Hospital Baton Rouge, LA

Ochsner St Mary

Listed in its price file as “Ochsner Morgan City LLC”.

Ochsner St Mary in Morgan City, LA publishes cash prices for 367 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 292 of 362 procedures and above it for 70. By typical cash price it ranks #1 of 58 Louisiana hospitals and #1 of 5 hospitals in the Baton Rouge, LA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1125 Marguerite Street, Morgan City, LA 70380-1855 Collected Sep 23, 2026 Source price file (985) 384-2200

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 190014 · CMS hospital register NPI 1205482023

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	$380.80	$1,904.00	$68.64–$1,623.73	63% below	80%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONTRAST	$380.80	$1,904.00	—	—	80%
Abdominal X-ray, 2 views CPT 74019 HC XRAY, ABDOMEN, 2 VIEWS	$66.20	$331.00	$41.00–$282.28	64% below	80%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY, ABDOMEN, 2 VIEWS	$66.20	$331.00	—	—	80%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS	$58.40	$292.00	$33.95–$249.02	51% below	80%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS	$58.40	$292.00	—	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRANCHIAL INDEX	$77.40	$387.00	$48.99–$349.85	54% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRANCHIAL INDEX	$77.40	$387.00	—	—	80%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$212.60	$1,063.00	$41.00–$1,485.00	67% below	80%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$212.60	$1,063.00	—	—	80%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST	$165.60	$828.00	$68.64–$706.12	23% below	80%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST	$165.60	$828.00	—	—	80%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$179.80	$899.00	$113.81–$866.23	67% below	80%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$179.80	$899.00	—	—	80%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILAT	$71.00	$355.00	$41.00–$302.74	58% below	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILAT	$71.00	$355.00	—	—	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LIMITED	$71.00	$355.00	$33.95–$302.74	58% below	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT LIMITED	$71.00	$355.00	—	—	80%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PEL W/ AND W/O CONTRAS	$552.60	$2,763.00	$137.70–$2,356.29	38% below	80%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PEL W/ AND W/O CONTRAS	$552.60	$2,763.00	—	—	80%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD CONTRAST	$388.60	$1,943.00	$68.64–$1,656.99	44% below	80%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD CONTRAST	$388.60	$1,943.00	—	—	80%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK CONTRAST	$388.60	$1,943.00	$68.64–$1,656.99	44% below	80%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK CONTRAST	$388.60	$1,943.00	—	—	80%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/ NON CORONARY	$388.60	$1,943.00	$68.64–$1,656.99	56% below	80%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/ NON CORONARY	$388.60	$1,943.00	—	—	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CARD W/3D IMAGE	$307.00	$1,535.00	$137.70–$1,399.00	39% below	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CARD W/3D IMAGE	$307.00	$1,535.00	—	—	80%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING	$51.60	$258.00	$32.66–$1,485.00	35% below	80%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING	$51.60	$258.00	—	—	80%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$313.00	$1,565.00	$93.20–$1,485.00	72% below	80%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$313.00	$1,565.00	—	—	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$425.40	$2,127.00	$137.70–$1,813.91	68% below	80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$425.40	$2,127.00	—	—	80%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST	$554.00	$2,770.00	$137.70–$2,362.26	62% below	80%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST	$554.00	$2,770.00	—	—	80%
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST	$295.60	$1,478.00	$68.64–$1,485.00	67% below	80%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST	$295.60	$1,478.00	—	—	80%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$207.40	$1,037.00	$41.00–$1,485.00	73% below	80%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$207.40	$1,037.00	—	—	80%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$222.60	$1,113.00	$41.00–$1,485.00	67% below	80%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$222.60	$1,113.00	—	—	80%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST	$170.60	$853.00	$41.00–$1,485.00	74% below	80%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST	$170.60	$853.00	—	—	80%
CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONTRAST	$220.60	$1,103.00	$68.64–$1,485.00	70% below	80%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONTRAST	$220.60	$1,103.00	—	—	80%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST	$271.60	$1,358.00	$68.64–$1,485.00	70% below	80%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST	$271.60	$1,358.00	—	—	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$220.60	$1,103.00	$41.00–$1,485.00	71% below	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$220.60	$1,103.00	—	—	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$221.80	$1,109.00	$41.00–$1,485.00	70% below	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$221.80	$1,109.00	—	—	80%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$260.00	$1,300.00	$68.64–$1,485.00	68% below	80%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$260.00	$1,300.00	—	—	80%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT	$619.80	$3,099.00	$93.20–$2,642.83	—	80%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT	$619.80	$3,099.00	—	—	80%
Chest CT scan without and with contrast CPT 71270 HC CT SCAN, THORAX, DX, W/WO CONTRAST	$345.40	$1,727.00	$68.64–$1,485.00	67% below	80%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT SCAN, THORAX, DX, W/WO CONTRAST	$345.40	$1,727.00	—	—	80%
Chest X-ray, 2 views CPT 71046 HC XRAY, CHEST, 2 VIEWS	$51.60	$258.00	$32.66–$220.02	61% below	80%
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY, CHEST, 2 VIEWS	$51.60	$258.00	—	—	80%
Chest X-ray, single view CPT 71045 HC XRAY, CHEST, 1 VIEW	$38.00	$190.00	$24.05–$185.87	65% below	80%
Chest X-ray, single view inpatient CPT 71045 HC XRAY, CHEST, 1 VIEW	$38.00	$190.00	—	—	80%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE	$49.80	$249.00	$31.52–$212.35	58% below	80%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE	$49.80	$249.00	—	—	80%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$73.80	$369.00	$41.00–$314.68	74% below	80%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$73.80	$369.00	—	—	80%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$71.80	$359.00	$41.00–$306.16	51% below	80%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$71.80	$359.00	—	—	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA BONE DENSITY APPEN SKEL	$37.80	$189.00	$23.93–$185.87	52% below	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA BONE DENSITY APPEN SKEL	$37.80	$189.00	—	—	80%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST	$221.00	$1,105.00	$41.00–$1,485.00	71% below	80%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST	$221.00	$1,105.00	—	—	80%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST	$273.60	$1,368.00	$68.64–$1,485.00	68% below	80%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST	$273.60	$1,368.00	—	—	80%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$57.40	$287.00	$36.33–$260.06	—	80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$57.40	$287.00	—	—	80%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$45.00	$225.00	$28.49–$204.01	63% below	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$45.00	$225.00	—	—	80%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT	$494.40	$2,472.00	$93.20–$2,108.12	—	80%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT	$494.40	$2,472.00	—	—	80%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT	$520.20	$2,601.00	$93.20–$2,218.13	—	80%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT	$520.20	$2,601.00	—	—	80%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER	$638.00	$3,190.00	$211.40–$2,720.43	13% below	80%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER	$638.00	$3,190.00	—	—	80%
Elbow X-ray, 2 views CPT 73070 HC ELBOW AP / LAT	$50.60	$253.00	$32.03–$215.76	57% below	80%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW AP / LAT	$50.60	$253.00	—	—	80%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW MIN 3 VIEWS	$66.20	$331.00	$33.95–$282.28	49% below	80%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW MIN 3 VIEWS	$66.20	$331.00	—	—	80%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT,SELLA,EAR W/O CONTRA	$223.00	$1,115.00	$41.00–$1,485.00	63% below	80%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT,SELLA,EAR W/O CONTRA	$223.00	$1,115.00	—	—	80%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS	$74.00	$370.00	$41.00–$315.54	53% below	80%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS	$74.00	$370.00	—	—	80%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEWS	$49.80	$249.00	$31.52–$212.35	56% below	80%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEWS	$49.80	$249.00	—	—	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$258.40	$1,292.00	$154.93–$1,101.82	55% below	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$258.40	$1,292.00	—	—	80%
Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEW	$48.80	$244.00	$30.89–$250.18	54% below	80%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEW	$48.80	$244.00	—	—	80%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEUS	$48.80	$244.00	$30.89–$208.08	55% below	80%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEUS	$48.80	$244.00	—	—	80%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT	$157.80	$789.00	$60.32–$672.86	22% below	80%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT	$157.80	$789.00	—	—	80%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STAGING +4 W/CPAP	$3,771.80	$18,859.00	$308.00–$16,082.96	178% above	80%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STAGING +4 W/CPAP	$3,771.80	$18,859.00	—	—	80%
Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS	$64.40	$322.00	$33.95–$274.60	52% below	80%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS	$64.40	$322.00	—	—	80%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE COMPLETE	$74.00	$370.00	$41.00–$315.54	52% below	80%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE COMPLETE	$74.00	$370.00	—	—	80%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$213.00	$1,065.00	$41.00–$1,485.00	65% below	80%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$213.00	$1,065.00	—	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$73.40	$367.00	$41.00–$312.98	72% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$73.40	$367.00	—	—	80%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD	$55.20	$276.00	$19.71–$250.18	68% below	80%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD	$55.20	$276.00	—	—	80%
