Hospital Memphis, TN-MS-AR

Baptist Memorial Hospital-Tipton

Baptist Memorial Hospital-Tipton in Covington, TN publishes cash prices for 347 common procedures listed here, from its own machine-readable price file updated Feb 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Tennessee median for 178 of 340 procedures and above it for 157. By typical cash price it ranks #41 of 88 Tennessee hospitals and #11 of 13 hospitals in the Memphis, TN area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1995 Highway 51, South, Covington, TN 38019 Collected Sep 23, 2026 Source price file Check a bill from this hospital (901) 476-2621

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 440131 · CMS hospital register NPI 1316901937

Financial assistance

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

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

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

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

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Baptist Memorial Hospital-Tipton in Covington, TN:

Jan 7, 2026 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W WO CONTRAST	$1,209.12	$5,038.00	$141.82–$4,534.20	7% above	76%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W WO CONTRAST	$1,209.12	$5,038.00	$1,914.44–$4,534.20	—	76%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VWS	$111.84	$466.00	$24.22–$419.40	35% below	76%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VWS	$111.84	$466.00	$177.08–$419.40	—	76%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE MIN 3 VWS	$101.52	$423.00	$23.26–$380.70	28% below	76%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE MIN 3 VWS	$101.52	$423.00	$160.74–$380.70	—	76%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC US ARTERIAL EXTREMITY 1-2 LEVELS BILATERAL	$419.28	$1,747.00	$53.85–$1,572.30	—	76%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC US ARTERIAL EXTREMITY 1-2 LEVELS BILATERAL	$419.28	$1,747.00	$663.86–$1,572.30	—	76%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$779.04	$3,246.00	$84.72–$2,921.40	12% above	76%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$779.04	$3,246.00	$1,233.48–$2,921.40	—	76%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGRAM	$142.56	$594.00	$50.57–$534.60	35% below	76%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGRAM	$142.56	$594.00	$225.72–$534.60	—	76%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE SCAN WHOLE BODY	$345.36	$1,439.00	$183.50–$1,295.10	49% below	76%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE SCAN WHOLE BODY	$345.36	$1,439.00	$546.82–$1,295.10	—	76%
Breast ultrasound, complete, one breast one side CPT 76641 HC BREAST US INCL AXILA UNILAT COMPLETE	$151.44	$631.00	$79.39–$567.90	13% below	76%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC BREAST US INCL AXILA UNILAT COMPLETE	$151.44	$631.00	$239.78–$567.90	—	76%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC BREAST US INCLUDE AXILLA UNILAT LMTD	$102.00	$425.00	$60.78–$382.50	38% below	76%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC BREAST US INCLUDE AXILLA UNILAT LMTD	$102.00	$425.00	$161.50–$382.50	—	76%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT CTA ABDOMEN/PELVIS W WO CONTRAST	$2,057.76	$8,574.00	$284.51–$7,716.60	20% above	76%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT CTA ABDOMEN/PELVIS W WO CONTRAST	$2,057.76	$8,574.00	$3,258.12–$7,716.60	—	76%
CT angiography (CTA) of the head CPT 70496 HC CT CTA HEAD W WO CONTRAST	$994.32	$4,143.00	$141.82–$3,728.70	9% below	76%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT CTA HEAD W WO CONTRAST	$994.32	$4,143.00	$1,574.34–$3,728.70	—	76%
CT angiography (CTA) of the neck CPT 70498 HC CT CTA NECK W WO CONTRAST	$828.00	$3,450.00	$141.82–$3,105.00	21% below	76%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT CTA NECK W WO CONTRAST	$828.00	$3,450.00	$1,311.00–$3,105.00	—	76%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT CTA CHEST W CONTRST(& WOCONTRST IF INCLUDED)NONCORNARY	$1,027.92	$4,283.00	$141.82–$3,854.70	9% below	76%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT CTA CHEST W CONTRST(& WOCONTRST IF INCLUDED)NONCORNARY	$1,027.92	$4,283.00	$1,627.54–$3,854.70	—	76%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING	$64.56	$269.00	$67.49–$729.65	36% below	76%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING	$64.56	$269.00	$102.22–$242.10	—	76%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD AND PELVIS WO CONTRAST	$1,544.64	$6,436.00	$153.41–$5,792.40	7% above	76%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD AND PELVIS WO CONTRAST	$1,544.64	$6,436.00	$2,445.68–$5,792.40	—	76%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD AND PELVIS W CONTRAST	$1,844.88	$7,687.00	$284.51–$6,918.30	2% below	76%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD AND PELVIS W CONTRAST	$1,844.88	$7,687.00	$2,921.06–$6,918.30	—	76%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD AND PELVIS W WO CONTRAST	$2,416.80	$10,070.00	$284.51–$9,063.00	12% above	76%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD AND PELVIS W WO CONTRAST	$2,416.80	$10,070.00	$3,826.60–$9,063.00	—	76%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$1,067.28	$4,447.00	$141.82–$4,002.30	10% above	76%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$1,067.28	$4,447.00	$1,689.86–$4,002.30	—	76%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$786.72	$3,278.00	$84.72–$2,950.20	1% above	76%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$786.72	$3,278.00	$1,245.64–$2,950.20	—	76%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SINUS AX OR COR WO CONTRAST	$447.60	$1,865.00	$84.72–$1,678.50	35% below	76%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLA AX OR COR WO CONTRAST	$542.40	$2,260.00	$84.72–$2,034.00	22% below	76%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL AX+COR WO CONTRAST	$954.72	$3,978.00	$84.72–$3,580.20	38% above	76%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SINUS AX OR COR WO CONTRAST	$447.60	$1,865.00	$708.70–$1,678.50	—	76%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLA AX OR COR WO CONTRAST	$542.40	$2,260.00	$858.80–$2,034.00	—	76%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL AX+COR WO CONTRAST	$954.72	$3,978.00	$1,511.64–$3,580.20	—	76%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST	$758.88	$3,162.00	$84.72–$2,845.80	6% above	76%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST	$758.88	$3,162.00	$1,201.56–$2,845.80	—	76%
CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST	$1,067.28	$4,447.00	$141.82–$4,002.30	20% above	76%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST	$1,067.28	$4,447.00	$1,689.86–$4,002.30	—	76%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W WO CONTRAST	$1,209.12	$5,038.00	$141.82–$4,534.20	11% above	76%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W WO CONTRAST	$1,209.12	$5,038.00	$1,914.44–$4,534.20	—	76%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR WO CONTRAST	$842.64	$3,511.00	$84.72–$3,159.90	7% above	76%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR WO CONTRAST	$842.64	$3,511.00	$1,334.18–$3,159.90	—	76%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL WO CONTRAST	$842.64	$3,511.00	$84.72–$3,159.90	5% below	76%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL WO CONTRAST	$842.64	$3,511.00	$1,334.18–$3,159.90	—	76%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$1,067.28	$4,447.00	$141.82–$4,002.30	21% above	76%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$1,067.28	$4,447.00	$1,689.86–$4,002.30	—	76%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC US CAROTID ARTERY DOPPLER BILATERAL	$468.72	$1,953.00	$164.40–$1,757.70	—	76%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC US CAROTID ARTERY DOPPLER BILATERAL	$468.72	$1,953.00	$742.14–$1,757.70	—	76%
Chest CT scan without and with contrast CPT 71270 HC CT CHEST W WO CONTRAST	$1,209.12	$5,038.00	$141.82–$4,534.20	26% above	76%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W WO CONTRAST	$1,209.12	$5,038.00	$1,914.44–$4,534.20	—	76%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VWS	$109.92	$458.00	$21.82–$412.20	10% below	76%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VWS	$109.92	$458.00	$174.04–$412.20	—	76%
Chest X-ray, single view CPT 71045 HC XR CHEST AP SINGLE VW	$96.00	$400.00	$11.83–$360.00	14% below	76%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST AP SINGLE VW	$96.00	$400.00	$152.00–$360.00	—	76%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$79.20	$330.00	$22.82–$297.00	34% below	76%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE 1 VW	$79.20	$330.00	$22.82–$297.00	34% below	76%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE 1 VW	$79.20	$330.00	$125.40–$297.00	—	76%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$79.20	$330.00	$125.40–$297.00	—	76%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL ORG	$231.12	$963.00	$84.50–$866.70	16% below	76%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL ORG	$231.12	$963.00	$365.94–$866.70	—	76%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA SCAN AXIAL	$119.76	$499.00	$54.84–$449.10	32% below	76%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA SCAN AXIAL	$119.76	$499.00	$189.62–$449.10	—	76%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA RADIUS WRIST HEEL	$47.04	$196.00	$23.53–$176.40	45% below	76%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA RADIUS WRIST HEEL	$47.04	$196.00	$74.48–$176.40	—	76%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US EVALUATION SINGLE GESTATION	$488.64	$2,036.00	$127.56–$1,832.40	34% above	76%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US EVALUATION SINGLE GESTATION	$488.64	$2,036.00	$773.68–$1,832.40	—	76%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST	$758.88	$3,162.00	$84.72–$2,845.80	3% above	76%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST	$758.88	$3,162.00	$1,201.56–$2,845.80	—	76%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST	$1,067.28	$4,447.00	$141.82–$4,002.30	13% above	76%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST	$1,067.28	$4,447.00	$1,689.86–$4,002.30	—	76%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCLUDING CAD BILATERAL	$190.08	$792.00	$60.19–$712.80	—	76%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCLUDING CAD BILATERAL	$190.08	$792.00	$300.96–$712.80	—	76%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIGITAL BREAST LIMITED	$38.16	$159.00	$12.08–$235.12	76% below	76%
Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCLUDING CAD UNILATERAL	$153.12	$638.00	$48.49–$574.20	2% below	76%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIGITAL BREAST LIMITED	$38.16	$159.00	$60.42–$143.10	—	76%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCLUDING CAD UNILATERAL	$153.12	$638.00	$242.44–$574.20	—	76%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC US DUPLEX SCAN LOWER EXTREMITY ARTERIES BILATERAL	$419.28	$1,747.00	$164.40–$1,572.30	—	76%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC US DUPLEX SCAN LOWER EXTREMITY BYPASS GRAFTS BILATERAL	$436.08	$1,817.00	$164.40–$1,635.30	—	76%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC US DUPLEX SCAN LOWER EXTREMITY ARTERIES BILATERAL	$419.28	$1,747.00	$663.86–$1,572.30	—	76%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC US DUPLEX SCAN LOWER EXTREMITY BYPASS GRAFTS BILATERAL	$436.08	$1,817.00	$690.46–$1,635.30	—	76%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US VENOUS DOPPLER EXTREMITY BILATERAL	$384.72	$1,603.00	$164.40–$1,442.70	—	76%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US VENOUS DOPPLER EXTREMITY BILATERAL	$384.72	$1,603.00	$609.14–$1,442.70	—	76%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D TRANSTHORACIC W DOPPLER COMPLETE	$758.40	$3,160.00	$225.73–$2,844.00	36% below	76%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO 2D TRANSTHORACIC W DOPPLER COMPLETE	$758.40	$3,160.00	$1,200.80–$2,844.00	—	76%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 1 VIEW	$45.84	$191.00	$22.82–$171.90	62% below	76%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VWS	$89.28	$372.00	$22.82–$334.80	27% below	76%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 1 VIEW	$45.84	$191.00	$72.58–$171.90	—	76%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VWS	$89.28	$372.00	$141.36–$334.80	—	76%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW 3 VWS	$88.80	$370.00	$24.73–$333.00	39% below	76%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW 3 VWS	$88.80	$370.00	$140.60–$333.00	—	76%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS AXL OR CORL WO CONTRAST	$552.72	$2,303.00	$84.72–$2,072.70	13% below	76%
