Hospital Madison, IN

Norton Kings Daughters Health

Norton Kings Daughters Health in Madison, IN publishes cash prices for 322 common procedures listed here, from its own machine-readable price file updated May 5, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Indiana median for 307 of 319 procedures and above it for 11. By typical cash price it ranks #3 of 84 Indiana hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1373 E State Rd 62, Madison, IN 47250 Collected Sep 23, 2026 Source price file Check a bill from this hospital (812) 801-0800

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 150069 · CMS hospital register NPI 1518916048

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Abdominal CT scan without and with contrast CPT 74170 HB CT ABD W & W/O CONT	$409.42	$1,861.00	$90.44–$1,767.95	70% below	78%
Abdominal CT scan without and with contrast inpatient CPT 74170 HB CT ABD W & W/O CONT	$409.42	$1,861.00	$930.50–$1,767.95	—	78%
Abdominal X-ray, 2 views CPT 74019 HB ABDOMEN XR 2 VIEWS	$97.68	$444.00	$111.40–$421.80	64% below	78%
Abdominal X-ray, 2 views inpatient CPT 74019 HB ABDOMEN XR 2 VIEWS	$97.68	$444.00	$222.00–$421.80	—	78%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HB ANKLE MIN 3 VWS RT	$87.78	$399.00	$17.51–$379.05	55% below	78%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HB ANKLE MIN 3 VWS LT	$87.78	$399.00	$17.51–$379.05	55% below	78%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HB ANKLE MIN 3 VWS LT	$87.78	$399.00	$199.50–$379.05	—	78%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HB ANKLE MIN 3 VWS RT	$87.78	$399.00	$199.50–$379.05	—	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB ANKLE BRACHIAL INDEX	$134.64	$612.00	$33.66–$581.40	63% below	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB ANKLE BRACHIAL INDEX	$134.64	$612.00	$306.00–$581.40	—	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HB CT UPPER EXT W/O CONT LT	$227.04	$1,032.00	$53.60–$980.40	72% below	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HB CT UPPER EXT W/O CONT RT	$227.04	$1,032.00	$53.60–$980.40	72% below	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HB CT UPPER EXT W/O CONT RT	$227.04	$1,032.00	$516.00–$980.40	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HB CT UPPER EXT W/O CONT LT	$227.04	$1,032.00	$516.00–$980.40	—	78%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HB ESOPHAGUS	$141.68	$644.00	$48.47–$611.80	70% below	78%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB ESOPHAGUS	$141.68	$644.00	$322.00–$611.80	—	78%
Bone scan, whole body (nuclear medicine) CPT 78306 HB NM BONE SCAN WHOLE BODY	$449.02	$2,041.00	$147.39–$1,938.95	72% below	78%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB NM BONE SCAN WHOLE BODY	$449.02	$2,041.00	$1,020.50–$1,938.95	—	78%
Breast ultrasound, limited (one breast or one area) CPT 76642 HB ULTRASOUND BREAST LIMITED BIL	$375.98	$1,709.00	$39.50–$1,623.55	16% above	78%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HB ULTRASOUND BREAST LIMITED RT	$188.10	$855.00	$39.50–$812.25	42% below	78%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HB ULTRASOUND BREAST LIMITED LT	$188.10	$855.00	$39.50–$812.25	42% below	78%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HB ULTRASOUND BREAST LIMITED BIL	$375.98	$1,709.00	$854.50–$1,623.55	—	78%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HB ULTRASOUND BREAST LIMITED LT	$188.10	$855.00	$427.50–$812.25	—	78%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HB ULTRASOUND BREAST LIMITED RT	$188.10	$855.00	$427.50–$812.25	—	78%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HB CT ANGIO ABD&PELV W/O&W/DYE	$751.08	$3,414.00	$184.77–$3,243.30	60% below	78%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HB CT ANGIO ABD&PELV W/O&W/DYE	$751.08	$3,414.00	$1,707.00–$3,243.30	—	78%
CT angiography (CTA) of the head CPT 70496 HB CT ANGIO HEAD W & W/O CONTR	$447.26	$2,033.00	$90.44–$1,931.35	65% below	78%
CT angiography (CTA) of the head inpatient CPT 70496 HB CT ANGIO HEAD W & W/O CONTR	$447.26	$2,033.00	$1,016.50–$1,931.35	—	78%
CT angiography (CTA) of the neck CPT 70498 HB CT ANGIO NECK W & W/O CONT	$438.46	$1,993.00	$90.44–$1,893.35	64% below	78%
CT angiography (CTA) of the neck inpatient CPT 70498 HB CT ANGIO NECK W & W/O CONT	$438.46	$1,993.00	$996.50–$1,893.35	—	78%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT ANGIO CHEST W& W/O CONTR	$466.40	$2,120.00	$90.44–$2,014.00	63% below	78%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB CT ANGIO CHEST W& W/O CONTR	$466.40	$2,120.00	$1,060.00–$2,014.00	—	78%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CT ANGIO HRT W/3D IMAGE	$253.22	$1,151.00	$90.44–$1,093.45	70% below	78%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB CT ANGIO HRT W/3D IMAGE	$253.22	$1,151.00	$575.50–$1,093.45	—	78%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT ABD & PELVIS W/O CONTRAST	$617.54	$2,807.00	$89.84–$2,666.65	48% below	78%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB CT ABD & PELVIS W/O CONTRAST	$617.54	$2,807.00	$1,403.50–$2,666.65	—	78%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST	$673.64	$3,062.00	$162.17–$2,908.90	61% below	78%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST	$673.64	$3,062.00	$1,531.00–$2,908.90	—	78%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT ABD & PELV 1+ SECTION/REGNS	$859.32	$3,906.00	$184.77–$3,710.70	50% below	78%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB CT ABD & PELV 1+ SECTION/REGNS	$859.32	$3,906.00	$1,953.00–$3,710.70	—	78%
CT scan of the abdomen with contrast CPT 74160 HB CT ABD W CONT	$332.20	$1,510.00	$90.44–$1,434.50	69% below	78%
CT scan of the abdomen with contrast inpatient CPT 74160 HB CT ABD W CONT	$332.20	$1,510.00	$755.00–$1,434.50	—	78%
CT scan of the abdomen without contrast CPT 74150 HB CT ABD W/O CONT	$300.52	$1,366.00	$53.60–$1,297.70	64% below	78%
CT scan of the abdomen without contrast inpatient CPT 74150 HB CT ABD W/O CONT	$300.52	$1,366.00	$683.00–$1,297.70	—	78%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT MAXILLOFACIAL AREA W/O CONT	$249.92	$1,136.00	$53.60–$1,079.20	70% below	78%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB CT MAXILLOFACIAL AREA W/O CONT	$249.92	$1,136.00	$568.00–$1,079.20	—	78%
CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD W/O CONTRAST	$304.26	$1,383.00	$53.60–$1,313.85	60% below	78%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD W/O CONTRAST	$304.26	$1,383.00	$691.50–$1,313.85	—	78%
CT scan of the head with contrast CPT 70460 HB CT HEAD WITH CONTRAST	$293.04	$1,332.00	$78.44–$1,265.40	66% below	78%
CT scan of the head with contrast inpatient CPT 70460 HB CT HEAD WITH CONTRAST	$293.04	$1,332.00	$666.00–$1,265.40	—	78%
CT scan of the head without and with contrast CPT 70470 HB BRAIN LAB CT HEAD W/WO CONTRAS	$403.48	$1,834.00	$90.44–$1,742.30	61% below	78%
CT scan of the head without and with contrast inpatient CPT 70470 HB BRAIN LAB CT HEAD W/WO CONTRAS	$403.48	$1,834.00	$917.00–$1,742.30	—	78%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT LUMB SPINE W/O CONTR	$317.02	$1,441.00	$53.60–$1,368.95	64% below	78%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB CT LUMB SPINE W/O CONTR	$317.02	$1,441.00	$720.50–$1,368.95	—	78%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT CERV SPINE W/O CONTR	$341.88	$1,554.00	$53.60–$1,476.30	59% below	78%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT C SPINE W/O CONT POST MYELO	$341.88	$1,554.00	$53.60–$1,476.30	59% below	78%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT CERV SPINE W/O CONTR	$341.88	$1,554.00	$777.00–$1,476.30	—	78%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT C SPINE W/O CONT POST MYELO	$341.88	$1,554.00	$777.00–$1,476.30	—	78%
CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS W CONTR	$303.38	$1,379.00	$90.44–$1,310.05	67% below	78%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS W CONTR	$303.38	$1,379.00	$689.50–$1,310.05	—	78%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB DUPLEX EXTRACRANIAL BILATERAL	$286.88	$1,304.00	$97.43–$1,238.80	—	78%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HB DUPLEX EXTRACRANIAL BILATERAL	$286.88	$1,304.00	$652.00–$1,238.80	—	78%
Chest CT scan without and with contrast CPT 71270 HB CT CHEST W&W/O CONTR	$392.92	$1,786.00	$90.44–$1,696.70	64% below	78%
Chest CT scan without and with contrast inpatient CPT 71270 HB CT CHEST W&W/O CONTR	$392.92	$1,786.00	$893.00–$1,696.70	—	78%
Chest X-ray, 2 views CPT 71046 HB CHEST XR 2 VIEWS	$105.82	$481.00	$22.52–$456.95	49% below	78%
Chest X-ray, 2 views inpatient CPT 71046 HB CHEST XR 2 VIEWS	$105.82	$481.00	$240.50–$456.95	—	78%
Chest X-ray, single view CPT 71045 HB CHEST XR SINGLE VIEW	$86.68	$394.00	$16.65–$374.30	47% below	78%
Chest X-ray, single view inpatient CPT 71045 HB CHEST XR SINGLE VIEW	$86.68	$394.00	$197.00–$374.30	—	78%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HB CLAVICLE COMPLETE RT	$75.24	$342.00	$14.53–$324.90	61% below	78%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HB CLAVICLE COMPLETE LT	$75.24	$342.00	$14.53–$324.90	61% below	78%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HB CLAVICLE COMPLETE LT	$75.24	$342.00	$171.00–$324.90	—	78%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HB CLAVICLE COMPLETE RT	$75.24	$342.00	$171.00–$324.90	—	78%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 HB US RENAL BILATERAL	$313.50	$1,425.00	$53.60–$1,353.75	—	78%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 HB US RENAL BILATERAL	$313.50	$1,425.00	$712.50–$1,353.75	—	78%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB BC BONE DENS MLT SITES AX SKEL	$180.62	$821.00	$26.92–$779.95	37% below	78%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB BC BONE DENS MLT SITES AX SKEL	$180.62	$821.00	$410.50–$779.95	—	78%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT CHEST W/O CONTR	$312.62	$1,421.00	$53.60–$1,349.95	62% below	78%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB CT CHEST W/O CONTR	$312.62	$1,421.00	$710.50–$1,349.95	—	78%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT CHEST W CONTR	$332.86	$1,513.00	$90.44–$1,437.35	65% below	78%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB CT CHEST W CONTR	$332.86	$1,513.00	$756.50–$1,437.35	—	78%
Diagnostic mammogram, both breasts CPT 77066 HB MAMMO DIAG BIL	$102.30	$465.00	$83.89–$441.75	77% below	78%
Diagnostic mammogram, both breasts inpatient CPT 77066 HB MAMMO DIAG BIL	$102.30	$465.00	$232.50–$441.75	—	78%
Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG LT	$64.24	$292.00	$65.56–$277.40	71% below	78%
Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG RT	$64.24	$292.00	$65.56–$277.40	71% below	78%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG RT	$64.24	$292.00	$146.00–$277.40	—	78%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG LT	$64.24	$292.00	$146.00–$277.40	—	78%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB DUPLEX LOW EXT ART BILAT	$279.18	$1,269.00	$97.43–$1,205.55	—	78%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HB DUPLEX LOW EXT ART BILAT	$279.18	$1,269.00	$634.50–$1,205.55	—	78%
Duplex ultrasound of the leg veins, both legs CPT 93970 HB DUPLEX EXTREMITIES COMPLETE	$330.22	$1,501.00	$189.62–$1,425.95	75% below	78%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HB DUPLEX EXTREMITIES COMPLETE	$330.22	$1,501.00	$750.50–$1,425.95	—	78%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO MMODE 2D SPECTCOLOR 93306	$665.28	$3,024.00	$574.39–$2,872.80	60% below	78%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB ECHO MMODE 2D SPECTCOLOR 93306	$665.28	$3,024.00	$1,512.00–$2,872.80	—	78%
Elbow X-ray, 2 views one side CPT 73070 HB ELBOW 1 VW LEFT	$87.12	$396.00	$14.28–$376.20	47% below	78%
Elbow X-ray, 2 views one side CPT 73070 HB ELBOW 1 VW RIGHT	$87.12	$396.00	$14.28–$376.20	47% below	78%
Elbow X-ray, 2 views one side CPT 73070 HB ELBOW AP & LAT RT	$87.12	$396.00	$14.28–$376.20	47% below	78%
Elbow X-ray, 2 views one side CPT 73070 HB ELBOW AP & LAT LT	$87.12	$396.00	$14.28–$376.20	47% below	78%
Elbow X-ray, 2 views inpatient one side CPT 73070 HB ELBOW 1 VW LEFT	$87.12	$396.00	$198.00–$376.20	—	78%
Elbow X-ray, 2 views inpatient one side CPT 73070 HB ELBOW AP & LAT LT	$87.12	$396.00	$198.00–$376.20	—	78%
Elbow X-ray, 2 views inpatient one side CPT 73070 HB ELBOW AP & LAT RT	$87.12	$396.00	$198.00–$376.20	—	78%
Elbow X-ray, 2 views inpatient one side CPT 73070 HB ELBOW 1 VW RIGHT	$87.12	$396.00	$198.00–$376.20	—	78%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HB ELBOW COMP MIN 3 VWS LT	$87.12	$396.00	$17.51–$376.20	66% below	78%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HB ELBOW COMP MIN 3 VWS RT	$87.12	$396.00	$17.51–$376.20	66% below	78%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HB ELBOW COMP MIN 3 VWS RT	$87.12	$396.00	$198.00–$376.20	—	78%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HB ELBOW COMP MIN 3 VWS LT	$87.12	$396.00	$198.00–$376.20	—	78%
Eye socket (orbit) CT scan without contrast CPT 70480 HB CT ORBITS W/O CONT	$323.18	$1,469.00	$53.60–$1,395.55	62% below	78%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HB CT ORBITS W/O CONT	$323.18	$1,469.00	$734.50–$1,395.55	—	78%
