Baptist Health Brookwood Hospital
Baptist Health Brookwood Hospital in Birmingham, AL publishes cash prices for 317 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Alabama median for 313 of 313 procedures. By typical cash price it ranks #53 of 53 Alabama hospitals and #9 of 9 hospitals in the Birmingham, AL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
2010 Brookwood Medical Center Drive, Birmingham, AL 35209 Collected Sep 29, 2026 Source price file Check a bill from this hospital (205) 877-1000
Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 010139 · CMS hospital register NPI 1003260480
The price file shows no self-pay discount
For 742 of the 742 prices listed here, the cash price in Baptist Health Brookwood Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Hb Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast | $14,119.00 | $14,119.00 | — | 929% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Hb Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast | $14,119.00 | $14,119.00 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 Hb Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W Decubitus | $886.00 | $886.00 | — | 341% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Hb Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W Decubitus | $886.00 | $886.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Hb X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Left | $2,465.43 | $2,465.43 | — | 1074% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Hb X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Left | $2,465.43 | $2,465.43 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Hb Upr/L Xtremity Art 2 Levels - Limited Bilat Non Inv Physio Study | $1,817.00 | $1,817.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Hb Upr/L Xtremity Art 2 Levels - Limited Bilat Non Inv Physio Study | $1,817.00 | $1,817.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Hb Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Left Wo Iv Contrast | $6,761.00 | $6,761.00 | — | 610% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Hb Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Left Wo Iv Contrast | $6,761.00 | $6,761.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Hb Esophagram - Fl Esophagus Barium Swallow | $1,279.00 | $1,279.00 | — | 363% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hb Esophagram - Fl Esophagus Barium Swallow | $1,279.00 | $1,279.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Hb Bone Imaging, Whole Body - Nm Bone Whole Body | $10,489.00 | $10,489.00 | — | 853% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hb Bone Imaging, Whole Body - Nm Bone Whole Body | $10,489.00 | $10,489.00 | — | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Hb Ultrasound Breast Complete - Us Breast Left Complete | $2,112.00 | $2,112.00 | — | 719% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hb Ultrasound Breast Complete - Us Breast Left Complete | $2,112.00 | $2,112.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hb Ultrasound Breast Limited - Us Breast Right Limited | $2,112.00 | $2,112.00 | — | 729% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hb Ultrasound Breast Limited - Us Breast Right Limited | $2,112.00 | $2,112.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hb Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W Contrast | $8,822.79 | $8,822.79 | — | 247% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hb Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W Contrast | $8,822.79 | $8,822.79 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 Hb Ct Angio,Head Combo - Ct Head Angio W And Wo Iv Contrast | $5,493.38 | $5,493.38 | — | 255% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Hb Ct Angio,Head Combo - Ct Head Angio W And Wo Iv Contrast | $5,493.38 | $5,493.38 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 Hb Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast | $6,319.59 | $6,319.59 | — | 354% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Hb Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast | $6,319.59 | $6,319.59 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hb Ct Angio, Chest, Combo, Incl Image - Ct Chest Angio W And Wo Iv Cont | $6,825.00 | $6,825.00 | — | 400% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hb Ct Angio, Chest, Combo, Incl Image - Ct Chest Angio W And Wo Iv Cont | $6,825.00 | $6,825.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hb Ct Angio Hrt W/3D Image - Ct Ccta Heart W Wo Cont Coronaries & Funct | $3,495.00 | $3,495.00 | — | 137% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hb Ct Angio Hrt W/3D Image - Ct Ccta Heart W Wo Cont Coronaries & Funct | $3,495.00 | $3,495.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hb Ct Hrt W/O Dye W/Ca Test - Ct Heart Calcium Scoring Wo Contrast | $1,170.00 | $1,170.00 | — | 521% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hb Ct Hrt W/O Dye W/Ca Test - Ct Heart Calcium Scoring Wo Contrast | $1,170.00 | $1,170.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hb Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast | $17,598.00 | $17,598.00 | — | 772% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hb Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast | $17,598.00 | $17,598.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hb Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast | $21,031.67 | $21,031.67 | — | 823% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hb Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast | $21,031.67 | $21,031.67 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hb Ct Abd & Pelv 1/> Regns - Ct Abdomen Pelvis W Wo Contrast | $23,374.28 | $23,374.28 | — | 810% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hb Ct Abd & Pelv 1/> Regns - Ct Abdomen Pelvis W Wo Contrast | $23,374.28 | $23,374.28 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 Hb Ct Abdomen W/Dye - Ct Abdomen W Contrast | $12,498.00 | $12,498.00 | — | 810% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Hb Ct Abdomen W/Dye - Ct Abdomen W Contrast | $12,498.00 | $12,498.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 Hb Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast | $9,963.00 | $9,963.00 | — | 799% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Hb Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast | $9,963.00 | $9,963.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hb Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast | $7,675.38 | $7,675.38 | — | 560% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hb Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast | $7,675.38 | $7,675.38 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Hb Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast | $10,779.26 | $10,779.26 | — | 886% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hb Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast | $10,779.26 | $10,779.26 | — | — | — |
| CT scan of the head with contrast CPT 70460 Hb Ct Scan Head Contrast - Ct Head W Contrast | $6,896.00 | $6,896.00 | — | 509% above | — |
| CT scan of the head with contrast inpatient CPT 70460 Hb Ct Scan Head Contrast - Ct Head W Contrast | $6,896.00 | $6,896.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 Hb Ct Scan Head Combo - Ct Head W Wo Contrast | $11,887.00 | $11,887.00 | — | 611% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Hb Ct Scan Head Combo - Ct Head W Wo Contrast | $11,887.00 | $11,887.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hb Ct Scan,Lumbar Spine,W/O Contrast - Ct Lumbar Spine Wo Contrast | $15,265.90 | $15,265.90 | — | 1126% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hb Ct Scan,Lumbar Spine,W/O Contrast - Ct Lumbar Spine Wo Contrast | $15,265.90 | $15,265.90 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hb Ct Scan,Cervical Spine,W/O Contrast - Ct Cervical Spine Wo Contrast | $14,658.21 | $14,658.21 | — | 1022% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hb Ct Scan,Cervical Spine,W/O Contrast - Ct Cervical Spine Wo Contrast | $14,658.21 | $14,658.21 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Hb Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast | $8,087.00 | $8,087.00 | — | 518% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hb Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast | $8,087.00 | $8,087.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hb Duplex Scan Extracranial,Bilat - Carotid Duplex | $3,173.56 | $3,173.56 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hb Duplex Scan Extracranial,Bilat - Carotid Duplex | $3,173.56 | $3,173.56 | — | — | — |
| Chest X-ray, 2 views CPT 71046 Hb Radiologic Exam Chest 2 Views - Xr Chest 2 Views | $2,065.00 | $2,065.00 | — | 981% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 Hb Radiologic Exam Chest 2 Views - Xr Chest 2 Views | $2,065.00 | $2,065.00 | — | — | — |
| Chest X-ray, single view CPT 71045 Hb Radiologic Exam Chest Single View - Xr Chest 1 View | $1,035.00 | $1,035.00 | — | 624% above | — |
| Chest X-ray, single view inpatient CPT 71045 Hb Radiologic Exam Chest Single View - Xr Chest 1 View | $1,035.00 | $1,035.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Hb X-Ray Clavicle - Xr Clavicle Left | $1,822.00 | $1,822.00 | — | 1043% above | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Hb X-Ray Clavicle - Xr Clavicle Left | $1,822.00 | $1,822.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hb Us Retroperitnl Abd,Complete | $1,888.00 | $1,888.00 | — | 378% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hb Us Retroperitnl Abd,Complete | $1,888.00 | $1,888.00 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hb Ob Us Detailed Sngl Fetus - Us Ob Detail Fetal Anat Sing Or 1St Gest | $4,620.00 | $4,620.00 | — | 1235% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hb Ob Us Detailed Sngl Fetus - Us Ob Detail Fetal Anat Sing Or 1St Gest | $4,620.00 | $4,620.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hb Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast | $7,663.00 | $7,663.00 | — | 555% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hb Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast | $7,663.00 | $7,663.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hb Cat Scan Of Chest Contrast - Ct Chest W Contrast | $9,071.00 | $9,071.00 | — | 556% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hb Cat Scan Of Chest Contrast - Ct Chest W Contrast | $9,071.00 | $9,071.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hb Duplex Lo Extrem Art/Gfts Bilat - Cv Us Doppler Arterial Legs Bilateral | $1,835.50 | $1,835.50 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hb Duplex Lo Extrem Art/Gfts Bilat - Cv Us Doppler Arterial Legs Bilateral | $1,835.50 | $1,835.50 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hb Vasc Duplex Extrem Venous,Bilat | $2,125.14 | $2,125.14 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hb Vasc Duplex Extrem Venous,Bilat | $2,125.14 | $2,125.14 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hb Tte W/Doppler Complete - Tte Complete | $6,397.33 | $6,397.33 | — | 506% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hb Tte W/Doppler Complete - Tte Complete | $6,397.33 | $6,397.33 | — | — | — |