Eye socket (orbit) CT scan without contrast CPT 70480 DEACTIVATED SEE 3510000004 OR 3510000007	$656.88	$2,737.00	$84.72–$2,463.30	3% above	76%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT TEMP,ORBIT,SELLA,IAC AX & COR W/O CNTRST A	$873.60	$3,640.00	$84.72–$3,276.00	37% above	76%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBITS AXL OR CORL WO CONTRAST	$552.72	$2,303.00	$875.14–$2,072.70	—	76%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 DEACTIVATED SEE 3510000004 OR 3510000007	$656.88	$2,737.00	$1,040.06–$2,463.30	—	76%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT TEMP,ORBIT,SELLA,IAC AX & COR W/O CNTRST A	$873.60	$3,640.00	$1,383.20–$3,276.00	—	76%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES MIN 3 VWS	$104.16	$434.00	$33.91–$390.60	35% below	76%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES MIN 3 VWS	$104.16	$434.00	$164.92–$390.60	—	76%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 1 VIEW	$45.84	$191.00	$22.82–$171.90	63% below	76%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VWS	$89.28	$372.00	$22.82–$334.80	28% below	76%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 1 VIEW	$45.84	$191.00	$72.58–$171.90	—	76%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VWS	$89.28	$372.00	$141.36–$334.80	—	76%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY INCLUDES GALLBLADDER IF PRESENT	$409.44	$1,706.00	$320.13–$1,535.40	37% below	76%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY INCLUDES GALLBLADDER IF PRESENT	$409.44	$1,706.00	$648.28–$1,535.40	—	76%
Hand X-ray, 2 views CPT 73120 HC XR HAND 1 VIEW	$48.00	$200.00	$21.56–$194.76	64% below	76%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VWS	$66.24	$276.00	$21.56–$248.40	50% below	76%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 1 VIEW	$48.00	$200.00	$76.00–$180.00	—	76%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VWS	$66.24	$276.00	$104.88–$248.40	—	76%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR HEEL/CALCANEUS MIN 2 VWS	$60.72	$253.00	$20.70–$227.70	52% below	76%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR HEEL/CALCANEUS MIN 2 VWS	$60.72	$253.00	$96.14–$227.70	—	76%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W CPAP 6YR OR >	$1,479.60	$6,165.00	$318.57–$5,548.50	13% below	76%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W CPAP 6YR OR >	$1,479.60	$6,165.00	$2,342.70–$5,548.50	—	76%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VWS	$119.28	$497.00	$24.73–$447.30	17% below	76%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VWS	$119.28	$497.00	$188.86–$447.30	—	76%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4+ VWS	$128.88	$537.00	$26.87–$483.30	16% below	76%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE 4+ VWS	$128.88	$537.00	$204.06–$483.30	—	76%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$779.04	$3,246.00	$84.72–$2,921.40	11% above	76%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$779.04	$3,246.00	$1,233.48–$2,921.40	—	76%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US SOFT TISSUE LOWER BACK	$164.40	$685.00	$60.81–$616.50	39% below	76%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US SOFT TISSUE ABDOMINAL WALL	$164.40	$685.00	$60.81–$616.50	39% below	76%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL SCAN LIMITED	$210.48	$877.00	$60.81–$789.30	21% below	76%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US SOFT TISSUE LOWER BACK	$164.40	$685.00	$260.30–$616.50	—	76%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US SOFT TISSUE ABDOMINAL WALL	$164.40	$685.00	$260.30–$616.50	—	76%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL SCAN LIMITED	$210.48	$877.00	$333.26–$789.30	—	76%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US SOFT TISSUE GROIN AREA	$116.88	$487.00	$11.71–$438.30	44% below	76%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LIMITED JOINT W IMAGE(OTHER SOFT TISSUE/SOFT TISSUE MASS	$116.88	$487.00	$11.71–$438.30	44% below	76%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US SOFT TISSUE AXILLA AREA	$134.88	$562.00	$11.71–$505.80	35% below	76%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US SOFT TISSUE GROIN AREA	$116.88	$487.00	$185.06–$438.30	—	76%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LIMITED JOINT W IMAGE(OTHER SOFT TISSUE/SOFT TISSUE MASS	$116.88	$487.00	$185.06–$438.30	—	76%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US SOFT TISSUE AXILLA AREA	$134.88	$562.00	$213.56–$505.80	—	76%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LDCT LUNG CANCER SCREENING W/O CONTRAST	$53.28	$222.00	$57.72–$729.65	72% below	76%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LDCT LUNG CANCER SCREENING W/O CONTRAST	$53.28	$222.00	$84.36–$199.80	—	76%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LEG 2 VWS	$92.64	$386.00	$22.82–$347.40	26% below	76%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LEG 2 VWS	$92.64	$386.00	$146.68–$347.40	—	76%
MR angiography (MRA) of the head without contrast CPT 70544 HC MR MRA OR MRV HEAD WO CONTRAST	$979.92	$4,083.00	$192.57–$3,674.70	3% above	76%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MR MRA OR MRV HEAD WO CONTRAST	$979.92	$4,083.00	$1,551.54–$3,674.70	—	76%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR LOWER EXTREM JOINT WO CONTRAST	$975.36	$4,064.00	$192.57–$3,657.60	2% above	76%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR LOWER EXTREM JOINT WO CONTRAST	$975.36	$4,064.00	$1,544.32–$3,657.60	—	76%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR LOWER EXTREM JT W WO CONTRAST	$1,256.16	$5,234.00	$284.51–$4,710.60	at median	76%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR LOWER EXTREM JT W WO CONTRAST	$1,256.16	$5,234.00	$1,988.92–$4,710.60	—	76%
MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN WO CONTRAST	$975.36	$4,064.00	$192.57–$3,657.60	3% above	76%
MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABDOMEN WO CONTRAST	$975.36	$4,064.00	$1,544.32–$3,657.60	—	76%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABDOMEN W WO CONTRAST	$1,544.16	$6,434.00	$284.51–$5,790.60	22% above	76%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABDOMEN W WO CONTRAST	$1,544.16	$6,434.00	$2,444.92–$5,790.60	—	76%
MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN LTD WO CONTRAST	$281.76	$1,174.00	$192.57–$1,056.60	75% below	76%
MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CONTRAST	$975.36	$4,064.00	$192.57–$3,657.60	15% below	76%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN LTD WO CONTRAST	$281.76	$1,174.00	$446.12–$1,056.60	—	76%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CONTRAST	$975.36	$4,064.00	$1,544.32–$3,657.60	—	76%
MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN W WO CONTRAST	$1,451.28	$6,047.00	$284.51–$5,442.30	3% below	76%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN W WO CONTRAST	$1,451.28	$6,047.00	$2,297.86–$5,442.30	—	76%
MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR WO CONTRAST	$975.36	$4,064.00	$192.57–$3,657.60	1% below	76%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR WO CONTRAST	$975.36	$4,064.00	$1,544.32–$3,657.60	—	76%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MR SPINE LUMBAR W WO CONTRAST	$1,533.84	$6,391.00	$284.51–$5,751.90	8% above	76%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR SPINE LUMBAR W WO CONTRAST	$1,533.84	$6,391.00	$2,428.58–$5,751.90	—	76%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SPINE THORACIC WO CONTRAST	$975.36	$4,064.00	$192.57–$3,657.60	at median	76%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR SPINE THORACIC WO CONTRAST	$975.36	$4,064.00	$1,544.32–$3,657.60	—	76%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SPINE CERVICAL W WO CONTRAST	$1,533.84	$6,391.00	$284.51–$5,751.90	5% above	76%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR SPINE CERVICAL W WO CONTRAST	$1,533.84	$6,391.00	$2,428.58–$5,751.90	—	76%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICAL WO CONTRAST	$975.36	$4,064.00	$192.57–$3,657.60	1% below	76%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SPINE CERVICAL WO CONTRAST	$975.36	$4,064.00	$1,544.32–$3,657.60	—	76%
MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS W WO CONTRAST	$1,520.88	$6,337.00	$284.51–$5,703.30	14% above	76%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS W WO CONTRAST	$1,520.88	$6,337.00	$2,408.06–$5,703.30	—	76%
MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS WO CONTRAST	$975.36	$4,064.00	$192.57–$3,657.60	11% above	76%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS WO CONTRAST	$975.36	$4,064.00	$1,544.32–$3,657.60	—	76%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR UPPER EXTREM JT WO CONTRAST	$975.36	$4,064.00	$192.57–$3,657.60	3% above	76%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR UPPER EXTREM JT WO CONTRAST	$975.36	$4,064.00	$1,544.32–$3,657.60	—	76%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERV 4/5 VWS	$150.00	$625.00	$38.40–$562.50	29% below	76%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERV 4/5 VWS	$150.00	$625.00	$237.50–$562.50	—	76%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,067.28	$4,447.00	$141.82–$4,002.30	28% above	76%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,067.28	$4,447.00	$1,689.86–$4,002.30	—	76%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$758.88	$3,162.00	$84.72–$2,845.80	5% above	76%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$758.88	$3,162.00	$1,201.56–$2,845.80	—	76%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$93.12	$388.00	$18.13–$349.20	24% below	76%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$93.12	$388.00	$147.44–$349.20	—	76%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM HEART IMAGE SPECT MULTIPLE	$1,733.52	$7,223.00	$329.28–$6,500.70	10% below	76%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM HEART IMAGE SPECT MULTIPLE	$1,733.52	$7,223.00	$2,744.74–$6,500.70	—	76%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET PET/CT SKULL BASE TO MID-THIGH Q0	$3,114.48	$12,977.00	$1,147.55–$11,679.30	56% above	76%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET PET/CT SKULL BASE TO MID THIGH	$3,114.48	$12,977.00	$1,147.55–$11,679.30	56% above	76%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET PET/CT SKULL BASE TO MID-THIGH Q0	$3,114.48	$12,977.00	$4,931.26–$11,679.30	—	76%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET PET/CT SKULL BASE TO MID THIGH	$3,114.48	$12,977.00	$4,931.26–$11,679.30	—	76%
Pelvic CT scan without contrast CPT 72192 HC CT SACRUM WO CONTRAST	$701.04	$2,921.00	$84.72–$2,628.90	at median	76%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$758.88	$3,162.00	$84.72–$2,845.80	8% above	76%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT SACRUM WO CONTRAST	$701.04	$2,921.00	$1,109.98–$2,628.90	—	76%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$758.88	$3,162.00	$1,201.56–$2,845.80	—	76%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS NON OB LIMITED	$153.12	$638.00	$45.00–$574.20	20% below	76%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US SOFT TISSUE BUTTOCK REGION	$153.12	$638.00	$45.00–$574.20	20% below	76%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US BLADDER SCAN LIMITED FOLLOW UP	$153.12	$638.00	$45.00–$574.20	20% below	76%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US SOFT TISSUE EXAM PENIS	$153.36	$639.00	$45.00–$575.10	20% below	76%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS NON OB LIMITED	$153.12	$638.00	$242.44–$574.20	—	76%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US BLADDER SCAN LIMITED FOLLOW UP	$153.12	$638.00	$242.44–$574.20	—	76%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US SOFT TISSUE BUTTOCK REGION	$153.12	$638.00	$242.44–$574.20	—	76%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US SOFT TISSUE EXAM PENIS	$153.36	$639.00	$242.82–$575.10	—	76%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC SCAN NON OB	$230.64	$961.00	$65.70–$864.90	20% below	76%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC SCAN NON OB	$230.64	$961.00	$365.18–$864.90	—	76%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB PREGNANT SINGLE >OR=14WK	$400.80	$1,670.00	$84.72–$1,503.00	39% above	76%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB PREGNANT SINGLE >OR=14WK	$400.80	$1,670.00	$634.60–$1,503.00	—	76%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US 1ST TRIMESTER SINGLE GESTATION<14WK	$137.28	$572.00	$45.14–$514.80	44% below	76%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US 1ST TRIMESTER SINGLE GESTATION<14WK	$137.28	$572.00	$217.36–$514.80	—	76%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC LD ULTRASOUND	$153.12	$638.00	$60.81–$574.20	6% below	76%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LIMITED	$238.56	$994.00	$60.81–$894.60	46% above	76%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC LD ULTRASOUND	$153.12	$638.00	$242.44–$574.20	—	76%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANT UTERUS LIMITED	$238.56	$994.00	$377.72–$894.60	—	76%
