Patient Price Information List

Community Memorial Hospital has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 3/31/2022.

Disclaimer: This information does not provide a quote or guarantee of actual charges. Standard charges are the same for all patients, but a patient's responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured or underinsured patients should consult with our Financial Counseling staff at (315) 824-6552 to determine whether they qualify for discounts. These prices are correct as of 3/31/2020. Inpatient charges may vary from the hospital price list, due to a variety of reasons including, but not limited to, medical complications, length of stay, condition, and use of laboratory tests, pharmaceuticals, etc. For more specific information, please contact our Financial Counseling Department at (315) 824-6552

LOCAL MARKET HOSPITALS

Community Memorial Hospital’s charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Bassett Medical Center

Cooperstown

NY

Carthage Area Hospital

Carthage

NY

Clifton-Fine Hospital

Star Lake

NY

Crouse Hospital

Syracuse

NY

Lewis County General Hospital

Lowville

NY

Little Falls Hospital

Little Falls

NY

MVHS - St. Elizabeth Campus

Utica

NY

Oneida Healthcare Center

Oneida

NY

Rome Memorial Hospital

Rome

NY

The University of Vermont Health Network Elizabethtown Community Hospital

Elizabethtown

NY

UHS Chenango Memorial Hospital

Norwich

NY

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$2,200
$1,456

51% higher than market

Swing Bed

$1,000
$1,000

Approximately equal to market

CMS SHOPPABLE SERVICE

Description

Our Charge
Market Charge

Variance

Abdominal and pelvic CT scan with contrast for injury, foreign bodies, or tumors [HCPCS 74177]

$2,860
$3,475

18% lower than market

Abdominal ultrasound (complete) [HCPCS 76700]

$790
$981

20% lower than market

Anesthetic agent and/or steroid injection into lower or sacral spine nerve root with imaging guidance (single level) [HCPCS 64483]

$3,157
$3,401

7% lower than market

Cataract removal involving removal of the front part of the capsule and the central part of the lens with lens prosthesis insertion [HCPCS 66984]

$4,550
$8,942

49% lower than market

Cervical spinal fusion without complications

$24,793
$43,744

43% lower than market

Colon (large bowel) examination and biopsy with endoscope [HCPCS 45380]

$2,039
$4,463

54% lower than market

Colon (large bowel) examination and polyps or tumors removal by snare technique with endoscope [HCPCS 45385]

$1,913
$4,785

60% lower than market

Colon (large bowel) examination with endoscope for diagnosis (high risk) [HCPCS 45378]

$1,608
$3,971

60% lower than market

Esophagus, stomach, and/or upper small bowel examination and biopsy with endoscope [HCPCS 43239]

$1,835
$5,905

69% lower than market

Gallbladder removal with an endoscope [HCPCS 47562]

$10,752
$19,017

43% lower than market

Groin hernia repair for patient 5 years of age or older (herniated tissue that is not trapped) [HCPCS 49505]

$6,503
$13,533

52% lower than market

Head or brain CT scan without contrast to examine injury, foreign bodies, or tumors [HCPCS 70450]

$1,700
$1,802

6% lower than market

Imaging of brain by MRI without contrast, followed by contrast [HCPCS 70553]

$3,500
$4,122

15% lower than market

Imaging of leg joint by MRI without contrast [HCPCS 73721]

$2,600
$2,855

9% lower than market

Imaging of lower spinal canal by MRI without contrast [HCPCS 72148]

$2,600
$2,983

13% lower than market

Imaging of pelvis by ultrasound through vagina [HCPCS 76830]

$375
$744

50% lower than market

Lab analysis of urine specimen by dipstick without microscope (automated) [HCPCS 81003]

$28
$36

21% lower than market

Lab analysis of urine specimen by dipstick without microscope (non-automated) [HCPCS 81002]

$27
$44

39% lower than market

Lab analysis to evaluate kidney function via a blood test panel [HCPCS 80069]

$78
$193

60% lower than market

Lab analysis to evaluate the clotting time in plasma specimen and monitor drug effectiveness [HCPCS 85610]

$40
$51

21% lower than market

Lab analysis to identify the thyroid stimulating hormone (tsh) in blood specimen [HCPCS 84443]

$124
$167

26% lower than market

Lab analysis to measure coagulation in plasma or whole blood specimen [HCPCS 85730]

$52
$64

19% lower than market

Lab analysis to measure complete blood cell count (red cells, white blood cell, and platelets), automated test [HCPCS 85027]

$34
$67

49% lower than market

Lab analysis to measure complete blood cell count (red cells, white blood cell, and platelets), automated test and automated differential white blood cell count [HCPCS 85025]

