ ANALY	$2,336.04	$2,884.00	$367.68–$1,849.05	at median	19%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROM ANEUPLOIDY GENOMIC SEQ ANALY	$2,336.04	$2,884.00	$500.97–$893.40	—	19%
Progesterone blood test CPT 84144 HC PROGESTERONE	$144.99	$179.00	$10.10–$50.81	6% above	19%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$144.99	$179.00	$13.77–$25.07	—	19%
Prolactin blood test CPT 84146 HC PROLACTIN	$133.65	$165.00	$9.39–$66.00	7% above	19%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$133.65	$165.00	$12.79–$66.00	—	19%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME POC	$29.97	$37.00	$2.08–$11.55	5% above	19%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$29.97	$37.00	$2.08–$11.55	5% above	19%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME POC	$29.97	$37.00	$2.83–$11.55	—	19%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$29.97	$37.00	$2.83–$11.55	—	19%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA AG OPTICAL	$115.02	$142.00	$8.02–$40.32	110% above	19%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA AG OPTICAL	$115.02	$142.00	$10.92–$31.50	—	19%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A OPTICAL POC	$115.02	$142.00	$6.30–$40.27	82% above	19%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A OPTICAL	$115.02	$142.00	$6.30–$40.27	82% above	19%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A OPTICAL	$115.02	$142.00	$6.30–$31.50	—	19%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A OPTICAL POC	$115.02	$142.00	$6.30–$31.50	—	19%
Renin blood test CPT 84244 HC RENIN	$152.28	$188.00	$10.65–$53.57	5% above	19%
Renin blood test inpatient CPT 84244 HC RENIN	$152.28	$188.00	$12.00–$26.43	—	19%
Rh blood typing CPT 86901 HC BLOOD TYPING RH(D)	$271.35	$335.00	$1.45–$123.69	376% above	19%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH(D)	$271.35	$335.00	$1.97–$4.17	—	19%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$38.88	$48.00	$2.75–$15.75	1% below	19%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT	$38.88	$48.00	$3.74–$15.75	—	19%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB	$100.44	$124.00	$6.97–$39.90	19% above	19%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB	$100.44	$124.00	$9.49–$39.90	—	19%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE AUTO	$18.63	$23.00	$1.31–$7.35	14% below	19%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE AUTO	$18.63	$23.00	$1.78–$7.35	—	19%
Sodium blood test CPT 84295 HC SODIUM SRM/PLAS/WHOLE BLOOD	$33.21	$41.00	$2.33–$13.65	2% above	19%
Sodium blood test CPT 84295 HC SODIUM SRM/PLAS/WHOLE BLD POC	$33.21	$41.00	$2.33–$13.65	2% above	19%
Sodium blood test inpatient CPT 84295 HC SODIUM SRM/PLAS/WHOLE BLOOD	$33.21	$41.00	$3.18–$13.65	—	19%
Sodium blood test inpatient CPT 84295 HC SODIUM SRM/PLAS/WHOLE BLD POC	$33.21	$41.00	$3.18–$13.65	—	19%
Stool ova and parasites exam CPT 87177 HC OVA & PARASITE CONC & ID	$61.56	$76.00	$4.31–$30.00	5% above	19%
Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITE CONC & ID	$61.56	$76.00	$5.87–$30.00	—	19%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCC BLD FECES SCRN 1-3 SPEC	$29.97	$37.00	$2.12–$10.67	47% above	19%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCC BLD FECES SCRN 1-3 SPEC	$29.97	$37.00	$2.89–$9.45	—	19%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLD OCC FECAL HGB DET IA QL1-3	$124.74	$154.00	$2.80–$38.85	246% above	19%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLD OCC FECAL HGB DET IA QL1-3	$124.74	$154.00	$2.80–$38.85	—	19%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB	$91.53	$113.00	$6.41–$36.75	23% above	19%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB	$91.53	$113.00	$8.73–$36.75	—	19%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST QUAL	$29.16	$36.00	$2.07–$15.00	4% above	19%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST QUAL	$29.16	$36.00	$2.82–$15.00	—	19%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST GAMMA INTERFERON	$429.30	$530.00	$30.02–$150.98	39% above	19%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST GAMMA INTERFERON	$429.30	$530.00	$40.91–$74.49	—	19%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$178.20	$220.00	$12.50–$88.00	9% above	19%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$178.20	$220.00	$17.04–$88.00	—	19%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH	$100.44	$124.00	$7.05–$35.44	33% above	19%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH	$100.44	$124.00	$7.91–$17.49	—	19%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE	$115.83	$143.00	$8.14–$46.20	16% above	19%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE	$115.83	$143.00	$11.09–$46.20	—	19%
Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN IGE	$114.21	$141.00	$7.97–$40.10	10% above	19%
Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN IGE	$114.21	$141.00	$10.87–$19.78	—	19%
Total cholesterol blood test CPT 82465 HC CHOLEST SRM/WHOLE BLD TOTAL	$29.97	$37.00	$2.11–$12.60	1% below	19%
Total cholesterol blood test inpatient CPT 82465 HC CHOLEST SRM/WHOLE BLD TOTAL	$29.97	$37.00	$2.87–$12.60	—	19%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE (T4) TOTAL	$47.79	$59.00	$3.33–$23.00	6% above	19%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE (T4) TOTAL	$47.79	$59.00	$4.53–$23.00	—	19%
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE (T3) TOTAL	$98.82	$122.00	$6.87–$34.54	2% above	19%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE (T3) TOTAL	$98.82	$122.00	$8.00–$17.04	—	19%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$88.29	$109.00	$6.18–$31.08	3% above	19%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$88.29	$109.00	$8.43–$17.00	—	19%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS DNA AMP PROBE	$243.00	$300.00	$17.00–$85.48	32% above	19%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS DNA AMP PROBE	$243.00	$300.00	$23.16–$42.18	—	19%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$39.69	$49.00	$2.78–$15.75	at median	19%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$39.69	$49.00	$3.78–$15.75	—	19%
Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE POC	$85.86	$106.00	$6.04–$30.38	4% above	19%
Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE	$85.86	$106.00	$6.04–$30.38	4% above	19%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE	$85.86	$106.00	$8.23–$14.99	—	19%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE POC	$85.86	$106.00	$8.23–$14.99	—	19%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD	$31.59	$39.00	$2.19–$12.60	at median	19%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD	$31.59	$39.00	$2.98–$12.60	—	19%
Urinalysis with microscope exam, automated CPT 81001 HC URINE AUTO W MICROSCOPY	$22.68	$28.00	$1.54–$9.45	31% below	19%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINE AUTO W MICROSCOPY	$22.68	$28.00	$2.09–$9.45	—	19%
Urinalysis without microscope exam, automated CPT 81003 HC URINE AUTO WO MICROSCOPY	$15.39	$19.00	$1.09–$6.30	14% below	19%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE AUTO WO MICROSCOPY	$15.39	$19.00	$1.49–$6.30	—	19%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS DIPSTICK WO MICRO POC	$23.49	$29.00	$1.69–$8.48	12% above	19%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS DIPSTICK WO MICRO POC	$23.49	$29.00	$2.30–$7.35	—	19%
Urine culture for bacteria, with colony count CPT 87086 HC CULT COLONY CNT QUANT URINE	$55.89	$69.00	$3.91–$22.05	1% below	19%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULT COLONY CNT QUANT URINE	$55.89	$69.00	$5.32–$22.05	—	19%
Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN URINE QUANT	$39.69	$49.00	$2.80–$14.70	at median	19%
Urine microalbumin (albumin) test inpatient CPT 82043 HC ALBUMIN URINE QUANT	$39.69	$49.00	$3.82–$14.70	—	19%
Urine pregnancy test, read by color change CPT 81025 HC PREG TEST URINE VIS COMP	$59.13	$73.00	$4.00–$20.97	60% above	19%
Urine pregnancy test, read by color change CPT 81025 HC PREG TEST URINE VIS COMP POC	$59.13	$73.00	$4.00–$20.97	60% above	19%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREG TEST URINE VIS COMP	$59.13	$73.00	$4.00–$17.85	—	19%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREG TEST URINE VIS COMP POC	$59.13	$73.00	$4.00–$17.85	—	19%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12	$104.49	$129.00	$7.30–$40.95	11% above	19%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12	$104.49	$129.00	$9.96–$40.95	—	19%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$204.93	$253.00	$14.34–$80.85	37% above	19%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$204.93	$253.00	$19.54–$80.85	—	19%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DIHYDROXY	$267.30	$330.00	$18.65–$93.79	11% above	19%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25 DIHYDROXY	$267.30	$330.00	$25.41–$53.78	—	19%
