King's Daughters' Medical Center
Listed in its price file as “Ashland Hospital Corporation”.
King's Daughters' Medical Center in Ashland, KY publishes cash prices for 390 common procedures listed here, from its own machine-readable price file updated Sep 25, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 282 of 387 procedures and above it for 94. By typical cash price it ranks #28 of 81 Kentucky hospitals and #1 of 5 hospitals in the Huntington, WV area, cheapest first. Select a procedure to compare it with other hospitals nearby.
2201 Lexington Ave, Ashland, KY 41101 Collected Oct 2, 2026 Source price file Check a bill from this hospital (606) 408-4401
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 180009 · CMS hospital register NPI 1851346720
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
King's Daughters' Medical Center 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 Kentucky | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HCHG CT ABDOMEN W&W/O | $1,680.74 | $4,201.85 | $125.18–$3,781.67 | at median | 60% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HCHG CT ABDOMEN W&W/O | $1,680.74 | $4,201.85 | $1,961.00–$3,781.67 | — | 60% |
| Abdominal X-ray, 2 views CPT 74019 HCHG ABDO-AP & DECU OR EREC W/O CHE | $377.51 | $943.77 | $74.61–$849.39 | 18% above | 60% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HCHG ABDO-AP & DECU OR EREC W/O CHE | $377.51 | $943.77 | $440.46–$849.39 | — | 60% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HCHG ANKLE-3-VIEWS | $222.86 | $557.14 | $62.11–$501.43 | 30% below | 60% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HCHG ANKLE-3-VIEWS | $222.86 | $557.14 | $260.02–$501.43 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HCHG ANKEL ARM INDEX BILATERAL (1-2 LEVELS) | $331.35 | $828.36 | $94.96–$745.52 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HCHG PHYSIO-EXTREMITY ARTERIES | $331.35 | $828.36 | $94.96–$745.52 | at median | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 HCHG ART DOPPLER; UNILATERAL (3 OR MORE LEVELS) | $331.35 | $828.36 | $94.96–$745.52 | at median | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HCHG ANKEL ARM INDEX BILATERAL (1-2 LEVELS) | $331.35 | $828.36 | $386.60–$745.52 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HCHG PHYSIO-EXTREMITY ARTERIES | $331.35 | $828.36 | $386.60–$745.52 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 HCHG ART DOPPLER; UNILATERAL (3 OR MORE LEVELS) | $331.35 | $828.36 | $386.60–$745.52 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HCHG CT UPP EXTRE W/O | $919.10 | $2,297.74 | $74.61–$2,067.97 | 12% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HCHG CT UPP EXTRE W/O | $919.10 | $2,297.74 | $1,072.36–$2,067.97 | — | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HCHG BA SWAL/ESOPHAGUS | $569.40 | $1,423.48 | $125.18–$1,281.13 | 30% above | 60% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HCHG BA SWAL/ESOPHAGUS | $569.40 | $1,423.48 | $664.34–$1,281.13 | — | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HCHG BONE IMAGE (WHOLE BODY) | $1,342.96 | $3,357.40 | $285.31–$3,021.66 | 1% above | 60% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HCHG BONE IMAGE (WHOLE BODY) | $1,342.96 | $3,357.40 | $1,566.90–$3,021.66 | — | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 HCHG US BREAST UNILATERAL - COMPLETE | $349.92 | $874.80 | $74.61–$787.32 | 13% below | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HCHG US BREAST UNILATERAL - COMPLETE | $349.92 | $874.80 | $408.27–$787.32 | — | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HCHG US BREAST/AXILLA UNILATERAL-LIMITED | $291.28 | $728.20 | $62.11–$655.38 | 2% below | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HCHG US BREAST/AXILLA UNILATERAL-LIMITED | $291.28 | $728.20 | $339.85–$655.38 | — | 60% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HCHG CTA ABD & PELVIS /W &/OR W/O CONTRAST | $2,236.07 | $5,590.17 | $248.99–$5,031.15 | 4% below | 60% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HCHG CTA ABD & PELVIS /W &/OR W/O CONTRAST | $2,236.07 | $5,590.17 | $2,608.93–$5,031.15 | — | 60% |
