Hospital

Floyd Cherokee Medical Center

Floyd Cherokee Medical Center in Centre, AL publishes cash prices for 342 common procedures listed here, from its own machine-readable price file updated Oct 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Alabama median for 274 of 335 procedures and below it for 56. By typical cash price it ranks #48 of 53 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

400 Northwood Drive, Centre, AL 35960 Collected Nov 1, 2026 Source price file Check a bill from this hospital (256) 927-5531

Acute care hospital For-profit hospital Emergency department CCN 010022 · CMS hospital register NPI 1962999664

Scans and imaging

ProcedureCash priceList priceInsurers payvs AlabamaOff list
Abdominal CT scan without and with contrast CPT 74170 HC CT SCAN OF ABDOMEN COMBO $2,093.50 $4,187.00 $155.08–$2,512.20 53% above 50%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT SCAN OF ABDOMEN COMBO $2,093.50 $4,187.00 $2,512.20 — 50%
Abdominal X-ray, 2 views CPT 74019 HC DX ABDOMEN 2 VIEWS $243.00 $486.00 $82.96–$291.60 21% above 50%
Abdominal X-ray, 2 views inpatient CPT 74019 HC DX ABDOMEN 2 VIEWS $243.00 $486.00 $291.60 — 50%
Ankle X-ray, complete, 3 or more views CPT 73610 HC DX ANKLE 3+ VW $233.50 $467.00 $76.94–$280.20 11% above 50%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC DX ANKLE 3+ VW $233.50 $467.00 $280.20 — 50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL $662.00 $1,324.00 $117.64–$794.40 183% above 50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL $662.00 $1,324.00 $794.40 — 50%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT SCAN UPPER EXTREMITY W/O CONTRAST $1,742.50 $3,485.00 $92.43–$2,091.00 83% above 50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT SCAN UPPER EXTREMITY W/O CONTRAST $1,742.50 $3,485.00 $2,091.00 — 50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC DX ESOPHAGRAM $240.00 $480.00 $81.94–$311.77 13% below 50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC DX ESOPHAGRAM $240.00 $480.00 $288.00 — 50%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING WHOLE BODY $3,080.50 $6,161.00 $353.46–$3,696.60 180% above 50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING WHOLE BODY $3,080.50 $6,161.00 $3,696.60 — 50%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE $769.50 $1,539.00 $92.43–$923.40 198% above 50%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE $769.50 $1,539.00 $923.40 — 50%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED $769.50 $1,539.00 $76.94–$923.40 202% above 50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED $769.50 $1,539.00 $923.40 — 50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES $1,224.00 $2,448.00 $308.45–$1,468.80 52% below 50%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES $1,224.00 $2,448.00 $1,468.80 — 50%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIO BRAIN W/ CONTRAST $2,416.00 $4,832.00 $155.08–$2,899.20 56% above 50%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO BRAIN W/ CONTRAST $2,416.00 $4,832.00 $2,899.20 — 50%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK W/ CONTRAST $2,416.00 $4,832.00 $155.08–$2,899.20 73% above 50%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO NECK W/ CONTRAST $2,416.00 $4,832.00 $2,899.20 — 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST W/ CONTRAST $1,728.50 $3,457.00 $155.08–$2,074.20 27% above 50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST W/ CONTRAST $1,728.50 $3,457.00 $2,074.20 — 50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT SCAN ABDOMEN AND PELVIS W/O CONTRAST $4,019.00 $8,038.00 $210.95–$4,822.80 99% above 50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT SCAN ABDOMEN AND PELVIS W/O CONTRAST $4,019.00 $8,038.00 $4,822.80 — 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN ABDOMEN AND PELVIS W CONTRAST $4,449.00 $8,898.00 $308.45–$5,338.80 95% above 50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN ABDOMEN AND PELVIS W CONTRAST $4,449.00 $8,898.00 $5,338.80 — 50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $4,550.00 $9,100.00 $308.45–$5,460.00 77% above 50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST $4,550.00 $9,100.00 $5,460.00 — 50%
CT scan of the abdomen with contrast CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST $1,775.00 $3,550.00 $155.08–$2,130.00 29% above 50%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST $1,775.00 $3,550.00 $2,130.00 — 50%
CT scan of the abdomen without contrast CPT 74150 HC CT SCAN ABDOMEN W/O CONTRAST $1,759.50 $3,519.00 $92.43–$2,111.40 59% above 50%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT SCAN ABDOMEN W/O CONTRAST $1,759.50 $3,519.00 $2,111.40 — 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST $2,272.50 $4,545.00 $92.43–$2,727.00 95% above 50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST $2,272.50 $4,545.00 $2,727.00 — 50%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST $2,948.00 $5,896.00 $92.43–$3,537.60 170% above 50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST $2,948.00 $5,896.00 $3,537.60 — 50%
CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST $3,029.50 $6,059.00 $155.08–$3,635.40 167% above 50%
CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST $3,029.50 $6,059.00 $3,635.40 — 50%
CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO $4,099.50 $8,199.00 $155.08–$4,919.40 145% above 50%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO $4,099.50 $8,199.00 $4,919.40 — 50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST MATERIAL $1,619.00 $3,238.00 $92.43–$1,942.80 30% above 50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST MATERIAL $1,619.00 $3,238.00 $1,942.80 — 50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST MATERIAL $2,811.00 $5,622.00 $92.43–$3,373.20 115% above 50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST MATERIAL $2,811.00 $5,622.00 $3,373.20 — 50%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST $1,885.50 $3,771.00 $155.08–$2,262.60 44% above 50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST $1,885.50 $3,771.00 $2,262.60 — 50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL BILAT $2,625.50 $5,251.00 $210.95–$3,150.60 — 50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL BILAT $2,625.50 $5,251.00 $3,150.60 — 50%
Chest CT scan without and with contrast CPT 71270 HC CT CHEST W/ & W/O CONTRAST $1,674.50 $3,349.00 $155.08–$2,009.40 5% above 50%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W/ & W/O CONTRAST $1,674.50 $3,349.00 $2,009.40 — 50%
Chest X-ray, 2 views CPT 71046 HC DX EXAM CHEST 2 VIEWS $191.00 $382.00 $65.21–$229.20 at median 50%
Chest X-ray, 2 views inpatient CPT 71046 HC DX EXAM CHEST 2 VIEWS $191.00 $382.00 $229.20 — 50%
Chest X-ray, single view CPT 71045 HC DX EXAM CHEST SINGLE VIEW $191.00 $382.00 $65.21–$229.20 34% above 50%
Chest X-ray, single view inpatient CPT 71045 HC DX EXAM CHEST SINGLE VIEW $191.00 $382.00 $229.20 — 50%
Collarbone (clavicle) X-ray, complete CPT 73000 HC DX CLAVICLE $233.50 $467.00 $76.94–$280.20 47% above 50%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC DX CLAVICLE $233.50 $467.00 $280.20 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERIT B-SCAN/REAL TIME COMPLETE $305.00 $610.00 $92.43–$366.00 23% below 50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERIT B-SCAN/REAL TIME COMPLETE $305.00 $610.00 $366.00 — 50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA SCAN ONE OR MORE SITES $290.00 $580.00 $92.43–$348.00 3% above 50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA SCAN ONE OR MORE SITES $290.00 $580.00 $348.00 — 50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREG UTER FET & MAT + DETL FET EXM $457.50 $915.00 $156.19–$549.00 32% above 50%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREG UTER FET & MAT + DETL FET EXM $457.50 $915.00 $549.00 — 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST $1,417.00 $2,834.00 $92.43–$1,700.40 21% above 50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST W/O CONTRAST $1,417.00 $2,834.00 $1,700.40 — 50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/ CONTRAST $1,728.50 $3,457.00 $155.08–$2,074.20 25% above 50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W/ CONTRAST $1,728.50 $3,457.00 $2,074.20 — 50%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $344.50 $689.00 $117.61–$413.40 — 50%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $344.50 $689.00 $413.40 — 50%
Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $262.50 $525.00 $89.62–$315.00 26% above 50%
Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $262.50 $525.00 $315.00 — 50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC LOWER ARTERIAL DUPLEX BILATERAL $1,202.00 $2,404.00 $210.95–$1,442.40 — 50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC LOWER ARTERIAL DUPLEX BILATERAL $1,202.00 $2,404.00 $1,442.40 — 50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US EXTREMITY VEIN MAP BILATERAL $1,298.50 $2,597.00 $210.95–$1,558.20 — 50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US EXTREMITY VEIN MAP BILATERAL $1,298.50 $2,597.00 $1,558.20 — 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHOCARDIOGRAM/DOPPLER/COMPLETE $2,110.50 $4,221.00 $483.11–$2,532.60 100% above 50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHOCARDIOGRAM/DOPPLER/COMPLETE $2,110.50 $4,221.00 $2,532.60 — 50%
Elbow X-ray, 2 views CPT 73070 HC DX ELBOW 2 VW $233.50 $467.00 $76.94–$280.20 59% above 50%
Elbow X-ray, 2 views inpatient CPT 73070 HC DX ELBOW 2 VW $233.50 $467.00 $280.20 — 50%