Zinc blood test CPT 84630 HC ZINC	$79.38	$98.00	$5.52–$27.75	10% above	19%
Zinc blood test inpatient CPT 84630 HC ZINC	$79.38	$98.00	$7.51–$13.69	—	19%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE	$103.68	$128.00	$7.29–$36.66	16% above	19%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE	$103.68	$128.00	$9.93–$18.09	—	19%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STEREOTACTIC	$4,987.17	$6,157.00	$8.00–$5,105.89	27% above	19%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STEREOTACTIC	$4,987.17	$6,157.00	$131.34–$324.92	—	19%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CFX DISTL FIB WO MANIP	$738.72	$912.00	$22.72–$1,241.60	11% above	19%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CFX DISTL FIB WO MANIP	$738.72	$912.00	$124.43–$729.75	—	19%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CFX METATARSAL WO MANIP	$738.72	$912.00	$37.14–$1,241.60	42% above	19%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CFX METATARSAL WO MANIP	$738.72	$912.00	$88.73–$507.15	—	19%
Cardiac catheterization with coronary angiogram CPT 93458 HC CORONARY ANGIO W/ LHC	$9,900.63	$12,223.00	$827.15–$10,135.93	12% above	19%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC CORONARY ANGIO W/ LHC	$9,900.63	$12,223.00	$827.15–$1,982.87	—	19%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVSN ELECT EXTRNL	$2,014.47	$2,487.00	$87.35–$2,062.16	38% above	19%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVSN ELECT EXTRNL	$2,014.47	$2,487.00	$87.35–$519.00	—	19%
Catheter ablation for atrial fibrillation CPT 93656 HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$75,510.63	$93,223.00	$744.28–$77,309.07	144% above	19%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$75,510.63	$93,223.00	$744.28–$2,191.61	—	19%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRC W CLAMP/BLOCK	$6,305.04	$7,784.00	$77.79–$6,455.51	417% above	19%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRC W CLAMP/BLOCK	$6,305.04	$7,784.00	$77.79–$357.00	—	19%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CFX DIST RADL WO MANIP	$738.72	$912.00	$11.59–$1,241.60	11% above	19%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CFX DIST RADL WO MANIP	$738.72	$912.00	$120.23–$983.22	—	19%
Coronary stent placement, one artery CPT 92928 HC PRQ CARD STENT W ANGIO 1 VSL	$34,906.14	$43,094.00	$462.16–$35,737.74	72% above	19%
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STENT W ANGIO 1 VSL	$34,906.14	$43,094.00	$462.16–$1,154.23	—	19%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$2,054.97	$2,537.00	$64.95–$2,103.41	22% above	19%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$2,054.97	$2,537.00	$64.95–$156.85	—	19%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REM CERUMEN IRRIG/LAVAGE BIL	$183.06	$226.00	$12.83–$1,241.60	31% above	19%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REM CERUMEN IRRIG/LAVAGE UNI	$183.06	$226.00	$12.83–$1,241.60	31% above	19%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REM CERUMEN IRRIG/LAVAGE UNI	$183.06	$226.00	$12.83–$43.42	—	19%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REM CERUMEN IRRIG/LAVAGE BIL	$183.06	$226.00	$12.83–$43.42	—	19%
Earwax removal with instruments, one ear CPT 69210 HC RMVL IMPACTED CERUMEN	$183.06	$226.00	$26.43–$1,241.60	37% above	19%
Earwax removal with instruments, one ear inpatient CPT 69210 HC RMVL IMPACTED CERUMEN	$183.06	$226.00	$26.43–$135.07	—	19%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVRT JT L/S 1 LVL	$2,740.23	$3,383.00	$73.77–$2,805.59	90% above	19%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVRT JT L/S 1 LVL	$2,740.23	$3,383.00	$73.77–$172.81	—	19%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH W INJ CNTRST HSG	$758.97	$937.00	$46.86–$1,241.60	98% above	19%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH W INJ CNTRST HSG	$758.97	$937.00	$46.86–$110.18	—	19%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC SMPL/SNGL	$611.55	$755.00	$14.00–$990.40	20% above	19%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC SMPL/SNGL	