Hospital Meridian, MS

Ochsner Watkins Hospital

Listed in its price file as “Rush Medical Foundation”.

Ochsner Watkins Hospital in Quitman, MS publishes cash prices for 345 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Mississippi median for 223 of 340 procedures and below it for 110. By typical cash price it ranks #41 of 55 Mississippi hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

605 South Archusa Avenue, Quitman, MS 39355 Collected Sep 23, 2026 Source price file (601) 776-6925

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 251316 · CMS hospital register NPI 1912079625

Scans and imaging

ProcedureCash price List priceInsurers payvs MississippiOff list
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS $175.54 $262.00 $56.71–$214.84 42% above 33%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS $175.54 $262.00 — — 33%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRANCHIAL INDEX $371.85 $555.00 $94.64–$455.10 41% above 33%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRANCHIAL INDEX $371.85 $555.00 — — 33%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST $422.77 $631.00 $136.13–$826.10 89% above 33%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST $422.77 $631.00 — — 33%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILAT $167.50 $250.00 $81.46–$351.42 6% below 33%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILAT $167.50 $250.00 — — 33%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LIMITED $150.75 $225.00 $67.32–$186.61 5% below 33%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT LIMITED $150.75 $225.00 — — 33%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/ NON CORONARY $1,246.20 $1,860.00 $136.13–$1,525.20 10% above 33%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/ NON CORONARY $1,246.20 $1,860.00 — — 33%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD / PELVIS WO CONTRAST $1,031.80 $1,540.00 $181.55–$1,262.80 21% below 33%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD / PELVIS WO CONTRAST $1,031.80 $1,540.00 — — 33%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS WITH CONTRAST $1,577.85 $2,355.00 $284.93–$1,931.10 2% below 33%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS WITH CONTRAST $1,577.85 $2,355.00 — — 33%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST $1,780.19 $2,657.00 $284.93–$2,178.74 2% above 33%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST $1,780.19 $2,657.00 — — 33%
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST $1,246.20 $1,860.00 $136.13–$1,525.20 23% above 33%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST $1,246.20 $1,860.00 — — 33%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST $765.14 $1,142.00 $81.46–$936.44 7% below 33%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST $765.14 $1,142.00 — — 33%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST $1,105.50 $1,650.00 $81.46–$1,353.00 68% above 33%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST $1,105.50 $1,650.00 — — 33%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST $931.30 $1,390.00 $81.46–$1,139.80 21% above 33%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST $931.30 $1,390.00 — — 33%
CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONTRAST $1,246.20 $1,860.00 $136.13–$1,525.20 33% above 33%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONTRAST $1,246.20 $1,860.00 — — 33%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST $1,527.60 $2,280.00 $136.13–$1,869.60 45% above 33%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST $1,527.60 $2,280.00 — — 33%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST $958.10 $1,430.00 $81.46–$1,172.60 8% above 33%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST $958.10 $1,430.00 — — 33%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST $958.10 $1,430.00 $81.46–$1,172.60 9% above 33%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST $958.10 $1,430.00 — — 33%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST $1,300.47 $1,941.00 $136.13–$1,591.62 33% above 33%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST $1,300.47 $1,941.00 — — 33%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT $602.33 $899.00 $181.55–$737.18 — 33%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT $602.33 $899.00 — — 33%
Chest X-ray, 2 views CPT 71046 HC XRAY, CHEST, 2 VIEWS $167.50 $250.00 $53.69–$205.00 19% above 33%
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY, CHEST, 2 VIEWS $167.50 $250.00 — — 33%
Chest X-ray, single view CPT 71045 HC XRAY, CHEST, 1 VIEW $167.50 $250.00 $42.23–$205.00 58% above 33%
Chest X-ray, single view inpatient CPT 71045 HC XRAY, CHEST, 1 VIEW $167.50 $250.00 — — 33%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE $351.08 $524.00 $81.46–$429.68 at median 33%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE $351.08 $524.00 — — 33%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 PR US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION $182.91 $273.00 $127.81–$704.19 57% below 33%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST $765.14 $1,142.00 $81.46–$936.44 7% below 33%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST $765.14 $1,142.00 — — 33%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST $1,482.04 $2,212.00 $136.13–$1,813.84 46% above 33%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST $1,482.04 $2,212.00 — — 33%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT $257.28 $384.00 $84.31–$314.88 — 33%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT $257.28 $384.00 — — 33%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT $231.82 $346.00 $65.76–$283.72 81% above 33%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT $231.82 $346.00 — — 33%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT $572.85 $855.00 $181.55–$704.19 — 33%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT $572.85 $855.00 — — 33%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT $548.06 $818.00 $181.55–$704.19 — 33%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT $548.06 $818.00 — — 33%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER $970.83 $1,449.00 $295.00–$1,401.77 1% above 33%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER $970.83 $1,449.00 — — 33%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 PR SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT $1,474.00 $2,200.00 $218.60–$2,739.00 403% above 33%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT $1,474.00 $2,200.00 $218.60–$2,739.00 403% above 33%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT $1,474.00 $2,200.00 — — 33%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PR POLYSOMNOGRAPHY W/CPAP $2,613.00 $3,900.00 $774.65–$3,198.00 77% above 33%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STAGING +4 W/CPAP $2,613.00 $3,900.00 $774.65–$3,198.00 77% above 33%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STAGING +4 W/CPAP $2,613.00 $3,900.00 — — 33%
Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS $175.54 $262.00 $63.35–$214.84 32% above 33%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS $175.54 $262.00 — — 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED $351.08 $524.00 $81.46–$429.68 29% above 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED $351.08 $524.00 — — 33%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 PR CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST $221.77 $331.00 $100.06–$281.35 21% above 33%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXT JT W/O CONTR $1,076.02 $1,606.00 $181.55–$1,316.92 2% below 33%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXT JT W/O CONTR $1,076.02 $1,606.00 — — 33%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JT W/WO CONT $1,597.28 $2,384.00 $284.93–$1,954.88 1% below 33%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXT JT W/WO CONT $1,597.28 $2,384.00 — — 33%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST $1,672.99 $2,497.00 $181.55–$2,047.54 23% above 33%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST $1,672.99 $2,497.00 — — 33%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST $2,308.82 $3,446.00 $284.93–$2,825.72 20% above 33%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST $2,308.82 $3,446.00 — — 33%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST $1,583.21 $2,363.00 $181.55–$1,937.66 16% above 33%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST $1,583.21 $2,363.00 — — 33%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST $2,186.88 $3,264.00 $284.93–$2,676.48 5% above 33%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST $2,186.88 $3,264.00 — — 33%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST $1,407.67 $2,101.00 $181.55–$1,722.82 6% above 33%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST $1,407.67 $2,101.00 — — 33%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA $1,943.67 $2,901.00 $284.93–$2,378.82 at median 33%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA $1,943.67 $2,901.00 — — 33%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS $1,482.04 $2,212.00 $181.55–$1,813.84 10% above 33%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS $1,482.04 $2,212.00 — — 33%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR $1,874.66 $2,798.00 $284.93–$2,294.36 1% above 33%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR $1,874.66 $2,798.00 — — 33%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS $1,359.43 $2,029.00 $181.55–$1,663.78 1% above 33%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS $1,359.43 $2,029.00 — — 33%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & W/O CONTRAST $1,943.67 $2,901.00 $284.93–$2,378.82 11% above 33%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & W/O CONTRAST $1,943.67 $2,901.00 — — 33%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST $1,407.67 $2,101.00 $181.55–$1,722.82 27% above 33%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST $1,407.67 $2,101.00 — — 33%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAS $1,154.41 $1,723.00 $181.55–$1,412.86 3% above 33%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAS $1,154.41 $1,723.00 — — 33%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED NON-OB $174.20 $260.00 $81.46–$351.42 18% below 33%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED NON-OB $174.20 $260.00 — — 33%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB $375.20 $560.00 $81.46–$459.20 18% above 33%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB $375.20 $560.00 — — 33%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION $351.08 $524.00 $81.46–$429.68 1% above 33%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION $351.08 $524.00 — — 33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION $351.08 $524.00 $81.46–$429.68 16% above 33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION $351.08 $524.00 — — 33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 OR MORE GESTA $252.59 $377.00 $81.46–$351.42 20% above 33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 OR MORE GESTA $252.59 $377.00 — — 33%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT $237.85 $355.00 $69.53–$291.10 — 33%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT $237.85 $355.00 — — 33%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER ROUTINE $175.54 $262.00 $51.28–$214.84 30% above 33%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER ROUTINE $175.54 $262.00 — — 33%
Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOMNOGRAPHY, 4 OR MORE $2,345.00 $3,500.00 $774.65–$2,870.00 85% above 33%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE $2,345.00 $3,500.00 $774.65–$2,870.00 85% above 33%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE $2,345.00 $3,500.00 — — 33%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PR ECHO HEART XTHORACIC, STRESS/REST, W CONTIN ECG $301.50 $450.00 $135.64–$507.81 42% below 33%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST $325.62 $486.00 $136.13–$826.10 36% above 33%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST $325.62 $486.00 — — 33%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB $297.48 $444.00 $81.46–$364.08 1% below 33%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB $297.48 $444.00 — — 33%
Transvaginal ultrasound during pregnancy CPT 76817 HC US, OB, TRANSVAG APPROACH $297.48 $444.00 $81.46–$364.08 9% above 33%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, OB, TRANSVAG APPROACH $297.48 $444.00 — — 33%
Ultrasound of the abdomen, complete CPT 76700 HC US, ABD, B-SCAN, COMPLETE $422.77 $631.00 $81.46–$517.42 8% above 33%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABD, B-SCAN, COMPLETE $422.77 $631.00 — — 33%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS $297.48 $444.00 $81.46–$364.08 9% above 33%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS $297.48 $444.00 — — 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS OF HEAD NECK THYR $246.56 $368.00 $81.46–$351.42 9% below 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISS OF HEAD NECK THYR $246.56 $368.00 — — 33%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST $447.56 $668.00 $136.13–$826.10 57% above 33%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST $447.56 $668.00 — — 33%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD $365.15 $545.00 $81.46–$446.90 10% above 33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD $365.15 $545.00 — — 33%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE $158.79 $237.00 $62.14–$194.34 30% above 33%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE $158.79 $237.00 — — 33%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS $169.51 $253.00 $67.32–$207.46 42% above 33%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS $169.51 $253.00 — — 33%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY, ABDOMEN, 1 VIEW $160.80 $240.00 $48.26–$196.80 24% above 33%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY, ABDOMEN, 1 VIEW $160.80 $240.00 — — 33%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS $114.57 $171.00 $52.49–$186.61 2% above 33%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS $114.57 $171.00 — — 33%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS $114.57 $171.00 $57.31–$186.61 6% above 33%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS $114.57 $171.00 — — 33%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW $114.57 $171.00 $45.85–$186.61 6% above 33%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW $114.57 $171.00 — — 33%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS $158.79 $237.00 $53.09–$194.34 31% above 33%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS $158.79 $237.00 — — 33%
X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE $160.80 $240.00 $56.71–$196.80 31% above 33%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE $160.80 $240.00 — — 33%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS $129.31 $193.00 $54.90–$186.61 7% above 33%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS $129.31 $193.00 — — 33%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3V $175.54 $262.00 $62.14–$351.42 24% above 33%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3V $175.54 $262.00 — — 33%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP 5 VIEW $296.14 $442.00 $81.46–$362.44 43% above 33%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP 5 VIEW $296.14 $442.00 — — 33%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP&LAT $176.88 $264.00 $57.91–$351.42 38% above 33%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP&LAT $176.88 $264.00 — — 33%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS $175.54 $262.00 $58.52–$214.84 28% above 33%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS $175.54 $262.00 — — 33%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL, AP&LAT $180.90 $270.00 $62.14–$221.40 33% above 33%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL, AP&LAT $180.90 $270.00 — — 33%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS $165.49 $247.00 $56.11–$351.42 21% above 33%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS $165.49 $247.00 — — 33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS $175.54 $262.00 $51.88–$214.84 31% above 33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS $175.54 $262.00 — — 33%

Lab tests

ProcedureCash price List priceInsurers payvs MississippiOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT $9.38 $14.00 $4.77–$11.48 64% below 33%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 PR TRANSFERASE ALANINE AMI2 (ALT) (SGPT) $17.42 $26.00 $2.23–$18.20 34% below 33%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT $9.38 $14.00 — — 33%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT $22.11 $33.00 $4.66–$27.06 16% below 33%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT $22.11 $33.00 — — 33%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL, ACUTE $137.35 $205.00 $42.87–$168.10 4% below 33%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL, ACUTE $137.35 $205.00 — — 33%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH - RL $13.40 $20.00 $4.70–$16.40 6% above 33%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH $22.11 $33.00 $4.70–$27.06 75% above 33%
Allergy blood test, specific IgE, per allergen CPT 86003 *HC ALLERGEN, ALMOND $33.50 $50.00 $4.70–$41.00 166% above 33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH - RL $13.40 $20.00 — — 33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH $22.11 $33.00 — — 33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 *HC ALLERGEN, ALMOND $33.50 $50.00 — — 33%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODIES $113.90 $170.00 $11.66–$139.40 149% above 33%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODIES $113.90 $170.00 — — 33%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB(ANA) $86.43 $129.00 $10.88–$105.78 44% above 33%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB(ANA) $86.43 $129.00 — — 33%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE ASSAY $103.85 $155.00 $35.33–$127.10 7% below 33%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE ASSAY $103.85 $155.00 — — 33%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS) $18.09 $27.00 $7.61–$22.14 67% below 33%
Basic metabolic panel (blood test) CPT 80048 PR BASIC METABOLIC PANEL CALCIUM TOTAL $30.82 $46.00 $3.55–$32.20 43% below 33%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS) $18.09 $27.00 — — 33%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE, G & M, LEVEL IV $87.10 $130.00 $32.16–$112.55 10% above 33%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC RENAL BIOPSY $97.15 $145.00 $32.16–$118.90 23% above 33%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $138.69 $207.00 $38.89–$144.90 75% above 33%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE, G & M, LEVEL IV $87.10 $130.00 — — 33%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC RENAL BIOPSY $97.15 $145.00 — — 33%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE $121.27 $181.00 $9.29–$148.42 32% above 33%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE $121.27 $181.00 — — 33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE/BL COLL $13.40 $20.00 $2.70–$16.40 48% above 33%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE/BL COLL $13.40 $20.00 — — 33%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE, BLOOD (EXCL REAGNT STRIP) $55.61 $83.00 $3.54–$68.06 105% above 33%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE $63.65 $95.00 $3.54–$77.90 134% above 33%
Blood glucose (sugar) test CPT 82947 *HC POC GLUCOSE, BLOOD (EXCL REAGNT STRIP) $63.65 $95.00 $3.54–$77.90 134% above 33%
Blood glucose (sugar) test CPT 82947 HC POC GLUCOSE $63.65 $95.00 $3.54–$77.90 134% above 33%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE, BLOOD (EXCL REAGNT STRIP) $55.61 $83.00 — — 33%
Blood glucose (sugar) test inpatient CPT 82947 *HC POC GLUCOSE, BLOOD (EXCL REAGNT STRIP) $63.65 $95.00 — — 33%
Blood glucose (sugar) test inpatient CPT 82947 HC POC GLUCOSE $63.65 $95.00 — — 33%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE $63.65 $95.00 — — 33%
Blood lead test CPT 83655 HC LEAD, BLOOD $41.37 $61.74 $10.90–$50.63 2% above 33%
Blood lead test CPT 83655 HC LEAD, URINE $41.37 $61.74 $10.90–$50.63 2% above 33%
Blood lead test inpatient CPT 83655 HC LEAD, BLOOD $41.37 $61.74 — — 33%