Rib X-ray, one side, 2 views one side CPT 71100 HC XR RIBS UNILAT 2 VWS	$111.12	$463.00	$24.73–$416.70	21% below	76%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC XR RIBS UNILAT 2 VWS	$111.12	$463.00	$175.94–$416.70	—	76%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS 2VW CHEST 1 VW	$117.36	$489.00	$29.03–$440.10	23% below	76%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS 2VW CHEST 1 VW	$117.36	$489.00	$185.82–$440.10	—	76%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BILATERAL 2 VW WITH CAD	$141.36	$589.00	$44.76–$530.10	—	76%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BILATERAL 2 VW WITH CAD	$141.36	$589.00	$223.82–$530.10	—	76%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER MIN 2 VWS	$111.12	$463.00	$24.73–$416.70	16% below	76%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER MIN 2 VWS	$111.12	$463.00	$175.94–$416.70	—	76%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES MIN 3 VWS	$126.00	$525.00	$33.91–$472.50	25% below	76%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES MIN 3 VWS	$126.00	$525.00	$199.50–$472.50	—	76%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1 V	$47.76	$199.00	$26.87–$194.76	61% below	76%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL SERIES <4 VWS	$83.52	$348.00	$26.87–$313.20	31% below	76%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1 V	$47.76	$199.00	$75.62–$179.10	—	76%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL SERIES <4 VWS	$83.52	$348.00	$132.24–$313.20	—	76%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY WO CPAP 6YR OR >	$1,282.80	$5,345.00	$237.38–$4,810.50	10% below	76%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY WO CPAP 6YR OR >	$1,282.80	$5,345.00	$2,031.10–$4,810.50	—	76%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC FEMUR MIN 2 VWS	$102.24	$426.00	$25.20–$383.40	1% below	76%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC FEMUR MIN 2 VWS	$102.24	$426.00	$161.88–$383.40	—	76%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SPINE THORACIC WO CONTRAST	$803.04	$3,346.00	$84.72–$3,011.40	9% above	76%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SPINE THORACIC WO CONTRAST	$803.04	$3,346.00	$1,271.48–$3,011.40	—	76%
Toe X-ray, 2 or more views CPT 73660 HC XR TOES MIN 2 VWS	$69.60	$290.00	$18.13–$261.00	42% below	76%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOES MIN 2 VWS	$69.60	$290.00	$110.20–$261.00	—	76%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$230.64	$961.00	$65.70–$864.90	17% below	76%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$230.64	$961.00	$365.18–$864.90	—	76%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL	$88.08	$367.00	$62.98–$330.30	61% below	76%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL	$88.08	$367.00	$139.46–$330.30	—	76%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL SCAN	$267.36	$1,114.00	$84.50–$1,002.60	27% below	76%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL SCAN	$267.36	$1,114.00	$423.32–$1,002.60	—	76%
Ultrasound of the scrotum and testicles CPT 76870 HC US TESTICULAR SCAN	$242.64	$1,011.00	$59.39–$909.90	9% below	76%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US TESTICULAR SCAN	$242.64	$1,011.00	$384.18–$909.90	—	76%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US THYROID/NECK/SOFT TISSUE HEAD	$180.48	$752.00	$60.81–$676.80	27% below	76%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US THYROID/NECK/SOFT TISSUE HEAD	$180.48	$752.00	$285.76–$676.80	—	76%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR GI WO KUB	$282.00	$1,175.00	$62.95–$1,057.50	9% above	76%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR GI WO KUB	$282.00	$1,175.00	$446.50–$1,057.50	—	76%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 1 VIEW	$60.24	$251.00	$24.73–$225.90	47% below	76%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 2 VWS	$89.28	$372.00	$24.73–$334.80	22% below	76%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 1 VIEW	$60.24	$251.00	$95.38–$225.90	—	76%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 2 VWS	$89.28	$372.00	$141.36–$334.80	—	76%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US VENOUS DOPPLER EXTREMITY UNILATERAL/LIMITED	$149.76	$624.00	$84.72–$561.60	59% below	76%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US VENOUS DOPPLER EXTREMITY UNILATERAL/LIMITED	$149.76	$624.00	$237.12–$561.60	—	76%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VWS	$66.24	$276.00	$21.56–$248.40	43% below	76%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VWS	$66.24	$276.00	$104.88–$248.40	—	76%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST MIN 3 VWS	$99.36	$414.00	$23.26–$372.60	27% below	76%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST MIN 3 VWS	$99.36	$414.00	$157.32–$372.60	—	76%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP W/PELVIS UNILAT 2-3 VWS	$123.36	$514.00	$33.12–$462.60	9% below	76%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP W/PELVIS UNILAT 2-3 VWS	$123.36	$514.00	$195.32–$462.60	—	76%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VW	$96.00	$400.00	$20.23–$360.00	30% below	76%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VW	$96.00	$400.00	$152.00–$360.00	—	76%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 1 VW	$60.48	$252.00	$21.56–$226.80	52% below	76%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VWS	$72.00	$300.00	$21.56–$270.00	43% below	76%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 1 VW	$60.48	$252.00	$95.76–$226.80	—	76%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VWS	$72.00	$300.00	$114.00–$270.00	—	76%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS MIN 2 VWS	$79.20	$330.00	$18.13–$297.00	35% below	76%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS MIN 2 VWS	$79.20	$330.00	$125.40–$297.00	—	76%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 1 VW	$44.88	$187.00	$21.56–$168.30	65% below	76%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VWS	$81.60	$340.00	$21.56–$306.00	35% below	76%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 1 VW	$44.88	$187.00	$71.06–$168.30	—	76%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VWS	$81.60	$340.00	$129.20–$306.00	—	76%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VWS	$101.52	$423.00	$23.26–$380.70	28% below	76%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VWS	$101.52	$423.00	$160.74–$380.70	—	76%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3 VWS	$79.20	$330.00	$23.26–$297.00	44% below	76%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3 VWS	$79.20	$330.00	$125.40–$297.00	—	76%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VWS	$103.92	$433.00	$22.82–$389.70	19% below	76%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VWS	$103.92	$433.00	$164.54–$389.70	—	76%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBAR 2 OR 3 VW	$121.20	$505.00	$29.03–$454.50	30% below	76%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBAR 2 OR 3 VW	$121.20	$505.00	$191.90–$454.50	—	76%
X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBAR MIN 4 VW	$168.72	$703.00	$39.25–$632.70	24% below	76%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBAR MIN 4 VW	$168.72	$703.00	$267.14–$632.70	—	76%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VWS	$131.28	$547.00	$28.18–$492.30	at median	76%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VWS	$131.28	$547.00	$207.86–$492.30	—	76%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES MIN 3 VWS	$93.84	$391.00	$22.82–$351.90	22% below	76%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES MIN 3 VWS	$93.84	$391.00	$148.58–$351.90	—	76%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERV 3 VWS OR LESS	$116.64	$486.00	$26.02–$437.40	15% below	76%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERV 3 VWS OR LESS	$116.64	$486.00	$184.68–$437.40	—	76%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 OR 2 VWS	$85.68	$357.00	$22.82–$321.30	34% below	76%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1 OR 2 VWS	$85.68	$357.00	$135.66–$321.30	—	76%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM/COCYX MIN 2 VWS	$97.20	$405.00	$24.73–$364.50	31% below	76%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM/COCYX MIN 2 VWS	$97.20	$405.00	$153.90–$364.50	—	76%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
ACTH blood test CPT 82024 ACTH LEVEL	$157.20	$655.00	$33.60–$589.50	41% above	76%
ACTH blood test inpatient CPT 82024 ACTH LEVEL	$157.20	$655.00	$248.90–$589.50	—	76%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$71.04	$296.00	$4.61–$266.40	157% above	76%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$71.04	$296.00	$112.48–$266.40	—	76%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$62.88	$262.00	$4.51–$235.80	136% above	76%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$62.88	$262.00	$99.56–$235.80	—	76%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL	$378.24	$1,576.00	$41.44–$1,418.40	138% above	76%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL	$378.24	$1,576.00	$598.88–$1,418.40	—	76%
Albumin blood test CPT 82040 ALBUMIN SERUM	$48.96	$204.00	$4.31–$183.60	179% above	76%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$48.96	$204.00	$77.52–$183.60	—	76%
Aldosterone blood test CPT 82088 ALDOSTERONE URINE	$32.16	$134.00	$34.84–$120.60	58% below	76%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM	$181.20	$755.00	$35.45–$679.50	136% above	76%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE	$32.16	$134.00	$50.92–$120.60	—	76%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM	$181.20	$755.00	$286.90–$679.50	—	76%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$56.64	$236.00	$4.51–$212.40	124% above	76%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$56.64	$236.00	$89.68–$212.40	—	76%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH	$6.24	$26.00	$4.54–$35.47	44% below	76%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EACH	$6.24	$26.00	$9.88–$23.40	—	76%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN PARACENTESIS	$28.32	$118.00	$14.59–$106.20	45% below	76%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERUM	$126.24	$526.00	$14.59–$473.40	147% above	76%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$126.24	$526.00	$14.59–$473.40	147% above	76%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN PARACENTESIS	$28.32	$118.00	$44.84–$106.20	—	76%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$126.24	$526.00	$199.88–$473.40	—	76%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SERUM	$126.24	$526.00	$199.88–$473.40	—	76%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$93.12	$388.00	$12.68–$349.20	91% above	76%
Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL	$93.12	$388.00	$147.44–$349.20	—	76%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES	$6.00	$25.00	$5.64–$24.31	82% below	76%
Amylase blood test CPT 82150 AMYLASE URINE 24 HR	$76.08	$317.00	$5.64–$285.30	129% above	76%
Amylase blood test CPT 82150 AMYLASE LEVEL	$83.28	$347.00	$5.64–$312.30	151% above	76%
Amylase blood test CPT 82150 AMYLASE LEVEL URINE RANDOM	$83.28	$347.00	$5.64–$312.30	151% above	76%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES	$6.00	$25.00	$9.50–$22.50	—	76%
Amylase blood test inpatient CPT 82150 AMYLASE URINE 24 HR	$76.08	$317.00	$120.46–$285.30	—	76%
Amylase blood test inpatient CPT 82150 AMYLASE LEVEL URINE RANDOM	$83.28	$347.00	$131.86–$312.30	—	76%
Amylase blood test inpatient CPT 82150 AMYLASE LEVEL	$83.28	$347.00	$131.86–$312.30	—	76%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPT IGG	$45.84	$191.00	$11.27–$171.90	17% above	76%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPT IGG	$45.84	$191.00	$72.58–$171.90	—	76%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODY	$136.32	$568.00	$10.52–$511.20	269% above	76%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODY	$136.32	$568.00	$215.84–$511.20	—	76%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE	$31.44	$131.00	$34.06–$127.35	65% below	76%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$126.24	$526.00	$34.16–$473.40	42% above	76%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE	$31.44	$131.00	$49.78–$117.90	—	76%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP	$126.24	$526.00	$199.88–$473.40	—	76%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC SOURCE OTHER THAN BLOOD/URINE/STOOL	$143.04	$596.00	$7.50–$536.40	277% above	76%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC SOURCE OTHER THAN BLOOD/URINE/STOOL	$143.04	$596.00	$226.48–$536.40	—	76%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$156.24	$651.00	$7.36–$585.90	112% above	76%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$156.24	$651.00	$247.38–$585.90	—	76%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$39.60	$165.00	$4.37–$148.50	43% above	76%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$39.60	$165.00	$62.70–$148.50	—	76%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305-SP LEVEL IV GROSS MICRO	$33.36	$139.00	$23.03–$160.23	56% below	76%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305-SP LEVEL IV GROSS MICRO	$33.36	$139.00	$52.82–$125.10	—	76%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$160.08	$667.00	$8.98–$600.30	195% above	76%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$160.08	$667.00	$253.46–$600.30	—	76%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$9.12	$38.00	$3.69–$34.20	1% above	76%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$9.12	$38.00	$14.44–$34.20	—	76%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$41.52	$173.00	$3.42–$155.70	84% above	76%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$41.52	$173.00	$65.74–$155.70	—	76%
Blood lead test CPT 83655 LEAD URINE	$52.32	$218.00	$10.54–$196.20	42% above	76%
Blood lead test CPT 83655 LEAD BLOOD	$60.48	$252.00	$10.54–$226.80	65% above	76%
