Hospital Louisville/Jefferson County, KY-IN

Norton Clark Hospital

Listed in its price file as “Norton Healthcare Indiana Inc”.

Norton Clark Hospital in Jeffersonville, IN publishes cash prices for 327 common procedures listed here, from its own machine-readable price file updated Jun 3, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Indiana median for 321 of 324 procedures and above it for 3. By typical cash price it ranks #2 of 84 Indiana hospitals and #1 of 18 hospitals in the Louisville, KY area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1220 Missouri Ave, Jeffersonville, IN 47130 Collected Sep 23, 2026 Source price file Check a bill from this hospital (812) 283-2147

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 150009 · CMS hospital register NPI 1134186315

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Norton Clark Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Abdominal CT scan without and with contrast CPT 74170 HB CT ABD W & W/O CONT	$523.32	$3,738.00	$144.34–$3,270.75	61% below	86%
Abdominal CT scan without and with contrast inpatient CPT 74170 HB CT ABD W & W/O CONT	$523.32	$3,738.00	$1,608.09–$3,270.75	—	86%
Abdominal X-ray, 2 views CPT 74019 HB ABDOMEN XR 2 VIEWS	$72.66	$519.00	$111.40–$454.13	73% below	86%
Abdominal X-ray, 2 views inpatient CPT 74019 HB ABDOMEN XR 2 VIEWS	$72.66	$519.00	$223.27–$454.13	—	86%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HB ANKLE MIN 3 VWS RT	$65.94	$471.00	$17.51–$412.13	66% below	86%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HB ANKLE MIN 3 VWS LT	$65.94	$471.00	$17.51–$412.13	66% below	86%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HB ANKLE MIN 3 VWS RT	$65.94	$471.00	$202.62–$412.13	—	86%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HB ANKLE MIN 3 VWS LT	$65.94	$471.00	$202.62–$412.13	—	86%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB ANKLE BRACHIAL INDEX	$126.00	$900.00	$33.66–$787.50	66% below	86%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB ANKLE BRACHIAL INDEX	$126.00	$900.00	$387.18–$787.50	—	86%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HB CT UPPER EXT W/O CONT LT	$314.72	$2,248.00	$97.76–$1,967.00	61% below	86%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HB CT UPPER EXT W/O CONT RT	$314.72	$2,248.00	$97.76–$1,967.00	61% below	86%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HB CT UPPER EXT W/O CONT RT	$314.72	$2,248.00	$967.09–$1,967.00	—	86%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HB CT UPPER EXT W/O CONT LT	$314.72	$2,248.00	$967.09–$1,967.00	—	86%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HB ESOPHAGUS	$121.38	$867.00	$48.47–$758.63	74% below	86%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB ESOPHAGUS	$121.38	$867.00	$372.98–$758.63	—	86%
Bone scan, whole body (nuclear medicine) CPT 78306 HB NM BONE SCAN WHOLE BODY	$554.68	$3,962.00	$147.39–$3,466.75	65% below	86%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB NM BONE SCAN WHOLE BODY	$554.68	$3,962.00	$1,704.45–$3,466.75	—	86%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HB CT ANGIO ABD&PELV W/O&W/DYE	$1,099.98	$7,857.00	$301.88–$6,874.88	42% below	86%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HB CT ANGIO ABD&PELV W/O&W/DYE	$1,099.98	$7,857.00	$3,380.08–$6,874.88	—	86%
CT angiography (CTA) of the head CPT 70496 HB CT ANGIO HEAD W & W/O CONTR	$263.62	$1,883.00	$186.49–$1,647.63	79% below	86%
CT angiography (CTA) of the head inpatient CPT 70496 HB CT ANGIO HEAD W & W/O CONTR	$263.62	$1,883.00	$810.07–$1,647.63	—	86%
CT angiography (CTA) of the neck CPT 70498 HB CT ANGIO NECK W & W/O CONT	$369.18	$2,637.00	$186.49–$2,307.38	70% below	86%
CT angiography (CTA) of the neck inpatient CPT 70498 HB CT ANGIO NECK W & W/O CONT	$369.18	$2,637.00	$1,134.44–$2,307.38	—	86%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT ANGIO CHEST W& W/O CONTR	$693.56	$4,954.00	$186.49–$4,334.75	46% below	86%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB CT ANGIO CHEST W& W/O CONTR	$693.56	$4,954.00	$2,131.21–$4,334.75	—	86%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CT ANGIO HRT W/3D IMAGE	$444.92	$3,178.00	$210.47–$2,780.75	47% below	86%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score one side CPT 75574 HB CT ANGIO LEFT ATRIAL APPENDAGE	$444.92	$3,178.00	$210.47–$2,780.75	47% below	86%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB CT ANGIO HRT W/3D IMAGE	$444.92	$3,178.00	$1,367.18–$2,780.75	—	86%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient one side CPT 75574 HB CT ANGIO LEFT ATRIAL APPENDAGE	$444.92	$3,178.00	$1,367.18–$2,780.75	—	86%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT CARDIAC SCORING	$89.74	$641.00	$53.92–$560.88	52% below	86%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HB CT CARDIAC SCORING	$89.74	$641.00	$275.76–$560.88	—	86%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT ABD & PELVIS W/O CONTRAST	$680.40	$4,860.00	$89.84–$4,252.50	43% below	86%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB CT ABD & PELVIS W/O CONTRAST	$680.40	$4,860.00	$2,090.77–$4,252.50	—	86%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST	$785.12	$5,608.00	$162.17–$4,907.00	54% below	86%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST	$785.12	$5,608.00	$2,412.56–$4,907.00	—	86%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT ABD & PELV 1+ SECTION/REGNS	$915.88	$6,542.00	$192.64–$5,724.25	47% below	86%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB CT ABD & PELV 1+ SECTION/REGNS	$915.88	$6,542.00	$2,814.37–$5,724.25	—	86%
CT scan of the abdomen with contrast CPT 74160 HB CT ABD W CONT	$415.24	$2,966.00	$122.78–$2,595.25	61% below	86%
CT scan of the abdomen with contrast inpatient CPT 74160 HB CT ABD W CONT	$415.24	$2,966.00	$1,275.97–$2,595.25	—	86%
CT scan of the abdomen without contrast CPT 74150 HB CT ABD W/O CONT	$354.90	$2,535.00	$65.81–$2,218.13	58% below	86%
CT scan of the abdomen without contrast inpatient CPT 74150 HB CT ABD W/O CONT	$354.90	$2,535.00	$1,090.56–$2,218.13	—	86%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT MAXILLOFACIAL AREA W/O CONT	$322.56	$2,304.00	$104.21–$2,016.00	61% below	86%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB CT MAXILLOFACIAL AREA W/O CONT	$322.56	$2,304.00	$991.18–$2,016.00	—	86%
CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD W/O CONTRAST	$431.62	$3,083.00	$56.64–$2,697.63	44% below	86%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD W/O CONTRAST	$431.62	$3,083.00	$1,326.31–$2,697.63	—	86%
CT scan of the head with contrast CPT 70460 HB CT HEAD WITH CONTRAST	$317.94	$2,271.00	$78.44–$1,987.13	63% below	86%
CT scan of the head with contrast inpatient CPT 70460 HB CT HEAD WITH CONTRAST	$317.94	$2,271.00	$976.98–$1,987.13	—	86%
CT scan of the head without and with contrast CPT 70470 HB BRAIN LAB CT HEAD W/WO CONTRAS	$373.24	$2,666.00	$97.02–$2,332.75	64% below	86%
CT scan of the head without and with contrast inpatient CPT 70470 HB BRAIN LAB CT HEAD W/WO CONTRAS	$373.24	$2,666.00	$1,146.91–$2,332.75	—	86%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT LUMB SPINE W/O CONTR	$389.34	$2,781.00	$98.01–$2,433.38	56% below	86%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB CT LUMB SPINE W/O CONTR	$389.34	$2,781.00	$1,196.39–$2,433.38	—	86%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT CERV SPINE W/O CONTR	$394.66	$2,819.00	$99.00–$2,466.63	53% below	86%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT C SPINE W/O CONT POST MYELO	$394.66	$2,819.00	$99.00–$2,466.63	53% below	86%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT CERV SPINE W/O CONTR	$394.66	$2,819.00	$1,212.73–$2,466.63	—	86%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT C SPINE W/O CONT POST MYELO	$394.66	$2,819.00	$1,212.73–$2,466.63	—	86%
CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS W CONTR	$393.68	$2,812.00	$123.28–$2,460.50	57% below	86%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS W CONTR	$393.68	$2,812.00	$1,209.72–$2,460.50	—	86%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB DUPLEX EXTRACRANIAL BILATERAL	$297.50	$2,125.00	$97.43–$1,859.38	—	86%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HB DUPLEX EXTRACRANIAL BILATERAL	$297.50	$2,125.00	$914.18–$1,859.38	—	86%
Chest CT scan without and with contrast CPT 71270 HB CT CHEST W&W/O CONTR	$405.58	$2,897.00	$153.25–$2,534.88	63% below	86%
Chest CT scan without and with contrast inpatient CPT 71270 HB CT CHEST W&W/O CONTR	$405.58	$2,897.00	$1,246.29–$2,534.88	—	86%
Chest X-ray, 2 views CPT 71046 HB CHEST XR 2 VIEWS	$82.32	$588.00	$62.12–$514.50	60% below	86%
Chest X-ray, 2 views inpatient CPT 71046 HB CHEST XR 2 VIEWS	$82.32	$588.00	$252.96–$514.50	—	86%
Chest X-ray, single view CPT 71045 HB CHEST XR SINGLE VIEW	$64.26	$459.00	$62.12–$401.63	60% below	86%
Chest X-ray, single view inpatient CPT 71045 HB CHEST XR SINGLE VIEW	$64.26	$459.00	$197.46–$401.63	—	86%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HB CLAVICLE COMPLETE LT	$65.94	$471.00	$14.53–$412.13	66% below	86%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HB CLAVICLE COMPLETE RT	$65.94	$471.00	$14.53–$412.13	66% below	86%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HB CLAVICLE COMPLETE LT	$65.94	$471.00	$202.62–$412.13	—	86%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HB CLAVICLE COMPLETE RT	$65.94	$471.00	$202.62–$412.13	—	86%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 HB US RENAL BILATERAL	$215.46	$1,539.00	$67.05–$1,346.63	—	86%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 HB US RENAL BILATERAL	$215.46	$1,539.00	$662.08–$1,346.63	—	86%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB BC BONE DENS MLT SITES AX SKEL	$38.92	$278.00	$26.92–$243.25	87% below	86%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB BC BONE DENS MLT SITES AX SKEL	$38.92	$278.00	$119.60–$243.25	—	86%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB BC BONE DENS PERIPHERAL	$40.60	$290.00	$11.56–$253.75	72% below	86%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB BC BONE DENS PERIPHERAL	$40.60	$290.00	$124.76–$253.75	—	86%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US PREG UTRS REAL TIME 1ST GES	$111.30	$795.00	$62.59–$695.63	80% below	86%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HB US PREG UTRS REAL TIME 1ST GES	$111.30	$795.00	$342.01–$695.63	—	86%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT CHEST W/O CONTR	$287.84	$2,056.00	$97.76–$1,799.00	65% below	86%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB CT CHEST W/O CONTR	$287.84	$2,056.00	$884.49–$1,799.00	—	86%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT CHEST W CONTR	$361.06	$2,579.00	$123.28–$2,256.63	62% below	86%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB CT CHEST W CONTR	$361.06	$2,579.00	$1,109.49–$2,256.63	—	86%
Diagnostic mammogram, both breasts CPT 77066 HB MAMMO DIAG BIL	$59.22	$423.00	$83.89–$370.13	86% below	86%
Diagnostic mammogram, both breasts inpatient CPT 77066 HB MAMMO DIAG BIL	$59.22	$423.00	$181.97–$370.13	—	86%
Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG RT	$35.56	$254.00	$65.56–$294.00	84% below	86%
Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG LT	$35.56	$254.00	$65.56–$294.00	84% below	86%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG RT	$35.56	$254.00	$109.27–$222.25	—	86%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG LT	$35.56	$254.00	$109.27–$222.25	—	86%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB DUPLEX LOW EXT ART BILAT	$280.14	$2,001.00	$97.43–$1,750.88	—	86%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HB DUPLEX LOW EXT ART BILAT	$280.14	$2,001.00	$860.83–$1,750.88	—	86%
Duplex ultrasound of the leg veins, both legs CPT 93970 HB DUPLEX EXTREMITIES COMPLETE	$233.38	$1,667.00	$189.62–$1,458.63	82% below	86%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HB DUPLEX EXTREMITIES COMPLETE	$233.38	$1,667.00	$717.14–$1,458.63	—	86%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO MMODE 2D SPECTCOLOR 93306	$523.74	$3,741.00	$574.39–$3,273.38	68% below	86%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB ECHO MMODE 2D SPECTCOLOR 93306	$523.74	$3,741.00	$1,609.38–$3,273.38	—	86%
Elbow X-ray, 2 views one side CPT 73070 HB ELBOW AP & LAT RT	$59.64	$426.00	$14.28–$372.75	64% below	86%
Elbow X-ray, 2 views one side CPT 73070 HB ELBOW AP & LAT LT	$59.78	$427.00	$14.28–$373.63	64% below	86%
Elbow X-ray, 2 views inpatient one side CPT 73070 HB ELBOW AP & LAT RT	$59.64	$426.00	$183.27–$372.75	—	86%
Elbow X-ray, 2 views inpatient one side CPT 73070 HB ELBOW AP & LAT LT	$59.78	$427.00	$183.70–$373.63	—	86%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HB ELBOW COMP MIN 3 VWS RT	$54.04	$386.00	$17.51–$337.75	79% below	86%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HB ELBOW COMP MIN 3 VWS LT	$70.84	$506.00	$17.51–$442.75	72% below	86%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HB ELBOW COMP MIN 3 VWS RT	$54.04	$386.00	$166.06–$337.75	—	86%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HB ELBOW COMP MIN 3 VWS LT	$70.84	$506.00	$217.68–$442.75	—	86%
Eye socket (orbit) CT scan without contrast CPT 70480 HB CT ORBITS W/O CONT	$343.70	$2,455.00	$111.40–$2,148.13	60% below	86%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HB CT ORBITS W/O CONT	$343.70	$2,455.00	$1,056.14–$2,148.13	—	86%
Facial bones X-ray, complete, 3 or more views CPT 70150 HB FACIAL BONES MIN 3 VWS	$99.96	$714.00	$20.97–$624.75	63% below	86%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HB FACIAL BONES MIN 3 VWS	$99.96	$714.00	$307.16–$624.75	—	86%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HB FOREARM 2 VIEWS LT	$53.76	$384.00	$13.79–$336.00	71% below	86%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HB FOREARM 2 VIEWS RT	$53.76	$384.00	$13.79–$336.00	71% below	86%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HB FOREARM 2 VIEWS LT	$53.76	$384.00	$165.20–$336.00	—	86%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HB FOREARM 2 VIEWS RT	$53.76	$384.00	$165.20–$336.00	—	86%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING	$578.06	$4,129.00	$208.08–$3,612.88	56% below	86%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING	$578.06	$4,129.00	$1,776.30–$3,612.88	—	86%
Hand X-ray, 2 views CPT 73120 HB HAND PA OR AP ONLY	$71.68	$512.00	$13.54–$448.00	58% below	86%
