Ochsner American Legion Hospital
Ochsner American Legion Hospital in Jennings, LA publishes cash prices for 417 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 323 of 412 procedures and above it for 84. By typical cash price it ranks #4 of 58 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1634 Elton Road, Jennings, LA 70546 Collected Sep 23, 2026 Source price file (337) 616-7000
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 190053 · CMS hospital register NPI 1184373268
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 | $368.90 | $1,085.00 | $161.81–$922.25 | 64% below | 66% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONTRAST | $368.90 | $1,085.00 | $908.10 | — | 66% |
| Abdominal X-ray, 2 views CPT 74019 HC XRAY, ABDOMEN, 2 VIEWS | $83.64 | $246.00 | $34.09–$237.50 | 54% below | 66% |
| Abdominal X-ray, 2 views CPT 74019 PR XRAY, ABDOMEN, 2 VIEWS | $103.32 | $246.00 | $23.64–$302.93 | 44% below | 58% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY, ABDOMEN, 2 VIEWS | $83.64 | $246.00 | $908.10 | — | 66% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS | $46.24 | $136.00 | $32.18–$169.12 | 61% below | 66% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS | $46.24 | $136.00 | $908.10 | — | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRANCHIAL INDEX | $125.80 | $370.00 | $117.16–$355.00 | 26% below | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRANCHIAL INDEX | $125.80 | $370.00 | $908.10 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST | $222.36 | $654.00 | $96.65–$555.90 | 66% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST | $222.36 | $654.00 | $908.10 | — | 66% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST | $182.92 | $538.00 | $89.74–$457.30 | 15% below | 66% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST | $182.92 | $538.00 | $908.10 | — | 66% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JT IMAGING WHOLE BODY | $292.06 | $859.00 | $262.08–$780.07 | 47% below | 66% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JT IMAGING WHOLE BODY | $292.06 | $859.00 | $908.10 | — | 66% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILAT | $81.94 | $241.00 | $96.65–$237.50 | 51% below | 66% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILAT | $81.94 | $241.00 | $908.10 | — | 66% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LIMITED | $81.26 | $239.00 | $80.03–$203.15 | 51% below | 66% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT LIMITED | $81.26 | $239.00 | $908.10 | — | 66% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PEL W/ AND W/O CONTRAS | $513.40 | $1,510.00 | $324.60–$1,283.50 | 43% below | 66% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PEL W/ AND W/O CONTRAS | $513.40 | $1,510.00 | $908.10 | — | 66% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD CONTRAST | $360.74 | $1,061.00 | $161.81–$901.85 | 48% below | 66% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD CONTRAST | $360.74 | $1,061.00 | $908.10 | — | 66% |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NECK CONTRAST | $360.74 | $1,061.00 | $161.81–$901.85 | 48% below | 66% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK CONTRAST | $360.74 | $1,061.00 | $908.10 | — | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/ NON CORONARY | $360.74 | $1,061.00 | $161.81–$901.85 | 59% below | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/ NON CORONARY | $360.74 | $1,061.00 | $908.10 | — | 66% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CARD W/3D IMAGE | $187.00 | $550.00 | $177.73–$678.55 | 63% below | 66% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CARD W/3D IMAGE | $187.00 | $550.00 | $908.10 | — | 66% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING | $71.40 | $210.00 | $80.03–$500.00 | 10% below | 66% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING | $71.40 | $210.00 | $908.10 | — | 66% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD / PELVIS WO CONTRAST | $290.02 | $853.00 | $208.02–$725.05 | 74% below | 66% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD / PELVIS WO CONTRAST | $290.02 | $853.00 | $908.10 | — | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS WITH CONTRAST | $394.40 | $1,160.00 | $317.28–$986.00 | 70% below | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS WITH CONTRAST | $394.40 | $1,160.00 | $908.10 | — | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST | $513.40 | $1,510.00 | $324.60–$1,283.50 | 65% below | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST | $513.40 | $1,510.00 | $908.10 | — | 66% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST | $307.70 | $905.00 | $161.81–$769.25 | 65% below | 66% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST | $307.70 | $905.00 | $908.10 | — | 66% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST | $228.48 | $672.00 | $96.65–$571.20 | 70% below | 66% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST | $228.48 | $672.00 | $908.10 | — | 66% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $212.50 | $625.00 | $96.65–$531.25 | 68% below | 66% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $212.50 | $625.00 | $908.10 | — | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST | $212.50 | $625.00 | $96.65–$531.25 | 68% below | 66% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST | $212.50 | $625.00 | $908.10 | — | 66% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONTRAST | $254.66 | $749.00 | $161.81–$636.65 | 65% below | 66% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONTRAST | $254.66 | $749.00 | $908.10 | — | 66% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST | $317.90 | $935.00 | $161.81–$794.75 | 65% below | 66% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST | $317.90 | $935.00 | $908.10 | — | 66% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST | $228.48 | $672.00 | $96.65–$571.20 | 70% below | 66% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST | $228.48 | $672.00 | $908.10 | — | 66% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST | $228.48 | $672.00 | $96.65–$571.20 | 69% below | 66% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST | $228.48 | $672.00 | $908.10 | — | 66% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $307.70 | $905.00 | $161.81–$769.25 | 62% below | 66% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $307.70 | $905.00 | $908.10 | — | 66% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT | $200.60 | $590.00 | $175.00–$501.50 | — | 66% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT | $200.60 | $590.00 | $908.10 | — | 66% |
| Chest CT scan without and with contrast CPT 71270 HC CT SCAN, THORAX, DX, W/WO CONTRAST | $368.90 | $1,085.00 | $161.81–$922.25 | 65% below | 66% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT SCAN, THORAX, DX, W/WO CONTRAST | $368.90 | $1,085.00 | $908.10 | — | 66% |
| Chest X-ray, 2 views CPT 71046 HC XRAY, CHEST, 2 VIEWS | $46.24 | $136.00 | $31.24–$169.12 | 65% below | 66% |
| Chest X-ray, 2 views CPT 71046 PR XRAY, CHEST, 2 VIEWS | $57.12 | $136.00 | $21.54–$302.93 | 57% below | 58% |
| Chest X-ray, 2 views inpatient CPT 71046 HC XRAY, CHEST, 2 VIEWS | $46.24 | $136.00 | $908.10 | — | 66% |
| Chest X-ray, single view CPT 71045 HC XRAY, CHEST, 1 VIEW | $45.90 | $135.00 | $20.56–$169.12 | 58% below | 66% |
| Chest X-ray, single view CPT 71045 PR XRAY, CHEST, 1 VIEW | $56.70 | $135.00 | $16.67–$302.93 | 48% below | 58% |
| Chest X-ray, single view inpatient CPT 71045 HC XRAY, CHEST, 1 VIEW | $45.90 | $135.00 | $908.10 | — | 66% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE | $45.90 | $135.00 | $28.27–$169.12 | 61% below | 66% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE | $45.90 | $135.00 | $908.10 | — | 66% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $89.08 | $262.00 | $96.65–$237.50 | 69% below | 66% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $89.08 | $262.00 | $908.10 | — | 66% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY SPINE/HIP | $90.10 | $265.00 | $41.76–$237.50 | 38% below | 66% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY SPINE/HIP | $90.10 | $265.00 | $908.10 | — | 66% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST | $228.48 | $672.00 | $96.65–$571.20 | 70% below | 66% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST | $228.48 | $672.00 | $908.10 | — | 66% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST | $310.08 | $912.00 | $161.81–$775.20 | 64% below | 66% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST | $310.08 | $912.00 | $908.10 | — | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT | $77.86 | $229.00 | $95.53–$224.80 | — | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT | $77.86 | $229.00 | $908.10 | — | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT | $68.00 | $200.00 | $75.01–$180.00 | 44% below | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT | $68.00 | $200.00 | $908.10 | — | 66% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT | $200.60 | $590.00 | $175.00–$501.50 | — | 66% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT | $200.60 | $590.00 | $908.10 | — | 66% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT | $200.60 | $590.00 | $175.00–$501.50 | — | 66% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT | $200.60 | $590.00 | $908.10 | — | 66% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER | $568.48 | $1,672.00 | $400.00–$1,421.20 | 22% below | 66% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER | $568.48 | $1,672.00 | $908.10 | — | 66% |
| Elbow X-ray, 2 views CPT 73070 HC ELBOW AP / LAT | $45.90 | $135.00 | $27.89–$169.12 | 61% below | 66% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW AP / LAT | $45.90 | $135.00 | $908.10 | — | 66% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW MIN 3 VIEWS | $46.24 | $136.00 | $31.82–$169.12 | 65% below | 66% |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW | $57.12 | $136.00 | $20.78–$302.93 | 56% below | 58% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW MIN 3 VIEWS | $46.24 | $136.00 | $908.10 | — | 66% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT,SELLA,EAR W/O CONTRA | $212.50 | $625.00 | $96.65–$531.25 | 65% below | 66% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT,SELLA,EAR W/O CONTRA | $212.50 | $625.00 | $908.10 | — | 66% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS | $82.62 | $243.00 | $42.38–$237.50 | 47% below | 66% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS | $82.62 | $243.00 | $908.10 | — | 66% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEWS | $46.24 | $136.00 | $26.52–$169.12 | 59% below | 66% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEWS | $46.24 | $136.00 | $908.10 | — | 66% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER | $251.60 | $740.00 | $343.26–$780.07 | 56% below | 66% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER | $251.60 | $740.00 | $908.10 | — | 66% |
| Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEW | $83.64 | $246.00 | $26.87–$237.50 | 21% below | 66% |
| Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEW | $83.64 | $246.00 | $908.10 | — | 66% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEUS | $45.90 | $135.00 | $27.58–$169.12 | 58% below | 66% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEUS | $45.90 | $135.00 | $908.10 | — | 66% |
| Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS | $46.24 | $136.00 | $36.42–$169.12 | 66% below | 66% |
| Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS | $46.24 | $136.00 | $908.10 | — | 66% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE COMPLETE | $90.10 | $265.00 | $40.45–$237.50 | 41% below | 66% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE COMPLETE | $90.10 | $265.00 | $908.10 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST | $222.36 | $654.00 | $96.65–$555.90 | 64% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST | $222.36 | $654.00 | $908.10 | — | 66% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED | $83.98 | $247.00 | $94.17–$237.50 | 68% below | 66% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED | $83.98 | $247.00 | $908.10 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD | $90.10 | $265.00 | $38.40–$237.50 | 48% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD | $90.10 | $265.00 | $908.10 | — | 66% |
| 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 | $102.00 | $300.00 | $96.65–$500.00 | 34% below | 66% |
| 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 | $102.00 | $300.00 | $908.10 | — | 66% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA) | $45.90 | $135.00 | $29.33–$169.12 | 61% below | 66% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA) | $45.90 | $135.00 | $908.10 | — | 66% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST | $423.98 | $1,247.00 | $219.70–$1,059.95 | 53% below | 66% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST | $423.98 | $1,247.00 | $908.10 | — | 66% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXT JT W/O CONTR | $423.98 | $1,247.00 | $219.70–$1,059.95 | 61% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXT JT W/O CONTR | $423.98 | $1,247.00 | $908.10 | — | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JT W/WO CONT | $614.72 | $1,808.00 | $324.60–$1,536.80 | 52% below | 66% |