Blood lead test inpatient CPT 83655 LEAD URINE	$52.32	$218.00	$82.84–$196.20	—	76%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$60.48	$252.00	$95.76–$226.80	—	76%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG SERUM QUAL	$79.92	$333.00	$6.54–$299.70	49% above	76%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 BETA HCG SERUM QUAL	$79.92	$333.00	$126.54–$299.70	—	76%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP ONLY - STM	$35.04	$146.00	$6.38–$236.06	53% below	76%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP ONLY	$79.20	$330.00	$6.38–$297.00	5% above	76%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP ONLY - STM	$35.04	$146.00	$55.48–$131.40	—	76%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP ONLY	$79.20	$330.00	$125.40–$297.00	—	76%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD	$44.88	$187.00	$3.44–$168.30	89% above	76%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BLOOD	$44.88	$187.00	$71.06–$168.30	—	76%
C-peptide blood test CPT 84681 C-PEPTIDE	$89.04	$371.00	$18.10–$333.90	40% above	76%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$89.04	$371.00	$140.98–$333.90	—	76%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$33.84	$141.00	$4.51–$126.90	59% above	76%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$33.84	$141.00	$53.58–$126.90	—	76%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF/EPI XPERT	$28.80	$120.00	$31.20–$131.64	67% below	76%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN B PCR	$31.44	$131.00	$32.42–$131.64	64% below	76%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE/EPI AMP PROBE	$37.92	$158.00	$32.42–$142.20	57% below	76%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF/EPI XPERT	$28.80	$120.00	$45.60–$108.00	—	76%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN B PCR	$31.44	$131.00	$49.78–$117.90	—	76%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE/EPI AMP PROBE	$37.92	$158.00	$60.04–$142.20	—	76%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$149.76	$624.00	$18.10–$561.60	115% above	76%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$149.76	$624.00	$237.12–$561.60	—	76%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$149.76	$624.00	$18.10–$561.60	115% above	76%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$149.76	$624.00	$237.12–$561.60	—	76%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2-COVID-19 AMP PRB	$44.64	$186.00	$44.64–$167.40	20% below	76%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2-COVID-19 AMP PRB	$44.64	$186.00	$70.68–$167.40	—	76%
Calcium blood test, total CPT 82310 CALCIUM LEVEL	$34.80	$145.00	$4.49–$130.50	27% above	76%
Calcium blood test, total inpatient CPT 82310 CALCIUM LEVEL	$34.80	$145.00	$55.10–$130.50	—	76%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$125.04	$521.00	$16.50–$468.90	97% above	76%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$125.04	$521.00	$197.98–$468.90	—	76%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM AB	$97.44	$406.00	$11.21–$365.40	147% above	76%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG AB	$97.44	$406.00	$11.21–$365.40	147% above	76%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM AB	$97.44	$406.00	$154.28–$365.40	—	76%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG AB	$97.44	$406.00	$154.28–$365.40	—	76%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP PROBE	$32.64	$136.00	$30.53–$131.64	46% below	76%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMP PROBE GCCTA	$32.64	$136.00	$30.53–$131.64	46% below	76%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMP PROBE XPERT	$37.92	$158.00	$30.53–$142.20	37% below	76%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH AMP PROBE	$32.64	$136.00	$51.68–$122.40	—	76%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMP PROBE GCCTA	$32.64	$136.00	$51.68–$122.40	—	76%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMP PROBE XPERT	$37.92	$158.00	$60.04–$142.20	—	76%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$105.12	$438.00	$11.65–$394.20	129% above	76%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$105.12	$438.00	$166.44–$394.20	—	76%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF	$41.04	$171.00	$6.76–$153.90	4% below	76%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF	$41.04	$171.00	$64.98–$153.90	—	76%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF	$35.28	$147.00	$5.63–$132.30	36% above	76%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFF	$35.28	$147.00	$55.86–$132.30	—	76%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$207.60	$865.00	$9.19–$778.50	115% above	76%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$207.60	$865.00	$328.70–$778.50	—	76%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL SALIVA	$57.12	$238.00	$14.18–$214.20	5% above	76%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$101.52	$423.00	$14.18–$380.70	86% above	76%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL SALIVA	$57.12	$238.00	$90.44–$214.20	—	76%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$101.52	$423.00	$160.74–$380.70	—	76%
Creatine kinase (CK) blood test, total CPT 82550 CK	$60.96	$254.00	$5.66–$228.60	94% above	76%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK	$60.96	$254.00	$96.52–$228.60	—	76%
Creatinine blood test CPT 82565 POC CREATININE	$53.28	$222.00	$4.45–$199.80	137% above	76%
Creatinine blood test CPT 82565 CREATININE	$53.28	$222.00	$4.45–$199.80	137% above	76%
Creatinine blood test inpatient CPT 82565 CREATININE	$53.28	$222.00	$84.36–$199.80	—	76%
Creatinine blood test inpatient CPT 82565 POC CREATININE	$53.28	$222.00	$84.36–$199.80	—	76%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB - STM	$60.72	$253.00	$12.52–$227.70	39% above	76%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AB	$92.88	$387.00	$12.52–$348.30	112% above	76%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB - STM	$60.72	$253.00	$96.14–$227.70	—	76%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG AB	$92.88	$387.00	$147.06–$348.30	—	76%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANT	$99.84	$416.00	$8.86–$374.40	92% above	76%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANT	$99.84	$416.00	$158.08–$374.40	—	76%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS SERUM	$145.44	$606.00	$19.34–$545.40	102% above	76%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS SERUM	$145.44	$606.00	$230.28–$545.40	—	76%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$71.04	$296.00	$54.06–$266.40	at median	76%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$71.04	$296.00	$112.48–$266.40	—	76%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$107.52	$448.00	$6.10–$403.20	133% above	76%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$107.52	$448.00	$170.24–$403.20	—	76%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA AB IGM	$147.84	$616.00	$15.78–$554.40	196% above	76%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA AB IGG	$147.84	$616.00	$15.78–$554.40	196% above	76%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA AB IGG	$147.84	$616.00	$234.08–$554.40	—	76%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA AB IGM	$147.84	$616.00	$234.08–$554.40	—	76%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL	$162.48	$677.00	$24.31–$609.30	91% above	76%
Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL	$162.48	$677.00	$257.26–$609.30	—	76%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$159.60	$665.00	$16.16–$598.50	156% above	76%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$159.60	$665.00	$252.70–$598.50	—	76%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL	$81.60	$340.00	$11.86–$306.00	80% above	76%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL	$81.60	$340.00	$129.20–$306.00	—	76%
Fibrinogen blood test CPT 85384 FIBRINOGEN QUANTITATIVE	$73.44	$306.00	$8.46–$275.40	52% above	76%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN QUANTITATIVE	$73.44	$306.00	$116.28–$275.40	—	76%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL	$77.04	$321.00	$12.79–$288.90	56% above	76%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID LEVEL	$77.04	$321.00	$121.98–$288.90	—	76%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$149.76	$624.00	$14.74–$561.60	165% above	76%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$149.76	$624.00	$237.12–$561.60	—	76%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE) FREE	$62.88	$262.00	$7.85–$235.80	87% above	76%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (THYROXINE) FREE	$62.88	$262.00	$99.56–$235.80	—	76%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$194.64	$811.00	$22.16–$729.90	204% above	76%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$194.64	$811.00	$308.18–$729.90	—	76%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$41.52	$173.00	$6.26–$155.70	25% above	76%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$41.52	$173.00	$65.74–$155.70	—	76%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$206.40	$860.00	$23.56–$774.00	47% above	76%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$206.40	$860.00	$326.80–$774.00	—	76%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE CHALLENGE 1 HR	$39.60	$165.00	$4.13–$148.50	31% above	76%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP	$71.04	$296.00	$4.13–$266.40	135% above	76%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE CHALLENGE 1 HR	$39.60	$165.00	$62.70–$148.50	—	76%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR PP	$71.04	$296.00	$112.48–$266.40	—	76%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE FASTING	$35.52	$148.00	$11.20–$133.20	19% below	76%
Glucose tolerance test, 3 samples CPT 82951 TOLERANCE UP TO 3 SPECIMENS	$41.52	$173.00	$11.20–$155.70	5% below	76%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE FASTING	$35.52	$148.00	$56.24–$133.20	—	76%
Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE UP TO 3 SPECIMENS	$41.52	$173.00	$65.74–$155.70	—	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED PROBE GCCTA	$32.64	$136.00	$30.53–$131.64	47% below	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED PROBE XPERT	$37.92	$158.00	$30.53–$142.20	38% below	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED PROBE	$69.60	$290.00	$30.53–$261.00	13% above	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) one side CPT 87591 NEISSERIA GONORRHOEAE BY RT PCR	$28.32	$118.00	$30.53–$131.64	54% below	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED PROBE GCCTA	$32.64	$136.00	$51.68–$122.40	—	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED PROBE XPERT	$37.92	$158.00	$60.04–$142.20	—	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED PROBE	$69.60	$290.00	$110.20–$261.00	—	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient one side CPT 87591 NEISSERIA GONORRHOEAE BY RT PCR	$28.32	$118.00	$44.84–$106.20	—	76%
H. pylori antibody blood test CPT 86677 H PYLORI IGA	$17.28	$72.00	$14.66–$64.80	64% below	76%
H. pylori antibody blood test CPT 86677 H PYLORI IGM	$17.28	$72.00	$14.66–$64.80	64% below	76%
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY	$105.12	$438.00	$14.66–$394.20	118% above	76%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA	$17.28	$72.00	$27.36–$64.80	—	76%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM	$17.28	$72.00	$27.36–$64.80	—	76%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY	$105.12	$438.00	$166.44–$394.20	—	76%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN STOOL	$56.40	$235.00	$12.51–$211.50	8% below	76%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN STOOL	$56.40	$235.00	$89.30–$211.50	—	76%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD	$329.52	$1,373.00	$74.04–$1,235.70	108% above	76%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD	$329.52	$1,373.00	$521.74–$1,235.70	—	76%
HIV-1 and HIV-2 antibody test CPT 86703 HIV RAPID TEST	$38.88	$162.00	$11.93–$145.80	3% above	76%
HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODY SCREEN	$102.00	$425.00	$11.93–$382.50	170% above	76%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV RAPID TEST	$38.88	$162.00	$61.56–$145.80	—	76%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV ANTIBODY SCREEN	$102.00	$425.00	$161.50–$382.50	—	76%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIGENS W/HIV 1 & 2 AB	$24.96	$104.00	$20.95–$93.60	55% below	76%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV ANTIGENS W/HIV 1 & 2 AB	$24.96	$104.00	$39.52–$93.60	—	76%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$66.24	$276.00	$8.45–$248.40	58% above	76%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$66.24	$276.00	$104.88–$248.40	—	76%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$33.84	$141.00	$2.06–$126.90	75% above	76%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$33.84	$141.00	$53.58–$126.90	—	76%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB - STM	$21.12	$88.00	$10.48–$79.20	43% below	76%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE POLYVALENT	$64.32	$268.00	$10.48–$241.20	75% above	76%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB - STM	$21.12	$88.00	$33.44–$79.20	—	76%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE POLYVALENT	$64.32	$268.00	$101.84–$241.20	—	76%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B IMMUNIZATION	$29.76	$124.00	$9.34–$111.60	36% below	76%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$93.84	$391.00	$9.34–$351.90	100% above	76%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B IMMUNIZATION	$29.76	$124.00	$47.12–$111.60	—	76%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$93.84	$391.00	$148.58–$351.90	—	76%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG - STM	$14.64	$61.00	$8.99–$54.90	62% below	76%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG	$101.52	$423.00	$8.99–$380.70	166% above	76%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG - STM	$14.64	$61.00	$23.18–$54.90	—	76%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG	$101.52	$423.00	$160.74–$380.70	—	76%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY - STM	$18.00	$75.00	$12.41–$67.50	59% below	76%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY	$126.24	$526.00	$12.41–$473.40	187% above	76%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY - STM	$18.00	$75.00	$28.50–$67.50	—	76%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY	$126.24	$526.00	$199.88–$473.40	—	76%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD	$156.24	$651.00	$37.27–$585.90	1% above	76%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR	$325.20	$1,355.00	$37.27–$1,219.50	110% above	76%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL LOAD	$156.24	$651.00	$247.38–$585.90	—	76%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA PCR	$325.20	$1,355.00	$514.90–$1,219.50	—	76%
Herpes blood test, HSV-1 antibody CPT 86695 HSV IGG TYPE 1	$36.00	$150.00	$11.48–$135.00	7% above	76%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1	$45.36	$189.00	$11.48–$170.10	34% above	76%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV IGG TYPE 1	$36.00	$150.00	$57.00–$135.00	—	76%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1	$45.36	$189.00	$71.82–$170.10	—	76%
Herpes blood test, HSV-2 antibody CPT 86696 HSV IGM TYPE 2	$13.44	$56.00	$14.56–$72.60	67% below	76%
Herpes blood test, HSV-2 antibody CPT 86696 HSV IGG TYPE 2	$36.00	$150.00	$16.83–$135.00	12% below	76%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2	$45.36	$189.00	$16.83–$170.10	11% above	76%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV IGM TYPE 2	$13.44	$56.00	$21.28–$50.40	—	76%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV IGG TYPE 2	$36.00	$150.00	$57.00–$135.00	—	76%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2	$45.36	$189.00	$71.82–$170.10	—	76%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HIGH SENSITIVITY	$41.28	$172.00	$11.27–$154.80	2% above	76%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HIGH SENSITIVITY	$41.28	$172.00	$65.36–$154.80	—	76%
Homocysteine blood test CPT 83090 HOMOCYSTEINE LEVEL	$240.00	$1,000.00	$9.98–$900.00	362% above	76%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE LEVEL	$240.00	$1,000.00	$380.00–$900.00	—	76%
Insulin blood test CPT 83525 INSULIN LEVEL	$69.60	$290.00	$9.94–$261.00	69% above	76%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL	$69.60	$290.00	$110.20–$261.00	—	76%
Iron blood test (serum iron) CPT 83540 IRON INDEX TISSUE	$4.56	$19.00	$4.94–$24.28	81% below	76%
Iron blood test (serum iron) CPT 83540 IRON LEVEL SERUM	$49.92	$208.00	$5.63–$187.20	103% above	76%
Iron blood test (serum iron) CPT 83540 IRON URINE 24 HR	$49.92	$208.00	$5.63–$187.20	103% above	76%
Iron blood test (serum iron) inpatient CPT 83540 IRON INDEX TISSUE	$4.56	$19.00	$7.22–$17.10	—	76%
Iron blood test (serum iron) inpatient CPT 83540 IRON LEVEL SERUM	$49.92	$208.00	$79.04–$187.20	—	76%
Iron blood test (serum iron) inpatient CPT 83540 IRON URINE 24 HR	$49.92	$208.00	$79.04–$187.20	—	76%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$49.92	$208.00	$7.60–$187.20	22% above	76%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY	$49.92	$208.00	$79.04–$187.20	—	76%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$130.56	$544.00	$7.55–$489.60	95% above	76%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$130.56	$544.00	$206.72–$489.60	—	76%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE SERUM	$99.36	$414.00	$16.11–$372.60	60% above	76%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE SERUM	$99.36	$414.00	$157.32–$372.60	—	76%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL	$111.60	$465.00	$10.07–$418.50	197% above	76%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID LEVEL	$111.60	$465.00	$176.70–$418.50	—	76%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$56.64	$236.00	$5.25–$212.40	150% above	76%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID	$56.64	$236.00	$5.25–$212.40	150% above	76%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID	$56.64	$236.00	$89.68–$212.40	—	76%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$56.64	$236.00	$89.68–$212.40	—	76%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LE	$85.92	$358.00	$5.99–$322.20	145% above	76%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LE	$85.92	$358.00	$136.04–$322.20	—	76%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$181.20	$755.00	$7.11–$679.50	140% above	76%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$181.20	$755.00	$286.90–$679.50	—	76%
Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY	$180.72	$753.00	$14.82–$677.70	337% above	76%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SEROLOGY	$180.72	$753.00	$286.14–$677.70	—	76%
Magnesium blood test CPT 83735 MAGNESIUM RBCS	$6.24	$26.00	$5.83–$25.14	70% below	76%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$64.32	$268.00	$5.83–$241.20	211% above	76%
Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HR	$66.00	$275.00	$5.83–$247.50	219% above	76%
Magnesium blood test CPT 83735 MAGNESIUM URINE RANDOM	$66.00	$275.00	$5.83–$247.50	219% above	76%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBCS	$6.24	$26.00	$9.88–$23.40	—	76%
Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL	$64.32	$268.00	$101.84–$241.20	—	76%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE RANDOM	$66.00	$275.00	$104.50–$247.50	—	76%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24 HR	$66.00	$275.00	$104.50–$247.50	—	76%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM ANTIBODY	$60.48	$252.00	$11.21–$226.80	54% above	76%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG ANTIBODY	$60.48	$252.00	$11.21–$226.80	54% above	76%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG ANTIBODY	$60.48	$252.00	$95.76–$226.80	—	76%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM ANTIBODY	$60.48	$252.00	$95.76–$226.80	—	76%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN	$49.92	$208.00	$4.51–$187.20	32% above	76%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN	$49.92	$208.00	$79.04–$187.20	—	76%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$88.56	$369.00	$11.35–$332.10	124% above	76%
Mumps immunity blood test CPT 86735 MUMPS IGM AB	$88.56	$369.00	$11.35–$332.10	124% above	76%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY	$88.56	$369.00	$140.22–$332.10	—	76%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGM AB	$88.56	$369.00	$140.22–$332.10	—	76%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$38.64	$161.00	$21.92–$153.92	46% below	76%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$38.64	$161.00	$61.18–$144.90	—	76%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$48.00	$200.00	$16.00–$180.00	2% below	76%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$48.00	$200.00	$76.00–$180.00	—	76%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$132.00	$550.00	$16.00–$495.00	134% above	76%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$132.00	$550.00	$209.00–$495.00	—	76%
Pap test (liquid-based, automated screening with review) CPT 88175 88175-CP PAP TLP AUTO/MAN	$29.04	$121.00	$23.15–$108.90	25% below	76%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175-CP PAP TLP AUTO/MAN	$29.04	$121.00	$45.98–$108.90	—	76%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142-CP THIN PREP CERVICAL/VAGINAL	$26.88	$112.00	$17.63–$100.80	24% below	76%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142-CP THIN PREP CERVICAL/VAGINAL	$26.88	$112.00	$42.56–$100.80	—	76%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$251.28	$1,047.00	$35.91–$942.30	108% above	76%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$251.28	$1,047.00	$397.86–$942.30	—	76%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA	$39.60	$165.00	$5.23–$148.50	51% above	76%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$55.44	$231.00	$5.23–$207.90	112% above	76%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT WITH HEPZYME	$55.44	$231.00	$5.23–$207.90	112% above	76%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT LA	$39.60	$165.00	$62.70–$148.50	—	76%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT WITH HEPZYME	$55.44	$231.00	$87.78–$207.90	—	76%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$55.44	$231.00	$87.78–$207.90	—	76%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL	$48.48	$202.00	$4.12–$181.80	71% above	76%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS LEVEL	$48.48	$202.00	$76.76–$181.80	—	76%
Potassium blood test CPT 84132 POTASSIUM LEVEL BLOOD	$34.80	$145.00	$4.14–$130.50	67% above	76%
Potassium blood test inpatient CPT 84132 POTASSIUM LEVEL BLOOD	$34.80	$145.00	$55.10–$130.50	—	76%
Progesterone blood test CPT 84144 PROGESTERONE LEVEL	$99.36	$414.00	$18.15–$372.60	56% above	76%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL	$99.36	$414.00	$157.32–$372.60	—	76%
Prolactin blood test CPT 84146 PROLACTIN LEVEL	$117.12	$488.00	$16.86–$439.20	68% above	76%
Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL	$117.12	$488.00	$185.44–$439.20	—	76%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$56.40	$235.00	$3.73–$211.50	178% above	76%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$56.40	$235.00	$89.30–$211.50	—	76%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$13.44	$56.00	$10.96–$50.40	30% below	76%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$13.44	$56.00	$21.28–$50.40	—	76%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ANTIGEN	$88.08	$367.00	$14.40–$330.30	136% above	76%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ANTIGEN	$88.08	$367.00	$139.46–$330.30	—	76%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A SCREEN	$48.96	$204.00	$14.38–$183.60	36% above	76%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A SCREEN	$48.96	$204.00	$77.52–$183.60	—	76%
Renin blood test CPT 84244 RENIN	$130.56	$544.00	$19.13–$489.60	111% above	76%
Renin blood test inpatient CPT 84244 RENIN	$130.56	$544.00	$206.72–$489.60	—	76%
Rh blood typing CPT 86901 RH TYPE ONLY - STM	$9.12	$38.00	$6.38–$71.88	70% below	76%
Rh blood typing CPT 86901 RH TYPE ONLY	$71.04	$296.00	$6.38–$266.40	132% above	76%
Rh blood typing inpatient CPT 86901 RH TYPE ONLY - STM	$9.12	$38.00	$14.44–$34.20	—	76%
Rh blood typing inpatient CPT 86901 RH TYPE ONLY	$71.04	$296.00	$112.48–$266.40	—	76%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANTITATIVE	$67.68	$282.00	$4.93–$253.80	129% above	76%
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR QUANTITATIVE	$67.68	$282.00	$107.16–$253.80	—	76%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY	$52.32	$218.00	$12.52–$196.20	69% above	76%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY	$60.48	$252.00	$12.52–$226.80	96% above	76%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG ANTIBODY	$52.32	$218.00	$82.84–$196.20	—	76%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM ANTIBODY	$60.48	$252.00	$95.76–$226.80	—	76%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE AUTO	$49.68	$207.00	$2.35–$186.30	181% above	76%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE AUTO	$49.68	$207.00	$78.66–$186.30	—	76%
Sodium blood test CPT 84295 SODIUM LEVEL BLOOD	$45.84	$191.00	$4.18–$171.90	70% above	76%