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	$63.60	$318.00	$40.26–$1,485.00	59% below	80%
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	$63.60	$318.00	—	—	80%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA)	$47.80	$239.00	$30.26–$203.82	59% below	80%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA)	$47.80	$239.00	—	—	80%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$362.60	$1,813.00	$93.20–$2,330.00	60% below	80%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$362.60	$1,813.00	—	—	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXT JT W/O CONTR	$362.60	$1,813.00	$93.20–$2,330.00	67% below	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXT JT W/O CONTR	$362.60	$1,813.00	—	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JT W/WO CONT	$555.60	$2,778.00	$137.70–$2,369.08	56% below	80%
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	$555.60	$2,778.00	—	—	80%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$362.60	$1,813.00	$93.20–$2,330.00	63% below	80%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$362.60	$1,813.00	—	—	80%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$555.60	$2,778.00	$137.70–$2,369.08	58% below	80%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$555.60	$2,778.00	—	—	80%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$362.60	$1,813.00	$93.20–$2,330.00	68% below	80%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$362.60	$1,813.00	—	—	80%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST	$555.60	$2,778.00	$137.70–$2,369.08	62% below	80%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST	$555.60	$2,778.00	—	—	80%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$362.60	$1,813.00	$93.20–$2,330.00	68% below	80%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$362.60	$1,813.00	—	—	80%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$555.60	$2,778.00	$137.70–$2,369.08	60% below	80%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$555.60	$2,778.00	—	—	80%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$362.60	$1,813.00	$93.20–$2,330.00	67% below	80%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$362.60	$1,813.00	—	—	80%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$555.60	$2,778.00	$137.70–$2,369.08	65% below	80%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$555.60	$2,778.00	—	—	80%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$362.60	$1,813.00	$93.20–$2,330.00	65% below	80%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$362.60	$1,813.00	—	—	80%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$555.60	$2,778.00	$137.70–$2,369.08	50% below	80%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$555.60	$2,778.00	—	—	80%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$362.60	$1,813.00	$93.20–$2,330.00	59% below	80%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$362.60	$1,813.00	—	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$362.60	$1,813.00	$93.20–$2,330.00	63% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$362.60	$1,813.00	—	—	80%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS	$92.60	$463.00	$41.00–$394.85	55% below	80%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS	$92.60	$463.00	—	—	80%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS	$262.20	$1,311.00	$68.64–$1,485.00	62% below	80%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS	$262.20	$1,311.00	—	—	80%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR	$211.00	$1,055.00	$41.00–$1,485.00	69% below	80%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR	$211.00	$1,055.00	—	—	80%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE	$47.80	$239.00	$30.26–$203.82	58% below	80%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE	$47.80	$239.00	—	—	80%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MPI SPECT, MULTIPLE	$412.40	$2,062.00	$261.05–$3,002.90	65% below	80%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MPI SPECT, MULTIPLE	$412.40	$2,062.00	—	—	80%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET + CT SCAN, SKULL TO MID THIGH	$748.40	$3,742.00	$473.74–$3,487.00	62% below	80%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET + CT SCAN, SKULL TO MID THIGH	$748.40	$3,742.00	—	—	80%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$209.40	$1,047.00	$41.00–$1,485.00	70% below	80%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$209.40	$1,047.00	—	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED NON-OB	$71.40	$357.00	$41.00–$304.45	60% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED NON-OB	$71.40	$357.00	—	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB	$94.00	$470.00	$41.00–$400.82	66% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB	$94.00	$470.00	—	—	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$76.40	$382.00	$41.00–$325.77	71% below	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$76.40	$382.00	—	—	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION	$63.00	$315.00	$39.88–$268.63	73% below	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION	$63.00	$315.00	—	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 OR MORE GESTA	$51.60	$258.00	$32.66–$250.18	70% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 OR MORE GESTA	$51.60	$258.00	—	—	80%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS	$54.60	$273.00	$33.95–$232.81	60% below	80%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS	$54.60	$273.00	—	—	80%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS W/PA CHEST	$65.20	$326.00	$41.00–$278.01	52% below	80%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RIBS W/PA CHEST	$65.20	$326.00	—	—	80%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT	$58.60	$293.00	$37.09–$249.87	—	80%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT	$58.60	$293.00	—	—	80%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER ROUTINE	$51.60	$258.00	$32.66–$220.02	61% below	80%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER ROUTINE	$51.60	$258.00	—	—	80%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES, PARANASAL, COMP, MINIMUM 3 VIEWS	$67.20	$336.00	$33.95–$286.54	57% below	80%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES, PARANASAL, COMP, MINIMUM 3 VIEWS	$67.20	$336.00	—	—	80%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4VIEWS	$61.40	$307.00	$38.87–$261.81	54% below	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL < 4VIEWS	$61.40	$307.00	—	—	80%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE	$3,771.80	$18,859.00	$308.00–$16,082.96	194% above	80%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE	$3,771.80	$18,859.00	—	—	80%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO W/MONT & SUPERV	$264.20	$1,321.00	$167.24–$1,582.89	56% below	80%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS ECHO W/MONT & SUPERV	$264.20	$1,321.00	—	—	80%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST	$159.80	$799.00	$68.64–$681.39	34% below	80%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST	$159.80	$799.00	—	—	80%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS	$62.40	$312.00	$33.95–$266.07	46% below	80%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS	$62.40	$312.00	—	—	80%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$221.00	$1,105.00	$41.00–$1,485.00	71% below	80%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$221.00	$1,105.00	—	—	80%
Toe X-ray, 2 or more views CPT 73660 HC TOE OR TOES MIN 2VIEWS	$54.60	$273.00	$33.95–$232.81	51% below	80%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE OR TOES MIN 2VIEWS	$54.60	$273.00	—	—	80%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$94.00	$470.00	$41.00–$400.82	55% below	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$94.00	$470.00	—	—	80%
Transvaginal ultrasound during pregnancy CPT 76817 HC US, OB, TRANSVAG APPROACH	$70.20	$351.00	$41.00–$299.33	61% below	80%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, OB, TRANSVAG APPROACH	$70.20	$351.00	—	—	80%
Ultrasound of the abdomen, complete CPT 76700 HC US, ABD, B-SCAN, COMPLETE	$76.20	$381.00	$41.00–$324.92	75% below	80%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABD, B-SCAN, COMPLETE	$76.20	$381.00	—	—	80%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS	$95.20	$476.00	$41.00–$405.93	55% below	80%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS	$95.20	$476.00	—	—	80%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$84.00	$420.00	$41.00–$358.18	67% below	80%
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	$84.00	$420.00	—	—	80%
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	$128.80	$644.00	$68.64–$549.20	49% below	80%
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	$128.80	$644.00	—	—	80%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS ROUTINE	$51.60	$258.00	$32.66–$220.02	56% below	80%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS ROUTINE	$51.60	$258.00	—	—	80%
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	$408.40	$2,042.00	$41.00–$1,741.42	59% above	80%
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	$408.40	$2,042.00	—	—	80%
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEW	$53.60	$268.00	$33.93–$228.55	51% below	80%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEW	$53.60	$268.00	—	—	80%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE	$67.20	$336.00	$33.95–$286.54	41% below	80%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE	$67.20	$336.00	—	—	80%
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	$56.60	$283.00	$33.95–$241.34	55% below	80%
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	$56.60	$283.00	—	—	80%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY, ABDOMEN, 1 VIEW	$42.00	$210.00	$26.59–$185.87	67% below	80%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY, ABDOMEN, 1 VIEW	$42.00	$210.00	—	—	80%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS	$49.80	$249.00	$31.52–$212.35	54% below	80%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS	$49.80	$249.00	—	—	80%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$58.40	$292.00	$33.95–$249.02	43% below	80%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$58.40	$292.00	—	—	80%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW	$47.80	$239.00	$30.26–$203.82	56% below	80%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW	$47.80	$239.00	—	—	80%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS	$57.60	$288.00	$33.95–$245.61	53% below	80%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS	$57.60	$288.00	—	—	80%