| CT angiography (CTA) of the head CPT 70496 HCHG CT ANGIO HEAD W/WO CONTRAS | $1,471.81 | $3,679.52 | $125.18–$3,311.57 | at median | 60% |
| CT angiography (CTA) of the head inpatient CPT 70496 HCHG CT ANGIO HEAD W/WO CONTRAS | $1,471.81 | $3,679.52 | $1,717.23–$3,311.57 | — | 60% |
| CT angiography (CTA) of the neck CPT 70498 HCHG CT ANGIO NECK W/WO CONTRAST | $1,437.75 | $3,594.36 | $125.18–$3,234.92 | at median | 60% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HCHG CT ANGIO NECK W/WO CONTRAST | $1,437.75 | $3,594.36 | $1,677.49–$3,234.92 | — | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HCHG CTA CHEST W/WO CONTRAST | $1,403.39 | $3,508.46 | $125.18–$3,157.61 | 6% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HCHG CTA CHEST W/WO CONTRAST | $1,403.39 | $3,508.46 | $1,637.40–$3,157.61 | — | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HCHG CTA HEART,COR ARTERY,GRAFTS /W CONTRAS | $1,119.87 | $2,799.67 | $248.99–$2,519.70 | 22% below | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HCHG CTA HEART,COR ARTERY,GRAFTS /W CONTRAS | $1,119.87 | $2,799.67 | $1,306.61–$2,519.70 | — | 60% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HCHG SCREENING CT HEART W CALCIUM SCORE W/O CONTRAST | $32.00 | $80.00 | $49.68–$677.00 | 75% below | 60% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HCHG CT HEART W/O CONTRAST /W CALCIUM EVAL | $55.88 | $139.69 | $62.11–$677.00 | 56% below | 60% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HCHG SCREENING CT HEART W CALCIUM SCORE W/O CONTRAST | $32.00 | $80.00 | $37.34–$72.00 | — | 60% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HCHG CT HEART W/O CONTRAST /W CALCIUM EVAL | $55.88 | $139.69 | $65.19–$125.72 | — | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HCHG CT ABDOMEN & PELVIS W/O CONTRAST | $2,062.89 | $5,157.21 | $170.29–$4,641.49 | at median | 60% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HCHG CT ABDOMEN & PELVIS W/O CONTRAST | $2,062.89 | $5,157.21 | $2,406.87–$4,641.49 | — | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG CT ABD & PELVIS /W CONTRAST | $2,326.09 | $5,815.22 | $248.99–$5,233.70 | 14% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG CT ABD & PELVIS /W CONTRAST | $2,326.09 | $5,815.22 | $2,713.96–$5,233.70 | — | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HCHG CT ABD & PELVIS /W & W/O CONTRAST | $2,733.17 | $6,832.91 | $248.99–$6,149.62 | 9% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HCHG CT ABD & PELVIS /W & W/O CONTRAST | $2,733.17 | $6,832.91 | $3,188.92–$6,149.62 | — | 60% |
| CT scan of the abdomen with contrast CPT 74160 HCHG CT ABDOMEN W | $1,320.20 | $3,300.48 | $125.18–$2,970.43 | 16% below | 60% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HCHG CT ABDOMEN W | $1,320.20 | $3,300.48 | $1,540.33–$2,970.43 | — | 60% |
