Ochsner Clinic Foundation
Ochsner Clinic Foundation in New Orleans, LA publishes cash prices for 422 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Louisiana median for 303 of 412 procedures and above it for 107. By typical cash price it ranks #7 of 58 Louisiana hospitals and #1 of 14 hospitals in the New Orleans, LA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1516 Jefferson Highway New Orleans, LA 70121 Collected Sep 23, 2026 Source price file (504) 842-3000
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 190036 · CMS hospital register NPI 1811973100
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS | $41.14 | $187.00 | $28.26–$182.03 | 63% below | 78% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS | $51.48 | $234.00 | — | — | 78% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRANCHIAL INDEX | $109.56 | $498.00 | $46.40–$448.20 | 40% below | 78% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $109.56 | $498.00 | $46.40–$448.20 | 40% below | 78% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRANCHIAL INDEX | $109.56 | $498.00 | — | — | 78% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST | $100.32 | $456.00 | $64.09–$410.40 | 56% below | 78% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST | $125.40 | $570.00 | — | — | 78% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JT IMAGING WHOLE BODY | $344.96 | $1,568.00 | $144.66–$1,411.20 | 37% below | 78% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JT IMAGING WHOLE BODY | $431.20 | $1,960.00 | — | — | 78% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILAT | $93.94 | $427.00 | $38.28–$384.30 | 44% below | 78% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILAT | $117.48 | $534.00 | — | — | 78% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LIMITED | $93.94 | $427.00 | $31.70–$384.30 | 44% below | 78% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT LIMITED | $117.48 | $534.00 | — | — | 78% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/ NON CORONARY | $595.98 | $2,709.00 | $64.09–$2,438.10 | 36% below | 78% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/ NON CORONARY | $745.14 | $3,387.00 | — | — | 78% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CARD W/3D IMAGE | $532.40 | $2,420.00 | $128.57–$2,885.00 | 12% above | 78% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CARD W/3D IMAGE | $665.50 | $3,025.00 | — | — | 78% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING | $89.54 | $407.00 | $31.70–$1,799.00 | 12% above | 78% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING | $111.98 | $509.00 | — | — | 78% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD / PELVIS WO CONTRAST | $572.22 | $2,601.00 | $87.02–$2,340.90 | 49% below | 78% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD / PELVIS WO CONTRAST | $715.44 | $3,252.00 | — | — | 78% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS WITH CONTRAST | $503.36 | $2,288.00 | $128.57–$2,059.20 | 62% below | 78% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS WITH CONTRAST | $629.20 | $2,860.00 | — | — | 78% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST | $894.08 | $4,064.00 | $128.57–$3,657.60 | 38% below | 78% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST | $1,117.60 | $5,080.00 | — | — | 78% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST | $503.14 | $2,287.00 | $64.09–$2,058.30 | 43% below | 78% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST | $628.98 | $2,859.00 | — | — | 78% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST | $381.48 | $1,734.00 | $38.28–$1,799.00 | 50% below | 78% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST | $476.96 | $2,168.00 | — | — | 78% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $317.68 | $1,444.00 | $38.28–$1,799.00 | 52% below | 78% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $397.10 | $1,805.00 | — | — | 78% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST | $235.62 | $1,071.00 | $38.28–$1,799.00 | 64% below | 78% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST | $294.58 | $1,339.00 | — | — | 78% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONTRAST | $361.24 | $1,642.00 | $64.09–$1,799.00 | 51% below | 78% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONTRAST | $451.66 | $2,053.00 | — | — | 78% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST | $448.36 | $2,038.00 | $64.09–$1,834.20 | 51% below | 78% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST | $560.56 | $2,548.00 | — | — | 78% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST | $380.60 | $1,730.00 | $38.28–$1,799.00 | 50% below | 78% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST | $475.86 | $2,163.00 | — | — | 78% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST | $380.60 | $1,730.00 | $38.28–$1,799.00 | 48% below | 78% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST | $475.86 | $2,163.00 | — | — | 78% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $335.72 | $1,526.00 | $64.09–$1,799.00 | 58% below | 78% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $419.76 | $1,908.00 | — | — | 78% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT | $174.68 | $794.00 | $87.02–$886.00 | — | 78% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL,BILAT | $174.68 | $794.00 | $87.02–$886.00 | — | 78% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT | $174.68 | $794.00 | — | — | 78% |
| Chest X-ray, 2 views CPT 71046 HC XRAY, CHEST, 2 VIEWS | $45.76 | $208.00 | $31.43–$187.20 | 65% below | 78% |
| Chest X-ray, 2 views inpatient CPT 71046 HC XRAY, CHEST, 2 VIEWS | $57.20 | $260.00 | — | — | 78% |
| Chest X-ray, single view CPT 71045 HC XRAY, CHEST, 1 VIEW | $33.22 | $151.00 | $22.82–$182.03 | 70% below | 78% |
| Chest X-ray, single view inpatient CPT 71045 HC XRAY, CHEST, 1 VIEW | $41.58 | $189.00 | — | — | 78% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $161.04 | $732.00 | $38.28–$658.80 | 45% below | 78% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $201.30 | $915.00 | — | — | 78% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY SPINE/HIP | $69.30 | $315.00 | $38.28–$283.50 | 52% below | 78% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY SPINE/HIP | $69.30 | $315.00 | — | — | 78% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA BONE DENSITY APPEN SKEL | $37.62 | $171.00 | $25.84–$182.03 | 53% below | 78% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA BONE DENSITY APPEN SKEL | $37.62 | $171.00 | — | — | 78% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION | $270.82 | $1,231.00 | $87.02–$1,107.90 | 2% above | 78% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION | $338.58 | $1,539.00 | — | — | 78% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST | $380.60 | $1,730.00 | $38.28–$1,799.00 | 50% below | 78% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST | $475.86 | $2,163.00 | — | — | 78% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST | $503.36 | $2,288.00 | $64.09–$2,059.20 | 41% below | 78% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST | $629.20 | $2,860.00 | — | — | 78% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT | $102.96 | $468.00 | $70.71–$444.82 | — | 78% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT | $102.96 | $468.00 | — | — | 78% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT | $80.74 | $367.00 | $55.45–$349.07 | 34% below | 78% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT | $80.74 | $367.00 | — | — | 78% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PR DUPLEX LO EXTREM ART BILAT | $195.36 | $888.00 | $87.02–$835.14 | — | 78% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT | $195.36 | $888.00 | $87.02–$835.14 | — | 78% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT | $195.36 | $888.00 | — | — | 78% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 PR US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT | $174.68 | $794.00 | $87.02–$886.00 | — | 78% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT | $174.68 | $794.00 | $87.02–$886.00 | — | 78% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT | $174.68 | $794.00 | — | — | 78% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER | $495.66 | $2,253.00 | $197.39–$2,027.70 | 31% below | 78% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PR ECHO HEART XTHORACIC,COMPLETE W DOPPLER | $495.66 | $2,253.00 | $197.39–$2,027.70 | 31% below | 78% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER | $495.66 | $2,253.00 | — | — | 78% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER | $615.56 | $2,798.00 | $144.66–$2,518.20 | 7% above | 78% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER | $769.56 | $3,498.00 | — | — | 78% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 PR SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT | $174.02 | $791.00 | $56.33–$1,839.00 | 14% below | 78% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT | $174.02 | $791.00 | $56.33–$1,839.00 | 14% below | 78% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STAGING +4 W/CPAP | $978.56 | $4,448.00 | $366.26–$4,003.20 | 28% below | 78% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PR POLYSOMNOGRAPHY W/CPAP | $978.56 | $4,448.00 | $366.26–$4,003.20 | 28% below | 78% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STAGING +4 W/CPAP | $978.56 | $4,448.00 | — | — | 78% |
| Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS | $45.76 | $208.00 | $31.43–$187.20 | 64% below | 78% |
| Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS | $57.20 | $260.00 | — | — | 78% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED | $119.90 | $545.00 | $38.28–$490.50 | 56% below | 78% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED | $150.04 | $682.00 | — | — | 78% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST | $89.10 | $405.00 | $38.28–$1,799.00 | 44% below | 78% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST | $111.54 | $507.00 | — | — | 78% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI, BREAST, CAD, W&W/O CONTRAST, BILATERAL | $525.36 | $2,388.00 | $184.22–$2,149.20 | — | 78% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI, BREAST, CAD, W&W/O CONTRAST, BILATERAL | $656.70 | $2,985.00 | — | — | 78% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXT JT W/O CONTR | $348.04 | $1,582.00 | $87.02–$1,903.00 | 67% below | 78% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXT JT W/O CONTR | $435.16 | $1,978.00 | — | — | 78% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JT W/WO CONT | $830.50 | $3,775.00 | $128.57–$3,397.50 | 35% below | 78% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXT JT W/WO CONT | $1,038.18 | $4,719.00 | — | — | 78% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $581.46 | $2,643.00 | $87.02–$2,378.70 | 41% below | 78% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $726.88 | $3,304.00 | — | — | 78% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST | $831.16 | $3,778.00 | $128.57–$3,400.20 | 38% below | 78% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST | $1,039.06 | $4,723.00 | — | — | 78% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $582.34 | $2,647.00 | $87.02–$2,382.30 | 48% below | 78% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $727.98 | $3,309.00 | — | — | 78% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST | $667.48 | $3,034.00 | $128.57–$2,730.60 | 54% below | 78% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST | $834.46 | $3,793.00 | — | — | 78% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST | $465.96 | $2,118.00 | $87.02–$1,906.20 | 59% below | 78% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST | $582.56 | $2,648.00 | — | — | 78% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA | $835.12 | $3,796.00 | $128.57–$3,416.40 | 40% below | 78% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA | $1,043.90 | $4,745.00 | — | — | 78% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS | $582.56 | $2,648.00 | $87.02–$2,383.20 | 48% below | 78% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS | $728.20 | $3,310.00 | — | — | 78% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR | $835.12 | $3,796.00 | $128.57–$3,416.40 | 48% below | 78% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR | $1,043.90 | $4,745.00 | — | — | 78% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS | $583.22 | $2,651.00 | $87.02–$2,385.90 | 44% below | 78% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS | $729.08 | $3,314.00 | — | — | 78% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & W/O CONTRAST | $831.16 | $3,778.00 | $128.57–$3,400.20 | 29% below | 78% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & W/O CONTRAST | $1,039.06 | $4,723.00 | — | — | 78% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST | $581.46 | $2,643.00 | $87.02–$2,378.70 | 34% below | 78% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST | $726.88 | $3,304.00 | — | — | 78% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAS | $580.80 | $2,640.00 | $87.02–$2,376.00 | 30% below | 78% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAS | $726.00 | $3,300.00 | — | — | 78% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MPI SPECT, MULTIPLE | $430.98 | $1,959.00 | $296.00–$2,938.37 | 63% below | 78% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CHG MYOCARDIAL SPECT MULTIPLE STUDIES | $430.98 | $1,959.00 | $296.00–$2,938.37 | 63% below | 78% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MPI SPECT, MULTIPLE | $538.78 | $2,449.00 | — | — | 78% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 PR COMPUTERIZED OPHTHALMIC IMAGING RETINA | $64.02 | $291.00 | $21.38–$312.00 | 5% above | 78% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET + CT SCAN, SKULL TO MID THIGH | $1,699.06 | $7,723.00 | $525.09–$9,317.00 | 13% below | 78% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET + CT SCAN, SKULL TO MID THIGH | $2,123.88 | $9,654.00 | — | — | 78% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED NON-OB | $121.66 | $553.00 | $38.28–$497.70 | 29% below | 78% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED NON-OB | $152.24 | $692.00 | — | — | 78% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB | $134.64 | $612.00 | $38.28–$550.80 | 53% below | 78% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB | $168.30 | $765.00 | — | — | 78% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION | $113.30 | $515.00 | $38.28–$463.50 | 59% below | 78% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION | $141.68 | $644.00 | — | — | 78% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION | $160.60 | $730.00 | $38.28–$657.00 | 34% below | 78% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION | $200.86 | $913.00 | — | — | 78% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 OR MORE GESTA | $110.66 | $503.00 | $38.28–$452.70 | 37% below | 78% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 OR MORE GESTA | $138.38 | $629.00 | — | — | 78% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT | $85.36 | $388.00 | $58.63–$369.03 | — | 78% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT | $85.36 | $388.00 | — | — | 78% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER ROUTINE | $42.90 | $195.00 | $29.46–$182.03 | 65% below | 78% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER ROUTINE | $53.68 | $244.00 | — | — | 78% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE | $888.58 | $4,039.00 | $366.26–$3,678.00 | 33% below | 78% |
| Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOMNOGRAPHY, 4 OR MORE | $888.58 | $4,039.00 | $366.26–$3,678.00 | 33% below | 78% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE | $888.58 | $4,039.00 | — | — | 78% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO W/MONT & SUPERV | $495.66 | $2,253.00 | $197.39–$2,027.70 | 24% below | 78% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PR ECHO HEART XTHORACIC, STRESS/REST, W CONTIN ECG | $495.66 | $2,253.00 | $197.39–$2,027.70 | 24% below | 78% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS ECHO W/MONT & SUPERV | $495.66 | $2,253.00 | — | — | 78% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST | $106.26 | $483.00 | $64.09–$434.70 | 56% below | 78% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST | $132.88 | $604.00 | — | — | 78% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB | $89.32 | $406.00 | $38.28–$365.40 | 58% below | 78% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB | $111.76 | $508.00 | — | — | 78% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US, OB, TRANSVAG APPROACH | $117.48 | $534.00 | $38.28–$480.60 | 38% below | 78% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, OB, TRANSVAG APPROACH | $146.96 | $668.00 | — | — | 78% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABD, B-SCAN, COMPLETE | $107.80 | $490.00 | $38.28–$441.00 | 65% below | 78% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABD, B-SCAN, COMPLETE | $134.86 | $613.00 | — | — | 78% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS | $134.64 | $612.00 | $38.28–$550.80 | 37% below | 78% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS | $168.30 | $765.00 | — | — | 78% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS OF HEAD NECK THYR | $125.62 | $571.00 | $38.28–$513.90 | 55% below | 78% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISS OF HEAD NECK THYR | $157.08 | $714.00 | — | — | 78% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST | $119.90 | $545.00 | $64.09–$490.50 | 54% below | 78% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST | $150.04 | $682.00 | — | — | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 PR US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD | $108.68 | $494.00 | $38.28–$886.00 | 62% below | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD | $108.68 | $494.00 | $38.28–$886.00 | 62% below | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD | $108.68 | $494.00 | — | — | 78% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE | $42.46 | $193.00 | $29.16–$182.03 | 63% below | 78% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE | $53.24 | $242.00 | — | — | 78% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS | $61.16 | $278.00 | $31.70–$250.20 | 51% below | 78% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS | $76.56 | $348.00 | — | — | 78% |
| X-ray of the abdomen, 1 view CPT 74018 HC XRAY, ABDOMEN, 1 VIEW | $36.74 | $167.00 | $25.23–$182.03 | 71% below | 78% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY, ABDOMEN, 1 VIEW | $45.98 | $209.00 | — | — | 78% |
| X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS | $36.74 | $167.00 | $25.23–$182.03 | 64% below | 78% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS | $45.98 | $209.00 | — | — | 78% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS | $35.42 | $161.00 | $24.33–$182.03 | 66% below | 78% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS | $44.44 | $202.00 | — | — | 78% |
| X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW | $36.74 | $167.00 | $25.23–$182.03 | 65% below | 78% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW | $45.98 | $209.00 | — | — | 78% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS | $40.48 | $184.00 | $27.80–$182.03 | 65% below | 78% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS | $50.60 | $230.00 | — | — | 78% |
| X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE | $40.48 | $184.00 | $27.80–$182.03 | 65% below | 78% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE | $50.60 | $230.00 | — | — | 78% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS | $38.94 | $177.00 | $26.74–$182.03 | 65% below | 78% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS | $48.84 | $222.00 | — | — | 78% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3V | $52.14 | $237.00 | $35.81–$245.18 | 66% below | 78% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3V | $65.34 | $297.00 | — | — | 78% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP 5 VIEW | $67.32 | $306.00 | $38.28–$275.40 | 69% below | 78% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP 5 VIEW | $84.26 | $383.00 | — | — | 78% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP&LAT | $47.96 | $218.00 | $32.94–$245.18 | 69% below | 78% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP&LAT | $60.06 | $273.00 | — | — | 78% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS | $40.48 | $184.00 | $27.80–$182.03 | 65% below | 78% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS | $50.60 | $230.00 | — | — | 78% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL, AP&LAT | $47.96 | $218.00 | $31.70–$196.20 | 67% below | 78% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL, AP&LAT | $60.06 | $273.00 | — | — | 78% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS | $37.62 | $171.00 | $25.84–$245.18 | 72% below | 78% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS | $47.08 | $214.00 | — | — | 78% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS | $42.90 | $195.00 | $29.46–$182.03 | 69% below | 78% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS | $53.68 | $244.00 | — | — | 78% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT | $7.70 | $35.00 | $4.75–$31.50 | 63% below | 78% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC HCV FIBROSURE-ALT (SGPT) | $7.70 | $35.00 | $4.75–$31.50 | 63% below | 78% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT | $9.68 | $44.00 | — | — | 78% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC HCV FIBROSURE-ALT (SGPT) | $9.68 | $44.00 | — | — | 78% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT | $7.92 | $36.00 | $4.64–$32.40 | 62% below | 78% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT | $9.90 | $45.00 | — | — | 78% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL, ACUTE | $54.12 | $246.00 | $42.70–$274.24 | 51% below | 78% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL, ACUTE | $67.76 | $308.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 *HC ALLERGEN, SMUT CORN IGE | $6.82 | $31.00 | $4.68–$27.90 | 34% below | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, GLOVE LATEX EXT | $6.82 | $31.00 | $4.68–$27.90 | 34% below | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 *HC GLUTEN IGE | $6.82 | $31.00 | $4.68–$27.90 | 34% below | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH | $6.82 | $31.00 | $4.68–$27.90 | 34% below | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SMUT WHEAT IGE | $6.82 | $31.00 | $4.68–$27.90 | 34% below | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, AMMONIATED LATEX EXT | $6.82 | $31.00 | $4.68–$27.90 | 34% below | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH | $6.82 | $31.00 | $4.68–$27.90 | 34% below | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH | $6.82 | $31.00 | $4.68–$27.90 | 34% below | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, BUFFERED LATEX | $6.82 | $31.00 | $4.68–$27.90 | 34% below | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH | $15.84 | $72.00 | $4.68–$64.80 | 53% above | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GALACTOSE-ALPHA-1,3-GALACTOSE, IGE | $18.70 | $85.00 | $4.68–$76.50 | 81% above | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, GLOVE LATEX EXT | $8.58 | $39.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, AMMONIATED LATEX EXT | $8.58 | $39.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 *HC GLUTEN IGE | $8.58 | $39.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SMUT WHEAT IGE | $8.58 | $39.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH | $8.58 | $39.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH | $8.58 | $39.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH | $8.58 | $39.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 *HC ALLERGEN, SMUT CORN IGE | $8.58 | $39.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, BUFFERED LATEX | $8.58 | $39.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH | $19.80 | $90.00 | — | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GALACTOSE-ALPHA-1,3-GALACTOSE, IGE | $23.54 | $107.00 | — | — | 78% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODIES | $16.50 | $75.00 | $11.61–$67.50 | 64% below | 78% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODIES | $20.68 | $94.00 | — | — | 78% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB(ANA) | $15.62 | $71.00 | $10.84–$63.90 | 67% below | 78% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI DFS70 | $16.06 | $73.00 | $10.84–$65.70 | 66% below | 78% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB(ANA) | $19.58 | $89.00 | — | — | 78% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI DFS70 | $20.02 | $91.00 | — | — | 78% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PRO BNP, S | $27.72 | $126.00 | $35.19–$165.83 | 58% below | 78% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE ASSAY | $42.90 | $195.00 | $35.19–$175.50 | 36% below | 78% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC POC NATRIURETIC PEPTIDE ASSAY | $42.90 | $195.00 | $35.19–$175.50 | 36% below | 78% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PRO BNP, S | $33.88 | $154.00 | — | — | 78% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE ASSAY | $53.68 | $244.00 | — | — | 78% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC POC NATRIURETIC PEPTIDE ASSAY | $53.68 | $244.00 | — | — | 78% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS) | $13.42 | $61.00 | $7.59–$54.90 | 64% below | 78% |
| Basic metabolic panel (blood test) CPT 80048 *HC POC BASIC METABOLIC PANEL(8 TESTS) | $25.96 | $118.00 | $7.59–$106.20 | 31% below | 78% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS) | $16.94 | $77.00 | — | — | 78% |
| Basic metabolic panel (blood test) inpatient CPT 80048 *HC POC BASIC METABOLIC PANEL(8 TESTS) | $25.96 | $118.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE, G & M, LEVEL IV | $56.54 | $257.00 | $19.23–$231.30 | 31% below | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL | $73.26 | $333.00 | $19.23–$299.70 | 10% below | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 *HC SKIN, MODERATE, MULTI EACH | $84.70 | $385.00 | $19.23–$346.50 | 4% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 *HC G&M LVL IV MUSCLE/NERVE BX | $84.70 | $385.00 | $19.23–$346.50 | 4% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC BM BX PREP/INTERP | $84.70 | $385.00 | $19.23–$346.50 | 4% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE G&M LVL IV MULTI BX, EA | $84.70 | $385.00 | $19.23–$346.50 | 4% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SKIN, MODERATE,SINGLE SPECIMEN | $84.70 | $385.00 | $19.23–$346.50 | 4% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $84.70 | $385.00 | $19.23–$346.50 | 4% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC RENAL BIOPSY | $84.70 | $385.00 | $19.23–$346.50 | 4% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 *HC RECTAL BX GM4 | $84.70 | $385.00 | $19.23–$346.50 | 4% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 *HC G&M LEVEL IV (MUSCLE OR NERVE BX)-RL | $84.70 | $385.00 | $19.23–$346.50 | 4% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC MUSCLE OR NERVE TISSSUE EXAM - RL | $84.70 | $385.00 | $19.23–$346.50 | 4% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE, G & M, LEVEL IV | $70.84 | $322.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL | $91.74 | $417.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SKIN, MODERATE,SINGLE SPECIMEN | $106.04 | $482.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *HC G&M LVL IV MUSCLE/NERVE BX | $106.04 | $482.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE G&M LVL IV MULTI BX, EA | $106.04 | $482.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *HC SKIN, MODERATE, MULTI EACH | $106.04 | $482.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC BM BX PREP/INTERP | $106.04 | $482.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC MUSCLE OR NERVE TISSSUE EXAM - RL | $106.04 | $482.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *HC G&M LEVEL IV (MUSCLE OR NERVE BX)-RL | $106.04 | $482.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *HC RECTAL BX GM4 | $106.04 | $482.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC RENAL BIOPSY | $106.04 | $482.00 | — | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *HC LVL IV SURG PTH | $127.16 | $578.00 | — | — | 78% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE | $12.98 | $59.00 | $9.25–$53.10 | 72% below | 78% |
| Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE | $16.28 | $74.00 | — | — | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE/BL COLL | $2.86 | $13.00 | $2.99–$11.70 | 65% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR COLLECTION VENOUS BLOOD,VENIPUNCTURE | $2.86 | $13.00 | $2.99–$11.70 | 65% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE/BL COLL | $2.86 | $13.00 | — | — | 78% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE-ISTAT | $5.28 | $24.00 | $3.52–$21.60 | 60% below | 78% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE | $5.94 | $27.00 | $3.52–$24.30 | 54% below | 78% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE-ISTAT | $6.60 | $30.00 | — | — | 78% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE | $7.48 | $34.00 | — | — | 78% |
| Blood lead test CPT 83655 HC LEAD, BLOOD | $18.70 | $85.00 | $10.85–$76.50 | 34% below | 78% |
| Blood lead test CPT 83655 HC LEAD, URINE | $18.70 | $85.00 | $10.85–$76.50 | 34% below | 78% |
| Blood lead test inpatient CPT 83655 HC LEAD, BLOOD | $23.54 | $107.00 | — | — | 78% |
| Blood lead test inpatient CPT 83655 HC LEAD, URINE | $23.54 | $107.00 | — | — | 78% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR | $11.22 | $51.00 | $6.74–$45.90 | 64% below | 78% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR | $14.08 | $64.00 | — | — | 78% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC C-BLOOD TYPING, ABO | $73.92 | $336.00 | $2.99–$302.40 | 62% above | 78% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BB REF ABO TYPE | $8.58 | $39.00 | — | — | 78% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC C-BLOOD TYPING, ABO | $92.40 | $420.00 | — | — | 78% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP, SYNOVIAL FLD | $6.60 | $30.00 | $4.64–$27.00 | 72% below | 78% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $7.04 | $32.00 | $4.64–$28.80 | 70% below | 78% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC IBD SGI CRP | $7.04 | $32.00 | $4.64–$28.80 | 70% below | 78% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC CRP, SYNOVIAL FLD | $8.25 | $37.50 | — | — | 78% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC IBD SGI CRP | $8.80 | $40.00 | — | — | 78% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $8.80 | $40.00 | — | — | 78% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN BY PCR | $45.54 | $207.00 | $33.41–$186.30 | 28% below | 78% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN BY PCR | $56.98 | $259.00 | — | — | 78% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9, BODY FLUID | $26.40 | $120.00 | $18.66–$108.00 | 45% below | 78% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 | $26.40 | $120.00 | $18.66–$108.00 | 45% below | 78% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9, BODY FLUID | $33.00 | $150.00 | — | — | 78% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 | $33.00 | $150.00 | — | — | 78% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 (CANCER ANTIGEN 125) | $26.40 | $120.00 | $18.66–$108.00 | 52% below | 78% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER AG 125 (CA 125)-RL | $26.40 | $120.00 | $18.66–$108.00 | 52% below | 78% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 (CANCER ANTIGEN 125) | $33.00 | $150.00 | — | — | 78% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CANCER AG 125 (CA 125)-RL | $33.00 | $150.00 | — | — | 78% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE | $40.70 | $185.00 | $38.48–$176.51 | 45% below | 78% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 PR SARS-COV-2 COVID-19 AMPLIFIED PROBE | $40.70 | $185.00 | $38.48–$176.51 | 45% below | 78% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE | $40.70 | $185.00 | — | — | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA AMPLIFIED DNA, EYE | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA CONF | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA | $56.10 | $255.00 | — | — | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE | $56.10 | $255.00 | — | — | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA AMPLIFIED DNA, EYE | $56.10 | $255.00 | — | — | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA | $56.10 | $255.00 | — | — | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA | $56.10 | $255.00 | — | — | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA CONF | $56.10 | $255.00 | — | — | 78% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $14.74 | $67.00 | $12.01–$96.93 | 72% below | 78% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC NMR LIPIDS | $14.74 | $67.00 | $12.01–$96.93 | 72% below | 78% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC NMR LIPIDS | $18.48 | $84.00 | — | — | 78% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $18.48 | $84.00 | — | — | 78% |