X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE	$57.60	$288.00	$33.95–$245.61	55% below	80%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE	$57.60	$288.00	—	—	80%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS	$51.60	$258.00	$32.66–$220.02	55% below	80%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS	$51.60	$258.00	—	—	80%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3V	$71.20	$356.00	$41.00–$303.60	53% below	80%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3V	$71.20	$356.00	—	—	80%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$97.40	$487.00	$41.00–$415.31	55% below	80%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$97.40	$487.00	—	—	80%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP&LAT	$56.60	$283.00	$35.83–$250.18	64% below	80%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP&LAT	$56.60	$283.00	—	—	80%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS	$60.40	$302.00	$33.95–$257.55	48% below	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS	$60.40	$302.00	—	—	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL, AP&LAT	$66.20	$331.00	$33.95–$282.28	54% below	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL, AP&LAT	$66.20	$331.00	—	—	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS	$44.80	$224.00	$28.36–$250.18	66% below	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS	$44.80	$224.00	—	—	80%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS	$51.60	$258.00	$32.66–$220.02	62% below	80%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS	$51.60	$258.00	—	—	80%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 HC ACTH	$47.60	$238.00	$34.62–$202.97	55% below	80%
ACTH blood test inpatient CPT 82024 HC ACTH	$47.60	$238.00	—	—	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT	$6.20	$31.00	$4.75–$26.44	68% below	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT	$6.20	$31.00	—	—	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT	$6.40	$32.00	$4.64–$27.29	68% below	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT	$6.40	$32.00	—	—	80%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL, ACUTE	$49.60	$248.00	$42.70–$211.49	55% below	80%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL, ACUTE	$49.60	$248.00	—	—	80%
Albumin blood test CPT 82040 HC POC ALBUMIN BLOOD	$6.20	$31.00	$4.44–$26.44	56% below	80%
Albumin blood test CPT 82040 HC ALBUMIN (RL)	$6.20	$31.00	$4.44–$26.44	56% below	80%
Albumin blood test CPT 82040 HC ALBUMIN-SERUM	$6.20	$31.00	$4.44–$26.44	56% below	80%
Albumin blood test inpatient CPT 82040 HC POC ALBUMIN BLOOD	$6.20	$31.00	—	—	80%
Albumin blood test inpatient CPT 82040 HC ALBUMIN-SERUM	$6.20	$31.00	—	—	80%
Albumin blood test inpatient CPT 82040 HC ALBUMIN (RL)	$6.20	$31.00	—	—	80%
Aldosterone blood test CPT 82088 HC ALDOSTERONE- SERUM	$49.20	$246.00	$36.53–$209.79	48% below	80%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, LAV - RL	$49.20	$246.00	$36.53–$209.79	48% below	80%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, LAV - RL	$49.20	$246.00	—	—	80%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE- SERUM	$49.20	$246.00	—	—	80%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE, BONE SPE-RL	$6.80	$34.00	$4.64–$29.00	64% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$6.80	$34.00	$4.64–$29.00	64% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOS, TOTAL	$6.80	$34.00	$4.64–$29.00	64% below	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE, BONE SPE-RL	$6.80	$34.00	—	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$6.80	$34.00	—	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOS, TOTAL	$6.80	$34.00	—	—	80%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH	$6.20	$31.00	$4.68–$26.44	37% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH	$6.20	$31.00	$4.68–$26.44	37% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH	$6.20	$31.00	$4.68–$26.44	37% below	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH	$6.20	$31.00	—	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH	$6.20	$31.00	—	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH	$6.20	$31.00	—	—	80%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP, MATERNAL SEQ SCRN	$20.20	$101.00	$15.03–$86.13	59% below	80%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP, MATERNAL SCREEN	$20.20	$101.00	$15.03–$86.13	59% below	80%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK)	$20.20	$101.00	$15.03–$86.13	59% below	80%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK)	$20.20	$101.00	—	—	80%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP, MATERNAL SEQ SCRN	$20.20	$101.00	—	—	80%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP, MATERNAL SCREEN	$20.20	$101.00	—	—	80%
Ammonia blood test CPT 82140 HC SUPERSAT URINE, AMMONIUM	$18.00	$90.00	$13.06–$76.75	63% below	80%
Ammonia blood test CPT 82140 HC AMMONIA, BLOOD	$18.00	$90.00	$13.06–$76.75	63% below	80%
Ammonia blood test inpatient CPT 82140 HC AMMONIA, BLOOD	$18.00	$90.00	—	—	80%
Ammonia blood test inpatient CPT 82140 HC SUPERSAT URINE, AMMONIUM	$18.00	$90.00	—	—	80%
Amylase blood test CPT 82150 HC AMYLASE, BODY FLUID - RL	$7.60	$38.00	$5.81–$32.41	66% below	80%
Amylase blood test CPT 82150 HC AMYLASE	$7.60	$38.00	$5.81–$32.41	66% below	80%
Amylase blood test inpatient CPT 82150 HC AMYLASE, BODY FLUID - RL	$7.60	$38.00	—	—	80%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$7.60	$38.00	—	—	80%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODIES	$15.00	$75.00	$11.61–$63.96	64% below	80%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODIES	$15.00	$75.00	—	—	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$14.20	$71.00	$10.84–$60.55	69% below	80%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$14.20	$71.00	—	—	80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$39.40	$197.00	$35.19–$168.00	40% below	80%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$39.40	$197.00	—	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE THROAT	$10.60	$53.00	$7.73–$45.20	62% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, ENVIRONMENTAL	$10.60	$53.00	$7.73–$45.20	62% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, ROUTINE AEROBIC	$10.60	$53.00	$7.73–$45.20	62% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESP CULT, CYSTIC FIBROSIS	$10.60	$53.00	$7.73–$45.20	62% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESPIRATORY CULTURE	$10.60	$53.00	$7.73–$45.20	62% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC SPINAL FLD CULTURE	$10.60	$53.00	$7.73–$45.20	62% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE MISC	$10.60	$53.00	$7.73–$45.20	62% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC SPINAL FLD CULTURE	$10.60	$53.00	—	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, ENVIRONMENTAL	$10.60	$53.00	—	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE THROAT	$10.60	$53.00	—	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE MISC	$10.60	$53.00	—	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, ROUTINE AEROBIC	$10.60	$53.00	—	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESPIRATORY CULTURE	$10.60	$53.00	—	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESP CULT, CYSTIC FIBROSIS	$10.60	$53.00	—	—	80%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$12.20	$61.00	$7.59–$52.02	65% below	80%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$12.20	$61.00	—	—	80%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL	$4.40	$22.00	$4.50–$18.76	73% below	80%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL, BODY FLUID - RL	$4.40	$22.00	$4.50–$18.76	73% below	80%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL, BODY FLUID - RL	$4.40	$22.00	—	—	80%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL	$4.40	$22.00	—	—	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC MUSCLE OR NERVE TISSSUE EXAM - RL	$54.00	$270.00	$20.60–$230.26	31% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 *HC RECTAL BX GM4	$54.00	$270.00	$20.60–$230.26	31% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 *HC G&M LEVEL IV (MUSCLE OR NERVE BX)-RL	$54.00	$270.00	$20.60–$230.26	31% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE, G & M, LEVEL IV	$54.00	$270.00	$20.60–$230.26	31% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE G&M LVL IV MULTI BX, EA	$54.00	$270.00	$20.60–$230.26	31% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 *HC SKIN, MODERATE, MULTI EACH	$54.00	$270.00	$20.60–$230.26	31% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL	$54.00	$270.00	$20.60–$230.26	31% below	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL	$54.00	$270.00	—	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *HC SKIN, MODERATE, MULTI EACH	$54.00	$270.00	—	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *HC RECTAL BX GM4	$54.00	$270.00	—	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *HC G&M LEVEL IV (MUSCLE OR NERVE BX)-RL	$54.00	$270.00	—	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE, G & M, LEVEL IV	$54.00	$270.00	—	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE G&M LVL IV MULTI BX, EA	$54.00	$270.00	—	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC MUSCLE OR NERVE TISSSUE EXAM - RL	$54.00	$270.00	—	—	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE/BL COLL	$3.00	$15.00	$2.70–$12.79	64% below	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE/BL COLL	$3.00	$15.00	—	—	80%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE	$5.00	$25.00	$3.52–$21.32	62% below	80%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE	$5.00	$25.00	—	—	80%
Blood lead test CPT 83655 HC LEAD, BLOOD	$15.20	$76.00	$10.85–$64.81	44% below	80%
Blood lead test CPT 83655 HC LEAD, URINE	$15.20	$76.00	$10.85–$64.81	44% below	80%
Blood lead test inpatient CPT 83655 HC LEAD, BLOOD	$15.20	$76.00	—	—	80%
Blood lead test inpatient CPT 83655 HC LEAD, URINE	$15.20	$76.00	—	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR	$9.20	$46.00	$6.74–$39.23	69% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR	$9.20	$46.00	—	—	80%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN, BODY FLUIDS - RL	$5.20	$26.00	$3.54–$22.17	69% below	80%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN, BLOOD	$5.20	$26.00	$3.54–$22.17	69% below	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN, BODY FLUIDS - RL	$5.20	$26.00	—	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN, BLOOD	$5.20	$26.00	—	—	80%
C-peptide blood test CPT 84681 HC C PEPTIDE	$24.40	$122.00	$18.66–$104.04	52% below	80%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE	$24.40	$122.00	—	—	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC IBD SGI CRP	$6.40	$32.00	$4.64–$27.29	73% below	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$6.40	$32.00	$4.64–$27.29	73% below	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC IBD SGI CRP	$6.40	$32.00	—	—	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$6.40	$32.00	—	—	80%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$40.80	$204.00	$33.41–$173.97	35% below	80%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$40.80	$204.00	—	—	80%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9	$24.20	$121.00	$18.66–$103.19	50% below	80%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9	$24.20	$121.00	—	—	80%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$24.20	$121.00	$18.66–$103.19	53% below	80%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER AG 125 (CA 125)-RL	$24.20	$121.00	$18.66–$103.19	53% below	80%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$24.20	$121.00	—	—	80%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CANCER AG 125 (CA 125)-RL	$24.20	$121.00	—	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$19.40	$97.00	$39.76–$82.72	73% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$19.40	$97.00	—	—	80%