| 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 | $614.72 | $1,808.00 | $908.10 | — | 66% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $423.98 | $1,247.00 | $219.70–$1,059.95 | 57% below | 66% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $423.98 | $1,247.00 | $908.10 | — | 66% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST | $614.72 | $1,808.00 | $324.60–$1,536.80 | 54% below | 66% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST | $614.72 | $1,808.00 | $908.10 | — | 66% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $423.98 | $1,247.00 | $219.70–$1,059.95 | 62% below | 66% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $423.98 | $1,247.00 | $908.10 | — | 66% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST | $614.72 | $1,808.00 | $324.60–$1,536.80 | 57% below | 66% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST | $614.72 | $1,808.00 | $908.10 | — | 66% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST | $423.98 | $1,247.00 | $219.70–$1,059.95 | 63% below | 66% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST | $423.98 | $1,247.00 | $908.10 | — | 66% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA | $614.72 | $1,808.00 | $324.60–$1,536.80 | 56% below | 66% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA | $614.72 | $1,808.00 | $908.10 | — | 66% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS | $423.98 | $1,247.00 | $219.70–$1,059.95 | 62% below | 66% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS | $423.98 | $1,247.00 | $908.10 | — | 66% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR | $614.72 | $1,808.00 | $324.60–$1,536.80 | 62% below | 66% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR | $614.72 | $1,808.00 | $908.10 | — | 66% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS | $423.98 | $1,247.00 | $219.70–$1,059.95 | 60% below | 66% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS | $423.98 | $1,247.00 | $908.10 | — | 66% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & W/O CONTRAST | $614.72 | $1,808.00 | $324.60–$1,536.80 | 45% below | 66% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & W/O CONTRAST | $614.72 | $1,808.00 | $908.10 | — | 66% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST | $423.98 | $1,247.00 | $219.70–$1,059.95 | 52% below | 66% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST | $423.98 | $1,247.00 | $908.10 | — | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAS | $423.98 | $1,247.00 | $219.70–$1,059.95 | 57% below | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAS | $423.98 | $1,247.00 | $908.10 | — | 66% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS | $83.98 | $247.00 | $46.57–$237.50 | 59% below | 66% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CHG X-RAY CERV SPINE 4 OR 5 VW | $103.74 | $247.00 | $33.89–$302.93 | 49% below | 58% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS | $83.98 | $247.00 | $908.10 | — | 66% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS | $254.66 | $749.00 | $161.81–$636.65 | 63% below | 66% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS | $254.66 | $749.00 | $908.10 | — | 66% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR | $212.50 | $625.00 | $96.65–$531.25 | 69% below | 66% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR | $212.50 | $625.00 | $908.10 | — | 66% |
| Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE | $48.96 | $144.00 | $28.67–$169.12 | 57% below | 66% |
| Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE | $48.96 | $144.00 | $908.10 | — | 66% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MPI SPECT, MULTIPLE | $1,163.48 | $3,422.00 | $375.00–$2,908.70 | 1% below | 66% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MPI SPECT, MULTIPLE | $1,163.48 | $3,422.00 | $908.10 | — | 66% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST | $228.48 | $672.00 | $96.65–$571.20 | 67% below | 66% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST | $228.48 | $672.00 | $908.10 | — | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED NON-OB | $83.98 | $247.00 | $43.51–$237.50 | 52% below | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED NON-OB | $83.98 | $247.00 | $908.10 | — | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB | $83.98 | $247.00 | $96.65–$237.50 | 70% below | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PR ECHO,PELVIC (NONOBSTETRIC) | $86.10 | $205.00 | $68.55–$302.93 | 69% below | 58% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB | $83.98 | $247.00 | $908.10 | — | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION | $95.20 | $280.00 | $96.65–$238.00 | 64% below | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PR US, OB 14+WKS, TRANSABD, SINGLE GESTATION | $110.88 | $264.00 | $87.23–$302.93 | 58% below | 58% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION | $95.20 | $280.00 | $908.10 | — | 66% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION | $95.20 | $280.00 | $96.65–$238.00 | 60% below | 66% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PR US, OB <14WKS, TRANSABD, SINGLE GESTATION | $97.02 | $231.00 | $76.28–$302.93 | 59% below | 58% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION | $95.20 | $280.00 | $908.10 | — | 66% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 OR MORE GESTA | $54.06 | $159.00 | $75.13–$237.50 | 69% below | 66% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PR US,PREGNANT UTERUS,LIMITED, 1/> FETUSES | $66.78 | $159.00 | $52.92–$302.93 | 61% below | 58% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 OR MORE GESTA | $54.06 | $159.00 | $908.10 | — | 66% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS | $44.88 | $132.00 | $33.79–$169.12 | 67% below | 66% |
| Rib X-ray, one side, 2 views one side CPT 71100 PR X-RAY RIBS 2 VW UNILAT | $56.70 | $135.00 | $23.61–$302.93 | 58% below | 58% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS | $44.88 | $132.00 | $908.10 | — | 66% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS W/PA CHEST | $83.64 | $246.00 | $37.64–$237.50 | 39% below | 66% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 PR X-RAY RIBS, CHEST 3+ VW | $103.32 | $246.00 | $27.07–$302.93 | 24% below | 58% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RIBS W/PA CHEST | $83.64 | $246.00 | $908.10 | — | 66% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT | $64.94 | $191.00 | $78.97–$186.49 | — | 66% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT | $64.94 | $191.00 | $908.10 | — | 66% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER ROUTINE | $46.24 | $136.00 | $29.77–$169.12 | 65% below | 66% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER ROUTINE | $46.24 | $136.00 | $908.10 | — | 66% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES, PARANASAL, COMP, MINIMUM 3 VIEWS | $45.22 | $133.00 | $38.48–$169.12 | 71% below | 66% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES, PARANASAL, COMP, MINIMUM 3 VIEWS | $45.22 | $133.00 | $908.10 | — | 66% |
| Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4VIEWS | $83.30 | $245.00 | $37.04–$237.50 | 38% below | 66% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL < 4VIEWS | $83.30 | $245.00 | $908.10 | — | 66% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST | $91.80 | $270.00 | $127.58–$386.12 | 62% below | 66% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST | $91.80 | $270.00 | $908.10 | — | 66% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS | $45.90 | $135.00 | $33.26–$169.12 | 60% below | 66% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS | $45.90 | $135.00 | $908.10 | — | 66% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST | $228.48 | $672.00 | $96.65–$571.20 | 70% below | 66% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST | $228.48 | $672.00 | $908.10 | — | 66% |
| Toe X-ray, 2 or more views CPT 73660 HC TOE OR TOES MIN 2VIEWS | $45.90 | $135.00 | $28.49–$169.12 | 59% below | 66% |
| Toe X-ray, 2 or more views CPT 73660 PR X-RAY TOE(S) | $56.70 | $135.00 | $18.58–$302.93 | 49% below | 58% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE OR TOES MIN 2VIEWS | $45.90 | $135.00 | $908.10 | — | 66% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB | $83.98 | $247.00 | $96.65–$237.50 | 60% below | 66% |
| Transvaginal pelvic ultrasound CPT 76830 PR ECHOGRAPHY,TRANSVAGINAL | $95.34 | $227.00 | $77.23–$302.93 | 55% below | 58% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB | $83.98 | $247.00 | $908.10 | — | 66% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US, OB, TRANSVAG APPROACH | $83.98 | $247.00 | $96.65–$237.50 | 53% below | 66% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, OB, TRANSVAG APPROACH | $83.98 | $247.00 | $908.10 | — | 66% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABD, B-SCAN, COMPLETE | $89.08 | $262.00 | $96.65–$237.50 | 70% below | 66% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABD, B-SCAN, COMPLETE | $89.08 | $262.00 | $908.10 | — | 66% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS | $83.98 | $247.00 | $71.41–$237.50 | 60% below | 66% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS | $83.98 | $247.00 | $908.10 | — | 66% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS OF HEAD NECK THYR | $83.98 | $247.00 | $96.65–$237.50 | 67% below | 66% |
| 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 | $83.98 | $247.00 | $908.10 | — | 66% |
| 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 | $225.42 | $663.00 | $115.05–$563.55 | 11% below | 66% |
| 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 | $225.42 | $663.00 | $908.10 | — | 66% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS ROUTINE | $45.90 | $135.00 | $29.68–$169.12 | 60% below | 66% |
| Upper arm X-ray (humerus), 2 views CPT 73060 PR X-RAY HUMERUS | $56.70 | $135.00 | $20.33–$302.93 | 51% below | 58% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS ROUTINE | $45.90 | $135.00 | $908.10 | — | 66% |
| 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 | $124.78 | $367.00 | $96.65–$330.00 | 51% below | 66% |
| 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 | $124.78 | $367.00 | $908.10 | — | 66% |
| Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEW | $45.90 | $135.00 | $29.68–$169.12 | 58% below | 66% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEW | $45.90 | $135.00 | $908.10 | — | 66% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE | $45.90 | $135.00 | $36.03–$169.12 | 60% below | 66% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE | $45.90 | $135.00 | $908.10 | — | 66% |
| 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 | $45.90 | $135.00 | $42.20–$169.12 | 63% below | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PR X-RAY EXAM HIP UNI 2-3 VIEWS | $56.70 | $135.00 | $29.81–$302.93 | 55% below | 58% |
| 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 | $45.90 | $135.00 | $908.10 | — | 66% |
| X-ray of the abdomen, 1 view CPT 74018 HC XRAY, ABDOMEN, 1 VIEW | $45.90 | $135.00 | $27.94–$167.30 | 64% below | 66% |
| X-ray of the abdomen, 1 view CPT 74018 PR XRAY, ABDOMEN, 1 VIEW | $56.70 | $135.00 | $19.36–$302.93 | 56% below | 58% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY, ABDOMEN, 1 VIEW | $45.90 | $135.00 | $908.10 | — | 66% |
| X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS | $45.90 | $135.00 | $30.37–$169.12 | 58% below | 66% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS | $45.90 | $135.00 | $908.10 | — | 66% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS | $45.90 | $135.00 | $31.99–$169.12 | 55% below | 66% |
| X-ray of the finger(s), 2 or more views CPT 73140 PR X-RAY EXAM OF FINGER(S) | $56.70 | $135.00 | $23.75–$302.93 | 45% below | 58% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS | $45.90 | $135.00 | $908.10 | — | 66% |
| X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW | $45.90 | $135.00 | $26.52–$169.12 | 57% below | 66% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW | $45.90 | $135.00 | $908.10 | — | 66% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS | $46.24 | $136.00 | $29.72–$169.12 | 62% below | 66% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS | $46.24 | $136.00 | $908.10 | — | 66% |
| X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE | $45.90 | $135.00 | $31.47–$169.12 | 64% below | 66% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE | $45.90 | $135.00 | $908.10 | — | 66% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS | $45.90 | $135.00 | $31.43–$169.12 | 60% below | 66% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS | $45.90 | $135.00 | $908.10 | — | 66% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3V | $82.62 | $243.00 | $35.89–$237.50 | 45% below | 66% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 PR X-RAY LUMBAR SPINE 2/3 VW | $102.90 | $245.00 | $25.48–$302.93 | 32% below | 58% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3V | $82.62 | $243.00 | $908.10 | — | 66% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP 5 VIEW | $83.30 | $245.00 | $50.00–$237.50 | 62% below | 66% |
| X-ray of the lower back, 4 or more views CPT 72110 PR X-RAY LUMBAR SPINE 4 VW | $102.90 | $245.00 | $32.62–$302.93 | 53% below | 58% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP 5 VIEW | $83.30 | $245.00 | $908.10 | — | 66% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP&LAT | $82.62 | $243.00 | $34.85–$237.50 | 47% below | 66% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 PR X-RAY THORACIC SPINE 2 VW | $102.90 | $245.00 | $21.07–$302.93 | 34% below | 58% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP&LAT | $82.62 | $243.00 | $908.10 | — | 66% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS | $45.22 | $133.00 | $33.22–$169.12 | 61% below | 66% |