$36
$88

59% lower than market

Lab analysis to measure the amount of albumin, total and direct bilirubin, alkaline phosphatase, total protein, alanine amino transferase, and asparate amino transferase in blood specimen to evaluate liver function [HCPCS 800

$82
$146

44% lower than market

Lab analysis to measure the amount of free PSA (prostate specific antigen) in serum specimen [HCPCS 84154]

$140
$134

5% higher than market

Lab analysis to measure the amount of lipids (cholesterol and triglycerides) in blood specimen [HCPCS 80061]

$82
$166

51% lower than market

Lab analysis to measure the amount of total calcium, carbon dioxide (bicarbonate), chloride, creatinine, glucose, potassium, sodium, and urea nitrogen (BUN) in blood specimen [HCPCS 80048]

$79
$140

43% lower than market

Lab analysis to measure the amount of total PSA (prostate specific antigen) in serum specimen [HCPCS 84153]

$140
$147

5% lower than market

Lab analysis via blood test to measure a comprehensive group of blood chemicals [HCPCS 80053]

$102
$207

51% lower than market

Mammography of both breasts (screening exam) [HCPCS 77067]

$308
$519

41% lower than market

Mammography of both breasts for diagnosis [HCPCS 77066]

$392
$576

32% lower than market

Mammography of one breast for diagnosis [HCPCS 77065]

$329
$461

29% lower than market

Pelvis CT scan with contrast to examine injury, foreign bodies, or tumors [HCPCS 72193]

$2,050
$2,226

8% lower than market

Physical therapy exercise to develop strength, endurance, range of motion, and flexibility (each 15 minutes) [HCPCS 97110]

$111
$67

65% higher than market

Prostate gland biopsy [HCPCS 55700]

$1,521
$6,367

76% lower than market

Shoulder examination and shoulder bone shaving with endoscope [HCPCS 29826]

$15,165
$29,364

48% lower than market

Spinal canal injection of substance into lower back or sacrum with imaging guidance [HCPCS 62323]

$3,042
$2,660

14% higher than market

Spinal fusion other than the neck without major complications

$52,677
$78,674

33% lower than market

Spinal x-ray of lower and sacral spine (minimum of 4 views) [HCPCS 72110]

$336
$645

48% lower than market

Total Knee or Hip Replacement

$22,658
$51,309

56% lower than market

OUTPATIENT CLINIC

Description

Our Charge
Market Charge

Variance

Established patient office or outpatient visit with physician to diagnose and treat illness or injury (total time 10-19 minutes) [HCPCS 99212]

$107
$76

40% higher than market

Hospital outpatient clinic visit for assessment and management of a patient [HCPCS G0463]

$93
$139

33% lower than market

OUTPATIENT EMERGENCY DEPARTMENT

Description

Our Charge
Market Charge

Variance

Critical care delivery to critically ill or injured patient (each additional 30 minutes) [HCPCS 99292]

$206
$1,224

83% lower than market

Emergency department visit for minor problem [HCPCS 99281]

$103
$263

61% lower than market

Emergency department visit for problem of high severity [HCPCS 99284]

$700
$936

25% lower than market

Emergency department visit for problem of low to moderate severity [HCPCS 99282]

$321
$433

26% lower than market

Emergency department visit for problem of moderate severity [HCPCS 99283]

$500
$631

21% lower than market

Emergency department visit for problem with significant threat to life [HCPCS 99285]

$900
$1,460

38% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY

Description

Our Charge
Market Charge

Variance

Drug test def 1-7 classes [HCPCS G0480]

$137
$331

59% lower than market

Lab analysis by immunoassay (ELISA) to identify clostridium difficile toxins (stool pathogen) [HCPCS 87324]

$33
$163

80% lower than market

Lab analysis by immunoassay (ELISA) to identify cryptosporidium (parasite) [HCPCS 87328]

$54
$80

32% lower than market

Lab analysis by immunoassay (ELISA) to identify Hepatitis B surface antigen [HCPCS 87340]

$92
$129

29% lower than market

Lab analysis by immunoassay (ELISA) to identify HIV-1 and HIV-2 [HCPCS 87389]

$54
$153

64% lower than market

Lab analysis by immunoassay to identify influenza virus [HCPCS 87804]

$36
$135

73% lower than market

Lab analysis by immunoassay to identify Strep (streptococcus) [HCPCS 87880]

$40
$54

26% lower than market

Lab analysis by nucleic acid (DNA or RNA) to identify chlamydia trachomatis by amplified probe technique [HCPCS 87491]

$49
$114

57% lower than market

Lab analysis by nucleic acid (DNA or RNA) to identify multiple types of the influenza virus (first 2 types or sub-types) [HCPCS 87502]

$225
$233

3% lower than market

Lab analysis by nucleic acid (DNA or RNA) to identify Neisseria gonorrhoeae (gonorrhoeae bacteria) by amplified probe technique [HCPCS 87591]

