Hospital Williston, ND

Mercy Medical Center

Mercy Medical Center in Williston, ND publishes cash prices for 391 common procedures listed here, from its own machine-readable price file updated Sep 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the North Dakota median for 313 of 380 procedures and above it for 57. By typical cash price it ranks #5 of 33 North Dakota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1301 15th Avenue West, Williston, ND 58801 Collected Nov 5, 2026 Source price file Check a bill from this hospital (701) 774-7400

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 351334 · CMS hospital register NPI 1902824576

Financial assistance

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

Mercy 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 North Dakota	Off list
Abdominal CT scan without and with contrast CPT 74170 ABDOMEN W WO CONT	$1,584.00	$2,880.00	$1,267.20–$2,707.20	23% below	45%
Abdominal CT scan without and with contrast inpatient CPT 74170 ABDOMEN W WO CONT	$1,584.00	$2,880.00	$1,728.00–$2,707.20	—	45%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2V AP FLAT UPRIGHT	$141.90	$258.00	$113.52–$242.52	18% below	45%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2V AP FLAT UPRIGHT	$141.90	$258.00	$154.80–$242.52	—	45%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE MIN 3V BI	$140.80	$256.00	$112.64–$240.64	—	45%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE MIN 3V BI	$140.80	$256.00	$153.60–$240.64	—	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV ANKLE BRACHIAL INDEX (ABI)	$306.90	$558.00	$245.52–$524.52	5% above	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV ANKLE BRACHIAL INDEX (ABI)	$306.90	$558.00	$334.80–$524.52	—	45%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 ELBOW WO CONT LT	$1,150.05	$2,091.00	$920.04–$1,965.54	8% below	45%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 ELBOW WO CONT LT	$1,150.05	$2,091.00	$1,254.60–$1,965.54	—	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$276.10	$502.00	$220.88–$471.88	23% below	45%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$276.10	$502.00	$301.20–$471.88	—	45%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$919.05	$1,671.00	$735.24–$1,570.74	14% below	45%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY	$919.05	$1,671.00	$1,002.60–$1,570.74	—	45%
Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE LT	$240.35	$437.00	$192.28–$410.78	32% below	45%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST COMPLETE LT	$240.35	$437.00	$262.20–$410.78	—	45%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LIMITED LT	$240.35	$437.00	$192.28–$410.78	19% below	45%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST LIMITED LT	$240.35	$437.00	$262.20–$410.78	—	45%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELV W CONT	$1,621.40	$2,948.00	$1,297.12–$2,771.12	43% below	45%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELV W CONT	$1,621.40	$2,948.00	$1,768.80–$2,771.12	—	45%
CT angiography (CTA) of the head CPT 70496 ANG HEAD	$1,775.40	$3,228.00	$1,420.32–$3,034.32	12% below	45%
CT angiography (CTA) of the head inpatient CPT 70496 ANG HEAD	$1,775.40	$3,228.00	$1,936.80–$3,034.32	—	45%
CT angiography (CTA) of the neck CPT 70498 ANG NECK	$1,781.45	$3,239.00	$1,425.16–$3,044.66	11% below	45%
CT angiography (CTA) of the neck inpatient CPT 70498 ANG NECK	$1,781.45	$3,239.00	$1,943.40–$3,044.66	—	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 ANG CHEST	$1,695.65	$3,083.00	$1,356.52–$2,898.02	19% below	45%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 ANG CHEST	$1,695.65	$3,083.00	$1,849.80–$2,898.02	—	45%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ANG CORONARY ART W 3D	$1,788.60	$3,252.00	$1,430.88–$3,056.88	5% below	45%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 ANG CORONARY ART W 3D	$1,788.60	$3,252.00	$1,951.20–$3,056.88	—	45%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CARD CALC SCORE WO CONT	$429.55	$781.00	$343.64–$734.14	at median	45%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CARD CALC SCORE WO CONT	$429.55	$781.00	$468.60–$734.14	—	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDOMEN PELVIS WO CONT	$2,047.10	$3,722.00	$1,637.68–$3,498.68	24% above	45%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABDOMEN PELVIS WO CONT	$2,047.10	$3,722.00	$2,233.20–$3,498.68	—	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDOMEN PELVIS W CONT	$2,352.90	$4,278.00	$1,882.32–$4,021.32	4% below	45%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABDOMEN PELVIS W CONT	$2,352.90	$4,278.00	$2,566.80–$4,021.32	—	45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABDOMEN PELVIS W WO CONT	$3,011.80	$5,476.00	$2,409.44–$5,147.44	3% above	45%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABDOMEN PELVIS W WO CONT	$3,011.80	$5,476.00	$3,285.60–$5,147.44	—	45%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN W CONT	$1,256.75	$2,285.00	$1,005.40–$2,147.90	23% below	45%
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN W CONT	$1,256.75	$2,285.00	$1,371.00–$2,147.90	—	45%
CT scan of the abdomen without contrast CPT 74150 ABDOMEN WO CONT	$1,056.00	$1,920.00	$844.80–$1,804.80	15% below	45%
CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN WO CONT	$1,056.00	$1,920.00	$1,152.00–$1,804.80	—	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 MAX FACIAL SINUS WO CONT	$842.60	$1,532.00	$674.08–$1,440.08	21% below	45%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAX FACIAL SINUS WO CONT	$842.60	$1,532.00	$919.20–$1,440.08	—	45%
CT scan of the head or brain, no contrast dye CPT 70450 HEAD WO CONT	$842.60	$1,532.00	$674.08–$1,440.08	22% below	45%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD WO CONT	$842.60	$1,532.00	$919.20–$1,440.08	—	45%
CT scan of the head with contrast CPT 70460 HEAD W CONT	$1,010.90	$1,838.00	$808.72–$1,727.72	20% below	45%
CT scan of the head with contrast inpatient CPT 70460 HEAD W CONT	$1,010.90	$1,838.00	$1,102.80–$1,727.72	—	45%
CT scan of the head without and with contrast CPT 70470 HEAD W WO CONT	$1,255.10	$2,282.00	$1,004.08–$2,145.08	18% below	45%
CT scan of the head without and with contrast inpatient CPT 70470 HEAD W WO CONT	$1,255.10	$2,282.00	$1,369.20–$2,145.08	—	45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE WO CONT	$1,009.25	$1,835.00	$807.40–$1,724.90	22% below	45%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 LUMBAR SPINE WO CONT	$1,009.25	$1,835.00	$1,101.00–$1,724.90	—	45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE WO CONT	$1,001.00	$1,820.00	$800.80–$1,710.80	26% below	45%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERVICAL SPINE WO CONT	$1,001.00	$1,820.00	$1,092.00–$1,710.80	—	45%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CONT	$1,156.65	$2,103.00	$925.32–$1,976.82	28% below	45%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W CONT	$1,156.65	$2,103.00	$1,261.80–$1,976.82	—	45%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID COMP	$696.30	$1,266.00	$557.04–$1,190.04	at median	45%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID COMP	$696.30	$1,266.00	$759.60–$1,190.04	—	45%
Chest CT scan without and with contrast CPT 71270 CHEST W WO CONT	$1,580.15	$2,873.00	$1,264.12–$2,700.62	8% below	45%
Chest CT scan without and with contrast inpatient CPT 71270 CHEST W WO CONT	$1,580.15	$2,873.00	$1,723.80–$2,700.62	—	45%
Chest X-ray, 2 views CPT 71046 CHEST 2V	$143.00	$260.00	$114.40–$244.40	17% below	45%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V	$143.00	$260.00	$156.00–$244.40	—	45%
Chest X-ray, single view CPT 71045 CHEST SPECIAL 1V	$47.30	$86.00	$37.84–$80.84	67% below	45%
Chest X-ray, single view CPT 71045 CHEST 1V FRONTAL	$110.00	$200.00	$88.00–$188.00	24% below	45%
Chest X-ray, single view inpatient CPT 71045 CHEST SPECIAL 1V	$47.30	$86.00	$51.60–$80.84	—	45%
Chest X-ray, single view inpatient CPT 71045 CHEST 1V FRONTAL	$110.00	$200.00	$120.00–$188.00	—	45%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE BI	$146.85	$267.00	$117.48–$250.98	—	45%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT	$122.65	$223.00	$98.12–$209.62	13% below	45%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE BI	$146.85	$267.00	$160.20–$250.98	—	45%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT	$122.65	$223.00	$133.80–$209.62	—	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL COMP	$354.20	$644.00	$283.36–$605.36	19% below	45%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETROPERITONEAL COMP	$354.20	$644.00	$386.40–$605.36	—	45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY BODY	$403.70	$734.00	$322.96–$689.96	59% above	45%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY BODY	$403.70	$734.00	$440.40–$689.96	—	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY PERIPHERAL	$80.85	$147.00	$64.68–$138.18	30% below	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY PERIPHERAL	$80.85	$147.00	$88.20–$138.18	—	45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB W FAE SINGLE 1ST GEST	$437.25	$795.00	$349.80–$747.30	12% below	45%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB W FAE SINGLE 1ST GEST	$437.25	$795.00	$477.00–$747.30	—	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST WO CONT	$1,005.40	$1,828.00	$804.32–$1,718.32	18% below	45%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHEST WO CONT	$1,005.40	$1,828.00	$1,096.80–$1,718.32	—	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST W CONT	$1,196.80	$2,176.00	$957.44–$2,045.44	15% below	45%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHEST W CONT	$1,196.80	$2,176.00	$1,305.60–$2,045.44	—	45%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC DIGITAL BI	$446.05	$811.00	$356.84–$762.34	—	45%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC DIGITAL BI	$446.05	$811.00	$486.60–$762.34	—	45%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC DIGITAL LT	$365.75	$665.00	$292.60–$625.10	6% below	45%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC DIGITAL LT	$365.75	$665.00	$399.00–$625.10	—	45%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 CV ARTERIAL DUPLEX LEGS BI	$790.35	$1,437.00	$632.28–$1,350.78	—	45%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DUPLEX LWR EXT	$647.90	$1,178.00	$518.32–$1,107.32	25% below	45%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 CV ARTERIAL DUPLEX LEGS BI	$790.35	$1,437.00	$862.20–$1,350.78	—	45%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ARTERIAL DUPLEX LWR EXT	$647.90	$1,178.00	$706.80–$1,107.32	—	45%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DOPPLER LWR EXT BI	$739.75	$1,345.00	$591.80–$1,264.30	—	45%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS DOPPLER LWR EXT BI	$739.75	$1,345.00	$807.00–$1,264.30	—	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CARDIOGRAPHY	$776.60	$1,412.00	$621.28–$1,327.28	1% above	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE COMP WO CONT	$962.50	$1,750.00	$770.00–$1,645.00	25% above	45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CARDIOGRAPHY	$776.60	$1,412.00	$847.20–$1,327.28	—	45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE COMP WO CONT	$962.50	$1,750.00	$1,050.00–$1,645.00	—	45%
Elbow X-ray, 2 views both sides CPT 73070 ELBOW 2V BI	$135.85	$247.00	$108.68–$232.18	—	45%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2V LT	$122.65	$223.00	$98.12–$209.62	10% below	45%
Elbow X-ray, 2 views inpatient both sides CPT 73070 ELBOW 2V BI	$135.85	$247.00	$148.20–$232.18	—	45%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2V LT	$122.65	$223.00	$133.80–$209.62	—	45%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 ELBOW MIN 3V BI	$149.05	$271.00	$119.24–$254.74	—	45%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3V LT	$131.45	$239.00	$105.16–$224.66	19% below	45%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 ELBOW MIN 3V BI	$149.05	$271.00	$162.60–$254.74	—	45%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3V LT	$131.45	$239.00	$143.40–$224.66	—	45%
Eye socket (orbit) CT scan without contrast CPT 70480 ORBIT SELLA PF IAC WO CONT	$1,390.40	$2,528.00	$1,112.32–$2,376.32	1% above	45%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 ORBIT SELLA PF IAC WO CONT	$1,390.40	$2,528.00	$1,516.80–$2,376.32	—	45%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3V	$169.95	$309.00	$135.96–$290.46	13% below	45%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3V	$169.95	$309.00	$185.40–$290.46	—	45%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM 2V BI	$147.95	$269.00	$118.36–$252.86	—	45%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2V LT	$128.70	$234.00	$102.96–$219.96	12% below	45%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 FOREARM 2V BI	$147.95	$269.00	$161.40–$252.86	—	45%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2V LT	$128.70	$234.00	$140.40–$219.96	—	45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 CHOLESCINTIGRAPHY	$1,017.50	$1,850.00	$814.00–$1,739.00	14% below	45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 CHOLESCINTIGRAPHY	$1,017.50	$1,850.00	$1,110.00–$1,739.00	—	45%
Hand X-ray, 2 views both sides CPT 73120 HAND 2V BI	$114.95	$209.00	$91.96–$196.46	—	45%
Hand X-ray, 2 views inpatient both sides CPT 73120 HAND 2V BI	$114.95	$209.00	$125.40–$196.46	—	45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY SPLIT NIGHT	$1,905.75	$3,465.00	$1,524.60–$3,257.10	21% below	45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY SPLIT-NIGHT	$1,982.20	$3,604.00	$1,585.76–$3,387.76	18% below	45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W CPAP	$2,116.95	$3,849.00	$1,693.56–$3,618.06	13% below	45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY SPLIT NIGHT	$1,905.75	$3,465.00	$2,079.00–$3,257.10	—	45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY SPLIT-NIGHT	$1,982.20	$3,604.00	$2,162.40–$3,387.76	—	45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W CPAP	$2,116.95	$3,849.00	$2,309.40–$3,618.06	—	45%
Knee X-ray, 3 views both sides CPT 73562 KNEE 3V BI	$148.50	$270.00	$118.80–$253.80	—	45%
Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE 3V BI	$148.50	$270.00	$162.00–$253.80	—	45%
Knee X-ray, complete, 4 or more views both sides CPT 73564 KNEE MIN 4V BI	$246.40	$448.00	$197.12–$421.12	—	45%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE MIN 4V LT	$165.00	$300.00	$132.00–$282.00	15% below	45%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE MIN 4V BI	$246.40	$448.00	$268.80–$421.12	—	45%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE MIN 4V LT	$165.00	$300.00	$180.00–$282.00	—	45%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HIP WO CONT BI	$849.20	$1,544.00	$679.36–$1,451.36	—	45%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 LOWER LEG WO CONT BI	$866.80	$1,576.00	$693.44–$1,481.44	—	45%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 ANKLE WO CONT BI	$1,733.05	$3,151.00	$1,386.44–$2,961.94	—	45%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 ANKLE WO CONT LT	$884.40	$1,608.00	$707.52–$1,511.52	27% below	45%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 HIP WO CONT BI	$849.20	$1,544.00	$926.40–$1,451.36	—	45%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 LOWER LEG WO CONT BI	$866.80	$1,576.00	$945.60–$1,481.44	—	45%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 ANKLE WO CONT BI	$1,733.05	$3,151.00	$1,890.60–$2,961.94	—	45%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 ANKLE WO CONT LT	$884.40	$1,608.00	$964.80–$1,511.52	—	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LTD	$366.30	$666.00	$293.04–$626.04	6% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LTD	$366.30	$666.00	$399.60–$626.04	—	45%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NON VASCULAR LTD	$196.35	$357.00	$157.08–$335.58	19% below	45%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EXTREMITY NON VASCULAR LTD	$196.35	$357.00	$214.20–$335.58	—	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 INITIAL LUNG CT SCREENING	$622.60	$1,132.00	$498.08–$1,064.08	17% below	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 INITIAL LUNG CT SCREENING	$622.60	$1,132.00	$679.20–$1,064.08	—	45%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 TIBIA FIBULA BI	$155.65	$283.00	$124.52–$266.02	—	45%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIBULA LT	$128.70	$234.00	$102.96–$219.96	18% below	45%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 TIBIA FIBULA BI	$155.65	$283.00	$169.80–$266.02	—	45%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA FIBULA LT	$128.70	$234.00	$140.40–$219.96	—	45%
MR angiography (MRA) of the head without contrast CPT 70544 ANG HEAD WO CONT	$1,615.90	$2,938.00	$1,292.72–$2,761.72	27% below	45%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 ANG HEAD WO CONT	$1,615.90	$2,938.00	$1,762.80–$2,761.72	—	45%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 ANKLE WO CONT BI	$2,206.05	$4,011.00	$1,764.84–$3,770.34	—	45%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ACHILLES WO CONT LT	$1,531.75	$2,785.00	$1,225.40–$2,617.90	21% below	45%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 ANKLE WO CONT BI	$2,206.05	$4,011.00	$2,406.60–$3,770.34	—	45%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 ACHILLES WO CONT LT	$1,531.75	$2,785.00	$1,671.00–$2,617.90	—	45%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 ANKLE W WO CONT BI	$4,717.90	$8,578.00	$3,774.32–$8,063.32	—	45%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ACHILLES W WO CONT LT	$3,125.10	$5,682.00	$2,500.08–$5,341.08	at median	45%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 ANKLE W WO CONT BI	$4,717.90	$8,578.00	$5,146.80–$8,063.32	—	45%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 ACHILLES W WO CONT LT	$3,125.10	$5,682.00	$3,409.20–$5,341.08	—	45%
MRI of the abdomen without contrast CPT 74181 ABDOMEN WO CONT	$1,810.60	$3,292.00	$1,448.48–$3,094.48	6% below	45%
MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN WO CONT	$1,810.60	$3,292.00	$1,975.20–$3,094.48	—	45%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W WO CONT	$3,068.45	$5,579.00	$2,454.76–$5,244.26	5% below	45%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W WO CONT	$3,068.45	$5,579.00	$3,347.40–$5,244.26	—	45%
MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONT	$1,588.40	$2,888.00	$1,270.72–$2,714.72	10% below	45%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONT	$1,588.40	$2,888.00	$1,732.80–$2,714.72	—	45%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W WO CONT	$3,114.65	$5,663.00	$2,491.72–$5,323.22	3% above	45%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W WO CONT	$3,114.65	$5,663.00	$3,397.80–$5,323.22	—	45%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE COMP WO CONT	$1,558.70	$2,834.00	$1,246.96–$2,663.96	19% below	45%
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE COMP WO CONT	$1,558.70	$2,834.00	$1,700.40–$2,663.96	—	45%
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE COMP W WO CONT	$3,117.40	$5,668.00	$2,493.92–$5,327.92	at median	45%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR SPINE COMP W WO CONT	$3,117.40	$5,668.00	$3,400.80–$5,327.92	—	45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE COMP WO CONT	$1,548.25	$2,815.00	$1,238.60–$2,646.10	25% below	45%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE COMP WO CONT	$1,548.25	$2,815.00	$1,689.00–$2,646.10	—	45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE COMP W WO CONT	$3,121.80	$5,676.00	$2,497.44–$5,335.44	1% above	45%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL SPINE COMP W WO CONT	$3,121.80	$5,676.00	$3,405.60–$5,335.44	—	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE COMP WO CONT	$1,465.75	$2,665.00	$1,172.60–$2,505.10	24% below	45%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL SPINE COMP WO CONT	$1,465.75	$2,665.00	$1,599.00–$2,505.10	—	45%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W WO CONT	$3,067.35	$5,577.00	$2,453.88–$5,242.38	at median	45%
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W WO CONT	$3,067.35	$5,577.00	$3,346.20–$5,242.38	—	45%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CONT	$1,564.75	$2,845.00	$1,251.80–$2,674.30	29% below	45%
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS WO CONT	$1,564.75	$2,845.00	$1,707.00–$2,674.30	—	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 ELBOW WO CONT BI	$1,513.05	$2,751.00	$1,210.44–$2,585.94	—	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 ELBOW WO CONT BI	$1,513.05	$2,751.00	$1,650.60–$2,585.94	—	45%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE MIN 4V	$204.60	$372.00	$163.68–$349.68	9% below	45%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE MIN 4V	$204.60	$372.00	$223.20–$349.68	—	45%
Neck soft tissue CT scan with contrast CPT 70491 SOFT TISSUE NECK W CONT	$1,007.05	$1,831.00	$805.64–$1,721.14	30% below	45%
Neck soft tissue CT scan with contrast inpatient CPT 70491 SOFT TISSUE NECK W CONT	$1,007.05	$1,831.00	$1,098.60–$1,721.14	—	45%
Neck soft tissue CT scan without contrast CPT 70490 SOFT TISSUE NECK WO CONT	$886.60	$1,612.00	$709.28–$1,515.28	28% below	45%
Neck soft tissue CT scan without contrast inpatient CPT 70490 SOFT TISSUE NECK WO CONT	$886.60	$1,612.00	$967.20–$1,515.28	—	45%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$167.75	$305.00	$134.20–$286.70	15% above	45%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$167.75	$305.00	$183.00–$286.70	—	45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF SPECT MULTI	$1,720.40	$3,128.00	$1,376.32–$2,940.32	22% below	45%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF SPECT MULTI	$1,720.40	$3,128.00	$1,876.80–$2,940.32	—	45%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT SKULL TO MIDTHIGH INIT	$3,555.20	$6,464.00	$2,844.16–$6,076.16	10% below	45%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL TO MIDTHIGH INIT	$3,555.20	$6,464.00	$3,878.40–$6,076.16	—	45%
Pelvic CT scan without contrast CPT 72192 PELVIS WO CONT	$1,051.60	$1,912.00	$841.28–$1,797.28	15% below	45%
Pelvic CT scan without contrast inpatient CPT 72192 PELVIS WO CONT	$1,051.60	$1,912.00	$1,147.20–$1,797.28	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS NON OB LTD	$282.70	$514.00	$226.16–$483.16	14% below	45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS NON OB LTD	$282.70	$514.00	$308.40–$483.16	—	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS NON OB COMP	$344.85	$627.00	$275.88–$589.38	24% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS NON OB COMP	$344.85	$627.00	$376.20–$589.38	—	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST	$369.05	$671.00	$295.24–$630.74	27% below	45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST	$369.05	$671.00	$402.60–$630.74	—	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB 1ST TRI SGL 1ST GEST	$295.35	$537.00	$236.28–$504.78	27% below	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB 1ST TRI SGL 1ST GEST	$295.35	$537.00	$322.20–$504.78	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LTD 1 OR MORE FETUS	$382.25	$695.00	$305.80–$653.30	19% above	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LTD 1 OR MORE FETUS	$382.25	$695.00	$417.00–$653.30	—	45%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2V WO CHEST LT	$144.65	$263.00	$115.72–$247.22	15% below	45%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2V WO CHEST LT	$144.65	$263.00	$157.80–$247.22	—	45%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS 2V W CHEST LT	$172.15	$313.00	$137.72–$294.22	8% below	45%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS 2V W CHEST LT	$172.15	$313.00	$187.80–$294.22	—	45%
Screening mammogram, both breasts both sides CPT 77067 SCREENING DIGITAL BI	$322.30	$586.00	$89.44–$550.84	—	45%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING DIGITAL BI	$322.30	$586.00	$351.60–$550.84	—	45%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER COMP BI	$163.90	$298.00	$131.12–$280.12	—	45%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP LT	$83.05	$151.00	$66.44–$141.94	53% below	45%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER COMP BI	$163.90	$298.00	$178.80–$280.12	—	45%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP LT	$83.05	$151.00	$90.60–$141.94	—	45%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMP MIN 3V	$103.95	$189.00	$83.16–$177.66	42% below	45%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS COMP MIN 3V	$103.95	$189.00	$113.40–$177.66	—	45%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS 4V	$159.50	$290.00	$127.60–$272.60	4% below	45%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS 4V	$159.50	$290.00	$174.00–$272.60	—	45%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY	$1,924.45	$3,499.00	$1,539.56–$3,289.06	21% below	45%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY	$1,924.45	$3,499.00	$2,099.40–$3,289.06	—	45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION W VIDEO	$336.60	$612.00	$269.28–$575.28	33% below	45%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION W VIDEO	$336.60	$612.00	$367.20–$575.28	—	45%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR MIN 2 VIEW LT	$68.20	$124.00	$54.56–$116.56	59% below	45%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR MIN 2 VIEW LT	$68.20	$124.00	$74.40–$116.56	—	45%
Thoracic spine (mid back) CT scan without contrast CPT 72128 THORACIC SPINE WO CONT	$1,001.00	$1,820.00	$800.80–$1,710.80	23% below	45%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 THORACIC SPINE WO CONT	$1,001.00	$1,820.00	$1,092.00–$1,710.80	—	45%
Toe X-ray, 2 or more views one side CPT 73660 TOES SECOND DIGIT LT T1	$101.75	$185.00	$81.40–$173.90	20% below	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES SECOND DIGIT LT T1	$101.75	$185.00	$111.00–$173.90	—	45%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL NON OB	$369.05	$671.00	$295.24–$630.74	23% below	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL NON OB	$369.05	$671.00	$402.60–$630.74	—	45%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAGINAL	$212.30	$386.00	$169.84–$362.84	36% below	45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAGINAL	$212.30	$386.00	$231.60–$362.84	—	45%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMP	$483.45	$879.00	$386.76–$826.26	6% below	45%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMP	$483.45	$879.00	$527.40–$826.26	—	45%
Ultrasound of the scrotum and testicles CPT 76870 SCROTUM AND CONTENTS	$286.55	$521.00	$229.24–$489.74	31% below	45%
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM AND CONTENTS	$286.55	$521.00	$312.60–$489.74	—	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD NECK SOFT TISSUE	$341.55	$621.00	$273.24–$583.74	29% below	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD NECK SOFT TISSUE	$341.55	$621.00	$372.60–$583.74	—	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WO KUB	$293.15	$533.00	$234.52–$501.02	44% below	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI	$299.75	$545.00	$239.80–$512.30	43% below	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WO KUB	$293.15	$533.00	$319.80–$501.02	—	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI	$299.75	$545.00	$327.00–$512.30	—	45%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LT	$86.35	$157.00	$69.08–$147.58	40% below	45%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LT	$86.35	$157.00	$94.20–$147.58	—	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CV VEIN MAPPING UNI	$510.95	$929.00	$408.76–$873.26	2% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CV VENOUS DUP LEGS UNI/LTD	$769.45	$1,399.00	$615.56–$1,315.06	48% above	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CV VEIN MAPPING UNI	$510.95	$929.00	$557.40–$873.26	—	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CV VENOUS DUP LEGS UNI/LTD	$769.45	$1,399.00	$839.40–$1,315.06	—	45%
Wrist X-ray, 2 views both sides CPT 73100 WRIST 2V BI	$238.15	$433.00	$190.52–$407.02	—	45%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2V LT	$119.90	$218.00	$95.92–$204.92	23% below	45%
Wrist X-ray, 2 views inpatient both sides CPT 73100 WRIST 2V BI	$238.15	$433.00	$259.80–$407.02	—	45%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2V LT	$119.90	$218.00	$130.80–$204.92	—	45%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST COMP MIN 3V BI	$101.75	$185.00	$81.40–$173.90	—	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3V LT	$128.70	$234.00	$102.96–$219.96	26% below	45%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST COMP MIN 3V BI	$101.75	$185.00	$111.00–$173.90	—	45%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP MIN 3V LT	$128.70	$234.00	$140.40–$219.96	—	45%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V DECUBITIS	$122.65	$223.00	$98.12–$209.62	12% below	45%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V DECUBITIS	$122.65	$223.00	$133.80–$209.62	—	45%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2V BI	$130.90	$238.00	$104.72–$223.72	—	45%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 2V BI	$130.90	$238.00	$142.80–$223.72	—	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS SECOND DIGIT LT F1	$106.15	$193.00	$84.92–$181.42	32% below	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS SECOND DIGIT LT F1	$106.15	$193.00	$115.80–$181.42	—	45%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 2V BI	$123.20	$224.00	$98.56–$210.56	—	45%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2V BI	$123.20	$224.00	$134.40–$210.56	—	45%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT COMP MIN 3V BI	$132.55	$241.00	$106.04–$226.54	—	45%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT COMP MIN 3V BI	$132.55	$241.00	$144.60–$226.54	—	45%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND COMP MIN 3V BI	$127.05	$231.00	$101.64–$217.14	—	45%
X-ray of the hand, 3 or more views one side CPT 73130 HAND COMP MIN 3V LT	$132.55	$241.00	$106.04–$226.54	19% below	45%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND COMP MIN 3V BI	$127.05	$231.00	$138.60–$217.14	—	45%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND COMP MIN 3V LT	$132.55	$241.00	$144.60–$226.54	—	45%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1V OR 2V BI	$126.50	$230.00	$101.20–$216.20	—	45%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 1V OR 2V BI	$126.50	$230.00	$138.00–$216.20	—	45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3V	$166.10	$302.00	$132.88–$283.88	14% below	45%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3V	$166.10	$302.00	$181.20–$283.88	—	45%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4V	$249.15	$453.00	$199.32–$425.82	5% above	45%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4V	$249.15	$453.00	$271.80–$425.82	—	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2V	$148.50	$270.00	$118.80–$253.80	2% below	45%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2V	$148.50	$270.00	$162.00–$253.80	—	45%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3V	$136.40	$248.00	$109.12–$233.12	10% below	45%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3V	$136.40	$248.00	$148.80–$233.12	—	45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2V OR 3V	$138.05	$251.00	$110.44–$235.94	15% below	45%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2V OR 3V	$138.05	$251.00	$150.60–$235.94	—	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V OR 2V	$124.85	$227.00	$99.88–$213.38	19% below	45%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1V OR 2V	$124.85	$227.00	$136.20–$213.38	—	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX MIN 2V	$138.05	$251.00	$110.44–$235.94	10% below	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX MIN 2V	$138.05	$251.00	$150.60–$235.94	—	45%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORM ACTH	$63.73	$115.86	$38.62–$108.91	56% below	45%
ACTH blood test CPT 82024 ADRENOCORTICO HORMONE ASSAY	$231.55	$421.00	$38.62–$395.74	60% above	45%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORM ACTH	$63.73	$115.86	$69.52–$108.91	—	45%
ACTH blood test inpatient CPT 82024 ADRENOCORTICO HORMONE ASSAY	$231.55	$421.00	$252.60–$395.74	—	45%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$41.80	$76.00	$5.30–$71.44	3% above	45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$41.80	$76.00	$45.60–$71.44	—	45%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$41.80	$76.00	$5.18–$71.44	1% above	45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$41.80	$76.00	$45.60–$71.44	—	45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE W HCV NAA RFL	$78.59	$142.89	$47.63–$134.32	65% below	45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$204.05	$371.00	$47.63–$348.74	10% below	45%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE W HCV NAA RFL	$78.59	$142.89	$85.74–$134.32	—	45%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE	$204.05	$371.00	$222.60–$348.74	—	45%
Albumin blood test CPT 82040 ALBUMIN SERUM	$8.17	$14.85	$4.95–$13.96	77% below	45%
Albumin blood test CPT 82040 ALBUMIN	$39.05	$71.00	$4.95–$66.74	12% above	45%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$8.17	$14.85	$8.91–$13.96	—	45%
Albumin blood test inpatient CPT 82040 ALBUMIN	$39.05	$71.00	$42.60–$66.74	—	45%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM	$67.24	$122.25	$40.75–$114.92	45% below	45%
Aldosterone blood test CPT 82088 ALDOSTERONE	$193.05	$351.00	$40.75–$329.94	57% above	45%