| Complete blood count (CBC) with differential CPT 85025 HC POC CBC | $10.56 | $48.00 | $6.97–$43.20 | 60% below | 78% |
| Complete blood count (CBC) with differential CPT 85025 *HC OCC MED - CBC SCREEN | $10.56 | $48.00 | $6.97–$43.20 | 60% below | 78% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF | $10.56 | $48.00 | $6.97–$43.20 | 60% below | 78% |
| Complete blood count (CBC) with differential inpatient CPT 85025 *HC OCC MED - CBC SCREEN | $13.20 | $60.00 | — | — | 78% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF | $13.20 | $60.00 | — | — | 78% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC POC CBC | $13.20 | $60.00 | — | — | 78% |
| Complete blood count (CBC), no differential CPT 85027 *HC OB PANEL HEMATOLOGY PROFILE | $8.36 | $38.00 | $5.80–$34.20 | 71% below | 78% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMATOLOGY PROFILE | $8.36 | $38.00 | $5.80–$34.20 | 71% below | 78% |
| Complete blood count (CBC), no differential inpatient CPT 85027 *HC OB PANEL HEMATOLOGY PROFILE | $10.56 | $48.00 | — | — | 78% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMATOLOGY PROFILE | $10.56 | $48.00 | — | — | 78% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14 | $14.52 | $66.00 | $9.47–$59.40 | 80% below | 78% |
| Comprehensive metabolic panel (blood test) CPT 80053 *HC POC COMPREHENSIVE METABOLIC PAN 14 | $14.52 | $66.00 | $9.47–$59.40 | 80% below | 78% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14 | $18.26 | $83.00 | — | — | 78% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 *HC POC COMPREHENSIVE METABOLIC PAN 14 | $18.26 | $83.00 | — | — | 78% |
| D-dimer blood test (blood clot marker) CPT 85379 HC POC D-DIMER, QUANT | $12.76 | $58.00 | $9.13–$52.20 | 78% below | 78% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER, QUANT | $12.76 | $58.00 | $9.13–$52.20 | 78% below | 78% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER, QUANT | $16.06 | $73.00 | — | — | 78% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC POC D-DIMER, QUANT | $16.06 | $73.00 | — | — | 78% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S | $28.82 | $131.00 | $19.93–$117.90 | 50% below | 78% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S | $36.08 | $164.00 | — | — | 78% |
| Estradiol blood test CPT 82670 HC ESTRADIOL, ULTRASENSITIVE, LC/MS - RL | $12.76 | $58.00 | $25.05–$136.48 | 79% below | 78% |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $41.80 | $190.00 | $25.05–$171.00 | 31% below | 78% |
| Estradiol blood test CPT 82670 HC ESTROGENS, FRACT-ESTRADIOL BLD | $41.80 | $190.00 | $25.05–$171.00 | 31% below | 78% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL, ULTRASENSITIVE, LC/MS - RL | $16.06 | $73.00 | — | — | 78% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL | $52.36 | $238.00 | — | — | 78% |
| Estradiol blood test inpatient CPT 82670 HC ESTROGENS, FRACT-ESTRADIOL BLD | $52.36 | $238.00 | — | — | 78% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH | $28.16 | $128.00 | $16.66–$115.20 | 48% below | 78% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH | $35.20 | $160.00 | — | — | 78% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL | $24.86 | $113.00 | $17.60–$101.70 | 74% below | 78% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL | $31.24 | $142.00 | — | — | 78% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN - RL | $18.26 | $83.00 | $12.22–$74.70 | 60% below | 78% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $18.26 | $83.00 | $12.22–$74.70 | 60% below | 78% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $22.88 | $104.00 | — | — | 78% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN - RL | $22.88 | $104.00 | — | — | 78% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID | $21.12 | $96.00 | $13.18–$86.40 | 44% below | 78% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID | $26.40 | $120.00 | — | — | 78% |
| Free T3 thyroid hormone test CPT 84481 HC T3,FREE | $14.30 | $65.00 | $12.02–$82.93 | 71% below | 78% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3,FREE | $18.04 | $82.00 | — | — | 78% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE | $14.30 | $65.00 | $8.08–$58.50 | 60% below | 78% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE BY DIALYSIS | $14.30 | $65.00 | $8.08–$58.50 | 60% below | 78% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE BY DIALYSIS | $18.04 | $82.00 | — | — | 78% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE | $18.04 | $82.00 | — | — | 78% |
| Free testosterone test CPT 84402 *HC TESTOSTERONE, BIOAVAILABLE | $37.84 | $172.00 | $22.83–$154.80 | 38% below | 78% |
| Free testosterone test CPT 84402 HC TESTOSTERONE, FREE | $37.84 | $172.00 | $22.83–$154.80 | 38% below | 78% |
| Free testosterone test CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS | $46.86 | $213.00 | $22.83–$191.70 | 23% below | 78% |
| Free testosterone test inpatient CPT 84402 *HC TESTOSTERONE, BIOAVAILABLE | $47.30 | $215.00 | — | — | 78% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE | $47.30 | $215.00 | — | — | 78% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS | $58.30 | $265.00 | — | — | 78% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE | $5.94 | $27.00 | $4.26–$24.30 | 63% below | 78% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE | $7.48 | $34.00 | — | — | 78% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 2 HRS | $16.50 | $75.00 | $11.54–$67.50 | 63% below | 78% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS | $16.50 | $75.00 | $11.54–$67.50 | 63% below | 78% |
| Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE 3 SPECIMENS | $16.50 | $75.00 | $11.54–$67.50 | 63% below | 78% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE 3 SPECIMENS | $20.68 | $94.00 | — | — | 78% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 2 HRS | $20.68 | $94.00 | — | — | 78% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS | $20.68 | $94.00 | — | — | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA CONF | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE RNA, TMA | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 *HC GC AMPLIFIED DNA, EYE | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC BY AMPLIFIED PROBE | $44.88 | $204.00 | $31.46–$183.60 | 22% below | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC BY AMPLIFIED PROBE | $56.10 | $255.00 | — | — | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA | $56.10 | $255.00 | — | — | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA CONF | $56.10 | $255.00 | — | — | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA | $56.10 | $255.00 | — | — | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 *HC GC AMPLIFIED DNA, EYE | $56.10 | $255.00 | — | — | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE RNA, TMA | $56.10 | $255.00 | — | — | 78% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB IGM | $14.52 | $66.00 | $14.15–$70.17 | 69% below | 78% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB, EACH | $14.52 | $66.00 | $14.15–$70.17 | 69% below | 78% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG | $14.52 | $66.00 | $14.15–$70.17 | 69% below | 78% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB IGA | $14.52 | $66.00 | $14.15–$70.17 | 69% below | 78% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB, EACH | $18.26 | $83.00 | — | — | 78% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB IGM | $18.26 | $83.00 | — | — | 78% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB IGA | $18.26 | $83.00 | — | — | 78% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG | $18.26 | $83.00 | — | — | 78% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA DETECT/QUANT | $108.68 | $494.00 | $76.28–$444.60 | 37% below | 78% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR | $108.68 | $494.00 | $76.28–$444.60 | 37% below | 78% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR | $135.96 | $618.00 | — | — | 78% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA DETECT/QUANT | $135.96 | $618.00 | — | — | 78% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC RAPID HIV-1/2 AB | $13.64 | $62.00 | $12.29–$66.35 | 60% below | 78% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1/2 AB, DONOR EVAL (BLOOD CENTER) | $13.64 | $62.00 | $12.29–$66.35 | 60% below | 78% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1 & HIV2, SGL ASSAY | $13.64 | $62.00 | $12.29–$66.35 | 60% below | 78% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC C-AB, HIV1 & HIV2, SGL ASSAY | $13.64 | $62.00 | $12.29–$66.35 | 60% below | 78% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1/2 AB, DONOR EVAL (BLOOD CENTER) | $17.16 | $78.00 | — | — | 78% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1 & HIV2, SGL ASSAY | $17.16 | $78.00 | — | — | 78% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC RAPID HIV-1/2 AB | $17.16 | $78.00 | — | — | 78% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC C-AB, HIV1 & HIV2, SGL ASSAY | $17.16 | $78.00 | — | — | 78% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB | $28.82 | $131.00 | $21.58–$117.90 | 40% below | 78% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB | $36.08 | $164.00 | — | — | 78% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT | $49.28 | $224.00 | $31.46–$201.60 | 3% below | 78% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT | $61.60 | $280.00 | — | — | 78% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C - RL | $12.10 | $55.00 | $8.70–$49.50 | 68% below | 78% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HB | $13.42 | $61.00 | $8.70–$54.90 | 65% below | 78% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C - RL | $15.18 | $69.00 | — | — | 78% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HB | $16.94 | $77.00 | — | — | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HBSAB | $13.42 | $61.00 | $9.63–$54.90 | 60% below | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB, DONOR EVAL (BLOOD CENTER) | $13.42 | $61.00 | $9.63–$54.90 | 60% below | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TITER | $13.42 | $61.00 | $9.63–$54.90 | 60% below | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 *HC C-HBSAB | $13.42 | $61.00 | $9.63–$54.90 | 60% below | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TITER | $16.94 | $77.00 | — | — | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB, DONOR EVAL (BLOOD CENTER) | $16.94 | $77.00 | — | — | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HBSAB | $16.94 | $77.00 | — | — | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 *HC C-HBSAB | $16.94 | $77.00 | — | — | 78% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 *HC HBSAG-OB | $13.64 | $62.00 | $9.26–$55.80 | 64% below | 78% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER) | $13.64 | $62.00 | $9.26–$55.80 | 64% below | 78% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 *HC C-HBSAG | $13.64 | $62.00 | $9.26–$55.80 | 64% below | 78% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG | $13.64 | $62.00 | $9.26–$55.80 | 64% below | 78% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG | $17.16 | $78.00 | — | — | 78% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 *HC HBSAG-OB | $17.16 | $78.00 | — | — | 78% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER) | $17.16 | $78.00 | — | — | 78% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 *HC C-HBSAG | $17.16 | $78.00 | — | — | 78% |
| Hepatitis C antibody blood test (screening) CPT 86803 *HC C-AB, HEP-C | $17.82 | $81.00 | $12.79–$72.90 | 63% below | 78% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER) | $17.82 | $81.00 | $12.79–$72.90 | 63% below | 78% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HCV-AB | $17.82 | $81.00 | $12.79–$72.90 | 63% below | 78% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER) | $22.44 | $102.00 | — | — | 78% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV-AB | $22.44 | $102.00 | — | — | 78% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 *HC C-AB, HEP-C | $22.44 | $102.00 | — | — | 78% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY BDNA | $55.44 | $252.00 | $38.40–$226.80 | 50% below | 78% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA ULTRAQUANT BY PCR | $55.44 | $252.00 | $38.40–$226.80 | 50% below | 78% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY PCR | $55.44 | $252.00 | $38.40–$226.80 | 50% below | 78% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA ULTRAQUANT BY PCR | $69.30 | $315.00 | — | — | 78% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY BDNA | $69.30 | $315.00 | — | — | 78% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY PCR | $69.30 | $315.00 | — | — | 78% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM ABS IFA | $16.50 | $75.00 | $11.83–$67.50 | 44% below | 78% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGM | $16.50 | $75.00 | $11.83–$67.50 | 44% below | 78% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB | $16.50 | $75.00 | $11.83–$67.50 | 44% below | 78% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG | $16.50 | $75.00 | $11.83–$67.50 | 44% below | 78% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG AB | $16.50 | $75.00 | $11.83–$67.50 | 44% below | 78% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB | $16.50 | $75.00 | $11.83–$67.50 | 44% below | 78% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE 1 GLYCOPROTEIN IGG, CSF | $18.70 | $85.00 | $11.83–$76.50 | 36% below | 78% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG AB | $20.68 | $94.00 | — | — | 78% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGM ABS IFA | $20.68 | $94.00 | — | — | 78% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGM | $20.68 | $94.00 | — | — | 78% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG | $20.68 | $94.00 | — | — | 78% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB | $20.68 | $94.00 | — | — | 78% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB | $20.68 | $94.00 | — | — | 78% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV TYPE 1 GLYCOPROTEIN IGG, CSF | $23.32 | $106.00 | — | — | 78% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG | $24.64 | $112.00 | $17.34–$100.80 | 44% below | 78% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGM | $24.64 | $112.00 | $17.34–$100.80 | 44% below | 78% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG AB | $24.64 | $112.00 | $17.34–$100.80 | 44% below | 78% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB | $24.64 | $112.00 | $17.34–$100.80 | 44% below | 78% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB | $24.64 | $112.00 | $17.34–$100.80 | 44% below | 78% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGM ABS IFA | $24.64 | $112.00 | $17.34–$100.80 | 44% below | 78% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG | $30.80 | $140.00 | — | — | 78% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGM ABS IFA | $30.80 | $140.00 | — | — | 78% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG AB | $30.80 | $140.00 | — | — | 78% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB | $30.80 | $140.00 | — | — | 78% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV-2 INHIBITION STUDY | $30.80 | $140.00 | — | — | 78% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGM | $30.80 | $140.00 | — | — | 78% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS | $16.50 | $75.00 | $11.61–$67.50 | 62% below | 78% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS | $20.68 | $94.00 | — | — | 78% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTINES, PLASMA | $21.34 | $97.00 | $16.07–$87.30 | 63% below | 78% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINES, PLASMA | $26.84 | $122.00 | — | — | 78% |
| Insulin blood test CPT 83525 HC INSULIN | $15.62 | $71.00 | $10.24–$63.90 | 45% below | 78% |
| Insulin blood test inpatient CPT 83525 HC INSULIN | $19.58 | $89.00 | — | — | 78% |
| Iron blood test (serum iron) CPT 83540 HC IRON, LIVER TISSUE - RL | $7.70 | $35.00 | $5.80–$31.90 | 65% below | 78% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $8.80 | $40.00 | $5.80–$36.00 | 59% below | 78% |
| Iron blood test (serum iron) CPT 83540 HC IRON, URINE | $8.80 | $40.00 | $5.80–$36.00 | 59% below | 78% |
