Dickenson Community Hospital
Dickenson Community Hospital in Clintwood, VA publishes cash prices for 336 common procedures listed here, from its own machine-readable price file updated Mar 23, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Virginia median for 327 of 331 procedures and above it for 4. By typical cash price it ranks #2 of 66 Virginia hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
312 HOSPITAL DR., CLINTWOOD, VA 24228 Collected Sep 23, 2026 Source price file Check a bill from this hospital (276) 926-0300
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 491303 · CMS hospital register NPI 1285685727
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Dickenson Community Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN WOW CON | $605.36 | $2,632.00 | $300.68–$2,632.00 | 68% below | 77% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN WOW CON | $605.36 | $2,632.00 | $300.68–$2,632.00 | — | 77% |
| Abdominal X-ray, 2 views CPT 74019 HC DX ABDOMEN 2 VIEWS | $67.85 | $295.00 | $48.61–$295.00 | 79% below | 77% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC DX ABDOMEN 2 VIEWS | $67.85 | $295.00 | $48.61–$295.00 | — | 77% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC DX ANKLE 3 VIEW+ * | $71.53 | $311.00 | $29.60–$311.00 | 79% below | 77% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC DX ANKLE 3 VIEW+ * | $71.53 | $311.00 | $29.60–$311.00 | — | 77% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC NONINVAS UE LE ART 1 LEV BILAT | $225.17 | $979.00 | $40.79–$979.00 | — | 77% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC NONINVAS UE LE ART 1 LEV BILAT | $225.17 | $979.00 | $40.79–$979.00 | — | 77% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREM WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | 55% below | 77% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREM WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | — | 77% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE SCAN WHOLE BODY | $443.90 | $1,930.00 | $222.25–$1,930.00 | 68% below | 77% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE SCAN WHOLE BODY | $443.90 | $1,930.00 | $222.25–$1,930.00 | — | 77% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNIL COMPLETE | $94.99 | $413.00 | $82.49–$413.00 | 83% below | 77% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNIL COMPLETE | $94.99 | $413.00 | $82.49–$413.00 | — | 77% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNIL LIMITED | $90.16 | $392.00 | $82.49–$392.00 | 82% below | 77% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNIL LIMITED | $90.16 | $392.00 | $82.49–$392.00 | — | 77% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD & PELV W/O & W/DYE | $614.33 | $2,671.00 | $427.00–$2,671.00 | 80% below | 77% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD & PELV W/O & W/DYE | $614.33 | $2,671.00 | $427.00–$2,671.00 | — | 77% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W CONTRAST | $549.24 | $2,388.00 | $304.62–$2,388.00 | 69% below | 77% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W CONTRAST | $549.24 | $2,388.00 | $304.62–$2,388.00 | — | 77% |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W CONTRAST | $549.24 | $2,388.00 | $304.62–$2,388.00 | 72% below | 77% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W CONTRAST | $549.24 | $2,388.00 | $304.62–$2,388.00 | — | 77% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST WOW CON | $576.61 | $2,507.00 | $304.62–$2,507.00 | 68% below | 77% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST WOW CON | $576.61 | $2,507.00 | $304.62–$2,507.00 | — | 77% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN/PELVIS WO CON | $521.87 | $2,269.00 | $124.45–$2,269.00 | 76% below | 77% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN/PELVIS WO CON | $521.87 | $2,269.00 | $124.45–$2,269.00 | — | 77% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN/PELVIS W CON | $549.24 | $2,388.00 | $237.47–$2,388.00 | 82% below | 77% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN/PELVIS W CON | $549.24 | $2,388.00 | $237.47–$2,388.00 | — | 77% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD/PEL WOW CON | $576.61 | $2,507.00 | $313.89–$2,507.00 | 83% below | 77% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD/PEL WOW CON | $576.61 | $2,507.00 | $313.89–$2,507.00 | — | 77% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CON | $576.61 | $2,507.00 | $270.44–$2,507.00 | 65% below | 77% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CON | $576.61 | $2,507.00 | $270.44–$2,507.00 | — | 77% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CON | $549.24 | $2,388.00 | $172.70–$2,388.00 | 62% below | 77% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CON | $549.24 | $2,388.00 | $172.70–$2,388.00 | — | 77% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | 60% below | 77% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | — | 77% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $521.87 | $2,269.00 | $172.70–$2,269.00 | 61% below | 77% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $521.87 | $2,269.00 | $172.70–$2,269.00 | — | 77% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD W CON | $549.24 | $2,388.00 | $270.44–$2,388.00 | 64% below | 77% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CON | $549.24 | $2,388.00 | $270.44–$2,388.00 | — | 77% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD WOW CON | $576.61 | $2,507.00 | $300.68–$2,507.00 | 67% below | 77% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD WOW CON | $576.61 | $2,507.00 | $300.68–$2,507.00 | — | 77% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | 67% below | 77% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | — | 77% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | 67% below | 77% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | — | 77% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CON | $605.36 | $2,632.00 | $270.44–$2,632.00 | 64% below | 77% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CON | $605.36 | $2,632.00 | $270.44–$2,632.00 | — | 77% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DPLX SCN CARTOID ART BILAT | $225.17 | $979.00 | $114.91–$979.00 | — | 77% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DPLX SCN CARTOID ART BILAT | $225.17 | $979.00 | $114.91–$979.00 | — | 77% |
| Chest CT scan without and with contrast CPT 71270 HC CT CHEST WOW CON | $576.61 | $2,507.00 | $300.68–$2,507.00 | 70% below | 77% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST WOW CON | $576.61 | $2,507.00 | $300.68–$2,507.00 | — | 77% |
| Chest X-ray, 2 views CPT 71046 HC DX CHEST 2 VIEWS | $67.85 | $295.00 | $43.60–$295.00 | 76% below | 77% |
| Chest X-ray, 2 views inpatient CPT 71046 HC DX CHEST 2 VIEWS | $67.85 | $295.00 | $43.60–$295.00 | — | 77% |
| Chest X-ray, single view CPT 71045 HC DX CHEST 1 VIEW | $64.63 | $281.00 | $32.32–$281.00 | 72% below | 77% |
| Chest X-ray, single view inpatient CPT 71045 HC DX CHEST 1 VIEW | $64.63 | $281.00 | $32.32–$281.00 | — | 77% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC DX CLAVICLE COMPLETE | $64.63 | $281.00 | $28.50–$281.00 | 78% below | 77% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC DX CLAVICLE COMPLETE | $64.63 | $281.00 | $28.50–$281.00 | — | 77% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $99.82 | $434.00 | $86.68–$434.00 | 84% below | 77% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $99.82 | $434.00 | $86.68–$434.00 | — | 77% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BONE DENSITY DEXA AXIAL | $77.28 | $336.00 | $55.50–$336.00 | 87% below | 77% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC BONE DENSITY DEXA AXIAL | $77.28 | $336.00 | $55.50–$336.00 | — | 77% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BONE DENSITY DXA APPENDICULAR | $67.85 | $295.00 | $25.22–$295.00 | 73% below | 77% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC BONE DENSITY DXA APPENDICULAR | $67.85 | $295.00 | $25.22–$295.00 | — | 77% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | 62% below | 77% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | — | 77% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CON | $549.24 | $2,388.00 | $270.44–$2,388.00 | 68% below | 77% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CON | $549.24 | $2,388.00 | $270.44–$2,388.00 | — | 77% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BILAT | $83.95 | $365.00 | $85.17–$365.00 | — | 77% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BILAT | $83.95 | $365.00 | $85.17–$365.00 | — | 77% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD UNILAT | $72.68 | $316.00 | $84.62–$316.00 | 79% below | 77% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD UNILAT | $72.68 | $316.00 | $84.62–$316.00 | — | 77% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX ART LOWER EXT BILAT | $337.87 | $1,469.00 | $114.89–$1,469.00 | — | 77% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX ART LOWER EXT BILAT | $337.87 | $1,469.00 | $114.89–$1,469.00 | — | 77% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX VEINS EXTREM CMPL BILAT | $337.87 | $1,469.00 | $123.50–$1,469.00 | — | 77% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX VEINS EXTREM CMPL BILAT | $337.87 | $1,469.00 | $123.50–$1,469.00 | — | 77% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO ADULT TRANSTHORACIC COMP | $439.99 | $1,913.00 | $170.76–$1,913.00 | 75% below | 77% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO ADULT TRANSTHORACIC COMP | $439.99 | $1,913.00 | $170.76–$1,913.00 | — | 77% |