Hand X-ray, 2 views one side CPT 73120 HB HAND 2 VWS LT	$71.68	$512.00	$13.54–$448.00	58% below	86%
Hand X-ray, 2 views inpatient CPT 73120 HB HAND PA OR AP ONLY	$71.68	$512.00	$220.26–$448.00	—	86%
Hand X-ray, 2 views inpatient one side CPT 73120 HB HAND 2 VWS LT	$71.68	$512.00	$220.26–$448.00	—	86%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HB CALCANEUS MIN 2 VWS RT	$52.78	$377.00	$14.28–$329.88	75% below	86%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HB CALCANEUS MIN 2 VWS RT	$52.78	$377.00	$162.19–$329.88	—	86%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB SLEEP STUDY UNATTENDED	$206.08	$1,472.00	$127.78–$1,288.00	50% below	86%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HB SLEEP STUDY UNATTENDED	$206.08	$1,472.00	$633.25–$1,288.00	—	86%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSOM 4/OVER W/CPAP	$1,475.18	$10,537.00	$912.79–$9,219.88	55% below	86%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB POLYSOM 4/OVER W/CPAP	$1,475.18	$10,537.00	$4,533.02–$9,219.88	—	86%
Knee X-ray, 3 views one side CPT 73562 HB KNEE 3 VWS LT	$77.98	$557.00	$19.24–$487.38	66% below	86%
Knee X-ray, 3 views one side CPT 73562 HB KNEE 3 VWS RT	$77.98	$557.00	$19.24–$487.38	66% below	86%
Knee X-ray, 3 views inpatient one side CPT 73562 HB KNEE 3 VWS RT	$77.98	$557.00	$239.62–$487.38	—	86%
Knee X-ray, 3 views inpatient one side CPT 73562 HB KNEE 3 VWS LT	$77.98	$557.00	$239.62–$487.38	—	86%
Knee X-ray, complete, 4 or more views one side CPT 73564 HB KNEE 4 OR MORE VWS RT	$105.70	$755.00	$22.21–$660.63	60% below	86%
Knee X-ray, complete, 4 or more views one side CPT 73564 HB KNEE 4 OR MORE VWS LT	$105.70	$755.00	$22.21–$660.63	60% below	86%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HB KNEE 4 OR MORE VWS LT	$105.70	$755.00	$324.80–$660.63	—	86%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HB KNEE 4 OR MORE VWS RT	$105.70	$755.00	$324.80–$660.63	—	86%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HB CT LOWER EXT W/O CONTR LT	$337.40	$2,410.00	$97.76–$2,108.75	57% below	86%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HB CT LOWER EXT W/O CONTR RT	$337.40	$2,410.00	$97.76–$2,108.75	57% below	86%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HB CT LOWER EXT W/O CONTR RT	$337.40	$2,410.00	$1,036.78–$2,108.75	—	86%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HB CT LOWER EXT W/O CONTR LT	$337.40	$2,410.00	$1,036.78–$2,108.75	—	86%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US ABDOMINAL LIMITED	$228.06	$1,629.00	$55.41–$1,425.38	50% below	86%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US SFT TISS ABD/LWR BCK POCUS	$228.20	$1,630.00	$55.41–$1,426.25	50% below	86%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB EUS ABDOMEN LIMITED	$228.20	$1,630.00	$55.41–$1,426.25	50% below	86%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US ABDOMINAL LIMITED	$228.06	$1,629.00	$700.80–$1,425.38	—	86%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB EUS ABDOMEN LIMITED	$228.20	$1,630.00	$701.23–$1,426.25	—	86%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US SFT TISS ABD/LWR BCK POCUS	$228.20	$1,630.00	$701.23–$1,426.25	—	86%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB US XTR NON-VASC LMTD	$146.16	$1,044.00	$7.60–$913.50	52% below	86%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HB US XTR NON-VASC LMTD	$146.16	$1,044.00	$449.13–$913.50	—	86%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB CT LOW DOSE LUNG CANCER SCRN	$101.22	$723.00	$80.90–$632.63	47% below	86%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HB CT LOW DOSE LUNG CANCER SCRN	$101.22	$723.00	$311.03–$632.63	—	86%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HB TIBIA/FIBULA AP/LAT LT	$65.94	$471.00	$13.29–$412.13	67% below	86%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HB TIBIA/FIBULA AP/LAT RT	$65.94	$471.00	$13.29–$412.13	67% below	86%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HB TIBIA/FIBULA AP/LAT RT	$65.94	$471.00	$202.62–$412.13	—	86%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HB TIBIA/FIBULA AP/LAT LT	$65.94	$471.00	$202.62–$412.13	—	86%
MR angiography (MRA) of the head without contrast CPT 70544 HB MRA HEAD W/O CONTRAST	$427.42	$3,053.00	$240.45–$2,671.38	62% below	86%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HB MRA HEAD W/O CONTRAST	$427.42	$3,053.00	$1,313.40–$2,671.38	—	86%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST RT	$578.20	$4,130.00	$129.47–$3,613.75	44% below	86%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST LT	$578.20	$4,130.00	$129.47–$3,613.75	44% below	86%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST RT	$578.20	$4,130.00	$1,776.73–$3,613.75	—	86%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST LT	$578.20	$4,130.00	$1,776.73–$3,613.75	—	86%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT LT	$694.12	$4,958.00	$262.99–$4,338.25	52% below	86%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT RT	$694.12	$4,958.00	$262.99–$4,338.25	52% below	86%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT RT	$694.12	$4,958.00	$2,132.93–$4,338.25	—	86%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT LT	$694.12	$4,958.00	$2,132.93–$4,338.25	—	86%
MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN W/O CONTRAST	$527.94	$3,771.00	$183.97–$3,299.63	51% below	86%
MRI of the abdomen without contrast CPT 74181 HB MRI FETAL ABDOMEN WO CONTRAST	$527.94	$3,771.00	$183.97–$3,299.63	51% below	86%
MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN W/O CONTRAST	$527.94	$3,771.00	$1,622.28–$3,299.63	—	86%
MRI of the abdomen without contrast inpatient CPT 74181 HB MRI FETAL ABDOMEN WO CONTRAST	$527.94	$3,771.00	$1,622.28–$3,299.63	—	86%
MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN WO & W CONT	$768.18	$5,487.00	$283.55–$4,801.13	51% below	86%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN WO & W CONT	$768.18	$5,487.00	$2,360.51–$4,801.13	—	86%
MRI of the brain, no contrast dye CPT 70551 HB MRI FETAL BRAIN WO CONTRAST	$581.14	$4,151.00	$119.07–$3,632.13	43% below	86%
MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN WO CONTR SHUNT	$581.14	$4,151.00	$119.07–$3,632.13	43% below	86%
MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W/O CONTRAST	$581.14	$4,151.00	$119.07–$3,632.13	43% below	86%
MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN W/O CONTRAST	$581.14	$4,151.00	$1,785.76–$3,632.13	—	86%
MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI FETAL BRAIN WO CONTRAST	$581.14	$4,151.00	$1,785.76–$3,632.13	—	86%
MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN WO CONTR SHUNT	$581.14	$4,151.00	$1,785.76–$3,632.13	—	86%
MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN WO & W CONT	$1,020.74	$7,291.00	$193.88–$6,379.63	22% below	86%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN WO & W CONT	$1,020.74	$7,291.00	$3,136.59–$6,379.63	—	86%
MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE W/O CONTR	$578.20	$4,130.00	$117.33–$3,613.75	43% below	86%
MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI LUMBAR SPINE W/O CONTR	$578.20	$4,130.00	$1,776.73–$3,613.75	—	86%
MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI LUMBAR SPINE W&W/O CONT	$804.44	$5,746.00	$192.89–$5,027.75	45% below	86%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB MRI LUMBAR SPINE W&W/O CONT	$804.44	$5,746.00	$2,471.93–$5,027.75	—	86%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI THORACIC SPINE W/O CONT	$527.94	$3,771.00	$117.33–$3,299.63	47% below	86%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB MRI THORACIC SPINE W/O CONT	$527.94	$3,771.00	$1,622.28–$3,299.63	—	86%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI CERV SPINE WO & W CONT	$779.24	$5,566.00	$194.13–$4,870.25	47% below	86%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HB MRI CERV SPINE WO & W CONT	$779.24	$5,566.00	$2,394.49–$4,870.25	—	86%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI CERV SPINE W/O CONTR	$578.20	$4,130.00	$117.33–$3,613.75	44% below	86%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB MRI CERV SPINE W/O CONTR	$578.20	$4,130.00	$1,776.73–$3,613.75	—	86%
MRI of the pelvis without and with contrast CPT 72197 HB MRI PELVIS WO & W CONT	$715.40	$5,110.00	$282.31–$4,471.25	51% below	86%
MRI of the pelvis without and with contrast inpatient CPT 72197 HB MRI PELVIS WO & W CONT	$715.40	$5,110.00	$2,198.32–$4,471.25	—	86%
MRI of the pelvis, no contrast dye CPT 72195 HB MRI PELVIS W/O CONTRAST	$502.88	$3,592.00	$211.96–$3,143.00	52% below	86%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HB MRI PELVIS W/O CONTRAST	$502.88	$3,592.00	$1,545.28–$3,143.00	—	86%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT LT	$567.00	$4,050.00	$129.22–$3,543.75	47% below	86%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT RT	$567.00	$4,050.00	$129.22–$3,543.75	47% below	86%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT LT	$567.00	$4,050.00	$1,742.31–$3,543.75	—	86%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT RT	$567.00	$4,050.00	$1,742.31–$3,543.75	—	86%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HB C SPINE MIN 4 VIEWS	$123.62	$883.00	$22.95–$772.63	64% below	86%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HB C SPINE MIN 4 VIEWS	$123.62	$883.00	$379.87–$772.63	—	86%
Neck soft tissue CT scan with contrast CPT 70491 HB CT NECK W CONTRAST	$395.50	$2,825.00	$122.78–$2,471.88	60% below	86%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HB CT NECK W CONTRAST	$395.50	$2,825.00	$1,215.32–$2,471.88	—	86%
Neck soft tissue CT scan without contrast CPT 70490 HB CT NECK W/O CONTR	$342.72	$2,448.00	$97.76–$2,142.00	59% below	86%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HB CT NECK W/O CONTR	$342.72	$2,448.00	$1,053.13–$2,142.00	—	86%
Neck soft tissue X-ray CPT 70360 HB SOFT TISSUE NECK	$57.82	$413.00	$14.53–$361.38	67% below	86%
Neck soft tissue X-ray inpatient CPT 70360 HB SOFT TISSUE NECK	$57.82	$413.00	$177.67–$361.38	—	86%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB HT MUSCLE IMAGE SPEC MULT	$867.44	$6,196.00	$280.83–$5,421.50	77% below	86%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HB HT MUSCLE IMAGE SPEC MULT	$867.44	$6,196.00	$2,665.52–$5,421.50	—	86%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET W/CT TUMOR SKULL MID-THIGH	$1,124.20	$8,030.00	$777.75–$7,026.25	72% below	86%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET W/CT TUMOR SKULL MID-THIGH	$1,124.20	$8,030.00	$3,454.51–$7,026.25	—	86%
Pelvic CT scan without contrast CPT 72192 HB CT PELVIS W/O CONTRAST	$314.02	$2,243.00	$67.30–$1,962.63	62% below	86%
Pelvic CT scan without contrast inpatient CPT 72192 HB CT PELVIS W/O CONTRAST	$314.02	$2,243.00	$964.94–$1,962.63	—	86%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIC NON OB LTD	$102.90	$735.00	$24.19–$643.13	71% below	86%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US PELVIC NON OB LTD	$102.90	$735.00	$316.20–$643.13	—	86%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US PELVIC NON OB COMP	$146.16	$1,044.00	$62.84–$913.50	69% below	86%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB US PELVIC NON OB COMP	$146.16	$1,044.00	$449.13–$913.50	—	86%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PELVIC OB >14WK 1ST	$139.30	$995.00	$67.54–$870.63	75% below	86%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PELVIC OB >14WK 1ST	$139.30	$995.00	$428.05–$870.63	—	86%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US PELVIC OB	$104.72	$748.00	$53.92–$654.50	80% below	86%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB US PELVIC OB	$104.72	$748.00	$321.79–$654.50	—	86%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US FETAL LIMITED-PERI	$100.52	$718.00	$40.54–$628.25	74% below	86%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US OB/GYN LIMITED	$100.52	$718.00	$40.54–$628.25	74% below	86%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US FETAL LIMITED-PERI	$100.52	$718.00	$308.88–$628.25	—	86%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US OB/GYN LIMITED	$100.52	$718.00	$308.88–$628.25	—	86%
Rib X-ray, one side, 2 views one side CPT 71100 HB RIBS UNILAT RT 2 VWS	$81.20	$580.00	$15.28–$507.50	60% below	86%
Rib X-ray, one side, 2 views one side CPT 71100 HB RIBS UNILAT LT 2 VWS	$81.20	$580.00	$15.28–$507.50	60% below	86%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HB RIBS UNILAT LT 2 VWS	$81.20	$580.00	$249.52–$507.50	—	86%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HB RIBS UNILAT RT 2 VWS	$81.20	$580.00	$249.52–$507.50	—	86%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HB RIBS UNILAT LT W PA CHEST MIN3	$94.36	$674.00	$18.74–$589.75	61% below	86%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HB RIBS UNILAT RT W PA CHEST MIN3	$94.36	$674.00	$18.74–$589.75	61% below	86%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HB RIBS UNILAT RT W PA CHEST MIN3	$94.36	$674.00	$289.95–$589.75	—	86%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HB RIBS UNILAT LT W PA CHEST MIN3	$94.36	$674.00	$289.95–$589.75	—	86%
Screening mammogram, both breasts CPT 77067 HB MAMMO SCREEN BIL	$51.24	$366.00	$69.28–$320.25	79% below	86%
Screening mammogram, both breasts one side CPT 77067 HB MAMMO SCREEN LT	$51.24	$366.00	$69.28–$320.25	79% below	86%
Screening mammogram, both breasts one side CPT 77067 HB MAMMO SCREEN RT	$51.24	$366.00	$69.28–$320.25	79% below	86%
Screening mammogram, both breasts inpatient CPT 77067 HB MAMMO SCREEN BIL	$51.24	$366.00	$157.45–$320.25	—	86%
Screening mammogram, both breasts inpatient one side CPT 77067 HB MAMMO SCREEN RT	$51.24	$366.00	$157.45–$320.25	—	86%
Screening mammogram, both breasts inpatient one side CPT 77067 HB MAMMO SCREEN LT	$51.24	$366.00	$157.45–$320.25	—	86%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HB SHOULDER COMP MIN 2 VW LT	$53.76	$384.00	$14.78–$336.00	74% below	86%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HB SHOULDER COMP MIN 2 VW RT	$73.08	$522.00	$14.78–$456.75	65% below	86%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HB SHOULDER COMP MIN 2 VW LT	$53.76	$384.00	$165.20–$336.00	—	86%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HB SHOULDER COMP MIN 2 VW RT	$73.08	$522.00	$224.56–$456.75	—	86%
Sinus X-ray, complete, 3 or more views CPT 70220 HB SINUS PARANASAL MIN 3 VWS	$99.96	$714.00	$18.50–$624.75	65% below	86%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HB SINUS PARANASAL MIN 3 VWS	$99.96	$714.00	$307.16–$624.75	—	86%