| Elbow X-ray, 2 views one side CPT 73070 Hb X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Left | $1,983.88 | $1,983.88 | — | 1253% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Hb X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Left | $1,983.88 | $1,983.88 | — | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Hb X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Left | $2,410.61 | $2,410.61 | — | 1390% above | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Hb X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Left | $2,410.61 | $2,410.61 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Hb Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Orbits/Sella Wo Iv Cont | $11,690.80 | $11,690.80 | — | 1056% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hb Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Orbits/Sella Wo Iv Cont | $11,690.80 | $11,690.80 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Hb X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views | $1,725.00 | $1,725.00 | — | 606% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hb X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views | $1,725.00 | $1,725.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Hb X-Ray Forearm 2 Vw - Xr Forearm 2 Views Left | $2,247.00 | $2,247.00 | — | 1300% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Hb X-Ray Forearm 2 Vw - Xr Forearm 2 Views Left | $2,247.00 | $2,247.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hb Hepatobiliary Syst Imaging Including Gallbladder - Nm Liver Function | $8,728.00 | $8,728.00 | — | 798% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hb Hepatobiliary Syst Imaging Including Gallbladder - Nm Liver Function | $8,728.00 | $8,728.00 | — | — | — |
| Hand X-ray, 2 views one side CPT 73120 Hb X-Ray Hand 2 Vw - Xr Hand 1-2 Views Left | $1,781.00 | $1,781.00 | — | 1114% above | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hb X-Ray Hand 2 Vw - Xr Hand 1-2 Views Left | $1,781.00 | $1,781.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Hb X-Ray Heel - Xr Calcaneus 2 Views Left | $1,851.00 | $1,851.00 | — | 1162% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Hb X-Ray Heel - Xr Calcaneus 2 Views Left | $1,851.00 | $1,851.00 | — | — | — |
| Knee X-ray, 3 views one side CPT 73562 Hb X-Ray Knee 3 View - Xr Knee 3 Views Left | $2,671.00 | $2,671.00 | — | 1411% above | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 Hb X-Ray Knee 3 View - Xr Knee 3 Views Left | $2,671.00 | $2,671.00 | — | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Hb X-Ray Knee 4+ View - Xr Knee 4+ Views Left | $2,465.69 | $2,465.69 | — | 998% above | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Hb X-Ray Knee 4+ View - Xr Knee 4+ Views Left | $2,465.69 | $2,465.69 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Hb Ct Scan Lower Extremity W/O Dye - Ct Lower Ext Left Wo Iv Contrast | $10,411.90 | $10,411.90 | — | 1074% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Hb Ct Scan Lower Extremity W/O Dye - Ct Lower Ext Left Wo Iv Contrast | $10,411.90 | $10,411.90 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hb Chg Us, Abdomen Limited | $2,160.85 | $2,160.85 | — | 495% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hb Chg Us, Abdomen Limited | $2,160.85 | $2,160.85 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hb Chg Us,Extremity,Nonvascular,Real-Time Image,Limited | $861.00 | $861.00 | — | 330% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hb Chg Us,Extremity,Nonvascular,Real-Time Image,Limited | $861.00 | $861.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hb Ldct For Lung Ca Screen - Ldct Lung Screening-No Contrast | $493.00 | $493.00 | — | 128% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hb Ldct For Lung Ca Screen - Ldct Lung Screening-No Contrast | $493.00 | $493.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Hb X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views Left | $2,103.05 | $2,103.05 | — | 960% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Hb X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views Left | $2,103.05 | $2,103.05 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Hb Mr Angio, Head - Mr Head Angio Wo Iv Contrast | $5,042.00 | $5,042.00 | — | 218% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hb Mr Angio, Head - Mr Head Angio Wo Iv Contrast | $5,042.00 | $5,042.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hb Mri Lower Extremity Joint - Right Wo Contrast | $6,550.00 | $6,550.00 | — | 301% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hb Mri Lower Extremity Joint - Right Wo Contrast | $6,550.00 | $6,550.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hb Mri Lower Extremity Joint - Right W&Wo Contrst | $10,325.00 | $10,325.00 | — | 399% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hb Mri Lower Extremity Joint - Right W&Wo Contrst | $10,325.00 | $10,325.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 Hb Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast | $5,256.00 | $5,256.00 | — | 278% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Hb Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast | $5,256.00 | $5,256.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hb Mri, Abdomen, Combo - Mri Abdomen W Wo Contrast | $10,332.08 | $10,332.08 | — | 407% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hb Mri, Abdomen, Combo - Mri Abdomen W Wo Contrast | $10,332.08 | $10,332.08 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 Hb Mri Brain - Mri Brain Wo Contrast | $12,397.66 | $12,397.66 | — | 624% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hb Mri Brain - Mri Brain Wo Contrast | $12,397.66 | $12,397.66 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Hb Mri Brain Combo - Mri Brain W Wo Contrast | $14,068.00 | $14,068.00 | — | 508% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hb Mri Brain Combo - Mri Brain W Wo Contrast | $14,068.00 | $14,068.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Hb Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast | $12,201.94 | $12,201.94 | — | 664% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hb Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast | $12,201.94 | $12,201.94 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hb Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast | $14,342.81 | $14,342.81 | — | 490% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hb Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast | $14,342.81 | $14,342.81 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hb Mri, Dorsal Spine - Mri Thoracic Spine Wo Contrast | $13,097.00 | $13,097.00 | — | 764% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hb Mri, Dorsal Spine - Mri Thoracic Spine Wo Contrast | $13,097.00 | $13,097.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hb Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast | $13,464.00 | $13,464.00 | — | 507% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hb Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast | $13,464.00 | $13,464.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hb Mri, Cerv Spine - Mri Cervical Spine Wo Contrast | $11,249.00 | $11,249.00 | — | 596% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hb Mri, Cerv Spine - Mri Cervical Spine Wo Contrast | $11,249.00 | $11,249.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 Hb Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast | $8,170.00 | $8,170.00 | — | 291% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Hb Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast | $8,170.00 | $8,170.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O | $4,295.00 | $4,295.00 | — | 187% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Hb Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast | $6,809.00 | $6,809.00 | — | 354% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O | $4,295.00 | $4,295.00 | — | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Hb Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast | $6,809.00 | $6,809.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Hb Mri Upper Extremity Joint - Right Wo Contrast | $6,011.00 | $6,011.00 | — | 309% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Hb Mri Upper Extremity Joint - Right Wo Contrast | $6,011.00 | $6,011.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hb Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views | $5,221.28 | $5,221.28 | — | 1747% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hb Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views | $5,221.28 | $5,221.28 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 Hb Ct Neck Tissue Contrast - Ct Soft Tissue Neck W Contrast | $14,671.00 | $14,671.00 | — | 1060% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Hb Ct Neck Tissue Contrast - Ct Soft Tissue Neck W Contrast | $14,671.00 | $14,671.00 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 Hb Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont | $12,761.81 | $12,761.81 | — | 1212% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Hb Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont | $12,761.81 | $12,761.81 | — | — | — |