| X-ray of the nasal bones, 3 or more views CPT 70160 PR X-RAY NASAL BONES | $56.70 | $135.00 | $24.29–$302.93 | 51% below | 58% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS | $45.22 | $133.00 | $908.10 | — | 66% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL, AP&LAT | $45.90 | $135.00 | $33.79–$169.12 | 68% below | 66% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 PR X-RAY CERV SPINE 2 VW | $56.70 | $135.00 | $25.26–$302.93 | 61% below | 58% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL, AP&LAT | $45.90 | $135.00 | $908.10 | — | 66% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS | $83.64 | $246.00 | $32.53–$237.50 | 37% below | 66% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS | $83.64 | $246.00 | $908.10 | — | 66% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS | $45.22 | $133.00 | $28.67–$169.12 | 67% below | 66% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 PR X-RAY SACRUM/COCCYX 2+ VW | $56.70 | $135.00 | $20.78–$302.93 | 59% below | 58% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS | $45.22 | $133.00 | $908.10 | — | 66% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ACTH | $52.70 | $155.00 | $19.31–$131.75 | 50% below | 66% |
| ACTH blood test inpatient CPT 82024 HC ACTH | $52.70 | $155.00 | $908.10 | — | 66% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT | $7.48 | $22.00 | $2.65–$18.70 | 61% below | 66% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT | $7.48 | $22.00 | $908.10 | — | 66% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT | $7.14 | $21.00 | $2.59–$17.85 | 64% below | 66% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT | $7.14 | $21.00 | $908.10 | — | 66% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL, ACUTE | $81.94 | $241.00 | $23.82–$204.85 | 26% below | 66% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL, ACUTE | $81.94 | $241.00 | $908.10 | — | 66% |
| Albumin blood test CPT 82040 HC ALBUMIN-SERUM | $6.80 | $20.00 | $2.48–$17.00 | 52% below | 66% |
| Albumin blood test CPT 82040 HC ALBUMIN (RL) | $9.18 | $27.00 | $2.48–$22.95 | 35% below | 66% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN-SERUM | $6.80 | $20.00 | $908.10 | — | 66% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN (RL) | $9.18 | $27.00 | $908.10 | — | 66% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE, LAV - RL | $15.98 | $47.00 | $20.38–$86.35 | 83% below | 66% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE, URINE | $39.78 | $117.00 | $20.38–$99.45 | 58% below | 66% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE- SERUM | $61.54 | $181.00 | $20.38–$153.85 | 35% below | 66% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, LAV - RL | $15.98 | $47.00 | $908.10 | — | 66% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, URINE | $39.78 | $117.00 | $908.10 | — | 66% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE- SERUM | $61.54 | $181.00 | $908.10 | — | 66% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE | $7.14 | $21.00 | $2.59–$17.85 | 63% below | 66% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOS, TOTAL | $19.38 | $57.00 | $2.59–$48.45 | 1% above | 66% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE, BONE SPE-RL | $22.44 | $66.00 | $2.59–$56.10 | 17% above | 66% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE | $7.14 | $21.00 | $908.10 | — | 66% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOS, TOTAL | $19.38 | $57.00 | $908.10 | — | 66% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE, BONE SPE-RL | $22.44 | $66.00 | $908.10 | — | 66% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH | $5.10 | $15.00 | $2.61–$12.75 | 48% below | 66% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH | $5.10 | $15.00 | $2.61–$12.75 | 48% below | 66% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH | $10.20 | $30.00 | $2.61–$25.50 | 4% above | 66% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH | $20.74 | $61.00 | $2.61–$51.85 | 112% above | 66% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH - RL | $20.74 | $61.00 | $2.61–$51.85 | 112% above | 66% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH | $5.10 | $15.00 | $908.10 | — | 66% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH | $5.10 | $15.00 | $908.10 | — | 66% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH | $10.20 | $30.00 | $908.10 | — | 66% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH | $20.74 | $61.00 | $908.10 | — | 66% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH - RL | $20.74 | $61.00 | $908.10 | — | 66% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK) | $33.66 | $99.00 | $8.39–$84.15 | 31% below | 66% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP, MATERNAL SCREEN | $33.66 | $99.00 | $8.39–$84.15 | 31% below | 66% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK) | $33.66 | $99.00 | $908.10 | — | 66% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP, MATERNAL SCREEN | $33.66 | $99.00 | $908.10 | — | 66% |
| Ammonia blood test CPT 82140 HC AMMONIA LEVEL ASSAY | $19.38 | $57.00 | $7.29–$48.45 | 61% below | 66% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA LEVEL ASSAY | $19.38 | $57.00 | $908.10 | — | 66% |
| Amylase blood test CPT 82150 HC AMYLASE ISOENZYMES, EACH | $16.32 | $48.00 | $3.24–$40.80 | 26% below | 66% |
| Amylase blood test CPT 82150 HC AMYLASE | $22.10 | $65.00 | $3.24–$55.25 | at median | 66% |
| Amylase blood test CPT 82150 HC AMYLASE BODY FLUID | $22.10 | $65.00 | $3.24–$55.25 | at median | 66% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE ISOENZYMES, EACH | $16.32 | $48.00 | $908.10 | — | 66% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID | $22.10 | $65.00 | $908.10 | — | 66% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $22.10 | $65.00 | $908.10 | — | 66% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODIES | $67.32 | $198.00 | $6.48–$168.30 | 60% above | 66% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODIES | $67.32 | $198.00 | $908.10 | — | 66% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB(ANA) | $19.38 | $57.00 | $6.05–$48.45 | 58% below | 66% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB(ANA) | $19.38 | $57.00 | $908.10 | — | 66% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE ASSAY | $44.20 | $130.00 | $19.63–$110.50 | 33% below | 66% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE ASSAY | $44.20 | $130.00 | $908.10 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, ROUTINE AEROBIC | $24.14 | $71.00 | $4.31–$60.35 | 14% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE MISC | $24.82 | $73.00 | $4.31–$62.05 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESPIRATORY CULTURE | $24.82 | $73.00 | $4.31–$62.05 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC SPINAL FLD CULTURE | $24.82 | $73.00 | $4.31–$62.05 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, ROUTINE AEROBIC | $24.14 | $71.00 | $908.10 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESPIRATORY CULTURE | $24.82 | $73.00 | $908.10 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE MISC | $24.82 | $73.00 | $908.10 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC SPINAL FLD CULTURE | $24.82 | $73.00 | $908.10 | — | 66% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS) | $15.30 | $45.00 | $4.23–$38.25 | 56% below | 66% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS) | $15.30 | $45.00 | $908.10 | — | 66% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL | $5.44 | $16.00 | $2.51–$13.60 | 67% below | 66% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL, BODY FLUID - RL | $31.62 | $93.00 | $2.51–$79.05 | 92% above | 66% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL | $5.44 | $16.00 | $908.10 | — | 66% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL, BODY FLUID - RL | $31.62 | $93.00 | $908.10 | — | 66% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE, G & M, LEVEL IV | $59.50 | $175.00 | $48.56–$148.75 | 24% below | 66% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LVL IV SURG PTH | $59.50 | $175.00 | $48.56–$148.75 | 24% below | 66% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LVL IV SURG PTH | $59.50 | $175.00 | $908.10 | — | 66% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE, G & M, LEVEL IV | $59.50 | $175.00 | $908.10 | — | 66% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE | $13.60 | $40.00 | $5.16–$34.00 | 70% below | 66% |
| Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE | $13.60 | $40.00 | $908.10 | — | 66% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE/BL COLL | $3.40 | $10.00 | $3.00–$17.27 | 59% below | 66% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE/BL COLL | $3.40 | $10.00 | $908.10 | — | 66% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE | $12.58 | $37.00 | $1.97–$31.45 | 4% below | 66% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE, BODY FLUID | $13.94 | $41.00 | $1.97–$34.85 | 7% above | 66% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE | $12.58 | $37.00 | $908.10 | — | 66% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE, BODY FLUID | $13.94 | $41.00 | $908.10 | — | 66% |
| Blood lead test CPT 83655 HC LEAD, URINE | $28.22 | $83.00 | $6.06–$70.55 | 5% above | 66% |
| Blood lead test CPT 83655 HC LEAD, BLOOD | $28.22 | $83.00 | $6.06–$70.55 | 5% above | 66% |
| Blood lead test inpatient CPT 83655 HC LEAD, BLOOD | $28.22 | $83.00 | $908.10 | — | 66% |
| Blood lead test inpatient CPT 83655 HC LEAD, URINE | $28.22 | $83.00 | $908.10 | — | 66% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR | $15.30 | $45.00 | $3.76–$38.25 | 48% below | 66% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR | $15.30 | $45.00 | $908.10 | — | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC C-BLOOD TYPING, ABO | $73.10 | $215.00 | $2.99–$244.91 | 66% above | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC C-BLOOD TYPING, ABO | $73.10 | $215.00 | $908.10 | — | 66% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN, BLOOD | $5.78 | $17.00 | $1.98–$14.45 | 66% below | 66% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN, BLOOD | $5.78 | $17.00 | $908.10 | — | 66% |
| C-peptide blood test CPT 84681 HC C PEPTIDE | $56.10 | $165.00 | $10.41–$140.25 | 10% above | 66% |
| C-peptide blood test inpatient CPT 84681 HC C PEPTIDE | $56.10 | $165.00 | $908.10 | — | 66% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $21.76 | $64.00 | $2.59–$54.40 | 7% below | 66% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $21.76 | $64.00 | $908.10 | — | 66% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN BY PCR | $34.00 | $100.00 | $18.64–$85.00 | 46% below | 66% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN BY PCR | $34.00 | $100.00 | $908.10 | — | 66% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 | $41.82 | $123.00 | $10.41–$104.55 | 13% below | 66% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 | $41.82 | $123.00 | $908.10 | — | 66% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 (CANCER ANTIGEN 125) | $41.82 | $123.00 | $10.41–$104.55 | 20% below | 66% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 (CANCER ANTIGEN 125) | $41.82 | $123.00 | $908.10 | — | 66% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE | $34.00 | $100.00 | $25.66–$97.49 | 52% below | 66% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE | $34.00 | $100.00 | $908.10 | — | 66% |
| Calcium blood test, total CPT 82310 HC CALCIUM SERUM | $7.14 | $21.00 | $2.58–$17.85 | 64% below | 66% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM | $7.14 | $21.00 | $908.10 | — | 66% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA | $29.24 | $86.00 | $9.48–$73.10 | 50% below | 66% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA | $29.24 | $86.00 | $908.10 | — | 66% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB-IGG | $15.30 | $45.00 | $6.44–$38.25 | 58% below | 66% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB-IGM | $35.36 | $104.00 | $6.44–$88.40 | 3% below | 66% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA AB | $35.36 | $104.00 | $6.44–$88.40 | 3% below | 66% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB-IGG | $15.30 | $45.00 | $908.10 | — | 66% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB-IGM | $35.36 | $104.00 | $908.10 | — | 66% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA AB | $35.36 | $104.00 | $908.10 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA | $47.60 | $140.00 | $17.55–$119.00 | 17% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE | $47.60 | $140.00 | $17.55–$119.00 | 17% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE | $47.60 | $140.00 | $908.10 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA | $47.60 | $140.00 | $908.10 | — | 66% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $15.30 | $45.00 | $6.70–$38.25 | 69% below | 66% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $15.30 | $45.00 | $908.10 | — | 66% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF | $13.60 | $40.00 | $3.89–$34.00 | 48% below | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF | $13.60 | $40.00 | $908.10 | — | 66% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMATOLOGY PROFILE | $8.50 | $25.00 | $3.24–$21.25 | 69% below | 66% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC WITHOUT DIFF | $8.50 | $25.00 | $3.24–$21.25 | 69% below | 66% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMATOLOGY PROFILE | $8.50 | $25.00 | $908.10 | — | 66% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WITHOUT DIFF | $8.50 | $25.00 | $908.10 | — | 66% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14 | $18.70 | $55.00 | $5.28–$46.75 | 75% below | 66% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14 | $18.70 | $55.00 | $908.10 | — | 66% |
