Hospital Lafayette, LA

Abrom Kaplan Memorial Hospital

Listed in its price file as “Kaplan General Hospital, INC”.

Abrom Kaplan Memorial Hospital in Kaplan, LA publishes cash prices for 361 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Louisiana median for 192 of 357 procedures and above it for 158. By typical cash price it ranks #28 of 58 Louisiana hospitals and #5 of 7 hospitals in the Lafayette, LA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1310 W 7th ST LA 70548-2910 Collected Sep 23, 2026 Source price file (337) 643-8300

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 191322 · CMS hospital register NPI 1245617562

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/WO CONTRAST	$984.60	$2,188.00	$728.53–$1,701.17	4% below	55%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONTRAST	$984.60	$2,188.00	—	—	55%
Abdominal X-ray, 2 views CPT 74019 HC XRAY, ABDOMEN, 2 VIEWS	$119.70	$266.00	$53.58–$206.82	35% below	55%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY, ABDOMEN, 2 VIEWS	$119.70	$266.00	—	—	55%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS	$96.30	$214.00	$47.26–$166.39	19% below	55%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS	$96.30	$214.00	—	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRANCHIAL INDEX	$194.40	$432.00	$151.20–$343.10	15% above	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRANCHIAL INDEX	$194.40	$432.00	—	—	55%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$737.10	$1,638.00	$406.81–$1,273.55	14% above	55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$737.10	$1,638.00	—	—	55%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$532.80	$1,184.00	$414.40–$920.56	3% below	55%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$532.80	$1,184.00	—	—	55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PEL W/ AND W/O CONTRAS	$414.45	$921.00	$322.35–$1,149.27	54% below	55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PEL W/ AND W/O CONTRAS	$414.45	$921.00	—	—	55%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD CONTRAST	$1,054.80	$2,344.00	$743.51–$1,822.46	51% above	55%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD CONTRAST	$1,054.80	$2,344.00	—	—	55%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK CONTRAST	$1,054.80	$2,344.00	$743.51–$1,822.46	51% above	55%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK CONTRAST	$1,054.80	$2,344.00	—	—	55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/ NON CORONARY	$1,054.80	$2,344.00	$743.51–$1,822.46	20% above	55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/ NON CORONARY	$1,054.80	$2,344.00	—	—	55%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING	$90.45	$201.00	$70.35–$156.28	14% above	55%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING	$90.45	$201.00	—	—	55%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$1,105.20	$2,456.00	$598.78–$1,909.54	2% below	55%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$1,105.20	$2,456.00	—	—	55%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$1,287.90	$2,862.00	$814.05–$2,225.21	3% below	55%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$1,287.90	$2,862.00	—	—	55%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST	$1,476.45	$3,281.00	$1,060.07–$2,550.98	2% above	55%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST	$1,476.45	$3,281.00	—	—	55%
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST	$861.30	$1,914.00	$565.31–$1,488.14	3% below	55%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST	$861.30	$1,914.00	—	—	55%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$737.10	$1,638.00	$396.57–$1,273.55	3% below	55%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$737.10	$1,638.00	—	—	55%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$846.45	$1,881.00	$425.75–$1,462.48	27% above	55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$846.45	$1,881.00	—	—	55%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST	$714.15	$1,587.00	$326.39–$1,233.89	9% above	55%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST	$714.15	$1,587.00	—	—	55%
CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONTRAST	$749.70	$1,666.00	$421.79–$1,295.32	3% above	55%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONTRAST	$749.70	$1,666.00	—	—	55%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST	$877.95	$1,951.00	$519.56–$1,516.90	4% below	55%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST	$877.95	$1,951.00	—	—	55%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$821.70	$1,826.00	$421.79–$1,419.72	9% above	55%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$821.70	$1,826.00	—	—	55%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$809.10	$1,798.00	$424.18–$1,397.95	10% above	55%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$809.10	$1,798.00	—	—	55%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$855.90	$1,902.00	$497.49–$1,478.81	7% above	55%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$855.90	$1,902.00	—	—	55%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT	$373.05	$829.00	$249.00–$644.55	—	55%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT	$373.05	$829.00	—	—	55%
Chest CT scan without and with contrast CPT 71270 HC CT SCAN, THORAX, DX, W/WO CONTRAST	$1,054.80	$2,344.00	$660.69–$1,822.46	at median	55%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT SCAN, THORAX, DX, W/WO CONTRAST	$1,054.80	$2,344.00	—	—	55%
Chest X-ray, 2 views CPT 71046 HC XRAY, CHEST, 2 VIEWS	$119.70	$266.00	$41.75–$206.82	9% below	55%
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY, CHEST, 2 VIEWS	$119.70	$266.00	—	—	55%
Chest X-ray, single view CPT 71045 HC XRAY, CHEST, 1 VIEW	$97.65	$217.00	$30.72–$168.72	11% below	55%
Chest X-ray, single view inpatient CPT 71045 HC XRAY, CHEST, 1 VIEW	$97.65	$217.00	—	—	55%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE	$94.95	$211.00	$40.17–$164.05	19% below	55%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE	$94.95	$211.00	—	—	55%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$299.70	$666.00	$193.93–$517.82	4% above	55%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$299.70	$666.00	—	—	55%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$209.70	$466.00	$163.10–$362.32	44% above	55%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$209.70	$466.00	—	—	55%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST	$762.30	$1,694.00	$422.58–$1,317.09	at median	55%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST	$762.30	$1,694.00	—	—	55%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST	$855.90	$1,902.00	$523.50–$1,478.81	at median	55%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST	$855.90	$1,902.00	—	—	55%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT	$356.85	$793.00	$247.00–$616.56	—	55%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT	$356.85	$793.00	—	—	55%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT	$612.45	$1,361.00	$249.00–$1,058.18	—	55%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT	$612.45	$1,361.00	—	—	55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER	$801.45	$1,781.00	$208.00–$1,552.32	10% above	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER	$801.45	$1,781.00	—	—	55%
Elbow X-ray, 2 views CPT 73070 HC ELBOW AP / LAT	$96.30	$214.00	$40.96–$166.39	18% below	55%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW AP / LAT	$96.30	$214.00	—	—	55%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW MIN 3 VIEWS	$101.25	$225.00	$53.58–$174.94	23% below	55%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW MIN 3 VIEWS	$101.25	$225.00	—	—	55%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT,SELLA,EAR W/O CONTRA	$877.95	$1,951.00	$426.52–$1,516.90	45% above	55%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT,SELLA,EAR W/O CONTRA	$877.95	$1,951.00	—	—	55%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS	$109.80	$244.00	$59.89–$189.71	30% below	55%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS	$109.80	$244.00	—	—	55%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEWS	$96.30	$214.00	$40.17–$166.39	15% below	55%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEWS	$96.30	$214.00	—	—	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$1,111.95	$2,471.00	$679.54–$1,921.20	95% above	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$1,111.95	$2,471.00	—	—	55%
Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEW	$96.30	$214.00	$39.39–$166.39	9% below	55%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEW	$96.30	$214.00	—	—	55%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEUS	$96.30	$214.00	$39.39–$166.39	12% below	55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEUS	$96.30	$214.00	—	—	55%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT	$202.50	$450.00	$157.50–$608.00	at median	55%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT	$202.50	$450.00	—	—	55%
Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS	$119.70	$266.00	$51.99–$206.82	11% below	55%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS	$119.70	$266.00	—	—	55%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE COMPLETE	$162.90	$362.00	$59.89–$281.46	7% above	55%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE COMPLETE	$162.90	$362.00	—	—	55%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$737.10	$1,638.00	$407.60–$1,273.55	21% above	55%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$737.10	$1,638.00	—	—	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$299.70	$666.00	$154.48–$517.82	14% above	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$299.70	$666.00	—	—	55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD	$243.90	$542.00	$23.61–$421.41	40% above	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD	$243.90	$542.00	—	—	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST	$203.85	$453.00	$158.55–$352.21	32% above	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST	$203.85	$453.00	—	—	55%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA)	$96.30	$214.00	$38.58–$166.39	18% below	55%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA)	$96.30	$214.00	—	—	55%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$675.00	$1,500.00	$525.00–$1,050.00	26% below	55%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$675.00	$1,500.00	—	—	55%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXT JT W/O CONTR	$1,244.25	$2,765.00	$763.20–$2,149.79	15% above	55%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXT JT W/O CONTR	$1,244.25	$2,765.00	—	—	55%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JT W/WO CONT	$1,915.20	$4,256.00	$1,169.28–$3,309.04	50% above	55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXT JT W/WO CONT	$1,915.20	$4,256.00	—	—	55%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,201.95	$2,671.00	$763.20–$2,076.70	22% above	55%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,201.95	$2,671.00	—	—	55%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$2,259.90	$5,022.00	$1,169.28–$3,904.61	70% above	55%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$2,259.90	$5,022.00	—	—	55%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,201.95	$2,671.00	$763.20–$2,076.70	6% above	55%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,201.95	$2,671.00	—	—	55%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST	$2,259.90	$5,022.00	$1,169.28–$3,904.61	56% above	55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST	$2,259.90	$5,022.00	—	—	55%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$1,201.95	$2,671.00	$763.20–$2,076.70	6% above	55%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$1,201.95	$2,671.00	—	—	55%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$2,691.45	$5,981.00	$1,169.28–$4,650.23	93% above	55%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$2,691.45	$5,981.00	—	—	55%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$1,201.95	$2,671.00	$763.20–$2,076.70	8% above	55%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$1,201.95	$2,671.00	—	—	55%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$2,691.45	$5,981.00	$1,169.28–$4,650.23	68% above	55%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$2,691.45	$5,981.00	—	—	55%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$1,201.95	$2,671.00	$763.20–$2,076.70	14% above	55%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$1,201.95	$2,671.00	—	—	55%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$1,410.75	$3,135.00	$1,097.25–$2,194.50	27% above	55%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$1,410.75	$3,135.00	—	—	55%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,201.95	$2,671.00	$763.20–$1,869.70	37% above	55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,201.95	$2,671.00	—	—	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$1,244.25	$2,765.00	$763.20–$2,149.79	28% above	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$1,244.25	$2,765.00	—	—	55%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS	$166.50	$370.00	$74.87–$287.68	18% below	55%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS	$166.50	$370.00	—	—	55%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS	$749.70	$1,666.00	$501.45–$1,295.32	9% above	55%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS	$749.70	$1,666.00	—	—	55%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR	$737.10	$1,638.00	$403.66–$1,273.55	9% above	55%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR	$737.10	$1,638.00	—	—	55%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE	$96.30	$214.00	$38.58–$166.39	16% below	55%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE	$96.30	$214.00	—	—	55%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$737.10	$1,638.00	$400.49–$1,273.55	7% above	55%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$737.10	$1,638.00	—	—	55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED NON-OB	$265.05	$589.00	$136.37–$457.95	50% above	55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED NON-OB	$265.05	$589.00	—	—	55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB	$319.05	$709.00	$179.75–$551.25	14% above	55%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB	$319.05	$709.00	—	—	55%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$179.55	$399.00	$139.65–$310.22	31% below	55%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$179.55	$399.00	—	—	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION	$306.45	$681.00	$165.55–$529.48	30% above	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION	$306.45	$681.00	—	—	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 OR MORE GESTA	$265.05	$589.00	$120.61–$457.95	53% above	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 OR MORE GESTA	$265.05	$589.00	—	—	55%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS	$108.90	$242.00	$44.11–$188.16	19% below	55%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS	$108.90	$242.00	—	—	55%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS W/PA CHEST	$142.20	$316.00	$52.78–$245.69	4% above	55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RIBS W/PA CHEST	$142.20	$316.00	—	—	55%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT	$184.05	$409.00	$78.97–$318.00	—	55%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT	$184.05	$409.00	—	—	55%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER ROUTINE	$108.90	$242.00	$41.75–$188.16	17% below	55%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER ROUTINE	$108.90	$242.00	—	—	55%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES, PARANASAL, COMP, MINIMUM 3 VIEWS	$126.00	$280.00	$54.37–$217.70	20% below	55%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES, PARANASAL, COMP, MINIMUM 3 VIEWS	$126.00	$280.00	—	—	55%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4VIEWS	$94.95	$211.00	$49.65–$164.05	30% below	55%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL < 4VIEWS	$94.95	$211.00	—	—	55%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST	$380.70	$846.00	$129.26–$657.77	58% above	55%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST	$380.70	$846.00	—	—	55%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS	$108.90	$242.00	$50.43–$188.16	5% below	55%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS	$108.90	$242.00	—	—	55%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$780.30	$1,734.00	$422.58–$1,348.19	3% above	55%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$780.30	$1,734.00	—	—	55%