Elbow X-ray, complete, 3 or more views CPT 73080 HC DX ELBOW 3+ VW $233.50 $467.00 $76.94–$280.20 44% above 50%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC DX ELBOW 3+ VW $233.50 $467.00 $280.20 — 50%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS PF SELLA IAC W/O CONTRAST $1,840.50 $3,681.00 $92.43–$2,208.60 82% above 50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBITS PF SELLA IAC W/O CONTRAST $1,840.50 $3,681.00 $2,208.60 — 50%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC DX FACIAL BONES 3+ VW $314.50 $629.00 $92.43–$377.40 29% above 50%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC DX FACIAL BONES 3+ VW $314.50 $629.00 $377.40 — 50%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC DX FOREARM 2 VW $233.50 $467.00 $76.94–$280.20 46% above 50%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC DX FOREARM 2 VW $233.50 $467.00 $280.20 — 50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER $2,129.00 $4,258.00 $353.46–$2,554.80 119% above 50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER $2,129.00 $4,258.00 $2,554.80 — 50%
Hand X-ray, 2 views CPT 73120 HC DX HAND 2 VW $291.00 $582.00 $92.43–$349.20 98% above 50%
Hand X-ray, 2 views inpatient CPT 73120 HC DX HAND 2 VW $291.00 $582.00 $349.20 — 50%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC DX HEEL $345.50 $691.00 $76.94–$414.60 136% above 50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC DX HEEL $345.50 $691.00 $414.60 — 50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP STUDY UNATTENDED $1,239.50 $2,479.00 $190.91–$1,487.40 277% above 50%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC HOME SLEEP STUDY UNATTENDED $1,239.50 $2,479.00 $1,487.40 — 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND $3,952.00 $7,904.00 $759.24–$4,742.40 41% above 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND $3,952.00 $7,904.00 $4,742.40 — 50%
Knee X-ray, 3 views CPT 73562 HC DX KNEE 3 VIEW $233.50 $467.00 $76.94–$280.20 32% above 50%
Knee X-ray, 3 views inpatient CPT 73562 HC DX KNEE 3 VIEW $233.50 $467.00 $280.20 — 50%
Knee X-ray, complete, 4 or more views CPT 73564 HC DX KNEE 4+ VIEW $285.50 $571.00 $92.43–$342.60 27% above 50%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC DX KNEE 4+ VIEW $285.50 $571.00 $342.60 — 50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT EXTREMITY LOWER W/O CONTRAST $1,897.50 $3,795.00 $92.43–$2,277.00 114% above 50%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT EXTREMITY LOWER W/O CONTRAST $1,897.50 $3,795.00 $2,277.00 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED $589.50 $1,179.00 $92.43–$707.40 62% above 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED $589.50 $1,179.00 $707.40 — 50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG $512.50 $1,025.00 $92.43–$615.00 156% above 50%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG $512.50 $1,025.00 $615.00 — 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LDCT LUNG SCREEN W/O CONT $218.50 $437.00 $74.60–$806.53 1% above 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LDCT LUNG SCREEN W/O CONT $218.50 $437.00 $262.20 — 50%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC DX LOWER LEG 2 VIEWS $233.50 $467.00 $76.94–$280.20 18% above 50%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC DX LOWER LEG 2 VIEWS $233.50 $467.00 $280.20 — 50%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST $766.00 $1,532.00 $210.95–$1,036.00 52% below 50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST $766.00 $1,532.00 $919.20 — 50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREM JT W/O CONTRAST $1,920.00 $3,840.00 $210.95–$2,304.00 17% above 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREM JT W/O CONTRAST $1,920.00 $3,840.00 $2,304.00 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT OF LEG COMBO $2,088.50 $4,177.00 $308.45–$2,506.20 1% above 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI JOINT OF LEG COMBO $2,088.50 $4,177.00 $2,506.20 — 50%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST $5,299.50 $10,599.00 $210.95–$6,359.40 281% above 50%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST $5,299.50 $10,599.00 $6,359.40 — 50%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN COMBO $2,094.50 $4,189.00 $308.45–$2,513.40 3% above 50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN COMBO $2,094.50 $4,189.00 $2,513.40 — 50%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST $852.50 $1,705.00 $210.95–$1,036.00 50% below 50%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST $852.50 $1,705.00 $1,023.00 — 50%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W & W/O CONTRAST $1,879.00 $3,758.00 $308.45–$2,254.80 19% below 50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W & W/O CONTRAST $1,879.00 $3,758.00 $2,254.80 — 50%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $1,381.50 $2,763.00 $210.95–$1,657.80 13% below 50%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $1,381.50 $2,763.00 $1,657.80 — 50%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE COMBO $2,492.00 $4,984.00 $308.45–$2,990.40 3% above 50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE COMBO $2,492.00 $4,984.00 $2,990.40 — 50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL $1,381.50 $2,763.00 $210.95–$1,657.80 9% below 50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL $1,381.50 $2,763.00 $1,657.80 — 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERV SPINE COMBO $1,758.50 $3,517.00 $308.45–$2,110.20 21% below 50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERV SPINE COMBO $1,758.50 $3,517.00 $2,110.20 — 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL $866.00 $1,732.00 $210.95–$1,039.20 46% below 50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL $866.00 $1,732.00 $1,039.20 — 50%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS COMBO $2,458.00 $4,916.00 $308.45–$2,949.60 18% above 50%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS COMBO $2,458.00 $4,916.00 $2,949.60 — 50%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST $1,113.50 $2,227.00 $210.95–$1,336.20 26% below 50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST $1,113.50 $2,227.00 $1,336.20 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY COMBO WO CONTRAST $1,920.00 $3,840.00 $210.95–$2,304.00 31% above 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY COMBO WO CONTRAST $1,920.00 $3,840.00 $2,304.00 — 50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC DX SPINE CERVICAL 4 OR 5 VIEWS $314.50 $629.00 $92.43–$377.40 11% above 50%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC DX SPINE CERVICAL 4 OR 5 VIEWS $314.50 $629.00 $377.40 — 50%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST $2,725.50 $5,451.00 $155.08–$3,270.60 115% above 50%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK TISSUE CONTRAST $2,725.50 $5,451.00 $3,270.60 — 50%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTRAST $2,250.50 $4,501.00 $92.43–$2,700.60 131% above 50%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O CONTRAST $2,250.50 $4,501.00 $2,700.60 — 50%
Neck soft tissue X-ray CPT 70360 HC DX NECK SOFT TISSUE $314.50 $629.00 $76.94–$377.40 93% above 50%
Neck soft tissue X-ray inpatient CPT 70360 HC DX NECK SOFT TISSUE $314.50 $629.00 $377.40 — 50%
Pelvic CT scan without contrast CPT 72192 HC CT SCAN PELVIS W/O CONTRAST $1,674.50 $3,349.00 $92.43–$2,009.40 55% above 50%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCAN PELVIS W/O CONTRAST $1,674.50 $3,349.00 $2,009.40 — 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US SONO PELVIS LIMITED $490.50 $981.00 $92.43–$588.60 150% above 50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US SONO PELVIS LIMITED $490.50 $981.00 $588.60 — 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC (NONOBSTETRIC) $570.00 $1,140.00 $92.43–$684.00 30% above 50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC (NONOBSTETRIC) $570.00 $1,140.00 $684.00 — 50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >/= 14 WKS SNGL FETUS $440.00 $880.00 $92.43–$528.00 15% above 50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB >/= 14 WKS SNGL FETUS $440.00 $880.00 $528.00 — 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14 WKS SINGLE FETUS $461.50 $923.00 $92.43–$553.80 53% above 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB < 14 WKS SINGLE FETUS $461.50 $923.00 $553.80 — 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LIMITED 1/> FETUSES $606.00 $1,212.00 $92.43–$727.20 148% above 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANT UTERUS LIMITED 1/> FETUSES $606.00 $1,212.00 $727.20 — 50%
Rib X-ray, one side, 2 views one side CPT 71100 HC DX RIBS 2 VW UNILAT $233.50 $467.00 $76.94–$280.20 12% above 50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC DX RIBS 2 VW UNILAT $233.50 $467.00 $280.20 — 50%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC DX RIBS CHEST 3+ VW $314.50 $629.00 $92.43–$377.40 36% above 50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC DX RIBS CHEST 3+ VW $314.50 $629.00 $377.40 — 50%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $288.00 $576.00 $98.32–$345.60 — 50%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $288.00 $576.00 $345.60 — 50%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC DX SHOULDER 2+ VW $233.50 $467.00 $76.94–$280.20 16% above 50%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC DX SHOULDER 2+ VW $233.50 $467.00 $280.20 — 50%
Sinus X-ray, complete, 3 or more views CPT 70220 HC DX SINUSES 3+ VW $233.50 $467.00 $76.94–$280.20 9% above 50%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC DX SINUSES 3+ VW $233.50 $467.00 $280.20 — 50%