Aldosterone blood test CPT 82088 ALDOSTERONE URINE 24HR	$276.10	$502.00	$40.75–$471.88	124% above	45%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM	$67.24	$122.25	$73.35–$114.92	—	45%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$193.05	$351.00	$210.60–$329.94	—	45%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE 24HR	$276.10	$502.00	$301.20–$471.88	—	45%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS TOTAL	$8.55	$15.54	$5.18–$14.61	74% below	45%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS	$39.05	$71.00	$5.18–$66.74	17% above	45%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS TOTAL	$8.55	$15.54	$9.33–$14.61	—	45%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS	$39.05	$71.00	$42.60–$66.74	—	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD GLUTEN	$8.62	$15.66	$5.22–$14.73	68% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ADULT FOOD PROFILE 22 (X1)	$33.00	$60.00	$5.22–$56.40	23% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D. PTERONYSSINUS	$36.85	$67.00	$5.22–$62.98	38% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COWS MILK IGE	$44.00	$80.00	$5.22–$75.20	64% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 HYMENOPTERA ALLERGEN X4	$120.45	$219.00	$5.22–$205.86	350% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD-MILK X5	$164.45	$299.00	$5.22–$281.06	514% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS 7 NUTS X6	$207.90	$378.00	$5.22–$355.32	676% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS SEAFOOD X7	$229.90	$418.00	$5.22–$392.92	758% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 SHELLFISH ALLERGEN PROFILE X8	$273.90	$498.00	$5.22–$468.12	923% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN PROFILE 10X9	$284.90	$518.00	$5.22–$486.92	964% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDS ALLERGY PROFILE 11 (X10)	$317.35	$577.00	$5.22–$542.38	1085% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS FOODS X10	$339.35	$617.00	$5.22–$579.98	1167% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE MOLD IGE X12	$405.35	$737.00	$5.22–$692.78	1414% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGEN X14	$459.80	$836.00	$5.22–$785.84	1617% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS PEDIATRIC X16	$514.80	$936.00	$5.22–$879.84	1822% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ADULT FOOD PROFILE 22 (X21)	$624.25	$1,135.00	$5.22–$1,066.90	2231% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD PROFILE X 19	$646.25	$1,175.00	$5.22–$1,104.50	2313% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS 22 X21	$711.70	$1,294.00	$5.22–$1,216.36	2558% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS INHALANTS MIDWEST	$722.70	$1,314.00	$5.22–$1,235.16	2599% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 APRA - ALLERGENS	$788.15	$1,433.00	$5.22–$1,347.02	2843% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SCREEN 31 X 30	$974.60	$1,772.00	$5.22–$1,665.68	3539% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ADULT COMP FOOD PROFILE 35 X34	$1,095.05	$1,991.00	$5.22–$1,871.54	3989% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS SCREEN 36 X35	$1,171.50	$2,130.00	$5.22–$2,002.20	4275% above	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD GLUTEN	$8.62	$15.66	$9.40–$14.73	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADULT FOOD PROFILE 22 (X1)	$33.00	$60.00	$36.00–$56.40	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN D. PTERONYSSINUS	$36.85	$67.00	$40.20–$62.98	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COWS MILK IGE	$44.00	$80.00	$48.00–$75.20	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HYMENOPTERA ALLERGEN X4	$120.45	$219.00	$131.40–$205.86	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD-MILK X5	$164.45	$299.00	$179.40–$281.06	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS 7 NUTS X6	$207.90	$378.00	$226.80–$355.32	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS SEAFOOD X7	$229.90	$418.00	$250.80–$392.92	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHELLFISH ALLERGEN PROFILE X8	$273.90	$498.00	$298.80–$468.12	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN PROFILE 10X9	$284.90	$518.00	$310.80–$486.92	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDS ALLERGY PROFILE 11 (X10)	$317.35	$577.00	$346.20–$542.38	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS FOODS X10	$339.35	$617.00	$370.20–$579.98	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE MOLD IGE X12	$405.35	$737.00	$442.20–$692.78	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILDHOOD ALLERGEN X14	$459.80	$836.00	$501.60–$785.84	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS PEDIATRIC X16	$514.80	$936.00	$561.60–$879.84	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADULT FOOD PROFILE 22 (X21)	$624.25	$1,135.00	$681.00–$1,066.90	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD PROFILE X 19	$646.25	$1,175.00	$705.00–$1,104.50	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS 22 X21	$711.70	$1,294.00	$776.40–$1,216.36	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS INHALANTS MIDWEST	$722.70	$1,314.00	$788.40–$1,235.16	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APRA - ALLERGENS	$788.15	$1,433.00	$859.80–$1,347.02	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SCREEN 31 X 30	$974.60	$1,772.00	$1,063.20–$1,665.68	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADULT COMP FOOD PROFILE 35 X34	$1,095.05	$1,991.00	$1,194.60–$1,871.54	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS SCREEN 36 X35	$1,171.50	$2,130.00	$1,278.00–$2,002.20	—	45%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN S TUMOR MRK	$27.68	$50.31	$16.77–$47.30	71% below	45%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO-PROTEIN	$110.00	$200.00	$16.77–$188.00	15% above	45%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$143.00	$260.00	$16.77–$244.40	49% above	45%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN S TUMOR MRK	$27.68	$50.31	$30.19–$47.30	—	45%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO-PROTEIN	$110.00	$200.00	$120.00–$188.00	—	45%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$143.00	$260.00	$156.00–$244.40	—	45%
Ammonia blood test CPT 82140 AMMONIA PLASMA	$24.05	$43.71	$14.57–$41.09	52% below	45%
Ammonia blood test CPT 82140 AMMONIA	$95.70	$174.00	$14.57–$163.56	93% above	45%
Ammonia blood test inpatient CPT 82140 AMMONIA PLASMA	$24.05	$43.71	$26.23–$41.09	—	45%
Ammonia blood test inpatient CPT 82140 AMMONIA	$95.70	$174.00	$104.40–$163.56	—	45%
Amylase blood test CPT 82150 AMYLASE SERUM	$10.70	$19.44	$6.48–$18.28	76% below	45%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$11.00	$20.00	$6.48–$18.80	76% below	45%
Amylase blood test CPT 82150 AMYLASE	$62.70	$114.00	$6.48–$107.16	38% above	45%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$10.70	$19.44	$11.67–$18.28	—	45%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID	$11.00	$20.00	$12.00–$18.80	—	45%
Amylase blood test inpatient CPT 82150 AMYLASE	$62.70	$114.00	$68.40–$107.16	—	45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRUL PEPTIDE CCP IGG	$21.37	$38.85	$12.95–$36.52	74% below	45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEP AB	$21.45	$39.00	$12.95–$36.66	74% below	45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDEAB	$84.70	$154.00	$12.95–$144.76	3% above	45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRUL PEPTIDE CCP IGG	$21.37	$38.85	$23.31–$36.52	—	45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEP AB	$21.45	$39.00	$23.40–$36.66	—	45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDEAB	$84.70	$154.00	$92.40–$144.76	—	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY ELISA IGG W/RFLX IFA	$19.95	$36.27	$12.09–$34.10	69% below	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX TO EIGHT AUTOA	$84.15	$153.00	$12.09–$143.82	32% above	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX	$94.05	$171.00	$12.09–$160.74	48% above	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY ELISA IGG W/RFLX IFA	$19.95	$36.27	$21.77–$34.10	—	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX TO EIGHT AUTOA	$84.15	$153.00	$91.80–$143.82	—	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFLEX	$94.05	$171.00	$102.60–$160.74	—	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$206.80	$376.00	$39.26–$353.44	11% below	45%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$206.80	$376.00	$225.60–$353.44	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT MRSA	$44.55	$81.00	$8.62–$76.14	31% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE PERITONEAL DIALYSIS	$61.60	$112.00	$8.62–$105.28	5% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT CATH TIP	$63.25	$115.00	$8.62–$108.10	2% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE / EAR	$64.90	$118.00	$8.62–$110.92	at median	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BODY FLUID	$68.20	$124.00	$8.62–$116.56	5% above	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT MRSA	$44.55	$81.00	$48.60–$76.14	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE PERITONEAL DIALYSIS	$61.60	$112.00	$67.20–$105.28	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT CATH TIP	$63.25	$115.00	$69.00–$108.10	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE / EAR	$64.90	$118.00	$70.80–$110.92	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT BODY FLUID	$68.20	$124.00	$74.40–$116.56	—	45%
Basic metabolic panel (blood test) CPT 80048 TEST - FAC SPECIFIC CODE	$69.85	$127.00	$8.46–$119.38	6% below	45%
Basic metabolic panel (blood test) CPT 80048 BMP	$71.50	$130.00	$8.46–$122.20	4% below	45%
Basic metabolic panel (blood test) inpatient CPT 80048 TEST - FAC SPECIFIC CODE	$69.85	$127.00	$76.20–$119.38	—	45%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$71.50	$130.00	$78.00–$122.20	—	45%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL SERUM/PLASMA	$8.29	$15.06	$5.02–$14.16	76% below	45%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$44.00	$80.00	$5.02–$75.20	25% above	45%
Bilirubin blood test, total CPT 82247 BILIRUBIN NEONATAL	$84.15	$153.00	$5.02–$143.82	140% above	45%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL SERUM/PLASMA	$8.29	$15.06	$9.04–$14.16	—	45%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$44.00	$80.00	$48.00–$75.20	—	45%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN NEONATAL	$84.15	$153.00	$91.80–$143.82	—	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$85.19	$154.89	$68.16–$145.60	31% below	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS/MICRO L4	$207.35	$377.00	$165.88–$354.38	68% above	45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$85.19	$154.89	$92.94–$145.60	—	45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS/MICRO L4	$207.35	$377.00	$226.20–$354.38	—	45%
Blood culture for bacteria CPT 87040 CULT BLOOD AEROBIC	$90.75	$165.00	$10.32–$155.10	7% above	45%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD AEROBIC	$90.75	$165.00	$99.00–$155.10	—	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$15.95	$29.00	$9.09–$27.26	7% below	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$15.95	$29.00	$17.40–$27.26	—	45%
Blood glucose (sugar) test CPT 82947 GLUCOMETER NOVA	$23.10	$42.00	$3.93–$39.48	22% below	45%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$45.10	$82.00	$3.93–$77.08	53% above	45%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$52.80	$96.00	$3.93–$90.24	79% above	45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOMETER NOVA	$23.10	$42.00	$25.20–$39.48	—	45%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$45.10	$82.00	$49.20–$77.08	—	45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$52.80	$96.00	$57.60–$90.24	—	45%
Blood lead test CPT 83655 LEAD BLOOD VENOUS	$19.99	$36.33	$12.11–$34.16	57% below	45%
Blood lead test CPT 83655 HEAVY METALS (LEAD) UR RANDOM	$62.70	$114.00	$12.11–$107.16	36% above	45%
Blood lead test CPT 83655 LEAD	$80.30	$146.00	$12.11–$137.24	75% above	45%
Blood lead test CPT 83655 LEAD BLOOD PEDIATRIC	$83.60	$152.00	$12.11–$142.88	82% above	45%
Blood lead test inpatient CPT 83655 LEAD BLOOD VENOUS	$19.99	$36.33	$21.80–$34.16	—	45%
Blood lead test inpatient CPT 83655 HEAVY METALS (LEAD) UR RANDOM	$62.70	$114.00	$68.40–$107.16	—	45%
Blood lead test inpatient CPT 83655 LEAD	$80.30	$146.00	$87.60–$137.24	—	45%
Blood lead test inpatient CPT 83655 LEAD BLOOD PEDIATRIC	$83.60	$152.00	$91.20–$142.88	—	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL SERUM	$64.35	$117.00	$7.52–$109.98	at median	45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL SERUM	$64.35	$117.00	$70.20–$109.98	—	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$38.50	$70.00	$2.99–$65.80	2% below	45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$38.50	$70.00	$42.00–$65.80	—	45%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN EFFLUENT	$6.60	$12.00	$3.95–$11.28	82% below	45%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$38.50	$70.00	$3.95–$65.80	4% above	45%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN EFFLUENT	$6.60	$12.00	$7.20–$11.28	—	45%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$38.50	$70.00	$42.00–$65.80	—	45%
C-peptide blood test CPT 84681 C-PEPTIDE SERUM	$34.34	$62.43	$20.81–$58.69	69% below	45%
C-peptide blood test CPT 84681 C PEPTIDE	$142.45	$259.00	$20.81–$243.46	30% above	45%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE SERUM	$34.34	$62.43	$37.46–$58.69	—	45%
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$142.45	$259.00	$155.40–$243.46	—	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$8.55	$15.54	$5.18–$14.61	76% below	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$8.80	$16.00	$5.18–$15.04	76% below	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$8.55	$15.54	$9.33–$14.61	—	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$8.80	$16.00	$9.60–$15.04	—	45%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR	$61.50	$111.81	$37.27–$105.11	68% below	45%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN	$153.45	$279.00	$37.27–$262.26	20% below	45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR	$61.50	$111.81	$67.09–$105.11	—	45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN	$153.45	$279.00	$167.40–$262.26	—	45%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN GI (19-9)	$34.34	$62.43	$20.81–$58.69	69% below	45%
CA 19-9 blood test (tumor marker) CPT 86301 CA19-9	$128.15	$233.00	$20.81–$219.02	17% above	45%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN GI (19-9)	$34.34	$62.43	$37.46–$58.69	—	45%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA19-9	$128.15	$233.00	$139.80–$219.02	—	45%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$34.34	$62.43	$20.81–$58.69	73% below	45%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$128.15	$233.00	$20.81–$219.02	1% above	45%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125	$34.34	$62.43	$37.46–$58.69	—	45%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$128.15	$233.00	$139.80–$219.02	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV ND HLTH	$15.95	$29.00	$17.40–$29.58	87% below	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C	$60.50	$110.00	$51.31–$103.40	52% below	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV ND HLTH	$15.95	$29.00	$17.40–$27.26	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C	$60.50	$110.00	$66.00–$103.40	—	45%
Calcium blood test, total CPT 82310 CALCIUM	$8.52	$15.48	$5.16–$14.56	73% below	45%
Calcium blood test, total CPT 82310 CALCIUM RANDOM U	$8.80	$16.00	$5.16–$15.04	72% below	45%
Calcium blood test, total CPT 82310 CALCIUM SERUM	$40.15	$73.00	$5.16–$68.62	25% above	45%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$8.52	$15.48	$9.29–$14.56	—	45%
Calcium blood test, total inpatient CPT 82310 CALCIUM RANDOM U	$8.80	$16.00	$9.60–$15.04	—	45%
Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM	$40.15	$73.00	$43.80–$68.62	—	45%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$31.29	$56.88	$18.96–$53.47	75% below	45%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$133.10	$242.00	$18.96–$227.48	7% above	45%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$31.29	$56.88	$34.13–$53.47	—	45%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$133.10	$242.00	$145.20–$227.48	—	45%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG	$21.26	$38.64	$12.88–$36.33	64% below	45%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG ANTIBODY	$134.75	$245.00	$12.88–$230.30	128% above	45%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGG	$21.26	$38.64	$23.19–$36.33	—	45%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG ANTIBODY	$134.75	$245.00	$147.00–$230.30	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS BY TMA	$57.75	$105.00	$35.09–$98.70	62% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS BY TMA	$57.90	$105.27	$35.09–$98.96	62% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS BY PCR	$154.00	$280.00	$35.09–$263.20	at median	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PROBE	$226.05	$411.00	$35.09–$386.34	47% above	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS BY TMA	$57.75	$105.00	$63.00–$98.70	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS BY TMA	$57.90	$105.27	$63.17–$98.96	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS BY PCR	$154.00	$280.00	$168.00–$263.20	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PROBE	$226.05	$411.00	$246.60–$386.34	—	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL	$33.55	$61.00	$13.39–$57.34	55% below	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID	$82.50	$150.00	$13.39–$141.00	11% above	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$84.70	$154.00	$13.39–$144.76	14% above	45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PNL	$33.55	$61.00	$36.60–$57.34	—	45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID	$82.50	$150.00	$90.00–$141.00	—	45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$84.70	$154.00	$92.40–$144.76	—	45%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$58.30	$106.00	$7.77–$99.64	at median	45%
Complete blood count (CBC) with differential CPT 85025 CBC W/MANUAL DIFF	$180.40	$328.00	$7.77–$308.32	209% above	45%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF	$58.30	$106.00	$63.60–$99.64	—	45%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/MANUAL DIFF	$180.40	$328.00	$196.80–$308.32	—	45%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF	$56.65	$103.00	$6.47–$96.82	23% above	45%
Complete blood count (CBC), no differential CPT 85027 CBC WITH MAN DIFF	$85.80	$156.00	$6.47–$146.64	86% above	45%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF	$56.65	$103.00	$61.80–$96.82	—	45%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITH MAN DIFF	$85.80	$156.00	$93.60–$146.64	—	45%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$83.05	$151.00	$10.56–$141.94	12% below	45%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$83.05	$151.00	$90.60–$141.94	—	45%
Cortisol blood test, total CPT 82533 CORTISOLSERUM	$26.90	$48.90	$16.30–$45.97	51% below	45%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION RAN	$91.30	$166.00	$16.30–$156.04	68% above	45%
Cortisol blood test, total CPT 82533 CORTISOL SALIVA MS	$104.50	$190.00	$16.30–$178.60	92% above	45%
Cortisol blood test, total CPT 82533 CORTISOL	$118.80	$216.00	$16.30–$203.04	118% above	45%
Cortisol blood test, total inpatient CPT 82533 CORTISOLSERUM	$26.90	$48.90	$29.34–$45.97	—	45%
Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION RAN	$91.30	$166.00	$99.60–$156.04	—	45%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA MS	$104.50	$190.00	$114.00–$178.60	—	45%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$118.80	$216.00	$129.60–$203.04	—	45%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL	$10.75	$19.53	$6.51–$18.36	77% below	45%
Creatine kinase (CK) blood test, total CPT 82550 CK	$61.60	$112.00	$6.51–$105.28	31% above	45%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL	$10.75	$19.53	$11.72–$18.36	—	45%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK	$61.60	$112.00	$67.20–$105.28	—	45%
Creatinine blood test CPT 82565 CREAT W/GFR	$42.35	$77.00	$5.12–$72.38	7% above	45%