Calcium blood test, total CPT 82310 HC CALCIUM, RANDOM, URINE - RL	$6.40	$32.00	$4.63–$27.29	68% below	80%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM	$6.40	$32.00	$4.63–$27.29	68% below	80%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM	$6.40	$32.00	—	—	80%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM, RANDOM, URINE - RL	$6.40	$32.00	—	—	80%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA	$23.80	$119.00	$16.99–$101.48	59% below	80%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA	$23.80	$119.00	—	—	80%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB-IGM	$13.60	$68.00	$11.55–$57.99	63% below	80%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA AB	$13.60	$68.00	$11.55–$57.99	63% below	80%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA AB	$13.60	$68.00	—	—	80%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB-IGM	$13.60	$68.00	—	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA	$41.20	$206.00	$31.46–$175.68	28% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA	$41.20	$206.00	$31.46–$175.68	28% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA	$41.20	$206.00	$31.46–$175.68	28% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE	$41.20	$206.00	$31.46–$175.68	28% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA CONF	$41.20	$206.00	$31.46–$175.68	28% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA	$41.20	$206.00	—	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA CONF	$41.20	$206.00	—	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE	$41.20	$206.00	—	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA	$41.20	$206.00	—	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA	$41.20	$206.00	—	—	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$13.60	$68.00	$12.01–$57.99	73% below	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC NMR LIPIDS	$13.60	$68.00	$12.01–$57.99	73% below	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$13.60	$68.00	—	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC NMR LIPIDS	$13.60	$68.00	—	—	80%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$9.60	$48.00	$6.97–$40.93	63% below	80%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$9.60	$48.00	—	—	80%
Complete blood count (CBC), no differential CPT 85027 HC HEMATOLOGY PROFILE	$7.60	$38.00	$5.80–$32.41	73% below	80%
Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMATOLOGY PROFILE	$7.60	$38.00	—	—	80%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14	$13.40	$67.00	$9.47–$57.14	82% below	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14	$13.40	$67.00	—	—	80%
Cortisol blood test, total CPT 82533 HC CORTISOL, LCMS	$20.60	$103.00	$14.61–$87.84	46% below	80%
Cortisol blood test, total CPT 82533 HC CORTISOL	$20.60	$103.00	$14.61–$87.84	46% below	80%
Cortisol blood test, total CPT 82533 HC CORTISOL, SALIVA	$20.60	$103.00	$14.61–$87.84	46% below	80%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, LCMS	$20.60	$103.00	—	—	80%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$20.60	$103.00	—	—	80%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, SALIVA	$20.60	$103.00	—	—	80%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CK TOTAL	$8.40	$42.00	$5.83–$35.82	62% below	80%
Creatine kinase (CK) blood test, total CPT 82550 HC CK, TOTAL	$8.40	$42.00	$5.83–$35.82	62% below	80%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CK TOTAL	$8.40	$42.00	—	—	80%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK, TOTAL	$8.40	$42.00	—	—	80%
Creatinine blood test CPT 82565 HC CREATININE-BLOOD	$7.60	$38.00	$4.59–$32.41	54% below	80%
Creatinine blood test CPT 82565 HC CREATININE	$7.60	$38.00	$4.59–$32.41	54% below	80%
Creatinine blood test inpatient CPT 82565 HC CREATININE-BLOOD	$7.60	$38.00	—	—	80%
Creatinine blood test inpatient CPT 82565 HC CREATININE	$7.60	$38.00	—	—	80%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG	$17.00	$85.00	$12.90–$72.49	57% below	80%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV AB (TOTAL)	$17.00	$85.00	$12.90–$72.49	57% below	80%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG	$17.00	$85.00	—	—	80%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV AB (TOTAL)	$17.00	$85.00	—	—	80%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER, QUANT	$11.60	$58.00	$9.13–$49.46	77% below	80%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER, QUANT	$11.60	$58.00	—	—	80%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S	$26.40	$132.00	$19.93–$112.57	53% below	80%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S	$26.40	$132.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN, URINE	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC HYPOGLYCEMIC AGENT SCREEN	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE ANALYSIS, URINE - RL	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN CLINIC DRUG SCREEN, U - RL	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE PANEL, MECONIUM - SCREEN	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN, ANY	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, PRESC/OTC, SERUM	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GAMMA-HYDROXYBUTYRIC ACID	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TRICYCLICS, BLOOD SCREEN	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 *HC SALICYLATE	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ALCOHOL, URINE MEDICAL	$64.20	$321.00	$55.70–$273.75	95% above	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GAMMA-HYDROXYBUTYRIC ACID	$64.20	$321.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, PRESC/OTC, SERUM	$64.20	$321.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN, URINE	$64.20	$321.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN, ANY	$64.20	$321.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE PANEL, MECONIUM - SCREEN	$64.20	$321.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PAIN CLINIC DRUG SCREEN, U - RL	$64.20	$321.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE ANALYSIS, URINE - RL	$64.20	$321.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC HYPOGLYCEMIC AGENT SCREEN	$64.20	$321.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 *HC SALICYLATE	$64.20	$321.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ALCOHOL, URINE MEDICAL	$64.20	$321.00	—	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TRICYCLICS, BLOOD SCREEN	$64.20	$321.00	—	—	80%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV-IGM	$21.00	$105.00	$16.26–$89.54	59% below	80%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV IGG	$21.00	$105.00	$16.26–$89.54	59% below	80%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS, VCA IGG	$21.00	$105.00	$16.26–$89.54	59% below	80%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS, VCA IGM	$21.00	$105.00	$16.26–$89.54	59% below	80%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS, VCA IGG	$21.00	$105.00	—	—	80%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS, VCA IGM	$21.00	$105.00	—	—	80%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV-IGM	$21.00	$105.00	—	—	80%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV IGG	$21.00	$105.00	—	—	80%
Estradiol blood test CPT 82670 HC ESTRADIOL, ULTRASENSITIVE, LC/MS - RL	$34.20	$171.00	$25.05–$145.83	40% below	80%
Estradiol blood test CPT 82670 HC ESTRADIOL	$34.20	$171.00	$25.05–$145.83	40% below	80%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$34.20	$171.00	—	—	80%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL, ULTRASENSITIVE, LC/MS - RL	$34.20	$171.00	—	—	80%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH	$23.00	$115.00	$16.66–$98.07	58% below	80%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH	$23.00	$115.00	—	—	80%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL	$22.80	$114.00	$17.60–$97.22	76% below	80%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL	$22.80	$114.00	—	—	80%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN - RL	$16.80	$84.00	$12.22–$71.64	63% below	80%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$16.80	$84.00	$12.22–$71.64	63% below	80%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN - RL	$16.80	$84.00	—	—	80%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$16.80	$84.00	—	—	80%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$10.00	$50.00	$8.71–$42.64	68% below	80%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$10.00	$50.00	—	—	80%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID	$17.20	$86.00	$13.18–$73.34	54% below	80%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID	$17.20	$86.00	—	—	80%
Free T3 thyroid hormone test CPT 84481 HC T3,FREE	$11.80	$59.00	$13.88–$50.32	76% below	80%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3,FREE	$11.80	$59.00	—	—	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE	$11.60	$58.00	$8.08–$49.46	67% below	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE	$11.60	$58.00	$8.08–$49.46	67% below	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE BY DIALYSIS	$11.60	$58.00	$8.08–$49.46	67% below	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE	$11.60	$58.00	—	—	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE BY DIALYSIS	$11.60	$58.00	—	—	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE	$11.60	$58.00	—	—	80%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE, MALES	$31.00	$155.00	$22.83–$132.18	49% below	80%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE	$31.00	$155.00	$22.83–$132.18	49% below	80%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS	$31.00	$155.00	$22.83–$132.18	49% below	80%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS	$31.00	$155.00	—	—	80%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE, MALES	$31.00	$155.00	—	—	80%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE	$31.00	$155.00	—	—	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT	$9.40	$47.00	$6.45–$40.08	62% below	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT	$9.40	$47.00	—	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE	$5.40	$27.00	$4.26–$23.03	66% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE	$5.40	$27.00	—	—	80%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$15.20	$76.00	$11.54–$64.81	66% below	80%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$15.20	$76.00	$11.54–$64.81	66% below	80%
Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE 3 SPECIMENS	$15.20	$76.00	$11.54–$64.81	66% below	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$15.20	$76.00	—	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE 3 SPECIMENS	$15.20	$76.00	—	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$15.20	$76.00	—	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE RNA, TMA	$17.20	$86.00	$31.46–$73.34	70% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA	$17.20	$86.00	$31.46–$73.34	70% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC BY AMPLIFIED PROBE	$17.20	$86.00	$31.46–$73.34	70% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA CONF	$17.20	$86.00	$31.46–$73.34	70% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA	$17.20	$86.00	$31.46–$73.34	70% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC BY AMPLIFIED PROBE	$17.20	$86.00	—	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA CONF	$17.20	$86.00	—	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA	$17.20	$86.00	—	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE RNA, TMA	$17.20	$86.00	—	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA	$17.20	$86.00	—	—	80%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB IGM	$13.40	$67.00	$15.10–$57.14	71% below	80%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG	$13.40	$67.00	$15.10–$57.14	71% below	80%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB, EACH	$13.40	$67.00	$15.10–$57.14	71% below	80%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG	$13.40	$67.00	—	—	80%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB, EACH	$13.40	$67.00	—	—	80%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB IGM	$13.40	$67.00	—	—	80%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA DETECT/QUANT	$99.60	$498.00	$76.28–$424.69	42% below	80%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$99.60	$498.00	$76.28–$424.69	42% below	80%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$99.60	$498.00	—	—	80%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA DETECT/QUANT	$99.60	$498.00	—	—	80%
HIV-1 and HIV-2 antibody test CPT 86703 HC RAPID HIV-1/2 AB	$12.40	$62.00	$12.29–$52.87	64% below	80%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1 & HIV2, SGL ASSAY	$12.40	$62.00	$12.29–$52.87	64% below	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1 & HIV2, SGL ASSAY	$12.40	$62.00	—	—	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC RAPID HIV-1/2 AB	$12.40	$62.00	—	—	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB	$25.80	$129.00	$21.58–$110.01	45% below	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB	$25.80	$129.00	—	—	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C - RL	$11.00	$55.00	$8.70–$46.90	69% below	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HB	$11.00	$55.00	$8.70–$46.90	69% below	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HB	$11.00	$55.00	—	—	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C - RL	$11.00	$55.00	—	—	80%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$2.60	$13.00	$2.12–$11.09	75% below	80%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$2.60	$13.00	—	—	80%
Hepatitis B core antibody test (total) CPT 86704 HC HBCAB	$14.20	$71.00	$10.80–$60.55	50% below	80%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB, DONOR EVAL (BLOOD CENTER)	$14.20	$71.00	$10.80–$60.55	50% below	80%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HBCAB	$14.20	$71.00	—	—	80%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB, DONOR EVAL (BLOOD CENTER)	$14.20	$71.00	—	—	80%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HBSAB	$12.40	$62.00	$9.63–$52.87	59% below	80%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB, DONOR EVAL (BLOOD CENTER)	$12.40	$62.00	$9.63–$52.87	59% below	80%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TITER	$12.40	$62.00	$9.63–$52.87	59% below	80%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB, DONOR EVAL (BLOOD CENTER)	$12.40	$62.00	—	—	80%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HBSAB	$12.40	$62.00	—	—	80%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TITER	$12.40	$62.00	—	—	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG	$12.40	$62.00	$9.26–$52.87	65% below	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER)	$12.40	$62.00	$9.26–$52.87	65% below	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG	$12.40	$62.00	—	—	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER)	$12.40	$62.00	—	—	80%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER)	$16.40	$82.00	$12.79–$69.93	64% below	80%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV-AB	$16.40	$82.00	$12.79–$69.93	64% below	80%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER)	$16.40	$82.00	—	—	80%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV-AB	$16.40	$82.00	—	—	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY PCR	$50.80	$254.00	$38.40–$216.61	54% below	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY BDNA	$50.80	$254.00	$38.40–$216.61	54% below	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$50.80	$254.00	$38.40–$216.61	54% below	80%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY PCR	$50.80	$254.00	—	—	80%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$50.80	$254.00	—	—	80%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY BDNA	$50.80	$254.00	—	—	80%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB	$15.20	$76.00	$11.83–$64.81	40% below	80%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG	$15.20	$76.00	$11.83–$64.81	40% below	80%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG AB	$15.20	$76.00	$11.83–$64.81	40% below	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB	$15.20	$76.00	—	—	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG	$15.20	$76.00	—	—	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG AB	$15.20	$76.00	—	—	80%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB	$22.60	$113.00	$17.34–$96.37	48% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG	$22.60	$113.00	$17.34–$96.37	48% below	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG	$22.60	$113.00	—	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB	$22.60	$113.00	—	—	80%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS	$15.00	$75.00	$11.61–$63.96	65% below	80%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS	$15.00	$75.00	—	—	80%
Homocysteine blood test CPT 83090 HC HOMOCYSTINES, PLASMA	$19.60	$98.00	$16.07–$83.57	66% below	80%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINES, PLASMA	$19.60	$98.00	—	—	80%
Insulin blood test CPT 83525 HC INSULIN	$14.40	$72.00	$10.24–$61.40	50% below	80%
Insulin blood test inpatient CPT 83525 HC INSULIN	$14.40	$72.00	—	—	80%
Iron blood test (serum iron) CPT 83540 HC IRON	$7.20	$36.00	$5.80–$30.70	67% below	80%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$7.20	$36.00	—	—	80%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$11.40	$57.00	$7.84–$48.61	65% below	80%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$11.40	$57.00	—	—	80%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$11.60	$58.00	$7.79–$49.46	77% below	80%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$11.60	$58.00	—	—	80%
LH (luteinizing hormone) test CPT 83002 HC LH	$22.60	$113.00	$16.61–$96.37	58% below	80%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH	$22.60	$113.00	—	—	80%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID	$12.60	$63.00	$10.37–$53.73	55% below	80%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID, BODY FLUID	$12.60	$63.00	$10.37–$53.73	55% below	80%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID	$12.60	$63.00	—	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID, BODY FLUID	$12.60	$63.00	—	—	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID - RL	$7.20	$36.00	$5.42–$30.70	65% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH-BLOOD OR BODY FLUID	$7.20	$36.00	$5.42–$30.70	65% below	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID - RL	$7.20	$36.00	—	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH-BLOOD OR BODY FLUID	$7.20	$36.00	—	—	80%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, BODY FLUID - RL	$8.00	$40.00	$6.17–$34.11	68% below	80%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$8.00	$40.00	$6.17–$34.11	68% below	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$8.00	$40.00	—	—	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, BODY FLUID - RL	$8.00	$40.00	—	—	80%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODIES	$20.40	$102.00	$15.26–$86.99	60% below	80%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODIES	$20.40	$102.00	—	—	80%
Magnesium blood test CPT 83735 HC MAGNESIUM, RBC	$7.60	$38.00	$6.00–$32.41	65% below	80%
Magnesium blood test CPT 83735 HC MAGNESIUM, FECES	$7.60	$38.00	$6.00–$32.41	65% below	80%
Magnesium blood test CPT 83735 HC SUPERSAT URINE, MAGNESIUM	$7.60	$38.00	$6.00–$32.41	65% below	80%
Magnesium blood test CPT 83735 HC MAGNESIUM	$7.60	$38.00	$6.00–$32.41	65% below	80%
Magnesium blood test inpatient CPT 83735 HC SUPERSAT URINE, MAGNESIUM	$7.60	$38.00	—	—	80%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC	$7.60	$38.00	—	—	80%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, FECES	$7.60	$38.00	—	—	80%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$7.60	$38.00	—	—	80%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG	$15.60	$78.00	$11.55–$66.52	46% below	80%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG	$15.60	$78.00	—	—	80%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT	$5.80	$29.00	$4.64–$24.73	76% below	80%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN	$5.80	$29.00	$4.64–$24.73	76% below	80%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT	$5.80	$29.00	—	—	80%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODY SCREEN	$5.80	$29.00	—	—	80%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODIES IGM (EIA)	$15.00	$75.00	$11.70–$63.96	49% below	80%
Mumps immunity blood test CPT 86735 HC MUMPS AB, IGG	$15.00	$75.00	$11.70–$63.96	49% below	80%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB, IGG	$15.00	$75.00	—	—	80%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODIES IGM (EIA)	$15.00	$75.00	—	—	80%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE	$21.60	$108.00	$16.49–$92.10	56% below	80%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, FREE	$21.60	$108.00	$16.49–$92.10	56% below	80%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, FREE	$21.60	$108.00	—	—	80%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE	$21.60	$108.00	—	—	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL-REF LAB ONLY	$21.60	$108.00	$16.49–$92.10	51% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC	$21.60	$108.00	$16.49–$92.10	51% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL	$21.60	$108.00	$16.49–$92.10	51% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, SCREENING	$21.60	$108.00	$16.49–$92.10	51% below	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL	$21.60	$108.00	—	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, SCREENING	$21.60	$108.00	—	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC	$21.60	$108.00	—	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL-REF LAB ONLY	$21.60	$108.00	—	—	80%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE, FNA	$48.60	$243.00	$37.00–$207.23	47% below	80%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTACT	$48.60	$243.00	$37.00–$207.23	47% below	80%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTACT	$48.60	$243.00	—	—	80%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE, FNA	$48.60	$243.00	—	—	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$7.40	$37.00	$5.39–$31.55	64% below	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT - RL	$7.40	$37.00	$5.39–$31.55	64% below	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$7.40	$37.00	—	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT - RL	$7.40	$37.00	—	—	80%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS, FECES	$6.00	$30.00	$4.25–$25.58	64% below	80%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$6.00	$30.00	$4.25–$25.58	64% below	80%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$6.00	$30.00	—	—	80%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS, FECES	$6.00	$30.00	—	—	80%