$49
$125

61% lower than market

Lab analysis of any culture (except blood) to identify aerobic isolates (each isolate) [HCPCS 87077]

$32
$86

63% lower than market

Lab analysis of any culture (except blood) to identify anaerobic bacteria [HCPCS 87075]

$23
$113

79% lower than market

Lab analysis of any culture (except blood) to identify anaerobic isolates (each isolate) [HCPCS 87076]

$32
$119

73% lower than market

Lab analysis of blood culture to identify bacteria [HCPCS 87040]

$60
$123

51% lower than market

Lab analysis of rheumatoid factor [HCPCS 86430]

$46
$98

53% lower than market

Lab analysis of skin, hair, or nail to identify fungus (mold or yeast) [HCPCS 87101]

$8
$45

81% lower than market

Lab analysis of special gram or Giemsa stain to idenitfy microorganisms [HCPCS 87205]

$50
$51

1% lower than market

Lab analysis of stool culture to identify bacteria [HCPCS 87045]

$13
$99

87% lower than market

Lab analysis of urine culture to measure the amount of bacteria [HCPCS 87086]

$79
$93

15% lower than market

Lab analysis of urine specimen by dipstick to detect the hormone found in women in early pregnancy [HCPCS 81025]

$56
$70

20% lower than market

Lab analysis of urine specimen with microscope [HCPCS 81015]

$17
$26

37% lower than market

Lab analysis of vaginal or cervical cells (pap test) with automated screening and manual re-screening under physician supervision [HCPCS 88175]

$67
$151

55% lower than market

Lab analysis to evaluate the clotting factor X time in blood specimen (diluted) [HCPCS 85613]

$41
$79

48% lower than market

Lab analysis to evaluate thyroid hormone in serum specimen [HCPCS 84479]

$36
$41

13% lower than market

Lab analysis to idenitfy tuberculosis (TB) by gamma interferon release assay [HCPCS 86480]

$75
$234

68% lower than market

Lab analysis to identify antibodies for autoimmune disorder assessment (any method) [HCPCS 86235]

$78
$104

25% lower than market

Lab analysis to identify antibodies for rheumatoid arthritis assessment [HCPCS 86200]

$63
$63

Approximately equal to market

Lab analysis to identify antibodies to Borrelia burgdorferi (Lyme disease bacteria) with confirmation test [HCPCS 86617]

$166
$111

49% higher than market

Lab analysis to identify antibodies to Epstein-Barr virus (mononucleosis virus), nuclear antigen [HCPCS 86664]

$28
$64

56% lower than market

Lab analysis to identify antibodies to HIV -1 virus [HCPCS 86701]

$50
$154

67% lower than market

Lab analysis to identify antibodies to native or double stranded DNA [HCPCS 86225]

$207
$111

87% higher than market

Lab analysis to identify gonadotropin (reproductive hormone) in serum or urine specimen [HCPCS 84703]

$72
$86

16% lower than market

Lab analysis to identify Hepatitis A antibodies [HCPCS 86708]

$98
$128

23% lower than market

Lab analysis to identify Hepatitis B core antibodies (IgG and IgM) [HCPCS 86704]

$12
$103

88% lower than market

Lab analysis to identify Hepatitis B surface antibodies [HCPCS 86706]

$84
$109

23% lower than market

Lab analysis to identify Hepatitis C antibodies [HCPCS 86803]

$104
$121

14% lower than market

Lab analysis to identify phenotype alpha-1-antitrypsin (protein) in blood specimen [HCPCS 82104]

$89
$125

29% lower than market

Lab analysis to identify tissue antibody cardiolipin [HCPCS 86147]

$54
$102

47% lower than market

Lab analysis to identify total thyroxine (thyroid chemical) function in serum specimen for screening [HCPCS 84436]

$42
$77

46% lower than market

Lab analysis to identify tumor antigens by immunoassay (quantitative, CA 125) [HCPCS 86304]

$27
$138

80% lower than market

Lab analysis to identify tumor antigens by immunoassay (quantitative, CA 15-3) [HCPCS 86300]

$104
$110

5% lower than market

Lab analysis to identify white blood cells (manual) with microscope [HCPCS 85007]

$36
$82

57% lower than market

Lab analysis to measure blood count (hemoglobin) [HCPCS 85018]

$28
$42

33% lower than market

Lab analysis to measure coagulation function measurement of D-dimer (quantitative) [HCPCS 85379]

$133
$137

3% lower than market

Lab analysis to measure coagulation in plasma or whole blood specimen (substitution, plasma fractions) [HCPCS 85732]

$520
$154

238% higher than market

Lab analysis to measure free thyroxine (thyroid chemical) in serum specimen [HCPCS 84439]