Creatinine blood test inpatient CPT 82565 CREAT W/GFR	$42.35	$77.00	$46.20–$72.38	—	45%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$23.75	$43.17	$14.39–$40.58	55% below	45%
Cytomegalovirus (CMV) antibody test CPT 86644 TORCH CMV	$94.05	$171.00	$14.39–$160.74	80% above	45%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEGATIVE UNIT CHARGE	$100.65	$183.00	$14.39–$172.02	93% above	45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$23.75	$43.17	$25.91–$40.58	—	45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TORCH CMV	$94.05	$171.00	$102.60–$160.74	—	45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV NEGATIVE UNIT CHARGE	$100.65	$183.00	$109.80–$172.02	—	45%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$63.80	$116.00	$10.18–$109.04	13% below	45%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT	$63.80	$116.00	$69.60–$109.04	—	45%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$36.68	$66.69	$22.23–$62.69	66% below	45%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SO4	$151.25	$275.00	$22.23–$258.50	40% above	45%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$36.68	$66.69	$40.02–$62.69	—	45%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SO4	$151.25	$275.00	$165.00–$258.50	—	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD URINE REFLEX	$70.40	$128.00	$62.14–$120.32	51% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE SCR AND CONF	$82.50	$150.00	$62.14–$141.00	43% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PM1 DRUG SCREEN	$83.60	$152.00	$62.14–$142.88	42% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN RX/OTC U	$86.35	$157.00	$62.14–$147.58	40% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM S/P	$90.20	$164.00	$62.14–$154.16	37% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM 7 DRUG SCREEN	$92.95	$169.00	$62.14–$158.86	36% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE	$95.15	$173.00	$62.14–$162.62	34% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE 9 PANEL S OR P	$102.54	$186.42	$62.14–$175.24	29% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM 9 DRUG SCREEN	$104.50	$190.00	$62.14–$178.60	28% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE TREAT MONITOR	$105.60	$192.00	$62.14–$180.48	27% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM 11 DRUG SCREEN	$112.20	$204.00	$62.14–$191.76	22% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE SCREEN URINE	$117.70	$214.00	$62.14–$201.16	18% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL SCREEN	$121.55	$221.00	$62.14–$207.74	16% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM 13 DRUG SCREEN	$141.35	$257.00	$62.14–$241.58	2% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CORD STAT 12 DRUG SCREEN	$184.25	$335.00	$62.14–$314.90	28% above	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CORD STAT 13 DRUG SCREEN	$189.20	$344.00	$62.14–$323.36	31% above	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM 13 DRUG SCREEN + ALC	$204.05	$371.00	$62.14–$348.74	42% above	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CORD STAT 12 DRUG SCREEN + ALC	$212.85	$387.00	$62.14–$363.78	48% above	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 13 SERUM	$262.35	$477.00	$62.14–$448.38	82% above	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM 12 DRUG SCREEN	$293.70	$534.00	$62.14–$501.96	104% above	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HYPOGLYCEMIC AGENT SCRN SERUM	$294.25	$535.00	$62.14–$502.90	104% above	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM REFLEX	$320.10	$582.00	$62.14–$547.08	122% above	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LSD URINE REFLEX	$70.40	$128.00	$76.80–$120.32	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINE SCR AND CONF	$82.50	$150.00	$90.00–$141.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PM1 DRUG SCREEN	$83.60	$152.00	$91.20–$142.88	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN RX/OTC U	$86.35	$157.00	$94.20–$147.58	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEPAM S/P	$90.20	$164.00	$98.40–$154.16	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM 7 DRUG SCREEN	$92.95	$169.00	$101.40–$158.86	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE	$95.15	$173.00	$103.80–$162.62	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE 9 PANEL S OR P	$102.54	$186.42	$111.86–$175.24	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM 9 DRUG SCREEN	$104.50	$190.00	$114.00–$178.60	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE TREAT MONITOR	$105.60	$192.00	$115.20–$180.48	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM 11 DRUG SCREEN	$112.20	$204.00	$122.40–$191.76	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE SCREEN URINE	$117.70	$214.00	$128.40–$201.16	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRAMADOL SCREEN	$121.55	$221.00	$132.60–$207.74	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM 13 DRUG SCREEN	$141.35	$257.00	$154.20–$241.58	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CORD STAT 12 DRUG SCREEN	$184.25	$335.00	$201.00–$314.90	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CORD STAT 13 DRUG SCREEN	$189.20	$344.00	$206.40–$323.36	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM 13 DRUG SCREEN + ALC	$204.05	$371.00	$222.60–$348.74	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CORD STAT 12 DRUG SCREEN + ALC	$212.85	$387.00	$232.20–$363.78	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 13 SERUM	$262.35	$477.00	$286.20–$448.38	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM 12 DRUG SCREEN	$293.70	$534.00	$320.40–$501.96	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HYPOGLYCEMIC AGENT SCRN SERUM	$294.25	$535.00	$321.00–$502.90	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM REFLEX	$320.10	$582.00	$349.20–$547.08	—	45%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$56.10	$102.00	$7.01–$95.88	1% above	45%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$56.10	$102.00	$61.20–$95.88	—	45%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB TO VIRAL CAPSID AG IGG	$29.94	$54.42	$18.14–$51.16	64% below	45%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA 1	$105.05	$191.00	$18.14–$179.54	25% above	45%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB TO VIRAL CAPSID AG IGG	$29.94	$54.42	$32.66–$51.16	—	45%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA 1	$105.05	$191.00	$114.60–$179.54	—	45%
Estradiol blood test CPT 82670 ESTRADIOL BY IMMUNOASSAY	$46.11	$83.82	$27.94–$78.80	64% below	45%
Estradiol blood test CPT 82670 ESTRADIOL (LCMSMS)	$141.90	$258.00	$27.94–$242.52	10% above	45%
Estradiol blood test CPT 82670 ESTRADIOL MALE/CHILD POST MENO	$177.65	$323.00	$27.94–$303.62	38% above	45%
Estradiol blood test CPT 82670 ESTRADIOL	$189.20	$344.00	$27.94–$323.36	47% above	45%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BY IMMUNOASSAY	$46.11	$83.82	$50.30–$78.80	—	45%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (LCMSMS)	$141.90	$258.00	$154.80–$242.52	—	45%
Estradiol blood test inpatient CPT 82670 ESTRADIOL MALE/CHILD POST MENO	$177.65	$323.00	$193.80–$303.62	—	45%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$189.20	$344.00	$206.40–$323.36	—	45%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$30.66	$55.74	$18.58–$52.40	71% below	45%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$30.66	$55.74	$33.45–$52.40	—	45%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$32.39	$58.89	$19.63–$55.36	79% below	45%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$32.39	$58.89	$35.34–$55.36	—	45%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$22.49	$40.89	$13.63–$38.44	76% below	45%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$22.49	$40.89	$24.54–$38.44	—	45%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$16.04	$29.16	$9.72–$27.42	71% below	45%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$16.04	$29.16	$17.50–$27.42	—	45%
Folate (folic acid) blood test CPT 82746 FOLATESERUM	$24.26	$44.10	$14.70–$41.46	74% below	45%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$95.70	$174.00	$14.70–$163.56	2% above	45%
Folate (folic acid) blood test inpatient CPT 82746 FOLATESERUM	$24.26	$44.10	$26.46–$41.46	—	45%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$95.70	$174.00	$104.40–$163.56	—	45%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINEFREE FREE T3	$27.96	$50.82	$16.94–$47.78	72% below	45%
Free T3 thyroid hormone test CPT 84481 THYROID HEALTH PNL-FREE T3	$78.65	$143.00	$16.94–$134.42	22% below	45%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$117.70	$214.00	$16.94–$201.16	17% above	45%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINEFREE FREE T3	$27.96	$50.82	$30.50–$47.78	—	45%
Free T3 thyroid hormone test inpatient CPT 84481 THYROID HEALTH PNL-FREE T3	$78.65	$143.00	$85.80–$134.42	—	45%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$117.70	$214.00	$128.40–$201.16	—	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$14.89	$27.06	$9.02–$25.44	76% below	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE R	$53.90	$98.00	$9.02–$92.12	14% below	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$59.95	$109.00	$9.02–$102.46	4% below	45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$14.89	$27.06	$16.24–$25.44	—	45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE R	$53.90	$98.00	$58.80–$92.12	—	45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$59.95	$109.00	$65.40–$102.46	—	45%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$42.03	$76.41	$25.47–$71.83	45% below	45%
Free testosterone test CPT 84402 TESTOSTERONEFREE (ADULT MALE)	$163.35	$297.00	$25.47–$279.18	113% above	45%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$42.03	$76.41	$45.85–$71.83	—	45%
Free testosterone test inpatient CPT 84402 TESTOSTERONEFREE (ADULT MALE)	$163.35	$297.00	$178.20–$279.18	—	45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASES/P	$11.88	$21.60	$7.20–$20.31	73% below	45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP	$59.40	$108.00	$7.20–$101.52	33% above	45%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASES/P	$11.88	$21.60	$12.96–$20.31	—	45%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP	$59.40	$108.00	$64.80–$101.52	—	45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR	$49.50	$90.00	$4.75–$84.60	40% above	45%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR	$49.50	$90.00	$54.00–$84.60	—	45%
Glucose tolerance test, 3 samples CPT 82951 GTT3	$107.25	$195.00	$12.87–$183.30	18% above	45%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT3	$107.25	$195.00	$117.00–$183.30	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE BY TMA	$57.90	$105.27	$35.09–$98.96	62% below	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHEAE BY PCR	$154.00	$280.00	$35.09–$263.20	at median	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC PROBE	$226.05	$411.00	$35.09–$386.34	47% above	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE BY TMA	$57.90	$105.27	$63.17–$98.96	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHEAE BY PCR	$154.00	$280.00	$168.00–$263.20	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC PROBE	$226.05	$411.00	$246.60–$386.34	—	45%
H. pylori antibody blood test CPT 86677 H. PYLORI IGG	$84.70	$154.00	$16.85–$144.76	at median	45%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGG	$84.70	$154.00	$92.40–$144.76	—	45%
H. pylori stool antigen test CPT 87338 HELICOBACT PYLORI AGFECAL EIA	$23.73	$43.14	$14.38–$40.56	76% below	45%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL AG	$112.75	$205.00	$14.38–$192.70	13% above	45%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACT PYLORI AGFECAL EIA	$23.73	$43.14	$25.89–$40.56	—	45%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL AG	$112.75	$205.00	$123.00–$192.70	—	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-RNA DETECTION	$140.42	$255.30	$85.10–$239.99	41% below	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 ULTRASENSITIVE RNA (PCR)	$383.90	$698.00	$85.10–$656.12	60% above	45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-RNA DETECTION	$140.42	$255.30	$153.18–$239.99	—	45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 ULTRASENSITIVE RNA (PCR)	$383.90	$698.00	$418.80–$656.12	—	45%
HIV-1 and HIV-2 antibody test CPT 86703 HIV	$51.15	$93.00	$13.71–$87.42	34% below	45%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV	$51.15	$93.00	$55.80–$87.42	—	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 12 COMBO AG/AB CIA W/RFLX	$39.74	$72.24	$24.08–$67.91	66% below	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB COMBO	$117.70	$214.00	$24.08–$201.16	1% above	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV12 AG/AB 4TH GEN	$119.90	$218.00	$24.08–$204.92	3% above	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 12 COMBO AG/AB CIA W/RFLX	$39.74	$72.24	$43.35–$67.91	—	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB COMBO	$117.70	$214.00	$128.40–$201.16	—	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV12 AG/AB 4TH GEN	$119.90	$218.00	$130.80–$204.92	—	45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV NUCLEIC ACID AMPLIFICATION	$57.90	$105.27	$35.09–$98.96	41% below	45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA PROBE HI RISK RFLX	$76.45	$139.00	$35.09–$130.66	22% below	45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK	$169.40	$308.00	$35.09–$289.52	74% above	45%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV NUCLEIC ACID AMPLIFICATION	$57.90	$105.27	$63.17–$98.96	—	45%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA PROBE HI RISK RFLX	$76.45	$139.00	$83.40–$130.66	—	45%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK	$169.40	$308.00	$184.80–$289.52	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO HGB	$64.35	$117.00	$9.71–$109.98	8% below	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO HGB	$64.35	$117.00	$70.20–$109.98	—	45%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$24.75	$45.00	$2.37–$42.30	7% above	45%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$24.75	$45.00	$27.00–$42.30	—	45%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL	$19.89	$36.15	$12.05–$33.99	70% below	45%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY TOT	$80.30	$146.00	$12.05–$137.24	21% above	45%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL	$19.89	$36.15	$21.69–$33.99	—	45%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY TOT	$80.30	$146.00	$87.60–$137.24	—	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$17.73	$32.22	$10.74–$30.29	68% below	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB QUANT	$68.75	$125.00	$10.74–$117.50	22% above	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$17.73	$32.22	$19.34–$30.29	—	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF AB QUANT	$68.75	$125.00	$75.00–$117.50	—	45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG W/RFLX	$17.05	$30.99	$10.33–$29.14	68% below	45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITS B SURFACE ANTIGEN	$64.35	$117.00	$10.33–$109.98	19% above	45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG W/RFLX	$17.05	$30.99	$18.60–$29.14	—	45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITS B SURFACE ANTIGEN	$64.35	$117.00	$70.20–$109.98	—	45%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA	$23.55	$42.81	$14.27–$40.25	68% below	45%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$94.60	$172.00	$14.27–$161.68	27% above	45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA	$23.55	$42.81	$25.69–$40.25	—	45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$94.60	$172.00	$103.20–$161.68	—	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QNT BY NAAT	$70.69	$128.52	$42.84–$120.81	46% below	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANTIFICATION	$279.95	$509.00	$42.84–$478.46	113% above	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT BY PCR	$308.00	$560.00	$42.84–$526.40	135% above	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QNT BY NAAT	$70.69	$128.52	$77.12–$120.81	—	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DETECT/QUANTIFICATION	$279.95	$509.00	$305.40–$478.46	—	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT BY PCR	$308.00	$560.00	$336.00–$526.40	—	45%
Herpes blood test, HSV-1 antibody CPT 86695 HSV1-GLYCO-G ABIGGBYCIA	$21.77	$39.57	$13.19–$37.20	62% below	45%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 G SPECIFIC IGG	$22.00	$40.00	$13.19–$37.60	61% below	45%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$63.25	$115.00	$13.19–$108.10	11% above	45%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1 (IGG)	$75.90	$138.00	$13.19–$129.72	34% above	45%
Herpes blood test, HSV-1 antibody CPT 86695 HSV I SPEC AB IGG	$77.55	$141.00	$13.19–$132.54	37% above	45%
Herpes blood test, HSV-1 antibody CPT 86695 TORCH HERPES SIMPLEX TYPE 1	$78.10	$142.00	$13.19–$133.48	38% above	45%
Herpes blood test, HSV-1 antibody CPT 86695 H SIMPLEX IGG	$83.60	$152.00	$13.19–$142.88	47% above	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1-GLYCO-G ABIGGBYCIA	$21.77	$39.57	$23.75–$37.20	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 G SPECIFIC IGG	$22.00	$40.00	$24.00–$37.60	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1	$63.25	$115.00	$69.00–$108.10	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS 1 (IGG)	$75.90	$138.00	$82.80–$129.72	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV I SPEC AB IGG	$77.55	$141.00	$84.60–$132.54	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 TORCH HERPES SIMPLEX TYPE 1	$78.10	$142.00	$85.20–$133.48	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 H SIMPLEX IGG	$83.60	$152.00	$91.20–$142.88	—	45%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 G SPECIFIC IGG	$31.90	$58.00	$19.35–$54.52	53% below	45%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2-GLYCO-G ABIGGBYCIA	$31.93	$58.05	$19.35–$54.57	53% below	45%