Potassium blood test CPT 84132 HC POTASSIUM	$5.80	$29.00	$4.27–$24.73	67% below	80%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$5.80	$29.00	—	—	80%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY	$539.80	$2,699.00	$683.15–$2,522.26	29% above	80%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY	$539.80	$2,699.00	—	—	80%
Progesterone blood test CPT 84144 HC PROGESTERONE	$29.40	$147.00	$18.70–$125.36	46% below	80%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$29.40	$147.00	—	—	80%
Prolactin blood test CPT 84146 HC PROLACTIN	$23.00	$115.00	$17.37–$98.07	64% below	80%
Prolactin blood test CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC	$23.00	$115.00	$17.37–$98.07	64% below	80%
Prolactin blood test CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT	$23.00	$115.00	$17.37–$98.07	64% below	80%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT	$23.00	$115.00	—	—	80%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$23.00	$115.00	—	—	80%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC	$23.00	$115.00	—	—	80%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS PT - RL	$4.60	$23.00	$3.84–$19.61	68% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$4.60	$23.00	$3.84–$19.61	68% below	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS PT - RL	$4.60	$23.00	—	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$4.60	$23.00	—	—	80%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A & B VIRUS TESTING	$14.00	$70.00	$14.83–$59.70	38% below	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A & B VIRUS TESTING	$14.00	$70.00	—	—	80%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A SCREEN	$14.40	$72.00	$14.81–$61.40	35% below	80%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POC STREP A SCREEN	$14.40	$72.00	$14.81–$61.40	35% below	80%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC POC STREP A SCREEN	$14.40	$72.00	—	—	80%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A SCREEN	$14.40	$72.00	—	—	80%
Renin blood test CPT 84244 HC RENIN ACTIVITY	$25.60	$128.00	$19.71–$109.16	57% below	80%
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY	$25.60	$128.00	—	—	80%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT	$6.40	$32.00	$5.09–$27.29	73% below	80%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT	$6.40	$32.00	—	—	80%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$17.00	$85.00	$12.90–$72.49	49% below	80%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG	$17.00	$85.00	$12.90–$72.49	49% below	80%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG	$17.00	$85.00	—	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$17.00	$85.00	—	—	80%
Sodium blood test CPT 84295 HC SODIUM, BLOOD	$5.80	$29.00	$4.31–$24.73	66% below	80%
Sodium blood test CPT 84295 HC SODIUM	$5.80	$29.00	$4.31–$24.73	66% below	80%
Sodium blood test inpatient CPT 84295 HC SODIUM, BLOOD	$5.80	$29.00	—	—	80%
Sodium blood test inpatient CPT 84295 HC SODIUM	$5.80	$29.00	—	—	80%
Stool ova and parasites exam CPT 87177 HC EXAM PARA, URINE/B.F.	$10.00	$50.00	$7.97–$42.64	67% below	80%
Stool ova and parasites exam inpatient CPT 87177 HC EXAM PARA, URINE/B.F.	$10.00	$50.00	—	—	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$3.60	$18.00	$3.92–$15.35	73% below	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$3.60	$18.00	—	—	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS IGG AB	$15.40	$77.00	$11.87–$65.67	40% below	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA-ABS	$15.40	$77.00	$11.87–$65.67	40% below	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS AB, TP-PA	$15.40	$77.00	$11.87–$65.67	40% below	80%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS IGG AB	$15.40	$77.00	—	—	80%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS AB, TP-PA	$15.40	$77.00	—	—	80%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA-ABS	$15.40	$77.00	—	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN	$5.80	$29.00	$3.83–$24.73	60% below	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN	$5.80	$29.00	—	—	80%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON GOLD TB TEST	$71.80	$359.00	$55.56–$306.16	39% below	80%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON GOLD TB TEST	$71.80	$359.00	—	—	80%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$31.80	$159.00	$23.14–$135.60	46% below	80%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL, MALES	$31.80	$159.00	$23.14–$135.60	46% below	80%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS	$31.80	$159.00	$23.14–$135.60	46% below	80%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL	$31.80	$159.00	$23.14–$135.60	46% below	80%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$31.80	$159.00	—	—	80%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL	$31.80	$159.00	—	—	80%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL, MALES	$31.80	$159.00	—	—	80%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS	$31.80	$159.00	—	—	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$17.60	$88.00	$13.04–$75.05	51% below	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$17.60	$88.00	$13.04–$75.05	51% below	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH	$17.60	$88.00	$13.04–$75.05	51% below	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH	$17.60	$88.00	—	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$17.60	$88.00	—	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$17.60	$88.00	—	—	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC CU INDEX-TSH ASSAY	$22.40	$112.00	$15.06–$95.51	46% below	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH - SENSITIVE, SERUM - RL	$22.40	$112.00	$15.06–$95.51	46% below	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$22.40	$112.00	$15.06–$95.51	46% below	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$22.40	$112.00	—	—	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC CU INDEX-TSH ASSAY	$22.40	$112.00	—	—	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH - SENSITIVE, SERUM - RL	$22.40	$112.00	—	—	80%
Total IgE blood test CPT 82785 HC IGE-IMMUNOGLOBULIN	$19.40	$97.00	$14.75–$82.72	49% below	80%
Total IgE blood test inpatient CPT 82785 HC IGE-IMMUNOGLOBULIN	$19.40	$97.00	—	—	80%
Total cholesterol blood test CPT 82465 HC NMR CHOLESTEROL ASSAY	$5.80	$29.00	$3.90–$24.73	61% below	80%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$5.80	$29.00	$3.90–$24.73	61% below	80%
Total cholesterol blood test inpatient CPT 82465 HC NMR CHOLESTEROL ASSAY	$5.80	$29.00	—	—	80%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$5.80	$29.00	—	—	80%
Total thyroxine (T4) blood test CPT 84436 *HC THYROXINE TOTAL (SEND OUT)	$6.60	$33.00	$6.16–$28.14	72% below	80%
Total thyroxine (T4) blood test CPT 84436 HC T4, TOTAL	$6.60	$33.00	$6.16–$28.14	72% below	80%
Total thyroxine (T4) blood test inpatient CPT 84436 *HC THYROXINE TOTAL (SEND OUT)	$6.60	$33.00	—	—	80%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4, TOTAL	$6.60	$33.00	—	—	80%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$15.00	$75.00	$11.44–$63.96	61% below	80%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$15.00	$75.00	—	—	80%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE	$16.20	$81.00	$31.46–$69.08	67% below	80%
Trichomonas test (NAAT) CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE	$16.20	$81.00	$31.46–$69.08	67% below	80%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE	$16.20	$81.00	—	—	80%
Trichomonas test (NAAT) inpatient CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE	$16.20	$81.00	—	—	80%
Triglycerides blood test CPT 84478 HC NMR TRIGLYCERIDE ASSAY	$7.40	$37.00	$5.15–$31.55	69% below	80%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, FLUID - RL	$7.40	$37.00	$5.15–$31.55	69% below	80%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$7.40	$37.00	$5.15–$31.55	69% below	80%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, FLUID - RL	$7.40	$37.00	—	—	80%
Triglycerides blood test inpatient CPT 84478 HC NMR TRIGLYCERIDE ASSAY	$7.40	$37.00	—	—	80%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$7.40	$37.00	—	—	80%
Troponin test, quantitative CPT 84484 HC TROPONIN I - ISTAT	$12.20	$61.00	$11.18–$52.02	68% below	80%
Troponin test, quantitative CPT 84484 HC TROPONIN T	$12.20	$61.00	$11.18–$52.02	68% below	80%
Troponin test, quantitative CPT 84484 HC TROPONIN I	$12.20	$61.00	$11.18–$52.02	68% below	80%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I	$12.20	$61.00	—	—	80%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I - ISTAT	$12.20	$61.00	—	—	80%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T	$12.20	$61.00	—	—	80%
Uric acid blood test CPT 84550 HC URIC ACID	$5.20	$26.00	$4.05–$22.17	70% below	80%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$5.20	$26.00	—	—	80%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO	$3.20	$16.00	$3.60–$13.64	51% below	80%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO	$3.20	$16.00	—	—	80%
Urinalysis without microscope exam, automated CPT 81003 HC URINE W/O MICRO, AUTO	$2.80	$14.00	$2.02–$11.94	68% below	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE W/O MICRO, AUTO	$2.80	$14.00	—	—	80%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, URINE COLONY COUNT	$11.00	$55.00	$7.24–$46.90	71% below	80%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, URINE COLONY COUNT	$11.00	$55.00	—	—	80%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QUANT	$7.20	$36.00	$5.18–$30.70	59% below	80%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QUANT	$7.20	$36.00	—	—	80%
Vitamin B12 (cobalamin) blood test CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12	$18.80	$94.00	$13.52–$80.16	53% below	80%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12	$18.80	$94.00	$13.52–$80.16	53% below	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12	$18.80	$94.00	—	—	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12	$18.80	$94.00	—	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$34.80	$174.00	$26.53–$148.39	55% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D, 25 HYDROXY	$34.80	$174.00	$26.53–$148.39	55% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D, 25 HYDROXY	$34.80	$174.00	—	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$34.80	$174.00	—	—	80%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D, 1-25 DIHYRDOXY	$47.60	$238.00	$34.52–$202.97	47% below	80%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D, 1-25 DIHYRDOXY	$47.60	$238.00	—	—	80%
Zinc blood test CPT 84630 HC ZINC, SERUM - RL	$13.60	$68.00	$10.21–$57.99	57% below	80%
Zinc blood test CPT 84630 HC ZINC QUANTITATIVE	$56.80	$284.00	$10.21–$242.20	81% above	80%
Zinc blood test inpatient CPT 84630 HC ZINC, SERUM - RL	$13.60	$68.00	—	—	80%