Skull X-ray, fewer than 4 views CPT 70250 HB SKULL UNDER 4 VIEWS	$43.82	$313.00	$17.51–$273.88	81% below	86%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HB SKULL UNDER 4 VIEWS	$43.82	$313.00	$134.65–$273.88	—	86%
Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGR 4/OVER PMTR ABORT	$841.26	$6,009.00	$912.79–$5,257.88	68% below	86%
Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGR 4/OVR PMTR	$1,335.32	$9,538.00	$912.79–$8,345.75	49% below	86%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGR 4/OVER PMTR ABORT	$841.26	$6,009.00	$2,585.07–$5,257.88	—	86%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGR 4/OVR PMTR	$1,335.32	$9,538.00	$4,103.25–$8,345.75	—	86%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB STRESS ECHO COMP W CONT EKG	$583.66	$4,169.00	$574.39–$3,647.88	67% below	86%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB STRESS ECHO COMP W CONT EKG	$583.66	$4,169.00	$1,793.50–$3,647.88	—	86%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB MODIFIED BARIUM SWALLOW	$91.84	$656.00	$45.99–$574.00	75% below	86%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB MODIFIED BARIUM SWALLOW	$91.84	$656.00	$282.21–$574.00	—	86%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HB X-RAY EXAM LEFT FEMUR	$65.94	$471.00	$15.77–$412.13	67% below	86%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HB X-RAY EXAM RIGHT FEMUR	$65.94	$471.00	$15.77–$412.13	67% below	86%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HB X-RAY EXAM LEFT FEMUR	$65.94	$471.00	$202.62–$412.13	—	86%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HB X-RAY EXAM RIGHT FEMUR	$65.94	$471.00	$202.62–$412.13	—	86%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HB CT T SPINE W/O CONTRAST	$382.48	$2,732.00	$98.51–$2,390.50	55% below	86%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HB CT T SPINE W/O CONTRAST	$382.48	$2,732.00	$1,175.31–$2,390.50	—	86%
Toe X-ray, 2 or more views one side CPT 73660 HB TOES MIN 2 VWS RT	$32.48	$232.00	$16.76–$203.00	79% below	86%
Toe X-ray, 2 or more views one side CPT 73660 HB TOES MIN 2 VWS LT	$32.62	$233.00	$16.76–$203.88	79% below	86%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HB TOES MIN 2 VWS RT	$32.48	$232.00	$99.81–$203.00	—	86%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HB TOES MIN 2 VWS LT	$32.62	$233.00	$100.24–$203.88	—	86%
Transvaginal pelvic ultrasound CPT 76830 HB US TRANSVAGINAL	$146.16	$1,044.00	$64.08–$913.50	64% below	86%
Transvaginal pelvic ultrasound inpatient CPT 76830 HB US TRANSVAGINAL	$146.16	$1,044.00	$449.13–$913.50	—	86%
Transvaginal ultrasound during pregnancy CPT 76817 HB US TRANSVAG PREG COMPL	$123.76	$884.00	$44.51–$773.50	67% below	86%
Transvaginal ultrasound during pregnancy CPT 76817 HB US TRANSVAG PREG LTD	$123.76	$884.00	$44.51–$773.50	67% below	86%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB US TRANSVAG PREG LTD	$123.76	$884.00	$380.30–$773.50	—	86%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB US TRANSVAG PREG COMPL	$123.76	$884.00	$380.30–$773.50	—	86%
Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMP	$294.56	$2,104.00	$70.27–$1,841.00	44% below	86%
Ultrasound of the abdomen, complete inpatient CPT 76700 HB US ABDOMEN COMP	$294.56	$2,104.00	$905.14–$1,841.00	—	86%
Ultrasound of the scrotum and testicles CPT 76870 HB US SCROTUM/TESTICULAR	$122.78	$877.00	$29.15–$767.38	71% below	86%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HB US SCROTUM/TESTICULAR	$122.78	$877.00	$377.29–$767.38	—	86%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US SOFT TISSUE HEAD AND NECK	$122.78	$877.00	$65.56–$767.38	71% below	86%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB US SOFT TISSUE HEAD AND NECK	$122.78	$877.00	$377.29–$767.38	—	86%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB UPPER GI W/O KUB	$190.40	$1,360.00	$56.64–$1,190.00	64% below	86%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB UPPER GI W/O KUB	$190.40	$1,360.00	$585.07–$1,190.00	—	86%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HB HUMERUS MIN 2 VWS RT	$65.94	$471.00	$14.28–$412.13	66% below	86%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HB HUMERUS MIN 2 VWS LT	$65.94	$471.00	$14.28–$412.13	66% below	86%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HB HUMERUS MIN 2 VWS RT	$65.94	$471.00	$202.62–$412.13	—	86%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HB HUMERUS MIN 2 VWS LT	$65.94	$471.00	$202.62–$412.13	—	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT LOW LT	$211.12	$1,508.00	$111.40–$1,319.50	67% below	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT UP LT	$211.12	$1,508.00	$111.40–$1,319.50	67% below	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT UP RT	$211.12	$1,508.00	$111.40–$1,319.50	67% below	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT LOW RT	$211.12	$1,508.00	$111.40–$1,319.50	67% below	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DOPPLER U/S EXT UNILATERAL	$211.12	$1,508.00	$111.40–$1,319.50	67% below	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT UP RT	$211.12	$1,508.00	$648.74–$1,319.50	—	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT LOW LT	$211.12	$1,508.00	$648.74–$1,319.50	—	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT UP LT	$211.12	$1,508.00	$648.74–$1,319.50	—	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT LOW RT	$211.12	$1,508.00	$648.74–$1,319.50	—	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB DOPPLER U/S EXT UNILATERAL	$211.12	$1,508.00	$648.74–$1,319.50	—	86%
Wrist X-ray, 2 views one side CPT 73100 HB WRIST AP & LAT RT	$55.72	$398.00	$15.77–$348.25	64% below	86%
Wrist X-ray, 2 views one side CPT 73100 HB WRIST AP & LAT LT	$55.72	$398.00	$15.77–$348.25	64% below	86%
Wrist X-ray, 2 views inpatient one side CPT 73100 HB WRIST AP & LAT RT	$55.72	$398.00	$171.22–$348.25	—	86%
Wrist X-ray, 2 views inpatient one side CPT 73100 HB WRIST AP & LAT LT	$55.72	$398.00	$171.22–$348.25	—	86%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HB WRIST COMP MIN 3 VW RT	$65.94	$471.00	$20.48–$412.13	74% below	86%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HB WRIST COMP MIN 3 VW LT	$65.94	$471.00	$20.48–$412.13	74% below	86%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HB WRIST COMP MIN 3 VW LT	$65.94	$471.00	$202.62–$412.13	—	86%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HB WRIST COMP MIN 3 VW RT	$65.94	$471.00	$202.62–$412.13	—	86%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HB X-RAY EXAM HIP UNI 2-3 VIEWS	$94.22	$673.00	$20.73–$588.88	64% below	86%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HB X-RAY EXAM HIP UNI 2-3 VIEWS	$94.22	$673.00	$289.52–$588.88	—	86%
X-ray of the abdomen, 1 view CPT 74018 HB ABDOMEN XR SINGLE VIEW	$60.34	$431.00	$62.12–$377.13	72% below	86%
X-ray of the abdomen, 1 view inpatient CPT 74018 HB ABDOMEN XR SINGLE VIEW	$60.34	$431.00	$185.42–$377.13	—	86%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE AP & LAT RT	$71.68	$512.00	$14.28–$448.00	55% below	86%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE AP & LAT LT	$71.68	$512.00	$14.28–$448.00	55% below	86%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE 1 VW RT	$71.68	$512.00	$14.28–$448.00	55% below	86%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE 1 VW RT	$71.68	$512.00	$220.26–$448.00	—	86%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE AP & LAT LT	$71.68	$512.00	$220.26–$448.00	—	86%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE AP & LAT RT	$71.68	$512.00	$220.26–$448.00	—	86%
X-ray of the finger(s), 2 or more views CPT 73140 HB FINGER 1 VIEW	$28.28	$202.00	$18.50–$176.75	82% below	86%
X-ray of the finger(s), 2 or more views one side CPT 73140 HB FINGERS MIN 2 VWS RT	$28.14	$201.00	$18.50–$175.88	82% below	86%
X-ray of the finger(s), 2 or more views one side CPT 73140 HB FINGERS MIN 2 VWS LT	$28.28	$202.00	$18.50–$176.75	82% below	86%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HB FINGER 1 VIEW	$28.28	$202.00	$86.90–$176.75	—	86%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HB FINGERS MIN 2 VWS RT	$28.14	$201.00	$86.47–$175.88	—	86%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HB FINGERS MIN 2 VWS LT	$28.28	$202.00	$86.90–$176.75	—	86%
X-ray of the foot, 2 views one side CPT 73620 HB FOOT AP & LAT RT	$56.98	$407.00	$13.79–$356.13	65% below	86%
X-ray of the foot, 2 views one side CPT 73620 HB FOOT AP & LAT LT	$56.98	$407.00	$13.79–$356.13	65% below	86%
X-ray of the foot, 2 views inpatient one side CPT 73620 HB FOOT AP & LAT LT	$56.98	$407.00	$175.09–$356.13	—	86%
X-ray of the foot, 2 views inpatient one side CPT 73620 HB FOOT AP & LAT RT	$56.98	$407.00	$175.09–$356.13	—	86%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HB FOOT COMP MIN 3 VWS RT	$65.94	$471.00	$16.27–$412.13	67% below	86%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HB FOOT COMP MIN 3 VWS LT	$65.94	$471.00	$16.27–$412.13	67% below	86%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HB FOOT COMP MIN 3 VWS LT	$65.94	$471.00	$202.62–$412.13	—	86%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HB FOOT COMP MIN 3 VWS RT	$65.94	$471.00	$202.62–$412.13	—	86%
X-ray of the hand, 3 or more views one side CPT 73130 HB HAND MIN 3 VWS LT	$65.94	$471.00	$17.01–$412.13	67% below	86%
X-ray of the hand, 3 or more views one side CPT 73130 HB HAND MIN 3 VWS RT	$65.94	$471.00	$17.01–$412.13	67% below	86%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HB HAND MIN 3 VWS RT	$65.94	$471.00	$202.62–$412.13	—	86%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HB HAND MIN 3 VWS LT	$65.94	$471.00	$202.62–$412.13	—	86%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 1-2 VIEWS RT	$77.56	$554.00	$15.03–$484.75	63% below	86%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 2 VWS RT	$77.70	$555.00	$15.03–$485.63	63% below	86%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 2 VWS LT	$77.70	$555.00	$15.03–$485.63	63% below	86%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 1-2 VIEWS RT	$77.56	$554.00	$238.33–$484.75	—	86%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 2 VWS RT	$77.70	$555.00	$238.76–$485.63	—	86%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 2 VWS LT	$77.70	$555.00	$238.76–$485.63	—	86%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB L SPINE AP & LATERAL	$82.46	$589.00	$17.01–$515.38	67% below	86%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB L SPINE AP & LATERAL	$82.46	$589.00	$253.39–$515.38	—	86%
X-ray of the lower back, 4 or more views CPT 72110 HB L SPINE COMP W OBLIQUES	$128.38	$917.00	$23.45–$802.38	63% below	86%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HB L SPINE COMP W OBLIQUES	$128.38	$917.00	$394.49–$802.38	—	86%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB T SPINE AP & LATERAL	$95.20	$680.00	$15.77–$595.00	59% below	86%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB T SPINE AP & LATERAL	$95.20	$680.00	$292.54–$595.00	—	86%
X-ray of the nasal bones, 3 or more views CPT 70160 HB NASAL BONES MIN 3 VWS	$99.96	$714.00	$17.75–$624.75	51% below	86%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB NASAL BONES MIN 3 VWS	$99.96	$714.00	$307.16–$624.75	—	86%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB C SPINE AP & LAT 2/3 VIEWS	$65.94	$471.00	$17.01–$412.13	74% below	86%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HB C SPINE AP & LAT 2/3 VIEWS	$65.94	$471.00	$202.62–$412.13	—	86%
X-ray of the pelvis, 1 or 2 views CPT 72170 HB PELVIS 1 OR 2 VIEWS	$74.62	$533.00	$13.79–$466.38	62% below	86%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB PELVIS 1 OR 2 VIEWS	$74.62	$533.00	$229.30–$466.38	—	86%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB SACRUM & COCCYX MIN 2 VWS	$67.48	$482.00	$14.28–$421.75	69% below	86%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB SACRUM & COCCYX MIN 2 VWS	$67.48	$482.00	$207.36–$421.75	—	86%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
ACTH blood test CPT 82024 HB ACTH	$58.24	$416.00	$28.03–$364.00	77% below	86%
ACTH blood test inpatient CPT 82024 HB ACTH	$58.24	$416.00	$178.96–$364.00	—	86%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB SGPT/ALT	$15.96	$114.00	$4.50–$99.75	42% below	86%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB SGPT/ALT	$15.96	$114.00	$49.04–$99.75	—	86%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB SGOT/AST	$17.92	$128.00	$4.40–$112.00	38% below	86%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB SGOT/AST	$17.92	$128.00	$55.07–$112.00	—	86%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB ACUTE HEPATITIS PANEL	$103.88	$742.00	$40.48–$649.25	67% below	86%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB ACUTE HEPATITIS PANEL	$103.88	$742.00	$319.21–$649.25	—	86%
Albumin blood test CPT 82040 HB ALBUMIN SERUM	$12.88	$92.00	$4.20–$80.50	44% below	86%
Albumin blood test inpatient CPT 82040 HB ALBUMIN SERUM	$12.88	$92.00	$39.58–$80.50	—	86%
Aldosterone blood test CPT 82088 HB ALDOSTERONE	$64.12	$458.00	$34.63–$400.75	69% below	86%
Aldosterone blood test inpatient CPT 82088 HB ALDOSTERONE	$64.12	$458.00	$197.03–$400.75	—	86%
Alkaline phosphatase (ALP) blood test CPT 84075 HB ALK PHOS (SO)	$14.56	$104.00	$4.40–$91.00	54% below	86%
Alkaline phosphatase (ALP) blood test CPT 84075 HB ALKALINE PHOSPHATASE (INH)	$14.56	$104.00	$4.40–$91.00	54% below	86%
Alkaline phosphatase (ALP) blood test CPT 84075 HB ALKALINE PHOSPHATASE	$14.56	$104.00	$4.40–$91.00	54% below	86%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB ALKALINE PHOSPHATASE	$14.56	$104.00	$44.74–$91.00	—	86%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB ALKALINE PHOSPHATASE (INH)	$14.56	$104.00	$44.74–$91.00	—	86%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB ALK PHOS (SO)	$14.56	$104.00	$44.74–$91.00	—	86%
Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN IGE (INHSE)	$16.10	$115.00	$4.43–$100.63	16% below	86%
Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN IGE (S/O)	$16.10	$115.00	$4.43–$100.63	16% below	86%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN IGE (S/O)	$16.10	$115.00	$49.47–$100.63	—	86%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN IGE (INHSE)	$16.10	$115.00	$49.47–$100.63	—	86%
Alpha-fetoprotein (AFP) blood test CPT 82105 HB ALPHA FETOPROTEIN	$33.18	$237.00	$14.26–$207.38	67% below	86%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HB ALPHA FETOPROTEIN	$33.18	$237.00	$101.96–$207.38	—	86%