Sodium blood test inpatient CPT 84295 SODIUM LEVEL BLOOD	$45.84	$191.00	$72.58–$171.90	—	76%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$79.20	$330.00	$7.74–$297.00	153% above	76%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$79.20	$330.00	$125.40–$297.00	—	76%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREENING	$31.44	$131.00	$3.81–$117.90	66% above	76%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREENING	$31.44	$131.00	$49.78–$117.90	—	76%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL HGB QUAL 1 -3	$14.64	$61.00	$13.85–$59.67	52% below	76%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECAL HGB QUAL 1 -3	$14.64	$61.00	$23.18–$54.90	—	76%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB	$12.00	$50.00	$11.52–$49.66	61% below	76%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS IGM AB	$56.40	$235.00	$11.52–$211.50	85% above	76%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS IGG AB	$116.64	$486.00	$11.52–$437.40	283% above	76%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB	$12.00	$50.00	$19.00–$45.00	—	76%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS IGM AB	$56.40	$235.00	$89.30–$211.50	—	76%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS IGG AB	$116.64	$486.00	$184.68–$437.40	—	76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$5.28	$22.00	$3.71–$19.80	80% below	76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUALITATIVE - STM	$9.12	$38.00	$3.71–$34.20	65% below	76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL W REFLEX TITER	$43.68	$182.00	$3.71–$163.80	69% above	76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUALITATIVE	$44.88	$187.00	$3.71–$168.30	74% above	76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$5.28	$22.00	$8.36–$19.80	—	76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUALITATIVE - STM	$9.12	$38.00	$14.44–$34.20	—	76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL W REFLEX TITER	$43.68	$182.00	$69.16–$163.80	—	76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUALITATIVE	$44.88	$187.00	$71.06–$168.30	—	76%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB	$158.16	$659.00	$53.92–$593.10	25% above	76%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB	$158.16	$659.00	$250.42–$593.10	—	76%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE BIOAVAILABLE	$150.00	$625.00	$22.45–$562.50	108% above	76%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM	$150.00	$625.00	$22.45–$562.50	108% above	76%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE BIOAVAILABLE	$150.00	$625.00	$237.50–$562.50	—	76%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM	$150.00	$625.00	$237.50–$562.50	—	76%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$15.36	$64.00	$12.66–$57.60	62% below	76%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB LIVER KIDNEY	$15.84	$66.00	$12.66–$59.40	61% below	76%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$15.36	$64.00	$24.32–$57.60	—	76%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB LIVER KIDNEY	$15.84	$66.00	$25.08–$59.40	—	76%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS THYROID STIMULATING HORMONE	$7.44	$31.00	$8.06–$63.06	85% below	76%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$88.80	$370.00	$14.62–$333.00	74% above	76%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS THYROID STIMULATING HORMONE	$7.44	$31.00	$11.78–$27.90	—	76%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$88.80	$370.00	$140.60–$333.00	—	76%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE	$117.36	$489.00	$14.32–$440.10	99% above	76%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE	$117.36	$489.00	$185.82–$440.10	—	76%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$48.96	$204.00	$3.78–$183.60	136% above	76%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$48.96	$204.00	$77.52–$183.60	—	76%
Total thyroxine (T4) blood test CPT 84436 T4 (THYROXINE) TOTAL	$53.28	$222.00	$5.98–$199.80	98% above	76%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (THYROXINE) TOTAL	$53.28	$222.00	$84.36–$199.80	—	76%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$101.52	$423.00	$12.34–$380.70	108% above	76%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$101.52	$423.00	$160.74–$380.70	—	76%
Transferrin blood test CPT 84466 TRANSFERRIN LEVEL	$81.60	$340.00	$11.10–$306.00	58% above	76%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN LEVEL	$81.60	$340.00	$129.20–$306.00	—	76%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$57.60	$240.00	$30.53–$216.00	10% below	76%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$57.60	$240.00	$91.20–$216.00	—	76%
Triglycerides blood test CPT 84478 TRIGLYCERIDES BLOOD	$56.40	$235.00	$4.99–$211.50	140% above	76%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES BLOOD	$56.40	$235.00	$89.30–$211.50	—	76%
Troponin test, quantitative CPT 84484 TROPONIN QUANTITATIVE	$116.88	$487.00	$10.85–$438.30	154% above	76%
Troponin test, quantitative CPT 84484 TROPONIN QUANTITATIVE 2ND AND/OR 3RD	$116.88	$487.00	$10.85–$438.30	154% above	76%
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTITATIVE 2ND AND/OR 3RD	$116.88	$487.00	$185.06–$438.30	—	76%
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTITATIVE	$116.88	$487.00	$185.06–$438.30	—	76%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$58.32	$243.00	$3.93–$218.70	105% above	76%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$58.32	$243.00	$92.34–$218.70	—	76%
Urinalysis without microscope exam, automated CPT 81003 PH URINE	$21.60	$90.00	$1.96–$81.00	100% above	76%
Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN URINE	$36.72	$153.00	$1.96–$137.70	240% above	76%
Urinalysis without microscope exam, automated CPT 81003 GLUCOSE DIPSTICK URINE	$37.68	$157.00	$1.96–$141.30	249% above	76%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS	$52.32	$218.00	$1.96–$196.20	384% above	76%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE	$21.60	$90.00	$34.20–$81.00	—	76%
Urinalysis without microscope exam, automated inpatient CPT 81003 BILIRUBIN URINE	$36.72	$153.00	$58.14–$137.70	—	76%
Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE DIPSTICK URINE	$37.68	$157.00	$59.66–$141.30	—	76%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$52.32	$218.00	$82.84–$196.20	—	76%
Urinalysis without microscope exam, manual CPT 81002 ACETONE KETONE URINE	$21.60	$90.00	$3.03–$81.00	173% above	76%
Urinalysis without microscope exam, manual CPT 81002 REDUCING SUBSTANCE URINE	$21.60	$90.00	$3.03–$81.00	173% above	76%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY	$32.64	$136.00	$3.03–$122.40	312% above	76%
Urinalysis without microscope exam, manual inpatient CPT 81002 REDUCING SUBSTANCE URINE	$21.60	$90.00	$34.20–$81.00	—	76%
Urinalysis without microscope exam, manual inpatient CPT 81002 ACETONE KETONE URINE	$21.60	$90.00	$34.20–$81.00	—	76%
Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY	$32.64	$136.00	$51.68–$122.40	—	76%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$103.92	$433.00	$7.02–$389.70	170% above	76%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$103.92	$433.00	$164.54–$389.70	—	76%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE RANDOM	$63.60	$265.00	$5.02–$238.50	227% above	76%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE 24 HR	$63.60	$265.00	$5.02–$238.50	227% above	76%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE 24 HR	$63.60	$265.00	$100.70–$238.50	—	76%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE RANDOM	$63.60	$265.00	$100.70–$238.50	—	76%
Urine pregnancy test, read by color change CPT 81025 BETA HCG URINE	$100.32	$418.00	$7.49–$376.20	160% above	76%
Urine pregnancy test, read by color change inpatient CPT 81025 BETA HCG URINE	$100.32	$418.00	$158.84–$376.20	—	76%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL	$77.28	$322.00	$13.12–$289.80	54% above	76%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 LEVEL	$77.28	$322.00	$122.36–$289.80	—	76%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 AND D3 LEVEL	$48.48	$202.00	$25.75–$181.80	34% below	76%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH LEVEL	$192.00	$800.00	$25.75–$720.00	162% above	76%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 AND D3 LEVEL	$48.48	$202.00	$76.76–$181.80	—	76%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH LEVEL	$192.00	$800.00	$304.00–$720.00	—	76%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1-25OH LEVEL	$192.00	$800.00	$33.49–$720.00	75% above	76%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1-25OH LEVEL	$192.00	$800.00	$304.00–$720.00	—	76%
Zinc blood test CPT 84630 ZINC URINE	$68.88	$287.00	$9.91–$258.30	96% above	76%
Zinc blood test CPT 84630 ZINC LEVEL	$83.52	$348.00	$9.91–$313.20	138% above	76%
Zinc blood test inpatient CPT 84630 ZINC URINE	$68.88	$287.00	$109.06–$258.30	—	76%
Zinc blood test inpatient CPT 84630 ZINC LEVEL	$83.52	$348.00	$132.24–$313.20	—	76%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TA HCG SERUM QUANT	$160.08	$667.00	$13.09–$600.30	188% above	76%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TA HCG SERUM QUANT	$160.08	$667.00	$253.46–$600.30	—	76%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Botox injections for chronic migraine both sides CPT 64615 HC CHEMODENERV MUSC FAC/TRIGEM/C-SP BILAT	$130.08	$542.00	$106.09–$4,722.27	—	76%
Botox injections for chronic migraine inpatient both sides CPT 64615 HC CHEMODENERV MUSC FAC/TRIGEM/C-SP BILAT	$130.08	$542.00	$205.96–$487.80	—	76%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$1,692.96	$7,054.00	$1,005.92–$6,348.60	13% above	76%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$1,692.96	$7,054.00	$2,680.52–$6,348.60	—	76%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ED 27786-TREATMENT OF ANKLE FRACTURE	$75.36	$314.00	$81.64–$2,859.69	69% below	76%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ED 27786-TREATMENT OF ANKLE FRACTURE	$75.36	$314.00	$119.32–$282.60	—	76%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ED 92960-CARDIOVERSION ELECTIVE	$197.76	$824.00	$198.72–$1,198.44	72% below	76%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC 92960-CARDIOVERSION ELEC ARRHYTH EXTERNAL	$197.76	$824.00	$198.72–$1,198.44	72% below	76%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC 92960-CARDIOVERSION ELECTIVE	$286.32	$1,193.00	$198.72–$1,198.44	59% below	76%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ED 92960-CARDIOVERSION ELECTIVE	$197.76	$824.00	$313.12–$741.60	—	76%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC 92960-CARDIOVERSION ELEC ARRHYTH EXTERNAL	$197.76	$824.00	$313.12–$741.60	—	76%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC 92960-CARDIOVERSION ELECTIVE	$286.32	$1,193.00	$453.34–$1,073.70	—	76%
Cervical biopsy CPT 57500 HC ED 57500 BIOPSY OF CERVIX	$522.00	$2,175.00	$565.50–$2,859.69	14% above	76%
Cervical biopsy inpatient CPT 57500 HC ED 57500 BIOPSY OF CERVIX	$522.00	$2,175.00	$826.50–$1,957.50	—	76%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION NEWBORN USING CLAMP/OTHER DEVICE	$78.96	$329.00	$85.54–$4,722.27	87% below	76%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC ED 54150 CIRCUMCISION NEWBORN USING CLAMP/OTHER DEVICE	$630.48	$2,627.00	$683.02–$4,629.00	4% above	76%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION NEWBORN USING CLAMP/OTHER DEVICE	$78.96	$329.00	$125.02–$296.10	—	76%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC ED 54150 CIRCUMCISION NEWBORN USING CLAMP/OTHER DEVICE	$630.48	$2,627.00	$998.26–$2,364.30	—	76%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ED 25600-TREAT FRACT RADIUS ULNA	$75.36	$314.00	$81.64–$2,859.69	68% below	76%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ED 25600-TREAT FRACT RADIUS ULNA	$75.36	$314.00	$119.32–$282.60	—	76%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ED 52000 - CYSTOURETHROSCOPY	$231.12	$963.00	$250.38–$2,859.69	67% below	76%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC ED 52000 - CYSTOURETHROSCOPY	$231.12	$963.00	$365.94–$866.70	—	76%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC ED 69209-REMOVE IMPACTED CERUMEN W IRRIGATION-UNILATERAL	$24.48	$102.00	$26.52–$2,859.69	46% below	76%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$24.48	$102.00	$26.52–$4,722.27	46% below	76%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC ED 69209-REMOVE IMPACTED CERUMEN W IRRIGATION-UNILATERAL	$24.48	$102.00	$38.76–$91.80	—	76%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$24.48	$102.00	$38.76–$91.80	—	76%
Earwax removal with instruments, one ear one side CPT 69210 HC ED 69210-REMOVE IMPACTED CERUMEN W INSTRUMENT-UNILATERAL	$20.16	$84.00	$21.84–$2,859.69	73% below	76%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC ED 69210-REMOVE IMPACTED CERUMEN W INSTRUMENT-UNILATERAL	$20.16	$84.00	$31.92–$75.60	—	76%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ED 58100-BIOPSY OF UTERUS LINING	$79.44	$331.00	$86.06–$2,859.69	at median	76%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ED 58100-BIOPSY OF UTERUS LINING	$79.44	$331.00	$125.78–$297.90	—	76%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC ED 67028-INTRAVITREAL INJ OF MED	$123.60	$515.00	$133.90–$2,859.69	at median	76%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC ED 67028-INTRAVITREAL INJ OF MED	$123.60	$515.00	$195.70–$463.50	—	76%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC SP L/S FACET JT 1 LEVEL INJ	$425.28	$1,772.00	$460.72–$4,722.27	39% below	76%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC SP L/S FACET JT 1 LEVEL INJ	$425.28	$1,772.00	$673.36–$1,594.80	—	76%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC HYSTEROSALPINGOGRAPHY INJECTION	$1,170.72	$4,878.00	$63.64–$4,722.27	661% above	76%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC HYSTEROSALPINGOGRAPHY INJECTION	$1,170.72	$4,878.00	$1,853.64–$4,390.20	—	76%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ED 10060-DRAINAGE OF SKIN ABSCESS	$57.12	$238.00	$61.88–$2,859.69	74% below	76%