$124
$133

7% lower than market

Lab analysis to measure osmolality (concentration) in blood specimen [HCPCS 83930]

$72
$76

5% lower than market

Lab analysis to measure red blood cell concentration [HCPCS 85014]

$28
$38

26% lower than market

Lab analysis to measure red blood cell sedimentation rate to detect inflammation (automated) [HCPCS 85652]

$36
$42

15% lower than market

Lab analysis to measure red blood count (automated test) [HCPCS 85045]

$42
$55

24% lower than market

Lab analysis to measure the adrenocorticotropic hormone (ACTH) level [HCPCS 82024]

$271
$213

27% higher than market

Lab analysis to measure the albumin (protein) level in blood, serum, or plasma specimen [HCPCS 82040]

$60
$48

26% higher than market

Lab analysis to measure the aldolase (enzyme) level [HCPCS 82085]

$74
$51

46% higher than market

Lab analysis to measure the amount of blood gases [HCPCS 82803]

$132
$153

14% lower than market

Lab analysis to measure the amount of blood in stool specimen by fecal hemoglobin determination and immunoassay [HCPCS 82274]

$40
$70

42% lower than market

Lab analysis to measure the amount of carbamazepine (total) in blood specimen [HCPCS 80156]

$100
$137

27% lower than market

Lab analysis to measure the amount of carbon dioxide, chloride, potassium, and sodium in blood specimen [HCPCS 80051]

$56
$99

44% lower than market

Lab analysis to measure the amount of C-reactive protein in serum by high sensitivity assay to identify infection or inflammation [HCPCS 86141]

$55
$104

47% lower than market

Lab analysis to measure the amount of C-reactive protein in serum to identify infection or inflammation [HCPCS 86140]

$46
$80

43% lower than market

Lab analysis to measure the amount of cyclosporine in blood specimen [HCPCS 80158]

$243
$179

36% higher than market

Lab analysis to measure the amount of gammaglobulin (immune system protein) [HCPCS 82784]

$6
$76

92% lower than market

Lab analysis to measure the amount of glucose (sugar) in blood specimen with reagent strip [HCPCS 82948]

$27
$29

7% lower than market

Lab analysis to measure the amount of hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody in blood specimen to evaluate acute hepatitis [HCPCS 80074]

$329
$270

22% higher than market

Lab analysis to measure the amount of Hepatitis C virus [HCPCS 87522]

$420
$261

61% higher than market

Lab analysis to measure the amount of lactoferrin (immune system protein) in stool specimen [HCPCS 83631]

$58
$192

70% lower than market

Lab analysis to measure the amount of levetiracetam in blood specimen [HCPCS 80177]

$35
$139

75% lower than market

Lab analysis to measure the amount of lithium in blood specimen [HCPCS 80178]

$60
$64

6% lower than market

Lab analysis to measure the amount of phenobarbital in serum or plasma specimen [HCPCS 80184]

$120
$137

12% lower than market

Lab analysis to measure the amount of phosphatase (enzyme) (alkaline, isoenzymes) [HCPCS 84080]

$96
$135

29% lower than market

Lab analysis to measure the amount of sirolimus in blood specimen [HCPCS 80195]

$136
$106

27% higher than market

Lab analysis to measure the amount of total cortisol (hormone) [HCPCS 82533]

$132
$108

22% higher than market

Lab analysis to measure the amount of total digoxin in blood specimen [HCPCS 80162]

$110
$128

14% lower than market

Lab analysis to measure the amount of total phenytoin in blood specimen [HCPCS 80185]

$110
$124

11% lower than market

Lab analysis to measure the amount of total thyroid hormone, T3 in serum specimen [HCPCS 84480]

$124
$114

9% higher than market

Lab analysis to measure the amount of total valproic acid in blood specimen [HCPCS 80164]

$104
$143

28% lower than market

Lab analysis to measure the amount of troponin (protein) in serum specimen [HCPCS 84484]

$190
$153

24% higher than market

Lab analysis to measure the amount of vancomycin (antibiotic) in serum specimen [HCPCS 80202]

$128
$141

10% lower than market

Lab analysis to measure the amount of vanillylmandelic acid in urine specimen [HCPCS 84585]

$108
$87

24% higher than market

Lab analysis to measure the amylase (enzyme) level in serum specimen [HCPCS 82150]

$60
$76

21% lower than market

Lab analysis to measure the antithrombin III antigen (clotting inhibitor) activity [HCPCS 85300]

$46
$149

69% lower than market

Lab analysis to measure the blood potassium level in blood specimen [HCPCS 84132]

$60
$57

5% higher than market

Lab analysis to measure the calcium level in urine specimen [HCPCS 82340]

$60
$81

26% lower than market

Lab analysis to measure the carboxyhemoglobin (protein) level [HCPCS 82375]

