SelfPayRates
Hospital Lafayette, LA

Acadia General Hospital

Acadia General Hospital in Crowley, LA publishes cash prices for 400 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Louisiana median for 336 of 394 procedures and above it for 51. By typical cash price it ranks #3 of 58 Louisiana hospitals and #1 of 7 hospitals in the Lafayette, LA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1305 CROWLEY RAYNE HWY CROWLEY, LA 70526-8202 Collected Sep 23, 2026 Source price file (337) 783-3222

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 190044 · CMS hospital register NPI 1669882940

Scans and imaging

ProcedureCash price List priceInsurers payvs LouisianaOff list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/WO CONTRAST $503.24 $2,188.00 $161.81–$1,058.00 51% below 77%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONTRAST $503.24 $2,188.00 — — 77%
Abdominal X-ray, 2 views CPT 74019 HC XRAY, ABDOMEN, 2 VIEWS $61.18 $266.00 $34.71–$208.54 67% below 77%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY, ABDOMEN, 2 VIEWS $61.18 $266.00 — — 77%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS $49.22 $214.00 $27.93–$167.78 59% below 77%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS $49.22 $214.00 — — 77%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRANCHIAL INDEX $98.67 $429.00 $55.98–$344.71 42% below 77%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRANCHIAL INDEX $98.67 $429.00 — — 77%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST $376.74 $1,638.00 $96.65–$1,058.00 42% below 77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST $376.74 $1,638.00 — — 77%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST $111.78 $486.00 $63.42–$381.02 48% below 77%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST $111.78 $486.00 — — 77%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JT IMAGING WHOLE BODY $272.32 $1,184.00 $154.51–$928.26 50% below 77%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JT IMAGING WHOLE BODY $272.32 $1,184.00 — — 77%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILAT $104.19 $453.00 $59.12–$355.15 38% below 77%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILAT $104.19 $453.00 — — 77%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LIMITED $97.06 $422.00 $55.07–$330.85 42% below 77%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT LIMITED $97.06 $422.00 — — 77%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD CONTRAST $539.12 $2,344.00 $161.81–$1,058.00 23% below 77%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD CONTRAST $539.12 $2,344.00 — — 77%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK CONTRAST $539.12 $2,344.00 $161.81–$1,058.00 23% below 77%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK CONTRAST $539.12 $2,344.00 — — 77%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/ NON CORONARY $539.12 $2,344.00 $161.81–$1,058.00 38% below 77%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/ NON CORONARY $539.12 $2,344.00 — — 77%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING $46.23 $201.00 $26.23–$1,058.00 42% below 77%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING $46.23 $201.00 — — 77%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD / PELVIS WO CONTRAST $564.88 $2,456.00 $219.70–$1,058.00 50% below 77%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD / PELVIS WO CONTRAST $564.88 $2,456.00 — — 77%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS WITH CONTRAST $658.26 $2,862.00 $316.80–$1,058.00 50% below 77%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS WITH CONTRAST $658.26 $2,862.00 — — 77%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST $754.63 $3,281.00 $316.80–$1,241.02 48% below 77%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST $754.63 $3,281.00 — — 77%
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST $440.22 $1,914.00 $161.81–$1,058.00 50% below 77%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST $440.22 $1,914.00 — — 77%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST $376.74 $1,638.00 $96.65–$1,058.00 51% below 77%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST $376.74 $1,638.00 — — 77%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST $254.84 $1,108.00 $96.65–$1,058.00 62% below 77%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST $254.84 $1,108.00 — — 77%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST $365.01 $1,587.00 $96.65–$1,058.00 44% below 77%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST $365.01 $1,587.00 — — 77%
CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONTRAST $383.18 $1,666.00 $161.81–$1,058.00 48% below 77%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONTRAST $383.18 $1,666.00 — — 77%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST $448.73 $1,951.00 $161.81–$1,058.00 51% below 77%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST $448.73 $1,951.00 — — 77%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST $419.98 $1,826.00 $96.65–$1,058.00 44% below 77%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST $419.98 $1,826.00 — — 77%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST $413.54 $1,798.00 $96.65–$1,058.00 44% below 77%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST $413.54 $1,798.00 — — 77%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST $437.46 $1,902.00 $161.81–$1,058.00 45% below 77%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST $437.46 $1,902.00 — — 77%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT $190.67 $829.00 $108.18–$549.60 — 77%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT $190.67 $829.00 — — 77%
Chest CT scan without and with contrast CPT 71270 HC CT SCAN, THORAX, DX, W/WO CONTRAST $539.12 $2,344.00 $161.81–$1,058.00 49% below 77%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT SCAN, THORAX, DX, W/WO CONTRAST $539.12 $2,344.00 — — 77%
Chest X-ray, 2 views CPT 71046 HC XRAY, CHEST, 2 VIEWS $61.18 $266.00 $31.64–$208.54 54% below 77%
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY, CHEST, 2 VIEWS $61.18 $266.00 — — 77%
Chest X-ray, single view CPT 71045 HC XRAY, CHEST, 1 VIEW $49.91 $217.00 $23.91–$170.13 55% below 77%
Chest X-ray, single view inpatient CPT 71045 HC XRAY, CHEST, 1 VIEW $49.91 $217.00 — — 77%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE $48.53 $211.00 $27.54–$165.42 59% below 77%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE $48.53 $211.00 — — 77%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE $153.18 $666.00 $86.91–$522.14 47% below 77%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE $153.18 $666.00 — — 77%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY SPINE/HIP $107.18 $466.00 $42.97–$365.34 26% below 77%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY SPINE/HIP $107.18 $466.00 — — 77%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA BONE DENSITY APPEN SKEL $46.23 $201.00 $26.23–$157.58 42% below 77%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA BONE DENSITY APPEN SKEL $46.23 $201.00 — — 77%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION $179.17 $779.00 $101.66–$610.74 33% below 77%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION $179.17 $779.00 — — 77%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST $389.62 $1,694.00 $96.65–$1,058.00 49% below 77%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST $389.62 $1,694.00 — — 77%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST $437.46 $1,902.00 $161.81–$1,058.00 49% below 77%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST $437.46 $1,902.00 — — 77%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT $106.49 $463.00 $60.42–$362.99 — 77%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT $106.49 $463.00 — — 77%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT $91.77 $399.00 $52.07–$312.82 25% below 77%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT $91.77 $399.00 — — 77%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT $182.39 $793.00 $103.49–$549.60 — 77%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT $182.39 $793.00 — — 77%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT $313.03 $1,361.00 $177.61–$876.48 — 77%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT $313.03 $1,361.00 — — 77%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER $388.93 $1,691.00 $220.68–$1,559.62 47% below 77%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER $388.93 $1,691.00 — — 77%
Elbow X-ray, 2 views CPT 73070 HC ELBOW AP / LAT $49.22 $214.00 $27.93–$167.78 58% below 77%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW AP / LAT $49.22 $214.00 — — 77%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW MIN 3 VIEWS $51.75 $225.00 $29.36–$176.40 60% below 77%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW MIN 3 VIEWS $51.75 $225.00 — — 77%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT,SELLA,EAR W/O CONTRA $448.73 $1,951.00 $96.65–$1,058.00 26% below 77%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT,SELLA,EAR W/O CONTRA $448.73 $1,951.00 — — 77%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS $56.12 $244.00 $31.84–$191.30 64% below 77%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS $56.12 $244.00 — — 77%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEWS $49.22 $214.00 $27.93–$167.78 57% below 77%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEWS $49.22 $214.00 — — 77%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER $568.33 $2,471.00 $322.47–$1,937.26 1% below 77%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER $568.33 $2,471.00 — — 77%
Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEW $49.22 $214.00 $27.93–$167.78 53% below 77%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEW $49.22 $214.00 — — 77%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEUS $49.22 $214.00 $27.93–$167.78 55% below 77%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEUS $49.22 $214.00 — — 77%
Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS $61.18 $266.00 $34.71–$208.54 55% below 77%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS $61.18 $266.00 — — 77%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE COMPLETE $83.26 $362.00 $47.08–$283.81 45% below 77%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE COMPLETE $83.26 $362.00 — — 77%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST $376.74 $1,638.00 $96.65–$1,058.00 38% below 77%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST $376.74 $1,638.00 — — 77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED $153.18 $666.00 $86.91–$522.14 42% below 77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED $153.18 $666.00 — — 77%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD $124.66 $542.00 $25.43–$424.93 28% below 77%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD $124.66 $542.00 — — 77%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST $104.19 $453.00 $59.12–$1,058.00 32% below 77%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST $104.19 $453.00 — — 77%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA) $49.22 $214.00 $27.93–$167.78 58% below 77%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA) $49.22 $214.00 — — 77%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST $644.69 $2,803.00 $219.70–$1,170.00 29% below 77%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST $644.69 $2,803.00 — — 77%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI, BREAST, CAD, W&W/O CONTRAST, BILATERAL $505.08 $2,196.00 $408.87–$1,170.00 — 77%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI, BREAST, CAD, W&W/O CONTRAST, BILATERAL $505.08 $2,196.00 — — 77%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXT JT W/O CONTR $635.95 $2,765.00 $219.70–$1,170.00 41% below 77%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXT JT W/O CONTR $635.95 $2,765.00 — — 77%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JT W/WO CONT $978.88 $4,256.00 $324.60–$1,489.60 23% below 77%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXT JT W/WO CONT $978.88 $4,256.00 — — 77%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST $614.33 $2,671.00 $219.70–$1,170.00 38% below 77%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST $614.33 $2,671.00 — — 77%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST $1,155.06 $5,022.00 $324.60–$1,757.70 13% below 77%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST $1,155.06 $5,022.00 — — 77%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST $614.33 $2,671.00 $219.70–$1,170.00 46% below 77%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST $614.33 $2,671.00 — — 77%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST $1,155.06 $5,022.00 $324.60–$1,757.70 20% below 77%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST $1,155.06 $5,022.00 — — 77%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST $614.33 $2,671.00 $219.70–$1,170.00 46% below 77%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST $614.33 $2,671.00 — — 77%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA $1,375.63 $5,981.00 $324.60–$2,093.35 1% below 77%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA $1,375.63 $5,981.00 — — 77%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS $614.33 $2,671.00 $219.70–$1,170.00 45% below 77%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS $614.33 $2,671.00 — — 77%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR $1,375.63 $5,981.00 $324.60–$2,093.35 14% below 77%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR $1,375.63 $5,981.00 — — 77%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS $614.33 $2,671.00 $219.70–$1,170.00 41% below 77%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS $614.33 $2,671.00 — — 77%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & W/O CONTRAST $721.05 $3,135.00 $324.60–$1,368.87 35% below 77%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & W/O CONTRAST $721.05 $3,135.00 — — 77%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST $614.33 $2,671.00 $219.70–$1,170.00 30% below 77%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST $614.33 $2,671.00 — — 77%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAS $635.95 $2,765.00 $219.70–$1,170.00 35% below 77%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAS $635.95 $2,765.00 — — 77%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS $85.10 $370.00 $48.29–$290.08 58% below 77%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS $85.10 $370.00 — — 77%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS $383.18 $1,666.00 $161.81–$1,058.00 44% below 77%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS $383.18 $1,666.00 — — 77%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR $376.74 $1,638.00 $96.65–$1,058.00 44% below 77%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR $376.74 $1,638.00 — — 77%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE $49.22 $214.00 $27.93–$167.78 57% below 77%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE $49.22 $214.00 — — 77%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST $376.74 $1,638.00 $96.65–$1,058.00 45% below 77%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST $376.74 $1,638.00 — — 77%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED NON-OB $135.47 $589.00 $34.73–$461.78 23% below 77%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED NON-OB $135.47 $589.00 — — 77%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB $163.07 $709.00 $92.52–$555.86 42% below 77%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB $163.07 $709.00 — — 77%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION $91.77 $399.00 $52.07–$312.82 65% below 77%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION $91.77 $399.00 — — 77%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION $156.63 $681.00 $88.87–$533.90 34% below 77%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION $156.63 $681.00 — — 77%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 OR MORE GESTA $135.47 $589.00 $74.90–$461.78 22% below 77%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 OR MORE GESTA $135.47 $589.00 — — 77%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS $55.66 $242.00 $31.58–$189.73 59% below 77%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS $55.66 $242.00 — — 77%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS W/PA CHEST $72.68 $316.00 $39.88–$247.74 47% below 77%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RIBS W/PA CHEST $72.68 $316.00 — — 77%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT $94.07 $409.00 $53.37–$320.66 — 77%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT $94.07 $409.00 — — 77%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER ROUTINE $55.66 $242.00 $31.58–$189.73 57% below 77%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER ROUTINE $55.66 $242.00 — — 77%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES, PARANASAL, COMP, MINIMUM 3 VIEWS $64.40 $280.00 $36.54–$219.52 59% below 77%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES, PARANASAL, COMP, MINIMUM 3 VIEWS $64.40 $280.00 — — 77%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4VIEWS $48.53 $211.00 $27.54–$165.42 64% below 77%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL < 4VIEWS $48.53 $211.00 — — 77%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST $194.58 $846.00 $110.40–$663.26 19% below 77%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST $194.58 $846.00 — — 77%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS $55.66 $242.00 $31.58–$189.73 52% below 77%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS $55.66 $242.00 — — 77%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST $398.82 $1,734.00 $96.65–$1,058.00 47% below 77%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST $398.82 $1,734.00 — — 77%
Toe X-ray, 2 or more views CPT 73660 HC TOE OR TOES MIN 2VIEWS $49.22 $214.00 $27.93–$167.78 56% below 77%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE OR TOES MIN 2VIEWS $49.22 $214.00 — — 77%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB $163.07 $709.00 $92.52–$555.86 23% below 77%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB $163.07 $709.00 — — 77%
Transvaginal ultrasound during pregnancy CPT 76817 HC US, OB, TRANSVAG APPROACH $156.63 $681.00 $84.69–$533.90 12% below 77%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, OB, TRANSVAG APPROACH $156.63 $681.00 — — 77%
Ultrasound of the abdomen, complete CPT 76700 HC US, ABD, B-SCAN, COMPLETE $190.44 $828.00 $96.65–$649.15 37% below 77%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABD, B-SCAN, COMPLETE $190.44 $828.00 — — 77%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS $124.66 $542.00 $70.73–$424.93 41% below 77%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS $124.66 $542.00 — — 77%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS OF HEAD NECK THYR $174.11 $757.00 $96.65–$593.49 31% below 77%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISS OF HEAD NECK THYR $174.11 $757.00 — — 77%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST $117.53 $511.00 $66.69–$400.62 54% below 77%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST $117.53 $511.00 — — 77%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS ROUTINE $49.22 $214.00 $27.93–$167.78 58% below 77%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS ROUTINE $49.22 $214.00 — — 77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD $123.97 $539.00 $70.34–$466.00 52% below 77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD $123.97 $539.00 — — 77%
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEW $49.22 $214.00 $27.93–$167.78 55% below 77%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEW $49.22 $214.00 — — 77%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE $49.22 $214.00 $27.93–$167.78 57% below 77%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE $49.22 $214.00 — — 77%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS $55.89 $243.00 $31.71–$190.51 55% below 77%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS $55.89 $243.00 — — 77%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY, ABDOMEN, 1 VIEW $208.84 $908.00 $29.07–$711.87 63% above 77%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY, ABDOMEN, 1 VIEW $208.84 $908.00 — — 77%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS $49.22 $214.00 $27.93–$167.78 54% below 77%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS $49.22 $214.00 — — 77%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS $49.22 $214.00 $27.93–$167.78 52% below 77%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS $49.22 $214.00 — — 77%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW $49.22 $214.00 $27.93–$167.78 54% below 77%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW $49.22 $214.00 — — 77%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS $49.22 $214.00 $27.93–$167.78 60% below 77%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS $49.22 $214.00 — — 77%
X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE $49.22 $214.00 $27.93–$167.78 61% below 77%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE $49.22 $214.00 — — 77%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS $51.06 $222.00 $28.97–$174.05 55% below 77%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS $51.06 $222.00 — — 77%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3V $64.40 $280.00 $36.54–$219.52 57% below 77%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3V $64.40 $280.00 — — 77%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP 5 VIEW $85.10 $370.00 $48.29–$290.08 61% below 77%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP 5 VIEW $85.10 $370.00 — — 77%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP&LAT $33.58 $146.00 $19.05–$163.46 79% below 77%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP&LAT $33.58 $146.00 — — 77%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS $48.53 $211.00 $27.54–$165.42 58% below 77%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS $48.53 $211.00 — — 77%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL, AP&LAT $63.71 $277.00 $36.15–$217.17 56% below 77%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL, AP&LAT $63.71 $277.00 — — 77%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS $49.91 $217.00 $28.32–$170.13 62% below 77%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS $49.91 $217.00 — — 77%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS $49.22 $214.00 $27.93–$167.78 64% below 77%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS $49.22 $214.00 — — 77%

Lab tests

ProcedureCash price List priceInsurers payvs LouisianaOff list
ACTH blood test CPT 82024 HC ACTH $47.84 $208.00 $19.31–$163.07 55% below 77%
ACTH blood test inpatient CPT 82024 HC ACTH $47.84 $208.00 — — 77%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC HCV FIBROSURE-ALT (SGPT) $6.90 $30.00 $2.65–$23.52 64% below 77%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT $16.10 $70.00 $2.65–$54.88 17% below 77%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC HCV FIBROSURE-ALT (SGPT) $6.90 $30.00 — — 77%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT $16.10 $70.00 — — 77%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT $9.89 $43.00 $2.59–$33.71 50% below 77%
AST (aspartate aminotransferase) enzyme test CPT 84450 *HC AST SGOT - RL $9.89 $43.00 $2.59–$33.71 50% below 77%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 *HC AST SGOT - RL $9.89 $43.00 — — 77%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT $9.89 $43.00 — — 77%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL, ACUTE $58.42 $254.00 $23.82–$199.14 47% below 77%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL, ACUTE $58.42 $254.00 — — 77%
Albumin blood test CPT 82040 *HC ALBUMIN-CSF $3.68 $16.00 $2.48–$12.54 74% below 77%
Albumin blood test CPT 82040 HC ALBUMIN-SERUM $3.68 $16.00 $2.48–$12.54 74% below 77%
Albumin blood test CPT 82040 HC IGG INDEX-ALBUMIN SERUM $6.21 $27.00 $2.48–$21.17 56% below 77%
Albumin blood test CPT 82040 HC ALBUMIN (RL) $6.21 $27.00 $2.48–$21.17 56% below 77%
Albumin blood test inpatient CPT 82040 *HC ALBUMIN-CSF $3.68 $16.00 — — 77%
Albumin blood test inpatient CPT 82040 HC ALBUMIN-SERUM $3.68 $16.00 — — 77%
Albumin blood test inpatient CPT 82040 HC ALBUMIN (RL) $6.21 $27.00 — — 77%
Albumin blood test inpatient CPT 82040 HC IGG INDEX-ALBUMIN SERUM $6.21 $27.00 — — 77%
Aldosterone blood test CPT 82088 HC ALDOSTERONE- SERUM $62.33 $271.00 $20.38–$212.46 35% below 77%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, RAV - RL $62.33 $271.00 $20.38–$212.46 35% below 77%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, LAV - RL $62.33 $271.00 $20.38–$212.46 35% below 77%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, IVC - RL $62.33 $271.00 $20.38–$212.46 35% below 77%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, URINE $62.33 $271.00 $20.38–$212.46 35% below 77%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, RAV - RL $62.33 $271.00 — — 77%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, IVC - RL $62.33 $271.00 — — 77%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, LAV - RL $62.33 $271.00 — — 77%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, URINE $62.33 $271.00 — — 77%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE- SERUM $62.33 $271.00 — — 77%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE $13.11 $57.00 $2.59–$44.69 31% below 77%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE, BONE SPE-RL $13.11 $57.00 $2.59–$44.69 31% below 77%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOS, TOTAL $13.11 $57.00 $2.59–$44.69 31% below 77%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE $13.11 $57.00 — — 77%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE, BONE SPE-RL $13.11 $57.00 — — 77%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOS, TOTAL $13.11 $57.00 — — 77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH $4.83 $21.00 $2.61–$16.46 51% below 77%
Allergy blood test, specific IgE, per allergen CPT 86003 *HC ALLERGEN, ALMOND $6.90 $30.00 $2.61–$23.52 29% below 77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CANDIDA ALBICANS IGE $6.90 $30.00 $2.61–$23.52 29% below 77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH $6.90 $30.00 $2.61–$23.52 29% below 77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH $6.90 $30.00 $2.61–$23.52 29% below 77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, GLOVE LATEX EXT $11.96 $52.00 $2.61–$40.77 22% above 77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH - RL $17.25 $75.00 $2.61–$58.80 76% above 77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH $17.25 $75.00 $2.61–$58.80 76% above 77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH $4.83 $21.00 — — 77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH $6.90 $30.00 — — 77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 *HC ALLERGEN, ALMOND $6.90 $30.00 — — 77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH $6.90 $30.00 — — 77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CANDIDA ALBICANS IGE $6.90 $30.00 — — 77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, GLOVE LATEX EXT $11.96 $52.00 — — 77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH $17.25 $75.00 — — 77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH - RL $17.25 $75.00 — — 77%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP, MATERNAL SCREEN $12.42 $54.00 $8.39–$42.34 75% below 77%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP, MATERNAL SEQ SCRN $38.41 $167.00 $8.39–$130.93 21% below 77%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK) $38.41 $167.00 $8.39–$130.93 21% below 77%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP, MATERNAL SCREEN $12.42 $54.00 — — 77%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP, MATERNAL SEQ SCRN $38.41 $167.00 — — 77%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK) $38.41 $167.00 — — 77%
Ammonia blood test CPT 82140 HC AMMONIA, BLOOD $11.27 $49.00 $7.29–$38.42 77% below 77%
Ammonia blood test CPT 82140 HC SUPERSAT URINE, AMMONIUM $17.94 $78.00 $7.29–$61.15 64% below 77%
Ammonia blood test CPT 82140 HC AMMONIA LEVEL ASSAY $17.94 $78.00 $7.29–$61.15 64% below 77%
Ammonia blood test inpatient CPT 82140 HC AMMONIA, BLOOD $11.27 $49.00 — — 77%
Ammonia blood test inpatient CPT 82140 HC SUPERSAT URINE, AMMONIUM $17.94 $78.00 — — 77%
Ammonia blood test inpatient CPT 82140 HC AMMONIA LEVEL ASSAY $17.94 $78.00 — — 77%
Amylase blood test CPT 82150 HC AMYLASE ISOENZYMES, EACH $11.04 $48.00 $3.24–$37.63 50% below 77%