Facial bones X-ray, complete, 3 or more views CPT 70150 HB FACIAL BONES MIN 3 VWS	$128.04	$582.00	$20.97–$552.90	53% below	78%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HB FACIAL BONES MIN 3 VWS	$128.04	$582.00	$291.00–$552.90	—	78%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HB FOREARM 2 VIEWS LT	$108.68	$494.00	$13.79–$469.30	41% below	78%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HB FOREARM 2 VIEWS RT	$108.68	$494.00	$13.79–$469.30	41% below	78%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HB FOREARM 1 V RT	$115.28	$524.00	$13.79–$497.80	37% below	78%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HB FOREARM 1 V LT	$115.28	$524.00	$13.79–$497.80	37% below	78%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HB FOREARM 2 VIEWS RT	$108.68	$494.00	$247.00–$469.30	—	78%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HB FOREARM 2 VIEWS LT	$108.68	$494.00	$247.00–$469.30	—	78%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HB FOREARM 1 V RT	$115.28	$524.00	$262.00–$497.80	—	78%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HB FOREARM 1 V LT	$115.28	$524.00	$262.00–$497.80	—	78%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING	$428.56	$1,948.00	$194.93–$1,850.60	67% below	78%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING	$428.56	$1,948.00	$974.00–$1,850.60	—	78%
Hand X-ray, 2 views one side CPT 73120 HB HAND 1 V RT	$69.30	$315.00	$13.54–$299.25	60% below	78%
Hand X-ray, 2 views one side CPT 73120 HB HAND 2 VWS LT	$69.30	$315.00	$13.54–$299.25	60% below	78%
Hand X-ray, 2 views one side CPT 73120 HB HAND 2 VWS RT	$69.30	$315.00	$13.54–$299.25	60% below	78%
Hand X-ray, 2 views one side CPT 73120 HB HAND 1 V LT	$69.30	$315.00	$13.54–$299.25	60% below	78%
Hand X-ray, 2 views inpatient one side CPT 73120 HB HAND 1 V LT	$69.30	$315.00	$157.50–$299.25	—	78%
Hand X-ray, 2 views inpatient one side CPT 73120 HB HAND 1 V RT	$69.30	$315.00	$157.50–$299.25	—	78%
Hand X-ray, 2 views inpatient one side CPT 73120 HB HAND 2 VWS LT	$69.30	$315.00	$157.50–$299.25	—	78%
Hand X-ray, 2 views inpatient one side CPT 73120 HB HAND 2 VWS RT	$69.30	$315.00	$157.50–$299.25	—	78%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HB CALCANEUS MIN 2 VWS RT	$70.84	$322.00	$14.28–$305.90	67% below	78%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HB CALCANEUS MIN 2 VWS LT	$70.84	$322.00	$14.28–$305.90	67% below	78%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HB CALCANEUS MIN 2 VWS RT	$70.84	$322.00	$161.00–$305.90	—	78%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HB CALCANEUS MIN 2 VWS LT	$70.84	$322.00	$161.00–$305.90	—	78%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB SLEEP STUDY UNATTENDED	$158.84	$722.00	$127.78–$685.90	61% below	78%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HB SLEEP STUDY UNATTENDED	$158.84	$722.00	$361.00–$685.90	—	78%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSOM 4/OVER W/CPAP	$1,370.82	$6,231.00	$912.79–$5,919.45	58% below	78%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB POLYSOM 4/OVER W/CPAP	$1,370.82	$6,231.00	$3,115.50–$5,919.45	—	78%
Knee X-ray, 3 views one side CPT 73562 HB KNEE 3 VWS RT	$95.48	$434.00	$19.24–$412.30	58% below	78%
Knee X-ray, 3 views one side CPT 73562 HB KNEE 3 VWS LT	$95.48	$434.00	$19.24–$412.30	58% below	78%
Knee X-ray, 3 views inpatient one side CPT 73562 HB KNEE 3 VWS LT	$95.48	$434.00	$217.00–$412.30	—	78%
Knee X-ray, 3 views inpatient one side CPT 73562 HB KNEE 3 VWS RT	$95.48	$434.00	$217.00–$412.30	—	78%
Knee X-ray, complete, 4 or more views one side CPT 73564 HB KNEE 4 OR MORE VWS LT	$151.36	$688.00	$22.21–$653.60	42% below	78%
Knee X-ray, complete, 4 or more views one side CPT 73564 HB KNEE 4 OR MORE VWS RT	$151.36	$688.00	$22.21–$653.60	42% below	78%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HB KNEE 4 OR MORE VWS RT	$151.36	$688.00	$344.00–$653.60	—	78%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HB KNEE 4 OR MORE VWS LT	$151.36	$688.00	$344.00–$653.60	—	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HB CT LOWER EXT W/O CONTR RT	$262.02	$1,191.00	$53.60–$1,131.45	67% below	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HB CT LOWER EXT W/O CONTR LT	$262.02	$1,191.00	$53.60–$1,131.45	67% below	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HB CT LOWER EXT W/O CONTR LT	$262.02	$1,191.00	$595.50–$1,131.45	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HB CT LOWER EXT W/O CONTR RT	$262.02	$1,191.00	$595.50–$1,131.45	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US ABDOMINAL LIMITED	$273.68	$1,244.00	$53.60–$1,181.80	40% below	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US ABDOMINAL LIMITED	$273.68	$1,244.00	$622.00–$1,181.80	—	78%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB US XTR NON-VASC LMTD	$92.18	$419.00	$7.60–$398.05	70% below	78%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HB US XTR NON-VASC LMTD	$92.18	$419.00	$209.50–$398.05	—	78%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HB TIBIA/FIBULA AP/LAT RT	$90.42	$411.00	$13.29–$390.45	54% below	78%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HB TIBIA/FIBULA AP/LAT LT	$90.42	$411.00	$13.29–$390.45	54% below	78%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HB TIBIA/FIBULA AP/LAT LT	$90.42	$411.00	$205.50–$390.45	—	78%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HB TIBIA/FIBULA AP/LAT RT	$90.42	$411.00	$205.50–$390.45	—	78%
MR angiography (MRA) of the head without contrast CPT 70544 HB MRV BRAIN W/O CONTRAST	$433.84	$1,972.00	$117.12–$1,873.40	61% below	78%
MR angiography (MRA) of the head without contrast CPT 70544 HB MRA HEAD W/O CONTRAST	$433.84	$1,972.00	$117.12–$1,873.40	61% below	78%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HB MRV BRAIN W/O CONTRAST	$433.84	$1,972.00	$986.00–$1,873.40	—	78%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HB MRA HEAD W/O CONTRAST	$433.84	$1,972.00	$986.00–$1,873.40	—	78%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST RT	$479.38	$2,179.00	$117.12–$2,070.05	53% below	78%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST LT	$479.38	$2,179.00	$117.12–$2,070.05	53% below	78%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST LT	$479.38	$2,179.00	$1,089.50–$2,070.05	—	78%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST RT	$479.38	$2,179.00	$1,089.50–$2,070.05	—	78%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT RT	$623.04	$2,832.00	$184.77–$2,690.40	57% below	78%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT LT	$623.04	$2,832.00	$184.77–$2,690.40	57% below	78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT RT	$623.04	$2,832.00	$1,416.00–$2,690.40	—	78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT LT	$623.04	$2,832.00	$1,416.00–$2,690.40	—	78%
MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN W/O CONTRAST	$524.48	$2,384.00	$117.12–$2,264.80	51% below	78%
MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN W/O CONTRAST	$524.48	$2,384.00	$1,192.00–$2,264.80	—	78%
MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN WO & W CONT	$655.60	$2,980.00	$184.77–$2,831.00	58% below	78%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN WO & W CONT	$655.60	$2,980.00	$1,490.00–$2,831.00	—	78%
MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W/O CONTRAST	$502.48	$2,284.00	$117.12–$2,169.80	51% below	78%
MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN W/O CONTRAST	$502.48	$2,284.00	$1,142.00–$2,169.80	—	78%
MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN WO & W CONT	$643.06	$2,923.00	$184.77–$2,776.85	51% below	78%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN WO & W CONT	$643.06	$2,923.00	$1,461.50–$2,776.85	—	78%
MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE W/O CONTR	$450.34	$2,047.00	$117.12–$1,944.65	56% below	78%
MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI LUMBAR SPINE W/O CONTR	$450.34	$2,047.00	$1,023.50–$1,944.65	—	78%
MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI LUMBAR SPINE W&W/O CONT	$694.98	$3,159.00	$184.77–$3,001.05	53% below	78%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB MRI LUMBAR SPINE W&W/O CONT	$694.98	$3,159.00	$1,579.50–$3,001.05	—	78%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI THORACIC SPINE W/O CONT	$522.28	$2,374.00	$117.12–$2,255.30	48% below	78%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB MRI THORACIC SPINE W/O CONT	$522.28	$2,374.00	$1,187.00–$2,255.30	—	78%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI CERV SPINE WO & W CONT	$603.24	$2,742.00	$184.77–$2,604.90	59% below	78%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HB MRI CERV SPINE WO & W CONT	$603.24	$2,742.00	$1,371.00–$2,604.90	—	78%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI CERV SPINE W/O CONTR	$474.10	$2,155.00	$117.12–$2,047.25	54% below	78%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB MRI CERV SPINE W/O CONTR	$474.10	$2,155.00	$1,077.50–$2,047.25	—	78%
MRI of the pelvis without and with contrast CPT 72197 HB MRI PELVIS WO & W CONT	$655.60	$2,980.00	$184.77–$2,831.00	55% below	78%
MRI of the pelvis without and with contrast inpatient CPT 72197 HB MRI PELVIS WO & W CONT	$655.60	$2,980.00	$1,490.00–$2,831.00	—	78%
MRI of the pelvis, no contrast dye CPT 72195 HB MRI PELVIS W/O CONTRAST	$482.68	$2,194.00	$117.12–$2,084.30	54% below	78%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HB MRI PELVIS W/O CONTRAST	$482.68	$2,194.00	$1,097.00–$2,084.30	—	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT LT	$478.94	$2,177.00	$117.12–$2,068.15	55% below	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT RT	$478.94	$2,177.00	$117.12–$2,068.15	55% below	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT LT	$478.94	$2,177.00	$1,088.50–$2,068.15	—	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT RT	$478.94	$2,177.00	$1,088.50–$2,068.15	—	78%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HB C SPINE MIN 4 VIEWS	$139.92	$636.00	$22.95–$604.20	60% below	78%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HB C SPINE MIN 4 VIEWS	$139.92	$636.00	$318.00–$604.20	—	78%
Neck soft tissue CT scan with contrast CPT 70491 HB CT NECK W CONTRAST	$336.82	$1,531.00	$90.44–$1,454.45	66% below	78%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HB CT NECK W CONTRAST	$336.82	$1,531.00	$765.50–$1,454.45	—	78%
Neck soft tissue CT scan without contrast CPT 70490 HB CT NECK W/O CONTR	$301.84	$1,372.00	$53.60–$1,303.40	64% below	78%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HB CT NECK W/O CONTR	$301.84	$1,372.00	$686.00–$1,303.40	—	78%
Neck soft tissue X-ray CPT 70360 HB SOFT TISSUE NECK	$84.04	$382.00	$14.53–$362.90	51% below	78%
Neck soft tissue X-ray inpatient CPT 70360 HB SOFT TISSUE NECK	$84.04	$382.00	$191.00–$362.90	—	78%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB HT MUSCLE IMAGE SPEC MULT	$1,281.72	$5,826.00	$280.83–$5,534.70	67% below	78%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HB HT MUSCLE IMAGE SPEC MULT	$1,281.72	$5,826.00	$2,913.00–$5,534.70	—	78%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET W/CT TUMOR SKULL MID-THIGH	$818.62	$3,721.00	$746.94–$3,534.95	80% below	78%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET W/CT TUMOR SKULL MID-THIGH	$818.62	$3,721.00	$1,860.50–$3,534.95	—	78%
Pelvic CT scan without contrast CPT 72192 HB CT PELVIS W/O CONTRAST	$298.98	$1,359.00	$53.60–$1,291.05	64% below	78%
Pelvic CT scan without contrast inpatient CPT 72192 HB CT PELVIS W/O CONTRAST	$298.98	$1,359.00	$679.50–$1,291.05	—	78%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US SFT TISS PELVIS - POCUS	$164.78	$749.00	$24.19–$711.55	54% below	78%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US GYN LTD	$164.78	$749.00	$24.19–$711.55	54% below	78%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US SFT TISS PELVIS NONOB POCUS	$164.78	$749.00	$24.19–$711.55	54% below	78%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIC NON OB LTD	$164.78	$749.00	$24.19–$711.55	54% below	78%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US PELVIC NON OB LTD	$164.78	$749.00	$374.50–$711.55	—	78%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US SFT TISS PELVIS - POCUS	$164.78	$749.00	$374.50–$711.55	—	78%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US SFT TISS PELVIS NONOB POCUS	$164.78	$749.00	$374.50–$711.55	—	78%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US GYN LTD	$164.78	$749.00	$374.50–$711.55	—	78%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US PELVIC NON OB COMP	$225.50	$1,025.00	$53.60–$973.75	51% below	78%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB US PELVIC NON OB COMP	$225.50	$1,025.00	$512.50–$973.75	—	78%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PELVIC OB >14WK 1ST	$266.86	$1,213.00	$53.60–$1,152.35	52% below	78%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PELVIC OB >14WK 1ST	$266.86	$1,213.00	$606.50–$1,152.35	—	78%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US PELVIC OB	$196.68	$894.00	$53.60–$849.30	62% below	78%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB US PELVIC OB	$196.68	$894.00	$447.00–$849.30	—	78%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US OB/GYN LIMITED	$80.08	$364.00	$40.54–$345.80	79% below	78%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US OB/GYN LIMITED	$80.08	$364.00	$182.00–$345.80	—	78%
Rib X-ray, one side, 2 views one side CPT 71100 HB RIBS UNILAT RT 2 VWS	$97.68	$444.00	$15.28–$421.80	52% below	78%
Rib X-ray, one side, 2 views one side CPT 71100 HB RIBS UNILAT LT 2 VWS	$103.62	$471.00	$15.28–$447.45	49% below	78%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HB RIBS UNILAT RT 2 VWS	$97.68	$444.00	$222.00–$421.80	—	78%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HB RIBS UNILAT LT 2 VWS	$103.62	$471.00	$235.50–$447.45	—	78%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HB RIBS UNILAT RT W PA CHEST MIN3	$102.08	$464.00	$18.74–$440.80	58% below	78%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HB RIBS UNILAT LT W PA CHEST MIN3	$102.08	$464.00	$18.74–$440.80	58% below	78%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HB RIBS UNILAT RT W PA CHEST MIN3	$102.08	$464.00	$232.00–$440.80	—	78%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HB RIBS UNILAT LT W PA CHEST MIN3	$102.08	$464.00	$232.00–$440.80	—	78%