| Neck soft tissue X-ray CPT 70360 Hb X-Ray Neck Soft Tissue - Xr Neck Soft Tissue | $849.80 | $849.80 | — | 421% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 Hb X-Ray Neck Soft Tissue - Xr Neck Soft Tissue | $849.80 | $849.80 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hb Ht Muscle Image Spect Mult - Nm Heart Perfusion Spect Stress &/Or Rest | $25,046.75 | $25,046.75 | — | 1100% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hb Ht Muscle Image Spect Mult - Nm Heart Perfusion Spect Stress &/Or Rest | $25,046.75 | $25,046.75 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hb Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh | $13,935.00 | $13,935.00 | — | 318% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hb Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh | $13,935.00 | $13,935.00 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 Hb Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast | $7,082.00 | $7,082.00 | — | 556% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 Hb Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast | $7,082.00 | $7,082.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hb Sono Pelvis Limited - Us Pelvis Limited | $1,871.86 | $1,871.86 | — | 854% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hb Sono Pelvis Limited - Us Pelvis Limited | $1,871.86 | $1,871.86 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hb Echo,Pelvic (Nonobstetric) - Us Pelvis | $2,558.13 | $2,558.13 | — | 483% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hb Echo,Pelvic (Nonobstetric) - Us Pelvis | $2,558.13 | $2,558.13 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hb Chg Us, Ob >/= 14 Wks, Sngl Fetus | $3,813.00 | $3,813.00 | — | 898% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hb Chg Us, Ob >/= 14 Wks, Sngl Fetus | $3,813.00 | $3,813.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hb Chg Us, Ob < 14 Wks, Single Fetus | $2,135.00 | $2,135.00 | — | 606% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hb Chg Us, Ob < 14 Wks, Single Fetus | $2,135.00 | $2,135.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hb Chg Us,Pregnant Uterus,Limited, 1/> Fetuses | $1,867.00 | $1,867.00 | — | 663% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hb Chg Us,Pregnant Uterus,Limited, 1/> Fetuses | $1,867.00 | $1,867.00 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Hb X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Left | $2,378.35 | $2,378.35 | — | 1039% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hb X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Left | $2,378.35 | $2,378.35 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hb X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior | $2,845.25 | $2,845.25 | — | 1133% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hb X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior | $2,845.25 | $2,845.25 | — | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Hb X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Left | $2,608.34 | $2,608.34 | — | 1199% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Hb X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Left | $2,608.34 | $2,608.34 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Hb X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views | $2,790.00 | $2,790.00 | — | 1203% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hb X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views | $2,790.00 | $2,790.00 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 Hb X-Ray Skull <4 Vw - Xr Skull 1-3 Views | $2,003.00 | $2,003.00 | — | 997% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Hb X-Ray Skull <4 Vw - Xr Skull 1-3 Views | $2,003.00 | $2,003.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Hb Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech | $1,992.00 | $1,992.00 | — | 467% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hb Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech | $1,992.00 | $1,992.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Hb Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt | $1,389.00 | $1,389.00 | — | 643% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Hb Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt | $1,389.00 | $1,389.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Hb Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast | $12,898.86 | $12,898.86 | — | 995% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hb Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast | $12,898.86 | $12,898.86 | — | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 Hb X-Ray Toe(S) - Xr Toes 2+ Views Left | $1,493.49 | $1,493.49 | — | 982% above | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Hb X-Ray Toe(S) - Xr Toes 2+ Views Left | $1,493.49 | $1,493.49 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Hb Us Endovaginal Sono Non-Ob | $3,456.00 | $3,456.00 | — | 924% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hb Us Endovaginal Sono Non-Ob | $3,456.00 | $3,456.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Hb Chg Us,Pregnant Uterus,Transvaginal | $2,071.25 | $2,071.25 | — | 639% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hb Chg Us,Pregnant Uterus,Transvaginal | $2,071.25 | $2,071.25 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Hb Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen Complete | $5,315.39 | $5,315.39 | — | 1008% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hb Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen Complete | $5,315.39 | $5,315.39 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Hb Chg Echo,Scrotum & Contents | $4,265.16 | $4,265.16 | — | 1057% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Hb Chg Echo,Scrotum & Contents | $4,265.16 | $4,265.16 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hb Us, Head/Neck Tissues,Real Time - Us Head Neck Soft Tissue | $1,676.30 | $1,676.30 | — | 413% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hb Us, Head/Neck Tissues,Real Time - Us Head Neck Soft Tissue | $1,676.30 | $1,676.30 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hb X-Ray Upper Gi Delay W/O Kub - Fl Upper Gi Without Kub | $1,373.00 | $1,373.00 | — | 287% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hb X-Ray Upper Gi Delay W/O Kub - Fl Upper Gi Without Kub | $1,373.00 | $1,373.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Hb X-Ray Humerus - 2 Views Xr Humerus Left | $1,988.40 | $1,988.40 | — | 990% above | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Hb X-Ray Humerus - 2 Views Xr Humerus Left | $1,988.40 | $1,988.40 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Cv Us Doppler Venous Leg Left | $2,104.26 | $2,104.26 | — | 587% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Cv Us Doppler Venous Leg Left | $2,104.26 | $2,104.26 | — | — | — |
| Wrist X-ray, 2 views one side CPT 73100 Hb X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Left | $1,460.77 | $1,460.77 | — | 1024% above | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Hb X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Left | $1,460.77 | $1,460.77 | — | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Hb X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Left | $2,076.23 | $2,076.23 | — | 934% above | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Hb X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Left | $2,076.23 | $2,076.23 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hb X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw Left | $1,419.66 | $1,419.66 | — | 682% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hb X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw Left | $1,419.66 | $1,419.66 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Hb Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View | $2,012.00 | $2,012.00 | — | 1288% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Hb Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View | $2,012.00 | $2,012.00 | — | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 Hb X-Ray Ankle 2 Vw - Xr Ankle 2 Views Left | $2,244.82 | $2,244.82 | — | 1522% above | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Hb X-Ray Ankle 2 Vw - Xr Ankle 2 Views Left | $2,244.82 | $2,244.82 | — | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Hb X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views Right | $1,443.92 | $1,443.92 | — | 889% above | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Hb X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views Right | $1,443.92 | $1,443.92 | — | — | — |
| X-ray of the foot, 2 views one side CPT 73620 Hb X-Ray Foot 2 Vw - Xr Foot 1-2 Views Left | $1,477.84 | $1,477.84 | — | 1002% above | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Hb X-Ray Foot 2 Vw - Xr Foot 1-2 Views Left | $1,477.84 | $1,477.84 | — | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Hb X-Ray Foot 3+ Vw - Xr Foot 3+ Views Left | $2,247.55 | $2,247.55 | — | 1148% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Hb X-Ray Foot 3+ Vw - Xr Foot 3+ Views Left | $2,247.55 | $2,247.55 | — | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Hb X-Ray Hand 3+ Vw - Xr Hand 3+ Views Left | $2,188.06 | $2,188.06 | — | 990% above | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hb X-Ray Hand 3+ Vw - Xr Hand 3+ Views Left | $2,188.06 | $2,188.06 | — | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Hb X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views Left | $1,680.09 | $1,680.09 | — | 1045% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Hb X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views Left | $1,680.09 | $1,680.09 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hb X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views | $1,618.52 | $1,618.52 | — | 703% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hb X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views | $1,618.52 | $1,618.52 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 Hb X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $4,245.00 | $4,245.00 | — | 1377% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hb X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $4,245.00 | $4,245.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hb X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views | $2,154.71 | $2,154.71 | — | 994% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hb X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views | $2,154.71 | $2,154.71 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Hb X-Ray Nasal Bones - Xr Nasal Bones 3+ Views | $2,367.13 | $2,367.13 | — | 1259% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hb X-Ray Nasal Bones - Xr Nasal Bones 3+ Views | $2,367.13 | $2,367.13 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hb Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views | $2,347.71 | $2,347.71 | — | 1075% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hb Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views | $2,347.71 | $2,347.71 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hb X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views | $1,923.99 | $1,923.99 | — | 1078% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hb X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views | $1,923.99 | $1,923.99 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hb X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views | $2,077.08 | $2,077.08 | — | 918% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hb X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views | $2,077.08 | $2,077.08 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Hb Acth-Ref | $816.00 | $816.00 | — | 510% above | — |
| ACTH blood test inpatient CPT 82024 Hb Acth-Ref | $816.00 | $816.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hb Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $876.00 | $876.00 | — | 3095% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hb Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $876.00 | $876.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hb Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) | $640.00 | $640.00 | — | 1780% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hb Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) | $640.00 | $640.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hb Hepatitis Panel,Acute | $2,232.00 | $2,232.00 | — | 908% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hb Hepatitis Panel,Acute | $2,232.00 | $2,232.00 | — | — | — |