| Iron blood test (serum iron) CPT 83540 HC IRON, LIVER TISSUE | $8.80 | $40.00 | $5.80–$36.00 | 59% below | 78% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON, LIVER TISSUE - RL | $9.68 | $44.00 | — | — | 78% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON, URINE | $11.00 | $50.00 | — | — | 78% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON, LIVER TISSUE | $11.00 | $50.00 | — | — | 78% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $11.00 | $50.00 | — | — | 78% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $12.54 | $57.00 | $7.84–$51.30 | 62% below | 78% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $15.84 | $72.00 | — | — | 78% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $12.76 | $58.00 | $7.79–$52.20 | 78% below | 78% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $16.06 | $73.00 | — | — | 78% |
| LH (luteinizing hormone) test CPT 83002 HC LH | $40.70 | $185.00 | $16.61–$166.50 | 25% below | 78% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH | $51.04 | $232.00 | — | — | 78% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, BODY FLUID - RL | $8.58 | $39.00 | $6.17–$35.10 | 68% below | 78% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $9.68 | $44.00 | $6.17–$39.60 | 64% below | 78% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, BODY FLUID - RL | $10.78 | $49.00 | — | — | 78% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $12.10 | $55.00 | — | — | 78% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS | $11.66 | $53.00 | — | — | 78% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODIES | $39.60 | $180.00 | $15.26–$162.00 | 22% below | 78% |
| Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, SERUM - RL | $44.00 | $200.00 | $15.26–$180.00 | 13% below | 78% |
| Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, CSF - RL | $44.00 | $200.00 | $15.26–$180.00 | 13% below | 78% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODIES | $49.50 | $225.00 | — | — | 78% |
| Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, SERUM - RL | $55.00 | $250.00 | — | — | 78% |
| Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, CSF - RL | $55.00 | $250.00 | — | — | 78% |
| Magnesium blood test CPT 83735 HC MAGNESIUM, RBC | $7.92 | $36.00 | $6.00–$33.17 | 64% below | 78% |
| Magnesium blood test CPT 83735 HC STONE/URORISK-MAGNESIUM, UR | $8.36 | $38.00 | $6.00–$34.20 | 62% below | 78% |
| Magnesium blood test CPT 83735 HC MAGNESIUM, URINE | $8.36 | $38.00 | $6.00–$34.20 | 62% below | 78% |
| Magnesium blood test CPT 83735 HC MAGNESIUM, FECES | $8.36 | $38.00 | $6.00–$34.20 | 62% below | 78% |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $9.24 | $42.00 | $6.00–$37.80 | 58% below | 78% |
| Magnesium blood test CPT 83735 HC CATHARTIC LAXATIVE PROF - MAGNESIUM, FECES | $30.36 | $138.00 | $6.00–$124.20 | 38% above | 78% |
| Magnesium blood test inpatient CPT 83735 HC SUPERSAT URINE, MAGNESIUM | $5.06 | $23.00 | — | — | 78% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE | $10.56 | $48.00 | — | — | 78% |
| Magnesium blood test inpatient CPT 83735 HC STONE/URORISK-MAGNESIUM, UR | $10.56 | $48.00 | — | — | 78% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, FECES | $10.56 | $48.00 | — | — | 78% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC | $11.00 | $50.00 | — | — | 78% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $11.66 | $53.00 | — | — | 78% |
| Magnesium blood test inpatient CPT 83735 HC CATHARTIC LAXATIVE PROF - MAGNESIUM, FECES | $38.06 | $173.00 | — | — | 78% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG | $16.94 | $77.00 | $11.55–$69.30 | 44% below | 78% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM | $16.94 | $77.00 | $11.55–$69.30 | 44% below | 78% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG - RL | $16.94 | $77.00 | $11.55–$69.30 | 44% below | 78% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG | $21.34 | $97.00 | — | — | 78% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG - RL | $21.34 | $97.00 | — | — | 78% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM | $21.34 | $97.00 | — | — | 78% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC POC MONO TEST | $6.38 | $29.00 | $4.64–$26.10 | 75% below | 78% |
| Mono test (heterophile antibody, Monospot) CPT 86308 *HC HETEROPHILE TITER | $6.38 | $29.00 | $4.64–$26.10 | 75% below | 78% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT | $6.38 | $29.00 | $4.64–$26.10 | 75% below | 78% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN | $6.38 | $29.00 | $4.64–$26.10 | 75% below | 78% |
| Mono test (heterophile antibody, Monospot) CPT 86308 CHG HETEROPHILE ANTIBODIES,SCREEN | $6.38 | $29.00 | $4.64–$26.10 | 75% below | 78% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 *HC HETEROPHILE TITER | $8.14 | $37.00 | — | — | 78% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODY SCREEN | $8.14 | $37.00 | — | — | 78% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC POC MONO TEST | $8.14 | $37.00 | — | — | 78% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT | $8.14 | $37.00 | — | — | 78% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, FREE | $23.54 | $107.00 | $16.49–$96.30 | 52% below | 78% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE | $23.54 | $107.00 | $16.49–$96.30 | 52% below | 78% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, FREE | $29.48 | $134.00 | — | — | 78% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE | $29.48 | $134.00 | — | — | 78% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE HEALTH INDEX (PHI) | $23.54 | $107.00 | $16.49–$96.30 | 47% below | 78% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL | $23.54 | $107.00 | $16.49–$96.30 | 47% below | 78% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL-REF LAB ONLY | $25.96 | $118.00 | $16.49–$106.20 | 42% below | 78% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, SCREENING | $26.40 | $120.00 | $16.49–$108.00 | 41% below | 78% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC | $26.40 | $120.00 | $16.49–$108.00 | 41% below | 78% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE HEALTH INDEX (PHI) | $29.48 | $134.00 | — | — | 78% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL | $29.48 | $134.00 | — | — | 78% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL-REF LAB ONLY | $32.56 | $148.00 | — | — | 78% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC | $33.00 | $150.00 | — | — | 78% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, SCREENING | $33.00 | $150.00 | — | — | 78% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC | $23.32 | $106.00 | $23.85–$128.83 | 46% below | 78% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR, THIN PREP IMAGER DX | $23.32 | $106.00 | $23.85–$128.83 | 46% below | 78% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC | $29.26 | $133.00 | — | — | 78% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR, THIN PREP IMAGER DX | $29.26 | $133.00 | — | — | 78% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP SCREENING | $21.34 | $97.00 | $15.87–$98.21 | 23% below | 78% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC | $24.64 | $112.00 | $15.87–$100.80 | 11% below | 78% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP SCREENING | $26.84 | $122.00 | — | — | 78% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC | $28.60 | $130.00 | — | — | 78% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE, FNA | $37.62 | $171.00 | $37.00–$201.55 | 59% below | 78% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTACT | $59.40 | $270.00 | $37.00–$243.00 | 35% below | 78% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTRAOPERATIVE | $59.40 | $270.00 | $37.00–$243.00 | 35% below | 78% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE, FNA | $51.92 | $236.00 | — | — | 78% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTRAOPERATIVE | $74.36 | $338.00 | — | — | 78% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTACT | $74.36 | $338.00 | — | — | 78% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME | $8.14 | $37.00 | $5.39–$33.30 | 65% below | 78% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT - RL | $8.14 | $37.00 | $5.39–$33.30 | 65% below | 78% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME | $10.34 | $47.00 | — | — | 78% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT - RL | $10.34 | $47.00 | — | — | 78% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY | $1,067.00 | $4,850.00 | $587.51–$4,365.00 | 155% above | 78% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY | $1,333.86 | $6,063.00 | — | — | 78% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $35.86 | $163.00 | $18.70–$146.70 | 34% below | 78% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $44.88 | $204.00 | — | — | 78% |
| Prolactin blood test CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT | $25.08 | $114.00 | $17.37–$102.60 | 61% below | 78% |
| Prolactin blood test CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC | $25.08 | $114.00 | $17.37–$102.60 | 61% below | 78% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $27.94 | $127.00 | $17.37–$114.30 | 56% below | 78% |
| Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT | $31.46 | $143.00 | — | — | 78% |
| Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC | $31.46 | $143.00 | — | — | 78% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $34.98 | $159.00 | — | — | 78% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $5.06 | $23.00 | $3.84–$20.70 | 67% below | 78% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POC PT/INR | $5.06 | $23.00 | $3.84–$20.70 | 67% below | 78% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS PT - RL | $5.06 | $23.00 | $3.84–$20.70 | 67% below | 78% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME | $6.60 | $30.00 | $3.84–$27.00 | 58% below | 78% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR | $6.60 | $30.00 | $3.84–$27.00 | 58% below | 78% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POC PT/INR | $6.38 | $29.00 | — | — | 78% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $6.38 | $29.00 | — | — | 78% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS PT - RL | $6.38 | $29.00 | — | — | 78% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR | $8.36 | $38.00 | — | — | 78% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PR DRUG TEST, PRESUMP,ANY NUMBER OF CLASS, DIRECT OPTICAL OBS | $29.70 | $135.00 | $11.30–$121.50 | 31% above | 78% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST, PRESUMP,ANY NUMBER OF CLASS, DIRECT OPTICAL OBS, URINE | $29.70 | $135.00 | $11.30–$121.50 | 31% above | 78% |
| Rapid flu test (influenza antigen) CPT 87804 HC POC INFLUENZA A & B VIRUS TESTING | $15.18 | $69.00 | $14.83–$62.10 | 35% below | 78% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A & B VIRUS TESTING | $18.92 | $86.00 | $14.83–$77.40 | 18% below | 78% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A & B VIRUS TESTING | $18.92 | $86.00 | — | — | 78% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC POC INFLUENZA A & B VIRUS TESTING | $19.14 | $87.00 | — | — | 78% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A SCREEN | $15.62 | $71.00 | $14.81–$63.90 | 30% below | 78% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 *HC POC STREP A SCREEN | $15.62 | $71.00 | $14.81–$63.90 | 30% below | 78% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POC STREP A SCREEN | $15.62 | $71.00 | $14.81–$63.90 | 30% below | 78% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC THROAT SCREEN | $15.62 | $71.00 | $14.81–$63.90 | 30% below | 78% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC POC STREP A SCREEN | $19.58 | $89.00 | — | — | 78% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A SCREEN | $19.58 | $89.00 | — | — | 78% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 *HC POC STREP A SCREEN | $19.58 | $89.00 | — | — | 78% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC THROAT SCREEN | $19.58 | $89.00 | — | — | 78% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT | $6.82 | $31.00 | $5.09–$28.07 | 72% below | 78% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT | $8.58 | $39.00 | — | — | 78% |
| Rubella antibody test (immunity check) CPT 86762 *HC RUBELLA VACCINE SCREEN | $18.48 | $84.00 | $12.90–$75.60 | 44% below | 78% |
| Rubella antibody test (immunity check) CPT 86762 *HC RUBELLA IGG OB | $18.48 | $84.00 | $12.90–$75.60 | 44% below | 78% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM | $18.48 | $84.00 | $12.90–$75.60 | 44% below | 78% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG | $18.48 | $84.00 | $12.90–$75.60 | 44% below | 78% |
| Rubella antibody test (immunity check) inpatient CPT 86762 *HC RUBELLA VACCINE SCREEN | $23.10 | $105.00 | — | — | 78% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM | $23.10 | $105.00 | — | — | 78% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG | $23.10 | $105.00 | — | — | 78% |
| Rubella antibody test (immunity check) inpatient CPT 86762 *HC RUBELLA IGG OB | $23.10 | $105.00 | — | — | 78% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE,AUTOMATED | $3.96 | $18.00 | $2.42–$16.20 | 83% below | 78% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE,AUTOMATED | $5.06 | $23.00 | — | — | 78% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS | $16.50 | $75.00 | $11.03–$67.50 | 65% below | 78% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS | $20.68 | $94.00 | — | — | 78% |
| Stool ova and parasites exam CPT 87177 HC EXAM PARA, URINE/B.F. | $11.00 | $50.00 | $7.97–$45.00 | 64% below | 78% |
| Stool ova and parasites exam CPT 87177 HC PARASITE EXAM BODY FLUID | $11.00 | $50.00 | $7.97–$45.00 | 64% below | 78% |
| Stool ova and parasites exam inpatient CPT 87177 HC PARASITE EXAM BODY FLUID | $13.86 | $63.00 | — | — | 78% |
| Stool ova and parasites exam inpatient CPT 87177 HC EXAM PARA, URINE/B.F. | $13.86 | $63.00 | — | — | 78% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC POC OCCULT BLOOD SCREEN | $3.74 | $17.00 | $3.23–$15.96 | 72% below | 78% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN | $3.74 | $17.00 | $3.23–$15.96 | 72% below | 78% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN | $4.84 | $22.00 | — | — | 78% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC POC OCCULT BLOOD SCREEN | $4.84 | $22.00 | — | — | 78% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD | $20.24 | $92.00 | $14.27–$82.80 | 24% below | 78% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD | $25.30 | $115.00 | — | — | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 *HC RPR OB | $6.16 | $28.00 | $3.83–$25.20 | 57% below | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR, DONOR EVAL (BLOOD CENTER) | $6.16 | $28.00 | $3.83–$25.20 | 57% below | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN - RL | $6.16 | $28.00 | $3.83–$25.20 | 57% below | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL (CSF ONLY) | $6.16 | $28.00 | $3.83–$25.20 | 57% below | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN | $6.16 | $28.00 | $3.83–$25.20 | 57% below | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL SEURM | $6.16 | $28.00 | $3.83–$25.20 | 57% below | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL SEURM | $7.70 | $35.00 | — | — | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 *HC RPR OB | $7.70 | $35.00 | — | — | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR, DONOR EVAL (BLOOD CENTER) | $7.70 | $35.00 | — | — | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN - RL | $7.70 | $35.00 | — | — | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL (CSF ONLY) | $7.70 | $35.00 | — | — | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN | $7.70 | $35.00 | — | — | 78% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON GOLD TB TEST | $78.32 | $356.00 | $55.56–$320.40 | 36% below | 78% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON GOLD TB TEST | $97.90 | $445.00 | — | — | 78% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL | $38.72 | $176.00 | $23.14–$158.40 | 35% below | 78% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $38.72 | $176.00 | $23.14–$158.40 | 35% below | 78% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS | $42.90 | $195.00 | $23.14–$175.50 | 28% below | 78% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $48.40 | $220.00 | — | — | 78% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL | $48.40 | $220.00 | — | — | 78% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS | $58.96 | $268.00 | — | — | 78% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE (TPO) ABS | $19.36 | $88.00 | $13.04–$79.20 | 47% below | 78% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH | $19.36 | $88.00 | $13.04–$79.20 | 47% below | 78% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB | $19.36 | $88.00 | $13.04–$79.20 | 47% below | 78% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE (TPO) ABS | $24.20 | $110.00 | — | — | 78% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB | $24.20 | $110.00 | — | — | 78% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH | $24.20 | $110.00 | — | — | 78% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC CU INDEX-TSH ASSAY | $24.42 | $111.00 | $15.06–$99.90 | 41% below | 78% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $27.28 | $124.00 | $15.06–$111.60 | 34% below | 78% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH - SENSITIVE, SERUM - RL | $27.28 | $124.00 | $15.06–$111.60 | 34% below | 78% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC CU INDEX-TSH ASSAY | $30.58 | $139.00 | — | — | 78% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $34.10 | $155.00 | — | — | 78% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH - SENSITIVE, SERUM - RL | $34.10 | $155.00 | — | — | 78% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE | $53.24 | $242.00 | $31.46–$217.80 | 2% above | 78% |