Toe X-ray, 2 or more views CPT 73660 HC TOE OR TOES MIN 2VIEWS	$96.30	$214.00	$44.11–$166.39	14% below	55%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE OR TOES MIN 2VIEWS	$96.30	$214.00	—	—	55%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$319.05	$709.00	$179.75–$551.25	51% above	55%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$319.05	$709.00	—	—	55%
Transvaginal ultrasound during pregnancy CPT 76817 HC US, OB, TRANSVAG APPROACH	$306.45	$681.00	$134.00–$529.48	72% above	55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, OB, TRANSVAG APPROACH	$306.45	$681.00	—	—	55%
Ultrasound of the abdomen, complete CPT 76700 HC US, ABD, B-SCAN, COMPLETE	$372.60	$828.00	$200.23–$643.77	23% above	55%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABD, B-SCAN, COMPLETE	$372.60	$828.00	—	—	55%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS	$256.95	$571.00	$182.09–$443.95	22% above	55%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS	$256.95	$571.00	—	—	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$340.65	$757.00	$176.58–$588.57	35% above	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$340.65	$757.00	—	—	55%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS ROUTINE	$96.30	$214.00	$41.75–$166.39	17% below	55%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS ROUTINE	$96.30	$214.00	—	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD	$242.55	$539.00	$188.65–$419.07	6% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD	$242.55	$539.00	—	—	55%
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEW	$96.30	$214.00	$43.34–$166.39	12% below	55%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEW	$96.30	$214.00	—	—	55%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE	$96.30	$214.00	$54.37–$166.39	16% below	55%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE	$96.30	$214.00	—	—	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS	$109.35	$243.00	$66.19–$188.93	13% below	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS	$109.35	$243.00	—	—	55%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY, ABDOMEN, 1 VIEW	$408.60	$908.00	$33.87–$705.97	219% above	55%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY, ABDOMEN, 1 VIEW	$408.60	$908.00	—	—	55%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS	$96.30	$214.00	$40.17–$166.39	11% below	55%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS	$96.30	$214.00	—	—	55%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$96.30	$214.00	$47.26–$166.39	6% below	55%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$96.30	$214.00	—	—	55%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW	$96.30	$214.00	$38.58–$166.39	11% below	55%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW	$96.30	$214.00	—	—	55%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS	$96.30	$214.00	$46.48–$166.39	21% below	55%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS	$96.30	$214.00	—	—	55%
X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE	$96.30	$214.00	$46.48–$166.39	24% below	55%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE	$96.30	$214.00	—	—	55%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS	$99.90	$222.00	$41.75–$172.61	12% below	55%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS	$99.90	$222.00	—	—	55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3V	$126.00	$280.00	$57.50–$217.70	17% below	55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3V	$126.00	$280.00	—	—	55%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$166.50	$370.00	$78.81–$287.68	23% below	55%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$166.50	$370.00	—	—	55%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP&LAT	$65.70	$146.00	$45.69–$113.52	58% below	55%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP&LAT	$65.70	$146.00	—	—	55%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS	$94.95	$211.00	$48.86–$164.05	19% below	55%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS	$94.95	$211.00	—	—	55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL, AP&LAT	$124.65	$277.00	$53.58–$215.37	13% below	55%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL, AP&LAT	$124.65	$277.00	—	—	55%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS	$97.65	$217.00	$36.24–$168.72	26% below	55%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS	$97.65	$217.00	—	—	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS	$96.30	$214.00	$41.75–$166.39	30% below	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS	$96.30	$214.00	—	—	55%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 HC ACTH	$79.20	$176.00	$38.62–$123.20	25% below	55%
ACTH blood test inpatient CPT 82024 HC ACTH	$79.20	$176.00	—	—	55%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC HCV FIBROSURE-ALT (SGPT)	$22.95	$51.00	$5.30–$35.70	19% above	55%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT	$22.95	$51.00	$5.30–$35.70	19% above	55%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC HCV FIBROSURE-ALT (SGPT)	$22.95	$51.00	—	—	55%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT	$22.95	$51.00	—	—	55%
AST (aspartate aminotransferase) enzyme test CPT 84450 *HC AST SGOT - RL	$22.95	$51.00	$5.18–$35.70	16% above	55%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT	$22.95	$51.00	$5.18–$35.70	16% above	55%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 *HC AST SGOT - RL	$22.95	$51.00	—	—	55%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT	$22.95	$51.00	—	—	55%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL, ACUTE	$86.40	$192.00	$47.63–$134.40	22% below	55%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL, ACUTE	$86.40	$192.00	—	—	55%
Albumin blood test CPT 82040 *HC ALBUMIN-CSF	$7.20	$16.00	$4.95–$11.27	49% below	55%
Albumin blood test CPT 82040 HC ALBUMIN-SERUM	$7.20	$16.00	$4.95–$11.27	49% below	55%
Albumin blood test CPT 82040 HC ALBUMIN (RL)	$16.20	$36.00	$4.95–$25.20	14% above	55%
Albumin blood test CPT 82040 HC IGG INDEX-ALBUMIN SERUM	$16.20	$36.00	$4.95–$25.20	14% above	55%
Albumin blood test inpatient CPT 82040 HC ALBUMIN-SERUM	$7.20	$16.00	—	—	55%
Albumin blood test inpatient CPT 82040 *HC ALBUMIN-CSF	$7.20	$16.00	—	—	55%
Albumin blood test inpatient CPT 82040 HC ALBUMIN (RL)	$16.20	$36.00	—	—	55%
Albumin blood test inpatient CPT 82040 HC IGG INDEX-ALBUMIN SERUM	$16.20	$36.00	—	—	55%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, URINE	$86.85	$193.00	$40.75–$135.10	9% below	55%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, LAV - RL	$86.85	$193.00	$40.75–$135.10	9% below	55%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, RAV - RL	$86.85	$193.00	$40.75–$135.10	9% below	55%
Aldosterone blood test CPT 82088 HC ALDOSTERONE- SERUM	$86.85	$193.00	$40.75–$135.10	9% below	55%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, IVC - RL	$86.85	$193.00	$40.75–$135.10	9% below	55%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE- SERUM	$86.85	$193.00	—	—	55%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, URINE	$86.85	$193.00	—	—	55%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, RAV - RL	$86.85	$193.00	—	—	55%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, LAV - RL	$86.85	$193.00	—	—	55%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, IVC - RL	$86.85	$193.00	—	—	55%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE, BONE SPE-RL	$19.80	$44.00	$5.18–$30.80	4% above	55%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOS, TOTAL	$19.80	$44.00	$5.18–$30.80	4% above	55%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$22.95	$51.00	$5.18–$35.70	20% above	55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOS, TOTAL	$19.80	$44.00	—	—	55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE, BONE SPE-RL	$19.80	$44.00	—	—	55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$22.95	$51.00	—	—	55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH	$13.50	$30.00	$5.22–$21.00	38% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 *HC ALLERGEN, ALMOND	$13.50	$30.00	$5.22–$21.00	38% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH	$13.50	$30.00	$5.22–$21.00	38% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CANDIDA ALBICANS IGE	$13.50	$30.00	$5.22–$21.00	38% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH	$13.50	$30.00	$5.22–$21.00	38% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, GLOVE LATEX EXT	$21.15	$47.00	$5.22–$32.90	116% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH - RL	$33.75	$75.00	$5.22–$52.50	245% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH	$33.75	$75.00	$5.22–$52.50	245% above	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CANDIDA ALBICANS IGE	$13.50	$30.00	—	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH	$13.50	$30.00	—	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH	$13.50	$30.00	—	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 *HC ALLERGEN, ALMOND	$13.50	$30.00	—	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH	$13.50	$30.00	—	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, GLOVE LATEX EXT	$21.15	$47.00	—	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH	$33.75	$75.00	—	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH - RL	$33.75	$75.00	—	—	55%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP, MATERNAL SCREEN	$24.30	$54.00	$16.77–$37.80	50% below	55%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP, MATERNAL SEQ SCRN	$39.15	$87.00	$16.77–$60.90	20% below	55%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK)	$39.15	$87.00	$16.77–$60.90	20% below	55%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP, MATERNAL SCREEN	$24.30	$54.00	—	—	55%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK)	$39.15	$87.00	—	—	55%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP, MATERNAL SEQ SCRN	$39.15	$87.00	—	—	55%
Ammonia blood test CPT 82140 HC AMMONIA, BLOOD	$22.05	$49.00	$14.57–$34.30	55% below	55%
Ammonia blood test CPT 82140 HC SUPERSAT URINE, AMMONIUM	$31.95	$71.00	$14.57–$49.70	35% below	55%
Ammonia blood test CPT 82140 HC AMMONIA LEVEL ASSAY	$31.95	$71.00	$14.57–$49.70	35% below	55%
Ammonia blood test inpatient CPT 82140 HC AMMONIA, BLOOD	$22.05	$49.00	—	—	55%
Ammonia blood test inpatient CPT 82140 HC SUPERSAT URINE, AMMONIUM	$31.95	$71.00	—	—	55%
Ammonia blood test inpatient CPT 82140 HC AMMONIA LEVEL ASSAY	$31.95	$71.00	—	—	55%
Amylase blood test CPT 82150 HC AMYLASE	$9.00	$20.00	$6.48–$14.07	59% below	55%
Amylase blood test CPT 82150 HC POC AMYLASE	$9.00	$20.00	$6.48–$14.07	59% below	55%
Amylase blood test CPT 82150 HC AMYLASE, URINE	$22.50	$50.00	$6.48–$35.00	1% above	55%
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID	$22.50	$50.00	$6.48–$35.00	1% above	55%
Amylase blood test CPT 82150 HC AMYLASE ISOENZYMES, EACH	$22.50	$50.00	$6.48–$35.00	1% above	55%
Amylase blood test CPT 82150 HC AMYLASE, PANCREATIC FLUID	$22.50	$50.00	$6.48–$35.00	1% above	55%
Amylase blood test CPT 82150 *HC AMYLASE LEVEL, TOTAL	$22.50	$50.00	$6.48–$35.00	1% above	55%
Amylase blood test CPT 82150 *HC AMYLASE LEVEL, SALIVA	$22.50	$50.00	$6.48–$35.00	1% above	55%
Amylase blood test CPT 82150 HC AMYLASE, BODY FLUID - RL	$22.50	$50.00	$6.48–$35.00	1% above	55%
Amylase blood test inpatient CPT 82150 HC POC AMYLASE	$9.00	$20.00	—	—	55%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$9.00	$20.00	—	—	55%
Amylase blood test inpatient CPT 82150 HC AMYLASE, URINE	$22.50	$50.00	—	—	55%
Amylase blood test inpatient CPT 82150 HC AMYLASE, PANCREATIC FLUID	$22.50	$50.00	—	—	55%
Amylase blood test inpatient CPT 82150 *HC AMYLASE LEVEL, TOTAL	$22.50	$50.00	—	—	55%
Amylase blood test inpatient CPT 82150 *HC AMYLASE LEVEL, SALIVA	$22.50	$50.00	—	—	55%
Amylase blood test inpatient CPT 82150 HC AMYLASE, BODY FLUID - RL	$22.50	$50.00	—	—	55%
Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID	$22.50	$50.00	—	—	55%