Screening mammogram, both breasts CPT 77067 HB MAMMO SCREEN BIL	$71.06	$323.00	$69.28–$306.85	72% below	78%
Screening mammogram, both breasts one side CPT 77067 HB MAMMO SCREEN RT	$48.40	$220.00	$69.28–$209.00	81% below	78%
Screening mammogram, both breasts one side CPT 77067 HB MAMMO SCREEN LT	$48.40	$220.00	$69.28–$209.00	81% below	78%
Screening mammogram, both breasts inpatient CPT 77067 HB MAMMO SCREEN BIL	$71.06	$323.00	$161.50–$306.85	—	78%
Screening mammogram, both breasts inpatient one side CPT 77067 HB MAMMO SCREEN RT	$48.40	$220.00	$110.00–$209.00	—	78%
Screening mammogram, both breasts inpatient one side CPT 77067 HB MAMMO SCREEN LT	$48.40	$220.00	$110.00–$209.00	—	78%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HB SHOULDER COMP MIN 2 VW RT	$101.64	$462.00	$14.78–$438.90	51% below	78%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HB SHOULDER COMP MIN 2 VW LT	$101.64	$462.00	$14.78–$438.90	51% below	78%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HB SHOULDER COMP MIN 2 VW LT	$101.64	$462.00	$231.00–$438.90	—	78%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HB SHOULDER COMP MIN 2 VW RT	$101.64	$462.00	$231.00–$438.90	—	78%
Sinus X-ray, complete, 3 or more views CPT 70220 HB SINUS PARANASAL MIN 3 VWS	$124.96	$568.00	$18.50–$539.60	56% below	78%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HB SINUS PARANASAL MIN 3 VWS	$124.96	$568.00	$284.00–$539.60	—	78%
Skull X-ray, fewer than 4 views CPT 70250 HB SKULL UNDER 4 VIEWS	$98.12	$446.00	$17.51–$423.70	58% below	78%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HB SKULL UNDER 4 VIEWS	$98.12	$446.00	$223.00–$423.70	—	78%
Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGR 4/OVR PMTR	$1,306.36	$5,938.00	$912.79–$5,641.10	51% below	78%
Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGR 4/OVER PMTR ABORT	$1,306.36	$5,938.00	$912.79–$5,641.10	51% below	78%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGR 4/OVR PMTR	$1,306.36	$5,938.00	$2,969.00–$5,641.10	—	78%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGR 4/OVER PMTR ABORT	$1,306.36	$5,938.00	$2,969.00–$5,641.10	—	78%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB STRESS ECHO COMP W CONT EKG	$665.28	$3,024.00	$574.39–$2,872.80	63% below	78%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB STRESS ECHO COMP W CONT EKG	$665.28	$3,024.00	$1,512.00–$2,872.80	—	78%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB MODIFIED BARIUM SWALLOW	$188.32	$856.00	$45.99–$813.20	48% below	78%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB MODIFIED BARIUM SWALLOW	$188.32	$856.00	$428.00–$813.20	—	78%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HB X-RAY EXAM RIGHT FEMUR	$92.62	$421.00	$15.77–$399.95	54% below	78%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HB X-RAY EXAM LEFT FEMUR	$92.62	$421.00	$15.77–$399.95	54% below	78%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HB X-RAY EXAM RIGHT FEMUR	$92.62	$421.00	$210.50–$399.95	—	78%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HB X-RAY EXAM LEFT FEMUR	$92.62	$421.00	$210.50–$399.95	—	78%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HB CT T SPINE W/O CONTRAST	$316.58	$1,439.00	$53.60–$1,367.05	63% below	78%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HB CT T SPINE W/O CONTRAST	$316.58	$1,439.00	$719.50–$1,367.05	—	78%
Toe X-ray, 2 or more views one side CPT 73660 HB TOES MIN 2 VWS RT	$67.32	$306.00	$16.76–$290.70	56% below	78%
Toe X-ray, 2 or more views one side CPT 73660 HB TOES MIN 2 VWS LT	$67.32	$306.00	$16.76–$290.70	56% below	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HB TOES MIN 2 VWS LT	$67.32	$306.00	$153.00–$290.70	—	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HB TOES MIN 2 VWS RT	$67.32	$306.00	$153.00–$290.70	—	78%
Transvaginal pelvic ultrasound CPT 76830 HB US TRANSVAGINAL	$197.56	$898.00	$53.60–$853.10	51% below	78%
Transvaginal pelvic ultrasound inpatient CPT 76830 HB US TRANSVAGINAL	$197.56	$898.00	$449.00–$853.10	—	78%
Transvaginal ultrasound during pregnancy CPT 76817 HB US TRANSVAG PREG COMPL	$189.42	$861.00	$44.51–$817.95	49% below	78%
Transvaginal ultrasound during pregnancy CPT 76817 HB US TRANSVAG PREG LTD	$200.86	$913.00	$44.51–$867.35	46% below	78%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB US TRANSVAG PREG COMPL	$189.42	$861.00	$430.50–$817.95	—	78%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB US TRANSVAG PREG LTD	$200.86	$913.00	$456.50–$867.35	—	78%
Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMP	$330.88	$1,504.00	$53.60–$1,428.80	37% below	78%
Ultrasound of the abdomen, complete inpatient CPT 76700 HB US ABDOMEN COMP	$330.88	$1,504.00	$752.00–$1,428.80	—	78%
Ultrasound of the scrotum and testicles CPT 76870 HB US SCROTUM/TESTICULAR	$191.40	$870.00	$29.15–$826.50	55% below	78%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HB US SCROTUM/TESTICULAR	$191.40	$870.00	$435.00–$826.50	—	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US SOFT TISSUE HEAD AND NECK	$216.26	$983.00	$65.56–$933.85	49% below	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB US SOFT TISSUE HEAD AND NECK	$216.26	$983.00	$491.50–$933.85	—	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB UPPER GI W/O KUB	$152.24	$692.00	$56.64–$657.40	71% below	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB UPPER GI W/O KUB	$152.24	$692.00	$346.00–$657.40	—	78%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HB HUMERUS MIN 2 VWS RT	$81.62	$371.00	$14.28–$352.45	57% below	78%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HB HUMERUS 1 VIEW LT	$81.62	$371.00	$14.28–$352.45	57% below	78%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HB HUMERUS 1 VIEW RT	$81.62	$371.00	$14.28–$352.45	57% below	78%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HB HUMERUS MIN 2 VWS LT	$81.62	$371.00	$14.28–$352.45	57% below	78%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HB HUMERUS 1 VIEW LT	$81.62	$371.00	$185.50–$352.45	—	78%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HB HUMERUS MIN 2 VWS LT	$81.62	$371.00	$185.50–$352.45	—	78%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HB HUMERUS MIN 2 VWS RT	$81.62	$371.00	$185.50–$352.45	—	78%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HB HUMERUS 1 VIEW RT	$81.62	$371.00	$185.50–$352.45	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DOPPLER U/S EXT UNILATERAL	$226.38	$1,029.00	$111.40–$977.55	64% below	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT LOW RT	$240.02	$1,091.00	$111.40–$1,036.45	62% below	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT UP RT	$240.02	$1,091.00	$111.40–$1,036.45	62% below	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT LOW LT	$240.02	$1,091.00	$111.40–$1,036.45	62% below	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT UP LT	$240.02	$1,091.00	$111.40–$1,036.45	62% below	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB DOPPLER U/S EXT UNILATERAL	$226.38	$1,029.00	$514.50–$977.55	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT UP RT	$240.02	$1,091.00	$545.50–$1,036.45	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT UP LT	$240.02	$1,091.00	$545.50–$1,036.45	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT LOW RT	$240.02	$1,091.00	$545.50–$1,036.45	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT LOW LT	$240.02	$1,091.00	$545.50–$1,036.45	—	78%
Wrist X-ray, 2 views one side CPT 73100 HB WRIST AP & LAT LT	$64.68	$294.00	$15.77–$279.30	59% below	78%
Wrist X-ray, 2 views one side CPT 73100 HB WRIST AP & LAT RT	$64.68	$294.00	$15.77–$279.30	59% below	78%
Wrist X-ray, 2 views one side CPT 73100 HB WRIST 1 V RT	$68.64	$312.00	$15.77–$296.40	56% below	78%
Wrist X-ray, 2 views inpatient one side CPT 73100 HB WRIST AP & LAT LT	$64.68	$294.00	$147.00–$279.30	—	78%
Wrist X-ray, 2 views inpatient one side CPT 73100 HB WRIST AP & LAT RT	$64.68	$294.00	$147.00–$279.30	—	78%
Wrist X-ray, 2 views inpatient one side CPT 73100 HB WRIST 1 V RT	$68.64	$312.00	$156.00–$296.40	—	78%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HB WRIST COMP MIN 3 VW LT	$115.28	$524.00	$20.48–$497.80	55% below	78%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HB WRIST COMP MIN 3 VW RT	$115.28	$524.00	$20.48–$497.80	55% below	78%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HB WRIST COMP MIN 3 VW RT	$115.28	$524.00	$262.00–$497.80	—	78%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HB WRIST COMP MIN 3 VW LT	$115.28	$524.00	$262.00–$497.80	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HB X-RAY EXAM HIP UNI 2-3 VIEWS	$104.06	$473.00	$20.73–$449.35	61% below	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HB X-RAY EXAM HIP UNI 2-3 VIEWS	$104.06	$473.00	$236.50–$449.35	—	78%
X-ray of the abdomen, 1 view CPT 74018 HB ABDOMEN XR SINGLE VIEW	$86.02	$391.00	$62.12–$371.45	60% below	78%
X-ray of the abdomen, 1 view inpatient CPT 74018 HB ABDOMEN XR SINGLE VIEW	$86.02	$391.00	$195.50–$371.45	—	78%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE 1 VW LT	$75.24	$342.00	$14.28–$324.90	53% below	78%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE 1 VW RT	$75.24	$342.00	$14.28–$324.90	53% below	78%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE AP & LAT RT	$75.24	$342.00	$14.28–$324.90	53% below	78%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE AP & LAT LT	$75.24	$342.00	$14.28–$324.90	53% below	78%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE 1 VW RT	$75.24	$342.00	$171.00–$324.90	—	78%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE AP & LAT LT	$75.24	$342.00	$171.00–$324.90	—	78%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE AP & LAT RT	$75.24	$342.00	$171.00–$324.90	—	78%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE 1 VW LT	$75.24	$342.00	$171.00–$324.90	—	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 HB FINGERS MIN 2 VWS LT	$67.32	$306.00	$18.50–$290.70	58% below	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 HB FINGERS MIN 2 VWS RT	$67.32	$306.00	$18.50–$290.70	58% below	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HB FINGERS MIN 2 VWS RT	$67.32	$306.00	$153.00–$290.70	—	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HB FINGERS MIN 2 VWS LT	$67.32	$306.00	$153.00–$290.70	—	78%
X-ray of the foot, 2 views one side CPT 73620 HB FOOT 2 VW LT	$74.58	$339.00	$13.79–$322.05	54% below	78%
X-ray of the foot, 2 views one side CPT 73620 HB FOOT AP & LAT RT	$74.58	$339.00	$13.79–$322.05	54% below	78%
X-ray of the foot, 2 views one side CPT 73620 HB FOOT AP & LAT LT	$74.58	$339.00	$13.79–$322.05	54% below	78%
X-ray of the foot, 2 views one side CPT 73620 HB FOOT 1V RT	$74.58	$339.00	$13.79–$322.05	54% below	78%
X-ray of the foot, 2 views inpatient one side CPT 73620 HB FOOT AP & LAT LT	$74.58	$339.00	$169.50–$322.05	—	78%
X-ray of the foot, 2 views inpatient one side CPT 73620 HB FOOT AP & LAT RT	$74.58	$339.00	$169.50–$322.05	—	78%
X-ray of the foot, 2 views inpatient one side CPT 73620 HB FOOT 1V RT	$74.58	$339.00	$169.50–$322.05	—	78%
X-ray of the foot, 2 views inpatient one side CPT 73620 HB FOOT 2 VW LT	$74.58	$339.00	$169.50–$322.05	—	78%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HB FOOT COMP MIN 3 VWS LT	$86.90	$395.00	$16.27–$375.25	57% below	78%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HB FOOT COMP MIN 3 VWS RT	$92.18	$419.00	$16.27–$398.05	54% below	78%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HB FOOT COMP MIN 3 VWS LT	$86.90	$395.00	$197.50–$375.25	—	78%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HB FOOT COMP MIN 3 VWS RT	$92.18	$419.00	$209.50–$398.05	—	78%
X-ray of the hand, 3 or more views one side CPT 73130 HB HAND MIN 3 VWS LT	$85.14	$387.00	$17.01–$367.65	58% below	78%
X-ray of the hand, 3 or more views one side CPT 73130 HB HAND MIN 3 VWS RT	$85.14	$387.00	$17.01–$367.65	58% below	78%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HB HAND MIN 3 VWS RT	$85.14	$387.00	$193.50–$367.65	—	78%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HB HAND MIN 3 VWS LT	$85.14	$387.00	$193.50–$367.65	—	78%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 1-2 VIEWS LT	$87.12	$396.00	$15.03–$376.20	58% below	78%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 1-2 VIEWS RT	$87.12	$396.00	$15.03–$376.20	58% below	78%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 2 VWS RT	$92.40	$420.00	$15.03–$399.00	56% below	78%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 2 VWS LT	$92.40	$420.00	$15.03–$399.00	56% below	78%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 1-2 VIEWS LT	$87.12	$396.00	$198.00–$376.20	—	78%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 1-2 VIEWS RT	$87.12	$396.00	$198.00–$376.20	—	78%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 2 VWS LT	$92.40	$420.00	$210.00–$399.00	—	78%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 2 VWS RT	$92.40	$420.00	$210.00–$399.00	—	78%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB L SPINE AP & LATERAL	$124.08	$564.00	$17.01–$535.80	51% below	78%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB L SPINE AP & LATERAL	$124.08	$564.00	$282.00–$535.80	—	78%
X-ray of the lower back, 4 or more views CPT 72110 HB L SPINE COMP W OBLIQUES	$156.86	$713.00	$23.45–$677.35	55% below	78%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HB L SPINE COMP W OBLIQUES	$156.86	$713.00	$356.50–$677.35	—	78%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB T SPINE AP & LATERAL	$88.00	$400.00	$15.77–$380.00	62% below	78%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB T SPINE AP & LATERAL	$88.00	$400.00	$200.00–$380.00	—	78%
X-ray of the nasal bones, 3 or more views CPT 70160 HB NASAL BONES AP & LAT ONLY	$100.76	$458.00	$17.75–$435.10	50% below	78%
