Hospital Monroe, LA

Ochsner LSU Health Monroe

Listed in its price file as “Brfhh Monroe, LLC”.

Ochsner LSU Health Monroe in Monroe, LA publishes cash prices for 430 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Louisiana median for 274 of 425 procedures and above it for 150. Click a procedure to compare it with other hospitals nearby.

4864 Jackson Street, Monroe, LA 71202-6400 Collected Sep 23, 2026 Source price file (318) 388-7000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 190011 · CMS hospital register NPI 1215939210

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/WO CONTRAST	$451.49	$1,963.00	$156.14–$1,472.25	56% below	77%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONTRAST	$451.49	$1,963.00	—	—	77%
Abdominal X-ray, 2 views CPT 74019 HC XRAY, ABDOMEN, 2 VIEWS	$92.23	$401.00	$50.86–$415.00	50% below	77%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY, ABDOMEN, 2 VIEWS	$92.23	$401.00	—	—	77%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS	$92.23	$401.00	$45.22–$415.00	23% below	77%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS	$92.23	$401.00	—	—	77%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRANCHIAL INDEX	$112.93	$491.00	$78.51–$368.25	33% below	77%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRANCHIAL INDEX	$112.93	$491.00	—	—	77%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$203.55	$885.00	$93.27–$711.00	69% below	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$203.55	$885.00	—	—	77%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST	$163.99	$713.00	$114.01–$534.75	24% below	77%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST	$163.99	$713.00	—	—	77%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$521.64	$2,268.00	$352.45–$1,701.00	5% below	77%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$521.64	$2,268.00	—	—	77%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILAT	$63.25	$274.98	$43.97–$258.00	62% below	77%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILAT	$63.25	$274.98	—	—	77%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LIMITED	$63.25	$274.98	$43.97–$258.00	62% below	77%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT LIMITED	$63.25	$274.98	—	—	77%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PEL W/ AND W/O CONTRAS	$628.13	$2,731.00	$313.24–$2,048.25	30% below	77%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PEL W/ AND W/O CONTRAS	$628.13	$2,731.00	—	—	77%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD CONTRAST	$470.12	$2,044.00	$156.14–$1,533.00	33% below	77%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD CONTRAST	$470.12	$2,044.00	—	—	77%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK CONTRAST	$470.12	$2,044.00	$156.14–$1,533.00	33% below	77%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK CONTRAST	$470.12	$2,044.00	—	—	77%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/ NON CORONARY	$470.12	$2,044.00	$156.14–$1,533.00	46% below	77%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/ NON CORONARY	$470.12	$2,044.00	—	—	77%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CARD W/3D IMAGE	$310.30	$1,349.13	$215.73–$2,418.00	38% below	77%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CARD W/3D IMAGE	$310.30	$1,349.13	—	—	77%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING	$55.82	$242.70	$38.81–$711.00	30% below	77%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING	$55.82	$242.70	—	—	77%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$389.39	$1,693.00	$212.01–$1,269.75	65% below	77%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$389.39	$1,693.00	—	—	77%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$628.13	$2,731.00	$313.24–$2,048.25	53% below	77%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$628.13	$2,731.00	—	—	77%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST	$628.13	$2,731.00	$313.24–$2,048.25	57% below	77%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST	$628.13	$2,731.00	—	—	77%
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST	$400.89	$1,743.00	$156.14–$1,307.25	55% below	77%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST	$400.89	$1,743.00	—	—	77%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$203.55	$885.00	$93.27–$711.00	73% below	77%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$203.55	$885.00	—	—	77%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$203.55	$885.00	$93.27–$711.00	69% below	77%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$203.55	$885.00	—	—	77%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST	$203.55	$885.00	$93.27–$711.00	69% below	77%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST	$203.55	$885.00	—	—	77%
CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONTRAST	$400.89	$1,743.00	$156.14–$1,307.25	45% below	77%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONTRAST	$400.89	$1,743.00	—	—	77%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST	$451.49	$1,963.00	$156.14–$1,472.25	51% below	77%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST	$451.49	$1,963.00	—	—	77%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$203.55	$885.00	$93.27–$711.00	73% below	77%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$203.55	$885.00	—	—	77%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$203.55	$885.00	$93.27–$711.00	72% below	77%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$203.55	$885.00	—	—	77%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$400.89	$1,743.00	$156.14–$1,307.25	50% below	77%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$400.89	$1,743.00	—	—	77%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT	$307.28	$1,336.00	$212.01–$1,002.00	—	77%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT	$307.28	$1,336.00	—	—	77%
Chest CT scan without and with contrast CPT 71270 HC CT SCAN, THORAX, DX, W/WO CONTRAST	$451.49	$1,963.00	$156.14–$1,472.25	57% below	77%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT SCAN, THORAX, DX, W/WO CONTRAST	$451.49	$1,963.00	—	—	77%
Chest X-ray, 2 views CPT 71046 HC XRAY, CHEST, 2 VIEWS	$92.23	$401.00	$39.95–$415.00	30% below	77%
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY, CHEST, 2 VIEWS	$92.23	$401.00	—	—	77%
Chest X-ray, single view CPT 71045 HC XRAY, CHEST, 1 VIEW	$92.23	$401.00	$29.40–$415.00	16% below	77%
Chest X-ray, single view inpatient CPT 71045 HC XRAY, CHEST, 1 VIEW	$92.23	$401.00	—	—	77%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE	$92.23	$401.00	$38.44–$415.00	21% below	77%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE	$92.23	$401.00	—	—	77%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$216.66	$942.00	$93.27–$706.50	25% below	77%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$216.66	$942.00	—	—	77%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$145.13	$631.00	$62.02–$473.25	at median	77%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$145.13	$631.00	—	—	77%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA BONE DENSITY APPEN SKEL	$82.34	$358.00	$36.16–$415.00	4% above	77%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA BONE DENSITY APPEN SKEL	$82.34	$358.00	—	—	77%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION	$175.49	$763.00	$122.00–$572.25	34% below	77%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION	$175.49	$763.00	—	—	77%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST	$203.55	$885.00	$93.27–$711.00	73% below	77%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST	$203.55	$885.00	—	—	77%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST	$340.80	$1,481.73	$156.14–$1,111.30	60% below	77%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST	$340.80	$1,481.73	—	—	77%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$171.12	$744.00	$95.53–$558.00	—	77%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$171.12	$744.00	—	—	77%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$57.32	$249.20	$39.85–$257.00	53% below	77%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$57.32	$249.20	—	—	77%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT	$307.28	$1,336.00	$212.01–$1,002.00	—	77%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT	$307.28	$1,336.00	—	—	77%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT	$307.28	$1,336.00	$212.01–$1,002.00	—	77%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT	$307.28	$1,336.00	—	—	77%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER	$487.29	$2,118.66	$282.48–$1,641.00	33% below	77%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER	$487.29	$2,118.66	—	—	77%
Elbow X-ray, 2 views CPT 73070 HC ELBOW AP / LAT	$92.23	$401.00	$39.19–$415.00	21% below	77%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW AP / LAT	$92.23	$401.00	—	—	77%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW MIN 3 VIEWS	$92.23	$401.00	$46.40–$415.00	30% below	77%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW MIN 3 VIEWS	$92.23	$401.00	—	—	77%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT,SELLA,EAR W/O CONTRA	$203.55	$885.00	$93.27–$711.00	66% below	77%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT,SELLA,EAR W/O CONTRA	$203.55	$885.00	—	—	77%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS	$146.28	$636.00	$57.30–$477.00	7% below	77%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS	$146.28	$636.00	—	—	77%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEWS	$92.23	$401.00	$38.44–$415.00	19% below	77%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEWS	$92.23	$401.00	—	—	77%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$599.84	$2,608.00	$352.45–$1,956.00	5% above	77%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$599.84	$2,608.00	—	—	77%
Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEW	$92.23	$401.00	$37.69–$415.00	13% below	77%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEW	$92.23	$401.00	—	—	77%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEUS	$92.23	$401.00	$37.69–$415.00	15% below	77%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEUS	$92.23	$401.00	—	—	77%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STAGING +4 W/CPAP	$793.50	$3,450.00	$483.00–$2,587.50	42% below	77%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STAGING +4 W/CPAP	$793.50	$3,450.00	—	—	77%
Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS	$92.23	$401.00	$49.75–$415.00	32% below	77%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS	$92.23	$401.00	—	—	77%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE COMPLETE	$92.23	$401.00	$57.30–$415.00	40% below	77%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE COMPLETE	$92.23	$401.00	—	—	77%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$203.55	$885.00	$93.27–$711.00	67% below	77%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$203.55	$885.00	—	—	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$216.66	$942.00	$93.27–$706.50	18% below	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$216.66	$942.00	—	—	77%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD	$144.90	$630.00	$22.59–$472.50	17% below	77%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD	$144.90	$630.00	—	—	77%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST	$143.75	$625.00	$93.27–$711.00	7% below	77%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST	$143.75	$625.00	—	—	77%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA)	$92.23	$401.00	$36.92–$415.00	22% below	77%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA)	$92.23	$401.00	—	—	77%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$474.49	$2,063.00	$212.01–$1,547.25	48% below	77%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$474.49	$2,063.00	—	—	77%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXT JT W/O CONTR	$474.49	$2,063.00	$212.01–$1,547.25	56% below	77%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXT JT W/O CONTR	$474.49	$2,063.00	—	—	77%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JT W/WO CONT	$793.50	$3,450.00	$313.24–$2,587.50	38% below	77%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXT JT W/WO CONT	$793.50	$3,450.00	—	—	77%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$474.49	$2,063.00	$212.01–$1,547.25	52% below	77%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$474.49	$2,063.00	—	—	77%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$793.50	$3,450.00	$313.24–$2,587.50	40% below	77%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$793.50	$3,450.00	—	—	77%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$474.49	$2,063.00	$212.01–$1,547.25	58% below	77%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$474.49	$2,063.00	—	—	77%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST	$793.50	$3,450.00	$313.24–$2,587.50	45% below	77%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST	$793.50	$3,450.00	—	—	77%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$474.49	$2,063.00	$212.01–$1,547.25	58% below	77%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$474.49	$2,063.00	—	—	77%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$793.50	$3,450.00	$313.24–$2,587.50	43% below	77%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$793.50	