Incision and drainage of a simple or single skin abscess CPT 10060 HC 10060-INCISION DRAINAGE ABSCESS SIMPLE	$112.56	$469.00	$106.09–$4,722.27	49% below	76%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED 10060-DRAINAGE OF SKIN ABSCESS	$57.12	$238.00	$90.44–$214.20	—	76%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC 10060-INCISION DRAINAGE ABSCESS SIMPLE	$112.56	$469.00	$178.22–$422.10	—	76%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC ED 20550-INJ SNGL TENDON LIGAMENT	$90.96	$379.00	$98.54–$2,859.69	61% below	76%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC TENDON/SHEATH/LIGAMENT INJECTION	$169.92	$708.00	$184.08–$4,722.27	28% below	76%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC ED 20550-INJ SNGL TENDON LIGAMENT	$90.96	$379.00	$144.02–$341.10	—	76%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC TENDON/SHEATH/LIGAMENT INJECTION	$169.92	$708.00	$269.04–$637.20	—	76%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED 20610-ASPIRATION OR INJECTION MAJOR JOINT/BURSA WO IMAGNG	$74.16	$309.00	$80.34–$2,859.69	77% below	76%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT	$289.68	$1,207.00	$235.17–$4,722.27	11% below	76%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED 20610-ASPIRATION OR INJECTION MAJOR JOINT/BURSA WO IMAGNG	$74.16	$309.00	$117.42–$278.10	—	76%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT	$289.68	$1,207.00	$458.66–$1,086.30	—	76%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED 20605-ASPIRATION OR INJECTION INTERMEDIATE JOINT/BURSA WO IMAGNG	$74.16	$309.00	$80.34–$2,859.69	75% below	76%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS INTERMEDIATE JOINT	$289.68	$1,207.00	$235.17–$4,722.27	1% below	76%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ED 20605-ASPIRATION OR INJECTION INTERMEDIATE JOINT/BURSA WO IMAGNG	$74.16	$309.00	$117.42–$278.10	—	76%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS INTERMEDIATE JOINT	$289.68	$1,207.00	$458.66–$1,086.30	—	76%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ED 20600-ASPIRATION OR INJECTION SMALL JOINT/BURSA WO IMAGNG	$74.16	$309.00	$80.34–$2,859.69	74% below	76%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS SMALL JOINT	$115.68	$482.00	$125.32–$4,722.27	60% below	76%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ED 20600-ASPIRATION OR INJECTION SMALL JOINT/BURSA WO IMAGNG	$74.16	$309.00	$117.42–$278.10	—	76%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS SMALL JOINT	$115.68	$482.00	$183.16–$433.80	—	76%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED 12031-LAYER CLOSURE OF WOUND	$103.44	$431.00	$112.06–$2,859.69	68% below	76%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED 12031-LAYER CLOSURE OF WOUND	$103.44	$431.00	$163.78–$387.90	—	76%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W IMG	$453.84	$1,891.00	$491.66–$4,722.27	8% below	76%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W IMG	$453.84	$1,891.00	$718.58–$1,701.90	—	76%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W/O IMG	$199.68	$832.00	$216.32–$4,722.27	71% below	76%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W/O IMG	$199.68	$832.00	$316.16–$748.80	—	76%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC ED INJECTION NERVE BLOCK/STEROID LUMBAR/SACRAL SINGLE LEVEL	$506.16	$2,109.00	$548.34–$2,859.69	29% below	76%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC ED INJECTION NERVE BLOCK/STEROID LUMBAR/SACRAL SINGLE LEVEL	$506.16	$2,109.00	$801.42–$1,898.10	—	76%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC ED 11400-REMOVAL OF SKIN LESION	$211.92	$883.00	$229.58–$2,859.69	40% below	76%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC ED 11400-REMOVAL OF SKIN LESION	$211.92	$883.00	$335.54–$794.70	—	76%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC ED 11440-REMOVAL OF SKIN LESION	$211.92	$883.00	$229.58–$2,859.69	65% below	76%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC ED 11440-REMOVAL OF SKIN LESION	$211.92	$883.00	$335.54–$794.70	—	76%
Nail removal (partial or complete), one nail CPT 11730 HC ED 11730-REMOVAL OF NAIL PLATE PARTIAL/COMPLETE-SINGLE	$51.12	$213.00	$55.38–$2,859.69	61% below	76%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED 11730-REMOVAL OF NAIL PLATE PARTIAL/COMPLETE-SINGLE	$51.12	$213.00	$80.94–$191.70	—	76%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION OCCIPITAL NERVE	$174.00	$725.00	$188.50–$4,722.27	40% below	76%
Occipital nerve block (injection for headaches) CPT 64405 HC ED 64405; INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE	$203.04	$846.00	$219.96–$2,859.69	30% below	76%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION OCCIPITAL NERVE	$174.00	$725.00	$275.50–$652.50	—	76%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC ED 64405; INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE	$203.04	$846.00	$321.48–$761.40	—	76%
Paracentesis with imaging guidance CPT 49083 HC ER 49083-PARACENTESIS, ABD W IMG	$210.72	$878.00	$228.28–$3,775.00	64% below	76%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W GUIDANCE	$822.72	$3,428.00	$746.91–$4,722.27	40% above	76%
Paracentesis with imaging guidance inpatient CPT 49083 HC ER 49083-PARACENTESIS, ABD W IMG	$210.72	$878.00	$333.64–$790.20	—	76%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W GUIDANCE	$822.72	$3,428.00	$1,302.64–$3,085.20	—	76%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED 11750-REMOVAL OF NAIL BED	$134.40	$560.00	$145.60–$2,859.69	65% below	76%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ED 11750-REMOVAL OF NAIL BED	$134.40	$560.00	$212.80–$504.00	—	76%
Removal of a foreign object under the skin, simple CPT 10120 HC ED 10120-REMOVE FOREIGN BODY SUBCUTANEOUS TISSUE-SIMPLE	$99.60	$415.00	$107.90–$2,859.69	67% below	76%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED 10120-REMOVE FOREIGN BODY SUBCUTANEOUS TISSUE-SIMPLE	$99.60	$415.00	$157.70–$373.50	—	76%
Short arm cast (elbow to hand) CPT 29075 HC ED 29075-APPLY FOREARM CAST	$78.72	$328.00	$85.28–$2,859.69	51% below	76%
Short arm cast (elbow to hand) inpatient CPT 29075 HC ED 29075-APPLY FOREARM CAST	$78.72	$328.00	$124.64–$295.20	—	76%
Short arm splint (forearm and hand) CPT 29125 HC ED 29125-APPLY FOREARM SPLINT-STATIC	$46.32	$193.00	$50.18–$2,859.69	68% below	76%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ED 29125-APPLY FOREARM SPLINT-STATIC	$46.32	$193.00	$73.34–$173.70	—	76%
Short leg cast (below the knee) CPT 29405 HC ED 29405-APPLY SHORT LEG CAST	$78.72	$328.00	$85.28–$2,859.69	48% below	76%
Short leg cast (below the knee) inpatient CPT 29405 HC ED 29405-APPLY SHORT LEG CAST	$78.72	$328.00	$124.64–$295.20	—	76%
Short leg splint (calf to foot) CPT 29515 HC ED 29515-APPLY SHORT LEG SPLINT	$44.88	$187.00	$48.62–$2,859.69	72% below	76%
Short leg splint (calf to foot) inpatient CPT 29515 HC ED 29515-APPLY SHORT LEG SPLINT	$44.88	$187.00	$71.06–$168.30	—	76%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED 12001 - RPR SIMPLE WOUND MINOR	$57.60	$240.00	$62.40–$2,859.69	73% below	76%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED 12001 - RPR SIMPLE WOUND MINOR	$57.60	$240.00	$91.20–$216.00	—	76%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$95.52	$398.00	$103.48–$4,722.27	49% below	76%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$95.52	$398.00	$151.24–$358.20	—	76%
Skin tag removal, up to 15 tags CPT 11200 HC ED 11200-REMOVAL OF SKIN TAGS	$51.84	$216.00	$56.16–$2,859.69	66% below	76%
Skin tag removal, up to 15 tags CPT 11200 HC 11200 REMOVAL SKIN TAG BY LIGATURE STRANGULATION	$81.36	$339.00	$88.14–$4,722.27	47% below	76%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC ED 11200-REMOVAL OF SKIN TAGS	$51.84	$216.00	$82.08–$194.40	—	76%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC 11200 REMOVAL SKIN TAG BY LIGATURE STRANGULATION	$81.36	$339.00	$128.82–$305.10	—	76%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$237.84	$991.00	$257.66–$4,722.27	41% below	76%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED 62270-SPINAL PUNCTURE LUMBAR-DIAGNOSTIC	$257.76	$1,074.00	$279.24–$2,859.69	36% below	76%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$237.84	$991.00	$376.58–$891.90	—	76%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED 62270-SPINAL PUNCTURE LUMBAR-DIAGNOSTIC	$257.76	$1,074.00	$408.12–$966.60	—	76%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED 12002-REPAIR SUPERFICIAL WOUND	$57.60	$240.00	$62.40–$2,859.69	75% below	76%
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 ED 12002-REPAIR SUPERFICIAL WOUND	$57.60	$240.00	$91.20–$216.00	—	76%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ED 12011-REPAIR SUPERFICIAL WOUND	$57.60	$240.00	$62.40–$2,859.69	75% below	76%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC ED 12011-REPAIR SUPERFICIAL WOUND	$57.60	$240.00	$91.20–$216.00	—	76%
Thoracentesis with imaging guidance CPT 32555 HC ED 32555-THORACENTESIS W IMAGING	$733.44	$3,056.00	$492.54–$2,859.69	16% above	76%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ED 32555-THORACENTESIS W IMAGING	$733.44	$3,056.00	$1,161.28–$2,750.40	—	76%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ED 20552-INJECT TRIGGER POINT 1 OR 2	$74.16	$309.00	$80.34–$2,859.69	70% below	76%
Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER POINT(S) INJECTION 1-2 MUSCLES	$182.64	$761.00	$197.86–$4,722.27	27% below	76%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED 20552-INJECT TRIGGER POINT 1 OR 2	$74.16	$309.00	$117.42–$278.10	—	76%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC TRIGGER POINT(S) INJECTION 1-2 MUSCLES	$182.64	$761.00	$289.18–$684.90	—	76%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$968.16	$4,034.00	$1,005.92–$4,722.27	4% below	76%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$968.16	$4,034.00	$1,532.92–$3,630.60	—	76%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC ED 43248-UPPER GI ENDO GUIDE WIRE	$198.96	$829.00	$215.54–$3,775.00	82% below	76%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC ED 43248-UPPER GI ENDO GUIDE WIRE	$198.96	$829.00	$315.02–$746.10	—	76%
Wart removal, up to 14 warts CPT 17110 HC ED 17110-DESTRUCT BENIGN LESION 1-14	$51.84	$216.00	$56.16–$2,859.69	57% below	76%
Wart removal, up to 14 warts inpatient CPT 17110 HC ED 17110-DESTRUCT BENIGN LESION 1-14	$51.84	$216.00	$82.08–$194.40	—	76%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED 11042-DEBRIDE SQ TISS 1ST 20 SQCM	$99.60	$415.00	$107.90–$2,859.69	77% below	76%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC WD DEBRIDE SQ TISS 1ST 20 SQ CM	$381.36	$1,589.00	$318.29–$4,722.27	12% below	76%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED 11042-DEBRIDE SQ TISS 1ST 20 SQCM	$99.60	$415.00	$157.70–$373.50	—	76%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC WD DEBRIDE SQ TISS 1ST 20 SQ CM	$381.36	$1,589.00	$603.82–$1,430.10	—	76%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMINISTRATION	$296.64	$1,236.00	$321.36–$2,859.69	25% below	76%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMINISTRATION	$296.64	$1,236.00	$469.68–$1,112.40	—	76%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC TRMT W/DEVICE TO CREATE POS AIR PRESSURE TO ASSIST W/COUGHING	$60.24	$251.00	$19.01–$372.48	39% below	76%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL TRMT AEROSOL/IPPB/MDI/SPUTUM INDUC	$60.24	$251.00	$19.01–$372.48	39% below	76%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL TRMT AEROSOL/IPPB/MDI/SPUTUM INDUC	$60.24	$251.00	$95.38–$225.90	—	76%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC TRMT W/DEVICE TO CREATE POS AIR PRESSURE TO ASSIST W/COUGHING	$60.24	$251.00	$95.38–$225.90	—	76%
Chemotherapy IV infusion, first hour CPT 96413 HC 96413-CHEMO INFUS INITIAL 1 HR	$199.44	$831.00	$201.51–$1,225.91	23% below	76%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC 96413-CHEMO INFUS INITIAL 1 HR	$199.44	$831.00	$315.78–$747.90	—	76%
Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE FIRST 30-74 MINS	$1,067.04	$4,446.00	$554.28–$4,001.40	12% below	76%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE FIRST 30-74 MINS	$1,067.04	$4,446.00	$1,689.48–$4,001.40	—	76%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE DROWSY	$300.72	$1,253.00	$61.30–$1,166.99	1% above	76%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE DROWSY	$300.72	$1,253.00	$476.14–$1,127.70	—	76%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD	$83.28	$347.00	$20.80–$320.64	22% below	76%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD	$83.28	$347.00	$131.86–$312.30	—	76%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL ONE	$121.44	$506.00	$51.33–$1,134.30	18% below	76%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL ONE	$121.44	$506.00	$192.28–$455.40	—	76%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL TWO	$157.20	$655.00	$51.33–$1,134.30	32% below	76%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL TWO	$157.20	$655.00	$248.90–$589.50	—	76%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL THREE	$258.24	$1,076.00	$112.92–$1,134.30	42% below	76%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL THREE	$258.24	$1,076.00	$408.88–$968.40	—	76%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL FOUR	$721.20	$3,005.00	$174.50–$2,704.50	at median	76%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL FOUR	$721.20	$3,005.00	$1,141.90–$2,704.50	—	76%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL FIVE	$1,128.72	$4,703.00	$328.47–$4,232.70	14% above	76%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL FIVE	$1,128.72	$4,703.00	$1,787.14–$4,232.70	—	76%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRESS TEST TRACING ONLY	$314.40	$1,310.00	$77.76–$1,179.00	25% below	76%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CV STRESS TEST TRACING ONLY	$314.40	$1,310.00	$497.80–$1,179.00	—	76%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED 9636059-HYDR IV INIT 31-60 MIN	$48.00	$200.00	$52.00–$1,134.30	68% below	76%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED 96360-HYDRATION IV INIT 31-60 MIN	$88.32	$368.00	$66.50–$1,134.30	40% below	76%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC 96360-HYDRATION IV INITIAL 31-60 MIN	$192.00	$800.00	$66.50–$720.00	29% above	76%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED 9636059-HYDR IV INIT 31-60 MIN	$48.00	$200.00	$76.00–$180.00	—	76%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED 96360-HYDRATION IV INIT 31-60 MIN	$88.32	$368.00	$139.84–$331.20	—	76%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC 96360-HYDRATION IV INITIAL 31-60 MIN	$192.00	$800.00	$304.00–$720.00	—	76%
