Hospital Knoxville, TN

Methodist Medical Center of Oak Ridge

Methodist Medical Center of Oak Ridge in Oak Ridge, TN publishes cash prices for 342 common procedures listed here, from its own machine-readable price file updated Aug 5, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Tennessee median for 277 of 338 procedures and above it for 42. By typical cash price it ranks #19 of 88 Tennessee hospitals and #4 of 8 hospitals in the Knoxville, TN area, cheapest first. Select a procedure to compare it with other hospitals nearby.

990 Oak Ridge Turnpike, Oak Ridge, TN 37830 Collected Sep 23, 2026 Source price file Check a bill from this hospital (865) 835-1000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 440034 · CMS hospital register NPI 1700870672

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CONT	$653.07	$1,979.00	$123.57–$1,781.10	42% below	67%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W&WO CONT	$653.07	$1,979.00	$123.57–$1,781.10	—	67%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS	$85.80	$260.00	$19.95–$234.00	50% below	67%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEWS	$85.80	$260.00	$19.95–$234.00	—	67%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP MIN 3V RT	$72.27	$219.00	—	49% below	67%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP MIN 3V LT	$72.27	$219.00	—	49% below	67%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMP MIN 3V LT	$72.27	$219.00	—	—	67%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMP MIN 3V RT	$72.27	$219.00	—	—	67%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ARTERIAL EXT LIMITED BILAT	$87.45	$265.00	$50.01–$516.00	—	67%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US ARTERIAL EXT LIMITED BILAT	$87.45	$265.00	$50.01–$516.00	—	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPPER WO CONT RT	$362.01	$1,097.00	—	48% below	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPPER WO CONT LT	$362.01	$1,097.00	—	48% below	67%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPPER WO CONT LT	$362.01	$1,097.00	—	—	67%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPPER WO CONT RT	$362.01	$1,097.00	—	—	67%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS SINGLE CONTRAST	$107.58	$326.00	$41.66–$313.23	51% below	67%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS SINGLE CONTRAST	$107.58	$326.00	$41.66–$313.23	—	67%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE JOINT WHOLE BODY	$309.54	$938.00	$151.18–$1,079.00	54% below	67%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE JOINT WHOLE BODY	$309.54	$938.00	$151.18–$1,079.00	—	67%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RT	$156.42	$474.00	—	10% below	67%
Breast ultrasound, complete, one breast one side CPT 76641 MA US BREAST COMPLETE LT	$156.42	$474.00	—	10% below	67%
Breast ultrasound, complete, one breast one side CPT 76641 MA US BREAST COMPLETE RT	$156.42	$474.00	—	10% below	67%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LT	$156.42	$474.00	—	10% below	67%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 MA US BREAST COMPLETE LT	$156.42	$474.00	—	—	67%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE RT	$156.42	$474.00	—	—	67%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 MA US BREAST COMPLETE RT	$156.42	$474.00	—	—	67%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LT	$156.42	$474.00	—	—	67%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RT	$104.28	$316.00	—	37% below	67%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MA US BREAST LIMITED LT	$104.28	$316.00	—	37% below	67%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MA US BREAST LIMITED RT	$104.28	$316.00	—	37% below	67%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LT	$104.28	$316.00	—	37% below	67%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LT	$104.28	$316.00	—	—	67%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RT	$104.28	$316.00	—	—	67%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MA US BREAST LIMITED RT	$104.28	$316.00	—	—	67%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MA US BREAST LIMITED LT	$104.28	$316.00	—	—	67%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT CTA ABD/PELVIS WO&W CONT	$1,724.25	$5,225.00	$123.57–$4,702.50	1% above	67%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT CTA ABD/PELVIS WO&W CONT	$1,724.25	$5,225.00	$123.57–$4,702.50	—	67%
CT angiography (CTA) of the head CPT 70496 CT CTA HEAD W&WO CONT	$862.29	$2,613.00	$123.57–$2,351.70	21% below	67%
CT angiography (CTA) of the head inpatient CPT 70496 CT CTA HEAD W&WO CONT	$862.29	$2,613.00	$123.57–$2,351.70	—	67%
CT angiography (CTA) of the neck CPT 70498 CT CTA NECK W&WO CONT	$749.76	$2,272.00	$123.57–$2,044.80	28% below	67%
CT angiography (CTA) of the neck inpatient CPT 70498 CT CTA NECK W&WO CONT	$749.76	$2,272.00	$123.57–$2,044.80	—	67%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CTA CHEST WO&W CONT	$862.29	$2,613.00	$123.57–$2,351.70	24% below	67%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CTA CHEST WO&W CONT	$862.29	$2,613.00	$123.57–$2,351.70	—	67%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA W/CONT COR ART+GFT+HRT FUNC	$357.72	$1,084.00	$123.57–$975.60	62% below	67%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA W/CONT COR ART+GFT+HRT FUNC	$357.72	$1,084.00	$123.57–$975.60	—	67%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART SCORE SCREENING	$39.60	$120.00	$27.91–$639.00	61% below	67%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART SCORE SCREENING	$39.60	$120.00	$27.91–$639.00	—	67%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO CONTRAST	$871.20	$2,640.00	$105.33–$2,376.00	40% below	67%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO CONTRAST	$871.20	$2,640.00	$105.33–$2,376.00	—	67%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W CONTRAST	$871.20	$2,640.00	$123.57–$2,376.00	54% below	67%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W CONTRAST	$871.20	$2,640.00	$123.57–$2,376.00	—	67%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W+WO CONTRAST	$1,306.14	$3,958.00	$198.87–$3,562.20	40% below	67%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W+WO CONTRAST	$1,306.14	$3,958.00	$198.87–$3,562.20	—	67%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONT	$435.60	$1,320.00	$123.57–$1,188.00	55% below	67%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONT	$435.60	$1,320.00	$123.57–$1,188.00	—	67%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONT	$435.60	$1,320.00	$52.56–$1,188.00	44% below	67%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONT	$435.60	$1,320.00	$52.56–$1,188.00	—	67%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONT	$381.15	$1,155.00	$52.56–$1,039.50	45% below	67%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONT	$381.15	$1,155.00	$52.56–$1,039.50	—	67%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN WO CONT	$410.85	$1,245.00	$52.56–$1,120.50	42% below	67%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN WO CONTRAST	$410.85	$1,245.00	$52.56–$1,120.50	42% below	67%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN WO CONTRAST	$410.85	$1,245.00	$52.56–$1,120.50	—	67%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN WO CONT	$410.85	$1,245.00	$52.56–$1,120.50	—	67%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W CONT	$410.85	$1,245.00	$121.19–$1,120.50	54% below	67%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD OR BRAIN W CONT	$410.85	$1,245.00	$121.19–$1,120.50	—	67%
CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN W AND WO CONT	$635.91	$1,927.00	$123.57–$1,734.30	42% below	67%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD OR BRAIN W AND WO CONT	$635.91	$1,927.00	$123.57–$1,734.30	—	67%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONT	$598.62	$1,814.00	$52.56–$1,632.60	24% below	67%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CONT	$598.62	$1,814.00	$52.56–$1,632.60	—	67%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL WO CONT	$598.62	$1,814.00	$52.56–$1,632.60	32% below	67%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL WO CONT	$598.62	$1,814.00	$52.56–$1,632.60	—	67%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$435.60	$1,320.00	$123.57–$1,188.00	51% below	67%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT	$435.60	$1,320.00	$123.57–$1,188.00	51% below	67%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONT	$435.60	$1,320.00	$123.57–$1,188.00	—	67%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$435.60	$1,320.00	$123.57–$1,188.00	—	67%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US ARTERIES EXTRACRANIAL BILAT	$202.95	$615.00	$112.96–$594.89	—	67%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US ARTERIES EXTRACRANIAL BILAT	$202.95	$615.00	$112.96–$594.89	—	67%
Chest CT scan without and with contrast CPT 71270 CT THORAX W & WO CONT	$786.39	$2,383.00	$123.57–$2,144.70	18% below	67%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W & WO CONT	$786.39	$2,383.00	$123.57–$2,144.70	—	67%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$81.84	$248.00	$17.98–$223.20	33% below	67%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$81.84	$248.00	$17.98–$223.20	—	67%
Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW	$53.46	$162.00	$9.75–$145.80	52% below	67%
Chest X-ray, single view inpatient CPT 71045 XR CHEST SINGLE VIEW	$53.46	$162.00	$9.75–$145.80	—	67%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LT	$66.33	$201.00	—	45% below	67%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RT	$66.33	$201.00	—	45% below	67%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE RT	$66.33	$201.00	—	—	67%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE LT	$66.33	$201.00	—	—	67%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$95.70	$290.00	$52.56–$341.58	65% below	67%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE	$95.70	$290.00	$52.56–$341.58	—	67%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD DEXA AXIAL SKELETON	$111.54	$338.00	$40.51–$304.20	37% below	67%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD DEXA AXIAL SKELETON	$111.54	$338.00	$40.51–$304.20	—	67%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD DEXA APPENDICULAR SKELETON	$75.57	$229.00	$25.61–$206.10	11% below	67%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD DEXA APPENDICULAR SKELETON	$75.57	$229.00	$25.61–$206.10	—	67%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO CONT	$524.70	$1,590.00	$52.56–$1,431.00	26% below	67%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX LOW DOSE DX FOLLOW UP	$524.70	$1,590.00	$52.56–$1,431.00	26% below	67%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WO CONT	$524.70	$1,590.00	$52.56–$1,431.00	—	67%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX LOW DOSE DX FOLLOW UP	$524.70	$1,590.00	$52.56–$1,431.00	—	67%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CONT	$616.44	$1,868.00	$123.57–$1,681.20	35% below	67%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W CONT	$616.44	$1,868.00	$123.57–$1,681.20	—	67%
Diagnostic mammogram, both breasts CPT 77066 MA POST PROCEDURE MAMMO BIL	$114.84	$348.00	$56.73–$495.83	at median	67%
Diagnostic mammogram, both breasts CPT 77066 MA DIG MAMM DX BIL INC CAD	$114.84	$348.00	$56.73–$495.83	at median	67%
Diagnostic mammogram, both breasts CPT 77066 MA DIG MAMM DX BIL W CAD/TOMO+	$114.84	$348.00	$56.73–$495.83	at median	67%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA DIG MAMM DX BIL INC CAD	$114.84	$348.00	$56.73–$495.83	—	67%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA POST PROCEDURE MAMMO BIL	$114.84	$348.00	$56.73–$495.83	—	67%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA DIG MAMM DX BIL W CAD/TOMO+	$114.84	$348.00	$56.73–$495.83	—	67%