Herpes blood test, HSV-2 antibody CPT 86696 HSV II SPEC AB IGG	$102.30	$186.00	$19.35–$174.84	52% above	45%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 (IGG)	$110.00	$200.00	$19.35–$188.00	63% above	45%
Herpes blood test, HSV-2 antibody CPT 86696 TORCH HERPES SIMPLEX TYPE 2	$115.50	$210.00	$19.35–$197.40	72% above	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 G SPECIFIC IGG	$31.90	$58.00	$34.80–$54.52	—	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2-GLYCO-G ABIGGBYCIA	$31.93	$58.05	$34.83–$54.57	—	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV II SPEC AB IGG	$102.30	$186.00	$111.60–$174.84	—	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 2 (IGG)	$110.00	$200.00	$120.00–$188.00	—	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 TORCH HERPES SIMPLEX TYPE 2	$115.50	$210.00	$126.00–$197.40	—	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRPHIGH SENSITIVITY	$21.37	$38.85	$12.95–$36.52	72% below	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENSIT	$94.05	$171.00	$12.95–$160.74	21% above	45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRPHIGH SENSITIVITY	$21.37	$38.85	$23.31–$36.52	—	45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENSIT	$94.05	$171.00	$102.60–$160.74	—	45%
Homocysteine blood test CPT 83090 HOMOCYSTINE TOTAL	$29.57	$53.76	$17.92–$50.54	70% below	45%
Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIAC RISK	$196.90	$358.00	$17.92–$336.52	103% above	45%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE TOTAL	$29.57	$53.76	$32.26–$50.54	—	45%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIAC RISK	$196.90	$358.00	$214.80–$336.52	—	45%
Insulin blood test CPT 83525 INSULIN	$18.86	$34.29	$11.43–$32.24	68% below	45%
Insulin blood test CPT 83525 INSULIN 1	$75.90	$138.00	$11.43–$129.72	30% above	45%
Insulin blood test CPT 83525 INSULIN ASSAY	$79.75	$145.00	$11.43–$136.30	37% above	45%
Insulin blood test inpatient CPT 83525 INSULIN	$18.86	$34.29	$20.58–$32.24	—	45%
Insulin blood test inpatient CPT 83525 INSULIN 1	$75.90	$138.00	$82.80–$129.72	—	45%
Insulin blood test inpatient CPT 83525 INSULIN ASSAY	$79.75	$145.00	$87.00–$136.30	—	45%
Iron blood test (serum iron) CPT 83540 IRONPLASMA OR SERUM	$10.68	$19.41	$6.47–$18.25	72% below	45%
Iron blood test (serum iron) CPT 83540 IRON	$49.50	$90.00	$6.47–$84.60	29% above	45%
Iron blood test (serum iron) inpatient CPT 83540 IRONPLASMA OR SERUM	$10.68	$19.41	$11.65–$18.25	—	45%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$49.50	$90.00	$54.00–$84.60	—	45%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL	$14.43	$26.22	$8.74–$24.65	73% below	45%
Iron-binding capacity (TIBC) test CPT 83550 IRON PROFILE	$104.50	$190.00	$8.74–$178.60	96% above	45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOTAL	$14.43	$26.22	$15.74–$24.65	—	45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON PROFILE	$104.50	$190.00	$114.00–$178.60	—	45%
Kidney function blood test panel CPT 80069 RENAL PROFILE	$58.30	$106.00	$8.68–$99.64	13% below	45%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE	$58.30	$106.00	$63.60–$99.64	—	45%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONESERUM	$30.56	$55.56	$18.52–$52.23	72% below	45%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$133.65	$243.00	$18.52–$228.42	24% above	45%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONESERUM	$30.56	$55.56	$33.34–$52.23	—	45%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$133.65	$243.00	$145.80–$228.42	—	45%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$85.25	$155.00	$11.57–$145.70	10% above	45%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$85.25	$155.00	$93.00–$145.70	—	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE BODY FLD	$9.97	$18.12	$6.04–$17.04	77% below	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 BODY FLUID LDH	$46.75	$85.00	$6.04–$79.90	7% above	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$50.05	$91.00	$6.04–$85.54	15% above	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE BODY FLD	$9.97	$18.12	$10.88–$17.04	—	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 BODY FLUID LDH	$46.75	$85.00	$51.00–$79.90	—	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$50.05	$91.00	$54.60–$85.54	—	45%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM OR PLASMA	$11.37	$20.67	$6.89–$19.43	79% below	45%
Lipase blood test (pancreas enzyme) CPT 83690 BODY FLUID LIPASE	$34.10	$62.00	$6.89–$58.28	36% below	45%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$55.55	$101.00	$6.89–$94.94	4% above	45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM OR PLASMA	$11.37	$20.67	$12.41–$19.43	—	45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 BODY FLUID LIPASE	$34.10	$62.00	$37.20–$58.28	—	45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$55.55	$101.00	$60.60–$94.94	—	45%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$45.10	$82.00	$8.17–$77.08	36% below	45%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION	$74.25	$135.00	$8.17–$126.90	5% above	45%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$45.10	$82.00	$49.20–$77.08	—	45%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION	$74.25	$135.00	$81.00–$126.90	—	45%
Lyme disease antibody test CPT 86618 LYME DISEASE ACUTE REFLEXIVE	$28.10	$51.09	$17.03–$48.03	57% below	45%
Lyme disease antibody test CPT 86618 LYME(B BURGDORFERI )AB IGG/IGM	$118.25	$215.00	$17.03–$202.10	80% above	45%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ACUTE REFLEXIVE	$28.10	$51.09	$30.66–$48.03	—	45%
Lyme disease antibody test inpatient CPT 86618 LYME(B BURGDORFERI )AB IGG/IGM	$118.25	$215.00	$129.00–$202.10	—	45%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$7.70	$14.00	$6.70–$13.16	76% below	45%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$11.06	$20.10	$6.70–$18.90	65% below	45%
Magnesium blood test CPT 83735 MAGNESIUM	$59.40	$108.00	$6.70–$101.52	87% above	45%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$7.70	$14.00	$8.40–$13.16	—	45%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$11.06	$20.10	$12.06–$18.90	—	45%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$59.40	$108.00	$64.80–$101.52	—	45%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) AB IGG	$21.26	$38.64	$12.88–$36.33	63% below	45%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM	$100.10	$182.00	$12.88–$171.08	76% above	45%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG	$105.60	$192.00	$12.88–$180.48	86% above	45%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) AB IGG	$21.26	$38.64	$23.19–$36.33	—	45%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGM	$100.10	$182.00	$109.20–$171.08	—	45%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG	$105.60	$192.00	$115.20–$180.48	—	45%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$39.60	$72.00	$5.18–$67.68	10% below	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$39.60	$72.00	$43.20–$67.68	—	45%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGG	$21.54	$39.15	$13.05–$36.81	47% below	45%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY IGG	$21.54	$39.15	$23.49–$36.81	—	45%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$30.35	$55.17	$18.39–$51.86	53% below	45%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$73.70	$134.00	$18.39–$125.96	14% above	45%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$30.35	$55.17	$33.11–$51.86	—	45%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA	$73.70	$134.00	$80.40–$125.96	—	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN	$30.35	$55.17	$18.39–$51.86	69% below	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$99.00	$180.00	$18.39–$169.20	2% above	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSITC	$104.50	$190.00	$18.39–$178.60	8% above	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN SCRE	$111.65	$203.00	$18.39–$190.82	16% above	45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN	$30.35	$55.17	$33.11–$51.86	—	45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$99.00	$180.00	$108.00–$169.20	—	45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSITC	$104.50	$190.00	$114.00–$178.60	—	45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN SCRE	$111.65	$203.00	$121.80–$190.82	—	45%
Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP PAP SMEAR	$127.60	$232.00	$26.61–$218.08	11% above	45%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP PAP SMEAR	$127.60	$232.00	$139.20–$218.08	—	45%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV	$33.43	$60.78	$20.26–$57.14	67% below	45%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG IN OR B	$117.15	$213.00	$20.26–$200.22	14% above	45%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV	$33.43	$60.78	$36.47–$57.14	—	45%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG IN OR B	$117.15	$213.00	$127.80–$200.22	—	45%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT	$68.12	$123.84	$41.28–$116.41	67% below	45%
Parathyroid hormone (PTH) blood test CPT 83970 PTH	$235.40	$428.00	$41.28–$402.32	13% above	45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT	$68.12	$123.84	$74.31–$116.41	—	45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH	$235.40	$428.00	$256.80–$402.32	—	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN (PTT-D)	$9.92	$18.03	$6.01–$16.95	70% below	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$51.70	$94.00	$6.01–$88.36	57% above	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN (PTT-D)	$9.92	$18.03	$10.82–$16.95	—	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$51.70	$94.00	$56.40–$88.36	—	45%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$42.35	$77.00	$4.74–$72.38	26% above	45%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$42.35	$77.00	$46.20–$72.38	—	45%
Potassium blood test CPT 84132 POTASSIUM	$39.60	$72.00	$4.76–$67.68	3% below	45%
Potassium blood test inpatient CPT 84132 POTASSIUM	$39.60	$72.00	$43.20–$67.68	—	45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 PRENATAL ANEUPLOIDY W/ SEX	$769.45	$1,399.00	$759.05–$1,315.06	40% below	45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT21	$1,252.35	$2,277.00	$759.05–$2,140.38	2% below	45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NON INV PRENATAL SCREENING	$1,252.44	$2,277.15	$759.05–$2,140.53	2% below	45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 PRENATAL ANEUPLOIDY W/ SEX	$769.45	$1,399.00	$839.40–$1,315.06	—	45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERNIT21	$1,252.35	$2,277.00	$1,366.20–$2,140.38	—	45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NON INV PRENATAL SCREENING	$1,252.44	$2,277.15	$1,366.29–$2,140.53	—	45%
Progesterone blood test CPT 84144 PROGESTERONE QUANTSER/PLAS	$34.42	$62.58	$20.86–$58.83	71% below	45%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$35.75	$65.00	$20.86–$61.10	70% below	45%
Progesterone blood test CPT 84144 PROGESTERONE	$162.80	$296.00	$20.86–$278.24	36% above	45%
Progesterone blood test inpatient CPT 84144 PROGESTERONE QUANTSER/PLAS	$34.42	$62.58	$37.55–$58.83	—	45%
Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE	$35.75	$65.00	$39.00–$61.10	—	45%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$162.80	$296.00	$177.60–$278.24	—	45%
Prolactin blood test CPT 84146 PROLACTIN	$31.98	$58.14	$19.38–$54.66	68% below	45%
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN	$32.45	$59.00	$19.38–$55.46	68% below	45%
Prolactin blood test CPT 84146 PROLACTIN MONOMERIC	$99.55	$181.00	$19.38–$170.14	1% below	45%
Prolactin blood test CPT 84146 MACROPROLACTIN X2	$246.40	$448.00	$19.38–$421.12	144% above	45%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$31.98	$58.14	$34.89–$54.66	—	45%
Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN	$32.45	$59.00	$35.40–$55.46	—	45%
Prolactin blood test inpatient CPT 84146 PROLACTIN MONOMERIC	$99.55	$181.00	$108.60–$170.14	—	45%
Prolactin blood test inpatient CPT 84146 MACROPROLACTIN X2	$246.40	$448.00	$268.80–$421.12	—	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$7.08	$12.87	$4.29–$12.10	73% below	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR IMC	$7.15	$13.00	$4.29–$12.22	72% below	45%
Prothrombin time (PT/INR) clotting test CPT 85610 APS - PT	$31.90	$58.00	$4.29–$54.52	23% above	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PT	$33.55	$61.00	$4.29–$57.34	30% above	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR	$36.85	$67.00	$4.29–$62.98	42% above	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$7.08	$12.87	$7.73–$12.10	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR IMC	$7.15	$13.00	$7.80–$12.22	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 APS - PT	$31.90	$58.00	$34.80–$54.52	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT	$33.55	$61.00	$36.60–$57.34	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR	$36.85	$67.00	$40.20–$62.98	—	45%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN URINE	$90.75	$165.00	$12.60–$155.10	5% above	45%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN URINE	$90.75	$165.00	$99.00–$155.10	—	45%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AG	$75.35	$137.00	$16.55–$128.78	10% below	45%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AG	$75.35	$137.00	$82.20–$128.78	—	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN A RAPID	$78.65	$143.00	$16.53–$134.42	at median	45%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN A RAPID	$78.65	$143.00	$85.80–$134.42	—	45%
Renin blood test CPT 84244 RENIN ACTIVITY	$36.29	$65.97	$21.99–$62.02	52% below	45%
Renin blood test CPT 84244 RENIN PLASMA	$141.35	$257.00	$21.99–$241.58	87% above	45%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY	$36.29	$65.97	$39.59–$62.02	—	45%
Renin blood test inpatient CPT 84244 RENIN PLASMA	$141.35	$257.00	$154.20–$241.58	—	45%
Rh blood typing CPT 86901 RH	$39.60	$72.00	$2.99–$67.68	3% above	45%
Rh blood typing inpatient CPT 86901 RH	$39.60	$72.00	$43.20–$67.68	—	45%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$9.35	$17.00	$5.67–$15.98	74% below	45%
Rheumatoid factor (RF) test CPT 86431 RA TITER	$38.50	$70.00	$5.67–$65.80	5% above	45%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$9.35	$17.00	$10.20–$15.98	—	45%
Rheumatoid factor (RF) test inpatient CPT 86431 RA TITER	$38.50	$70.00	$42.00–$65.80	—	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODYIGG	$23.75	$43.17	$14.39–$40.58	64% below	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM	$96.80	$176.00	$14.39–$165.44	45% above	45%
Rubella antibody test (immunity check) CPT 86762 TORCH RUBELLA AB	$102.30	$186.00	$14.39–$174.84	54% above	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGM	$103.40	$188.00	$14.39–$176.72	55% above	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$105.60	$192.00	$14.39–$180.48	59% above	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$111.65	$203.00	$14.39–$190.82	68% above	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODYIGG	$23.75	$43.17	$25.91–$40.58	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM	$96.80	$176.00	$105.60–$165.44	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 TORCH RUBELLA AB	$102.30	$186.00	$111.60–$174.84	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGM	$103.40	$188.00	$112.80–$176.72	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$105.60	$192.00	$115.20–$180.48	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG	$111.65	$203.00	$121.80–$190.82	—	45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR AUTO	$29.70	$54.00	$2.70–$50.76	4% below	45%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR AUTO	$29.70	$54.00	$32.40–$50.76	—	45%
Sodium blood test CPT 84295 SODIUM	$37.40	$68.00	$4.81–$63.92	4% below	45%
Sodium blood test CPT 84295 SODIUM BF	$44.55	$81.00	$4.81–$76.14	14% above	45%
Sodium blood test inpatient CPT 84295 SODIUM	$37.40	$68.00	$40.80–$63.92	—	45%
Sodium blood test inpatient CPT 84295 SODIUM BF	$44.55	$81.00	$48.60–$76.14	—	45%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$14.69	$26.70	$8.90–$25.10	70% below	45%
Stool ova and parasites exam CPT 87177 O & P SMEAR	$55.00	$100.00	$8.90–$94.00	13% above	45%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS	$14.69	$26.70	$16.02–$25.10	—	45%