Skull X-ray, fewer than 4 views CPT 70250 HC DX SKULL LESS THAN 4 VIEWS $407.00 $814.00 $92.43–$488.40 123% above 50%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC DX SKULL LESS THAN 4 VIEWS $407.00 $814.00 $488.40 — 50%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $3,436.50 $6,873.00 $759.24–$4,123.80 31% above 50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $3,436.50 $6,873.00 $4,123.80 — 50%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC DX FEMUR MINIMUM 2 VIEWS $233.50 $467.00 $76.94–$280.20 25% above 50%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC DX FEMUR MINIMUM 2 VIEWS $233.50 $467.00 $280.20 — 50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST MATERIAL $2,041.00 $4,082.00 $92.43–$2,449.20 73% above 50%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST MATERIAL $2,041.00 $4,082.00 $2,449.20 — 50%
Toe X-ray, 2 or more views CPT 73660 HC DX TOE(S) $216.00 $432.00 $73.74–$259.20 56% above 50%
Toe X-ray, 2 or more views inpatient CPT 73660 HC DX TOE(S) $216.00 $432.00 $259.20 — 50%
Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL ULTRASOUND $659.50 $1,319.00 $92.43–$791.40 95% above 50%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC TRANSVAGINAL ULTRASOUND $659.50 $1,319.00 $791.40 — 50%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANT UTERUS TRANSVAGINAL $411.50 $823.00 $92.43–$493.80 47% above 50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANT UTERUS TRANSVAGINAL $411.50 $823.00 $493.80 — 50%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE $667.50 $1,335.00 $92.43–$801.00 39% above 50%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE $667.50 $1,335.00 $801.00 — 50%
Ultrasound of the scrotum and testicles CPT 76870 HC US ECHO SCROTUM & CONTENTS $932.50 $1,865.00 $92.43–$1,119.00 153% above 50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US ECHO SCROTUM & CONTENTS $932.50 $1,865.00 $1,119.00 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD/NECK TISSUES REAL TIME $303.50 $607.00 $92.43–$364.20 7% below 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD/NECK TISSUES REAL TIME $303.50 $607.00 $364.20 — 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC DX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB $638.50 $1,277.00 $155.08–$766.20 80% above 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC DX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB $638.50 $1,277.00 $766.20 — 50%
Upper arm X-ray (humerus), 2 views CPT 73060 HC DX HUMERUS $233.50 $467.00 $76.94–$280.20 28% above 50%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC DX HUMERUS $233.50 $467.00 $280.20 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS UNI OR LTD $1,202.00 $2,404.00 $92.43–$1,442.40 292% above 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS UNI OR LTD $1,202.00 $2,404.00 $1,442.40 — 50%
Wrist X-ray, 2 views CPT 73100 HC DX WRIST 2 VW $233.50 $467.00 $76.94–$280.20 80% above 50%
Wrist X-ray, 2 views inpatient CPT 73100 HC DX WRIST 2 VW $233.50 $467.00 $280.20 — 50%
Wrist X-ray, complete, 3 or more views CPT 73110 HC DX WRIST 3+ VW $233.50 $467.00 $76.94–$280.20 16% above 50%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC DX WRIST 3+ VW $233.50 $467.00 $280.20 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP UNILATERAL WITH PELVIS 2-3 VIEWS $233.50 $467.00 $76.94–$280.20 29% above 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC DX HIP UNILATERAL WITH PELVIS 2-3 VIEWS $233.50 $467.00 $280.20 — 50%
X-ray of the abdomen, 1 view CPT 74018 HC DX ABDOMEN 1 VIEW $180.00 $360.00 $61.45–$216.00 24% above 50%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC DX ABDOMEN 1 VIEW $180.00 $360.00 $216.00 — 50%
X-ray of the ankle, 2 views CPT 73600 HC DX ANKLE 2 VW $233.50 $467.00 $76.94–$280.20 69% above 50%
X-ray of the ankle, 2 views inpatient CPT 73600 HC DX ANKLE 2 VW $233.50 $467.00 $280.20 — 50%
X-ray of the finger(s), 2 or more views CPT 73140 HC DX EXAM OF FINGER(S) $233.50 $467.00 $76.94–$280.20 60% above 50%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC DX EXAM OF FINGER(S) $233.50 $467.00 $280.20 — 50%
X-ray of the foot, 2 views CPT 73620 HC DX FOOT 2 VW $241.50 $483.00 $76.94–$289.80 80% above 50%
X-ray of the foot, 2 views inpatient CPT 73620 HC DX FOOT 2 VW $241.50 $483.00 $289.80 — 50%
X-ray of the foot, complete, 3 or more views CPT 73630 HC DX FOOT 3+ VW $233.50 $467.00 $76.94–$280.20 30% above 50%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC DX FOOT 3+ VW $233.50 $467.00 $280.20 — 50%
X-ray of the hand, 3 or more views CPT 73130 HC DX HAND 3+ VW $233.50 $467.00 $76.94–$280.20 16% above 50%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC DX HAND 3+ VW $233.50 $467.00 $280.20 — 50%
X-ray of the knee, 1 or 2 views CPT 73560 HC DX KNEE 1 OR 2 VIEW $233.50 $467.00 $76.94–$280.20 59% above 50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC DX KNEE 1 OR 2 VIEW $233.50 $467.00 $280.20 — 50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC DX SPINE LUMBAR 2 OR 3 VIEWS $314.50 $629.00 $92.43–$377.40 56% above 50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC DX SPINE LUMBAR 2 OR 3 VIEWS $314.50 $629.00 $377.40 — 50%
X-ray of the lower back, 4 or more views CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS $314.50 $629.00 $92.43–$377.40 9% above 50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS $314.50 $629.00 $377.40 — 50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC DX THORACIC SPINE 2 VW $314.50 $629.00 $92.43–$377.40 60% above 50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC DX THORACIC SPINE 2 VW $314.50 $629.00 $377.40 — 50%
X-ray of the nasal bones, 3 or more views CPT 70160 HC DX NASAL BONES $314.50 $629.00 $76.94–$377.40 81% above 50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC DX NASAL BONES $314.50 $629.00 $377.40 — 50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC DX SPINE CERVICAL 2 OR 3 VIEWS $233.50 $467.00 $76.94–$280.20 17% above 50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC DX SPINE CERVICAL 2 OR 3 VIEWS $233.50 $467.00 $280.20 — 50%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC DX PELVIS 1/2 VW $314.50 $629.00 $92.43–$377.40 93% above 50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC DX PELVIS 1/2 VW $314.50 $629.00 $377.40 — 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC DX SACRUM/COCCYX 2+ VW $233.50 $467.00 $76.94–$280.20 14% above 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC DX SACRUM/COCCYX 2+ VW $233.50 $467.00 $280.20 — 50%

Lab tests

ProcedureCash priceList priceInsurers payvs AlabamaOff list
ACTH blood test CPT 82024 HC ASSAY OF ACTH $766.00 $1,532.00 $37.46–$919.20 472% above 50%
ACTH blood test inpatient CPT 82024 HC ASSAY OF ACTH $766.00 $1,532.00 $919.20 — 50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT $104.50 $209.00 $5.14–$125.40 281% above 50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT $104.50 $209.00 $125.40 — 50%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT $102.00 $204.00 $5.02–$122.40 200% above 50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT $102.00 $204.00 $122.40 — 50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE BUNDLED CHARGE $358.00 $716.00 $46.20–$429.60 62% above 50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE BUNDLED CHARGE $358.00 $716.00 $429.60 — 50%
Albumin blood test CPT 82040 HC ASSAY OF ALBUMIN SERUM PLASMA OR WHOLE BLOOD $107.50 $215.00 $3.62–$129.00 312% above 50%
Albumin blood test inpatient CPT 82040 HC ASSAY OF ALBUMIN SERUM PLASMA OR WHOLE BLOOD $107.50 $215.00 $129.00 — 50%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE $120.50 $241.00 $39.53–$144.60 8% below 50%
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE $120.50 $241.00 $144.60 — 50%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE $103.50 $207.00 $5.02–$124.20 297% above 50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKALINE PHOSPHATASE $103.50 $207.00 $124.20 — 50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TESTING SPEC IGE $36.50 $73.00 $5.06–$43.80 140% above 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TESTING SPEC IGE $36.50 $73.00 $43.80 — 50%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM MARKER $140.00 $280.00 $16.27–$168.00 91% above 50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM MARKER $140.00 $280.00 $168.00 — 50%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA $289.00 $578.00 $12.44–$346.80 284% above 50%
Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA $289.00 $578.00 $346.80 — 50%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE $131.50 $263.00 $6.29–$157.80 199% above 50%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE $131.50 $263.00 $157.80 — 50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE CCP ANTIBODY $65.50 $131.00 $12.56–$78.60 25% above 50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE CCP ANTIBODY $65.50 $131.00 $78.60 — 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA $150.50 $301.00 $11.73–$180.60 252% above 50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA $150.50 $301.00 $180.60 — 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE B-TYPE (BNP) $104.00 $208.00 $38.08–$124.80 at median 50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE B-TYPE (BNP) $104.00 $208.00 $124.80 — 50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHER SOURCE $125.50 $251.00 $8.36–$150.60 140% above 50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHER SOURCE $125.50 $251.00 $150.60 — 50%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE $235.00 $470.00 $8.21–$282.00 292% above 50%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE $235.00 $470.00 $282.00 — 50%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL $99.50 $199.00 $4.87–$119.40 309% above 50%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL $99.50 $199.00 $119.40 — 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH LEVEL IV $91.50 $183.00 $22.20–$109.80 46% below 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH LEVEL IV $91.50 $183.00 $109.80 — 50%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD $92.00 $184.00 $10.01–$110.40 12% above 50%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD $92.00 $184.00 $110.40 — 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE COLLECTION VENOUS BLOOD $4.67 $9.34 $1.59–$16.35 35% below 50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE COLLECTION VENOUS BLOOD $4.67 $9.34 $5.60 — 50%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE BLOOD GLUCOSE $50.00 $100.00 $3.81–$60.00 92% above 50%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE BLOOD GLUCOSE $50.00 $100.00 $60.00 — 50%