Blood lead test inpatient CPT 83655 HC LEAD, URINE $41.37 $61.74 — — 33%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR $75.71 $113.00 $6.77–$92.66 61% above 33%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR $75.71 $113.00 — — 33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BB REF ABO TYPE $212.39 $317.00 $3.84–$259.94 293% above 33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC C-BLOOD TYPING, ABO $212.39 $317.00 $3.84–$259.94 293% above 33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BB REF ABO TYPE $212.39 $317.00 — — 33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC C-BLOOD TYPING, ABO $212.39 $317.00 — — 33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN $48.24 $72.00 $4.66–$59.04 61% above 33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN $48.24 $72.00 — — 33%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN BY PCR $50.25 $75.00 $33.54–$62.44 12% below 33%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN BY PCR $50.25 $75.00 — — 33%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 $87.23 $130.20 $18.73–$106.76 26% above 33%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 $87.23 $130.20 — — 33%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 (CANCER ANTIGEN 125) $49.95 $74.55 $18.73–$61.13 37% below 33%
CA-125 blood test (ovarian cancer marker) CPT 86304 PR IMMUNOASSAY, TUMOR ANTIGEN, CA 125 $67.00 $100.00 $18.73–$82.00 16% below 33%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 (CANCER ANTIGEN 125) $49.95 $74.55 — — 33%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE $40.87 $61.00 $28.56–$51.31 7% below 33%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 PR SARS-COV-2 COVID-19 AMPLIFIED PROBE $134.00 $200.00 $46.18–$164.00 204% above 33%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE $40.87 $61.00 — — 33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE $113.23 $169.00 $31.58–$138.58 68% above 33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE $113.23 $169.00 — — 33%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE $23.45 $35.00 $12.05–$28.70 51% below 33%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 PR LIPID PANEL $56.28 $84.00 $5.62–$58.80 17% above 33%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE $23.45 $35.00 — — 33%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF $14.74 $22.00 $6.99–$18.04 58% below 33%
Complete blood count (CBC) with differential CPT 85025 *HC CBC WITH ONLY AUTOMATED DIFF $45.56 $68.00 $6.99–$55.76 29% above 33%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF $14.74 $22.00 — — 33%
Complete blood count (CBC) with differential inpatient CPT 85025 *HC CBC WITH ONLY AUTOMATED DIFF $45.56 $68.00 — — 33%
Complete blood count (CBC), no differential CPT 85027 HC CBC WITHOUT DIFF $63.65 $95.00 $5.82–$77.90 88% above 33%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WITHOUT DIFF $63.65 $95.00 — — 33%
Comprehensive metabolic panel (blood test) CPT 80053 PR METABOLIC PANEL,COMPREHENSIVE $22.11 $33.00 $4.44–$38.00 73% below 33%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14 $22.11 $33.00 $9.50–$27.06 73% below 33%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14 $22.11 $33.00 — — 33%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER, QUANT $47.57 $71.00 $9.16–$58.22 24% below 33%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER, QUANT $47.57 $71.00 — — 33%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S $91.12 $136.00 $20.01–$111.52 6% above 33%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S $91.12 $136.00 — — 33%
Estradiol blood test CPT 82670 *HC ESTRADIOL, SENSITIVE $75.35 $112.46 $25.15–$92.22 10% below 33%
Estradiol blood test CPT 82670 HC ESTRADIOL $86.43 $129.00 $25.15–$105.78 3% above 33%
Estradiol blood test inpatient CPT 82670 *HC ESTRADIOL, SENSITIVE $75.35 $112.46 — — 33%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL $86.43 $129.00 — — 33%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH $79.06 $118.00 $16.72–$96.76 6% above 33%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH $79.06 $118.00 — — 33%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL $169.51 $253.00 $17.67–$207.46 37% above 33%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL $169.51 $253.00 — — 33%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN $119.93 $179.00 $12.27–$146.78 76% above 33%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN $119.93 $179.00 — — 33%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID $20.10 $30.00 $13.23–$26.17 61% below 33%
Folate (folic acid) blood test CPT 82746 PR BLOOD FOLIC ACID SERUM $42.88 $64.00 $6.17–$44.80 17% below 33%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID $20.10 $30.00 — — 33%
Free T3 thyroid hormone test CPT 84481 HC T3,FREE $27.47 $41.00 $15.25–$33.62 48% below 33%
Free T3 thyroid hormone test CPT 84481 PR TRIIODOTHYRONINE FREE ASSAY (FT-3) $117.92 $176.00 $7.11–$123.20 122% above 33%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3,FREE $27.47 $41.00 — — 33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE $56.28 $84.00 $8.12–$68.88 56% above 33%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE $56.28 $84.00 — — 33%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE $41.54 $62.00 $22.92–$50.84 45% below 33%
Free testosterone test CPT 84402 PR ASSAY OF TESTOSTERONE $67.67 $101.00 $10.70–$70.70 10% below 33%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE $41.54 $62.00 — — 33%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 PR GENERAL HEALTH PANEL $71.02 $106.00 $17.00–$230.76 55% below 33%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL $71.02 $106.00 $37.03–$217.22 55% below 33%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL $71.02 $106.00 — — 33%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE $28.14 $42.00 $4.28–$34.44 18% below 33%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE $28.14 $42.00 — — 33%
Glucose tolerance test, 3 samples CPT 82951 *HC GLUCOSE TOLERANCE 6 HRS $47.13 $70.35 $11.58–$57.69 29% below 33%
Glucose tolerance test, 3 samples CPT 82951 *HC GLUCOSE TOLERANCE 4 HRS $47.13 $70.35 $11.58–$57.69 29% below 33%
Glucose tolerance test, 3 samples CPT 82951 *HC GLUCOSE TOLERANCE 5 HRS $47.13 $70.35 $11.58–$57.69 29% below 33%
Glucose tolerance test, 3 samples CPT 82951 *HC GLUCOSE TOLERANCE 8 SPECIMENS $58.29 $87.00 $11.58–$71.34 12% below 33%
Glucose tolerance test, 3 samples CPT 82951 *HC GLUCOSE TOLERANCE 5 SPECIMENS $58.29 $87.00 $11.58–$71.34 12% below 33%
Glucose tolerance test, 3 samples CPT 82951 *HC GLUCOSE TOLERANCE 4 SPECIMENS $58.29 $87.00 $11.58–$71.34 12% below 33%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS $58.29 $87.00 $11.58–$71.34 12% below 33%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 2 HRS $58.29 $87.00 $11.58–$71.34 12% below 33%
Glucose tolerance test, 3 samples CPT 82951 *HC GLUCOSE TOLERANCE 6 SPECIMENS $58.29 $87.00 $11.58–$71.34 12% below 33%
Glucose tolerance test, 3 samples CPT 82951 *HC GLUCOSE TOLERANCE 7 SPECIMENS $58.29 $87.00 $11.58–$71.34 12% below 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 *HC GLUCOSE TOLERANCE 6 HRS $47.13 $70.35 — — 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 *HC GLUCOSE TOLERANCE 4 HRS $47.13 $70.35 — — 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 *HC GLUCOSE TOLERANCE 5 HRS $47.13 $70.35 — — 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 *HC GLUCOSE TOLERANCE 6 SPECIMENS $58.29 $87.00 — — 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 *HC GLUCOSE TOLERANCE 4 SPECIMENS $58.29 $87.00 — — 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS $58.29 $87.00 — — 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 2 HRS $58.29 $87.00 — — 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 *HC GLUCOSE TOLERANCE 8 SPECIMENS $58.29 $87.00 — — 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 *HC GLUCOSE TOLERANCE 7 SPECIMENS $58.29 $87.00 — — 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 *HC GLUCOSE TOLERANCE 5 SPECIMENS $58.29 $87.00 — — 33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC BY AMPLIFIED PROBE $113.23 $169.00 $31.58–$138.58 105% above 33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC BY AMPLIFIED PROBE $113.23 $169.00 — — 33%
H. pylori antibody blood test CPT 86677 PR HELICOBACTER PYLORI $67.00 $100.00 $15.17–$82.00 27% above 33%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG STOOL $19.43 $29.00 $12.94–$25.59 72% below 33%
H. pylori stool antigen test CPT 87338 PR HPYLORI,EIA,STOOL,MULT STEP $26.80 $40.00 $12.94–$32.80 62% below 33%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG STOOL $19.43 $29.00 — — 33%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR $402.67 $601.00 $76.59–$492.82 98% above 33%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR $402.67 $601.00 — — 33%
HIV-1 and HIV-2 antibody test CPT 86703 CHG HIV-1/HIV-2, SINGLE ASSAY $42.21 $63.00 $12.34–$51.66 2% below 33%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1 & HIV2, SGL ASSAY $77.05 $115.00 $12.34–$94.30 78% above 33%
HIV-1 and HIV-2 antibody test CPT 86703 HC RAPID HIV-1/2 AB $77.05 $115.00 $12.34–$94.30 78% above 33%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC RAPID HIV-1/2 AB $77.05 $115.00 — — 33%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1 & HIV2, SGL ASSAY $77.05 $115.00 — — 33%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB $32.83 $49.00 $21.67–$42.84 18% below 33%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB $32.83 $49.00 — — 33%
HPV test for high-risk types, one combined (pooled) result CPT 87624 *HC HPV DNA HIGH RISK $100.50 $150.00 $31.58–$123.00 120% above 33%
HPV test for high-risk types, one combined (pooled) result CPT 87624 PR HPV HIGH-RISK TYPES, POOLED RESULT $103.85 $155.00 $14.74–$131.75 128% above 33%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 *HC HPV DNA HIGH RISK $100.50 $150.00 — — 33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HB $18.09 $27.00 $8.74–$22.14 54% below 33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 PR GLYCOSYLATED HEMOGLOBIN TEST $73.13 $109.15 $8.74–$89.50 88% above 33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HB $18.09 $27.00 — — 33%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HBSAB $14.74 $22.00 $9.67–$19.73 65% below 33%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HBSAB $14.74 $22.00 — — 33%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG $91.12 $136.00 $9.30–$111.52 103% above 33%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG $91.12 $136.00 — — 33%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV-AB $19.43 $29.00 $12.84–$25.38 66% below 33%