$611.55	$755.00	$24.68–$356.03	—	19%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SNGL TNDN/SHTH/LGMNT	$908.82	$1,122.00	$18.50–$930.24	59% above	19%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SNGL TNDN/SHTH/LGMNT	$908.82	$1,122.00	$31.62–$164.03	—	19%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHCS MAJOR JT/BUR WO US GUID	$908.82	$1,122.00	$17.00–$1,241.60	94% above	19%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHCS MAJOR JT/BUR WO US GUID	$908.82	$1,122.00	$24.68–$185.26	—	19%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHCS INTER JT/BUR WO US GUID	$908.82	$1,122.00	$5.00–$1,750.40	157% above	19%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHCS INTER JT/BUR WO US GUID	$908.82	$1,122.00	$22.58–$156.31	—	19%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHCS SM JT/BURSA WO US GUID	$908.82	$1,122.00	$7.15–$1,241.60	121% above	19%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHCS SM JT/BURSA WO US GUID	$908.82	$1,122.00	$18.90–$123.90	—	19%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC RPR SCLP/AX/TR/EXG/EXT <=2.5CM INT	$1,229.58	$1,518.00	$25.73–$1,259.05	110% above	19%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC RPR SCLP/AX/TR/EXG/EXT <=2.5CM INT	$1,229.58	$1,518.00	$25.73–$579.60	—	19%
Left heart catheterization, diagnostic one side CPT 93452 HC LT HRT CATH S&I	$9,900.63	$12,223.00	$713.07–$10,135.93	52% above	19%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LT HRT CATH S&I	$9,900.63	$12,223.00	$713.07–$1,688.15	—	19%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC W/IMAG	$2,664.90	$3,290.00	$80.97–$2,182.35	27% above	19%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX INTERLAMINAR LMBR/SAC W/IMAG	$2,664.90	$3,290.00	$80.97–$192.13	—	19%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ ANES FORAMEN EPI LUMB 1ST LVL	$2,740.23	$3,383.00	$90.78–$2,805.59	43% above	19%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ ANES FORAMEN EPI LUMB 1ST LVL	$2,740.23	$3,383.00	$90.78–$215.08	—	19%
Miscarriage treatment with D&C, first trimester CPT 59820 HC TRT MISSED ABORTION, FIRST TRI	$9,786.42	$12,082.00	$203.70–$10,019.71	81% above	19%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC TRT MISSED ABORTION, FIRST TRI	$9,786.42	$12,082.00	$203.70–$938.00	—	19%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL	$2,165.13	$2,673.00	$11.76–$2,217.24	23% above	19%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL	$2,165.13	$2,673.00	$57.23–$412.97	—	19%
Nail removal (partial or complete), one nail CPT 11730 HC AVUL NAIL PLATE SMPL SNGL	$611.55	$755.00	$27.04–$1,241.60	30% above	19%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVUL NAIL PLATE SMPL SNGL	$611.55	$755.00	$27.04–$257.25	—	19%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANES/STER GRTR OCCIP NRV	$908.82	$1,122.00	$36.75–$1,241.60	61% above	19%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANES/STER GRTR OCCIP NRV	$908.82	$1,122.00	$36.75–$205.80	—	19%
Pacemaker implant (dual chamber) CPT 33208 HC INS/RPLC PCMKR ATRIAL & VENT	$32,212.08	$39,768.00	$409.93–$32,979.58	153% above	19%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INS/RPLC PCMKR ATRIAL & VENT	$32,212.08	$39,768.00	$409.93–$1,013.50	—	19%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W IMG	$2,886.03	$3,563.00	$85.43–$2,954.55	71% above	19%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W IMG	$2,886.03	$3,563.00	$85.43–$209.06	—	19%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISN NAIL BED PARTL/COMPLT	$1,229.58	$1,518.00	$83.65–$1,259.05	47% above	19%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISN NAIL BED PARTL/COMPLT	$1,229.58	$1,518.00	$83.65–$446.25	—	19%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISN/RMVL FB SUBQ SMPL	$1,229.58	$1,518.00	$32.03–$1,259.05	126% above	19%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISN/RMVL FB SUBQ SMPL	$1,229.58	$1,518.00	$32.03–$351.75	—	19%
Short arm cast (elbow to hand) CPT 29075 HC APP CAST SHORT ELBOW-FGR	$817.29	$1,009.00	$47.78–$1,241.60	97% above	19%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APP CAST SHORT ELBOW-FGR	$817.29	$1,009.00	$47.78–$204.75	—	19%
Short arm splint (forearm and hand) CPT 29125 HC APP SPLINT SHORT ARM STATIC	$396.90	$490.00	$27.30–$406.20	26% above	19%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APP SPLINT SHORT ARM STATIC	$396.90	$490.00	$27.30–$147.00	—	19%