Amylase blood test inpatient CPT 82150 HC AMYLASE ISOENZYMES, EACH	$22.50	$50.00	—	—	55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODIES	$86.40	$192.00	$12.95–$134.40	106% above	55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 *HC CCP ANTIBODIES - RL	$86.40	$192.00	$12.95–$134.40	106% above	55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 *HC CCP ANTIBODIES - RL	$86.40	$192.00	—	—	55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODIES	$86.40	$192.00	—	—	55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$47.25	$105.00	$12.09–$73.50	2% above	55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$47.25	$105.00	—	—	55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC POC NATRIURETIC PEPTIDE ASSAY	$47.70	$106.00	$37.10–$74.20	27% below	55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$57.15	$127.00	$39.26–$88.90	13% below	55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PRO BNP, S	$57.15	$127.00	$39.26–$88.90	13% below	55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC POC NATRIURETIC PEPTIDE ASSAY	$47.70	$106.00	—	—	55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PRO BNP, S	$57.15	$127.00	—	—	55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$57.15	$127.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, ENVIRONMENTAL	$11.70	$26.00	$8.62–$19.41	58% below	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE MISC	$11.70	$26.00	$8.62–$19.41	58% below	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESP CULT, CYSTIC FIBROSIS	$12.60	$28.00	$8.62–$19.60	55% below	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, ROUTINE AEROBIC	$12.60	$28.00	$8.62–$19.60	55% below	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 *HC CULTURE, GENITAL	$34.20	$76.00	$8.62–$53.20	21% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, EYE	$34.20	$76.00	$8.62–$53.20	21% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 *HC CULTURE, EAR	$34.20	$76.00	$8.62–$53.20	21% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC SPINAL FLD CULTURE	$34.20	$76.00	$8.62–$53.20	21% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BIOPSY/SURG SPC	$34.20	$76.00	$8.62–$53.20	21% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE THROAT	$34.20	$76.00	$8.62–$53.20	21% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC BODY FLUID CULTURE	$34.20	$76.00	$8.62–$53.20	21% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 *HC CULTURE, GONORRHEA	$34.20	$76.00	$8.62–$53.20	21% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, WOUND	$34.20	$76.00	$8.62–$53.20	21% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESPIRATORY CULTURE	$38.25	$85.00	$8.62–$59.50	36% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE MISC	$11.70	$26.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, ENVIRONMENTAL	$11.70	$26.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESP CULT, CYSTIC FIBROSIS	$12.60	$28.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, ROUTINE AEROBIC	$12.60	$28.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC SPINAL FLD CULTURE	$34.20	$76.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 *HC CULTURE, EAR	$34.20	$76.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC BODY FLUID CULTURE	$34.20	$76.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE THROAT	$34.20	$76.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, WOUND	$34.20	$76.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 *HC CULTURE, GENITAL	$34.20	$76.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, EYE	$34.20	$76.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BIOPSY/SURG SPC	$34.20	$76.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 *HC CULTURE, GONORRHEA	$34.20	$76.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESPIRATORY CULTURE	$38.25	$85.00	—	—	55%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$36.90	$82.00	$8.46–$57.40	5% above	55%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$36.90	$82.00	—	—	55%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL	$22.05	$49.00	$4.73–$34.30	34% above	55%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL, BODY FLUID - RL	$22.05	$49.00	$4.73–$34.30	34% above	55%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL, BODY FLUID - RL	$22.05	$49.00	—	—	55%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL	$22.05	$49.00	—	—	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL	$90.45	$201.00	$49.47–$150.10	16% above	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE, G & M, LEVEL IV	$98.10	$218.00	$49.47–$152.60	25% above	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LVL IV SURG PTH	$101.25	$225.00	$49.47–$157.50	29% above	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC RENAL BIOPSY	$113.40	$252.00	$49.47–$176.40	45% above	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL	$90.45	$201.00	—	—	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE, G & M, LEVEL IV	$98.10	$218.00	—	—	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LVL IV SURG PTH	$101.25	$225.00	—	—	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC RENAL BIOPSY	$113.40	$252.00	—	—	55%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE	$34.20	$76.00	$10.32–$53.20	24% below	55%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE	$34.20	$76.00	—	—	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC REF LAB COURTESY VENIPUNCT COLLECT; QUEST	$3.60	$8.00	$2.80–$5.68	56% below	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE/BL COLL	$6.30	$14.00	$3.00–$9.80	24% below	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR COLLECTION VENOUS BLOOD,VENIPUNCTURE	$7.65	$17.00	$1.20–$395.49	7% below	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC REF LAB COURTESY VENIPUNCT COLLECT; QUEST	$3.60	$8.00	—	—	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE/BL COLL	$6.30	$14.00	—	—	55%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE-ISTAT	$5.85	$13.00	$3.93–$9.10	55% below	55%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE	$5.85	$13.00	$3.93–$9.10	55% below	55%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE, CAPILLARY	$5.85	$13.00	$3.93–$9.10	55% below	55%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE QUANT RANDOM LEVEL	$10.80	$24.00	$3.93–$16.80	17% below	55%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 6H	$10.80	$24.00	$3.93–$16.80	17% below	55%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 5H	$10.80	$24.00	$3.93–$16.80	17% below	55%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 4H	$10.80	$24.00	$3.93–$16.80	17% below	55%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 3H	$10.80	$24.00	$3.93–$16.80	17% below	55%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 2H	$10.80	$24.00	$3.93–$16.80	17% below	55%
Blood glucose (sugar) test CPT 82947 *HC GLUCOSE TOLERANCE, 1H	$10.80	$24.00	$3.93–$16.80	17% below	55%
Blood glucose (sugar) test CPT 82947 HC POC GLUCOSE	$10.80	$24.00	$3.93–$16.80	17% below	55%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE LEVEL FASTING SPEC	$10.80	$24.00	$3.93–$16.80	17% below	55%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE, BODY FLUID	$13.95	$31.00	$3.93–$21.70	7% above	55%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE	$5.85	$13.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE-ISTAT	$5.85	$13.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE, CAPILLARY	$5.85	$13.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 4H	$10.80	$24.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 5H	$10.80	$24.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 6H	$10.80	$24.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 HC POC GLUCOSE	$10.80	$24.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE QUANT RANDOM LEVEL	$10.80	$24.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE LEVEL FASTING SPEC	$10.80	$24.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 1H	$10.80	$24.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 2H	$10.80	$24.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 *HC GLUCOSE TOLERANCE, 3H	$10.80	$24.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE, BODY FLUID	$13.95	$31.00	—	—	55%
Blood lead test CPT 83655 *HC LEAD LEVEL ASSAY	$18.90	$42.00	$12.11–$29.40	30% below	55%
Blood lead test CPT 83655 HC LEAD, URINE	$114.30	$254.00	$12.11–$177.80	323% above	55%
Blood lead test CPT 83655 HC LEAD, BLOOD	$114.30	$254.00	$12.11–$177.80	323% above	55%
Blood lead test inpatient CPT 83655 *HC LEAD LEVEL ASSAY	$18.90	$42.00	—	—	55%
Blood lead test inpatient CPT 83655 HC LEAD, URINE	$114.30	$254.00	—	—	55%
Blood lead test inpatient CPT 83655 HC LEAD, BLOOD	$114.30	$254.00	—	—	55%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR	$30.15	$67.00	$7.52–$46.90	2% above	55%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR	$30.15	$67.00	—	—	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BB REF ABO TYPE	$13.95	$31.00	$2.99–$21.70	68% below	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC C-BLOOD TYPING, ABO	$55.80	$124.00	$2.99–$86.80	27% above	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BB REF ABO TYPE	$13.95	$31.00	—	—	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC C-BLOOD TYPING, ABO	$55.80	$124.00	—	—	55%
Blood urea nitrogen (BUN) test CPT 84520 *HC UREA NITROGEN, URINE, 24H	$18.00	$40.00	$3.95–$28.00	7% above	55%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN	$18.00	$40.00	$3.95–$28.00	7% above	55%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN, BLOOD	$18.00	$40.00	$3.95–$28.00	7% above	55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN	$18.00	$40.00	—	—	55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 *HC UREA NITROGEN, URINE, 24H	$18.00	$40.00	—	—	55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN, BLOOD	$18.00	$40.00	—	—	55%
C-peptide blood test CPT 84681 HC C PEPTIDE	$29.70	$66.00	$20.81–$46.20	42% below	55%
C-peptide blood test CPT 84681 HC C PEPTIDE, SERUM - RL	$45.00	$100.00	$20.81–$70.00	12% below	55%
C-peptide blood test CPT 84681 *HC C PEPTIDE, URINE, 24H	$45.00	$100.00	$20.81–$70.00	12% below	55%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE	$29.70	$66.00	—	—	55%
C-peptide blood test inpatient CPT 84681 *HC C PEPTIDE, URINE, 24H	$45.00	$100.00	—	—	55%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE, SERUM - RL	$45.00	$100.00	—	—	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC IBD SGI CRP	$7.20	$16.00	$5.18–$11.67	69% below	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$20.70	$46.00	$5.18–$32.20	11% below	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 *HC CRP, BLOOD	$35.55	$79.00	$5.18–$55.30	53% above	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC IBD SGI CRP	$7.20	$16.00	—	—	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$20.70	$46.00	—	—	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 *HC CRP, BLOOD	$35.55	$79.00	—	—	55%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$68.40	$152.00	$37.27–$106.40	9% above	55%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$68.40	$152.00	—	—	55%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9	$47.25	$105.00	$20.81–$73.50	2% below	55%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9	$47.25	$105.00	—	—	55%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER AG 125 (CA 125)-RL	$48.60	$108.00	$20.81–$75.60	7% below	55%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$48.60	$108.00	$20.81–$75.60	7% below	55%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$48.60	$108.00	—	—	55%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CANCER AG 125 (CA 125)-RL	$48.60	$108.00	—	—	55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$139.05	$309.00	$38.48–$216.30	94% above	55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$139.05	$309.00	—	—	55%
Calcium blood test, total CPT 82310 HC CALCIUM ISTAT	$20.70	$46.00	$5.16–$32.20	4% above	55%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM	$20.70	$46.00	$5.16–$32.20	4% above	55%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM	$20.70	$46.00	—	—	55%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM ISTAT	$20.70	$46.00	—	—	55%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA	$44.55	$99.00	$18.96–$69.30	24% below	55%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA, FLUID	$44.55	$99.00	$18.96–$69.30	24% below	55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA, FLUID	$44.55	$99.00	—	—	55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA	$44.55	$99.00	—	—	55%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA AB	$19.35	$43.00	$12.88–$30.10	47% below	55%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB-IGG	$19.35	$43.00	$12.88–$30.10	47% below	55%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB-IGM	$45.00	$100.00	$12.88–$70.00	24% above	55%
Chickenpox (varicella) immunity blood test CPT 86787 HC VZV AB (IGG), IFA, CSF	$45.00	$100.00	$12.88–$70.00	24% above	55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB-IGG	$19.35	$43.00	—	—	55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA AB	$19.35	$43.00	—	—	55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB-IGM	$45.00	$100.00	—	—	55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV AB (IGG), IFA, CSF	$45.00	$100.00	—	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA	$45.90	$102.00	$35.09–$76.16	20% below	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE	$72.00	$160.00	$35.09–$112.00	25% above	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA	$72.00	$160.00	$35.09–$112.00	25% above	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA	$72.00	$160.00	$35.09–$112.00	25% above	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA	$45.90	$102.00	—	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE	$72.00	$160.00	—	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA	$72.00	$160.00	—	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA	$72.00	$160.00	—	—	55%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$44.55	$99.00	$13.39–$69.30	11% below	55%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$44.55	$99.00	—	—	55%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$22.95	$51.00	$7.77–$35.70	13% below	55%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$22.95	$51.00	—	—	55%
Complete blood count (CBC), no differential CPT 85027 HC HEMATOLOGY PROFILE	$9.00	$20.00	$6.47–$14.05	68% below	55%
Complete blood count (CBC), no differential CPT 85027 HC CBC WITHOUT DIFF	$13.05	$29.00	$6.47–$20.30	53% below	55%
Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMATOLOGY PROFILE	$9.00	$20.00	—	—	55%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WITHOUT DIFF	$13.05	$29.00	—	—	55%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14	$45.45	$101.00	$10.56–$70.70	39% below	55%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14	$45.45	$101.00	—	—	55%
Cortisol blood test, total CPT 82533 HC CORTISOL, SALIVA	$25.65	$57.00	$16.30–$39.90	32% below	55%
Cortisol blood test, total CPT 82533 HC CORTISOL	$38.25	$85.00	$16.30–$59.50	1% above	55%
Cortisol blood test, total CPT 82533 HC CORTISOL, LCMS	$45.45	$101.00	$16.30–$70.70	20% above	55%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, SALIVA	$25.65	$57.00	—	—	55%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$38.25	$85.00	—	—	55%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, LCMS	$45.45	$101.00	—	—	55%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CK TOTAL	$10.35	$23.00	$6.51–$16.10	53% below	55%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CK), CPK, TOTAL	$22.95	$51.00	$6.51–$35.70	3% above	55%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CK TOTAL	$10.35	$23.00	—	—	55%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CK), CPK, TOTAL	$22.95	$51.00	—	—	55%
Creatinine blood test CPT 82565 HC CREATININE-BLOOD	$9.00	$20.00	$5.12–$14.00	46% below	55%
Creatinine blood test CPT 82565 HC CREATININE	$22.05	$49.00	$5.12–$34.30	33% above	55%
Creatinine blood test inpatient CPT 82565 HC CREATININE-BLOOD	$9.00	$20.00	—	—	55%
Creatinine blood test inpatient CPT 82565 HC CREATININE	$22.05	$49.00	—	—	55%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV SCREEN	$20.25	$45.00	$14.39–$31.50	49% below	55%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG	$31.50	$70.00	$14.39–$49.00	20% below	55%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV AB (TOTAL)	$31.50	$70.00	$14.39–$49.00	20% below	55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV SCREEN	$20.25	$45.00	—	—	55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG	$31.50	$70.00	—	—	55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV AB (TOTAL)	$31.50	$70.00	—	—	55%