Hepatitis C antibody blood test (screening) CPT 86803 PR HEPATITIS C AB TEST $60.30 $90.00 $12.84–$73.80 6% above 33%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV-AB $19.43 $29.00 — — 33%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY PCR $300.64 $448.72 $38.56–$367.95 90% above 33%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY PCR $300.64 $448.72 — — 33%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 $85.09 $127.00 $11.87–$104.14 158% above 33%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 $85.09 $127.00 — — 33%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 $85.09 $127.00 $17.42–$104.14 103% above 33%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 $85.09 $127.00 — — 33%
High-sensitivity CRP (hs-CRP) test CPT 86141 PR C-REACTIVE PROTEIN,HIGH SENSITIVITY $28.81 $43.00 $5.44–$30.10 12% below 33%
Homocysteine blood test CPT 83090 HC HOMOCYSTINES, PLASMA $228.47 $341.00 $16.13–$279.62 165% above 33%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINES, PLASMA $228.47 $341.00 — — 33%
Insulin blood test CPT 83525 HC INSULIN AND C-PEPTIDE $113.23 $169.00 $10.29–$138.58 140% above 33%
Insulin blood test inpatient CPT 83525 HC INSULIN AND C-PEPTIDE $113.23 $169.00 — — 33%
Iron blood test (serum iron) CPT 83540 HC IRON, LIVER TISSUE $59.63 $89.00 $5.82–$72.98 80% above 33%
Iron blood test (serum iron) CPT 83540 HC IRON $59.63 $89.00 $5.82–$72.98 80% above 33%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON $59.63 $89.00 — — 33%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, LIVER TISSUE $59.63 $89.00 — — 33%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY $59.09 $88.20 $7.87–$72.32 62% above 33%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY $59.09 $88.20 — — 33%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL $179.56 $268.00 $7.81–$219.76 135% above 33%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL $179.56 $268.00 — — 33%
LH (luteinizing hormone) test CPT 83002 HC LH $86.43 $129.00 $16.67–$105.78 4% above 33%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH $86.43 $129.00 — — 33%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE $73.03 $109.00 $6.20–$89.38 90% above 33%
Lipase blood test (pancreas enzyme) CPT 83690 *HC LIPASE, BODY FLUID $73.03 $109.00 $6.20–$89.38 90% above 33%
Lipase blood test (pancreas enzyme) CPT 83690 *HC LIPASE, SERUM $73.03 $109.00 $6.20–$89.38 90% above 33%
Lipase blood test (pancreas enzyme) CPT 83690 *HC LIPASE, URINE $73.03 $109.00 $6.20–$89.38 90% above 33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 *HC LIPASE, SERUM $73.03 $109.00 — — 33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE $73.03 $109.00 — — 33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 *HC LIPASE, BODY FLUID $73.03 $109.00 — — 33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 *HC LIPASE, URINE $73.03 $109.00 — — 33%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS $19.43 $29.00 $7.35–$23.78 70% below 33%
Liver function blood test panel CPT 80076 PR HEPATIC FUNCTION PANEL $29.48 $44.00 $3.43–$45.00 55% below 33%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS $19.43 $29.00 — — 33%
Lyme disease antibody test CPT 86618 PR LYME DISEASE ANTIBODY $44.89 $67.00 $7.15–$55.00 12% below 33%
Magnesium blood test CPT 83735 HC MAGNESIUM, URINE $73.03 $109.00 $6.03–$89.38 116% above 33%
Magnesium blood test CPT 83735 HC MAGNESIUM $73.03 $109.00 $6.03–$89.38 116% above 33%
Magnesium blood test CPT 83735 HC MAGNESIUM, RBC $73.03 $109.00 $6.03–$89.38 116% above 33%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM $73.03 $109.00 — — 33%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC $73.03 $109.00 — — 33%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE $73.03 $109.00 — — 33%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM $79.06 $118.00 $11.59–$96.76 108% above 33%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG $79.06 $118.00 $11.59–$96.76 108% above 33%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG - RL $79.06 $118.00 $11.59–$96.76 108% above 33%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG - RL $79.06 $118.00 — — 33%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM $79.06 $118.00 — — 33%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG $79.06 $118.00 — — 33%
Mono test (heterophile antibody, Monospot) CPT 86308 CHG HETEROPHILE ANTIBODIES,SCREEN $33.50 $50.00 $4.66–$41.00 6% above 33%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT $71.69 $107.00 $4.66–$87.74 126% above 33%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT $71.69 $107.00 — — 33%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL $78.39 $117.00 $43.03–$203.93 5% below 33%
Obstetric blood test panel CPT 80055 PR OBSTETRIC PANEL $98.49 $147.00 $20.08–$124.95 19% above 33%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL $78.39 $117.00 — — 33%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, FREE $54.94 $82.00 $16.55–$67.24 3% below 33%
PSA (prostate-specific antigen) blood test, free CPT 84154 PR PROSTATE SPECIFIC ANTIGEN,FREE $59.63 $89.00 $7.72–$62.30 5% above 33%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, FREE $54.94 $82.00 — — 33%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL $146.73 $219.00 $16.55–$179.58 88% above 33%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC $146.73 $219.00 $16.55–$179.58 88% above 33%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC $146.73 $219.00 — — 33%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL $146.73 $219.00 — — 33%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC $32.83 $49.00 $18.23–$40.18 10% above 33%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP SCREENING $98.49 $147.00 $18.23–$120.54 230% above 33%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC $32.83 $49.00 — — 33%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP SCREENING $98.49 $147.00 — — 33%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTACT $165.49 $247.00 $37.15–$202.54 24% above 33%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTACT $165.49 $247.00 — — 33%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT - RL $10.05 $15.00 $5.41–$12.30 72% below 33%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME $67.67 $101.00 $5.41–$82.82 87% above 33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT - RL $10.05 $15.00 — — 33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME $67.67 $101.00 — — 33%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY $1,105.50 $1,650.00 $683.15–$1,353.00 29% above 33%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY $1,105.50 $1,650.00 — — 33%
Progesterone blood test CPT 84144 HC PROGESTERONE $79.06 $118.00 $18.77–$96.76 7% below 33%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE $79.06 $118.00 — — 33%
Prolactin blood test CPT 84146 HC PROLACTIN $119.26 $178.00 $17.44–$145.96 28% above 33%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN $119.26 $178.00 — — 33%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - RL $6.70 $10.00 $3.86–$8.20 76% below 33%
Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME $16.75 $25.00 $3.86–$20.50 39% below 33%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $47.57 $71.00 $3.86–$58.22 74% above 33%
Prothrombin time (PT/INR) clotting test CPT 85610 HC POC PT/INR $47.57 $71.00 $3.86–$58.22 74% above 33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - RL $6.70 $10.00 — — 33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME $47.57 $71.00 — — 33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POC PT/INR $47.57 $71.00 — — 33%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST, PRESUMP,ANY NUMBER OF CLASS, DIRECT OPTICAL OBS, URINE $73.70 $110.00 $11.34–$90.20 102% above 33%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST, PRESUMP,ANY NUMBER OF CLASS, DIRECT OPTICAL OBS, URINE $73.70 $110.00 — — 33%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 *HC POC STREP A SCREEN $91.12 $136.00 $14.88–$111.52 164% above 33%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 *HC POC STREP A SCREEN $91.12 $136.00 — — 33%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT $21.44 $32.00 $5.10–$26.24 30% below 33%
Rheumatoid factor (RF) test CPT 86431 PR RHEUMATOID FACTOR, QUANT $26.80 $40.00 $5.10–$32.80 13% below 33%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT $21.44 $32.00 — — 33%
Rubella antibody test (immunity check) CPT 86762 *HC RUBELLA VACCINE SCREEN $84.42 $126.00 $12.95–$103.32 107% above 33%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA QUANTITATIVE $84.42 $126.00 $12.95–$103.32 107% above 33%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY, IGG $84.42 $126.00 $12.95–$103.32 107% above 33%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA QUANTITATIVE $84.42 $126.00 — — 33%
Rubella antibody test (immunity check) inpatient CPT 86762 *HC RUBELLA VACCINE SCREEN $84.42 $126.00 — — 33%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY, IGG $84.42 $126.00 — — 33%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE,AUTOMATED $50.92 $76.00 $2.43–$62.32 33% above 33%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE,AUTOMATED $50.92 $76.00 — — 33%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS $126.63 $189.00 $15.53–$154.98 38% above 33%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS $126.63 $189.00 — — 33%
Stool ova and parasites exam CPT 87177 HC EXAM PARA, URINE/B.F. $38.19 $57.00 $8.01–$46.74 3% below 33%
Stool ova and parasites exam inpatient CPT 87177 HC EXAM PARA, URINE/B.F. $38.19 $57.00 — — 33%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN $36.85 $55.00 $3.94–$45.10 76% above 33%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN $36.85 $55.00 — — 33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN $47.29 $70.58 $3.84–$57.88 110% above 33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL (CSF ONLY) $54.27 $81.00 $3.84–$66.42 141% above 33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN $47.29 $70.58 — — 33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL (CSF ONLY) $54.27 $81.00 — — 33%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL $47.57 $71.00 $23.23–$58.22 43% below 33%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL $47.57 $71.00 — — 33%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB $27.47 $41.00 $13.10–$33.62 at median 33%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH $72.36 $108.00 $13.10–$88.56 164% above 33%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE (TPO) ABS $72.36 $108.00 $13.10–$88.56 164% above 33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB $27.47 $41.00 — — 33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE (TPO) ABS $72.36 $108.00 — — 33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH $72.36 $108.00 — — 33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH $34.17 $51.00 $15.12–$41.82 43% below 33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH - SENSITIVE, SERUM - RL $42.21 $63.00 $15.12–$51.66 30% below 33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH $34.17 $51.00 — — 33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH - SENSITIVE, SERUM - RL $42.21 $63.00 — — 33%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS RNA, QUAL, TMA $60.30 $90.00 $31.58–$73.80 27% above 33%