X-ray of the nasal bones, 3 or more views CPT 70160 HB NASAL BONES MIN 3 VWS	$106.92	$486.00	$17.75–$461.70	47% below	78%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB NASAL BONES AP & LAT ONLY	$100.76	$458.00	$229.00–$435.10	—	78%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB NASAL BONES MIN 3 VWS	$106.92	$486.00	$243.00–$461.70	—	78%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB C SPINE AP & LAT 2/3 VIEWS	$99.00	$450.00	$17.01–$427.50	60% below	78%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HB C SPINE AP & LAT 2/3 VIEWS	$99.00	$450.00	$225.00–$427.50	—	78%
X-ray of the pelvis, 1 or 2 views CPT 72170 HB PELVIS 1 OR 2 VIEWS	$85.36	$388.00	$13.79–$368.60	57% below	78%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB PELVIS 1 OR 2 VIEWS	$85.36	$388.00	$194.00–$368.60	—	78%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB SACRUM & COCCYX MIN 2 VWS	$92.18	$419.00	$14.28–$398.05	58% below	78%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB SACRUM & COCCYX MIN 2 VWS	$92.18	$419.00	$209.50–$398.05	—	78%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
ACTH blood test CPT 82024 HB ACTH	$125.62	$571.00	$38.62–$542.45	49% below	78%
ACTH blood test inpatient CPT 82024 HB ACTH	$125.62	$571.00	$285.50–$542.45	—	78%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB FIBROSURE-SGPT (S/O)	$9.46	$43.00	$5.30–$40.85	66% below	78%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB SGPT/ALT	$14.52	$66.00	$5.30–$62.70	47% below	78%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB FIBROSURE-SGPT (S/O)	$9.46	$43.00	$21.50–$40.85	—	78%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB SGPT/ALT	$14.52	$66.00	$33.00–$62.70	—	78%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB FIBROSURE-SGOT (S/O)	$8.80	$40.00	$5.18–$38.00	70% below	78%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB SGOT/AST	$15.40	$70.00	$5.18–$66.50	47% below	78%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB FIBROSURE-SGOT (S/O)	$8.80	$40.00	$20.00–$38.00	—	78%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB SGOT/AST	$15.40	$70.00	$35.00–$66.50	—	78%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB ACUTE HEPATITIS PANEL	$133.76	$608.00	$47.63–$577.60	58% below	78%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB ACUTE HEPATITIS PANEL	$133.76	$608.00	$304.00–$577.60	—	78%
Albumin blood test CPT 82040 HB ALBUMIN SERUM	$10.34	$47.00	$4.95–$44.65	55% below	78%
Albumin blood test inpatient CPT 82040 HB ALBUMIN SERUM	$10.34	$47.00	$23.50–$44.65	—	78%
Aldosterone blood test CPT 82088 HB ALDOSTERONE	$119.90	$545.00	$40.75–$517.75	42% below	78%
Aldosterone blood test inpatient CPT 82088 HB ALDOSTERONE	$119.90	$545.00	$272.50–$517.75	—	78%
Alkaline phosphatase (ALP) blood test CPT 84075 HB ALKALINE PHOSPHATASE	$12.98	$59.00	$5.18–$56.05	59% below	78%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB ALKALINE PHOSPHATASE	$12.98	$59.00	$29.50–$56.05	—	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN IGE (INHSE)	$9.68	$44.00	$5.22–$41.80	50% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN IGE (S/O)	$20.90	$95.00	$5.22–$90.25	9% above	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN IGE (INHSE)	$9.68	$44.00	$22.00–$41.80	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN IGE (S/O)	$20.90	$95.00	$47.50–$90.25	—	78%
Alpha-fetoprotein (AFP) blood test CPT 82105 HB ALPHA FETOPROTEIN	$59.40	$270.00	$16.77–$256.50	42% below	78%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HB ALPHA FETOPROTEIN	$59.40	$270.00	$135.00–$256.50	—	78%
Ammonia blood test CPT 82140 HB AMMONIA	$31.02	$141.00	$14.57–$133.95	74% below	78%
Ammonia blood test inpatient CPT 82140 HB AMMONIA	$31.02	$141.00	$70.50–$133.95	—	78%
Amylase blood test CPT 82150 HB AMYLASE	$23.10	$105.00	$6.48–$99.75	55% below	78%
Amylase blood test inpatient CPT 82150 HB AMYLASE	$23.10	$105.00	$52.50–$99.75	—	78%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CYCLIC CITRULLINATED AB	$35.42	$161.00	$12.95–$152.95	33% below	78%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB CYCLIC CITRULLINATED AB	$35.42	$161.00	$80.50–$152.95	—	78%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANA SCREEN	$29.26	$133.00	$12.09–$126.35	51% below	78%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANA SCREEN	$29.26	$133.00	$66.50–$126.35	—	78%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB BNP-POCT	$28.60	$130.00	$39.26–$123.50	83% below	78%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB BNP	$45.10	$205.00	$39.26–$194.75	74% below	78%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB BNP-POCT	$28.60	$130.00	$65.00–$123.50	—	78%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB BNP	$45.10	$205.00	$102.50–$194.75	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE BRONCHIAL	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE ROUTINE	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE TISSUE	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE AEROBIC - ALLOGENEIC BONE BANK	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE BODY FLUID	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE BONE MARROW	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE SPUTUM - W/GS	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE CSF	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE WOUND	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE GENITAL	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE LEGIONELLA	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE THROAT	$39.60	$180.00	$8.62–$171.00	58% below	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE AEROBIC - ALLOGENEIC BONE BANK	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE BONE MARROW	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE BODY FLUID	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE TISSUE	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE ROUTINE	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE SPUTUM - W/GS	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE LEGIONELLA	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE GENITAL	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE THROAT	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE CSF	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE WOUND	$39.60	$180.00	$90.00–$171.00	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE BRONCHIAL	$39.60	$180.00	$90.00–$171.00	—	78%
Basic metabolic panel (blood test) CPT 80048 HB BMP W TOTAL CALCIUM	$21.56	$98.00	$8.46–$93.10	72% below	78%
Basic metabolic panel (blood test) inpatient CPT 80048 HB BMP W TOTAL CALCIUM	$21.56	$98.00	$49.00–$93.10	—	78%
Bilirubin blood test, total CPT 82247 HB FIBROSURE-BILIRUBIN (S/O)	$4.18	$19.00	$5.02–$18.05	88% below	78%
Bilirubin blood test, total CPT 82247 HB BILIRUBIN TOTAL	$14.52	$66.00	$5.02–$62.70	58% below	78%
Bilirubin blood test, total inpatient CPT 82247 HB FIBROSURE-BILIRUBIN (S/O)	$4.18	$19.00	$9.50–$18.05	—	78%
Bilirubin blood test, total inpatient CPT 82247 HB BILIRUBIN TOTAL	$14.52	$66.00	$33.00–$62.70	—	78%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB PATH LVL IV/88305	$72.38	$329.00	$55.97–$312.55	72% below	78%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB MSO-LEVEL IV GROSS/MICRO	$79.86	$363.00	$55.97–$344.85	69% below	78%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB PATH LVL IV/88305	$72.38	$329.00	$164.50–$312.55	—	78%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB MSO-LEVEL IV GROSS/MICRO	$79.86	$363.00	$181.50–$344.85	—	78%
Blood culture for bacteria CPT 87040 HB CULTURE BLD AEROB ONLY	$44.22	$201.00	$10.32–$190.95	66% below	78%
Blood culture for bacteria CPT 87040 HB CULTURE BLOOD	$44.22	$201.00	$10.32–$190.95	66% below	78%
Blood culture for bacteria inpatient CPT 87040 HB CULTURE BLOOD	$44.22	$201.00	$100.50–$190.95	—	78%
Blood culture for bacteria inpatient CPT 87040 HB CULTURE BLD AEROB ONLY	$44.22	$201.00	$100.50–$190.95	—	78%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB SPECIMEN COLLECTION VENIPUNCT	$5.28	$24.00	$3.00–$22.80	68% below	78%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB SPECIMEN COLLECTION VENIPUNCT	$5.28	$24.00	$12.00–$22.80	—	78%
Blood glucose (sugar) test CPT 82947 HB GLUCOSE BLD QUANT	$11.66	$53.00	$3.93–$50.35	56% below	78%
Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE BLD QUANT	$11.66	$53.00	$26.50–$50.35	—	78%
Blood lead test CPT 83655 HB LEAD	$18.92	$86.00	$12.11–$81.70	73% below	78%
Blood lead test inpatient CPT 83655 HB LEAD	$18.92	$86.00	$43.00–$81.70	—	78%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB HCG SERUM QUAL	$20.02	$91.00	$7.52–$86.45	73% below	78%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB HCG SERUM QUAL	$20.02	$91.00	$45.50–$86.45	—	78%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB BLOOD TYPING ABO	$22.22	$101.00	$2.99–$270.07	55% below	78%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB REF ABO TYPE	$22.22	$101.00	$2.99–$270.07	55% below	78%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB REF ABO TYPE	$22.22	$101.00	$50.50–$95.95	—	78%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB BLOOD TYPING ABO	$22.22	$101.00	$50.50–$95.95	—	78%
Blood urea nitrogen (BUN) test CPT 84520 HB BUN	$10.34	$47.00	$3.95–$44.65	56% below	78%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HB BUN	$10.34	$47.00	$23.50–$44.65	—	78%
C-peptide blood test CPT 84681 HB C-PEPTIDE	$14.08	$64.00	$20.81–$60.80	90% below	78%
C-peptide blood test inpatient CPT 84681 HB C-PEPTIDE	$14.08	$64.00	$32.00–$60.80	—	78%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN	$28.82	$131.00	$5.18–$124.45	58% below	78%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN	$28.82	$131.00	$65.50–$124.45	—	78%
C. difficile toxin gene test (stool PCR) CPT 87493 HB CLO DIFFICILE AMP PROBE	$40.04	$182.00	$37.27–$172.90	70% below	78%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB CLO DIFFICILE AMP PROBE	$40.04	$182.00	$91.00–$172.90	—	78%
CA 19-9 blood test (tumor marker) CPT 86301 HB CA 19 9	$53.90	$245.00	$20.81–$232.75	63% below	78%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CA 19 9	$53.90	$245.00	$122.50–$232.75	—	78%
CA-125 blood test (ovarian cancer marker) CPT 86304 HB CA 125	$59.18	$269.00	$20.81–$255.55	64% below	78%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CA 125	$59.18	$269.00	$134.50–$255.55	—	78%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB COVID-19 NON CDC	$20.24	$92.00	$51.31–$102.62	81% below	78%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB COVID-19 NON CDC	$20.24	$92.00	$46.00–$87.40	—	78%
Calcium blood test, total CPT 82310 HB CALCIUM TOTAL	$12.32	$56.00	$5.16–$53.20	53% below	78%
Calcium blood test, total inpatient CPT 82310 HB CALCIUM TOTAL	$12.32	$56.00	$28.00–$53.20	—	78%
Carcinoembryonic antigen (CEA) test CPT 82378 HB CEA	$61.82	$281.00	$18.96–$266.95	49% below	78%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HB CEA	$61.82	$281.00	$140.50–$266.95	—	78%
Chickenpox (varicella) immunity blood test CPT 86787 HB VARICELLA ZOSTER AB EA (INH	$26.84	$122.00	$12.88–$115.90	72% below	78%
Chickenpox (varicella) immunity blood test CPT 86787 HB MEM-VZ AB	$26.84	$122.00	$12.88–$115.90	72% below	78%
Chickenpox (varicella) immunity blood test CPT 86787 HB VARICELLA ZOSTER AB EA(SO)	$57.42	$261.00	$12.88–$247.95	41% below	78%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB VARICELLA ZOSTER AB EA (INH	$26.84	$122.00	$61.00–$115.90	—	78%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB MEM-VZ AB	$26.84	$122.00	$61.00–$115.90	—	78%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB VARICELLA ZOSTER AB EA(SO)	$57.42	$261.00	$130.50–$247.95	—	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYD TRACH AMP PROBE	$36.30	$165.00	$35.09–$156.75	63% below	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYD TRACH AMP PROBE	$36.30	$165.00	$82.50–$156.75	—	78%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL-INHSE	$28.16	$128.00	$13.39–$121.60	73% below	78%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL-INHSE	$28.16	$128.00	$64.00–$121.60	—	78%
Complete blood count (CBC) with differential CPT 85025 HB CBC/PLT/AUTO DIFF	$14.74	$67.00	$7.77–$63.65	64% below	78%
Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC/PLT/AUTO DIFF	$14.74	$67.00	$33.50–$63.65	—	78%
Complete blood count (CBC), no differential CPT 85027 HB CBC/PLT/NO DIFF	$12.10	$55.00	$6.47–$52.25	59% below	78%
Complete blood count (CBC), no differential CPT 85027 HB H&H PLATELET CT	$12.10	$55.00	$6.47–$52.25	59% below	78%
Complete blood count (CBC), no differential inpatient CPT 85027 HB H&H PLATELET CT	$12.10	$55.00	$27.50–$52.25	—	78%
Complete blood count (CBC), no differential inpatient CPT 85027 HB CBC/PLT/NO DIFF	$12.10	$55.00	$27.50–$52.25	—	78%
Comprehensive metabolic panel (blood test) CPT 80053 HB COMP METABOLIC PANEL	$29.26	$133.00	$10.56–$126.35	67% below	78%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMP METABOLIC PANEL	$29.26	$133.00	$66.50–$126.35	—	78%
Cortisol blood test, total CPT 82533 HB CORTISOL TOTAL	$30.80	$140.00	$16.30–$133.00	67% below	78%
Cortisol blood test, total CPT 82533 HB CORTISOL TOTAL (SO)	$50.38	$229.00	$16.30–$217.55	47% below	78%
Cortisol blood test, total inpatient CPT 82533 HB CORTISOL TOTAL	$30.80	$140.00	$70.00–$133.00	—	78%
Cortisol blood test, total inpatient CPT 82533 HB CORTISOL TOTAL (SO)	$50.38	$229.00	$114.50–$217.55	—	78%
Creatine kinase (CK) blood test, total CPT 82550 HB CK/CPK TOTAL	$13.20	$60.00	$6.51–$57.00	66% below	78%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HB CK/CPK TOTAL	$13.20	$60.00	$30.00–$57.00	—	78%
Creatinine blood test CPT 82565 HB CREATININE BLOOD	$12.54	$57.00	$5.12–$54.15	56% below	78%
Creatinine blood test inpatient CPT 82565 HB CREATININE BLOOD	$12.54	$57.00	$28.50–$54.15	—	78%
Cytomegalovirus (CMV) antibody test CPT 86644 HB CMV AB EA (INHSE)	$27.28	$124.00	$14.39–$117.80	66% below	78%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB CMV AB EA (INHSE)	$27.28	$124.00	$62.00–$117.80	—	78%