| CT scan of the abdomen without contrast CPT 74150 HCHG CT ABDOMEN W/O | $1,033.01 | $2,582.51 | $74.61–$2,324.26 | 14% below | 60% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HCHG CT ABDOMEN W/O | $1,033.01 | $2,582.51 | $1,205.26–$2,324.26 | — | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT SINUSES W/O | $1,140.58 | $2,851.45 | $74.61–$2,566.31 | 3% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT MAXIOFAC W/O | $1,140.58 | $2,851.45 | $74.61–$2,566.31 | 3% below | 60% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT MAXIOFAC W/O | $1,140.58 | $2,851.45 | $1,330.77–$2,566.31 | — | 60% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT SINUSES W/O | $1,140.58 | $2,851.45 | $1,330.77–$2,566.31 | — | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHG CT HEAD W/O | $1,148.88 | $2,872.18 | $74.61–$2,584.96 | 4% above | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG CT HEAD W/O | $1,148.88 | $2,872.18 | $1,340.45–$2,584.96 | — | 60% |
| CT scan of the head with contrast CPT 70460 HCHG CT HEAD W | $1,179.19 | $2,947.96 | $125.18–$2,653.16 | 14% below | 60% |
| CT scan of the head with contrast inpatient CPT 70460 HCHG CT HEAD W | $1,179.19 | $2,947.96 | $1,375.81–$2,653.16 | — | 60% |
| CT scan of the head without and with contrast CPT 70470 HCHG CT HEAD W&W/O | $1,492.64 | $3,731.59 | $125.18–$3,358.43 | 8% below | 60% |
| CT scan of the head without and with contrast inpatient CPT 70470 HCHG CT HEAD W&W/O | $1,492.64 | $3,731.59 | $1,741.53–$3,358.43 | — | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HCHG CT LUM/SPINE W/O | $1,117.02 | $2,792.55 | $74.61–$2,513.30 | 19% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HCHG CT LUM/SPINE W/O | $1,117.02 | $2,792.55 | $1,303.28–$2,513.30 | — | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HCHG CT CERV/SPINE W/O | $1,216.80 | $3,042.00 | $74.61–$2,737.80 | 16% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HCHG CT CERV/SPINE W/O | $1,216.80 | $3,042.00 | $1,419.70–$2,737.80 | — | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHG CT PELVIS W | $1,092.74 | $2,731.84 | $125.18–$2,458.66 | 21% below | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG CT PELVIS W | $1,092.74 | $2,731.84 | $1,274.95–$2,458.66 | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HCHG US CAROTID DUPLEX | $716.47 | $1,791.16 | $170.29–$1,612.04 | 18% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HCHG US CAROTID DUPLEX | $716.47 | $1,791.16 | $835.93–$1,612.04 | — | 60% |
| Chest CT scan without and with contrast CPT 71270 HCHG CT THORAX W&W/O | $1,306.90 | $3,267.25 | $125.18–$2,940.53 | 21% below | 60% |
| Chest CT scan without and with contrast inpatient CPT 71270 HCHG CT THORAX W&W/O | $1,306.90 | $3,267.25 | $1,524.83–$2,940.53 | — | 60% |
| Chest X-ray, 2 views CPT 71046 HCHG CHEST PA LAT | $184.22 | $460.54 | $62.11–$414.49 | 28% below | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 HCHG CHEST PA LAT | $184.22 | $460.54 | $214.93–$414.49 | — | 60% |
| Chest X-ray, single view CPT 71045 HCHG CHEST-LAT DECUB | $179.61 | $449.02 | $62.11–$404.12 | 10% below | 60% |
| Chest X-ray, single view CPT 71045 HCHG CHEST 1 VIEW | $179.61 | $449.02 | $62.11–$404.12 | 10% below | 60% |
| Chest X-ray, single view inpatient CPT 71045 HCHG CHEST 1 VIEW | $179.61 | $449.02 | $209.56–$404.12 | — | 60% |