Trichomonas test (NAAT) CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE $69.68 $104.00 $31.58–$85.28 47% above 33%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS RNA, QUAL, TMA $60.30 $90.00 — — 33%
Trichomonas test (NAAT) inpatient CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE $69.68 $104.00 — — 33%
Uric acid blood test CPT 84550 HC URIC ACID $31.49 $47.00 $4.07–$38.54 8% above 33%
Uric acid blood test inpatient CPT 84550 HC URIC ACID $31.49 $47.00 — — 33%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO W/MICRO $39.15 $58.43 $2.85–$47.91 14% above 33%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO W/MICRO $39.15 $58.43 — — 33%
Urinalysis with microscope exam, manual CPT 81000 CHG URINALYSIS, NONAUTO, W/SCOPE $22.11 $33.00 $3.62–$27.06 18% above 33%
Urinalysis without microscope exam, automated CPT 81003 HC URINE W/O MICRO, AUTO $4.69 $7.00 $2.03–$5.74 66% below 33%
Urinalysis without microscope exam, automated CPT 81003 HC POC UA DIPSTICK $25.33 $37.80 $2.03–$31.00 81% above 33%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY, URINE $30.82 $46.00 $2.03–$37.72 120% above 33%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE W/O MICRO, AUTO $4.69 $7.00 — — 33%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC POC UA DIPSTICK $25.33 $37.80 — — 33%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY, URINE $30.82 $46.00 — — 33%
Urinalysis without microscope exam, manual CPT 81002 HC PROTEIN,UA $30.82 $46.00 $3.13–$37.72 114% above 33%
Urinalysis without microscope exam, manual CPT 81002 HC KETONE,URINE $30.82 $46.00 $3.13–$37.72 114% above 33%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC KETONE,URINE $30.82 $46.00 — — 33%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC PROTEIN,UA $30.82 $46.00 — — 33%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, URINE COLONY COUNT $17.42 $26.00 $7.26–$21.32 57% below 33%
Urine culture for bacteria, with colony count CPT 87086 PR URINE CULTURE, COLONY COUNT $30.15 $45.00 $7.26–$36.90 26% below 33%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, URINE COLONY COUNT $17.42 $26.00 — — 33%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST, URINE $75.71 $113.00 $7.75–$92.66 89% above 33%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST, URINE $75.71 $113.00 — — 33%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12 $24.79 $37.00 $13.57–$30.34 61% below 33%
Vitamin B12 (cobalamin) blood test CPT 82607 PR VITAMIN B-12 $45.56 $68.00 $6.33–$47.60 28% below 33%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12 $24.79 $37.00 — — 33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D, 25 HYDROXY $54.94 $82.00 $26.64–$67.24 20% below 33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 PR ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED $97.15 $145.00 $26.64–$118.90 41% above 33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D, 25 HYDROXY $54.94 $82.00 — — 33%
Zinc blood test CPT 84630 HC ZINC QUANTITATIVE $73.70 $110.00 $10.25–$90.20 29% above 33%
Zinc blood test inpatient CPT 84630 HC ZINC QUANTITATIVE $73.70 $110.00 — — 33%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE $87.10 $130.00 $13.55–$106.60 16% above 33%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE $87.10 $130.00 — — 33%

Surgery and procedures

ProcedureCash price List priceInsurers payvs MississippiOff list
Balloon dilation of the maxillary sinus opening, one side CPT 31295 PR ENDOSCOPY, NASAL/SINUS, MAXILL SINUS OSTIUM, W/BALLOON DILAT $1,876.00 $2,800.00 $116.63–$7,532.48 1% below 33%
Botox injections for chronic migraine CPT 64615 PR CHEMODENERVATION OF MUSCLE FOR CHRONIC MIGRAINE $268.00 $400.00 $89.82–$491.90 3% below 33%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PR CLOSED RX DIST FIBULA FX $603.87 $901.30 $174.72–$739.07 281% above 33%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL TX METATAR FX WO MAN $168.17 $251.00 $117.51–$310.04 23% below 33%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PR CLOSED RX METATARSAL FX $301.94 $450.65 $174.72–$369.53 39% above 33%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CL TX METATAR FX WO MAN $168.17 $251.00 — — 33%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION $1,452.56 $2,168.00 $482.20–$1,777.76 204% above 33%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION $1,452.56 $2,168.00 — — 33%
Carpal tunnel release, open surgery CPT 64721 PR REVISE MEDIAN N/CARPAL TUNNEL SURG $1,216.72 $1,816.00 $320.67–$1,828.00 46% below 33%
Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX $1,239.50 $1,850.00 $595.63–$1,517.00 39% above 33%
Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX $1,239.50 $1,850.00 — — 33%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PR CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 29+ DAYS OF AGE ONLY $454.93 $679.00 $146.50–$762.64 65% below 33%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PR CIRCUMCISION W/BLOCK, CLAMP/OTHER DEVICE (ANY AGE) $2,619.82 $3,910.18 $1,830.57–$3,320.02 404% above 33%
Circumcision, surgical, older than a newborn CPT 54160 PR CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE) $381.90 $570.00 $108.20–$868.24 22% below 33%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA $324.28 $484.00 $174.72–$396.88 57% above 33%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA $324.28 $484.00 — — 33%
Colonoscopy with polyp removal CPT 45385 HC COLON W/REMOVAL BY SNARE TECH $1,751.58 $2,614.30 $692.63–$2,143.73 10% above 33%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W/REMOVAL BY SNARE TECH $1,751.58 $2,614.30 — — 33%
Colonoscopy with tissue sample CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD $1,298.59 $1,938.20 $692.63–$1,589.32 1% above 33%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD $1,298.59 $1,938.20 — — 33%
Colonoscopy, diagnostic CPT 45378 HC COLON DX (INCL BRUSH/WASH) $1,249.22 $1,864.50 $677.16–$1,528.89 23% above 33%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DX (INCL BRUSH/WASH) $1,249.22 $1,864.50 — — 33%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 PR COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX $578.88 $864.00 $118.55–$1,023.28 6% below 33%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PR COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG $412.18 $615.20 $217.00–$504.46 52% above 33%
Cystoscopy with ureteral stent placement CPT 52332 PR CYSTOSCOPY,INSERT URETERAL STENT $1,141.01 $1,703.00 $114.70–$1,744.88 62% below 33%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTO $1,404.32 $2,096.00 $506.12–$1,718.72 109% above 33%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTO $1,404.32 $2,096.00 — — 33%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PR DESTRUCTION(LASER SURGERY,CRYOSURGERY,CHEMOSURGERY),PREMALIGNANT LESIONS,FIRST LESION $188.25 $280.97 $131.54–$376.55 51% above 33%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION ANY METHOD, INCLD LASER FOR LESIONS $188.25 $280.97 $131.54–$376.55 51% above 33%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCTION ANY METHOD, INCLD LASER FOR LESIONS $188.25 $280.97 — — 33%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 PR CREATE EARDRUM OPENING,LOCAL ANESTH $851.57 $1,271.00 $217.00–$1,042.22 130% above 33%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL $301.50 $450.00 $45.32–$369.00 431% above 33%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL $301.50 $450.00 — — 33%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL $126.63 $189.00 $45.32–$217.00 70% above 33%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL $126.63 $189.00 — — 33%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING $308.87 $461.00 $147.64–$378.02 93% above 33%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING $308.87 $461.00 — — 33%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 PR NASAL/SINUS ENDOSCOPY,EXPLOR FRONTAL SINUS $1,711.18 $2,554.00 $280.09–$1,866.76 74% below 33%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 PR NASAL/SINUS ENDOSCOPY,OPEN MAXILL SINUS $1,141.01 $1,703.00 $133.11–$1,192.10 64% below 33%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 PR NASAL/SINUS ENDOSCOPY,RMV TISS MAXILL SINUS $1,711.18 $2,554.00 $196.60–$1,787.80 65% below 33%
Eye injection into the vitreous (intravitreal injection) CPT 67028 PR INJECT INTRAVITREAL PHARMCOLOGIC $737.00 $1,100.00 $66.92–$770.00 170% above 33%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX $748.62 $1,117.34 $523.09–$1,026.01 at median 33%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX $748.62 $1,117.34 — — 33%
Gallbladder removal, laparoscopic CPT 47562 PR LAP,CHOLECYSTECTOMY $1,765.45 $2,635.00 $487.32–$2,503.44 47% below 33%
Hammertoe correction surgery CPT 28285 PR REPAIR OF HAMMERTOE,ONE $710.20 $1,060.00 $286.97–$1,785.60 85% below 33%
Hemorrhoid banding (rubber band ligation) CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS $1,162.18 $1,734.60 $677.16–$1,422.37 65% above 33%
Hysterectomy through an abdominal incision (total) CPT 58150 PR TOTAL ABDOM HYSTERECTOMY $1,954.39 $2,917.00 $756.44–$3,562.12 29% below 33%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGIOGRAM $239.86 $358.00 $167.60–$520.31 15% above 33%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 PR CATH/INJECT HYSTEROSALPINGOGRAM $247.90 $370.00 $42.41–$514.94 19% above 33%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGIOGRAM $239.86 $358.00 — — 33%