Ammonia blood test CPT 82140 HB AMMONIA	$34.30	$245.00	$12.38–$214.38	71% below	86%
Ammonia blood test inpatient CPT 82140 HB AMMONIA	$34.30	$245.00	$105.40–$214.38	—	86%
Amylase blood test CPT 82150 HB AMYLASE	$24.64	$176.00	$5.51–$154.00	52% below	86%
Amylase blood test inpatient CPT 82150 HB AMYLASE	$24.64	$176.00	$75.72–$154.00	—	86%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CYCLIC CITRULLINATED AB	$30.24	$216.00	$11.00–$189.00	43% below	86%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB CYCLIC CITRULLINATED AB	$30.24	$216.00	$92.92–$189.00	—	86%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB MSO-ANA	$47.32	$338.00	$10.27–$295.75	21% below	86%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANA SCREEN	$47.32	$338.00	$10.27–$295.75	21% below	86%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB MSO-ANA	$47.32	$338.00	$145.41–$295.75	—	86%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANA SCREEN	$47.32	$338.00	$145.41–$295.75	—	86%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB BNP	$57.82	$413.00	$28.85–$361.38	66% below	86%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB BNP	$57.82	$413.00	$177.67–$361.38	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE TISSUE	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE BRONCHIAL	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE THROAT	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE BONE MARROW	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE/SCREEN, GC	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE SPUTUM - W/GS	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE AEROBIC - EYE W/GS	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CF RESPIRATORY CULT/GRAM STAIN	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE AEROBIC - ALLOGENEIC BONE BANK	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE BODY FLUID	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE WOUND	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE ROUTINE	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE AEROBIC - EAR W/GS	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE CSF	$38.50	$275.00	$7.32–$240.63	59% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE/SCREEN, GC	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE AEROBIC - EAR W/GS	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE CSF	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CF RESPIRATORY CULT/GRAM STAIN	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE AEROBIC - ALLOGENEIC BONE BANK	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE AEROBIC - EYE W/GS	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE BRONCHIAL	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE THROAT	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE BONE MARROW	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE BODY FLUID	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE TISSUE	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE SPUTUM - W/GS	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE ROUTINE	$38.50	$275.00	$118.31–$240.63	—	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE WOUND	$38.50	$275.00	$118.31–$240.63	—	86%
Basic metabolic panel (blood test) CPT 80048 HB BMP W TOTAL CALCIUM	$42.42	$303.00	$5.69–$265.13	46% below	86%
Basic metabolic panel (blood test) inpatient CPT 80048 HB BMP W TOTAL CALCIUM	$42.42	$303.00	$130.35–$265.13	—	86%
Bilirubin blood test, total CPT 82247 HB BILIRUBIN TOTAL	$14.42	$103.00	$4.26–$90.13	58% below	86%
Bilirubin blood test, total CPT 82247 HB FIBROSURE-BILIRUBIN (S/O)	$35.14	$251.00	$4.26–$219.63	1% above	86%
Bilirubin blood test, total inpatient CPT 82247 HB BILIRUBIN TOTAL	$14.42	$103.00	$44.31–$90.13	—	86%
Bilirubin blood test, total inpatient CPT 82247 HB FIBROSURE-BILIRUBIN (S/O)	$35.14	$251.00	$107.98–$219.63	—	86%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB MSO-LEVEL IV GROSS/MICRO	$70.28	$502.00	$51.63–$439.25	73% below	86%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB PATH LVL IV/88305	$70.28	$502.00	$51.63–$439.25	73% below	86%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB PATH LVL IV/88305	$70.28	$502.00	$215.96–$439.25	—	86%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB MSO-LEVEL IV GROSS/MICRO	$70.28	$502.00	$215.96–$439.25	—	86%
Blood culture for bacteria CPT 87040 HB CULTURE BLOOD	$51.24	$366.00	$8.77–$320.25	61% below	86%
Blood culture for bacteria inpatient CPT 87040 HB CULTURE BLOOD	$51.24	$366.00	$157.45–$320.25	—	86%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB PEDIATRIC VENIPUNCTURE	$7.14	$51.00	$5.00–$44.63	57% below	86%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB NCH OP LAB VENIPUNCTURE	$7.14	$51.00	$5.00–$44.63	57% below	86%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB VENIPUNCTURE	$7.14	$51.00	$5.00–$44.63	57% below	86%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB SPECIMEN COLLECTION VENIPUNCT	$7.14	$51.00	$5.00–$44.63	57% below	86%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB VENIPUNCTURE	$7.14	$51.00	$21.94–$44.63	—	86%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB SPECIMEN COLLECTION VENIPUNCT	$7.14	$51.00	$21.94–$44.63	—	86%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB NCH OP LAB VENIPUNCTURE	$7.14	$51.00	$21.94–$44.63	—	86%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB PEDIATRIC VENIPUNCTURE	$7.14	$51.00	$21.94–$44.63	—	86%
Blood glucose (sugar) test CPT 82947 HB FIBROSURE-GLUCOSE (S/O)	$12.60	$90.00	$3.34–$78.75	53% below	86%
Blood glucose (sugar) test CPT 82947 HB GLUCOSE BLD QUANT	$12.74	$91.00	$3.34–$79.63	52% below	86%
Blood glucose (sugar) test inpatient CPT 82947 HB FIBROSURE-GLUCOSE (S/O)	$12.60	$90.00	$38.72–$78.75	—	86%
Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE BLD QUANT	$12.74	$91.00	$39.15–$79.63	—	86%
Blood lead test CPT 83655 HB LEAD	$20.02	$143.00	$10.29–$125.13	72% below	86%
Blood lead test inpatient CPT 83655 HB LEAD	$20.02	$143.00	$61.52–$125.13	—	86%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB HCG SERUM QUAL	$27.58	$197.00	$6.38–$172.38	62% below	86%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB HCG SERUM QUAL	$27.58	$197.00	$84.75–$172.38	—	86%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB REF I, I AG - BLOOD TYPING ABO	$16.94	$121.00	$2.54–$195.80	65% below	86%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB REF ABO TYPE	$16.94	$121.00	$2.54–$195.80	65% below	86%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB BLOOD TYPING ABO AUTOMATED	$16.94	$121.00	$2.54–$195.80	65% below	86%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB BLOOD TYPING ABO - CHEMO S/O	$16.94	$121.00	$2.54–$195.80	65% below	86%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB BLOOD TYPING ABO	$16.94	$121.00	$2.54–$195.80	65% below	86%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB PUBS BLOOD TYPING ABO	$16.94	$121.00	$2.54–$195.80	65% below	86%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB BLOOD TYPING ABO AUTOMATED	$16.94	$121.00	$52.05–$105.88	—	86%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB REF ABO TYPE	$16.94	$121.00	$52.05–$105.88	—	86%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB BLOOD TYPING ABO - CHEMO S/O	$16.94	$121.00	$52.05–$105.88	—	86%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB REF I, I AG - BLOOD TYPING ABO	$16.94	$121.00	$52.05–$105.88	—	86%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB BLOOD TYPING ABO	$16.94	$121.00	$52.05–$105.88	—	86%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB PUBS BLOOD TYPING ABO	$16.94	$121.00	$52.05–$105.88	—	86%
Blood urea nitrogen (BUN) test CPT 84520 HB BUN	$13.86	$99.00	$3.35–$86.63	41% below	86%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HB BUN	$13.86	$99.00	$42.59–$86.63	—	86%
C-peptide blood test CPT 84681 HB C-PEPTIDE	$33.04	$236.00	$16.31–$206.50	76% below	86%
C-peptide blood test inpatient CPT 84681 HB C-PEPTIDE	$33.04	$236.00	$101.53–$206.50	—	86%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN	$26.32	$188.00	$3.25–$164.50	62% below	86%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN	$26.32	$188.00	$80.88–$164.50	—	86%
C. difficile toxin gene test (stool PCR) CPT 87493 HB CLO DIFFICILE AMP PROBE	$59.36	$424.00	$29.83–$371.00	55% below	86%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB CLO DIFFICILE AMP PROBE	$59.36	$424.00	$182.40–$371.00	—	86%
CA 19-9 blood test (tumor marker) CPT 86301 HB CA 19 9	$46.34	$331.00	$17.69–$289.63	68% below	86%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CA 19 9	$46.34	$331.00	$142.40–$289.63	—	86%
CA-125 blood test (ovarian cancer marker) CPT 86304 HB CA 125	$52.22	$373.00	$17.69–$326.38	68% below	86%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CA 125	$52.22	$373.00	$160.46–$326.38	—	86%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB COVID-19 NON CDC	$26.18	$187.00	$20.52–$163.63	75% below	86%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB COVID-19 NON CDC	$26.18	$187.00	$80.45–$163.63	—	86%
Calcium blood test, total CPT 82310 HB CALCIUM TOTAL	$14.14	$101.00	$4.38–$88.38	47% below	86%
Calcium blood test, total inpatient CPT 82310 HB CALCIUM TOTAL	$14.14	$101.00	$43.45–$88.38	—	86%
Carcinoembryonic antigen (CEA) test CPT 82378 HB CEA	$40.04	$286.00	$16.12–$250.25	67% below	86%
Carcinoembryonic antigen (CEA) test CPT 82378 HB CEA (SO)	$40.04	$286.00	$16.12–$250.25	67% below	86%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HB CEA	$40.04	$286.00	$123.04–$250.25	—	86%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HB CEA (SO)	$40.04	$286.00	$123.04–$250.25	—	86%
Chickenpox (varicella) immunity blood test CPT 86787 HB VARICELLA ZOSTER AB EA (INH	$33.32	$238.00	$10.95–$208.25	66% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 HB MEM-VZ AB	$33.32	$238.00	$10.95–$208.25	66% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 HB VARICELLA ZOSTER AB EA(SO)	$33.32	$238.00	$10.95–$208.25	66% below	86%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB VARICELLA ZOSTER AB EA (INH	$33.32	$238.00	$102.39–$208.25	—	86%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB VARICELLA ZOSTER AB EA(SO)	$33.32	$238.00	$102.39–$208.25	—	86%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB MEM-VZ AB	$33.32	$238.00	$102.39–$208.25	—	86%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA AMP PROBE S/O	$47.46	$339.00	$29.83–$296.63	51% below	86%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYD TRACH AMP PROBE	$47.46	$339.00	$29.83–$296.63	51% below	86%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA AMP PROBE S/O	$47.46	$339.00	$145.84–$296.63	—	86%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYD TRACH AMP PROBE	$47.46	$339.00	$145.84–$296.63	—	86%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL-INHSE	$55.30	$395.00	$9.68–$345.63	47% below	86%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL-INHSE	$55.30	$395.00	$169.93–$345.63	—	86%
Complete blood count (CBC) with differential CPT 85025 HB CBC/PLT/AUTO DIFF	$33.46	$239.00	$6.61–$209.13	19% below	86%
Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC/PLT/AUTO DIFF	$33.46	$239.00	$102.82–$209.13	—	86%
Complete blood count (CBC), no differential CPT 85027 HB CBC/PLT/NO DIFF	$23.38	$167.00	$5.50–$146.13	21% below	86%
Complete blood count (CBC), no differential CPT 85027 HB H&H PLATELET CT	$23.38	$167.00	$5.50–$146.13	21% below	86%
Complete blood count (CBC), no differential inpatient CPT 85027 HB H&H PLATELET CT	$23.38	$167.00	$71.84–$146.13	—	86%
Complete blood count (CBC), no differential inpatient CPT 85027 HB CBC/PLT/NO DIFF	$23.38	$167.00	$71.84–$146.13	—	86%
Comprehensive metabolic panel (blood test) CPT 80053 HB COMP METABOLIC PANEL	$58.52	$418.00	$7.15–$365.75	34% below	86%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMP METABOLIC PANEL	$58.52	$418.00	$179.82–$365.75	—	86%
Cortisol blood test, total CPT 82533 HB CORTISOL TOTAL (SO)	$35.84	$256.00	$13.86–$224.00	62% below	86%
Cortisol blood test, total CPT 82533 HB CORTISOL TOTAL	$35.84	$256.00	$13.86–$224.00	62% below	86%
Cortisol blood test, total inpatient CPT 82533 HB CORTISOL TOTAL	$35.84	$256.00	$110.13–$224.00	—	86%
Cortisol blood test, total inpatient CPT 82533 HB CORTISOL TOTAL (SO)	$35.84	$256.00	$110.13–$224.00	—	86%
Creatine kinase (CK) blood test, total CPT 82550 HB CK/CPK TOTAL	$20.30	$145.00	$5.30–$126.88	48% below	86%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HB CK/CPK TOTAL	$20.30	$145.00	$62.38–$126.88	—	86%
Creatinine blood test CPT 82565 HB CREATININE BLOOD	$15.40	$110.00	$4.36–$96.25	47% below	86%
Creatinine blood test inpatient CPT 82565 HB CREATININE BLOOD	$15.40	$110.00	$47.32–$96.25	—	86%
Cytomegalovirus (CMV) antibody test CPT 86644 HB CMV AB EA (SO)	$35.28	$252.00	$12.23–$220.50	56% below	86%
Cytomegalovirus (CMV) antibody test CPT 86644 HB CMV AB EA (INHSE)	$35.28	$252.00	$12.23–$220.50	56% below	86%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB CMV AB EA (INHSE)	$35.28	$252.00	$108.41–$220.50	—	86%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB CMV AB EA (SO)	$35.28	$252.00	$108.41–$220.50	—	86%
D-dimer blood test (blood clot marker) CPT 85379 HB D DIMER QUANT	$44.94	$321.00	$8.65–$280.88	63% below	86%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HB D DIMER QUANT	$44.94	$321.00	$138.09–$280.88	—	86%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB DHEA SULFATE	$38.22	$273.00	$18.89–$238.88	74% below	86%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB DHEA SULFATE	$38.22	$273.00	$117.44–$238.88	—	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB ETHYL GLUCURONIDE SCR W REFLEX	$32.06	$229.00	$34.27–$200.38	72% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB DRUG SCREEN-ANALYZER (SO)	$32.06	$229.00	$34.27–$200.38	72% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB UDS BY MS	$32.20	$230.00	$34.27–$201.25	72% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB DRUG SCREEN-ANALYZER (IH)	$288.54	$2,061.00	$34.27–$1,803.38	153% above	86%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB DRUG SCREEN-ANALYZER (SO)	$32.06	$229.00	$98.52–$200.38	—	86%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB ETHYL GLUCURONIDE SCR W REFLEX	$32.06	$229.00	$98.52–$200.38	—	86%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB UDS BY MS	$32.20	$230.00	$98.95–$201.25	—	86%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB DRUG SCREEN-ANALYZER (IH)	$288.54	$2,061.00	$886.64–$1,803.38	—	86%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB ELECTROLYTE PANEL	$30.80	$220.00	$4.75–$192.50	52% below	86%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HB ELECTROLYTE PANEL	$30.80	$220.00	$94.64–$192.50	—	86%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB EBV VCA EA	$35.42	$253.00	$15.41–$221.38	57% below	86%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB EBV VCA EA (SO)	$35.42	$253.00	$15.41–$221.38	57% below	86%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB EBV VCA EA (SO)	$35.42	$253.00	$108.84–$221.38	—	86%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB EBV VCA EA	$35.42	$253.00	$108.84–$221.38	—	86%