| Trichomonas test (NAAT) CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE | $53.24 | $242.00 | $31.46–$217.80 | 2% above | 78% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE | $66.66 | $303.00 | — | — | 78% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE | $66.66 | $303.00 | — | — | 78% |
| Uric acid blood test CPT 84550 HC URIC ACID | $6.16 | $28.00 | $4.05–$25.20 | 67% below | 78% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID | $7.70 | $35.00 | — | — | 78% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO W/MICRO | $4.40 | $20.00 | — | — | 78% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC POC URINALYSIS, AUTO W/MICRO | $4.40 | $20.00 | — | — | 78% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO | $3.52 | $16.00 | $3.60–$15.31 | 46% below | 78% |
| Urinalysis with microscope exam, manual CPT 81000 CHG URINALYSIS, NONAUTO, W/SCOPE | $3.52 | $16.00 | $3.60–$15.31 | 46% below | 78% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO | $4.40 | $20.00 | — | — | 78% |
| Urinalysis without microscope exam, automated CPT 81003 HC POC URINE W/O MICRO, AUTO | $2.86 | $13.00 | $2.02–$11.70 | 68% below | 78% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE W/O MICRO, AUTO | $2.86 | $13.00 | $2.02–$11.70 | 68% below | 78% |
| Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY, URINE | $2.86 | $13.00 | $2.02–$11.70 | 68% below | 78% |
| Urinalysis without microscope exam, automated CPT 81003 HC POC UA DIPSTICK | $6.82 | $31.00 | $2.02–$27.90 | 24% below | 78% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC POC URINE W/O MICRO, AUTO | $3.74 | $17.00 | — | — | 78% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY, URINE | $3.74 | $17.00 | — | — | 78% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE W/O MICRO, AUTO | $3.74 | $17.00 | — | — | 78% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC POC UA DIPSTICK | $6.82 | $31.00 | — | — | 78% |
| Urinalysis without microscope exam, manual CPT 81002 HC ACETONE/KETONE-URINE | $2.64 | $12.00 | $3.12–$12.76 | 64% below | 78% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS W/O MICRO NON-AUTO | $2.64 | $12.00 | $3.12–$12.76 | 64% below | 78% |
| Urinalysis without microscope exam, manual CPT 81002 *HC PROTEIN, QUALI-URINE | $2.64 | $12.00 | $3.12–$12.76 | 64% below | 78% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC ACETONE/KETONE-URINE | $3.30 | $15.00 | — | — | 78% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 *HC PROTEIN, QUALI-URINE | $3.30 | $15.00 | — | — | 78% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS W/O MICRO NON-AUTO | $3.30 | $15.00 | — | — | 78% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, URINE COLONY COUNT | $11.88 | $54.00 | $7.24–$48.60 | 69% below | 78% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, URINE COLONY COUNT | $14.96 | $68.00 | — | — | 78% |
| Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST, URINE | $6.16 | $28.00 | $7.72–$31.41 | 71% below | 78% |
| Urine pregnancy test, read by color change CPT 81025 *HC POC PREGNANCY TEST, URINE | $6.16 | $28.00 | $7.72–$31.41 | 71% below | 78% |
| Urine pregnancy test, read by color change inpatient CPT 81025 *HC POC PREGNANCY TEST, URINE | $7.70 | $35.00 | — | — | 78% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST, URINE | $7.70 | $35.00 | — | — | 78% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12 | $20.68 | $94.00 | $13.52–$84.60 | 48% below | 78% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12 | $23.10 | $105.00 | $13.52–$94.50 | 42% below | 78% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12 | $25.96 | $118.00 | — | — | 78% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12 | $29.04 | $132.00 | — | — | 78% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3 | $37.84 | $172.00 | $26.53–$154.80 | 51% below | 78% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D, 25 HYDROXY | $37.84 | $172.00 | $26.53–$154.80 | 51% below | 78% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D, 25 HYDROXY | $47.30 | $215.00 | — | — | 78% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3 | $47.30 | $215.00 | — | — | 78% |
| Zinc blood test CPT 84630 HC ZINC RBC | $8.80 | $40.00 | $10.21–$56.14 | 73% below | 78% |
| Zinc blood test CPT 84630 HC ZINC, SERUM - RL | $16.72 | $76.00 | $10.21–$68.40 | 49% below | 78% |
| Zinc blood test CPT 84630 HC ZINC QUANTITATIVE | $16.72 | $76.00 | $10.21–$68.40 | 49% below | 78% |
| Zinc blood test CPT 84630 HC ZINC, URINE | $16.72 | $76.00 | $10.21–$68.40 | 49% below | 78% |
| Zinc blood test inpatient CPT 84630 HC ZINC RBC | $11.00 | $50.00 | — | — | 78% |
| Zinc blood test inpatient CPT 84630 HC ZINC QUANTITATIVE | $20.90 | $95.00 | — | — | 78% |
| Zinc blood test inpatient CPT 84630 HC ZINC, SERUM - RL | $20.90 | $95.00 | — | — | 78% |
| Zinc blood test inpatient CPT 84630 HC ZINC, URINE | $20.90 | $95.00 | — | — | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 *HC HCG, MATERNAL SEQ SCRN | $19.58 | $89.00 | $13.49–$80.10 | 60% below | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC POC BHCG | $19.58 | $89.00 | $13.49–$80.10 | 60% below | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER) | $19.58 | $89.00 | $13.49–$80.10 | 60% below | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG BETA SUBUNIT, CSF | $19.58 | $89.00 | $13.49–$80.10 | 60% below | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG, MATERNAL SCREEN | $21.78 | $99.00 | $13.49–$89.10 | 55% below | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE | $21.78 | $99.00 | $13.49–$89.10 | 55% below | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC POC BHCG | $24.64 | $112.00 | — | — | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG BETA SUBUNIT, CSF | $24.64 | $112.00 | — | — | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER) | $24.64 | $112.00 | — | — | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 *HC HCG, MATERNAL SEQ SCRN | $24.64 | $112.00 | — | — | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE | $27.28 | $124.00 | — | — | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG, MATERNAL SCREEN | $27.28 | $124.00 | — | — | 78% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $5,336.62 | $24,257.37 | $679.83–$9,912.00 | 76% above | 78% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 NECK SPINE FUSE&REMOVE ADDL | $27,857.71 | $126,625.93 | $1,444.88–$29,720.79 | 83% above | 78% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY | $13,211.80 | $60,053.65 | $4,788.41–$6,175.00 | 367% above | 78% |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $18,041.22 | $82,005.54 | $1,444.88–$12,519.00 | 957% above | 78% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $20,098.84 | $91,358.37 | $550.32–$24,532.00 | 45% above | 78% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR | $18,809.30 | $85,496.82 | $773.72–$24,532.00 | 66% above | 78% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 PR ENDOSCOPY, NASAL/SINUS, MAXILL SINUS OSTIUM, W/BALLOON DILAT | $3,257.54 | $14,807.00 | $550.32–$13,326.30 | 58% above | 78% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BRST, 1ST LESION, STEREOTACTIC GUIDANCE | $398.20 | $1,810.00 | $481.27–$9,540.00 | 42% below | 78% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BRST, 1ST LESION, STEREOTACTIC GUIDANCE | $398.20 | $1,810.00 | — | — | 78% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX DST FIB FX WO MAN | $156.64 | $712.00 | $86.36–$3,196.00 | 27% below | 78% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX DST FIB FX WO MAN | $156.64 | $712.00 | — | — | 78% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PR CLOSED RX METATARSAL FX | $156.64 | $712.00 | $86.36–$2,005.00 | 23% below | 78% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL TX METATAR FX WO MAN | $156.64 | $712.00 | $86.36–$2,005.00 | 23% below | 78% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CL TX METATAR FX WO MAN | $156.64 | $712.00 | — | — | 78% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT | $8,768.83 | $39,858.34 | $550.32–$12,519.00 | 174% above | 78% |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE | $15,492.38 | $70,419.92 | $481.27–$12,519.00 | 457% above | 78% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO | $4,661.58 | $21,189.00 | $1,157.91–$19,070.10 | 1% below | 78% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO | $4,661.58 | $21,189.00 | — | — | 78% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION | $500.28 | $2,274.00 | $235.58–$2,885.00 | 8% below | 78% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION | $500.28 | $2,274.00 | — | — | 78% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $4,144.61 | $18,839.12 | $481.27–$8,806.00 | 130% above | 78% |
| Cataract surgery with lens implant CPT 66984 CATARACT SURG W/IOL 1 STAGE | $5,686.29 | $25,846.79 | $821.06–$12,644.00 | 171% above | 78% |
| Catheter ablation for atrial fibrillation one side CPT 93656 HC EP EVAL W/TRANSSEPTAL CATH, INS & REPS MULT ELECT CATHS, AND INTRACARD CATH ABLTJ OF ATR FIB INC 3D MAPPING, INTRACARD ECHO W/IMG SUP & INT, RIGHT VENT PAC/REC, AND HIS BUNDLE REC | $12,804.22 | $58,201.00 | $8,794.17–$84,672.00 | 11% below | 78% |
| Catheter ablation for atrial fibrillation inpatient one side CPT 93656 HC EP EVAL W/TRANSSEPTAL CATH, INS & REPS MULT ELECT CATHS, AND INTRACARD CATH ABLTJ OF ATR FIB INC 3D MAPPING, INTRACARD ECHO W/IMG SUP & INT, RIGHT VENT PAC/REC, AND HIS BUNDLE REC | $12,804.22 | $58,201.00 | — | — | 78% |
| Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX | $393.58 | $1,789.00 | $313.47–$3,196.00 | 14% below | 78% |
| Cervical biopsy CPT 57500 PR BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION | $393.58 | $1,789.00 | $313.47–$3,196.00 | 14% below | 78% |
| Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX | $393.58 | $1,789.00 | — | — | 78% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 29+ DAYS OF AGE ONLY | $1,072.94 | $4,877.00 | $481.27–$8,806.00 | 29% below | 78% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PR CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 29+ DAYS OF AGE ONLY | $1,072.94 | $4,877.00 | $481.27–$8,806.00 | 29% below | 78% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 29+ DAYS OF AGE ONLY | $1,072.94 | $4,877.00 | — | — | 78% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE) | $363.44 | $1,652.00 | $481.27–$8,806.00 | 53% below | 78% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PR CIRCUMCISION W/BLOCK, CLAMP/OTHER DEVICE (ANY AGE) | $363.44 | $1,652.00 | $481.27–$8,806.00 | 53% below | 78% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE) | $363.44 | $1,652.00 | — | — | 78% |
| Circumcision, surgical, older than a newborn CPT 54160 PR CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE) | $363.44 | $1,652.00 | $240.29–$8,806.00 | 44% below | 78% |
| Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE) | $363.44 | $1,652.00 | $240.29–$8,806.00 | 44% below | 78% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE) | $363.44 | $1,652.00 | — | — | 78% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA | $313.06 | $1,423.00 | $86.36–$2,005.00 | 23% above | 78% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA | $313.06 | $1,423.00 | — | — | 78% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY W/EUS | $809.60 | $3,680.00 | $424.47–$4,350.00 | 19% above | 78% |
| Colonoscopy with polyp removal CPT 45385 HC COLON W/REMOVAL BY SNARE TECH | $674.74 | $3,067.00 | $424.47–$4,350.00 | 25% below | 78% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W/REMOVAL BY SNARE TECH | $674.74 | $3,067.00 | — | — | 78% |
| Colonoscopy with tissue sample CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD | $674.74 | $3,067.00 | $424.47–$4,350.00 | 24% below | 78% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD | $674.74 | $3,067.00 | — | — | 78% |
| Colonoscopy, diagnostic CPT 45378 HC COLON DX (INCL BRUSH/WASH) | $674.74 | $3,067.00 | $328.22–$4,350.00 | 20% below | 78% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DX (INCL BRUSH/WASH) | $674.74 | $3,067.00 | — | — | 78% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC CERVIX EXCISION | $1,153.90 | $5,245.00 | $359.35–$8,806.00 | 11% below | 78% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 PR COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX | $1,153.90 | $5,245.00 | $359.35–$8,806.00 | 11% below | 78% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC CERVIX EXCISION | $1,153.90 | $5,245.00 | — | — | 78% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY W/BIOPSY OF CERVIX | $165.22 | $751.00 | $109.51–$3,196.00 | 36% below | 78% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PR COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG | $165.22 | $751.00 | $109.51–$3,196.00 | 36% below | 78% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY W/BIOPSY OF CERVIX | $165.22 | $751.00 | — | — | 78% |
| Complex cataract surgery with lens implant CPT 66982 CATARACT SURGERY COMPLEX | $5,988.25 | $27,219.31 | $821.06–$12,644.00 | 43% above | 78% |
| Coronary stent placement, one artery CPT 92928 HC STENT PLACE CORONARY SINGLE | $8,893.50 | $40,425.00 | $4,082.61–$36,382.50 | 4% below | 78% |
| Coronary stent placement, one artery inpatient CPT 92928 HC STENT PLACE CORONARY SINGLE | $8,893.50 | $40,425.00 | — | — | 78% |
| Cystoscopy with ureteral stent placement CPT 52332 HC CYSTO W/INSERTION OF INDWELLING STENT | $2,207.48 | $10,034.00 | $481.27–$10,116.00 | 18% above | 78% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 PR CYSTOURETHROSCOPY | $656.48 | $2,984.00 | $240.29–$10,116.00 | 5% above | 78% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTO | $656.48 | $2,984.00 | $240.29–$10,116.00 | 5% above | 78% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTO | $656.48 | $2,984.00 | — | — | 78% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC D&C, NON-PREGNANCY | $606.76 | $2,758.00 | — | — | 78% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION ANY METHOD, INCLD LASER FOR LESIONS | $53.90 | $245.00 | $37.02–$2,005.00 | 45% below | 78% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCTION ANY METHOD, INCLD LASER FOR LESIONS | $53.90 | $245.00 | — | — | 78% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC PE TUBE | $1,218.36 | $5,538.00 | $533.26–$9,540.00 | 17% below | 78% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC TYMPANOSTOMY W/INSERT TUBE UNI LOCAL/TOPICAL | $737.00 | $3,350.00 | $183.33–$3,196.00 | 49% above | 78% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC TYMPANOSTOMY W/INSERT TUBE UNI LOCAL/TOPICAL | $737.00 | $3,350.00 | — | — | 78% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL | $81.62 | $371.00 | $21.38–$2,005.00 | 16% above | 78% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL | $81.62 | $371.00 | — | — | 78% |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL | $55.88 | $254.00 | $21.38–$2,005.00 | 14% below | 78% |