| Albumin blood test CPT 82040 Hb Assay Of Serum Albumin - Albumin | $277.97 | $277.97 | — | 965% above | — |
| Albumin blood test inpatient CPT 82040 Hb Assay Of Serum Albumin - Albumin | $277.97 | $277.97 | — | — | — |
| Aldosterone blood test CPT 82088 Aldosterone/2 | $1,460.00 | $1,460.00 | — | 1020% above | — |
| Aldosterone blood test CPT 82088 Aldosterone | $1,468.00 | $1,468.00 | — | 1026% above | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone/2 | $1,460.00 | $1,460.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone | $1,468.00 | $1,468.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hb Assay Alkal Phosphatase - Alkaline Phosphatase | $501.75 | $501.75 | — | 1827% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hb Assay Alkal Phosphatase - Alkaline Phosphatase | $501.75 | $501.75 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Alpha-Fetoprotein Serum | $971.00 | $971.00 | — | 1228% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Alpha-Fetoprotein Serum | $971.00 | $971.00 | — | — | — |
| Ammonia blood test CPT 82140 Hb Assay Of Ammonia - Ammonia | $470.00 | $470.00 | — | 524% above | — |
| Ammonia blood test inpatient CPT 82140 Hb Assay Of Ammonia - Ammonia | $470.00 | $470.00 | — | — | — |
| Amylase blood test CPT 82150 Hb Assay Of Amylase - Amylase Blood, Urine, Body Fluid | $830.07 | $830.07 | — | 1787% above | — |
| Amylase blood test inpatient CPT 82150 Hb Assay Of Amylase - Amylase Blood, Urine, Body Fluid | $830.07 | $830.07 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hb Cyclic Citrullinated Peptide | $501.00 | $501.00 | — | 855% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hb Cyclic Citrullinated Peptide | $501.00 | $501.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinucl Ab(Ana/2 | $805.00 | $805.00 | — | 1783% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinucl Ab(Ana/2 | $805.00 | $805.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hb Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp) | $283.00 | $283.00 | — | 172% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hb Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp) | $283.00 | $283.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Oth Source/8 | $297.00 | $297.00 | — | 467% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Oth Source/9 | $302.00 | $302.00 | — | 477% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Oth Source/18 | $323.00 | $323.00 | — | 517% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Oth Source/15 | $323.00 | $323.00 | — | 517% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Oth Source | $331.16 | $331.16 | — | 533% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cult Oth Source/8 | $297.00 | $297.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cult Oth Source/9 | $302.00 | $302.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cult Oth Source/18 | $323.00 | $323.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cult Oth Source/15 | $323.00 | $323.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cult Oth Source | $331.16 | $331.16 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 Hb Basic Metabolic Panel | $640.00 | $640.00 | — | 968% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hb Basic Metabolic Panel | $640.00 | $640.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 Hb Bilirubin Total - Bilirubin Total | $420.00 | $420.00 | — | 1625% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Hb Bilirubin Total - Bilirubin Total | $420.00 | $420.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hb Surg Path,Level Iv - Lab Surg Path,Level Iv | $273.00 | $273.00 | — | 62% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hb Surg Path,Level Iv - Lab Surg Path,Level Iv | $273.00 | $273.00 | — | — | — |
| Blood culture for bacteria CPT 87040 Hb Blood Culture | $461.30 | $461.30 | — | 463% above | — |
| Blood culture for bacteria inpatient CPT 87040 Hb Blood Culture | $461.30 | $461.30 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hb Chg Collection Venous Blood,Venipuncture - Draw Charge | $53.00 | $53.00 | — | 636% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hb Chg Collection Venous Blood,Venipuncture - Draw Charge | $53.00 | $53.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Glucose Quant | $591.00 | $591.00 | — | 2164% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Quant | $591.00 | $591.00 | — | — | — |
| Blood lead test CPT 83655 Lead Quan | $228.00 | $228.00 | — | 453% above | — |
| Blood lead test inpatient CPT 83655 Lead Quan | $228.00 | $228.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hb Bhcg Qualitative | $630.33 | $630.33 | — | 1241% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hb Bhcg Qualitative | $630.33 | $630.33 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hb Blood Typing Serologic Abo - Blood Type And Screen | $420.00 | $420.00 | — | 543% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hb Blood Typing Serologic Abo - Blood Type And Screen | $420.00 | $420.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Hb Assay Urea Nitrogen, Quan - Blood Urea Nitrogen | $182.00 | $182.00 | — | 548% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hb Assay Urea Nitrogen, Quan - Blood Urea Nitrogen | $182.00 | $182.00 | — | — | — |
| C-peptide blood test CPT 84681 Hb Assay Of C-Peptide - C-Peptide | $438.00 | $438.00 | — | 490% above | — |
| C-peptide blood test inpatient CPT 84681 Hb Assay Of C-Peptide - C-Peptide | $438.00 | $438.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Cdiff Amp Prb | $430.00 | $430.00 | — | 339% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Cdiff Amp Prb | $430.00 | $430.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Hb Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9 | $721.00 | $721.00 | — | 603% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hb Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9 | $721.00 | $721.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hb Immunoassay, Tumor Antigen, Ca 125 - Ca 125 | $338.00 | $338.00 | — | 294% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hb Immunoassay, Tumor Antigen, Ca 125 - Ca 125 | $338.00 | $338.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sarscov2/Cov19 Amp Prb | $238.00 | $238.00 | — | 305% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sarscov2/Cov19 Amp Prb | $238.00 | $238.00 | — | — | — |
| Calcium blood test, total CPT 82310 Hb Assay Of Calcium, Total - Calcium | $322.14 | $322.14 | — | 1080% above | — |
| Calcium blood test, total inpatient CPT 82310 Hb Assay Of Calcium, Total - Calcium | $322.14 | $322.14 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hb Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen) | $831.55 | $831.55 | — | 952% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hb Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen) | $831.55 | $831.55 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicel Zstr Ab/2 | $213.00 | $213.00 | — | 257% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicel Zstr Ab/3 | $213.00 | $213.00 | — | 257% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicel Zstr Ab/3 | $213.00 | $213.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicel Zstr Ab/2 | $213.00 | $213.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hb Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr | $321.00 | $321.00 | — | 394% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hb Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr | $321.00 | $321.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Panel | $882.00 | $882.00 | — | 1588% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Panel | $882.00 | $882.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 Hb Complete Cbc & Auto Diff Wbc - Additional Charge | $1,407.00 | $1,407.00 | — | 3739% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hb Complete Cbc & Auto Diff Wbc - Additional Charge | $1,407.00 | $1,407.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 Hb Complete Cbc - Cbc | $179.00 | $179.00 | — | 430% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hb Complete Cbc - Cbc | $179.00 | $179.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Hb Metabolic Panel,Comprehensive | $769.00 | $769.00 | — | 912% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hb Metabolic Panel,Comprehensive | $769.00 | $769.00 | — | — | — |
| Cortisol blood test, total CPT 82533 Hb Total Cortisol - Cortisol | $456.00 | $456.00 | — | 591% above | — |
| Cortisol blood test, total inpatient CPT 82533 Hb Total Cortisol - Cortisol | $456.00 | $456.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Hb Assay Of Ck (Cpk) - Ck | $362.00 | $362.00 | — | 1014% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hb Assay Of Ck (Cpk) - Ck | $362.00 | $362.00 | — | — | — |
| Creatinine blood test CPT 82565 Hb Creatinine | $324.00 | $324.00 | — | 1017% above | — |
| Creatinine blood test inpatient CPT 82565 Hb Creatinine | $324.00 | $324.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Ab/2 | $283.00 | $283.00 | — | 317% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Ab/4 | $564.00 | $564.00 | — | 732% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Ab/2 | $283.00 | $283.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Ab/4 | $564.00 | $564.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 Hb Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative | $748.00 | $748.00 | — | 1126% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Hb Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative | $748.00 | $748.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-S | $459.00 | $459.00 | — | 423% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea-S | $459.00 | $459.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drug Test Presumptive | $931.29 | $931.29 | — | 1059% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drug Test Presumptive | $931.29 | $931.29 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hb Electrolyte Panel | $377.00 | $377.00 | — | 666% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hb Electrolyte Panel | $377.00 | $377.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Eb Virus Vca Ab/4 | $232.00 | $232.00 | — | 351% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Eb Virus Vca Ab/5 | $313.00 | $313.00 | — | 508% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Eb Virus Vca Ab/4 | $232.00 | $232.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Eb Virus Vca Ab/5 | $313.00 | $313.00 | — | — | — |
| Estradiol blood test CPT 82670 Estradiol | $1,270.00 | $1,270.00 | — | 1168% above | — |
| Estradiol blood test inpatient CPT 82670 Estradiol | $1,270.00 | $1,270.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Hb Fsh | $1,189.00 | $1,189.00 | — | 1273% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hb Fsh | $1,189.00 | $1,189.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $363.00 | $363.00 | — | 547% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $363.00 | $363.00 | — | — | — |