| Cortisol blood test, total CPT 82533 HC CORTISOL, SALIVA | $12.58 | $37.00 | $8.15–$34.54 | 67% below | 66% |
| Cortisol blood test, total CPT 82533 HC CORTISOL | $24.82 | $73.00 | $8.15–$62.05 | 34% below | 66% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, SALIVA | $12.58 | $37.00 | $908.10 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL | $24.82 | $73.00 | $908.10 | — | 66% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CK), CPK, TOTAL | $6.46 | $19.00 | $3.26–$16.15 | 71% below | 66% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CK TOTAL | $8.50 | $25.00 | $3.26–$21.25 | 62% below | 66% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CK), CPK, TOTAL | $6.46 | $19.00 | $908.10 | — | 66% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CK TOTAL | $8.50 | $25.00 | $908.10 | — | 66% |
| Creatinine blood test CPT 82565 HC CREATININE | $7.14 | $21.00 | $2.56–$17.85 | 57% below | 66% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE | $7.14 | $21.00 | $908.10 | — | 66% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG | $62.22 | $183.00 | $7.20–$155.55 | 58% above | 66% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG | $62.22 | $183.00 | $908.10 | — | 66% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER, QUANT | $40.46 | $119.00 | $5.09–$101.15 | 20% below | 66% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER, QUANT | $40.46 | $119.00 | $908.10 | — | 66% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S | $56.10 | $165.00 | $11.12–$140.25 | 1% below | 66% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S | $56.10 | $165.00 | $908.10 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN, URINE | $13.60 | $40.00 | $28.00–$131.67 | 59% below | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, PRESC/OTC, SERUM | $17.00 | $50.00 | $31.07–$131.67 | 48% below | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, PRESC/OTC, UR | $28.90 | $85.00 | $31.07–$131.67 | 12% below | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN, ANY | $39.10 | $115.00 | $31.07–$131.67 | 18% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE SCREEN | $56.10 | $165.00 | $31.07–$140.25 | 70% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COMPLIANCE DRUG SCREEN, URINE | $56.78 | $167.00 | $31.07–$141.95 | 72% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM DRUG SCREEN PANEL | $56.78 | $167.00 | $31.07–$141.95 | 72% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE PANEL, MECONIUM - SCREEN | $56.78 | $167.00 | $31.07–$141.95 | 72% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ALCOHOL, URINE MEDICAL | $61.20 | $180.00 | $31.07–$153.00 | 85% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE ANALYSIS, URINE - RL | $123.42 | $363.00 | $31.07–$308.55 | 274% above | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN, URINE | $13.60 | $40.00 | $908.10 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, PRESC/OTC, SERUM | $17.00 | $50.00 | $908.10 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, PRESC/OTC, UR | $28.90 | $85.00 | $908.10 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN, ANY | $39.10 | $115.00 | $908.10 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE SCREEN | $56.10 | $165.00 | $908.10 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MECONIUM DRUG SCREEN PANEL | $56.78 | $167.00 | $908.10 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE PANEL, MECONIUM - SCREEN | $56.78 | $167.00 | $908.10 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COMPLIANCE DRUG SCREEN, URINE | $56.78 | $167.00 | $908.10 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ALCOHOL, URINE MEDICAL | $61.20 | $180.00 | $908.10 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE ANALYSIS, URINE - RL | $123.42 | $363.00 | $908.10 | — | 66% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $18.70 | $55.00 | $3.51–$46.75 | 49% below | 66% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $18.70 | $55.00 | $908.10 | — | 66% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV IGG | $14.28 | $42.00 | $9.07–$38.44 | 72% below | 66% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV-IGM | $14.28 | $42.00 | $9.07–$38.44 | 72% below | 66% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS, VCA IGM | $27.20 | $80.00 | $9.07–$68.00 | 46% below | 66% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS, VCA IGG | $27.20 | $80.00 | $9.07–$68.00 | 46% below | 66% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR ANTIBODY,V CAPSID | $71.40 | $210.00 | $9.07–$178.50 | 41% above | 66% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV-IGM | $14.28 | $42.00 | $908.10 | — | 66% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV IGG | $14.28 | $42.00 | $908.10 | — | 66% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS, VCA IGG | $27.20 | $80.00 | $908.10 | — | 66% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS, VCA IGM | $27.20 | $80.00 | $908.10 | — | 66% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR ANTIBODY,V CAPSID | $71.40 | $210.00 | $908.10 | — | 66% |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $44.20 | $130.00 | $13.97–$110.50 | 23% below | 66% |
| Estradiol blood test CPT 82670 HC ESTROGENS, FRACT-ESTRADIOL BLD | $85.34 | $251.00 | $13.97–$213.35 | 50% above | 66% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL | $44.20 | $130.00 | $908.10 | — | 66% |
| Estradiol blood test inpatient CPT 82670 HC ESTROGENS, FRACT-ESTRADIOL BLD | $85.34 | $251.00 | $908.10 | — | 66% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH | $28.56 | $84.00 | $9.29–$71.40 | 48% below | 66% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH | $28.56 | $84.00 | $908.10 | — | 66% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL | $80.24 | $236.00 | $9.82–$200.60 | 15% below | 66% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL | $80.24 | $236.00 | $908.10 | — | 66% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN - RL | $13.26 | $39.00 | $6.82–$33.15 | 71% below | 66% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $24.82 | $73.00 | $6.82–$62.05 | 46% below | 66% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN - RL | $13.26 | $39.00 | $908.10 | — | 66% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $24.82 | $73.00 | $908.10 | — | 66% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN | $31.96 | $94.00 | $4.86–$79.90 | 3% above | 66% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN | $31.96 | $94.00 | $908.10 | — | 66% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID | $24.14 | $71.00 | $7.35–$60.35 | 36% below | 66% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID | $24.14 | $71.00 | $908.10 | — | 66% |
| Free T3 thyroid hormone test CPT 84481 HC T3,FREE | $28.56 | $84.00 | $8.47–$71.40 | 42% below | 66% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3,FREE | $28.56 | $84.00 | $908.10 | — | 66% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE | $10.20 | $30.00 | $4.51–$25.50 | 71% below | 66% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE | $10.20 | $30.00 | $908.10 | — | 66% |
| Free testosterone test CPT 84402 HC TESTOSTERONE, FREE | $116.62 | $343.00 | $12.74–$291.55 | 93% above | 66% |
| Free testosterone test CPT 84402 HC TESTOSTERONE, FREE, MALES | $116.62 | $343.00 | $12.74–$291.55 | 93% above | 66% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE, MALES | $116.62 | $343.00 | $908.10 | — | 66% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE | $116.62 | $343.00 | $908.10 | — | 66% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT | $11.56 | $34.00 | $3.60–$28.90 | 53% below | 66% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT | $11.56 | $34.00 | $908.10 | — | 66% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE | $18.02 | $53.00 | $2.38–$45.05 | 12% above | 66% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE | $18.02 | $53.00 | $908.10 | — | 66% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3H | $26.52 | $78.00 | $6.44–$66.30 | 41% below | 66% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS | $40.46 | $119.00 | $6.44–$101.15 | 10% below | 66% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3H | $26.52 | $78.00 | $908.10 | — | 66% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS | $40.46 | $119.00 | $908.10 | — | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA | $34.34 | $101.00 | $17.55–$85.85 | 40% below | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC BY AMPLIFIED PROBE | $47.60 | $140.00 | $17.55–$119.00 | 17% below | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA | $47.60 | $140.00 | $17.55–$119.00 | 17% below | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA | $34.34 | $101.00 | $908.10 | — | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA | $47.60 | $140.00 | $908.10 | — | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC BY AMPLIFIED PROBE | $47.60 | $140.00 | $908.10 | — | 66% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB, EACH | $61.20 | $180.00 | $8.43–$153.00 | 33% above | 66% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB, EACH | $61.20 | $180.00 | $908.10 | — | 66% |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG STOOL | $98.94 | $291.00 | $5.41–$247.35 | 62% above | 66% |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG STOOL | $98.94 | $291.00 | $908.10 | — | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR | $85.00 | $250.00 | $42.55–$212.50 | 51% below | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA DETECT/QUANT | $174.76 | $514.00 | $42.55–$436.90 | 1% above | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR | $85.00 | $250.00 | $908.10 | — | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA DETECT/QUANT | $174.76 | $514.00 | $908.10 | — | 66% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB | $70.72 | $208.00 | $12.04–$176.80 | 52% above | 66% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB | $70.72 | $208.00 | $908.10 | — | 66% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT | $34.34 | $101.00 | $17.55–$85.85 | 32% below | 66% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT | $34.34 | $101.00 | $908.10 | — | 66% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HB | $11.90 | $35.00 | $4.86–$29.75 | 66% below | 66% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C - RL | $11.90 | $35.00 | $4.86–$29.75 | 66% below | 66% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HB | $11.90 | $35.00 | $908.10 | — | 66% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C - RL | $11.90 | $35.00 | $908.10 | — | 66% |
| Hemoglobin blood test CPT 85018 PR CHG HEMOGLOBIN | $5.10 | $15.00 | $1.19–$12.75 | 51% below | 66% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $5.10 | $15.00 | $1.19–$12.75 | 51% below | 66% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $5.10 | $15.00 | $908.10 | — | 66% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB,IGG/IGM DIFF | $15.30 | $45.00 | $6.03–$38.25 | 46% below | 66% |
| Hepatitis B core antibody test (total) CPT 86704 HC HBCAB | $31.96 | $94.00 | $6.03–$79.90 | 13% above | 66% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE AB,IGG/IGM DIFF | $15.30 | $45.00 | $908.10 | — | 66% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HBCAB | $31.96 | $94.00 | $908.10 | — | 66% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HBSAB | $21.08 | $62.00 | $5.37–$52.70 | 30% below | 66% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TITER | $21.08 | $62.00 | $5.37–$52.70 | 30% below | 66% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HBSAB | $21.08 | $62.00 | $908.10 | — | 66% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TITER | $21.08 | $62.00 | $908.10 | — | 66% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG | $20.06 | $59.00 | $5.17–$50.15 | 44% below | 66% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG | $20.06 | $59.00 | $908.10 | — | 66% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HCV-AB | $31.96 | $94.00 | $7.14–$79.90 | 29% below | 66% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV-AB | $31.96 | $94.00 | $908.10 | — | 66% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY PCR | $68.00 | $200.00 | $21.42–$170.00 | 38% below | 66% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY PCR | $68.00 | $200.00 | $908.10 | — | 66% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB | $12.92 | $38.00 | $6.60–$32.30 | 49% below | 66% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG | $33.66 | $99.00 | $6.60–$84.15 | 34% above | 66% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB | $12.92 | $38.00 | $908.10 | — | 66% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG | $33.66 | $99.00 | $908.10 | — | 66% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB | $19.04 | $56.00 | $9.68–$47.60 | 56% below | 66% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG | $33.66 | $99.00 | $9.68–$84.15 | 22% below | 66% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB | $19.04 | $56.00 | $908.10 | — | 66% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG | $33.66 | $99.00 | $908.10 | — | 66% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS | $20.06 | $59.00 | $6.48–$50.15 | 53% below | 66% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS | $20.06 | $59.00 | $908.10 | — | 66% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTINES, PLASMA | $75.82 | $223.00 | $8.96–$189.55 | 33% above | 66% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINES, PLASMA | $75.82 | $223.00 | $908.10 | — | 66% |