D-dimer blood test (blood clot marker) CPT 85379 HC POC D-DIMER, QUANT	$13.95	$31.00	$10.18–$21.70	72% below	55%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER, QUANT	$88.20	$196.00	$10.18–$137.20	75% above	55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC POC D-DIMER, QUANT	$13.95	$31.00	—	—	55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER, QUANT	$88.20	$196.00	—	—	55%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S	$79.65	$177.00	$22.23–$123.90	41% above	55%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S	$79.65	$177.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 *HC DRUG SCREEN IMMUNOASSAY, EACH SUBSQ, BLOOD	$40.50	$90.00	$31.50–$285.20	23% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 *HC DRUG SCREEN IMMUNOASSAY, EACH SUBSQ	$40.50	$90.00	$31.50–$285.20	23% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUAL, EACH	$40.50	$90.00	$31.50–$285.20	23% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN, URINE	$45.45	$101.00	$35.35–$285.20	38% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN,PRESUMP, ANY CLASS, BY INSTRMNT CHEM ANALY, AMPHETAMINES,URINE	$45.45	$101.00	$35.35–$285.20	38% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 *HC DRUG SCREEN, PRESUMP, TRICYCLIC ANTIDEPRESSANTS	$45.45	$101.00	$35.35–$285.20	38% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CHAIN OF CUSTODY, URINE DRUG SCREEN	$45.45	$101.00	$35.35–$285.20	38% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GAMMA-HYDROXYBUTYRIC ACID	$54.00	$120.00	$42.00–$285.20	64% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC KETAMINE AND METABOLITE SCREEN, PLASMA - RL	$57.60	$128.00	$44.80–$285.20	75% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN, ANY	$124.20	$276.00	$62.14–$285.20	276% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHYL GLUCURONIDE SCREEN	$166.95	$371.00	$62.14–$285.20	406% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE ANALYSIS, URINE - RL	$166.95	$371.00	$62.14–$285.20	406% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, PRESC/OTC, SERUM	$166.95	$371.00	$62.14–$285.20	406% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, PRESC/OTC, UR	$166.95	$371.00	$62.14–$285.20	406% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM DRUG SCREEN PANEL	$171.90	$382.00	$62.14–$285.20	421% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE SCREEN	$171.90	$382.00	$62.14–$285.20	421% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCRN, MECONIUM STOOL ,CANNABIS (THC)	$171.90	$382.00	$62.14–$285.20	421% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE PANEL, MECONIUM - SCREEN	$186.75	$415.00	$62.14–$290.50	466% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN CLINIC DRUG SCREEN, U - RL	$186.75	$415.00	$62.14–$290.50	466% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COMPLIANCE DRUG SCREEN, URINE	$186.75	$415.00	$62.14–$290.50	466% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 *HC DRUG SCREEN, PRESUMP, BENZODIAZEPINE	$192.60	$428.00	$62.14–$299.60	484% above	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUAL, EACH	$40.50	$90.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 *HC DRUG SCREEN IMMUNOASSAY, EACH SUBSQ, BLOOD	$40.50	$90.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 *HC DRUG SCREEN IMMUNOASSAY, EACH SUBSQ	$40.50	$90.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 *HC DRUG SCREEN, PRESUMP, TRICYCLIC ANTIDEPRESSANTS	$45.45	$101.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN, URINE	$45.45	$101.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CHAIN OF CUSTODY, URINE DRUG SCREEN	$45.45	$101.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN,PRESUMP, ANY CLASS, BY INSTRMNT CHEM ANALY, AMPHETAMINES,URINE	$45.45	$101.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GAMMA-HYDROXYBUTYRIC ACID	$54.00	$120.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC KETAMINE AND METABOLITE SCREEN, PLASMA - RL	$57.60	$128.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN, ANY	$124.20	$276.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE ANALYSIS, URINE - RL	$166.95	$371.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, PRESC/OTC, UR	$166.95	$371.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, PRESC/OTC, SERUM	$166.95	$371.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ETHYL GLUCURONIDE SCREEN	$166.95	$371.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MECONIUM DRUG SCREEN PANEL	$171.90	$382.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCRN, MECONIUM STOOL ,CANNABIS (THC)	$171.90	$382.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE SCREEN	$171.90	$382.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COMPLIANCE DRUG SCREEN, URINE	$186.75	$415.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE PANEL, MECONIUM - SCREEN	$186.75	$415.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PAIN CLINIC DRUG SCREEN, U - RL	$186.75	$415.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 *HC DRUG SCREEN, PRESUMP, BENZODIAZEPINE	$192.60	$428.00	—	—	55%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$57.15	$127.00	$7.01–$88.90	57% above	55%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$57.15	$127.00	—	—	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR ANTIBODY,V CAPSID	$7.65	$17.00	$5.95–$38.68	85% below	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS, VCA IGG	$25.20	$56.00	$18.14–$39.20	50% below	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS, VCA IGM	$25.20	$56.00	$18.14–$39.20	50% below	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV IGG	$25.20	$56.00	$18.14–$39.20	50% below	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV-IGM	$29.25	$65.00	$18.14–$45.50	42% below	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR ANTIBODY,V CAPSID	$7.65	$17.00	—	—	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV IGG	$25.20	$56.00	—	—	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS, VCA IGM	$25.20	$56.00	—	—	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS, VCA IGG	$25.20	$56.00	—	—	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV-IGM	$29.25	$65.00	—	—	55%
Estradiol blood test CPT 82670 HC ESTRADIOL	$55.35	$123.00	$27.94–$86.10	3% below	55%
Estradiol blood test CPT 82670 *HC ESTRADIOL, LCMS, ENDO-SCI	$60.30	$134.00	$27.94–$93.80	6% above	55%
Estradiol blood test CPT 82670 *HC ESTRADIOL, FEMALE ADULT PREMENOPAUSAL	$60.30	$134.00	$27.94–$93.80	6% above	55%
Estradiol blood test CPT 82670 *HC ESTRADIOL, MALE CHILD OR POST MENOPAUSAL FEMALE	$60.30	$134.00	$27.94–$93.80	6% above	55%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$55.35	$123.00	—	—	55%
Estradiol blood test inpatient CPT 82670 *HC ESTRADIOL, FEMALE ADULT PREMENOPAUSAL	$60.30	$134.00	—	—	55%
Estradiol blood test inpatient CPT 82670 *HC ESTRADIOL, MALE CHILD OR POST MENOPAUSAL FEMALE	$60.30	$134.00	—	—	55%
Estradiol blood test inpatient CPT 82670 *HC ESTRADIOL, LCMS, ENDO-SCI	$60.30	$134.00	—	—	55%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH	$57.15	$127.00	$18.58–$88.90	3% above	55%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH	$57.15	$127.00	—	—	55%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL	$136.80	$304.00	$19.63–$212.80	45% above	55%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL	$136.80	$304.00	—	—	55%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN - RL	$53.55	$119.00	$13.63–$83.30	17% above	55%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$53.55	$119.00	$13.63–$83.30	17% above	55%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN - RL	$53.55	$119.00	—	—	55%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$53.55	$119.00	—	—	55%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$18.90	$42.00	$9.72–$29.40	39% below	55%
Fibrinogen blood test CPT 85384 HC CITRATED FUNCTIONAL FIBRINOGEN FLEV	$47.70	$106.00	$9.72–$74.20	53% above	55%
Fibrinogen blood test CPT 85384 HC CITRATED FUNCTIONAL FIBRINOGEN MA	$47.70	$106.00	$9.72–$74.20	53% above	55%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$18.90	$42.00	—	—	55%
Fibrinogen blood test inpatient CPT 85384 HC CITRATED FUNCTIONAL FIBRINOGEN MA	$47.70	$106.00	—	—	55%
Fibrinogen blood test inpatient CPT 85384 HC CITRATED FUNCTIONAL FIBRINOGEN FLEV	$47.70	$106.00	—	—	55%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID	$29.25	$65.00	$14.70–$45.50	23% below	55%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID	$29.25	$65.00	—	—	55%
Free T3 thyroid hormone test CPT 84481 HC T3,FREE	$64.80	$144.00	$13.43–$100.80	31% above	55%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3,FREE	$64.80	$144.00	—	—	55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE	$13.95	$31.00	$9.02–$21.70	60% below	55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE	$39.15	$87.00	$9.02–$60.90	12% above	55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE BY DIALYSIS	$48.60	$108.00	$9.02–$75.60	39% above	55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE	$13.95	$31.00	—	—	55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE	$39.15	$87.00	—	—	55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE BY DIALYSIS	$48.60	$108.00	—	—	55%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS	$34.65	$77.00	$25.47–$57.39	43% below	55%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE	$54.00	$120.00	$25.47–$84.00	10% below	55%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE, MALES	$54.00	$120.00	$25.47–$84.00	10% below	55%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE, FEMALES OR CHILDREN	$54.00	$120.00	$25.47–$84.00	10% below	55%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS	$34.65	$77.00	—	—	55%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE	$54.00	$120.00	—	—	55%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE, MALES	$54.00	$120.00	—	—	55%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE, FEMALES OR CHILDREN	$54.00	$120.00	—	—	55%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC HCV FIBROSURE-GGT	$22.05	$49.00	$7.20–$34.30	11% below	55%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT	$22.05	$49.00	$7.20–$34.30	11% below	55%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT	$22.05	$49.00	—	—	55%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC HCV FIBROSURE-GGT	$22.05	$49.00	—	—	55%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE	$23.40	$52.00	$4.75–$36.40	46% above	55%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 *HC GLUCOSE 2HR POST DOSE	$23.40	$52.00	$4.75–$36.40	46% above	55%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE	$23.40	$52.00	—	—	55%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 *HC GLUCOSE 2HR POST DOSE	$23.40	$52.00	—	—	55%
Glucose tolerance test, 3 samples CPT 82951 *HC GLUCOSE TOLERANCE 4 HRS	$9.00	$20.00	$7.00–$27.94	80% below	55%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 1/2 HR	$9.00	$20.00	$7.00–$27.94	80% below	55%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$18.45	$41.00	$12.87–$28.70	59% below	55%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3H	$26.55	$59.00	$12.87–$41.30	41% below	55%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$26.55	$59.00	$12.87–$41.30	41% below	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 *HC GLUCOSE TOLERANCE 4 HRS	$9.00	$20.00	—	—	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 1/2 HR	$9.00	$20.00	—	—	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$18.45	$41.00	—	—	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3H	$26.55	$59.00	—	—	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$26.55	$59.00	—	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA	$72.00	$160.00	$35.09–$112.00	26% above	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA	$72.00	$160.00	$35.09–$112.00	26% above	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC BY AMPLIFIED PROBE	$72.00	$160.00	$35.09–$112.00	26% above	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC BY AMPLIFIED PROBE	$72.00	$160.00	—	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA	$72.00	$160.00	—	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA	$72.00	$160.00	—	—	55%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG	$42.75	$95.00	$15.82–$66.50	7% below	55%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB, EACH	$42.75	$95.00	$15.82–$66.50	7% below	55%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB, EACH	$42.75	$95.00	—	—	55%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG	$42.75	$95.00	—	—	55%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$66.15	$147.00	$6.31–$102.90	8% above	55%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$66.15	$147.00	—	—	55%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA DETECT/QUANT	$99.90	$222.00	$77.70–$184.67	42% below	55%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT BY NAAT	$111.15	$247.00	$85.10–$184.67	35% below	55%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$279.90	$622.00	$85.10–$435.40	63% above	55%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA DETECT/QUANT	$99.90	$222.00	—	—	55%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT BY NAAT	$111.15	$247.00	—	—	55%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$279.90	$622.00	—	—	55%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1/2 AB, DONOR EVAL (BLOOD CENTER)	$14.85	$33.00	$11.55–$23.10	57% below	55%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1 & HIV2, SGL ASSAY	$78.75	$175.00	$13.71–$122.50	130% above	55%
HIV-1 and HIV-2 antibody test CPT 86703 HC RAPID HIV-1/2 AB	$78.75	$175.00	$13.71–$122.50	130% above	55%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1/2 AB, DONOR EVAL (BLOOD CENTER)	$14.85	$33.00	—	—	55%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC RAPID HIV-1/2 AB	$78.75	$175.00	—	—	55%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1 & HIV2, SGL ASSAY	$78.75	$175.00	—	—	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB	$78.75	$175.00	$24.08–$122.50	69% above	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB	$78.75	$175.00	—	—	55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT	$49.95	$111.00	$35.09–$77.70	2% below	55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 *HC HPV DNA HIGH RISK	$51.30	$114.00	$35.09–$79.80	1% above	55%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT	$49.95	$111.00	—	—	55%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 *HC HPV DNA HIGH RISK	$51.30	$114.00	—	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HB	$13.50	$30.00	$9.71–$21.00	62% below	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C - RL	$39.15	$87.00	$9.71–$60.90	10% above	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HB	$13.50	$30.00	—	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C - RL	$39.15	$87.00	—	—	55%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$12.15	$27.00	$2.37–$18.90	17% above	55%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$12.15	$27.00	—	—	55%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB, DONOR EVAL (BLOOD CENTER)	$17.10	$38.00	$12.05–$26.60	40% below	55%