| Elbow X-ray, 2 views CPT 73070 HC DX ELBOW 2 VIEWS | $64.63 | $281.00 | $28.11–$281.00 | 76% below | 77% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC DX ELBOW 2 VIEWS | $64.63 | $281.00 | $28.11–$281.00 | — | 77% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC DX ELBOW 3 VIEW+ | $71.53 | $311.00 | $31.22–$311.00 | 83% below | 77% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC DX ELBOW 3 VIEW+ | $71.53 | $311.00 | $31.22–$311.00 | — | 77% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT SELLA INNER EAR WO CON | $549.24 | $2,388.00 | $172.70–$2,388.00 | 59% below | 77% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT SELLA INNER EAR WO CON | $549.24 | $2,388.00 | $172.70–$2,388.00 | — | 77% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC DX FACIAL BONE COMPLT MIN 3 VIEWS | $67.85 | $295.00 | $40.32–$295.00 | 87% below | 77% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC DX FACIAL BONE COMPLT MIN 3 VIEWS | $67.85 | $295.00 | $40.32–$295.00 | — | 77% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC DX FOREARM 2 VIEWS | $67.85 | $295.00 | $28.50–$295.00 | 79% below | 77% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC DX FOREARM 2 VIEWS | $67.85 | $295.00 | $28.50–$295.00 | — | 77% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBIL HIDA | $443.90 | $1,930.00 | $264.02–$1,930.00 | 61% below | 77% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBIL HIDA | $443.90 | $1,930.00 | $264.02–$1,930.00 | — | 77% |
| Hand X-ray, 2 views CPT 73120 HC DX HAND 2 VIEW | $67.85 | $295.00 | $27.86–$295.00 | 73% below | 77% |
| Hand X-ray, 2 views inpatient CPT 73120 HC DX HAND 2 VIEW | $67.85 | $295.00 | $27.86–$295.00 | — | 77% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC DX CALCANEUS 2 VIEW+ | $67.85 | $295.00 | $27.53–$295.00 | 76% below | 77% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC DX CALCANEUS 2 VIEW+ | $67.85 | $295.00 | $27.53–$295.00 | — | 77% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED | $255.76 | $1,112.00 | $153.06–$1,112.00 | 44% below | 77% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED | $255.76 | $1,112.00 | $153.06–$1,112.00 | — | 77% |
| Knee X-ray, 3 views CPT 73562 HC DX KNEE 3 VIEW* | $67.85 | $295.00 | $32.96–$295.00 | 80% below | 77% |
| Knee X-ray, 3 views inpatient CPT 73562 HC DX KNEE 3 VIEW* | $67.85 | $295.00 | $32.96–$295.00 | — | 77% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC DX KNEE 4 VIEW+ COMPLETE | $78.66 | $342.00 | $36.93–$342.00 | 82% below | 77% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC DX KNEE 4 VIEW+ COMPLETE | $78.66 | $342.00 | $36.93–$342.00 | — | 77% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOW EXTREM WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | 57% below | 77% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOW EXTREM WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | — | 77% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LTD | $94.76 | $412.00 | $82.20–$412.00 | 86% below | 77% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LTD | $94.76 | $412.00 | $82.20–$412.00 | — | 77% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LIMITED JOINT/NON-VAS EXT STRUCTURE(S) | $94.76 | $412.00 | $9.51–$412.00 | 69% below | 77% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LIMITED JOINT/NON-VAS EXT STRUCTURE(S) | $94.76 | $412.00 | $9.51–$412.00 | — | 77% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT CHEST SCREENING LOW DOSE WOUT CONT | $89.47 | $389.00 | $72.81–$389.00 | 68% below | 77% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT CHEST SCREENING LOW DOSE WOUT CONT | $89.47 | $389.00 | $72.81–$389.00 | — | 77% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC DX TIBIA & FIBULA 2 VIEWS | $67.85 | $295.00 | $28.88–$295.00 | 78% below | 77% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC DX TIBIA & FIBULA 2 VIEWS | $67.85 | $295.00 | $28.88–$295.00 | — | 77% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | 74% below | 77% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | — | 77% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR JOINT LOW EXT WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | 69% below | 77% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR JOINT LOW EXT WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | — | 77% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR JOINT LOW EXT WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | 81% below | 77% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR JOINT LOW EXT WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | — | 77% |
| MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | 63% below | 77% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABDOMEN WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | — | 77% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABDOMEN WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | 77% below | 77% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABDOMEN WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | — | 77% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | 69% below | 77% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | — | 77% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | 76% below | 77% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | — | 77% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | 70% below | 77% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | — | 77% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MR SPINE LUMBAR WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | 80% below | 77% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR SPINE LUMBAR WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | — | 77% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SPINE THORACIC WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | 70% below | 77% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR SPINE THORACIC WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | — | 77% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SPINE CERVICAL WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | 80% below | 77% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR SPINE CERVICAL WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | — | 77% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICAL WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | 70% below | 77% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SPINE CERVICAL WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | — | 77% |
| MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | 79% below | 77% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS WOW CON | $656.19 | $2,853.00 | $480.63–$2,853.00 | — | 77% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | 68% below | 77% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | — | 77% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR JOINT UPR EXTREM WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | 69% below | 77% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR JOINT UPR EXTREM WO CON | $593.63 | $2,581.00 | $304.57–$2,581.00 | — | 77% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC DX SPINE CERVICAL 4 OR 5 VIEWS* | $71.53 | $311.00 | $52.44–$311.00 | 85% below | 77% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC DX SPINE CERVICAL 4 OR 5 VIEWS* | $71.53 | $311.00 | $52.44–$311.00 | — | 77% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CON | $549.24 | $2,388.00 | $270.44–$2,388.00 | 67% below | 77% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CON | $549.24 | $2,388.00 | $270.44–$2,388.00 | — | 77% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | 39% below | 77% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | — | 77% |
| Neck soft tissue X-ray CPT 70360 HC DX NECK SOFT TISSUE | $67.85 | $295.00 | $26.12–$295.00 | 80% below | 77% |
| Neck soft tissue X-ray inpatient CPT 70360 HC DX NECK SOFT TISSUE | $67.85 | $295.00 | $26.12–$295.00 | — | 77% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARD PERF SPECT MULTI | $443.90 | $1,930.00 | $340.93–$1,930.00 | 86% below | 77% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARD PERF SPECT MULTI | $443.90 | $1,930.00 | $340.93–$1,930.00 | — | 77% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CON | $576.61 | $2,507.00 | $172.70–$2,507.00 | 61% below | 77% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CON | $576.61 | $2,507.00 | $172.70–$2,507.00 | — | 77% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LTD FU | $99.82 | $434.00 | $49.23–$434.00 | 77% below | 77% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LTD FU | $99.82 | $434.00 | $49.23–$434.00 | — | 77% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS NON OB | $99.82 | $434.00 | $86.68–$434.00 | 86% below | 77% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS NON OB | $99.82 | $434.00 | $86.68–$434.00 | — | 77% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREG COMP >14 WKS SNGL GEST | $99.82 | $434.00 | $86.68–$434.00 | 83% below | 77% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREG COMP >14 WKS SNGL GEST | $99.82 | $434.00 | $86.68–$434.00 | — | 77% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB <14 WKS SINGLE FETUS | $99.82 | $434.00 | $39.76–$434.00 | 79% below | 77% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB <14 WKS SINGLE FETUS | $99.82 | $434.00 | $39.76–$434.00 | — | 77% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY LTD 1 OR MORE FETUS | $99.82 | $434.00 | $56.63–$434.00 | 79% below | 77% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY LTD 1 OR MORE FETUS | $99.82 | $434.00 | $56.63–$434.00 | — | 77% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC DX RIBS 2 VIEW UNILAT | $64.63 | $281.00 | $34.04–$281.00 | 80% below | 77% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC DX RIBS 2 VIEW UNILAT | $64.63 | $281.00 | $34.04–$281.00 | — | 77% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC DX RIBS UNI MIN 3 VIEW W PA CHEST | $67.85 | $295.00 | $38.87–$295.00 | 83% below | 77% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC DX RIBS UNI MIN 3 VIEW W PA CHEST | $67.85 | $295.00 | $38.87–$295.00 | — | 77% |