Amylase blood test CPT 82150 HC AMYLASE, PANCREATIC FLUID $11.04 $48.00 $3.24–$37.63 50% below 77%
Amylase blood test CPT 82150 *HC AMYLASE LEVEL, TOTAL $11.04 $48.00 $3.24–$37.63 50% below 77%
Amylase blood test CPT 82150 *HC AMYLASE LEVEL, SALIVA $11.04 $48.00 $3.24–$37.63 50% below 77%
Amylase blood test CPT 82150 HC AMYLASE, BODY FLUID - RL $11.04 $48.00 $3.24–$37.63 50% below 77%
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID $11.04 $48.00 $3.24–$37.63 50% below 77%
Amylase blood test CPT 82150 HC AMYLASE, URINE $11.50 $50.00 $3.24–$39.20 48% below 77%
Amylase blood test inpatient CPT 82150 HC AMYLASE, BODY FLUID - RL $11.04 $48.00 — — 77%
Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID $11.04 $48.00 — — 77%
Amylase blood test inpatient CPT 82150 HC AMYLASE ISOENZYMES, EACH $11.04 $48.00 — — 77%
Amylase blood test inpatient CPT 82150 *HC AMYLASE LEVEL, SALIVA $11.04 $48.00 — — 77%
Amylase blood test inpatient CPT 82150 *HC AMYLASE LEVEL, TOTAL $11.04 $48.00 — — 77%
Amylase blood test inpatient CPT 82150 HC AMYLASE, PANCREATIC FLUID $11.04 $48.00 — — 77%
Amylase blood test inpatient CPT 82150 HC AMYLASE, URINE $11.50 $50.00 — — 77%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 *HC CCP ANTIBODIES - RL $60.26 $262.00 $6.48–$205.41 43% above 77%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODIES $60.26 $262.00 $6.48–$205.41 43% above 77%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODIES $60.26 $262.00 — — 77%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 *HC CCP ANTIBODIES - RL $60.26 $262.00 — — 77%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB(ANA) $15.41 $67.00 $6.05–$52.53 67% below 77%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB(ANA) $15.41 $67.00 — — 77%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC POC NATRIURETIC PEPTIDE ASSAY $24.38 $106.00 $19.63–$83.10 63% below 77%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE ASSAY $41.86 $182.00 $19.63–$142.69 36% below 77%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PRO BNP, S $41.86 $182.00 $19.63–$142.69 36% below 77%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC POC NATRIURETIC PEPTIDE ASSAY $24.38 $106.00 — — 77%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PRO BNP, S $41.86 $182.00 — — 77%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE ASSAY $41.86 $182.00 — — 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 *HC CULTURE, GENITAL $15.18 $66.00 $4.31–$51.74 46% below 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, WOUND $15.18 $66.00 $4.31–$51.74 46% below 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 *HC CULTURE, GONORRHEA $15.18 $66.00 $4.31–$51.74 46% below 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESPIRATORY CULTURE $15.18 $66.00 $4.31–$51.74 46% below 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, EYE $15.18 $66.00 $4.31–$51.74 46% below 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 *HC CULTURE, EAR $15.18 $66.00 $4.31–$51.74 46% below 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC BODY FLUID CULTURE $15.18 $66.00 $4.31–$51.74 46% below 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE THROAT $15.18 $66.00 $4.31–$51.74 46% below 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BIOPSY/SURG SPC $15.18 $66.00 $4.31–$51.74 46% below 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC SPINAL FLD CULTURE $15.18 $66.00 $4.31–$51.74 46% below 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESPIRATORY CULTURE $15.18 $66.00 — — 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC SPINAL FLD CULTURE $15.18 $66.00 — — 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BIOPSY/SURG SPC $15.18 $66.00 — — 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE THROAT $15.18 $66.00 — — 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC BODY FLUID CULTURE $15.18 $66.00 — — 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 *HC CULTURE, EAR $15.18 $66.00 — — 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, EYE $15.18 $66.00 — — 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 *HC CULTURE, GENITAL $15.18 $66.00 — — 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 *HC CULTURE, GONORRHEA $15.18 $66.00 — — 77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, WOUND $15.18 $66.00 — — 77%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS) $29.21 $127.00 $4.23–$99.57 17% below 77%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS) $29.21 $127.00 — — 77%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL $8.28 $36.00 $2.51–$28.22 50% below 77%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL, BODY FLUID - RL $8.28 $36.00 $2.51–$28.22 50% below 77%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL, BODY FLUID - RL $8.28 $36.00 — — 77%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL $8.28 $36.00 — — 77%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL $46.23 $201.00 $41.57–$157.58 41% below 77%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE, G & M, LEVEL IV $50.14 $218.00 $41.57–$170.91 36% below 77%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC RENAL BIOPSY $57.96 $252.00 $41.57–$197.57 26% below 77%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LVL IV SURG PTH $58.88 $256.00 $41.57–$200.70 25% below 77%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL $46.23 $201.00 — — 77%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE, G & M, LEVEL IV $50.14 $218.00 — — 77%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC RENAL BIOPSY $57.96 $252.00 — — 77%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LVL IV SURG PTH $58.88 $256.00 — — 77%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE $32.66 $142.00 $5.16–$111.33 27% below 77%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE $32.66 $142.00 — — 77%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE/BL COLL $3.68 $16.00 $2.99–$12.54 55% below 77%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE/BL COLL $3.68 $16.00 — — 77%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE, CAPILLARY $3.45 $15.00 $1.97–$11.76 74% below 77%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 6H $9.43 $41.00 $1.97–$32.14 28% below 77%
Blood glucose (sugar) test CPT 82947 HC POC GLUCOSE $9.43 $41.00 $1.97–$32.14 28% below 77%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE LEVEL FASTING SPEC $9.43 $41.00 $1.97–$32.14 28% below 77%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE QUANT RANDOM LEVEL $9.43 $41.00 $1.97–$32.14 28% below 77%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 1H $9.43 $41.00 $1.97–$32.14 28% below 77%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 2H $9.43 $41.00 $1.97–$32.14 28% below 77%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 3H $9.43 $41.00 $1.97–$32.14 28% below 77%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 4H $9.43 $41.00 $1.97–$32.14 28% below 77%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 5H $9.43 $41.00 $1.97–$32.14 28% below 77%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE, BODY FLUID $9.43 $41.00 $1.97–$32.14 28% below 77%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE, CAPILLARY $3.45 $15.00 — — 77%
Blood glucose (sugar) test inpatient CPT 82947 HC POC GLUCOSE $9.43 $41.00 — — 77%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE LEVEL FASTING SPEC $9.43 $41.00 — — 77%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE QUANT RANDOM LEVEL $9.43 $41.00 — — 77%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 1H $9.43 $41.00 — — 77%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE, BODY FLUID $9.43 $41.00 — — 77%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 2H $9.43 $41.00 — — 77%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 3H $9.43 $41.00 — — 77%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 4H $9.43 $41.00 — — 77%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 5H $9.43 $41.00 — — 77%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 6H $9.43 $41.00 — — 77%
Blood lead test CPT 83655 *HC LEAD LEVEL ASSAY $8.28 $36.00 $6.06–$28.22 69% below 77%
Blood lead test CPT 83655 HC LEAD, BLOOD $37.26 $162.00 $6.06–$127.01 38% above 77%
Blood lead test CPT 83655 HC LEAD, URINE $37.26 $162.00 $6.06–$127.01 38% above 77%
Blood lead test inpatient CPT 83655 *HC LEAD LEVEL ASSAY $8.28 $36.00 — — 77%
Blood lead test inpatient CPT 83655 HC LEAD, URINE $37.26 $162.00 — — 77%
Blood lead test inpatient CPT 83655 HC LEAD, BLOOD $37.26 $162.00 — — 77%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR $11.04 $48.00 $3.76–$37.63 63% below 77%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR $11.04 $48.00 — — 77%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC C-BLOOD TYPING, ABO $28.52 $124.00 $2.99–$128.88 35% below 77%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC C-BLOOD TYPING, ABO $28.52 $124.00 — — 77%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN, BLOOD $5.29 $23.00 $1.98–$18.03 69% below 77%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN $5.29 $23.00 $1.98–$18.03 69% below 77%
Blood urea nitrogen (BUN) test CPT 84520 *HC UREA NITROGEN, URINE, 24H $5.29 $23.00 $1.98–$18.03 69% below 77%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN $5.29 $23.00 — — 77%
Blood urea nitrogen (BUN) test inpatient CPT 84520 *HC UREA NITROGEN, URINE, 24H $5.29 $23.00 — — 77%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN, BLOOD $5.29 $23.00 — — 77%
C-peptide blood test CPT 84681 HC C PEPTIDE $15.18 $66.00 $10.41–$51.74 70% below 77%
C-peptide blood test CPT 84681 HC C PEPTIDE, SERUM - RL $41.17 $179.00 $10.41–$140.34 20% below 77%
C-peptide blood test CPT 84681 *HC C PEPTIDE, URINE, 24H $41.17 $179.00 $10.41–$140.34 20% below 77%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE $15.18 $66.00 — — 77%
C-peptide blood test inpatient CPT 84681 *HC C PEPTIDE, URINE, 24H $41.17 $179.00 — — 77%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE, SERUM - RL $41.17 $179.00 — — 77%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN $14.26 $62.00 $2.59–$48.61 39% below 77%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 *HC CRP, BLOOD $18.17 $79.00 $2.59–$61.94 22% below 77%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN $14.26 $62.00 — — 77%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 *HC CRP, BLOOD $18.17 $79.00 — — 77%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN BY PCR $38.87 $169.00 $18.64–$132.50 38% below 77%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN BY PCR $38.87 $169.00 — — 77%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 (CANCER ANTIGEN 125) $25.76 $112.00 $10.41–$87.81 50% below 77%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER AG 125 (CA 125)-RL $25.76 $112.00 $10.41–$87.81 50% below 77%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 (CANCER ANTIGEN 125) $25.76 $112.00 — — 77%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CANCER AG 125 (CA 125)-RL $25.76 $112.00 — — 77%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE $71.07 $309.00 $25.66–$242.26 1% below 77%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE $71.07 $309.00 — — 77%
Calcium blood test, total CPT 82310 HC CALCIUM ISTAT $6.67 $29.00 $2.58–$22.74 66% below 77%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM $6.67 $29.00 $2.58–$22.74 66% below 77%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM $6.67 $29.00 — — 77%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM ISTAT $6.67 $29.00 — — 77%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA $42.55 $185.00 $9.48–$145.04 27% below 77%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA, FLUID $42.55 $185.00 $9.48–$145.04 27% below 77%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA $42.55 $185.00 — — 77%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA, FLUID $42.55 $185.00 — — 77%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB-IGM $29.21 $127.00 $6.44–$99.57 20% below 77%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA AB $29.21 $127.00 $6.44–$99.57 20% below 77%
Chickenpox (varicella) immunity blood test CPT 86787 HC VZV AB (IGG), IFA, CSF $29.21 $127.00 $6.44–$99.57 20% below 77%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB-IGG $29.21 $127.00 $6.44–$99.57 20% below 77%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB-IGM $29.21 $127.00 — — 77%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA AB $29.21 $127.00 — — 77%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB-IGG $29.21 $127.00 — — 77%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV AB (IGG), IFA, CSF $29.21 $127.00 — — 77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA $23.46 $102.00 $17.55–$79.97 59% below 77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA $42.78 $186.00 $17.55–$145.82 26% below 77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE $42.78 $186.00 $17.55–$145.82 26% below 77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA $42.78 $186.00 $17.55–$145.82 26% below 77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA $23.46 $102.00 — — 77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE $42.78 $186.00 — — 77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA $42.78 $186.00 — — 77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA $42.78 $186.00 — — 77%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE $40.71 $177.00 $6.70–$138.77 19% below 77%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE $40.71 $177.00 — — 77%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF $11.04 $48.00 $3.89–$37.63 58% below 77%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF $11.04 $48.00 — — 77%
Complete blood count (CBC), no differential CPT 85027 HC CBC WITHOUT DIFF $11.04 $48.00 $3.24–$37.63 60% below 77%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WITHOUT DIFF $11.04 $48.00 — — 77%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14 $36.11 $157.00 $5.28–$123.09 51% below 77%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14 $36.11 $157.00 — — 77%
Cortisol blood test, total CPT 82533 HC CORTISOL, SALIVA $11.27 $49.00 $8.15–$38.42 70% below 77%
Cortisol blood test, total CPT 82533 HC CORTISOL $23.23 $101.00 $8.15–$79.18 39% below 77%