Diagnostic mammogram, one breast one side CPT 77065 MA DIG MAMMO DX LT INC CAD	$89.43	$271.00	—	43% below	67%
Diagnostic mammogram, one breast one side CPT 77065 MA DIG DX MAMM RT W CAD/TOMO+	$89.43	$271.00	—	43% below	67%
Diagnostic mammogram, one breast one side CPT 77065 MA DIG MAMMO DX RT INC CAD	$89.43	$271.00	—	43% below	67%
Diagnostic mammogram, one breast one side CPT 77065 MA POST PROCEDURE MAMMO RT	$89.43	$271.00	—	43% below	67%
Diagnostic mammogram, one breast one side CPT 77065 MA POST PROCEDURE MAMMO LT	$89.43	$271.00	—	43% below	67%
Diagnostic mammogram, one breast one side CPT 77065 MA DIG DX MAMM LT W CAD/TOMO+	$89.43	$271.00	—	43% below	67%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIG MAMMO DX RT INC CAD	$89.43	$271.00	—	—	67%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA POST PROCEDURE MAMMO RT	$89.43	$271.00	—	—	67%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIG DX MAMM LT W CAD/TOMO+	$89.43	$271.00	—	—	67%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA POST PROCEDURE MAMMO LT	$89.43	$271.00	—	—	67%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIG DX MAMM RT W CAD/TOMO+	$89.43	$271.00	—	—	67%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIG MAMMO DX LT INC CAD	$89.43	$271.00	—	—	67%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIES EXT LOWER COMP BILAT	$286.77	$869.00	$112.96–$782.10	—	67%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIES EXT LOWER COMP BILAT	$286.77	$869.00	$112.96–$782.10	—	67%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEINS EXT COMP BILAT	$249.48	$756.00	$112.96–$680.40	—	67%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEINS EXT COMP BILAT	$249.48	$756.00	$112.96–$680.40	—	67%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CA ECHO WITH DOPPLER/COLOR FLOW	$412.17	$1,249.00	$146.18–$1,124.10	65% below	67%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CA ECHO WITH DOPPLER/COLOR FLOW	$412.17	$1,249.00	$146.18–$1,124.10	—	67%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT	$43.89	$133.00	—	64% below	67%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT	$43.89	$133.00	—	64% below	67%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS RT	$43.89	$133.00	—	—	67%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS LT	$43.89	$133.00	—	—	67%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP MIN 3V LT	$65.67	$199.00	—	55% below	67%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP MIN 3V RT	$65.67	$199.00	—	55% below	67%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMP MIN 3V RT	$65.67	$199.00	—	—	67%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMP MIN 3V LT	$65.67	$199.00	—	—	67%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB SELA/PST FOS/EAR WO CONT	$329.34	$998.00	$52.56–$898.20	48% below	67%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB SELA/PST FOS/EAR WO CONT	$329.34	$998.00	$52.56–$898.20	—	67%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMP MIN 3V	$99.33	$301.00	$27.94–$270.90	38% below	67%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES COMP MIN 3V	$99.33	$301.00	$27.94–$270.90	—	67%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2V RT	$72.27	$219.00	—	42% below	67%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2V LT	$72.27	$219.00	—	42% below	67%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2V RT	$72.27	$219.00	—	—	67%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2V LT	$72.27	$219.00	—	—	67%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBIL SYST W OR WO GB	$220.11	$667.00	$155.30–$1,079.00	66% below	67%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBIL SYST W OR WO GB	$220.11	$667.00	$155.30–$1,079.00	—	67%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RT	$61.05	$185.00	—	54% below	67%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LT	$61.05	$185.00	—	54% below	67%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LT	$61.05	$185.00	—	—	67%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS RT	$61.05	$185.00	—	—	67%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS MIN 2V LT	$61.05	$185.00	—	52% below	67%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS MIN 2V RT	$61.05	$185.00	—	52% below	67%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS MIN 2V LT	$61.05	$185.00	—	—	67%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS MIN 2V RT	$61.05	$185.00	—	—	67%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SC HOME SLEEP TEST W TYPE 3 MONIT	$109.23	$331.00	$63.55–$1,028.00	58% below	67%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SC HOME SLEEP TEST W TYPE 3 MONIT	$109.23	$331.00	$63.55–$1,028.00	—	67%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SC POLYSOMN 4 OR MORE W CPAP	$1,117.38	$3,386.00	$432.27–$3,047.40	34% below	67%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SC POLYSOMN 4 OR MORE W CPAP	$1,117.38	$3,386.00	$432.27–$3,047.40	—	67%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V RT	$69.30	$210.00	—	52% below	67%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V LT	$69.30	$210.00	—	52% below	67%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3V LT	$69.30	$210.00	—	—	67%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3V RT	$69.30	$210.00	—	—	67%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP 4 OR MORE VW RT	$72.27	$219.00	—	53% below	67%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP 4 OR MORE VW LT	$72.27	$219.00	—	53% below	67%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMP 4 OR MORE VW RT	$72.27	$219.00	—	—	67%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMP 4 OR MORE VW LT	$72.27	$219.00	—	—	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOWER WO CONT LT	$453.42	$1,374.00	—	34% below	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOWER WO CONT RT	$453.42	$1,374.00	—	34% below	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXT (L) WO CONT SURG IMP	$453.42	$1,374.00	—	34% below	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXT (R) WO CONT SURG IMP	$453.42	$1,374.00	—	34% below	67%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR EXT (R) WO CONT SURG IMP	$453.42	$1,374.00	—	—	67%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOWER WO CONT LT	$453.42	$1,374.00	—	—	67%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOWER WO CONT RT	$453.42	$1,374.00	—	—	67%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR EXT (L) WO CONT SURG IMP	$453.42	$1,374.00	—	—	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SP US ABDOMEN LTD	$160.71	$487.00	$50.10–$438.30	40% below	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$160.71	$487.00	$50.10–$438.30	40% below	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD	$160.71	$487.00	$50.10–$438.30	—	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SP US ABDOMEN LTD	$160.71	$487.00	$50.10–$438.30	—	67%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NONVASC LT LTD	$84.48	$256.00	—	59% below	67%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MA US EXTREMITY NONVASC LT LTD	$84.48	$256.00	—	59% below	67%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MA US EXTREMITY NONVASC RT LTD	$84.48	$256.00	—	59% below	67%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 SP US EXTREMITY NONVASC LT LTD	$84.48	$256.00	—	59% below	67%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NONVASC RT LTD	$84.48	$256.00	—	59% below	67%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 SP US EXTREMITY NONVASC RT LTD	$84.48	$256.00	—	59% below	67%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 SP US EXTREMITY NONVASC LT LTD	$84.48	$256.00	—	—	67%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NONVASC LT LTD	$84.48	$256.00	—	—	67%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 SP US EXTREMITY NONVASC RT LTD	$84.48	$256.00	—	—	67%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NONVASC RT LTD	$84.48	$256.00	—	—	67%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MA US EXTREMITY NONVASC LT LTD	$84.48	$256.00	—	—	67%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MA US EXTREMITY NONVASC RT LTD	$84.48	$256.00	—	—	67%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CA SCREEN WO CONT	$524.70	$1,590.00	$37.72–$1,431.00	174% above	67%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CA SCREEN WO CONT	$524.70	$1,590.00	$37.72–$1,431.00	—	67%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA AND FIBULA 2V LT	$72.27	$219.00	—	42% below	67%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA AND FIBULA 2V RT	$72.27	$219.00	—	42% below	67%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA AND FIBULA 2V RT	$72.27	$219.00	—	—	67%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA AND FIBULA 2V LT	$72.27	$219.00	—	—	67%
MR angiography (MRA) of the head without contrast CPT 70544 MR VENOGRAPHY (MRV)	$352.77	$1,069.00	$105.33–$1,022.00	63% below	67%
MR angiography (MRA) of the head without contrast CPT 70544 MR MRA HEAD WO CONT	$352.77	$1,069.00	$105.33–$1,022.00	63% below	67%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR MRA HEAD WO CONT	$352.77	$1,069.00	$105.33–$1,022.00	—	67%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR VENOGRAPHY (MRV)	$352.77	$1,069.00	$105.33–$1,022.00	—	67%
MRI of both breasts, without and then with contrast dye CPT 77049 MR BREAST W+WO CONTRAST BIL	$795.63	$2,411.00	$329.65–$2,169.90	3% above	67%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MR BREAST W+WO CONTRAST BIL	$795.63	$2,411.00	$329.65–$2,169.90	—	67%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JNT EXT LOWER WO CONT RT	$511.83	$1,551.00	—	47% below	67%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JNT EXT LOWER WO CONT LT	$511.83	$1,551.00	—	47% below	67%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR JNT EXT LOWER WO CONT RT	$511.83	$1,551.00	—	—	67%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR JNT EXT LOWER WO CONT LT	$511.83	$1,551.00	—	—	67%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR JNT EXT LOWER W&WO CONT LT	$895.95	$2,715.00	—	29% below	67%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR JNT EXT LOWER W&WO CONT RT	$895.95	$2,715.00	—	29% below	67%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR JNT EXT LOWER W&WO CONT LT	$895.95	$2,715.00	—	—	67%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR JNT EXT LOWER W&WO CONT RT	$895.95	$2,715.00	—	—	67%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CONT	$586.41	$1,777.00	$105.33–$1,599.30	38% below	67%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CONT	$586.41	$1,777.00	$105.33–$1,599.30	—	67%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W&WO CONT	$833.58	$2,526.00	$198.87–$2,273.40	34% below	67%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN W&WO CONT	$833.58	$2,526.00	$198.87–$2,273.40	—	67%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CONT	$584.76	$1,772.00	$105.33–$1,594.80	49% below	67%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CONT	$584.76	$1,772.00	$105.33–$1,594.80	—	67%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W&WO CONT	$833.58	$2,526.00	$198.87–$2,273.40	44% below	67%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W&WO CONT	$833.58	$2,526.00	$198.87–$2,273.40	—	67%
MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR SPINE WO CONT	$775.50	$2,350.00	$105.33–$2,115.00	21% below	67%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR LUMBAR SPINE WO CONT	$775.50	$2,350.00	$105.33–$2,115.00	—	67%