| Screening mammogram, both breasts CPT 77067 HC SCREEN MAMMO INCL CAD | $72.68 | $316.00 | $85.17–$316.00 | 82% below | 77% |
| Screening mammogram, both breasts inpatient CPT 77067 HC SCREEN MAMMO INCL CAD | $72.68 | $316.00 | $85.17–$316.00 | — | 77% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC DX SHOULDER 2 VIEW+ | $75.21 | $327.00 | $31.58–$327.00 | 76% below | 77% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC DX SHOULDER 2 VIEW+ | $75.21 | $327.00 | $31.58–$327.00 | — | 77% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC DX SINUSES COMP 3 VIEW | $67.85 | $295.00 | $40.32–$295.00 | 86% below | 77% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC DX SINUSES COMP 3 VIEW | $67.85 | $295.00 | $40.32–$295.00 | — | 77% |
| Skull X-ray, fewer than 4 views CPT 70250 HC DX SKULL LTD <4 VIEW | $64.63 | $281.00 | $38.16–$281.00 | 81% below | 77% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC DX SKULL LTD <4 VIEW | $64.63 | $281.00 | $38.16–$281.00 | — | 77% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC FEMUR MIN 2 VIEWS | $67.85 | $295.00 | $50.49–$295.00 | 78% below | 77% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC FEMUR MIN 2 VIEWS | $67.85 | $295.00 | $50.49–$295.00 | — | 77% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SPINE THORACIC WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | 68% below | 77% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SPINE THORACIC WO CON | $521.87 | $2,269.00 | $172.70–$2,269.00 | — | 77% |
| Toe X-ray, 2 or more views CPT 73660 HC DX TOES 2 VIEW+ | $67.85 | $295.00 | $23.79–$295.00 | 73% below | 77% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC DX TOES 2 VIEW+ | $67.85 | $295.00 | $23.79–$295.00 | — | 77% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB | $99.82 | $434.00 | $86.68–$434.00 | 83% below | 77% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB | $99.82 | $434.00 | $86.68–$434.00 | — | 77% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANCY TRANSVAGINAL | $99.82 | $434.00 | $55.48–$434.00 | 79% below | 77% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANCY TRANSVAGINAL | $99.82 | $434.00 | $55.48–$434.00 | — | 77% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $99.82 | $434.00 | $86.68–$434.00 | 89% below | 77% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $99.82 | $434.00 | $86.68–$434.00 | — | 77% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM | $99.82 | $434.00 | $85.79–$434.00 | 86% below | 77% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM | $99.82 | $434.00 | $85.79–$434.00 | — | 77% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS HEAD OR NECK | $99.82 | $434.00 | $78.52–$434.00 | 84% below | 77% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISS HEAD OR NECK | $99.82 | $434.00 | $78.52–$434.00 | — | 77% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC DX HUMERUS 2 VIEW+ | $67.85 | $295.00 | $31.22–$295.00 | 80% below | 77% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC DX HUMERUS 2 VIEW+ | $67.85 | $295.00 | $31.22–$295.00 | — | 77% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX VEINS EXTREM LTD UNIL | $225.17 | $979.00 | $83.14–$979.00 | 69% below | 77% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX VEINS EXTREM LTD UNIL | $225.17 | $979.00 | $83.14–$979.00 | — | 77% |
| Wrist X-ray, 2 views CPT 73100 HC DX WRIST 2 VIEWS | $64.63 | $281.00 | $27.27–$281.00 | 75% below | 77% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC DX WRIST 2 VIEWS | $64.63 | $281.00 | $27.27–$281.00 | — | 77% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC DX WRIST 3 VIEW+* | $75.21 | $327.00 | $29.59–$327.00 | 75% below | 77% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC DX WRIST 3 VIEW+* | $75.21 | $327.00 | $29.59–$327.00 | — | 77% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP UNILAT W PELVIS WHEN PERFORMED 2-3 VIEWS | $67.85 | $295.00 | $54.72–$295.00 | 73% below | 77% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC DX HIP UNILAT W PELVIS WHEN PERFORMED 2-3 VIEWS | $67.85 | $295.00 | $54.72–$295.00 | — | 77% |
| X-ray of the abdomen, 1 view CPT 74018 HC DX ABDOMEN 1 VIEW | $64.63 | $281.00 | $40.47–$281.00 | 77% below | 77% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC DX ABDOMEN 1 VIEW | $64.63 | $281.00 | $40.47–$281.00 | — | 77% |
| X-ray of the ankle, 2 views CPT 73600 HC DX ANKLE 2 VIEWS | $64.63 | $281.00 | $27.44–$281.00 | 76% below | 77% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC DX ANKLE 2 VIEWS | $64.63 | $281.00 | $27.44–$281.00 | — | 77% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC DX FINGER 2 VIEW+ | $67.85 | $295.00 | $23.42–$295.00 | 71% below | 77% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC DX FINGER 2 VIEW+ | $67.85 | $295.00 | $23.42–$295.00 | — | 77% |
| X-ray of the foot, 2 views one side CPT 73620 HC DX FOOT 2 VIEWS UNILATERAL | $64.63 | $281.00 | $27.44–$281.00 | 78% below | 77% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC DX FOOT 2 VIEWS UNILATERAL | $64.63 | $281.00 | $27.44–$281.00 | — | 77% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC DX FOOT 3 VIEW+* | $71.53 | $311.00 | $29.60–$311.00 | 77% below | 77% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC DX FOOT 3 VIEW+* | $71.53 | $311.00 | $29.60–$311.00 | — | 77% |
| X-ray of the hand, 3 or more views CPT 73130 HC DX HAND 3 VIEW+* | $75.21 | $327.00 | $29.59–$327.00 | 75% below | 77% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC DX HAND 3 VIEW+* | $75.21 | $327.00 | $29.59–$327.00 | — | 77% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC DX KNEE 1 OR 2 VIEW | $61.41 | $267.00 | $28.88–$267.00 | 77% below | 77% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC DX KNEE 1 OR 2 VIEW | $61.41 | $267.00 | $28.88–$267.00 | — | 77% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC DX SPINE LUMBAR 2 OR 3 VIEWS | $64.63 | $281.00 | $37.52–$281.00 | 82% below | 77% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC DX SPINE LUMBAR 2 OR 3 VIEWS | $64.63 | $281.00 | $37.52–$281.00 | — | 77% |
| X-ray of the lower back, 4 or more views CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS | $67.85 | $295.00 | $53.17–$295.00 | 87% below | 77% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS | $67.85 | $295.00 | $53.17–$295.00 | — | 77% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC DX SPINE THORACIC 2 VIEWS | $64.63 | $281.00 | $36.81–$281.00 | 80% below | 77% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC DX SPINE THORACIC 2 VIEWS | $64.63 | $281.00 | $36.81–$281.00 | — | 77% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC DX NASAL BONE 3 VIEWS | $67.85 | $295.00 | $29.30–$295.00 | 76% below | 77% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC DX NASAL BONE 3 VIEWS | $67.85 | $295.00 | $29.30–$295.00 | — | 77% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC DX SPINE CERVICAL 2 OR 3 VIEWS | $67.85 | $295.00 | $36.09–$295.00 | 82% below | 77% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC DX SPINE CERVICAL 2 OR 3 VIEWS | $67.85 | $295.00 | $36.09–$295.00 | — | 77% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC DX PELVIS 1 OR 2 VIEWS* | $64.63 | $281.00 | $28.96–$281.00 | 80% below | 77% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC DX PELVIS 1 OR 2 VIEWS* | $64.63 | $281.00 | $28.96–$281.00 | — | 77% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC DX SACRUM COCCYX 2 VIEW | $67.85 | $295.00 | $31.31–$295.00 | 84% below | 77% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC DX SACRUM COCCYX 2 VIEW | $67.85 | $295.00 | $31.31–$295.00 | — | 77% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH | $66.47 | $289.00 | $38.62–$289.00 | 71% below | 77% |
| ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH | $66.47 | $289.00 | $38.62–$289.00 | — | 77% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT ALT | $9.20 | $40.00 | $5.30–$40.00 | 82% below | 77% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT ALT | $9.20 | $40.00 | $5.30–$40.00 | — | 77% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT AST | $8.97 | $39.00 | $5.18–$39.00 | 82% below | 77% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT AST | $8.97 | $39.00 | $5.18–$39.00 | — | 77% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE | $79.12 | $344.00 | $13.59–$344.00 | 73% below | 77% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE | $79.12 | $344.00 | $13.59–$344.00 | — | 77% |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM PLASMA OR WHOLE BLD | $8.51 | $37.00 | $4.95–$37.00 | 78% below | 77% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM PLASMA OR WHOLE BLD | $8.51 | $37.00 | $4.95–$37.00 | — | 77% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $67.39 | $293.00 | $40.75–$293.00 | 62% below | 77% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE | $67.39 | $293.00 | $40.75–$293.00 | — | 77% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE | $8.97 | $39.00 | $5.18–$39.00 | 76% below | 77% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE | $8.97 | $39.00 | $5.18–$39.00 | — | 77% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE | $8.97 | $39.00 | $5.22–$39.00 | 64% below | 77% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE | $8.97 | $39.00 | $5.22–$39.00 | — | 77% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN SERUM | $28.98 | $126.00 | $16.77–$126.00 | 74% below | 77% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN SERUM | $28.98 | $126.00 | $16.77–$126.00 | — | 77% |