Cortisol blood test, total CPT 82533 HC CORTISOL, LCMS $23.23 $101.00 $8.15–$79.18 39% below 77%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, SALIVA $11.27 $49.00 — — 77%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL $23.23 $101.00 — — 77%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, LCMS $23.23 $101.00 — — 77%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CK), CPK, TOTAL $17.71 $77.00 $3.26–$60.37 20% below 77%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CK), CPK, TOTAL $17.71 $77.00 — — 77%
Creatinine blood test CPT 82565 HC CREATININE-BLOOD $4.60 $20.00 $2.56–$15.68 72% below 77%
Creatinine blood test CPT 82565 HC CREATININE $6.67 $29.00 $2.56–$22.74 60% below 77%
Creatinine blood test inpatient CPT 82565 HC CREATININE-BLOOD $4.60 $20.00 — — 77%
Creatinine blood test inpatient CPT 82565 HC CREATININE $6.67 $29.00 — — 77%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV SCREEN $10.35 $45.00 $7.20–$35.28 74% below 77%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV AB (TOTAL) $17.71 $77.00 $7.20–$60.37 55% below 77%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG $17.71 $77.00 $7.20–$60.37 55% below 77%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV SCREEN $10.35 $45.00 — — 77%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG $17.71 $77.00 — — 77%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV AB (TOTAL) $17.71 $77.00 — — 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 *HC COMPREHENSIVE GASTRIC DRUG SCREEN $19.78 $86.00 $30.10–$254.77 40% below 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GAMMA-HYDROXYBUTYRIC ACID $19.78 $86.00 $30.10–$254.77 40% below 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN, URINE $21.85 $95.00 $31.07–$254.77 34% below 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN,PRESUMP, ANY CLASS, BY INSTRMNT CHEM ANALY, AMPHETAMINES,URINE $21.85 $95.00 $31.07–$254.77 34% below 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUAL, EACH $21.85 $95.00 $31.07–$254.77 34% below 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 *HC DRUG SCREEN IMMUNOASSAY, EACH SUBSQ, BLOOD $21.85 $95.00 $31.07–$254.77 34% below 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 *HC DRUG SCREEN IMMUNOASSAY, EACH SUBSQ $21.85 $95.00 $31.07–$254.77 34% below 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 *HC DRUG SCREEN, PRESUMP, TRICYCLIC ANTIDEPRESSANTS $21.85 $95.00 $31.07–$254.77 34% below 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CHAIN OF CUSTODY, URINE DRUG SCREEN $21.85 $95.00 $31.07–$254.77 34% below 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC KETAMINE AND METABOLITE SCREEN, PLASMA - RL $29.44 $128.00 $31.07–$254.77 11% below 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN, ANY $58.42 $254.00 $31.07–$254.77 77% above 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, PRESC/OTC, UR $83.49 $363.00 $31.07–$284.59 153% above 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, PRESC/OTC, SERUM $83.49 $363.00 $31.07–$284.59 153% above 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHYL GLUCURONIDE SCREEN $83.49 $363.00 $31.07–$284.59 153% above 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE ANALYSIS, URINE - RL $83.49 $363.00 $31.07–$284.59 153% above 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCRN, MECONIUM STOOL ,CANNABIS (THC) $87.86 $382.00 $31.07–$299.49 166% above 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM DRUG SCREEN PANEL $87.86 $382.00 $31.07–$299.49 166% above 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE SCREEN $87.86 $382.00 $31.07–$299.49 166% above 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN CLINIC DRUG SCREEN, U - RL $95.45 $415.00 $31.07–$325.36 189% above 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE PANEL, MECONIUM - SCREEN $95.45 $415.00 $31.07–$325.36 189% above 77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COMPLIANCE DRUG SCREEN, URINE $95.45 $415.00 $31.07–$325.36 189% above 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GAMMA-HYDROXYBUTYRIC ACID $19.78 $86.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 *HC COMPREHENSIVE GASTRIC DRUG SCREEN $19.78 $86.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 *HC DRUG SCREEN, PRESUMP, TRICYCLIC ANTIDEPRESSANTS $21.85 $95.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUAL, EACH $21.85 $95.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN, URINE $21.85 $95.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 *HC DRUG SCREEN IMMUNOASSAY, EACH SUBSQ, BLOOD $21.85 $95.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CHAIN OF CUSTODY, URINE DRUG SCREEN $21.85 $95.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN,PRESUMP, ANY CLASS, BY INSTRMNT CHEM ANALY, AMPHETAMINES,URINE $21.85 $95.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 *HC DRUG SCREEN IMMUNOASSAY, EACH SUBSQ $21.85 $95.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC KETAMINE AND METABOLITE SCREEN, PLASMA - RL $29.44 $128.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN, ANY $58.42 $254.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, PRESC/OTC, SERUM $83.49 $363.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, PRESC/OTC, UR $83.49 $363.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ETHYL GLUCURONIDE SCREEN $83.49 $363.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE ANALYSIS, URINE - RL $83.49 $363.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCRN, MECONIUM STOOL ,CANNABIS (THC) $87.86 $382.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MECONIUM DRUG SCREEN PANEL $87.86 $382.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE SCREEN $87.86 $382.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE PANEL, MECONIUM - SCREEN $95.45 $415.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COMPLIANCE DRUG SCREEN, URINE $95.45 $415.00 — — 77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PAIN CLINIC DRUG SCREEN, U - RL $95.45 $415.00 — — 77%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL $17.48 $76.00 $3.51–$59.58 52% below 77%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL $17.48 $76.00 — — 77%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS, VCA IGG $12.88 $56.00 $9.07–$43.90 75% below 77%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS, VCA IGM $12.88 $56.00 $9.07–$43.90 75% below 77%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV IGG $12.88 $56.00 $9.07–$43.90 75% below 77%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV-IGM $14.95 $65.00 $9.07–$50.96 71% below 77%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR ANTIBODY,V CAPSID $48.30 $210.00 $9.07–$164.64 5% below 77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV IGG $12.88 $56.00 — — 77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS, VCA IGM $12.88 $56.00 — — 77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS, VCA IGG $12.88 $56.00 — — 77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV-IGM $14.95 $65.00 — — 77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR ANTIBODY,V CAPSID $48.30 $210.00 — — 77%
Estradiol blood test CPT 82670 *HC ESTRADIOL, FEMALE ADULT PREMENOPAUSAL $34.50 $150.00 $13.97–$117.60 40% below 77%
Estradiol blood test CPT 82670 HC ESTRADIOL $34.50 $150.00 $13.97–$117.60 40% below 77%
Estradiol blood test CPT 82670 *HC ESTRADIOL, MALE CHILD OR POST MENOPAUSAL FEMALE $34.50 $150.00 $13.97–$117.60 40% below 77%
Estradiol blood test CPT 82670 *HC ESTRADIOL, LCMS, ENDO-SCI $34.50 $150.00 $13.97–$117.60 40% below 77%
Estradiol blood test inpatient CPT 82670 *HC ESTRADIOL, FEMALE ADULT PREMENOPAUSAL $34.50 $150.00 — — 77%
Estradiol blood test inpatient CPT 82670 *HC ESTRADIOL, MALE CHILD OR POST MENOPAUSAL FEMALE $34.50 $150.00 — — 77%
Estradiol blood test inpatient CPT 82670 *HC ESTRADIOL, LCMS, ENDO-SCI $34.50 $150.00 — — 77%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL $34.50 $150.00 — — 77%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH $23.00 $100.00 $9.29–$78.40 58% below 77%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH $23.00 $100.00 — — 77%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL $64.63 $281.00 $9.82–$220.30 32% below 77%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL $64.63 $281.00 — — 77%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN $17.02 $74.00 $6.82–$58.02 63% below 77%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN - RL $17.02 $74.00 $6.82–$58.02 63% below 77%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN - RL $17.02 $74.00 — — 77%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN $17.02 $74.00 — — 77%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN $10.58 $46.00 $4.86–$36.06 66% below 77%
Fibrinogen blood test CPT 85384 HC CITRATED FUNCTIONAL FIBRINOGEN FLEV $24.38 $106.00 $4.86–$83.10 22% below 77%
Fibrinogen blood test CPT 85384 HC CITRATED FUNCTIONAL FIBRINOGEN MA $24.38 $106.00 $4.86–$83.10 22% below 77%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN $10.58 $46.00 — — 77%
Fibrinogen blood test inpatient CPT 85384 HC CITRATED FUNCTIONAL FIBRINOGEN MA $24.38 $106.00 — — 77%
Fibrinogen blood test inpatient CPT 85384 HC CITRATED FUNCTIONAL FIBRINOGEN FLEV $24.38 $106.00 — — 77%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID $17.94 $78.00 $7.35–$61.15 53% below 77%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID $17.94 $78.00 — — 77%
Free T3 thyroid hormone test CPT 84481 HC T3,FREE $26.45 $115.00 $8.47–$90.16 46% below 77%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3,FREE $26.45 $115.00 — — 77%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE $7.13 $31.00 $4.51–$24.30 80% below 77%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE $11.04 $48.00 $4.51–$37.63 68% below 77%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE BY DIALYSIS $24.84 $108.00 $4.51–$84.67 29% below 77%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE $7.13 $31.00 — — 77%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE $11.04 $48.00 — — 77%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE BY DIALYSIS $24.84 $108.00 — — 77%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS $17.71 $77.00 $12.74–$60.37 71% below 77%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE, MALES $33.58 $146.00 $12.74–$114.46 44% below 77%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE, FEMALES OR CHILDREN $33.58 $146.00 $12.74–$114.46 44% below 77%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE $83.26 $362.00 $12.74–$283.81 38% above 77%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS $17.71 $77.00 — — 77%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE, FEMALES OR CHILDREN $33.58 $146.00 — — 77%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE, MALES $33.58 $146.00 — — 77%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE $83.26 $362.00 — — 77%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT $9.43 $41.00 $3.60–$32.14 62% below 77%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC HCV FIBROSURE-GGT $9.43 $41.00 $3.60–$32.14 62% below 77%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT $9.43 $41.00 — — 77%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC HCV FIBROSURE-GGT $9.43 $41.00 — — 77%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 *HC GLUCOSE 2HR POST DOSE $17.94 $78.00 $2.38–$61.15 12% above 77%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE $17.94 $78.00 $2.38–$61.15 12% above 77%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 *HC GLUCOSE 2HR POST DOSE $17.94 $78.00 — — 77%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE $17.94 $78.00 — — 77%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS $9.43 $41.00 $6.44–$32.14 79% below 77%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 2 HRS $17.94 $78.00 $6.44–$61.15 60% below 77%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3H $17.94 $78.00 $6.44–$61.15 60% below 77%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS $9.43 $41.00 — — 77%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3H $17.94 $78.00 — — 77%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 2 HRS $17.94 $78.00 — — 77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA $42.78 $186.00 $17.55–$145.82 25% below 77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA $42.78 $186.00 $17.55–$145.82 25% below 77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC BY AMPLIFIED PROBE $42.78 $186.00 $17.55–$145.82 25% below 77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA $42.78 $186.00 — — 77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC BY AMPLIFIED PROBE $42.78 $186.00 — — 77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA $42.78 $186.00 — — 77%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG $29.21 $127.00 $8.43–$99.57 36% below 77%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB, EACH $29.21 $127.00 $8.43–$99.57 36% below 77%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB, EACH $29.21 $127.00 — — 77%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG $29.21 $127.00 — — 77%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG STOOL $60.26 $262.00 $6.46–$205.41 1% below 77%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG STOOL $60.26 $262.00 — — 77%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR $34.04 $148.00 $42.55–$164.96 80% below 77%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA DETECT/QUANT $36.80 $160.00 $42.55–$164.96 79% below 77%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT BY NAAT $56.81 $247.00 $42.55–$193.65 67% below 77%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR $34.04 $148.00 — — 77%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA DETECT/QUANT $36.80 $160.00 — — 77%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT BY NAAT $56.81 $247.00 — — 77%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1/2 AB, DONOR EVAL (BLOOD CENTER) $7.59 $33.00 $6.86–$25.87 78% below 77%
HIV-1 and HIV-2 antibody test CPT 86703 HC RAPID HIV-1/2 AB $13.57 $59.00 $6.86–$46.26 60% below 77%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1/2 AB, DONOR EVAL (BLOOD CENTER) $7.59 $33.00 — — 77%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC RAPID HIV-1/2 AB $13.57 $59.00 — — 77%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB $13.57 $59.00 $12.04–$46.26 71% below 77%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB $13.57 $59.00 — — 77%