D-dimer blood test (blood clot marker) CPT 85379 HB D DIMER QUANT	$46.64	$212.00	$10.18–$201.40	62% below	78%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HB D DIMER QUANT	$46.64	$212.00	$106.00–$201.40	—	78%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB DHEA SULFATE	$64.90	$295.00	$22.23–$280.25	56% below	78%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB DHEA SULFATE	$64.90	$295.00	$147.50–$280.25	—	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB DRUG SCREEN-ANALYZER (IH)	$37.40	$170.00	$62.14–$161.50	67% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB UDS BY MS	$46.42	$211.00	$62.14–$200.45	59% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB DRUG SCREEN-ANALYZER (SO)	$47.74	$217.00	$62.14–$206.15	58% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB HAIR TOXICOLOGY - 16 DRUG (SO)	$58.96	$268.00	$62.14–$254.60	48% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB CORD TOX QL (SO)	$61.60	$280.00	$62.14–$266.00	46% below	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB DRUG SCREEN-ANALYZER (IH)	$37.40	$170.00	$85.00–$161.50	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB UDS BY MS	$46.42	$211.00	$105.50–$200.45	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB DRUG SCREEN-ANALYZER (SO)	$47.74	$217.00	$108.50–$206.15	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB HAIR TOXICOLOGY - 16 DRUG (SO)	$58.96	$268.00	$134.00–$254.60	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB CORD TOX QL (SO)	$61.60	$280.00	$140.00–$266.00	—	78%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB ELECTROLYTE PANEL	$29.92	$136.00	$7.01–$129.20	53% below	78%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HB ELECTROLYTE PANEL	$29.92	$136.00	$68.00–$129.20	—	78%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB EBV VCA EA	$25.08	$114.00	$18.14–$108.30	69% below	78%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB EBV VCA EA	$25.08	$114.00	$57.00–$108.30	—	78%
Estradiol blood test CPT 82670 HB ESTRADIOL	$51.48	$234.00	$27.94–$222.30	60% below	78%
Estradiol blood test inpatient CPT 82670 HB ESTRADIOL	$51.48	$234.00	$117.00–$222.30	—	78%
FSH (follicle-stimulating hormone) test CPT 83001 HB FSH (INH)	$57.64	$262.00	$18.58–$248.90	55% below	78%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB FSH (INH)	$57.64	$262.00	$131.00–$248.90	—	78%
Fecal calprotectin (stool inflammation test) CPT 83993 HB CALPROTECTIN	$62.70	$285.00	$19.63–$270.75	65% below	78%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB CALPROTECTIN	$62.70	$285.00	$142.50–$270.75	—	78%
Ferritin blood test (iron stores) CPT 82728 HB FERRITIN	$40.04	$182.00	$13.63–$172.90	50% below	78%
Ferritin blood test (iron stores) inpatient CPT 82728 HB FERRITIN	$40.04	$182.00	$91.00–$172.90	—	78%
Fibrinogen blood test CPT 85384 HB FIBRINOGEN	$36.74	$167.00	$9.72–$158.65	39% below	78%
Fibrinogen blood test inpatient CPT 85384 HB FIBRINOGEN	$36.74	$167.00	$83.50–$158.65	—	78%
Folate (folic acid) blood test CPT 82746 HB FOLIC ACID SERUM	$25.52	$116.00	$14.70–$110.20	67% below	78%
Folate (folic acid) blood test inpatient CPT 82746 HB FOLIC ACID SERUM	$25.52	$116.00	$58.00–$110.20	—	78%
Free T3 thyroid hormone test CPT 84481 HB T3 FREE	$51.48	$234.00	$16.94–$222.30	61% below	78%
Free T3 thyroid hormone test inpatient CPT 84481 HB T3 FREE	$51.48	$234.00	$117.00–$222.30	—	78%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB T4 FREE	$36.08	$164.00	$9.02–$155.80	55% below	78%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB T4 FREE	$36.08	$164.00	$82.00–$155.80	—	78%
Free testosterone test CPT 84402 HB TESTOSTERONE FREE	$26.40	$120.00	$25.47–$114.00	68% below	78%
Free testosterone test inpatient CPT 84402 HB TESTOSTERONE FREE	$26.40	$120.00	$60.00–$114.00	—	78%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB GGT	$14.52	$66.00	$7.20–$62.70	55% below	78%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HB GGT	$14.52	$66.00	$33.00–$62.70	—	78%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE POST DOSE	$13.86	$63.00	$4.75–$59.85	66% below	78%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB GLUCOSE POST DOSE	$13.86	$63.00	$31.50–$59.85	—	78%
Glucose tolerance test, 3 samples CPT 82951 HB GLUC TOL UP TO 3 SPEC	$38.28	$174.00	$12.87–$165.30	48% below	78%
Glucose tolerance test, 3 samples inpatient CPT 82951 HB GLUC TOL UP TO 3 SPEC	$38.28	$174.00	$87.00–$165.30	—	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB GC AMP PROBE	$37.62	$171.00	$35.09–$162.45	61% below	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB GC AMP PROBE	$37.62	$171.00	$85.50–$162.45	—	78%
H. pylori antibody blood test CPT 86677 HB H. PYLORI AB EA (S/O)	$39.60	$180.00	$16.85–$171.00	59% below	78%
H. pylori antibody blood test inpatient CPT 86677 HB H. PYLORI AB EA (S/O)	$39.60	$180.00	$90.00–$171.00	—	78%
H. pylori stool antigen test CPT 87338 HB H.PYLORI AG-STOOL	$57.20	$260.00	$14.38–$247.00	56% below	78%
H. pylori stool antigen test inpatient CPT 87338 HB H.PYLORI AG-STOOL	$57.20	$260.00	$130.00–$247.00	—	78%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB H-1 REVERSE TRANSCRIPT & QUANT	$38.72	$176.00	$85.10–$170.20	89% below	78%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB H-1 REVERSE TRANSCRIPT & QUANT	$38.72	$176.00	$88.00–$167.20	—	78%
HIV-1 and HIV-2 antibody test CPT 86703 HB H1/2 ABS	$38.72	$176.00	$13.71–$167.20	35% below	78%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB H1/2 ABS	$38.72	$176.00	$88.00–$167.20	—	78%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB H1 AG+H1/H2 ABS 1 RESULT	$15.84	$72.00	$24.08–$68.40	73% below	78%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB H1AG+H1/H2ABS	$37.62	$171.00	$24.08–$162.45	37% below	78%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB H1 AG+H1/H2 ABS 1 RESULT	$15.84	$72.00	$36.00–$68.40	—	78%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB H1AG+H1/H2ABS	$37.62	$171.00	$85.50–$162.45	—	78%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HPV HIGH-RISK TYPES	$58.30	$265.00	$35.09–$251.75	44% below	78%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HPV HIGH-RISK TYPES	$58.30	$265.00	$132.50–$251.75	—	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HGB A1C	$19.80	$90.00	$9.71–$85.50	70% below	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HGB A1C	$19.80	$90.00	$45.00–$85.50	—	78%
Hemoglobin blood test CPT 85018 HB HEMOGLOBIN	$12.76	$58.00	$2.37–$55.10	31% below	78%
Hemoglobin blood test inpatient CPT 85018 HB HEMOGLOBIN	$12.76	$58.00	$29.00–$55.10	—	78%
Hepatitis B core antibody test (total) CPT 86704 HB HEP B CORE AB	$39.16	$178.00	$12.05–$169.10	41% below	78%
Hepatitis B core antibody test (total) inpatient CPT 86704 HB HEP B CORE AB	$39.16	$178.00	$89.00–$169.10	—	78%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEP B SURFACE AB	$10.56	$48.00	$10.74–$45.60	84% below	78%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEP B SURFACE AB	$10.56	$48.00	$24.00–$45.60	—	78%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEP B SURF AG	$47.52	$216.00	$10.33–$205.20	22% below	78%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEP B SURF AG	$47.52	$216.00	$108.00–$205.20	—	78%
Hepatitis C antibody blood test (screening) CPT 86803 HB HEP C AB	$49.50	$225.00	$14.27–$213.75	50% below	78%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEP C AB	$49.50	$225.00	$112.50–$213.75	—	78%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEPATITIS C QUANT	$58.30	$265.00	$42.84–$251.75	74% below	78%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HEPATITIS C QUANT	$58.30	$265.00	$132.50–$251.75	—	78%
Herpes blood test, HSV-1 antibody CPT 86695 HB HSV AB TYPE 1 EA	$5.50	$25.00	$13.19–$26.38	89% below	78%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB HSV AB TYPE 1 EA	$5.50	$25.00	$12.50–$23.75	—	78%
Herpes blood test, HSV-2 antibody CPT 86696 HB HSV AB TYPE 2 EA	$16.50	$75.00	$19.35–$71.25	77% below	78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB HSV AB TYPE 2 EA	$16.50	$75.00	$37.50–$71.25	—	78%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB HSCRP	$27.06	$123.00	$12.95–$116.85	63% below	78%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB HSCRP	$27.06	$123.00	$61.50–$116.85	—	78%
Homocysteine blood test CPT 83090 HB HOMOCYSTEINE	$49.94	$227.00	$17.92–$215.65	62% below	78%
Homocysteine blood test inpatient CPT 83090 HB HOMOCYSTEINE	$49.94	$227.00	$113.50–$215.65	—	78%
Insulin blood test CPT 83525 HB INSULIN TOTAL	$40.48	$184.00	$11.43–$174.80	43% below	78%
Insulin blood test inpatient CPT 83525 HB INSULIN TOTAL	$40.48	$184.00	$92.00–$174.80	—	78%
Iron blood test (serum iron) CPT 83540 HB IRON (INH)	$18.04	$82.00	$6.47–$77.90	62% below	78%
Iron blood test (serum iron) inpatient CPT 83540 HB IRON (INH)	$18.04	$82.00	$41.00–$77.90	—	78%
Iron-binding capacity (TIBC) test CPT 83550 HB TIBC	$23.54	$107.00	$8.74–$101.65	47% below	78%
Iron-binding capacity (TIBC) test CPT 83550 HB UIBC	$23.76	$108.00	$8.74–$102.60	46% below	78%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HB TIBC	$23.54	$107.00	$53.50–$101.65	—	78%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HB UIBC	$23.76	$108.00	$54.00–$102.60	—	78%
Kidney function blood test panel CPT 80069 HB RENAL FUNCTION PANEL	$50.38	$229.00	$8.68–$217.55	50% below	78%
Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTION PANEL	$50.38	$229.00	$114.50–$217.55	—	78%
LH (luteinizing hormone) test CPT 83002 HB LH (INH)	$56.10	$255.00	$18.52–$242.25	60% below	78%
LH (luteinizing hormone) test inpatient CPT 83002 HB LH (INH)	$56.10	$255.00	$127.50–$242.25	—	78%
Lactate (lactic acid) blood test CPT 83605 HB LACTIC ACID	$31.02	$141.00	$11.57–$133.95	66% below	78%
Lactate (lactic acid) blood test inpatient CPT 83605 HB LACTIC ACID	$31.02	$141.00	$70.50–$133.95	—	78%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB LDH	$14.74	$67.00	$6.04–$63.65	66% below	78%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB LDH	$14.74	$67.00	$33.50–$63.65	—	78%
Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE	$24.42	$111.00	$6.89–$105.45	72% below	78%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE	$24.42	$111.00	$55.50–$105.45	—	78%
Liver function blood test panel CPT 80076 HB HEPATIC FUNCTION PANEL	$11.00	$50.00	$8.17–$47.50	88% below	78%
Liver function blood test panel inpatient CPT 80076 HB HEPATIC FUNCTION PANEL	$11.00	$50.00	$25.00–$47.50	—	78%
Lyme disease antibody test CPT 86618 HB LYME DISEASE AB	$23.10	$105.00	$17.03–$99.75	81% below	78%
Lyme disease antibody test CPT 86618 HB LYME TOTAL ANTIBODY MTTT	$33.66	$153.00	$17.03–$145.35	73% below	78%
Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE AB	$23.10	$105.00	$52.50–$99.75	—	78%
Lyme disease antibody test inpatient CPT 86618 HB LYME TOTAL ANTIBODY MTTT	$33.66	$153.00	$76.50–$145.35	—	78%
Magnesium blood test CPT 83735 HB MAGNESIUM	$36.74	$167.00	$6.70–$158.65	23% below	78%
Magnesium blood test inpatient CPT 83735 HB MAGNESIUM	$36.74	$167.00	$83.50–$158.65	—	78%
Measles (rubeola) antibody test CPT 86765 HB RUBEOLA AB EA (INHSE)	$20.46	$93.00	$12.88–$88.35	74% below	78%
Measles (rubeola) antibody test CPT 86765 HB RUBEOLA AB EA (SO)	$21.34	$97.00	$12.88–$92.15	73% below	78%
Measles (rubeola) antibody test inpatient CPT 86765 HB RUBEOLA AB EA (INHSE)	$20.46	$93.00	$46.50–$88.35	—	78%
Measles (rubeola) antibody test inpatient CPT 86765 HB RUBEOLA AB EA (SO)	$21.34	$97.00	$48.50–$92.15	—	78%
Mono test (heterophile antibody, Monospot) CPT 86308 HB HETEROPHILE AB OR MONO TEST	$24.64	$112.00	$5.18–$106.40	68% below	78%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB HETEROPHILE AB OR MONO TEST	$24.64	$112.00	$56.00–$106.40	—	78%
Mumps immunity blood test CPT 86735 HB MEM-MUMPS AB	$18.70	$85.00	$13.05–$80.75	75% below	78%
Mumps immunity blood test CPT 86735 HB MUMPS AB EA (INHSE)	$18.70	$85.00	$13.05–$80.75	75% below	78%
Mumps immunity blood test CPT 86735 HB MUMPS AB EA (SO)	$37.40	$170.00	$13.05–$161.50	51% below	78%
Mumps immunity blood test inpatient CPT 86735 HB MEM-MUMPS AB	$18.70	$85.00	$42.50–$80.75	—	78%
Mumps immunity blood test inpatient CPT 86735 HB MUMPS AB EA (INHSE)	$18.70	$85.00	$42.50–$80.75	—	78%
Mumps immunity blood test inpatient CPT 86735 HB MUMPS AB EA (SO)	$37.40	$170.00	$85.00–$161.50	—	78%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB PSA FREE	$21.56	$98.00	$18.39–$93.10	69% below	78%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB PSA FREE	$21.56	$98.00	$49.00–$93.10	—	78%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA TOTAL	$26.18	$119.00	$18.39–$113.05	67% below	78%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA (SO)	$46.20	$210.00	$18.39–$199.50	42% below	78%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA TOTAL	$26.18	$119.00	$59.50–$113.05	—	78%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA (SO)	$46.20	$210.00	$105.00–$199.50	—	78%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB GYN THIN PREP	$43.56	$198.00	$20.26–$188.10	38% below	78%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB GYN THIN PREP	$43.56	$198.00	$99.00–$188.10	—	78%
Parathyroid hormone (PTH) blood test CPT 83970 HB PARATHORMONE	$67.10	$305.00	$41.28–$289.75	65% below	78%
Parathyroid hormone (PTH) blood test CPT 83970 HB PTH RAPID	$67.10	$305.00	$41.28–$289.75	65% below	78%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PTH RAPID	$67.10	$305.00	$152.50–$289.75	—	78%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PARATHORMONE	$67.10	$305.00	$152.50–$289.75	—	78%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB HEPARIN NEUTRALIZATION PTT	$8.80	$40.00	$6.01–$38.00	82% below	78%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT ACTIVATED	$17.60	$80.00	$6.01–$76.00	65% below	78%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB HEPARIN NEUTRALIZATION PTT	$8.80	$40.00	$20.00–$38.00	—	78%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT ACTIVATED	$17.60	$80.00	$40.00–$76.00	—	78%