MRI of the lower back, without and then with contrast dye CPT 72158 MR LUMBAR SPINE W&WO CONT	$953.70	$2,890.00	$198.87–$2,601.00	33% below	67%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR LUMBAR SPINE W&WO CONT	$953.70	$2,890.00	$198.87–$2,601.00	—	67%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR THORACIC SPINE WO CONT	$775.50	$2,350.00	$105.33–$2,115.00	21% below	67%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR THORACIC SPINE WO CONT	$775.50	$2,350.00	$105.33–$2,115.00	—	67%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR CERVICAL SPINE W&WO CONT	$953.70	$2,890.00	$198.87–$2,601.00	35% below	67%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR CERVICAL SPINE W&WO CONT	$953.70	$2,890.00	$198.87–$2,601.00	—	67%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR CERVICAL SPINE WO CONT	$775.50	$2,350.00	$105.33–$2,115.00	21% below	67%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR CERVICAL SPINE WO CONT	$775.50	$2,350.00	$105.33–$2,115.00	—	67%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W&WO CONT	$795.63	$2,411.00	$198.87–$2,169.90	40% below	67%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W&WO CONT	$795.63	$2,411.00	$198.87–$2,169.90	—	67%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CONT	$556.71	$1,687.00	$105.33–$1,518.30	37% below	67%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CONT	$556.71	$1,687.00	$105.33–$1,518.30	—	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JNT EXT UPPER WO CONT LT	$583.77	$1,769.00	—	38% below	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JNT EXT UPPER WO CONT RT	$583.77	$1,769.00	—	38% below	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR JNT EXT UPPER WO CONT RT	$583.77	$1,769.00	—	—	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR JNT EXT UPPER WO CONT LT	$583.77	$1,769.00	—	—	67%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5V	$127.38	$386.00	$31.64–$347.40	40% below	67%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL 4 OR 5V	$127.38	$386.00	$31.64–$347.40	—	67%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CONT	$371.25	$1,125.00	$123.57–$1,012.50	56% below	67%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CONT	$371.25	$1,125.00	$123.57–$1,012.50	—	67%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO CONT	$353.10	$1,070.00	$52.56–$963.00	51% below	67%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO CONT	$353.10	$1,070.00	$52.56–$963.00	—	67%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$64.68	$196.00	$14.94–$176.40	47% below	67%
Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE	$64.68	$196.00	$14.94–$176.40	—	67%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERF SPECT MLT W EF+WM	$744.81	$2,257.00	$271.28–$2,607.99	61% below	67%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARD PERF SPECT MLT W EF+WM	$744.81	$2,257.00	$271.28–$2,607.99	—	67%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONT	$435.60	$1,320.00	$52.56–$1,188.00	38% below	67%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONT	$435.60	$1,320.00	$52.56–$1,188.00	—	67%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FOLLOWUP	$76.56	$232.00	$34.62–$322.00	60% below	67%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 SP US PELVIS LTD	$76.56	$232.00	$34.62–$322.00	60% below	67%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD OR FOLLOWUP	$76.56	$232.00	$34.62–$322.00	—	67%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 SP US PELVIS LTD	$76.56	$232.00	$34.62–$322.00	—	67%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$120.12	$364.00	$52.56–$332.77	58% below	67%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE	$120.12	$364.00	$52.56–$332.77	—	67%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT COMP 14+WKS 1ST FETUS	$218.46	$662.00	$52.56–$595.80	24% below	67%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANT COMP 14+WKS 1ST FETUS	$218.46	$662.00	$52.56–$595.80	—	67%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB US <14 WKS SINGLE FETUS	$218.46	$662.00	$37.19–$595.80	12% below	67%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB US <14 WKS SINGLE FETUS	$218.46	$662.00	$37.19–$595.80	—	67%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT LIMITED	$87.45	$265.00	$50.10–$322.00	46% below	67%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANT LIMITED	$87.45	$265.00	$50.10–$322.00	—	67%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNIL (RT) TWO VIEWS	$47.85	$145.00	—	66% below	67%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNIL (LT) TWO VIEWS	$47.85	$145.00	—	66% below	67%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNIL (LT) TWO VIEWS	$47.85	$145.00	—	—	67%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNIL (RT) TWO VIEWS	$47.85	$145.00	—	—	67%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS PA CHEST MIN 3V RT	$79.53	$241.00	—	48% below	67%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS PA CHEST MIN 3V LT	$79.53	$241.00	—	48% below	67%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS PA CHEST MIN 3V RT	$79.53	$241.00	—	—	67%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS PA CHEST MIN 3V LT	$79.53	$241.00	—	—	67%
Screening mammogram, both breasts CPT 77067 MA DIG MAM SCR BIL W CAD/TOM+	$77.22	$234.00	$46.86–$399.14	at median	67%
Screening mammogram, both breasts CPT 77067 MA DIG MAMM SCR BIL INC CAD	$77.22	$234.00	$46.86–$399.14	at median	67%
Screening mammogram, both breasts inpatient CPT 77067 MA DIG MAM SCR BIL W CAD/TOM+	$77.22	$234.00	$46.86–$399.14	—	67%
Screening mammogram, both breasts inpatient CPT 77067 MA DIG MAMM SCR BIL INC CAD	$77.22	$234.00	$46.86–$399.14	—	67%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP MIN 2V RT	$72.27	$219.00	—	46% below	67%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP MIN 2V LT	$72.27	$219.00	—	46% below	67%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP MIN 2V LT	$72.27	$219.00	—	—	67%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP MIN 2V RT	$72.27	$219.00	—	—	67%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL COMP MIN 3V	$86.46	$262.00	$27.91–$235.80	49% below	67%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES PARANASAL COMP MIN 3V	$86.46	$262.00	$27.91–$235.80	—	67%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL LESS THAN 4 VIEWS	$63.03	$191.00	$22.14–$171.90	48% below	67%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL LESS THAN 4 VIEWS	$63.03	$191.00	$22.14–$171.90	—	67%
Sleep study in a lab (polysomnography) CPT 95810 SC POLYSOMNOGRA 4 OR MORE PARA	$931.26	$2,822.00	$432.27–$2,539.80	35% below	67%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SC POLYSOMNOGRA 4 OR MORE PARA	$931.26	$2,822.00	$432.27–$2,539.80	—	67%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CA STRESS ECHO W DRUG/STRESS TEST	$443.85	$1,345.00	$161.39–$1,210.50	7% below	67%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CA STRESS ECHO W STRESS TEST	$443.85	$1,345.00	$161.39–$1,210.50	7% below	67%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CA STRESS ECHO/STRESS TEST W CONT	$443.85	$1,345.00	$161.39–$1,210.50	7% below	67%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CA STRESS ECHO/DRUG/STRS TST W CO	$443.85	$1,345.00	$161.39–$1,210.50	7% below	67%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 CA STRESS ECHO/DRUG/STRS TST W CO	$443.85	$1,345.00	$161.39–$1,210.50	—	67%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 CA STRESS ECHO W DRUG/STRESS TEST	$443.85	$1,345.00	$161.39–$1,210.50	—	67%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 CA STRESS ECHO W STRESS TEST	$443.85	$1,345.00	$161.39–$1,210.50	—	67%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 CA STRESS ECHO/STRESS TEST W CONT	$443.85	$1,345.00	$161.39–$1,210.50	—	67%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOWING FUNCTION	$90.42	$274.00	$46.04–$403.46	58% below	67%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWALLOWING FUNCTION	$90.42	$274.00	$46.04–$403.46	—	67%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 V RT	$72.27	$219.00	—	30% below	67%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 V LT	$72.27	$219.00	—	30% below	67%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 V RT	$72.27	$219.00	—	—	67%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 V LT	$72.27	$219.00	—	—	67%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC WO CONT	$598.62	$1,814.00	$52.56–$1,632.60	19% below	67%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC WO CONT	$598.62	$1,814.00	$52.56–$1,632.60	—	67%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) MIN 2V RT	$72.27	$219.00	—	40% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) MIN 2V LT	$72.27	$219.00	—	40% below	67%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) MIN 2V LT	$72.27	$219.00	—	—	67%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) MIN 2V RT	$72.27	$219.00	—	—	67%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB	$92.07	$279.00	$52.56–$375.76	67% below	67%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB	$92.07	$279.00	$52.56–$375.76	—	67%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY WITH TRANSVAG	$210.21	$637.00	$51.89–$573.30	7% below	67%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANCY WITH TRANSVAG	$210.21	$637.00	$51.89–$573.30	—	67%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$295.02	$894.00	$52.56–$804.60	19% below	67%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$295.02	$894.00	$52.56–$804.60	—	67%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$113.85	$345.00	$52.56–$322.00	57% below	67%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS	$113.85	$345.00	$52.56–$322.00	—	67%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK	$151.80	$460.00	$50.10–$414.00	39% below	67%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD AND NECK	$151.80	$460.00	$50.10–$414.00	—	67%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI SINGLE CONTRAST	$167.64	$508.00	$51.86–$457.20	35% below	67%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI SINGLE CONTRAST	$167.64	$508.00	$51.86–$457.20	—	67%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS MIN 2V RT	$72.27	$219.00	—	37% below	67%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS MIN 2V LT	$72.27	$219.00	—	37% below	67%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS MIN 2V RT	$72.27	$219.00	—	—	67%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS MIN 2V LT	$72.27	$219.00	—	—	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEINS EXT COMP UNI	$143.88	$436.00	—	60% below	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SP US VEINS EXT UNILAT LTD LT	$143.88	$436.00	—	60% below	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SP US VEINS EXT UNILAT LTD RT	$143.88	$436.00	—	60% below	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEINS EXT UNILAT LTD RT	$143.88	$436.00	—	60% below	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEINS EXT UNILAT LTD LT	$143.88	$436.00	—	60% below	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEINS EXT UNILAT LTD BIL	$143.88	$436.00	$56.37–$516.00	60% below	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEINS EXT COMP UNI	$143.88	$436.00	—	60% below	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEINS EXT COMP UNI	$143.88	$436.00	—	—	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEINS EXT UNILAT LTD BIL	$143.88	$436.00	$56.37–$516.00	—	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEINS EXT UNILAT LTD LT	$143.88	$436.00	—	—	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEINS EXT UNILAT LTD RT	$143.88	$436.00	—	—	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEINS EXT COMP UNI	$143.88	$436.00	—	—	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 SP US VEINS