| Ammonia blood test CPT 82140 HC AMMONIA NH3 | $25.07 | $109.00 | $14.57–$109.00 | 73% below | 77% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA NH3 | $25.07 | $109.00 | $14.57–$109.00 | — | 77% |
| Amylase blood test CPT 82150 HC AMYLASE | $11.04 | $48.00 | $6.48–$48.00 | 80% below | 77% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $11.04 | $48.00 | $6.48–$48.00 | — | 77% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANITBODY | $11.73 | $51.00 | $12.95–$51.00 | 84% below | 77% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANITBODY | $11.73 | $51.00 | $12.95–$51.00 | — | 77% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA SCREEN | $20.70 | $90.00 | $12.09–$90.00 | 85% below | 77% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA SCREEN | $20.70 | $90.00 | $12.09–$90.00 | — | 77% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $58.42 | $254.00 | $39.26–$254.00 | 70% below | 77% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $58.42 | $254.00 | $39.26–$254.00 | — | 77% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | $14.72 | $64.00 | $8.62–$64.00 | 79% below | 77% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | $14.72 | $64.00 | $8.62–$64.00 | — | 77% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL (CA TOTAL) | $14.26 | $62.00 | $8.46–$62.00 | 81% below | 77% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL (CA TOTAL) | $14.26 | $62.00 | $8.46–$62.00 | — | 77% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $8.74 | $38.00 | $5.02–$38.00 | 80% below | 77% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $8.74 | $38.00 | $5.02–$38.00 | — | 77% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGICAL PATH LEVEL IV | $74.06 | $322.00 | $18.48–$322.00 | 66% below | 77% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURGICAL PATH LEVEL IV | $74.06 | $322.00 | $18.48–$322.00 | — | 77% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE | $17.94 | $78.00 | $10.32–$78.00 | 83% below | 77% |
| Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE | $17.94 | $78.00 | $10.32–$78.00 | — | 77% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE | $6.67 | $29.00 | $2.70–$29.00 | 62% below | 77% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE | $6.67 | $29.00 | $2.70–$29.00 | — | 77% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANT BLOOD | $6.67 | $29.00 | $3.93–$29.00 | 85% below | 77% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANT BLOOD | $6.67 | $29.00 | $3.93–$29.00 | — | 77% |
| Blood lead test CPT 83655 HC LEAD | $20.70 | $90.00 | $12.11–$90.00 | 67% below | 77% |
| Blood lead test inpatient CPT 83655 HC LEAD | $20.70 | $90.00 | $12.11–$90.00 | — | 77% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUAL | $13.11 | $57.00 | $7.52–$57.00 | 88% below | 77% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUAL | $13.11 | $57.00 | $7.52–$57.00 | — | 77% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $18.17 | $79.00 | $2.99–$79.00 | 80% below | 77% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $18.17 | $79.00 | $2.99–$79.00 | — | 77% |
| Blood urea nitrogen (BUN) test CPT 84520 HC BUN BLOOD UREA NITROGEN | $6.67 | $29.00 | $3.95–$29.00 | 87% below | 77% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN BLOOD UREA NITROGEN | $6.67 | $29.00 | $3.95–$29.00 | — | 77% |
| C-peptide blood test CPT 84681 HC C PEPTIDE | $35.65 | $155.00 | $18.12–$155.00 | 67% below | 77% |
| C-peptide blood test inpatient CPT 84681 HC C PEPTIDE | $35.65 | $155.00 | $18.12–$155.00 | — | 77% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN | $8.97 | $39.00 | $5.18–$39.00 | 90% below | 77% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN | $8.97 | $39.00 | $5.18–$39.00 | — | 77% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF AMPLIFIED PROBE | $60.03 | $261.00 | $37.27–$261.00 | 52% below | 77% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF AMPLIFIED PROBE | $60.03 | $261.00 | $37.27–$261.00 | — | 77% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC TUMOR ANTIGEN CA 19-9 | $35.65 | $155.00 | $16.90–$155.00 | 65% below | 77% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC TUMOR ANTIGEN CA 19-9 | $35.65 | $155.00 | $16.90–$155.00 | — | 77% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC TUMOR ANTIGEN CA 125 | $35.65 | $155.00 | $16.90–$155.00 | 71% below | 77% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC TUMOR ANTIGEN CA 125 | $35.65 | $155.00 | $16.90–$155.00 | — | 77% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $14.72 | $64.00 | $19.20–$90.76 | 81% below | 77% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $14.72 | $64.00 | $19.20–$90.76 | — | 77% |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL | $8.97 | $39.00 | $2.31–$39.00 | 78% below | 77% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL | $8.97 | $39.00 | $2.31–$39.00 | — | 77% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA | $32.66 | $142.00 | $18.12–$142.00 | 72% below | 77% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA | $32.66 | $142.00 | $18.12–$142.00 | — | 77% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY | $22.08 | $96.00 | $12.88–$96.00 | 79% below | 77% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY | $22.08 | $96.00 | $12.88–$96.00 | — | 77% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS AMP PROBE | $60.03 | $261.00 | $35.09–$261.00 | 55% below | 77% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS AMP PROBE | $60.03 | $261.00 | $35.09–$261.00 | — | 77% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $23.23 | $101.00 | $12.13–$101.00 | 73% below | 77% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $23.23 | $101.00 | $12.13–$101.00 | — | 77% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH AUTO DIFF | $13.34 | $58.00 | $7.77–$58.00 | 54% below | 77% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH AUTO DIFF | $13.34 | $58.00 | $7.77–$58.00 | — | 77% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD CT COMPLETE AUTOMATED | $11.04 | $48.00 | $4.62–$48.00 | 87% below | 77% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD CT COMPLETE AUTOMATED | $11.04 | $48.00 | $4.62–$48.00 | — | 77% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $17.25 | $75.00 | $10.56–$75.00 | 90% below | 77% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $17.25 | $75.00 | $10.56–$75.00 | — | 77% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $28.29 | $123.00 | $16.30–$123.00 | 67% below | 77% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $28.29 | $123.00 | $16.30–$123.00 | — | 77% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CPK CREATINE KINASE | $11.04 | $48.00 | $6.51–$48.00 | 83% below | 77% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CPK CREATINE KINASE | $11.04 | $48.00 | $6.51–$48.00 | — | 77% |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $8.97 | $39.00 | $2.31–$39.00 | 86% below | 77% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD | $8.97 | $39.00 | $2.31–$39.00 | — | 77% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS | $24.61 | $107.00 | $14.39–$107.00 | 64% below | 77% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS | $24.61 | $107.00 | $14.39–$107.00 | — | 77% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUANTITATIVE | $17.48 | $76.00 | $6.63–$76.00 | 89% below | 77% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QUANTITATIVE | $17.48 | $76.00 | $6.63–$76.00 | — | 77% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE | $38.18 | $166.00 | $19.88–$166.00 | 68% below | 77% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE | $38.18 | $166.00 | $19.88–$166.00 | — | 77% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $100.51 | $437.00 | $62.14–$437.00 | 35% below | 77% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $100.51 | $437.00 | $62.14–$437.00 | — | 77% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTES | $11.50 | $50.00 | $7.01–$50.00 | 88% below | 77% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTES | $11.50 | $50.00 | $7.01–$50.00 | — | 77% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV VIRAL CAPSID | $29.90 | $130.00 | $16.90–$130.00 | 68% below | 77% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV VIRAL CAPSID | $29.90 | $130.00 | $16.90–$130.00 | — | 77% |
| Estradiol blood test CPT 82670 HC ESTRADIOL TOTAL | $47.84 | $208.00 | $19.88–$208.00 | 61% below | 77% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL TOTAL | $47.84 | $208.00 | $19.88–$208.00 | — | 77% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE | $31.97 | $139.00 | $18.58–$139.00 | 70% below | 77% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE | $31.97 | $139.00 | $18.58–$139.00 | — | 77% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $33.81 | $147.00 | $18.12–$147.00 | 72% below | 77% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $33.81 | $147.00 | $18.12–$147.00 | — | 77% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $23.46 | $102.00 | $11.55–$102.00 | 82% below | 77% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $23.46 | $102.00 | $11.55–$102.00 | — | 77% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $14.72 | $64.00 | $6.63–$64.00 | 82% below | 77% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY | $14.72 | $64.00 | $6.63–$64.00 | — | 77% |
| Folate (folic acid) blood test CPT 82746 HC FOLATE FOLIC ACID SERUM | $25.30 | $110.00 | $14.70–$110.00 | 77% below | 77% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE FOLIC ACID SERUM | $25.30 | $110.00 | $14.70–$110.00 | — | 77% |