Zinc blood test inpatient CPT 84630 HC ZINC QUANTITATIVE	$56.80	$284.00	—	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE	$18.00	$90.00	$13.49–$76.75	63% below	80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER)	$18.00	$90.00	$13.49–$76.75	63% below	80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG BETA SUBUNIT, CSF	$18.00	$90.00	$13.49–$76.75	63% below	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE	$18.00	$90.00	—	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG BETA SUBUNIT, CSF	$18.00	$90.00	—	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER)	$18.00	$90.00	—	—	80%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX DST FIB FX WO MAN	$142.40	$712.00	$92.49–$1,132.00	32% below	80%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX DST FIB FX WO MAN	$142.40	$712.00	—	—	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$343.60	$1,718.00	$217.50–$1,491.60	37% below	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION	$343.60	$1,718.00	—	—	80%
Cataract surgery with lens implant CPT 66984 CATARACT SURG W/IOL 1 STAGE	$4,328.08	$21,640.40	$879.36–$4,043.00	106% above	80%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE)	$330.40	$1,652.00	$481.27–$5,577.59	59% below	80%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE)	$330.40	$1,652.00	—	—	80%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE)	$330.40	$1,652.00	$257.35–$5,577.59	52% below	80%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE)	$330.40	$1,652.00	—	—	80%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA	$284.60	$1,423.00	$92.49–$1,213.53	23% above	80%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA	$284.60	$1,423.00	—	—	80%
Colonoscopy with polyp removal CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$1,040.00	$5,200.00	$454.61–$4,434.56	23% above	80%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$1,040.00	$5,200.00	—	—	80%
Colonoscopy with tissue sample CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$1,040.00	$5,200.00	$454.61–$4,434.56	21% above	80%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$1,040.00	$5,200.00	—	—	80%
Colonoscopy, diagnostic CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$1,040.00	$5,200.00	$351.52–$4,434.56	39% above	80%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$1,040.00	$5,200.00	—	—	80%
Complex cataract surgery with lens implant CPT 66982 CATARACT SURGERY COMPLEX	$4,662.62	$23,313.12	$879.36–$4,043.00	11% above	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION ANY METHOD, INCLD LASER FOR LESIONS	$49.00	$245.00	$31.02–$399.00	50% below	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCTION ANY METHOD, INCLD LASER FOR LESIONS	$49.00	$245.00	—	—	80%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$2,282.07	$11,410.34	$550.32–$2,616.00	55% above	80%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL	$92.00	$460.00	$22.90–$399.00	31% above	80%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL	$92.00	$460.00	—	—	80%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$50.80	$254.00	$22.90–$399.00	21% below	80%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$50.80	$254.00	—	—	80%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$8,962.38	$44,811.88	$773.72–$8,548.46	55% above	80%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$7,692.30	$38,461.48	$773.72–$8,080.06	133% above	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX	$405.00	$2,025.00	$281.98–$1,726.92	9% below	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX	$405.00	$2,025.00	—	—	80%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$8,020.32	$40,101.59	$550.32–$10,646.00	189% above	80%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$9,097.97	$45,489.84	$550.32–$5,407.87	252% above	80%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$6,649.88	$33,249.40	$550.32–$6,734.58	397% above	80%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY	$12,659.72	$63,298.58	$4,141.33–$7,733.00	585% above	80%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGIOGRAM	$61.40	$307.00	$165.78–$495.71	49% below	80%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGIOGRAM	$61.40	$307.00	—	—	80%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$5,368.27	$26,841.37	$679.83–$9,116.41	90% above	80%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$3,964.68	$19,823.40	$550.32–$5,901.34	108% above	80%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE SINGLE	$186.60	$933.00	$76.61–$795.66	4% below	80%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE SINGLE	$186.60	$933.00	—	—	80%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$7,972.85	$39,864.26	$679.83–$8,080.06	161% above	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT	$65.60	$328.00	$41.52–$404.41	74% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT	$65.60	$328.00	—	—	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA	$631.20	$3,156.00	$103.39–$2,691.44	196% above	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA	$631.20	$3,156.00	—	—	80%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$10,023.38	$50,116.90	$773.72–$12,144.07	112% above	80%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$17,327.21	$86,636.07	$679.83–$17,965.34	294% above	80%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$12,043.46	$60,217.29	$4,014.15–$14,263.37	112% above	80%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$7,181.30	$35,906.51	$773.72–$12,144.07	17% above	80%
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/<	$198.20	$991.00	$154.04–$1,146.21	40% below	80%
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/<	$198.20	$991.00	—	—	80%
Lower-back epidural injection, without imaging guidance CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING	$156.40	$782.00	$343.26–$1,219.70	60% below	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING	$156.40	$782.00	—	—	80%
Lumpectomy (partial mastectomy) CPT 19301 PARTICAL MASTECTOMY	$6,449.81	$32,249.04	$550.32–$5,271.64	65% above	80%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$16,553.49	$82,767.46	$679.83–$8,934.40	402% above	80%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$2,723.98	$13,619.89	$773.72–$4,929.55	65% above	80%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE	$87.80	$439.00	$55.58–$399.00	35% below	80%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE	$87.80	$439.00	—	—	80%
Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL	$631.20	$3,156.00	$113.81–$2,691.44	144% above	80%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL	$631.20	$3,156.00	—	—	80%
Pacemaker implant (dual chamber) CPT 33208 HC INS/RPL PERM PACER A&V	$5,291.60	$26,458.00	$3,349.58–$22,684.16	49% below	80%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INS/RPL PERM PACER A&V	$5,291.60	$26,458.00	—	—	80%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE	$446.40	$2,232.00	$282.57–$2,616.00	24% below	80%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE	$446.40	$2,232.00	—	—	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION INGROWN TOENAIL	$343.00	$1,715.00	$154.04–$1,462.55	4% below	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION INGROWN TOENAIL	$343.00	$1,715.00	—	—	80%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$4,687.93	$23,439.63	$550.32–$5,271.64	360% above	80%
Removal of a foreign object under the skin, simple CPT 10120 HC REMO F/B SUBQ SIMPLE	$183.20	$916.00	$154.04–$1,028.03	21% below	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO F/B SUBQ SIMPLE	$183.20	$916.00	—	—	80%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$1,040.00	$5,200.00	$351.52–$4,434.56	66% above	80%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$1,040.00	$5,200.00	—	—	80%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$1,040.00	$5,200.00	$351.52–$4,434.56	71% above	80%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$1,040.00	$5,200.00	—	—	80%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC	$50.80	$254.00	$32.16–$430.89	58% below	80%
Short arm splint (forearm and hand) CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$50.80	$254.00	$49.70–$430.89	58% below	80%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC	$50.80	$254.00	—	—	80%
Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$50.80	$254.00	—	—	80%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION, SPLINT, LOWER LEG	$84.40	$422.00	$53.43–$430.89	41% below	80%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION, SPLINT, LOWER LEG	$84.40	$422.00	—	—	80%
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	$198.20	$991.00	$76.61–$845.12	6% above	80%
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	$198.20	$991.00	—	—	80%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION	$244.20	$1,221.00	$154.04–$1,041.27	10% below	80%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION	$244.20	$1,221.00	—	—	80%
Skin tag removal, up to 15 tags CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS	$631.20	$3,156.00	$76.61–$2,691.44	374% above	80%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS	$631.20	$3,156.00	—	—	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX	$156.40	$782.00	$267.01–$1,147.00	63% below	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX	$156.40	$782.00	—	—	80%
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	$198.20	$991.00	$76.61–$845.12	8% above	80%
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	$198.20	$991.00	—	—	80%
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	$198.20	$991.00	$76.61–$845.12	9% above	80%
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	$198.20	$991.00	—	—	80%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING	$545.80	$2,729.00	$238.38–$2,327.29	16% below	80%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING	$545.80	$2,729.00	—	—	80%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS	$5,496.12	$27,480.62	$773.72–$4,443.01	42% above	80%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$65.60	$328.00	$41.52–$404.41	50% below	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$65.60	$328.00	—	—	80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE	$362.00	$1,810.00	$481.27–$2,616.00	47% below	80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE	$362.00	$1,810.00	—	—	80%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILATION BALLOON <30MM	$1,020.00	$5,100.00	$481.27–$4,349.28	20% above	80%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILATION BALLOON <30MM	$1,020.00	$5,100.00	—	—	80%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$1,020.00	$5,100.00	$361.49–$4,349.28	37% above	80%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$1,020.00	$5,100.00	—	—	80%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUC INJECT(S)	$1,020.00	$5,100.00	$361.49–$4,349.28	77% above	80%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUC INJECT(S)	$1,020.00	$5,100.00	—	—	80%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$1,020.00	$5,100.00	$481.27–$4,349.28	24% above	80%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$1,020.00	$5,100.00	—	—	80%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$1,020.00	$5,100.00	$361.49–$4,349.28	54% above	80%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$1,020.00	$5,100.00	—	—	80%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$1,020.00	$5,100.00	$359.35–$4,349.28	26% above	80%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$1,020.00	$5,100.00	—	—	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$5,810.19	$29,050.94	$154.04–$1,516.00	1382% above	80%