EXT UNILAT LTD LT	$143.88	$436.00	—	—	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 SP US VEINS EXT UNILAT LTD RT	$143.88	$436.00	—	—	67%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2V RT	$43.89	$133.00	—	63% below	67%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2V LT	$43.89	$133.00	—	63% below	67%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2V LT	$43.89	$133.00	—	—	67%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2V RT	$43.89	$133.00	—	—	67%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP MIN 3 VIEWS LT	$72.27	$219.00	—	47% below	67%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP MIN 3 VIEWS RT	$72.27	$219.00	—	47% below	67%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP MIN 3 VIEWS LT	$72.27	$219.00	—	—	67%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP MIN 3 VIEWS RT	$72.27	$219.00	—	—	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 V INC PELVIS LT	$149.49	$453.00	—	10% above	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 V INC PELVIS RT	$149.49	$453.00	—	10% above	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 V INC PELVIS LT	$149.49	$453.00	—	—	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 V INC PELVIS RT	$149.49	$453.00	—	—	67%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN SINGLE VIEW	$64.68	$196.00	$16.66–$176.40	53% below	67%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN SINGLE VIEW	$64.68	$196.00	$16.66–$176.40	—	67%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V RT	$51.15	$155.00	—	60% below	67%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V LT	$51.15	$155.00	—	60% below	67%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2V RT	$51.15	$155.00	—	—	67%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2V LT	$51.15	$155.00	—	—	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) HAND RT	$72.27	$219.00	—	40% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) HAND LT	$72.27	$219.00	—	40% below	67%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) HAND LT	$72.27	$219.00	—	—	67%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) HAND RT	$72.27	$219.00	—	—	67%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$49.83	$151.00	—	61% below	67%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$49.83	$151.00	—	61% below	67%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT	$49.83	$151.00	—	—	67%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT	$49.83	$151.00	—	—	67%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP MIN 3V LT	$72.27	$219.00	—	48% below	67%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP MIN 3V RT	$72.27	$219.00	—	48% below	67%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP MIN 3V LT	$72.27	$219.00	—	—	67%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP MIN 3V RT	$72.27	$219.00	—	—	67%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND MIN 3V RT	$72.27	$219.00	—	49% below	67%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND MIN 3V LT	$72.27	$219.00	—	49% below	67%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND MIN 3V RT	$72.27	$219.00	—	—	67%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND MIN 3V LT	$72.27	$219.00	—	—	67%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2V RT	$50.82	$154.00	—	61% below	67%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2V LT	$50.82	$154.00	—	61% below	67%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2V LT	$50.82	$154.00	—	—	67%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2V RT	$50.82	$154.00	—	—	67%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 V	$82.83	$251.00	$23.91–$225.90	52% below	67%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 V	$82.83	$251.00	$23.91–$225.90	—	67%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL MIN 4V	$137.28	$416.00	$32.34–$374.40	38% below	67%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL MIN 4V	$137.28	$416.00	$32.34–$374.40	—	67%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2V	$69.96	$212.00	$23.21–$190.80	47% below	67%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2V	$69.96	$212.00	$23.21–$190.80	—	67%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP MIN 3V	$68.31	$207.00	$18.80–$186.30	44% below	67%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMP MIN 3V	$68.31	$207.00	$18.80–$186.30	—	67%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3V	$63.03	$191.00	$21.44–$171.90	54% below	67%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3V	$63.03	$191.00	$21.44–$171.90	—	67%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$83.49	$253.00	$18.80–$227.70	35% below	67%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$83.49	$253.00	$18.80–$227.70	—	67%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX MIN 2V	$79.53	$241.00	$20.38–$216.90	44% below	67%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX MIN 2V	$79.53	$241.00	$20.38–$216.90	—	67%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE ACTH	$89.10	$270.00	$17.38–$243.00	20% below	67%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMIN ALT	$4.62	$14.00	$2.39–$12.60	83% below	67%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMIN ALT	$16.50	$50.00	$2.39–$45.00	40% below	67%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALANINE AMIN ALT	$4.62	$14.00	$2.39–$12.60	—	67%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE ASPARTATE AMIN AST	$16.50	$50.00	$2.33–$45.00	38% below	67%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$148.50	$450.00	$21.43–$405.00	7% below	67%
Albumin blood test CPT 82040 ALBUMIN SERUM	$4.95	$15.00	$2.23–$13.50	72% below	67%
Albumin blood test CPT 82040 ALBUMIN SERUM	$15.84	$48.00	$2.23–$43.20	10% below	67%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$4.95	$15.00	$2.23–$13.50	—	67%
Aldosterone blood test CPT 82088 ALDOSTERONE	$22.77	$69.00	$18.34–$90.88	70% below	67%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$22.77	$69.00	$18.34–$90.88	—	67%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE	$4.95	$15.00	$2.33–$13.50	80% below	67%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE	$16.50	$50.00	$2.33–$45.00	35% below	67%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE	$4.95	$15.00	$2.33–$13.50	—	67%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EA	$4.29	$13.00	$2.35–$11.70	61% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC EACH EA	$4.29	$13.00	$2.35–$11.70	61% below	67%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EA	$4.29	$13.00	$2.35–$11.70	—	67%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC EACH EA	$4.29	$13.00	$2.35–$11.70	—	67%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERUM	$38.61	$117.00	$7.55–$105.30	24% below	67%
Ammonia blood test CPT 82140 AMMONIA	$48.51	$147.00	$6.56–$132.30	1% below	67%
Amylase blood test CPT 82150 AMYLASE	$21.45	$65.00	$2.92–$58.50	35% below	67%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE AB	$14.85	$45.00	$5.83–$40.50	62% below	67%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE AB	$14.85	$45.00	$5.83–$40.50	—	67%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA)	$8.25	$25.00	$5.44–$27.28	78% below	67%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA)	$8.25	$25.00	$5.44–$27.28	—	67%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$112.86	$342.00	$17.67–$307.80	27% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIAL OTHER SOURCE	$28.71	$87.00	$3.88–$78.30	24% below	67%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$43.23	$131.00	$3.81–$117.90	41% below	67%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$5.61	$17.00	$2.26–$15.30	80% below	67%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TC LEVEL IV SURG PATH GRSS & MICR	$35.97	$109.00	$18.51–$221.28	52% below	67%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH L IV GROSS & MICRO	$139.92	$424.00	$18.51–$381.60	85% above	67%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TC LEVEL IV SURG PATH GRSS & MICR	$35.97	$109.00	$18.51–$221.28	—	67%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH L IV GROSS & MICRO	$139.92	$424.00	$18.51–$381.60	—	67%
Blood culture for bacteria CPT 87040 CULTURE BACTERIAL BLD W/ISO & ID	$34.32	$104.00	$4.64–$93.60	37% below	67%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$4.95	$15.00	$1.50–$13.93	45% below	67%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$4.95	$15.00	$1.50–$13.93	45% below	67%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$4.95	$15.00	$1.50–$13.93	—	67%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$4.95	$15.00	$1.50–$13.93	—	67%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD EXCEPT STRIP	$12.54	$38.00	$1.77–$34.20	44% below	67%
Blood lead test CPT 83655 LEAD	$7.92	$24.00	$5.45–$27.28	78% below	67%
Blood lead test inpatient CPT 83655 LEAD	$7.92	$24.00	$5.45–$27.28	—	67%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN CHORIONIC (HCG) QUAL	$25.08	$76.00	$3.38–$68.40	53% below	67%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$230.67	$699.00	$1.35–$629.10	206% above	67%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANT	$13.20	$40.00	$1.78–$36.00	44% below	67%
C-peptide blood test CPT 84681 C-PEPTIDE	$11.88	$36.00	$9.36–$46.20	81% below	67%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$11.88	$36.00	$9.36–$46.20	—	67%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$17.16	$52.00	$2.33–$46.80	19% below	67%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN AMPLI	$114.18	$346.00	$16.77–$311.40	30% above	67%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNO TUMOR AG QUANT CA 19-9	$70.29	$213.00	$9.36–$191.70	1% above	67%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNO TUMOR AG QUANT CA 125	$70.29	$213.00	$9.36–$191.70	1% above	67%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$66.00	$200.00	$23.09–$180.00	19% above	67%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV2 COVID19 AMP PRB	$70.29	$213.00	$23.09–$191.70	27% above	67%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$118.47	$359.00	$23.09–$323.10	114% above	67%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$66.00	$200.00	$23.09–$180.00	—	67%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV2 COVID19 AMP PRB	$70.29	$213.00	$23.09–$191.70	—	67%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$17.16	$52.00	$2.32–$46.80	37% below	67%
Calcium blood test, total CPT 82310 CALCIUM TOTAL, SERUM	$17.16	$52.00	$2.32–$46.80	37% below	67%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$63.03	$191.00	$8.53–$171.90	1% below	67%
Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY VARICELLA ZOSTER	$9.90	$30.00	$5.80–$28.78	75% below	67%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 ANTIBODY VARICELLA ZOSTER	$9.90	$30.00	$5.80–$28.78	—	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM TRACHOMATIS AMPLIFIED PROB	$20.79	$63.00	$15.79–$78.78	65% below	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM TRACHOMATIS AMPLIFIED PROBE	$116.82	$354.00	$15.79–$318.60	95% above	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM TRACHOMATIS AMPLIFIED PROB	$20.79	$63.00	$15.79–$78.78	—	67%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$8.91	$27.00	$6.03–$30.30	81% below	67%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$44.55	$135.00	$6.03–$121.50	3% below	67%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$8.91	$27.00	$6.03–$30.30	—	67%
Complete blood count (CBC) with differential CPT 85025 BLD CNT HEMOGRAM PLT W/AUTO DIFF	$29.70	$90.00	$3.50–$81.00	31% below	67%