| Insulin blood test CPT 83525 HC INSULIN | $24.82 | $73.00 | $5.72–$62.05 | 13% below | 66% |
| Insulin blood test inpatient CPT 83525 HC INSULIN | $24.82 | $73.00 | $908.10 | — | 66% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $7.82 | $23.00 | $3.24–$19.55 | 64% below | 66% |
| Iron blood test (serum iron) CPT 83540 HC IRON, LIVER TISSUE - RL | $10.20 | $30.00 | $3.24–$25.50 | 53% below | 66% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $7.82 | $23.00 | $908.10 | — | 66% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON, LIVER TISSUE - RL | $10.20 | $30.00 | $908.10 | — | 66% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $11.22 | $33.00 | $4.37–$28.05 | 65% below | 66% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $11.22 | $33.00 | $908.10 | — | 66% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $42.84 | $126.00 | $4.34–$107.10 | 15% below | 66% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $42.84 | $126.00 | $908.10 | — | 66% |
| LH (luteinizing hormone) test CPT 83002 HC LH | $31.28 | $92.00 | $9.26–$78.20 | 42% below | 66% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH | $31.28 | $92.00 | $908.10 | — | 66% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $24.14 | $71.00 | $5.79–$60.35 | 13% below | 66% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTATE | $24.14 | $71.00 | $5.79–$60.35 | 13% below | 66% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $24.14 | $71.00 | $908.10 | — | 66% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE | $24.14 | $71.00 | $908.10 | — | 66% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH-BLOOD OR BODY FLUID | $7.82 | $23.00 | $3.02–$19.55 | 62% below | 66% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID - RL | $7.82 | $23.00 | $3.02–$19.55 | 62% below | 66% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH-BLOOD OR BODY FLUID | $7.82 | $23.00 | $908.10 | — | 66% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID - RL | $7.82 | $23.00 | $908.10 | — | 66% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $12.58 | $37.00 | $3.45–$31.45 | 50% below | 66% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $12.58 | $37.00 | $908.10 | — | 66% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS | $31.96 | $94.00 | $4.09–$79.90 | 36% below | 66% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS | $31.96 | $94.00 | $908.10 | — | 66% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODIES | $13.26 | $39.00 | $8.52–$36.09 | 74% below | 66% |
| Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, CSF - RL | $75.14 | $221.00 | $8.52–$187.85 | 49% above | 66% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODIES | $13.26 | $39.00 | $908.10 | — | 66% |
| Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, CSF - RL | $75.14 | $221.00 | $908.10 | — | 66% |
| Magnesium blood test CPT 83735 HC MAGNESIUM, FECES | $6.80 | $20.00 | $3.35–$17.00 | 68% below | 66% |
| Magnesium blood test CPT 83735 HC CATHARTIC LAXATIVE PROF - MAGNESIUM, FECES | $6.80 | $20.00 | $3.35–$17.00 | 68% below | 66% |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $8.50 | $25.00 | $3.35–$21.25 | 60% below | 66% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, FECES | $6.80 | $20.00 | $908.10 | — | 66% |
| Magnesium blood test inpatient CPT 83735 HC CATHARTIC LAXATIVE PROF - MAGNESIUM, FECES | $6.80 | $20.00 | $908.10 | — | 66% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $8.50 | $25.00 | $908.10 | — | 66% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM | $12.58 | $37.00 | $6.44–$31.45 | 57% below | 66% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG | $31.28 | $92.00 | $6.44–$78.20 | 8% above | 66% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM | $12.58 | $37.00 | $908.10 | — | 66% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG | $31.28 | $92.00 | $908.10 | — | 66% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT | $13.60 | $40.00 | $2.59–$34.00 | 44% below | 66% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT | $13.60 | $40.00 | $908.10 | — | 66% |
| Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODIES IGM (EIA) | $49.98 | $147.00 | $6.53–$124.95 | 69% above | 66% |
| Mumps immunity blood test CPT 86735 HC MUMPS AB, IGG | $55.76 | $164.00 | $6.53–$139.40 | 89% above | 66% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODIES IGM (EIA) | $49.98 | $147.00 | $908.10 | — | 66% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB, IGG | $55.76 | $164.00 | $908.10 | — | 66% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $96.90 | $285.00 | $23.91–$242.25 | 28% above | 66% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $96.90 | $285.00 | $908.10 | — | 66% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, FREE | $77.52 | $228.00 | $9.20–$193.80 | 59% above | 66% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, FREE | $77.52 | $228.00 | $908.10 | — | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL-REF LAB ONLY | $18.02 | $53.00 | $9.20–$45.05 | 59% below | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, SCREENING | $31.96 | $94.00 | $9.20–$79.90 | 28% below | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL | $31.96 | $94.00 | $9.20–$79.90 | 28% below | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE HEALTH INDEX (PHI) | $31.96 | $94.00 | $9.20–$79.90 | 28% below | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC | $31.96 | $94.00 | $9.20–$79.90 | 28% below | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL-REF LAB ONLY | $18.02 | $53.00 | $908.10 | — | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, SCREENING | $31.96 | $94.00 | $908.10 | — | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC | $31.96 | $94.00 | $908.10 | — | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL | $31.96 | $94.00 | $908.10 | — | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE HEALTH INDEX (PHI) | $31.96 | $94.00 | $908.10 | — | 66% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC | $19.72 | $58.00 | $10.13–$49.30 | 29% below | 66% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC | $19.72 | $58.00 | $908.10 | — | 66% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTACT | $119.68 | $352.00 | $20.64–$299.20 | 32% above | 66% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTACT | $119.68 | $352.00 | $908.10 | — | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME | $6.80 | $20.00 | $3.01–$17.00 | 67% below | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME | $6.80 | $20.00 | $908.10 | — | 66% |
| Phosphorus (phosphate) blood test CPT 84100 HC CATHARTIC LAXATIVE PROF - PHOSPHORUS, FECES | $4.76 | $14.00 | $2.37–$11.90 | 72% below | 66% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS, FECES | $4.76 | $14.00 | $2.37–$11.90 | 72% below | 66% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $6.80 | $20.00 | $2.37–$17.00 | 59% below | 66% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS, FECES | $4.76 | $14.00 | $908.10 | — | 66% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC CATHARTIC LAXATIVE PROF - PHOSPHORUS, FECES | $4.76 | $14.00 | $908.10 | — | 66% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS | $6.80 | $20.00 | $908.10 | — | 66% |
| Potassium blood test CPT 84132 HC POTASSIUM | $6.46 | $19.00 | $2.38–$16.15 | 63% below | 66% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM | $6.46 | $19.00 | $908.10 | — | 66% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY | $547.74 | $1,611.00 | $379.53–$1,608.43 | 31% above | 66% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY | $547.74 | $1,611.00 | $908.10 | — | 66% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $30.26 | $89.00 | $10.43–$75.65 | 45% below | 66% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $30.26 | $89.00 | $908.10 | — | 66% |
| Prolactin blood test CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT | $32.98 | $97.00 | $9.69–$82.45 | 48% below | 66% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $32.98 | $97.00 | $9.69–$82.45 | 48% below | 66% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $32.98 | $97.00 | $908.10 | — | 66% |
| Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT | $32.98 | $97.00 | $908.10 | — | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR | $6.80 | $20.00 | $2.15–$17.00 | 53% below | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $6.80 | $20.00 | $2.15–$17.00 | 53% below | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR | $6.80 | $20.00 | $908.10 | — | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $6.80 | $20.00 | $908.10 | — | 66% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST, PRESUMP,ANY NUMBER OF CLASS, DIRECT OPTICAL OBS, URINE | $23.12 | $68.00 | $6.30–$57.80 | 2% above | 66% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST, PRESUMP,ANY NUMBER OF CLASS, DIRECT OPTICAL OBS, URINE | $23.12 | $68.00 | $908.10 | — | 66% |
| Rapid flu test (influenza antigen) CPT 87804 HC POC INFLUENZA A & B VIRUS TESTING | $13.26 | $39.00 | $8.28–$35.07 | 41% below | 66% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A & B VIRUS TESTING | $13.26 | $39.00 | $8.28–$35.07 | 41% below | 66% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A & B VIRUS TESTING | $13.26 | $39.00 | $908.10 | — | 66% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC POC INFLUENZA A & B VIRUS TESTING | $13.26 | $39.00 | $908.10 | — | 66% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A SCREEN | $13.26 | $39.00 | $8.27–$35.03 | 40% below | 66% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A SCREEN | $13.26 | $39.00 | $908.10 | — | 66% |
| Renin blood test CPT 84244 HC RENIN ACTIVITY | $114.58 | $337.00 | $11.00–$286.45 | 92% above | 66% |
| Renin blood test CPT 84244 HC RENIN ACTIVITY, PLASMA -RL | $117.30 | $345.00 | $11.00–$293.25 | 97% above | 66% |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY | $114.58 | $337.00 | $908.10 | — | 66% |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY, PLASMA -RL | $117.30 | $345.00 | $908.10 | — | 66% |
| Rh blood typing CPT 86901 HC C-BLOOD RH TYPE | $24.48 | $72.00 | $2.99–$74.58 | 14% above | 66% |
| Rh blood typing inpatient CPT 86901 HC C-BLOOD RH TYPE | $24.48 | $72.00 | $908.10 | — | 66% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT | $24.14 | $71.00 | $2.84–$60.35 | 3% above | 66% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT | $24.14 | $71.00 | $908.10 | — | 66% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG | $20.06 | $59.00 | $7.20–$50.15 | 40% below | 66% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY, IGG | $20.74 | $61.00 | $7.20–$51.85 | 38% below | 66% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM | $76.50 | $225.00 | $7.20–$191.25 | 130% above | 66% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG | $20.06 | $59.00 | $908.10 | — | 66% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY, IGG | $20.74 | $61.00 | $908.10 | — | 66% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM | $76.50 | $225.00 | $908.10 | — | 66% |
| Sodium blood test CPT 84295 HC SODIUM | $6.80 | $20.00 | $2.41–$17.00 | 60% below | 66% |
| Sodium blood test inpatient CPT 84295 HC SODIUM | $6.80 | $20.00 | $908.10 | — | 66% |
| Stool ova and parasites exam CPT 87177 HC EXAM PARA, URINE/B.F. | $12.24 | $36.00 | $4.45–$30.60 | 59% below | 66% |
| Stool ova and parasites exam inpatient CPT 87177 HC EXAM PARA, URINE/B.F. | $12.24 | $36.00 | $908.10 | — | 66% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN | $9.18 | $27.00 | $2.19–$22.95 | 32% below | 66% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN | $9.18 | $27.00 | $908.10 | — | 66% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD | $38.76 | $114.00 | $7.96–$96.90 | 53% above | 66% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD | $38.76 | $114.00 | $908.10 | — | 66% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS IGG AB | $12.92 | $38.00 | $6.62–$32.30 | 50% below | 66% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS AB, TP-PA | $12.92 | $38.00 | $6.62–$32.30 | 50% below | 66% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODIES | $39.10 | $115.00 | $6.62–$97.75 | 52% above | 66% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS TOTAL ABS | $39.10 | $115.00 | $6.62–$97.75 | 52% above | 66% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS AB, TP-PA | $12.92 | $38.00 | $908.10 | — | 66% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS IGG AB | $12.92 | $38.00 | $908.10 | — | 66% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS TOTAL ABS | $39.10 | $115.00 | $908.10 | — | 66% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODIES | $39.10 | $115.00 | $908.10 | — | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL SEURM | $4.42 | $13.00 | $2.14–$11.05 | 69% below | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL (CSF ONLY) | $12.58 | $37.00 | $2.14–$31.45 | 13% below | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN | $16.32 | $48.00 | $2.14–$40.80 | 13% above | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL SEURM | $4.42 | $13.00 | $908.10 | — | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL (CSF ONLY) | $12.58 | $37.00 | $908.10 | — | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN | $16.32 | $48.00 | $908.10 | — | 66% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON GOLD TB TEST | $77.52 | $228.00 | $30.99–$193.80 | 34% below | 66% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON GOLD TB TEST | $77.52 | $228.00 | $908.10 | — | 66% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS | $25.16 | $74.00 | $12.91–$62.90 | 57% below | 66% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL | $38.76 | $114.00 | $12.91–$96.90 | 34% below | 66% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $38.76 | $114.00 | $12.91–$96.90 | 34% below | 66% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS | $25.16 | $74.00 | $908.10 | — | 66% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $38.76 | $114.00 | $908.10 | — | 66% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL | $38.76 | $114.00 | $908.10 | — | 66% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE (TPO) ABS | $26.52 | $78.00 | $7.28–$66.30 | 26% below | 66% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH | $42.84 | $126.00 | $7.28–$107.10 | 19% above | 66% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB | $48.96 | $144.00 | $7.28–$122.40 | 36% above | 66% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE (TPO) ABS | $26.52 | $78.00 | $908.10 | — | 66% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH | $42.84 | $126.00 | $908.10 | — | 66% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB | $48.96 | $144.00 | $908.10 | — | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $22.10 | $65.00 | $8.40–$55.25 | 46% below | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC CU INDEX-TSH ASSAY | $30.94 | $91.00 | $8.40–$77.35 | 25% below | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $22.10 | $65.00 | $908.10 | — | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC CU INDEX-TSH ASSAY | $30.94 | $91.00 | $908.10 | — | 66% |