$3,450.00	—	—	77%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$474.49	$2,063.00	$212.01–$1,547.25	57% below	77%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$474.49	$2,063.00	—	—	77%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$793.50	$3,450.00	$313.24–$2,587.50	50% below	77%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$793.50	$3,450.00	—	—	77%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$474.49	$2,063.00	$212.01–$1,547.25	55% below	77%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$474.49	$2,063.00	—	—	77%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$793.50	$3,450.00	$313.24–$2,587.50	29% below	77%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$793.50	$3,450.00	—	—	77%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$474.49	$2,063.00	$212.01–$1,547.25	46% below	77%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$474.49	$2,063.00	—	—	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$474.49	$2,063.00	$212.01–$1,547.25	51% below	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$474.49	$2,063.00	—	—	77%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS	$146.28	$636.00	$71.64–$477.00	28% below	77%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS	$146.28	$636.00	—	—	77%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS	$400.89	$1,743.00	$156.14–$1,307.25	42% below	77%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS	$400.89	$1,743.00	—	—	77%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR	$203.55	$885.00	$93.27–$711.00	70% below	77%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR	$203.55	$885.00	—	—	77%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE	$92.23	$401.00	$36.92–$415.00	19% below	77%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE	$92.23	$401.00	—	—	77%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MPI SPECT, MULTIPLE	$1,857.25	$8,075.00	$438.00–$6,056.25	59% above	77%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MPI SPECT, MULTIPLE	$1,857.25	$8,075.00	—	—	77%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$203.55	$885.00	$93.27–$711.00	71% below	77%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$203.55	$885.00	—	—	77%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED NON-OB	$82.80	$360.00	$50.12–$270.00	53% below	77%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED NON-OB	$82.80	$360.00	—	—	77%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB	$216.66	$942.00	$93.27–$706.50	23% below	77%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB	$216.66	$942.00	—	—	77%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$123.74	$538.00	$86.03–$403.50	53% below	77%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$123.74	$538.00	—	—	77%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION	$123.74	$538.00	$86.03–$403.50	47% below	77%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION	$123.74	$538.00	—	—	77%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 OR MORE GESTA	$123.74	$538.00	$86.03–$403.50	29% below	77%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 OR MORE GESTA	$123.74	$538.00	—	—	77%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS	$92.23	$401.00	$42.21–$415.00	32% below	77%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS	$92.23	$401.00	—	—	77%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS W/PA CHEST	$146.28	$636.00	$50.50–$477.00	7% above	77%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RIBS W/PA CHEST	$146.28	$636.00	—	—	77%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT	$122.59	$533.00	$78.97–$399.75	—	77%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT	$122.59	$533.00	—	—	77%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER ROUTINE	$92.23	$401.00	$39.95–$415.00	30% below	77%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER ROUTINE	$92.23	$401.00	—	—	77%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES, PARANASAL, COMP, MINIMUM 3 VIEWS	$92.23	$401.00	$52.02–$415.00	41% below	77%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES, PARANASAL, COMP, MINIMUM 3 VIEWS	$92.23	$401.00	—	—	77%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4VIEWS	$92.23	$401.00	$47.50–$415.00	32% below	77%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL < 4VIEWS	$92.23	$401.00	—	—	77%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE	$793.50	$3,450.00	$483.00–$2,587.50	38% below	77%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE	$793.50	$3,450.00	—	—	77%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO W/MONT & SUPERV	$820.18	$3,566.00	$286.00–$2,674.50	36% above	77%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS ECHO W/MONT & SUPERV	$820.18	$3,566.00	—	—	77%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST	$163.99	$713.00	$114.01–$534.75	32% below	77%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST	$163.99	$713.00	—	—	77%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS	$41.95	$182.40	$29.17–$415.00	63% below	77%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS	$41.95	$182.40	—	—	77%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$203.55	$885.00	$93.27–$711.00	73% below	77%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$203.55	$885.00	—	—	77%
Toe X-ray, 2 or more views CPT 73660 HC TOE OR TOES MIN 2VIEWS	$92.23	$401.00	$42.21–$415.00	17% below	77%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE OR TOES MIN 2VIEWS	$92.23	$401.00	—	—	77%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$123.74	$538.00	$86.03–$403.50	41% below	77%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$123.74	$538.00	—	—	77%
Transvaginal ultrasound during pregnancy CPT 76817 HC US, OB, TRANSVAG APPROACH	$123.74	$538.00	$86.03–$403.50	31% below	77%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, OB, TRANSVAG APPROACH	$123.74	$538.00	—	—	77%
Ultrasound of the abdomen, complete CPT 76700 HC US, ABD, B-SCAN, COMPLETE	$216.66	$942.00	$93.27–$706.50	28% below	77%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABD, B-SCAN, COMPLETE	$216.66	$942.00	—	—	77%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS	$216.66	$942.00	$93.27–$706.50	3% above	77%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS	$216.66	$942.00	—	—	77%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$216.66	$942.00	$93.27–$706.50	14% below	77%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$216.66	$942.00	—	—	77%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST	$243.57	$1,059.00	$144.06–$794.25	4% below	77%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST	$243.57	$1,059.00	—	—	77%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS ROUTINE	$92.23	$401.00	$39.95–$415.00	21% below	77%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS ROUTINE	$92.23	$401.00	—	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD	$216.66	$942.00	$93.27–$706.50	16% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD	$216.66	$942.00	—	—	77%
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEW	$92.23	$401.00	$41.47–$415.00	15% below	77%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEW	$92.23	$401.00	—	—	77%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE	$92.23	$401.00	$52.02–$415.00	20% below	77%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE	$92.23	$401.00	—	—	77%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS	$41.95	$182.40	$29.17–$415.00	67% below	77%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS	$41.95	$182.40	—	—	77%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY, ABDOMEN, 1 VIEW	$92.23	$401.00	$32.41–$415.00	28% below	77%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY, ABDOMEN, 1 VIEW	$92.23	$401.00	—	—	77%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS	$92.23	$401.00	$38.44–$415.00	15% below	77%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS	$92.23	$401.00	—	—	77%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$92.23	$401.00	$45.22–$415.00	10% below	77%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$92.23	$401.00	—	—	77%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW	$92.23	$401.00	$36.92–$415.00	14% below	77%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW	$92.23	$401.00	—	—	77%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS	$92.23	$401.00	$44.47–$415.00	25% below	77%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS	$92.23	$401.00	—	—	77%
X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE	$92.23	$401.00	$44.47–$415.00	27% below	77%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE	$92.23	$401.00	—	—	77%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS	$92.23	$401.00	$39.95–$415.00	19% below	77%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS	$92.23	$401.00	—	—	77%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3V	$92.23	$401.00	$55.02–$415.00	39% below	77%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3V	$92.23	$401.00	—	—	77%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$146.28	$636.00	$73.91–$477.00	33% below	77%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$146.28	$636.00	—	—	77%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP&LAT	$92.23	$401.00	$43.72–$415.00	41% below	77%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP&LAT	$92.23	$401.00	—	—	77%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS	$92.23	$401.00	$46.75–$415.00	21% below	77%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS	$92.23	$401.00	—	—	77%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL, AP&LAT	$92.23	$401.00	$51.27–$415.00	36% below	77%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL, AP&LAT	$92.23	$401.00	—	—	77%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS	$92.23	$401.00	$34.67–$415.00	30% below	77%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS	$92.23	$401.00	—	—	77%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS	$92.23	$401.00	$39.95–$415.00	33% below	77%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS	$92.23	$401.00	—	—	77%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 HC ACTH	$133.40	$580.00	$19.31–$435.00	26% above	77%
ACTH blood test inpatient CPT 82024 HC ACTH	$133.40	$580.00	—	—	77%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT	$18.26	$79.40	$2.65–$59.55	6% below	77%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT	$18.26	$79.40	—	—	77%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT	$17.87	$77.70	$2.59–$58.28	9% below	77%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT	$17.87	$77.70	—	—	77%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL, ACUTE	$164.45	$715.00	$23.82–$536.25	48% above	77%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL, ACUTE	$164.45	$715.00	—	—	77%
Albumin blood test CPT 82040 HC ALBUMIN-SERUM	$17.09	$74.30	$2.48–$55.73	21% above	77%
Albumin blood test CPT 82040 HC ALBUMIN (RL)	$17.09	$74.30	$2.48–$55.73	21% above	77%
Albumin blood test inpatient CPT 82040 HC ALBUMIN-SERUM	$17.09	$74.30	—	—	77%
Albumin blood test inpatient CPT 82040 HC ALBUMIN (RL)	$17.09	$74.30	—	—	77%
Aldosterone blood test CPT 82088 HC ALDOSTERONE- SERUM	$140.76	$612.00	$20.38–$459.00	48% above	77%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, LAV - RL	$140.76	$612.00	$20.38–$459.00	48% above	77%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, URINE	$140.76	$612.00	$20.38–$459.00	48% above	77%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, IVC - RL	$140.76	$612.00	$20.38–$459.00	48% above	77%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, RAV - RL	$140.76	$612.00	$20.38–$459.00	48% above	77%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, LAV - RL	$140.76	$612.00	—	—	77%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, RAV - RL	$140.76	$612.00	—	—	77%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, URINE	$140.76	$612.00	—	—	77%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE- SERUM	$140.76	$612.00	—	—	77%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, IVC - RL	$140.76	$612.00	—	—	77%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE, BONE SPE-RL	$17.87	$77.70	$2.59–$58.28	7% below	77%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$17.87	$77.70	$2.59–$58.28	7% below	77%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOS, TOTAL	$17.87	$77.70	$2.59–$58.28	7% below	77%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE, BONE SPE-RL	$17.87	$77.70	—	—	77%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOS, TOTAL	$17.87	$77.70	—	—	77%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$17.87	$77.70	—	—	77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH	$16.56	$72.00	$2.61–$54.00	69% above	77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH	$18.01	$78.30	$2.61–$58.73	84% above	77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH	$18.01	$78.30	$2.61–$58.73	84% above	77%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH	$18.01	$78.30	$2.61–$58.73	84% above	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH	$16.56	$72.00	—	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH	$18.01	$78.30	—	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH	$18.01	$78.30	—	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH	$18.01	$78.30	—	—	77%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK)	$57.96	$252.00	$8.39–$189.00	19% above	77%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP, MATERNAL SCREEN	$57.96	$252.00	$8.39–$189.00	19% above	77%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP, MATERNAL SCREEN	$57.96	$252.00	—	—	77%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK)	$57.96	$252.00	—	—	77%