Phosphorus (phosphate) blood test CPT 84100 HB PHOSPHORUS BLOOD	$10.56	$48.00	$4.74–$45.60	63% below	78%
Phosphorus (phosphate) blood test inpatient CPT 84100 HB PHOSPHORUS BLOOD	$10.56	$48.00	$24.00–$45.60	—	78%
Potassium blood test CPT 84132 HB POTASSIUM BLOOD	$11.44	$52.00	$4.76–$49.40	60% below	78%
Potassium blood test inpatient CPT 84132 HB POTASSIUM BLOOD	$11.44	$52.00	$26.00–$49.40	—	78%
Progesterone blood test CPT 84144 HB PROGESTERONE	$60.94	$277.00	$20.86–$263.15	56% below	78%
Progesterone blood test inpatient CPT 84144 HB PROGESTERONE	$60.94	$277.00	$138.50–$263.15	—	78%
Prolactin blood test CPT 84146 HB PROLACTIN	$67.76	$308.00	$19.38–$292.60	33% below	78%
Prolactin blood test inpatient CPT 84146 HB PROLACTIN	$67.76	$308.00	$154.00–$292.60	—	78%
Prothrombin time (PT/INR) clotting test CPT 85610 HB POCT PT	$8.14	$37.00	$4.29–$35.15	69% below	78%
Prothrombin time (PT/INR) clotting test CPT 85610 HB MSO-PT	$13.20	$60.00	$4.29–$57.00	50% below	78%
Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME	$13.20	$60.00	$4.29–$57.00	50% below	78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB POCT PT	$8.14	$37.00	$18.50–$35.15	—	78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB MSO-PT	$13.20	$60.00	$30.00–$57.00	—	78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME	$13.20	$60.00	$30.00–$57.00	—	78%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB DRUG SCREEN-VISUAL READ (IH)	$10.34	$47.00	$12.60–$44.65	90% below	78%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HB DRUG SCREEN-VISUAL READ (IH)	$10.34	$47.00	$23.50–$44.65	—	78%
Rapid flu test (influenza antigen) CPT 87804 HB POCT RAPID FLU A/B	$36.74	$167.00	$16.55–$158.65	30% below	78%
Rapid flu test (influenza antigen) inpatient CPT 87804 HB POCT RAPID FLU A/B	$36.74	$167.00	$83.50–$158.65	—	78%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB STREP SCREEN BETA DIRECT	$26.18	$119.00	$16.53–$113.05	66% below	78%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB STREP SCREEN BETA DIRECT	$26.18	$119.00	$59.50–$113.05	—	78%
Renin blood test CPT 84244 HB RENIN	$66.00	$300.00	$21.99–$285.00	41% below	78%
Renin blood test inpatient CPT 84244 HB RENIN	$66.00	$300.00	$150.00–$285.00	—	78%
Rh blood typing CPT 86901 HB BLOOD TYPING RH(D)	$12.10	$55.00	$2.99–$82.24	69% below	78%
Rh blood typing CPT 86901 HB REF RH TYPE	$12.10	$55.00	$2.99–$82.24	69% below	78%
Rh blood typing inpatient CPT 86901 HB REF RH TYPE	$12.10	$55.00	$27.50–$52.25	—	78%
Rh blood typing inpatient CPT 86901 HB BLOOD TYPING RH(D)	$12.10	$55.00	$27.50–$52.25	—	78%
Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACT QUANT	$28.16	$128.00	$5.67–$121.60	42% below	78%
Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACT QUANT	$28.16	$128.00	$64.00–$121.60	—	78%
Rubella antibody test (immunity check) CPT 86762 HB RUBELLA AB EA (SO)	$7.04	$32.00	$14.39–$30.40	89% below	78%
Rubella antibody test (immunity check) CPT 86762 HB RUBELLA AB EA (INHSE)	$19.58	$89.00	$14.39–$84.55	71% below	78%
Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA AB EA (SO)	$7.04	$32.00	$16.00–$30.40	—	78%
Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA AB EA (INHSE)	$19.58	$89.00	$44.50–$84.55	—	78%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SED RATE AUTOMATED	$11.44	$52.00	$2.70–$49.40	71% below	78%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB SED RATE AUTOMATED	$11.44	$52.00	$26.00–$49.40	—	78%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HB SEMEN ANALYSIS CMPLT	$99.88	$454.00	$12.31–$431.30	9% below	78%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HB SEMEN ANALYSIS CMPLT	$99.88	$454.00	$227.00–$431.30	—	78%
Sodium blood test CPT 84295 HB SODIUM BLOOD	$8.36	$38.00	$4.81–$36.10	77% below	78%
Sodium blood test inpatient CPT 84295 HB SODIUM BLOOD	$8.36	$38.00	$19.00–$36.10	—	78%
Stool ova and parasites exam CPT 87177 HB OVA & PARASITE	$17.60	$80.00	$8.90–$76.00	64% below	78%
Stool ova and parasites exam inpatient CPT 87177 HB OVA & PARASITE	$17.60	$80.00	$40.00–$76.00	—	78%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB OCCULT BLOOD FECES	$9.90	$45.00	$4.38–$42.75	72% below	78%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB OCCULT BLOOD FECES	$9.90	$45.00	$22.50–$42.75	—	78%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB OCCULT BLOOD IMMUNOASSAY	$19.58	$89.00	$15.92–$84.55	62% below	78%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB OCCULT BLOOD IMMUNOCHEMICAL	$19.58	$89.00	$15.92–$84.55	62% below	78%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB OCCULT BLOOD IMMUNOCHEMICAL	$19.58	$89.00	$44.50–$84.55	—	78%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB OCCULT BLOOD IMMUNOASSAY	$19.58	$89.00	$44.50–$84.55	—	78%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB T PALLIDUM CONFIRMATION	$9.46	$43.00	$13.24–$40.85	86% below	78%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB T. PALLIDUM AB-TOTAL (INHSE)	$9.46	$43.00	$13.24–$40.85	86% below	78%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB T. PALLIDUM AB -TP-PA (INHSE)	$9.46	$43.00	$13.24–$40.85	86% below	78%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB TREPONEMA PALLIDUM AB (SO)	$21.78	$99.00	$13.24–$94.05	68% below	78%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB T. PALLIDUM AB-TOTAL (INHSE)	$9.46	$43.00	$21.50–$40.85	—	78%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB T PALLIDUM CONFIRMATION	$9.46	$43.00	$21.50–$40.85	—	78%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB T. PALLIDUM AB -TP-PA (INHSE)	$9.46	$43.00	$21.50–$40.85	—	78%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB TREPONEMA PALLIDUM AB (SO)	$21.78	$99.00	$49.50–$94.05	—	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR QUAL	$19.58	$89.00	$4.27–$84.55	52% below	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILIS QUAL (SO)	$23.10	$105.00	$4.27–$99.75	43% below	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILIS TEST QUALITATIVE	$23.10	$105.00	$4.27–$99.75	43% below	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR QUAL	$19.58	$89.00	$44.50–$84.55	—	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILIS QUAL (SO)	$23.10	$105.00	$52.50–$99.75	—	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILIS TEST QUALITATIVE	$23.10	$105.00	$52.50–$99.75	—	78%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB TB-CMIOF G-INTERFERON AG RESP	$40.04	$182.00	$61.98–$172.90	73% below	78%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB TB-CMIOF G-INTERFERON AG RESP	$40.04	$182.00	$91.00–$172.90	—	78%
Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE TOTAL	$40.04	$182.00	$25.81–$172.90	66% below	78%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE TOTAL	$40.04	$182.00	$91.00–$172.90	—	78%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB MICROSOME AB EA	$11.22	$51.00	$14.55–$48.45	88% below	78%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB TPO ANTIBODY	$27.50	$125.00	$14.55–$118.75	70% below	78%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB ANA-TPO	$27.50	$125.00	$14.55–$118.75	70% below	78%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB MICROSOME AB EA	$11.22	$51.00	$25.50–$48.45	—	78%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB TPO ANTIBODY	$27.50	$125.00	$62.50–$118.75	—	78%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB ANA-TPO	$27.50	$125.00	$62.50–$118.75	—	78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB NEW SCRN-TSH	$25.08	$114.00	$16.80–$108.30	69% below	78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH	$25.08	$114.00	$16.80–$108.30	69% below	78%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB TSH	$25.08	$114.00	$57.00–$108.30	—	78%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB NEW SCRN-TSH	$25.08	$114.00	$57.00–$108.30	—	78%
Total IgE blood test CPT 82785 HB IGE GAMMAGLOBULIN	$53.90	$245.00	$16.46–$232.75	28% below	78%
Total IgE blood test inpatient CPT 82785 HB IGE GAMMAGLOBULIN	$53.90	$245.00	$122.50–$232.75	—	78%
Total cholesterol blood test CPT 82465 HB CHOLESTEROL TOTAL	$14.52	$66.00	$4.35–$62.70	53% below	78%
Total cholesterol blood test inpatient CPT 82465 HB CHOLESTEROL TOTAL	$14.52	$66.00	$33.00–$62.70	—	78%
Total thyroxine (T4) blood test CPT 84436 HB T4 TOTAL	$22.22	$101.00	$6.87–$95.95	53% below	78%
Total thyroxine (T4) blood test inpatient CPT 84436 HB T4 TOTAL	$22.22	$101.00	$50.50–$95.95	—	78%
Total triiodothyronine (T3) blood test CPT 84480 HB T3 TOTAL	$19.58	$89.00	$14.18–$84.55	84% below	78%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HB T3 TOTAL	$19.58	$89.00	$44.50–$84.55	—	78%
Transferrin blood test CPT 84466 HB TRANSFERRIN	$34.54	$157.00	$12.76–$149.15	59% below	78%
Transferrin blood test inpatient CPT 84466 HB TRANSFERRIN	$34.54	$157.00	$78.50–$149.15	—	78%
Trichomonas test (NAAT) CPT 87661 HB TVGPCR - TRICHOMONAS PCR	$38.06	$173.00	$35.09–$164.35	60% below	78%
Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS VAGINALIS DIRECT P	$38.06	$173.00	$35.09–$164.35	60% below	78%
Trichomonas test (NAAT) inpatient CPT 87661 HB TVGPCR - TRICHOMONAS PCR	$38.06	$173.00	$86.50–$164.35	—	78%
Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS VAGINALIS DIRECT P	$38.06	$173.00	$86.50–$164.35	—	78%
Triglycerides blood test CPT 84478 HB FIBROSURE-TRIGLYCERIDES (S/O)	$12.10	$55.00	$5.74–$52.25	66% below	78%
Triglycerides blood test CPT 84478 HB TRIGLYCERIDES	$53.68	$244.00	$5.74–$231.80	50% above	78%
Triglycerides blood test inpatient CPT 84478 HB FIBROSURE-TRIGLYCERIDES (S/O)	$12.10	$55.00	$27.50–$52.25	—	78%
Triglycerides blood test inpatient CPT 84478 HB TRIGLYCERIDES	$53.68	$244.00	$122.00–$231.80	—	78%
Troponin test, quantitative CPT 84484 HB TROPONIN I HIGH SENSITIVE	$34.32	$156.00	$12.47–$148.20	72% below	78%
Troponin test, quantitative CPT 84484 HB TROPONIN I	$34.32	$156.00	$12.47–$148.20	72% below	78%
Troponin test, quantitative inpatient CPT 84484 HB TROPONIN I HIGH SENSITIVE	$34.32	$156.00	$78.00–$148.20	—	78%
Troponin test, quantitative inpatient CPT 84484 HB TROPONIN I	$34.32	$156.00	$78.00–$148.20	—	78%
Uric acid blood test CPT 84550 HB URIC ACID BLOOD	$16.94	$77.00	$4.52–$73.15	65% below	78%
Uric acid blood test inpatient CPT 84550 HB URIC ACID BLOOD	$16.94	$77.00	$38.50–$73.15	—	78%
Urinalysis with microscope exam, automated CPT 81001 HB UA AUTO W/MICRO	$18.26	$83.00	$3.17–$78.85	57% below	78%
Urinalysis with microscope exam, automated inpatient CPT 81001 HB UA AUTO W/MICRO	$18.26	$83.00	$41.50–$78.85	—	78%
Urinalysis without microscope exam, automated CPT 81003 HB US AUTO W/O MICRO	$6.82	$31.00	$2.25–$29.45	72% below	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB US AUTO W/O MICRO	$6.82	$31.00	$15.50–$29.45	—	78%
Urine culture for bacteria, with colony count CPT 87086 HB CULTURE URINE COLONY COUNT	$16.94	$77.00	$8.07–$73.15	61% below	78%
Urine culture for bacteria, with colony count inpatient CPT 87086 HB CULTURE URINE COLONY COUNT	$16.94	$77.00	$38.50–$73.15	—	78%
Urine microalbumin (albumin) test CPT 82043 HB MICROALBUMIN QUANT-UR	$26.18	$119.00	$5.78–$113.05	24% below	78%
Urine microalbumin (albumin) test inpatient CPT 82043 HB MICROALBUMIN QUANT-UR	$26.18	$119.00	$59.50–$113.05	—	78%
Urine pregnancy test, read by color change CPT 81025 HB HCG URINE QUAL	$22.00	$100.00	$8.61–$95.00	59% below	78%
Urine pregnancy test, read by color change inpatient CPT 81025 HB HCG URINE QUAL	$22.00	$100.00	$50.00–$95.00	—	78%
Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B 12	$28.82	$131.00	$15.08–$124.45	61% below	78%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B 12	$28.82	$131.00	$65.50–$124.45	—	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB VIT D3/25 HYDROXY	$12.54	$57.00	$29.60–$59.20	91% below	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB 25-OH VITAMIN D	$36.74	$167.00	$29.60–$158.65	73% below	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB 25-OH VITAMIN D-3	$36.74	$167.00	$29.60–$158.65	73% below	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB VIT D3/25 HYDROXY	$12.54	$57.00	$28.50–$54.15	—	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB 25-OH VITAMIN D-3	$36.74	$167.00	$83.50–$158.65	—	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB 25-OH VITAMIN D	$36.74	$167.00	$83.50–$158.65	—	78%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB VIT D 1/25 DIHYDROXY	$130.90	$595.00	$38.50–$565.25	27% below	78%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HB VIT D 1/25 DIHYDROXY	$130.90	$595.00	$297.50–$565.25	—	78%
Zinc blood test CPT 84630 HB ZINC	$39.60	$180.00	$11.39–$171.00	52% below	78%
Zinc blood test inpatient CPT 84630 HB ZINC	$39.60	$180.00	$90.00–$171.00	—	78%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG SERUM QUANT	$21.12	$96.00	$15.05–$91.20	74% below	78%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG QUANT (SO)	$44.88	$204.00	$15.05–$193.80	44% below	78%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG SERUM QUANT	$21.12	$96.00	$48.00–$91.20	—	78%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG QUANT (SO)	$44.88	$204.00	$102.00–$193.80	—	78%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION	$237.60	$1,080.00	$685.52–$1,371.03	83% below	78%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB CARDIOVERSION	$237.60	$1,080.00	$540.00–$1,026.00	—	78%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HB IRRIGATE IMPACT CERUMEN	$44.88	$204.00	$62.23–$193.80	74% below	78%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HB IRRIGATE IMPACT CERUMEN	$44.88	$204.00	$102.00–$193.80	—	78%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB INJ EPIDURAL C/T WITH IMG	$410.52	$1,866.00	$323.15–$1,772.70	61% below	78%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HB INJ EPIDURAL C/T WITH IMG	$410.52	$1,866.00	$933.00–$1,772.70	—	78%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB DRAIN/INJ JNT/BURSA MAJ - OR	$109.12	$496.00	$33.29–$618.47	74% below	78%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB DRAIN/INJ JNT/BURSA MAJ - OR	$109.12	$496.00	$248.00–$471.20	—	78%