Short leg cast (below the knee) CPT 29405 HC APP CAST KNEE-TOE	$817.29	$1,009.00	$47.88–$1,241.60	57% above	19%
Short leg cast (below the knee) inpatient CPT 29405 HC APP CAST KNEE-TOE	$817.29	$1,009.00	$47.88–$186.90	—	19%
Short leg splint (calf to foot) CPT 29515 HC APP SPLINT SHORT LEG	$485.19	$599.00	$30.80–$497.25	5% above	19%
Short leg splint (calf to foot) inpatient CPT 29515 HC APP SPLINT SHORT LEG	$485.19	$599.00	$36.75–$163.80	—	19%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR SCLP/NK/TR/EXT <=2.5CM	$611.55	$755.00	$25.73–$841.60	19% above	19%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR SCLP/NK/TR/EXT <=2.5CM	$611.55	$755.00	$25.73–$270.17	—	19%
Skin biopsy, punch, one lesion CPT 11104 HC BX SKIN PUNCH INCL CLOSURE 1ST LESN	$1,229.58	$1,518.00	$14.98–$1,259.05	87% above	19%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC BX SKIN PUNCH INCL CLOSURE 1ST LESN	$1,229.58	$1,518.00	$37.91–$365.68	—	19%
Skin tag removal, up to 15 tags CPT 11200 HC RMVL SKIN TAGS <=15	$611.55	$755.00	$14.47–$1,241.60	1% above	19%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC RMVL SKIN TAGS <=15	$611.55	$755.00	$32.55–$257.62	—	19%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PUNC SPINAL LUMBAR DX	$2,131.92	$2,632.00	$44.10–$2,182.35	74% above	19%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC PUNC SPINAL LUMBAR DX	$2,131.92	$2,632.00	$44.10–$402.00	—	19%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR SCLP/NK/TR/EXT 2.6-7.5CM	$764.64	$944.00	$37.28–$1,241.60	45% above	19%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RPR SCLP/NK/TR/EXT 2.6-7.5CM	$764.64	$944.00	$37.28–$257.25	—	19%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR F/E/EY/N/L/MM<=2.5CM	$611.55	$755.00	$33.08–$788.80	20% above	19%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RPR F/E/EY/N/L/MM<=2.5CM	$611.55	$755.00	$33.08–$257.25	—	19%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC BX SKIN TANGENTIAL 1ST LESN	$611.55	$755.00	$14.75–$1,241.60	8% above	19%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC BX SKIN TANGENTIAL 1ST LESN	$611.55	$755.00	$30.60–$294.29	—	19%
Thoracentesis with imaging guidance CPT 32555 HC ASP PLEURA W IMAGING	$1,902.69	$2,349.00	$87.85–$1,948.33	29% above	19%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ASP PLEURA W IMAGING	$1,902.69	$2,349.00	$87.85–$217.34	—	19%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER PNT<=2 MUS	$1,135.62	$1,402.00	$6.41–$930.24	110% above	19%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER PNT<=2 MUS	$1,135.62	$1,402.00	$30.00–$153.42	—	19%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BRST W DEVICE 1ST LESION US GUIDE	$4,987.17	$6,157.00	$9.00–$5,105.89	39% above	19%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BRST W DEVICE 1ST LESION US GUIDE	$4,987.17	$6,157.00	$124.08–$307.35	—	19%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS ABLT RF 1ST VEIN	$9,688.41	$11,961.00	$219.43–$9,918.77	4% above	19%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS ABLT RF 1ST VEIN	$9,688.41	$11,961.00	$219.43–$545.23	—	19%
Wart removal, up to 14 warts CPT 17110 HC DEST BENIGN LESN OTHR<=14	$611.55	$755.00	$23.19–$1,032.00	10% above	19%
Wart removal, up to 14 warts inpatient CPT 17110 HC DEST BENIGN LESN OTHR<=14	$611.55	$755.00	$51.45–$325.16	—	19%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DBRD SKIN & SQ TISS 1ST 20SCM	$1,229.58	$1,518.00	$10.99–$1,259.05	14% above	19%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DBRD SKIN & SQ TISS 1ST 20SCM	$1,229.58	$1,518.00	$34.65–$373.40	—	19%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION	$1,346.22	$1,662.00	$29.23–$1,377.69	43% above	19%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION	$1,346.22	$1,662.00	$29.23–$63.73	—	19%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC TX INH AERO SPUTUM INITIAL	$508.68	$628.00	$6.38–$640.95	128% above	19%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC TX INH AERO SPUTUM SUBSEQUENT	$508.68	$628.00	$6.38–$640.95	128% above	19%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC TX INH AERO SPUTUM INITIAL	$508.68	$628.00	$6.38–$42.00	—	