| Total IgE blood test CPT 82785 HC IGE-IMMUNOGLOBULIN | $29.24 | $86.00 | $8.23–$73.10 | 23% below | 66% |
| Total IgE blood test inpatient CPT 82785 HC IGE-IMMUNOGLOBULIN | $29.24 | $86.00 | $908.10 | — | 66% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $6.46 | $19.00 | $2.18–$16.15 | 57% below | 66% |
| Total cholesterol blood test CPT 82465 HC NMR CHOLESTEROL ASSAY | $34.00 | $100.00 | $2.18–$85.00 | 127% above | 66% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL | $6.46 | $19.00 | $908.10 | — | 66% |
| Total cholesterol blood test inpatient CPT 82465 HC NMR CHOLESTEROL ASSAY | $34.00 | $100.00 | $908.10 | — | 66% |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL | $17.34 | $51.00 | $3.44–$43.35 | 26% below | 66% |
| Total thyroxine (T4) blood test CPT 84436 HC T4, TOTAL | $21.42 | $63.00 | $3.44–$53.55 | 8% below | 66% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL | $17.34 | $51.00 | $908.10 | — | 66% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4, TOTAL | $21.42 | $63.00 | $908.10 | — | 66% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAT | $13.94 | $41.00 | $7.09–$34.85 | 71% below | 66% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 | $80.58 | $237.00 | $7.09–$201.45 | 68% above | 66% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAT | $13.94 | $41.00 | $908.10 | — | 66% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 | $80.58 | $237.00 | $908.10 | — | 66% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $31.28 | $92.00 | $6.38–$78.20 | 19% below | 66% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $31.28 | $92.00 | $908.10 | — | 66% |
| Trichomonas test (NAAT) CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE | $44.20 | $130.00 | $17.55–$110.50 | 10% below | 66% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE | $44.20 | $130.00 | $908.10 | — | 66% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $7.48 | $22.00 | $2.87–$18.70 | 69% below | 66% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $7.48 | $22.00 | $908.10 | — | 66% |
| Troponin test, quantitative CPT 84484 HC TROPONIN I | $18.70 | $55.00 | $6.24–$46.75 | 51% below | 66% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I | $18.70 | $55.00 | $908.10 | — | 66% |
| Uric acid blood test CPT 84550 HC URIC ACID | $6.46 | $19.00 | $2.26–$16.15 | 63% below | 66% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID | $6.46 | $19.00 | $908.10 | — | 66% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO W/MICRO | $14.28 | $42.00 | $1.59–$35.70 | 43% below | 66% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO W/MICRO | $14.28 | $42.00 | $908.10 | — | 66% |
| Urinalysis with microscope exam, manual CPT 81000 CHG URINALYSIS, NONAUTO, W/SCOPE | $4.20 | $10.00 | $1.86–$302.93 | 36% below | 58% |
| Urinalysis without microscope exam, automated CPT 81003 PR URINALYSIS, AUTO, W/O SCOPE | $5.10 | $15.00 | $1.13–$12.75 | 42% below | 66% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE W/O MICRO, AUTO | $5.10 | $15.00 | $1.13–$12.75 | 42% below | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE W/O MICRO, AUTO | $5.10 | $15.00 | $908.10 | — | 66% |
| Urinalysis without microscope exam, manual CPT 81002 PR URINALYSIS NONAUTO W/O SCOPE | $4.20 | $10.00 | $1.56–$302.93 | 39% below | 58% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, URINE COLONY COUNT | $11.90 | $35.00 | $4.04–$29.75 | 68% below | 66% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, URINE COLONY COUNT | $11.90 | $35.00 | $908.10 | — | 66% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALB URINE, RANDOM | $71.74 | $211.00 | $2.89–$179.35 | 312% above | 66% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QUANT | $71.74 | $211.00 | $2.89–$179.35 | 312% above | 66% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QUANT | $71.74 | $211.00 | $908.10 | — | 66% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALB URINE, RANDOM | $71.74 | $211.00 | $908.10 | — | 66% |
| Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST, URINE | $15.30 | $45.00 | $4.31–$38.25 | 27% below | 66% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST, URINE | $15.30 | $45.00 | $908.10 | — | 66% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12 | $24.14 | $71.00 | $7.54–$60.35 | 39% below | 66% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12 | $27.88 | $82.00 | $7.54–$69.70 | 30% below | 66% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12 | $24.14 | $71.00 | $908.10 | — | 66% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12 | $27.88 | $82.00 | $908.10 | — | 66% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3 | $130.22 | $383.00 | $14.80–$325.55 | 70% above | 66% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D, 25 HYDROXY | $130.22 | $383.00 | $14.80–$325.55 | 70% above | 66% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D, 25 HYDROXY | $130.22 | $383.00 | $908.10 | — | 66% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3 | $130.22 | $383.00 | $908.10 | — | 66% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D, 1-25 DIHYRDOXY | $130.22 | $383.00 | $19.25–$325.55 | 46% above | 66% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D, 1-25 DIHYRDOXY | $130.22 | $383.00 | $908.10 | — | 66% |
| Zinc blood test CPT 84630 HC ZINC, URINE | $11.22 | $33.00 | $5.70–$28.05 | 64% below | 66% |
| Zinc blood test CPT 84630 HC ZINC, SERUM - RL | $23.46 | $69.00 | $5.70–$58.65 | 25% below | 66% |
| Zinc blood test CPT 84630 HC ZINC QUANTITATIVE | $23.46 | $69.00 | $5.70–$58.65 | 25% below | 66% |
| Zinc blood test inpatient CPT 84630 HC ZINC, URINE | $11.22 | $33.00 | $908.10 | — | 66% |
| Zinc blood test inpatient CPT 84630 HC ZINC, SERUM - RL | $23.46 | $69.00 | $908.10 | — | 66% |
| Zinc blood test inpatient CPT 84630 HC ZINC QUANTITATIVE | $23.46 | $69.00 | $908.10 | — | 66% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER) | $11.90 | $35.00 | $7.53–$31.89 | 76% below | 66% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE | $40.46 | $119.00 | $7.53–$101.15 | 17% below | 66% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER) | $11.90 | $35.00 | $908.10 | — | 66% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE | $40.46 | $119.00 | $908.10 | — | 66% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $5,497.68 | $16,169.64 | $661.50–$6,161.83 | 52% above | 66% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR | $11,010.65 | $32,384.25 | $752.85–$13,573.09 | 15% above | 66% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PR CLOSED RX METATARSAL FX | $159.60 | $380.00 | $152.00–$404.12 | 20% below | 58% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO | $3,216.40 | $9,460.00 | $1,324.00–$8,041.00 | 32% below | 66% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO | $3,216.40 | $9,460.00 | $908.10 | — | 66% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION | $455.60 | $1,340.00 | $550.00–$1,243.32 | 16% below | 66% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION | $455.60 | $1,340.00 | $908.10 | — | 66% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $3,582.80 | $10,537.66 | $468.30–$3,710.26 | 102% above | 66% |
| Cervical biopsy CPT 57500 PR BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION | $139.86 | $333.00 | $69.96–$2,005.81 | 71% below | 58% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 29+ DAYS OF AGE ONLY | $1,213.46 | $3,569.00 | $468.30–$3,892.17 | 21% below | 66% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 29+ DAYS OF AGE ONLY | $1,213.46 | $3,569.00 | $908.10 | — | 66% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE) | $85.00 | $250.00 | $150.00–$3,892.17 | 89% below | 66% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PR CIRCUMCISION W/BLOCK, CLAMP/OTHER DEVICE (ANY AGE) | $157.08 | $374.00 | $139.13–$302.93 | 80% below | 58% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE) | $85.00 | $250.00 | $908.10 | — | 66% |
| Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE) | $1,213.46 | $3,569.00 | $468.30–$3,033.65 | 76% above | 66% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE) | $1,213.46 | $3,569.00 | $908.10 | — | 66% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PR CLOSED RX DIST RAD/ULNA FX | $210.00 | $500.00 | $165.13–$606.37 | 9% below | 58% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY W/EUS | $804.10 | $2,365.00 | $468.30–$2,240.25 | 18% above | 66% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY W/EUS | $804.10 | $2,365.00 | $908.10 | — | 66% |
| Colonoscopy with polyp removal CPT 45385 HC COLON W/REMOVAL BY SNARE TECH | $804.10 | $2,365.00 | $468.30–$2,240.25 | 5% below | 66% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W/REMOVAL BY SNARE TECH | $804.10 | $2,365.00 | $908.10 | — | 66% |
| Colonoscopy with tissue sample CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD | $804.10 | $2,365.00 | $468.30–$2,240.25 | 6% below | 66% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD | $804.10 | $2,365.00 | $908.10 | — | 66% |
| Colonoscopy, diagnostic CPT 45378 HC COLON DX (INCL BRUSH/WASH) | $609.62 | $1,793.00 | $468.30–$1,732.25 | 18% below | 66% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DX (INCL BRUSH/WASH) | $609.62 | $1,793.00 | $908.10 | — | 66% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 PR COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX | $294.00 | $700.00 | $149.57–$1,440.16 | 77% below | 58% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PR COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG | $169.26 | $403.00 | $100.35–$2,240.24 | 31% below | 58% |
| Coronary stent placement, one artery CPT 92928 HC STENT PLACE CORONARY SINGLE | $7,586.76 | $22,314.00 | $1,319.00–$21,547.08 | 17% below | 66% |
| Coronary stent placement, one artery inpatient CPT 92928 HC STENT PLACE CORONARY SINGLE | $7,586.76 | $22,314.00 | $908.10 | — | 66% |
| Cystoscopy with ureteral stent placement CPT 52332 PR CYSTOSCOPY,INSERT URETERAL STENT | $404.46 | $963.00 | $290.06–$758.32 | 80% below | 58% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 PR CYSTOURETHROSCOPY | $199.08 | $474.00 | $189.60–$378.55 | 68% below | 58% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $4,300.90 | $12,649.71 | $468.30–$6,041.11 | 106% above | 66% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $3,267.78 | $9,611.13 | $535.50–$2,859.25 | 122% above | 66% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL | $44.20 | $130.00 | $53.99–$1,300.00 | 37% below | 66% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL | $44.20 | $130.00 | $908.10 | — | 66% |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL | $44.20 | $130.00 | $53.99–$1,300.00 | 32% below | 66% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL | $44.20 | $130.00 | $908.10 | — | 66% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PR BIOPSY OF UTERUS LINING | $120.54 | $287.00 | $59.17–$137.56 | 21% below | 58% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 REMOVAL OF ETHMOID SINUS | $7,651.91 | $22,505.60 | $752.85–$13,152.69 | 8% above | 66% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 SINUS ENDOSCOPY SURGICAL | $9,151.82 | $26,917.13 | $535.50–$13,152.69 | 43% above | 66% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INTRAVITREAL INJ OF PHARM AGEN | $246.50 | $725.00 | $65.61–$1,300.00 | 18% below | 66% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INTRAVITREAL INJ OF PHARM AGEN | $246.50 | $725.00 | $908.10 | — | 66% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $8,896.07 | $26,164.91 | $752.85–$11,855.53 | 54% above | 66% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX | $609.62 | $1,793.00 | $187.11–$1,732.25 | 37% above | 66% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX | $609.62 | $1,793.00 | $908.10 | — | 66% |