Hysteroscopy with endometrial ablation CPT 58563 PR HYSTEROSCOPY,W/ENDOMETRIAL ABLATION $1,878.68 $2,804.00 $182.70–$6,092.80 47% below 33%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PR HYSTEROSCOPY,W/ENDO BX $3,841.31 $5,733.30 $2,316.35–$4,701.31 at median 33%
IUD insertion (the device itself billed separately) CPT 58300 PR INSERT INTRAUTERINE DEVICE $783.40 $1,169.25 $41.82–$1,278.68 1% below 33%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE SINGLE $1,496.78 $2,234.00 $148.33–$1,831.88 876% above 33%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE SINGLE $1,496.78 $2,234.00 — — 33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT $118.89 $177.45 $83.07–$340.88 33% below 33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECT TENDON SHEATH/LIGAMENT $770.50 $1,150.00 $217.00–$943.00 333% above 33%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 PR INJECT TENDON SHEATH/LIGAMENT $438.41 $654.35 $42.21–$458.05 146% above 33%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 PR INJECT TENDON SHEATH/LIGAMENT $438.41 $654.35 $42.21–$458.05 146% above 33%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT $118.89 $177.45 — — 33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT $383.41 $572.25 $217.00–$469.25 52% above 33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PR DRAIN/INJECT LARGE JOINT/BURSA $438.41 $654.35 $47.29–$458.05 73% above 33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT $383.41 $572.25 — — 33%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PR INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR $163.94 $244.68 $94.64–$240.26 12% above 33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA $437.99 $653.71 $217.00–$536.04 99% above 33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR DRAIN/INJECT INTERMEDIATE JOINT/BURSA $1,306.50 $1,950.00 $217.00–$1,599.00 493% above 33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA $437.99 $653.71 — — 33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHOCENTESIS, SMALL JOINT $437.99 $653.71 $217.00–$536.04 99% above 33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR DRAIN/INJECT SMALL JOINT/BURSA $1,306.50 $1,950.00 $217.00–$1,599.00 493% above 33%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHOCENTESIS, SMALL JOINT $437.99 $653.71 — — 33%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PR LAPAROSCOPY W TOT HYSTERECTUTERUS <=250 GRAM W TUBE/OVARY $1,407.00 $2,100.00 $675.79–$3,637.52 89% below 33%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR DISCISSION,2ND CATARACT,LASER $509.87 $761.00 $223.70–$1,085.18 19% below 33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT REP S/A/T/EX 2.5CM/< $251.92 $376.00 $176.03–$750.00 6% above 33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT REP S/A/T/EX 2.5CM/< $251.92 $376.00 — — 33%
Lower-back epidural injection, with imaging guidance CPT 62323 PR INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE $364.48 $544.00 $73.85–$819.07 21% below 33%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL $489.10 $730.00 $82.41–$882.00 20% below 33%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PR LAMINEC/FACETECT/FORAMIN,LUMBAR 1 SEG $5,325.83 $7,949.00 $812.14–$5,564.30 55% below 33%
Miscarriage treatment with D&C, first trimester CPT 59820 PR SURG RX MISSED ABORTN,1ST TRI $499.82 $746.00 $282.83–$1,302.12 77% below 33%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 PR MOHS, 1 STAGE, HEAD/NECK/HAND/FEET/GENTIAL $1,007.68 $1,504.00 $261.69–$2,234.56 46% above 33%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC LESION TRUNK,ARMS,LEGS BGN <.5CM $960.78 $1,434.00 $521.29–$1,175.88 154% above 33%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC LESION TRUNK,ARMS,LEGS BGN <.5CM $960.78 $1,434.00 — — 33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC LESION FACE,EARS,EYELD,NS,LP BGN <.5CM $960.78 $1,434.00 $521.29–$1,175.88 154% above 33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC SKIN BENIG <0.5 CM FACE,FACIAL $1,171.16 $1,748.00 $521.29–$1,433.36 210% above 33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC LESION FACE,EARS,EYELD,NS,LP BGN <.5CM $960.78 $1,434.00 — — 33%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE $171.52 $256.00 $119.85–$376.55 10% above 33%
Nail removal (partial or complete), one nail CPT 11730 PR REMOVAL OF NAIL PLATE $262.64 $392.00 $148.33–$376.55 68% above 33%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE $171.52 $256.00 — — 33%
Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL $903.16 $1,348.00 $217.00–$1,105.36 230% above 33%
Occipital nerve block (injection for headaches) CPT 64405 PR NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL $1,087.61 $1,623.30 $217.00–$1,331.11 298% above 33%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL $903.16 $1,348.00 — — 33%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE $804.00 $1,200.00 $561.79–$1,182.00 15% above 33%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE $804.00 $1,200.00 — — 33%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION INGROWN TOENAIL $960.78 $1,434.00 $217.00–$1,175.88 172% above 33%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION INGROWN TOENAIL $960.78 $1,434.00 — — 33%
Prostate biopsy CPT 55700 PR BIOPSY OF PROSTATE,NEEDLE/PUNCH $2,625.56 $3,918.75 $1,182.00–$3,320.02 82% above 33%
Removal of a breast lump, open surgery CPT 19120 PR EXCISE BREAST CYST $805.34 $1,202.00 $307.28–$1,647.36 67% below 33%
Removal of a foreign object under the skin, simple CPT 10120 HC REMO F/B SUBQ SIMPLE $515.90 $770.00 $217.00–$750.00 149% above 33%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO F/B SUBQ SIMPLE $515.90 $770.00 — — 33%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK $1,249.32 $1,864.65 $677.16–$1,529.01 29% above 33%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK $1,249.32 $1,864.65 — — 33%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY - HIGH RISK $1,249.32 $1,864.65 $677.16–$1,529.01 36% above 33%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY - HIGH RISK $1,249.32 $1,864.65 — — 33%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 PR FRAGMENT KIDNEY STONE/ ESWL $1,692.42 $2,526.00 $424.91–$3,435.28 44% below 33%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION, CAST, SHORT ARM $480.39 $717.00 $198.98–$587.94 206% above 33%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION, CAST, SHORT ARM $480.39 $717.00 — — 33%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC $211.72 $316.00 $94.64–$259.12 83% above 33%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC $211.72 $316.00 — — 33%
Short leg cast (below the knee) CPT 29405 HC APPLICATION, CAST, SHORT LEG $480.39 $717.00 $198.98–$587.94 176% above 33%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION, CAST, SHORT LEG $480.39 $717.00 — — 33%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION, SPLINT, LOWER LEG $211.72 $316.00 $116.74–$296.37 93% above 33%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION, SPLINT, LOWER LEG $211.72 $316.00 — — 33%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM $251.92 $376.00 $148.33–$376.55 39% above 33%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM $251.92 $376.00 — — 33%
Skin biopsy, punch, one lesion CPT 11104 PR PUNCH BIOPSY, SKIN, SINGLE LESION $258.41 $385.68 $180.56–$750.00 9% above 33%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC MALIGNANT LESION TRUNK,ARMS,LEGS <.5CM $1,394.04 $2,080.66 $521.29–$1,706.14 190% above 33%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC MALIGNANT LESION TRUNK,ARMS,LEGS <.5CM $1,394.04 $2,080.66 — — 33%
Skin tag removal, up to 15 tags CPT 11200 PR REMOVAL OF SKIN TAGS, UP TO 15 $123.11 $183.75 $86.02–$376.55 4% below 33%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX $848.89 $1,267.00 $512.37–$1,038.94 97% above 33%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX $848.89 $1,267.00 — — 33%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C $251.92 $376.00 $148.33–$376.55 37% above 33%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C $251.92 $376.00 — — 33%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM $251.92 $376.00 $148.33–$376.55 37% above 33%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM $251.92 $376.00 — — 33%
TURP (transurethral resection of the prostate) CPT 52601 PR TRANSURETHRAL ELEC-SURG PROSTATECTOM $1,352.73 $2,019.00 $541.30–$3,224.20 80% below 33%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY, SKIN, SINGLE LESION $149.41 $223.00 $27.86–$322.56 17% below 33%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING $926.95 $1,383.50 $465.44–$2,132.55 42% above 33%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING $926.95 $1,383.50 — — 33%
Trigger finger release surgery CPT 26055 PR INCISE FINGER TENDON SHEATH $1,038.50 $1,550.00 $214.68–$1,863.94 33% below 33%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS $416.07 $621.00 $217.00–$509.22 85% above 33%
Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECT TRIGGER POINT, 1 OR 2 $469.00 $700.00 $217.00–$574.00 108% above 33%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS $416.07 $621.00 — — 33%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 PR BX BRST, 1ST LESION, US GUIDANCE $582.90 $870.00 $114.26–$2,078.21 65% below 33%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILATION BALLOON <30MM $1,625.39 $2,425.95 $1,135.72–$2,815.47 13% below 33%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILATION BALLOON <30MM $1,625.39 $2,425.95 — — 33%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL $1,526.60 $2,278.50 $671.62–$1,868.37 31% above 33%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL $1,526.60 $2,278.50 — — 33%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUC INJECT(S) $1,548.58 $2,311.31 $671.62–$1,895.27 33% above 33%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUC INJECT(S) $1,548.58 $2,311.31 — — 33%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE TECH $1,625.39 $2,425.95 $1,135.72–$2,815.47 4% above 33%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE TECH $1,625.39 $2,425.95 — — 33%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE $1,625.39 $2,425.95 $671.62–$1,989.28 32% above 33%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE $1,625.39 $2,425.95 — — 33%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DX (INCL BRUSH/WASH) $1,466.70 $2,189.10 $671.62–$1,795.06 51% above 33%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DX (INCL BRUSH/WASH) $1,466.70 $2,189.10 — — 33%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 PR CYSTO/URETERO/PYELOSCOPY W/LITHOTRIPSY $2,034.79 $3,037.00 $289.33–$2,125.90 70% below 33%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 PR CYSTO/URETERO W/LITHOTRIPSY $753.75 $1,125.00 $307.05–$1,388.16 89% below 33%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 PR REMOVAL OF SPERM DUCT(S) $2,625.56 $3,918.75 $1,509.09–$3,320.02 76% above 33%