Blood lead test CPT 83655 HC ASSAY OF LEAD $240.00 $480.00 $10.00–$288.00 482% above 50%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD $240.00 $480.00 $288.00 — 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN HCG QUALITATIVE $125.00 $250.00 $7.29–$150.00 166% above 50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN HCG QUALITATIVE $125.00 $250.00 $150.00 — 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO $44.00 $88.00 $3.75–$236.49 33% below 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO $44.00 $88.00 $52.80 — 50%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN QUAN $100.50 $201.00 $3.83–$120.60 258% above 50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN QUAN $100.50 $201.00 $120.60 — 50%
C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE $196.00 $392.00 $19.98–$235.20 164% above 50%
C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE $196.00 $392.00 $235.20 — 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN CRP $97.50 $195.00 $5.02–$117.00 122% above 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN CRP $97.50 $195.00 $117.00 — 50%
C. difficile toxin gene test (stool PCR) CPT 87493 HC AMP PROBE CLOSTRIDIUM $115.50 $231.00 $36.15–$138.60 18% above 50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC AMP PROBE CLOSTRIDIUM $115.50 $231.00 $138.60 — 50%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 $70.50 $141.00 $20.19–$84.60 31% below 50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 $70.50 $141.00 $84.60 — 50%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 $97.50 $195.00 $20.19–$117.00 14% above 50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 $97.50 $195.00 $117.00 — 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 NUCLEIC ACID TEST $120.50 $241.00 $46.18–$144.60 105% above 50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 NUCLEIC ACID TEST $120.50 $241.00 $144.60 — 50%
Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM TOTAL $102.00 $204.00 $5.01–$122.40 274% above 50%
Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM TOTAL $102.00 $204.00 $122.40 — 50%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA $200.00 $400.00 $18.39–$240.00 153% above 50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA $200.00 $400.00 $240.00 — 50%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY $138.50 $277.00 $12.49–$166.20 132% above 50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY $138.50 $277.00 $166.20 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE $112.50 $225.00 $24.67–$135.00 73% above 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH DNA AMP PROBE $112.50 $225.00 $135.00 — 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL BUNDLED CHARGE $315.50 $631.00 $12.99–$378.60 504% above 50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL BUNDLED CHARGE $315.50 $631.00 $378.60 — 50%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC AUTO DIFF WBC $226.50 $453.00 $7.54–$271.80 518% above 50%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC AUTO DIFF WBC $226.50 $453.00 $271.80 — 50%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC $144.50 $289.00 $6.28–$173.40 328% above 50%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC $144.50 $289.00 $173.40 — 50%
Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE $245.00 $490.00 $10.24–$294.00 222% above 50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE $245.00 $490.00 $294.00 — 50%
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL $323.50 $647.00 $15.81–$388.20 390% above 50%
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL $323.50 $647.00 $388.20 — 50%
Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CREATINE KINAS CPK TOTAL $69.50 $139.00 $6.31–$83.40 114% above 50%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CREATINE KINAS CPK TOTAL $69.50 $139.00 $83.40 — 50%
Creatinine blood test CPT 82565 HC ASSAY OF CREATININE $101.50 $203.00 $4.97–$121.80 250% above 50%
Creatinine blood test inpatient CPT 82565 HC ASSAY OF CREATININE $101.50 $203.00 $121.80 — 50%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY IGG $154.50 $309.00 $13.96–$185.40 128% above 50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY IGG $154.50 $309.00 $185.40 — 50%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS D-DIMER QUANTITATIVE $152.00 $304.00 $9.87–$182.40 149% above 50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS D-DIMER QUANTITATIVE $152.00 $304.00 $182.40 — 50%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE DHEA SULFATE $63.00 $126.00 $21.56–$75.60 28% below 50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE DHEA SULFATE $63.00 $126.00 $75.60 — 50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DS ALCOHOL ETHYL URINE QUANT RFX $72.00 $144.00 $57.60–$108.75 10% below 50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR METHADONE SCREEN, URINE $117.50 $235.00 $60.28–$141.00 46% above 50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRESUMP DRUG SCR INSTRUMENT $133.50 $267.00 $60.28–$160.20 66% above 50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CLINIC $159.50 $319.00 $60.28–$191.40 99% above 50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC UDS PRESUMPTIVE DRUG TEST $190.00 $380.00 $60.28–$228.00 137% above 50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DS PRESUMPTIVE DRUG TEST FLEX $191.00 $382.00 $60.28–$229.20 138% above 50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 1 DRUG $197.50 $395.00 $60.28–$237.00 146% above 50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DS ALCOHOL ETHYL URINE QUANT RFX $72.00 $144.00 $86.40 — 50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR METHADONE SCREEN, URINE $117.50 $235.00 $141.00 — 50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRESUMP DRUG SCR INSTRUMENT $133.50 $267.00 $160.20 — 50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CLINIC $159.50 $319.00 $191.40 — 50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC UDS PRESUMPTIVE DRUG TEST $190.00 $380.00 $228.00 — 50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DS PRESUMPTIVE DRUG TEST FLEX $191.00 $382.00 $229.20 — 50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 1 DRUG $197.50 $395.00 $237.00 — 50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL BUNDLED CHARGE $178.00 $356.00 $6.80–$213.60 262% above 50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL BUNDLED CHARGE $178.00 $356.00 $213.60 — 50%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA ANTIBODY $244.00 $488.00 $17.60–$292.80 374% above 50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA ANTIBODY $244.00 $488.00 $292.80 — 50%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL $554.00 $1,108.00 $27.10–$664.80 453% above 50%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL $554.00 $1,108.00 $664.80 — 50%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIM HORMONE FSH $367.00 $734.00 $18.02–$440.40 324% above 50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIM HORMONE FSH $367.00 $734.00 $440.40 — 50%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN $201.50 $403.00 $19.04–$241.80 4% above 50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN $201.50 $403.00 $241.80 — 50%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN $188.00 $376.00 $13.22–$225.60 235% above 50%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN $188.00 $376.00 $225.60 — 50%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY $142.50 $285.00 $9.43–$171.00 209% above 50%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY $142.50 $285.00 $171.00 — 50%
Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM $141.50 $283.00 $14.26–$169.80 130% above 50%
Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM $141.50 $283.00 $169.80 — 50%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY T3 FREE $336.00 $672.00 $16.43–$403.20 388% above 50%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY T3 FREE $336.00 $672.00 $403.20 — 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE T4 $91.00 $182.00 $8.75–$109.20 49% above 50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE T4 $91.00 $182.00 $109.20 — 50%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE TOTAL FREE $504.50 $1,009.00 $24.71–$605.40 580% above 50%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE TOTAL FREE $504.50 $1,009.00 $605.40 — 50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT GGTP $71.00 $142.00 $6.35–$85.20 116% above 50%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT GGTP $71.00 $142.00 $85.20 — 50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST $43.50 $87.00 $4.61–$52.20 8% above 50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST $43.50 $87.00 $52.20 — 50%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST GTT 2 HOUR $172.50 $345.00 $12.48–$207.00 183% above 50%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST GTT 2 HOUR $172.50 $345.00 $207.00 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB $110.50 $221.00 $21.42–$132.60 58% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB $110.50 $221.00 $132.60 — 50%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG IGA $191.00 $382.00 $16.34–$229.20 374% above 50%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG IGA $191.00 $382.00 $229.20 — 50%