| Fibrinogen blood test CPT 85384 Hb Fibrinogen, Activity - Fibrinogen,Quantitative | $686.00 | $686.00 | — | 1387% above | — |
| Fibrinogen blood test inpatient CPT 85384 Hb Fibrinogen, Activity - Fibrinogen,Quantitative | $686.00 | $686.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 Folic Acid | $234.00 | $234.00 | — | 280% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folic Acid | $234.00 | $234.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 Hb Triiodothyronine Free Assay (Ft-3) - T3 Free | $330.00 | $330.00 | — | 379% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Hb Triiodothyronine Free Assay (Ft-3) - T3 Free | $330.00 | $330.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hb Assay Of Free Thyroxine - T4 Free | $405.00 | $405.00 | — | 564% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hb Assay Of Free Thyroxine - T4 Free | $405.00 | $405.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hb Assay Of Ggt - Gamma Gt | $445.00 | $445.00 | — | 1253% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hb Assay Of Ggt - Gamma Gt | $445.00 | $445.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gluc Post Dose | $140.00 | $140.00 | — | 247% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Gluc Post Dose | $140.00 | $140.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc Dna Amp Prb | $316.00 | $316.00 | — | 351% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gc Dna Amp Prb | $316.00 | $316.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 Hb Iaad Ia Hpylori Stool - H Pylori Antigen Stool | $323.00 | $323.00 | — | 369% above | — |
| H. pylori stool antigen test inpatient CPT 87338 Hb Iaad Ia Hpylori Stool - H Pylori Antigen Stool | $323.00 | $323.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hb Hiv Quant Test | $709.00 | $709.00 | — | 207% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Qnt/5 | $964.00 | $964.00 | — | 317% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hb Hiv Quant Test | $709.00 | $709.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Qnt/5 | $964.00 | $964.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv1/Hiv2 Sng/2 | $352.00 | $352.00 | — | 1079% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv1/Hiv2 Sng/2 | $352.00 | $352.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ag Ab Combo/2 | $253.00 | $253.00 | — | 318% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv Ag Ab Combo/2 | $253.00 | $253.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hb Glycosylated Hemoglobin Test - Hemoglobin A1C | $1,024.00 | $1,024.00 | — | 3313% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hb Glycosylated Hemoglobin Test - Hemoglobin A1C | $1,024.00 | $1,024.00 | — | — | — |
| Hemoglobin blood test CPT 85018 Hb Hemoglobin - Hemoglobin | $308.00 | $308.00 | — | 1660% above | — |
| Hemoglobin blood test inpatient CPT 85018 Hb Hemoglobin - Hemoglobin | $308.00 | $308.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hb Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total | $729.00 | $729.00 | — | 1121% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hb Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total | $729.00 | $729.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hb Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody | $442.00 | $442.00 | — | 750% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hb Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody | $442.00 | $442.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hb Hepatitis C Ab Test - Hepatitis C Antibody | $1,016.00 | $1,016.00 | — | 1309% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Hepatitis C Ab Test - Hepatitis C Antibody | $1,016.00 | $1,016.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Quant/2 | $823.00 | $823.00 | — | 324% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Quant/2 | $823.00 | $823.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Smplx 1 Ab/2 | $506.00 | $506.00 | — | 758% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Smplx 1 Ab/3 | $787.00 | $787.00 | — | 1235% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Smplx 1 Ab/2 | $506.00 | $506.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Smplx 1 Ab/3 | $787.00 | $787.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Smplx 2 Ab/2 | $228.00 | $228.00 | — | 262% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Smplx 2 Ab/2 | $228.00 | $228.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hb C-Reactive Protein,High Sensitivity - High Sensitivity Crp | $256.00 | $256.00 | — | 379% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hb C-Reactive Protein,High Sensitivity - High Sensitivity Crp | $256.00 | $256.00 | — | — | — |
| Homocysteine blood test CPT 83090 Homocystein Qnt/2 | $388.00 | $388.00 | — | 200% above | — |
| Homocysteine blood test inpatient CPT 83090 Homocystein Qnt/2 | $388.00 | $388.00 | — | — | — |
| Insulin blood test CPT 83525 Hb Assay Of Insulin,Total - Insulin, Total | $297.00 | $297.00 | — | 328% above | — |
| Insulin blood test inpatient CPT 83525 Hb Assay Of Insulin,Total - Insulin, Total | $297.00 | $297.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 Hb Assay Of Iron - Iron | $289.00 | $289.00 | — | 916% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Hb Assay Of Iron - Iron | $289.00 | $289.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Hb Iron Binding Capacity | $185.00 | $185.00 | — | 339% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hb Iron Binding Capacity | $185.00 | $185.00 | — | — | — |
| Kidney function blood test panel CPT 80069 Hb Renal Function Panel | $660.00 | $660.00 | — | 762% above | — |
| Kidney function blood test panel inpatient CPT 80069 Hb Renal Function Panel | $660.00 | $660.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 Hb Lh Serum | $958.00 | $958.00 | — | 921% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Hb Lh Serum | $958.00 | $958.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid - Lactate | $453.00 | $453.00 | — | 674% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid - Lactate | $453.00 | $453.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh/2 | $122.00 | $122.00 | — | 386% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hb Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl | $315.08 | $315.08 | — | 1156% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh/2 | $122.00 | $122.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hb Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl | $315.08 | $315.08 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase/2 | $529.00 | $529.00 | — | 966% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Hb Assay Of Lipase - Lipase | $672.00 | $672.00 | — | 1254% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase/2 | $529.00 | $529.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hb Assay Of Lipase - Lipase | $672.00 | $672.00 | — | — | — |
| Liver function blood test panel CPT 80076 Hb Hepatic Function Panel | $1,771.00 | $1,771.00 | — | 2128% above | — |
| Liver function blood test panel inpatient CPT 80076 Hb Hepatic Function Panel | $1,771.00 | $1,771.00 | — | — | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Ab | $1,257.00 | $1,257.00 | — | 1613% above | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Ab | $1,257.00 | $1,257.00 | — | — | — |
| Magnesium blood test CPT 83735 Hb Assay Of Magnesium - Magnesium | $287.00 | $287.00 | — | 1176% above | — |
| Magnesium blood test inpatient CPT 83735 Hb Assay Of Magnesium - Magnesium | $287.00 | $287.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Hb Heterophile Antibodies,Screen - Mononucleosis Screen | $744.00 | $744.00 | — | 1425% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hb Heterophile Antibodies,Screen - Mononucleosis Screen | $744.00 | $744.00 | — | — | — |
| Mumps immunity blood test CPT 86735 Hb Mumps - Mumps Igg Antibody | $225.00 | $225.00 | — | 411% above | — |
| Mumps immunity blood test inpatient CPT 86735 Hb Mumps - Mumps Igg Antibody | $225.00 | $225.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Free Psa | $247.00 | $247.00 | — | 259% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Free Psa | $247.00 | $247.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hb Prostate Specific Antigen,Total - Psa | $579.00 | $579.00 | — | 610% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hb Prostate Specific Antigen,Total - Psa | $579.00 | $579.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Hb Assay Of Parathormone - Pth Intact | $698.00 | $698.00 | — | 415% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hb Assay Of Parathormone - Pth Intact | $698.00 | $698.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt | $414.00 | $414.00 | — | 880% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt | $414.00 | $414.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Hb Assay Of Inorganic Phosphorus - Phosphorus | $415.00 | $415.00 | — | 1604% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hb Assay Of Inorganic Phosphorus - Phosphorus | $415.00 | $415.00 | — | — | — |
| Potassium blood test CPT 84132 Hb Assay Of Serum Potassium - Potassium | $367.08 | $367.08 | — | 1232% above | — |
| Potassium blood test inpatient CPT 84132 Hb Assay Of Serum Potassium - Potassium | $367.08 | $367.08 | — | — | — |
| Progesterone blood test CPT 84144 Hb Assay Of Progesterone - Progesterone | $391.00 | $391.00 | — | 297% above | — |
| Progesterone blood test inpatient CPT 84144 Hb Assay Of Progesterone - Progesterone | $391.00 | $391.00 | — | — | — |
| Prolactin blood test CPT 84146 Hb Assay Of Prolactin - Prolactin | $346.00 | $346.00 | — | 234% above | — |
| Prolactin blood test inpatient CPT 84146 Hb Assay Of Prolactin - Prolactin | $346.00 | $346.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time - Protime-Inr | $258.00 | $258.00 | — | 980% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time - Protime-Inr | $258.00 | $258.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hb Drug Test Prsmv Dir Opt Obs | $358.00 | $358.00 | — | 657% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Hb Drug Test Prsmv Dir Opt Obs | $358.00 | $358.00 | — | — | — |
| Renin blood test CPT 84244 Renin | $873.00 | $873.00 | — | 887% above | — |
| Renin blood test inpatient CPT 84244 Renin | $873.00 | $873.00 | — | — | — |
| Rh blood typing CPT 86901 Hb Rh | $412.81 | $412.81 | — | 1565% above | — |
| Rh blood typing inpatient CPT 86901 Hb Rh | $412.81 | $412.81 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 Hb Rheumatoid Factor, Quant - Rheumatoid Factor | $157.00 | $157.00 | — | 249% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hb Rheumatoid Factor, Quant - Rheumatoid Factor | $157.00 | $157.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab/2 | $191.00 | $191.00 | — | 403% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab/3 | $191.00 | $191.00 | — | 403% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab/2 | $191.00 | $191.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab/3 | $191.00 | $191.00 | — | — | — |