Vein ablation, radiofrequency, first vein CPT 36475 PR ENDOVENOUS RF, 1ST VEIN $4,625.83 $6,904.23 $2,361.64–$12,232.70 111% above 33%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION 1-14 $216.41 $323.00 $148.33–$376.55 46% above 33%
Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 $376.54 $562.00 $148.33–$460.84 154% above 33%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESION 1-14 $216.41 $323.00 — — 33%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE $1,031.80 $1,540.00 $217.00–$1,262.80 196% above 33%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE $1,031.80 $1,540.00 — — 33%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs MississippiOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY) $528.63 $789.00 $178.00–$646.98 21% above 33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY) $528.63 $789.00 — — 33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY $60.97 $91.00 $42.60–$401.19 6% below 33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT $251.15 $374.85 $75.00–$401.19 289% above 33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT $251.15 $374.85 $75.00–$401.19 289% above 33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT $353.76 $528.00 $75.00–$432.96 448% above 33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY $60.97 $91.00 — — 33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT $251.15 $374.85 — — 33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT $251.15 $374.85 — — 33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT $353.76 $528.00 — — 33%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 PR EYE EXAM, NEW PATIENT,COMPREHESV $148.74 $222.00 $69.91–$263.97 3% below 33%
Comprehensive eye exam, returning patient CPT 92014 PR EYE EXAM, EST PATIENT,COMPREHESV $107.87 $161.00 $56.10–$214.92 7% below 33%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 PR COMPREHENSIVE HEARING TEST $204.35 $305.00 $115.73–$250.10 46% above 33%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE (30-74 MINUTES) $1,104.16 $1,648.00 $657.46–$1,881.00 55% above 33%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE (30-74 MINUTES) $1,104.16 $1,648.00 — — 33%
EEG (brain wave test), awake and drowsy, routine CPT 95816 PR EEG,W/AWAKE & DROWSY RECORD $183.58 $274.00 $92.48–$634.67 37% below 33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG $92.46 $138.00 $45.32–$171.00 2% above 33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PR ELECTROCARDIOGRAM, TRACING $167.50 $250.00 $45.32–$205.00 84% above 33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG $92.46 $138.00 — — 33%
Electroconvulsive therapy (ECT), one session CPT 90870 PR ELECTROCONVULSIVE THERAPY,1 SEIZ $157.45 $235.00 $80.42–$284.79 39% below 33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMER ROOM LEVEL I $184.25 $275.00 $65.78–$243.00 80% above 33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMER ROOM LEVEL I $184.25 $275.00 — — 33%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMER ROOM LEVEL II $368.50 $550.00 $121.18–$451.00 150% above 33%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMER ROOM LEVEL II $368.50 $550.00 — — 33%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMER ROOM LEVEL III $569.50 $850.00 $211.40–$759.00 123% above 33%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMER ROOM LEVEL III $569.50 $850.00 — — 33%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMER ROOM LEVEL IV $804.00 $1,200.00 $328.16–$984.00 56% above 33%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMER ROOM LEVEL IV $804.00 $1,200.00 — — 33%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMER ROOM LEVEL V $1,005.00 $1,500.00 $475.89–$1,438.00 34% above 33%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMER ROOM LEVEL V $1,005.00 $1,500.00 — — 33%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM $756.43 $1,129.00 $232.56–$925.78 73% above 33%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM $756.43 $1,129.00 — — 33%
Eye exam, returning patient, intermediate CPT 92012 PR EYE EXAM, EST PATIENT,INTERMED $78.39 $117.00 $37.14–$146.66 32% below 33%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN $97.15 $145.00 $67.88–$299.90 39% below 33%
Family therapy with the patient, 50 minutes CPT 90847 HC PHP-FAMILY PSYTX W/ PATIENT, 50 MIN $124.62 $186.00 $87.08–$299.90 22% below 33%
Family therapy with the patient, 50 minutes CPT 90847 HC IOP-ABU FAMILY PSYTX W/ PATIENT, 50 MIN $124.62 $186.00 $87.08–$299.90 22% below 33%
Family therapy with the patient, 50 minutes CPT 90847 HC IOP-BMU FAMILY PSYTX W/ PATIENT, 50 MIN $124.62 $186.00 $87.08–$299.90 22% below 33%
Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/ PT, 50 MIN $147.40 $220.00 $79.38–$234.59 7% below 33%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN $97.15 $145.00 — — 33%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC IOP-ABU FAMILY PSYTX W/ PATIENT, 50 MIN $124.62 $186.00 — — 33%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PHP-FAMILY PSYTX W/ PATIENT, 50 MIN $124.62 $186.00 — — 33%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC IOP-BMU FAMILY PSYTX W/ PATIENT, 50 MIN $124.62 $186.00 — — 33%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY, W/O PATIENT, 50 MIN $81.07 $121.00 $56.65–$299.90 40% below 33%
Family therapy without the patient, 50 minutes CPT 90846 HC PHP-FAMILY PSYTX W/O PATIENT, 50 MIN $251.92 $376.00 $118.13–$308.32 85% above 33%
Family therapy without the patient, 50 minutes CPT 90846 HC IOP-ABU FAMILY PSYTX W/O PATIENT, 50 MIN $251.92 $376.00 $118.13–$308.32 85% above 33%
Family therapy without the patient, 50 minutes CPT 90846 HC IOP-BMU FAMILY PSYTX W/O PATIENT, 50 MIN $251.92 $376.00 $118.13–$308.32 85% above 33%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY, W/O PATIENT, 50 MIN $81.07 $121.00 — — 33%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PHP-FAMILY PSYTX W/O PATIENT, 50 MIN $251.92 $376.00 — — 33%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC IOP-BMU FAMILY PSYTX W/O PATIENT, 50 MIN $251.92 $376.00 — — 33%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC IOP-ABU FAMILY PSYTX W/O PATIENT, 50 MIN $251.92 $376.00 — — 33%
Group psychotherapy session CPT 90853 HC GROUP THERAPY $158.12 $236.00 $66.04–$193.52 36% above 33%
Group psychotherapy session CPT 90853 HC IOP-BMU GROUP PSYCHOTHERAPY $158.12 $236.00 $66.04–$193.52 36% above 33%
Group psychotherapy session CPT 90853 HC IOP-ABU GROUP PSYCHOTHERAPY $158.12 $236.00 $66.04–$193.52 36% above 33%
Group psychotherapy session inpatient CPT 90853 HC IOP-BMU GROUP PSYCHOTHERAPY $158.12 $236.00 — — 33%
Group psychotherapy session inpatient CPT 90853 HC IOP-ABU GROUP PSYCHOTHERAPY $158.12 $236.00 — — 33%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY $158.12 $236.00 — — 33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR $179.56 $268.00 $125.47–$376.86 3% below 33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PR IV INFUSION, HYDRATION, 31-60 MIN $298.00 $444.78 $134.00–$376.86 61% above 33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR $179.56 $268.00 — — 33%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THER/PROPH/DIAG - UP TO ONE HOUR $304.85 $455.00 $134.00–$376.86 33% above 33%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THER/PROPH/DIAG - UP TO ONE HOUR $304.85 $455.00 — — 33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PR INJECTION,THERAP/PROPH/DIAG2ST, IM OR SUBCUT $33.50 $50.00 $23.41–$134.00 45% below 33%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC IOP-BMU PSYCH DIAGNOSTIC EVALUATION $412.05 $615.00 $118.13–$504.30 130% above 33%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PHP-PSYCH DIAGNOSTIC EVALUATION $412.05 $615.00 $118.13–$504.30 130% above 33%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC IOP-ABU PSYCH DIAGNOSTIC EVALUATION $412.05 $615.00 $118.13–$504.30 130% above 33%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC IOP-BMU PSYCH DIAGNOSTIC EVALUATION $412.05 $615.00 — — 33%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC IOP-ABU PSYCH DIAGNOSTIC EVALUATION $412.05 $615.00 — — 33%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PHP-PSYCH DIAGNOSTIC EVALUATION $412.05 $615.00 — — 33%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 PR NERVE CONDUCTION STUDY; 7-8 STUDIES $387.25 $577.98 $232.56–$473.94 45% above 33%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS $103.41 $154.35 $27.51–$126.57 96% above 33%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS $103.41 $154.35 $27.51–$126.57 96% above 33%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS $103.41 $154.35 — — 33%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS $103.41 $154.35 — — 33%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN $184.92 $276.00 $67.85–$226.32 67% above 33%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN $184.92 $276.00 — — 33%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN $277.38 $414.00 $110.43–$339.48 76% above 33%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN $277.38 $414.00 — — 33%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN $304.18 $454.00 $127.94–$372.28 62% above 33%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN $304.18 $454.00 — — 33%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN $173.53 $259.00 $39.26–$212.38 107% above 33%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN $173.53 $259.00 — — 33%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS $196.04 $292.60 $75.00–$239.93 53% above 33%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS $196.04 $292.60 — — 33%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS $201.88 $301.32 $75.00–$247.08 34% above 33%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS $201.88 $301.32 — — 33%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS $201.88 $301.32 $75.00–$247.08 61% above 33%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS $201.88 $301.32 — — 33%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS $201.88 $301.32 $75.00–$247.08 57% above 33%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS $201.88 $301.32 — — 33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TECHNIQUE - EA 15 MIN ST $103.41 $154.35 $22.19–$126.57 76% above 33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS $103.41 $154.35 $22.19–$126.57 76% above 33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS $103.41 $154.35 $22.19–$126.57 76% above 33%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS $103.41 $154.35 — — 33%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS $103.41 $154.35 — — 33%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TECHNIQUE - EA 15 MIN ST $103.41 $154.35 — — 33%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EX EA 15MIN $103.41 $154.35 $24.03–$126.57 92% above 33%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EX EA 15MIN $103.41 $154.35 $24.03–$126.57 92% above 33%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EX EA 15MIN $103.41 $154.35 — — 33%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EX EA 15MIN $103.41 $154.35 — — 33%