IV infusion of a medicine, first hour CPT 96365 HC ED 9636559-THER PRO DIA IV INITIAL 1HR	$48.00	$200.00	$52.00–$1,134.30	69% below	76%
IV infusion of a medicine, first hour CPT 96365 HC ED 96365-THER PRO DIA IV INITIAL 1HR	$88.32	$368.00	$81.13–$1,134.30	43% below	76%
IV infusion of a medicine, first hour CPT 96365 HC 96365-THER/DIAG IV INITIAL 1 HR	$192.00	$800.00	$81.13–$720.00	25% above	76%
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED 9636559-THER PRO DIA IV INITIAL 1HR	$48.00	$200.00	$76.00–$180.00	—	76%
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED 96365-THER PRO DIA IV INITIAL 1HR	$88.32	$368.00	$139.84–$331.20	—	76%
IV infusion of a medicine, first hour inpatient CPT 96365 HC 96365-THER/DIAG IV INITIAL 1 HR	$192.00	$800.00	$304.00–$720.00	—	76%
IV push of a medicine, first drug CPT 96374 HC ED 96374-IV PUSH SINGLE OR INITIAL	$88.32	$368.00	$64.42–$1,134.30	21% below	76%
IV push of a medicine, first drug CPT 96374 HC 96374-IV PUSH SINGLE OR INITIAL	$92.88	$387.00	$64.42–$385.86	17% below	76%
IV push of a medicine, first drug inpatient CPT 96374 HC ED 96374-IV PUSH SINGLE OR INITIAL	$88.32	$368.00	$139.84–$331.20	—	76%
IV push of a medicine, first drug inpatient CPT 96374 HC 96374-IV PUSH SINGLE OR INITIAL	$92.88	$387.00	$147.06–$348.30	—	76%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED 96372-INJECTION IM OR SQ	$27.36	$114.00	$25.35–$1,134.30	51% below	76%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC 96372-INJECTION IM OR SQ	$66.48	$277.00	$25.35–$350.10	19% above	76%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED 96372-INJECTION IM OR SQ	$27.36	$114.00	$43.32–$102.60	—	76%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC 96372-INJECTION IM OR SQ	$66.48	$277.00	$105.26–$249.30	—	76%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT MUSCLE RE-EDUCATION BALANCE TRAIN I EA 15 MIN	$48.96	$204.00	$15.50–$203.94	5% above	76%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT MUSCLE RE-EDUCATION BALANCE TRAIN I EA 15 MIN	$54.00	$225.00	$17.10–$203.94	16% above	76%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT MUSCLE RE-EDUCATION BALANCE TRAIN I EA 15 MIN	$48.96	$204.00	$77.52–$183.60	—	76%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT MUSCLE RE-EDUCATION BALANCE TRAIN I EA 15 MIN	$54.00	$225.00	$85.50–$202.50	—	76%
New patient office visit, about 30 minutes CPT 99203 HC NEW PT OP VISIT LEVEL THREE	$93.60	$390.00	$29.64–$402.48	16% above	76%
New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT OP VISIT LEVEL THREE	$93.60	$390.00	$148.20–$351.00	—	76%
New patient office visit, about 45 minutes CPT 99204 HC NEW PT OP VISIT LEVEL FOUR	$117.36	$489.00	$37.16–$688.56	26% above	76%
New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT OP VISIT LEVEL FOUR	$117.36	$489.00	$185.82–$440.10	—	76%
New patient office visit, about 60 minutes CPT 99205 HC NEW PT OP VISIT LEVEL FIVE	$126.24	$526.00	$39.98–$899.71	1% below	76%
New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT OP VISIT LEVEL FIVE	$126.24	$526.00	$199.88–$473.40	—	76%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT OP VISIT LEVEL TWO	$67.68	$282.00	$21.43–$268.30	1% below	76%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW PT OP VISIT LEVEL TWO	$67.68	$282.00	$107.16–$253.80	—	76%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION LOW COMPLEXITY 30 MIN	$213.12	$888.00	$62.44–$799.20	49% above	76%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION LOW COMPLEXITY 30 MIN	$213.12	$888.00	$337.44–$799.20	—	76%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION HIGH COMPLEXITY 45 MIN	$221.28	$922.00	$64.31–$829.80	63% above	76%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION HIGH COMPLEXITY 45 MIN	$221.28	$922.00	$350.36–$829.80	—	76%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION LOW COMPLEXITY 20 MIN	$221.28	$922.00	$64.31–$829.80	71% above	76%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION LOW COMPLEXITY 20 MIN	$221.28	$922.00	$350.36–$829.80	—	76%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION MOD COMPLEXITY 30 MIN	$221.28	$922.00	$64.31–$829.80	71% above	76%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION MOD COMPLEXITY 30 MIN	$221.28	$922.00	$350.36–$829.80	—	76%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUES EA 15 MIN	$48.96	$204.00	$15.50–$203.94	5% above	76%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUES EA 15 MIN	$48.96	$204.00	$15.50–$203.94	5% above	76%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUES EA 15 MIN	$48.96	$204.00	$77.52–$183.60	—	76%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUES EA 15 MIN	$48.96	$204.00	$77.52–$183.60	—	76%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT EXERCISE I EA 15 MIN	$48.96	$204.00	$15.50–$203.94	4% above	76%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT EXERCISE I EA 15 MIN	$48.96	$204.00	$15.50–$203.94	4% above	76%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT EXERCISE I EA 15 MIN	$48.96	$204.00	$77.52–$183.60	—	76%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT EXERCISE I EA 15 MIN	$48.96	$204.00	$77.52–$183.60	—	76%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE/TOBACCO CESSATION INTERMED VISIT 3-10 MIN	$14.16	$59.00	$15.34–$154.09	49% below	76%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE/TOBACCO CESSATION INTERMED VISIT 3-10 MIN	$14.16	$59.00	$22.42–$53.10	—	76%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST PT OP VISIT LEVEL FIVE	$101.04	$421.00	$32.00–$795.72	13% above	76%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC LD LABOR VISIT LEVEL V	$386.64	$1,611.00	$17.08–$1,449.90	333% above	76%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC EST PT OP VISIT LEVEL FIVE	$101.04	$421.00	$159.98–$378.90	—	76%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC LD LABOR VISIT LEVEL V	$386.64	$1,611.00	$612.18–$1,449.90	—	76%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST PT OP VISIT LEVEL THREE	$67.68	$282.00	$21.43–$405.44	9% above	76%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC LD LABOR VISIT LEVEL III	$222.48	$927.00	$17.08–$933.59	260% above	76%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC EST PT OP VISIT LEVEL THREE	$67.68	$282.00	$107.16–$253.80	—	76%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC LD LABOR VISIT LEVEL III	$222.48	$927.00	$352.26–$834.30	—	76%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EST PT OP VISIT LEVEL FOUR	$93.60	$390.00	$29.64–$590.76	26% above	76%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC LD LABOR VISIT LEVEL IV	$308.40	$1,285.00	$17.08–$1,156.50	314% above	76%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC EST PT OP VISIT LEVEL FOUR	$93.60	$390.00	$148.20–$351.00	—	76%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC LD LABOR VISIT LEVEL IV	$308.40	$1,285.00	$488.30–$1,156.50	—	76%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC EST PT OP VISIT LEVEL TWO	$67.68	$282.00	$21.43–$253.80	20% above	76%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC LD LABOR VISIT LEVEL II	$222.48	$927.00	$17.08–$933.59	293% above	76%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC EST PT OP VISIT LEVEL TWO	$67.68	$282.00	$107.16–$253.80	—	76%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC LD LABOR VISIT LEVEL II	$222.48	$927.00	$352.26–$834.30	—	76%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$144.24	$601.00	$45.68–$540.90	22% below	76%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$144.24	$601.00	$228.38–$540.90	—	76%
Speech therapy session, individual CPT 92507 HC ST SPEECH INDIVIDUAL TREATMENT	$197.76	$824.00	$42.13–$741.60	31% above	76%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH INDIVIDUAL TREATMENT	$197.76	$824.00	$313.12–$741.60	—	76%
Spirometry (breathing test) CPT 94010 HC PEAK EXPIRATORY FLOW RATE	$48.48	$202.00	$19.44–$286.54	66% below	76%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY WO BD	$104.16	$434.00	$19.44–$390.60	28% below	76%
Spirometry (breathing test) inpatient CPT 94010 HC PEAK EXPIRATORY FLOW RATE	$48.48	$202.00	$76.76–$181.80	—	76%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY WO BD	$104.16	$434.00	$164.92–$390.60	—	76%
Spirometry before and after a bronchodilator CPT 94060 HC PEAK EXPIR FLOW RATE PRE AND POST BD	$73.68	$307.00	$43.02–$570.30	78% below	76%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILATION RESPONSIVE/SPIROMETRY/P/P BRONCHO	$93.12	$388.00	$43.02–$570.30	73% below	76%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY WITH BD	$196.08	$817.00	$43.02–$735.30	43% below	76%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PEAK EXPIR FLOW RATE PRE AND POST BD	$73.68	$307.00	$116.66–$276.30	—	76%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODILATION RESPONSIVE/SPIROMETRY/P/P BRONCHO	$93.12	$388.00	$147.44–$349.20	—	76%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY WITH BD	$196.08	$817.00	$310.46–$735.30	—	76%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITIES I EA 15 MIN	$48.48	$202.00	$15.35–$203.94	5% above	76%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITIES I EA 15 MIN	$48.96	$204.00	$15.50–$203.94	6% above	76%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITIES II EA 15 MIN	$60.00	$250.00	$19.00–$225.00	30% above	76%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITIES II EA 15 MIN	$62.88	$262.00	$19.91–$235.80	36% above	76%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITIES I EA 15 MIN	$48.48	$202.00	$76.76–$181.80	—	76%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITIES I EA 15 MIN	$48.96	$204.00	$77.52–$183.60	—	76%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITIES II EA 15 MIN	$60.00	$250.00	$95.00–$225.00	—	76%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITIES II EA 15 MIN	$62.88	$262.00	$99.56–$235.80	—	76%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC 99195-THERAPEUTIC PHLEBOTOMY	$109.68	$457.00	$20.36–$411.30	17% above	76%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC 99195-THERAPEUTIC ISOVOLEMIC PHLEBOTOMY	$114.96	$479.00	$20.36–$431.10	23% above	76%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC 99195-THERAPEUTIC PHLEBOTOMY	$109.68	$457.00	$173.66–$411.30	—	76%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC 99195-THERAPEUTIC ISOVOLEMIC PHLEBOTOMY	$114.96	$479.00	$182.02–$431.10	—	76%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC 90662 IIV VACCINE PRESERV FREE INCREASED AG COUNT IM	$16.97	$70.71	$5.37–$148.13	80% below	76%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC 90662 IIV VACCINE PRESERV FREE INCREASED AG COUNT IM	$16.97	$70.71	$26.87–$63.64	—	76%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED 9047159-IMMUNIZATION ADMINISTRATION	$11.04	$46.00	$6.78–$130.34	70% below	76%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED 90471-IMMUNIZATION ADMINISTRATION	$30.24	$126.00	$6.78–$130.34	17% below	76%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC 90471-IMMUNIZATION ADMINISTRATION	$33.12	$138.00	$6.78–$130.34	9% below	76%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED 9047159-IMMUNIZATION ADMINISTRATION	$11.04	$46.00	$17.48–$41.40	—	76%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED 90471-IMMUNIZATION ADMINISTRATION	$30.24	$126.00	$47.88–$113.40	—	76%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC 90471-IMMUNIZATION ADMINISTRATION	$33.12	$138.00	$52.44–$124.20	—	76%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ED 90472-IMMUNIZATION ADMIN EACH ADDL	$30.24	$126.00	$6.93–$113.40	11% below	76%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC 90472-IMMUNIZATION ADMIN EACH ADDL	$33.12	$138.00	$6.93–$124.20	3% below	76%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ED 90472-IMMUNIZATION ADMIN EACH ADDL	$30.24	$126.00	$47.88–$113.40	—	76%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC 90472-IMMUNIZATION ADMIN EACH ADDL	$33.12	$138.00	$52.44–$124.20	—	76%

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

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

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

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

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

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

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

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

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

Source file: https://sites.bmhcc.org/-/media/Pricing-Documents/TN/621113167_baptist-memorial-hospitaltipton_standardcharges.zip