Stool ova and parasites exam inpatient CPT 87177 O & P SMEAR	$55.00	$100.00	$60.00–$94.00	—	45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN	$29.15	$53.00	$4.38–$49.82	3% above	45%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN	$29.15	$53.00	$31.80–$49.82	—	45%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD BY IA	$26.27	$47.76	$15.92–$44.90	69% below	45%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL BY IMMUNO	$73.70	$134.00	$15.92–$125.96	12% below	45%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD BY IA	$26.27	$47.76	$28.66–$44.90	—	45%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECAL BY IMMUNO	$73.70	$134.00	$80.40–$125.96	—	45%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG/IFASER	$21.85	$39.72	$13.24–$37.34	49% below	45%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP PALLIDUM IGG ELISA	$22.00	$40.00	$13.24–$37.60	48% below	45%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB	$69.85	$127.00	$13.24–$119.38	64% above	45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGG/IFASER	$21.85	$39.72	$23.84–$37.34	—	45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP PALLIDUM IGG ELISA	$22.00	$40.00	$24.00–$37.60	—	45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB	$69.85	$127.00	$76.20–$119.38	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TO TITER	$7.05	$12.81	$4.27–$12.05	76% below	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$7.15	$13.00	$4.27–$12.22	76% below	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (SYPHILLUS SEROLOGY)	$38.50	$70.00	$4.27–$65.80	32% above	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TO TITER	$7.05	$12.81	$7.69–$12.05	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$7.15	$13.00	$7.80–$12.22	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (SYPHILLUS SEROLOGY)	$38.50	$70.00	$42.00–$65.80	—	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS4TUBE	$102.27	$185.94	$61.98–$174.79	7% below	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD	$250.25	$455.00	$61.98–$427.70	128% above	45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS4TUBE	$102.27	$185.94	$111.57–$174.79	—	45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD	$250.25	$455.00	$273.00–$427.70	—	45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTO ADULT MALE	$42.59	$77.43	$25.81–$72.79	44% below	45%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTO (LCMSMS) FEMALE	$155.65	$283.00	$25.81–$266.02	106% above	45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$167.20	$304.00	$25.81–$285.76	121% above	45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTO ADULT MALE	$42.59	$77.43	$46.46–$72.79	—	45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTO (LCMSMS) FEMALE	$155.65	$283.00	$169.80–$266.02	—	45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$167.20	$304.00	$182.40–$285.76	—	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY (TPO)	$24.01	$43.65	$14.55–$41.04	63% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH R	$90.75	$165.00	$14.55–$155.10	42% above	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY LIVER/KID	$96.80	$176.00	$14.55–$165.44	51% above	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$100.65	$183.00	$14.55–$172.02	57% above	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY (TPO)	$24.01	$43.65	$26.19–$41.04	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EACH R	$90.75	$165.00	$99.00–$155.10	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY LIVER/KID	$96.80	$176.00	$105.60–$165.44	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$100.65	$183.00	$109.80–$172.02	—	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$27.72	$50.40	$16.80–$47.38	73% below	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CONG HYPOTHYROIDISM	$82.50	$150.00	$16.80–$141.00	20% below	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID FUNCTION CASCADE S	$104.50	$190.00	$16.80–$178.60	1% above	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$110.00	$200.00	$16.80–$188.00	7% above	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$27.72	$50.40	$30.24–$47.38	—	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CONG HYPOTHYROIDISM	$82.50	$150.00	$90.00–$141.00	—	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID FUNCTION CASCADE S	$104.50	$190.00	$114.00–$178.60	—	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$110.00	$200.00	$120.00–$188.00	—	45%
Total IgE blood test CPT 82785 IMMUNOGLBULIN E SERUM	$8.62	$15.66	$9.40–$15.98	90% below	45%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E	$27.16	$49.38	$16.46–$46.42	68% below	45%
Total IgE blood test inpatient CPT 82785 IMMUNOGLBULIN E SERUM	$8.62	$15.66	$9.40–$14.73	—	45%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E	$27.16	$49.38	$29.63–$46.42	—	45%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$38.50	$70.00	$4.35–$65.80	14% above	45%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$38.50	$70.00	$42.00–$65.80	—	45%
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL T4	$11.34	$20.61	$6.87–$19.38	75% below	45%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$53.35	$97.00	$6.87–$91.18	19% above	45%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL T4	$11.34	$20.61	$12.37–$19.38	—	45%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$53.35	$97.00	$58.20–$91.18	—	45%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINETOTAL T3 TTL	$23.40	$42.54	$14.18–$39.99	74% below	45%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3) R	$89.65	$163.00	$14.18–$153.22	1% below	45%
Total triiodothyronine (T3) blood test CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL	$94.60	$172.00	$14.18–$161.68	4% above	45%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINETOTAL T3 TTL	$23.40	$42.54	$25.53–$39.99	—	45%
Total triiodothyronine (T3) blood test inpatient CPT 84480 ASSAY TRIIODOTHYRONINE (T3) R	$89.65	$163.00	$97.80–$153.22	—	45%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL	$94.60	$172.00	$103.20–$161.68	—	45%
Transferrin blood test CPT 84466 TRANSFERRINSERUM	$21.06	$38.28	$12.76–$35.99	72% below	45%
Transferrin blood test CPT 84466 TRANSFERRIN	$74.25	$135.00	$12.76–$126.90	1% below	45%
Transferrin blood test inpatient CPT 84466 TRANSFERRINSERUM	$21.06	$38.28	$22.97–$35.99	—	45%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$74.25	$135.00	$81.00–$126.90	—	45%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS BY TMA	$57.90	$105.27	$35.09–$98.96	42% below	45%
Trichomonas test (NAAT) CPT 87661 VP - TRICHOMONAS VAGINALIS	$125.95	$229.00	$35.09–$215.26	25% above	45%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS BY TMA	$57.90	$105.27	$63.17–$98.96	—	45%
Trichomonas test (NAAT) inpatient CPT 87661 VP - TRICHOMONAS VAGINALIS	$125.95	$229.00	$137.40–$215.26	—	45%
Triglycerides blood test CPT 84478 BODY FLUID TRIGLYCERIDES	$25.85	$47.00	$5.74–$44.18	40% below	45%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$35.20	$64.00	$5.74–$60.16	18% below	45%
Triglycerides blood test inpatient CPT 84478 BODY FLUID TRIGLYCERIDES	$25.85	$47.00	$28.20–$44.18	—	45%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$35.20	$64.00	$38.40–$60.16	—	45%
Troponin test, quantitative CPT 84484 TROP-T	$20.58	$37.41	$12.47–$35.17	74% below	45%
Troponin test, quantitative CPT 84484 TROPONIN	$68.20	$124.00	$12.47–$116.56	15% below	45%
Troponin test, quantitative inpatient CPT 84484 TROP-T	$20.58	$37.41	$22.45–$35.17	—	45%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$68.20	$124.00	$74.40–$116.56	—	45%
Uric acid blood test CPT 84550 URIC ACID	$44.00	$80.00	$4.52–$75.20	9% above	45%
Uric acid blood test inpatient CPT 84550 URIC ACID	$44.00	$80.00	$48.00–$75.20	—	45%
Urinalysis with microscope exam, automated CPT 81001 UA MICROSCOPIC	$24.20	$44.00	$3.17–$41.36	33% below	45%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPIC	$31.35	$57.00	$3.17–$53.58	13% below	45%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA MICROSCOPIC	$24.20	$44.00	$26.40–$41.36	—	45%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPIC	$31.35	$57.00	$34.20–$53.58	—	45%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS BY DIP STICK	$16.50	$30.00	$4.02–$28.20	38% below	45%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS BY DIP STICK	$16.50	$30.00	$18.00–$28.20	—	45%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPIC	$21.45	$39.00	$2.25–$36.66	21% above	45%
Urinalysis without microscope exam, automated CPT 81003 PROTEIN URINE	$37.40	$68.00	$2.25–$63.92	110% above	45%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPIC	$21.45	$39.00	$23.40–$36.66	—	45%
Urinalysis without microscope exam, automated inpatient CPT 81003 PROTEIN URINE	$37.40	$68.00	$40.80–$63.92	—	45%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE	$67.10	$122.00	$8.07–$114.68	11% above	45%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE	$67.10	$122.00	$73.20–$114.68	—	45%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN - MG/DL	$9.54	$17.34	$5.78–$16.30	76% below	45%
Urine microalbumin (albumin) test CPT 82043 MICROALB/CREAT RATIO URINE	$44.55	$81.00	$5.78–$76.14	10% above	45%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN - MG/DL	$9.54	$17.34	$10.41–$16.30	—	45%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB/CREAT RATIO URINE	$44.55	$81.00	$48.60–$76.14	—	45%
Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE	$62.15	$113.00	$8.61–$106.22	12% above	45%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE	$62.15	$113.00	$67.80–$106.22	—	45%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$24.89	$45.24	$15.08–$42.53	74% below	45%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 SERUM	$74.80	$136.00	$15.08–$127.84	23% below	45%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$24.89	$45.24	$27.15–$42.53	—	45%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 SERUM	$74.80	$136.00	$81.60–$127.84	—	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25-HYDROXY	$48.84	$88.80	$29.60–$83.48	71% below	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25-HYDROXY	$48.84	$88.80	$53.28–$83.48	—	45%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125-DIHYDROXY	$63.53	$115.50	$38.50–$108.57	51% below	45%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 HYDROXY	$218.35	$397.00	$38.50–$373.18	68% above	45%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125-DIHYDROXY	$63.53	$115.50	$69.30–$108.57	—	45%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125 HYDROXY	$218.35	$397.00	$238.20–$373.18	—	45%
Zinc blood test CPT 84630 ZINC	$18.80	$34.17	$11.39–$32.12	60% below	45%
Zinc blood test inpatient CPT 84630 ZINC	$18.80	$34.17	$20.51–$32.12	—	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$24.84	$45.15	$15.05–$42.45	69% below	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT SERUM	$130.35	$237.00	$15.05–$222.78	64% above	45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER	$24.84	$45.15	$27.09–$42.45	—	45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT SERUM	$130.35	$237.00	$142.20–$222.78	—	45%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRA NEU FAC	$56.65	$103.00	$45.32–$96.82	85% below	45%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRA NEU FAC	$56.65	$103.00	$61.80–$96.82	—	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREOTACTIC BREAST BX LT	$1,356.85	$2,467.00	$1,085.48–$2,318.98	43% below	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 STEREOTACTIC BREAST BX LT	$1,356.85	$2,467.00	$1,480.20–$2,318.98	—	45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TX ANKLE FRACT WO MAN ORT FAC	$109.45	$199.00	$87.56–$187.06	73% below	45%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TX ANKLE FRACT WO MAN ORT FAC	$109.45	$199.00	$119.40–$187.06	—	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACT ORT FAC	$84.70	$154.00	$67.76–$144.76	79% below	45%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACT ORT FAC	$84.70	$154.00	$92.40–$144.76	—	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL ICU	$562.10	$1,022.00	$449.68–$960.68	45% below	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL ER	$562.10	$1,022.00	$449.68–$960.68	45% below	45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL ICU	$562.10	$1,022.00	$613.20–$960.68	—	45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL ER	$562.10	$1,022.00	$613.20–$960.68	—	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION-BABY	$133.10	$242.00	$106.48–$227.48	90% below	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION-BABY	$133.10	$242.00	$145.20–$227.48	—	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX RADL DIST WO ORT FAC	$110.55	$201.00	$88.44–$188.94	75% below	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX RADL DIST WO ER	$264.55	$481.00	$211.64–$452.14	41% below	45%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TX FX RADL DIST WO ORT FAC	$110.55	$201.00	$120.60–$188.94	—	45%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TX FX RADL DIST WO ER	$264.55	$481.00	$288.60–$452.14	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT CERVIX W/SCP WHCFAC	$64.35	$117.00	$51.48–$109.98	79% below	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX/CURETT CERVIX W/SCP WHCFAC	$64.35	$117.00	$70.20–$109.98	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESN PLA FAC	$31.35	$57.00	$25.08–$53.58	84% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG LESN PLA FAC	$31.35	$57.00	$34.20–$53.58	—	45%
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 REMOVE IMPACTD EAR WAX BI FPC	$40.70	$74.00	$32.56–$69.56	—	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTD EAR WAX UNI IMC	$20.35	$37.00	$16.28–$34.78	67% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM CERUMEN IMPACTED ER	$92.40	$168.00	$73.92–$157.92	52% above	45%
Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 REMOVE IMPACTD EAR WAX BI FPC	$40.70	$74.00	$44.40–$69.56	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTD EAR WAX UNI IMC	$20.35	$37.00	$22.20–$34.78	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM CERUMEN IMPACTED ER	$92.40	$168.00	$100.80–$157.92	—	45%
Earwax removal with instruments, one ear CPT 69210 REM CERUMEN IMPACTED RC FAC	$18.15	$33.00	$14.52–$31.02	84% below	45%
Earwax removal with instruments, one ear CPT 69210 REM CERUMEN IMPACTED ER	$96.80	$176.00	$77.44–$165.44	16% below	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REM CERUMEN IMPACTED RC FAC	$18.15	$33.00	$19.80–$31.02	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REM CERUMEN IMPACTED ER	$96.80	$176.00	$105.60–$165.44	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY UTERUS LINING OB FAC	$38.50	$70.00	$30.80–$65.80	87% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY UTERUS LINING FPC FAC	$39.60	$72.00	$31.68–$67.68	86% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY UTERUS LINING OB FAC	$38.50	$70.00	$42.00–$65.80	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY UTERUS LINING FPC FAC	$39.60	$72.00	$43.20–$67.68	—	45%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 LUMBAR FACET INJECTION LT	$937.75	$1,705.00	$750.20–$1,602.70	30% below	45%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 LUMBAR FACET INJECTION LT	$937.75	$1,705.00	$1,023.00–$1,602.70	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH FOR HYSTEROGRAPHY OB FAC	$91.85	$167.00	$73.48–$156.98	71% below	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH FOR HYSTEROGRAPHY US	$414.15	$753.00	$331.32–$707.82	32% above	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH FOR HYSTEROGRAPHY OB FAC	$91.85	$167.00	$100.20–$156.98	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH FOR HYSTEROGRAPHY US	$414.15	$753.00	$451.80–$707.82	—	45%
IUD insertion (the device itself billed separately) CPT 58300 INSRT INTRAUTERINE DEV OBC FAC	$42.90	$78.00	$34.32–$73.32	66% below	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSRT INTRAUTERINE DEV OBC FAC	$42.90	$78.00	$46.80–$73.32	—	45%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE FPC FAC	$39.60	$72.00	$31.68–$67.68	87% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE ER	$283.25	$515.00	$226.60–$484.10	7% below	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE FPC FAC	$39.60	$72.00	$43.20–$67.68	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE ER	$283.25	$515.00	$309.00–$484.10	—	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON/LIGAMENT ER	$352.00	$640.00	$281.60–$601.60	13% above	45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SINGLE TENDON/LIGAMENT ER	$352.00	$640.00	$384.00–$601.60	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 ASP/INJ MAJOR JOINT BI FPC FAC	$111.10	$202.00	$88.88–$189.88	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 ASP/INJ MAJOR JOINT BI RHC	$134.20	$244.00	$107.36–$229.36	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 ASP/INJ MAJOR JOINT BI	$754.05	$1,371.00	$603.24–$1,288.74	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JOINT UNI RC FAC	$55.55	$101.00	$44.44–$94.94	82% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JOINT UNI RHC	$67.10	$122.00	$53.68–$114.68	78% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JOINT UNI ER	$371.80	$676.00	$297.44–$635.44	23% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJ MAJOR JOINT LT	$378.95	$689.00	$303.16–$647.66	25% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 ASP/INJ MAJOR JOINT BI FPC FAC	$111.10	$202.00	$121.20–$189.88	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 ASP/INJ MAJOR JOINT BI RHC	$134.20	$244.00	$146.40–$229.36	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 ASP/INJ MAJOR JOINT BI	$754.05	$1,371.00	$822.60–$1,288.74	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JOINT UNI RC FAC	$55.55	$101.00	$60.60–$94.94	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JOINT UNI RHC	$67.10	$122.00	$73.20–$114.68	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JOINT UNI ER	$371.80	$676.00	$405.60–$635.44	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJ MAJOR JOINT LT	$378.95	$689.00	$413.40–$647.66	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRN/INJ JOINT/BRSA MED PLA FAC	$55.55	$101.00	$44.44–$94.94	84% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 MED JOINT INJ	$378.95	$689.00	$303.16–$647.66	11% above	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASP/INJ JT INTER ER	$378.95	$689.00	$303.16–$647.66	11% above	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRN/INJ JOINT/BRSA MED PLA FAC	$55.55	$101.00	$60.60–$94.94	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 MED JOINT INJ	$378.95	$689.00	$413.40–$647.66	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT ASP/INJ JT INTER ER	$378.95	$689.00	$413.40–$647.66	—	45%
Joint injection or drainage, small joint (fingers, toes) both sides CPT 20600 ASP/INJ SMALL JOINT BI ORT FAC	$111.10	$202.00	$88.88–$189.88	—	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SMALL JOINT ORT FAC	$55.55	$101.00	$44.44–$94.94	81% below	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SMALL JOINT ER	$378.95	$689.00	$303.16–$647.66	33% above	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SMALL JOINT	$378.95	$689.00	$303.16–$647.66	33% above	45%