| Earwax removal with instruments, one ear one side CPT 69210 PR REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL | $55.88 | $254.00 | $21.38–$2,005.00 | 14% below | 78% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL | $55.88 | $254.00 | — | — | 78% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING | $119.46 | $543.00 | $72.42–$2,005.00 | 23% below | 78% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PR BIOPSY OF UTERUS LINING | $119.46 | $543.00 | $72.42–$2,005.00 | 23% below | 78% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING | $119.46 | $543.00 | — | — | 78% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 REMOVAL OF ETHMOID SINUS | $13,129.12 | $59,677.81 | $773.72–$12,519.00 | 85% above | 78% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 PR NASAL/SINUS ENDOSCOPY,EXPLOR FRONTAL SINUS | $2,639.78 | $11,999.00 | $550.32–$12,519.00 | 59% below | 78% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 PR NASAL/SINUS ENDOSCOPY,OPEN MAXILL SINUS | $1,470.70 | $6,685.00 | $550.32–$9,540.00 | 54% below | 78% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 PR NASAL/SINUS ENDOSCOPY,RMV TISS MAXILL SINUS | $1,930.50 | $8,775.00 | $550.32–$9,959.66 | 70% below | 78% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ CERV/THORAC,W/GUIDANCE | $738.32 | $3,356.00 | $249.31–$3,196.00 | 4% below | 78% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ CERV/THORAC,W/GUIDANCE | $738.32 | $3,356.00 | — | — | 78% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INTRAVITREAL INJ OF PHARM AGEN | $363.44 | $1,652.00 | $119.41–$3,196.00 | 21% above | 78% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INTRAVITREAL INJ OF PHARM AGEN | $363.44 | $1,652.00 | — | — | 78% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL | $223.30 | $1,015.00 | $153.37–$3,196.00 | 56% below | 78% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL | $223.30 | $1,015.00 | — | — | 78% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $13,504.90 | $61,385.90 | $773.72–$12,519.00 | 138% above | 78% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBLE | $14,060.12 | $63,909.63 | $773.72–$12,519.00 | 132% above | 78% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $8,465.52 | $38,479.63 | $773.72–$12,519.00 | 158% above | 78% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX | $445.50 | $2,025.00 | $328.22–$3,196.00 | 5% below | 78% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PR SIGMOIDOSCOPY,DIAG2STIC | $445.50 | $2,025.00 | $328.22–$3,196.00 | 5% below | 78% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX | $445.50 | $2,025.00 | — | — | 78% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAP,CHOLECYSTECTOMY | $3,393.28 | $15,424.00 | $550.32–$24,532.00 | 20% above | 78% |
| Gallbladder removal, laparoscopic CPT 47562 HC CHOLECYSTECTOMY, LAPAROSCOPIC | $3,393.28 | $15,424.00 | $550.32–$24,532.00 | 20% above | 78% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC CHOLECYSTECTOMY, LAPAROSCOPIC | $3,393.28 | $15,424.00 | — | — | 78% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $20,727.35 | $94,215.23 | $550.32–$24,532.00 | 560% above | 78% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER | $16,188.71 | $73,585.04 | $400.82–$15,432.70 | 506% above | 78% |
| Hammertoe correction surgery CPT 28285 HC ARTHROPLASTY TOE | $1,511.18 | $6,869.00 | $550.32–$9,540.00 | 46% below | 78% |
| Hammertoe correction surgery CPT 28285 PR REPAIR OF HAMMERTOE,ONE | $1,511.18 | $6,869.00 | $550.32–$9,540.00 | 46% below | 78% |
| Hammertoe correction surgery inpatient CPT 28285 HC ARTHROPLASTY TOE | $1,511.18 | $6,869.00 | — | — | 78% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $331.54 | $1,507.00 | $227.71–$3,196.00 | 33% below | 78% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOID LIGATION | $331.54 | $1,507.00 | $227.71–$3,196.00 | 33% below | 78% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOID LIGATION | $331.54 | $1,507.00 | — | — | 78% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HC HEMORRHOIDECTOMY, INT & EXT, SINGLE COLUMN | $1,881.88 | $8,554.00 | $550.32–$9,540.00 | 32% above | 78% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC HEMORRHOIDECTOMY, INT & EXT, SINGLE COLUMN | $1,881.88 | $8,554.00 | — | — | 78% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $27,585.22 | $125,387.39 | $5,087.00–$44,226.00 | 82% above | 78% |
| Hysterectomy through an abdominal incision (total) CPT 58150 HC TOTAL ABDOM HYSTERCTOMY | $1,338.04 | $6,082.00 | $3,120.07–$12,519.00 | 26% below | 78% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HC TOTAL ABDOM HYSTERCTOMY | $1,338.04 | $6,082.00 | — | — | 78% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGIOGRAM | $67.54 | $307.00 | $157.49–$2,005.00 | 47% below | 78% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 PR CATH/INJECT HYSTEROSALPINGOGRAM | $67.54 | $307.00 | $157.49–$2,005.00 | 47% below | 78% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGIOGRAM | $67.54 | $307.00 | — | — | 78% |
| Hysteroscopy with endometrial ablation CPT 58563 PR HYSTEROSCOPY,W/ENDOMETRIAL ABLATION | $3,056.90 | $13,895.00 | $679.83–$12,644.00 | 5% above | 78% |
| Hysteroscopy with endometrial ablation CPT 58563 HC HYSTEROSCOPY W/ENDOMETRIAL ABLATION (ANY METHOD) | $3,056.90 | $13,895.00 | $679.83–$12,644.00 | 5% above | 78% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HC HYSTEROSCOPY W/ENDOMETRIAL ABLATION (ANY METHOD) | $3,056.90 | $13,895.00 | — | — | 78% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PR HYSTEROSCOPY,W/ENDO BX | $1,978.90 | $8,995.00 | $550.32–$9,540.00 | 4% above | 78% |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD) | $225.28 | $1,024.00 | $41.82–$2,005.00 | 17% above | 78% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD) | $225.28 | $1,024.00 | — | — | 78% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE SINGLE | $171.60 | $780.00 | $71.53–$2,005.00 | 15% below | 78% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PR DRAIN SKIN ABSCESS SIMPLE | $171.60 | $780.00 | $71.53–$2,005.00 | 15% below | 78% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE SINGLE | $171.60 | $780.00 | — | — | 78% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $10,169.84 | $46,226.55 | $679.83–$12,519.00 | 223% above | 78% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT | $72.16 | $328.00 | $49.56–$3,196.00 | 54% below | 78% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT | $72.16 | $328.00 | — | — | 78% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT | $72.16 | $328.00 | $49.56–$3,196.00 | 72% below | 78% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT | $72.16 | $328.00 | — | — | 78% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR | $510.62 | $2,321.00 | $46.40–$2,088.90 | 395% above | 78% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR | $510.62 | $2,321.00 | — | — | 78% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA | $72.16 | $328.00 | $49.56–$3,196.00 | 67% below | 78% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA | $72.16 | $328.00 | — | — | 78% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHOCENTESIS, SMALL JOINT | $72.16 | $328.00 | $49.56–$3,196.00 | 70% below | 78% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHOCENTESIS, SMALL JOINT | $72.16 | $328.00 | — | — | 78% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $8,826.89 | $40,122.22 | $550.32–$12,519.00 | 8% above | 78% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $7,972.09 | $36,236.78 | $679.83–$12,519.00 | 127% above | 78% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $8,219.07 | $37,359.40 | $679.83–$12,519.00 | 105% above | 78% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $14,808.00 | $67,309.09 | $679.83–$12,519.00 | 323% above | 78% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $25,316.23 | $115,073.75 | $5,087.00–$24,532.00 | 58% above | 78% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $12,991.07 | $59,050.32 | $773.72–$24,532.00 | 169% above | 78% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $22,484.81 | $102,203.66 | $679.83–$24,532.00 | 412% above | 78% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $20,963.67 | $95,289.43 | $3,748.04–$24,532.00 | 117% above | 78% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $22,562.27 | $102,555.78 | $3,748.04–$24,532.00 | 297% above | 78% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $15,598.08 | $70,900.34 | $679.83–$24,532.00 | 237% above | 78% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $17,125.12 | $77,841.44 | $1,073.67–$24,532.00 | 136% above | 78% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $15,177.63 | $68,989.23 | $773.72–$24,532.00 | 176% above | 78% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $19,446.59 | $88,393.59 | $5,087.00–$24,532.00 | 115% above | 78% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR DISCISSION,2ND CATARACT,LASER | $457.16 | $2,078.00 | $197.50–$4,350.00 | at median | 78% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT REP S/A/T/EX 2.5CM/< | $328.46 | $1,493.00 | $143.83–$2,005.00 | 5% below | 78% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PR LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $328.46 | $1,493.00 | $143.83–$2,005.00 | 5% below | 78% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT REP S/A/T/EX 2.5CM/< | $328.46 | $1,493.00 | — | — | 78% |
| Left heart catheterization, diagnostic CPT 93452 HC INSERTION OF PARACHUTE DEVICE | $4,661.58 | $21,189.00 | $1,157.91–$19,070.10 | 5% above | 78% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $4,661.58 | $21,189.00 | $1,157.91–$19,070.10 | 5% above | 78% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HC INSERTION OF PARACHUTE DEVICE | $4,661.58 | $21,189.00 | — | — | 78% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $4,661.58 | $21,189.00 | — | — | 78% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE | $738.32 | $3,356.00 | $249.31–$3,196.00 | 6% below | 78% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE | $738.32 | $3,356.00 | $249.31–$3,196.00 | 6% below | 78% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE | $738.32 | $3,356.00 | — | — | 78% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING | $172.04 | $782.00 | $250.20–$3,196.00 | 56% below | 78% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING | $172.04 | $782.00 | $250.20–$3,196.00 | 56% below | 78% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING | $172.04 | $782.00 | — | — | 78% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL | $223.30 | $1,015.00 | $153.37–$3,196.00 | 52% below | 78% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL | $223.30 | $1,015.00 | — | — | 78% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $19,535.25 | $88,796.58 | $2,571.74–$24,532.00 | 196% above | 78% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR | $38,542.25 | $175,192.04 | $5,087.00–$55,910.00 | at median | 78% |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 LUMBAR SPINE FUSION | $36,982.57 | $168,102.58 | $5,087.00–$44,226.00 | 23% above | 78% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVAL OF SPINAL LAMINA | $22,043.99 | $100,199.95 | $2,571.74–$24,532.00 | 81% above | 78% |
| Lumpectomy (partial mastectomy) CPT 19301 HC MASTECTOMY, PARTIAL, LUMPECTOMY | $1,795.42 | $8,161.00 | $550.32–$9,540.00 | 57% below | 78% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 HC MASTECTOMY, PARTIAL, LUMPECTOMY | $1,795.42 | $8,161.00 | — | — | 78% |
| Mastectomy (total removal of the breast) CPT 19303 HC ASC MASTECTOMY, COMPLETE, SIMPLE | $2,386.12 | $10,846.00 | $679.83–$12,519.00 | 35% below | 78% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 HC ASC MASTECTOMY, COMPLETE, SIMPLE | $2,386.12 | $10,846.00 | — | — | 78% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC D&C, MISSED ABORT, 1ST TRIMESTER | $1,652.86 | $7,513.00 | $773.72–$10,883.00 | 12% above | 78% |
| Miscarriage treatment with D&C, first trimester CPT 59820 PR SURG RX MISSED ABORTN,1ST TRI | $1,652.86 | $7,513.00 | $773.72–$10,883.00 | 12% above | 78% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC D&C, MISSED ABORT, 1ST TRIMESTER | $1,652.86 | $7,513.00 | — | — | 78% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 PR MOHS, 1 STAGE, HEAD/NECK/HAND/FEET/GENTIAL | $353.32 | $1,606.00 | $220.37–$3,196.00 | 12% above | 78% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PR EXC SKIN BENIG <0.5 CM TRUNK,ARM,LEG | $377.30 | $1,715.00 | $253.29–$3,196.00 | 18% above | 78% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC LESION TRUNK,ARMS,LEGS BGN <.5CM | $377.30 | $1,715.00 | $253.29–$3,196.00 | 18% above | 78% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC LESION TRUNK,ARMS,LEGS BGN <.5CM | $377.30 | $1,715.00 | — | — | 78% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC LESION FACE,EARS,EYELD,NS,LP BGN <.5CM | $377.30 | $1,715.00 | $253.29–$3,196.00 | 12% above | 78% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC SKIN BENIG <0.5 CM FACE,FACIAL | $377.30 | $1,715.00 | $253.29–$3,196.00 | 12% above | 78% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC LESION FACE,EARS,EYELD,NS,LP BGN <.5CM | $377.30 | $1,715.00 | — | — | 78% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE | $96.58 | $439.00 | $66.33–$2,005.00 | 30% below | 78% |
| Nail removal (partial or complete), one nail CPT 11730 PR REMOVAL OF NAIL PLATE | $96.58 | $439.00 | $66.33–$2,005.00 | 30% below | 78% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE | $96.58 | $439.00 | — | — | 78% |
| Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL | $69.96 | $318.00 | $48.05–$3,196.00 | 73% below | 78% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL | $69.96 | $318.00 | — | — | 78% |
| Pacemaker implant (dual chamber) CPT 33208 HC INS/RPL PERM PACER A&V | $7,606.06 | $34,573.00 | $3,767.52–$55,910.00 | 27% below | 78% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC INS/RPL PERM PACER A&V | $7,606.06 | $34,573.00 | — | — | 78% |
| Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE | $491.04 | $2,232.00 | $337.26–$4,123.00 | 22% below | 78% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE | $491.04 | $2,232.00 | — | — | 78% |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $16,360.07 | $74,363.98 | $4,632.06–$44,226.00 | 2% below | 78% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PR REMOVAL OF NAIL BED | $377.30 | $1,715.00 | $143.83–$3,196.00 | 6% above | 78% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION INGROWN TOENAIL | $377.30 | $1,715.00 | $143.83–$3,196.00 | 6% above | 78% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION INGROWN TOENAIL | $377.30 | $1,715.00 | — | — | 78% |
| Prostate biopsy CPT 55700 HC PROSTATE NEEDLE BIOPSY | $420.42 | $1,911.00 | $481.27–$4,350.00 | 45% below | 78% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE - NEEDLE OR PUNCH | $420.42 | $1,911.00 | $481.27–$4,350.00 | 45% below | 78% |
| Prostate biopsy CPT 55700 PR BIOPSY OF PROSTATE,NEEDLE/PUNCH | $420.42 | $1,911.00 | $481.27–$4,350.00 | 45% below | 78% |
| Prostate biopsy inpatient CPT 55700 HC PROSTATE NEEDLE BIOPSY | $420.42 | $1,911.00 | — | — | 78% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE - NEEDLE OR PUNCH | $420.42 | $1,911.00 | — | — | 78% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPARO RADICAL PROSTATECTOMY | $33,277.59 | $151,261.78 | $3,748.04–$44,226.00 | 510% above | 78% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC R/F FACET NERVE - LUM/SAC | $1,369.72 | $6,226.00 | $703.00–$10,883.00 | 34% above | 78% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC R/F FACET NERVE - LUM/SAC | $1,369.72 | $6,226.00 | — | — | 78% |
| Removal of a breast lump, open surgery CPT 19120 PR EXCISE BREAST CYST | $986.70 | $4,485.00 | $550.32–$9,540.00 | 14% below | 78% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMO F/B SUBQ SIMPLE | $328.46 | $1,493.00 | $143.83–$2,005.00 | 33% above | 78% |
| Removal of a foreign object under the skin, simple CPT 10120 PR REMOVE FOREIGN BODY SIMPLE | $328.46 | $1,493.00 | $143.83–$2,005.00 | 33% above | 78% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO F/B SUBQ SIMPLE | $328.46 | $1,493.00 | — | — | 78% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $16,088.74 | $73,130.65 | $679.83–$24,532.00 | 193% above | 78% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK | $430.54 | $1,957.00 | $328.22–$4,350.00 | 29% below | 78% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK | $430.54 | $1,957.00 | — | — | 78% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY - HIGH RISK | $430.54 | $1,957.00 | $328.22–$4,350.00 | 29% below | 78% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY - HIGH RISK | $430.54 | $1,957.00 | — | — | 78% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $13,421.98 | $61,009.01 | $679.83–$9,912.00 | 211% above | 78% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC ESW LITHOTRIPSY | $4,011.26 | $18,233.00 | $550.32–$24,532.00 | 14% above | 78% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC ESW LITHOTRIPSY | $4,011.26 | $18,233.00 | — | — | 78% |
| Short arm cast (elbow to hand) CPT 29075 HC APPLICATION, CAST, SHORT ARM | $78.32 | $356.00 | $53.79–$2,005.00 | 54% below | 78% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION, CAST, SHORT ARM | $78.32 | $356.00 | — | — | 78% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC | $132.88 | $604.00 | $46.40–$2,005.00 | 9% above | 78% |