Hepatitis B core antibody test (total) CPT 86704 HC HBCAB	$17.10	$38.00	$12.05–$26.60	40% below	55%
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB,IGG/IGM DIFF	$19.35	$43.00	$12.05–$30.10	32% below	55%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE, TOTAL	$51.75	$115.00	$12.05–$80.50	82% above	55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HBCAB	$17.10	$38.00	—	—	55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB, DONOR EVAL (BLOOD CENTER)	$17.10	$38.00	—	—	55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE AB,IGG/IGM DIFF	$19.35	$43.00	—	—	55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE, TOTAL	$51.75	$115.00	—	—	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TITER	$15.30	$34.00	$10.74–$23.80	49% below	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HBSAB	$51.75	$115.00	$10.74–$80.50	73% above	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TITER	$15.30	$34.00	—	—	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HBSAB	$51.75	$115.00	—	—	55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER)	$51.75	$115.00	$10.33–$80.50	45% above	55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG	$51.75	$115.00	$10.33–$80.50	45% above	55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER)	$51.75	$115.00	—	—	55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG	$51.75	$115.00	—	—	55%
Hepatitis C antibody blood test (screening) CPT 86803 *HC C-AB, HEP-C	$51.75	$115.00	$14.27–$80.50	15% above	55%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER)	$51.75	$115.00	$14.27–$80.50	15% above	55%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV-AB	$51.75	$115.00	$14.27–$80.50	15% above	55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 *HC C-AB, HEP-C	$51.75	$115.00	—	—	55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV-AB	$51.75	$115.00	—	—	55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER)	$51.75	$115.00	—	—	55%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$61.65	$137.00	$42.84–$95.90	44% below	55%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATIVE BY NAAT	$63.45	$141.00	$42.84–$98.70	43% below	55%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY PCR	$279.90	$622.00	$42.84–$435.40	154% above	55%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$61.65	$137.00	—	—	55%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATIVE BY NAAT	$63.45	$141.00	—	—	55%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY PCR	$279.90	$622.00	—	—	55%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGM	$7.65	$17.00	$5.95–$27.92	70% below	55%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB	$17.10	$38.00	$13.19–$27.92	32% below	55%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB	$21.15	$47.00	$13.19–$32.90	16% below	55%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGG INDEX, CSF	$43.65	$97.00	$13.19–$67.90	73% above	55%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG	$50.40	$112.00	$13.19–$78.40	100% above	55%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG AB	$50.40	$112.00	$13.19–$78.40	100% above	55%
Herpes blood test, HSV-1 antibody CPT 86695 *HC ENCEPH - HSV I AB	$50.40	$112.00	$13.19–$78.40	100% above	55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGM	$7.65	$17.00	—	—	55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB	$17.10	$38.00	—	—	55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB	$21.15	$47.00	—	—	55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGG INDEX, CSF	$43.65	$97.00	—	—	55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG	$50.40	$112.00	—	—	55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG AB	$50.40	$112.00	—	—	55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 *HC ENCEPH - HSV I AB	$50.40	$112.00	—	—	55%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGM	$12.15	$27.00	$9.45–$41.59	72% below	55%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB	$31.50	$70.00	$19.35–$49.00	27% below	55%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB	$39.15	$87.00	$19.35–$60.90	9% below	55%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 IGG, CSF	$43.65	$97.00	$19.35–$67.90	1% above	55%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG AB	$56.25	$125.00	$19.35–$87.50	30% above	55%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG	$56.25	$125.00	$19.35–$87.50	30% above	55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGM	$12.15	$27.00	—	—	55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB	$31.50	$70.00	—	—	55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB	$39.15	$87.00	—	—	55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE 2 IGG, CSF	$43.65	$97.00	—	—	55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG	$56.25	$125.00	—	—	55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG AB	$56.25	$125.00	—	—	55%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS	$103.05	$229.00	$12.95–$160.30	141% above	55%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS	$103.05	$229.00	—	—	55%
Homocysteine blood test CPT 83090 HC HOMOCYSTINES, PLASMA	$60.30	$134.00	$17.92–$93.80	6% above	55%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINES, PLASMA	$60.30	$134.00	—	—	55%
Insulin blood test CPT 83525 HC INSULIN	$45.45	$101.00	$11.43–$70.70	59% above	55%
Insulin blood test CPT 83525 HC INSULIN AND C-PEPTIDE	$89.55	$199.00	$11.43–$139.30	213% above	55%
Insulin blood test inpatient CPT 83525 HC INSULIN	$45.45	$101.00	—	—	55%
Insulin blood test inpatient CPT 83525 HC INSULIN AND C-PEPTIDE	$89.55	$199.00	—	—	55%
Iron blood test (serum iron) CPT 83540 HC IRON, URINE	$6.30	$14.00	$4.90–$13.09	71% below	55%
Iron blood test (serum iron) CPT 83540 HC IRON, LIVER TISSUE - RL	$6.30	$14.00	$4.90–$13.09	71% below	55%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, LIVER TISSUE - RL	$6.30	$14.00	—	—	55%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, URINE	$6.30	$14.00	—	—	55%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$33.30	$74.00	$8.74–$51.80	3% above	55%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$33.30	$74.00	—	—	55%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$43.20	$96.00	$8.68–$67.20	14% below	55%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$43.20	$96.00	—	—	55%
LH (luteinizing hormone) test CPT 83002 HC LH	$39.15	$87.00	$18.52–$60.90	28% below	55%
LH (luteinizing hormone) test CPT 83002 *HC LUTEINIZING HORMONE - RL	$39.15	$87.00	$18.52–$60.90	28% below	55%
LH (luteinizing hormone) test inpatient CPT 83002 *HC LUTEINIZING HORMONE - RL	$39.15	$87.00	—	—	55%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH	$39.15	$87.00	—	—	55%
Lactate (lactic acid) blood test CPT 83605 HC D-LACTATE, PLASMA	$13.50	$30.00	$10.50–$23.18	52% below	55%
Lactate (lactic acid) blood test CPT 83605 HC ORG ACID LACTIC ACID, URINE	$14.40	$32.00	$11.20–$23.18	48% below	55%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID, CSF	$22.95	$51.00	$11.57–$35.70	18% below	55%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID	$22.95	$51.00	$11.57–$35.70	18% below	55%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE	$22.95	$51.00	$11.57–$35.70	18% below	55%
Lactate (lactic acid) blood test inpatient CPT 83605 HC D-LACTATE, PLASMA	$13.50	$30.00	—	—	55%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ORG ACID LACTIC ACID, URINE	$14.40	$32.00	—	—	55%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID, CSF	$22.95	$51.00	—	—	55%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID	$22.95	$51.00	—	—	55%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE	$22.95	$51.00	—	—	55%
Lactate dehydrogenase (LDH) blood test CPT 83615 *HC LDH, TOTAL	$9.00	$20.00	$6.04–$14.00	56% below	55%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID - RL	$22.95	$51.00	$6.04–$35.70	13% above	55%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH-BLOOD OR BODY FLUID	$22.95	$51.00	$6.04–$35.70	13% above	55%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BLOOD	$22.95	$51.00	$6.04–$35.70	13% above	55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 *HC LDH, TOTAL	$9.00	$20.00	—	—	55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID - RL	$22.95	$51.00	—	—	55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BLOOD	$22.95	$51.00	—	—	55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH-BLOOD OR BODY FLUID	$22.95	$51.00	—	—	55%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$14.40	$32.00	$6.89–$22.40	43% below	55%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, BODY FLUID - RL	$14.40	$32.00	$6.89–$22.40	43% below	55%
Lipase blood test (pancreas enzyme) CPT 83690 *HC LIPASE, BODY FLUID	$14.40	$32.00	$6.89–$22.40	43% below	55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 *HC LIPASE, BODY FLUID	$14.40	$32.00	—	—	55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$14.40	$32.00	—	—	55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, BODY FLUID - RL	$14.40	$32.00	—	—	55%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS	$45.45	$101.00	$8.17–$70.70	9% below	55%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS	$45.45	$101.00	—	—	55%
Lyme disease antibody test CPT 86618 *HC LYME AB INDX IGG/IGM	$31.50	$70.00	$17.03–$49.00	38% below	55%
Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, SERUM - RL	$31.50	$70.00	$17.03–$49.00	38% below	55%
Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, CSF - RL	$31.50	$70.00	$17.03–$49.00	38% below	55%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODIES	$63.45	$141.00	$17.03–$98.70	26% above	55%
Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, CSF - RL	$31.50	$70.00	—	—	55%
Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, SERUM - RL	$31.50	$70.00	—	—	55%
Lyme disease antibody test inpatient CPT 86618 *HC LYME AB INDX IGG/IGM	$31.50	$70.00	—	—	55%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODIES	$63.45	$141.00	—	—	55%
Magnesium blood test CPT 83735 HC CATHARTIC LAXATIVE PROF - MAGNESIUM, FECES	$8.10	$18.00	$6.30–$14.02	62% below	55%
Magnesium blood test CPT 83735 HC MAGNESIUM	$9.00	$20.00	$6.70–$14.02	58% below	55%
Magnesium blood test CPT 83735 HC MAGNESIUM, RBC	$26.55	$59.00	$6.70–$41.30	24% above	55%
Magnesium blood test CPT 83735 HC MAGNESIUM, URINE	$26.55	$59.00	$6.70–$41.30	24% above	55%
Magnesium blood test CPT 83735 HC MAGNESIUM LEVEL ASSAY	$26.55	$59.00	$6.70–$41.30	24% above	55%
Magnesium blood test CPT 83735 HC MAGNESIUM, FECES	$40.50	$90.00	$6.70–$63.00	89% above	55%
Magnesium blood test CPT 83735 HC SUPERSAT URINE, MAGNESIUM	$40.50	$90.00	$6.70–$63.00	89% above	55%
Magnesium blood test inpatient CPT 83735 HC CATHARTIC LAXATIVE PROF - MAGNESIUM, FECES	$8.10	$18.00	—	—	55%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$9.00	$20.00	—	—	55%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC	$26.55	$59.00	—	—	55%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE	$26.55	$59.00	—	—	55%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM LEVEL ASSAY	$26.55	$59.00	—	—	55%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, FECES	$40.50	$90.00	—	—	55%
Magnesium blood test inpatient CPT 83735 HC SUPERSAT URINE, MAGNESIUM	$40.50	$90.00	—	—	55%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG	$18.90	$42.00	$12.88–$29.40	35% below	55%
Measles (rubeola) antibody test CPT 86765 HC MEASLES (RUBEOLA) IGM BY IFA, CSF	$54.00	$120.00	$12.88–$84.00	86% above	55%
Measles (rubeola) antibody test CPT 86765 *HC RUBEOLA ANTIBODY	$54.00	$120.00	$12.88–$84.00	86% above	55%
Measles (rubeola) antibody test CPT 86765 HC MEASLES (RUBEOLA) IGG BY IFA, CSF	$54.00	$120.00	$12.88–$84.00	86% above	55%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG - RL	$54.00	$120.00	$12.88–$84.00	86% above	55%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM	$54.00	$120.00	$12.88–$84.00	86% above	55%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG	$18.90	$42.00	—	—	55%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM	$54.00	$120.00	—	—	55%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG - RL	$54.00	$120.00	—	—	55%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES (RUBEOLA) IGG BY IFA, CSF	$54.00	$120.00	—	—	55%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES (RUBEOLA) IGM BY IFA, CSF	$54.00	$120.00	—	—	55%
Measles (rubeola) antibody test inpatient CPT 86765 *HC RUBEOLA ANTIBODY	$54.00	$120.00	—	—	55%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT	$20.25	$45.00	$5.18–$31.50	16% below	55%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN	$21.15	$47.00	$5.18–$32.90	12% below	55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT	$20.25	$45.00	—	—	55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODY SCREEN	$21.15	$47.00	—	—	55%
Mumps immunity blood test CPT 86735 HC MUMPS AB, IGG	$18.00	$40.00	$13.05–$28.00	39% below	55%
Mumps immunity blood test CPT 86735 HC MUMPS AB IGM, CSF	$58.50	$130.00	$13.05–$91.00	98% above	55%
Mumps immunity blood test CPT 86735 *HC MUMPS IGG - RL	$58.50	$130.00	$13.05–$91.00	98% above	55%
Mumps immunity blood test CPT 86735 *HC MUMPS ANTIBODY	$58.50	$130.00	$13.05–$91.00	98% above	55%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODIES IGM (EIA)	$58.50	$130.00	$13.05–$91.00	98% above	55%
Mumps immunity blood test CPT 86735 HC MUMPS AB IGG, CSF	$58.50	$130.00	$13.05–$91.00	98% above	55%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB, IGG	$18.00	$40.00	—	—	55%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB IGG, CSF	$58.50	$130.00	—	—	55%
Mumps immunity blood test inpatient CPT 86735 *HC MUMPS ANTIBODY	$58.50	$130.00	—	—	55%
Mumps immunity blood test inpatient CPT 86735 *HC MUMPS IGG - RL	$58.50	$130.00	—	—	55%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB IGM, CSF	$58.50	$130.00	—	—	55%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODIES IGM (EIA)	$58.50	$130.00	—	—	55%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL	$20.25	$45.00	$15.75–$85.21	73% below	55%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL	$20.25	$45.00	—	—	55%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE	$24.30	$54.00	$18.39–$39.91	50% below	55%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, FREE	$37.35	$83.00	$18.39–$58.10	23% below	55%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE	$24.30	$54.00	—	—	55%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, FREE	$37.35	$83.00	—	—	55%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL-REF LAB ONLY	$24.30	$54.00	$18.39–$39.91	45% below	55%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE HEALTH INDEX (PHI)	$36.90	$82.00	$18.39–$57.40	16% below	55%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC	$36.90	$82.00	$18.39–$57.40	16% below	55%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL	$36.90	$82.00	$18.39–$57.40	16% below	55%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, SCREENING	$38.70	$86.00	$18.39–$60.20	12% below	55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL-REF LAB ONLY	$24.30	$54.00	—	—	55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE HEALTH INDEX (PHI)	$36.90	$82.00	—	—	55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL	$36.90	$82.00	—	—	55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC	$36.90	$82.00	—	—	55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, SCREENING	$38.70	$86.00	—	—	55%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC	$27.90	$62.00	$21.70–$43.40	35% below	55%
