Hospital Birmingham, AL

Baptist Health Walker Hospital

Baptist Health Walker Hospital in Jasper, AL publishes cash prices for 332 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 317 of 325 procedures and below it for 6. By typical cash price it ranks #52 of 53 Alabama hospitals and #8 of 9 hospitals in the Birmingham, AL area, cheapest first. Select a procedure to compare it with other hospitals nearby.

3400 Hwy 78 E, Jasper, AL 35501 Collected Sep 29, 2026 Source price file Check a bill from this hospital (205) 387-4000

Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 010089 · CMS hospital register NPI 1932553385

The price file shows no self-pay discount

For 706 of the 706 prices listed here, the cash price in Baptist Health Walker 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	$13,975.00	$13,975.00	—	919% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 Hb Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast	$13,975.00	$13,975.00	—	—	—
Abdominal X-ray, 2 views CPT 74019 Hb Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W Decubitus	$1,595.00	$1,595.00	—	694% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 Hb Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W Decubitus	$1,595.00	$1,595.00	—	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 Hb X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Left	$1,353.00	$1,353.00	—	544% 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	$1,353.00	$1,353.00	—	—	—
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	$962.00	$962.00	—	—	—
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	$962.00	$962.00	—	—	—
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	$7,029.00	$7,029.00	—	639% 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	$7,029.00	$7,029.00	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Hb Esophagram - Fl Esophagus Barium Swallow	$1,459.00	$1,459.00	—	428% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hb Esophagram - Fl Esophagus Barium Swallow	$1,459.00	$1,459.00	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Hb Bone Imaging, Whole Body - Nm Bone Whole Body	$6,077.00	$6,077.00	—	452% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hb Bone Imaging, Whole Body - Nm Bone Whole Body	$6,077.00	$6,077.00	—	—	—
Breast ultrasound, complete, one breast one side CPT 76641 Hb Ultrasound Breast Complete - Us Breast Left Complete	$2,282.00	$2,282.00	—	784% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hb Ultrasound Breast Complete - Us Breast Left Complete	$2,282.00	$2,282.00	—	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hb Ultrasound Breast Limited - Us Breast Right Limited	$1,640.00	$1,640.00	—	544% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hb Ultrasound Breast Limited - Us Breast Right Limited	$1,640.00	$1,640.00	—	—	—
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	$24,531.00	$24,531.00	—	865% 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	$24,531.00	$24,531.00	—	—	—
CT angiography (CTA) of the head CPT 70496 Hb Ct Angio,Head Combo - Ct Head Angio W And Wo Iv Contrast	$10,348.00	$10,348.00	—	568% above	—
CT angiography (CTA) of the head inpatient CPT 70496 Hb Ct Angio,Head Combo - Ct Head Angio W And Wo Iv Contrast	$10,348.00	$10,348.00	—	—	—
CT angiography (CTA) of the neck CPT 70498 Hb Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast	$11,955.00	$11,955.00	—	758% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 Hb Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast	$11,955.00	$11,955.00	—	—	—
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	$12,155.00	$12,155.00	—	791% 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	$12,155.00	$12,155.00	—	—	—
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	$5,755.00	$5,755.00	—	290% 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	$5,755.00	$5,755.00	—	—	—
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	$827.00	$827.00	—	339% 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	$827.00	$827.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hb Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast	$16,162.00	$16,162.00	—	701% 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	$16,162.00	$16,162.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hb Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast	$24,349.00	$24,349.00	—	968% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hb Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast	$24,349.00	$24,349.00	—	—	—
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	$26,474.00	$26,474.00	—	931% 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	$26,474.00	$26,474.00	—	—	—
CT scan of the abdomen with contrast CPT 74160 Hb Ct Abdomen W/Dye - Ct Abdomen W Contrast	$12,761.00	$12,761.00	—	829% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 Hb Ct Abdomen W/Dye - Ct Abdomen W Contrast	$12,761.00	$12,761.00	—	—	—
CT scan of the abdomen without contrast CPT 74150 Hb Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast	$7,426.00	$7,426.00	—	570% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 Hb Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast	$7,426.00	$7,426.00	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Hb Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast	$7,098.00	$7,098.00	—	510% 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	$7,098.00	$7,098.00	—	—	—
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	$8,275.00	$8,275.00	—	657% 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	$8,275.00	$8,275.00	—	—	—
CT scan of the head with contrast CPT 70460 Hb Ct Scan Head Contrast - Ct Head W Contrast	$8,254.00	$8,254.00	—	628% above	—
CT scan of the head with contrast inpatient CPT 70460 Hb Ct Scan Head Contrast - Ct Head W Contrast	$8,254.00	$8,254.00	—	—	—
CT scan of the head without and with contrast CPT 70470 Hb Ct Scan Head Combo - Ct Head W Wo Contrast	$13,587.00	$13,587.00	—	713% above	—
CT scan of the head without and with contrast inpatient CPT 70470 Hb Ct Scan Head Combo - Ct Head W Wo Contrast	$13,587.00	$13,587.00	—	—	—
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	$6,197.00	$6,197.00	—	398% 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	$6,197.00	$6,197.00	—	—	—
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	$7,638.00	$7,638.00	—	485% 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	$7,638.00	$7,638.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 Hb Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast	$10,652.00	$10,652.00	—	714% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hb Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast	$10,652.00	$10,652.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hb Duplex Scan Extracranial,Bilat - Carotid Duplex	$2,490.00	$2,490.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hb Duplex Scan Extracranial,Bilat - Carotid Duplex	$2,490.00	$2,490.00	—	—	—
Chest CT scan without and with contrast CPT 71270 Hb Cat Scan Of Chest Combo - Ct Chest W Wo Contrast	$12,158.00	$12,158.00	—	665% above	—
Chest CT scan without and with contrast inpatient CPT 71270 Hb Cat Scan Of Chest Combo - Ct Chest W Wo Contrast	$12,158.00	$12,158.00	—	—	—
Chest X-ray, 2 views CPT 71046 Hb Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$1,011.00	$1,011.00	—	429% above	—
Chest X-ray, 2 views inpatient CPT 71046 Hb Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$1,011.00	$1,011.00	—	—	—
Chest X-ray, single view CPT 71045 Hb Radiologic Exam Chest Single View - Xr Chest 1 View	$1,048.00	$1,048.00	—	633% above	—
Chest X-ray, single view inpatient CPT 71045 Hb Radiologic Exam Chest Single View - Xr Chest 1 View	$1,048.00	$1,048.00	—	—	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 Hb X-Ray Clavicle - Xr Clavicle Left	$1,138.00	$1,138.00	—	614% above	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Hb X-Ray Clavicle - Xr Clavicle Left	$1,138.00	$1,138.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hb Us Retroperitnl Abd,Complete	$2,482.00	$2,482.00	—	529% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hb Us Retroperitnl Abd,Complete	$2,482.00	$2,482.00	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hb Dxa Bone Density Axial - Dexa Bone Density	$1,730.00	$1,730.00	—	516% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hb Dxa Bone Density Axial - Dexa Bone Density	$1,730.00	$1,730.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hb Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast	$7,157.00	$7,157.00	—	512% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hb Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast	$7,157.00	$7,157.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hb Cat Scan Of Chest Contrast - Ct Chest W Contrast	$10,755.00	$10,755.00	—	678% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hb Cat Scan Of Chest Contrast - Ct Chest W Contrast	$10,755.00	$10,755.00	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Hb Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral	$1,294.00	$1,294.00	—	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hb Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral	$1,294.00	$1,294.00	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 Hb Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Left	$1,129.00	$1,129.00	—	440% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Hb Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Left	$1,129.00	$1,129.00	—	—	—
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	$2,988.00	$2,988.00	—	—	—