Preventive checkup, new patient aged 18–39 CPT 99385 PR PREVENTIVE VISIT,NEW,18-39 $127.85 $190.82 $70.38–$163.38 at median 33%
Preventive checkup, new patient aged 40–64 CPT 99386 PR PREVENTIVE VISIT,NEW,40-64 $131.20 $195.82 $85.33–$189.73 1% below 33%
Preventive checkup, new patient aged 65 or older CPT 99387 PR PREVENTIVE VISIT,NEW,65 & OVER $134.55 $200.82 $91.65–$205.55 at median 33%
Preventive checkup, returning patient aged 18–39 CPT 99395 PR PREVENTIVE VISIT,EST,18-39 $124.50 $185.82 $64.28–$147.57 24% above 33%
Preventive checkup, returning patient aged 40–64 CPT 99396 PR PREVENTIVE VISIT,EST,40-64 $124.50 $185.82 $69.84–$157.24 8% above 33%
Preventive checkup, returning patient aged 65 or older CPT 99397 PR PREVENTIVE VISIT,EST,65 & OVER $127.85 $190.82 $73.41–$169.09 at median 33%
Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W/MED SRVCS $351.75 $525.00 $118.13–$430.50 96% above 33%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W/MED SRVCS $351.75 $525.00 — — 33%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/ PATIENT 30 MINUTES $75.71 $113.00 $52.90–$299.90 25% below 33%
Psychotherapy session, 30 minutes CPT 90832 HC PHP-PSYTX W/PATIENT, 30 MIN $251.92 $376.00 $118.13–$308.32 151% above 33%
Psychotherapy session, 30 minutes CPT 90832 HC IOP-ABU PSYTX W/PATIENT, 30 MIN $251.92 $376.00 $118.13–$308.32 151% above 33%
Psychotherapy session, 30 minutes CPT 90832 HC IOP-BMU PSYTX W/PATIENT, 30 MIN $251.92 $376.00 $118.13–$308.32 151% above 33%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/ PATIENT 30 MINUTES $75.71 $113.00 — — 33%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC IOP-BMU PSYTX W/PATIENT, 30 MIN $251.92 $376.00 — — 33%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PHP-PSYTX W/PATIENT, 30 MIN $251.92 $376.00 — — 33%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC IOP-ABU PSYTX W/PATIENT, 30 MIN $251.92 $376.00 — — 33%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES $115.91 $173.00 $80.99–$299.90 17% below 33%
Psychotherapy session, 45 minutes CPT 90834 HC IOP-BMU PSYTX W/PATIENT, 45 MIN $251.92 $376.00 $118.13–$308.32 80% above 33%
Psychotherapy session, 45 minutes CPT 90834 HC IOP-ABU PSYTX W/PATIENT, 45 MIN $251.92 $376.00 $118.13–$308.32 80% above 33%
Psychotherapy session, 45 minutes CPT 90834 HC PHP-PSYTX W/PATIENT, 45 MIN $251.92 $376.00 $118.13–$308.32 80% above 33%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES $115.91 $173.00 — — 33%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP-PSYTX W/PATIENT, 45 MIN $251.92 $376.00 — — 33%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC IOP-BMU PSYTX W/PATIENT, 45 MIN $251.92 $376.00 — — 33%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC IOP-ABU PSYTX W/PATIENT, 45 MIN $251.92 $376.00 — — 33%
Psychotherapy session, 60 minutes CPT 90837 HC PHP-PSYTX W/PATIENT, 60 MIN $138.69 $207.00 $96.91–$299.90 10% above 33%
Psychotherapy session, 60 minutes CPT 90837 HC IOP-ABU PSYTX W/PATIENT, 60 MIN $138.69 $207.00 $96.91–$299.90 10% above 33%
Psychotherapy session, 60 minutes CPT 90837 HC IOP-BMU PSYTX W/PATIENT, 60 MIN $138.69 $207.00 $96.91–$299.90 10% above 33%
Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT, 60 MIN $167.50 $250.00 $117.04–$299.90 33% above 33%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PHP-PSYTX W/PATIENT, 60 MIN $138.69 $207.00 — — 33%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC IOP-BMU PSYTX W/PATIENT, 60 MIN $138.69 $207.00 — — 33%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC IOP-ABU PSYTX W/PATIENT, 60 MIN $138.69 $207.00 — — 33%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES $73.87 $110.25 $45.03–$147.00 120% above 33%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CES INTERMED ASYMPTOM $73.87 $110.25 $45.03–$147.00 120% above 33%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CES INTERMED ASYMPTOM $73.87 $110.25 — — 33%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN $288.77 $431.00 $119.39–$353.42 64% above 33%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN $288.77 $431.00 — — 33%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN $171.52 $256.00 $54.64–$209.92 72% above 33%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN $171.52 $256.00 — — 33%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN $200.33 $299.00 $80.59–$245.18 51% above 33%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN $200.33 $299.00 — — 33%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN $134.67 $201.00 $29.27–$164.82 68% above 33%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN $134.67 $201.00 — — 33%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION $184.92 $276.00 $75.00–$317.05 2% below 33%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION $184.92 $276.00 — — 33%
Speech therapy session, individual CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL $136.48 $203.70 $63.09–$167.03 10% above 33%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL $136.48 $203.70 — — 33%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY $129.44 $193.20 $56.05–$222.00 3% below 33%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST $129.44 $193.20 $56.05–$222.00 3% below 33%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY $129.44 $193.20 — — 33%
Spirometry before and after a bronchodilator CPT 94060 PR EVAL OF BRONCHOSPASM $356.44 $532.00 $94.16–$436.24 43% above 33%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS $103.41 $154.35 $29.51–$126.57 93% above 33%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS $103.41 $154.35 $29.51–$126.57 93% above 33%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS $103.41 $154.35 — — 33%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS $103.41 $154.35 — — 33%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY $59.09 $88.20 $41.29–$240.26 41% below 33%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PR PHLEBOTOMY $163.94 $244.68 $94.64–$240.26 63% above 33%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY $59.09 $88.20 — — 33%
Visual field test, extended CPT 92083 PR VISUAL FIELD EXAM,EXTENDED $82.41 $123.00 $44.28–$145.16 11% below 33%

Vaccines

ProcedureCash price List priceInsurers payvs MississippiOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168) $297.16 $443.52 $72.09–$375.35 135% above 33%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168) $297.16 $443.52 $376.99 — 33%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 PR SARS-COV- 2 COVID-19 VACCINE, 50MCG/0.5ML, IM $119.93 $179.00 $83.80–$153.22 8% above 33%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 VAC (MODERNA)(PF) 50 MCG/0.5 ML IM SUSR (12 YRS A) $580.30 $866.12 $145.92–$733.00 423% above 33%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 VAC (MODERNA)(PF) 50 MCG/0.5 ML IM SUSR (12 YRS A) $580.30 $866.12 $736.20 — 33%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 PR SARS-COV- 2 COVID-19 VACCINE, TRIS-SUC, 30MCG/0.3ML, IM $110.55 $165.00 $77.25–$139.64 16% below 33%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 PR CHICKEN POX VACCINE,LIVE,SUB-Q $150.06 $223.97 $94.72–$183.66 at median 33%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140) $77.67 $115.93 $16.72–$98.11 33% above 33%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140) $77.67 $115.93 $98.54 — 33%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 PR HEPA/HEPB VACCINE ADULT IM $90.45 $135.00 $63.20–$110.70 42% below 33%
Hepatitis A vaccine, adult dose CPT 90632 PR HEPA VACCINE ADULT IM $64.32 $96.00 $57.29–$116.29 3% below 33%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PR FLU VACCINE, INCREASED ANTIGEN, PRESV FREE $54.94 $82.00 $38.39–$84.75 27% above 33%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 PR MENINGOCOCCAL RP W/OMV VACCINE, IM $123.95 $185.00 $86.61–$188.21 48% above 33%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 PR RESP SYNCYTIAL VIRUS VACCINE, MONOCL ANTB, SEASONAL, 0.5 ML, IM $596.97 $891.00 $386.10–$730.62 26% above 33%
Rabies vaccine, one dose CPT 90675 PR RABIES VACCINE IM INJ, 1 ML $184.25 $275.00 $128.74–$399.42 42% below 33%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PR TD VACCINE 2 PRSRV >/= 7 YO, IM $40.56 $60.53 $28.34–$49.63 38% below 33%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA) $184.74 $275.73 $50.29–$226.10 94% above 33%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG (UIR) $184.74 $275.73 $50.29–$226.10 94% above 33%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG (UIR) $184.74 $275.73 $234.37 — 33%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA) $184.74 $275.73 $234.37 — 33%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 PR TYPHOID VACCINE, IM $36.85 $55.00 $25.75–$110.99 1% below 33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID $89.43 $133.48 $52.19–$123.86 66% above 33%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC SUBSEQUENT IMMUNIZATION ADMIN $62.31 $93.00 $20.18–$76.26 107% above 33%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC SUBSEQUENT IMMUNIZATION ADMIN $62.31 $93.00 — — 33%

Source file: https://ochsner-craft.s3.amazonaws.com/core/640345119_rush-medical-foundation_standardcharges.csv.csv