$98
$121

19% lower than market

Lab analysis to measure the carcinoembryonic antigen (cea) protein level [HCPCS 82378]

$132
$156

16% lower than market

Lab analysis to measure the creatinine level in blood specimen to test for kidney function or muscle injury [HCPCS 82565]

$60
$60

Approximately equal to market

Lab analysis to measure the cyanocobalamin (vitamin b-12) level [HCPCS 82607]

$96
$119

19% lower than market

Lab analysis to measure the dihydroxyvitamin D, 1, 25 level in serum or plasma specimen [HCPCS 82652]

$48
$219

78% lower than market

Lab analysis to measure the direct bilirubin level [HCPCS 82248]

$60
$58

4% higher than market

Lab analysis to measure the ferritin (blood protein) level [HCPCS 82728]

$120
$167

28% lower than market

Lab analysis to measure the folic acid level in serum specimen [HCPCS 82746]

$98
$130

24% lower than market

Lab analysis to measure the glucose (sugar) level in blood [HCPCS 82947]

$60
$56

8% higher than market

Lab analysis to measure the glutamyltransferase (liver enzyme) level [HCPCS 82977]

$48
$79

39% lower than market

Lab analysis to measure the gonadotropin, follicle stimulating (reproductive hormone) level [HCPCS 83001]

$122
$167

27% lower than market

Lab analysis to measure the gonadotropin, luteinizing (reproductive hormone) level [HCPCS 83002]

$127
$162

22% lower than market

Lab analysis to measure the haptoglobin (serum protein) level in serum specimen [HCPCS 83010]

$116
$104

11% higher than market

Lab analysis to measure the hemoglobin A1C level in blood specimen [HCPCS 83036]

$111
$112

Approximately equal to market

Lab analysis to measure the IgE (immune system protein) level [HCPCS 82785]

$24
$90

74% lower than market

Lab analysis to measure the ionized calcium level in blood specimen [HCPCS 82330]

$126
$163

23% lower than market

Lab analysis to measure the iron binding capacity [HCPCS 83550]

$30
$98

70% lower than market

Lab analysis to measure the iron level [HCPCS 83540]

$30
$87

66% lower than market

Lab analysis to measure the lactate dehydrogenase (enzyme) level [HCPCS 83615]

$60
$60

1% higher than market

Lab analysis to measure the LDL cholesterol level [HCPCS 83721]

$51
$75

32% lower than market

Lab analysis to measure the liver enzyme (sgot), level in serum or plasma specimen [HCPCS 84450]

$60
$69

14% lower than market

Lab analysis to measure the liver enzyme (sgpt), level in serum or plasma specimen [HCPCS 84460]

$60
$66

10% lower than market

Lab analysis to measure the microalbumin (protein) level in urine specimen [HCPCS 82043]

$67
$77

12% lower than market

Lab analysis to measure the natriuretic peptide (heart and blood vessel protein) level in plasma specimen [HCPCS 83880]

$106
$268

60% lower than market

Lab analysis to measure the parathormone (parathyroid hormone) level [HCPCS 83970]

$243
$229

6% higher than market

Lab analysis to measure the phosphatase (enzyme) level (alkaline) [HCPCS 84075]

$60
$67

11% lower than market

Lab analysis to measure the phosphate level [HCPCS 84100]

$60
$52

16% higher than market

Lab analysis to measure the prolactin (milk producing hormone) level in serum specimen [HCPCS 84146]

$152
$158

4% lower than market

Lab analysis to measure the renin (kidney enzyme) level in plasma specimen [HCPCS 84244]

$150
$206

27% lower than market

Lab analysis to measure the sodium level in urine specimen [HCPCS 84300]

$60
$63

5% lower than market

Lab analysis to measure the thyroid stimulating immune globulins (thyroid related protein) level in serum specimen [HCPCS 84445]

$281
$256

10% higher than market

Lab analysis to measure the total bilirubin level [HCPCS 82247]

$60
$64

6% lower than market

Lab analysis to measure the total calcium level in blood specimen [HCPCS 82310]

$60
$52

16% higher than market

Lab analysis to measure the total creatine kinase (cardiac enzyme) level in blood specimen [HCPCS 82550]

$60
$67

11% lower than market

Lab analysis to measure the total protein level in body fluid specimen [HCPCS 84157]

$50
$51

1% lower than market

Lab analysis to measure the total protein level in urine specimen [HCPCS 84156]

$70
$57

22% higher than market

Lab analysis to measure the uric acid level in blood specimen [HCPCS 84550]

$60
$53

13% higher than market

Lab analysis to measure the vitamin B-6 level in plasma specimen [HCPCS 84207]