H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI ANTIGEN STOOL $146.50 $293.00 $13.95–$175.80 113% above 50%
H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI ANTIGEN STOOL $146.50 $293.00 $175.80 — 50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ BY PCR $255.00 $510.00 $56.50–$306.00 10% above 50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ BY PCR $255.00 $510.00 $306.00 — 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC EIA QL HIV-1 HIV-2 ANTIBODY $70.00 $140.00 $23.36–$84.00 16% above 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC EIA QL HIV-1 HIV-2 ANTIBODY $70.00 $140.00 $84.00 — 50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HPV HIGH RISK POOLED RESULT $99.50 $199.00 $18.25–$119.40 101% above 50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HPV HIGH RISK POOLED RESULT $99.50 $199.00 $119.40 — 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C $58.00 $116.00 $9.42–$69.60 93% above 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C $58.00 $116.00 $69.60 — 50%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN $44.00 $88.00 $2.30–$52.80 151% above 50%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN $44.00 $88.00 $52.80 — 50%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL $25.50 $51.00 $11.69–$30.60 57% below 50%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL $25.50 $51.00 $30.60 — 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY $133.50 $267.00 $10.42–$160.20 157% above 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY $133.50 $267.00 $160.20 — 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN $138.50 $277.00 $10.02–$166.20 271% above 50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN $138.50 $277.00 $166.20 — 50%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY TEST $177.50 $355.00 $10.00–$213.00 146% above 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY TEST $177.50 $355.00 $213.00 — 50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION $138.50 $277.00 $41.55–$166.20 29% below 50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION $138.50 $277.00 $166.20 — 50%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 ANTIBODY $142.50 $285.00 $12.79–$171.00 142% above 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 ANTIBODY $142.50 $285.00 $171.00 — 50%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 ANTIBODY $59.50 $119.00 $18.77–$71.40 6% below 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 ANTIBODY $59.50 $119.00 $71.40 — 50%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN CRP HIGH SENSITIVITY $40.00 $80.00 $12.56–$48.00 25% below 50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN CRP HIGH SENSITIVITY $40.00 $80.00 $48.00 — 50%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE $267.50 $535.00 $17.38–$321.00 107% above 50%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE $267.50 $535.00 $321.00 — 50%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL $218.50 $437.00 $11.09–$262.20 215% above 50%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL $218.50 $437.00 $262.20 — 50%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON $138.50 $277.00 $6.28–$166.20 387% above 50%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON $138.50 $277.00 $166.20 — 50%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST $89.00 $178.00 $8.48–$106.80 111% above 50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST $89.00 $178.00 $106.80 — 50%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL BUNDLED CHARGE $206.00 $412.00 $8.42–$247.20 169% above 50%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL BUNDLED CHARGE $206.00 $412.00 $247.20 — 50%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LH $367.00 $734.00 $17.96–$440.40 291% above 50%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LH $367.00 $734.00 $440.40 — 50%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID $85.50 $171.00 $11.22–$102.60 46% above 50%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID $85.50 $171.00 $102.60 — 50%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE LDH $109.50 $219.00 $5.86–$131.40 337% above 50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE LDH $109.50 $219.00 $131.40 — 50%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE $146.00 $292.00 $6.68–$175.20 194% above 50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE $146.00 $292.00 $175.20 — 50%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL BUNDLED CHARGE $227.50 $455.00 $7.92–$273.00 186% above 50%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL BUNDLED CHARGE $227.50 $455.00 $273.00 — 50%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY $94.00 $188.00 $16.52–$112.80 28% above 50%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY $94.00 $188.00 $112.80 — 50%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM $113.50 $227.00 $6.50–$136.20 404% above 50%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM $113.50 $227.00 $136.20 — 50%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY $37.00 $74.00 $12.49–$44.40 16% below 50%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY $37.00 $74.00 $44.40 — 50%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN MONONUCLEOSIS $76.00 $152.00 $5.02–$91.20 56% above 50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN MONONUCLEOSIS $76.00 $152.00 $91.20 — 50%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY $37.50 $75.00 $12.66–$45.00 15% below 50%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY $37.50 $75.00 $45.00 — 50%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC AG PSA FREE $291.00 $582.00 $17.84–$349.20 323% above 50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC AG PSA FREE $291.00 $582.00 $349.20 — 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL $144.50 $289.00 $17.84–$173.40 77% above 50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL $144.50 $289.00 $173.40 — 50%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH CV AUTO FLUID REDO CER VAG $109.50 $219.00 $25.81–$131.40 207% above 50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH CV AUTO FLUID REDO CER VAG $109.50 $219.00 $131.40 — 50%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE PTH INTACT $125.00 $250.00 $40.04–$150.00 8% below 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE PTH INTACT $125.00 $250.00 $150.00 — 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL $61.50 $123.00 $5.83–$73.80 46% above 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL $61.50 $123.00 $73.80 — 50%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS $81.50 $163.00 $4.60–$97.80 235% above 50%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS $81.50 $163.00 $97.80 — 50%
Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM $39.50 $79.00 $4.62–$47.40 43% above 50%
Potassium blood test inpatient CPT 84132 HC ASSAY OF SERUM POTASSIUM $39.50 $79.00 $47.40 — 50%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE $413.50 $827.00 $20.23–$496.20 320% above 50%
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE $413.50 $827.00 $496.20 — 50%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN $383.00 $766.00 $18.80–$459.60 270% above 50%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN $383.00 $766.00 $459.60 — 50%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $49.50 $99.00 $4.16–$59.40 107% above 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME $49.50 $99.00 $59.40 — 50%
Renin blood test CPT 84244 HC ASSAY OF RENIN $67.50 $135.00 $21.33–$81.00 24% below 50%
Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN $67.50 $135.00 $81.00 — 50%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH $67.50 $135.00 $6.53–$81.00 172% above 50%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH $67.50 $135.00 $81.00 — 50%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT $83.00 $166.00 $5.50–$99.60 84% above 50%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT $83.00 $166.00 $99.60 — 50%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGM $126.00 $252.00 $13.96–$151.20 232% above 50%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGM $126.00 $252.00 $151.20 — 50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SEDIMENTATION RATE AUTOMATED $56.00 $112.00 $2.62–$67.20 137% above 50%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SEDIMENTATION RATE AUTOMATED $56.00 $112.00 $67.20 — 50%
Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM $95.50 $191.00 $4.67–$114.60 304% above 50%
Sodium blood test inpatient CPT 84295 HC ASSAY OF SERUM SODIUM $95.50 $191.00 $114.60 — 50%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS $110.00 $220.00 $8.63–$132.00 143% above 50%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS $110.00 $220.00 $132.00 — 50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT BY PEROXID FECES $55.50 $111.00 $4.04–$66.60 268% above 50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT BY PEROXID FECES $55.50 $111.00 $66.60 — 50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB 1 - 3 TEST $66.00 $132.00 $15.44–$79.20 20% above 50%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB 1 - 3 TEST $66.00 $132.00 $79.20 — 50%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM $25.00 $50.00 $8.54–$30.00 34% below 50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM $25.00 $50.00 $30.00 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL $221.50 $443.00 $4.14–$265.80 752% above 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL $221.50 $443.00 $265.80 — 50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFRON $164.00 $328.00 $60.12–$196.80 43% above 50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFRON $164.00 $328.00 $196.80 — 50%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE $512.00 $1,024.00 $25.04–$614.40 621% above 50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE $512.00 $1,024.00 $614.40 — 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY $45.00 $90.00 $14.11–$54.00 2% above 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY $45.00 $90.00 $54.00 — 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIMULATING HORMONE $137.00 $274.00 $16.30–$164.40 144% above 50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIMULATING HORMONE $137.00 $274.00 $164.40 — 50%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE $130.00 $260.00 $15.97–$156.00 163% above 50%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE $130.00 $260.00 $156.00 — 50%