| Short arm splint (forearm and hand) CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC | $132.88 | $604.00 | $46.40–$604.00 | 9% above | 78% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC | $132.88 | $604.00 | — | — | 78% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC | $132.88 | $604.00 | — | — | 78% |
| Short leg cast (below the knee) CPT 29405 HC APPLICATION, CAST, SHORT LEG | $78.32 | $356.00 | $53.79–$2,005.00 | 59% below | 78% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION, CAST, SHORT LEG | $78.32 | $356.00 | — | — | 78% |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION, SPLINT, LOWER LEG | $173.58 | $789.00 | $56.80–$2,005.00 | 18% above | 78% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION, SPLINT, LOWER LEG | $173.58 | $789.00 | — | — | 78% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC | $14,629.29 | $66,496.77 | $773.72–$24,532.00 | 152% above | 78% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $12,874.14 | $58,518.80 | $550.32–$14,984.16 | 363% above | 78% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PR RESUPERF WND BODY <2.5CM | $171.60 | $780.00 | $71.53–$2,005.00 | 12% below | 78% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM | $171.60 | $780.00 | $71.53–$2,005.00 | 12% below | 78% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM | $171.60 | $780.00 | — | — | 78% |
| Skin biopsy, punch, one lesion CPT 11104 PR PUNCH BIOPSY, SKIN, SINGLE LESION | $268.62 | $1,221.00 | $143.83–$2,005.00 | 8% below | 78% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION | $268.62 | $1,221.00 | $143.83–$2,005.00 | 8% below | 78% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION | $268.62 | $1,221.00 | — | — | 78% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC MALIGNANT LESION TRUNK,ARMS,LEGS <.5CM | $377.30 | $1,715.00 | $253.29–$3,196.00 | 21% below | 78% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 PR EXC SKIN MALIG <0.5 CM TRUNK,ARM,LEG | $377.30 | $1,715.00 | $253.29–$3,196.00 | 21% below | 78% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC MALIGNANT LESION TRUNK,ARMS,LEGS <.5CM | $377.30 | $1,715.00 | — | — | 78% |
| Skin tag removal, up to 15 tags CPT 11200 PR REMOVAL OF SKIN TAGS, UP TO 15 | $96.58 | $439.00 | $66.33–$2,005.00 | 28% below | 78% |
| Skin tag removal, up to 15 tags CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS | $96.58 | $439.00 | $66.33–$2,005.00 | 28% below | 78% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS | $96.58 | $439.00 | — | — | 78% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PR SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $172.04 | $782.00 | $232.14–$3,196.00 | 60% below | 78% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX | $172.04 | $782.00 | $232.14–$3,196.00 | 60% below | 78% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX | $172.04 | $782.00 | — | — | 78% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PR RESUP NPTERF WND BODY 2.6-7.5 CM | $171.60 | $780.00 | $71.53–$2,005.00 | 8% below | 78% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C | $171.60 | $780.00 | $71.53–$2,005.00 | 8% below | 78% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C | $171.60 | $780.00 | — | — | 78% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PR RESUPERF WND FACE <2.5 CM | $171.60 | $780.00 | $71.53–$2,005.00 | 7% below | 78% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM | $171.60 | $780.00 | $71.53–$2,005.00 | 7% below | 78% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM | $171.60 | $780.00 | — | — | 78% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $8,068.23 | $36,673.78 | $679.83–$17,523.00 | 80% above | 78% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY, SKIN, SINGLE LESION | $268.62 | $1,221.00 | $71.53–$2,005.00 | 50% above | 78% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY, SKIN, SINGLE LESION | $268.62 | $1,221.00 | $71.53–$2,005.00 | 50% above | 78% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY, SKIN, SINGLE LESION | $268.62 | $1,221.00 | — | — | 78% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING | $600.38 | $2,729.00 | $222.57–$3,196.00 | 7% below | 78% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING | $600.38 | $2,729.00 | — | — | 78% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $7,589.47 | $34,497.60 | $773.72–$10,883.00 | 114% above | 78% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $7,103.67 | $32,289.42 | $550.32–$9,540.00 | 158% above | 78% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $6,895.10 | $31,341.35 | $679.83–$9,912.00 | 148% above | 78% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $9,284.38 | $42,201.74 | $679.83–$9,912.00 | 241% above | 78% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $19,517.76 | $88,717.08 | $4,632.06–$44,226.00 | 45% above | 78% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $17,584.59 | $79,929.93 | $4,632.06–$44,226.00 | 46% above | 78% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $26,127.83 | $118,762.87 | $5,087.00–$44,226.00 | 64% above | 78% |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $19,262.23 | $87,555.58 | $1,444.88–$24,532.00 | 261% above | 78% |
| Trigger finger release surgery CPT 26055 PR INCISE FINGER TENDON SHEATH | $1,185.36 | $5,388.00 | $481.27–$5,301.06 | 28% below | 78% |
| Trigger finger release surgery CPT 26055 HC TRIGGER FINGER RELEASE | $1,185.36 | $5,388.00 | $481.27–$5,301.06 | 28% below | 78% |
| Trigger finger release surgery inpatient CPT 26055 HC TRIGGER FINGER RELEASE | $1,185.36 | $5,388.00 | — | — | 78% |
| Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECT TRIGGER POINT, 1 OR 2 | $72.16 | $328.00 | $49.56–$3,196.00 | 46% below | 78% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS | $72.16 | $328.00 | $49.56–$3,196.00 | 46% below | 78% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS | $72.16 | $328.00 | — | — | 78% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE | $398.20 | $1,810.00 | $481.27–$9,540.00 | 42% below | 78% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE | $398.20 | $1,810.00 | — | — | 78% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILATION BALLOON <30MM | $635.80 | $2,890.00 | $481.27–$4,350.00 | 25% below | 78% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILATION BALLOON <30MM | $635.80 | $2,890.00 | — | — | 78% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL | $635.80 | $2,890.00 | $337.52–$4,350.00 | 19% below | 78% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL | $635.80 | $2,890.00 | — | — | 78% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUC INJECT(S) | $635.80 | $2,890.00 | $337.52–$4,350.00 | 12% above | 78% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUC INJECT(S) | $635.80 | $2,890.00 | — | — | 78% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE TECH | $635.80 | $2,890.00 | $481.27–$4,350.00 | 23% below | 78% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE TECH | $635.80 | $2,890.00 | — | — | 78% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE | $635.80 | $2,890.00 | $337.52–$4,350.00 | 4% below | 78% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE | $635.80 | $2,890.00 | — | — | 78% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DX (INCL BRUSH/WASH) | $635.80 | $2,890.00 | $337.52–$4,123.00 | 23% below | 78% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DX (INCL BRUSH/WASH) | $635.80 | $2,890.00 | — | — | 78% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD, W/EUS, DRAIN CYST, TRANSMURAL | $762.96 | $3,468.00 | $481.27–$8,806.00 | 54% below | 78% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD, W/EUS, DRAIN CYST, TRANSMURAL | $762.96 | $3,468.00 | — | — | 78% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $10,975.25 | $49,887.52 | $679.83–$17,523.00 | 262% above | 78% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO/URETERO W/LITHO INCL INSERT STENT | $4,809.42 | $21,861.00 | $679.83–$19,674.90 | 20% above | 78% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO/URETERO W/LITHO INCL INSERT STENT | $4,809.42 | $21,861.00 | — | — | 78% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC FULL ROUT OBSTE CARE,VAGINAL DELIV | $784.74 | $3,567.00 | $591.00–$3,210.30 | — | 78% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC VASECTOMY UNI OR BIL | $581.68 | $2,644.00 | $481.27–$8,806.00 | 54% below | 78% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 PR REMOVAL OF SPERM DUCT(S) | $581.68 | $2,644.00 | $481.27–$8,806.00 | 54% below | 78% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC VASECTOMY UNI OR BIL | $581.68 | $2,644.00 | — | — | 78% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC RF ABLATION VEIN 1ST W/ IMAGE | $2,626.80 | $11,940.00 | $550.32–$12,644.00 | 9% below | 78% |
| Vein ablation, radiofrequency, first vein CPT 36475 PR ENDOVENOUS RF, 1ST VEIN | $2,626.80 | $11,940.00 | $550.32–$12,644.00 | 9% below | 78% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC RF ABLATION VEIN 1ST W/ IMAGE | $2,626.80 | $11,940.00 | — | — | 78% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION 1-14 | $96.58 | $439.00 | $66.33–$2,005.00 | 29% below | 78% |
| Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 | $96.58 | $439.00 | $66.33–$2,005.00 | 29% below | 78% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESION 1-14 | $96.58 | $439.00 | — | — | 78% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $452.54 | $2,057.00 | $143.83–$4,350.00 | 15% above | 78% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $15,237.97 | $69,263.51 | $773.72–$24,532.00 | 99% above | 78% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY) | $691.90 | $3,145.00 | $157.38–$2,830.50 | 46% above | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY) | $691.90 | $3,145.00 | — | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX | $50.60 | $230.00 | $34.75–$447.00 | 45% below | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC RIBOVIRON TX DAILY | $50.60 | $230.00 | $34.75–$447.00 | 45% below | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR INHAL RX, AIRWAY OBST/DX SPUTUM INDUCT | $50.60 | $230.00 | $34.75–$447.00 | 45% below | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY | $50.60 | $230.00 | $34.75–$447.00 | 45% below | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT | $50.60 | $230.00 | $34.75–$447.00 | 45% below | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT | $50.60 | $230.00 | $34.75–$447.00 | 45% below | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT | $50.60 | $230.00 | $34.75–$447.00 | 45% below | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT | $50.60 | $230.00 | — | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY | $50.60 | $230.00 | — | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX | $50.60 | $230.00 | — | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT | $50.60 | $230.00 | — | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC RIBOVIRON TX DAILY | $50.60 | $230.00 | — | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT | $50.60 | $230.00 | — | — | 78% |
| Chemotherapy IV infusion, first hour CPT 96413 PR CHEMOTHER, IV INFUSION, 1 HR | $188.54 | $857.00 | $119.41–$1,009.00 | 39% below | 78% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR | $188.54 | $857.00 | $119.41–$1,009.00 | 39% below | 78% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR | $188.54 | $857.00 | $685.60 | — | 78% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 PR EYE EXAM, NEW PATIENT,COMPREHESV | $33.44 | $152.00 | $46.39–$224.15 | 46% below | 78% |
| Comprehensive eye exam, returning patient CPT 92014 PR EYE EXAM, EST PATIENT,COMPREHESV | $25.96 | $118.00 | $46.39–$437.23 | 52% below | 78% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 PR COMPREHENSIVE HEARING TEST | $36.96 | $168.00 | $25.38–$459.00 | 64% below | 78% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE (30-74 MINUTES) | $1,097.80 | $4,990.00 | $303.34–$5,421.00 | 42% above | 78% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE (30-74 MINUTES) | $1,097.80 | $4,990.00 | — | — | 78% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 PR EEG,W/AWAKE & DROWSY RECORD | $223.30 | $1,015.00 | $112.10–$913.50 | 28% below | 78% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG: AWAKE & DROWSY | $223.30 | $1,015.00 | $112.10–$913.50 | 28% below | 78% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG: AWAKE & DROWSY | $223.30 | $1,015.00 | — | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG | $25.96 | $118.00 | $17.83–$241.00 | 69% below | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PR ELECTROCARDIOGRAM, TRACING | $25.96 | $118.00 | $17.83–$241.00 | 69% below | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG | $25.96 | $118.00 | — | — | 78% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC ECT - SINGLE SEIZURE | $378.62 | $1,721.00 | $191.02–$1,548.90 | 45% below | 78% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ECT - SINGLE SEIZURE | $378.62 | $1,721.00 | $925.00–$950.00 | — | 78% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMER ROOM LEVEL I | $139.26 | $633.00 | $31.70–$569.70 | 17% above | 78% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMER ROOM LEVEL I | $139.26 | $633.00 | — | — | 78% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMER ROOM LEVEL II | $153.34 | $697.00 | $57.01–$652.00 | 7% below | 78% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMER ROOM LEVEL II | $153.34 | $697.00 | — | — | 78% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMER ROOM LEVEL III | $243.54 | $1,107.00 | $99.68–$1,181.00 | 8% below | 78% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMER ROOM LEVEL III | $243.54 | $1,107.00 | — | — | 78% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMER ROOM LEVEL IV | $423.72 | $1,926.00 | $153.30–$2,401.00 | 1% above | 78% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMER ROOM LEVEL IV | $423.72 | $1,926.00 | — | — | 78% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMER ROOM LEVEL V | $466.18 | $2,119.00 | $220.72–$3,775.00 | 11% below | 78% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMER ROOM LEVEL V | $466.18 | $2,119.00 | — | — | 78% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PR CARDIAC STRESS TST,TRACING ONLY | $169.84 | $772.00 | $112.10–$1,154.00 | 51% below | 78% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM | $169.84 | $772.00 | $112.10–$1,154.00 | 51% below | 78% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM | $169.84 | $772.00 | — | — | 78% |
| Eye exam, returning patient, intermediate CPT 92012 PR EYE EXAM, EST PATIENT,INTERMED | $25.30 | $115.00 | $46.39–$496.02 | 59% below | 78% |
| Family therapy with the patient, 50 minutes CPT 90847 HC IOP-BMU FAMILY PSYTX W/ PATIENT, 50 MIN | $73.70 | $335.00 | $57.84–$301.50 | 35% below | 78% |
| Family therapy with the patient, 50 minutes CPT 90847 HC IOP-ABU FAMILY PSYTX W/ PATIENT, 50 MIN | $73.70 | $335.00 | $57.84–$301.50 | 35% below | 78% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PHP-FAMILY PSYTX W/ PATIENT, 50 MIN | $73.70 | $335.00 | $57.84–$301.50 | 35% below | 78% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PHP-FAMILY PSYTX W/O PATIENT, 50 MIN | $73.70 | $335.00 | $57.84–$301.50 | 41% below | 78% |
| Family therapy without the patient, 50 minutes CPT 90846 HC IOP-BMU FAMILY PSYTX W/O PATIENT, 50 MIN | $73.70 | $335.00 | $57.84–$301.50 | 41% below | 78% |
| Family therapy without the patient, 50 minutes CPT 90846 HC IOP-ABU FAMILY PSYTX W/O PATIENT, 50 MIN | $73.70 | $335.00 | $57.84–$301.50 | 41% below | 78% |
| Group psychotherapy session CPT 90853 HC IOP-ABU GROUP PSYCHOTHERAPY | $71.94 | $327.00 | $33.30–$342.31 | 24% below | 78% |
| Group psychotherapy session CPT 90853 HC IOP-BMU GROUP PSYCHOTHERAPY | $71.94 | $327.00 | $33.30–$342.31 | 24% below | 78% |
| Group psychotherapy session inpatient CPT 90853 HC IOP-ABU GROUP PSYCHOTHERAPY | $71.94 | $327.00 | — | — | 78% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR | $55.22 | $251.00 | $37.93–$1,616.00 | 67% below | 78% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PR IV INFUSION, HYDRATION, 31-60 MIN | $55.22 | $251.00 | $37.93–$1,616.00 | 67% below | 78% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR | $55.22 | $251.00 | — | — | 78% |