Ammonia blood test CPT 82140 HC AMMONIA, BLOOD	$50.37	$219.00	$7.29–$164.25	2% above	77%
Ammonia blood test CPT 82140 HC SUPERSAT URINE, AMMONIUM	$50.37	$219.00	$7.29–$164.25	2% above	77%
Ammonia blood test inpatient CPT 82140 HC AMMONIA, BLOOD	$50.37	$219.00	—	—	77%
Ammonia blood test inpatient CPT 82140 HC SUPERSAT URINE, AMMONIUM	$50.37	$219.00	—	—	77%
Amylase blood test CPT 82150 HC AMYLASE, PANCREATIC FLUID	$22.36	$97.20	$3.24–$72.90	1% above	77%
Amylase blood test CPT 82150 HC AMYLASE, BODY FLUID - RL	$22.36	$97.20	$3.24–$72.90	1% above	77%
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID	$22.36	$97.20	$3.24–$72.90	1% above	77%
Amylase blood test CPT 82150 HC AMYLASE, URINE	$22.36	$97.20	$3.24–$72.90	1% above	77%
Amylase blood test CPT 82150 HC AMYLASE	$22.36	$97.20	$3.24–$72.90	1% above	77%
Amylase blood test CPT 82150 HC AMYLASE ISOENZYMES, EACH	$22.36	$97.20	$3.24–$72.90	1% above	77%
Amylase blood test inpatient CPT 82150 HC AMYLASE, URINE	$22.36	$97.20	—	—	77%
Amylase blood test inpatient CPT 82150 HC AMYLASE ISOENZYMES, EACH	$22.36	$97.20	—	—	77%
Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID	$22.36	$97.20	—	—	77%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$22.36	$97.20	—	—	77%
Amylase blood test inpatient CPT 82150 HC AMYLASE, BODY FLUID - RL	$22.36	$97.20	—	—	77%
Amylase blood test inpatient CPT 82150 HC AMYLASE, PANCREATIC FLUID	$22.36	$97.20	—	—	77%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODIES	$44.62	$194.00	$6.48–$145.50	6% above	77%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODIES	$44.62	$194.00	—	—	77%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$41.63	$181.00	$6.05–$135.75	10% below	77%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$41.63	$181.00	—	—	77%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$117.07	$509.00	$19.63–$381.75	79% above	77%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PRO BNP, S	$117.07	$509.00	$19.63–$381.75	79% above	77%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$117.07	$509.00	—	—	77%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PRO BNP, S	$117.07	$509.00	—	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC SPINAL FLD CULTURE	$29.67	$129.00	$4.31–$96.75	5% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESPIRATORY CULTURE	$29.67	$129.00	$4.31–$96.75	5% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, ROUTINE AEROBIC	$29.67	$129.00	$4.31–$96.75	5% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESP CULT, CYSTIC FIBROSIS	$29.67	$129.00	$4.31–$96.75	5% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESP CULT, CYSTIC FIBROSIS	$29.67	$129.00	—	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, ROUTINE AEROBIC	$29.67	$129.00	—	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESPIRATORY CULTURE	$29.67	$129.00	—	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC SPINAL FLD CULTURE	$29.67	$129.00	—	—	77%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$29.21	$127.00	$4.23–$95.25	17% below	77%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$29.21	$127.00	—	—	77%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL	$11.98	$52.10	$2.51–$39.08	27% below	77%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL, BODY FLUID - RL	$11.98	$52.10	$2.51–$39.08	27% below	77%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL	$11.98	$52.10	—	—	77%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL, BODY FLUID - RL	$11.98	$52.10	—	—	77%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC MUSCLE OR NERVE TISSSUE EXAM - RL	$34.33	$149.28	$46.86–$135.79	56% below	77%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE, G & M, LEVEL IV	$92.46	$402.00	$46.86–$301.50	18% above	77%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC RENAL BIOPSY	$92.46	$402.00	$46.86–$301.50	18% above	77%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC MUSCLE OR NERVE TISSSUE EXAM - RL	$34.33	$149.28	—	—	77%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC RENAL BIOPSY	$92.46	$402.00	—	—	77%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE, G & M, LEVEL IV	$92.46	$402.00	—	—	77%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE	$35.65	$155.00	$5.16–$116.25	21% below	77%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE	$35.65	$155.00	—	—	77%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE/BL COLL	$7.59	$33.00	$2.99–$24.75	8% below	77%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE/BL COLL	$7.59	$33.00	—	—	77%
Blood glucose (sugar) test CPT 82947 HC POC GLUCOSE	$13.57	$59.00	$1.97–$44.25	4% above	77%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE	$13.57	$59.00	$1.97–$44.25	4% above	77%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE	$13.57	$59.00	—	—	77%
Blood glucose (sugar) test inpatient CPT 82947 HC POC GLUCOSE	$13.57	$59.00	—	—	77%
Blood lead test CPT 83655 HC LEAD, URINE	$41.86	$182.00	$6.06–$136.50	55% above	77%
Blood lead test CPT 83655 HC LEAD, BLOOD	$41.86	$182.00	$6.06–$136.50	55% above	77%
Blood lead test inpatient CPT 83655 HC LEAD, BLOOD	$41.86	$182.00	—	—	77%
Blood lead test inpatient CPT 83655 HC LEAD, URINE	$41.86	$182.00	—	—	77%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC C-BLOOD TYPING, ABO	$30.59	$133.00	$2.99–$292.90	31% below	77%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC C-BLOOD TYPING, ABO	$30.59	$133.00	—	—	77%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN, BODY FLUIDS - RL	$13.64	$59.30	$1.98–$44.48	19% below	77%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN, BLOOD	$13.64	$59.30	$1.98–$44.48	19% below	77%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN, BODY FLUIDS - RL	$13.64	$59.30	—	—	77%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN, BLOOD	$13.64	$59.30	—	—	77%
C-peptide blood test CPT 84681 HC C PEPTIDE	$71.76	$312.00	$10.41–$234.00	40% above	77%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE	$71.76	$312.00	—	—	77%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$17.87	$77.70	$2.59–$58.28	23% below	77%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$17.87	$77.70	—	—	77%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$121.21	$527.00	$18.64–$395.25	92% above	77%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$121.21	$527.00	—	—	77%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9	$71.76	$312.00	$10.41–$234.00	49% above	77%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9, BODY FLUID	$71.76	$312.00	$10.41–$234.00	49% above	77%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9	$71.76	$312.00	—	—	77%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9, BODY FLUID	$71.76	$312.00	—	—	77%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER AG 125 (CA 125)-RL	$14.36	$62.43	$10.41–$57.57	72% below	77%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$71.76	$312.00	$10.41–$234.00	38% above	77%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CANCER AG 125 (CA 125)-RL	$14.36	$62.43	—	—	77%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$71.76	$312.00	—	—	77%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$42.55	$185.00	$25.66–$138.75	40% below	77%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$42.55	$185.00	—	—	77%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM	$17.80	$77.40	$2.58–$58.05	10% below	77%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM	$17.80	$77.40	—	—	77%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA, FLUID	$65.55	$285.00	$9.48–$213.75	12% above	77%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA	$65.55	$285.00	$9.48–$213.75	12% above	77%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA	$65.55	$285.00	—	—	77%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA, FLUID	$65.55	$285.00	—	—	77%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB-IGM	$38.64	$168.00	$6.44–$126.00	6% above	77%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA AB	$38.64	$168.00	$6.44–$126.00	6% above	77%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB-IGM	$38.64	$168.00	—	—	77%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA AB	$38.64	$168.00	—	—	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE	$121.21	$527.00	$17.55–$395.25	111% above	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA	$121.21	$527.00	$17.55–$395.25	111% above	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA	$121.21	$527.00	—	—	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE	$121.21	$527.00	—	—	77%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$41.17	$179.00	$6.70–$134.25	18% below	77%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$41.17	$179.00	—	—	77%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$26.91	$117.00	$3.89–$87.75	3% above	77%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$26.91	$117.00	—	—	77%
Complete blood count (CBC), no differential CPT 85027 HC HEMATOLOGY PROFILE	$22.33	$97.10	$3.24–$72.83	20% below	77%
Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMATOLOGY PROFILE	$22.33	$97.10	—	—	77%
Cortisol blood test, total CPT 82533 HC CORTISOL, SALIVA	$56.35	$245.00	$8.15–$183.75	49% above	77%
Cortisol blood test, total CPT 82533 HC CORTISOL	$56.35	$245.00	$8.15–$183.75	49% above	77%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, SALIVA	$56.35	$245.00	—	—	77%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$56.35	$245.00	—	—	77%
Creatine kinase (CK) blood test, total CPT 82550 HC CK, TOTAL	$22.47	$97.70	$3.26–$73.28	1% above	77%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK, TOTAL	$22.47	$97.70	—	—	77%
Creatinine blood test CPT 82565 HC CREATININE-BLOOD	$17.69	$76.90	$2.56–$57.68	6% above	77%
Creatinine blood test CPT 82565 HC CREATININE	$17.69	$76.90	$2.56–$57.68	6% above	77%
Creatinine blood test inpatient CPT 82565 HC CREATININE	$17.69	$76.90	—	—	77%
Creatinine blood test inpatient CPT 82565 HC CREATININE-BLOOD	$17.69	$76.90	—	—	77%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG	$49.68	$216.00	$7.20–$162.00	26% above	77%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV SCREEN	$49.68	$216.00	$7.20–$162.00	26% above	77%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV SCREEN	$49.68	$216.00	—	—	77%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG	$49.68	$216.00	—	—	77%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER, QUANT	$35.19	$153.00	$5.09–$114.75	30% below	77%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER, QUANT	$35.19	$153.00	—	—	77%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S	$76.82	$334.00	$11.12–$250.50	36% above	77%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S	$76.82	$334.00	—	—	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN CLINIC DRUG SCREEN, U - RL	$19.55	$85.00	$31.07–$258.02	41% below	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHYL GLUCURONIDE SCREEN	$59.03	$256.67	$31.07–$258.02	79% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GAMMA-HYDROXYBUTYRIC ACID	$59.03	$256.67	$31.07–$258.02	79% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC HYPOGLYCEMIC AGENT SCREEN	$59.03	$256.67	$31.07–$258.02	79% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, PRESC/OTC, UR	$59.03	$256.67	$31.07–$258.02	79% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE PANEL, MECONIUM - SCREEN	$59.03	$256.67	$31.07–$258.02	79% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, PRESC/OTC, SERUM	$59.03	$256.67	$31.07–$258.02	79% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN, ANY	$59.03	$256.67	$31.07–$258.02	79% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE SCREEN	$59.03	$256.67	$31.07–$258.02	79% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN, URINE	$59.03	$256.67	$31.07–$258.02	79% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE ANALYSIS, URINE - RL	$60.59	$263.45	$31.07–$258.02	84% above	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PAIN CLINIC DRUG SCREEN, U - RL	$19.55	$85.00	—	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, PRESC/OTC, UR	$59.03	$256.67	—	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC HYPOGLYCEMIC AGENT SCREEN	$59.03	$256.67	—	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE PANEL, MECONIUM - SCREEN	$59.03	$256.67	—	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ETHYL GLUCURONIDE SCREEN	$59.03	$256.67	—	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE SCREEN	$59.03	$256.67	—	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN, ANY	$59.03	$256.67	—	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN, URINE	$59.03	$256.67	—	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, PRESC/OTC, SERUM	$59.03	$256.67	—	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GAMMA-HYDROXYBUTYRIC ACID	$59.03	$256.67	—	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE ANALYSIS, URINE - RL	$60.59	$263.45	—	—	77%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV-IGM	$61.64	$268.00	$9.07–$201.00	22% above	77%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV IGG	$61.64	$268.00	$9.07–$201.00	22% above	77%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS, VCA IGG	$61.64	$268.00	$9.07–$201.00	22% above	77%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS, VCA IGM	$61.64	$268.00	$9.07–$201.00	22% above	77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS, VCA IGG	$61.64	$268.00	—	—	77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS, VCA IGM	$61.64	$268.00	—	—	77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV-IGM	$61.64	$268.00	—	—	77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV IGG	$61.64	$268.00	—	—	77%