Total cholesterol blood test CPT 82465 HC ASSAY BLOOD SERUM CHOLESTEROL $14.00 $28.00 $4.22–$16.80 54% below 50%
Total cholesterol blood test inpatient CPT 82465 HC ASSAY BLOOD SERUM CHOLESTEROL $14.00 $28.00 $16.80 — 50%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE T4 $136.50 $273.00 $6.66–$163.80 182% above 50%
Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF TOTAL THYROXINE T4 $136.50 $273.00 $163.80 — 50%
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY T3 $281.00 $562.00 $13.75–$337.20 487% above 50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY T3 $281.00 $562.00 $337.20 — 50%
Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN $252.50 $505.00 $12.38–$303.00 358% above 50%
Transferrin blood test inpatient CPT 84466 HC ASSAY OF TRANSFERRIN $252.50 $505.00 $303.00 — 50%
Trichomonas test (NAAT) CPT 87661 HC NUCLEIC ACID TRICHOMON AMP PROBE $58.00 $116.00 $21.42–$69.60 17% below 50%
Trichomonas test (NAAT) inpatient CPT 87661 HC NUCLEIC ACID TRICHOMON AMP PROBE $58.00 $116.00 $69.60 — 50%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES $121.50 $243.00 $5.57–$145.80 286% above 50%
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES $121.50 $243.00 $145.80 — 50%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT $172.50 $345.00 $12.10–$207.00 146% above 50%
Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN QUANT $172.50 $345.00 $207.00 — 50%
Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID $114.50 $229.00 $4.38–$137.40 285% above 50%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID $114.50 $229.00 $137.40 — 50%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE MICRO $81.00 $162.00 $3.07–$97.20 161% above 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE MICRO $81.00 $162.00 $97.20 — 50%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE $87.50 $175.00 $2.18–$105.00 300% above 50%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE $87.50 $175.00 $105.00 — 50%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE, COLONY COUNT $39.50 $79.00 $7.83–$47.40 26% below 50%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE, COLONY COUNT $39.50 $79.00 $47.40 — 50%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE $125.00 $250.00 $5.61–$150.00 205% above 50%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE $125.00 $250.00 $150.00 — 50%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST $134.50 $269.00 $7.96–$161.40 251% above 50%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST $134.50 $269.00 $161.40 — 50%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 $58.50 $117.00 $14.63–$70.20 10% above 50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 $58.50 $117.00 $70.20 — 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VITAMIN D 25 $163.00 $326.00 $28.71–$195.60 72% above 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VITAMIN D 25 $163.00 $326.00 $195.60 — 50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY DIHYDROXYVITAMIN D VITAMIN D1 $171.50 $343.00 $37.35–$205.80 27% above 50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY DIHYDROXYVITAMIN D VITAMIN D1 $171.50 $343.00 $205.80 — 50%
Zinc blood test CPT 84630 HC ASSAY OF ZINC $226.50 $453.00 $11.05–$271.80 389% above 50%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC $226.50 $453.00 $271.80 — 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN HCG QUANTITATIVE BLOOD $180.00 $360.00 $8.07–$216.00 215% above 50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN HCG QUANTITATIVE BLOOD $180.00 $360.00 $216.00 — 50%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs AlabamaOff list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ER CLOSED TX DISTAL FIB FX W/O MAN $1,284.50 $2,569.00 $218.09–$1,541.40 372% above 50%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ER CLOSED TX DISTAL FIB FX W/O MAN $1,284.50 $2,569.00 $1,541.40 — 50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ER CLOSED TX METATARSAL FX W/O MAN $535.00 $1,070.00 $182.65–$750.00 143% above 50%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC ER CLOSED TX METATARSAL FX W/O MAN $535.00 $1,070.00 $642.00 — 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ER CARDIOVERSION ELECTIVE EXTERNAL $1,413.00 $2,826.00 $482.40–$1,695.60 81% above 50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ER CARDIOVERSION ELECTIVE EXTERNAL $1,413.00 $2,826.00 $1,695.60 — 50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ER CLOSED RX DIST RAD/ULNA FX $548.00 $1,096.00 $187.09–$750.00 100% above 50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ER CLOSED RX DIST RAD/ULNA FX $548.00 $1,096.00 $657.60 — 50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ER REMOVAL CERUMEN VIA IRRIGATION $101.50 $203.00 $34.65–$750.00 2% above 50%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ER REMOVAL CERUMEN VIA IRRIGATION $101.50 $203.00 $121.80 — 50%
Earwax removal with instruments, one ear CPT 69210 HC ER REMOVAL CERUMEN IMPACTED $55.50 $111.00 $18.95–$750.00 43% below 50%
Earwax removal with instruments, one ear inpatient CPT 69210 HC ER REMOVAL CERUMEN IMPACTED $55.50 $111.00 $66.60 — 50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ER BIOPSY ENDOMETRIAL SAMPLING $422.00 $844.00 $144.07–$750.00 at median 50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ER BIOPSY ENDOMETRIAL SAMPLING $422.00 $844.00 $506.40 — 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC ER FLEXIBLE SIGMOIDOSCOPY-DIAG $1,829.00 $3,658.00 $624.42–$2,194.80 59% above 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC ER FLEXIBLE SIGMOIDOSCOPY-DIAG $1,829.00 $3,658.00 $2,194.80 — 50%
IUD insertion (the device itself billed separately) CPT 58300 HC ER INSERTION INTRAUTERINE DEVICE IUD $1,110.50 $2,221.00 $92.45–$1,332.60 78% below 50%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC ER INSERTION INTRAUTERINE DEVICE IUD $1,110.50 $2,221.00 $1,332.60 — 50%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ER I&D ABSCESS SIMPLE/SINGLE $209.50 $419.00 $71.52–$750.00 25% below 50%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE/SINGLE $210.00 $420.00 $71.69–$7,713.19 25% below 50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ER I&D ABSCESS SIMPLE/SINGLE $209.50 $419.00 $251.40 — 50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE/SINGLE $210.00 $420.00 $252.00 — 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT W/O US GUID $733.00 $1,466.00 $250.25–$7,713.19 90% above 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID $735.00 $1,470.00 $250.93–$882.00 91% above 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT W/O US GUID $733.00 $1,466.00 $879.60 — 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID $735.00 $1,470.00 $882.00 — 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ER ARTHROCENTESIS INTERMED JOINT $496.50 $993.00 $169.51–$750.00 48% above 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ER ARTHROCENTESIS INTERMED JOINT $496.50 $993.00 $595.80 — 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ER ARTHROCENTESIS SMALL JOINT W/O US GUID $401.50 $803.00 $137.07–$750.00 4% above 50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ER ARTHROCENTESIS SMALL JOINT W/O US GUID $401.50 $803.00 $481.80 — 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ER LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM $645.00 $1,290.00 $220.20–$774.00 67% above 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ER LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM $645.00 $1,290.00 $774.00 — 50%
Nail removal (partial or complete), one nail CPT 11730 HC ER AVULSION NAIL PLATE SIMPLE SINGLE $159.50 $319.00 $54.45–$750.00 29% below 50%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ER AVULSION NAIL PLATE SIMPLE SINGLE $159.50 $319.00 $191.40 — 50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ER EXCISION NAIL & NAIL MATRIX $1,270.50 $2,541.00 $359.41–$1,524.60 126% above 50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ER EXCISION NAIL & NAIL MATRIX $1,270.50 $2,541.00 $1,524.60 — 50%
Removal of a foreign object under the skin, simple CPT 10120 HC ER REMOVAL FOREIGN BODY SIMPLE $606.00 $1,212.00 $206.89–$750.00 17% above 50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ER REMOVAL FOREIGN BODY SIMPLE $606.00 $1,212.00 $727.20 — 50%
Short arm cast (elbow to hand) CPT 29075 HC ER APPLICATION SHORT ARM CAST $156.00 $312.00 $53.26–$750.00 39% below 50%
Short arm cast (elbow to hand) inpatient CPT 29075 HC ER APPLICATION SHORT ARM CAST $156.00 $312.00 $187.20 — 50%
Short arm splint (forearm and hand) CPT 29125 HC ER APPLICATION SHORT ARM SPLINT $129.50 $259.00 $44.21–$750.00 25% below 50%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ER APPLICATION SHORT ARM SPLINT $129.50 $259.00 $155.40 — 50%
Short leg cast (below the knee) CPT 29405 HC ER APPLICATION SHORT LEG CAST $159.50 $319.00 $54.45–$750.00 36% below 50%
Short leg cast (below the knee) inpatient CPT 29405 HC ER APPLICATION SHORT LEG CAST $159.50 $319.00 $191.40 — 50%
Short leg splint (calf to foot) CPT 29515 HC ER APPLICATION SHORT LEG SPLINT $101.50 $203.00 $34.65–$750.00 40% below 50%