19%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC TX INH AERO SPUTUM SUBSEQUENT	$508.68	$628.00	$6.38–$42.00	—	19%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INF DRUG INIT 16-60MIN	$1,148.58	$1,418.00	$143.52–$1,045.26	59% above	19%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INF DRUG INIT 16-60MIN	$1,148.58	$1,418.00	$172.93–$255.53	—	19%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE HEARING TEST	$422.01	$521.00	$25.98–$493.06	17% above	19%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE HEARING TEST	$422.01	$521.00	$25.98–$62.49	—	19%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 1ST 74 MIN	$3,890.43	$4,803.00	$159.21–$2,655.33	107% above	19%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 1ST 74 MIN	$3,890.43	$4,803.00	$159.21–$683.00	—	19%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG INCL AWAKE & DROWSY	$839.16	$1,036.00	$21.60–$981.32	10% above	19%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG INCL AWAKE & DROWSY	$839.16	$1,036.00	$23.63–$667.63	—	19%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD TRACE ONLY	$183.06	$226.00	$5.04–$187.19	5% above	19%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD TRACE ONLY	$183.06	$226.00	$5.04–$29.74	—	19%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ECT THERAPY	$1,428.84	$1,764.00	$47.25–$1,672.09	13% above	19%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ECT THERAPY	$1,428.84	$1,764.00	$47.25–$211.10	—	19%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED VISIT LEVEL 1	$406.62	$502.00	$9.31–$296.23	34% above	19%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED VISIT LEVEL 1 NON EMERGENT	$406.62	$502.00	$9.31–$296.23	34% above	19%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED VISIT LEVEL 1 NON EMERGENT	$406.62	$502.00	$9.31–$43.35	—	19%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED VISIT LEVEL 1	$406.62	$502.00	$9.31–$43.35	—	19%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED VISIT LEVEL 2	$731.43	$903.00	$34.02–$532.78	52% above	19%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED VISIT LEVEL 2 NON EMERGENT	$731.43	$903.00	$34.02–$532.78	52% above	19%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED VISIT LEVEL 2 NON EMERGENT	$731.43	$903.00	$34.02–$83.31	—	19%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED VISIT LEVEL 2	$731.43	$903.00	$34.02–$83.31	—	19%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED VISIT LEVEL 3	$1,278.18	$1,578.00	$56.00–$931.56	72% above	19%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED VISIT LEVEL 3	$1,278.18	$1,578.00	$57.92–$124.76	—	19%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED VISIT LEVEL 4	$1,965.87	$2,427.00	$80.00–$1,432.62	61% above	19%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED VISIT LEVEL 4	$1,965.87	$2,427.00	$98.57–$229.18	—	19%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED VISIT LEVEL 5	$2,830.95	$3,495.00	$80.00–$2,062.70	77% above	19%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED VISIT LEVEL 5	$2,830.95	$3,495.00	$142.82–$333.04	—	19%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST TRACE ONLY	$959.04	$1,184.00	$30.22–$981.32	1% above	19%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST TRACE ONLY	$959.04	$1,184.00	$30.22–$100.00	—	19%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRAT INIT 31MIN-1HR	$648.81	$801.00	$26.23–$663.95	49% above	19%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRAT INIT 31MIN-1HR	$648.81	$801.00	$26.23–$144.00	—	19%
IV infusion of a medicine, first hour CPT 96365 HC IV INF DRUG INIT 16-60 MIN	$648.81	$801.00	$45.20–$663.95	44% above	19%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF DRUG INIT 16-60 MIN	$648.81	$801.00	$50.54–$174.00	—	19%
IV push of a medicine, first drug CPT 96374 HC IV PUSH INIT DRUG	$648.81	$801.00	$29.67–$663.95	98% above	19%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH INIT DRUG	$648.81	$801.00	$29.67–$118.65	—	19%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ THER SUBQ/IM	$219.51	$271.00	$11.73–$224.28	78% above	19%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ THER SUBQ/IM	$219.51	$271.00	$11.73–$52.50	—	19%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMSCL RE-ED EA 15MIN	$143.37	$177.00	$14.95–$75.20	11% above	19%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMSCL RE-ED EA 15MIN	$143.37	$177.00	$27.78–$53.22	—	19%