Estradiol blood test CPT 82670 HB ESTRADIOL	$45.36	$324.00	$23.75–$283.50	65% below	86%
Estradiol blood test inpatient CPT 82670 HB ESTRADIOL	$45.36	$324.00	$139.38–$283.50	—	86%
FSH (follicle-stimulating hormone) test CPT 83001 HB FSH (INH)	$37.52	$268.00	$15.79–$234.50	71% below	86%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB FSH (INH)	$37.52	$268.00	$115.29–$234.50	—	86%
Fecal calprotectin (stool inflammation test) CPT 83993 HB CALPROTECTIN	$61.74	$441.00	$16.68–$385.88	66% below	86%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB CALPROTECTIN	$61.74	$441.00	$189.72–$385.88	—	86%
Ferritin blood test (iron stores) CPT 82728 HB FERRITIN	$47.32	$338.00	$11.58–$295.75	41% below	86%
Ferritin blood test (iron stores) inpatient CPT 82728 HB FERRITIN	$47.32	$338.00	$145.41–$295.75	—	86%
Fibrinogen blood test CPT 85384 HB FIBRINOGEN	$34.86	$249.00	$7.22–$217.88	42% below	86%
Fibrinogen blood test inpatient CPT 85384 HB FIBRINOGEN	$34.86	$249.00	$107.12–$217.88	—	86%
Folate (folic acid) blood test CPT 82746 HB FOLIC ACID SERUM	$29.96	$214.00	$12.49–$187.25	61% below	86%
Folate (folic acid) blood test inpatient CPT 82746 HB FOLIC ACID SERUM	$29.96	$214.00	$92.06–$187.25	—	86%
Free T3 thyroid hormone test CPT 84481 HB T3 FREE	$37.66	$269.00	$14.40–$235.38	72% below	86%
Free T3 thyroid hormone test inpatient CPT 84481 HB T3 FREE	$37.66	$269.00	$115.72–$235.38	—	86%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB T4 FREE	$31.22	$223.00	$7.66–$195.13	61% below	86%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB T4 FREE	$31.22	$223.00	$95.93–$195.13	—	86%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB FIBROSURE-GGT (S/O)	$21.84	$156.00	$6.12–$136.50	33% below	86%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB GGT	$21.84	$156.00	$6.12–$136.50	33% below	86%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HB GGT	$21.84	$156.00	$67.11–$136.50	—	86%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HB FIBROSURE-GGT (S/O)	$21.84	$156.00	$67.11–$136.50	—	86%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HB GENERAL HEALTH PANEL	$83.30	$595.00	$10.26–$862.75	73% below	86%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HB GENERAL HEALTH PANEL	$83.30	$595.00	$255.97–$520.63	—	86%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE POST DOSE	$16.38	$117.00	$4.04–$102.38	60% below	86%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB GLUCOSE POST DOSE	$16.38	$117.00	$50.33–$102.38	—	86%
Glucose tolerance test, 3 samples CPT 82951 HB GLUC TOL UP TO 3 SPEC	$42.28	$302.00	$10.94–$264.25	43% below	86%
Glucose tolerance test, 3 samples inpatient CPT 82951 HB GLUC TOL UP TO 3 SPEC	$42.28	$302.00	$129.92–$264.25	—	86%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB GC AMP PROBE	$46.48	$332.00	$29.83–$290.50	52% below	86%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB GONORRHEA AMP PROBE S/O	$46.48	$332.00	$29.83–$290.50	52% below	86%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB GONORRHEA AMP PROBE S/O	$46.48	$332.00	$142.83–$290.50	—	86%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB GC AMP PROBE	$46.48	$332.00	$142.83–$290.50	—	86%
H. pylori antibody blood test CPT 86677 HB H. PYLORI AB EA (S/O)	$42.56	$304.00	$12.34–$266.00	56% below	86%
H. pylori antibody blood test CPT 86677 HB H. PYLORI EA (INHSE)	$42.56	$304.00	$12.34–$266.00	56% below	86%
H. pylori antibody blood test inpatient CPT 86677 HB H. PYLORI EA (INHSE)	$42.56	$304.00	$130.78–$266.00	—	86%
H. pylori antibody blood test inpatient CPT 86677 HB H. PYLORI AB EA (S/O)	$42.56	$304.00	$130.78–$266.00	—	86%
H. pylori stool antigen test CPT 87338 HB H.PYLORI AG-STOOL	$44.38	$317.00	$12.22–$277.38	66% below	86%
H. pylori stool antigen test inpatient CPT 87338 HB H.PYLORI AG-STOOL	$44.38	$317.00	$136.37–$277.38	—	86%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB H-1 REVERSE TRANSCRIPT & QUANT	$105.00	$750.00	$72.31–$656.25	70% below	86%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB H-1 REVERSE TRANSCRIPT & QUANT	$105.00	$750.00	$322.65–$656.25	—	86%
HIV-1 and HIV-2 antibody test CPT 86703 HB H1/2 ABS	$54.88	$392.00	$11.66–$343.00	9% below	86%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB H1/2 ABS	$54.88	$392.00	$168.64–$343.00	—	86%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB H1AG+H1/H2ABS	$39.34	$281.00	$20.47–$245.88	34% below	86%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB H1AG+H1/H2ABS	$39.34	$281.00	$120.89–$245.88	—	86%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HGB A1C	$23.52	$168.00	$8.25–$147.00	64% below	86%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HGB A1C	$23.52	$168.00	$72.27–$147.00	—	86%
Hemoglobin blood test CPT 85018 HB HEMOGLOBIN	$11.20	$80.00	$1.81–$70.00	39% below	86%
Hemoglobin blood test inpatient CPT 85018 HB HEMOGLOBIN	$11.20	$80.00	$34.42–$70.00	—	86%
Hepatitis B core antibody test (total) CPT 86704 HB HEP B CORE AB	$33.18	$237.00	$10.24–$207.38	50% below	86%
Hepatitis B core antibody test (total) inpatient CPT 86704 HB HEP B CORE AB	$33.18	$237.00	$101.96–$207.38	—	86%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEP B SURFACE AB	$33.04	$236.00	$9.13–$206.50	49% below	86%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEP B SURFACE AB	$33.04	$236.00	$101.53–$206.50	—	86%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HBSAG	$37.52	$268.00	$8.78–$234.50	38% below	86%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB PFS DONOR SCREEN PANEL 87340	$37.52	$268.00	$8.78–$234.50	38% below	86%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEP B SURF AG	$37.52	$268.00	$8.78–$234.50	38% below	86%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HBSAG S/O	$37.52	$268.00	$8.78–$234.50	38% below	86%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HBSAG	$37.52	$268.00	$115.29–$234.50	—	86%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HBSAG S/O	$37.52	$268.00	$115.29–$234.50	—	86%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB PFS DONOR SCREEN PANEL 87340	$37.52	$268.00	$115.29–$234.50	—	86%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEP B SURF AG	$37.52	$268.00	$115.29–$234.50	—	86%
Hepatitis C antibody blood test (screening) CPT 86803 HB HEP C AB	$48.58	$347.00	$12.13–$303.63	51% below	86%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEP C AB	$48.58	$347.00	$149.28–$303.63	—	86%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEPATITIS C QUANT	$245.70	$1,755.00	$36.40–$1,535.63	10% above	86%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HEPATITIS C QUANT	$245.70	$1,755.00	$755.00–$1,535.63	—	86%
Herpes blood test, HSV-1 antibody CPT 86695 HB HSV AB TYPE 1 EA	$29.54	$211.00	$11.21–$184.63	42% below	86%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB HSV AB TYPE 1 EA	$29.54	$211.00	$90.77–$184.63	—	86%
Herpes blood test, HSV-2 antibody CPT 86696 HB MEM-HSV2 AB	$31.36	$224.00	$16.45–$196.00	57% below	86%
Herpes blood test, HSV-2 antibody CPT 86696 HB HSV AB TYPE 2 EA	$31.36	$224.00	$16.45–$196.00	57% below	86%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB MEM-HSV2 AB	$31.36	$224.00	$96.36–$196.00	—	86%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB HSV AB TYPE 2 EA	$31.36	$224.00	$96.36–$196.00	—	86%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB HSCRP	$35.00	$250.00	$11.00–$218.75	53% below	86%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB HSCRP	$35.00	$250.00	$107.55–$218.75	—	86%
Homocysteine blood test CPT 83090 HB HOMOCYSTEINE	$39.62	$283.00	$14.33–$247.63	69% below	86%
Homocysteine blood test inpatient CPT 83090 HB HOMOCYSTEINE	$39.62	$283.00	$121.75–$247.63	—	86%
Insulin blood test CPT 83525 HB INSULIN TOTAL	$23.24	$166.00	$9.71–$145.25	67% below	86%
Insulin blood test inpatient CPT 83525 HB INSULIN TOTAL	$23.24	$166.00	$71.41–$145.25	—	86%
Iron blood test (serum iron) CPT 83540 HB IRON (INH)	$17.08	$122.00	$5.51–$106.75	64% below	86%
Iron blood test (serum iron) inpatient CPT 83540 HB IRON (INH)	$17.08	$122.00	$52.48–$106.75	—	86%
Iron-binding capacity (TIBC) test CPT 83550 HB TIBC	$20.16	$144.00	$7.43–$126.00	54% below	86%
Iron-binding capacity (TIBC) test CPT 83550 HB UIBC	$20.16	$144.00	$7.43–$126.00	54% below	86%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HB UIBC	$20.16	$144.00	$61.95–$126.00	—	86%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HB TIBC	$20.16	$144.00	$61.95–$126.00	—	86%
Kidney function blood test panel CPT 80069 HB RENAL FUNCTION PANEL	$60.06	$429.00	$5.69–$375.38	41% below	86%
Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTION PANEL	$60.06	$429.00	$184.56–$375.38	—	86%
LH (luteinizing hormone) test CPT 83002 HB LH (INH)	$37.24	$266.00	$15.74–$232.75	74% below	86%
LH (luteinizing hormone) test inpatient CPT 83002 HB LH (INH)	$37.24	$266.00	$114.43–$232.75	—	86%
Lactate (lactic acid) blood test CPT 83605 HB LACTIC ACID	$30.10	$215.00	$9.08–$188.13	67% below	86%
Lactate (lactic acid) blood test inpatient CPT 83605 HB LACTIC ACID	$30.10	$215.00	$92.49–$188.13	—	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB LDH (SO)	$17.22	$123.00	$5.13–$107.63	60% below	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB LDH	$17.22	$123.00	$5.13–$107.63	60% below	86%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB LDH	$17.08	$122.00	$52.48–$106.75	—	86%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB LDH (SO)	$17.22	$123.00	$52.91–$107.63	—	86%
Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE	$25.62	$183.00	$5.86–$160.13	71% below	86%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE	$25.62	$183.00	$78.73–$160.13	—	86%
Liver function blood test panel CPT 80076 HB HEPATIC FUNCTION PANEL	$91.28	$652.00	$5.69–$570.50	3% below	86%
Liver function blood test panel inpatient CPT 80076 HB HEPATIC FUNCTION PANEL	$91.28	$652.00	$280.49–$570.50	—	86%
Lyme disease antibody test CPT 86618 HB LYME TOTAL ANTIBODY MTTT	$50.26	$359.00	$14.47–$314.13	59% below	86%
Lyme disease antibody test CPT 86618 HB LYME DISEASE AB	$50.26	$359.00	$14.47–$314.13	59% below	86%
Lyme disease antibody test inpatient CPT 86618 HB LYME TOTAL ANTIBODY MTTT	$50.26	$359.00	$154.44–$314.13	—	86%
Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE AB	$50.26	$359.00	$154.44–$314.13	—	86%
Magnesium blood test CPT 83735 HB MAGNESIUM	$19.32	$138.00	$5.69–$120.75	59% below	86%
Magnesium blood test inpatient CPT 83735 HB MAGNESIUM	$19.32	$138.00	$59.37–$120.75	—	86%
Measles (rubeola) antibody test CPT 86765 HB RUBEOLA AB EA (INHSE)	$29.40	$210.00	$10.95–$183.75	63% below	86%
Measles (rubeola) antibody test CPT 86765 HB RUBEOLA AB EA (SO)	$29.40	$210.00	$10.95–$183.75	63% below	86%
Measles (rubeola) antibody test CPT 86765 HB MEM-MEASLES AB	$29.40	$210.00	$10.95–$183.75	63% below	86%
Measles (rubeola) antibody test inpatient CPT 86765 HB MEM-MEASLES AB	$29.40	$210.00	$90.34–$183.75	—	86%
Measles (rubeola) antibody test inpatient CPT 86765 HB RUBEOLA AB EA (SO)	$29.40	$210.00	$90.34–$183.75	—	86%
Measles (rubeola) antibody test inpatient CPT 86765 HB RUBEOLA AB EA (INHSE)	$29.40	$210.00	$90.34–$183.75	—	86%
Mono test (heterophile antibody, Monospot) CPT 86308 HB HETEROPHILE AB OR MONO TEST	$27.72	$198.00	$4.40–$173.25	64% below	86%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB HETEROPHILE AB OR MONO TEST	$27.72	$198.00	$85.18–$173.25	—	86%
Mumps immunity blood test CPT 86735 HB MUMPS AB EA (INHSE)	$29.96	$214.00	$11.09–$187.25	61% below	86%
Mumps immunity blood test CPT 86735 HB MEM-MUMPS AB	$29.96	$214.00	$11.09–$187.25	61% below	86%
Mumps immunity blood test CPT 86735 HB MUMPS AB EA (SO)	$29.96	$214.00	$11.09–$187.25	61% below	86%
Mumps immunity blood test inpatient CPT 86735 HB MUMPS AB EA (SO)	$29.96	$214.00	$92.06–$187.25	—	86%
Mumps immunity blood test inpatient CPT 86735 HB MUMPS AB EA (INHSE)	$29.96	$214.00	$92.06–$187.25	—	86%
Mumps immunity blood test inpatient CPT 86735 HB MEM-MUMPS AB	$29.96	$214.00	$92.06–$187.25	—	86%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB PSA FREE	$28.14	$201.00	$15.64–$175.88	60% below	86%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB PSA FREE	$28.14	$201.00	$86.47–$175.88	—	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA (SO)	$34.58	$247.00	$15.64–$216.13	57% below	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA TOTAL	$34.58	$247.00	$15.64–$216.13	57% below	86%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA (SO)	$34.58	$247.00	$106.26–$216.13	—	86%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA TOTAL	$34.58	$247.00	$106.26–$216.13	—	86%
Parathyroid hormone (PTH) blood test CPT 83970 HB PTH RAPID	$60.20	$430.00	$35.08–$376.25	69% below	86%
Parathyroid hormone (PTH) blood test CPT 83970 HB PARATHORMONE	$60.20	$430.00	$35.08–$376.25	69% below	86%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PARATHORMONE	$60.20	$430.00	$184.99–$376.25	—	86%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PTH RAPID	$60.20	$430.00	$184.99–$376.25	—	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB HEPARIN NEUTRALIZATION PTT	$25.20	$180.00	$5.10–$157.50	50% below	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT (PRISMA CIRCUIT)	$25.20	$180.00	$5.10–$157.50	50% below	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB POCT APTT	$25.20	$180.00	$5.10–$157.50	50% below	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT LA	$25.20	$180.00	$5.10–$157.50	50% below	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT ACTIVATED	$25.20	$180.00	$5.10–$157.50	50% below	86%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB HEPARIN NEUTRALIZATION PTT	$25.20	$180.00	$77.44–$157.50	—	86%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT LA	$25.20	$180.00	$77.44–$157.50	—	86%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB POCT APTT	$25.20	$180.00	$77.44–$157.50	—	86%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT (PRISMA CIRCUIT)	$25.20	$180.00	$77.44–$157.50	—	86%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT ACTIVATED	$25.20	$180.00	$77.44–$157.50	—	86%