Estradiol blood test CPT 82670 HC ESTRADIOL	$96.37	$419.00	$13.97–$314.25	69% above	77%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$96.37	$419.00	—	—	77%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH	$64.17	$279.00	$9.29–$209.25	16% above	77%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH	$64.17	$279.00	—	—	77%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL	$82.80	$360.00	$9.82–$270.00	13% below	77%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL	$82.80	$360.00	—	—	77%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$46.92	$204.00	$6.82–$153.00	3% above	77%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$46.92	$204.00	—	—	77%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$29.21	$127.00	$4.86–$95.25	6% below	77%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$29.21	$127.00	—	—	77%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID	$50.83	$221.00	$7.35–$165.75	34% above	77%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID	$50.83	$221.00	—	—	77%
Free T3 thyroid hormone test CPT 84481 HC T3,FREE	$34.04	$148.00	$8.47–$111.00	31% below	77%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3,FREE	$34.04	$148.00	—	—	77%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE BY DIALYSIS	$31.05	$135.00	$4.51–$101.25	11% below	77%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE	$31.05	$135.00	$4.51–$101.25	11% below	77%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE BY DIALYSIS	$31.05	$135.00	—	—	77%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE	$31.05	$135.00	—	—	77%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS	$87.86	$382.00	$12.74–$286.50	46% above	77%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE	$87.86	$382.00	$12.74–$286.50	46% above	77%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS	$87.86	$382.00	—	—	77%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE	$87.86	$382.00	—	—	77%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT	$24.84	$108.00	$3.60–$81.00	1% above	77%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT	$24.84	$108.00	—	—	77%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE	$16.40	$71.30	$2.38–$53.48	2% above	77%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE	$16.40	$71.30	—	—	77%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$44.39	$193.00	$6.44–$144.75	1% below	77%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$44.39	$193.00	$6.44–$144.75	1% below	77%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$44.39	$193.00	—	—	77%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$44.39	$193.00	—	—	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA	$121.21	$527.00	$17.55–$395.25	112% above	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC BY AMPLIFIED PROBE	$121.21	$527.00	$17.55–$395.25	112% above	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA	$121.21	$527.00	—	—	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC BY AMPLIFIED PROBE	$121.21	$527.00	—	—	77%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG	$40.02	$174.00	$8.43–$130.50	13% below	77%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG	$40.02	$174.00	—	—	77%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$42.09	$183.00	$6.46–$137.25	31% below	77%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$42.09	$183.00	—	—	77%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$293.71	$1,277.00	$42.55–$957.75	71% above	77%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA DETECT/QUANT	$293.71	$1,277.00	$42.55–$957.75	71% above	77%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$293.71	$1,277.00	—	—	77%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA DETECT/QUANT	$293.71	$1,277.00	—	—	77%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1 & HIV2, SGL ASSAY	$36.57	$159.00	$6.86–$119.25	7% above	77%
HIV-1 and HIV-2 antibody test CPT 86703 HC RAPID HIV-1/2 AB	$36.57	$159.00	$6.86–$119.25	7% above	77%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC RAPID HIV-1/2 AB	$36.57	$159.00	—	—	77%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1 & HIV2, SGL ASSAY	$36.57	$159.00	—	—	77%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB	$77.51	$337.00	$12.04–$252.75	67% above	77%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB	$77.51	$337.00	—	—	77%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT	$41.86	$181.99	$17.55–$136.49	18% below	77%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT	$41.86	$181.99	—	—	77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C - RL	$33.58	$146.00	$4.86–$109.50	5% below	77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HB	$33.58	$146.00	$4.86–$109.50	5% below	77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HB	$33.58	$146.00	—	—	77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C - RL	$33.58	$146.00	—	—	77%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$8.17	$35.50	$1.19–$26.63	22% below	77%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$8.17	$35.50	—	—	77%
Hepatitis B core antibody test (total) CPT 86704 HC HBCAB	$41.63	$181.00	$6.03–$135.75	47% above	77%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HBCAB	$41.63	$181.00	—	—	77%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HBSAB	$37.03	$161.00	$5.37–$120.75	24% above	77%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TITER	$37.03	$161.00	$5.37–$120.75	24% above	77%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HBSAB	$37.03	$161.00	—	—	77%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TITER	$37.03	$161.00	—	—	77%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG	$35.65	$155.00	$5.17–$116.25	at median	77%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG	$35.65	$155.00	—	—	77%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV-AB	$49.22	$214.00	$7.14–$160.50	9% above	77%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV-AB	$49.22	$214.00	—	—	77%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$147.89	$643.00	$21.42–$482.25	34% above	77%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY PCR	$147.89	$643.00	$21.42–$482.25	34% above	77%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY PCR	$147.89	$643.00	—	—	77%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$147.89	$643.00	—	—	77%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG	$45.54	$198.00	$6.60–$148.50	81% above	77%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB	$45.54	$198.00	$6.60–$148.50	81% above	77%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG	$45.54	$198.00	—	—	77%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB	$45.54	$198.00	—	—	77%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG	$66.70	$290.00	$9.68–$217.50	54% above	77%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB	$66.70	$290.00	$9.68–$217.50	54% above	77%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB	$66.70	$290.00	—	—	77%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG	$66.70	$290.00	—	—	77%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS	$44.62	$194.00	$6.48–$145.50	4% above	77%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS	$44.62	$194.00	—	—	77%
Homocysteine blood test CPT 83090 HC HOMOCYSTINES, PLASMA	$58.19	$253.00	$8.96–$189.75	2% above	77%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINES, PLASMA	$58.19	$253.00	—	—	77%
Insulin blood test CPT 83525 HC INSULIN	$39.33	$171.00	$5.72–$128.25	38% above	77%
Insulin blood test inpatient CPT 83525 HC INSULIN	$39.33	$171.00	—	—	77%
Iron blood test (serum iron) CPT 83540 HC IRON	$18.52	$80.50	$3.24–$60.38	15% below	77%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$18.52	$80.50	—	—	77%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$30.13	$131.00	$4.37–$98.25	6% below	77%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$30.13	$131.00	—	—	77%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$29.90	$130.00	$4.34–$97.50	40% below	77%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$29.90	$130.00	—	—	77%
LH (luteinizing hormone) test CPT 83002 HC LH	$63.94	$278.00	$9.26–$208.50	18% above	77%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH	$63.94	$278.00	—	—	77%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE	$36.80	$160.00	$5.79–$120.00	32% above	77%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID	$36.80	$160.00	$5.79–$120.00	32% above	77%
Lactate (lactic acid) blood test CPT 83605 HC D-LACTATE, PLASMA	$36.80	$160.00	$5.79–$120.00	32% above	77%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID, CSF	$36.80	$160.00	$5.79–$120.00	32% above	77%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID, BODY FLUID	$36.80	$160.00	$5.79–$120.00	32% above	77%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID, BODY FLUID	$36.80	$160.00	—	—	77%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE	$36.80	$160.00	—	—	77%
Lactate (lactic acid) blood test inpatient CPT 83605 HC D-LACTATE, PLASMA	$36.80	$160.00	—	—	77%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID, CSF	$36.80	$160.00	—	—	77%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID	$36.80	$160.00	—	—	77%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH-BLOOD OR BODY FLUID	$20.82	$90.50	$3.02–$67.88	2% above	77%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID - RL	$20.82	$90.50	$3.02–$67.88	2% above	77%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH-BLOOD OR BODY FLUID	$20.82	$90.50	—	—	77%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID - RL	$20.82	$90.50	—	—	77%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, BODY FLUID - RL	$23.69	$103.00	$3.45–$77.25	6% below	77%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$23.69	$103.00	$3.45–$77.25	6% below	77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, BODY FLUID - RL	$23.69	$103.00	—	—	77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$23.69	$103.00	—	—	77%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS	$28.29	$123.00	$4.09–$92.25	44% below	77%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS	$28.29	$123.00	—	—	77%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODIES	$58.88	$256.00	$8.52–$192.00	17% above	77%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODIES	$58.88	$256.00	—	—	77%
Magnesium blood test CPT 83735 HC MAGNESIUM	$23.23	$101.00	$3.35–$75.75	8% above	77%
Magnesium blood test CPT 83735 HC MAGNESIUM, FECES	$23.23	$101.00	$3.35–$75.75	8% above	77%
Magnesium blood test CPT 83735 HC MAGNESIUM, URINE	$23.23	$101.00	$3.35–$75.75	8% above	77%
Magnesium blood test CPT 83735 HC MAGNESIUM, RBC	$23.23	$101.00	$3.35–$75.75	8% above	77%
Magnesium blood test CPT 83735 HC SUPERSAT URINE, MAGNESIUM	$23.23	$101.00	$3.35–$75.75	8% above	77%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC	$23.23	$101.00	—	—	77%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$23.23	$101.00	—	—	77%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, FECES	$23.23	$101.00	—	—	77%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE	$23.23	$101.00	—	—	77%
Magnesium blood test inpatient CPT 83735 HC SUPERSAT URINE, MAGNESIUM	$23.23	$101.00	—	—	77%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM	$44.39	$193.00	$6.44–$144.75	53% above	77%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG	$44.39	$193.00	$6.44–$144.75	53% above	77%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG	$44.39	$193.00	—	—	77%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM	$44.39	$193.00	—	—	77%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT	$17.87	$77.70	$2.59–$58.28	26% below	77%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN	$17.87	$77.70	$2.59–$58.28	26% below	77%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT	$17.87	$77.70	—	—	77%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODY SCREEN	$17.87	$77.70	—	—	77%
Mumps immunity blood test CPT 86735 HC MUMPS AB, IGG	$45.08	$196.00	$6.53–$147.00	52% above	77%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODIES IGM (EIA)	$45.08	$196.00	$6.53–$147.00	52% above	77%
Mumps immunity blood test CPT 86735 HC MUMPS AB IGG, CSF	$45.08	$196.00	$6.53–$147.00	52% above	77%