HPV test for high-risk types, one combined (pooled) result CPT 87624 *HC HPV DNA HIGH RISK $14.49 $63.00 $17.55–$68.03 71% below 77%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT $25.53 $111.00 $17.55–$87.02 50% below 77%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 *HC HPV DNA HIGH RISK $14.49 $63.00 — — 77%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT $25.53 $111.00 — — 77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HB $6.90 $30.00 $4.86–$23.52 81% below 77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C - RL $17.94 $78.00 $4.86–$61.15 49% below 77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HB $6.90 $30.00 — — 77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C - RL $17.94 $78.00 — — 77%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN $6.21 $27.00 $1.19–$21.17 40% below 77%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN $6.21 $27.00 — — 77%
Hepatitis B core antibody test (total) CPT 86704 HC HBCAB $8.74 $38.00 $6.03–$29.79 69% below 77%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB, DONOR EVAL (BLOOD CENTER) $8.74 $38.00 $6.03–$29.79 69% below 77%
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB,IGG/IGM DIFF $9.89 $43.00 $6.03–$33.71 65% below 77%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE, TOTAL $15.41 $67.00 $6.03–$52.53 46% below 77%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HBCAB $8.74 $38.00 — — 77%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB, DONOR EVAL (BLOOD CENTER) $8.74 $38.00 — — 77%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE AB,IGG/IGM DIFF $9.89 $43.00 — — 77%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE, TOTAL $15.41 $67.00 — — 77%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HBSAB $13.57 $59.00 $5.37–$46.26 55% below 77%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HBSAB $13.57 $59.00 — — 77%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG $13.11 $57.00 $5.17–$44.69 63% below 77%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER) $13.11 $57.00 $5.17–$44.69 63% below 77%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG $13.11 $57.00 — — 77%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER) $13.11 $57.00 — — 77%
Hepatitis C antibody blood test (screening) CPT 86803 *HC C-AB, HEP-C $17.48 $76.00 $7.14–$59.58 61% below 77%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER) $17.48 $76.00 $7.14–$59.58 61% below 77%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV-AB $17.48 $76.00 $7.14–$59.58 61% below 77%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 *HC C-AB, HEP-C $17.48 $76.00 — — 77%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER) $17.48 $76.00 — — 77%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV-AB $17.48 $76.00 — — 77%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA ULTRAQUANT BY PCR $31.51 $137.00 $21.42–$107.41 71% below 77%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY PCR $99.36 $432.00 $21.42–$338.69 10% below 77%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA ULTRAQUANT BY PCR $31.51 $137.00 — — 77%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY PCR $99.36 $432.00 — — 77%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB $8.74 $38.00 $6.60–$29.79 65% below 77%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB $10.81 $47.00 $6.60–$36.85 57% below 77%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGM $17.71 $77.00 $6.60–$60.37 30% below 77%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG $17.71 $77.00 $6.60–$60.37 30% below 77%
Herpes blood test, HSV-1 antibody CPT 86695 *HC ENCEPH - HSV I AB $17.71 $77.00 $6.60–$60.37 30% below 77%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGG INDEX, CSF $22.31 $97.00 $6.60–$76.05 11% below 77%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG AB $29.90 $130.00 $6.60–$101.92 19% above 77%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB $8.74 $38.00 — — 77%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB $10.81 $47.00 — — 77%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 *HC ENCEPH - HSV I AB $17.71 $77.00 — — 77%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG $17.71 $77.00 — — 77%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGM $17.71 $77.00 — — 77%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGG INDEX, CSF $22.31 $97.00 — — 77%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG AB $29.90 $130.00 — — 77%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB $16.10 $70.00 $9.68–$54.88 63% below 77%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG AB $24.15 $105.00 $9.68–$82.32 44% below 77%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGM $24.15 $105.00 $9.68–$82.32 44% below 77%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 IGG, CSF $24.15 $105.00 $9.68–$82.32 44% below 77%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG $24.15 $105.00 $9.68–$82.32 44% below 77%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB $24.15 $105.00 $9.68–$82.32 44% below 77%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB $16.10 $70.00 — — 77%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE 2 IGG, CSF $24.15 $105.00 — — 77%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG $24.15 $105.00 — — 77%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGM $24.15 $105.00 — — 77%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG AB $24.15 $105.00 — — 77%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB $24.15 $105.00 — — 77%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS $51.52 $224.00 $6.48–$175.62 20% above 77%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS $51.52 $224.00 — — 77%
Insulin blood test CPT 83525 HC INSULIN AND C-PEPTIDE $14.49 $63.00 $5.72–$49.39 49% below 77%
Insulin blood test inpatient CPT 83525 HC INSULIN AND C-PEPTIDE $14.49 $63.00 — — 77%
Iron blood test (serum iron) CPT 83540 HC IRON, LIVER TISSUE - RL $6.90 $30.00 $3.24–$23.52 68% below 77%
Iron blood test (serum iron) CPT 83540 HC IRON, URINE $6.90 $30.00 $3.24–$23.52 68% below 77%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, LIVER TISSUE - RL $6.90 $30.00 — — 77%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, URINE $6.90 $30.00 — — 77%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY $11.04 $48.00 $4.37–$37.63 66% below 77%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY $11.04 $48.00 — — 77%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL $25.76 $112.00 $4.34–$87.81 49% below 77%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL $25.76 $112.00 — — 77%
LH (luteinizing hormone) test CPT 83002 *HC LUTEINIZING HORMONE - RL $22.77 $99.00 $9.26–$77.62 58% below 77%
LH (luteinizing hormone) test CPT 83002 HC LH $22.77 $99.00 $9.26–$77.62 58% below 77%
LH (luteinizing hormone) test inpatient CPT 83002 *HC LUTEINIZING HORMONE - RL $22.77 $99.00 — — 77%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH $22.77 $99.00 — — 77%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID $13.57 $59.00 $5.79–$46.26 51% below 77%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID, CSF $13.57 $59.00 $5.79–$46.26 51% below 77%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE $13.57 $59.00 $5.79–$46.26 51% below 77%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE $13.57 $59.00 — — 77%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID, CSF $13.57 $59.00 — — 77%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID $13.57 $59.00 — — 77%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BLOOD $17.02 $74.00 $3.02–$58.02 17% below 77%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH-BLOOD OR BODY FLUID $17.02 $74.00 $3.02–$58.02 17% below 77%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID - RL $17.02 $74.00 $3.02–$58.02 17% below 77%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID - RL $17.02 $74.00 — — 77%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BLOOD $17.02 $74.00 — — 77%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH-BLOOD OR BODY FLUID $17.02 $74.00 — — 77%
Lipase blood test (pancreas enzyme) CPT 83690 *HC LIPASE, BODY FLUID $9.20 $40.00 $3.45–$31.36 63% below 77%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE $9.20 $40.00 $3.45–$31.36 63% below 77%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, BODY FLUID - RL $9.20 $40.00 $3.45–$31.36 63% below 77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE $9.20 $40.00 — — 77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, BODY FLUID - RL $9.20 $40.00 — — 77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 *HC LIPASE, BODY FLUID $9.20 $40.00 — — 77%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS $16.56 $72.00 $4.09–$56.45 67% below 77%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS $16.56 $72.00 — — 77%
Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, CSF - RL $50.83 $221.00 $8.52–$173.26 1% above 77%
Lyme disease antibody test CPT 86618 *HC LYME AB INDX IGG/IGM $50.83 $221.00 $8.52–$173.26 1% above 77%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODIES $50.83 $221.00 $8.52–$173.26 1% above 77%
Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, SERUM - RL $50.83 $221.00 $8.52–$173.26 1% above 77%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODIES $50.83 $221.00 — — 77%
Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, SERUM - RL $50.83 $221.00 — — 77%
Lyme disease antibody test inpatient CPT 86618 *HC LYME AB INDX IGG/IGM $50.83 $221.00 — — 77%
Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, CSF - RL $50.83 $221.00 — — 77%
Magnesium blood test CPT 83735 HC MAGNESIUM LEVEL ASSAY $13.11 $57.00 $3.35–$44.69 39% below 77%
Magnesium blood test CPT 83735 HC MAGNESIUM, RBC $13.11 $57.00 $3.35–$44.69 39% below 77%
Magnesium blood test CPT 83735 HC MAGNESIUM, URINE $13.11 $57.00 $3.35–$44.69 39% below 77%
Magnesium blood test CPT 83735 HC MAGNESIUM, FECES $20.70 $90.00 $3.35–$70.56 3% below 77%
Magnesium blood test CPT 83735 HC SUPERSAT URINE, MAGNESIUM $20.70 $90.00 $3.35–$70.56 3% below 77%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC $13.11 $57.00 — — 77%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM LEVEL ASSAY $13.11 $57.00 — — 77%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE $13.11 $57.00 — — 77%
Magnesium blood test inpatient CPT 83735 HC SUPERSAT URINE, MAGNESIUM $20.70 $90.00 — — 77%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, FECES $20.70 $90.00 — — 77%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG $9.66 $42.00 $6.44–$32.93 67% below 77%
Measles (rubeola) antibody test CPT 86765 HC MEASLES (RUBEOLA) IGM BY IFA, CSF $29.21 $127.00 $6.44–$99.57 1% above 77%
Measles (rubeola) antibody test CPT 86765 HC MEASLES (RUBEOLA) IGG BY IFA, CSF $29.21 $127.00 $6.44–$99.57 1% above 77%
Measles (rubeola) antibody test CPT 86765 *HC RUBEOLA ANTIBODY $29.21 $127.00 $6.44–$99.57 1% above 77%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG - RL $29.21 $127.00 $6.44–$99.57 1% above 77%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM $29.21 $127.00 $6.44–$99.57 1% above 77%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG $9.66 $42.00 — — 77%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM $29.21 $127.00 — — 77%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG - RL $29.21 $127.00 — — 77%
Measles (rubeola) antibody test inpatient CPT 86765 *HC RUBEOLA ANTIBODY $29.21 $127.00 — — 77%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES (RUBEOLA) IGG BY IFA, CSF $29.21 $127.00 — — 77%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES (RUBEOLA) IGM BY IFA, CSF $29.21 $127.00 — — 77%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN $8.74 $38.00 $2.59–$29.79 64% below 77%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT $12.88 $56.00 $2.59–$43.90 47% below 77%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODY SCREEN $8.74 $38.00 — — 77%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT $12.88 $56.00 — — 77%
Mumps immunity blood test CPT 86735 HC MUMPS AB, IGG $9.20 $40.00 $6.53–$31.36 69% below 77%
Mumps immunity blood test CPT 86735 HC MUMPS AB IGM, CSF $25.30 $110.00 $6.53–$86.24 14% below 77%
Mumps immunity blood test CPT 86735 *HC MUMPS ANTIBODY $25.30 $110.00 $6.53–$86.24 14% below 77%
Mumps immunity blood test CPT 86735 *HC MUMPS IGG - RL $25.30 $110.00 $6.53–$86.24 14% below 77%
Mumps immunity blood test CPT 86735 HC MUMPS AB IGG, CSF $25.30 $110.00 $6.53–$86.24 14% below 77%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB, IGG $9.20 $40.00 — — 77%
Mumps immunity blood test inpatient CPT 86735 *HC MUMPS IGG - RL $25.30 $110.00 — — 77%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB IGG, CSF $25.30 $110.00 — — 77%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB IGM, CSF $25.30 $110.00 — — 77%
Mumps immunity blood test inpatient CPT 86735 *HC MUMPS ANTIBODY $25.30 $110.00 — — 77%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE $12.42 $54.00 $9.20–$42.34 74% below 77%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE $12.42 $54.00 — — 77%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL-REF LAB ONLY $12.42 $54.00 $9.20–$42.34 72% below 77%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, SCREENING $22.77 $99.00 $9.20–$77.62 48% below 77%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE HEALTH INDEX (PHI) $25.76 $112.00 $9.20–$87.81 42% below 77%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC $25.76 $112.00 $9.20–$87.81 42% below 77%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL $25.76 $112.00 $9.20–$87.81 42% below 77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL-REF LAB ONLY $12.42 $54.00 — — 77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, SCREENING $22.77 $99.00 — — 77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL $25.76 $112.00 — — 77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE HEALTH INDEX (PHI) $25.76 $112.00 — — 77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC $25.76 $112.00 — — 77%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC $14.26 $62.00 $13.31–$48.61 67% below 77%