Joint injection or drainage, small joint (fingers, toes) inpatient both sides CPT 20600 ASP/INJ SMALL JOINT BI ORT FAC	$111.10	$202.00	$121.20–$189.88	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SMALL JOINT ORT FAC	$55.55	$101.00	$60.60–$94.94	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SMALL JOINT ER	$378.95	$689.00	$413.40–$647.66	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SMALL JOINT	$378.95	$689.00	$413.40–$647.66	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR LAC INT SCLP AXIL <2.5C ER	$479.60	$872.00	$383.68–$819.68	7% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR LAC INT SCLP AXIL <2.5C ER	$479.60	$872.00	$523.20–$819.68	—	45%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR EPIDURAL WO GUIDE	$1,112.10	$2,022.00	$889.68–$1,900.68	at median	45%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMBAR EPIDURAL WO GUIDE	$1,112.10	$2,022.00	$1,213.20–$1,900.68	—	45%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL STEROID INJ WO GUIDE	$1,112.10	$2,022.00	$889.68–$1,900.68	6% above	45%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EPIDURAL STEROID INJ WO GUIDE	$1,112.10	$2,022.00	$1,213.20–$1,900.68	—	45%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE LDR	$2,667.50	$4,850.00	$2,134.00–$4,559.00	42% below	45%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE LDR	$2,667.50	$4,850.00	$2,910.00–$4,559.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LES BGN TRNK ARM <0.5C ER	$641.85	$1,167.00	$513.48–$1,096.98	23% above	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LES BGN TRNK ARM <0.5C ER	$641.85	$1,167.00	$700.20–$1,096.98	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC LESN BGN FACE EAR <0.5C ER	$641.85	$1,167.00	$513.48–$1,096.98	14% above	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC LESN BGN FACE EAR <0.5C ER	$641.85	$1,167.00	$700.20–$1,096.98	—	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE ER	$154.00	$280.00	$123.20–$263.20	45% below	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGLE ER	$154.00	$280.00	$168.00–$263.20	—	45%
Occipital nerve block (injection for headaches) both sides CPT 64405 GREATER OCC NRVE BLK BI PMCFAC	$129.25	$235.00	$103.40–$220.90	—	45%
Occipital nerve block (injection for headaches) CPT 64405 GREATER OCC NRVE BLOCK PMC FAC	$64.35	$117.00	$51.48–$109.98	82% below	45%
Occipital nerve block (injection for headaches) inpatient both sides CPT 64405 GREATER OCC NRVE BLK BI PMCFAC	$129.25	$235.00	$141.00–$220.90	—	45%
Occipital nerve block (injection for headaches) inpatient CPT 64405 GREATER OCC NRVE BLOCK PMC FAC	$64.35	$117.00	$70.20–$109.98	—	45%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W IMAGING ER	$963.60	$1,752.00	$770.88–$1,646.88	at median	45%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE US	$963.60	$1,752.00	$770.88–$1,646.88	at median	45%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W IMAGING ER	$963.60	$1,752.00	$1,051.20–$1,646.88	—	45%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE US	$963.60	$1,752.00	$1,051.20–$1,646.88	—	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL & MATRIX RHC	$91.30	$166.00	$73.04–$156.04	84% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL & MATRIX ER	$641.85	$1,167.00	$513.48–$1,096.98	14% above	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL & MATRIX RHC	$91.30	$166.00	$99.60–$156.04	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL & MATRIX ER	$641.85	$1,167.00	$700.20–$1,096.98	—	45%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY FPC FAC	$57.75	$105.00	$46.20–$98.70	86% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REMOVAL FB SIMPLE ER	$439.45	$799.00	$351.56–$751.06	3% above	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY FPC FAC	$57.75	$105.00	$63.00–$98.70	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REMOVAL FB SIMPLE ER	$439.45	$799.00	$479.40–$751.06	—	45%
Short arm cast (elbow to hand) CPT 29075 APPLICAT FOREARM CAST ORT FAC	$31.35	$57.00	$25.08–$53.58	90% below	45%
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST ARM SHORT ER	$361.90	$658.00	$289.52–$618.52	17% above	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICAT FOREARM CAST ORT FAC	$31.35	$57.00	$34.20–$53.58	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST ARM SHORT ER	$361.90	$658.00	$394.80–$618.52	—	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT ORT FAC	$22.55	$41.00	$18.04–$38.54	88% below	45%
Short arm splint (forearm and hand) CPT 29125 APPL SPLINT ARM SHORT STAT ER	$200.75	$365.00	$160.60–$343.10	4% above	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT ORT FAC	$22.55	$41.00	$24.60–$38.54	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SPLINT ARM SHORT STAT ER	$200.75	$365.00	$219.00–$343.10	—	45%
Short leg cast (below the knee) CPT 29405 APPL CAST LEG SHORT ER	$361.90	$658.00	$289.52–$618.52	3% above	45%
Short leg cast (below the knee) inpatient CPT 29405 APPL CAST LEG SHORT ER	$361.90	$658.00	$394.80–$618.52	—	45%
Short leg splint (calf to foot) CPT 29515 APPLICAT LWR LEG SPLNT ORT FAC	$24.75	$45.00	$19.80–$42.30	89% below	45%
Short leg splint (calf to foot) CPT 29515 APPL SPLINT LEG SHORT ER	$200.75	$365.00	$160.60–$343.10	10% below	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICAT LWR LEG SPLNT ORT FAC	$24.75	$45.00	$27.00–$42.30	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPL SPLINT LEG SHORT ER	$200.75	$365.00	$219.00–$343.10	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SUPERFICIAL WOUND(S)FPCFAC	$32.45	$59.00	$25.96–$55.46	89% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR LAC SMP SCALP <2.5 CM ER	$195.25	$355.00	$156.20–$333.70	37% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REP SUPERFICIAL WOUND(S)FPCFAC	$32.45	$59.00	$35.40–$55.46	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR LAC SMP SCALP <2.5 CM ER	$195.25	$355.00	$213.00–$333.70	—	45%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SNG LES FPC FAC	$48.40	$88.00	$38.72–$82.72	86% below	45%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SNG LES FPC FAC	$48.40	$88.00	$52.80–$82.72	—	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC LES MAL T/A/L 0.5 OR < RHC	$79.20	$144.00	$63.36–$135.36	85% below	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC LES MAL T/A/L 0.5 OR < RHC	$79.20	$144.00	$86.40–$135.36	—	45%
Skin tag removal, up to 15 tags CPT 11200 REM SKINTAG < OR =15 PLA FAC	$30.25	$55.00	$24.20–$51.70	87% below	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKINTAG < OR =15 PLA FAC	$30.25	$55.00	$33.00–$51.70	—	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE NB	$617.65	$1,123.00	$494.12–$1,055.62	28% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 FLUORO GD LUMBAR PUNCT DX	$710.60	$1,292.00	$568.48–$1,214.48	18% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC ER	$710.60	$1,292.00	$568.48–$1,214.48	18% below	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE NB	$617.65	$1,123.00	$673.80–$1,055.62	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 FLUORO GD LUMBAR PUNCT DX	$710.60	$1,292.00	$775.20–$1,214.48	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC ER	$710.60	$1,292.00	$775.20–$1,214.48	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR LAC SCALP2.6-7.5CM FPC FAC	$39.05	$71.00	$31.24–$66.74	87% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR LAC SMP SCALP 2.6-7.5CM ER	$224.40	$408.00	$179.52–$383.52	25% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR LAC SCALP2.6-7.5CM FPC FAC	$39.05	$71.00	$42.60–$66.74	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR LAC SMP SCALP 2.6-7.5CM ER	$224.40	$408.00	$244.80–$383.52	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LAC SMP FACE <2.5CM ER	$224.40	$408.00	$179.52–$383.52	23% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR LAC SMP FACE <2.5CM ER	$224.40	$408.00	$244.80–$383.52	—	45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKN TANGENT SGL LES FPC FAC	$43.45	$79.00	$34.76–$74.26	84% below	45%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKN TANGENT SGL LES FPC FAC	$43.45	$79.00	$47.40–$74.26	—	45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING MS	$737.55	$1,341.00	$590.04–$1,260.54	7% below	45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING ER	$837.10	$1,522.00	$669.68–$1,430.68	6% above	45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING US	$982.85	$1,787.00	$786.28–$1,679.78	24% above	45%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING MS	$737.55	$1,341.00	$804.60–$1,260.54	—	45%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING ER	$837.10	$1,522.00	$913.20–$1,430.68	—	45%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING US	$982.85	$1,787.00	$1,072.20–$1,679.78	—	45%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGR PT 1-2 MUSC RAD	$269.50	$490.00	$215.60–$460.60	26% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGR PT 1-2 MUSC ER	$352.00	$640.00	$281.60–$601.60	3% below	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGR PT 1-2 MUSC RAD	$269.50	$490.00	$294.00–$460.60	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGR PT 1-2 MUSC ER	$352.00	$640.00	$384.00–$601.60	—	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BX BREAST NDL CORE LT	$1,828.75	$3,325.00	$1,463.00–$3,125.50	14% below	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BX BREAST NDL CORE LT	$1,828.75	$3,325.00	$1,995.00–$3,125.50	—	45%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 RC FAC	$42.90	$78.00	$34.32–$73.32	83% below	45%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION <15 ER	$140.25	$255.00	$112.20–$239.70	44% below	45%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14 RC FAC	$42.90	$78.00	$46.80–$73.32	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESION <15 ER	$140.25	$255.00	$153.00–$239.70	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SKIN SUBQ TISSUE ER	$539.00	$980.00	$431.20–$921.20	27% above	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SKIN SUBQ TISSUE ER	$539.00	$980.00	$588.00–$921.20	—	45%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$452.10	$822.00	$361.68–$772.68	36% below	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$452.10	$822.00	$493.20–$772.68	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/NEBULIZER SMALL VOL ER	$74.80	$136.00	$59.84–$127.84	28% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 MDI/NEBULIZER SMALL VOL RT	$64.90	$118.00	$51.92–$110.92	38% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI/NEBULIZER SMALL VOL ER	$74.80	$136.00	$81.60–$127.84	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 MDI/NEBULIZER SMALL VOL RT	$64.90	$118.00	$70.80–$110.92	—	45%
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO 16-90M ONC	$676.50	$1,230.00	$541.20–$1,156.20	2% below	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO 16-90M ONC	$676.50	$1,230.00	$738.00–$1,156.20	—	45%
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MIN ER	$1,225.40	$2,228.00	$980.32–$2,094.32	37% below	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE 1ST 30-74 MIN ER	$1,225.40	$2,228.00	$1,336.80–$2,094.32	—	45%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE	$519.75	$945.00	$415.80–$888.30	19% below	45%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE	$519.75	$945.00	$567.00–$888.30	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACE EKG	$112.75	$205.00	$90.20–$192.70	at median	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACE	$113.85	$207.00	$91.08–$194.58	1% above	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACE EKG	$112.75	$205.00	$123.00–$192.70	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACE	$113.85	$207.00	$124.20–$194.58	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 ER	$162.25	$295.00	$129.80–$277.30	8% below	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 ER	$162.25	$295.00	$177.00–$277.30	—	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 ER	$220.55	$401.00	$176.44–$376.94	26% below	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ER	$220.55	$401.00	$240.60–$376.94	—	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 ER	$353.65	$643.00	$282.92–$604.42	28% below	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ER	$353.65	$643.00	$385.80–$604.42	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 ER	$574.20	$1,044.00	$459.36–$981.36	30% below	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ER	$574.20	$1,044.00	$626.40–$981.36	—	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 ER	$992.75	$1,805.00	$794.20–$1,696.70	20% below	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ER	$992.75	$1,805.00	$1,083.00–$1,696.70	—	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST TRACING	$370.15	$673.00	$296.12–$632.62	16% above	45%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST TRACING	$370.15	$673.00	$403.80–$632.62	—	45%
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYTX W PT 50 MIN SLS	$464.75	$845.00	$371.80–$794.30	at median	45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYTX W PT 50 MIN SLS	$464.75	$845.00	$507.00–$794.30	—	45%
Family therapy without the patient, 50 minutes CPT 90846 FAM PSYTX W/O PT 50 MIN SLS	$442.75	$805.00	$354.20–$756.70	at median	45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYTX W/O PT 50 MIN SLS	$442.75	$805.00	$483.00–$756.70	—	45%
Group psychotherapy session CPT 90853 GROUP PSYTX SLS	$404.25	$735.00	$323.40–$690.90	12% below	45%
Group psychotherapy session inpatient CPT 90853 GROUP PSYTX SLS	$404.25	$735.00	$441.00–$690.90	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) ER	$334.40	$608.00	$267.52–$571.52	at median	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) MS	$350.90	$638.00	$280.72–$599.72	5% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) ER	$334.40	$608.00	$364.80–$571.52	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) MS	$350.90	$638.00	$382.80–$599.72	—	45%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M ER	$402.60	$732.00	$322.08–$688.08	4% above	45%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M MS	$418.55	$761.00	$334.84–$715.34	8% above	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M ER	$402.60	$732.00	$439.20–$688.08	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M MS	$418.55	$761.00	$456.60–$715.34	—	45%
IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE OR INITIAL DRUG	$232.65	$423.00	$186.12–$397.62	22% below	45%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE OB	$232.65	$423.00	$186.12–$397.62	22% below	45%
IV push of a medicine, first drug CPT 96374 THERAPYPRO//DX IV PUSH INI ER	$233.20	$424.00	$186.56–$398.56	22% below	45%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SINGLE OR INITIAL DRUG	$232.65	$423.00	$253.80–$397.62	—	45%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE OB	$232.65	$423.00	$253.80–$397.62	—	45%
IV push of a medicine, first drug inpatient CPT 96374 THERAPYPRO//DX IV PUSH INI ER	$233.20	$424.00	$254.40–$398.56	—	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM RC	$22.55	$41.00	$18.04–$38.54	73% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM URC	$22.55	$41.00	$18.04–$38.54	73% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN FEE/ANTIOBIOTIC INJ	$61.60	$112.00	$49.28–$105.28	27% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PRO/DX INJ SQ/IM ER	$96.25	$175.00	$77.00–$164.50	14% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM OB	$96.25	$175.00	$77.00–$164.50	14% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM MS	$96.25	$175.00	$77.00–$164.50	14% above	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM URC	$22.55	$41.00	$24.60–$38.54	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM RC	$22.55	$41.00	$24.60–$38.54	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN FEE/ANTIOBIOTIC INJ	$61.60	$112.00	$67.20–$105.28	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PRO/DX INJ SQ/IM ER	$96.25	$175.00	$105.00–$164.50	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM OB	$96.25	$175.00	$105.00–$164.50	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM MS	$96.25	$175.00	$105.00–$164.50	—	45%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 MTR&SNS7-8NRV CNDJ TST NEU FAC	$68.20	$124.00	$54.56–$116.56	64% below	45%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 MTR&SNS7-8NRV CNDJ TST NEU FAC	$68.20	$124.00	$74.40–$116.56	—	45%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR REED/15 MIN	$91.85	$167.00	$73.48–$156.98	19% below	45%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE ED 15 MIN	$91.85	$167.00	$73.48–$156.98	19% below	45%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE ED 15 MIN	$91.85	$167.00	$100.20–$156.98	—	45%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR REED/15 MIN	$91.85	$167.00	$100.20–$156.98	—	45%
New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3 URC FAC	$43.45	$79.00	$34.76–$74.26	81% below	45%
New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3 ONC	$56.65	$103.00	$45.32–$96.82	75% below	45%
New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP VISIT NEW LVL 3 URC FAC	$43.45	$79.00	$47.40–$74.26	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP VISIT NEW LVL 3 ONC	$56.65	$103.00	$61.80–$96.82	—	45%
New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4 URC FAC	$64.90	$118.00	$51.92–$110.92	80% below	45%
New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4 ONC	$85.25	$155.00	$68.20–$145.70	74% below	45%
New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LVL 4 URC FAC	$64.90	$118.00	$70.80–$110.92	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LVL 4 ONC	$85.25	$155.00	$93.00–$145.70	—	45%
New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5 URC FAC	$85.80	$156.00	$68.64–$146.64	78% below	45%
New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5 ONC	$106.70	$194.00	$85.36–$182.36	72% below	45%