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	$2,988.00	$2,988.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hb Vasc Duplex Extrem Venous,Bilat	$4,103.00	$4,103.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hb Vasc Duplex Extrem Venous,Bilat	$4,103.00	$4,103.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hb Tte W/Doppler Complete - Tte Complete	$5,749.00	$5,749.00	—	445% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hb Tte W/Doppler Complete - Tte Complete	$5,749.00	$5,749.00	—	—	—
Elbow X-ray, 2 views one side CPT 73070 Hb X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Left	$774.00	$774.00	—	428% above	—
Elbow X-ray, 2 views inpatient one side CPT 73070 Hb X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Left	$774.00	$774.00	—	—	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 Hb X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Left	$1,248.00	$1,248.00	—	671% 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	$1,248.00	$1,248.00	—	—	—
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	$7,208.00	$7,208.00	—	613% 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	$7,208.00	$7,208.00	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 Hb X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views	$1,713.00	$1,713.00	—	601% 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	$1,713.00	$1,713.00	—	—	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Hb X-Ray Forearm 2 Vw - Xr Forearm 2 Views Left	$1,192.00	$1,192.00	—	643% 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	$1,192.00	$1,192.00	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hb Hepatobiliary Syst Imaging Including Gallbladder - Nm Liver Function	$5,341.00	$5,341.00	—	449% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hb Hepatobiliary Syst Imaging Including Gallbladder - Nm Liver Function	$5,341.00	$5,341.00	—	—	—
Hand X-ray, 2 views one side CPT 73120 Hb X-Ray Hand 2 Vw - Xr Hand 1-2 Views Left	$1,452.00	$1,452.00	—	889% above	—
Hand X-ray, 2 views inpatient one side CPT 73120 Hb X-Ray Hand 2 Vw - Xr Hand 1-2 Views Left	$1,452.00	$1,452.00	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Hb X-Ray Heel - Xr Calcaneus 2 Views Left	$875.00	$875.00	—	497% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Hb X-Ray Heel - Xr Calcaneus 2 Views Left	$875.00	$875.00	—	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hb Sleep Study, Unattended, Simul Record Hr/O2 Sat/Resp Flow/Resp Eff	$2,740.00	$2,740.00	—	733% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hb Sleep Study, Unattended, Simul Record Hr/O2 Sat/Resp Flow/Resp Eff	$2,740.00	$2,740.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hb Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd	$19,668.00	$19,668.00	—	601% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hb Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd	$19,668.00	$19,668.00	—	—	—
Knee X-ray, 3 views one side CPT 73562 Hb X-Ray Knee 3 View - Xr Knee 3 Views Left	$1,311.00	$1,311.00	—	642% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 Hb X-Ray Knee 3 View - Xr Knee 3 Views Left	$1,311.00	$1,311.00	—	—	—
Knee X-ray, complete, 4 or more views one side CPT 73564 Hb X-Ray Knee 4+ View - Xr Knee 4+ Views Left	$1,740.00	$1,740.00	—	675% 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	$1,740.00	$1,740.00	—	—	—
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	$5,015.00	$5,015.00	—	465% 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	$5,015.00	$5,015.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hb Chg Us, Abdomen Limited	$2,173.00	$2,173.00	—	498% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hb Chg Us, Abdomen Limited	$2,173.00	$2,173.00	—	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hb Chg Us,Extremity,Nonvascular,Real-Time Image,Limited	$1,623.00	$1,623.00	—	712% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hb Chg Us,Extremity,Nonvascular,Real-Time Image,Limited	$1,623.00	$1,623.00	—	—	—
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	$7,826.00	$7,826.00	—	3516% 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	$7,826.00	$7,826.00	—	—	—
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	$1,105.00	$1,105.00	—	457% 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	$1,105.00	$1,105.00	—	—	—
MR angiography (MRA) of the head without contrast CPT 70544 Hb Mr Angio, Head - Mr Head Angio Wo Iv Contrast	$6,964.00	$6,964.00	—	340% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hb Mr Angio, Head - Mr Head Angio Wo Iv Contrast	$6,964.00	$6,964.00	—	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hb Mri Breast W&W/O Cont Bilat	$6,759.00	$6,759.00	—	—	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Hb Mri Breast W&W/O Cont Bilat	$6,759.00	$6,759.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hb Mri Lower Extremity Joint - Right Wo Contrast	$10,578.00	$10,578.00	—	547% 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	$10,578.00	$10,578.00	—	—	—
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	$12,498.00	$12,498.00	—	504% 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	$12,498.00	$12,498.00	—	—	—
MRI of the abdomen without contrast CPT 74181 Hb Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast	$7,464.00	$7,464.00	—	437% above	—
MRI of the abdomen without contrast inpatient CPT 74181 Hb Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast	$7,464.00	$7,464.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Hb Mri, Abdomen, Combo - Mri Abdomen W Wo Contrast	$12,654.00	$12,654.00	—	520% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hb Mri, Abdomen, Combo - Mri Abdomen W Wo Contrast	$12,654.00	$12,654.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 Hb Mri Brain - Mri Brain Wo Contrast	$8,989.00	$8,989.00	—	425% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 Hb Mri Brain - Mri Brain Wo Contrast	$8,989.00	$8,989.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 Hb Mri Brain Combo - Mri Brain W Wo Contrast	$16,178.00	$16,178.00	—	599% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hb Mri Brain Combo - Mri Brain W Wo Contrast	$16,178.00	$16,178.00	—	—	—
MRI of the lower back, no contrast dye CPT 72148 Hb Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast	$10,873.00	$10,873.00	—	581% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 Hb Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast	$10,873.00	$10,873.00	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 Hb Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast	$15,450.00	$15,450.00	—	536% 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	$15,450.00	$15,450.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hb Mri, Dorsal Spine - Mri Thoracic Spine Wo Contrast	$10,412.00	$10,412.00	—	587% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hb Mri, Dorsal Spine - Mri Thoracic Spine Wo Contrast	$10,412.00	$10,412.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Hb Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast	$12,723.00	$12,723.00	—	474% 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	$12,723.00	$12,723.00	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Hb Mri, Cerv Spine - Mri Cervical Spine Wo Contrast	$10,858.00	$10,858.00	—	572% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hb Mri, Cerv Spine - Mri Cervical Spine Wo Contrast	$10,858.00	$10,858.00	—	—	—
MRI of the pelvis without and with contrast CPT 72197 Hb Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast	$10,799.00	$10,799.00	—	417% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 Hb Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast	$10,799.00	$10,799.00	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 Hb Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast	$8,292.00	$8,292.00	—	453% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 Hb Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast	$8,292.00	$8,292.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Hb Mri Upper Extremity Joint - Right Wo Contrast	$9,946.00	$9,946.00	—	577% 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	$9,946.00	$9,946.00	—	—	—
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	$2,023.00	$2,023.00	—	616% 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	$2,023.00	$2,023.00	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 Hb Ct Neck Tissue Contrast - Ct Soft Tissue Neck W Contrast	$8,082.00	$8,082.00	—	539% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 Hb Ct Neck Tissue Contrast - Ct Soft Tissue Neck W Contrast	$8,082.00	$8,082.00	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 Hb Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont	$7,631.00	$7,631.00	—	685% 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	$7,631.00	$7,631.00	—	—	—
Neck soft tissue X-ray CPT 70360 Hb X-Ray Neck Soft Tissue - Xr Neck Soft Tissue	$839.00	$839.00	—	415% above	—
Neck soft tissue X-ray inpatient CPT 70360 Hb X-Ray Neck Soft Tissue - Xr Neck Soft Tissue	$839.00	$839.00	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hb Ht Muscle Image Spect Mult - Nm Heart Perfusion Spect Stress &/Or Rest	$13,449.00	$13,449.00	—	544% 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	$13,449.00	$13,449.00	—	—	—
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	$21,930.00	$21,930.00	—	558% 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	$21,930.00	$21,930.00	—	—	—
Pelvic CT scan without contrast CPT 72192 Hb Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast	$7,914.00	$7,914.00	—	633% above	—