New patient office visit, about 30 minutes CPT 99203 HC NEW PT VISIT LEVEL 3	$520.83	$643.00	$20.80–$246.75	118% above	19%
New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT VISIT LEVEL 3	$520.83	$643.00	$56.96–$246.75	—	19%
New patient office visit, about 45 minutes CPT 99204 HC NEW PT VISIT LEVEL 4	$607.50	$750.00	$20.80–$374.85	102% above	19%
New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT VISIT LEVEL 4	$607.50	$750.00	$92.00–$374.85	—	19%
New patient office visit, about 60 minutes CPT 99205 HC NEW PT VISIT LEVEL 5	$694.17	$857.00	$20.80–$472.50	33% above	19%
New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT VISIT LEVEL 5	$694.17	$857.00	$110.00–$472.50	—	19%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT VISIT LEVEL 2	$434.16	$536.00	$20.80–$173.25	137% above	19%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW PT VISIT LEVEL 2	$434.16	$536.00	$37.10–$173.25	—	19%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INIT INDV EA 15MIN	$93.96	$116.00	$26.21–$87.00	86% above	19%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INIT INDV EA 15MIN	$93.96	$116.00	$26.21–$87.00	—	19%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN	$371.79	$459.00	$46.93–$236.02	11% above	19%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN	$371.79	$459.00	$83.60–$137.01	—	19%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN	$673.92	$832.00	$45.77–$230.18	98% above	19%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN	$673.92	$832.00	$82.80–$129.28	—	19%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN	$345.06	$426.00	$45.77–$230.18	17% above	19%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN	$345.06	$426.00	$82.80–$129.28	—	19%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN	$538.65	$665.00	$40.53–$913.34	60% above	19%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN	$538.65	$665.00	$82.80–$129.28	—	19%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THRPY EA 15MIN	$115.02	$142.00	$12.69–$63.82	13% below	19%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THRPY EA 15MIN	$115.02	$142.00	$22.31–$42.69	—	19%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THRPY EXERCISE EA 15MIN	$126.36	$156.00	$8.80–$80.00	4% below	19%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THRPY EXERCISE EA 15MIN	$126.36	$156.00	$8.80–$46.36	—	19%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC ESTAB PT VISIT LEVEL 5	$694.17	$857.00	$20.80–$382.02	155% above	19%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC ESTAB PT VISIT LEVEL 5	$694.17	$857.00	$81.95–$382.02	—	19%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC ESTAB PT VISIT LEVEL 3	$520.83	$643.00	$20.80–$192.21	181% above	19%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC ESTAB PT VISIT LEVEL 3	$520.83	$643.00	$36.75–$192.21	—	19%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC ESTAB PT VISIT LEVEL 4	$607.50	$750.00	$20.80–$271.52	201% above	19%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC ESTAB PT VISIT LEVEL 4	$607.50	$750.00	$57.14–$271.52	—	19%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTAB PT VISIT LEVEL 2	$434.16	$536.00	$20.80–$119.72	168% above	19%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC ESTAB PT VISIT LEVEL 2	$434.16	$536.00	$27.30–$119.72	—	19%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND LANGUAGE	$810.81	$1,001.00	$104.76–$1,343.90	52% above	19%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND LANGUAGE	$810.81	$1,001.00	$188.59–$367.09	—	19%
Speech therapy session, individual CPT 92507 HC THRPY SPEECH/LANG/VOICE COMM	$323.19	$399.00	$22.79–$176.93	6% above	19%
Speech therapy session, individual inpatient CPT 92507 HC THRPY SPEECH/LANG/VOICE COMM	$323.19	$399.00	$22.79–$150.49	—	19%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$391.23	$483.00	$14.40–$493.06	30% above	19%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$391.23	$483.00	$22.14–$103.93	—	19%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY, PRE AND POST	$778.41	$961.00	$18.24–$981.32	20% above	19%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY, PRE AND POST	$778.41	$961.00	$31.61–$154.35	—	19%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THER ACTVTY 15MIN	$165.24	$204.00	$10.00–$90.00	29% above	19%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THER ACTVTY 15MIN	$165.24	$204.00	$13.65–$59.19	—	19%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$396.90	$490.00	$10.50–$406.20	72% above	19%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$396.90	$490.00	$10.50–$183.51	—	19%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$69.26	$364.51	$11.50–$341.22	66% below	81%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$69.26	$364.51	$192.15–$341.22	—	81%