$310
$210

48% higher than market

Lab analysis to measure the vitamin D-3 level in serum or plasma specimen [HCPCS 82306]

$48
$157

69% lower than market

Lab analysis to measure urea nitrogen level in serum or plasma specimen to assess kidney function (quantitative) [HCPCS 84520]

$60
$58

3% higher than market

Lab analysis to screen for antibody to noninfectious agents [HCPCS 86255]

$134
$148

10% lower than market

Lab analysis to screen for autoimmune disorders [HCPCS 86038]

$79
$70

14% higher than market

Lab analysis to screen for mononucleosis (mono) [HCPCS 86308]

$46
$66

31% lower than market

Lab analysis to screen for syphilis [HCPCS 86592]

$52
$60

14% lower than market

Lab blood analysis to confirm blood unit compatibility with computer check (electronic) [HCPCS 86923]

$13
$56

77% lower than market

Lab blood analysis to identify antigens on red blood cell surface and determine the patient's blood group type (ABO) [HCPCS 86900]

$48
$105

55% lower than market

Lab blood analysis to identify antigens on red blood cell surface and determine the patient's Rh (D) type (Rh positive or Rh negative) [HCPCS 86901]

$60
$80

25% lower than market

Lab examination of specimen by the selective celllular enhancement technique to diagnose disease [HCPCS 88112]

$240
$218

10% higher than market

Lab genetic analysis to identify the variants of the hemochromatosis gene [HCPCS 81256]

$326
$455

28% lower than market

Pathology lab analysis of special stained specimen slides to identify organisms with interpretation and report [HCPCS 88312]

$60
$193

69% lower than market

Pathology lab analysis of tissue with microscope (intermediate complexity) [HCPCS 88305]

$76
$254

70% lower than market

Pathology lab analysis of tissue with microscope (moderately high complexity) [HCPCS 88307]

$104
$400

74% lower than market

Pathology lab analysis of tissue with microscope (moderately low complexity) [HCPCS 88304]

$42
$188

78% lower than market

Pathology lab analysis of tissue with microscope [HCPCS 88302]

$35
$143

76% lower than market

Psa screening [HCPCS G0103]

$140
$148

6% lower than market

Rbc leukocytes reduced [HCPCS P9016]

$271
$579

53% lower than market

OUTPATIENT MEDICINE

Description

Our Charge
Market Charge

Variance

Drug administration beneath the skin or into muscle by injection for therapy, diagnosis, or prevention [HCPCS 96372]

$64
$126

49% lower than market

Drug administration into vein by infusion for therapy, prevention, or diagnosis (each additional hour) [HCPCS 96366]

$27
$195

86% lower than market

Drug administration into vein by infusion for therapy, prevention, or diagnosis (up to 1 hour) [HCPCS 96365]

$214
$495

57% lower than market

Drug administration into vein by push technique for therapy, diagnosis, or prevention (each additional push of same drug) [HCPCS 96376]

$32
$136

76% lower than market

Heart electrical activity tracing using 1-3 wires [HCPCS 93041]

$46
$102

55% lower than market

Hydration administration into vein by infusion (31 minutes to 1 hour) [HCPCS 96360]

$96
$389

75% lower than market

Hydration administration into vein by infusion (each additional hour) [HCPCS 96361]

$52
$114

55% lower than market

Immunization administration of vaccine into, between, or beneath the skin or into muscle (single vaccine) [HCPCS 90471]

$53
$82

35% lower than market

Therapeutic massage to 1 or more areas (each 15 minutes) [HCPCS 97124]

$91
$80

14% higher than market

OUTPATIENT OTHER

Description

Our Charge
Market Charge

Variance

Tomosynthesis, mammo [HCPCS G0279]

$80
$88

9% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION

Description

Our Charge
Market Charge

Variance

Admin influenza virus vac [HCPCS G0008]

$80
$52

54% higher than market

Drug administration into vein by push technique for therapy, diagnosis, or prevention (each additional push of new drug) [HCPCS 96375]

$54
$187

71% lower than market

Drug administration into vein by push technique for therapy, diagnosis, or prevention (initial drug) [HCPCS 96374]

$80
$260

69% lower than market

Tc99m medronate [HCPCS A9503]

$26
$112

77% lower than market

Tc99m sestamibi [HCPCS A9500]

$209
$163

28% higher than market

OUTPATIENT PHYSICAL/OCCUPATIONAL/SPEECH THERAPY

Description

Our Charge
Market Charge

Variance

Function improvement activities with one-on-one contact between patient and provider (each 15 minutes) [HCPCS 97530]

$59
$92

36% lower than market

Occupational therapy evaluation (typically 30 minutes) [HCPCS 97165]

$129
$216

40% lower than market

Physcial therapy exercise of walking training to 1 or more areas (each 15 minutes) [HCPCS 97116]