| Sodium blood test CPT 84295 Hb Assay Of Serum Sodium - Sodium | $451.00 | $451.00 | — | 1807% above | — |
| Sodium blood test inpatient CPT 84295 Hb Assay Of Serum Sodium - Sodium | $451.00 | $451.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 Ova/Paras Smears/2 | $702.00 | $702.00 | — | 1450% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova/Paras Smears/2 | $702.00 | $702.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hb Stool Occult Blood Multiple | $149.00 | $149.00 | — | 888% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hb Stool Occult Blood Multiple | $149.00 | $149.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory | $246.00 | $246.00 | — | 547% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory | $246.00 | $246.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Tst Nt Ql/2 | $364.00 | $364.00 | — | 1300% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hb Syphilis Test Non Treponemal Antibody Qual | $440.00 | $440.00 | — | 1592% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Tst Nt Ql/2 | $364.00 | $364.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hb Syphilis Test Non Treponemal Antibody Qual | $440.00 | $440.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hb Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test | $729.00 | $729.00 | — | 536% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hb Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test | $729.00 | $729.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hb Assay Of Total Testosterone - Testosterone | $685.00 | $685.00 | — | 865% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hb Assay Of Total Testosterone - Testosterone | $685.00 | $685.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab Ea/2 | $330.00 | $330.00 | — | 650% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hb Microsomal Antibody - Thyroid Peroxidase Antibody | $330.00 | $330.00 | — | 650% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Ab Ea/2 | $330.00 | $330.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hb Microsomal Antibody - Thyroid Peroxidase Antibody | $330.00 | $330.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hb Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $415.00 | $415.00 | — | 640% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hb Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $415.00 | $415.00 | — | — | — |
| Total IgE blood test CPT 82785 Ig-E Serum/3 | $1,628.00 | $1,628.00 | — | 3194% above | — |
| Total IgE blood test inpatient CPT 82785 Ig-E Serum/3 | $1,628.00 | $1,628.00 | — | — | — |
| Total cholesterol blood test CPT 82465 Hb Assay, Bld/Serum Cholesterol - Cholesterol Total | $499.00 | $499.00 | — | 1524% above | — |
| Total cholesterol blood test inpatient CPT 82465 Hb Assay, Bld/Serum Cholesterol - Cholesterol Total | $499.00 | $499.00 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 Hb Assay Of Total Thyroxine - T4 (Thyroid Hormone) | $101.00 | $101.00 | — | 109% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Hb Assay Of Total Thyroxine - T4 (Thyroid Hormone) | $101.00 | $101.00 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 Hb Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone) | $2,237.00 | $2,237.00 | — | 4571% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Hb Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone) | $2,237.00 | $2,237.00 | — | — | — |
| Transferrin blood test CPT 84466 Hb Assay Of Transferrin - Transferrin | $227.00 | $227.00 | — | 312% above | — |
| Transferrin blood test inpatient CPT 84466 Hb Assay Of Transferrin - Transferrin | $227.00 | $227.00 | — | — | — |
| Triglycerides blood test CPT 84478 Hb Assay Of Triglycerides - Triglycerides | $239.00 | $239.00 | — | 660% above | — |
| Triglycerides blood test CPT 84478 Triglycer/2 | $307.00 | $307.00 | — | 876% above | — |
| Triglycerides blood test inpatient CPT 84478 Hb Assay Of Triglycerides - Triglycerides | $239.00 | $239.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 Triglycer/2 | $307.00 | $307.00 | — | — | — |
| Troponin test, quantitative CPT 84484 Troponin Quan/2 | $1,057.00 | $1,057.00 | — | 1410% above | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin Quan/2 | $1,057.00 | $1,057.00 | — | — | — |
| Uric acid blood test CPT 84550 Hb Assay Of Uric Acid, Blood - Uric Acid | $637.00 | $637.00 | — | 2041% above | — |
| Uric acid blood test inpatient CPT 84550 Hb Assay Of Uric Acid, Blood - Uric Acid | $637.00 | $637.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Hb Urinalysis, Auto, W/Scope - Urinalysis Microscopic | $399.00 | $399.00 | — | 1188% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hb Urinalysis, Auto, W/Scope - Urinalysis Microscopic | $399.00 | $399.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Ua W/O Micro/2 | $304.00 | $304.00 | — | 1288% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ua W/O Micro/2 | $304.00 | $304.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 Hb Urine Non-Automated | $267.00 | $267.00 | — | 2165% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hb Urine Non-Automated | $267.00 | $267.00 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 Hb Microalbumin | $514.00 | $514.00 | — | 1155% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hb Microalbumin | $514.00 | $514.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 Hb Chorionic Gonadotropin Qual- Hcg Qualitative Urine | $924.00 | $924.00 | — | 2314% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hb Chorionic Gonadotropin Qual- Hcg Qualitative Urine | $924.00 | $924.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hb Vitamin B-12 - Vitamin B12 | $240.00 | $240.00 | — | 351% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hb Vitamin B-12 - Vitamin B12 | $240.00 | $240.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hb Vitamin D | $577.00 | $577.00 | — | 510% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hb Vitamin D | $577.00 | $577.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D1 25Dihydr | $551.00 | $551.00 | — | 309% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit D1 25Dihydr | $551.00 | $551.00 | — | — | — |
| Zinc blood test CPT 84630 Zinc/2 | $246.00 | $246.00 | — | 432% above | — |
| Zinc blood test inpatient CPT 84630 Zinc/2 | $246.00 | $246.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Chorionic Gonadotropin, Quant - Hcg Quantitative Blood | $866.15 | $866.15 | — | 1417% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Chorionic Gonadotropin, Quant - Hcg Quantitative Blood | $866.15 | $866.15 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Hb Bx Breast W Device 1St Lesion Stereotactic Guide - Right | $14,278.00 | $14,278.00 | — | 558% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Hb Bx Breast W Device 1St Lesion Stereotactic Guide - Right | $14,278.00 | $14,278.00 | — | — | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 Hb Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography | $33,921.00 | $33,921.00 | — | 430% above | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Hb Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography | $33,921.00 | $33,921.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hb Cardioversion Electric Ext - Cardioversion External | $1,979.17 | $1,979.17 | — | 153% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hb Cardioversion Electric Ext - Cardioversion External | $1,979.17 | $1,979.17 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 Hb Ep Ephys Evl Trnsptl Tx-Ablate Atrial Fib Isolat Pulm Vein | $98,337.00 | $98,337.00 | — | 292% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Hb Ep Ephys Evl Trnsptl Tx-Ablate Atrial Fib Isolat Pulm Vein | $98,337.00 | $98,337.00 | — | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision | $1,348.00 | $1,348.00 | — | 37% above | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision | $1,348.00 | $1,348.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hb Cath/Inject Hysterosalpingogram | $1,703.00 | $1,703.00 | — | 717% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hb Cath/Inject Hysterosalpingogram | $1,703.00 | $1,703.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hb Drain Skin Abscess Simple | $2,099.05 | $2,099.05 | — | 650% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hb Drain Skin Abscess Simple | $2,099.05 | $2,099.05 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hb Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us | $1,092.25 | $1,092.25 | — | 184% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hb Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us | $1,092.25 | $1,092.25 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 Hb Avulsion Of Nail Plate | $1,502.00 | $1,502.00 | — | 570% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hb Avulsion Of Nail Plate | $1,502.00 | $1,502.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 Hb Pp New Or Repl W/Trans Av Lead | $15,176.00 | $15,176.00 | — | 20% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Hb Pp New Or Repl W/Trans Av Lead | $15,176.00 | $15,176.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 Hb Abdom Paracentesis Dx/Ther W Imaging Guidance | $3,337.00 | $3,337.00 | — | 269% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Hb Abdom Paracentesis Dx/Ther W Imaging Guidance | $3,337.00 | $3,337.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 Hb Remove Foreign Body Simple | $2,337.00 | $2,337.00 | — | 352% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Hb Remove Foreign Body Simple | $2,337.00 | $2,337.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 Hb Punch Bx Skin/Subq 1St Lesion | $1,312.00 | $1,312.00 | — | 288% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hb Punch Bx Skin/Subq 1St Lesion | $1,312.00 | $1,312.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hb Repair Superf Wound 2.6-7.5Cm | $951.00 | $951.00 | — | 312% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hb Repair Superf Wound 2.6-7.5Cm | $951.00 | $951.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 Hb Thoracentesis Needle/Cath Pleura W/Imaging | $3,998.01 | $3,998.01 | — | 279% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hb Thoracentesis Needle/Cath Pleura W/Imaging | $3,998.01 | $3,998.01 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Hb Bx Breast W Device 1St Lesion Ultrasound Guide - Right | $9,252.00 | $9,252.00 | — | 281% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Hb Bx Breast W Device 1St Lesion Ultrasound Guide - Right | $9,252.00 | $9,252.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hb Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $3,484.00 | $3,484.00 | — | 505% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hb Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $3,484.00 | $3,484.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Hb Blood Transfusion Service | $1,739.90 | $1,739.90 | — | 343% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hb Blood Transfusion Service | $1,739.90 | $1,739.90 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hb Inhalation Treatment Subseq | $557.00 | $557.00 | — | 345% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Hb Rt Mdi/Dpi | $557.00 | $557.00 | — | 345% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hb Inhalation Treatment Subseq | $557.00 | $557.