Mumps immunity blood test CPT 86735 HC MUMPS AB IGM, CSF	$45.08	$196.00	$6.53–$147.00	52% above	77%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB, IGG	$45.08	$196.00	—	—	77%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB IGM, CSF	$45.08	$196.00	—	—	77%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB IGG, CSF	$45.08	$196.00	—	—	77%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODIES IGM (EIA)	$45.08	$196.00	—	—	77%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL	$32.99	$143.43	$23.91–$132.22	56% below	77%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL	$32.99	$143.43	—	—	77%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE	$21.60	$93.90	$9.20–$70.43	56% below	77%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, FREE	$63.48	$276.00	$9.20–$207.00	31% above	77%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE	$21.60	$93.90	—	—	77%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, FREE	$63.48	$276.00	—	—	77%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL	$63.48	$276.00	$9.20–$207.00	44% above	77%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC	$63.48	$276.00	$9.20–$207.00	44% above	77%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, SCREENING	$63.48	$276.00	$9.20–$207.00	44% above	77%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE HEALTH INDEX (PHI)	$63.48	$276.00	$9.20–$207.00	44% above	77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE HEALTH INDEX (PHI)	$63.48	$276.00	—	—	77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, SCREENING	$63.48	$276.00	—	—	77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL	$63.48	$276.00	—	—	77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC	$63.48	$276.00	—	—	77%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR, THIN PREP IMAGER DX	$63.48	$276.00	$13.31–$207.00	48% above	77%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC	$63.48	$276.00	$13.31–$207.00	48% above	77%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR, THIN PREP IMAGER DX	$63.48	$276.00	—	—	77%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC	$63.48	$276.00	—	—	77%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP SCREENING	$52.21	$227.00	$10.13–$170.25	88% above	77%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC	$52.21	$227.00	$10.13–$170.25	88% above	77%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP SCREENING	$52.21	$227.00	—	—	77%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC	$52.21	$227.00	—	—	77%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTRAOPERATIVE	$142.37	$619.00	$20.64–$464.25	56% above	77%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTACT	$142.37	$619.00	$20.64–$464.25	56% above	77%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTACT	$142.37	$619.00	—	—	77%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTRAOPERATIVE	$142.37	$619.00	—	—	77%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$20.72	$90.10	$3.01–$67.58	2% above	77%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$20.72	$90.10	—	—	77%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$16.35	$71.10	$2.37–$53.33	3% below	77%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS, FECES	$16.35	$71.10	$2.37–$53.33	3% below	77%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS, FECES	$16.35	$71.10	—	—	77%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$16.35	$71.10	—	—	77%
Potassium blood test CPT 84132 HC POTASSIUM	$15.87	$69.00	$2.38–$51.75	10% below	77%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$15.87	$69.00	—	—	77%
Progesterone blood test CPT 84144 HC PROGESTERONE	$71.99	$313.00	$10.43–$234.75	32% above	77%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$71.99	$313.00	—	—	77%
Prolactin blood test CPT 84146 HC PROLACTIN	$66.93	$291.00	$9.69–$218.25	5% above	77%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$66.93	$291.00	—	—	77%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR	$13.59	$59.10	$2.15–$44.33	6% below	77%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$13.59	$59.10	$2.15–$44.33	6% below	77%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$13.59	$59.10	—	—	77%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR	$13.59	$59.10	—	—	77%
Rapid flu test (influenza antigen) CPT 87804 HC POC INFLUENZA A & B VIRUS TESTING	$7.59	$33.00	$8.28–$43.04	66% below	77%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A & B VIRUS TESTING	$7.59	$33.00	$8.28–$43.04	66% below	77%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A & B VIRUS TESTING	$7.59	$33.00	—	—	77%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC POC INFLUENZA A & B VIRUS TESTING	$7.59	$33.00	—	—	77%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A SCREEN	$29.56	$128.52	$8.27–$96.39	33% above	77%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 *HC POC STREP A SCREEN	$29.56	$128.52	$8.27–$96.39	33% above	77%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC THROAT SCREEN	$41.40	$180.00	$8.27–$135.00	86% above	77%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 *HC POC STREP A SCREEN	$29.56	$128.52	—	—	77%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A SCREEN	$29.56	$128.52	—	—	77%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC THROAT SCREEN	$41.40	$180.00	—	—	77%
Renin blood test CPT 84244 HC RENIN ACTIVITY	$75.90	$330.00	$11.00–$247.50	27% above	77%
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY	$75.90	$330.00	—	—	77%
Rh blood typing CPT 86901 HC BB REF RH TYPE	$4.83	$21.00	$2.99–$89.19	77% below	77%
Rh blood typing CPT 86901 HC C-BLOOD RH TYPE	$30.59	$133.00	$2.99–$99.75	43% above	77%
Rh blood typing inpatient CPT 86901 HC BB REF RH TYPE	$4.83	$21.00	—	—	77%
Rh blood typing inpatient CPT 86901 HC C-BLOOD RH TYPE	$30.59	$133.00	—	—	77%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT	$19.57	$85.10	$2.84–$63.83	17% below	77%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT	$19.57	$85.10	—	—	77%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG	$49.68	$216.00	$7.20–$162.00	49% above	77%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$49.68	$216.00	$7.20–$162.00	49% above	77%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY, IGG	$49.68	$216.00	$7.20–$162.00	49% above	77%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$49.68	$216.00	—	—	77%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY, IGG	$49.68	$216.00	—	—	77%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG	$49.68	$216.00	—	—	77%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE,AUTOMATED	$12.24	$53.20	$1.35–$39.90	50% below	77%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE,AUTOMATED	$12.24	$53.20	—	—	77%
Sodium blood test CPT 84295 HC SODIUM	$16.61	$72.20	$2.41–$54.15	3% below	77%
Sodium blood test CPT 84295 HC SODIUM, BLOOD	$16.61	$72.20	$2.41–$54.15	3% below	77%
Sodium blood test inpatient CPT 84295 HC SODIUM, BLOOD	$16.61	$72.20	—	—	77%
Sodium blood test inpatient CPT 84295 HC SODIUM	$16.61	$72.20	—	—	77%
Stool ova and parasites exam CPT 87177 HC PARASITE EXAM BODY FLUID	$30.13	$131.00	$4.45–$98.25	1% above	77%
Stool ova and parasites exam CPT 87177 HC EXAM PARA, URINE/B.F.	$30.13	$131.00	$4.45–$98.25	1% above	77%
Stool ova and parasites exam inpatient CPT 87177 HC EXAM PARA, URINE/B.F.	$30.13	$131.00	—	—	77%
Stool ova and parasites exam inpatient CPT 87177 HC PARASITE EXAM BODY FLUID	$30.13	$131.00	—	—	77%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$11.22	$48.80	$2.19–$36.60	17% below	77%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$11.22	$48.80	—	—	77%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD	$12.19	$53.01	$7.96–$44.07	52% below	77%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD	$12.19	$53.01	—	—	77%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS IGG AB	$45.77	$199.00	$6.62–$149.25	78% above	77%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODIES	$45.77	$199.00	$6.62–$149.25	78% above	77%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS AB, TP-PA	$45.77	$199.00	$6.62–$149.25	78% above	77%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODIES	$45.77	$199.00	—	—	77%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS AB, TP-PA	$45.77	$199.00	—	—	77%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS IGG AB	$45.77	$199.00	—	—	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN	$14.72	$64.00	$2.14–$48.00	2% above	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL (CSF ONLY)	$14.72	$64.00	$2.14–$48.00	2% above	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN - RL	$14.72	$64.00	$2.14–$48.00	2% above	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN - RL	$14.72	$64.00	—	—	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL (CSF ONLY)	$14.72	$64.00	—	—	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN	$14.72	$64.00	—	—	77%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS	$89.01	$387.00	$12.91–$290.25	52% above	77%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL	$89.01	$387.00	$12.91–$290.25	52% above	77%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$89.01	$387.00	$12.91–$290.25	52% above	77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$89.01	$387.00	—	—	77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL	$89.01	$387.00	—	—	77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS	$89.01	$387.00	—	—	77%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$50.14	$218.00	$7.28–$163.50	39% above	77%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$50.14	$218.00	$7.28–$163.50	39% above	77%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH	$50.14	$218.00	$7.28–$163.50	39% above	77%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH	$50.14	$218.00	—	—	77%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$50.14	$218.00	—	—	77%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$50.14	$218.00	—	—	77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH - SENSITIVE, SERUM - RL	$11.59	$50.40	$8.40–$46.78	72% below	77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC CU INDEX-TSH ASSAY	$57.96	$252.00	$8.40–$189.00	41% above	77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$57.96	$252.00	$8.40–$189.00	41% above	77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH - SENSITIVE, SERUM - RL	$11.59	$50.40	—	—	77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$57.96	$252.00	—	—	77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC CU INDEX-TSH ASSAY	$57.96	$252.00	—	—	77%
Total IgE blood test CPT 82785 HC IGE-IMMUNOGLOBULIN	$56.81	$247.00	$8.23–$185.25	49% above	77%
Total IgE blood test inpatient CPT 82785 HC IGE-IMMUNOGLOBULIN	$56.81	$247.00	—	—	77%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$15.00	$65.20	$2.18–$48.90	at median	77%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$15.00	$65.20	—	—	77%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL	$16.70	$72.60	$3.44–$54.45	28% below	77%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL	$16.70	$72.60	—	—	77%
Total triiodothyronine (T3) blood test CPT 84480 HC T3	$22.15	$96.30	$7.09–$72.23	54% below	77%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3	$22.15	$96.30	—	—	77%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$44.16	$192.00	$6.38–$144.00	14% above	77%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$44.16	$192.00	—	—	77%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE	$29.67	$129.00	$17.55–$97.14	39% below	77%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE	$29.67	$129.00	—	—	77%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, BODY FLUID	$5.78	$25.14	$2.87–$18.86	76% below	77%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$19.83	$86.20	$2.87–$64.65	17% below	77%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, FLUID - RL	$19.83	$86.20	$2.87–$64.65	17% below	77%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, BODY FLUID	$5.78	$25.14	—	—	77%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, FLUID - RL	$19.83	$86.20	—	—	77%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$19.83	$86.20	—	—	77%
Troponin test, quantitative CPT 84484 HC TROPONIN I - ISTAT	$34.04	$148.00	$6.24–$111.00	10% below	77%
Troponin test, quantitative CPT 84484 HC TROPONIN T	$34.04	$148.00	$6.24–$111.00	10% below	77%
Troponin test, quantitative CPT 84484 HC TROPONIN I	$34.04	$148.00	$6.24–$111.00	10% below	77%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I - ISTAT	$34.04	$148.00	—	—	77%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T	$34.04	$148.00	—	—	77%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I	$34.04	$148.00	—	—	77%
Uric acid blood test CPT 84550 HC URIC ACID	$15.59	$67.80	$2.26–$50.85	11% below	77%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$15.59	$67.80	—	—	77%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO W/MICRO	$10.93	$47.50	$1.59–$35.63	56% below	77%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO W/MICRO	$10.93	$47.50	—	—	77%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO	$10.93	$47.50	$2.01–$35.63	67% above	77%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO	$10.93	$47.50	—	—	77%
Urinalysis without microscope exam, automated CPT 81003 HC POC URINE W/O MICRO, AUTO	$7.75	$33.70	$1.13–$25.28	12% below	77%
Urinalysis without microscope exam, automated CPT 81003 HC URINE W/O MICRO, AUTO	$7.75	$33.70	$1.13–$25.28	12% below	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE W/O MICRO, AUTO	$7.75	$33.70	—	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC POC URINE W/O MICRO, AUTO	$7.75	$33.70	—	—	77%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS W/O MICRO NON-AUTO	$4.08	$17.72	$1.74–$13.29	41% below	77%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS W/O MICRO NON-AUTO	$4.08	$17.72	—	—	77%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, URINE COLONY COUNT	$27.83	$121.00	$4.04–$90.75	26% below	77%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, URINE COLONY COUNT	$27.83	$121.00	—	—	77%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QUANT	$19.96	$86.80	$2.89–$65.10	15% above	77%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QUANT	$19.96	$86.80	—	—	77%