$111
$100

11% higher than market

Physical therapy evaluation (typically 20 minutes) [HCPCS 97161]

$129
$199

35% lower than market

Physical therapy evaluation (typically 30 minutes) [HCPCS 97162]

$129
$247

48% lower than market

Physical therapy procedure to re-educate brain-to-nerve-to-muscle function (each 15 minutes) [HCPCS 97112]

$111
$96

15% higher than market

Physical therapy techniques to 1 or more regions (each 15 minutes) [HCPCS 97140]

$91
$114

20% lower than market

OUTPATIENT PULMONARY THERAPY

Description

Our Charge
Market Charge

Variance

Heart and blood vessel stress test with EKG tracing and monitoring (exercise or drug-induced) [HCPCS 93017]

$366
$1,042

65% lower than market

Routine EKG (electrocardiogram) tracing using at least 12 wires [HCPCS 93005]

$160
$184

13% lower than market

OUTPATIENT RESPIRATORY THERAPY

Description

Our Charge
Market Charge

Variance

Airway inhalation treatment to relieve airway obstruction or for sputum collection (inhaled pressure or nonpressure treatment) [HCPCS 94640]

$65
$165

61% lower than market

Oxygen saturation measurement in blood by ear or finger device (single determination) [HCPCS 94760]

$67
$118

43% lower than market

OUTPATIENT SURGICAL SERVICES

Description

Our Charge
Market Charge

Variance

Indwelling bladder catheter insertion (simple) [HCPCS 51702]

$2,583
$2,940

12% lower than market

Median nerve of hand release and/or relocation [HCPCS 64721]

$3,783
$8,299

54% lower than market

Needle insertion into vein for collection of blood sample [HCPCS 36415]

$20
$28

29% lower than market

Short arm splint application forearm to hand (non-moveable) [HCPCS 29125]

$1,205
$2,126

43% lower than market

Simple repair of wound of scalp, neck, underarms, genitalia, trunk, arms, and/or legs (2.5 cm or less) [HCPCS 12001]

$982
$1,984

50% lower than market

OUTPATIENT VISION SERVICES

Description

Our Charge
Market Charge

Variance

Post chmbr intraocular lens [HCPCS V2632]

$300
$349

14% lower than market

OUTPATIENT X-RAY AND RADIOLOGICAL

Description

Our Charge
Market Charge

Variance

Abdominal and pelvic CT scan without contrast for injury, foreign bodies, or tumors [HCPCS 74176]

$2,505
$2,973

16% lower than market

Abdominal aorta ultrasound for screening of abdominal aortic aneurysm [HCPCS 76706]

$391
$458

14% lower than market

Abdominal ultrasound (limited) [HCPCS 76705]

$463
$704

34% lower than market

Abdominal x-ray (single view) [HCPCS 74018]

$104
$317

67% lower than market

Ankle x-ray (2 views) [HCPCS 73600]

$125
$259

52% lower than market

Ankle x-ray (minimum of 3 views) [HCPCS 73610]

$230
$344

33% lower than market

Arm or leg ultrasound (complete) [HCPCS 76881]

$376
$680

45% lower than market

Arms or legs veins ultrasound with assessment of compression and functional maneuvers (complete, both arms or legs) [HCPCS 93970]

$458
$1,284

64% lower than market

Arms or legs veins ultrasound with assessment of compression and functional maneuvers (limited, one arm or leg) [HCPCS 93971]

$203
$930

78% lower than market

Blood flow (outside of the brain) ultrasound on both sides of head and neck [HCPCS 93880]

$600
$1,067

44% lower than market

Bone density measurement of the axial skeleton (hips, pelvis, spine) [HCPCS 77080]

$351
$601

42% lower than market

Breast ultrasound (one breast, complete) [HCPCS 76641]

$322
$404

20% lower than market

Chest CT scan with contrast to examine injury, foreign bodies, or tumors [HCPCS 71260]

$2,050
$2,357

13% lower than market

Chest CT scan without contrast to examine injury, foreign bodies, or tumors [HCPCS 71250]

$1,700
$1,875

9% lower than market

Chest x-ray (2 views) [HCPCS 71046]

$158
$335

53% lower than market

Chest x-ray (single view) [HCPCS 71045]

$200
$249

20% lower than market

Color-directed heart blood flow doppler ultrasound to evaluate heart rate and valve function [HCPCS 93325]

$200
$582

66% lower than market

CTA scan of chest blood vessels with contrast to examine injury, foreign bodies, or tumors [HCPCS 71275]

$2,300
$2,641

13% lower than market

Digital tomography of both breasts (screening exam) [HCPCS 77063]

$80
$168

52% lower than market

Elbow x-ray, complete study (minimum of 3 views) [HCPCS 73080]