Pelvic CT scan without contrast inpatient CPT 72192 Hb Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast	$7,914.00	$7,914.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hb Sono Pelvis Limited - Us Pelvis Limited	$2,016.00	$2,016.00	—	927% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hb Sono Pelvis Limited - Us Pelvis Limited	$2,016.00	$2,016.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hb Echo,Pelvic (Nonobstetric) - Us Pelvis	$2,580.00	$2,580.00	—	488% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hb Echo,Pelvic (Nonobstetric) - Us Pelvis	$2,580.00	$2,580.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hb Chg Us, Ob >/= 14 Wks, Sngl Fetus	$2,148.00	$2,148.00	—	462% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hb Chg Us, Ob >/= 14 Wks, Sngl Fetus	$2,148.00	$2,148.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hb Chg Us, Ob < 14 Wks, Single Fetus	$1,957.00	$1,957.00	—	547% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hb Chg Us, Ob < 14 Wks, Single Fetus	$1,957.00	$1,957.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hb Chg Us,Pregnant Uterus,Limited, 1/> Fetuses	$1,203.00	$1,203.00	—	391% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hb Chg Us,Pregnant Uterus,Limited, 1/> Fetuses	$1,203.00	$1,203.00	—	—	—
Rib X-ray, one side, 2 views one side CPT 71100 Hb X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Left	$1,247.00	$1,247.00	—	497% 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	$1,247.00	$1,247.00	—	—	—
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	$1,330.00	$1,330.00	—	476% 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	$1,330.00	$1,330.00	—	—	—
Screening mammogram, both breasts both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral	$1,020.00	$1,020.00	—	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral	$1,020.00	$1,020.00	—	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Hb X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Left	$2,041.00	$2,041.00	—	916% 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	$2,041.00	$2,041.00	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 Hb X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views	$1,753.00	$1,753.00	—	719% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hb X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views	$1,753.00	$1,753.00	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 Hb X-Ray Skull <4 Vw - Xr Skull 1-3 Views	$1,036.00	$1,036.00	—	467% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 Hb X-Ray Skull <4 Vw - Xr Skull 1-3 Views	$1,036.00	$1,036.00	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 Hb Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$14,692.00	$14,692.00	—	462% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Hb Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$14,692.00	$14,692.00	—	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hb Rest/Stress Echo W/Continuous Ecg Monitor	$4,082.00	$4,082.00	—	368% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hb Rest/Stress Echo W/Continuous Ecg Monitor	$4,082.00	$4,082.00	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hb Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech	$1,077.00	$1,077.00	—	206% 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	$1,077.00	$1,077.00	—	—	—
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	$1,018.00	$1,018.00	—	444% 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	$1,018.00	$1,018.00	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 Hb Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast	$6,031.00	$6,031.00	—	412% 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	$6,031.00	$6,031.00	—	—	—
Toe X-ray, 2 or more views one side CPT 73660 Hb X-Ray Toe(S) - Xr Toes 2+ Views Left	$820.00	$820.00	—	494% above	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 Hb X-Ray Toe(S) - Xr Toes 2+ Views Left	$820.00	$820.00	—	—	—
Transvaginal pelvic ultrasound CPT 76830 Hb Us Endovaginal Sono Non-Ob	$1,571.00	$1,571.00	—	366% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Hb Us Endovaginal Sono Non-Ob	$1,571.00	$1,571.00	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 Hb Chg Us,Pregnant Uterus,Transvaginal	$1,396.00	$1,396.00	—	398% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hb Chg Us,Pregnant Uterus,Transvaginal	$1,396.00	$1,396.00	—	—	—
Ultrasound of the abdomen, complete CPT 76700 Hb Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen Complete	$3,376.00	$3,376.00	—	604% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Hb Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen Complete	$3,376.00	$3,376.00	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 Hb Chg Echo,Scrotum & Contents	$2,063.00	$2,063.00	—	460% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Hb Chg Echo,Scrotum & Contents	$2,063.00	$2,063.00	—	—	—
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	$1,758.00	$1,758.00	—	438% 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	$1,758.00	$1,758.00	—	—	—
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	$3,639.00	$3,639.00	—	926% 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	$3,639.00	$3,639.00	—	—	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 Hb X-Ray Humerus - 2 Views Xr Humerus Left	$975.00	$975.00	—	435% above	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Hb X-Ray Humerus - 2 Views Xr Humerus Left	$975.00	$975.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Us Doppler Venous Arm Left	$2,105.00	$2,105.00	—	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 - Us Doppler Venous Arm Left	$2,105.00	$2,105.00	—	—	—
Wrist X-ray, 2 views one side CPT 73100 Hb X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Left	$1,123.00	$1,123.00	—	764% above	—
Wrist X-ray, 2 views inpatient one side CPT 73100 Hb X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Left	$1,123.00	$1,123.00	—	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Hb X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Left	$1,325.00	$1,325.00	—	560% 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	$1,325.00	$1,325.00	—	—	—
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	$1,184.00	$1,184.00	—	552% 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	$1,184.00	$1,184.00	—	—	—
X-ray of the abdomen, 1 view CPT 74018 Hb Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View	$1,634.00	$1,634.00	—	1027% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Hb Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View	$1,634.00	$1,634.00	—	—	—
X-ray of the ankle, 2 views one side CPT 73600 Hb X-Ray Ankle 2 Vw - Xr Ankle 2 Views Left	$1,165.00	$1,165.00	—	742% above	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 Hb X-Ray Ankle 2 Vw - Xr Ankle 2 Views Left	$1,165.00	$1,165.00	—	—	—
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	$1,005.00	$1,005.00	—	588% 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	$1,005.00	$1,005.00	—	—	—
X-ray of the foot, 2 views one side CPT 73620 Hb X-Ray Foot 2 Vw - Xr Foot 1-2 Views Left	$856.00	$856.00	—	538% 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	$856.00	$856.00	—	—	—
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	$1,358.00	$1,358.00	—	654% 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	$1,358.00	$1,358.00	—	—	—
X-ray of the hand, 3 or more views one side CPT 73130 Hb X-Ray Hand 3+ Vw - Xr Hand 3+ Views Left	$1,248.00	$1,248.00	—	522% 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	$1,248.00	$1,248.00	—	—	—
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	$1,052.00	$1,052.00	—	617% 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	$1,052.00	$1,052.00	—	—	—
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	$1,478.00	$1,478.00	—	633% 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	$1,478.00	$1,478.00	—	—	—
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	$2,148.00	$2,148.00	—	647% 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	$2,148.00	$2,148.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hb X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views	$1,353.00	$1,353.00	—	587% 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	$1,353.00	$1,353.00	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 Hb X-Ray Nasal Bones - Xr Nasal Bones 3+ Views	$1,303.00	$1,303.00	—	648% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hb X-Ray Nasal Bones - Xr Nasal Bones 3+ Views	$1,303.00	$1,303.00	—	—	—
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	$1,411.00	$1,411.00	—	606% 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	$1,411.00	$1,411.00	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Hb X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views	$1,004.00	$1,004.00	—	515% 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	$1,004.00	$1,004.00	—	—	—
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	$1,115.00	$1,115.00	—	446% 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	$1,115.00	$1,115.00	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hb Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt)	$331.00	$331.00	—	1107% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hb Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt)	$331.00	$331.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Hb Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot)	$244.00	$244.00	—	617% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hb Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot)	$244.00	$244.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hb Hepatitis Panel,Acute	$1,996.00	$1,996.00	—	801% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hb Hepatitis Panel,Acute	$1,996.00	$1,996.00	—	—	—
Albumin blood test CPT 82040 Hb Assay Of Serum Albumin - Albumin	$310.00	$310.00	—	1088% above	—
Albumin blood test inpatient CPT 82040 Hb Assay Of Serum Albumin - Albumin	$310.00	$310.00	—	—	—