Short leg splint (calf to foot) inpatient CPT 29515 HC ER APPLICATION SHORT LEG SPLINT $101.50 $203.00 $121.80 — 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ER RESUPERF WND BODY <2.5CM $623.00 $1,246.00 $177.39–$750.00 180% above 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ER RESUPERF WND BODY <2.5CM $623.00 $1,246.00 $747.60 — 50%
Skin tag removal, up to 15 tags CPT 11200 HC ER EXCISION SKIN TAGS <15 LESIONS $321.50 $643.00 $109.76–$750.00 8% above 50%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC ER EXCISION SKIN TAGS <15 LESIONS $321.50 $643.00 $385.80 — 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC $735.00 $1,470.00 $250.93–$7,713.19 9% above 50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC $735.00 $1,470.00 $882.00 — 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ER RESUP NPTERF WND BODY 2.6-7.5 CM $623.00 $1,246.00 $177.39–$750.00 170% above 50%
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 ER RESUP NPTERF WND BODY 2.6-7.5 CM $623.00 $1,246.00 $747.60 — 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ER RESUPERF WND FACE <2.5 CM $454.00 $908.00 $155.00–$750.00 104% above 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC ER RESUPERF WND FACE <2.5 CM $454.00 $908.00 $544.80 — 50%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ER INJECT TRIG POINT(S) 1-2 MUSCLES $433.00 $866.00 $147.83–$750.00 36% above 50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ER INJECT TRIG POINT(S) 1-2 MUSCLES $433.00 $866.00 $519.60 — 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ER DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM $496.00 $992.00 $169.33–$750.00 14% below 50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ER DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM $496.00 $992.00 $595.20 — 50%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs AlabamaOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE $395.00 $790.00 $134.85–$784.19 1% above 50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE $395.00 $790.00 $474.00 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT SUBSQ $168.00 $336.00 $57.36–$389.23 34% above 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT $168.00 $336.00 $57.36–$389.23 34% above 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT SUBSQ $168.00 $336.00 $201.60 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT $168.00 $336.00 $201.60 — 50%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION 1 HR $433.50 $867.00 $148.00–$587.12 3% below 50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION 1 HR $433.50 $867.00 $520.20 — 50%
Critical care, first 30 to 74 minutes CPT 99291 HC ER CRITICAL CARE, E/M 30-74 MINUTES $2,154.00 $4,308.00 $730.33–$3,170.89 96% above 50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER CRITICAL CARE, E/M 30-74 MINUTES $2,154.00 $4,308.00 $2,584.80 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING $262.50 $525.00 $52.16–$315.00 138% above 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM TRACING $262.50 $525.00 $315.00 — 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1 VISIT LIMITED/MINOR PROB $487.50 $975.00 $74.55–$750.00 241% above 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER LEVEL 1 VISIT LIMITED/MINOR PROB $487.50 $975.00 $585.00 — 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER LEVEL 2 VISIT LOW/MODER SEVERITY $614.50 $1,229.00 $99.00–$750.00 146% above 50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER LEVEL 2 VISIT LOW/MODER SEVERITY $614.50 $1,229.00 $737.40 — 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER LEVEL 3 VISIT MODERATE SEVERITY $1,352.50 $2,705.00 $241.35–$1,623.00 286% above 50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER LEVEL 3 VISIT MODERATE SEVERITY $1,352.50 $2,705.00 $1,623.00 — 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY $1,545.50 $3,091.00 $368.92–$1,854.60 171% above 50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY $1,545.50 $3,091.00 $1,854.60 — 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC $2,523.50 $5,047.00 $526.53–$3,028.20 212% above 50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC $2,523.50 $5,047.00 $3,028.20 — 50%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST TRACING ONLY $1,879.50 $3,759.00 $190.91–$2,255.40 209% above 50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST TRACING ONLY $1,879.50 $3,759.00 $2,255.40 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN $651.00 $1,302.00 $188.06–$781.20 178% above 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN $651.00 $1,302.00 $781.20 — 50%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL 1ST HOUR $780.50 $1,561.00 $188.06–$936.60 168% above 50%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION INITIAL 1ST HOUR $780.50 $1,561.00 $936.60 — 50%
IV push of a medicine, first drug CPT 96374 HC INJECTION IV PUSH INITIAL $271.00 $542.00 $92.52–$378.08 88% above 50%
IV push of a medicine, first drug inpatient CPT 96374 HC INJECTION IV PUSH INITIAL $271.00 $542.00 $325.20 — 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION IM OR SUBCUT $121.50 $243.00 $41.48–$145.80 86% above 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION IM OR SUBCUT $121.50 $243.00 $145.80 — 50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRITION THER INDIV INIT EA 15 MIN $40.50 $81.00 $13.83–$59.95 22% below 50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRITION THER INDIV INIT EA 15 MIN $40.50 $81.00 $48.60 — 50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $197.00 $394.00 $67.26–$236.40 12% above 50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $197.00 $394.00 $236.40 — 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $168.00 $336.00 $57.36–$201.60 22% below 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $168.00 $336.00 $201.60 — 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES $53.50 $107.00 $18.26–$64.20 14% below 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES $53.50 $107.00 $64.20 — 50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES $20.00 $40.00 $6.83–$66.60 45% below 50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES $20.00 $40.00 $24.00 — 50%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY BREATHING CAPACITY TEST $764.50 $1,529.00 $190.91–$917.40 343% above 50%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY BREATHING CAPACITY TEST $764.50 $1,529.00 $917.40 — 50%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/ BRONCHODILATORS $495.00 $990.00 $168.99–$663.29 57% above 50%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY W/ BRONCHODILATORS $495.00 $990.00 $594.00 — 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN $95.50 $191.00 $31.45–$114.60 56% above 50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN $95.50 $191.00 $114.60 — 50%

Vaccines

ProcedureCash priceList priceInsurers payvs AlabamaOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE $98.00 $196.00 $33.46–$302.69 24% below 50%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC MODERNA SARSCOV2 VAC 50 MCG/0.5ML IM $110.00 $220.00 $37.55–$302.69 14% below 50%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE $98.00 $196.00 $49.00–$186.20 — 50%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC MODERNA SARSCOV2 VAC 50 MCG/0.5ML IM $110.00 $220.00 $55.00–$209.00 — 50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE $98.00 $196.00 $33.46–$403.21 88% below 50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE $98.00 $196.00 $49.00–$186.20 — 50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP $867.10 $1,734.20 $174.32–$1,647.49 77% above 50%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP $867.10 $1,734.20 $433.55–$1,647.49 — 50%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $251.63 $503.25 $85.90–$478.09 528% above 50%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $251.63 $503.25 $125.81–$478.09 — 50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE $115.68 $231.35 $39.49–$219.78 5% above 50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP $147.90 $295.80 $50.49–$281.01 34% above 50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE $115.68 $231.35 $57.84–$219.78 — 50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP $147.90 $295.80 $73.95–$281.01 — 50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE $307.73 $615.45 $105.06–$584.68 7% below 50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE $307.73 $615.45 $153.86–$584.68 — 50%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT $548.50 $1,097.00 $187.26–$1,042.15 121% above 50%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT $548.50 $1,097.00 $274.25–$1,042.15 — 50%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE $20.00 $40.00 $6.83–$214.41 75% below 50%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2024(18YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE $37.50 $75.00 $12.80–$214.41 53% below 50%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE $20.00 $40.00 $10.00–$38.00 — 50%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2024(18YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE $37.50 $75.00 $18.75–$71.25 — 50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 $6.83–$41.81 63% below 50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 $6.83–$41.81 63% below 50%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 $10.00–$38.00 — 50%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 $10.00–$38.00 — 50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION $966.03 $1,932.05 $287.54–$1,835.45 25% below 50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE $1,428.85 $2,857.70 $287.54–$2,714.82 11% above 50%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION $966.03 $1,932.05 $483.01–$1,835.45 — 50%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE $1,428.85 $2,857.70 $714.43–$2,714.82 — 