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 Hb Rt Mdi/Dpi | $557.00 | $557.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 Hb Chemother. Iv Infusion Initial, 1St Hour | $1,100.00 | $1,100.00 | — | 145% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Hb Chemother. Iv Infusion Initial, 1St Hour | $1,100.00 | $1,100.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hb Critical Care First Hour | $8,421.00 | $8,421.00 | — | 665% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hb Critical Care First Hour | $8,421.00 | $8,421.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Hb Eeg,W/Awake & Drowsy Record - Eeg Awake Or Drowsy | $2,643.00 | $2,643.00 | — | 321% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hb Eeg,W/Awake & Drowsy Record - Eeg Awake Or Drowsy | $2,643.00 | $2,643.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hb Electrocardiogram, Tracing | $1,024.00 | $1,024.00 | — | 827% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hb Electrocardiogram, Tracing | $1,024.00 | $1,024.00 | — | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 Ect Sngl Seizur | $3,155.00 | $3,155.00 | — | 223% above | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Ect Sngl Seizur | $3,155.00 | $3,155.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hb Emergency Department Level 1 Visit Limited/Minor Prob | $938.00 | $938.00 | — | 556% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hb Emergency Department Level 1 Visit Limited/Minor Prob | $938.00 | $938.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hb Emergency Department Level 2 Visit Low/Moder Severity | $1,810.07 | $1,810.07 | — | 624% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hb Emergency Department Level 2 Visit Low/Moder Severity | $1,810.07 | $1,810.07 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hb Emergency Department Level 3 Visit Moderate Severity | $2,713.58 | $2,713.58 | — | 674% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hb Emergency Department Level 3 Visit Moderate Severity | $2,713.58 | $2,713.58 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hb Emergency Department Level 4 Visit High/Urgent Severity | $4,521.00 | $4,521.00 | — | 694% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hb Emergency Department Level 4 Visit High/Urgent Severity | $4,521.00 | $4,521.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hb Emergency Department Level 5 Visit High Severity&Threat Func | $4,479.85 | $4,479.85 | — | 455% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hb Emergency Department Level 5 Visit High Severity&Threat Func | $4,479.85 | $4,479.85 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hb Cardiac Stress Tst,Tracing Only | $1,924.00 | $1,924.00 | — | 216% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hb Cardiac Stress Tst,Tracing Only | $1,924.00 | $1,924.00 | — | — | — |
| Group psychotherapy session CPT 90853 Thrpy Grp | $849.00 | $849.00 | — | 561% above | — |
| Group psychotherapy session inpatient CPT 90853 Thrpy Grp | $849.00 | $849.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hb Iv Infusion, Hydration, 31-60 Min | $1,100.72 | $1,100.72 | — | 370% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hb Iv Infusion, Hydration, 31-60 Min | $1,100.72 | $1,100.72 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 Hb Iv Infusion, Therap/Proph/Diagnost,Initial,1St Hour | $1,148.64 | $1,148.64 | — | 294% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Hb Iv Infusion, Therap/Proph/Diagnost,Initial,1St Hour | $1,148.64 | $1,148.64 | — | — | — |
| IV push of a medicine, first drug CPT 96374 Hb Injection,Therap/Proph/Diagnost, Iv Push, Initial Drug | $436.24 | $436.24 | — | 203% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 Hb Injection,Therap/Proph/Diagnost, Iv Push, Initial Drug | $436.24 | $436.24 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hb Injection,Therap/Proph/Diagnost, Im Or Subcut | $345.82 | $345.82 | — | 428% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hb Injection,Therap/Proph/Diagnost, Im Or Subcut | $345.82 | $345.82 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diag Eval | $1,070.00 | $1,070.00 | — | 716% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diag Eval | $1,070.00 | $1,070.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hb Nerve Conduction Studies 7-8 Studies | $3,348.00 | $3,348.00 | — | 200% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hb Nerve Conduction Studies 7-8 Studies | $3,348.00 | $3,348.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hb Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min | $411.00 | $411.00 | — | 367% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hb Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min | $415.24 | $415.24 | — | 372% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pta Neuromusc 15M | $435.00 | $435.00 | — | 394% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hb Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min | $411.00 | $411.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hb Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min | $415.24 | $415.24 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pta Neuromusc 15M | $435.00 | $435.00 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 Hb Office/Outpatient New | $389.00 | $389.00 | — | 103% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hb Office/Outpatient New | $389.00 | $389.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 E&M-Np Lvl Iv | $434.00 | $434.00 | — | 71% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 E&M-Np Lvl Iv | $434.00 | $434.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 E&M-Np Lvl V | $548.00 | $548.00 | — | 57% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 E&M-Np Lvl V | $548.00 | $548.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hb New Patient Level 2 | $499.00 | $499.00 | — | 290% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hb New Patient Level 2 | $499.00 | $499.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Hb Ot Occupational Therapy Eval Low Complex 30 Mins | $620.49 | $620.49 | — | 179% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Hb Ot Occupational Therapy Eval Low Complex 30 Mins | $620.49 | $620.49 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hb Pt Physical Therapy Evaluation High Complex 45 Mins | $653.51 | $653.51 | — | 226% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High | $667.00 | $667.00 | — | 233% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hb Pt Physical Therapy Evaluation High Complex 45 Mins | $653.51 | $653.51 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High | $667.00 | $667.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low | $667.00 | $667.00 | — | 280% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hb Pt Physical Therapy Evaluation Low Complex 20 Mins | $728.79 | $728.79 | — | 316% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low | $667.00 | $667.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hb Pt Physical Therapy Evaluation Low Complex 20 Mins | $728.79 | $728.79 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hb Pt Physical Therapy Evaluation Mod Complex 30 Mins | $627.86 | $627.86 | — | 193% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod | $667.00 | $667.00 | — | 211% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hb Pt Physical Therapy Evaluation Mod Complex 30 Mins | $627.86 | $627.86 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod | $667.00 | $667.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hb Ot Manual Ther Tech,1+Regions,Ea 15 Min | $281.00 | $281.00 | — | 151% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hb Pt Manual Ther Tech,1+Regions,Ea 15 Min | $306.00 | $306.00 | — | 173% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hb Ot Manual Ther Tech,1+Regions,Ea 15 Min | $281.00 | $281.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hb Pt Manual Ther Tech,1+Regions,Ea 15 Min | $306.00 | $306.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Pt Therapeutic Exercises | $275.04 | $275.04 | — | 343% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Ot Therapeutic Exercises | $281.99 | $281.99 | — | 354% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Pt Therapeutic Exercises | $275.04 | $275.04 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Ot Therapeutic Exercises | $281.99 | $281.99 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 Psy Thrpy30 Pt | $782.00 | $782.00 | — | 624% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psy Thrpy30 Pt | $782.00 | $782.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 Psy Tx 45Min Pt | $1,186.00 | $1,186.00 | — | 691% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psy Tx 45Min Pt | $1,186.00 | $1,186.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 Psy Tx 60Min Pt | $1,394.00 | $1,394.00 | — | 622% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psy Tx 60Min Pt | $1,394.00 | $1,394.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hb Tobacco Use Cessation Intermediate 3-10 Minutes | $184.00 | $184.00 | — | 409% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hb Tobacco Use Cessation Intermediate 3-10 Minutes | $184.00 | $184.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hb Office/Outpatient Established | $406.93 | $406.93 | — | 179% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hb Office/Outpatient Established | $406.93 | $406.93 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M-Ep Lvl Iv | $745.43 | $745.43 | — | 288% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M-Ep Lvl Iv | $745.43 | $745.43 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hb Established Patient Level 2 | $511.00 | $511.00 | — | 427% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hb Established Patient Level 2 | $511.00 | $511.00 | — | — | — |
| Speech and language evaluation CPT 92523 Hb Speech Sound Lang Comprehen | $755.55 | $755.55 | — | 71% above | — |
| Speech and language evaluation CPT 92523 Sp Eval Lng Com W/Exp C | $2,273.00 | $2,273.00 | — | 413% above | — |
| Speech and language evaluation inpatient CPT 92523 Hb Speech Sound Lang Comprehen | $755.55 | $755.55 | — | — | — |
| Speech and language evaluation inpatient CPT 92523 Sp Eval Lng Com W/Exp C | $2,273.00 | $2,273.00 | — | — | — |
| Speech therapy session, individual CPT 92507 Hb Speech Lang Treatment | $251.48 | $251.48 | — | 132% above | — |
| Speech therapy session, individual inpatient CPT 92507 Hb Speech Lang Treatment | $251.48 | $251.48 | — | — | — |
| Spirometry (breathing test) CPT 94010 Hb Pft Spirometry | $964.00 | $964.00 | — | 459% above | — |