| Free T3 thyroid hormone test CPT 84481 HC FREE T3 TRIIODOTHYRONINE | $29.21 | $127.00 | $16.94–$127.00 | 72% below | 77% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3 TRIIODOTHYRONINE | $29.21 | $127.00 | $16.94–$127.00 | — | 77% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 THYROXINE | $15.41 | $67.00 | $9.02–$67.00 | 80% below | 77% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 THYROXINE | $15.41 | $67.00 | $9.02–$67.00 | — | 77% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $42.09 | $183.00 | $19.88–$183.00 | 77% below | 77% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $42.09 | $183.00 | $19.88–$183.00 | — | 77% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT GAMMA GT | $12.42 | $54.00 | $2.31–$54.00 | 71% below | 77% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT GAMMA GT | $12.42 | $54.00 | $2.31–$54.00 | — | 77% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL | $48.30 | $210.00 | $13.59–$210.00 | 52% below | 77% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL | $48.30 | $210.00 | $13.59–$210.00 | — | 77% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $8.28 | $36.00 | $4.62–$36.00 | 80% below | 77% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $8.28 | $36.00 | $4.62–$36.00 | — | 77% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPEC | $17.25 | $75.00 | $12.87–$75.00 | 79% below | 77% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPEC | $17.25 | $75.00 | $12.87–$75.00 | — | 77% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE DNA AMP PROBE | $60.03 | $261.00 | $35.09–$261.00 | 45% below | 77% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE DNA AMP PROBE | $60.03 | $261.00 | $35.09–$261.00 | — | 77% |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG STOOL EIA ELISA IMCA | $24.61 | $107.00 | $14.38–$107.00 | 77% below | 77% |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG STOOL EIA ELISA IMCA | $24.61 | $107.00 | $14.38–$107.00 | — | 77% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 DNA QUANT OR REV TRANS | $146.28 | $636.00 | $85.10–$636.00 | 51% below | 77% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 DNA QUANT OR REV TRANS | $146.28 | $636.00 | $85.10–$636.00 | — | 77% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $41.40 | $180.00 | $14.80–$180.00 | 63% below | 77% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $41.40 | $180.00 | $14.80–$180.00 | — | 77% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK TYPES | $30.13 | $131.00 | $35.09–$131.00 | 74% below | 77% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK TYPES | $30.13 | $131.00 | $35.09–$131.00 | — | 77% |
| Hemoglobin blood test CPT 85018 HC HGB HEMOGLOBIN | $4.14 | $18.00 | $2.31–$18.00 | 77% below | 77% |
| Hemoglobin blood test inpatient CPT 85018 HC HGB HEMOGLOBIN | $4.14 | $18.00 | $2.31–$18.00 | — | 77% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB TOTAL | $20.70 | $90.00 | $12.05–$90.00 | 69% below | 77% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB TOTAL | $20.70 | $90.00 | $12.05–$90.00 | — | 77% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB | $18.63 | $81.00 | $10.74–$81.00 | 78% below | 77% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB | $18.63 | $81.00 | $10.74–$81.00 | — | 77% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA ELISA IMCA | $17.02 | $74.00 | $10.33–$74.00 | 73% below | 77% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG EIA ELISA IMCA | $17.02 | $74.00 | $10.33–$74.00 | — | 77% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB | $24.61 | $107.00 | $14.27–$107.00 | 69% below | 77% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB | $24.61 | $107.00 | $14.27–$107.00 | — | 77% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEP C RNA PCR QUANTITAT/REV TRANS | $73.83 | $321.00 | $42.84–$321.00 | 71% below | 77% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEP C RNA PCR QUANTITAT/REV TRANS | $73.83 | $321.00 | $42.84–$321.00 | — | 77% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX AB TYPE 1 | $23.00 | $100.00 | $13.19–$100.00 | 73% below | 77% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX AB TYPE 1 | $23.00 | $100.00 | $13.19–$100.00 | — | 77% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX AB TYPE 2 | $17.25 | $75.00 | $16.90–$75.00 | 81% below | 77% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX AB TYPE 2 | $17.25 | $75.00 | $16.90–$75.00 | — | 77% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVI | $22.31 | $97.00 | $12.95–$97.00 | 59% below | 77% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVI | $22.31 | $97.00 | $12.95–$97.00 | — | 77% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE | $29.21 | $127.00 | $17.92–$127.00 | 74% below | 77% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE | $29.21 | $127.00 | $17.92–$127.00 | — | 77% |
| Insulin blood test CPT 83525 HC INSULIN | $19.55 | $85.00 | $11.43–$85.00 | 72% below | 77% |
| Insulin blood test inpatient CPT 83525 HC INSULIN | $19.55 | $85.00 | $11.43–$85.00 | — | 77% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $11.04 | $48.00 | $2.31–$48.00 | 86% below | 77% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $11.04 | $48.00 | $2.31–$48.00 | — | 77% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $15.18 | $66.00 | $2.31–$66.00 | 77% below | 77% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $15.18 | $66.00 | $2.31–$66.00 | — | 77% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $14.49 | $63.00 | $8.68–$63.00 | 87% below | 77% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $14.49 | $63.00 | $8.68–$63.00 | — | 77% |
| LH (luteinizing hormone) test CPT 83002 HC LH LEUTINIZING HORMONE | $31.74 | $138.00 | $18.52–$138.00 | 76% below | 77% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH LEUTINIZING HORMONE | $31.74 | $138.00 | $18.52–$138.00 | — | 77% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTATE LACTIC ACID | $18.40 | $80.00 | $11.57–$80.00 | 79% below | 77% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE LACTIC ACID | $18.40 | $80.00 | $11.57–$80.00 | — | 77% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH LACTATE DEHYDROGENASE | $10.35 | $45.00 | $6.04–$45.00 | 81% below | 77% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH LACTATE DEHYDROGENASE | $10.35 | $45.00 | $6.04–$45.00 | — | 77% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $11.73 | $51.00 | $6.89–$51.00 | 89% below | 77% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $11.73 | $51.00 | $6.89–$51.00 | — | 77% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $13.57 | $59.00 | $8.17–$59.00 | 84% below | 77% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $13.57 | $59.00 | $8.17–$59.00 | — | 77% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE AB | $28.29 | $123.00 | $16.90–$123.00 | 68% below | 77% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE AB | $28.29 | $123.00 | $16.90–$123.00 | — | 77% |
| Magnesium blood test CPT 83735 HC MG MAGNESIUM | $11.27 | $49.00 | $2.31–$49.00 | 79% below | 77% |
| Magnesium blood test inpatient CPT 83735 HC MG MAGNESIUM | $11.27 | $49.00 | $2.31–$49.00 | — | 77% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY | $22.08 | $96.00 | $12.88–$96.00 | 71% below | 77% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY | $22.08 | $96.00 | $12.88–$96.00 | — | 77% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTI SCREENING | $8.97 | $39.00 | $5.18–$39.00 | 90% below | 77% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTI SCREENING | $8.97 | $39.00 | $5.18–$39.00 | — | 77% |
| Mumps immunity blood test CPT 86735 HC MUMPS AB | $22.31 | $97.00 | $13.05–$97.00 | 68% below | 77% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB | $22.31 | $97.00 | $13.05–$97.00 | — | 77% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $70.61 | $307.00 | $13.59–$307.00 | 62% below | 77% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $70.61 | $307.00 | $13.59–$307.00 | — | 77% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $31.74 | $138.00 | $18.12–$138.00 | 71% below | 77% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $31.74 | $138.00 | $18.12–$138.00 | — | 77% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPEC ANTIGEN TOTAL REF | $31.74 | $138.00 | $18.12–$138.00 | 68% below | 77% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPEC ANTIGEN TOTAL REF | $31.74 | $138.00 | $18.12–$138.00 | — | 77% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCRN UNDER PHYS SUPV | $34.73 | $151.00 | $20.26–$151.00 | 49% below | 77% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCRN UNDER PHYS SUPV | $34.73 | $151.00 | $20.26–$151.00 | — | 77% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE PARATHYROID HORM | $71.07 | $309.00 | $41.28–$309.00 | 69% below | 77% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE PARATHYROID HORM | $71.07 | $309.00 | $41.28–$309.00 | — | 77% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT THROMBOPLASTIN TIME PARTIAL | $10.35 | $45.00 | $6.01–$45.00 | 83% below | 77% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT THROMBOPLASTIN TIME PARTIAL | $10.35 | $45.00 | $6.01–$45.00 | — | 77% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS SERUM | $8.05 | $35.00 | $4.74–$35.00 | 83% below | 77% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS SERUM | $8.05 | $35.00 | $4.74–$35.00 | — | 77% |
| Potassium blood test CPT 84132 HC K POTAS SERUM PLASMA WHOLE BLD | $8.05 | $35.00 | $2.31–$35.00 | 79% below | 77% |
| Potassium blood test inpatient CPT 84132 HC K POTAS SERUM PLASMA WHOLE BLD | $8.05 | $35.00 | $2.31–$35.00 | — | 77% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $35.65 | $155.00 | $19.88–$155.00 | 80% below | 77% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $35.65 | $155.00 | $19.88–$155.00 | — | 77% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $33.35 | $145.00 | $19.38–$145.00 | 72% below | 77% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $33.35 | $145.00 | $19.38–$145.00 | — | 77% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT PROTHROMBIN TIME | $6.67 | $29.00 | $4.29–$29.00 | 74% below | 77% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT PROTHROMBIN TIME | $6.67 | $29.00 | $4.29–$29.00 | — | 77% |