Lower-back epidural injection, with imaging guidance CPT 62323 HB INJ EPIDURAL L/S WITH IMG	$410.52	$1,866.00	$323.15–$1,772.70	68% below	78%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB INJ EPIDURAL L/S WITH IMG	$410.52	$1,866.00	$933.00–$1,772.70	—	78%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HB BLOOD TRANSFUSION ADMIN	$232.76	$1,058.00	$37.54–$1,005.10	74% below	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLOOD TRANSFUSION ADMIN	$232.76	$1,058.00	$529.00–$1,005.10	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MDI/MININEB INITIAL	$55.66	$253.00	$186.76–$426.13	51% below	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MDI SUBS	$55.66	$253.00	$186.76–$426.13	51% below	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MINI NEB SUBSEQ	$55.66	$253.00	$186.76–$426.13	51% below	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MINI NEB INITIAL	$58.96	$268.00	$197.84–$426.13	48% below	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MINI NEB SUBSEQUENT	$58.96	$268.00	$197.84–$426.13	48% below	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL SUBSEQ	$58.96	$268.00	$197.84–$426.13	48% below	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MDI SUBS	$55.66	$253.00	$126.50–$240.35	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MINI NEB SUBSEQ	$55.66	$253.00	$126.50–$240.35	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MDI/MININEB INITIAL	$55.66	$253.00	$126.50–$240.35	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MINI NEB SUBSEQUENT	$58.96	$268.00	$134.00–$254.60	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MINI NEB INITIAL	$58.96	$268.00	$134.00–$254.60	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL SUBSEQ	$58.96	$268.00	$134.00–$254.60	—	78%
Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO IV INF INITIAL HR	$171.60	$780.00	$83.23–$741.00	75% below	78%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HB CHEMO IV INF INITIAL HR	$171.60	$780.00	$390.00–$741.00	—	78%
Critical care, first 30 to 74 minutes CPT 99291 HB ER LEVEL CRITICAL CARE	$647.46	$2,943.00	$75.80–$2,795.85	70% below	78%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HB ER LEVEL CRITICAL CARE	$647.46	$2,943.00	$1,471.50–$2,795.85	—	78%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB ROUTINE EEG AWAKE AND DROWSY	$272.14	$1,237.00	$326.22–$1,175.15	60% below	78%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB ROUTINE EEG AWAKE AND DROWSY	$272.14	$1,237.00	$618.50–$1,175.15	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB EKG	$44.00	$200.00	$62.23–$190.00	78% below	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB EKG	$44.00	$200.00	$100.00–$190.00	—	78%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ER LEVEL 1	$59.40	$270.00	$15.97–$256.50	73% below	78%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB ER LEVEL 1	$59.40	$270.00	$135.00–$256.50	—	78%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ER LEVEL 2	$121.88	$554.00	$24.71–$526.30	71% below	78%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB ER LEVEL 2	$121.88	$554.00	$277.00–$526.30	—	78%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ER LEVEL 3	$178.20	$810.00	$47.40–$769.50	77% below	78%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB ER LEVEL 3	$178.20	$810.00	$405.00–$769.50	—	78%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ER LEVEL 4	$296.34	$1,347.00	$74.05–$1,279.65	75% below	78%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB ER LEVEL 4	$296.34	$1,347.00	$673.50–$1,279.65	—	78%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ER LEVEL 5	$395.34	$1,797.00	$75.80–$1,707.15	77% below	78%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB ER LEVEL 5	$395.34	$1,797.00	$898.50–$1,707.15	—	78%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB EXERCISE STRESS TEST	$276.32	$1,256.00	$326.22–$1,193.20	64% below	78%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB PHARMACEUTICAL STRESS TEST	$276.32	$1,256.00	$326.22–$1,193.20	64% below	78%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB PET PHARMACEUTICAL STRESS TEST	$276.32	$1,256.00	$326.22–$1,193.20	64% below	78%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB STRESS MONITORING	$276.32	$1,256.00	$326.22–$1,193.20	64% below	78%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB EXERCISE STRESS TEST	$276.32	$1,256.00	$628.00–$1,193.20	—	78%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB PHARMACEUTICAL STRESS TEST	$276.32	$1,256.00	$628.00–$1,193.20	—	78%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB PET PHARMACEUTICAL STRESS TEST	$276.32	$1,256.00	$628.00–$1,193.20	—	78%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB STRESS MONITORING	$276.32	$1,256.00	$628.00–$1,193.20	—	78%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV INFUSION HYDRATION INIT HR	$98.34	$447.00	$201.15–$441.43	73% below	78%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV INFUSION INITIAL	$104.28	$474.00	$213.30–$450.30	72% below	78%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB IV INFUSION HYDRATION INIT HR	$98.34	$447.00	$223.50–$424.65	—	78%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB IV INFUSION INITIAL	$104.28	$474.00	$237.00–$450.30	—	78%
IV infusion of a medicine, first hour CPT 96365 HB IV INFUSION TX, DX INITIAL HR	$145.20	$660.00	$220.71–$627.00	64% below	78%
IV infusion of a medicine, first hour inpatient CPT 96365 HB IV INFUSION TX, DX INITIAL HR	$145.20	$660.00	$330.00–$627.00	—	78%
IV push of a medicine, first drug CPT 96374 HB IV MEDICATION INITIAL	$55.66	$253.00	$113.85–$441.43	74% below	78%
IV push of a medicine, first drug inpatient CPT 96374 HB IV MEDICATION INITIAL	$55.66	$253.00	$126.50–$240.35	—	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ MEDICATION SUBSEQ	$30.14	$137.00	$61.65–$149.11	71% below	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ MEDICATION INITIAL	$30.14	$137.00	$61.65–$149.11	71% below	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM INITIAL	$31.90	$145.00	$65.25–$149.11	70% below	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ INJECTON INITIAL	$32.12	$146.00	$65.70–$149.11	69% below	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ MEDICATION INTIAL	$32.12	$146.00	$65.70–$149.11	69% below	78%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ MEDICATION SUBSEQ	$30.14	$137.00	$68.50–$130.15	—	78%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ MEDICATION INITIAL	$30.14	$137.00	$68.50–$130.15	—	78%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM INITIAL	$31.90	$145.00	$72.50–$137.75	—	78%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ MEDICATION INTIAL	$32.12	$146.00	$73.00–$138.70	—	78%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ INJECTON INITIAL	$32.12	$146.00	$73.00–$138.70	—	78%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEURO RE-ED EACH 15 MIN PT	$34.32	$156.00	$20.79–$148.20	55% below	78%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC RE ED PT 15 MIN PT	$34.32	$156.00	$20.79–$148.20	55% below	78%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC RE ED OT 15 MIN	$34.32	$156.00	$20.79–$148.20	55% below	78%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC RE ED PT 15 MIN PT	$34.32	$156.00	$78.00–$148.20	—	78%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC RE ED OT 15 MIN	$34.32	$156.00	$78.00–$148.20	—	78%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEURO RE-ED EACH 15 MIN PT	$34.32	$156.00	$78.00–$148.20	—	78%
New patient office visit, about 45 minutes CPT 99204 HB NEW OP VISIT W/RD 47-60 MIN	$113.30	$515.00	$40.00–$489.25	40% below	78%
New patient office visit, about 45 minutes inpatient CPT 99204 HB NEW OP VISIT W/RD 47-60 MIN	$113.30	$515.00	$257.50–$489.25	—	78%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB NURTITIONAL W/RD INITIAL 15MIN	$12.54	$57.00	$34.00–$68.00	63% below	78%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB NURTITIONAL W/RD INITIAL 15MIN	$12.54	$57.00	$28.50–$54.15	—	78%
Occupational therapy evaluation, low complexity CPT 97165 HB OT EVAL LOW	$64.90	$295.00	$83.05–$280.25	59% below	78%
Occupational therapy evaluation, low complexity CPT 97165 HB OP WHEELCHAIR/SEAT EVAL LOW OT	$68.86	$313.00	$83.05–$297.35	57% below	78%
Occupational therapy evaluation, low complexity CPT 97165 HB OP OT EVAL LOW	$69.08	$314.00	$83.05–$298.30	57% below	78%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OT EVAL LOW	$64.90	$295.00	$147.50–$280.25	—	78%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OP WHEELCHAIR/SEAT EVAL LOW OT	$68.86	$313.00	$156.50–$297.35	—	78%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OP OT EVAL LOW	$69.08	$314.00	$157.00–$298.30	—	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL HIGH	$130.24	$592.00	$82.54–$562.40	44% below	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB NEURO PT EVAL HIGH	$137.94	$627.00	$82.54–$595.65	41% below	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PT EVAL HIGH	$130.24	$592.00	$296.00–$562.40	—	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB NEURO PT EVAL HIGH	$137.94	$627.00	$313.50–$595.65	—	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL LOW	$64.90	$295.00	$82.54–$280.25	55% below	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB NEURO PT EVAL LOW	$68.86	$313.00	$82.54–$297.35	52% below	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB NEURO WHEELCHAIR/SEAT EVAL LOW PT	$69.08	$314.00	$82.54–$298.30	52% below	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB WHEELCHAIR/SEAT EVAL LOW PT	$116.82	$531.00	$82.54–$504.45	19% below	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PT EVAL LOW	$64.90	$295.00	$147.50–$280.25	—	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB NEURO PT EVAL LOW	$68.86	$313.00	$156.50–$297.35	—	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB NEURO WHEELCHAIR/SEAT EVAL LOW PT	$69.08	$314.00	$157.00–$298.30	—	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB WHEELCHAIR/SEAT EVAL LOW PT	$116.82	$531.00	$265.50–$504.45	—	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL MOD	$100.76	$458.00	$82.54–$435.10	46% below	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB NEURO PT EVAL MOD	$106.70	$485.00	$82.54–$460.75	43% below	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB WHEELCHAIR/SEAT EVAL MOD PT	$106.70	$485.00	$82.54–$460.75	43% below	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PT EVAL MOD	$100.76	$458.00	$229.00–$435.10	—	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB NEURO PT EVAL MOD	$106.70	$485.00	$242.50–$460.75	—	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB WHEELCHAIR/SEAT EVAL MOD PT	$106.70	$485.00	$242.50–$460.75	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL TX TECH EA 15 MIN PT	$44.00	$200.00	$22.36–$190.00	49% below	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY 15 MIN	$44.00	$200.00	$22.36–$190.00	49% below	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY 15 MIN PT	$44.00	$200.00	$22.36–$190.00	49% below	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY 15 MIN PT	$44.00	$200.00	$100.00–$190.00	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY 15 MIN	$44.00	$200.00	$100.00–$190.00	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL TX TECH EA 15 MIN PT	$44.00	$200.00	$100.00–$190.00	—	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN	$44.44	$202.00	$17.96–$191.90	41% below	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN PT	$44.44	$202.00	$17.96–$191.90	41% below	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXRCISE @ 15 MN PT	$44.44	$202.00	$17.96–$191.90	41% below	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN PT	$44.44	$202.00	$17.96–$191.90	41% below	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN PT	$44.44	$202.00	$101.00–$191.90	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN PT	$44.44	$202.00	$101.00–$191.90	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN	$44.44	$202.00	$101.00–$191.90	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXRCISE @ 15 MN PT	$44.44	$202.00	$101.00–$191.90	—	78%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB SMOK CESS COUN INTER > 3 MIN	$10.12	$46.00	$20.70–$62.41	66% below	78%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HB SMOK CESS COUN INTER > 3 MIN	$10.12	$46.00	$23.00–$43.70	—	78%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB E&M EST PATIENT LEVEL 5	$39.60	$180.00	$40.00–$171.00	74% below	78%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB CLINIC VISIT V	$39.60	$180.00	$40.00–$171.00	74% below	78%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB OP VISIT ESTB PT LEVEL V	$39.60	$180.00	$40.00–$171.00	74% below	78%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB E&M EST PATIENT LEVEL 5	$39.60	$180.00	$90.00–$171.00	—	78%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB CLINIC VISIT V	$39.60	$180.00	$90.00–$171.00	—	78%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB OP VISIT ESTB PT LEVEL V	$39.60	$180.00	$90.00–$171.00	—	78%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB OP VISIT ESTB PT LEVEL III	$34.98	$159.00	$38.16–$151.05	60% below	78%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB E&M EST PATIENT LEVEL 3	$34.98	$159.00	$38.16–$151.05	60% below	78%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB CLINIC VISIT III	$34.98	$159.00	$38.16–$151.05	60% below	78%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB CLINIC VISIT III	$34.98	$159.00	$79.50–$151.05	—	78%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB E&M EST PATIENT LEVEL 3	$34.98	$159.00	$79.50–$151.05	—	78%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB OP VISIT ESTB PT LEVEL III	$34.98	$159.00	$79.50–$151.05	—	78%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB CLINIC VISIT IV	$37.40	$170.00	$40.00–$161.50	66% below	78%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB E&M EST PATIENT LEVEL 4	$37.40	$170.00	$40.00–$161.50	66% below	78%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB OP VISIT ESTB PT LEVEL IV	$37.40	$170.00	$40.00–$161.50	66% below	78%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB CLINIC VISIT IV	$37.40	$170.00	$85.00–$161.50	—	78%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB E&M EST PATIENT LEVEL 4	$37.40	$170.00	$85.00–$161.50	—	78%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB OP VISIT ESTB PT LEVEL IV	$37.40	$170.00	$85.00–$161.50	—	78%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB CLINIC VISIT II	$32.56	$148.00	$20.41–$140.60	37% below	78%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB OP VISIT ESTB PT LEVEL II	$32.56	$148.00	$20.41–$140.60	37% below	78%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB E&M EST PATIENT LEVEL 2	$32.56	$148.00	$20.41–$140.60	37% below	78%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB OP VISIT ESTB PT LEVEL II	$32.56	$148.00	$74.00–$140.60	—	78%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB CLINIC VISIT II	$32.56	$148.00	$74.00–$140.60	—	78%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB E&M EST PATIENT LEVEL 2	$32.56	$148.00	$74.00–$140.60	—	78%