Aldosterone blood test CPT 82088 Hc Assay Of Aldosterone	$684.35	$684.35	—	425% above	—
Aldosterone blood test inpatient CPT 82088 Hc Assay Of Aldosterone	$684.35	$684.35	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 Hb Assay Alkal Phosphatase - Alkaline Phosphatase	$226.00	$226.00	—	768% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hb Assay Alkal Phosphatase - Alkaline Phosphatase	$226.00	$226.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Hb Allergen, Ige	$143.00	$143.00	—	841% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Allergen, Ige	$143.00	$143.00	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Alpha-Fetoprotein Serum	$221.00	$221.00	—	202% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Alpha-Fetoprotein Serum	$221.00	$221.00	—	—	—
Ammonia blood test CPT 82140 Hb Assay Of Ammonia - Ammonia	$347.00	$347.00	—	361% above	—
Ammonia blood test inpatient CPT 82140 Hb Assay Of Ammonia - Ammonia	$347.00	$347.00	—	—	—
Amylase blood test CPT 82150 Hb Assay Of Amylase - Amylase Blood, Urine, Body Fluid	$404.00	$404.00	—	818% above	—
Amylase blood test inpatient CPT 82150 Hb Assay Of Amylase - Amylase Blood, Urine, Body Fluid	$404.00	$404.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hb Cyclic Citrullinated Peptide	$382.00	$382.00	—	628% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hb Cyclic Citrullinated Peptide	$382.00	$382.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hb Antinuclear Antibodies - Ana (Antinuclear Antibodies)	$661.00	$661.00	—	1446% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hb Antinuclear Antibodies - Ana (Antinuclear Antibodies)	$661.00	$661.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hb Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp)	$486.00	$486.00	—	367% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hb Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp)	$486.00	$486.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Csf Culture	$729.00	$729.00	—	1293% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Csf Culture	$729.00	$729.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 Hb Basic Metabolic Panel	$615.00	$615.00	—	927% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 Hb Basic Metabolic Panel	$615.00	$615.00	—	—	—
Bilirubin blood test, total CPT 82247 Hb Bilirubin Total - Bilirubin Total	$191.00	$191.00	—	684% above	—
Bilirubin blood test, total inpatient CPT 82247 Hb Bilirubin Total - Bilirubin Total	$191.00	$191.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hb Surg Path,Level Iv - Lab Surg Path,Level Iv	$1,135.00	$1,135.00	—	576% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hb Surg Path,Level Iv - Lab Surg Path,Level Iv	$1,135.00	$1,135.00	—	—	—
Blood culture for bacteria CPT 87040 Hb Blood Culture	$484.00	$484.00	—	490% above	—
Blood culture for bacteria inpatient CPT 87040 Hb Blood Culture	$484.00	$484.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hb Chg Collection Venous Blood,Venipuncture - Draw Charge	$88.00	$88.00	—	1122% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hb Chg Collection Venous Blood,Venipuncture - Draw Charge	$88.00	$88.00	—	—	—
Blood glucose (sugar) test CPT 82947 Hb Assay Quantitative,Blood Glucose - Poct Glucometer-Poct	$74.00	$74.00	—	184% above	—
Blood glucose (sugar) test CPT 82947 Hb Assay Quantitative,Blood Glucose - Glucose Random	$140.00	$140.00	—	436% above	—
Blood glucose (sugar) test inpatient CPT 82947 Hb Assay Quantitative,Blood Glucose - Poct Glucometer-Poct	$74.00	$74.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Hb Assay Quantitative,Blood Glucose - Glucose Random	$140.00	$140.00	—	—	—
Blood lead test CPT 83655 Hc Assay Of Lead	$251.05	$251.05	—	509% above	—
Blood lead test inpatient CPT 83655 Hc Assay Of Lead	$251.05	$251.05	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hb Bhcg Qualitative	$961.00	$961.00	—	1945% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hb Bhcg Qualitative	$961.00	$961.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hb Blood Typing Serologic Abo - Blood Type And Screen	$187.00	$187.00	—	186% 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	$187.00	$187.00	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 Hb Assay Urea Nitrogen, Quan - Blood Urea Nitrogen	$314.00	$314.00	—	1018% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 Hb Assay Urea Nitrogen, Quan - Blood Urea Nitrogen	$314.00	$314.00	—	—	—
C-peptide blood test CPT 84681 Hb Assay Of C-Peptide - C-Peptide	$203.00	$203.00	—	173% above	—
C-peptide blood test inpatient CPT 84681 Hb Assay Of C-Peptide - C-Peptide	$203.00	$203.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hb C-Reactive Protein - C-Reactive Protein	$276.00	$276.00	—	527% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hb C-Reactive Protein - C-Reactive Protein	$276.00	$276.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 Hc C Diff Amplified Probe	$277.60	$277.60	—	183% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc C Diff Amplified Probe	$277.60	$277.60	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Hb Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9	$396.00	$396.00	—	286% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hb Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9	$396.00	$396.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Hb Immunoassay, Tumor Antigen, Ca 125 - Ca 125	$433.00	$433.00	—	405% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hb Immunoassay, Tumor Antigen, Ca 125 - Ca 125	$433.00	$433.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Sars-Cov-2 Covid-19 Amp Prb	$382.55	$382.55	—	552% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Sars-Cov-2 Covid-19 Amp Prb	$382.55	$382.55	—	—	—
Calcium blood test, total CPT 82310 Hb Assay Of Calcium, Total - Calcium	$300.00	$300.00	—	999% above	—
Calcium blood test, total inpatient CPT 82310 Hb Assay Of Calcium, Total - Calcium	$300.00	$300.00	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 Hb Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen)	$679.00	$679.00	—	759% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hb Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen)	$679.00	$679.00	—	—	—
Chickenpox (varicella) immunity blood test CPT 86787 Hb Varicella-Zoster - Varicella Zoster Igg	$257.00	$257.00	—	331% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hb Varicella-Zoster - Varicella Zoster Igg	$257.00	$257.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chylmd Trach Dna Amp Probe	$338.50	$338.50	—	421% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chylmd Trach Dna Amp Probe	$338.50	$338.50	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Panel	$520.00	$520.00	—	895% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Panel	$520.00	$520.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 Hb Complete Cbc & Auto Diff Wbc - Additional Charge	$344.00	$344.00	—	839% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 Hb Complete Cbc & Auto Diff Wbc - Additional Charge	$344.00	$344.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 Hb Complete Cbc - Cbc	$275.00	$275.00	—	714% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 Hb Complete Cbc - Cbc	$275.00	$275.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Hb Metabolic Panel,Comprehensive	$479.00	$479.00	—	530% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hb Metabolic Panel,Comprehensive	$479.00	$479.00	—	—	—
Cortisol blood test, total CPT 82533 Hb Total Cortisol - Cortisol	$599.00	$599.00	—	808% above	—
Cortisol blood test, total inpatient CPT 82533 Hb Total Cortisol - Cortisol	$599.00	$599.00	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 Hb Assay Of Ck (Cpk) - Ck	$350.00	$350.00	—	977% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 Hb Assay Of Ck (Cpk) - Ck	$350.00	$350.00	—	—	—
Creatinine blood test CPT 82565 Hb Assay Of Creatinine - Creatinine Serum-Poct	$138.00	$138.00	—	376% above	—
Creatinine blood test CPT 82565 Hb Creatinine	$285.00	$285.00	—	883% above	—
Creatinine blood test inpatient CPT 82565 Hb Assay Of Creatinine - Creatinine Serum-Poct	$138.00	$138.00	—	—	—
Creatinine blood test inpatient CPT 82565 Hb Creatinine	$285.00	$285.00	—	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 Hb Cmv Antibody - Cmv Igg	$275.00	$275.00	—	306% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hb Cmv Antibody - Cmv Igg	$275.00	$275.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dehydroepiandrosterone-Sulfate	$265.88	$265.88	—	203% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dehydroepiandrosterone-Sulfate	$265.88	$265.88	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drug Test Presumptive	$1,617.00	$1,617.00	—	1913% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drug Test Presumptive	$1,617.00	$1,617.00	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hb Electrolyte Panel	$328.00	$328.00	—	567% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hb Electrolyte Panel	$328.00	$328.00	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 Hb Epstein-Barr Viral Capsid	$284.00	$284.00	—	452% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hb Epstein-Barr Viral Capsid	$284.00	$284.00	—	—	—
Estradiol blood test CPT 82670 Hb Assay Of Estradiol - Estradiol	$504.00	$504.00	—	403% above	—
Estradiol blood test inpatient CPT 82670 Hb Assay Of Estradiol - Estradiol	$504.00	$504.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Hb Fsh	$962.00	$962.00	—	1010% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hb Fsh	$962.00	$962.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Hb Calprotectin	$402.00	$402.00	—	107% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hb Calprotectin	$402.00	$402.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 Hb Assay Of Ferritin - Ferritin	$401.00	$401.00	—	615% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 Hb Assay Of Ferritin - Ferritin	$401.00	$401.00	—	—	—