| Rapid flu test (influenza antigen) CPT 87804 HC ZZ INFLU A AG | $19.78 | $86.00 | $14.80–$86.00 | 77% below | 77% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC ZZ INFLU A AG | $19.78 | $86.00 | $14.80–$86.00 | — | 77% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREPTOCOCCAL GROUP A AG SCRN | $19.78 | $86.00 | $14.80–$86.00 | 78% below | 77% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREPTOCOCCAL GROUP A AG SCRN | $19.78 | $86.00 | $14.80–$86.00 | — | 77% |
| Renin blood test CPT 84244 HC RENIN | $37.72 | $164.00 | $19.88–$164.00 | 71% below | 77% |
| Renin blood test inpatient CPT 84244 HC RENIN | $37.72 | $164.00 | $19.88–$164.00 | — | 77% |
| Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH | $22.31 | $97.00 | $2.99–$97.00 | 64% below | 77% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH | $22.31 | $97.00 | $2.99–$97.00 | — | 77% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR | $9.66 | $42.00 | $5.67–$42.00 | 73% below | 77% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR | $9.66 | $42.00 | $5.67–$42.00 | — | 77% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY | $24.61 | $107.00 | $10.88–$107.00 | 75% below | 77% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY | $24.61 | $107.00 | $10.88–$107.00 | — | 77% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE AUTOMATED | $4.83 | $21.00 | $2.70–$21.00 | 92% below | 77% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE AUTOMATED | $4.83 | $21.00 | $2.70–$21.00 | — | 77% |
| Sodium blood test CPT 84295 HC NA SODIUM SERUM PLASMA/WHL BLD | $8.51 | $37.00 | $4.81–$37.00 | 83% below | 77% |
| Sodium blood test inpatient CPT 84295 HC NA SODIUM SERUM PLASMA/WHL BLD | $8.51 | $37.00 | $4.81–$37.00 | — | 77% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES | $15.18 | $66.00 | $8.90–$66.00 | 72% below | 77% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES | $15.18 | $66.00 | $8.90–$66.00 | — | 77% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES SCREENING | $8.51 | $37.00 | $4.15–$37.00 | 63% below | 77% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES SCREENING | $8.51 | $37.00 | $4.15–$37.00 | — | 77% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC ASSAY TEST FOR BLOOD FECAL | $27.37 | $119.00 | $10.76–$119.00 | 64% below | 77% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC ASSAY TEST FOR BLOOD FECAL | $27.37 | $119.00 | $10.76–$119.00 | — | 77% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC AB TREPONEMA PALLIDUM CONFIRM | $23.00 | $100.00 | $13.24–$100.00 | 68% below | 77% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC AB TREPONEMA PALLIDUM CONFIRM | $23.00 | $100.00 | $13.24–$100.00 | — | 77% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST QUAL | $6.90 | $30.00 | $4.27–$30.00 | 73% below | 77% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST QUAL | $6.90 | $30.00 | $4.27–$30.00 | — | 77% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMMUN MEASURE | $106.49 | $463.00 | $61.09–$463.00 | 52% below | 77% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL IMMUN MEASURE | $106.49 | $463.00 | $61.09–$463.00 | — | 77% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $44.39 | $193.00 | $19.88–$193.00 | 70% below | 77% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $44.39 | $193.00 | $19.88–$193.00 | — | 77% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EA REF | $25.07 | $109.00 | $14.55–$109.00 | 66% below | 77% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EA REF | $25.07 | $109.00 | $14.55–$109.00 | — | 77% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE TSH | $28.98 | $126.00 | $16.80–$126.00 | 70% below | 77% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE TSH | $28.98 | $126.00 | $16.80–$126.00 | — | 77% |
| Total IgE blood test CPT 82785 HC IGE IMMUNOGLOBULIN E | $28.29 | $123.00 | $16.46–$123.00 | 68% below | 77% |
| Total IgE blood test inpatient CPT 82785 HC IGE IMMUNOGLOBULIN E | $28.29 | $123.00 | $16.46–$123.00 | — | 77% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $7.36 | $32.00 | $2.31–$32.00 | 86% below | 77% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL | $7.36 | $32.00 | $2.31–$32.00 | — | 77% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 THYROXINE TOTAL | $11.73 | $51.00 | $6.87–$51.00 | 76% below | 77% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 THYROXINE TOTAL | $11.73 | $51.00 | $6.87–$51.00 | — | 77% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL TRIIODOTHYRONINE | $24.38 | $106.00 | $14.18–$106.00 | 76% below | 77% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL TRIIODOTHYRONINE | $24.38 | $106.00 | $14.18–$106.00 | — | 77% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $21.39 | $93.00 | $12.76–$93.00 | 72% below | 77% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $21.39 | $93.00 | $12.76–$93.00 | — | 77% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $30.36 | $132.00 | $35.09–$132.00 | 72% below | 77% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $30.36 | $132.00 | $35.09–$132.00 | — | 77% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $9.89 | $43.00 | $2.31–$43.00 | 82% below | 77% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $9.89 | $43.00 | $2.31–$43.00 | — | 77% |
| Troponin test, quantitative CPT 84484 HC TROPONIN I | $17.02 | $74.00 | $12.47–$74.00 | 83% below | 77% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I | $17.02 | $74.00 | $12.47–$74.00 | — | 77% |
| Uric acid blood test CPT 84550 HC URIC ACID BLOOD | $8.05 | $35.00 | $4.52–$35.00 | 89% below | 77% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD | $8.05 | $35.00 | $4.52–$35.00 | — | 77% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W MICROSCOPY | $5.52 | $24.00 | $3.17–$24.00 | 88% below | 77% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W MICROSCOPY | $5.52 | $24.00 | $3.17–$24.00 | — | 77% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO WO MICROSCOPY | $3.91 | $17.00 | $2.25–$17.00 | 88% below | 77% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO WO MICROSCOPY | $3.91 | $17.00 | $2.25–$17.00 | — | 77% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINE DIP WO MICROSCOPY | $4.37 | $19.00 | $3.26–$19.00 | 79% below | 77% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINE DIP WO MICROSCOPY | $4.37 | $19.00 | $3.26–$19.00 | — | 77% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE | $13.80 | $60.00 | $8.07–$60.00 | 82% below | 77% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE | $13.80 | $60.00 | $8.07–$60.00 | — | 77% |
| Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN URINE QUANT | $9.66 | $42.00 | $4.42–$42.00 | 84% below | 77% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC ALBUMIN URINE QUANT | $9.66 | $42.00 | $4.42–$42.00 | — | 77% |
| Urine pregnancy test, read by color change CPT 81025 HC VISUAL URINE PREGNANCY | $10.81 | $47.00 | $4.42–$47.00 | 88% below | 77% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC VISUAL URINE PREGNANCY | $10.81 | $47.00 | $4.42–$47.00 | — | 77% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 | $25.76 | $112.00 | $15.08–$112.00 | 69% below | 77% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $25.76 | $112.00 | $15.08–$112.00 | — | 77% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25-OH | $51.06 | $222.00 | $29.60–$222.00 | 64% below | 77% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25-OH | $51.06 | $222.00 | $29.60–$222.00 | — | 77% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DIHYDROXY | $66.24 | $288.00 | $38.50–$288.00 | 70% below | 77% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25 DIHYDROXY | $66.24 | $288.00 | $38.50–$288.00 | — | 77% |
| Zinc blood test CPT 84630 HC ZINC | $19.55 | $85.00 | $11.39–$85.00 | 69% below | 77% |
| Zinc blood test inpatient CPT 84630 HC ZINC | $19.55 | $85.00 | $11.39–$85.00 | — | 77% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANT | $25.76 | $112.00 | $15.05–$112.00 | 81% below | 77% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QUANT | $25.76 | $112.00 | $15.05–$112.00 | — | 77% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC TX METATARSAL FX WO MANIP | $65.55 | $285.00 | $85.50–$919.89 | 77% below | 77% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC TX METATARSAL FX WO MANIP | $65.55 | $285.00 | $85.50–$919.89 | — | 77% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE | $504.16 | $2,192.00 | $186.22–$2,192.00 | 58% below | 77% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE | $504.16 | $2,192.00 | $186.22–$2,192.00 | — | 77% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOS TX DIST RADIAL FX WO MAN | $232.07 | $1,009.00 | $171.00–$1,009.00 | 31% below | 77% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOS TX DIST RADIAL FX WO MAN | $232.07 | $1,009.00 | $171.00–$1,009.00 | — | 77% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $474.95 | $2,065.00 | $619.50–$2,065.00 | 73% below | 77% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $474.95 | $2,065.00 | $619.50–$2,065.00 | — | 77% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $1,247.98 | $5,426.00 | $171.00–$5,426.00 | 47% below | 77% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $1,247.98 | $5,426.00 | $171.00–$5,426.00 | — | 77% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION PREMALIGNANT LESION FIRST LESION | $97.52 | $424.00 | $44.48–$424.00 | 19% below | 77% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCTION PREMALIGNANT LESION FIRST LESION | $97.52 | $424.00 | $44.48–$424.00 | — | 77% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED CERUMEN IRRIGATION UNIL | $26.91 | $117.00 | $35.10–$117.00 | 72% below | 77% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED CERUMEN IRRIGATION UNIL | $26.91 | $117.00 | $35.10–$117.00 | — | 77% |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED CERUMEN INSTRUMENT UNIL | $30.36 | $132.00 | $39.52–$132.00 | 82% below | 77% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED CERUMEN INSTRUMENT UNIL | $30.36 | $132.00 | $39.52–$132.00 | — | 77% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE OR SINGLE | $84.87 | $369.00 | $50.22–$369.00 | 78% below | 77% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE OR SINGLE | $84.87 | $369.00 | $50.22–$369.00 | — | 77% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $231.15 | $1,005.00 | $47.63–$1,005.00 | 37% below | 77% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $231.15 | $1,005.00 | $47.63–$1,005.00 | — | 77% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC ARTHROCENTESIS ASP INJ MAJ JT W/O US GUID UNILAT | $289.57 | $1,259.00 | $157.00–$1,259.00 | 25% below | 77% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC ARTHROCENTESIS ASP INJ MAJ JT W/O US GUID UNILAT | $289.57 | $1,259.00 | $157.00–$1,259.00 | — | 77% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASP INJ INT JT W/O US GUID | $261.97 | $1,139.00 | $157.00–$1,139.00 | 38% below | 77% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASP INJ INT JT W/O US GUID | $261.97 | $1,139.00 | $157.00–$1,139.00 | — | 77% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ASPIRATE INJECT SMALL JOINT W/O US GUID | $87.86 | $382.00 | $43.66–$468.74 | 76% below | 77% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ASPIRATE INJECT SMALL JOINT W/O US GUID | $87.86 | $382.00 | $43.66–$468.74 | — | 77% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPROSCOPIC APPENDECTOMY | $2,357.04 | $10,248.00 | $1,523.00–$10,248.00 | 87% below | 77% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPROSCOPIC APPENDECTOMY | $2,357.04 | $10,248.00 | $1,523.00–$10,248.00 | — | 77% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYER CLOS SCLP TRUNK LESS 2.5 | $97.98 | $426.00 | $116.37–$740.55 | 81% below | 77% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYER CLOS SCLP TRUNK LESS 2.5 | $97.98 | $426.00 | $116.37–$740.55 | — | 77% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BENIGN LES MRGN XCP SK TG T/A/L 0.5 CM/< | $173.19 | $753.00 | $71.20–$815.81 | 69% below | 77% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BENIGN LES MRGN XCP SK TG T/A/L 0.5 CM/< | $173.19 | $753.00 | $71.20–$815.81 | — | 77% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVUL NAIL PLAT PART CMPL SINGL | $90.85 | $395.00 | $53.92–$395.00 | 57% below | 77% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVUL NAIL PLAT PART CMPL SINGL | $90.85 | $395.00 | $53.92–$395.00 | — | 77% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL&MATRIX PART CMPL PERM | $210.22 | $914.00 | $171.00–$914.00 | 65% below | 77% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL&MATRIX PART CMPL PERM | $210.22 | $914.00 | $171.00–$914.00 | — | 77% |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCISE & REMOVAL FB SUBQ SIMP | $117.99 | $513.00 | $61.81–$513.00 | 79% below | 77% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISE & REMOVAL FB SUBQ SIMP | $117.99 | $513.00 | $61.81–$513.00 | — | 77% |
| Short arm cast (elbow to hand) CPT 29075 HC APPLY SHORT ARM CAST | $127.65 | $555.00 | $64.86–$555.00 | 53% below | 77% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY SHORT ARM CAST | $127.65 | $555.00 | $64.86–$555.00 | — | 77% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY SHORT ARM SPLINT STATIC | $75.90 | $330.00 | $43.32–$330.00 | 69% below | 77% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SHORT ARM SPLINT STATIC | $75.90 | $330.00 | $43.32–$330.00 | — | 77% |
| Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST | $97.52 | $424.00 | $88.82–$424.00 | 69% below | 77% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST | $97.52 | $424.00 | $88.82–$424.00 | — | 77% |
| Short leg splint (calf to foot) CPT 29515 HC APPLY SHORT LEG SPLINT | $63.48 | $276.00 | $55.86–$276.00 | 73% below | 77% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SHORT LEG SPLINT | $63.48 | $276.00 | $55.86–$276.00 | — | 77% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SMPL REPR SCLP TRUNK LESS 2.5 | $82.34 | $358.00 | $85.04–$359.25 | 77% below | 77% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SMPL REPR SCLP TRUNK LESS 2.5 | $82.34 | $358.00 | $85.04–$359.25 | — | 77% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SNGL LESION | $74.06 | $322.00 | $96.60–$815.81 | 76% below | 77% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SNGL LESION | $74.06 | $322.00 | $96.60–$815.81 | — | 77% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMV SKIN TAGS TO 15 LESIONS | $37.49 | $163.00 | $48.90–$329.95 | 85% below | 77% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMV SKIN TAGS TO 15 LESIONS | $37.49 | $163.00 | $48.90–$329.95 | — | 77% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINE PUNCT LUMBAR DX | $277.38 | $1,206.00 | $361.80–$1,442.62 | 68% below | 77% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINE PUNCT LUMBAR DX | $277.38 | $1,206.00 | $361.80–$1,442.62 | — | 77% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIMP RPR SCLP TRUNK 2.6-7.5 | $83.95 | $365.00 | $107.43–$365.00 | 80% below | 77% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIMP RPR SCLP TRUNK 2.6-7.5 | $83.95 | $365.00 | $107.43–$365.00 | — | 77% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMP REP FACE MUCOUS LESS 2.5 | $87.63 | $381.00 | $107.43–$381.00 | 77% below | 77% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIMP REP FACE MUCOUS LESS 2.5 | $87.63 | $381.00 | $107.43–$381.00 | — | 77% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BX SKIN SNGL LESION | $38.64 | $168.00 | $50.40–$815.81 | 85% below | 77% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BX SKIN SNGL LESION | $38.64 | $168.00 | $50.40–$815.81 | — | 77% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ ONE MX TRIG POINT 1/2 MUSC | $241.50 | $1,050.00 | $56.91–$1,050.00 | 34% below | 77% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ ONE MX TRIG POINT 1/2 MUSC | $241.50 | $1,050.00 | $56.91–$1,050.00 | — | 77% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W BIOPSY SINGLE OR MULTIPLE | $377.43 | $1,641.00 | $171.00–$1,899.63 | 75% below | 77% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W BIOPSY SINGLE OR MULTIPLE | $377.43 | $1,641.00 | $171.00–$1,899.63 | — | 77% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD TRANSORAL DX INCL BRUSH/WASH | $418.83 | $1,821.00 | $171.00–$1,899.63 | 72% below | 77% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD TRANSORAL DX INCL BRUSH/WASH | $418.83 | $1,821.00 | $171.00–$1,899.63 | — | 77% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $38.64 | $168.00 | $46.85–$329.95 | 72% below | 77% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $38.64 | $168.00 | $46.85–$329.95 | — | 77% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRID SKIN & SUBQ TISSUE 20 SQ CM/< | $299.00 | $1,300.00 | $70.65–$1,300.00 | 50% below | 77% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRID SKIN & SUBQ TISSUE 20 SQ CM/< | $299.00 | $1,300.00 | $70.65–$1,300.00 | — | 77% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLD BLD COMPONENT | $117.07 | $509.00 | $45.17–$821.43 | 86% below | 77% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLD BLD COMPONENT | $117.07 | $509.00 | $45.17–$821.43 | — | 77% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL OR VAPOR INHALAT TX INIT | $96.60 | $420.00 | $16.11–$420.00 | 39% below | 77% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL OR VAPOR INHALAT TX INIT | $96.60 | $420.00 | $16.11–$420.00 | — | 77% |
| Critical care, first 30 to 74 minutes CPT 99291 HC FAC CRITICAL CARE 30 TO 74MIN | $686.32 | $2,984.00 | $51.00–$2,984.00 | 73% below | 77% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC FAC CRITICAL CARE 30 TO 74MIN | $686.32 | $2,984.00 | $51.00–$2,984.00 | — | 77% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM | $69.69 | $303.00 | $19.28–$303.00 | 67% below | 77% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM | $69.69 | $303.00 | $19.28–$303.00 | — | 77% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED FAC VISIT LEVEL 1 | $66.93 | $291.00 | $51.00–$291.00 | 64% below | 77% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED FAC VISIT LEVEL 1 | $66.93 | $291.00 | $51.00–$291.00 | — | 77% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED FAC VISIT LEVEL 2 | $92.46 | $402.00 | $51.00–$402.00 | 72% below | 77% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED FAC VISIT LEVEL 2 | $92.46 | $402.00 | $51.00–$402.00 | — | 77% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED FAC VISIT LEVEL 3 | $201.02 | $874.00 | $51.00–$874.00 | 60% below | 77% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED FAC VISIT LEVEL 3 | $201.02 | $874.00 | $51.00–$874.00 | — | 77% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED FAC VISIT LEVEL 4 | $294.63 | $1,281.00 | $51.00–$1,281.00 | 68% below | 77% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED FAC VISIT LEVEL 4 | $294.63 | $1,281.00 | $51.00–$1,281.00 | — | 77% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED FAC VISIT LEVEL 5 | $447.58 | $1,946.00 | $51.00–$1,946.00 | 69% below | 77% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED FAC VISIT LEVEL 5 | $447.58 | $1,946.00 | $51.00–$1,946.00 | — | 77% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TESTING TRACING ONLY | $219.88 | $956.00 | $71.73–$956.00 | 71% below | 77% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TESTING TRACING ONLY | $219.88 | $956.00 | $71.73–$956.00 | — | 77% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PT PRESENT 50 MIN | $124.89 | $543.00 | $114.51–$543.00 | 46% below | 77% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PT PRESENT 50 MIN | $124.89 | $543.00 | $114.51–$543.00 | — | 77% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PT PRESENT 50 MIN | $75.67 | $329.00 | $76.25–$329.00 | 68% below | 77% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY W/O PT PRESENT 50 MIN | $75.67 | $329.00 | $76.25–$329.00 | — | 77% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $76.13 | $331.00 | $50.94–$331.00 | 46% below | 77% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY | $76.13 | $331.00 | $50.94–$331.00 | — | 77% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRATION 31 MIN - 1 HR | $78.66 | $342.00 | $50.31–$536.17 | 77% below | 77% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRATION 31 MIN - 1 HR | $78.66 | $342.00 | $50.31–$536.17 | — | 77% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF TX/PROPH/DX UP TO 1HR | $90.85 | $395.00 | $61.37–$536.17 | 75% below | 77% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF TX/PROPH/DX UP TO 1HR | $90.85 | $395.00 | $61.37–$536.17 | — | 77% |