Speech and language evaluation CPT 92523 HB SPEECH SOUND LANG COMPREHEN	$111.54	$507.00	$139.24–$481.65	45% below	78%
Speech and language evaluation CPT 92523 HB SPCH SOUND LANG CMPREHEN - IP	$117.92	$536.00	$139.24–$509.20	42% below	78%
Speech and language evaluation inpatient CPT 92523 HB SPEECH SOUND LANG COMPREHEN	$111.54	$507.00	$253.50–$481.65	—	78%
Speech and language evaluation inpatient CPT 92523 HB SPCH SOUND LANG CMPREHEN - IP	$117.92	$536.00	$268.00–$509.20	—	78%
Speech therapy session, individual CPT 92507 HB SPEECH/LANG TREATMENT SLP - OP	$74.80	$340.00	$47.04–$323.00	49% below	78%
Speech therapy session, individual CPT 92507 HB SPEECH/LANG TREATMENT SLP - IP	$74.80	$340.00	$47.04–$323.00	49% below	78%
Speech therapy session, individual CPT 92507 HB TX SPEECH/LANG SLP	$74.80	$340.00	$47.04–$323.00	49% below	78%
Speech therapy session, individual CPT 92507 HB TX SPEECH/LANG SLP - IP	$74.80	$340.00	$47.04–$323.00	49% below	78%
Speech therapy session, individual CPT 92507 HB TX SPEECH/LANG SLP - OP	$74.80	$340.00	$47.04–$323.00	49% below	78%
Speech therapy session, individual CPT 92507 HB PEDS SPCH/LANG TRTMNT SLP - IP	$74.80	$340.00	$47.04–$323.00	49% below	78%
Speech therapy session, individual CPT 92507 HB PED SPCH/LANG TRTMNT SLP - OP	$74.80	$340.00	$47.04–$323.00	49% below	78%
Speech therapy session, individual CPT 92507 HB PAT/FAM TRAINING SLP	$74.80	$340.00	$47.04–$323.00	49% below	78%
Speech therapy session, individual CPT 92507 HB SPEECH/LANGUAGE TREATMENT SLP	$74.80	$340.00	$47.04–$323.00	49% below	78%
Speech therapy session, individual inpatient CPT 92507 HB SPEECH/LANG TREATMENT SLP - OP	$74.80	$340.00	$170.00–$323.00	—	78%
Speech therapy session, individual inpatient CPT 92507 HB PAT/FAM TRAINING SLP	$74.80	$340.00	$170.00–$323.00	—	78%
Speech therapy session, individual inpatient CPT 92507 HB SPEECH/LANGUAGE TREATMENT SLP	$74.80	$340.00	$170.00–$323.00	—	78%
Speech therapy session, individual inpatient CPT 92507 HB TX SPEECH/LANG SLP	$74.80	$340.00	$170.00–$323.00	—	78%
Speech therapy session, individual inpatient CPT 92507 HB SPEECH/LANG TREATMENT SLP - IP	$74.80	$340.00	$170.00–$323.00	—	78%
Speech therapy session, individual inpatient CPT 92507 HB TX SPEECH/LANG SLP - OP	$74.80	$340.00	$170.00–$323.00	—	78%
Speech therapy session, individual inpatient CPT 92507 HB TX SPEECH/LANG SLP - IP	$74.80	$340.00	$170.00–$323.00	—	78%
Speech therapy session, individual inpatient CPT 92507 HB PED SPCH/LANG TRTMNT SLP - OP	$74.80	$340.00	$170.00–$323.00	—	78%
Speech therapy session, individual inpatient CPT 92507 HB PEDS SPCH/LANG TRTMNT SLP - IP	$74.80	$340.00	$170.00–$323.00	—	78%
Spirometry (breathing test) CPT 94010 HB INCENTIVE SPIROMETRY INIT PFT	$48.40	$220.00	$24.44–$327.81	80% below	78%
Spirometry (breathing test) CPT 94010 HB BEDSIDE SPIROMETRY	$51.26	$233.00	$24.44–$327.81	79% below	78%
Spirometry (breathing test) CPT 94010 HB SPIROMETRY	$58.08	$264.00	$24.44–$327.81	76% below	78%
Spirometry (breathing test) inpatient CPT 94010 HB INCENTIVE SPIROMETRY INIT PFT	$48.40	$220.00	$110.00–$209.00	—	78%
Spirometry (breathing test) inpatient CPT 94010 HB BEDSIDE SPIROMETRY	$51.26	$233.00	$116.50–$221.35	—	78%
Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY	$58.08	$264.00	$132.00–$250.80	—	78%
Spirometry before and after a bronchodilator CPT 94060 HB PRE/POST FLOW VOL LOOP	$162.14	$737.00	$326.22–$700.15	70% below	78%
Spirometry before and after a bronchodilator inpatient CPT 94060 HB PRE/POST FLOW VOL LOOP	$162.14	$737.00	$368.50–$700.15	—	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT OT 15 MIN OT	$41.80	$190.00	$22.34–$180.50	45% below	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT EA 15 MIN PT	$41.80	$190.00	$22.34–$180.50	45% below	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB TILT TABLE 15 MIN PT	$41.80	$190.00	$22.34–$180.50	45% below	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT PT 15 MIN	$41.80	$190.00	$22.34–$180.50	45% below	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT PT 15 MIN PT	$41.80	$190.00	$22.34–$180.50	45% below	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT OT 15 MIN	$41.80	$190.00	$22.34–$180.50	45% below	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB PAT/FAMLY TRAIN OT 15 MIN	$41.80	$190.00	$22.34–$180.50	45% below	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT PT 15 MIN PT	$41.80	$190.00	$95.00–$180.50	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT PT 15 MIN	$41.80	$190.00	$95.00–$180.50	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT OT 15 MIN OT	$41.80	$190.00	$95.00–$180.50	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB PAT/FAMLY TRAIN OT 15 MIN	$41.80	$190.00	$95.00–$180.50	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT OT 15 MIN	$41.80	$190.00	$95.00–$180.50	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT EA 15 MIN PT	$41.80	$190.00	$95.00–$180.50	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB TILT TABLE 15 MIN PT	$41.80	$190.00	$95.00–$180.50	—	78%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB THERAPEUTIC PHLEBOTOMY	$64.68	$294.00	$105.04–$279.30	69% below	78%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HB THERAPEUTIC PHLEBOTOMY	$64.68	$294.00	$147.00–$279.30	—	78%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Syringe	$233.56	$1,061.62	$98.93–$1,008.54	23% above	78%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Syringe	$233.56	$1,061.62	$530.81–$1,008.54	—	78%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Vial	$222.93	$1,013.30	$107.55–$962.63	10% below	78%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Vial	$222.93	$1,013.30	$506.65–$962.63	—	78%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Syringe	$694.78	$3,158.06	$301.12–$3,000.16	10% above	78%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Syringe	$694.78	$3,158.06	$1,579.03–$3,000.16	—	78%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Syringe	$298.53	$1,356.92	$130.93–$1,289.07	25% above	78%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Syringe	$298.53	$1,356.92	$678.46–$1,289.07	—	78%
Hepatitis A vaccine, adult dose CPT 90632 Vial	$176.59	$802.65	$192.64–$762.52	4% above	78%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Vial	$176.59	$802.65	$401.32–$762.52	—	78%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Vial	$158.35	$719.76	$70.38–$683.77	10% below	78%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Vial	$158.35	$719.76	$359.88–$683.77	—	78%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Syringe	$328.95	$1,495.20	$168.30–$1,420.44	10% above	78%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Syringe	$328.95	$1,495.20	$747.60–$1,420.44	—	78%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Syringe	$61.55	$279.74	$30.77–$265.76	16% below	78%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Vial	$61.55	$279.74	$30.77–$265.76	16% below	78%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Vial	$61.55	$279.74	$139.87–$265.76	—	78%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Syringe	$61.55	$279.74	$139.87–$265.76	—	78%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Vial	$66.21	$300.94	$72.23–$285.90	1% above	78%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Vial	$66.21	$300.94	$150.47–$285.90	—	78%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Box	$27.55	$125.18	$30.04–$118.92	44% below	78%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Vial	$38.26	$173.89	$41.73–$165.19	22% below	78%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Box	$27.55	$125.18	$62.59–$118.92	—	78%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Vial	$38.26	$173.89	$86.94–$165.19	—	78%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Vial	$206.17	$937.10	$224.90–$890.25	20% below	78%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Vial	$206.17	$937.10	$468.55–$890.25	—	78%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Vial	$313.90	$1,426.78	$102.50–$1,355.44	10% below	78%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Vial	$313.90	$1,426.78	$713.39–$1,355.44	—	78%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Vial	$373.79	$1,699.04	$174.54–$1,614.09	19% above	78%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 Vial	$373.79	$1,699.04	$849.52–$1,614.09	—	78%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Syringe	$477.96	$2,172.54	$236.97–$2,063.91	2% above	78%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Syringe	$477.96	$2,172.54	$1,086.27–$2,063.91	—	78%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Syringe	$651.57	$2,961.68	$273.85–$2,813.60	4% above	78%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Syringe	$651.57	$2,961.68	$1,480.84–$2,813.60	—	78%
Polio vaccine, inactivated (IPV) CPT 90713 Vial	$1,007.13	$4,577.84	$1,098.68–$4,348.95	712% above	78%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Vial	$1,007.13	$4,577.84	$2,288.92–$4,348.95	—	78%
Rabies vaccine, one dose CPT 90675 Vial	$800.54	$3,638.80	$327.78–$3,456.86	at median	78%
Rabies vaccine, one dose inpatient CPT 90675 Vial	$800.54	$3,638.80	$1,819.40–$3,456.86	—	78%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Vial	$455.16	$2,068.88	$207.79–$1,965.44	17% above	78%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Vial	$455.16	$2,068.88	$1,034.44–$1,965.44	—	78%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Syringe	$96.45	$438.37	$105.21–$416.45	16% below	78%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Vial	$139.06	$632.06	$151.70–$600.46	21% above	78%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Syringe	$96.45	$438.37	$219.18–$416.45	—	78%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Vial	$139.06	$632.06	$316.03–$600.46	—	78%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Vial	$31.24	$141.96	$34.07–$134.86	75% below	78%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Syringe	$64.02	$290.98	$69.83–$276.43	48% below	78%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Vial	$31.24	$141.96	$70.98–$134.86	—	78%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Syringe	$64.02	$290.98	$145.49–$276.43	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INFLUENZA IMMUNIZATION ADM >18	$8.80	$40.00	$29.53–$149.11	86% below	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB PNEUMOVAC IMMUNIZATION ADM >18	$8.80	$40.00	$29.53–$149.11	86% below	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB PFS INFLUENZA IMMUNIZ ADM >18	$8.80	$40.00	$29.53–$149.11	86% below	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB PFS PNEUMOVAC IMMUNIZ ADM >18	$8.80	$40.00	$29.53–$149.11	86% below	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUNIZATION ADMIN >19 YRS	$8.80	$40.00	$29.53–$149.11	86% below	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INFLUENZA IMMUNIZATION ADM >18	$8.80	$40.00	$20.00–$38.00	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB IMMUNIZATION ADMIN >19 YRS	$8.80	$40.00	$20.00–$38.00	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB PFS INFLUENZA IMMUNIZ ADM >18	$8.80	$40.00	$20.00–$38.00	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB PFS PNEUMOVAC IMMUNIZ ADM >18	$8.80	$40.00	$20.00–$38.00	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB PNEUMOVAC IMMUNIZATION ADM >18	$8.80	$40.00	$20.00–$38.00	—	78%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB IMMUNIZATION ADMIN ADD >19 YRS	$8.80	$40.00	$9.60–$38.00	78% below	78%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB IMMUNIZATION ADMIN ADD >19 YRS	$8.80	$40.00	$20.00–$38.00	—	78%

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

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

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

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

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

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

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

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

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

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/10275/350895832-1518916048_norton-kings-daughters-health-inc_standardcharges.csv