Fibrinogen blood test CPT 85384 Hb Fibrinogen, Activity - Fibrinogen,Quantitative	$250.00	$250.00	—	442% above	—
Fibrinogen blood test inpatient CPT 85384 Hb Fibrinogen, Activity - Fibrinogen,Quantitative	$250.00	$250.00	—	—	—
Folate (folic acid) blood test CPT 82746 Hb Blood Folic Acid Serum - Folate	$337.00	$337.00	—	448% above	—
Folate (folic acid) blood test inpatient CPT 82746 Hb Blood Folic Acid Serum - Folate	$337.00	$337.00	—	—	—
Free T3 thyroid hormone test CPT 84481 Hb Triiodothyronine Free Assay (Ft-3) - T3 Free	$579.00	$579.00	—	741% above	—
Free T3 thyroid hormone test inpatient CPT 84481 Hb Triiodothyronine Free Assay (Ft-3) - T3 Free	$579.00	$579.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hb Assay Of Free Thyroxine - T4 Free	$410.00	$410.00	—	573% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hb Assay Of Free Thyroxine - T4 Free	$410.00	$410.00	—	—	—
Free testosterone test CPT 84402 Hc Assay Of Testosterone	$475.41	$475.41	—	541% above	—
Free testosterone test inpatient CPT 84402 Hc Assay Of Testosterone	$475.41	$475.41	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hb Assay Of Ggt - Gamma Gt	$365.00	$365.00	—	1009% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hb Assay Of Ggt - Gamma Gt	$365.00	$365.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 Hb Glucose Tolerance Test (Gtt) - Bundled Charge	$599.00	$599.00	—	882% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Hb Glucose Tolerance Test (Gtt) - Bundled Charge	$599.00	$599.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc N.Gonorrhoeae Dna Amp Prob	$354.49	$354.49	—	406% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc N.Gonorrhoeae Dna Amp Prob	$354.49	$354.49	—	—	—
H. pylori stool antigen test CPT 87338 Hc Hpylori Stool Eia	$450.40	$450.40	—	554% above	—
H. pylori stool antigen test inpatient CPT 87338 Hc Hpylori Stool Eia	$450.40	$450.40	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hb Hiv Quant Test	$675.00	$675.00	—	192% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hb Hiv Quant Test	$675.00	$675.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$420.10	$420.10	—	594% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$420.10	$420.10	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hb Glycosylated Hemoglobin Test - Hemoglobin A1C	$280.00	$280.00	—	833% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hb Glycosylated Hemoglobin Test - Hemoglobin A1C	$280.00	$280.00	—	—	—
Hemoglobin blood test CPT 85018 Hb Hemoglobin - Hemoglobin	$93.00	$93.00	—	431% above	—
Hemoglobin blood test CPT 85018 Hb Hemoglobin - Poct	$143.00	$143.00	—	717% above	—
Hemoglobin blood test inpatient CPT 85018 Hb Hemoglobin - Hemoglobin	$93.00	$93.00	—	—	—
Hemoglobin blood test inpatient CPT 85018 Hb Hemoglobin - Poct	$143.00	$143.00	—	—	—
Hepatitis B core antibody test (total) CPT 86704 Hb Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total	$201.00	$201.00	—	237% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 Hb Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total	$201.00	$201.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hb Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody	$250.00	$250.00	—	381% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hb Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody	$250.00	$250.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hb Hepatitis C Ab Test - Hepatitis C Antibody	$264.00	$264.00	—	266% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Hepatitis C Ab Test - Hepatitis C Antibody	$264.00	$264.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Hepatitis C Rna Quant	$928.11	$928.11	—	378% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Hepatitis C Rna Quant	$928.11	$928.11	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Hc Herpes Simplex Type 1	$166.71	$166.71	—	183% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Herpes Simplex Type 1	$166.71	$166.71	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 Hb Hsv 2 Igg	$250.00	$250.00	—	297% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hb Hsv 2 Igg	$250.00	$250.00	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 Hb C-Reactive Protein,High Sensitivity - High Sensitivity Crp	$298.00	$298.00	—	458% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hb C-Reactive Protein,High Sensitivity - High Sensitivity Crp	$298.00	$298.00	—	—	—
Homocysteine blood test CPT 83090 Hb Assay Of Homocystine - Homocysteine	$546.00	$546.00	—	322% above	—
Homocysteine blood test inpatient CPT 83090 Hb Assay Of Homocystine - Homocysteine	$546.00	$546.00	—	—	—
Insulin blood test CPT 83525 Hb Assay Of Insulin,Total - Insulin, Total	$196.00	$196.00	—	182% above	—
Insulin blood test inpatient CPT 83525 Hb Assay Of Insulin,Total - Insulin, Total	$196.00	$196.00	—	—	—
Iron blood test (serum iron) CPT 83540 Hb Assay Of Iron - Iron	$187.00	$187.00	—	557% above	—
Iron blood test (serum iron) inpatient CPT 83540 Hb Assay Of Iron - Iron	$187.00	$187.00	—	—	—
Kidney function blood test panel CPT 80069 Hb Renal Function Panel	$346.00	$346.00	—	352% above	—
Kidney function blood test panel inpatient CPT 80069 Hb Renal Function Panel	$346.00	$346.00	—	—	—
LH (luteinizing hormone) test CPT 83002 Hb Lh Serum	$1,044.00	$1,044.00	—	1013% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Hb Lh Serum	$1,044.00	$1,044.00	—	—	—
Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid - Lactate Csf	$148.00	$148.00	—	153% above	—
Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid - Lactate	$273.00	$273.00	—	367% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid - Lactate Csf	$148.00	$148.00	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid - Lactate	$273.00	$273.00	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 Hb Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl	$215.00	$215.00	—	757% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hb Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl	$215.00	$215.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Hb Assay Of Lipase - Lipase	$483.00	$483.00	—	873% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hb Assay Of Lipase - Lipase	$483.00	$483.00	—	—	—
Liver function blood test panel CPT 80076 Hb Hepatic Function Panel	$385.00	$385.00	—	384% above	—
Liver function blood test panel inpatient CPT 80076 Hb Hepatic Function Panel	$385.00	$385.00	—	—	—
Lyme disease antibody test CPT 86618 C+A Procedure	$368.81	$368.81	—	402% above	—
Lyme disease antibody test inpatient CPT 86618 C+A Procedure	$368.81	$368.81	—	—	—
Magnesium blood test CPT 83735 Hb Assay Of Magnesium - Magnesium	$175.00	$175.00	—	678% above	—
Magnesium blood test inpatient CPT 83735 Hb Assay Of Magnesium - Magnesium	$175.00	$175.00	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Hb Heterophile Antibodies,Screen - Mononucleosis Screen	$432.00	$432.00	—	785% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hb Heterophile Antibodies,Screen - Mononucleosis Screen	$432.00	$432.00	—	—	—
Mumps immunity blood test CPT 86735 Hb Mumps - Mumps Igg Antibody	$248.00	$248.00	—	464% above	—
Mumps immunity blood test inpatient CPT 86735 Hb Mumps - Mumps Igg Antibody	$248.00	$248.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Free Psa	$163.00	$163.00	—	137% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Free Psa	$163.00	$163.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Hb Prostate Specific Antigen,Total - Psa	$915.00	$915.00	—	1021% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hb Prostate Specific Antigen,Total - Psa	$915.00	$915.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Hb Assay Of Parathormone - Pth Intact	$572.00	$572.00	—	322% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hb Assay Of Parathormone - Pth Intact	$572.00	$572.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Thromboplas Time Partial - Aptt	$301.00	$301.00	—	612% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Thromboplas Time Partial - Aptt	$301.00	$301.00	—	—	—
Phosphorus (phosphate) blood test CPT 84100 Hb Assay Of Inorganic Phosphorus - Phosphorus	$129.00	$129.00	—	430% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 Hb Assay Of Inorganic Phosphorus - Phosphorus	$129.00	$129.00	—	—	—
Potassium blood test CPT 84132 Hb Poct Potassium-Poct	$205.00	$205.00	—	644% above	—
Potassium blood test CPT 84132 Hb Assay Of Serum Potassium - Potassium	$205.00	$205.00	—	644% above	—
Potassium blood test inpatient CPT 84132 Hb Assay Of Serum Potassium - Potassium	$205.00	$205.00	—	—	—
Potassium blood test inpatient CPT 84132 Hb Poct Potassium-Poct	$205.00	$205.00	—	—	—
Progesterone blood test CPT 84144 Hb Assay Of Progesterone - Progesterone	$291.00	$291.00	—	195% above	—
Progesterone blood test inpatient CPT 84144 Hb Assay Of Progesterone - Progesterone	$291.00	$291.00	—	—	—
Prolactin blood test CPT 84146 Hb Assay Of Prolactin - Prolactin	$874.00	$874.00	—	744% above	—
Prolactin blood test inpatient CPT 84146 Hb Assay Of Prolactin - Prolactin	$874.00	$874.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time - Protime-Inr	$260.00	$260.00	—	989% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time - Protime-Inr	$260.00	$260.00	—	—	—
Renin blood test CPT 84244 Hc Assay Of Renin	$379.00	$379.00	—	328% above	—
Renin blood test inpatient CPT 84244 Hc Assay Of Renin	$379.00	$379.00	—	—	—
Rh blood typing CPT 86901 Hc Blood Typing Rh (D)	$136.47	$136.47	—	450% above	—
Rh blood typing inpatient CPT 86901 Hc Blood Typing Rh (D)	$136.47	$136.47	—	—	—