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	$10.70	$56.29	$11.50–$59.85	69% below	81%
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	$10.70	$56.29	$31.07–$59.85	—	81%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$32.45	$170.81	$11.50–$145.95	64% below	81%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$32.45	$170.81	$68.57–$145.95	—	81%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$27.17	$142.98	$11.50–$156.07	67% below	81%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$27.17	$142.98	$66.39–$156.07	—	81%
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	$10.83	$57.01	$11.50–$54.60	77% below	81%
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	$10.83	$57.01	$29.30–$54.60	—	81%
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	$4.81	$25.32	$11.50–$29.40	85% below	81%
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	$4.81	$25.32	$13.50–$29.40	—	81%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$35.32	$185.91	$11.50–$196.65	46% below	81%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$35.32	$185.91	$99.96–$196.65	—	81%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$56.24	$296.00	$11.50–$474.77	40% below	81%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$56.24	$296.00	$175.08–$474.77	—	81%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$107.33	$564.92	$11.50–$588.00	67% below	81%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$107.33	$564.92	$288.33–$588.00	—	81%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE (WRAPPER)	$44.49	$234.17	$11.50–$296.01	65% below	81%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE (WRAPPER)	$44.49	$234.17	$122.94–$296.01	—	81%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$211.33	$1,112.26	$11.50–$807.51	82% below	81%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$211.33	$1,112.26	$582.12–$807.51	—	81%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$165.15	$869.22	$11.50–$760.11	72% below	81%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$171.44	$902.32	$11.50–$760.11	71% below	81%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$165.15	$869.22	$294.37–$623.70	—	81%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$171.44	$902.32	$294.37–$623.70	—	81%
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	$15.48	$81.50	$11.50–$66.15	72% below	81%
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	$15.48	$81.50	$33.96–$66.15	—	81%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF) IM (ADACEL WRAPPER)	$17.84	$93.90	$11.50–$92.40	68% below	81%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF) IM (ADACEL WRAPPER)	$17.84	$93.90	$37.46–$92.40	—	81%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACC FIRST	$191.97	$237.00	$16.00–$224.28	201% above	19%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACC FIRST	$191.97	$237.00	$16.83–$53.00	—	19%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN VACC ADD	$144.18	$178.00	$11.97–$53.00	436% above	19%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN VACC ADD	$144.18	$178.00	$11.97–$53.00	—	19%

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

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

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

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

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

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

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

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

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

Source file: https://www.ahn.org/content/dam/ahn/en/dmxahn/documents/patients-visitors/patients/financial-services/hospital-charges/251260215_jefferson-regional-medical-center_standardcharges.csv