| IV push of a medicine, first drug CPT 96374 HC IV PUSH TX/PROPH/DX INITIAL | $58.65 | $255.00 | $31.33–$255.00 | 78% below | 77% |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH TX/PROPH/DX INITIAL | $58.65 | $255.00 | $31.33–$255.00 | — | 77% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECT TX/PROPH/DX IM OR SUBQ | $31.51 | $137.00 | $19.18–$137.00 | 71% below | 77% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECT TX/PROPH/DX IM OR SUBQ | $31.51 | $137.00 | $19.18–$137.00 | — | 77% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE ED 15MIN | $31.74 | $138.00 | $32.37–$138.00 | 71% below | 77% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE ED 15MIN | $31.74 | $138.00 | $32.37–$138.00 | — | 77% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW VISIT LEVEL 3 | $38.64 | $168.00 | $50.40–$168.00 | 80% below | 77% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW VISIT LEVEL 3 | $38.64 | $168.00 | $50.40–$168.00 | — | 77% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW VISIT LEVEL 4 | $50.14 | $218.00 | $65.40–$218.00 | 69% below | 77% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW VISIT LEVEL 4 | $50.14 | $218.00 | $65.40–$218.00 | — | 77% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW VISIT LEVEL 5 | $64.17 | $279.00 | $83.70–$279.00 | 73% below | 77% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW VISIT LEVEL 5 | $64.17 | $279.00 | $83.70–$279.00 | — | 77% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW VISIT LEVEL 2 | $27.37 | $119.00 | $35.70–$119.00 | 74% below | 77% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW VISIT LEVEL 2 | $27.37 | $119.00 | $35.70–$119.00 | — | 77% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $70.38 | $306.00 | $46.00–$482.75 | 67% below | 77% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $70.38 | $306.00 | $46.00–$482.75 | — | 77% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN | $80.27 | $349.00 | $46.00–$440.59 | 68% below | 77% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN | $80.27 | $349.00 | $46.00–$440.59 | — | 77% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $72.45 | $315.00 | $46.00–$440.59 | 66% below | 77% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $72.45 | $315.00 | $46.00–$440.59 | — | 77% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN | $76.36 | $332.00 | $46.00–$440.59 | 67% below | 77% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN | $76.36 | $332.00 | $46.00–$440.59 | — | 77% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 15MIN | $28.52 | $124.00 | $27.40–$124.00 | 68% below | 77% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY 15MIN | $28.52 | $124.00 | $27.40–$124.00 | — | 77% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PROC EA 15MIN | $30.36 | $132.00 | $28.73–$132.00 | 67% below | 77% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PROC EA 15MIN | $30.36 | $132.00 | $28.73–$132.00 | — | 77% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN | $43.47 | $189.00 | $56.70–$245.40 | 71% below | 77% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN | $43.47 | $189.00 | $56.70–$245.40 | — | 77% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN | $43.93 | $191.00 | $57.30–$276.19 | 79% below | 77% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN | $43.93 | $191.00 | $57.30–$276.19 | — | 77% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN | $76.13 | $331.00 | $99.14–$331.00 | 70% below | 77% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN | $76.13 | $331.00 | $99.14–$331.00 | — | 77% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC VISIT LEVEL 5 EST | $45.31 | $197.00 | $59.10–$197.00 | 81% below | 77% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC VISIT LEVEL 5 EST | $45.31 | $197.00 | $59.10–$197.00 | — | 77% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC VISIT LEVEL 3 EST | $35.42 | $154.00 | $43.80–$154.00 | 77% below | 77% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC VISIT LEVEL 3 EST | $35.42 | $154.00 | $43.80–$154.00 | — | 77% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC VISIT LEVEL 4 EST | $40.71 | $177.00 | $53.10–$177.00 | 71% below | 77% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC VISIT LEVEL 4 EST | $40.71 | $177.00 | $53.10–$177.00 | — | 77% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC VISIT LEVEL 2 EST | $21.85 | $95.00 | $28.50–$95.00 | 82% below | 77% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC VISIT LEVEL 2 EST | $21.85 | $95.00 | $28.50–$95.00 | — | 77% |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PROD W/LANG COM | $173.88 | $756.00 | $46.00–$756.00 | 47% below | 77% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PROD W/LANG COM | $173.88 | $756.00 | $46.00–$756.00 | — | 77% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY W GRAPHIC RECORD | $85.10 | $370.00 | $19.51–$370.00 | 67% below | 77% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY W GRAPHIC RECORD | $85.10 | $370.00 | $19.51–$370.00 | — | 77% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY BRONCHOSPASM EVAL | $191.13 | $831.00 | $36.63–$831.00 | 53% below | 77% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY BRONCHOSPASM EVAL | $191.13 | $831.00 | $36.63–$831.00 | — | 77% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACT 15MIN | $33.12 | $144.00 | $34.63–$144.00 | 68% below | 77% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACT 15MIN | $33.12 | $144.00 | $34.63–$144.00 | — | 77% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $63.94 | $278.00 | $22.93–$278.00 | 74% below | 77% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $63.94 | $278.00 | $22.93–$278.00 | — | 77% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 10 MCG/0.5ML | $85.22 | $370.51 | $21.80–$370.51 | 9% below | 77% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM | $85.26 | $370.69 | $21.80–$370.69 | 9% below | 77% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 10 MCG/0.5ML | $85.22 | $370.51 | $21.80–$370.51 | — | 77% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM | $85.26 | $370.69 | $21.80–$370.69 | — | 77% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE INJ | $516.40 | $2,245.20 | $116.35–$2,245.20 | 58% above | 77% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE INJ | $516.40 | $2,245.20 | $116.35–$2,245.20 | — | 77% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML | $567.90 | $2,469.13 | $223.47–$2,469.13 | 73% above | 77% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML | $567.90 | $2,469.13 | $223.47–$2,469.13 | — | 77% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PCV21 VACCINE IM | $636.35 | $2,766.72 | $223.47–$2,766.72 | 9% above | 77% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PCV21 VACCINE IM | $636.35 | $2,766.72 | $223.47–$2,766.72 | — | 77% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PCEC FOR INJ | $723.81 | $3,146.99 | $53.19–$3,146.99 | 23% below | 77% |
| Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE HDC FOR INJ SUSP | $896.01 | $3,895.71 | $53.19–$3,895.71 | 4% below | 77% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PCEC FOR INJ | $723.81 | $3,146.99 | $53.19–$3,146.99 | — | 77% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE HDC FOR INJ SUSP | $896.01 | $3,895.71 | $53.19–$3,895.71 | — | 77% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 2-2 LF/0.5ML | $87.92 | $382.25 | $21.50–$382.25 | 32% below | 77% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $103.22 | $448.79 | $21.50–$448.79 | 21% below | 77% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 2-2 LF/0.5ML | $87.92 | $382.25 | $21.50–$382.25 | — | 77% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $103.22 | $448.79 | $21.50–$448.79 | — | 77% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $121.96 | $530.25 | $43.50–$530.25 | 13% above | 77% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS/> IM | $121.96 | $530.25 | $43.50–$530.25 | — | 77% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN 1 VACCINE | $25.07 | $109.00 | $26.22–$109.00 | 56% below | 77% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN 1 VACCINE | $25.07 | $109.00 | $26.22–$109.00 | — | 77% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN EACH ADDL | $14.49 | $63.00 | $18.90–$75.37 | 65% below | 77% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN EACH ADDL | $14.49 | $63.00 | $18.90–$75.37 | — | 77% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.balladhealth.org/sites/default/files/2026-03/770599553_dickenson-community-hospital_standardcharges.zip