50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE $485.05 $970.10 $126.20–$921.60 35% above 50%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE $485.05 $970.10 $242.53–$921.60 — 50%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE $321.75 $643.50 $70.54–$611.33 110% above 50%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE $321.75 $643.50 $160.88–$611.33 — 50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE $144.68 $289.35 $49.39–$274.88 21% above 50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE $146.68 $293.35 $50.07–$278.68 23% above 50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION $147.63 $295.25 $50.40–$280.49 23% above 50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE $144.68 $289.35 $72.34–$274.88 — 50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE $146.68 $293.35 $73.34–$278.68 — 50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION $147.63 $295.25 $73.81–$280.49 — 50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP $185.63 $371.25 $70.38–$352.69 23% above 50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE $194.43 $388.85 $70.38–$369.41 29% above 50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP $238.15 $476.30 $70.38–$452.49 58% above 50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE $238.15 $476.30 $70.38–$452.49 58% above 50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP $185.63 $371.25 $92.81–$352.69 — 50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE $194.43 $388.85 $97.21–$369.41 — 50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE $238.15 $476.30 $119.08–$452.49 — 50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP $238.15 $476.30 $119.08–$452.49 — 50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE $640.60 $1,281.20 $160.28–$1,217.14 45% above 50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE $640.60 $1,281.20 $320.30–$1,217.14 — 50%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN $145.40 $290.80 $49.64–$276.26 57% above 50%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN $145.40 $290.80 $72.70–$276.26 — 50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN $66.53 $133.05 $22.71–$126.40 68% above 50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN $66.53 $133.05 $33.26–$126.40 — 50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE $37.50 $75.00 $30.00–$214.41 71% below 50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE $37.50 $75.00 $30.00–$214.41 71% below 50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE $37.50 $75.00 $18.75–$71.25 — 50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE $37.50 $75.00 $18.75–$71.25 — 50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT $380.55 $761.10 $92.49–$723.05 139% above 50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT $401.10 $802.20 $92.49–$762.09 152% above 50%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT $380.55 $761.10 $190.28–$723.05 — 50%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT $401.10 $802.20 $200.55–$762.09 — 50%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT $1,278.40 $2,556.80 $436.45–$2,428.96 662% above 50%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT $1,278.40 $2,556.80 $639.20–$2,428.96 — 50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) $512.78 $1,025.55 $157.35–$974.27 52% above 50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION $512.78 $1,025.55 $157.35–$974.27 52% above 50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION $512.78 $1,025.55 $157.35–$974.27 52% above 50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) $512.78 $1,025.55 $256.39–$974.27 — 50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION $512.78 $1,025.55 $256.39–$974.27 — 50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION $512.78 $1,025.55 $256.39–$974.27 — 50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE $750.45 $1,500.90 $223.75–$1,425.86 12% above 50%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE $750.45 $1,500.90 $375.23–$1,425.86 — 50%
Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE $697.85 $1,395.70 $190.26–$1,325.92 at median 50%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE $697.85 $1,395.70 $348.93–$1,325.92 — 50%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP $1,293.80 $2,587.60 $0.01–$2,458.22 — 50%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP $1,293.80 $2,587.60 $646.90–$2,458.22 — 50%
Nasal spray flu vaccine, live (FluMist) CPT 90660 FLU VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY $15.00 $30.00 $5.12–$53.52 at median 50%
Nasal spray flu vaccine, live (FluMist) CPT 90660 FLU VAC TV LIVE 25-26(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY $15.00 $30.00 $5.12–$53.52 at median 50%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 FLU VAC TV LIVE 25-26(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY $15.00 $30.00 $7.50–$28.50 — 50%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 FLU VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY $15.00 $30.00 $7.50–$28.50 — 50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $970.20 $1,940.40 $298.04–$1,843.38 19% above 50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $970.20 $1,940.40 $485.10–$1,843.38 — 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE $462.05 $924.10 $129.47–$877.90 140% above 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION $514.15 $1,028.30 $129.47–$976.89 167% above 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE $462.05 $924.10 $231.03–$877.90 — 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION $514.15 $1,028.30 $257.08–$976.89 — 50%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION $2,091.15 $4,182.30 $42.64–$3,973.19 1446% above 50%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION $2,091.15 $4,182.30 $1,045.58–$3,973.19 — 50%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE $2,138.18 $4,276.35 $729.97–$4,062.53 41% below 50%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE $2,138.18 $4,276.35 $1,069.09–$4,062.53 — 50%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE $2,138.18 $4,276.35 $729.97–$4,062.53 41% below 50%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE $2,138.18 $4,276.35 $1,069.09–$4,062.53 — 50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION $1,116.55 $2,233.10 $295.00–$2,121.45 38% below 50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION $1,116.55 $2,233.10 $558.28–$2,121.45 — 50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION $1,437.93 $2,875.85 $322.02–$2,732.06 113% above 50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP $1,810.38 $3,620.75 $322.02–$3,439.71 169% above 50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION $1,437.93 $2,875.85 $718.96–$2,732.06 — 50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP $1,810.38 $3,620.75 $905.19–$3,439.71 — 50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ADJUVANT AS01B (PF), COMPONENT VIAL 1 OF 2 INTRAMUSCULAR SUSPENSION $831.55 $1,663.10 $197.90–$1,579.95 29% above 50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT $831.55 $1,663.10 $197.90–$1,579.95 29% above 50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION $831.55 $1,663.10 $197.90–$1,579.95 29% above 50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE $911.43 $1,822.85 $197.90–$1,731.71 41% above 50%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION $831.55 $1,663.10 $415.78–$1,579.95 — 50%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT $831.55 $1,663.10 $415.78–$1,579.95 — 50%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ADJUVANT AS01B (PF), COMPONENT VIAL 1 OF 2 INTRAMUSCULAR SUSPENSION $831.55 $1,663.10 $415.78–$1,579.95 — 50%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE $911.43 $1,822.85 $455.71–$1,731.71 — 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE $213.20 $426.40 $18.83–$405.08 283% above 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP $213.20 $426.40 $18.83–$405.08 283% above 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE $213.20 $426.40 $106.60–$405.08 — 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP $213.20 $426.40 $106.60–$405.08 — 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP $189.20 $378.40 $39.09–$359.48 43% above 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE $190.78 $381.55 $39.09–$362.47 44% above 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP $245.88 $491.75 $39.09–$467.16 85% above 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE $245.88 $491.75 $39.09–$467.16 85% above 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP $189.20 $378.40 $94.60–$359.48 — 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE $190.78 $381.55 $95.39–$362.47 — 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE $245.88 $491.75 $122.94–$467.16 — 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP $245.88 $491.75 $122.94–$467.16 — 50%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE $708.48 $1,416.95 $241.87–$1,346.10 715% above 50%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE $708.48 $1,416.95 $354.24–$1,346.10 — 50%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE $408.95 $817.90 $139.62–$777.01 — 50%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE $408.95 $817.90 $204.48–$777.01 — 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUN ADMIN SINGLE $116.50 $233.00 $39.77–$139.80 95% above 50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUN ADMIN SINGLE $116.50 $233.00 $139.80 — 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUN ADMIN EACH ADDL $20.00 $40.00 $6.83–$25.47 60% below 50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUN ADMIN EACH ADDL $20.00 $40.00 $24.00 — 50%
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/11220/825207287_floyd-cherokee-medical-center-llc_standardcharges.csv