| Chest X-ray, single view inpatient CPT 71045 HCHG CHEST-LAT DECUB | $179.61 | $449.02 | $209.56–$404.12 | — | 60% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HCHG CLAVICLE | $190.67 | $476.66 | $62.11–$428.99 | 30% below | 60% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HCHG CLAVICLE | $190.67 | $476.66 | $222.46–$428.99 | — | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG US RETROPERITONIAL | $596.14 | $1,490.35 | $74.61–$1,341.32 | 3% above | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HCHG US RETROPERITONIAL | $596.14 | $1,490.35 | $695.55–$1,341.32 | — | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HCHG BONE DENSITY (SPINE/BIL HIPS) | $298.13 | $745.32 | $74.61–$670.79 | 7% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HCHG BONE DENSITY (SPINE/BIL HIPS) | $298.13 | $745.32 | $347.84–$670.79 | — | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HCHG BONE DENSITY (PERIPHERAL) | $169.40 | $423.48 | $62.11–$381.13 | 18% below | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HCHG BONE DENSITY (PERIPHERAL) | $169.40 | $423.48 | $197.64–$381.13 | — | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HCHG US, OB DETAILED SINGLE FETUS | $458.40 | $1,146.00 | $170.29–$1,031.40 | 17% below | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HCHG US, OB DETAILED SINGLE FETUS | $458.40 | $1,146.00 | $534.84–$1,031.40 | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG CT THORAX W/O | $1,030.89 | $2,577.22 | $74.61–$2,319.50 | 4% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG CT THORAX W/O | $1,030.89 | $2,577.22 | $1,202.79–$2,319.50 | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HCHG CT THORAX W | $1,201.28 | $3,003.18 | $125.18–$2,702.86 | 13% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HCHG CT THORAX W | $1,201.28 | $3,003.18 | $1,401.58–$2,702.86 | — | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-BILATERAL | $314.60 | $786.50 | $107.45–$707.85 | — | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-BILATERAL | $314.60 | $786.50 | $367.06–$707.85 | — | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-UNILATERAL | $236.20 | $590.48 | $84.86–$531.43 | 3% above | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-UNILATERAL | $236.20 | $590.48 | $275.58–$531.43 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HCHG SCAN LOW EXT ARTERIES/GRAFT BILATERAL | $800.40 | $2,000.99 | $170.29–$1,800.89 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HCHG SCAN LOW EXT ARTERIES/GRAFT BILATERAL | $800.40 | $2,000.99 | $933.86–$1,800.89 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG EXTREMITY VENOUS BILATERAL | $1,413.74 | $3,534.34 | $170.29–$3,180.91 | — | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG EXTREMITY VENOUS BILATERAL | $1,413.74 | $3,534.34 | $1,649.48–$3,180.91 | — | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG TRANSTHORACIC ECHO | $834.94 | $2,087.34 | $389.97–$2,035.00 | 51% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG ECHO W CONTRAST-COMPLETE | $1,249.09 | $3,122.72 | $389.97–$2,810.45 | 27% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG TRANSTHORACIC ECHO | $834.94 | $2,087.34 | $974.16–$1,878.61 | — | 60% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG ECHO W CONTRAST-COMPLETE | $1,249.09 | $3,122.72 | $1,457.37–$2,810.45 | — | 60% |
| Elbow X-ray, 2 views CPT 73070 HCHG ELBOW-AP&LATERAL | $183.29 | $458.21 | $62.11–$412.39 | 24% below | 60% |
| Elbow X-ray, 2 views inpatient CPT 73070 HCHG ELBOW-AP&LATERAL | $183.29 | $458.21 | $213.85–$412.39 | — | 60% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HCHG ELBOW-3-VIEWS | $222.30 | $555.75 | $62.11–$500.18 | 33% below | 60% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HCHG ELBOW-3-VIEWS | $222.30 | $555.75 | $259.37–$500.18 | — | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT POST FOSSA W/O CONTRAST | $1,044.00 | $2,609.99 | $74.61–$2,348.99 | 2% below | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT PIT, INNER EAR, ORBITS W/O CONTRAST | $1,044.00 | $2,609.99 | $74.61–$2,348.99 | 2% below | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT ORBITS W/O CONTRAST | $1,044.00 | $2,609.99 | $74.61–$2,348.99 | 2% below | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT TEMPORAL BONES W/O CONTRAST | $1,044.00 | $2,609.99 | $74.61–$2,348.99 | 2% below | 60% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT POST FOSSA W/O CONTRAST | $1,044.00 | $2,609.99 | $1,218.08–$2,348.99 | — | 60% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT TEMPORAL BONES W/O CONTRAST | $1,044.00 | $2,609.99 | $1,218.08–$2,348.99 | — | 60% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT PIT, INNER EAR, ORBITS W/O CONTRAST | $1,044.00 | $2,609.99 | $1,218.08–$2,348.99 | — | 60% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT ORBITS W/O CONTRAST | $1,044.00 | $2,609.99 | $1,218.08–$2,348.99 | — | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HCHG FACIAL BONES (3 VIEWS+) | $269.50 | $673.75 | $74.61–$606.38 | 26% below | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HCHG ZYGOMATIC ARCH | $269.50 | $673.75 | $74.61–$606.38 | 26% below | 60% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG ZYGOMATIC ARCH | $269.50 | $673.75 | $314.44–$606.38 | — | 60% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG FACIAL BONES (3 VIEWS+) | $269.50 | $673.75 | $314.44–$606.38 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HCHG FOREARM 2 VIEWS | $191.24 | $478.10 | $62.11–$430.29 | 33% below | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HCHG FOREARM 2 VIEWS | $191.24 | $478.10 | $223.13–$430.29 | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HCHG BILIARY IMAGE (INCL GALLBLADDER) (HIDA) | $1,283.20 | $3,208.00 | $285.31–$2,887.20 | 42% above | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HCHG BILIARY IMAGE (INCL GALLBLADDER) (HIDA) | $1,283.20 | $3,208.00 | $1,497.17–$2,887.20 | — | 60% |
| Hand X-ray, 2 views CPT 73120 HCHG HAND 2 VIEWS | $167.28 | $418.19 | $74.61–$376.37 | 26% below | 60% |
| Hand X-ray, 2 views inpatient CPT 73120 HCHG HAND 2 VIEWS | $167.28 | $418.19 | $195.17–$376.37 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HCHG HEEL OS CALCIS | $167.24 | $418.08 | $62.11–$376.27 | 35% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HCHG HEEL OS CALCIS | $167.24 | $418.08 | $195.12–$376.27 | — | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG HOME SLEEP TEST | $262.49 | $656.22 | $154.10–$590.60 | 44% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG UNATTENDED SLEEP STUDY | $262.49 | $656.22 | $154.10–$590.60 | 44% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HCHG HOME SLEEP TEST | $262.49 | $656.22 | $306.26–$590.60 | — | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HCHG UNATTENDED SLEEP STUDY | $262.49 | $656.22 | $306.26–$590.60 | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG POLYSOMNOGRAPHY /W CPAP > 6YRS /W < 6HRS RECORDING | $2,610.90 | $6,527.23 | $612.88–$5,874.51 | 19% below | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG POLYSOMNOGRAPHY > 6YRS /W CPAP | $2,871.98 | $7,179.93 | $612.88–$6,461.94 | 11% below | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG POLYSOMNOGRAPHY /W CPAP > 6YRS /W < 6HRS RECORDING | $2,610.90 | $6,527.23 | $3,046.26–$5,874.51 | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG POLYSOMNOGRAPHY > 6YRS /W CPAP | $2,871.98 | $7,179.93 | $3,350.87–$6,461.94 | — | 60% |
| Knee X-ray, 3 views CPT 73562 HCHG KNEE 3 VIEWS | $218.39 | $545.96 | $62.11–$491.36 | 32% below | 60% |
| Knee X-ray, 3 views inpatient CPT 73562 HCHG KNEE 3 VIEWS | $218.39 | $545.96 | $254.80–$491.36 | — | 60% |