Rheumatoid factor (RF) test CPT 86431 Hb Rheumatoid Factor, Quant - Rheumatoid Factor	$306.00	$306.00	—	580% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 Hb Rheumatoid Factor, Quant - Rheumatoid Factor	$306.00	$306.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 Hb Rubella Igg Antibody	$260.00	$260.00	—	584% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 Hb Rubella Igg Antibody	$260.00	$260.00	—	—	—
Sodium blood test CPT 84295 Hb Assay Of Serum Sodium - Sodium-Poct	$135.00	$135.00	—	471% above	—
Sodium blood test CPT 84295 Hb Assay Of Serum Sodium - Sodium	$173.00	$173.00	—	632% above	—
Sodium blood test inpatient CPT 84295 Hb Assay Of Serum Sodium - Sodium-Poct	$135.00	$135.00	—	—	—
Sodium blood test inpatient CPT 84295 Hb Assay Of Serum Sodium - Sodium	$173.00	$173.00	—	—	—
Stool ova and parasites exam CPT 87177 Hb Ova And Parasites Smears - Ova And Parasite Examination	$369.00	$369.00	—	715% above	—
Stool ova and parasites exam inpatient CPT 87177 Hb Ova And Parasites Smears - Ova And Parasite Examination	$369.00	$369.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hb Blood, Stool	$287.00	$287.00	—	422% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hb Blood, Stool	$287.00	$287.00	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory	$186.00	$186.00	—	389% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory	$186.00	$186.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hb Syphilis Test Non Treponemal Antibody Qual	$198.00	$198.00	—	662% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hb Syphilis Test Non Treponemal Antibody Qual	$198.00	$198.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hb Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test	$849.00	$849.00	—	641% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hb Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test	$849.00	$849.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Hb Assay Of Total Testosterone - Testosterone	$637.00	$637.00	—	797% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hb Assay Of Total Testosterone - Testosterone	$637.00	$637.00	—	—	—
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 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	$736.00	$736.00	—	1213% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hb Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$736.00	$736.00	—	—	—
Total IgE blood test CPT 82785 Hb Assay Of Gammaglobulin Ige - Immunoglobulin Ige	$300.00	$300.00	—	507% above	—
Total IgE blood test inpatient CPT 82785 Hb Assay Of Gammaglobulin Ige - Immunoglobulin Ige	$300.00	$300.00	—	—	—
Total cholesterol blood test CPT 82465 Hb Assay, Bld/Serum Cholesterol - Cholesterol Total	$269.00	$269.00	—	775% above	—
Total cholesterol blood test inpatient CPT 82465 Hb Assay, Bld/Serum Cholesterol - Cholesterol Total	$269.00	$269.00	—	—	—
Total thyroxine (T4) blood test CPT 84436 Hb Assay Of Total Thyroxine - T4 (Thyroid Hormone)	$272.00	$272.00	—	463% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 Hb Assay Of Total Thyroxine - T4 (Thyroid Hormone)	$272.00	$272.00	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 Hb Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone)	$805.00	$805.00	—	1581% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 Hb Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone)	$805.00	$805.00	—	—	—
Transferrin blood test CPT 84466 Hb Assay Of Transferrin - Transferrin	$220.00	$220.00	—	299% above	—
Transferrin blood test inpatient CPT 84466 Hb Assay Of Transferrin - Transferrin	$220.00	$220.00	—	—	—
Trichomonas test (NAAT) CPT 87661 Hb Trichomonas Vaginalis, Amplied Probe Technique	$909.00	$909.00	—	1199% above	—
Trichomonas test (NAAT) inpatient CPT 87661 Hb Trichomonas Vaginalis, Amplied Probe Technique	$909.00	$909.00	—	—	—
Triglycerides blood test CPT 84478 Hb Assay Of Triglycerides - Triglycerides	$153.00	$153.00	—	386% above	—
Triglycerides blood test inpatient CPT 84478 Hb Assay Of Triglycerides - Triglycerides	$153.00	$153.00	—	—	—
Troponin test, quantitative CPT 84484 Hb Assay Of Troponin, Quant - Troponin I	$371.00	$371.00	—	430% above	—
Troponin test, quantitative inpatient CPT 84484 Hb Assay Of Troponin, Quant - Troponin I	$371.00	$371.00	—	—	—
Uric acid blood test CPT 84550 Hb Assay Of Uric Acid, Blood - Uric Acid	$287.00	$287.00	—	865% above	—
Uric acid blood test inpatient CPT 84550 Hb Assay Of Uric Acid, Blood - Uric Acid	$287.00	$287.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 Hb Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$351.00	$351.00	—	1033% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Hb Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$351.00	$351.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 C+A Procedure	$225.79	$225.79	—	931% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 C+A Procedure	$225.79	$225.79	—	—	—
Urinalysis without microscope exam, manual CPT 81002 Hb Urine Non-Automated	$32.00	$32.00	—	171% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Hb Urine Non-Automated	$32.00	$32.00	—	—	—
Urine microalbumin (albumin) test CPT 82043 Hb Microalbumin	$235.00	$235.00	—	474% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 Hb Microalbumin	$235.00	$235.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 Hb Chorionic Gonadotropin Qual- Hcg Qualitative Urine Poct	$341.00	$341.00	—	791% above	—
Urine pregnancy test, read by color change CPT 81025 Hb Urine Pregnancy Test, Visual Clr Comparison Mthd	$413.00	$413.00	—	979% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 Hb Chorionic Gonadotropin Qual- Hcg Qualitative Urine Poct	$341.00	$341.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Hb Urine Pregnancy Test, Visual Clr Comparison Mthd	$413.00	$413.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Hb Vitamin B-12 - Vitamin B12	$418.00	$418.00	—	686% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hb Vitamin B-12 - Vitamin B12	$418.00	$418.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hb Vitamin D	$388.00	$388.00	—	310% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hb Vitamin D	$388.00	$388.00	—	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc Vit D 1 25-Dihydroxy	$227.55	$227.55	—	69% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hc Vit D 1 25-Dihydroxy	$227.55	$227.55	—	—	—
Zinc blood test CPT 84630 C+A Procedure	$167.05	$167.05	—	261% above	—
Zinc blood test inpatient CPT 84630 C+A Procedure	$167.05	$167.05	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Chorionic Gonadotropin, Quant - Hcg Quantitative Blood	$575.00	$575.00	—	907% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Chorionic Gonadotropin, Quant - Hcg Quantitative Blood	$575.00	$575.00	—	—	—

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	$12,020.00	$12,020.00	—	454% 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	$12,020.00	$12,020.00	—	—	—
Cardiac catheterization with coronary angiogram one side CPT 93458 Hb Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography	$39,949.00	$39,949.00	—	524% above	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Hb Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography	$39,949.00	$39,949.00	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hb Cardioversion Electric Ext - Cardioversion External	$3,253.00	$3,253.00	—	316% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hb Cardioversion Electric Ext - Cardioversion External	$3,253.00	$3,253.00	—	—	—
Catheter ablation for atrial fibrillation CPT 93656 Hb Ep Ephys Evl Trnsptl Tx-Ablate Atrial Fib Isolat Pulm Vein	$119,574.00	$119,574.00	—	377% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 Hb Ep Ephys Evl Trnsptl Tx-Ablate Atrial Fib Isolat Pulm Vein	$119,574.00	$119,574.00	—	—	—
Circumcision, surgical, older than a newborn CPT 54160 Hc Circumcision Neonate	$6,380.61	$6,380.61	—	550% above	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 Hc Circumcision Neonate	$6,380.61	$6,380.61	—	—	—
Colonoscopy with polyp removal CPT 45385 Hb Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq - Colonoscopy	$8,809.00	$8,809.00	—	274% above	—
Colonoscopy with polyp removal inpatient CPT 45385 Hb Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq - Colonoscopy	$8,809.00	$8,809.00	—	—	—
Colonoscopy with tissue sample CPT 45380 Hb Colonoscopy W/Biopsy Single/Multiple - Colonoscopy	$7,773.00	$7,773.00	—	253% above	—
Colonoscopy with tissue sample inpatient CPT 45380 Hb Colonoscopy W/Biopsy Single/Multiple - Colonoscopy	$7,773.00	$7,773.00	—	—	—
Colonoscopy, diagnostic CPT 45378 Hb Diagnostic Colonoscopy	$6,651.00	$6,651.00	—	230% above	—
Colonoscopy, diagnostic inpatient CPT 45378 Hb Diagnostic Colonoscopy	$6,651.00	$6,651.00	—	—	—
Coronary stent placement, one artery CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Lc	$71,225.00	$71,225.00	—	497% above	—
Coronary stent placement, one artery inpatient CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Lc	$71,225.00	$71,225.00	—	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 Hb Dilation/Curettage,Diagnostic	$6,438.00	$6,438.00	—	at median	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Hb Dilation/Curettage,Diagnostic	$6,438.00	$6,438.00	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hb Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$5,107.00	$5,107.00	—	317% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hb Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$5,107.00	$5,107.00	—	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Hb Banding Hemorrhoid Internal By Rubberband - Simple	$1,824.00	$1,824.00	—	at median	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hb Banding Hemorrhoid Internal By Rubberband - Simple	$1,824.00	$1,824.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hb Cath/Inject Hysterosalpingogram	$1,689.00	$1,689.00	—	710% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hb Cath/Inject Hysterosalpingogram	$1,689.00	$1,689.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 Hb Drain Skin Abscess Simple	$677.00	$677.00	—	142% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hb Drain Skin Abscess Simple	$677.00	$677.00	—	—	—