| Spirometry (breathing test) inpatient CPT 94010 Hb Pft Spirometry | $964.00 | $964.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Hb Pft Spiro P&P Bronch | $1,746.00 | $1,746.00 | — | 454% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hb Pft Spiro P&P Bronch | $1,746.00 | $1,746.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Pt Therapeut Actvity Direct Pt Contact Each 15 Min | $174.56 | $174.56 | — | 185% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Ot Therapeut Actvity Direct Pt Contact Each 15 Min | $179.10 | $179.10 | — | 193% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Pt Therapeut Actvity Direct Pt Contact Each 15 Min | $174.56 | $174.56 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Ot Therapeut Actvity Direct Pt Contact Each 15 Min | $179.10 | $179.10 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hb Phlebotomy | $422.00 | $422.00 | — | 280% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hb Phlebotomy | $422.00 | $422.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Daptacel: 10 Vial In 1 Package (49281-286-10) / .5 Ml In 1 Vial (49281-286-58) | $343.85 | $343.85 | — | 212% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap Vacc<7Yrij | $352.00 | $352.00 | — | 219% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Daptacel: 10 Vial In 1 Package (49281-286-10) / .5 Ml In 1 Vial (49281-286-58) | $343.85 | $343.85 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dtap Vacc<7Yrij | $352.00 | $352.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-425-50) / .5 Ml In 1 Syringe, Glass (49281-425-88) | $217.00 | $217.00 | — | 302% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2025/2026: 10 Syringe In 1 Carton (58160-912-52) / .5 Ml In 1 Syringe (58160-912-41) | $217.00 | $217.00 | — | 302% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41) | $217.00 | $217.00 | — | 302% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluvac>3Yr Pfij ! | $217.00 | $217.00 | — | 302% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88) | $217.00 | $217.00 | — | 302% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88) | $217.00 | $217.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluvac>3Yr Pfij ! | $217.00 | $217.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41) | $217.00 | $217.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluarix 2025/2026: 10 Syringe In 1 Carton (58160-912-52) / .5 Ml In 1 Syringe (58160-912-41) | $217.00 | $217.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-425-50) / .5 Ml In 1 Syringe, Glass (49281-425-88) | $217.00 | $217.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hep B Vac P/Aij ! | $393.00 | $393.00 | — | 422% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Recombivax Hb: 10 Vial, Single-Dose In 1 Carton (0006-4981-00) / .5 Ml In 1 Vial, Single-Dose (0006-4981-01) | $393.00 | $393.00 | — | 422% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Noncdm Charge Record Pharmacy | $393.00 | $393.00 | — | 422% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Recombivax Hb: 10 Syringe In 1 Carton (0006-4093-02) / .5 Ml In 1 Syringe (0006-4093-01) | $393.00 | $393.00 | — | 422% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Noncdm Charge Record Pharmacy | $393.00 | $393.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Recombivax Hb: 10 Vial, Single-Dose In 1 Carton (0006-4981-00) / .5 Ml In 1 Vial, Single-Dose (0006-4981-01) | $393.00 | $393.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Recombivax Hb: 10 Syringe In 1 Carton (0006-4093-02) / .5 Ml In 1 Syringe (0006-4093-01) | $393.00 | $393.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hep B Vac P/Aij ! | $393.00 | $393.00 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58) | $460.59 | $460.59 | — | 1060% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemoph B Prp-T | $472.00 | $472.00 | — | 1089% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58) | $460.59 | $460.59 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Haemoph B Prp-T | $472.00 | $472.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01) | $1,160.55 | $1,160.55 | — | 629% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Vacc Ij | $1,191.00 | $1,191.00 | — | 648% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01) | $1,160.55 | $1,160.55 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Vacc Ij | $1,191.00 | $1,191.00 | — | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Menquadfi: 5 Vial, Single-Dose In 1 Carton (49281-590-05) / .5 Ml In 1 Vial, Single-Dose (49281-590-58) | $1,744.00 | $1,744.00 | — | 235% above | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningooccal-Tt Vac Ij - | $1,796.00 | $1,796.00 | — | 245% above | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 Menquadfi: 5 Vial, Single-Dose In 1 Carton (49281-590-05) / .5 Ml In 1 Vial, Single-Dose (49281-590-58) | $1,744.00 | $1,744.00 | — | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 Meningooccal-Tt Vac Ij - | $1,796.00 | $1,796.00 | — | — | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 Trumenba: 10 Syringe In 1 Carton (0005-0100-10) / .5 Ml In 1 Syringe (0005-0100-01) | $1,990.00 | $1,990.00 | — | 185% above | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 Mening B Vac Im Rcmb Ij | $2,050.00 | $2,050.00 | — | 194% above | — |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 Trumenba: 10 Syringe In 1 Carton (0005-0100-10) / .5 Ml In 1 Syringe (0005-0100-01) | $1,990.00 | $1,990.00 | — | — | — |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 Mening B Vac Im Rcmb Ij | $2,050.00 | $2,050.00 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13: 1 Syringe In 1 Carton (0005-1971-05) / .5 Ml In 1 Syringe (0005-1971-01) | $5,180.00 | $5,180.00 | — | 940% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumoco13Vacij ! | $5,180.00 | $5,180.00 | — | 940% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13: 10 Syringe In 1 Carton (0005-1971-02) / .5 Ml In 1 Syringe (0005-1971-01) | $5,180.00 | $5,180.00 | — | 940% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumoco13Vacij ! | $5,180.00 | $5,180.00 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Prevnar 13: 10 Syringe In 1 Carton (0005-1971-02) / .5 Ml In 1 Syringe (0005-1971-01) | $5,180.00 | $5,180.00 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Prevnar 13: 1 Syringe In 1 Carton (0005-1971-05) / .5 Ml In 1 Syringe (0005-1971-01) | $5,180.00 | $5,180.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01) | $2,634.98 | $2,634.98 | — | 224% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococ20 Val Vacc Ij! | $2,635.00 | $2,635.00 | — | 224% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01) | $2,634.98 | $2,634.98 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococ20 Val Vacc Ij! | $2,635.00 | $2,635.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01) | $1,321.00 | $1,321.00 | — | 586% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumoco23Vacij ! | $1,321.00 | $1,321.00 | — | 586% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01) | $1,321.00 | $1,321.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumoco23Vacij ! | $1,321.00 | $1,321.00 | — | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78) | $390.22 | $390.22 | — | 188% above | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Polio Vacc Ij | $400.00 | $400.00 | — | 196% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78) | $390.22 | $390.22 | — | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Polio Vacc Ij | $400.00 | $400.00 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Beyfortus: 5 Syringe In 1 Carton (49281-574-15) / 1 Ml In 1 Syringe | $5,338.88 | $5,338.88 | — | 48% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Nirsevimab-Alip 1Ml Ij * | $5,338.88 | $5,338.88 | — | 48% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Beyfortus: 5 Syringe In 1 Carton (49281-574-15) / 1 Ml In 1 Syringe | $5,338.88 | $5,338.88 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Nirsevimab-Alip 1Ml Ij * | $5,338.88 | $5,338.88 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe | $5,202.55 | $5,202.55 | — | 44% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab-Alip .5Ml Ij* | $5,335.00 | $5,335.00 | — | 47% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe | $5,202.55 | $5,202.55 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab-Alip .5Ml Ij* | $5,335.00 | $5,335.00 | — | — | — |
| Rabies vaccine, one dose CPT 90675 Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58) | $5,727.36 | $5,727.36 | — | 750% above | — |
| Rabies vaccine, one dose CPT 90675 Rabiesvaccimij | $5,884.00 | $5,884.00 | — | 774% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58) | $5,727.36 | $5,727.36 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Rabiesvaccimij | $5,884.00 | $5,884.00 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88) | $877.53 | $877.53 | — | 1476% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphth Tet>7Ij | $902.00 | $902.00 | — | 1520% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88) | $877.53 | $877.53 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Diphth Tet>7Ij | $902.00 | $902.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 NDC Description Not Available | $819.00 | $819.00 | — | 517% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58) | $819.00 | $819.00 | — | 517% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap: 5 Syringe In 1 Package (49281-400-20) / .5 Ml In 1 Syringe (49281-400-89) | $821.01 | $821.01 | — | 519% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap>7Yr Vac Ij | $844.00 | $844.00 | — | 536% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 NDC Description Not Available | $819.00 | $819.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58) | $819.00 | $819.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel Tdap: 5 Syringe In 1 Package (49281-400-20) / .5 Ml In 1 Syringe (49281-400-89) | $821.01 | $821.01 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap>7Yr Vac Ij | $844.00 | $844.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Admin Vaccine Single Influenza | $238.31 | $238.31 | — | 300% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Admin Vaccine Pneumococcal Sgl | $253.00 | $253.00 | — | 324% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Admin Vaccine Hepatitis B Sing | $284.06 | $284.06 | — | 376% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Immun Admin Im/Sq One Vac | $287.31 | $287.31 | — | 382% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Admin Vaccine Single Influenza | $238.31 | $238.31 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Admin Vaccine Pneumococcal Sgl | $253.00 | $253.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Admin Vaccine Hepatitis B Sing | $284.06 | $284.06 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Immun Admin Im/Sq One Vac | $287.31 | $287.31 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hb Immuniz,Admin,Each Addl | $127.00 | $127.00 | — | 156% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hb Immuniz,Admin,Each Addl | $127.00 | $127.00 | — | — | — |
Source file: https://HospitalPriceDisclosure.com/download.aspx?pi=0sMviNUxoDkTxLGd3rr*_**__*A*-*