| Knee X-ray, complete, 4 or more views CPT 73564 HCHG PATELLA-4-VIEWS | $273.55 | $683.86 | $74.61–$615.47 | 25% below | 60% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HCHG PATELLA-4-VIEWS | $273.55 | $683.86 | $319.16–$615.47 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HCHG CT LOWER EXT W/O | $843.69 | $2,109.21 | $74.61–$1,898.29 | 25% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HCHG CT LOWER EXT W/O | $843.69 | $2,109.21 | $984.37–$1,898.29 | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG LIMITED ADB | $576.02 | $1,440.03 | $74.61–$1,296.03 | at median | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG LIMITED ADB | $576.02 | $1,440.03 | $672.06–$1,296.03 | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HCHG US LIMITED JOINT/NONVASCULAR STRUCTURE | $277.38 | $693.43 | $74.61–$624.09 | 3% above | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HCHG US LIMITED JOINT/NONVASCULAR STRUCTURE | $277.38 | $693.43 | $323.62–$624.09 | — | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HCHG CT LOW DOSE-LUNG | $133.05 | $332.61 | $74.61–$677.00 | 73% below | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HCHG CT LOW DOSE-LUNG | $133.05 | $332.61 | $155.23–$299.35 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HCHG TIBIA FIB 2 VIEWS | $209.72 | $524.30 | $62.11–$471.87 | 31% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HCHG TIBIA FIB 2 VIEWS | $209.72 | $524.30 | $244.69–$471.87 | — | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 HCHG MRA HEAD W/O CONT | $1,102.00 | $2,755.00 | $170.29–$2,479.50 | 28% below | 60% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HCHG MRA HEAD W/O CONT | $1,102.00 | $2,755.00 | $1,285.76–$2,479.50 | — | 60% |
| MRI of both breasts, without and then with contrast dye CPT 77049 HCHG MRI BREAST BIL /W & W/O CONTRAST /CAD | $3,820.88 | $9,552.19 | $232.82–$8,596.97 | 717% above | 60% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HCHG MRI BREAST BIL /W & W/O CONTRAST /CAD | $3,820.88 | $9,552.19 | $4,458.01–$8,596.97 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG MRI LOW EXT JNT W/O CONT | $1,751.44 | $4,378.60 | $170.29–$3,940.74 | 16% above | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG MRI LOW EXT JNT W/O CONT | $1,751.44 | $4,378.60 | $2,043.49–$3,940.74 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHG MRI LOWER EXT JOINT /W & W/O CONTRAST | $2,408.25 | $6,020.61 | $248.99–$5,418.55 | 13% above | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG MRI LOWER EXT JOINT /W & W/O CONTRAST | $2,408.25 | $6,020.61 | $2,809.82–$5,418.55 | — | 60% |
| MRI of the abdomen without contrast CPT 74181 HCHG MRI ABDOMEN W/O CONT | $1,990.02 | $4,975.03 | $170.29–$4,477.53 | 19% above | 60% |
| MRI of the abdomen without contrast inpatient CPT 74181 HCHG MRI ABDOMEN W/O CONT | $1,990.02 | $4,975.03 | $2,321.85–$4,477.53 | — | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HCHG MRI ABDOMEN W/WO CONT | $2,275.18 | $5,687.93 | $248.99–$5,119.14 | 2% above | 60% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HCHG MRI ABDOMEN W/WO CONT | $2,275.18 | $5,687.93 | $2,654.56–$5,119.14 | — | 60% |
| MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN/HEAD W/O CONT | $1,742.22 | $4,355.54 | $170.29–$3,919.99 | at median | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN/HEAD W/O CONT | $1,742.22 | $4,355.54 | $2,032.73–$3,919.99 | — | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG MRI HEAD W+WO CONTRAST | $1,916.44 | $4,791.09 | $248.99–$4,311.98 | 16% below | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG MRI HEAD W+WO CONTRAST | $1,916.44 | $4,791.09 | $2,236.00–$4,311.98 | — | 60% |