| Gallbladder removal, laparoscopic CPT 47562 HC CHOLECYSTECTOMY, LAPAROSCOPIC | $3,777.40 | $11,110.00 | $535.50–$11,085.28 | 36% above | 66% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC CHOLECYSTECTOMY, LAPAROSCOPIC | $3,777.40 | $11,110.00 | $908.10 | — | 66% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $7,046.38 | $20,724.64 | $535.50–$11,085.28 | 148% above | 66% |
| Hysterectomy through an abdominal incision (total) CPT 58150 PR TOTAL ABDOM HYSTERECTOMY | $1,115.94 | $2,657.00 | $207.64–$1,945.78 | 40% below | 58% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGIOGRAM | $179.52 | $528.00 | $316.80–$1,300.00 | 49% above | 66% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGIOGRAM | $179.52 | $528.00 | $908.10 | — | 66% |
| Hysteroscopy with endometrial ablation CPT 58563 PR HYSTEROSCOPY,W/ENDOMETRIAL ABLATION | $1,934.52 | $4,606.00 | $229.36–$1,914.06 | 31% below | 58% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PR HYSTEROSCOPY,W/ENDO BX | $924.00 | $2,200.00 | $210.50–$880.00 | 52% below | 58% |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD) | $43.18 | $127.00 | $44.45–$2,755.78 | 78% below | 66% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD) | $43.18 | $127.00 | $908.10 | — | 66% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE SINGLE | $125.12 | $368.00 | $98.66–$1,300.00 | 36% below | 66% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE SINGLE | $125.12 | $368.00 | $908.10 | — | 66% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECT TENDON SHEATH/LIGAMENT | $59.22 | $141.00 | $54.33–$302.93 | 59% below | 58% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT | $175.78 | $517.00 | $39.37–$1,300.00 | 29% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT | $175.78 | $517.00 | $908.10 | — | 66% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR | $82.96 | $244.00 | $115.29–$1,300.00 | 10% below | 66% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR | $82.96 | $244.00 | $908.10 | — | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR DRAIN/INJECT INTERMEDIATE JOINT/BURSA | $42.00 | $100.00 | $40.00–$302.93 | 80% below | 58% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR DRAIN/INJECT SMALL JOINT/BURSA | $52.92 | $126.00 | $50.40–$302.93 | 77% below | 58% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $5,703.56 | $16,775.18 | $661.50–$6,164.76 | 63% above | 66% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $5,477.74 | $16,110.99 | $661.50–$6,164.76 | 49% above | 66% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $7,934.81 | $23,337.69 | $678.00–$11,085.28 | 68% above | 66% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PR LAPAROSCOPY W TOT HYSTERECTUTERUS <=250 GRAM W TUBE/OVARY | $924.00 | $2,200.00 | $290.06–$1,972.00 | 84% below | 58% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC LAPAROSCOPIC INGUINAL HERNIA REP | $3,623.04 | $10,656.00 | $661.50–$11,085.28 | 23% below | 66% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC LAPAROSCOPIC INGUINAL HERNIA REP | $3,623.04 | $10,656.00 | $908.10 | — | 66% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $8,240.36 | $24,236.36 | $1,044.75–$11,085.28 | 6% above | 66% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $8,417.60 | $24,757.65 | $752.85–$11,085.28 | 37% above | 66% |
| 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/< | $244.80 | $720.00 | $217.73–$1,300.00 | 25% below | 66% |
| 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/< | $244.80 | $720.00 | $908.10 | — | 66% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $2,726.12 | $8,018.00 | $1,324.00–$6,815.30 | 35% below | 66% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $2,726.12 | $8,018.00 | $908.10 | — | 66% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING | $427.72 | $1,258.00 | $349.65–$1,691.55 | 11% above | 66% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING | $427.72 | $1,258.00 | $908.10 | — | 66% |
| Miscarriage treatment with D&C, first trimester CPT 59820 PR SURG RX MISSED ABORTN,1ST TRI | $273.00 | $650.00 | $238.15–$2,981.06 | 83% below | 58% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PR EXC SKIN BENIG <0.5 CM TRUNK,ARM,LEG | $101.22 | $241.00 | $67.27–$127.50 | 70% below | 58% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC SKIN BENIG <0.5 CM FACE,FACIAL | $110.88 | $264.00 | $105.60–$302.93 | 70% below | 58% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE | $259.08 | $762.00 | $180.60–$1,300.00 | 92% above | 66% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE | $259.08 | $762.00 | $908.10 | — | 66% |
| Pacemaker implant (dual chamber) CPT 33208 HC INS/RPL PERM PACER A&V | $7,162.78 | $21,067.00 | $1,300.00–$21,723.86 | 31% below | 66% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC INS/RPL PERM PACER A&V | $7,162.78 | $21,067.00 | $908.10 | — | 66% |
| Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE | $682.72 | $2,008.00 | $400.00–$1,781.36 | 16% above | 66% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE | $682.72 | $2,008.00 | $908.10 | — | 66% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION INGROWN TOENAIL | $259.08 | $762.00 | $129.76–$1,300.00 | 27% below | 66% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION INGROWN TOENAIL | $259.08 | $762.00 | $908.10 | — | 66% |
| Removal of a breast lump, open surgery CPT 19120 PR EXCISE BREAST CYST | $414.96 | $988.00 | $290.06–$971.27 | 59% below | 58% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMO F/B SUBQ SIMPLE | $136.34 | $401.00 | $146.77–$1,300.00 | 42% below | 66% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO F/B SUBQ SIMPLE | $136.34 | $401.00 | $908.10 | — | 66% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $8,743.06 | $25,714.89 | $593.00–$11,085.28 | 59% above | 66% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK | $609.62 | $1,793.00 | $468.30–$1,732.25 | 3% below | 66% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK | $609.62 | $1,793.00 | $908.10 | — | 66% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY - HIGH RISK | $609.62 | $1,793.00 | $468.30–$1,732.25 | at median | 66% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY - HIGH RISK | $609.62 | $1,793.00 | $908.10 | — | 66% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $5,727.66 | $16,846.05 | $661.50–$6,161.83 | 14% above | 66% |
| Short arm cast (elbow to hand) CPT 29075 HC APPLICATION, CAST, SHORT ARM | $123.42 | $363.00 | $77.27–$1,300.00 | 27% below | 66% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION, CAST, SHORT ARM | $123.42 | $363.00 | $908.10 | — | 66% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC | $130.90 | $385.00 | $117.16–$1,300.00 | 8% above | 66% |
| Short arm splint (forearm and hand) CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC | $130.90 | $385.00 | $100.00–$385.00 | 8% above | 66% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC | $130.90 | $385.00 | $908.10 | — | 66% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC | $130.90 | $385.00 | $908.10 | — | 66% |
| Short leg cast (below the knee) CPT 29405 HC APPLICATION, CAST, SHORT LEG | $123.42 | $363.00 | $68.53–$1,300.00 | 32% below | 66% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION, CAST, SHORT LEG | $123.42 | $363.00 | $908.10 | — | 66% |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION, SPLINT, LOWER LEG | $130.90 | $385.00 | $60.26–$1,300.00 | 8% below | 66% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION, SPLINT, LOWER LEG | $130.90 | $385.00 | $908.10 | — | 66% |
| 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 | $173.40 | $510.00 | $180.60–$1,300.00 | 7% below | 66% |
| 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 | $173.40 | $510.00 | $908.10 | — | 66% |
| Skin biopsy, punch, one lesion CPT 11104 PR PUNCH BIOPSY, SKIN, SINGLE LESION | $65.10 | $155.00 | $42.00–$93.00 | 76% below | 58% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 PR EXC SKIN MALIG <0.5 CM TRUNK,ARM,LEG | $157.92 | $376.00 | $150.40–$302.93 | 66% below | 58% |
| Skin tag removal, up to 15 tags CPT 11200 PR REMOVAL OF SKIN TAGS, UP TO 15 | $72.66 | $173.00 | $48.16–$91.51 | 45% below | 58% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX | $476.68 | $1,402.00 | $275.00–$1,324.48 | 12% above | 66% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX | $476.68 | $1,402.00 | $908.10 | — | 66% |
| 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 | $173.40 | $510.00 | $180.60–$1,300.00 | 6% below | 66% |
| 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 | $173.40 | $510.00 | $908.10 | — | 66% |
| 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 | $173.40 | $510.00 | $180.60–$1,300.00 | 5% below | 66% |
| 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 | $173.40 | $510.00 | $908.10 | — | 66% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY, SKIN, SINGLE LESION | $52.50 | $125.00 | $34.65–$75.00 | 69% below | 58% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING | $496.06 | $1,459.00 | $275.00–$1,336.05 | 23% below | 66% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING | $496.06 | $1,459.00 | $908.10 | — | 66% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $4,967.85 | $14,611.32 | $752.85–$6,161.83 | 29% above | 66% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $6,066.84 | $17,843.65 | $535.50–$11,239.75 | 111% above | 66% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $5,837.16 | $17,168.11 | $661.50–$11,239.75 | 92% above | 66% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $12,021.92 | $35,358.60 | $1,123.00–$25,217.60 | 3% below | 66% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $15,534.34 | $45,689.23 | $953.00–$34,941.10 | 12% below | 66% |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $10,357.58 | $30,463.49 | $1,300.00–$11,085.28 | 88% above | 66% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $3,211.81 | $9,446.50 | $468.30–$3,040.78 | 101% above | 66% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS | $176.46 | $519.00 | $40.82–$1,300.00 | 34% above | 66% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS | $176.46 | $519.00 | $908.10 | — | 66% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $6,199.82 | $18,234.77 | $535.50–$11,085.28 | 16% above | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE | $1,184.56 | $3,484.00 | $275.00–$3,078.46 | 73% above | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE | $1,184.56 | $3,484.00 | $908.10 | — | 66% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILATION BALLOON <30MM | $1,042.10 | $3,065.00 | $468.30–$3,604.28 | 22% above | 66% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILATION BALLOON <30MM | $1,042.10 | $3,065.00 | $908.10 | — | 66% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL | $638.52 | $1,878.00 | $468.30–$1,781.36 | 14% below | 66% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL | $638.52 | $1,878.00 | $908.10 | — | 66% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUC INJECT(S) | $585.48 | $1,722.00 | $468.30–$1,781.36 | 2% above | 66% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUC INJECT(S) | $585.48 | $1,722.00 | $908.10 | — | 66% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE TECH | $1,042.10 | $3,065.00 | $468.30–$3,604.28 | 26% above | 66% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE TECH | $1,042.10 | $3,065.00 | $908.10 | — | 66% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE | $638.52 | $1,878.00 | $468.30–$1,781.36 | 3% below | 66% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE | $638.52 | $1,878.00 | $908.10 | — | 66% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DX (INCL BRUSH/WASH) | $638.52 | $1,878.00 | $349.65–$1,781.36 | 21% below | 66% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DX (INCL BRUSH/WASH) | $638.52 | $1,878.00 | $908.10 | — | 66% |
| Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 | $91.98 | $219.00 | $50.94–$118.04 | 32% below | 58% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $85.26 | $203.00 | $45.27–$394.62 | 78% below | 58% |