| IV infusion of a medicine, first hour CPT 96365 PR IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $67.32 | $306.00 | $46.24–$1,616.00 | 65% below | 78% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC SQ/IM INJECTION | $20.46 | $93.00 | $14.05–$1,616.00 | 62% below | 78% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC SQ/IM INJECTION | $20.46 | $93.00 | — | — | 78% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC IOP-BMU PSYCH DIAGNOSTIC EVALUATION | $44.22 | $201.00 | $57.84–$275.00 | 66% below | 78% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PHP-PSYCH DIAGNOSTIC EVALUATION | $44.22 | $201.00 | $57.84–$257.00 | 66% below | 78% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC IOP-ABU PSYCH DIAGNOSTIC EVALUATION | $44.22 | $201.00 | $57.84–$275.00 | 66% below | 78% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC IOP-ABU PSYCH DIAGNOSTIC EVALUATION | $44.22 | $201.00 | — | — | 78% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 PR NERVE CONDUCTION STUDY; 7-8 STUDIES | $140.80 | $640.00 | $96.70–$576.00 | 5% above | 78% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NRV CNDJ TEST 7-8 STUDIES | $140.80 | $640.00 | $96.70–$576.00 | 5% above | 78% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NRV CNDJ TEST 7-8 STUDIES | $140.80 | $640.00 | — | — | 78% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS | $39.60 | $180.00 | $27.51–$441.00 | 2% above | 78% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS | $39.60 | $180.00 | $27.51–$441.00 | 2% above | 78% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS | $39.60 | $180.00 | — | — | 78% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS | $39.60 | $180.00 | — | — | 78% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN | $36.52 | $166.00 | $37.83–$257.97 | 49% below | 78% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN | $36.52 | $166.00 | — | — | 78% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN | $38.50 | $175.00 | $56.77–$375.35 | 51% below | 78% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN | $38.50 | $175.00 | — | — | 78% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN | $40.48 | $184.00 | $56.77–$375.35 | 58% below | 78% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN | $40.48 | $184.00 | — | — | 78% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN | $34.76 | $158.00 | $32.87–$224.21 | 37% below | 78% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN | $34.76 | $158.00 | — | — | 78% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PR MED NUTR THER, 1ST, INDIV, EA 15 MIN | $53.68 | $244.00 | $26.99–$219.60 | 75% above | 78% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRTN TH INIT 15 MIN | $53.68 | $244.00 | $26.99–$219.60 | 75% above | 78% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRTN TH INIT 15 MIN | $53.68 | $244.00 | — | — | 78% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS | $108.90 | $495.00 | $72.35–$495.00 | 4% below | 78% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS | $108.90 | $495.00 | — | — | 78% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS | $101.42 | $461.00 | $74.48–$461.00 | 20% below | 78% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS | $101.42 | $461.00 | — | — | 78% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS | $101.42 | $461.00 | $74.48–$461.00 | 7% below | 78% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS | $101.42 | $461.00 | — | — | 78% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS | $101.42 | $461.00 | $74.48–$461.00 | 13% below | 78% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS | $101.42 | $461.00 | — | — | 78% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS | $36.08 | $164.00 | $22.19–$441.00 | 7% below | 78% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS | $36.08 | $164.00 | $22.19–$441.00 | 7% below | 78% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS | $36.08 | $164.00 | — | — | 78% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS | $36.08 | $164.00 | — | — | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EX EA 15MIN | $38.28 | $174.00 | $10.96–$441.00 | 1% above | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR THERAPEUTIC EXERCISES | $38.28 | $174.00 | $10.96–$441.00 | 1% above | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EX EA 15MIN | $38.28 | $174.00 | $10.96–$441.00 | 1% above | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EX EA 15MIN | $38.28 | $174.00 | — | — | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EX EA 15MIN | $38.28 | $174.00 | — | — | 78% |
| Psychiatric evaluation with medical services CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVALUATION W/MEDICAL SERVICES | $38.72 | $176.00 | $57.84–$246.79 | 67% below | 78% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PR PSYCHOLOGIC TEST EVAL SVCS, 1ST HR | $63.36 | $288.00 | $112.10–$582.08 | 65% below | 78% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PR PSYCHOTHERAPY FOR CRISIS; 1ST 60 MINUTES | $38.72 | $176.00 | $57.84–$246.79 | 51% below | 78% |
| Psychotherapy session, 30 minutes CPT 90832 HC PHP-PSYTX W/PATIENT, 30 MIN | $44.22 | $201.00 | $57.84–$246.79 | 46% below | 78% |
| Psychotherapy session, 30 minutes CPT 90832 HC IOP-BMU PSYTX W/PATIENT, 30 MIN | $44.22 | $201.00 | $57.84–$275.00 | 46% below | 78% |
| Psychotherapy session, 30 minutes CPT 90832 HC IOP-ABU PSYTX W/PATIENT, 30 MIN | $44.22 | $201.00 | $57.84–$275.00 | 46% below | 78% |
| Psychotherapy session, 45 minutes CPT 90834 HC PHP-PSYTX W/PATIENT, 45 MIN | $58.96 | $268.00 | $57.84–$246.79 | 40% below | 78% |
| Psychotherapy session, 45 minutes CPT 90834 HC IOP-BMU PSYTX W/PATIENT, 45 MIN | $58.96 | $268.00 | $57.84–$275.00 | 40% below | 78% |
| Psychotherapy session, 45 minutes CPT 90834 HC IOP-ABU PSYTX W/PATIENT, 45 MIN | $58.96 | $268.00 | $57.84–$275.00 | 40% below | 78% |
| Psychotherapy session, 60 minutes CPT 90837 HC PHP-PSYTX W/PATIENT, 60 MIN | $73.70 | $335.00 | $57.84–$562.40 | 37% below | 78% |
| Psychotherapy session, 60 minutes CPT 90837 HC IOP-ABU PSYTX W/PATIENT, 60 MIN | $73.70 | $335.00 | $57.84–$562.40 | 37% below | 78% |
| Psychotherapy session, 60 minutes CPT 90837 HC IOP-BMU PSYTX W/PATIENT, 60 MIN | $73.70 | $335.00 | $57.84–$562.40 | 37% below | 78% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CES INTERMED ASYMPTOM | $12.10 | $55.00 | $10.72–$131.00 | 42% below | 78% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CES INTERMED,CTTS ONLY | $12.10 | $55.00 | $10.72–$131.00 | 42% below | 78% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $12.10 | $55.00 | $10.72–$131.00 | 42% below | 78% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CES INTERMED ASYMPTOM | $12.10 | $55.00 | — | — | 78% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CES INTERMED,CTTS ONLY | $12.10 | $55.00 | — | — | 78% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN | $33.88 | $154.00 | $56.77–$375.35 | 51% below | 78% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN | $33.88 | $154.00 | — | — | 78% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN | $30.58 | $139.00 | $37.83–$257.97 | 46% below | 78% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN | $30.58 | $139.00 | — | — | 78% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN | $32.12 | $146.00 | $56.77–$375.35 | 50% below | 78% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN | $32.12 | $146.00 | — | — | 78% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN | $29.04 | $132.00 | $29.27–$224.21 | 41% below | 78% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN | $29.04 | $132.00 | — | — | 78% |
| Speech and language evaluation CPT 92523 PR EVAL OF SPEECH SOUND PROD W/COMPH & EXPRESSION | $134.20 | $610.00 | $169.45–$610.00 | 28% below | 78% |
| Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION | $134.20 | $610.00 | $169.45–$610.00 | 28% below | 78% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION | $134.20 | $610.00 | — | — | 78% |
| Speech therapy session, individual CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL | $98.34 | $447.00 | $32.79–$447.00 | 15% above | 78% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL | $98.34 | $447.00 | — | — | 78% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $87.34 | $397.00 | $56.33–$500.00 | 33% below | 78% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY | $87.34 | $397.00 | $56.33–$500.00 | 33% below | 78% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY | $87.34 | $397.00 | — | — | 78% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN | $87.34 | $397.00 | $59.99–$500.00 | 61% below | 78% |
| Spirometry before and after a bronchodilator CPT 94060 PR EVAL OF BRONCHOSPASM | $87.34 | $397.00 | $59.99–$500.00 | 61% below | 78% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN | $87.34 | $397.00 | — | — | 78% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS | $40.70 | $185.00 | $8.76–$441.00 | 7% below | 78% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS | $40.70 | $185.00 | $8.76–$441.00 | 7% below | 78% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PR THERAPEUTIC ACTIVITIES | $40.70 | $185.00 | $8.76–$441.00 | 7% below | 78% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS | $40.70 | $185.00 | — | — | 78% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS | $40.70 | $185.00 | — | — | 78% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $51.04 | $232.00 | $46.40–$268.00 | 44% below | 78% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $51.04 | $232.00 | — | — | 78% |
| Visual field test, extended CPT 92083 PR VISUAL FIELD EXAM,EXTENDED | $34.76 | $158.00 | $23.87–$455.89 | 19% below | 78% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168) | $86.26 | $392.11 | $59.25–$352.90 | 17% below | 78% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168) | $86.26 | $392.11 | $176.25–$313.69 | — | 78% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 VAC (PFIZER)(PF) 30 MCG/0.3 ML IM SUSR (12 YRS AND UP) | $162.46 | $738.45 | $111.58–$664.61 | 70% above | 78% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 VAC (PFIZER)(PF) 30 MCG/0.3 ML IM SUSR (12 YRS AND UP) | $162.46 | $738.45 | $331.93–$590.76 | — | 78% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR | $216.52 | $984.16 | $135.72–$885.74 | 6% above | 78% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR | $216.52 | $984.16 | $442.38–$787.33 | — | 78% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140) | $22.55 | $102.50 | $15.49–$92.25 | 31% below | 78% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140) | $22.55 | $102.50 | $46.07–$82.00 | — | 78% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML IM (UMBRELLA) | $364.55 | $1,657.05 | $227.93–$1,491.35 | 27% above | 78% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML IM SYRG (UIR) | $364.55 | $1,657.05 | $227.93–$1,491.35 | 27% above | 78% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML IM (UMBRELLA) | $364.55 | $1,657.05 | $744.84–$1,325.64 | — | 78% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML IM SYRG (UIR) | $364.55 | $1,657.05 | $744.84–$1,325.64 | — | 78% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG | $97.55 | $443.43 | $67.00–$399.09 | 23% above | 78% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG | $97.55 | $443.43 | $199.32–$354.74 | — | 78% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B VACCINE ADULT : 1ML | $28.82 | $131.00 | $19.79–$117.90 | 60% below | 78% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG (UIR) | $81.66 | $371.20 | $56.09–$334.08 | 14% above | 78% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B VACCINE ADULT : 1ML | $28.82 | $131.00 | $58.88–$104.80 | — | 78% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG (UIR) | $81.66 | $371.20 | $166.85–$296.96 | — | 78% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MMR 0.5ML VIAL | $35.42 | $161.00 | $24.33–$144.90 | 54% below | 78% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC MMR 0.5ML VIAL | $35.42 | $161.00 | $72.37–$128.80 | — | 78% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENIN C,Y,W-135 VAC,1 OF 2(PF) 5 MCG X 3/ 0.5 ML (FINAL) IM SOLR | $85.20 | $387.28 | $58.52–$348.55 | 47% below | 78% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING A CONJ VACC,2 OF 2 (PF) 10 MCG /0.5 ML (FINAL) IM SOLR | $186.04 | $845.65 | $127.78–$761.09 | 17% above | 78% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM SOLN (PREFERRED)(10 - 55 YO) | $186.04 | $845.65 | $127.78–$761.09 | 17% above | 78% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT (2 MO - 55 YO) | $186.04 | $845.65 | $127.78–$761.09 | 17% above | 78% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENIN C,Y,W-135 VAC,1 OF 2(PF) 5 MCG X 3/ 0.5 ML (FINAL) IM SOLR | $85.20 | $387.28 | $174.08–$309.82 | — | 78% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT (2 MO - 55 YO) | $186.04 | $845.65 | $380.12–$676.52 | — | 78% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING A CONJ VACC,2 OF 2 (PF) 10 MCG /0.5 ML (FINAL) IM SOLR | $186.04 | $845.65 | $380.12–$676.52 | — | 78% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM SOLN (PREFERRED)(10 - 55 YO) | $186.04 | $845.65 | $380.12–$676.52 | — | 78% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG | $264.92 | $1,204.18 | $179.25–$1,083.76 | 23% above | 78% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG | $264.92 | $1,204.18 | $541.28–$963.34 | — | 78% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $309.84 | $1,408.38 | $212.81–$1,267.54 | 7% below | 78% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $309.84 | $1,408.38 | $633.07–$1,126.70 | — | 78% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML IM SYRG | $617.46 | $2,806.65 | $424.08–$2,525.99 | 18% above | 78% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML IM SYRG | $617.46 | $2,806.65 | $1,261.59–$2,245.32 | — | 78% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 PR RESP SYNCYTIAL VIRUS VACCINE, PREF RECOMB, IM | $110.88 | $504.00 | $76.15–$453.60 | 39% above | 78% |
| Rabies vaccine, one dose CPT 90675 HC RABIES VACCINE (IMOVAX) | $139.26 | $633.00 | $95.65–$843.93 | 81% below | 78% |
| Rabies vaccine, one dose CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR | $515.37 | $2,342.58 | $280.83–$2,108.32 | 29% below | 78% |
| Rabies vaccine, one dose inpatient CPT 90675 HC RABIES VACCINE (IMOVAX) | $139.26 | $633.00 | $284.53–$506.40 | — | 78% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR | $515.37 | $2,342.58 | $1,052.99–$1,874.06 | — | 78% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GE-AS01B (PF) 50 MCG/0.5 ML IM SUSR | $235.10 | $1,068.64 | $151.41–$961.78 | 40% above | 78% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GE-AS01B (PF) 50 MCG/0.5 ML IM SUSR | $235.10 | $1,068.64 | $480.35–$854.91 | — | 78% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETANUS AND DIPHTHERIA TOXOID ADULT SYR | $11.88 | $54.00 | $8.16–$90.22 | 76% below | 78% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UIR) | $42.29 | $192.24 | $29.05–$173.02 | 16% below | 78% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UMBRELLA) | $42.29 | $192.24 | $29.05–$173.02 | 16% below | 78% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP (UIR) | $42.29 | $192.24 | $29.05–$173.02 | 16% below | 78% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETANUS AND DIPHTHERIA TOXOID ADULT SYR | $11.88 | $54.00 | $24.27–$43.20 | — | 78% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP (UIR) | $42.29 | $192.24 | $86.41–$153.79 | — | 78% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UMBRELLA) | $42.29 | $192.24 | $86.41–$153.79 | — | 78% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UIR) | $42.29 | $192.24 | $86.41–$153.79 | — | 78% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TETANUS AND DIP PERTUSSIN ADULT VIAL | $15.62 | $71.00 | $10.73–$103.80 | 77% below | 78% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA) | $53.63 | $243.77 | $36.83–$219.39 | 21% below | 78% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA) | $54.15 | $246.14 | $37.19–$221.53 | 20% below | 78% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TETANUS AND DIP PERTUSSIN ADULT VIAL | $15.62 | $71.00 | $31.91–$56.80 | — | 78% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA) | $53.63 | $243.77 | $109.57–$195.02 | — | 78% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA) | $54.15 | $246.14 | $110.64–$196.91 | — | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $9.46 | $43.00 | $19.31–$115.61 | 77% below | 78% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC ROOT REMOVAL EXPOSED ROOTS | $2,375.56 | $10,798.00 | $598.55–$9,718.20 | 301% above | 78% |
Source file: https://ochsner-craft.s3.amazonaws.com/core/720502505_ochsner-clinic-foundation_standardcharges.csv.csv