Pap test (liquid-based, automated screening with review) CPT 88175 *HC CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER $26.68 $116.00 $13.31–$90.94 38% below 77%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC $14.26 $62.00 — — 77%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 *HC CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER $26.68 $116.00 — — 77%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC $12.19 $53.00 $10.13–$41.55 56% below 77%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP SCREENING $21.85 $95.00 $10.13–$74.48 21% below 77%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC $12.19 $53.00 — — 77%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP SCREENING $21.85 $95.00 — — 77%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTRAOPERATIVE $34.73 $151.00 $20.64–$118.38 62% below 77%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTACT $50.83 $221.00 $20.64–$173.26 44% below 77%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE, FNA $50.83 $221.00 $20.64–$173.26 44% below 77%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTRAOPERATIVE $34.73 $151.00 — — 77%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTACT $50.83 $221.00 — — 77%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE, FNA $50.83 $221.00 — — 77%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME $7.36 $32.00 $3.01–$25.09 64% below 77%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME $7.36 $32.00 — — 77%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS $5.98 $26.00 $2.37–$20.38 64% below 77%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS, FECES $5.98 $26.00 $2.37–$20.38 64% below 77%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS $5.98 $26.00 — — 77%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS, FECES $5.98 $26.00 — — 77%
Potassium blood test CPT 84132 *HC POC POTASSIUM $5.98 $26.00 $2.38–$20.38 66% below 77%
Potassium blood test inpatient CPT 84132 *HC POC POTASSIUM $5.98 $26.00 — — 77%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY $370.53 $1,611.00 $379.53–$2,440.06 12% below 77%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY $370.53 $1,611.00 — — 77%
Progesterone blood test CPT 84144 HC PROGESTERONE $25.99 $113.00 $10.43–$88.59 52% below 77%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE $25.99 $113.00 — — 77%
Prolactin blood test CPT 84146 HC PROLACTIN $25.76 $112.00 $9.69–$87.81 60% below 77%
Prolactin blood test CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT $25.76 $112.00 $9.69–$87.81 60% below 77%
Prolactin blood test CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC $25.76 $112.00 $9.69–$87.81 60% below 77%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC $25.76 $112.00 — — 77%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN $25.76 $112.00 — — 77%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT $25.76 $112.00 — — 77%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $7.13 $31.00 $2.15–$24.30 51% below 77%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR $7.13 $31.00 $2.15–$24.30 51% below 77%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR $7.13 $31.00 — — 77%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME $7.13 $31.00 — — 77%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST, PRESUMP,ANY NUMBER OF CLASS, DIRECT OPTICAL OBS, URINE $15.64 $68.00 $6.30–$53.31 31% below 77%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST, PRESUMP,ANY NUMBER OF CLASS, DIRECT OPTICAL OBS, URINE $15.64 $68.00 — — 77%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A SCREEN $7.82 $34.00 $8.27–$26.66 65% below 77%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC THROAT SCREEN $8.97 $39.00 $8.27–$30.58 60% below 77%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POC STREP A SCREEN $10.35 $45.00 $8.27–$35.28 53% below 77%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A SCREEN $7.82 $34.00 — — 77%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC THROAT SCREEN $8.97 $39.00 — — 77%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC POC STREP A SCREEN $10.35 $45.00 — — 77%
Renin blood test CPT 84244 HC RENIN ACTIVITY $79.35 $345.00 $11.00–$270.48 33% above 77%
Renin blood test CPT 84244 HC RENIN ACTIVITY, PLASMA -RL $79.35 $345.00 $11.00–$270.48 33% above 77%
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY, PLASMA -RL $79.35 $345.00 — — 77%
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY $79.35 $345.00 — — 77%
Rh blood typing CPT 86901 HC BB REF RH TYPE $4.83 $21.00 $2.99–$39.24 77% below 77%
Rh blood typing CPT 86901 HC C-BLOOD RH TYPE $9.66 $42.00 $2.99–$39.24 55% below 77%
Rh blood typing inpatient CPT 86901 HC BB REF RH TYPE $4.83 $21.00 — — 77%
Rh blood typing inpatient CPT 86901 HC C-BLOOD RH TYPE $9.66 $42.00 — — 77%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT $7.13 $31.00 $2.84–$24.30 70% below 77%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT $7.13 $31.00 — — 77%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA QUANTITATIVE $17.71 $77.00 $7.20–$60.37 47% below 77%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY, IGG $21.39 $93.00 $7.20–$72.91 36% below 77%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM $21.39 $93.00 $7.20–$72.91 36% below 77%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG $42.32 $184.00 $7.20–$144.26 27% above 77%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA QUANTITATIVE $17.71 $77.00 — — 77%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM $21.39 $93.00 — — 77%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY, IGG $21.39 $93.00 — — 77%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG $42.32 $184.00 — — 77%
Sodium blood test CPT 84295 *HC POC SODIUM, BLOOD $6.21 $27.00 $2.41–$21.17 64% below 77%
Sodium blood test CPT 84295 HC SODIUM $6.21 $27.00 $2.41–$21.17 64% below 77%
Sodium blood test inpatient CPT 84295 *HC POC SODIUM, BLOOD $6.21 $27.00 — — 77%
Sodium blood test inpatient CPT 84295 HC SODIUM $6.21 $27.00 — — 77%
Stool ova and parasites exam CPT 87177 HC EXAM PARA, URINE/B.F. $11.73 $51.00 $4.45–$39.98 61% below 77%
Stool ova and parasites exam inpatient CPT 87177 HC EXAM PARA, URINE/B.F. $11.73 $51.00 — — 77%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC POC OCCULT BLOOD SCREEN $5.98 $26.00 $2.19–$20.38 56% below 77%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN $5.98 $26.00 $2.19–$20.38 56% below 77%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC POC OCCULT BLOOD SCREEN $5.98 $26.00 — — 77%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN $5.98 $26.00 — — 77%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD - RL $6.44 $28.00 $7.96–$30.52 75% below 77%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD $25.76 $112.00 $7.96–$87.81 1% above 77%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD - RL $6.44 $28.00 — — 77%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD $25.76 $112.00 — — 77%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS TOTAL ABS $5.75 $25.00 $6.62–$25.41 78% below 77%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA-ABS CSF $8.97 $39.00 $6.62–$30.58 65% below 77%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS AB, TP-PA $8.97 $39.00 $6.62–$30.58 65% below 77%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA-ABS $9.43 $41.00 $6.62–$32.14 63% below 77%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODIES $11.50 $50.00 $6.62–$39.20 55% below 77%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS TOTAL ABS $5.75 $25.00 — — 77%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA-ABS CSF $8.97 $39.00 — — 77%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS AB, TP-PA $8.97 $39.00 — — 77%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA-ABS $9.43 $41.00 — — 77%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODIES $11.50 $50.00 — — 77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN $9.66 $42.00 $2.14–$32.93 33% below 77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL (CSF ONLY) $9.89 $43.00 $2.14–$33.71 31% below 77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN $9.66 $42.00 — — 77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL (CSF ONLY) $9.89 $43.00 — — 77%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON GOLD TB TEST $64.40 $280.00 $30.99–$219.52 45% below 77%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON GOLD TB TEST $64.40 $280.00 — — 77%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, FEMALES OR CHILDREN $18.17 $79.00 $12.91–$61.94 69% below 77%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL $83.26 $362.00 $12.91–$283.81 42% above 77%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL $83.26 $362.00 $12.91–$283.81 42% above 77%
Testosterone blood test, total (not free testosterone) CPT 84403 *HC TESTOSTERONE, FREE, FEMALES OR CHILDREN -RL $83.26 $362.00 $12.91–$283.81 42% above 77%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS $83.26 $362.00 $12.91–$283.81 42% above 77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, FEMALES OR CHILDREN $18.17 $79.00 — — 77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL $83.26 $362.00 — — 77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS $83.26 $362.00 — — 77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 *HC TESTOSTERONE, FREE, FEMALES OR CHILDREN -RL $83.26 $362.00 — — 77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL $83.26 $362.00 — — 77%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB $17.94 $78.00 $7.28–$61.15 50% below 77%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE (TPO) ABS $17.94 $78.00 $7.28–$61.15 50% below 77%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH $42.32 $184.00 $7.28–$144.26 18% above 77%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE (TPO) ABS $17.94 $78.00 — — 77%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB $17.94 $78.00 — — 77%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH $42.32 $184.00 — — 77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 *HC THYROID FUNCTION TEST REFLEX PANEL $12.19 $53.00 $8.40–$41.55 70% below 77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH - SENSITIVE, SERUM - RL $20.93 $91.00 $8.40–$71.34 49% below 77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH $20.93 $91.00 $8.40–$71.34 49% below 77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC CU INDEX-TSH ASSAY $20.93 $91.00 $8.40–$71.34 49% below 77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 *HC THYROID FUNCTION TEST REFLEX PANEL $12.19 $53.00 — — 77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH $20.93 $91.00 — — 77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH - SENSITIVE, SERUM - RL $20.93 $91.00 — — 77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC CU INDEX-TSH ASSAY $20.93 $91.00 — — 77%
Total IgE blood test CPT 82785 HC IGE-IMMUNOGLOBULIN $11.96 $52.00 $8.23–$40.77 69% below 77%
Total IgE blood test CPT 82785 *HC IMMUNOGLOBULIN E $23.46 $102.00 $8.23–$79.97 39% below 77%
Total IgE blood test inpatient CPT 82785 HC IGE-IMMUNOGLOBULIN $11.96 $52.00 — — 77%
Total IgE blood test inpatient CPT 82785 *HC IMMUNOGLOBULIN E $23.46 $102.00 — — 77%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL $9.43 $41.00 $2.18–$32.14 37% below 77%
Total cholesterol blood test CPT 82465 HC NMR CHOLESTEROL ASSAY $9.43 $41.00 $2.18–$32.14 37% below 77%
Total cholesterol blood test inpatient CPT 82465 HC NMR CHOLESTEROL ASSAY $9.43 $41.00 — — 77%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL $9.43 $41.00 — — 77%
Total thyroxine (T4) blood test CPT 84436 *HC THYROXINE TOTAL (SEND OUT) $11.73 $51.00 $3.44–$39.98 50% below 77%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL $11.73 $51.00 $3.44–$39.98 50% below 77%
Total thyroxine (T4) blood test inpatient CPT 84436 *HC THYROXINE TOTAL (SEND OUT) $11.73 $51.00 — — 77%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL $11.73 $51.00 — — 77%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAT $8.74 $38.00 $7.09–$29.79 82% below 77%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAT $8.74 $38.00 — — 77%
Transferrin blood test CPT 84466 HC TRANSFERRIN $17.94 $78.00 $6.38–$61.15 54% below 77%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN $17.94 $78.00 — — 77%
Trichomonas test (NAAT) CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE $10.58 $46.00 $16.10–$64.14 78% below 77%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE $23.92 $104.00 $17.55–$81.54 51% below 77%
Trichomonas test (NAAT) inpatient CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE $10.58 $46.00 — — 77%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE $23.92 $104.00 — — 77%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, FLUID - RL $8.74 $38.00 $2.87–$29.79 63% below 77%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, BODY FLUID $8.74 $38.00 $2.87–$29.79 63% below 77%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES $8.74 $38.00 $2.87–$29.79 63% below 77%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, BODY FLUID $8.74 $38.00 — — 77%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, FLUID - RL $8.74 $38.00 — — 77%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES $8.74 $38.00 — — 77%
Troponin test, quantitative CPT 84484 *HC POC TROPONIN $27.37 $119.00 $6.24–$93.30 28% below 77%
Troponin test, quantitative CPT 84484 HC TROPONIN I $27.37 $119.00 $6.24–$93.30 28% below 77%
Troponin test, quantitative inpatient CPT 84484 *HC POC TROPONIN $27.37 $119.00 — — 77%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I $27.37 $119.00 — — 77%
Uric acid blood test CPT 84550 HC URIC ACID $5.98 $26.00 $2.26–$20.38 66% below 77%
Uric acid blood test inpatient CPT 84550 HC URIC ACID $5.98 $26.00 — — 77%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO W/MICRO $9.66 $42.00 $1.59–$32.93 61% below 77%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO W/MICRO $9.66 $42.00 — — 77%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO $4.60 $20.00 $2.01–$15.68 30% below 77%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO $4.60 $20.00 — — 77%
Urinalysis without microscope exam, manual CPT 81002 *HC URINE SINGLE ITEM $2.53 $11.00 $1.74–$8.62 63% below 77%
Urinalysis without microscope exam, manual inpatient CPT 81002 *HC URINE SINGLE ITEM $2.53 $11.00 — — 77%
Urine microalbumin (albumin) test CPT 82043 HC MICROALB URINE, RANDOM $6.21 $27.00 $2.89–$21.17 64% below 77%
Urine microalbumin (albumin) test CPT 82043 *HC MICROALBUMIN, 24 HOUR URINE $27.37 $119.00 $2.89–$93.30 57% above 77%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QUANT $27.37 $119.00 $2.89–$93.30 57% above 77%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALB URINE, RANDOM $6.21 $27.00 — — 77%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QUANT $27.37 $119.00 — — 77%