Pap test (liquid-based, automated screening with review) CPT 88175 *HC CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER	$55.35	$123.00	$25.04–$86.10	29% above	55%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC	$27.90	$62.00	—	—	55%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 *HC CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER	$55.35	$123.00	—	—	55%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC	$23.85	$53.00	$18.55–$39.05	14% below	55%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP SCREENING	$26.55	$59.00	$20.26–$41.30	5% below	55%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC	$23.85	$53.00	—	—	55%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP SCREENING	$26.55	$59.00	—	—	55%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTRAOPERATIVE	$67.95	$151.00	$41.28–$105.70	25% below	55%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTACT	$84.15	$187.00	$41.28–$130.90	8% below	55%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE, FNA	$84.15	$187.00	$41.28–$130.90	8% below	55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTRAOPERATIVE	$67.95	$151.00	—	—	55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTACT	$84.15	$187.00	—	—	55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE, FNA	$84.15	$187.00	—	—	55%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT - RL	$9.00	$20.00	$6.01–$14.00	56% below	55%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$18.00	$40.00	$6.01–$28.00	12% below	55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT - RL	$9.00	$20.00	—	—	55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$18.00	$40.00	—	—	55%
Phosphorus (phosphate) blood test CPT 84100 HC CATHARTIC LAXATIVE PROF - PHOSPHORUS, FECES	$6.30	$14.00	$4.74–$10.80	62% below	55%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$20.70	$46.00	$4.74–$32.20	23% above	55%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS, FECES	$20.70	$46.00	$4.74–$32.20	23% above	55%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC CATHARTIC LAXATIVE PROF - PHOSPHORUS, FECES	$6.30	$14.00	—	—	55%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS, FECES	$20.70	$46.00	—	—	55%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$20.70	$46.00	—	—	55%
Potassium blood test CPT 84132 HC POTASSIUM	$6.75	$15.00	$4.76–$10.50	62% below	55%
Potassium blood test CPT 84132 *HC POC POTASSIUM	$18.00	$40.00	$4.76–$28.00	2% above	55%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$6.75	$15.00	—	—	55%
Potassium blood test inpatient CPT 84132 *HC POC POTASSIUM	$18.00	$40.00	—	—	55%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY	$724.95	$1,611.00	$563.85–$2,731.53	73% above	55%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY	$724.95	$1,611.00	—	—	55%
Progesterone blood test CPT 84144 HC PROGESTERONE	$42.75	$95.00	$20.86–$66.50	22% below	55%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$42.75	$95.00	—	—	55%
Prolactin blood test CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC	$43.20	$96.00	$19.38–$67.20	32% below	55%
Prolactin blood test CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT	$43.20	$96.00	$19.38–$67.20	32% below	55%
Prolactin blood test CPT 84146 HC PROLACTIN	$43.20	$96.00	$19.38–$67.20	32% below	55%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$43.20	$96.00	—	—	55%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC	$43.20	$96.00	—	—	55%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT	$43.20	$96.00	—	—	55%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS PT - RL	$5.40	$12.00	$4.20–$8.52	63% below	55%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - RL	$5.85	$13.00	$4.29–$9.10	60% below	55%
Prothrombin time (PT/INR) clotting test CPT 85610 HC POC PT/INR	$5.85	$13.00	$4.29–$9.10	60% below	55%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$18.00	$40.00	$4.29–$28.00	24% above	55%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR	$65.70	$146.00	$4.29–$102.20	354% above	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS PT - RL	$5.40	$12.00	—	—	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POC PT/INR	$5.85	$13.00	—	—	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - RL	$5.85	$13.00	—	—	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$18.00	$40.00	—	—	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR	$65.70	$146.00	—	—	55%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST, PRESUMP,ANY NUMBER OF CLASS, DIRECT OPTICAL OBS, URINE	$36.00	$80.00	$12.60–$56.00	58% above	55%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST, PRESUMP,ANY NUMBER OF CLASS, DIRECT OPTICAL OBS, URINE	$36.00	$80.00	—	—	55%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A & B VIRUS TESTING	$17.10	$38.00	$13.30–$26.60	24% below	55%
Rapid flu test (influenza antigen) CPT 87804 HC POC INFLUENZA A & B VIRUS TESTING	$17.55	$39.00	$13.65–$27.30	22% below	55%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A & B VIRUS TESTING	$17.10	$38.00	—	—	55%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC POC INFLUENZA A & B VIRUS TESTING	$17.55	$39.00	—	—	55%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC THROAT SCREEN	$17.55	$39.00	$13.65–$27.30	21% below	55%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A SCREEN	$18.00	$40.00	$14.00–$28.00	19% below	55%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POC STREP A SCREEN	$20.25	$45.00	$15.75–$31.50	9% below	55%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 PR STREP A ASSAY W/OPTIC	$25.65	$57.00	$7.46–$43.53	15% above	55%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC THROAT SCREEN	$17.55	$39.00	—	—	55%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A SCREEN	$18.00	$40.00	—	—	55%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC POC STREP A SCREEN	$20.25	$45.00	—	—	55%
Renin blood test CPT 84244 HC RENIN ACTIVITY, PLASMA -RL	$53.10	$118.00	$21.99–$82.60	11% below	55%
Renin blood test CPT 84244 HC RENIN ACTIVITY	$53.10	$118.00	$21.99–$82.60	11% below	55%
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY	$53.10	$118.00	—	—	55%
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY, PLASMA -RL	$53.10	$118.00	—	—	55%
Rh blood typing CPT 86901 HC BB REF RH TYPE	$9.45	$21.00	$2.99–$14.70	56% below	55%
Rh blood typing CPT 86901 HC C-BLOOD RH TYPE	$16.20	$36.00	$2.99–$25.20	24% below	55%
Rh blood typing inpatient CPT 86901 HC BB REF RH TYPE	$9.45	$21.00	—	—	55%
Rh blood typing inpatient CPT 86901 HC C-BLOOD RH TYPE	$16.20	$36.00	—	—	55%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT	$20.25	$45.00	$5.67–$31.50	14% below	55%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT	$20.25	$45.00	—	—	55%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY, IGG	$27.00	$60.00	$14.39–$42.00	19% below	55%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA QUANTITATIVE	$31.50	$70.00	$14.39–$49.00	5% below	55%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$31.50	$70.00	$14.39–$49.00	5% below	55%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG	$82.80	$184.00	$14.39–$128.80	149% above	55%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY, IGG	$27.00	$60.00	—	—	55%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA QUANTITATIVE	$31.50	$70.00	—	—	55%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$31.50	$70.00	—	—	55%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG	$82.80	$184.00	—	—	55%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE,AUTOMATED	$4.50	$10.00	$2.70–$7.00	81% below	55%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE,AUTOMATED	$4.50	$10.00	—	—	55%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS	$18.90	$42.00	$12.31–$29.40	47% below	55%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS	$18.90	$42.00	—	—	55%
Sodium blood test CPT 84295 HC SODIUM, BLOOD	$6.75	$15.00	$4.81–$10.50	60% below	55%
Sodium blood test CPT 84295 HC SODIUM	$18.00	$40.00	$4.81–$28.00	6% above	55%
Sodium blood test CPT 84295 *HC POC SODIUM, BLOOD	$18.00	$40.00	$4.81–$28.00	6% above	55%
Sodium blood test inpatient CPT 84295 HC SODIUM, BLOOD	$6.75	$15.00	—	—	55%
Sodium blood test inpatient CPT 84295 *HC POC SODIUM, BLOOD	$18.00	$40.00	—	—	55%
Sodium blood test inpatient CPT 84295 HC SODIUM	$18.00	$40.00	—	—	55%
Stool ova and parasites exam CPT 87177 HC EXAM PARA, URINE/B.F.	$17.10	$38.00	$8.90–$26.60	43% below	55%
Stool ova and parasites exam inpatient CPT 87177 HC EXAM PARA, URINE/B.F.	$17.10	$38.00	—	—	55%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$11.25	$25.00	$4.38–$17.50	17% below	55%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC POC OCCULT BLOOD SCREEN	$11.25	$25.00	$4.38–$17.50	17% below	55%
Stool test for hidden blood (guaiac FOBT) CPT 82270 PR BLOOD OCCULT, BY PEROX, FECES, SINGLE, COLORECT SCRN	$13.95	$31.00	$2.02–$395.49	3% above	55%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC POC OCCULT BLOOD SCREEN	$11.25	$25.00	—	—	55%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$11.25	$25.00	—	—	55%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD - RL	$22.95	$51.00	$15.92–$35.70	10% below	55%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD	$50.40	$112.00	$15.92–$78.40	99% above	55%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD - RL	$22.95	$51.00	—	—	55%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD	$50.40	$112.00	—	—	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS TOTAL ABS	$14.85	$33.00	$11.55–$28.45	42% below	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS AB, TP-PA	$17.55	$39.00	$13.24–$28.45	32% below	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA-ABS CSF	$17.55	$39.00	$13.24–$28.45	32% below	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA-ABS	$18.45	$41.00	$13.24–$28.70	28% below	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODIES	$37.35	$83.00	$13.24–$58.10	46% above	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS TOTAL ABS	$14.85	$33.00	—	—	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA-ABS CSF	$17.55	$39.00	—	—	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS AB, TP-PA	$17.55	$39.00	—	—	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA-ABS	$18.45	$41.00	—	—	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODIES	$37.35	$83.00	—	—	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL (CSF ONLY)	$6.75	$15.00	$4.27–$10.50	53% below	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN	$18.00	$40.00	$4.27–$28.00	25% above	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL (CSF ONLY)	$6.75	$15.00	—	—	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN	$18.00	$40.00	—	—	55%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON GOLD TB TEST	$128.70	$286.00	$61.98–$200.20	9% above	55%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON GOLD TB TEST	$128.70	$286.00	—	—	55%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, FEMALES OR CHILDREN	$35.55	$79.00	$25.81–$58.85	39% below	55%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL	$54.00	$120.00	$25.81–$84.00	8% below	55%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$54.00	$120.00	$25.81–$84.00	8% below	55%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS	$57.15	$127.00	$25.81–$88.90	2% below	55%
Testosterone blood test, total (not free testosterone) CPT 84403 *HC TESTOSTERONE, FREE, FEMALES OR CHILDREN -RL	$97.20	$216.00	$25.81–$151.20	66% above	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, FEMALES OR CHILDREN	$35.55	$79.00	—	—	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL	$54.00	$120.00	—	—	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$54.00	$120.00	—	—	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS	$57.15	$127.00	—	—	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 *HC TESTOSTERONE, FREE, FEMALES OR CHILDREN -RL	$97.20	$216.00	—	—	55%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$30.15	$67.00	$14.55–$46.90	16% below	55%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$30.15	$67.00	$14.55–$46.90	16% below	55%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH	$82.80	$184.00	$14.55–$128.80	130% above	55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$30.15	$67.00	—	—	55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$30.15	$67.00	—	—	55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH	$82.80	$184.00	—	—	55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 *HC THYROID FUNCTION TEST REFLEX PANEL	$27.90	$62.00	$16.80–$43.40	32% below	55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC CU INDEX-TSH ASSAY	$37.35	$83.00	$16.80–$58.10	9% below	55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$37.35	$83.00	$16.80–$58.10	9% below	55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH - SENSITIVE, SERUM - RL	$37.35	$83.00	$16.80–$58.10	9% below	55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 *HC THYROID FUNCTION TEST REFLEX PANEL	$27.90	$62.00	—	—	55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH - SENSITIVE, SERUM - RL	$37.35	$83.00	—	—	55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC CU INDEX-TSH ASSAY	$37.35	$83.00	—	—	55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$37.35	$83.00	—	—	55%
Total IgE blood test CPT 82785 HC IGE-IMMUNOGLOBULIN	$23.40	$52.00	$16.46–$36.40	39% below	55%
Total IgE blood test CPT 82785 *HC IMMUNOGLOBULIN E	$36.90	$82.00	$16.46–$57.40	3% below	55%
Total IgE blood test inpatient CPT 82785 HC IGE-IMMUNOGLOBULIN	$23.40	$52.00	—	—	55%
Total IgE blood test inpatient CPT 82785 *HC IMMUNOGLOBULIN E	$36.90	$82.00	—	—	55%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$11.25	$25.00	$4.35–$17.50	25% below	55%
Total cholesterol blood test CPT 82465 HC NMR CHOLESTEROL ASSAY	$20.25	$45.00	$4.35–$31.50	35% above	55%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$11.25	$25.00	—	—	55%
Total cholesterol blood test inpatient CPT 82465 HC NMR CHOLESTEROL ASSAY	$20.25	$45.00	—	—	55%
Total thyroxine (T4) blood test CPT 84436 HC T4, TOTAL	$8.10	$18.00	$6.30–$12.60	65% below	55%
Total thyroxine (T4) blood test CPT 84436 *HC THYROXINE TOTAL (SEND OUT)	$18.00	$40.00	$6.58–$28.00	23% below	55%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL	$18.00	$40.00	$6.58–$28.00	23% below	55%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4, TOTAL	$8.10	$18.00	—	—	55%