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)	$380.40	$1,902.00	$168.56–$1,622.03	20% below	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY)	$380.40	$1,902.00	—	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX	$23.80	$119.00	$15.07–$291.00	73% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$46.00	$230.00	$29.12–$291.00	47% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT	$56.80	$284.00	$35.95–$291.00	35% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX	$23.80	$119.00	—	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$46.00	$230.00	—	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT	$56.80	$284.00	—	—	80%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR	$336.80	$1,684.00	$127.89–$1,436.12	11% above	80%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR	$336.80	$1,684.00	—	—	80%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$998.00	$4,990.00	$324.88–$5,000.00	33% above	80%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$998.00	$4,990.00	—	—	80%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG: AWAKE & DROWSY	$522.60	$2,613.00	$120.06–$2,228.37	70% above	80%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG: AWAKE & DROWSY	$522.60	$2,613.00	—	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$121.00	$605.00	$22.90–$515.94	47% above	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$121.00	$605.00	—	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMER ROOM LEVEL I	$82.60	$413.00	$33.95–$500.00	12% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMER ROOM LEVEL I	$82.60	$413.00	—	—	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMER ROOM LEVEL II	$140.80	$704.00	$61.06–$600.37	12% below	80%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMER ROOM LEVEL II	$140.80	$704.00	—	—	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMER ROOM LEVEL III	$187.80	$939.00	$106.76–$1,250.00	24% below	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMER ROOM LEVEL III	$187.80	$939.00	—	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMER ROOM LEVEL IV	$366.20	$1,831.00	$164.18–$2,936.00	8% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMER ROOM LEVEL IV	$366.20	$1,831.00	—	—	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMER ROOM LEVEL V	$469.00	$2,345.00	$236.39–$2,936.00	10% below	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMER ROOM LEVEL V	$469.00	$2,345.00	—	—	80%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM	$407.60	$2,038.00	$120.06–$1,738.01	20% above	80%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM	$407.60	$2,038.00	—	—	80%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$303.00	$1,515.00	$61.95–$1,291.99	181% above	80%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$303.00	$1,515.00	—	—	80%
Group psychotherapy session CPT 90853 HC IOP-BMU GROUP PSYCHOTHERAPY	$257.80	$1,289.00	$35.66–$1,099.26	176% above	80%
Group psychotherapy session inpatient CPT 90853 HC IOP-BMU GROUP PSYCHOTHERAPY	$257.80	$1,289.00	—	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR	$82.20	$411.00	$52.03–$350.50	45% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR	$82.20	$411.00	—	—	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC SQ/IM INJECTION	$77.00	$385.00	$27.44–$328.33	45% above	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC SQ/IM INJECTION	$77.00	$385.00	—	—	80%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$33.60	$168.00	$28.47–$291.00	13% below	80%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS	$35.00	$175.00	$28.47–$291.00	10% below	80%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$33.60	$168.00	—	—	80%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS	$35.00	$175.00	—	—	80%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$33.20	$166.00	$37.83–$221.10	54% below	80%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$33.20	$166.00	—	—	80%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$35.00	$175.00	$42.00–$321.70	56% below	80%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$35.00	$175.00	—	—	80%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$36.80	$184.00	$44.16–$321.70	62% below	80%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$36.80	$184.00	—	—	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN	$31.60	$158.00	$32.87–$192.16	42% below	80%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN	$31.60	$158.00	—	—	80%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRTN TH INIT 15 MIN	$15.80	$79.00	$26.99–$67.37	47% below	80%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRTN TH INIT 15 MIN	$15.80	$79.00	—	—	80%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$92.00	$460.00	$72.35–$392.29	19% below	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$92.00	$460.00	—	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$46.60	$233.00	$74.48–$291.00	63% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$46.60	$233.00	—	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$46.60	$233.00	$74.48–$291.00	57% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$46.60	$233.00	—	—	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS	$46.60	$233.00	$74.48–$291.00	60% below	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS	$46.60	$233.00	—	—	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS	$34.00	$170.00	$22.94–$291.00	12% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS	$35.20	$176.00	$22.94–$291.00	9% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS	$34.00	$170.00	—	—	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS	$35.20	$176.00	—	—	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EX EA 15MIN	$29.20	$146.00	$10.96–$291.00	23% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EX EA 15MIN	$30.80	$154.00	$10.96–$291.00	19% below	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EX EA 15MIN	$29.20	$146.00	—	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EX EA 15MIN	$30.80	$154.00	—	—	80%
Psychotherapy session, 30 minutes CPT 90832 HC PHP-PSYTX W/PATIENT, 30 MIN	$102.00	$510.00	$61.95–$434.93	34% above	80%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PHP-PSYTX W/PATIENT, 30 MIN	$102.00	$510.00	—	—	80%
Psychotherapy session, 45 minutes CPT 90834 HC PHP-PSYTX W/PATIENT, 45 MIN	$132.20	$661.00	$61.95–$563.70	36% above	80%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP-PSYTX W/PATIENT, 45 MIN	$132.20	$661.00	—	—	80%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CES INTERMED ASYMPTOM	$27.80	$139.00	$11.49–$118.54	42% above	80%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CES INTERMED ASYMPTOM	$27.80	$139.00	—	—	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$30.80	$154.00	$36.96–$321.70	55% below	80%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$30.80	$154.00	—	—	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$27.80	$139.00	$33.36–$221.10	50% below	80%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$27.80	$139.00	—	—	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$29.20	$146.00	$35.04–$321.70	54% below	80%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$29.20	$146.00	—	—	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN	$26.40	$132.00	$31.68–$192.16	46% below	80%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN	$26.40	$132.00	—	—	80%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION	$135.60	$678.00	$96.00–$578.20	27% below	80%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION	$135.60	$678.00	—	—	80%
Speech therapy session, individual CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$68.40	$342.00	$32.79–$313.62	19% below	80%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$68.40	$342.00	—	—	80%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$79.40	$397.00	$50.26–$621.00	38% below	80%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$79.40	$397.00	—	—	80%
Spirometry before and after a bronchodilator CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN	$358.60	$1,793.00	$120.06–$1,529.07	65% above	80%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN	$358.60	$1,793.00	—	—	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$32.00	$160.00	$8.76–$291.00	21% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$33.60	$168.00	$8.76–$291.00	17% below	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$32.00	$160.00	—	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$33.60	$168.00	—	—	80%

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)	$156.84	$784.22	$75.14–$668.78	46% above	80%
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)	$156.84	$784.22	$509.74	—	80%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$393.66	$1,968.32	$174.58–$1,678.58	93% above	80%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$393.66	$1,968.32	$1,279.41	—	80%
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)	$41.00	$204.99	$20.12–$174.82	32% above	80%
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)	$41.00	$204.99	$133.24	—	80%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$177.37	$886.86	$77.53–$756.31	102% above	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$177.37	$886.86	$576.46	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG (UIR)	$148.48	$742.40	$63.34–$633.12	111% above	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG (UIR)	$148.48	$742.40	$482.56	—	80%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACC-CPG 1018 (PF) 20 MCG/0.5 ML IM (UMBRELLA)	$318.88	$1,594.41	$151.47–$1,359.71	131% above	80%
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)	$318.88	$1,594.41	$1,036.37	—	80%
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	$59.77	$298.86	$27.69–$254.87	51% above	80%
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	$59.77	$298.86	$194.26	—	80%
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	$200.77	$1,003.87	$127.09–$856.10	33% above	80%
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	$200.77	$1,003.87	$652.52	—	80%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$581.06	$2,905.31	$268.24–$2,477.65	74% above	80%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$581.06	$2,905.31	$1,888.45	—	80%
Rabies vaccine, one dose CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR	$937.03	$4,685.15	$280.83–$3,995.50	29% above	80%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR	$937.03	$4,685.15	$3,045.35	—	80%
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)	$76.90	$384.51	$30.13–$327.91	64% above	80%
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)	$76.90	$384.51	$249.93	—	80%
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)	$97.51	$487.54	$42.37–$415.77	44% above	80%
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)	$97.51	$487.54	$316.90	—	80%

Source file: https://ochsner-craft.s3.amazonaws.com/core/842237042_ochsner-morgan-city-llc_standardcharges.csv.csv