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	$3,258.00	$3,258.00	—	746% 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	$3,258.00	$3,258.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hb Intermed Jt Asp &/Or Inject	$3,258.00	$3,258.00	—	870% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hb Intermed Jt Asp &/Or Inject	$3,258.00	$3,258.00	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 Hb Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$5,732.00	$5,732.00	—	324% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hb Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$5,732.00	$5,732.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hb Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level	$2,249.00	$2,249.00	—	81% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hb Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level	$2,249.00	$2,249.00	—	—	—
Occipital nerve block (injection for headaches) one side CPT 64405 Hb Inject Nerv Blck,Great Occiptl - Left	$2,414.00	$2,414.00	—	407% above	—
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 Hb Inject Nerv Blck,Great Occiptl - Left	$2,414.00	$2,414.00	—	—	—
Pacemaker implant (dual chamber) CPT 33208 Hb Pp New Or Repl W/Trans Av Lead	$36,259.00	$36,259.00	—	188% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 Hb Pp New Or Repl W/Trans Av Lead	$36,259.00	$36,259.00	—	—	—
Paracentesis with imaging guidance CPT 49083 Hb Abdom Paracentesis Dx/Ther W Imaging Guidance	$5,568.00	$5,568.00	—	516% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Hb Abdom Paracentesis Dx/Ther W Imaging Guidance	$5,568.00	$5,568.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 Hb Remove Foreign Body Simple	$1,339.00	$1,339.00	—	159% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hb Remove Foreign Body Simple	$1,339.00	$1,339.00	—	—	—
Skin biopsy, punch, one lesion CPT 11104 Hb Punch Bx Skin/Subq 1St Lesion	$1,021.00	$1,021.00	—	202% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Hb Punch Bx Skin/Subq 1St Lesion	$1,021.00	$1,021.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hb Spinal Puncture,Lumbar,Diagnostic	$4,362.00	$4,362.00	—	546% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hb Spinal Puncture,Lumbar,Diagnostic	$4,362.00	$4,362.00	—	—	—
Thoracentesis with imaging guidance CPT 32555 Hb Thoracentesis Needle/Cath Pleura W/Imaging	$3,373.00	$3,373.00	—	220% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Hb Thoracentesis Needle/Cath Pleura W/Imaging	$3,373.00	$3,373.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Hb Bx Breast W Device 1St Lesion Ultrasound Guide - Right	$7,062.00	$7,062.00	—	191% 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	$7,062.00	$7,062.00	—	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Hb Gastroscopy W/Esoph Dilation	$6,975.00	$6,975.00	—	162% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Hb Gastroscopy W/Esoph Dilation	$6,975.00	$6,975.00	—	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 Hb Gastroscopy W Biopsy	$7,756.00	$7,756.00	—	292% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hb Gastroscopy W Biopsy	$7,756.00	$7,756.00	—	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 Hb Gastroscopy Scope W/Submuc Inj	$7,752.00	$7,752.00	—	52% above	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Hb Gastroscopy Scope W/Submuc Inj	$7,752.00	$7,752.00	—	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Hb Egd Removal Tumor Polyp/Other Lesion Snare Tech - Egd	$8,397.00	$8,397.00	—	239% above	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Hb Egd Removal Tumor Polyp/Other Lesion Snare Tech - Egd	$8,397.00	$8,397.00	—	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Hb Egd Insert Guide Wire Dilator Passage Esophagus - Egd	$7,186.00	$7,186.00	—	180% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Hb Egd Insert Guide Wire Dilator Passage Esophagus - Egd	$7,186.00	$7,186.00	—	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 Hb Gastroscopy Diag	$5,683.00	$5,683.00	—	220% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hb Gastroscopy Diag	$5,683.00	$5,683.00	—	—	—
Vein ablation, radiofrequency, first vein CPT 36475 Hc Endovenous Rf 1St Vein	$9,810.00	$9,810.00	—	71% above	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Hc Endovenous Rf 1St Vein	$9,810.00	$9,810.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hb Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm	$2,414.00	$2,414.00	—	319% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hb Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm	$2,414.00	$2,414.00	—	—	—

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	$206.00	$206.00	—	48% below	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hb Blood Transfusion Service	$206.00	$206.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hb Inhalation Treatment Subseq	$321.00	$321.00	—	156% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hb Inhalation Treatment Subseq	$321.00	$321.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 Hb Chemother. Iv Infusion Initial, 1St Hour	$2,312.00	$2,312.00	—	416% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hb Chemother. Iv Infusion Initial, 1St Hour	$2,312.00	$2,312.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 Hb Critical Care First Hour	$6,961.00	$6,961.00	—	532% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hb Critical Care First Hour	$6,961.00	$6,961.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hb Eeg,W/Awake & Drowsy Record - Eeg Awake Or Drowsy	$6,951.00	$6,951.00	—	1008% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hb Eeg,W/Awake & Drowsy Record - Eeg Awake Or Drowsy	$6,951.00	$6,951.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hb Electrocardiogram, Tracing	$1,112.00	$1,112.00	—	907% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hb Electrocardiogram, Tracing	$1,112.00	$1,112.00	—	—	—
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	$791.00	$791.00	—	453% 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	$791.00	$791.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hb Emergency Department Level 2 Visit Low/Moder Severity	$1,338.00	$1,338.00	—	435% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hb Emergency Department Level 2 Visit Low/Moder Severity	$1,338.00	$1,338.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hb Emergency Department Level 3 Visit Moderate Severity	$2,153.00	$2,153.00	—	514% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hb Emergency Department Level 3 Visit Moderate Severity	$2,153.00	$2,153.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hb Emergency Department Level 4 Visit High/Urgent Severity	$3,669.00	$3,669.00	—	544% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hb Emergency Department Level 4 Visit High/Urgent Severity	$3,669.00	$3,669.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hb Emergency Department Level 5 Visit High Severity&Threat Func	$5,205.00	$5,205.00	—	545% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hb Emergency Department Level 5 Visit High Severity&Threat Func	$5,205.00	$5,205.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Hb Cardiac Stress Tst,Tracing Only	$3,481.00	$3,481.00	—	472% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hb Cardiac Stress Tst,Tracing Only	$3,481.00	$3,481.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hb Iv Infusion, Hydration, 31-60 Min	$1,150.00	$1,150.00	—	391% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hb Iv Infusion, Hydration, 31-60 Min	$1,150.00	$1,150.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 Hb Iv Infusion, Therap/Proph/Diagnost,Initial,1St Hour	$1,421.00	$1,421.00	—	388% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 Hb Iv Infusion, Therap/Proph/Diagnost,Initial,1St Hour	$1,421.00	$1,421.00	—	—	—
IV push of a medicine, first drug CPT 96374 Hb Injection,Therap/Proph/Diagnost, Iv Push, Initial Drug	$627.00	$627.00	—	335% above	—
IV push of a medicine, first drug inpatient CPT 96374 Hb Injection,Therap/Proph/Diagnost, Iv Push, Initial Drug	$627.00	$627.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hb Injection,Therap/Proph/Diagnost, Im Or Subcut	$471.00	$471.00	—	620% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hb Injection,Therap/Proph/Diagnost, Im Or Subcut	$471.00	$471.00	—	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hb Nerve Conduction Studies 7-8 Studies	$6,277.00	$6,277.00	—	462% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hb Nerve Conduction Studies 7-8 Studies	$6,277.00	$6,277.00	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 Hb Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min	$256.00	$256.00	—	191% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Hb Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min	$269.00	$269.00	—	206% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hb Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min	$256.00	$256.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hb Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min	$269.00	$269.00	—	—	—
New patient office visit, about 30 minutes CPT 99203 Hb Office/Outpatient New	$954.00	$954.00	—	397% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 Hb Office/Outpatient New	$954.00	$954.00	—	—	—