Total thyroxine (T4) blood test inpatient CPT 84436 *HC THYROXINE TOTAL (SEND OUT)	$18.00	$40.00	—	—	55%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL	$18.00	$40.00	—	—	55%
Total triiodothyronine (T3) blood test CPT 84480 HC T3	$9.00	$20.00	$7.00–$14.18	81% below	55%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAT	$21.60	$48.00	$8.73–$33.60	55% below	55%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3	$9.00	$20.00	—	—	55%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAT	$21.60	$48.00	—	—	55%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$32.85	$73.00	$12.76–$51.10	15% below	55%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$32.85	$73.00	—	—	55%
Trichomonas test (NAAT) CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE	$45.00	$100.00	$35.00–$71.80	8% below	55%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE	$46.80	$104.00	$35.09–$72.80	4% below	55%
Trichomonas test (NAAT) inpatient CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE	$45.00	$100.00	—	—	55%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE	$46.80	$104.00	—	—	55%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$20.25	$45.00	$5.74–$31.50	15% below	55%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, FLUID - RL	$20.25	$45.00	$5.74–$31.50	15% below	55%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, BODY FLUID	$20.25	$45.00	$5.74–$31.50	15% below	55%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, FLUID - RL	$20.25	$45.00	—	—	55%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, BODY FLUID	$20.25	$45.00	—	—	55%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$20.25	$45.00	—	—	55%
Troponin test, quantitative CPT 84484 HC TROPONIN T	$13.50	$30.00	$10.50–$22.42	64% below	55%
Troponin test, quantitative CPT 84484 HC TROPONIN I - ISTAT	$14.85	$33.00	$11.55–$23.10	61% below	55%
Troponin test, quantitative CPT 84484 HC TROPONIN I	$27.90	$62.00	$12.47–$43.40	26% below	55%
Troponin test, quantitative CPT 84484 *HC POC TROPONIN	$27.90	$62.00	$12.47–$43.40	26% below	55%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T	$13.50	$30.00	—	—	55%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I - ISTAT	$14.85	$33.00	—	—	55%
Troponin test, quantitative inpatient CPT 84484 *HC POC TROPONIN	$27.90	$62.00	—	—	55%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I	$27.90	$62.00	—	—	55%
Uric acid blood test CPT 84550 HC URIC ACID	$20.25	$45.00	$4.52–$31.50	16% above	55%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$20.25	$45.00	—	—	55%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO W/MICRO	$13.95	$31.00	$3.17–$21.70	44% below	55%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO W/MICRO	$13.95	$31.00	—	—	55%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO	$13.50	$30.00	$4.02–$21.00	106% above	55%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO	$13.50	$30.00	—	—	55%
Urinalysis without microscope exam, automated CPT 81003 HC POC URINE W/O MICRO, AUTO	$3.15	$7.00	$2.25–$4.90	64% below	55%
Urinalysis without microscope exam, automated CPT 81003 HC URINE W/O MICRO, AUTO	$13.05	$29.00	$2.25–$20.30	48% above	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC POC URINE W/O MICRO, AUTO	$3.15	$7.00	—	—	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE W/O MICRO, AUTO	$13.05	$29.00	—	—	55%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS W/O MICRO NON-AUTO	$3.15	$7.00	$2.45–$4.90	54% below	55%
Urinalysis without microscope exam, manual CPT 81002 *HC URINE SINGLE ITEM	$4.95	$11.00	$3.48–$7.70	28% below	55%
Urinalysis without microscope exam, manual CPT 81002 PR URINALYSIS NONAUTO W/O SCOPE	$7.65	$17.00	$1.56–$22.00	11% above	55%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS W/O MICRO NON-AUTO	$3.15	$7.00	—	—	55%
Urinalysis without microscope exam, manual inpatient CPT 81002 *HC URINE SINGLE ITEM	$4.95	$11.00	—	—	55%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, URINE COLONY COUNT	$13.50	$30.00	$8.07–$21.00	64% below	55%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, URINE COLONY COUNT	$13.50	$30.00	—	—	55%
Urine microalbumin (albumin) test CPT 82043 HC MICROALB URINE, RANDOM	$12.15	$27.00	$5.78–$18.90	30% below	55%
Urine microalbumin (albumin) test CPT 82043 *HC MICROALBUMIN, 24 HOUR URINE	$34.20	$76.00	$5.78–$53.20	97% above	55%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QUANT	$34.20	$76.00	$5.78–$53.20	97% above	55%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALB URINE, RANDOM	$12.15	$27.00	—	—	55%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QUANT	$34.20	$76.00	—	—	55%
Urine microalbumin (albumin) test inpatient CPT 82043 *HC MICROALBUMIN, 24 HOUR URINE	$34.20	$76.00	—	—	55%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST, URINE	$29.70	$66.00	$8.61–$46.20	41% above	55%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST, URINE	$29.70	$66.00	—	—	55%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12	$22.95	$51.00	$15.08–$35.70	42% below	55%
Vitamin B12 (cobalamin) blood test CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12	$29.25	$65.00	$15.08–$45.50	26% below	55%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12	$22.95	$51.00	—	—	55%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12	$29.25	$65.00	—	—	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$76.50	$170.00	$29.60–$119.00	at median	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D, 25 HYDROXY	$76.50	$170.00	$29.60–$119.00	at median	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$76.50	$170.00	—	—	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D, 25 HYDROXY	$76.50	$170.00	—	—	55%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D, 1-25 DIHYRDOXY	$76.50	$170.00	$38.50–$119.00	14% below	55%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D, 1-25 DIHYRDOXY	$76.50	$170.00	—	—	55%
Zinc blood test CPT 84630 HC ZINC QUANTITATIVE	$54.00	$120.00	$11.39–$84.00	73% above	55%
Zinc blood test CPT 84630 HC ZINC, URINE	$54.00	$120.00	$11.39–$84.00	73% above	55%
Zinc blood test CPT 84630 HC ZINC RBC	$54.00	$120.00	$11.39–$84.00	73% above	55%
Zinc blood test CPT 84630 HC ZINC, SERUM - RL	$54.00	$120.00	$11.39–$84.00	73% above	55%
Zinc blood test inpatient CPT 84630 HC ZINC QUANTITATIVE	$54.00	$120.00	—	—	55%
Zinc blood test inpatient CPT 84630 HC ZINC, SERUM - RL	$54.00	$120.00	—	—	55%
Zinc blood test inpatient CPT 84630 HC ZINC, URINE	$54.00	$120.00	—	—	55%
Zinc blood test inpatient CPT 84630 HC ZINC RBC	$54.00	$120.00	—	—	55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG BETA SUBUNIT, CSF	$19.35	$43.00	$15.05–$33.11	60% below	55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER)	$40.95	$91.00	$15.05–$63.70	16% below	55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE	$40.95	$91.00	$15.05–$63.70	16% below	55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG BETA SUBUNIT, CSF	$19.35	$43.00	—	—	55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE	$40.95	$91.00	—	—	55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER)	$40.95	$91.00	—	—	55%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$797.85	$1,773.00	$620.55–$1,462.79	47% above	55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION	$797.85	$1,773.00	—	—	55%
Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX	$792.90	$1,762.00	$349.65–$1,233.40	66% above	55%
Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX	$792.90	$1,762.00	—	—	55%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE)	$1,103.85	$2,453.00	$468.30–$5,469.87	38% above	55%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE)	$1,103.85	$2,453.00	—	—	55%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE)	$1,103.85	$2,453.00	$468.30–$5,469.87	60% above	55%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE)	$1,103.85	$2,453.00	—	—	55%
Colonoscopy with polyp removal CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$1,290.15	$2,867.00	$468.30–$2,006.90	52% above	55%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$1,290.15	$2,867.00	—	—	55%
Colonoscopy with tissue sample CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$1,290.15	$2,867.00	$468.30–$2,006.90	51% above	55%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$1,290.15	$2,867.00	—	—	55%
Colonoscopy, diagnostic CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$1,290.15	$2,867.00	$468.30–$2,006.90	73% above	55%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$1,290.15	$2,867.00	—	—	55%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL	$136.80	$304.00	$106.40–$250.05	95% above	55%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL	$136.80	$304.00	—	—	55%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$110.25	$245.00	$85.75–$194.00	71% above	55%
Earwax removal with instruments, one ear one side CPT 69210 PR REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$157.50	$350.00	$44.91–$395.49	144% above	55%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$110.25	$245.00	—	—	55%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ CERV/THORAC,W/GUIDANCE	$1,683.45	$3,741.00	$349.65–$2,618.70	119% above	55%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ CERV/THORAC,W/GUIDANCE	$1,683.45	$3,741.00	—	—	55%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL	$679.50	$1,510.00	$522.00–$1,174.03	34% above	55%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL	$679.50	$1,510.00	—	—	55%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX	$360.00	$800.00	$280.00–$560.00	19% below	55%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX	$360.00	$800.00	—	—	55%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOID LIGATION	$1,090.80	$2,424.00	$522.00–$1,884.66	138% above	55%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOID LIGATION	$1,090.80	$2,424.00	—	—	55%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD)	$453.60	$1,008.00	$194.00–$705.60	136% above	55%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD)	$453.60	$1,008.00	—	—	55%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE SINGLE	$276.30	$614.00	$194.00–$526.68	42% above	55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE SINGLE	$276.30	$614.00	—	—	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT	$83.25	$185.00	$64.75–$194.00	67% below	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT	$83.25	$185.00	—	—	55%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHOCENTESIS, SMALL JOINT	$60.30	$134.00	$46.90–$194.00	74% below	55%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHOCENTESIS, SMALL JOINT	$60.30	$134.00	—	—	55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT REP S/A/T/EX 2.5CM/<	$195.75	$435.00	$152.25–$1,124.07	40% below	55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT REP S/A/T/EX 2.5CM/<	$195.75	$435.00	—	—	55%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$1,683.45	$3,741.00	$349.65–$2,618.70	117% above	55%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$1,683.45	$3,741.00	—	—	55%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$679.50	$1,510.00	$522.00–$1,174.03	49% above	55%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$679.50	$1,510.00	—	—	55%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE	$212.85	$473.00	$165.55–$367.76	57% above	55%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE	$212.85	$473.00	—	—	55%
Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL	$330.30	$734.00	$119.22–$570.69	28% above	55%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL	$330.30	$734.00	—	—	55%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION INGROWN TOENAIL	$823.05	$1,829.00	$194.00–$1,280.30	131% above	55%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION INGROWN TOENAIL	$823.05	$1,829.00	—	—	55%
Prostate biopsy CPT 55700 HC PROSTATE NEEDLE BIOPSY	$2,263.05	$5,029.00	$468.30–$3,520.30	197% above	55%
Prostate biopsy inpatient CPT 55700 HC PROSTATE NEEDLE BIOPSY	$2,263.05	$5,029.00	—	—	55%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC R/F FACET NERVE - LUM/SAC	$1,172.25	$2,605.00	$911.75–$2,025.39	16% above	55%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC R/F FACET NERVE - LUM/SAC	$1,172.25	$2,605.00	—	—	55%
Removal of a foreign object under the skin, simple CPT 10120 HC REMO F/B SUBQ SIMPLE	$67.05	$149.00	$52.15–$1,008.18	71% below	55%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO F/B SUBQ SIMPLE	$67.05	$149.00	—	—	55%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$1,820.25	$4,045.00	$468.30–$2,831.50	190% above	55%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$1,820.25	$4,045.00	—	—	55%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$1,820.25	$4,045.00	$468.30–$2,831.50	199% above	55%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$1,820.25	$4,045.00	—	—	55%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC	$144.45	$321.00	$112.35–$422.57	19% above	55%
Short arm splint (forearm and hand) CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$144.45	$321.00	$112.35–$422.57	19% above	55%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC	$144.45	$321.00	—	—	55%
Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$144.45	$321.00	—	—	55%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION, SPLINT, LOWER LEG	$199.80	$444.00	$155.40–$422.57	40% above	55%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION, SPLINT, LOWER LEG	$199.80	$444.00	—	—	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM	$195.75	$435.00	$152.25–$383.29	5% above	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM	$195.75	$435.00	—	—	55%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION	$589.05	$1,309.00	$194.00–$1,017.75	117% above	55%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION	$589.05	$1,309.00	—	—	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C	$195.75	$435.00	$152.25–$383.29	7% above	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C	$195.75	$435.00	—	—	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM	$195.75	$435.00	$152.25–$468.30	7% above	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM	$195.75	$435.00	—	—	55%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING	$1,109.70	$2,466.00	$349.65–$1,843.32	72% above	55%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING	$1,109.70	$2,466.00	—	—	55%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$198.00	$440.00	$94.00–$342.10	50% above	55%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$198.00	$440.00	—	—	55%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILATION BALLOON <30MM	$1,743.30	$3,874.00	$468.30–$2,711.80	105% above	55%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILATION BALLOON <30MM	$1,743.30	$3,874.00	—	—	55%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$1,164.15	$2,587.00	$468.30–$1,810.90	57% above	55%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$1,164.15	$2,587.00	—	—	55%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUC INJECT(S)	$488.70	$1,086.00	$380.10–$1,034.64	15% below	55%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUC INJECT(S)	$488.70	$1,086.00	—	—	55%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$2,052.90	$4,562.00	$468.30–$3,193.40	149% above	55%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$2,052.90	$4,562.00	—	—	55%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$1,164.15	$2,587.00	$468.30–$1,810.90	76% above	55%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$1,164.15	$2,587.00	—	—	55%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$1,164.15	$2,587.00	$349.65–$1,810.90	44% above	55%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$1,164.15	$2,587.00	—	—	55%
Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14	$294.30	$654.00	$103.60–$457.80	119% above	55%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE	$518.85	$1,153.00	$194.00–$937.09	32% above	55%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE	$518.85	$1,153.00	—	—	55%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY)	$482.85	$1,073.00	$238.00–$968.74	2% above	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY)	$482.85	$1,073.00	—	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX	$31.95	$71.00	$24.85–$238.00	63% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY	$32.40	$72.00	$25.20–$238.00	63% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$34.20	$76.00	$26.60–$238.00	61% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT	$34.20	$76.00	$26.60–$238.00	61% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT	$38.25	$85.00	$29.75–$238.00	56% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX	$31.95	$71.00	—	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY	$32.40	$72.00	—	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT	$34.20	$76.00	—	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$34.20	$76.00	—	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT	$38.25	$85.00	—	—	55%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR	$370.35	$823.00	$288.05–$639.88	22% above	55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR	$370.35	$823.00	—	—	55%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$414.45	$921.00	$322.35–$2,890.00	45% below	55%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$414.45	$921.00	—	—	55%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG: AWAKE & DROWSY	$303.75	$675.00	$215.00–$524.81	1% below	55%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG: AWAKE & DROWSY	$303.75	$675.00	—	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$34.65	$77.00	$26.95–$117.00	58% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$34.65	$77.00	—	—	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMER ROOM LEVEL I	$66.60	$148.00	$51.80–$265.54	29% below	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMER ROOM LEVEL I	$66.60	$148.00	—	—	55%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMER ROOM LEVEL II	$91.35	$203.00	$71.05–$275.00	43% below	55%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMER ROOM LEVEL II	$91.35	$203.00	—	—	55%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMER ROOM LEVEL III	$121.50	$270.00	$94.50–$464.86	51% below	55%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMER ROOM LEVEL III	$121.50	$270.00	—	—	55%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMER ROOM LEVEL IV	$183.60	$408.00	$142.80–$808.89	54% below	55%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMER ROOM LEVEL IV	$183.60	$408.00	—	—	55%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMER ROOM LEVEL V	$259.65	$577.00	$201.95–$1,496.00	50% below	55%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMER ROOM LEVEL V	$259.65	$577.00	—	—	55%
Family therapy with the patient, 50 minutes CPT 90847 HC PHP-FAMILY PSYTX W/ PATIENT, 50 MIN	$117.90	$262.00	$91.70–$183.40	9% above	55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PHP-FAMILY PSYTX W/ PATIENT, 50 MIN	$117.90	$262.00	—	—	55%
Family therapy without the patient, 50 minutes CPT 90846 HC PHP-FAMILY PSYTX W/O PATIENT, 50 MIN	$117.90	$262.00	$91.70–$183.40	3% below	55%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PHP-FAMILY PSYTX W/O PATIENT, 50 MIN	$117.90	$262.00	—	—	55%
Group psychotherapy session CPT 90853 HC GROUP THERAPY	$117.90	$262.00	$91.70–$287.72	26% above	55%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY	$117.90	$262.00	—	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR	$118.80	$264.00	$92.40–$205.26	20% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR	$118.80	$264.00	—	—	55%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THER/PROPH/DIAG - UP TO ONE HOUR	$63.45	$141.00	$49.35–$141.01	67% below	55%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THER/PROPH/DIAG - UP TO ONE HOUR	$63.45	$141.00	—	—	55%
IV push of a medicine, first drug CPT 96374 HC IV PUSH INITIAL SUBSTANCE/DRUG	$63.90	$142.00	$49.70–$141.00	34% below	55%
IV push of a medicine, first drug CPT 96374 PR INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG	$130.95	$291.00	$33.04–$395.49	35% above	55%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH INITIAL SUBSTANCE/DRUG	$63.90	$142.00	—	—	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC SQ/IM INJECTION	$26.10	$58.00	$20.30–$141.00	51% below	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PR INJECTION,THERAP/PROPH/DIAG2ST, IM OR SUBCUT	$31.50	$70.00	$12.94–$96.97	41% below	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC SQ/IM INJECTION	$26.10	$58.00	—	—	55%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PHP-PSYCH DIAGNOSTIC EVALUATION	$236.70	$526.00	$184.10–$368.20	94% above	55%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PHP-PSYCH DIAGNOSTIC EVALUATION	$236.70	$526.00	—	—	55%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$38.70	$86.00	$30.10–$145.00	at median	55%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS	$38.70	$86.00	$30.10–$145.00	at median	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$38.70	$86.00	—	—	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS	$38.70	$86.00	—	—	55%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$72.45	$161.00	$38.00–$216.83	1% above	55%
New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$87.75	$195.00	$62.18–$136.50	23% above	55%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$72.45	$161.00	—	—	55%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$76.50	$170.00	$57.00–$315.48	3% below	55%
New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$134.55	$299.00	$96.56–$209.30	71% above	55%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$76.50	$170.00	—	—	55%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$80.55	$179.00	$57.00–$315.48	17% below	55%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$80.55	$179.00	—	—	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN	$68.85	$153.00	$33.00–$188.45	25% above	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN	$68.85	$153.00	—	—	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRTN TH INIT 15 MIN	$30.60	$68.00	$23.80–$141.00	3% above	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRTN TH INIT 15 MIN	$30.60	$68.00	—	—	55%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$94.95	$211.00	$57.26–$147.70	16% below	55%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$94.95	$211.00	—	—	55%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$127.35	$283.00	$58.94–$198.10	at median	55%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$127.35	$283.00	—	—	55%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$99.90	$222.00	$58.94–$155.40	9% below	55%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$99.90	$222.00	—	—	55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS	$111.15	$247.00	$58.94–$172.90	5% below	55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS	$111.15	$247.00	—	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS	$38.70	$86.00	$30.10–$145.00	at median	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS	$38.70	$86.00	$30.10–$145.00	at median	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS	$38.70	$86.00	—	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS	$38.70	$86.00	—	—	55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EX EA 15MIN	$35.55	$79.00	$11.00–$145.00	6% below	55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EX EA 15MIN	$35.55	$79.00	$11.00–$145.00	6% below	55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EX EA 15MIN	$35.55	$79.00	—	—	55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EX EA 15MIN	$35.55	$79.00	—	—	55%
Preventive checkup, new patient aged 18–39 CPT 99385 PR PREVENTIVE VISIT,NEW,18-39	$62.10	$138.00	$12.50–$119.46	54% below	55%
Preventive checkup, new patient aged 40–64 CPT 99386 PR PREVENTIVE VISIT,NEW,40-64	$74.70	$166.00	$12.75–$144.94	47% below	55%
Preventive checkup, new patient aged 65 or older CPT 99387 PR PREVENTIVE VISIT,NEW,65 & OVER	$90.45	$201.00	$70.35–$395.49	32% below	55%
Preventive checkup, returning patient aged 18–39 CPT 99395 PR PREVENTIVE VISIT,EST,18-39	$52.20	$116.00	$22.50–$108.35	41% below	55%
Preventive checkup, returning patient aged 40–64 CPT 99396 PR PREVENTIVE VISIT,EST,40-64	$69.75	$155.00	$17.50–$118.21	39% below	55%
Preventive checkup, returning patient aged 65 or older CPT 99397 PR PREVENTIVE VISIT,EST,65 & OVER	$66.15	$147.00	$22.50–$124.61	45% below	55%
Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W/MED SRVCS	$198.00	$440.00	$154.00–$308.00	82% above	55%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W/MED SRVCS	$198.00	$440.00	—	—	55%
Psychotherapy session, 30 minutes CPT 90832 HC PHP-PSYTX W/PATIENT, 30 MIN	$54.45	$121.00	$42.35–$84.70	28% below	55%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PHP-PSYTX W/PATIENT, 30 MIN	$54.45	$121.00	—	—	55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP-PSYTX W/PATIENT, 45 MIN	$72.45	$161.00	$56.35–$112.70	26% below	55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP-PSYTX W/PATIENT, 45 MIN	$72.45	$161.00	—	—	55%
Psychotherapy session, 60 minutes CPT 90837 HC PHP-PSYTX W/PATIENT, 60 MIN	$117.90	$262.00	$91.70–$248.80	4% above	55%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PHP-PSYTX W/PATIENT, 60 MIN	$117.90	$262.00	—	—	55%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$71.55	$159.00	$55.65–$315.48	4% above	55%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$117.00	$260.00	$84.93–$182.00	71% above	55%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$71.55	$159.00	—	—	55%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$64.35	$143.00	$38.00–$216.83	15% above	55%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$64.35	$143.00	—	—	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$67.95	$151.00	$52.85–$315.48	6% above	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$87.30	$194.00	$41.39–$135.80	36% above	55%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$67.95	$151.00	—	—	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN	$61.20	$136.00	$33.00–$188.45	24% above	55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN	$61.20	$136.00	—	—	55%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION	$223.65	$497.00	$131.19–$419.84	21% above	55%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION	$223.65	$497.00	—	—	55%
Speech therapy session, individual CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$95.85	$213.00	$33.00–$307.57	13% above	55%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$95.85	$213.00	—	—	55%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$62.55	$139.00	$48.65–$204.91	51% below	55%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$62.55	$139.00	—	—	55%
Spirometry before and after a bronchodilator CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN	$124.65	$277.00	$96.95–$215.37	42% below	55%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN	$124.65	$277.00	—	—	55%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$35.55	$79.00	$8.80–$145.00	12% below	55%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$35.55	$79.00	$8.80–$145.00	12% below	55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$35.55	$79.00	—	—	55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$35.55	$79.00	—	—	55%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$78.30	$174.00	$60.90–$271.00	20% below	55%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$78.30	$174.00	—	—	55%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168)	$399.95	$888.78	$83.49–$691.03	271% above	55%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168)	$399.95	$888.78	$577.71	—	55%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140)	$104.54	$232.32	$22.35–$180.63	237% above	55%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140)	$104.54	$232.32	$151.01	—	55%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$452.30	$1,005.10	$77.53–$781.47	415% above	55%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$452.30	$1,005.10	$653.32	—	55%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SUSP (UIR)	$378.62	$841.38	$70.38–$654.17	438% above	55%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SUSP (UIR)	$378.62	$841.38	$546.90	—	55%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT (2 MO - 55 YO)	$380.54	$845.65	$179.24–$657.49	131% above	55%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT (2 MO - 55 YO)	$380.54	$845.65	$549.67	—	55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$653.70	$1,452.66	$315.92–$1,129.44	96% above	55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$653.70	$1,452.66	$944.23	—	55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG (UIR)	$284.51	$632.24	$133.47–$491.57	104% above	55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG (UIR)	$284.51	$632.24	$410.96	—	55%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR	$1,005.80	$2,235.12	$347.45–$1,737.81	39% above	55%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR	$1,005.80	$2,235.12	$1,452.83	—	55%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UIR)	$196.10	$435.77	$48.03–$338.81	317% above	55%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UIR)	$196.10	$435.77	$283.25	—	55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH,PERTUS(ACEL),TET(PF) (ADULT) (ADACEL) 0.5 ML SYRG (UIR)	$251.06	$557.90	$42.37–$433.77	270% above	55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA)	$251.06	$557.90	$42.37–$433.77	270% above	55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH,PERTUS(ACEL),TET(PF) (ADULT) (ADACEL) 0.5 ML SYRG (UIR)	$251.06	$557.90	$362.64	—	55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA)	$251.06	$557.90	$362.64	—	55%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML IM SYRG (UIR)	$339.21	$753.79	$110.00–$586.07	10% above	55%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML IM SYRG (UIR)	$339.21	$753.79	$489.96	—	55%

Source file: https://ochsner-craft.s3.amazonaws.com/core/472540179_kaplan-general-hospital-inc_standardcharges.csv.csv