Phosphorus (phosphate) blood test CPT 84100 HB PHOSPHORUS BLOOD	$14.14	$101.00	$4.03–$88.38	51% below	86%
Phosphorus (phosphate) blood test inpatient CPT 84100 HB PHOSPHORUS BLOOD	$14.14	$101.00	$43.45–$88.38	—	86%
Potassium blood test CPT 84132 HB POTASSIUM BLOOD	$12.88	$92.00	$3.91–$80.50	55% below	86%
Potassium blood test inpatient CPT 84132 HB POTASSIUM BLOOD	$12.88	$92.00	$39.58–$80.50	—	86%
Progesterone blood test CPT 84144 HB PROGESTERONE	$35.28	$252.00	$17.73–$220.50	74% below	86%
Progesterone blood test inpatient CPT 84144 HB PROGESTERONE	$35.28	$252.00	$108.41–$220.50	—	86%
Prolactin blood test CPT 84146 HB PROLACTIN	$41.44	$296.00	$16.47–$259.00	59% below	86%
Prolactin blood test inpatient CPT 84146 HB PROLACTIN	$41.44	$296.00	$127.34–$259.00	—	86%
Prothrombin time (PT/INR) clotting test CPT 85610 HB MSO-PT	$17.22	$123.00	$3.34–$107.63	35% below	86%
Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME	$18.06	$129.00	$3.34–$112.88	32% below	86%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB MSO-PT	$17.22	$123.00	$52.91–$107.63	—	86%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME	$18.06	$129.00	$55.50–$112.88	—	86%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB DRUG SCREEN-VISUAL READ (IH)	$28.70	$205.00	$6.43–$179.38	71% below	86%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HB DRUG SCREEN-VISUAL READ (IH)	$28.70	$205.00	$88.19–$179.38	—	86%
Renin blood test CPT 84244 HB RENIN	$37.66	$269.00	$18.69–$235.38	66% below	86%
Renin blood test inpatient CPT 84244 HB RENIN	$37.66	$269.00	$115.72–$235.38	—	86%
Rh blood typing CPT 86901 HB PUBS BLOOD TYPING RH(D)	$13.86	$99.00	$2.54–$86.63	64% below	86%
Rh blood typing CPT 86901 HB BLOOD TYPING RH(D) AUTOMATED	$13.86	$99.00	$2.54–$86.63	64% below	86%
Rh blood typing CPT 86901 HB BLOOD TYPING RH(D)	$13.86	$99.00	$2.54–$86.63	64% below	86%
Rh blood typing CPT 86901 HB BLOOD TYPING RH(D) - CHEMO S/O	$13.86	$99.00	$2.54–$86.63	64% below	86%
Rh blood typing CPT 86901 HB REF RH TYPE	$13.86	$99.00	$2.54–$86.63	64% below	86%
Rh blood typing inpatient CPT 86901 HB BLOOD TYPING RH(D) - CHEMO S/O	$13.86	$99.00	$42.59–$86.63	—	86%
Rh blood typing inpatient CPT 86901 HB BLOOD TYPING RH(D) AUTOMATED	$13.86	$99.00	$42.59–$86.63	—	86%
Rh blood typing inpatient CPT 86901 HB BLOOD TYPING RH(D)	$13.86	$99.00	$42.59–$86.63	—	86%
Rh blood typing inpatient CPT 86901 HB PUBS BLOOD TYPING RH(D)	$13.86	$99.00	$42.59–$86.63	—	86%
Rh blood typing inpatient CPT 86901 HB REF RH TYPE	$13.86	$99.00	$42.59–$86.63	—	86%
Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACT QUANT	$23.24	$166.00	$4.82–$145.25	52% below	86%
Rheumatoid factor (RF) test CPT 86431 HB ANA-RF	$23.24	$166.00	$4.82–$145.25	52% below	86%
Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACT QUANT	$23.24	$166.00	$71.41–$145.25	—	86%
Rheumatoid factor (RF) test inpatient CPT 86431 HB ANA-RF	$23.24	$166.00	$71.41–$145.25	—	86%
Rubella antibody test (immunity check) CPT 86762 HB RUBELLA AB EA (INHSE)	$29.12	$208.00	$12.23–$182.00	56% below	86%
Rubella antibody test (immunity check) CPT 86762 HB RUBELLA AB EA (SO)	$29.12	$208.00	$12.23–$182.00	56% below	86%
Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA AB EA (INHSE)	$29.12	$208.00	$89.48–$182.00	—	86%
Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA AB EA (SO)	$29.12	$208.00	$89.48–$182.00	—	86%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SED RATE AUTOMATED	$22.40	$160.00	$2.30–$140.00	43% below	86%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB SED RATE AUTOMATED	$22.40	$160.00	$68.83–$140.00	—	86%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HB SEMEN ANALYSIS CMPLT	$42.70	$305.00	$10.24–$266.88	61% below	86%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HB SEMEN ANALYSIS CMPLT	$42.70	$305.00	$131.21–$266.88	—	86%
Sodium blood test CPT 84295 HB SODIUM BLOOD	$12.60	$90.00	$4.09–$78.75	66% below	86%
Sodium blood test inpatient CPT 84295 HB SODIUM BLOOD	$12.60	$90.00	$38.72–$78.75	—	86%
Stool ova and parasites exam CPT 87177 HB OVA & PARASITE	$33.88	$242.00	$7.42–$211.75	30% below	86%
Stool ova and parasites exam inpatient CPT 87177 HB OVA & PARASITE	$33.88	$242.00	$104.11–$211.75	—	86%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB OCCULT BLOOD FECES	$13.44	$96.00	$2.77–$84.00	63% below	86%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB OCCULT BLOOD FECES	$13.44	$96.00	$41.30–$84.00	—	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB TREPONEMA PALLIDUM AB (SO)	$29.26	$209.00	$5.42–$182.88	57% below	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB T. PALLIDUM AB-TOTAL (INHSE)	$29.26	$209.00	$5.42–$182.88	57% below	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB T. PALLIDUM AB -TP-PA (INHSE)	$29.26	$209.00	$5.42–$182.88	57% below	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB T PALLIDUM CONFIRMATION	$29.26	$209.00	$5.42–$182.88	57% below	86%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB T. PALLIDUM AB-TOTAL (INHSE)	$29.26	$209.00	$89.91–$182.88	—	86%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB T PALLIDUM CONFIRMATION	$29.26	$209.00	$89.91–$182.88	—	86%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB T. PALLIDUM AB -TP-PA (INHSE)	$29.26	$209.00	$89.91–$182.88	—	86%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB TREPONEMA PALLIDUM AB (SO)	$29.26	$209.00	$89.91–$182.88	—	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILIS QUAL (SO)	$19.60	$140.00	$3.63–$122.50	52% below	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR QUAL	$19.60	$140.00	$3.63–$122.50	52% below	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR QUAL	$19.60	$140.00	$60.23–$122.50	—	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILIS QUAL (SO)	$19.60	$140.00	$60.23–$122.50	—	86%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB TB-CMIOF G-INTERFERON AG RESP	$73.08	$522.00	$52.67–$456.75	51% below	86%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB TB-CMIOF G-INTERFERON AG RESP	$73.08	$522.00	$224.56–$456.75	—	86%
Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE TOTAL	$42.00	$300.00	$21.94–$262.50	65% below	86%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE TOTAL	$42.00	$300.00	$129.06–$262.50	—	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB ANA-TPO	$63.84	$456.00	$12.37–$399.00	31% below	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB MICROSOME AB EA	$63.84	$456.00	$12.37–$399.00	31% below	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB TPO ANTIBODY	$63.84	$456.00	$12.37–$399.00	31% below	86%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB TPO ANTIBODY	$63.84	$456.00	$196.17–$399.00	—	86%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB MICROSOME AB EA	$63.84	$456.00	$196.17–$399.00	—	86%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB ANA-TPO	$63.84	$456.00	$196.17–$399.00	—	86%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH	$36.26	$259.00	$14.28–$226.63	56% below	86%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB NEW SCRN-TSH	$36.40	$260.00	$14.28–$227.50	55% below	86%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB TSH	$36.26	$259.00	$111.42–$226.63	—	86%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB NEW SCRN-TSH	$36.40	$260.00	$111.85–$227.50	—	86%
Total IgE blood test CPT 82785 HB IGE GAMMAGLOBULIN	$28.42	$203.00	$13.99–$177.63	62% below	86%
Total IgE blood test inpatient CPT 82785 HB IGE GAMMAGLOBULIN	$28.42	$203.00	$87.33–$177.63	—	86%
Total cholesterol blood test CPT 82465 HB GM- CHOLESTEROL TOTAL	$16.38	$117.00	$3.70–$102.38	47% below	86%
Total cholesterol blood test CPT 82465 HB FIBROSURE-CHOLESTEROL (S/O)	$16.38	$117.00	$3.70–$102.38	47% below	86%
Total cholesterol blood test CPT 82465 HB CHOLESTEROL TOTAL	$16.38	$117.00	$3.70–$102.38	47% below	86%
Total cholesterol blood test inpatient CPT 82465 HB FIBROSURE-CHOLESTEROL (S/O)	$16.38	$117.00	$50.33–$102.38	—	86%
Total cholesterol blood test inpatient CPT 82465 HB CHOLESTEROL TOTAL	$16.38	$117.00	$50.33–$102.38	—	86%
Total cholesterol blood test inpatient CPT 82465 HB GM- CHOLESTEROL TOTAL	$16.38	$117.00	$50.33–$102.38	—	86%
Total thyroxine (T4) blood test CPT 84436 HB T4 TOTAL	$23.94	$171.00	$5.84–$149.63	49% below	86%
Total thyroxine (T4) blood test inpatient CPT 84436 HB T4 TOTAL	$23.94	$171.00	$73.56–$149.63	—	86%
Total triiodothyronine (T3) blood test CPT 84480 HB T3 TOTAL	$30.66	$219.00	$12.05–$191.63	75% below	86%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HB T3 TOTAL	$30.66	$219.00	$94.21–$191.63	—	86%
Transferrin blood test CPT 84466 HB TRANSFERRIN	$26.04	$186.00	$10.85–$162.75	69% below	86%
Transferrin blood test inpatient CPT 84466 HB TRANSFERRIN	$26.04	$186.00	$80.02–$162.75	—	86%
Trichomonas test (NAAT) CPT 87661 HB TVGPCR - TRICHOMONAS PCR	$20.58	$147.00	$35.09–$128.63	78% below	86%
Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS VAGINALIS DIRECT P	$43.40	$310.00	$35.09–$271.25	54% below	86%
Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS DNA AMP PROBE	$43.40	$310.00	$35.09–$271.25	54% below	86%
Trichomonas test (NAAT) inpatient CPT 87661 HB TVGPCR - TRICHOMONAS PCR	$20.58	$147.00	$63.24–$128.63	—	86%
Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS VAGINALIS DIRECT P	$43.40	$310.00	$133.36–$271.25	—	86%
Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS DNA AMP PROBE	$43.40	$310.00	$133.36–$271.25	—	86%
Triglycerides blood test CPT 84478 HB FIBROSURE-TRIGLYCERIDES (S/O)	$16.52	$118.00	$4.89–$103.25	54% below	86%
Triglycerides blood test CPT 84478 HB TRIGLYCERIDES	$16.52	$118.00	$4.89–$103.25	54% below	86%
Triglycerides blood test inpatient CPT 84478 HB TRIGLYCERIDES	$16.52	$118.00	$50.76–$103.25	—	86%
Triglycerides blood test inpatient CPT 84478 HB FIBROSURE-TRIGLYCERIDES (S/O)	$16.52	$118.00	$50.76–$103.25	—	86%
Troponin test, quantitative CPT 84484 HB TROPONIN I HIGH SENSITIVE	$35.42	$253.00	$8.36–$221.38	71% below	86%
Troponin test, quantitative CPT 84484 HB TROPONIN I	$39.20	$280.00	$8.36–$245.00	68% below	86%
Troponin test, quantitative CPT 84484 HB TROPONN-POCT	$39.20	$280.00	$8.36–$245.00	68% below	86%
Troponin test, quantitative inpatient CPT 84484 HB TROPONIN I HIGH SENSITIVE	$35.42	$253.00	$108.84–$221.38	—	86%
Troponin test, quantitative inpatient CPT 84484 HB TROPONN-POCT	$39.20	$280.00	$120.46–$245.00	—	86%
Troponin test, quantitative inpatient CPT 84484 HB TROPONIN I	$39.20	$280.00	$120.46–$245.00	—	86%
Uric acid blood test CPT 84550 HB URIC ACID BLOOD	$15.68	$112.00	$3.84–$98.00	67% below	86%
Uric acid blood test inpatient CPT 84550 HB URIC ACID BLOOD	$15.68	$112.00	$48.18–$98.00	—	86%
Urinalysis with microscope exam, automated CPT 81001 HB UA AUTO W/MICRO	$22.54	$161.00	$2.69–$140.88	46% below	86%
Urinalysis with microscope exam, automated inpatient CPT 81001 HB UA AUTO W/MICRO	$22.54	$161.00	$69.26–$140.88	—	86%
Urinalysis without microscope exam, automated CPT 81003 HB HEMASTIX	$14.00	$100.00	$1.91–$87.50	43% below	86%
Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS AUTO W/O MICRO	$14.00	$100.00	$1.91–$87.50	43% below	86%
Urinalysis without microscope exam, automated CPT 81003 HB POC AUTO UA	$14.00	$100.00	$1.91–$87.50	43% below	86%
Urinalysis without microscope exam, automated CPT 81003 HB US AUTO W/O MICRO	$14.00	$100.00	$1.91–$87.50	43% below	86%
Urinalysis without microscope exam, automated CPT 81003 HB UR KETONE DIPSTICK	$16.66	$119.00	$1.91–$104.13	32% below	86%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB US AUTO W/O MICRO	$14.00	$100.00	$43.02–$87.50	—	86%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS AUTO W/O MICRO	$14.00	$100.00	$43.02–$87.50	—	86%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB HEMASTIX	$14.00	$100.00	$43.02–$87.50	—	86%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB POC AUTO UA	$14.00	$100.00	$43.02–$87.50	—	86%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB UR KETONE DIPSTICK	$16.66	$119.00	$51.19–$104.13	—	86%
Urine culture for bacteria, with colony count CPT 87086 HB CULTURE URINE COLONY COUNT	$41.30	$295.00	$6.86–$258.13	5% below	86%
Urine culture for bacteria, with colony count inpatient CPT 87086 HB CULTURE URINE COLONY COUNT	$41.30	$295.00	$126.91–$258.13	—	86%
Urine microalbumin (albumin) test CPT 82043 HB MICROALBUMIN QUANT-UR	$18.90	$135.00	$4.91–$118.13	45% below	86%
Urine microalbumin (albumin) test inpatient CPT 82043 HB MICROALBUMIN QUANT-UR	$18.90	$135.00	$58.08–$118.13	—	86%
Urine pregnancy test, read by color change CPT 81025 HB HCG URINE QUAL	$36.26	$259.00	$1.02–$226.63	33% below	86%
Urine pregnancy test, read by color change inpatient CPT 81025 HB HCG URINE QUAL	$36.26	$259.00	$111.42–$226.63	—	86%
Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B 12	$30.80	$220.00	$12.81–$192.50	58% below	86%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B 12	$30.80	$220.00	$94.64–$192.50	—	86%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB 25-OH VITAMIN D	$45.50	$325.00	$23.22–$284.38	66% below	86%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB 25-OH VITAMIN D	$45.50	$325.00	$139.82–$284.38	—	86%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB VIT D 1/25 DIHYDROXY	$55.16	$394.00	$32.72–$344.75	69% below	86%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HB VIT D 1/25 DIHYDROXY	$55.16	$394.00	$169.50–$344.75	—	86%
Zinc blood test CPT 84630 HB ZINC	$21.42	$153.00	$9.67–$133.88	74% below	86%
Zinc blood test inpatient CPT 84630 HB ZINC	$21.42	$153.00	$65.82–$133.88	—	86%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG SERUM QUANT	$42.56	$304.00	$12.80–$266.00	47% below	86%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG QUANT (SO)	$42.56	$304.00	$12.80–$266.00	47% below	86%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG QUANT (SO)	$42.56	$304.00	$130.78–$266.00	—	86%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG SERUM QUANT	$42.56	$304.00	$130.78–$266.00	—	86%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Cardiac catheterization with coronary angiogram CPT 93458 HB LHRT ARTERY/VENTRCLE ANGIO	$3,220.70	$23,005.00	$3,369.45–$20,129.38	67% below	86%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HB LHRT ARTERY/VENTRCLE ANGIO	$3,220.70	$23,005.00	$9,896.75–$20,129.38	—	86%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION	$490.14	$3,501.00	$685.52–$3,063.38	65% below	86%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB CARDIOVERSION	$490.14	$3,501.00	$1,506.13–$3,063.38	—	86%