$230
$329

30% lower than market

Esophagus x-ray with barium swallow (single contrast material swallowed) [HCPCS 74220]

$310
$603

49% lower than market

Facial CT scan without contrast to examine injury, foreign bodies, or tumors [HCPCS 70486]

$1,700
$1,897

10% lower than market

Fluoroscopy imaging guidance for procedure (up to 1 hour) [HCPCS 76000]

$196
$650

70% lower than market

Foot x-ray (2 views) [HCPCS 73620]

$125
$245

49% lower than market

Foot x-ray, complete study (minimum of 3 views) [HCPCS 73630]

$248
$330

25% lower than market

Hand x-ray (minimum of 2 views) [HCPCS 73130]

$178
$332

47% lower than market

Head and neck ultrasound [HCPCS 76536]

$354
$675

47% lower than market

Heart ultrasound and continuous monitoring performed during rest, exercise, and/or drug-induced stress with interpretation and report [HCPCS 93351]

$800
$1,327

40% lower than market

Heart ultrasound including color-depicted blood flow rate, direction, and valve function [HCPCS 93306]

$1,100
$2,041

46% lower than market

Hip x-ray of hip with pelvis (2 to 3 views) [HCPCS 73502]

$186
$397

53% lower than market

Imaging of arm joint by MRI without contrast [HCPCS 73221]

$2,600
$2,838

8% lower than market

Imaging of brain by MRI without contrast [HCPCS 70551]

$2,600
$3,122

17% lower than market

Imaging of heart vessels with SPECT tomography and drugs or exercise (multiple studies) [HCPCS 78452]

$3,060
$4,289

29% lower than market

Imaging of lower spinal canal by MRI without contrast, followed by contrast [HCPCS 72158]

$3,500
$4,328

19% lower than market

Imaging of upper spinal canal by MRI without contrast [HCPCS 72141]

$2,600
$3,081

16% lower than market

Knee x-ray (3 views) [HCPCS 73562]

$189
$360

48% lower than market

Knee x-ray (4 or more views) [HCPCS 73564]

$189
$401

53% lower than market

Lower leg x-ray (2 views) [HCPCS 73590]

$132
$301

56% lower than market

Neck CT scan of the soft tissue of the neck with contrast to examine injury, foreign bodies, or tumors [HCPCS 70491]

$2,050
$2,154

5% lower than market

Pelvis CT scan without contrast to examine injury, foreign bodies, or tumors [HCPCS 72192]

$1,700
$1,814

6% lower than market

Pelvis ultrasound, not pregrnancy related (complete) [HCPCS 76856]

$425
$780

45% lower than market

Pelvis x-ray (1 or 2 views) [HCPCS 72170]

$151
$329

54% lower than market

Rib cage x-ray of ribs on one side of body including chest (minimum of 3 views) [HCPCS 71101]

$245
$410

40% lower than market

Shoulder x-ray, complete study (minimum of 2 views) [HCPCS 73030]

$193
$356

46% lower than market

Spinal CT scan of lower spine without contrast to examine injury, foreign bodies, or tumors [HCPCS 72131]

$1,700
$2,026

16% lower than market

Spinal CT scan of upper spine without contrast to examine injury, foreign bodies, or tumors [HCPCS 72125]

$1,700
$1,893

10% lower than market

Spinal x-ray of lower and sacral spine (2 or 3 views) [HCPCS 72100]

$240
$392

39% lower than market

Thighbone x-ray (minimum of 2 views) [HCPCS 73552]

$151
$310

51% lower than market

Ultrasound of area behind abdominal cavity (complete) [HCPCS 76770]

$428
$895

52% lower than market

Wrist x-ray, complete study (minimum of 3 views) [HCPCS 73110]

$178
$330

46% lower than market

INPATIENT CARDIOLOGY

Description

Our Charge
Market Charge

Variance

Heart Failure with major complications

$11,812
$22,826

48% lower than market

INPATIENT MEDICINE

Description

Our Charge
Market Charge

Variance

Blood Infection with major complications

$13,558
$35,075

61% lower than market

Blood infection without major complications

$6,795
$19,572

65% lower than market

Nutritional or Metabolic Disorders without major complications

$5,020
$16,054

69% lower than market

INPATIENT ORTHOPEDIC SURGERY

Description

Our Charge
Market Charge

Variance

Total Shoulder Replacement

$34,918
$69,380

50% lower than market

INPATIENT PULMONOLOGY

Description

Our Charge
Market Charge

Variance

Chronic Lung Disease with complications

$5,354
$14,923

64% lower than market

Chronic Lung Disease with major complications

$12,155
$19,596

38% lower than market

Pneumonia with complications

$8,849
$17,418

49% lower than market

Pneumonia with major complications

$10,085
$22,465

55% lower than market