Complete blood count (CBC), no differential CPT 85027 BLD CNT HEMOGRAM PLT AUTO	$21.45	$65.00	$2.91–$58.50	18% below	67%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$77.22	$234.00	$4.75–$210.60	20% below	67%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$54.12	$164.00	$7.34–$147.60	1% below	67%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CK) (CPK) TOTAL	$21.78	$66.00	$2.93–$59.40	31% below	67%
Creatinine blood test CPT 82565 CREATININE BLOOD	$16.83	$51.00	$2.30–$45.90	25% below	67%
Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY CYTOMEGALOVIRUS (CMV)	$13.53	$41.00	$6.48–$36.90	69% below	67%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY CYTOMEGALOVIRUS (CMV)	$13.53	$41.00	$6.48–$36.90	—	67%
D-dimer blood test (blood clot marker) CPT 85379 FDP D-DIMER QUANT	$33.99	$103.00	$4.58–$92.70	35% below	67%
D-dimer blood test (blood clot marker) CPT 85379 FDP D-DIMER QUANT	$49.50	$150.00	$4.58–$135.00	5% below	67%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP D-DIMER QUANT	$49.50	$150.00	$4.58–$135.00	—	67%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE (DHEA-S)	$17.82	$54.00	$10.00–$49.98	75% below	67%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE (DHEA-S)	$17.82	$54.00	$10.00–$49.98	—	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMP ANY NUM INSTRU	$118.80	$360.00	$27.96–$324.00	67% above	67%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESUMP ANY NUM INSTRU	$118.80	$360.00	$27.96–$324.00	—	67%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$21.45	$65.00	$3.15–$58.50	54% below	67%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY EPSTEIN-BARR VIRAL CAP	$14.19	$43.00	$8.16–$40.90	72% below	67%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 ANTIBODY EPSTEIN-BARR VIRAL CAP	$14.19	$43.00	$8.16–$40.90	—	67%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$87.78	$266.00	$12.57–$239.40	3% above	67%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN FOLLICLE STIM HORM	$61.71	$187.00	$8.36–$168.30	1% below	67%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$72.60	$220.00	$8.83–$198.00	28% below	67%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$72.60	$220.00	$8.83–$198.00	—	67%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$45.21	$137.00	$6.13–$123.30	at median	67%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$26.40	$80.00	$4.37–$72.00	45% below	67%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$28.38	$86.00	$4.37–$77.40	41% below	67%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$26.40	$80.00	$4.37–$72.00	—	67%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$48.84	$148.00	$6.62–$133.20	1% below	67%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3 FREE	$56.43	$171.00	$7.62–$153.90	at median	67%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$30.03	$91.00	$4.06–$81.90	11% below	67%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$36.63	$111.00	$11.46–$99.90	43% below	67%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$36.63	$111.00	$11.46–$99.90	—	67%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE GAMMA (GGT)	$6.60	$20.00	$3.24–$18.00	80% below	67%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE GAMMA (GGT)	$24.09	$73.00	$3.24–$65.70	27% below	67%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFERASE GAMMA (GGT)	$6.60	$20.00	$3.24–$18.00	—	67%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$15.84	$48.00	$2.14–$43.20	48% below	67%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 3 SPEC	$29.04	$88.00	$5.79–$79.20	33% below	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEIS GONORRHOEAE AMPLIFIED PROBE	$20.79	$63.00	$15.79–$78.78	66% below	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEIS GONORRHOEAE AMPLIFIED PROBE	$116.82	$354.00	$15.79–$318.60	90% above	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEIS GONORRHOEAE AMPLIFIED PROBE	$20.79	$63.00	$15.79–$78.78	—	67%
H. pylori antibody blood test CPT 86677 ANTIBODY HELICOBACTER PYLORI	$48.18	$146.00	$7.58–$131.40	at median	67%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 INFECTIOUS AGT HIV-1 QUANT	$67.98	$206.00	$38.30–$190.10	57% below	67%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 INFECTIOUS AGT HIV-1 QUANT	$67.98	$206.00	$38.30–$190.10	—	67%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 ANTIBODY HIV 1 HIV 2 SINGLE RESUL	$78.87	$239.00	$10.84–$215.10	41% above	67%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED	$32.34	$98.00	$4.37–$88.20	23% below	67%
Hemoglobin blood test CPT 85018 BLD CNT HEMOGLOBIN	$7.92	$24.00	$1.07–$21.60	59% below	67%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY TOTAL	$8.58	$26.00	$5.42–$27.28	77% below	67%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY TOTAL	$8.58	$26.00	$5.42–$27.28	—	67%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$9.90	$30.00	$4.83–$27.00	79% below	67%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$35.64	$108.00	$4.83–$97.20	24% below	67%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB	$9.90	$30.00	$4.83–$27.00	—	67%
Hepatitis B surface antigen (HBsAg) test CPT 87340 INFECT AGT HEPATITIS B SURFACE AG	$20.79	$63.00	$4.65–$56.70	45% below	67%
Hepatitis B surface antigen (HBsAg) test CPT 87340 INFECT AGT HEPATITIS B SURFACE AG	$29.04	$88.00	$4.65–$79.20	24% below	67%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 INFECT AGT HEPATITIS B SURFACE AG	$20.79	$63.00	$4.65–$56.70	—	67%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$33.99	$103.00	$6.42–$92.70	23% below	67%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$47.52	$144.00	$6.42–$129.60	8% above	67%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$33.99	$103.00	$6.42–$92.70	—	67%
Hepatitis C viral load (HCV RNA) test CPT 87522 INFECTIOUS AGT HEPATITIS C QUANT	$49.50	$150.00	$19.28–$135.00	68% below	67%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 INFECTIOUS AGT HEPATITIS C QUANT	$49.50	$150.00	$19.28–$135.00	—	67%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY HERPES SIMPLEX TYPE 1	$12.54	$38.00	$5.94–$34.20	63% below	67%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY HERPES SIMPLEX TYPE 1	$12.54	$38.00	$5.94–$34.20	—	67%
Herpes blood test, HSV-2 antibody CPT 86696 HTLV HIV AB HERPES SIMPLEX TYPE 2	$18.48	$56.00	$8.71–$50.40	55% below	67%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HTLV HIV AB HERPES SIMPLEX TYPE 2	$18.48	$56.00	$8.71–$50.40	—	67%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP	$42.90	$130.00	$5.83–$117.00	6% above	67%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$13.20	$40.00	$8.06–$40.15	75% below	67%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$13.20	$40.00	$8.06–$40.15	—	67%
Insulin blood test CPT 83525 INSULIN TOTAL	$11.88	$36.00	$5.14–$32.40	71% below	67%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$11.88	$36.00	$5.14–$32.40	—	67%
Iron blood test (serum iron) CPT 83540 IRON	$21.45	$65.00	$2.91–$58.50	13% below	67%
Iron blood test (serum iron) CPT 83540 IRON	$55.77	$169.00	$2.91–$152.10	127% above	67%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$55.77	$169.00	$2.91–$152.10	—	67%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$29.04	$88.00	$3.93–$79.20	29% below	67%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$23.10	$70.00	$3.91–$63.00	66% below	67%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LUTEINIZING HORMONE	$61.71	$187.00	$8.33–$168.30	at median	67%
Lactate (lactic acid) blood test CPT 83605 LACTATE (LACTIC ACID)	$35.64	$108.00	$5.21–$97.20	5% below	67%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD) (LDH)	$5.61	$17.00	$2.72–$15.30	75% below	67%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD) (LDH)	$20.13	$61.00	$2.72–$54.90	11% below	67%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LD) (LDH)	$5.61	$17.00	$2.72–$15.30	—	67%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$22.77	$69.00	$3.10–$62.10	35% below	67%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$39.60	$120.00	$3.68–$108.00	48% below	67%
Lyme disease antibody test CPT 86618 ANTIBODY BORRELIA B(LYME DS)	$14.19	$43.00	$7.66–$38.70	66% below	67%
Lyme disease antibody test inpatient CPT 86618 ANTIBODY BORRELIA B(LYME DS)	$14.19	$43.00	$7.66–$38.70	—	67%
Magnesium blood test CPT 83735 MAGNESIUM	$22.11	$67.00	$3.02–$60.30	7% above	67%
Magnesium blood test CPT 83735 MAGNESIUM	$44.22	$134.00	$3.02–$120.60	114% above	67%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$44.22	$134.00	$3.02–$120.60	—	67%
Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA	$12.54	$38.00	$5.80–$34.20	68% below	67%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA	$12.54	$38.00	$5.80–$34.20	—	67%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREENING	$17.16	$52.00	$2.33–$46.80	55% below	67%
Mumps immunity blood test CPT 86735 ANTIBODY MUMPS	$11.88	$36.00	$5.87–$32.40	70% below	67%
Mumps immunity blood test inpatient CPT 86735 ANTIBODY MUMPS	$11.88	$36.00	$5.87–$32.40	—	67%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC ANTIGEN FREE	$17.49	$53.00	$8.28–$47.70	64% below	67%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC ANTIGEN FREE	$17.49	$53.00	$8.28–$47.70	—	67%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL	$17.49	$53.00	$8.28–$47.70	69% below	67%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL	$61.05	$185.00	$8.28–$166.50	8% above	67%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL	$17.49	$53.00	$8.28–$47.70	—	67%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE(PARATHYROID HORM)	$39.27	$119.00	$18.58–$107.10	67% below	67%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE(PARATHYROID HORM)	$137.28	$416.00	$18.58–$374.40	14% above	67%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE(PARATHYROID HORM)	$39.27	$119.00	$18.58–$107.10	—	67%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PART (PTT)	$5.28	$16.00	$2.70–$14.40	80% below	67%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PART (PTT)	$19.80	$60.00	$2.70–$54.00	24% below	67%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PART (PTT)	$5.28	$16.00	$2.70–$14.40	—	67%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC (PHOSPHATE)	$14.52	$44.00	$2.13–$39.60	49% below	67%
Potassium blood test CPT 84132 POTASSIUM SERUM	$5.28	$16.00	$2.14–$14.40	75% below	67%
Progesterone blood test CPT 84144 PROGESTERONE	$69.30	$210.00	$9.39–$189.00	9% above	67%
Prolactin blood test CPT 84146 PROLACTIN	$64.35	$195.00	$8.72–$175.50	8% below	67%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$13.20	$40.00	$1.93–$36.00	35% below	67%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS GROUP A	$37.95	$115.00	$7.44–$103.50	5% above	67%
Renin blood test CPT 84244 RENIN	$13.86	$42.00	$9.90–$49.23	78% below	67%
Renin blood test inpatient CPT 84244 RENIN	$13.86	$42.00	$9.90–$49.23	—	67%
Rh blood typing CPT 86901 BLOOD TYPING RH	$22.44	$68.00	$1.35–$61.20	27% below	67%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$18.81	$57.00	$2.55–$51.30	36% below	67%
Rubella antibody test (immunity check) CPT 86762 ANTIBODY RUBELLA	$13.53	$41.00	$6.48–$36.90	56% below	67%
Rubella antibody test (immunity check) CPT 86762 ANTIBODY RUBELLA	$20.13	$61.00	$6.48–$54.90	35% below	67%
Rubella antibody test (immunity check) inpatient CPT 86762 ANTIBODY RUBELLA	$13.53	$41.00	$6.48–$36.90	—	67%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, AUTOMATED	$8.91	$27.00	$1.22–$24.30	50% below	67%
Sodium blood test CPT 84295 SODIUM SERUM	$15.84	$48.00	$2.16–$43.20	41% below	67%
Stool ova and parasites exam CPT 87177 OVA & PARASITES DIRECT SMEARS	$7.92	$24.00	$4.01–$21.60	75% below	67%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES DIRECT SMEARS	$7.92	$24.00	$4.01–$21.60	—	67%