Urine pregnancy test, read by color change CPT 81025 *HC POC PREGNANCY TEST, URINE	$7.94	$34.50	$4.31–$25.88	62% below	77%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST, URINE	$7.94	$34.50	$4.31–$25.88	62% below	77%
Urine pregnancy test, read by color change inpatient CPT 81025 *HC POC PREGNANCY TEST, URINE	$7.94	$34.50	—	—	77%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST, URINE	$7.94	$34.50	—	—	77%
Vitamin B12 (cobalamin) blood test CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12	$51.98	$226.00	$7.54–$169.50	31% above	77%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12	$51.98	$226.00	$7.54–$169.50	31% above	77%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12	$51.98	$226.00	—	—	77%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12	$51.98	$226.00	—	—	77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$102.12	$444.00	$14.80–$333.00	33% above	77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D, 25 HYDROXY	$102.12	$444.00	$14.80–$333.00	33% above	77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D, 25 HYDROXY	$102.12	$444.00	—	—	77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$102.12	$444.00	—	—	77%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D, 1-25 DIHYRDOXY	$132.94	$578.00	$19.25–$433.50	49% above	77%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D, 1-25 DIHYRDOXY	$132.94	$578.00	—	—	77%
Zinc blood test CPT 84630 HC ZINC, SERUM - RL	$39.33	$171.00	$5.70–$128.25	26% above	77%
Zinc blood test CPT 84630 HC ZINC, URINE	$39.33	$171.00	$5.70–$128.25	26% above	77%
Zinc blood test inpatient CPT 84630 HC ZINC, SERUM - RL	$39.33	$171.00	—	—	77%
Zinc blood test inpatient CPT 84630 HC ZINC, URINE	$39.33	$171.00	—	—	77%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER)	$51.98	$226.00	$7.53–$169.50	7% above	77%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE	$51.98	$226.00	$7.53–$169.50	7% above	77%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE	$51.98	$226.00	—	—	77%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER)	$51.98	$226.00	—	—	77%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$18,587.94	$80,817.13	$550.32–$16,232.70	55% above	77%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR	$10,021.60	$43,572.17	$773.72–$16,232.70	4% above	77%
Botox injections for chronic migraine CPT 64615 PR CHEMODENERVATION OF MUSCLE FOR CHRONIC MIGRAINE	$160.74	$698.85	$111.75–$1,135.00	2% above	77%
Botox injections for chronic migraine inpatient CPT 64615 PR CHEMODENERVATION OF MUSCLE FOR CHRONIC MIGRAINE	$160.74	$698.85	—	—	77%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BRST, 1ST LESION, STEREOTACTIC GUIDANCE	$968.76	$4,212.00	$481.27–$3,681.67	50% above	77%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BRST, 1ST LESION, STEREOTACTIC GUIDANCE	$968.76	$4,212.00	—	—	77%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX DST FIB FX WO MAN	$124.51	$541.35	$210.40–$1,135.00	40% below	77%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX DST FIB FX WO MAN	$124.51	$541.35	—	—	77%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT	$8,215.95	$35,721.52	$550.32–$7,704.39	141% above	77%
Cardiac catheterization with coronary angiogram CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO	$2,380.04	$10,348.00	$1,654.65–$12,884.90	49% below	77%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO	$2,380.04	$10,348.00	—	—	77%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$406.18	$1,766.00	$282.38–$2,418.00	25% below	77%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION	$406.18	$1,766.00	—	—	77%
Carpal tunnel release, open surgery CPT 64721 PR REVISE MEDIAN N/CARPAL TUNNEL SURG	$533.16	$2,318.09	$481.27–$4,437.28	70% below	77%
Carpal tunnel release, open surgery inpatient CPT 64721 PR REVISE MEDIAN N/CARPAL TUNNEL SURG	$533.16	$2,318.09	—	—	77%
Cataract surgery with lens implant CPT 66984 CATARACT SURG W/IOL 1 STAGE	$3,549.29	$15,431.68	$888.07–$5,182.50	69% above	77%
Catheter ablation for atrial fibrillation one side CPT 93656 HC EP EVAL W/TRANSSEPTAL CATH, INS & REPS MULT ELECT CATHS, AND INTRACARD CATH ABLTJ OF ATR FIB INC 3D MAPPING, INTRACARD ECHO W/IMG SUP & INT, RIGHT VENT PAC/REC, AND HIS BUNDLE REC	$18,098.70	$78,690.00	$482.00–$59,017.50	26% above	77%
Catheter ablation for atrial fibrillation inpatient one side CPT 93656 HC EP EVAL W/TRANSSEPTAL CATH, INS & REPS MULT ELECT CATHS, AND INTRACARD CATH ABLTJ OF ATR FIB INC 3D MAPPING, INTRACARD ECHO W/IMG SUP & INT, RIGHT VENT PAC/REC, AND HIS BUNDLE REC	$18,098.70	$78,690.00	—	—	77%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 29+ DAYS OF AGE ONLY	$1,498.66	$6,515.93	$481.27–$5,782.35	2% below	77%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 29+ DAYS OF AGE ONLY	$1,498.66	$6,515.93	—	—	77%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE)	$1,596.43	$6,941.00	$481.27–$5,782.35	100% above	77%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE)	$1,596.43	$6,941.00	—	—	77%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE)	$1,596.43	$6,941.00	$481.27–$5,782.35	131% above	77%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE)	$1,596.43	$6,941.00	—	—	77%
Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY W/EUS	$243.65	$1,059.34	$444.92–$2,679.22	64% below	77%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY W/EUS	$243.65	$1,059.34	—	—	77%
Colonoscopy with polyp removal CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$243.65	$1,059.34	$444.92–$2,679.22	71% below	77%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$243.65	$1,059.34	—	—	77%
Colonoscopy with tissue sample CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$243.65	$1,059.34	$444.92–$2,679.22	72% below	77%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$243.65	$1,059.34	—	—	77%
Colonoscopy, diagnostic CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$243.65	$1,059.34	$444.92–$2,071.68	67% below	77%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$243.65	$1,059.34	—	—	77%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC CERVIX EXCISION	$1,848.90	$8,038.68	$359.35–$7,224.85	43% above	77%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC CERVIX EXCISION	$1,848.90	$8,038.68	—	—	77%
Complex cataract surgery with lens implant CPT 66982 CATARACT SURGERY COMPLEX	$3,297.06	$14,335.03	$888.07–$5,182.50	21% below	77%
Coronary stent placement, one artery CPT 92928 HC STENT PLACE CORONARY SINGLE	$5,854.65	$25,455.00	$3,339.00–$28,873.01	36% below	77%
Coronary stent placement, one artery inpatient CPT 92928 HC STENT PLACE CORONARY SINGLE	$5,854.65	$25,455.00	—	—	77%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC D&C, NON-PREGNANCY	$1,848.90	$8,038.68	$481.27–$7,224.85	12% below	77%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC D&C, NON-PREGNANCY	$1,848.90	$8,038.68	—	—	77%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION ANY METHOD, INCLD LASER FOR LESIONS	$120.57	$524.20	$83.82–$1,135.00	24% above	77%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCTION ANY METHOD, INCLD LASER FOR LESIONS	$120.57	$524.20	—	—	77%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL	$325.68	$1,416.00	$52.10–$1,135.00	365% above	77%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL	$325.68	$1,416.00	—	—	77%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$34.68	$150.80	$24.11–$1,135.00	46% below	77%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$34.68	$150.80	—	—	77%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING	$121.43	$527.97	$84.42–$1,135.00	21% below	77%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING	$121.43	$527.97	—	—	77%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL	$924.37	$4,019.00	$642.64–$3,014.25	82% above	77%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL	$924.37	$4,019.00	—	—	77%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$13,775.25	$59,892.38	$773.72–$14,178.58	138% above	77%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBLE	$13,887.53	$60,380.55	$773.72–$14,178.58	127% above	77%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$9,830.63	$42,741.89	$773.72–$8,376.68	197% above	77%
Gallbladder removal, laparoscopic CPT 47562 HC CHOLECYSTECTOMY, LAPAROSCOPIC	$3,335.23	$14,501.00	$550.32–$13,257.42	20% above	77%
Gallbladder removal, laparoscopic inpatient CPT 47562 HC CHOLECYSTECTOMY, LAPAROSCOPIC	$3,335.23	$14,501.00	—	—	77%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$10,418.18	$45,296.44	$550.32–$13,257.42	266% above	77%
Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER	$10,123.03	$44,013.18	$691.00–$12,803.29	282% above	77%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOID LIGATION	$205.99	$895.63	$143.21–$2,071.68	55% below	77%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOID LIGATION	$205.99	$895.63	—	—	77%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$3,498.91	$15,212.67	$550.32–$6,981.81	161% above	77%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY	$9,103.33	$39,579.68	$1,684.00–$4,964.53	392% above	77%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGIOGRAM	$175.49	$763.00	$208.27–$1,135.00	45% above	77%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGIOGRAM	$175.49	$763.00	—	—	77%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD)	$180.44	$784.51	$45.91–$1,135.00	6% below	77%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD)	$180.44	$784.51	—	—	77%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE SINGLE	$109.15	$474.55	$128.00–$1,135.00	44% below	77%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE SINGLE	$109.15	$474.55	—	—	77%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$9,369.06	$40,735.05	$679.83–$8,376.68	207% above	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT	$372.14	$1,618.00	$148.36–$1,213.50	50% above	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT	$372.14	$1,618.00	—	—	77%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR	$90.39	$393.00	$62.84–$1,135.00	2% below	77%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR	$90.39	$393.00	—	—	77%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA	$186.07	$809.00	$123.94–$1,135.00	13% below	77%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA	$186.07	$809.00	—	—	77%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHOCENTESIS, SMALL JOINT	$376.74	$1,638.00	$119.49–$1,228.50	64% above	77%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHOCENTESIS, SMALL JOINT	$376.74	$1,638.00	—	—	77%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY	$7,669.12	$33,343.98	$550.32–$7,372.73	at median	77%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$21,696.01	$94,330.46	$679.83–$7,372.73	519% above	77%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$7,752.67	$33,707.28	$679.83–$7,372.73	111% above	77%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPY, APPENDECTOMY	$3,565.71	$15,503.07	$773.72–$13,257.42	25% below	77%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPAROSCOPY, APPENDECTOMY	$3,565.71	$15,503.07	—	—	77%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$20,231.78	$87,964.26	$679.83–$23,657.42	360% above	77%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC LAPAROSCOPIC INGUINAL HERNIA REP	$2,300.26	$10,001.11	$679.83–$13,257.42	51% below	77%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC LAPAROSCOPIC INGUINAL HERNIA REP	$2,300.26	$10,001.11	—	—	77%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$9,590.16	$41,696.33	$1,073.67–$13,257.42	24% above	77%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$7,196.70	$31,290.02	$773.72–$13,257.42	17% above	77%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT REP S/A/T/EX 2.5CM/<	$217.11	$943.95	$128.00–$1,188.29	34% below	77%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT REP S/A/T/EX 2.5CM/<	$217.11	$943.95	—	—	77%
Left heart catheterization, diagnostic CPT 93452 HC INSERTION OF PARACHUTE DEVICE	$2,380.04	$10,348.00	$482.00–$12,884.90	43% below	77%
Left heart catheterization, diagnostic inpatient CPT 93452 HC INSERTION OF PARACHUTE DEVICE	$2,380.04	$10,348.00	—	—	77%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$529.82	$2,303.58	$359.35–$2,396.57	32% below	77%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$529.82	$2,303.58	—	—	77%
Lower-back epidural injection, without imaging guidance CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING	$408.32	$1,775.31	$359.35–$2,023.01	6% above	77%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING	$408.32	$1,775.31	—	—	77%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$924.37	$4,019.00	$642.64–$3,014.25	103% above	77%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$924.37	$4,019.00	—	—	77%