New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP VISIT NEW LVL 5 URC FAC	$85.80	$156.00	$93.60–$146.64	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP VISIT NEW LVL 5 ONC	$106.70	$194.00	$116.40–$182.36	—	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF/OP VISIT NEW LVL 2 URC FAC	$28.05	$51.00	$22.44–$47.94	82% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF/OP VISIT NEW LVL 2 ONC	$38.50	$70.00	$30.80–$65.80	75% below	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFF/OP VISIT NEW LVL 2 URC FAC	$28.05	$51.00	$30.60–$47.94	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFF/OP VISIT NEW LVL 2 ONC	$38.50	$70.00	$42.00–$65.80	—	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NEW PATIENT INITIAL	$79.75	$145.00	$22.26–$136.30	20% below	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NEW PATIENT INITIAL	$79.75	$145.00	$87.00–$136.30	—	45%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX	$163.35	$297.00	$130.68–$279.18	38% below	45%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX	$163.35	$297.00	$178.20–$279.18	—	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX	$207.90	$378.00	$166.32–$355.32	33% below	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX	$207.90	$378.00	$226.80–$355.32	—	45%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX	$148.50	$270.00	$118.80–$253.80	44% below	45%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX	$148.50	$270.00	$162.00–$253.80	—	45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX	$179.85	$327.00	$143.88–$307.38	37% below	45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX	$179.85	$327.00	$196.20–$307.38	—	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY TECH 15MIN	$69.30	$126.00	$55.44–$118.44	35% below	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MIN	$76.45	$139.00	$61.16–$130.66	28% below	45%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY TECH 15MIN	$69.30	$126.00	$75.60–$118.44	—	45%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY 15 MIN	$76.45	$139.00	$83.40–$130.66	—	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT EXERCISE EA 15 MIN	$89.65	$163.00	$71.72–$153.22	18% below	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE PROCEDURE/15 MIN.	$89.65	$163.00	$71.72–$153.22	18% below	45%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISE PROCEDURE/15 MIN.	$89.65	$163.00	$97.80–$153.22	—	45%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT EXERCISE EA 15 MIN	$89.65	$163.00	$97.80–$153.22	—	45%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW 18-39 WHCFAC	$51.70	$94.00	$41.36–$88.36	53% below	45%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW 18-39 WHCFAC	$51.70	$94.00	$56.40–$88.36	—	45%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW 40-64 OB FAC	$59.95	$109.00	$47.96–$102.46	59% below	45%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW 40-64 OB FAC	$59.95	$109.00	$65.40–$102.46	—	45%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ RC FAC	$64.90	$118.00	$51.92–$110.92	61% below	45%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INIT PM E/M NEW PAT 65+ RC FAC	$64.90	$118.00	$70.80–$110.92	—	45%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE18-39 FPCFAC	$46.75	$85.00	$37.40–$79.90	62% below	45%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT EST AGE18-39 FPCFAC	$46.75	$85.00	$51.00–$79.90	—	45%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE40-64 FAC	$49.50	$90.00	$39.60–$84.60	74% below	45%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT EST AGE40-64 FAC	$49.50	$90.00	$54.00–$84.60	—	45%
Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT65+ RCFAC	$53.35	$97.00	$42.68–$91.18	74% below	45%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PER PM REEVAL EST PAT65+ RCFAC	$53.35	$97.00	$58.20–$91.18	—	45%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED BH FAC	$75.35	$137.00	$60.28–$128.78	73% below	45%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED BH FAC	$75.35	$137.00	$82.20–$128.78	—	45%
Psychotherapy session, 30 minutes CPT 90832 BH THERAPY 30 MIN SLS	$335.50	$610.00	$268.40–$573.40	78% above	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 BH THERAPY 30 MIN SLS	$335.50	$610.00	$366.00–$573.40	—	45%
Psychotherapy session, 45 minutes CPT 90834 BH THERAPY 45 MIN SLS	$415.25	$755.00	$332.20–$709.70	61% above	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 BH THERAPY 45 MIN SLS	$415.25	$755.00	$453.00–$709.70	—	45%
Psychotherapy session, 60 minutes CPT 90837 BH THERAPY 60 MIN SLS	$423.50	$770.00	$338.80–$723.80	75% above	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 BH THERAPY 60 MIN SLS	$423.50	$770.00	$462.00–$723.80	—	45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMK 3-10MIN FPC FAC	$5.50	$10.00	$4.40–$9.40	85% below	45%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMK 3-10MIN FPC FAC	$5.50	$10.00	$6.00–$9.40	—	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFF/OP VISIT EST LVL 5 ONC	$57.75	$105.00	$46.20–$98.70	83% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFF/OP VISIT EST LVL 5 URC FAC	$69.85	$127.00	$55.88–$119.38	80% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB OP VISIT ESTABLISHED LVL 5	$74.80	$136.00	$59.84–$127.84	78% below	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFF/OP VISIT EST LVL 5 ONC	$57.75	$105.00	$63.00–$98.70	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFF/OP VISIT EST LVL 5 URC FAC	$69.85	$127.00	$76.20–$119.38	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB OP VISIT ESTABLISHED LVL 5	$74.80	$136.00	$81.60–$127.84	—	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFF/OP VISIT EST LVL 3 URC FAC	$35.75	$65.00	$28.60–$61.10	81% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFF/OP VISIT EST LVL 3 ONC	$38.50	$70.00	$30.80–$65.80	79% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB OP VISIT ESTABLISHED LVL 3	$50.05	$91.00	$40.04–$85.54	73% below	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFF/OP VISIT EST LVL 3 URC FAC	$35.75	$65.00	$39.00–$61.10	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFF/OP VISIT EST LVL 3 ONC	$38.50	$70.00	$42.00–$65.80	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB OP VISIT ESTABLISHED LVL 3	$50.05	$91.00	$54.60–$85.54	—	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF/OP VISIT EST LVL 4 URC FAC	$50.05	$91.00	$40.04–$85.54	80% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF/OP VISIT EST LVL 4 ONC	$55.55	$101.00	$44.44–$94.94	78% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB OP VISIT ESTABLISHED LVL 4	$64.90	$118.00	$51.92–$110.92	74% below	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFF/OP VISIT EST LVL 4 URC FAC	$50.05	$91.00	$54.60–$85.54	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFF/OP VISIT EST LVL 4 ONC	$55.55	$101.00	$60.60–$94.94	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB OP VISIT ESTABLISHED LVL 4	$64.90	$118.00	$70.80–$110.92	—	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF/OP VISIT EST LVL 2 URC FAC	$22.00	$40.00	$17.60–$37.60	75% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF/OP VISIT EST LVL 2 ONC	$23.65	$43.00	$18.92–$40.42	73% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB OP VISIT ESTABLISHED LVL 2	$24.75	$45.00	$19.80–$42.30	72% below	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFF/OP VISIT EST LVL 2 URC FAC	$22.00	$40.00	$24.00–$37.60	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFF/OP VISIT EST LVL 2 ONC	$23.65	$43.00	$25.80–$40.42	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB OP VISIT ESTABLISHED LVL 2	$24.75	$45.00	$27.00–$42.30	—	45%
Speech and language evaluation CPT 92523 EVAL OF LANGUAGE ONLY	$339.35	$617.00	$271.48–$579.98	41% below	45%
Speech and language evaluation inpatient CPT 92523 EVAL OF LANGUAGE ONLY	$339.35	$617.00	$370.20–$579.98	—	45%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$110.55	$201.00	$88.44–$188.94	20% below	45%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$110.55	$201.00	$120.60–$188.94	—	45%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE/POST	$255.75	$465.00	$204.60–$437.10	at median	45%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE/POST	$255.75	$465.00	$279.00–$437.10	—	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACT EA 15MIN	$85.80	$156.00	$68.64–$146.64	27% below	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACT EA 15 MIN	$85.80	$156.00	$68.64–$146.64	27% below	45%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACT EA 15MIN	$85.80	$156.00	$93.60–$146.64	—	45%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACT EA 15 MIN	$85.80	$156.00	$93.60–$146.64	—	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$220.00	$400.00	$176.00–$376.00	13% below	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY	$220.00	$400.00	$176.00–$376.00	13% below	45%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$220.00	$400.00	$240.00–$376.00	—	45%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY	$220.00	$400.00	$240.00–$376.00	—	45%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM FPC	$65.63	$119.32	$52.51–$112.17	10% below	45%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 IIV ADJUVANT VACCINE IM FPC	$65.63	$119.32	$71.60–$112.17	—	45%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC RC	$101.45	$184.44	$81.16–$173.38	52% below	45%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID24-25 (12UP)30MCG/0.3ML S	$203.53	$370.05	$162.83–$347.85	3% below	45%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCV2 VAC 30MCG TRS-SUC RC	$101.45	$184.44	$110.67–$173.38	—	45%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID24-25 (12UP)30MCG/0.3ML S	$203.53	$370.05	$222.03–$347.85	—	45%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ PED	$219.96	$399.92	$175.97–$375.93	32% above	45%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAR VACCINE LIVE SUBQ PED	$219.96	$399.92	$239.96–$375.93	—	45%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS PED	$94.60	$172.00	$69.41–$161.68	1% above	45%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACCINE 4-6 YRS PED	$94.60	$172.00	$103.20–$161.68	—	45%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX DTAP 0.5 ML SYRINGE	$52.63	$95.69	$32.99–$89.95	1% above	45%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM FPC	$54.73	$99.50	$32.99–$93.53	5% above	45%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INFANRIX DTAP 0.5 ML SYRINGE	$52.63	$95.69	$57.42–$89.95	—	45%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE < 7 YRS IM FPC	$54.73	$99.50	$59.70–$93.53	—	45%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM FPC	$156.35	$284.27	$119.55–$267.22	32% above	45%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEP B-IPV VACCINE IM FPC	$156.35	$284.27	$170.57–$267.22	—	45%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML PED	$19.25	$35.00	$15.40–$32.90	42% below	45%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 VACC NO PRSV 0.5 ML PED	$19.25	$35.00	$21.00–$32.90	—	45%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 3 DOSE IM FPC	$357.50	$650.00	$286.00–$611.00	1% above	45%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9VHPV VACCINE 3 DOSE IM FPC	$357.50	$650.00	$390.00–$611.00	—	45%
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM FPC	$54.73	$99.50	$43.78–$93.53	44% below	45%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPA VACCINE ADULT IM FPC	$54.73	$99.50	$59.70–$93.53	—	45%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADO 2 DSE IM PED	$58.78	$106.87	$42.99–$100.46	at median	45%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPA VACC PED/ADO 2 DSE IM PED	$58.78	$106.87	$64.13–$100.46	—	45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE ADULT FPC	$54.73	$99.50	$43.78–$93.53	46% below	45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML	$137.63	$250.22	$77.63–$235.21	36% above	45%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACCINE ADULT FPC	$54.73	$99.50	$59.70–$93.53	—	45%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML	$137.63	$250.22	$150.14–$235.21	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VACC 3 D PED/ADOL IM RHC	$28.05	$51.00	$22.44–$47.94	30% below	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/AD IM FPC	$54.73	$99.50	$31.47–$93.53	37% above	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VIRUS VACPF(PED)10MCG/0	$54.87	$99.75	$31.47–$93.77	37% above	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VACC 3 D PED/ADOL IM RHC	$28.05	$51.00	$30.60–$47.94	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPB VACC 3 DOSE PED/AD IM FPC	$54.73	$99.50	$59.70–$93.53	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VIRUS VACPF(PED)10MCG/0	$54.87	$99.75	$59.85–$93.77	—	45%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DSE IM FPC	$54.73	$99.50	$14.56–$93.53	76% above	45%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB PRP-T VACCINE 4 DSE IM FPC	$54.73	$99.50	$59.70–$93.53	—	45%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRS INCREASED AG IMCAR	$45.65	$83.00	$36.52–$83.00	29% below	45%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 IIV NO PRS INCREASED AG IMCAR	$45.65	$83.00	$49.80–$78.02	—	45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE PED	$143.95	$261.72	$105.34–$246.02	19% above	45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MU & RUB VAC.5 ML	$178.94	$325.33	$105.34–$305.82	48% above	45%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE PED	$143.95	$261.72	$157.04–$246.02	—	45%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MU & RUB VAC.5 ML	$178.94	$325.33	$195.20–$305.82	—	45%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE FPC	$357.50	$650.00	$286.00–$611.00	7% below	45%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMRV VACCINE FPC	$357.50	$650.00	$390.00–$611.00	—	45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MCV4 MENACWY VACCINE FPC	$194.23	$353.13	$155.38–$331.95	9% above	45%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MCV4 MENACWY VACCINE FPC	$194.23	$353.13	$211.88–$331.95	—	45%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VAC FPC	$221.39	$402.52	$177.11–$378.37	34% below	45%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GRP B VAC FPC	$221.39	$402.52	$241.52–$378.37	—	45%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VACC 13 VAL IM RC	$54.73	$99.50	$43.78–$93.53	80% below	45%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL VACC 13 VAL IM RC	$54.73	$99.50	$59.70–$93.53	—	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM FPC	$333.65	$606.62	$266.92–$570.23	12% below	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE IM FPC	$333.65	$606.62	$363.98–$570.23	—	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM FPC	$145.22	$264.02	$116.17–$248.18	4% above	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML	$225.38	$409.78	$125.86–$385.20	62% above	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM FPC	$145.22	$264.02	$158.42–$248.18	—	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML	$225.38	$409.78	$245.87–$385.20	—	45%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM FPC	$300.48	$546.32	$240.39–$513.55	18% below	45%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC AB/PF 120 MCG/0.5 ML	$590.59	$1,073.80	$472.48–$1,009.38	62% above	45%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACC PREF BIVALENT IM FPC	$300.48	$546.32	$327.80–$513.55	—	45%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACC AB/PF 120 MCG/0.5 ML	$590.59	$1,073.80	$644.28–$1,009.38	—	45%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE FPC	$616.03	$1,120.04	$341.98–$1,052.84	3% below	45%
Rabies vaccine, one dose CPT 90675 RABIES VAC (AVIAN) 1 ML	$956.14	$1,738.42	$341.98–$1,634.12	50% above	45%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE FPC	$616.03	$1,120.04	$672.03–$1,052.84	—	45%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC (AVIAN) 1 ML	$956.14	$1,738.42	$1,043.06–$1,634.12	—	45%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTOVIRUS VACC 3 DOSE ORAL FPC	$149.82	$272.39	$110.45–$256.05	39% above	45%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTOVIRUS VACC 3 DOSE ORAL FPC	$149.82	$272.39	$163.44–$256.05	—	45%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINNT IM NJX FPC	$210.74	$383.16	$168.60–$360.18	26% below	45%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VACC RECOMBINNT IM NJX FPC	$210.74	$383.16	$229.90–$360.18	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM FPC	$60.81	$110.55	$42.04–$103.92	22% above	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP TOXOIDS ADULT TD .5ML	$74.72	$135.84	$42.04–$127.69	49% above	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM FPC	$60.81	$110.55	$66.33–$103.92	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP TOXOIDS ADULT TD .5ML	$74.72	$135.84	$81.51–$127.69	—	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIP PERT(ACELL)TET VAC.5ML RC	$68.02	$123.66	$42.83–$116.25	2% below	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIP PERT(ACELL)TET VAC.5ML RC	$68.02	$123.66	$74.20–$116.25	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN RSV NB (STATE)	$11.55	$20.99	$9.24–$19.74	76% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN OTHER RC	$32.45	$59.00	$25.96–$55.46	32% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN HEP B CLIN	$38.50	$70.00	$30.80–$65.80	20% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN HEP B ONC	$44.00	$80.00	$35.20–$75.20	8% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN FLU CAR	$54.45	$99.00	$43.56–$93.06	13% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN RSV NB (STATE)	$11.55	$20.99	$12.60–$19.74	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN OTHER RC	$32.45	$59.00	$35.40–$55.46	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN HEP B CLIN	$38.50	$70.00	$42.00–$65.80	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN HEP B ONC	$44.00	$80.00	$48.00–$75.20	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN FLU CAR	$54.45	$99.00	$59.40–$93.06	—	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN ADDL EACH ONC	$21.45	$39.00	$17.16–$36.66	26% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN ADDL EACH RC	$23.10	$42.00	$18.48–$39.48	21% below	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN ADDL EACH ONC	$21.45	$39.00	$23.40–$36.66	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN ADDL EACH RC	$23.10	$42.00	$25.20–$39.48	—	45%

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.chistalexiushealth.org/content/dam/stalexiushealthorg/documents/financial/price-transparency-standard-charges/450231183-1902824576_mercy-medical-center_standardcharges.json