Stool test for hidden blood (guaiac FOBT) CPT 82270 SCREENING, COLORECTAL(FECAL)	$10.56	$32.00	$1.97–$28.80	44% below	67%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY TREPONEMA PALLIDUM	$12.54	$38.00	$5.96–$34.20	59% below	67%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY TREPONEMA PALLIDUM	$41.58	$126.00	$5.96–$113.40	37% above	67%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 ANTIBODY TREPONEMA PALLIDUM	$12.54	$38.00	$5.96–$34.20	—	67%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAL	$18.15	$55.00	$1.92–$49.50	30% below	67%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB CELL IMMUN AG RSPN MSMT	$32.01	$97.00	$27.89–$138.60	75% below	67%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB CELL IMMUN AG RSPN MSMT	$32.01	$97.00	$27.89–$138.60	—	67%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$24.42	$74.00	$11.61–$66.60	66% below	67%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$85.47	$259.00	$11.61–$233.10	19% above	67%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$24.42	$74.00	$11.61–$66.60	—	67%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES EACH	$13.86	$42.00	$6.55–$37.80	66% below	67%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES EACH	$13.86	$42.00	$6.55–$37.80	—	67%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH)	$15.84	$48.00	$7.56–$43.20	69% below	67%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH	$55.77	$169.00	$7.56–$152.10	9% above	67%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH)	$55.77	$169.00	$7.56–$152.10	9% above	67%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH)	$15.84	$48.00	$7.56–$43.20	—	67%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$10.56	$32.00	$7.41–$37.10	82% below	67%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$37.95	$115.00	$7.41–$103.50	36% below	67%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE	$10.56	$32.00	$7.41–$37.10	—	67%
Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM WB TOTAL	$3.96	$12.00	$1.96–$10.80	81% below	67%
Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM WB TOTAL	$14.52	$44.00	$1.96–$39.60	30% below	67%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM WB TOTAL	$3.96	$12.00	$1.96–$10.80	—	67%
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL	$22.77	$69.00	$3.09–$62.10	16% below	67%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3 TOTAL (TT-3)	$47.19	$143.00	$6.38–$128.70	3% below	67%
Transferrin blood test CPT 84466 TRANSFERRIN	$41.91	$127.00	$5.74–$114.30	19% below	67%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$5.28	$16.00	$2.58–$14.40	78% below	67%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$19.14	$58.00	$2.58–$52.20	19% below	67%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$5.28	$16.00	$2.58–$14.40	—	67%
Troponin test, quantitative CPT 84484 TROPONIN QUANT	$32.67	$99.00	$5.61–$89.10	29% below	67%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$14.85	$45.00	$2.03–$40.50	48% below	67%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W MICRO	$10.56	$32.00	$1.43–$28.80	65% below	67%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO	$7.59	$23.00	$1.01–$20.70	30% below	67%
Urine culture for bacteria, with colony count CPT 87086 CULTURE BACT QUANT COLONY CNT UR	$26.73	$81.00	$3.63–$72.90	30% below	67%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN URINE MICROALB QUANT	$7.92	$24.00	$2.60–$21.60	59% below	67%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$21.12	$64.00	$3.87–$57.60	45% below	67%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B12)	$50.16	$152.00	$6.79–$136.80	at median	67%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$37.29	$113.00	$13.32–$101.70	49% below	67%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$37.29	$113.00	$13.32–$101.70	—	67%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D (1,25-DI OH)	$25.74	$78.00	$17.33–$86.35	77% below	67%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D (1,25-DI OH)	$25.74	$78.00	$17.33–$86.35	—	67%
Zinc blood test CPT 84630 ZINC	$6.60	$20.00	$5.13–$25.75	81% below	67%
Zinc blood test inpatient CPT 84630 ZINC	$6.60	$20.00	$5.13–$25.75	—	67%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC QUANT	$11.55	$35.00	$6.77–$33.33	79% below	67%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC QUANT	$50.16	$152.00	$6.77–$136.80	10% below	67%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIONIC QUANT	$11.55	$35.00	$6.77–$33.33	—	67%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA STEREO BX BREAST 1ST SITE LT	$1,344.42	$4,074.00	—	11% below	67%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA STEREO BX BREAST 1ST SITE RT	$1,344.42	$4,074.00	—	11% below	67%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MA STEREO BX BREAST 1ST SITE RT	$1,344.42	$4,074.00	—	—	67%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MA STEREO BX BREAST 1ST SITE LT	$1,344.42	$4,074.00	—	—	67%
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT W COR ANGIO/LV W S&I	$1,737.78	$5,266.00	$1,105.86–$9,765.00	67% below	67%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HRT W COR ANGIO/LV W S&I	$1,737.78	$5,266.00	$1,105.86–$9,765.00	—	67%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$334.29	$1,013.00	$182.03–$1,869.00	52% below	67%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CA CARDIOVERSION EXTERNAL	$334.29	$1,013.00	$182.03–$1,869.00	52% below	67%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CA CARDIOVERSION EXTERNAL	$334.29	$1,013.00	$182.03–$1,869.00	—	67%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$334.29	$1,013.00	$182.03–$1,869.00	—	67%
Catheter ablation for atrial fibrillation CPT 93656 CMP EP L/RA RV HS AFIB ABL PV 3D	$5,207.73	$15,781.00	$4,558.52–$28,759.00	69% below	67%
Catheter ablation for atrial fibrillation inpatient CPT 93656 CMP EP L/RA RV HS AFIB ABL PV 3D	$5,207.73	$15,781.00	$4,558.52–$28,759.00	—	67%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$679.14	$2,058.00	$926.10–$4,220.00	10% above	67%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION	$679.14	$2,058.00	$926.10–$4,220.00	—	67%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT LESION INITIAL	$250.47	$759.00	$144.00–$1,349.71	151% above	67%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT LESION INITIAL	$250.47	$759.00	$144.00–$1,349.71	—	67%
Earwax removal by irrigation (rinsing), one ear CPT 69209 CLEAN IMPACTED EAR IRR/LAVAGE UNI	$29.70	$90.00	$40.50–$1,349.71	34% below	67%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CLEAN IMPACTED EAR IRR/LAVAGE UNI	$29.70	$90.00	$40.50–$1,349.71	—	67%
Earwax removal with instruments, one ear CPT 69210 CLEAN IMPACTED EAR INSTRUMENT UNI	$29.70	$90.00	$40.50–$1,349.71	60% below	67%
Earwax removal with instruments, one ear inpatient CPT 69210 CLEAN IMPACTED EAR INSTRUMENT UNI	$29.70	$90.00	$40.50–$1,349.71	—	67%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR HYSTEROSONOGRAPHY CATH INJ	$135.30	$410.00	$154.00–$3,419.00	12% below	67%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR HYSTEROSONOGRAPHY CATH INJ	$135.30	$410.00	$154.00–$3,419.00	—	67%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SIMPLE	$250.47	$759.00	$144.00–$1,349.71	14% above	67%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS SIMPLE	$250.47	$759.00	$144.00–$1,349.71	—	67%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SP INJECT SGL TEND SHEATH/LIGA	$407.22	$1,234.00	$216.00–$1,869.00	73% above	67%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SP INJECT SGL TEND SHEATH/LIGA	$407.22	$1,234.00	$216.00–$1,869.00	—	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ARTHROCENTESIS ASP/INJECT MAJ	$407.22	$1,234.00	$216.00–$1,869.00	25% above	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SP ARTHRCNT ASP/INJ MAJ WO US	$407.22	$1,234.00	$216.00–$1,869.00	25% above	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR ARTHROCENTESIS ASP/INJECT MAJ	$407.22	$1,234.00	$216.00–$1,869.00	25% above	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 SP ARTHRCNT ASP/INJ MAJ WO US RT	$407.22	$1,234.00	—	25% above	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 SP ARTHRCNT ASP/INJ MAJ WO US LT	$407.22	$1,234.00	—	25% above	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 XR ARTHROCENTESIS ASP/INJECT MAJ	$407.22	$1,234.00	$216.00–$1,869.00	—	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT ARTHROCENTESIS ASP/INJECT MAJ	$407.22	$1,234.00	$216.00–$1,869.00	—	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SP ARTHRCNT ASP/INJ MAJ WO US	$407.22	$1,234.00	$216.00–$1,869.00	—	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 SP ARTHRCNT ASP/INJ MAJ WO US LT	$407.22	$1,234.00	—	—	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 SP ARTHRCNT ASP/INJ MAJ WO US RT	$407.22	$1,234.00	—	—	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SP ARTHRCNT ASP/INJ INTER WO US	$407.22	$1,234.00	$216.00–$1,869.00	39% above	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 XR ARTHROCENT ASP/INJECT INTER	$407.22	$1,234.00	$216.00–$1,869.00	39% above	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 SP ARTHRCNT ASP/INJ INT WO US RT	$407.22	$1,234.00	—	39% above	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 SP ARTHRCNT ASP/INJ INT WO US LT	$407.22	$1,234.00	—	39% above	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 SP ARTHRCNT ASP/INJ INTER WO US	$407.22	$1,234.00	$216.00–$1,869.00	—	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 XR ARTHROCENT ASP/INJECT INTER	$407.22	$1,234.00	$216.00–$1,869.00	—	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 SP ARTHRCNT ASP/INJ INT WO US LT	$407.22	$1,234.00	—	—	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 SP ARTHRCNT ASP/INJ INT WO US RT	$407.22	$1,234.00	—	—	67%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 XR ARTHROCENT ASP/INJECT SMALL	$407.22	$1,234.00	$216.00–$1,869.00	42% above	67%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 XR ARTHROCENT ASP/INJECT SMALL	$407.22	$1,234.00	$216.00–$1,869.00	—	67%
Left heart catheterization, diagnostic CPT 93452 LT VENT NO CORONARIES W S&I	$1,315.38	$3,986.00	$837.06–$9,765.00	59% below	67%
Left heart catheterization, diagnostic inpatient CPT 93452 LT VENT NO CORONARIES W S&I	$1,315.38	$3,986.00	$837.06–$9,765.00	—	67%
Lower-back epidural injection, with imaging guidance CPT 62323 XR INJ DX/THRP LUMBAR SAC W IMG	$409.20	$1,240.00	$558.00–$1,802.00	17% below	67%
Lower-back epidural injection, with imaging guidance CPT 62323 SP INJ DX/THRP LUMBAR SAC W IMG	$409.20	$1,240.00	$558.00–$1,869.00	17% below	67%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SP INJ DX/THRP LUMBAR SAC W IMG	$409.20	$1,240.00	$558.00–$1,869.00	—	67%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR INJ DX/THRP LUMBAR SAC W IMG	$409.20	$1,240.00	$558.00–$1,802.00	—	67%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR INJ L/SP STEROID BLK W IMAG GU	$447.15	$1,355.00	$609.75–$1,869.00	37% below	67%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR INJ L/SP STEROID BLK W IMAG GU	$447.15	$1,355.00	$609.75–$1,869.00	—	67%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE	$250.47	$759.00	$144.00–$1,349.71	89% above	67%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGLE	$250.47	$759.00	$144.00–$1,349.71	—	67%
Pacemaker implant (dual chamber) CPT 33208 PPM SYST INS/REPL ATR & VENT LDS	$3,887.07	$11,779.00	$1,890.00–$11,837.00	25% below	67%
Pacemaker implant (dual chamber) inpatient CPT 33208 PPM SYST INS/REPL ATR & VENT LDS	$3,887.07	$11,779.00	$1,890.00–$11,837.00	—	67%
Paracentesis with imaging guidance CPT 49083 US ABD PARACENTESIS W IMAG	$586.74	$1,778.00	$800.10–$1,808.27	at median	67%
Paracentesis with imaging guidance CPT 49083 SP ABD PARACENTESIS W IMAG	$586.74	$1,778.00	$800.10–$1,808.27	at median	67%