Lumpectomy (partial mastectomy) CPT 19301 PARTICAL MASTECTOMY	$8,154.08	$35,452.51	$550.32–$8,701.27	109% above	77%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$8,136.04	$35,374.10	$679.83–$14,818.71	147% above	77%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$2,655.78	$11,546.85	$773.72–$7,224.85	61% above	77%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE	$174.34	$758.00	$121.20–$1,135.00	29% above	77%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE	$174.34	$758.00	—	—	77%
Pacemaker implant (dual chamber) CPT 33208 HC INS/RPL PERM PACER A&V	$14,611.90	$63,530.00	$1,684.00–$47,647.50	41% above	77%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INS/RPL PERM PACER A&V	$14,611.90	$63,530.00	—	—	77%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE	$332.83	$1,447.08	$231.39–$2,130.42	43% below	77%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE	$332.83	$1,447.08	—	—	77%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION INGROWN TOENAIL	$776.94	$3,378.00	$350.43–$2,533.50	118% above	77%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION INGROWN TOENAIL	$776.94	$3,378.00	—	—	77%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC R/F FACET NERVE - LUM/SAC	$1,237.38	$5,379.93	$860.25–$4,437.28	22% above	77%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC R/F FACET NERVE - LUM/SAC	$1,237.38	$5,379.93	—	—	77%
Removal of a foreign object under the skin, simple CPT 10120 HC REMO F/B SUBQ SIMPLE	$252.77	$1,099.00	$128.00–$1,135.00	8% above	77%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO F/B SUBQ SIMPLE	$252.77	$1,099.00	—	—	77%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$5,574.55	$24,237.18	$679.83–$13,257.42	1% above	77%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$343.83	$1,494.90	$481.27–$2,071.68	45% below	77%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$343.83	$1,494.90	—	—	77%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$312.46	$1,358.54	$481.27–$2,071.68	49% below	77%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$312.46	$1,358.54	—	—	77%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$6,670.86	$29,003.74	$679.83–$7,369.23	33% above	77%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION, CAST, SHORT ARM	$179.39	$779.96	$124.72–$2,418.00	6% above	77%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION, CAST, SHORT ARM	$179.39	$779.96	—	—	77%
Short arm splint (forearm and hand) CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$92.23	$401.00	$80.20–$446.71	24% below	77%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC	$146.97	$639.00	$102.18–$2,418.00	21% above	77%
Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$92.23	$401.00	—	—	77%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC	$146.97	$639.00	—	—	77%
Short leg cast (below the knee) CPT 29405 HC APPLICATION, CAST, SHORT LEG	$413.08	$1,796.00	$128.00–$2,418.00	126% above	77%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION, CAST, SHORT LEG	$413.08	$1,796.00	—	—	77%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION, SPLINT, LOWER LEG	$360.87	$1,569.00	$128.00–$2,418.00	153% above	77%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION, SPLINT, LOWER LEG	$360.87	$1,569.00	—	—	77%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC	$10,059.33	$43,736.21	$773.72–$7,372.73	79% above	77%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM	$262.43	$1,141.00	$128.00–$1,135.00	40% above	77%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM	$262.43	$1,141.00	—	—	77%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION	$152.33	$662.32	$105.90–$1,135.00	44% below	77%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION	$152.33	$662.32	—	—	77%
Skin tag removal, up to 15 tags CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS	$77.05	$335.00	$53.57–$1,135.00	42% below	77%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS	$77.05	$335.00	—	—	77%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX	$325.68	$1,416.00	$359.35–$1,573.61	23% below	77%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX	$325.68	$1,416.00	—	—	77%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C	$413.08	$1,796.00	$128.00–$2,418.00	125% above	77%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C	$413.08	$1,796.00	—	—	77%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM	$194.12	$844.00	$128.00–$2,418.00	6% above	77%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM	$194.12	$844.00	—	—	77%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING	$446.43	$1,941.00	$359.35–$1,948.62	31% below	77%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING	$446.43	$1,941.00	—	—	77%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$18,143.72	$78,885.75	$1,684.00–$29,237.28	25% above	77%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$15,900.80	$69,133.91	$1,684.00–$29,237.28	28% above	77%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$6,559.45	$28,519.34	$1,444.88–$13,257.42	19% above	77%
Trigger finger release surgery CPT 26055 HC TRIGGER FINGER RELEASE	$803.52	$3,493.57	$481.27–$4,397.87	50% below	77%
Trigger finger release surgery inpatient CPT 26055 HC TRIGGER FINGER RELEASE	$803.52	$3,493.57	—	—	77%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$186.07	$809.00	$108.04–$1,135.00	41% above	77%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$186.07	$809.00	—	—	77%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$4,831.42	$21,006.18	$550.32–$13,257.42	10% below	77%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE	$1,130.45	$4,915.00	$481.27–$3,686.25	65% above	77%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE	$1,130.45	$4,915.00	—	—	77%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILATION BALLOON <30MM	$329.19	$1,431.24	$481.27–$4,310.53	61% below	77%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILATION BALLOON <30MM	$329.19	$1,431.24	—	—	77%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$219.82	$955.73	$401.41–$2,130.42	70% below	77%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$219.82	$955.73	—	—	77%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUC INJECT(S)	$219.82	$955.73	$401.41–$2,130.42	62% below	77%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUC INJECT(S)	$219.82	$955.73	—	—	77%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$329.19	$1,431.24	$481.27–$4,310.53	60% below	77%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$329.19	$1,431.24	—	—	77%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$219.82	$955.73	$401.41–$2,130.42	67% below	77%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$219.82	$955.73	—	—	77%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$219.82	$955.73	$359.35–$2,130.42	73% below	77%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$219.82	$955.73	—	—	77%
Vein ablation, radiofrequency, first vein CPT 36475 HC RF ABLATION VEIN 1ST W/ IMAGE	$2,104.86	$9,151.55	$550.32–$8,121.24	23% below	77%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC RF ABLATION VEIN 1ST W/ IMAGE	$2,104.86	$9,151.55	—	—	77%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE	$252.77	$1,099.00	$350.43–$1,524.00	36% below	77%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE	$252.77	$1,099.00	—	—	77%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL	$6,054.82	$26,325.31	$773.72–$16,618.64	21% below	77%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY)	$262.43	$1,141.00	$179.00–$1,024.09	45% below	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY)	$262.43	$1,141.00	—	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX	$107.87	$469.00	$74.99–$462.16	24% above	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT	$107.87	$469.00	$74.99–$462.16	24% above	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC RIBOVIRON TX DAILY	$107.87	$469.00	$74.99–$462.16	24% above	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT	$107.87	$469.00	$74.99–$462.16	24% above	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$107.87	$469.00	$74.99–$462.16	24% above	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY	$107.87	$469.00	$74.99–$462.16	24% above	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT	$107.87	$469.00	—	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY	$107.87	$469.00	—	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX	$107.87	$469.00	—	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$107.87	$469.00	—	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT	$107.87	$469.00	—	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC RIBOVIRON TX DAILY	$107.87	$469.00	—	—	77%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR	$275.54	$1,198.00	$191.56–$898.50	10% below	77%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR	$275.54	$1,198.00	$898.50	—	77%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC BASIC COMPREHENSIVE AUDIOMETRY	$87.70	$381.30	$60.97–$355.52	14% below	77%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC BASIC COMPREHENSIVE AUDIOMETRY	$87.70	$381.30	—	—	77%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$391.14	$1,700.60	$271.93–$1,914.66	48% below	77%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$391.14	$1,700.60	—	—	77%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG: AWAKE & DROWSY	$174.57	$759.00	$121.36–$741.00	43% below	77%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG: AWAKE & DROWSY	$174.57	$759.00	—	—	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$24.84	$108.00	$17.27–$199.00	70% below	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$24.84	$108.00	—	—	77%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMER ROOM LEVEL I	$55.03	$239.26	$38.26–$569.00	41% below	77%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMER ROOM LEVEL I	$55.03	$239.26	—	—	77%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMER ROOM LEVEL II	$78.18	$339.90	$54.35–$569.00	51% below	77%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMER ROOM LEVEL II	$78.18	$339.90	—	—	77%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMER ROOM LEVEL III	$121.44	$528.00	$84.43–$827.00	51% below	77%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMER ROOM LEVEL III	$121.44	$528.00	—	—	77%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMER ROOM LEVEL IV	$201.14	$874.50	$139.83–$1,520.00	50% below	77%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMER ROOM LEVEL IV	$201.14	$874.50	—	—	77%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMER ROOM LEVEL V	$351.67	$1,529.00	$244.49–$1,852.00	32% below	77%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMER ROOM LEVEL V	$351.67	$1,529.00	—	—	77%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM	$336.95	$1,465.00	$71.14–$1,098.75	1% below	77%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM	$336.95	$1,465.00	—	—	77%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$106.48	$462.95	$140.92–$365.09	1% below	77%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$106.48	$462.95	—	—	77%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR	$97.52	$424.00	$67.80–$478.75	34% below	77%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR	$97.52	$424.00	—	—	77%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THER/PROPH/DIAG - UP TO ONE HOUR	$158.47	$689.00	$110.17–$516.75	18% below	77%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THER/PROPH/DIAG - UP TO ONE HOUR	$158.47	$689.00	—	—	77%
IV push of a medicine, first drug CPT 96374 HC IV PUSH INITIAL SUBSTANCE/DRUG	$97.52	$424.00	$67.80–$478.75	1% above	77%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH INITIAL SUBSTANCE/DRUG	$97.52	$424.00	—	—	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC SQ/IM INJECTION	$40.25	$175.00	$27.98–$277.00	24% below	77%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC SQ/IM INJECTION	$40.25	$175.00	—	—	77%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC IOP-ABU PSYCH DIAGNOSTIC EVALUATION	$105.57	$459.00	$140.92–$365.09	13% below	77%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PHP-PSYCH DIAGNOSTIC EVALUATION	$105.57	$459.00	$140.92–$365.09	13% below	77%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC IOP-BMU PSYCH DIAGNOSTIC EVALUATION	$105.57	$459.00	$140.92–$365.09	13% below	77%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PHP-PSYCH DIAGNOSTIC EVALUATION	$105.57	$459.00	—	—	77%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC IOP-ABU PSYCH DIAGNOSTIC EVALUATION	$105.57	$459.00	—	—	77%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC IOP-BMU PSYCH DIAGNOSTIC EVALUATION	$105.57	$459.00	—	—	77%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$29.21	$127.00	$30.05–$124.00	25% below	77%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS	$29.21	$127.00	$30.05–$156.00	25% below	77%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$29.21	$127.00	—	—	77%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS	$29.21	$127.00	—	—	77%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$58.21	$253.08	$37.83–$229.21	19% below	77%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$58.21	$253.08	—	—	77%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$69.85	$303.70	$56.77–$333.51	11% below	77%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$69.85	$303.70	—	—	77%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$83.82	$364.44	$56.77–$333.51	14% below	77%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$83.82	$364.44	—	—	77%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN	$48.51	$210.90	$32.87–$199.22	12% below	77%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN	$48.51	$210.90	—	—	77%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$43.83	$190.56	$72.35–$236.71	61% below	77%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$43.83	$190.56	—	—	77%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$42.27	$183.77	$74.48–$231.01	67% below	77%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$42.27	$183.77	—	—	77%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$42.27	$183.77	$74.48–$231.01	61% below	77%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$42.27	$183.77	—	—	77%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS	$42.27	$183.77	$74.48–$231.01	64% below	77%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS	$42.27	$183.77	—	—	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS	$26.22	$114.00	$24.22–$124.00	32% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS	$26.22	$114.00	$24.22–$156.00	32% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS	$26.22	$114.00	—	—	77%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS	$26.22	$114.00	—	—	77%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EX EA 15MIN	$27.83	$121.00	$10.96–$124.00	27% below	77%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EX EA 15MIN	$27.83	$121.00	$10.96–$156.00	27% below	77%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EX EA 15MIN	$27.83	$121.00	—	—	77%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EX EA 15MIN	$27.83	$121.00	—	—	77%
Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W/MED SRVCS	$146.74	$638.01	$140.92–$478.51	35% above	77%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W/MED SRVCS	$146.74	$638.01	—	—	77%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CES INTERMED,NON-CTTS ONLY	$7.82	$34.00	$14.28–$80.00	60% below	77%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CES INTERMED,CTTS ONLY	$7.82	$34.00	$14.28–$80.00	60% below	77%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CES INTERMED ASYMPTOM	$17.95	$78.06	$26.13–$80.00	8% below	77%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CES INTERMED,NON-CTTS ONLY	$7.82	$34.00	—	—	77%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CES INTERMED,CTTS ONLY	$7.82	$34.00	—	—	77%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CES INTERMED ASYMPTOM	$17.95	$78.06	—	—	77%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$79.63	$346.21	$56.77–$333.51	16% above	77%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$79.63	$346.21	—	—	77%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$55.30	$240.43	$37.83–$229.21	1% below	77%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$55.30	$240.43	—	—	77%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$66.36	$288.51	$56.77–$333.51	4% above	77%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$66.36	$288.51	—	—	77%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN	$46.08	$200.36	$32.87–$199.22	7% below	77%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC LACTATION OP COUNSELING VISIT 2	$46.08	$200.36	$32.87–$199.22	7% below	77%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC LACTATION OP COUNSELING VISIT 2	$46.08	$200.36	—	—	77%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN	$46.08	$200.36	—	—	77%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION	$168.36	$732.00	$47.00–$549.00	9% below	77%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION	$168.36	$732.00	—	—	77%
Speech therapy session, individual CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$70.61	$307.00	$32.79–$325.14	17% below	77%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$70.61	$307.00	—	—	77%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$111.28	$483.84	$77.37–$371.00	13% below	77%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$111.28	$483.84	—	—	77%
Spirometry before and after a bronchodilator CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN	$163.43	$710.58	$113.62–$707.59	25% below	77%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN	$163.43	$710.58	—	—	77%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$30.13	$131.00	$8.76–$124.00	25% below	77%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$30.13	$131.00	$8.76–$156.00	25% below	77%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$30.13	$131.00	—	—	77%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$30.13	$131.00	—	—	77%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$204.93	$891.00	$113.06–$668.25	109% above	77%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$204.93	$891.00	—	—	77%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168)	$60.12	$261.41	$41.80–$196.06	44% below	77%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168)	$60.12	$261.41	$130.71–$169.92	—	77%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$150.91	$656.11	$104.91–$492.08	26% below	77%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$150.91	$656.11	$328.06–$426.47	—	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG (UIR)	$48.09	$209.09	$33.43–$156.82	31% below	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH,PERTUS(ACEL),TET,POL 25 LF-58 MCG-10 LF/0.5 ML IM (UMBRELLA VFC)	$48.09	$209.09	$33.43–$156.82	31% below	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG (UIR)	$48.09	$209.09	$104.55–$135.91	—	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPH,PERTUS(ACEL),TET,POL 25 LF-58 MCG-10 LF/0.5 ML IM (UMBRELLA VFC)	$48.09	$209.09	$104.55–$135.91	—	77%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED (PF) 15-10-5 LF-MCG-LF/0.5ML IM SUSP	$22.41	$97.42	$15.58–$73.07	32% below	77%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED (PF) 15-10-5 LF-MCG-LF/0.5ML IM SUSP	$22.41	$97.42	$48.71–$63.32	—	77%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VAC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRG	$78.01	$339.19	$54.24–$254.39	28% below	77%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VAC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRG	$78.01	$339.19	$169.60–$220.47	—	77%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIP,PER(A)TET-HEPB-POL-HIB(PF) 15 UNIT-5 UNIT- 10 MCG/0.5 ML IM SYRG (UIR)	$121.18	$526.87	$0.02–$395.15	59% above	77%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DIP,PER(A)TET-HEPB-POL-HIB(PF) 15 UNIT-5 UNIT- 10 MCG/0.5 ML IM SYRG (UIR)	$121.18	$526.87	$263.44–$342.47	—	77%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140)	$15.72	$68.33	$10.93–$51.25	49% below	77%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140)	$15.72	$68.33	$34.17–$44.41	—	77%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML IM (UMBRELLA)	$254.08	$1,104.70	$176.64–$828.53	3% below	77%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML IM (UMBRELLA)	$254.08	$1,104.70	$552.35–$718.06	—	77%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML IM SYRG	$103.25	$448.91	$71.78–$336.68	26% above	77%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML IM SYRG	$103.25	$448.91	$224.46–$291.79	—	77%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNITS/ML IM SYRG (UIR)	$66.71	$290.04	$46.38–$217.53	24% below	77%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$67.99	$295.62	$47.27–$221.72	23% below	77%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNITS/ML IM SYRG (UIR)	$66.71	$290.04	$145.02–$188.53	—	77%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$67.99	$295.62	$147.81–$192.15	—	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRG	$30.85	$134.14	$21.45–$100.61	30% below	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRG	$30.85	$134.14	$67.07–$87.19	—	77%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG (UIR)	$56.92	$247.47	$39.57–$185.60	19% below	77%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG (UIR)	$56.92	$247.47	$123.74–$160.86	—	77%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACC-CPG 1018 (PF) 20 MCG/0.5 ML IM (UMBRELLA)	$122.24	$531.47	$84.98–$398.60	12% below	77%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACC-CPG 1018 (PF) 20 MCG/0.5 ML IM SYRG (UIR)	$122.24	$531.47	$84.98–$398.60	12% below	77%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACC-CPG 1018 (PF) 20 MCG/0.5 ML IM SYRG (UIR)	$122.24	$531.47	$265.74–$345.46	—	77%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACC-CPG 1018 (PF) 20 MCG/0.5 ML IM (UMBRELLA)	$122.24	$531.47	$265.74–$345.46	—	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM SYRG (UIR)	$22.91	$99.62	$15.93–$74.72	42% below	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM UMBRELLA	$22.91	$99.62	$15.93–$74.72	42% below	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM SYRG (UIR)	$22.91	$99.62	$49.81–$64.75	—	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM UMBRELLA	$22.91	$99.62	$49.81–$64.75	—	77%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR	$10.08	$43.82	$7.01–$32.87	55% below	77%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR	$10.08	$43.82	$21.91–$28.48	—	77%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR	$76.96	$334.63	$53.51–$316.53	49% below	77%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR	$76.96	$334.63	$167.32–$217.51	—	77%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM SOLN (PREFERRED)(10 - 55 YO)	$129.67	$563.77	$90.15–$422.83	21% below	77%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM SOLN (PREFERRED)(10 - 55 YO)	$129.67	$563.77	$281.89–$366.45	—	77%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING VAC A,C,Y,W135,TET (PF) 10 MCG/0.5 ML IM SOLN	$137.64	$598.45	$95.69–$448.84	35% above	77%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING VAC A,C,Y,W135,TET (PF) 10 MCG/0.5 ML IM SOLN	$137.64	$598.45	$299.23–$388.99	—	77%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG	$184.64	$802.79	$128.37–$602.09	14% below	77%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG	$184.64	$802.79	$401.40–$521.81	—	77%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$222.74	$968.44	$154.85–$726.33	33% below	77%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$222.74	$968.44	$484.22–$629.49	—	77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG (UIR)	$96.95	$421.50	$67.40–$316.13	31% below	77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG (UIR)	$96.95	$421.50	$210.75–$273.98	—	77%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40-8-32 UNIT/0.5 ML INJ SUSP	$34.68	$150.80	$24.11–$113.10	17% below	77%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40-8-32 UNIT/0.5 ML INJ SUSP	$34.68	$150.80	$75.40–$98.02	—	77%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR	$244.26	$1,062.00	$169.81–$796.50	22% above	77%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR	$244.26	$1,062.00	$531.00–$690.30	—	77%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR	$342.72	$1,490.08	$238.26–$1,117.56	53% below	77%
Rabies vaccine, one dose CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR	$359.20	$1,561.72	$249.72–$1,171.29	50% below	77%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR	$342.72	$1,490.08	$745.04–$968.55	—	77%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR	$359.20	$1,561.72	$780.86–$1,015.12	—	77%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE, PENTA 2 ML ORAL SOLN	$81.20	$353.05	$56.45–$264.79	15% below	77%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE LIVE, PENTA 2 ML ORAL SOLN	$81.20	$353.05	$176.53–$229.48	—	77%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GE VAC,2 OF 2 50 MCG IM SUSR	$163.86	$712.43	$113.92–$534.32	16% above	77%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GE VAC,2 OF 2 50 MCG IM SUSR	$163.86	$712.43	$356.22–$463.08	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP	$23.17	$100.75	$16.11–$75.56	51% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP (UIR)	$29.48	$128.16	$20.49–$96.12	37% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UIR)	$29.48	$128.17	$20.49–$96.13	37% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP	$23.17	$100.75	$50.38–$65.49	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP (UIR)	$29.48	$128.16	$64.08–$83.30	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UIR)	$29.48	$128.17	$64.09–$83.31	—	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA)	$37.38	$162.52	$25.99–$121.89	45% below	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA)	$37.74	$164.10	$26.24–$123.08	44% below	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA)	$37.38	$162.52	$81.26–$105.64	—	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA)	$37.74	$164.10	$82.05–$106.67	—	77%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMINISTRATION 1 VACCINE	$40.25	$175.00	$19.31–$161.72	1% below	77%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMINISTRATION 1 VACCINE	$40.25	$175.00	—	—	77%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC SUBSEQUENT IMMUNIZATION ADMIN	$10.79	$46.90	$14.92–$45.00	61% below	77%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC SUBSEQUENT IMMUNIZATION ADMIN	$10.79	$46.90	—	—	77%

Source file: https://ochsner-craft.s3.amazonaws.com/core/800945173_brfhh-monroe-llc_standardcharges.csv.csv