Colonoscopy with endoscopic ultrasound CPT 45391 HB COLONOSCOPY W/ EUS	$848.54	$6,061.00	$1,235.18–$5,303.38	50% below	86%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HB COLONOSCOPY W/ EUS	$848.54	$6,061.00	$2,607.44–$5,303.38	—	86%
Coronary stent placement, one artery CPT 92928 HB PRQ CARD STENT W/ANGIO 1 VSL	$3,016.72	$21,548.00	$5,514.02–$18,854.50	81% below	86%
Coronary stent placement, one artery inpatient CPT 92928 HB PRQ CARD STENT W/ANGIO 1 VSL	$3,016.72	$21,548.00	$9,269.95–$18,854.50	—	86%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB DRAIN/INJ JNT/BURSA MAJ - OR	$269.50	$1,925.00	$309.24–$2,048.00	35% below	86%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB DRAIN/INJ JNT/BURSA MAJ - OR	$269.50	$1,925.00	$828.14–$1,684.38	—	86%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB DRAIN/INJ JNT/BURSA INTER - OR	$203.14	$1,451.00	$309.24–$1,773.00	52% below	86%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB DRAIN/INJ JNT/BURSA INTER - OR	$203.14	$1,451.00	$624.22–$1,269.63	—	86%
Left heart catheterization, diagnostic CPT 93452 HB LHRT CATH W/WO VENTRCLGRPHY	$1,685.60	$12,040.00	$3,369.45–$10,535.00	78% below	86%
Left heart catheterization, diagnostic inpatient CPT 93452 HB LHRT CATH W/WO VENTRCLGRPHY	$1,685.60	$12,040.00	$5,179.61–$10,535.00	—	86%
Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 HB LITH RENAL ESWL BI	$4,779.60	$34,140.00	$3,613.07–$29,872.50	—	86%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HB LITHO RENAL ESWL BIL	$4,779.60	$34,140.00	$3,613.07–$29,872.50	62% below	86%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HB LITHO RENAL ESWL RT	$2,389.80	$17,070.00	$3,613.07–$14,936.25	81% below	86%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HB LITHO RENAL ESWL LT	$2,389.80	$17,070.00	$3,613.07–$14,936.25	81% below	86%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient both sides CPT 50590 HB LITH RENAL ESWL BI	$4,779.60	$34,140.00	$14,687.03–$29,872.50	—	86%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HB LITHO RENAL ESWL BIL	$4,779.60	$34,140.00	$14,687.03–$29,872.50	—	86%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HB LITHO RENAL ESWL LT	$2,389.80	$17,070.00	$7,343.51–$14,936.25	—	86%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HB LITHO RENAL ESWL RT	$2,389.80	$17,070.00	$7,343.51–$14,936.25	—	86%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB LUMBAR PUNCTURE - OR	$126.28	$902.00	$367.11–$2,048.00	88% below	86%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB LUMBAR PUNCTURE - OR	$126.28	$902.00	$388.04–$789.25	—	86%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HB BLOOD TRANSFUSION ADMIN	$298.76	$2,134.00	$457.98–$1,867.25	67% below	86%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD TRANSFUSION ADMIN - NCI	$298.76	$2,134.00	$457.98–$1,867.25	67% below	86%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD TRANSFUSION ADMIN - NCI	$298.76	$2,134.00	$918.05–$1,867.25	—	86%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLOOD TRANSFUSION ADMIN	$298.76	$2,134.00	$918.05–$1,867.25	—	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MINI NEB SUBSEQ	$67.34	$481.00	$195.77–$420.88	40% below	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MDI/MININEB INITIAL	$67.34	$481.00	$195.77–$420.88	40% below	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MINI NEB SUBSEQUENT	$67.34	$481.00	$195.77–$420.88	40% below	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MDI SUBS	$67.34	$481.00	$195.77–$420.88	40% below	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB METANEB THERAPY - INITIAL	$67.34	$481.00	$195.77–$420.88	40% below	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB METANEB THERAPY - SUBSEQUENT	$67.34	$481.00	$195.77–$420.88	40% below	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL SUBSEQ	$67.34	$481.00	$195.77–$420.88	40% below	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MINI NEB INITIAL	$67.34	$481.00	$195.77–$420.88	40% below	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MINI NEB INITIAL	$67.34	$481.00	$206.93–$420.88	—	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB METANEB THERAPY - SUBSEQUENT	$67.34	$481.00	$206.93–$420.88	—	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL SUBSEQ	$67.34	$481.00	$206.93–$420.88	—	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MDI SUBS	$67.34	$481.00	$206.93–$420.88	—	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB METANEB THERAPY - INITIAL	$67.34	$481.00	$206.93–$420.88	—	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MDI/MININEB INITIAL	$67.34	$481.00	$206.93–$420.88	—	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MINI NEB SUBSEQUENT	$67.34	$481.00	$206.93–$420.88	—	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MINI NEB SUBSEQ	$67.34	$481.00	$206.93–$420.88	—	86%
Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO IV INF INITIAL HR	$142.38	$1,017.00	$83.23–$889.88	79% below	86%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HB CHEMO IV INF INITIAL HR	$142.38	$1,017.00	$437.51–$889.88	—	86%
Critical care, first 30 to 74 minutes CPT 99291 HB ER LEVEL CRITICAL CARE	$936.32	$6,688.00	$795.00–$5,852.00	56% below	86%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HB ER LEVEL CRITICAL CARE	$936.32	$6,688.00	$2,877.18–$5,852.00	—	86%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB ROUTINE EEG AWAKE AND DROWSY	$235.20	$1,680.00	$326.22–$1,470.00	66% below	86%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB ROUTINE EEG AWAKE AND DROWSY	$235.20	$1,680.00	$722.74–$1,470.00	—	86%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB EKG	$73.92	$528.00	$62.23–$462.00	63% below	86%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB EKG	$73.92	$528.00	$227.15–$462.00	—	86%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ER LEVEL 1	$60.34	$431.00	$92.24–$1,312.00	72% below	86%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB ER LEVEL 1	$60.34	$431.00	$185.42–$377.13	—	86%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ER LEVEL 2	$91.14	$651.00	$165.89–$1,312.00	78% below	86%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB ER LEVEL 2	$91.14	$651.00	$280.06–$569.63	—	86%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ER LEVEL 3	$144.20	$1,030.00	$290.06–$1,312.00	81% below	86%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB ER LEVEL 3	$144.20	$1,030.00	$443.11–$901.25	—	86%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ER LEVEL 4	$227.08	$1,622.00	$446.08–$1,419.25	81% below	86%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB ER LEVEL 4	$227.08	$1,622.00	$697.78–$1,419.25	—	86%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ER LEVEL 5	$350.28	$2,502.00	$642.27–$2,189.25	80% below	86%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB ER LEVEL 5	$350.28	$2,502.00	$1,076.36–$2,189.25	—	86%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB STRESS MONITORING	$218.54	$1,561.00	$326.22–$2,048.00	71% below	86%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB EXERCISE STRESS TEST	$218.54	$1,561.00	$326.22–$2,048.00	71% below	86%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB PET PHARMACEUTICAL STRESS TEST	$218.54	$1,561.00	$326.22–$2,048.00	71% below	86%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB PHARMACEUTICAL STRESS TEST	$218.54	$1,561.00	$326.22–$2,048.00	71% below	86%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB PET PHARMACEUTICAL STRESS TEST	$218.54	$1,561.00	$671.54–$1,365.88	—	86%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB PHARMACEUTICAL STRESS TEST	$218.54	$1,561.00	$671.54–$1,365.88	—	86%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB STRESS MONITORING	$218.54	$1,561.00	$671.54–$1,365.88	—	86%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB EXERCISE STRESS TEST	$218.54	$1,561.00	$671.54–$1,365.88	—	86%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV INFUSION HYDRATION INIT HR	$120.12	$858.00	$220.71–$750.75	67% below	86%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV INFUSION INITIAL	$120.12	$858.00	$220.71–$750.75	67% below	86%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB IV INFUSION HYDRATION INIT HR	$120.12	$858.00	$369.11–$750.75	—	86%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB IV INFUSION INITIAL	$120.12	$858.00	$369.11–$750.75	—	86%
IV infusion of a medicine, first hour CPT 96365 HB IV INFUSION TX, DX INITIAL HR	$133.14	$951.00	$220.71–$832.13	67% below	86%
IV infusion of a medicine, first hour inpatient CPT 96365 HB IV INFUSION TX, DX INITIAL HR	$133.14	$951.00	$409.12–$832.13	—	86%
IV push of a medicine, first drug CPT 96374 HB IV MEDICATION INITIAL	$64.68	$462.00	$188.03–$404.25	69% below	86%
IV push of a medicine, first drug inpatient CPT 96374 HB IV MEDICATION INITIAL	$64.68	$462.00	$198.75–$404.25	—	86%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM INITIAL	$32.06	$229.00	$74.56–$200.38	70% below	86%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ MEDICATION INITIAL	$32.06	$229.00	$74.56–$200.38	70% below	86%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ INJ SUBSEQUENT	$32.20	$230.00	$74.56–$201.25	69% below	86%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ MEDICATION INTIAL	$32.20	$230.00	$74.56–$201.25	69% below	86%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ INJECTON INITIAL	$32.20	$230.00	$74.56–$201.25	69% below	86%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ MEDICATION INITIAL	$32.06	$229.00	$98.52–$200.38	—	86%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM INITIAL	$32.06	$229.00	$98.52–$200.38	—	86%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ MEDICATION INTIAL	$32.20	$230.00	$98.95–$201.25	—	86%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ INJECTON INITIAL	$32.20	$230.00	$98.95–$201.25	—	86%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ INJ SUBSEQUENT	$32.20	$230.00	$98.95–$201.25	—	86%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCH DIAG EVALUATION	$96.04	$686.00	$168.31–$600.25	62% below	86%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCH DIAG EVALUATION	$96.04	$686.00	$295.12–$600.25	—	86%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB MOTOR&/SENS 7-8 NRV CNDJ TST	$1,206.52	$8,618.00	$43.11–$7,540.75	40% above	86%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HB MOTOR&/SENS 7-8 NRV CNDJ TST	$1,206.52	$8,618.00	$3,707.46–$7,540.75	—	86%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEURO RE-ED EACH 15 MIN PT	$17.78	$127.00	$30.65–$128.00	77% below	86%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC RE ED PT 15 MIN PT	$17.78	$127.00	$30.65–$128.00	77% below	86%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC RE ED OT 15 MIN	$17.92	$128.00	$30.65–$116.00	76% below	86%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC RE ED PT 15 MIN PT	$17.78	$127.00	$54.64–$111.13	—	86%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEURO RE-ED EACH 15 MIN PT	$17.78	$127.00	$54.64–$111.13	—	86%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC RE ED OT 15 MIN	$17.92	$128.00	$55.07–$112.00	—	86%
New patient office visit, about 30 minutes CPT 99203 HB OP VISIT NEW PT LEVEL III	$56.42	$403.00	$164.02–$584.35	66% below	86%
New patient office visit, about 30 minutes inpatient CPT 99203 HB OP VISIT NEW PT LEVEL III	$56.42	$403.00	$173.37–$352.63	—	86%
New patient office visit, about 45 minutes CPT 99204 HB OP VISIT NEW PT LEVEL IV	$76.58	$547.00	$222.63–$793.15	59% below	86%
New patient office visit, about 45 minutes CPT 99204 HB NEW OP VISIT W/RD 47-60 MIN	$86.94	$621.00	$252.75–$900.45	54% below	86%
New patient office visit, about 45 minutes inpatient CPT 99204 HB OP VISIT NEW PT LEVEL IV	$76.58	$547.00	$235.32–$478.63	—	86%
New patient office visit, about 45 minutes inpatient CPT 99204 HB NEW OP VISIT W/RD 47-60 MIN	$86.94	$621.00	$267.15–$543.38	—	86%
New patient office visit, about 60 minutes CPT 99205 HB OP VISIT NEW PT LEVEL V	$93.66	$669.00	$272.28–$970.05	63% below	86%
New patient office visit, about 60 minutes inpatient CPT 99205 HB OP VISIT NEW PT LEVEL V	$93.66	$669.00	$287.80–$585.38	—	86%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB OP VISIT NEW PT LEVEL II	$36.40	$260.00	$105.82–$377.00	74% below	86%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HB OP VISIT NEW PT LEVEL II	$36.40	$260.00	$111.85–$227.50	—	86%
Occupational therapy evaluation, low complexity CPT 97165 HB OT EVAL LOW	$25.06	$179.00	$72.85–$156.63	84% below	86%
Occupational therapy evaluation, low complexity CPT 97165 HB PEDS OT EVAL LOW - IP	$25.06	$179.00	$72.85–$156.63	84% below	86%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OT EVAL LOW	$25.06	$179.00	$77.01–$156.63	—	86%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB PEDS OT EVAL LOW - IP	$25.06	$179.00	$77.01–$156.63	—	86%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL HIGH	$25.76	$184.00	$74.98–$161.00	89% below	86%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PT EVAL HIGH	$25.76	$184.00	$79.16–$161.00	—	86%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL LOW	$25.76	$184.00	$74.98–$161.00	82% below	86%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB WHEELCHAIR/SEAT EVAL LOW PT	$25.76	$184.00	$74.98–$161.00	82% below	86%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PT EVAL LOW	$25.76	$184.00	$79.16–$161.00	—	86%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB WHEELCHAIR/SEAT EVAL LOW PT	$25.76	$184.00	$79.16–$161.00	—	86%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL MOD	$25.76	$184.00	$74.98–$161.00	86% below	86%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PT EVAL MOD	$25.76	$184.00	$79.16–$161.00	—	86%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY 15 MIN	$29.82	$213.00	$26.00–$186.38	65% below	86%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY 15 MIN PT	$31.08	$222.00	$26.00–$194.25	64% below	86%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY 15 MIN	$29.82	$213.00	$91.63–$186.38	—	86%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY 15 MIN PT	$31.08	$222.00	$95.50–$194.25	—	86%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN PT	$28.14	$201.00	$27.54–$175.88	63% below	86%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXRCISE @ 15 MN PT	$28.14	$201.00	$27.54–$175.88	63% below	86%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THER EX EACH 15 MIN OT	$28.14	$201.00	$27.54–$175.88	63% below	86%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN SLP	$28.14	$201.00	$27.54–$175.88	63% below	86%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN PT	$28.14	$201.00	$27.54–$175.88	63% below	86%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN	$28.14	$201.00	$27.54–$175.88	63% below	86%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN	$28.14	$201.00	$86.47–$175.88	—	86%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN PT	$28.14	$201.00	$86.47–$175.88	—	86%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN PT	$28.14	$201.00	$86.47–$175.88	—	86%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN SLP	$28.14	$201.00	$86.47–$175.88	—	86%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXRCISE @ 15 MN PT	$28.14	$201.00	$86.47–$175.88	—	86%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THER EX EACH 15 MIN OT	$28.14	$201.00	$86.47–$175.88	—	86%