New patient office visit, about 45 minutes CPT 99204 Hc Office/Outpatient Visit New Level 4	$1,265.72	$1,265.72	—	397% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 Hc Office/Outpatient Visit New Level 4	$1,265.72	$1,265.72	—	—	—
New patient office visit, about 60 minutes CPT 99205 Hc Office/Outpatient Visit New Level 5	$2,210.21	$2,210.21	—	535% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 Hc Office/Outpatient Visit New Level 5	$2,210.21	$2,210.21	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hb New Patient Level 2	$727.00	$727.00	—	468% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hb New Patient Level 2	$727.00	$727.00	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 Hb Ot Occupational Therapy Eval Low Complex 30 Mins	$789.00	$789.00	—	255% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 Hb Ot Occupational Therapy Eval Low Complex 30 Mins	$789.00	$789.00	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hb Pt Physical Therapy Evaluation High Complex 45 Mins	$828.00	$828.00	—	313% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hb Pt Physical Therapy Evaluation High Complex 45 Mins	$828.00	$828.00	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hb Pt Physical Therapy Evaluation Low Complex 20 Mins	$828.00	$828.00	—	372% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hb Pt Physical Therapy Evaluation Low Complex 20 Mins	$828.00	$828.00	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hb Pt Physical Therapy Evaluation Mod Complex 30 Mins	$828.00	$828.00	—	286% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hb Pt Physical Therapy Evaluation Mod Complex 30 Mins	$828.00	$828.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hb Pt Manual Ther Tech,1+Regions,Ea 15 Min	$308.00	$308.00	—	175% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hb Ot Manual Ther Tech,1+Regions,Ea 15 Min	$339.00	$339.00	—	203% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hb Pt Manual Ther Tech,1+Regions,Ea 15 Min	$308.00	$308.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hb Ot Manual Ther Tech,1+Regions,Ea 15 Min	$339.00	$339.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Pt Therapeutic Exercises	$381.00	$381.00	—	514% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Ot Therapeutic Exercises	$412.00	$412.00	—	563% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Pt Therapeutic Exercises	$381.00	$381.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Ot Therapeutic Exercises	$412.00	$412.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Office/Outpatient Visit Est Level 5	$1,210.50	$1,210.50	—	461% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Office/Outpatient Visit Est Level 5	$1,210.50	$1,210.50	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hb Office/Outpatient Established	$967.00	$967.00	—	562% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hb Office/Outpatient Established	$967.00	$967.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Office/Outpatient Visit Est Level 4	$1,660.08	$1,660.08	—	765% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Office/Outpatient Visit Est Level 4	$1,660.08	$1,660.08	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hb Established Patient Level 2	$766.00	$766.00	—	690% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hb Established Patient Level 2	$766.00	$766.00	—	—	—
Speech and language evaluation CPT 92523 Hb Speech Sound Lang Comprehen	$725.00	$725.00	—	64% above	—
Speech and language evaluation inpatient CPT 92523 Hb Speech Sound Lang Comprehen	$725.00	$725.00	—	—	—
Speech therapy session, individual CPT 92507 Hb Speech Lang Treatment	$792.00	$792.00	—	630% above	—
Speech therapy session, individual inpatient CPT 92507 Hb Speech Lang Treatment	$792.00	$792.00	—	—	—
Spirometry (breathing test) CPT 94010 Hb Spirometry W/O Bronchodilator	$1,724.00	$1,724.00	—	899% above	—
Spirometry (breathing test) inpatient CPT 94010 Hb Spirometry W/O Bronchodilator	$1,724.00	$1,724.00	—	—	—
Spirometry before and after a bronchodilator CPT 94060 Hb Pft Spiro P&P Bronch	$3,131.00	$3,131.00	—	894% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Hb Pft Spiro P&P Bronch	$3,131.00	$3,131.00	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Pt Therapeut Actvity Direct Pt Contact Each 15 Min	$227.00	$227.00	—	271% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Ot Therapeut Actvity Direct Pt Contact Each 15 Min	$241.00	$241.00	—	294% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Pt Therapeut Actvity Direct Pt Contact Each 15 Min	$227.00	$227.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Ot Therapeut Actvity Direct Pt Contact Each 15 Min	$241.00	$241.00	—	—	—
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Hc Cardiovascular Stress Test W/Si & Report	$2,716.61	$2,716.61	—	304% above	—
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Hc Cardiovascular Stress Test W/Si & Report	$2,716.61	$2,716.61	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 NDC Description Not Available	$43.00	$43.00	—	20% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 NDC Description Not Available	$43.00	$43.00	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 NDC Description Not Available	$62.00	$62.00	—	18% below	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 NDC Description Not Available	$62.00	$62.00	—	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 NDC Description Not Available	$118.75	$118.75	—	199% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 NDC Description Not Available	$118.75	$118.75	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 NDC Description Not Available	$151.00	$151.00	—	17% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 NDC Description Not Available	$151.00	$151.00	—	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 NDC Description Not Available	$148.00	$148.00	—	7% below	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 NDC Description Not Available	$148.00	$148.00	—	—	—
Meningococcal B vaccine (Trumenba) CPT 90621 NDC Description Not Available	$349.33	$349.33	—	50% below	—
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 NDC Description Not Available	$349.33	$349.33	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 NDC Description Not Available	$674.00	$674.00	—	17% below	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 NDC Description Not Available	$674.00	$674.00	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 NDC Description Not Available	$282.00	$282.00	—	46% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 NDC Description Not Available	$282.00	$282.00	—	—	—
Rabies vaccine, one dose CPT 90675 NDC Description Not Available	$868.00	$868.00	—	29% above	—
Rabies vaccine, one dose CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)	$875.64	$875.64	—	30% above	—
Rabies vaccine, one dose CPT 90675 IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01)	$1,024.00	$1,024.00	—	52% above	—
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)	$1,140.71	$1,140.71	—	69% above	—
Rabies vaccine, one dose inpatient CPT 90675 NDC Description Not Available	$868.00	$868.00	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)	$875.64	$875.64	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01)	$1,024.00	$1,024.00	—	—	—
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)	$1,140.71	$1,140.71	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 NDC Description Not Available	$137.80	$137.80	—	147% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 NDC Description Not Available	$137.80	$137.80	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 NDC Description Not Available	$150.83	$150.83	—	14% 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)	$181.00	$181.00	—	36% 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)	$227.00	$227.00	—	71% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 NDC Description Not Available	$150.83	$150.83	—	—	—
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)	$181.00	$181.00	—	—	—
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)	$227.00	$227.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Admin Vaccine Hepatitis B Sing	$158.00	$158.00	—	165% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Admin Vaccine Single Influenza	$197.00	$197.00	—	230% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Admin Vaccine Pneumococcal Sgl	$222.00	$222.00	—	272% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Immun Admin Im/Sq One Vac	$416.00	$416.00	—	597% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Immunization Admin	$1,066.65	$1,066.65	—	1688% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Admin Vaccine Hepatitis B Sing	$158.00	$158.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Admin Vaccine Single Influenza	$197.00	$197.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Admin Vaccine Pneumococcal Sgl	$222.00	$222.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Immun Admin Im/Sq One Vac	$416.00	$416.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Immunization Admin	$1,066.65	$1,066.65	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Immunization Admin Each Add	$141.00	$141.00	—	184% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hb Immuniz,Admin,Each Addl	$182.00	$182.00	—	267% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Immunization Admin Each Add	$141.00	$141.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hb Immuniz,Admin,Each Addl	$182.00	$182.00	—	—	—

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://HospitalPriceDisclosure.com/download.aspx?pi=ZLwVSmmcKuH*_*GWXeRcdTcQ*-*