Paracentesis with imaging guidance CPT 49083 CT ABD PARACENTESIS W IMAG	$586.74	$1,778.00	$800.10–$1,808.27	at median	67%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W IMAG	$586.74	$1,778.00	$800.10–$1,808.27	at median	67%
Paracentesis with imaging guidance inpatient CPT 49083 SP ABD PARACENTESIS W IMAG	$586.74	$1,778.00	$800.10–$1,808.27	—	67%
Paracentesis with imaging guidance inpatient CPT 49083 US ABD PARACENTESIS W IMAG	$586.74	$1,778.00	$800.10–$1,808.27	—	67%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W IMAG	$586.74	$1,778.00	$800.10–$1,808.27	—	67%
Paracentesis with imaging guidance inpatient CPT 49083 CT ABD PARACENTESIS W IMAG	$586.74	$1,778.00	$800.10–$1,808.27	—	67%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL	$263.67	$799.00	$307.90–$1,802.00	31% below	67%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL	$263.67	$799.00	$307.90–$1,802.00	—	67%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY SIMPLE	$301.95	$915.00	$144.00–$1,349.71	at median	67%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FOREIGN BODY SIMPLE	$301.95	$915.00	$144.00–$1,349.71	—	67%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST	$141.57	$429.00	$144.00–$2,811.90	6% below	67%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST	$141.57	$429.00	$144.00–$2,811.90	—	67%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR OF SUPERFICIAL WOUND	$101.31	$307.00	$138.15–$1,349.71	53% below	67%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR OF SUPERFICIAL WOUND	$101.31	$307.00	$138.15–$1,349.71	—	67%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$205.59	$623.00	$144.00–$1,349.71	10% above	67%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$205.59	$623.00	$144.00–$1,349.71	—	67%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMP RPR S/N/AS/GEN/TRNK 2.6-7.5	$101.31	$307.00	$138.15–$2,811.90	56% below	67%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMP RPR S/N/AS/GEN/TRNK 2.6-7.5	$101.31	$307.00	$138.15–$2,811.90	—	67%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SINGLE LESION	$205.59	$623.00	$144.00–$1,349.71	20% above	67%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX SKIN SINGLE LESION	$205.59	$623.00	$144.00–$1,349.71	—	67%
Thoracentesis with imaging guidance CPT 32555 SP THORACENTESIS W IMAG GUID	$487.08	$1,476.00	$569.14–$1,802.00	23% below	67%
Thoracentesis with imaging guidance one side CPT 32555 CT THORACENTESIS W IMAG GUID	$487.08	$1,476.00	—	23% below	67%
Thoracentesis with imaging guidance one side CPT 32555 CT THORACENTESIS W IMAG GUID	$487.08	$1,476.00	—	23% below	67%
Thoracentesis with imaging guidance one side CPT 32555 SP THORACENTESIS W IMAG GUID LT	$487.08	$1,476.00	—	23% below	67%
Thoracentesis with imaging guidance one side CPT 32555 US THORACENTESIS W IMAG GUID	$487.08	$1,476.00	—	23% below	67%
Thoracentesis with imaging guidance one side CPT 32555 US THORACENTESIS W IMAG GUID	$487.08	$1,476.00	—	23% below	67%
Thoracentesis with imaging guidance one side CPT 32555 SP THORACENTESIS W IMAG GUID RT	$487.08	$1,476.00	—	23% below	67%
Thoracentesis with imaging guidance inpatient CPT 32555 SP THORACENTESIS W IMAG GUID	$487.08	$1,476.00	$569.14–$1,802.00	—	67%
Thoracentesis with imaging guidance inpatient one side CPT 32555 US THORACENTESIS W IMAG GUID	$487.08	$1,476.00	—	—	67%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT THORACENTESIS W IMAG GUID	$487.08	$1,476.00	—	—	67%
Thoracentesis with imaging guidance inpatient one side CPT 32555 US THORACENTESIS W IMAG GUID	$487.08	$1,476.00	—	—	67%
Thoracentesis with imaging guidance inpatient one side CPT 32555 SP THORACENTESIS W IMAG GUID RT	$487.08	$1,476.00	—	—	67%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT THORACENTESIS W IMAG GUID	$487.08	$1,476.00	—	—	67%
Thoracentesis with imaging guidance inpatient one side CPT 32555 SP THORACENTESIS W IMAG GUID LT	$487.08	$1,476.00	—	—	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MA US BX BREAST 1ST SITE LT	$942.48	$2,856.00	—	7% below	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MA US BX BREAST 1ST SITE RT	$942.48	$2,856.00	—	7% below	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 MA US BX BREAST 1ST SITE LT	$942.48	$2,856.00	—	—	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 MA US BX BREAST 1ST SITE RT	$942.48	$2,856.00	—	—	67%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBCUT UP TO 20 SQ CM	$437.58	$1,326.00	$216.00–$2,416.00	2% above	67%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBCUT UP TO 20 SQ CM	$437.58	$1,326.00	$216.00–$2,416.00	—	67%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR COMP	$118.47	$359.00	$161.55–$1,802.00	70% below	67%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR COMP	$118.47	$359.00	$161.55–$1,802.00	—	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TX	$110.88	$336.00	$19.72–$302.40	13% above	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT	$110.88	$336.00	$19.72–$302.40	13% above	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TX	$110.88	$336.00	$19.72–$302.40	—	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT	$110.88	$336.00	$19.72–$302.40	—	67%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION UP TO 1 HOUR	$166.98	$506.00	$139.73–$748.00	36% below	67%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION UP TO 1 HOUR	$166.98	$506.00	$139.73–$748.00	—	67%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE EM 1ST 30 TO 74 MIN	$435.60	$1,320.00	$367.50–$4,108.00	64% below	67%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE EM 1ST 30 TO 74 MIN	$435.60	$1,320.00	$367.50–$4,108.00	—	67%
EEG (brain wave test), awake and drowsy, routine CPT 95816 NP EEG AWAKE DROWSY	$198.33	$601.00	$116.16–$540.90	33% below	67%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 NP EEG AWAKE DROWSY	$198.33	$601.00	$116.16–$540.90	—	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CA EKG 12 LEADS TRACING ONLY	$51.81	$157.00	$9.19–$244.00	52% below	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CA EKG 12 LEADS TRACING ONLY	$51.81	$157.00	$9.19–$244.00	—	67%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT PROB FOCUSED	$107.25	$325.00	$76.50–$950.00	27% below	67%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT PROB FOCUSED W PROC	$107.25	$325.00	$76.50–$950.00	27% below	67%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT PROB FOCUSED	$107.25	$325.00	$76.50–$950.00	—	67%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT PROB FOCUSED W PROC	$107.25	$325.00	$76.50–$950.00	—	67%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT EXPANDED PROB FOCUSED	$193.38	$586.00	$139.31–$1,449.00	16% below	67%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT EXP PROB FOCUSED W PROC	$193.38	$586.00	$139.31–$1,449.00	16% below	67%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT EXPANDED PROB FOCUSED	$193.38	$586.00	$139.31–$1,449.00	—	67%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT EXP PROB FOCUSED W PROC	$193.38	$586.00	$139.31–$1,449.00	—	67%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT EXPANDED MOD COMPLEX	$247.50	$750.00	$227.00–$2,130.00	44% below	67%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT EXP MOD COMPLEX W PROC	$247.50	$750.00	$227.00–$2,130.00	44% below	67%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT EXP MOD COMPLEX W PROC	$247.50	$750.00	$227.00–$2,130.00	—	67%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT EXPANDED MOD COMPLEX	$247.50	$750.00	$227.00–$2,130.00	—	67%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT DETAILED MOD COMPLEX	$330.00	$1,000.00	$378.57–$3,012.00	54% below	67%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT DETAIL MOD COMPLEX W PRO	$330.00	$1,000.00	$378.57–$3,012.00	54% below	67%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT DETAIL MOD COMPLEX W PRO	$330.00	$1,000.00	$378.57–$3,012.00	—	67%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT DETAILED MOD COMPLEX	$330.00	$1,000.00	$378.57–$3,012.00	—	67%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT COMP HIGH COMPLEX	$377.52	$1,144.00	$514.80–$3,337.00	62% below	67%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT COMP HIGH COMPLEX W PROC	$377.52	$1,144.00	$514.80–$3,337.00	62% below	67%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT COMP HIGH COMPLEX	$377.52	$1,144.00	$514.80–$3,337.00	—	67%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT COMP HIGH COMPLEX W PROC	$377.52	$1,144.00	$514.80–$3,337.00	—	67%
Exercise stress test, tracing only, the hospital charge CPT 93017 CA STRESS TEST TRACING ONLY	$160.71	$487.00	$37.25–$904.00	62% below	67%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CA STRESS TEST TRACING ONLY	$160.71	$487.00	$37.25–$904.00	—	67%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION UP TO 1HR	$107.58	$326.00	$89.89–$308.00	28% below	67%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION UP TO 1HR	$107.58	$326.00	$89.89–$308.00	—	67%
IV infusion of a medicine, first hour CPT 96365 IV INF THERAPEUTIC UP TO 1 HR	$107.58	$326.00	$89.89–$308.00	30% below	67%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THERAPEUTIC UP TO 1 HR	$107.58	$326.00	$89.89–$308.00	—	67%
IV push of a medicine, first drug CPT 96374 IV INJECTION THERAPEUTIC INITIAL	$107.58	$326.00	$89.89–$308.00	4% below	67%
IV push of a medicine, first drug inpatient CPT 96374 IV INJECTION THERAPEUTIC INITIAL	$107.58	$326.00	$89.89–$308.00	—	67%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT SUBQ OR IM	$36.30	$110.00	$26.59–$308.00	35% below	67%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECT SUBQ OR IM	$36.30	$110.00	$26.59–$308.00	—	67%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NP EMG NERVE COND STUDY 7-8	$300.96	$912.00	$94.91–$820.80	17% below	67%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NP EMG NERVE COND STUDY 7-8	$300.96	$912.00	$94.91–$820.80	—	67%
New patient office visit, about 30 minutes CPT 99203 E & M NEW PT (INTERMEDIATE)	$64.02	$194.00	$40.74–$174.60	21% below	67%
New patient office visit, about 30 minutes inpatient CPT 99203 E & M NEW PT (INTERMEDIATE)	$64.02	$194.00	$40.74–$174.60	—	67%
New patient office visit, about 45 minutes CPT 99204 E & M NEW PT (EXTENDED)	$93.06	$282.00	$59.22–$253.80	at median	67%
New patient office visit, about 45 minutes inpatient CPT 99204 E & M NEW PT (EXTENDED)	$93.06	$282.00	$59.22–$253.80	—	67%