Urine microalbumin (albumin) test inpatient CPT 82043 *HC MICROALBUMIN, 24 HOUR URINE $27.37 $119.00 — — 77%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST, URINE $11.04 $48.00 $4.31–$37.63 47% below 77%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST, URINE $11.04 $48.00 — — 77%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12 $11.73 $51.00 $7.54–$39.98 70% below 77%
Vitamin B12 (cobalamin) blood test CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12 $18.86 $82.00 $7.54–$64.29 52% below 77%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12 $11.73 $51.00 — — 77%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12 $18.86 $82.00 — — 77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D, 25 HYDROXY $39.33 $171.00 $14.80–$134.06 49% below 77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3 $39.33 $171.00 $14.80–$134.06 49% below 77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3 $39.33 $171.00 — — 77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D, 25 HYDROXY $39.33 $171.00 — — 77%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D, 1-25 DIHYRDOXY $47.38 $206.00 $19.25–$161.50 47% below 77%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D, 1-25 DIHYRDOXY $47.38 $206.00 — — 77%
Zinc blood test CPT 84630 HC ZINC RBC $14.49 $63.00 $5.70–$49.39 54% below 77%
Zinc blood test CPT 84630 HC ZINC, URINE $14.49 $63.00 $5.70–$49.39 54% below 77%
Zinc blood test CPT 84630 HC ZINC, SERUM - RL $14.49 $63.00 $5.70–$49.39 54% below 77%
Zinc blood test CPT 84630 HC ZINC QUANTITATIVE $14.49 $63.00 $5.70–$49.39 54% below 77%
Zinc blood test inpatient CPT 84630 HC ZINC QUANTITATIVE $14.49 $63.00 — — 77%
Zinc blood test inpatient CPT 84630 HC ZINC, SERUM - RL $14.49 $63.00 — — 77%
Zinc blood test inpatient CPT 84630 HC ZINC, URINE $14.49 $63.00 — — 77%
Zinc blood test inpatient CPT 84630 HC ZINC RBC $14.49 $63.00 — — 77%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG BETA SUBUNIT, CSF $9.66 $42.00 $7.53–$32.93 80% below 77%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG BETA SUBUNIT, CSF $9.66 $42.00 — — 77%

Surgery and procedures

ProcedureCash price List priceInsurers payvs LouisianaOff list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS $1,601.49 $6,963.01 $553.00–$3,242.46 56% below 77%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 NECK SPINE FUSE&REMOVE ADDL $15,241.97 $66,269.41 $204.00–$23,434.12 at median 77%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY $10,209.72 $44,390.11 $204.00–$10,913.61 15% below 77%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR $7,819.13 $33,996.23 $773.72–$7,142.39 19% below 77%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BRST, 1ST LESION, STEREOTACTIC GUIDANCE $458.62 $1,994.00 $481.27–$1,708.00 29% below 77%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BRST, 1ST LESION, STEREOTACTIC GUIDANCE $458.62 $1,994.00 — — 77%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX DST FIB FX WO MAN $90.62 $394.00 $137.90–$962.00 57% below 77%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX DST FIB FX WO MAN $90.62 $394.00 — — 77%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT $1,919.79 $8,346.93 $204.00–$7,322.28 44% below 77%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION $298.54 $1,298.00 $169.39–$1,469.67 45% below 77%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION $298.54 $1,298.00 — — 77%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY $1,283.83 $5,581.88 $481.27–$2,322.66 28% below 77%
Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX $405.26 $1,762.00 $204.00–$1,156.18 15% below 77%
Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX $405.26 $1,762.00 — — 77%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER $1,603.19 $6,970.38 $376.00–$5,495.58 4% above 77%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE) $564.19 $2,453.00 $481.27–$5,495.58 29% below 77%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE) $564.19 $2,453.00 — — 77%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE) $564.19 $2,453.00 $481.27–$5,837.00 18% below 77%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE) $564.19 $2,453.00 — — 77%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA $181.01 $787.00 $102.70–$1,298.00 22% below 77%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA $181.01 $787.00 — — 77%
Colonoscopy with polyp removal CPT 45385 HC COLON W/REMOVAL BY SNARE TECH $308.89 $1,343.00 $470.05–$1,279.00 64% below 77%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W/REMOVAL BY SNARE TECH $308.89 $1,343.00 — — 77%
Colonoscopy with tissue sample CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD $308.89 $1,343.00 $470.05–$1,279.00 64% below 77%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD $308.89 $1,343.00 — — 77%
Colonoscopy, diagnostic CPT 45378 HC COLON DX (INCL BRUSH/WASH) $308.89 $1,343.00 $376.00–$1,279.00 59% below 77%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DX (INCL BRUSH/WASH) $308.89 $1,343.00 — — 77%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT $1,983.68 $8,624.70 $481.27–$6,486.78 at median 77%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY $1,315.97 $5,721.62 $276.57–$962.00 110% above 77%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING $1,470.69 $6,394.32 $550.32–$2,075.80 at median 77%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL $51.06 $222.00 $28.97–$730.00 27% below 77%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL $51.06 $222.00 — — 77%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL $33.35 $145.00 $18.92–$1,708.00 48% below 77%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL $33.35 $145.00 — — 77%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 SINUS ENDOSCOPY SURGICAL $5,427.66 $23,598.54 $550.32–$6,921.17 15% below 77%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS $5,912.52 $25,706.62 $204.00–$5,672.70 85% above 77%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS $6,996.58 $30,419.92 $550.32–$6,921.17 7% above 77%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ CERV/THORAC,W/GUIDANCE $775.10 $3,370.00 $359.35–$2,277.71 1% above 77%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ CERV/THORAC,W/GUIDANCE $775.10 $3,370.00 — — 77%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL $312.80 $1,360.00 $177.48–$954.00 38% below 77%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL $312.80 $1,360.00 — — 77%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE $5,670.79 $24,655.63 $553.00–$7,961.24 2% below 77%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBLE $6,127.09 $26,639.53 $553.00–$7,961.24 at median 77%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE $3,107.90 $13,512.59 $553.00–$7,961.24 6% below 77%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY $3,937.28 $17,118.63 $550.32–$5,904.77 42% above 77%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH $5,312.57 $23,098.12 $550.32–$5,904.77 87% above 77%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE $1,687.19 $7,335.61 $550.32–$5,328.35 35% below 77%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOID LIGATION $261.05 $1,135.00 $148.12–$974.13 43% below 77%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOID LIGATION $261.05 $1,135.00 — — 77%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP $3,067.41 $13,336.57 $550.32–$6,635.55 129% above 77%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGIOGRAM $56.81 $247.00 $86.45–$1,953.00 53% below 77%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGIOGRAM $56.81 $247.00 — — 77%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION $2,820.83 $12,264.46 $553.00–$8,982.35 at median 77%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY $1,641.35 $7,136.29 $550.32–$5,814.56 14% below 77%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD) $231.84 $1,008.00 $49.61–$962.00 21% above 77%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD) $231.84 $1,008.00 — — 77%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE SINGLE $104.19 $453.00 $111.00–$529.16 47% below 77%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE SINGLE $104.19 $453.00 — — 77%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR $2,836.94 $12,334.51 $679.83–$7,961.24 7% below 77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT $176.64 $768.00 $100.22–$962.00 29% below 77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT $176.64 $768.00 — — 77%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY $17,598.61 $76,515.71 $550.32–$3,647.67 130% above 77%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY $2,539.17 $11,039.87 $679.83–$3,647.67 28% below 77%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY $2,985.73 $12,981.45 $679.83–$3,647.67 19% below 77%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY $3,228.50 $14,036.95 $679.83–$3,647.67 5% below 77%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY $7,385.05 $32,108.93 $730.00–$11,965.49 56% above 77%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY $9,465.95 $41,156.32 $553.00–$17,701.16 115% above 77%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS $6,935.51 $30,154.39 $553.00–$13,544.86 28% below 77%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS $8,211.53 $35,702.31 $553.00–$13,544.86 45% above 77%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT $6,657.25 $28,944.55 $553.00–$11,965.49 42% above 77%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR $6,674.62 $29,020.08 $553.00–$11,965.49 14% below 77%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA $6,754.63 $29,367.95 $204.00–$11,965.49 10% above 77%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT REP S/A/T/EX 2.5CM/< $222.18 $966.00 $111.00–$1,129.35 32% below 77%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT REP S/A/T/EX 2.5CM/< $222.18 $966.00 — — 77%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE $775.10 $3,370.00 $204.00–$2,277.71 at median 77%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE $775.10 $3,370.00 — — 77%
Lower-back epidural injection, without imaging guidance CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING $392.15 $1,705.00 $359.35–$1,953.00 1% above 77%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING $392.15 $1,705.00 — — 77%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL $312.80 $1,360.00 $177.48–$954.00 31% below 77%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL $312.80 $1,360.00 — — 77%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY $4,645.04 $20,195.85 $1,074.00–$11,363.68 30% below 77%
Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVAL OF SPINAL LAMINA $5,728.38 $24,906.00 $553.00–$11,363.68 53% below 77%
Lumpectomy (partial mastectomy) CPT 19301 PARTICAL MASTECTOMY $4,665.19 $20,283.45 $550.32–$5,194.12 20% above 77%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE $4,064.54 $17,671.93 $679.83–$8,413.86 23% above 77%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE $108.79 $473.00 $61.73–$498.00 20% below 77%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE $108.79 $473.00 — — 77%
Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL $207.23 $901.00 $117.58–$1,953.00 20% below 77%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL $207.23 $901.00 — — 77%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE $457.93 $1,991.00 $259.83–$1,731.32 22% below 77%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE $457.93 $1,991.00 — — 77%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT $13,004.63 $56,541.85 $1,074.00–$22,125.11 21% below 77%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION INGROWN TOENAIL $420.67 $1,829.00 $204.00–$1,108.61 18% above 77%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION INGROWN TOENAIL $420.67 $1,829.00 — — 77%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE - NEEDLE OR PUNCH $245.87 $1,069.00 $374.15–$3,996.00 68% below 77%
Prostate biopsy CPT 55700 HC PROSTATE NEEDLE BIOPSY $486.91 $2,117.00 $481.27–$3,996.00 36% below 77%
Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE - NEEDLE OR PUNCH $245.87 $1,069.00 — — 77%
Prostate biopsy inpatient CPT 55700 HC PROSTATE NEEDLE BIOPSY $486.91 $2,117.00 — — 77%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC R/F FACET NERVE - LUM/SAC $539.81 $2,347.00 $306.28–$2,055.00 47% below 77%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC R/F FACET NERVE - LUM/SAC $539.81 $2,347.00 — — 77%
Removal of a foreign object under the skin, simple CPT 10120 HC REMO F/B SUBQ SIMPLE $199.64 $868.00 $111.00–$1,012.91 14% below 77%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO F/B SUBQ SIMPLE $199.64 $868.00 — — 77%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID $6,031.26 $26,222.87 $553.00–$10,813.00 10% above 77%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK $435.62 $1,894.00 $481.27–$1,625.38 31% below 77%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK $435.62 $1,894.00 — — 77%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY - HIGH RISK $435.62 $1,894.00 $481.27–$1,625.38 28% below 77%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY - HIGH RISK $435.62 $1,894.00 — — 77%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION, CAST, SHORT ARM $83.26 $362.00 $47.24–$1,100.00 51% below 77%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION, CAST, SHORT ARM $83.26 $362.00 — — 77%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC $83.26 $362.00 $47.24–$1,298.00 31% below 77%
Short arm splint (forearm and hand) CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC $83.26 $362.00 $104.98–$424.56 31% below 77%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC $83.26 $362.00 — — 77%
Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC $83.26 $362.00 — — 77%