Psychotherapy session, 60 minutes CPT 90837 HB INDIV PSY-THERAPY 60MIN	$82.74	$591.00	$168.31–$517.13	61% below	86%
Psychotherapy session, 60 minutes inpatient CPT 90837 HB INDIV PSY-THERAPY 60MIN	$82.74	$591.00	$254.25–$517.13	—	86%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB OP VISIT ESTB PT LEVEL V	$77.98	$557.00	$226.70–$807.65	48% below	86%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB BHONC CLINIC VISIT V	$112.84	$806.00	$328.04–$1,168.70	25% below	86%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB CLINIC VISIT V	$125.86	$899.00	$365.89–$1,303.55	16% below	86%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB OP VISIT ESTB PT LEVEL V	$77.98	$557.00	$239.62–$487.38	—	86%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB BHONC CLINIC VISIT V	$112.84	$806.00	$346.74–$705.25	—	86%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB CLINIC VISIT V	$125.86	$899.00	$386.75–$786.63	—	86%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB OP VISIT ESTB PT LEVEL III	$47.88	$342.00	$139.19–$495.90	46% below	86%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB CLINIC VISIT III	$67.48	$482.00	$196.17–$698.90	23% below	86%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB BHONC CLINIC VISIT III	$71.68	$512.00	$208.38–$742.40	19% below	86%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB OP VISIT ESTB PT LEVEL III	$47.88	$342.00	$147.13–$299.25	—	86%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB CLINIC VISIT III	$67.48	$482.00	$207.36–$421.75	—	86%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB BHONC CLINIC VISIT III	$71.68	$512.00	$220.26–$448.00	—	86%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB OP VISIT ESTB PT LEVEL IV	$65.24	$466.00	$189.66–$675.70	41% below	86%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB BHONC CLINIC VISIT IV	$75.32	$538.00	$218.97–$780.10	32% below	86%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB CLINIC VISIT IV	$99.96	$714.00	$290.60–$1,035.30	10% below	86%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB E&M EST PATIENT LEVEL 4	$106.82	$763.00	$310.54–$1,106.35	4% below	86%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB OP VISIT ESTB PT LEVEL IV	$65.24	$466.00	$200.47–$407.75	—	86%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB BHONC CLINIC VISIT IV	$75.32	$538.00	$231.45–$470.75	—	86%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB CLINIC VISIT IV	$99.96	$714.00	$307.16–$624.75	—	86%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB E&M EST PATIENT LEVEL 4	$106.82	$763.00	$328.24–$667.63	—	86%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB OP VISIT ESTB PT LEVEL II	$39.90	$285.00	$116.00–$413.25	23% below	86%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB CLINIC VISIT II	$79.24	$566.00	$230.36–$820.70	54% above	86%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB BHONC CLINIC VISIT II	$79.24	$566.00	$230.36–$820.70	54% above	86%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB OP VISIT ESTB PT LEVEL II	$39.90	$285.00	$122.61–$249.38	—	86%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB BHONC CLINIC VISIT II	$79.24	$566.00	$243.49–$495.25	—	86%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB CLINIC VISIT II	$79.24	$566.00	$243.49–$495.25	—	86%
Speech and language evaluation CPT 92523 HB SPEECH SOUND LANG COMPREHEN	$71.96	$514.00	$116.00–$449.75	65% below	86%
Speech and language evaluation CPT 92523 HB SPCH SOUND LANG CMPREHEN - IP	$71.96	$514.00	$116.00–$449.75	65% below	86%
Speech and language evaluation inpatient CPT 92523 HB SPEECH SOUND LANG COMPREHEN	$71.96	$514.00	$221.12–$449.75	—	86%
Speech and language evaluation inpatient CPT 92523 HB SPCH SOUND LANG CMPREHEN - IP	$71.96	$514.00	$221.12–$449.75	—	86%
Spirometry (breathing test) CPT 94010 HB SPIROMETRY	$75.32	$538.00	$163.90–$470.75	69% below	86%
Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY	$75.32	$538.00	$231.45–$470.75	—	86%
Spirometry before and after a bronchodilator CPT 94060 HB PRE/POST FLOW VOL LOOP	$152.46	$1,089.00	$326.22–$952.88	72% below	86%
Spirometry before and after a bronchodilator inpatient CPT 94060 HB PRE/POST FLOW VOL LOOP	$152.46	$1,089.00	$468.49–$952.88	—	86%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT PT 15 MIN PT	$21.98	$157.00	$32.88–$137.38	71% below	86%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT OT 15 MIN	$21.98	$157.00	$32.88–$137.38	71% below	86%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB PAT/FAMLY TRAIN OT 15 MIN	$28.14	$201.00	$32.88–$175.88	63% below	86%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT PT 15 MIN PT	$21.98	$157.00	$67.54–$137.38	—	86%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT OT 15 MIN	$21.98	$157.00	$67.54–$137.38	—	86%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB PAT/FAMLY TRAIN OT 15 MIN	$28.14	$201.00	$86.47–$175.88	—	86%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB THERAPEUTIC PHLEBOTOMY	$74.76	$534.00	$105.04–$467.25	64% below	86%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HB THERAPEUTIC PHLEBOTOMY	$74.76	$534.00	$229.73–$467.25	—	86%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSP PRESYRG	$148.63	$1,061.62	$98.93–$1,539.34	22% below	86%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSP PRESYRG	$148.63	$1,061.62	$456.71–$928.91	—	86%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR	$141.87	$1,013.30	$107.55–$1,469.28	43% below	86%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR	$174.60	$1,247.09	$536.50–$1,091.20	—	86%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP PRESYRG	$442.13	$3,158.06	$322.20–$4,579.19	30% below	86%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP PRESYRG	$442.13	$3,158.06	$1,358.60–$2,763.31	—	86%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSP PRESYRG	$189.97	$1,356.92	$130.93–$1,967.53	20% below	86%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSP PRESYRG	$189.97	$1,356.92	$583.75–$1,187.31	—	86%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP	$112.38	$802.65	$326.68–$1,163.84	34% below	86%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP	$112.38	$802.65	$345.30–$702.32	—	86%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP	$100.77	$719.76	$70.38–$629.79	43% below	86%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP	$100.77	$719.76	$309.64–$629.79	—	86%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOL PRESYRG	$209.33	$1,495.20	$168.30–$1,308.30	30% below	86%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOL PRESYRG	$209.33	$1,495.20	$643.24–$1,308.30	—	86%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP	$39.17	$279.74	$30.77–$244.78	47% below	86%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP PRESYRG	$39.17	$279.74	$30.77–$244.78	47% below	86%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP PRESYRG	$96.89	$692.05	$30.77–$605.54	32% above	86%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP	$39.17	$279.74	$120.35–$244.78	—	86%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP PRESYRG	$39.17	$279.74	$120.35–$244.78	—	86%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP PRESYRG	$96.89	$692.05	$297.72–$605.54	—	86%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	$42.14	$300.94	$122.48–$436.37	36% below	86%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	$42.14	$300.94	$129.47–$263.33	—	86%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR	$17.04	$121.71	$49.54–$176.48	65% below	86%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$24.35	$173.89	$70.77–$252.14	50% below	86%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR	$17.04	$121.71	$52.36–$106.50	—	86%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$24.35	$173.89	$74.81–$152.15	—	86%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$131.20	$937.10	$381.40–$1,358.80	49% below	86%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$131.20	$937.10	$403.14–$819.97	—	86%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN	$199.75	$1,426.78	$102.50–$2,068.84	43% below	86%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN	$199.75	$1,426.78	$613.80–$1,248.44	—	86%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN	$237.87	$1,699.04	$174.54–$2,463.61	24% below	86%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN	$237.87	$1,699.04	$730.93–$1,486.66	—	86%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP	$313.67	$2,240.48	$236.97–$1,960.42	33% below	86%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP	$313.67	$2,240.48	$963.85–$1,960.42	—	86%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSP PRESYRG	$402.03	$2,871.58	$273.85–$2,512.64	36% below	86%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSP PRESYRG	$402.03	$2,871.58	$1,235.36–$2,512.64	—	86%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$640.90	$4,577.84	$1,863.18–$6,637.87	417% above	86%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$640.90	$4,577.84	$1,969.39–$4,005.61	—	86%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$584.12	$4,172.24	$327.78–$3,650.71	27% below	86%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$630.62	$4,504.40	$327.78–$3,941.35	21% below	86%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$584.12	$4,172.24	$1,794.90–$3,650.71	—	86%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$630.62	$4,504.40	$1,937.79–$3,941.35	—	86%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$258.04	$1,843.10	$207.79–$2,672.50	34% below	86%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$265.98	$1,899.84	$207.79–$2,754.77	32% below	86%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$258.04	$1,843.10	$792.90–$1,612.72	—	86%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$265.98	$1,899.84	$817.31–$1,662.36	—	86%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$61.38	$438.37	$178.42–$635.63	46% below	86%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA-TETANUS TOXOIDS DT 25-5 LFU/0.5ML IM SUSP	$88.49	$632.06	$257.25–$916.49	23% below	86%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$61.38	$438.37	$188.59–$383.57	—	86%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTHERIA-TETANUS TOXOIDS DT 25-5 LFU/0.5ML IM SUSP	$88.49	$632.06	$271.91–$553.06	—	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$40.74	$290.98	$118.43–$421.92	67% below	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP	$63.20	$451.36	$183.70–$654.47	48% below	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP PRESYRG	$66.89	$477.75	$194.45–$692.74	45% below	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP	$68.15	$486.75	$198.11–$705.79	44% below	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP PRESYRG	$68.15	$486.75	$198.11–$705.79	44% below	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$40.74	$290.98	$125.18–$254.60	—	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP PRESYRG	$66.89	$477.75	$205.53–$418.03	—	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP	$66.89	$477.75	$205.53–$418.03	—	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP	$68.15	$486.75	$209.40–$425.91	—	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP PRESYRG	$68.15	$486.75	$209.40–$425.91	—	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB PFS INFLUENZA IMMUNIZ ADM >18	$17.78	$127.00	$51.69–$111.13	71% below	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INFLUENZA IMMUNIZATION ADM >18	$18.20	$130.00	$52.91–$113.75	70% below	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB PNEUMOVAC IMMUNIZATION ADM >18	$18.20	$130.00	$52.91–$113.75	70% below	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB PFS PNEUMOVAC IMMUNIZ ADM >18	$18.20	$130.00	$52.91–$113.75	70% below	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUNIZATION ADMIN >19 YRS	$18.20	$130.00	$52.91–$113.75	70% below	86%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB PFS INFLUENZA IMMUNIZ ADM >18	$17.78	$127.00	$54.64–$111.13	—	86%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB PNEUMOVAC IMMUNIZATION ADM >18	$18.20	$130.00	$55.93–$113.75	—	86%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INFLUENZA IMMUNIZATION ADM >18	$18.20	$130.00	$55.93–$113.75	—	86%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB IMMUNIZATION ADMIN >19 YRS	$18.20	$130.00	$55.93–$113.75	—	86%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB PFS PNEUMOVAC IMMUNIZ ADM >18	$18.20	$130.00	$55.93–$113.75	—	86%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB IMMUNIZATION ADMIN ADD >19 YRS	$13.86	$99.00	$40.29–$143.55	65% below	86%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB IMMUNIZATION ADMIN ADD >19 YRS	$13.86	$99.00	$42.59–$86.63	—	86%

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

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

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

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

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

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

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

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

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

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/12740/474000401-1134186315_norton-healthcare-indiana-inc_standardcharges.csv