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) | $411.74 | $1,211.00 | $268.00–$1,029.35 | 13% below | 66% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY) | $411.74 | $1,211.00 | $908.10 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY | $132.94 | $391.00 | $100.00–$527.00 | 52% above | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX | $132.94 | $391.00 | $100.00–$527.00 | 52% above | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT | $132.94 | $391.00 | $100.00–$527.00 | 52% above | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT | $132.94 | $391.00 | $100.00–$527.00 | 52% above | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT | $132.94 | $391.00 | $100.00–$527.00 | 52% above | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX | $132.94 | $391.00 | $908.10 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT | $132.94 | $391.00 | $908.10 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT | $132.94 | $391.00 | $908.10 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT | $132.94 | $391.00 | $908.10 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY | $132.94 | $391.00 | $908.10 | — | 66% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR | $239.02 | $703.00 | $132.16–$656.04 | 22% below | 66% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR | $239.02 | $703.00 | $908.10 | — | 66% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE (30-74 MINUTES) | $607.92 | $1,788.00 | $765.87–$1,800.00 | 19% below | 66% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE (30-74 MINUTES) | $607.92 | $1,788.00 | $908.10 | — | 66% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG: AWAKE & DROWSY | $196.18 | $577.00 | $272.63–$591.66 | 36% below | 66% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG: AWAKE & DROWSY | $196.18 | $577.00 | $908.10 | — | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG | $40.46 | $119.00 | $53.99–$116.57 | 51% below | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG | $40.46 | $119.00 | $908.10 | — | 66% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMER ROOM LEVEL I | $93.50 | $275.00 | $80.03–$250.00 | at median | 66% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMER ROOM LEVEL I | $93.50 | $275.00 | $908.10 | — | 66% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMER ROOM LEVEL II | $110.50 | $325.00 | $143.94–$306.00 | 31% below | 66% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMER ROOM LEVEL II | $110.50 | $325.00 | $908.10 | — | 66% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMER ROOM LEVEL III | $152.32 | $448.00 | $211.68–$526.09 | 39% below | 66% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMER ROOM LEVEL III | $152.32 | $448.00 | $908.10 | — | 66% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMER ROOM LEVEL IV | $347.14 | $1,021.00 | $387.04–$1,150.00 | 13% below | 66% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMER ROOM LEVEL IV | $347.14 | $1,021.00 | $908.10 | — | 66% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMER ROOM LEVEL V | $461.04 | $1,356.00 | $557.26–$1,489.00 | 11% below | 66% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMER ROOM LEVEL V | $461.04 | $1,356.00 | $908.10 | — | 66% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM | $176.46 | $519.00 | $245.23–$591.66 | 48% below | 66% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM | $176.46 | $519.00 | $908.10 | — | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR | $142.80 | $420.00 | $165.00–$400.31 | 4% below | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR | $142.80 | $420.00 | $908.10 | — | 66% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC SQ/IM INJECTION | $42.50 | $125.00 | $59.06–$165.00 | 20% below | 66% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC SQ/IM INJECTION | $42.50 | $125.00 | $908.10 | — | 66% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION | $121.80 | $290.00 | $116.00–$302.93 | at median | 58% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS | $22.10 | $65.00 | $30.17–$139.00 | 43% below | 66% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS | $22.10 | $65.00 | $30.17–$139.00 | 43% below | 66% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS | $22.10 | $65.00 | $908.10 | — | 66% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS | $22.10 | $65.00 | $908.10 | — | 66% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN | $70.72 | $208.00 | $38.00–$176.80 | 1% below | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN | $70.72 | $208.00 | $908.10 | — | 66% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN | $74.46 | $219.00 | $57.00–$186.15 | 5% below | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN | $74.46 | $219.00 | $908.10 | — | 66% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN | $78.20 | $230.00 | $57.00–$195.50 | 20% below | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN | $78.20 | $230.00 | $908.10 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN | $67.32 | $198.00 | $33.00–$168.30 | 23% above | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN | $67.32 | $198.00 | $908.10 | — | 66% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRTN TH INIT 15 MIN | $9.18 | $27.00 | $13.50–$100.00 | 69% below | 66% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PR MED NUTR THER, 1ST, INDIV, EA 15 MIN | $16.80 | $40.00 | $16.00–$302.93 | 43% below | 58% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRTN TH INIT 15 MIN | $9.18 | $27.00 | $908.10 | — | 66% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS | $57.12 | $168.00 | $57.26–$185.96 | 50% below | 66% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS | $57.12 | $168.00 | $908.10 | — | 66% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS | $54.40 | $160.00 | $58.94–$175.88 | 50% below | 66% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS | $54.40 | $160.00 | $908.10 | — | 66% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS | $54.40 | $160.00 | $58.94–$175.88 | 53% below | 66% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS | $54.40 | $160.00 | $908.10 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS | $22.78 | $67.00 | $25.49–$139.00 | 41% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS | $22.78 | $67.00 | $25.49–$139.00 | 41% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TECHNIQUE - EA 15 MIN ST | $22.78 | $67.00 | $25.49–$139.00 | 41% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TECHNIQUE - EA 15 MIN ST | $22.78 | $67.00 | $908.10 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS | $22.78 | $67.00 | $908.10 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS | $22.78 | $67.00 | $908.10 | — | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EX EA 15MIN | $21.08 | $62.00 | $11.00–$139.00 | 44% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EX EA 15MIN | $21.08 | $62.00 | $11.00–$139.00 | 44% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EX EA 15MIN | $21.08 | $62.00 | $908.10 | — | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EX EA 15MIN | $21.08 | $62.00 | $908.10 | — | 66% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PR PREVENTIVE VISIT,NEW,18-39 | $139.86 | $333.00 | $12.50–$199.80 | 3% above | 58% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PR PREVENTIVE VISIT,NEW,40-64 | $139.86 | $333.00 | $12.75–$216.00 | at median | 58% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PR PREVENTIVE VISIT,NEW,65 & OVER | $139.86 | $333.00 | $13.00–$232.00 | 5% above | 58% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PR PREVENTIVE VISIT,EST,18-39 | $94.50 | $225.00 | $22.50–$161.00 | 7% above | 58% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PR PREVENTIVE VISIT,EST,40-64 | $94.50 | $225.00 | $17.50–$230.00 | 17% below | 58% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PR PREVENTIVE VISIT,EST,65 & OVER | $121.80 | $290.00 | $22.50–$185.00 | at median | 58% |
| Psychiatric evaluation with medical services CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVALUATION W/MEDICAL SERVICES | $126.00 | $300.00 | $120.00–$302.93 | 16% above | 58% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PR PSYCHOTHERAPY FOR CRISIS; 1ST 60 MINUTES | $79.80 | $190.00 | $76.00–$302.93 | at median | 58% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT, 30 MIN | $37.80 | $90.00 | $36.00–$302.93 | 50% below | 58% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT, 45 MIN | $50.40 | $120.00 | $48.00–$302.93 | 48% below | 58% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT, 60 MIN | $75.60 | $180.00 | $72.00–$302.93 | 33% below | 58% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CES INTERMED,CTTS ONLY | $18.70 | $55.00 | $27.08–$100.00 | 5% below | 66% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CES INTERMED,CTTS ONLY | $18.70 | $55.00 | $908.10 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN | $62.56 | $184.00 | $57.00–$156.40 | 9% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN | $62.56 | $184.00 | $908.10 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN | $56.44 | $166.00 | $38.00–$141.10 | 1% above | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN | $56.44 | $166.00 | $908.10 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN | $59.50 | $175.00 | $55.79–$148.75 | 7% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN | $130.20 | $310.00 | $41.39–$124.00 | 104% above | 58% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN | $59.50 | $175.00 | $908.10 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN | $53.72 | $158.00 | $33.00–$134.30 | 9% above | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN | $53.72 | $158.00 | $908.10 | — | 66% |
| Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION | $125.46 | $369.00 | $100.00–$400.62 | 32% below | 66% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION | $125.46 | $369.00 | $908.10 | — | 66% |
| Speech therapy session, individual CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL | $85.00 | $250.00 | $33.00–$212.50 | at median | 66% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL | $85.00 | $250.00 | $908.10 | — | 66% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $25.20 | $60.00 | $21.23–$371.17 | 80% below | 58% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY | $95.88 | $282.00 | $133.25–$297.27 | 25% below | 66% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY | $95.88 | $282.00 | $908.10 | — | 66% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN | $171.70 | $505.00 | $140.00–$591.66 | 21% below | 66% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN | $171.70 | $505.00 | $908.10 | — | 66% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS | $25.16 | $74.00 | $8.80–$139.00 | 38% below | 66% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS | $25.16 | $74.00 | $8.80–$139.00 | 38% below | 66% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS | $25.16 | $74.00 | $908.10 | — | 66% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS | $25.16 | $74.00 | $908.10 | — | 66% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PR PHLEBOTOMY | $46.20 | $110.00 | $29.00–$302.93 | 53% below | 58% |
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) | $133.32 | $392.11 | $39.25–$333.29 | 24% above | 66% |
| 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) | $133.32 | $392.11 | $196.06–$908.10 | — | 66% |
| 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) | $34.85 | $102.50 | $18.60–$87.13 | 12% above | 66% |
| 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) | $34.85 | $102.50 | $51.25–$908.10 | — | 66% |
| 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 | $50.81 | $149.43 | $26.66–$127.02 | 28% above | 66% |
| 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 | $50.81 | $149.43 | $74.72–$908.10 | — | 66% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR | $28.80 | $84.72 | $14.45–$72.01 | 28% above | 66% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR | $28.80 | $84.72 | $42.36–$908.10 | — | 66% |
| 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 | $170.66 | $501.94 | $237.17–$426.65 | 13% above | 66% |
| 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 | $170.66 | $501.94 | $250.97–$908.10 | — | 66% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 PR FLU VACCINE, NASAL | $12.60 | $30.00 | $12.00–$302.93 | at median | 58% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $478.85 | $1,408.38 | $298.04–$1,197.12 | 43% above | 66% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $478.85 | $1,408.38 | $704.19–$908.10 | — | 66% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG (UIR) | $214.96 | $632.24 | $94.44–$537.40 | 54% above | 66% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG (UIR) | $214.96 | $632.24 | $316.12–$908.10 | — | 66% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSVPREF3 ANTIGEN-AS01E (PF) 120 MCG/0.5 ML IM SUSR | $539.78 | $1,587.60 | $311.64–$1,349.46 | 578% above | 66% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSVPREF3 ANTIGEN-AS01E (PF) 120 MCG/0.5 ML IM SUSR | $539.78 | $1,587.60 | $793.80–$908.10 | — | 66% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR|DISCARDED DRUG NOT ADMINISTE | $759.94 | $2,235.12 | $276.13–$1,899.85 | 5% above | 66% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR | $766.40 | $2,254.12 | $276.13–$1,916.00 | 6% above | 66% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR|DISCARDED DRUG NOT ADMINISTE | $759.94 | $2,235.12 | $908.10–$1,117.56 | — | 66% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR | $766.40 | $2,254.12 | $908.10–$1,127.06 | — | 66% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP | $51.38 | $151.12 | $26.37–$128.45 | 9% above | 66% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UMBRELLA) | $71.82 | $211.24 | $26.37–$179.55 | 53% above | 66% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP | $51.38 | $151.12 | $75.56–$908.10 | — | 66% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UMBRELLA) | $71.82 | $211.24 | $105.62–$908.10 | — | 66% |
| 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) | $82.88 | $243.77 | $35.32–$207.20 | 22% above | 66% |
| 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 SYRG (UIR) | $82.88 | $243.77 | $35.32–$207.20 | 22% above | 66% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA) | $83.69 | $246.14 | $35.32–$209.22 | 23% above | 66% |
| 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) | $82.88 | $243.77 | $121.89–$908.10 | — | 66% |
| 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 SYRG (UIR) | $82.88 | $243.77 | $121.89–$908.10 | — | 66% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA) | $83.69 | $246.14 | $123.07–$908.10 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $18.90 | $45.00 | $7.00–$302.93 | 53% below | 58% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PR IMMUNIZ,ADMIN,EACH ADDL | $9.66 | $23.00 | $7.00–$302.93 | 66% below | 58% |
Source file: https://ochsner-craft.s3.amazonaws.com/core/880907240_ochsner-american-legion-hospital-llc_standardcharges.csv.csv