Short leg cast (below the knee) CPT 29405 HC APPLICATION, CAST, SHORT LEG $253.46 $1,102.00 $111.00–$1,953.00 39% above 77%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION, CAST, SHORT LEG $253.46 $1,102.00 — — 77%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION, SPLINT, LOWER LEG $94.53 $411.00 $53.64–$1,298.00 34% below 77%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION, SPLINT, LOWER LEG $94.53 $411.00 — — 77%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM $75.90 $330.00 $111.00–$498.00 59% below 77%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM $75.90 $330.00 — — 77%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION $310.04 $1,348.00 $111.00–$792.41 14% above 77%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION $310.04 $1,348.00 — — 77%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX $156.40 $680.00 $238.00–$1,953.00 63% below 77%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX $156.40 $680.00 — — 77%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C $75.90 $330.00 $111.00–$1,100.00 59% below 77%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C $75.90 $330.00 — — 77%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM $75.90 $330.00 $111.00–$1,100.00 58% below 77%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM $75.90 $330.00 — — 77%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) $3,321.07 $14,439.45 $679.83–$9,337.93 30% below 77%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY, SKIN, SINGLE LESION $725.88 $3,156.00 $111.00–$1,104.60 335% above 77%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY, SKIN, SINGLE LESION $725.88 $3,156.00 — — 77%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING $488.98 $2,126.00 $359.35–$1,851.98 24% below 77%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING $488.98 $2,126.00 — — 77%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS $1,998.98 $8,691.20 $553.00–$3,242.46 48% below 77%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS $1,564.00 $6,800.01 $550.32–$5,914.55 46% below 77%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS $1,630.64 $7,089.73 $553.00–$3,242.46 43% below 77%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY $12,331.44 $53,614.94 $1,251.00–$12,864.40 15% below 77%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY $12,768.74 $55,516.27 $204.00–$14,123.15 3% above 77%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT $19,785.79 $86,025.17 $1,074.00–$18,386.59 12% above 77%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID $6,920.15 $30,087.61 $553.00–$10,813.00 26% above 77%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH $1,093.47 $4,754.22 $481.27–$4,179.76 31% below 77%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS $101.20 $440.00 $57.42–$962.00 23% below 77%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS $101.20 $440.00 — — 77%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILATION BALLOON <30MM $417.45 $1,815.00 $481.27–$1,896.63 51% below 77%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILATION BALLOON <30MM $417.45 $1,815.00 — — 77%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL $278.76 $1,212.00 $424.20–$1,953.00 62% below 77%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL $278.76 $1,212.00 — — 77%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUC INJECT(S) $277.84 $1,208.00 $422.80–$1,953.00 52% below 77%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUC INJECT(S) $277.84 $1,208.00 — — 77%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE TECH $441.60 $1,920.00 $481.27–$1,896.63 46% below 77%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE TECH $441.60 $1,920.00 — — 77%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE $278.76 $1,212.00 $424.20–$1,279.00 58% below 77%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE $278.76 $1,212.00 — — 77%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DX (INCL BRUSH/WASH) $278.76 $1,212.00 $359.35–$1,953.00 66% below 77%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DX (INCL BRUSH/WASH) $278.76 $1,212.00 — — 77%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT $5,409.73 $23,520.57 $679.83–$14,839.04 35% above 77%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) $1,219.85 $5,303.71 $481.27–$6,490.01 16% above 77%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE $265.19 $1,153.00 $363.14–$1,279.00 32% below 77%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE $265.19 $1,153.00 — — 77%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL $8,422.95 $36,621.52 $204.00–$15,794.43 10% above 77%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs LouisianaOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY) $251.16 $1,092.00 $142.51–$973.30 47% below 77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY) $251.16 $1,092.00 — — 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX $17.71 $77.00 $10.05–$203.35 80% below 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT $27.14 $118.00 $15.40–$203.35 69% below 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY $27.60 $120.00 $15.66–$203.35 68% below 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT $27.60 $120.00 $15.66–$203.35 68% below 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT $27.60 $120.00 $15.66–$203.35 68% below 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX $17.71 $77.00 — — 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT $27.14 $118.00 — — 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT $27.60 $120.00 — — 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY $27.60 $120.00 — — 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT $27.60 $120.00 — — 77%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR $140.53 $611.00 $79.74–$479.02 54% below 77%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR $140.53 $611.00 — — 77%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE (30-74 MINUTES) $445.05 $1,935.00 $252.52–$4,845.00 41% below 77%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE (30-74 MINUTES) $445.05 $1,935.00 — — 77%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG: AWAKE & DROWSY $155.25 $675.00 $88.09–$508.00 49% below 77%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG: AWAKE & DROWSY $155.25 $675.00 — — 77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG $25.30 $110.00 $14.36–$120.00 69% below 77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG $25.30 $110.00 — — 77%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMER ROOM LEVEL I $67.39 $293.00 $38.24–$266.79 28% below 77%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMER ROOM LEVEL I $67.39 $293.00 — — 77%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMER ROOM LEVEL II $93.38 $406.00 $52.98–$334.54 41% below 77%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMER ROOM LEVEL II $93.38 $406.00 — — 77%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMER ROOM LEVEL III $148.35 $645.00 $84.17–$661.00 40% below 77%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMER ROOM LEVEL III $148.35 $645.00 — — 77%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMER ROOM LEVEL IV $213.90 $930.00 $121.37–$1,158.00 46% below 77%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMER ROOM LEVEL IV $213.90 $930.00 — — 77%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMER ROOM LEVEL V $310.73 $1,351.00 $176.31–$2,172.00 40% below 77%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMER ROOM LEVEL V $310.73 $1,351.00 — — 77%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR $254.61 $1,107.00 $108.16–$712.91 71% above 77%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR $254.61 $1,107.00 — — 77%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THER/PROPH/DIAG - UP TO ONE HOUR $254.61 $1,107.00 $131.87–$712.91 32% above 77%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THER/PROPH/DIAG - UP TO ONE HOUR $254.61 $1,107.00 — — 77%
IV push of a medicine, first drug CPT 96374 HC IV PUSH INITIAL SUBSTANCE/DRUG $76.13 $331.00 $43.20–$308.00 22% below 77%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH INITIAL SUBSTANCE/DRUG $76.13 $331.00 — — 77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC SQ/IM INJECTION $45.31 $197.00 $25.71–$308.00 14% below 77%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC SQ/IM INJECTION $45.31 $197.00 — — 77%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS $22.08 $96.00 $30.17–$139.00 43% below 77%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS $22.08 $96.00 $30.17–$139.00 43% below 77%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS $22.08 $96.00 — — 77%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS $22.08 $96.00 — — 77%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN $87.86 $382.00 $37.83–$229.20 23% above 77%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN $87.86 $382.00 — — 77%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN $92.46 $402.00 $56.77–$316.97 17% above 77%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN $92.46 $402.00 — — 77%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN $97.29 $423.00 $56.77–$316.97 at median 77%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN $97.29 $423.00 — — 77%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN $83.49 $363.00 $32.87–$217.80 52% above 77%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN $83.49 $363.00 — — 77%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRTN TH INIT 15 MIN $23.00 $100.00 $29.72–$77.00 23% below 77%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRTN TH INIT 15 MIN $23.00 $100.00 — — 77%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS $25.76 $112.00 $39.20–$140.28 77% below 77%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS $25.76 $112.00 — — 77%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS $65.32 $284.00 $74.48–$139.00 49% below 77%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS $65.32 $284.00 — — 77%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS $51.29 $223.00 $74.48–$139.00 53% below 77%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS $51.29 $223.00 — — 77%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS $57.04 $248.00 $74.48–$139.00 51% below 77%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS $57.04 $248.00 — — 77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS $19.78 $86.00 $25.63–$139.00 49% below 77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS $19.78 $86.00 $25.63–$139.00 49% below 77%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS $19.78 $86.00 — — 77%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS $19.78 $86.00 — — 77%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EX EA 15MIN $18.17 $79.00 $10.96–$139.00 52% below 77%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EX EA 15MIN $18.17 $79.00 $10.96–$139.00 52% below 77%
Physical therapy, therapeutic exercise (15-minute unit) one side CPT 97110 HC THERAPEUTIC EX, EA 15 MIN-RT $17.25 $75.00 $9.79–$139.00 55% below 77%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EX EA 15MIN $18.17 $79.00 — — 77%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EX EA 15MIN $18.17 $79.00 — — 77%
Physical therapy, therapeutic exercise (15-minute unit) inpatient one side CPT 97110 HC THERAPEUTIC EX, EA 15 MIN-RT $17.25 $75.00 — — 77%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN $69.46 $302.00 $56.77–$316.97 1% above 77%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN $69.46 $302.00 — — 77%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN $62.79 $273.00 $37.83–$217.84 13% above 77%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN $62.79 $273.00 — — 77%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN $66.01 $287.00 $56.77–$316.97 3% above 77%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN $66.01 $287.00 — — 77%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN $59.80 $260.00 $32.87–$189.34 21% above 77%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN $59.80 $260.00 — — 77%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION $85.56 $372.00 $107.00–$421.82 54% below 77%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION $85.56 $372.00 — — 77%
Speech therapy session, individual CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL $75.90 $330.00 $32.79–$309.01 11% below 77%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL $75.90 $330.00 — — 77%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY $50.83 $221.00 $28.84–$494.00 60% below 77%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY $50.83 $221.00 — — 77%
Spirometry before and after a bronchodilator CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN $149.96 $652.00 $85.09–$494.00 31% below 77%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN $149.96 $652.00 — — 77%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS $22.08 $96.00 $8.76–$139.00 45% below 77%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS $22.08 $96.00 $8.76–$139.00 45% below 77%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS $22.08 $96.00 — — 77%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS $22.08 $96.00 — — 77%

Vaccines

ProcedureCash price List priceInsurers payvs LouisianaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168) $204.42 $888.78 $83.49–$572.37 90% above 77%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168) $204.42 $888.78 $533.27 — 77%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140) $53.43 $232.32 $22.35–$149.61 72% above 77%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140) $53.43 $232.32 $139.39 — 77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM UMBRELLA $77.90 $338.71 $30.77–$218.13 97% above 77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM UMBRELLA $77.90 $338.71 $203.23 — 77%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR $34.26 $148.97 $14.45–$95.94 52% above 77%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR $34.26 $148.97 $89.38 — 77%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT (2 MO - 55 YO) $194.50 $845.65 $110.36–$544.60 18% above 77%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT (2 MO - 55 YO) $194.50 $845.65 $507.39 — 77%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG $334.11 $1,452.66 $189.57–$935.51 at median 77%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG $334.11 $1,452.66 $871.60 — 77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG (UIR) $145.42 $632.24 $82.51–$407.16 4% above 77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG (UIR) $145.42 $632.24 $379.34 — 77%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR $514.08 $2,235.12 $291.68–$1,439.42 29% below 77%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR $514.08 $2,235.12 $1,341.07 — 77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA) $127.08 $552.54 $42.37–$355.84 87% above 77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA) $127.08 $552.54 $331.52 — 77%

Source file: https://ochsner-craft.s3.amazonaws.com/core/464958152_acadia-general-hospital-inc_standardcharges.csv.csv