New patient office visit, about 60 minutes CPT 99205 VISIT COMPREHENSIVE	$113.85	$345.00	$72.45–$310.50	11% below	67%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT COMPREHENSIVE	$113.85	$345.00	$72.45–$310.50	—	67%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT NEW EXP PROB FOCUSED	$54.45	$165.00	$34.65–$148.50	20% below	67%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT NEW EXP PROB FOCUSED	$54.45	$165.00	$34.65–$148.50	—	67%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT EST PT HIGH COMPLEX	$50.82	$154.00	$32.34–$138.60	43% below	67%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT EST PT COMP COMPLEX	$91.08	$276.00	$57.96–$248.40	2% above	67%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OP VISIT EST PT HIGH COMPLEX	$50.82	$154.00	$32.34–$138.60	—	67%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT EST PT COMP COMPLEX	$91.08	$276.00	$57.96–$248.40	—	67%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT EST PT LOW COMPLEX	$35.64	$108.00	$22.68–$97.20	42% below	67%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT EST EXPANDED	$54.45	$165.00	$34.65–$148.50	12% below	67%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP VISIT EST PT LOW COMPLEX	$35.64	$108.00	$22.68–$97.20	—	67%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT EST EXPANDED	$54.45	$165.00	$34.65–$148.50	—	67%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT EST PT MOD COMPLEX	$40.26	$122.00	$25.62–$109.80	46% below	67%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT EST DETAILED	$68.31	$207.00	$43.47–$186.30	8% below	67%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP VISIT EST PT MOD COMPLEX	$40.26	$122.00	$25.62–$109.80	—	67%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT EST DETAILED	$68.31	$207.00	$43.47–$186.30	—	67%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT EST PT PROB FOCUSED	$30.36	$92.00	$19.32–$82.80	46% below	67%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT EST PT PROB FOCUSED	$45.87	$139.00	$29.19–$125.10	19% below	67%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP VISIT EST PT PROB FOCUSED	$30.36	$92.00	$19.32–$82.80	—	67%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT EST PT PROB FOCUSED	$45.87	$139.00	$29.19–$125.10	—	67%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$109.23	$331.00	$29.45–$385.00	24% below	67%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$109.23	$331.00	$29.45–$385.00	—	67%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL- PRE/POST DILAT	$188.76	$572.00	$50.88–$514.80	45% below	67%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL- PRE/POST DILAT	$188.76	$572.00	$50.88–$514.80	—	67%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$66.00	$200.00	$27.28–$2,811.90	29% below	67%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$76.89	$233.00	$27.28–$2,811.90	18% below	67%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$76.89	$233.00	$27.28–$2,811.90	—	67%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD 2025-2026 TRIV 0.5ML INJ	$96.84	$293.45	$18.69–$264.10	12% above	67%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD 2025-2026 TRIV 0.5ML INJ	$96.84	$293.45	$18.69–$264.10	—	67%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY 30MCG/0.3ML PF INJ SRY	$166.10	$503.33	$65.55–$452.99	at median	67%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COMIRNATY 30MCG/0.3ML PF INJ SRY	$166.10	$503.33	$65.55–$452.99	—	67%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS .5ML INJ	$215.92	$654.30	$137.40–$588.87	20% above	67%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS .5ML INJ	$215.92	$654.30	$137.40–$588.87	—	67%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 QUADRACEL (DTAP-IPV)0.5ML INJ	$94.05	$285.00	$59.85–$256.50	10% above	67%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 QUADRACEL (DTAP-IPV)0.5ML INJ	$94.05	$285.00	$59.85–$256.50	—	67%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 VAXELIS VACC INJ 0.5 ML	$164.02	$497.02	$104.37–$447.31	2% above	67%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 VAXELIS VACC INJ 0.5 ML	$164.02	$497.02	$104.37–$447.31	—	67%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLULAVAL 2025-26 0.5 ML INJ	$39.03	$118.28	$8.86–$106.45	15% above	67%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX 2025-2026 0.5ML INJ	$39.03	$118.28	$8.86–$106.45	15% above	67%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA 2025-2026 0.5ML INJ	$42.75	$129.54	$8.86–$116.58	26% above	67%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLULAVAL 2025-26 0.5 ML INJ	$39.03	$118.28	$8.86–$106.45	—	67%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX 2025-2026 0.5ML INJ	$39.03	$118.28	$8.86–$106.45	—	67%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AFLURIA 2025-2026 0.5ML INJ	$42.75	$129.54	$8.86–$116.58	—	67%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACC RECOMB 20MCG/ML 1ML	$138.46	$419.57	$30.74–$377.61	13% above	67%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACC RECOMB 20MCG/ML 1ML	$138.46	$419.57	$30.74–$377.61	—	67%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEP B ADULT VACC 20MCG/0.5ML	$175.16	$530.80	$48.84–$477.72	2% above	67%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEP B ADULT VACC 20MCG/0.5ML	$175.16	$530.80	$48.84–$477.72	—	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOM 10MCG/0.5ML	$55.83	$169.17	$12.70–$152.25	at median	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VIR VACC RECOMB 5MCG/.5ML	$55.85	$169.25	$12.70–$152.32	at median	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOM 10MCG/0.5ML	$55.83	$169.17	$12.70–$152.25	—	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VIR VACC RECOMB 5MCG/.5ML	$55.85	$169.25	$12.70–$152.32	—	67%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 PEDVAX 0.5ML VACC (PRP-OMP)	$58.37	$176.87	$37.14–$159.18	at median	67%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 PEDVAX 0.5ML VACC (PRP-OMP)	$58.37	$176.87	$37.14–$159.18	—	67%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS INFLENZ B TET CONG	$25.23	$76.46	$16.05–$68.81	14% below	67%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS INFLENZ B TET CONG	$25.23	$76.46	$16.05–$68.81	—	67%
MMR vaccine (measles, mumps and rubella), live CPT 90707 PRIORIX VACCINE 0.5ML INJ	$106.65	$323.17	$67.86–$290.85	8% below	67%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS&RUBELLA VACCINE INJ	$109.78	$332.67	$69.86–$299.40	5% below	67%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PRIORIX VACCINE 0.5ML INJ	$106.65	$323.17	$67.86–$290.85	—	67%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS&RUBELLA VACCINE INJ	$109.78	$332.67	$69.86–$299.40	—	67%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 PROQUAD MMRV INJ	$312.27	$946.27	$80.00–$851.64	66% above	67%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 PROQUAD MMRV INJ	$312.27	$946.27	$80.00–$851.64	—	67%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL INJ (MENACTRA)	$159.22	$482.49	$101.32–$434.24	23% below	67%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VACC 0.5ML INJ	$187.39	$567.85	$119.24–$511.06	9% below	67%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VACCINE 0.5ML (1 VIAL)	$187.53	$568.27	$119.33–$511.44	9% below	67%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL INJ (MENACTRA)	$159.22	$482.49	$101.32–$434.24	—	67%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO VACC 0.5ML INJ	$187.39	$567.85	$119.24–$511.06	—	67%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO VACCINE 0.5ML (1 VIAL)	$187.53	$568.27	$119.33–$511.44	—	67%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENQUADFI MENINGOCOC VACC 0.5ML	$193.26	$585.65	$84.79–$527.08	42% below	67%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENQUADFI MENINGOCOC VACC 0.5ML	$193.26	$585.65	$84.79–$527.08	—	67%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GP B VAC 0.5ML	$266.68	$808.13	$169.70–$727.31	6% above	67%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GP B VAC 0.5ML	$266.68	$808.13	$169.70–$727.31	—	67%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 13 PFS 0.5ML VACCINE	$254.51	$771.25	$90.53–$694.12	at median	67%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR 13 PFS 0.5ML VACCINE	$254.51	$771.25	$90.53–$694.12	—	67%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 VAXNEUVANCE VACCINE SOLN 0.5ML	$257.63	$780.69	$123.10–$702.62	at median	67%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 VAXNEUVANCE VACCINE SOLN 0.5ML	$257.63	$780.69	$123.10–$702.62	—	67%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 0.5 ML VACCINE	$308.69	$935.41	$132.37–$841.86	at median	67%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 0.5 ML VACCINE	$308.69	$935.41	$132.37–$841.86	—	67%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 CAPVAXIVE 0.5ML IM VACCINE	$322.77	$978.10	$163.95–$880.29	at median	67%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 CAPVAXIVE 0.5ML IM VACCINE	$322.77	$978.10	$163.95–$880.29	—	67%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL POLYVALENT VACCINE	$131.67	$399.01	$44.98–$359.10	16% below	67%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL POLYVALENT VACCINE	$131.67	$399.01	$44.98–$359.10	—	67%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS CVX307 100MG/1ML INJ	$556.70	$1,686.96	$354.26–$1,518.26	1% above	67%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 BEYFORTUS CVX307 100MG/1ML INJ	$556.70	$1,686.96	$354.26–$1,518.26	—	67%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS CVX306 50MG/0.5ML INJ	$625.45	$1,895.29	$398.01–$1,705.76	at median	67%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS CVX306 50MG/0.5ML INJ	$625.45	$1,895.29	$398.01–$1,705.76	—	67%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO RSV VACC 0.5ML INJ	$331.77	$1,005.36	$211.12–$904.82	10% above	67%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ABRYSVO RSV VACC 0.5ML INJ	$331.77	$1,005.36	$211.12–$904.82	—	67%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE KIT	$465.50	$1,410.60	$131.49–$1,269.54	15% below	67%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE HUMAN DIPLOID 1ML	$507.39	$1,537.55	$131.49–$1,383.79	7% below	67%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE KIT	$465.50	$1,410.60	$131.49–$1,269.54	—	67%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE HUMAN DIPLOID 1ML	$507.39	$1,537.55	$131.49–$1,383.79	—	67%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX ZOSTER VACC 0.5ML	$121.19	$367.23	$77.11–$330.50	at median	67%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX 50MCG/0.5ML VACC	$272.91	$827.01	$173.67–$744.30	125% above	67%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX ZOSTER VACC 0.5ML	$121.19	$367.23	$77.11–$330.50	—	67%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX 50MCG/0.5ML VACC	$272.91	$827.01	$173.67–$744.30	—	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPTH TOX 2-2LF/0.5ML	$53.64	$162.54	$34.13–$146.28	8% below	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHER TOXOID .5ML INJ	$94.05	$285.00	$58.10–$256.50	62% above	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPTH TOX 2-2LF/0.5ML	$53.64	$162.54	$34.13–$146.28	—	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHER TOXOID .5ML INJ	$94.05	$285.00	$58.10–$256.50	—	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH,PERT,TET (BOOSTRIX) 0.5ML	$94.05	$285.00	$59.85–$256.50	2% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSS,TET VACCINE 0.5ML	$94.05	$285.00	$59.85–$256.50	2% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL (ADOL/ADULT) 0.5ML SYR	$94.05	$285.00	$59.85–$256.50	2% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSS,TET VACCINE 0.5ML	$94.05	$285.00	$59.85–$256.50	—	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL (ADOL/ADULT) 0.5ML SYR	$94.05	$285.00	$59.85–$256.50	—	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH,PERT,TET (BOOSTRIX) 0.5ML	$94.05	$285.00	$59.85–$256.50	—	67%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE	$36.30	$110.00	$18.88–$99.00	at median	67%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE	$36.30	$110.00	$18.88–$99.00	—	67%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN EACH ADD VACCINE	$33.99	$103.00	$14.51–$92.70	at median	67%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN EACH ADD VACCINE	$33.99	$103.00	$14.51–$92.70	—	67%

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

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

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

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

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

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

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

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

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

Source file: https://mrfs.hyvehealthcare.com/CovenantHealth/620636239_methodist-medical-center-of-oak-ridge_standardcharges.json