| MRI of the lower back, no contrast dye CPT 72148 HCHG MRI LUMBAR SPINE W/O CONT | $1,930.86 | $4,827.13 | $170.29–$4,344.42 | 12% above | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG MRI LUMBAR SPINE W/O CONT | $1,930.86 | $4,827.13 | $2,252.82–$4,344.42 | — | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HCHG MRI LUMBAR SPINE W W/O CONTRAC | $2,511.42 | $6,278.54 | $248.99–$5,650.69 | 10% above | 60% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG MRI LUMBAR SPINE W W/O CONTRAC | $2,511.42 | $6,278.54 | $2,930.19–$5,650.69 | — | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG MRI THORACIC SPINE W/O CONT | $1,930.86 | $4,827.13 | $170.29–$4,344.42 | 5% above | 60% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG MRI THORACIC SPINE W/O CONT | $1,930.86 | $4,827.13 | $2,252.82–$4,344.42 | — | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG MRI CERV SPINE W W/O CONTRAST | $2,665.31 | $6,663.27 | $248.99–$5,996.94 | 17% above | 60% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG MRI CERV SPINE W W/O CONTRAST | $2,665.31 | $6,663.27 | $3,109.75–$5,996.94 | — | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG MRI CERVICAL SPINE W/O CONT | $2,049.17 | $5,122.91 | $170.29–$4,610.62 | 26% above | 60% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG MRI CERVICAL SPINE W/O CONT | $2,049.17 | $5,122.91 | $2,390.86–$4,610.62 | — | 60% |
| MRI of the pelvis without and with contrast CPT 72197 HCHG MRI PELVIS W/WO CONT | $1,891.60 | $4,728.98 | $248.99–$4,256.08 | 15% below | 60% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG MRI PELVIS W/WO CONT | $1,891.60 | $4,728.98 | $2,207.01–$4,256.08 | — | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 HCHG MRI PELVIS W/O CONTRAST | $1,375.71 | $3,439.27 | $170.29–$3,095.34 | 15% below | 60% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG MRI PELVIS W/O CONTRAST | $1,375.71 | $3,439.27 | $1,605.11–$3,095.34 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HCHG MRI UPPER EXT JOINT W/O | $1,751.44 | $4,378.60 | $170.29–$3,940.74 | at median | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HCHG MRI UPPER EXT JOINT W/O | $1,751.44 | $4,378.60 | $2,043.49–$3,940.74 | — | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HCHG CERVICAL SPINE (4 OR 5 VIEWS) | $313.20 | $782.98 | $74.61–$704.68 | 29% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HCHG CERVICAL SPINE (4 OR 5 VIEWS) | $313.20 | $782.98 | $365.42–$704.68 | — | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 HCHG CT NECK W | $1,282.50 | $3,206.24 | $125.18–$2,885.62 | 5% below | 60% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HCHG CT NECK W | $1,282.50 | $3,206.24 | $1,496.35–$2,885.62 | — | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 HCHG CT NECK W/O | $1,163.02 | $2,907.53 | $74.61–$2,616.78 | at median | 60% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HCHG CT NECK W/O | $1,163.02 | $2,907.53 | $1,356.94–$2,616.78 | — | 60% |
| Neck soft tissue X-ray CPT 70360 HCHG NECK-SOFT TISSUE | $352.95 | $882.36 | $62.11–$794.12 | 38% above | 60% |
| Neck soft tissue X-ray inpatient CPT 70360 HCHG NECK-SOFT TISSUE | $352.95 | $882.36 | $411.80–$794.12 | — | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HCHG CARDIAC (SPECT REST/EX) | $3,516.04 | $8,790.08 | $923.98–$8,641.00 | 20% above | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HCHG CARDIAC (SPECT REST/EX) | $3,516.04 | $8,790.08 | $4,102.33–$7,911.07 | — | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HCHG PET/CT TMR IMG SKULL-MID THIGH | $4,522.36 | $11,305.88 | $1,020.55–$10,175.29 | 21% above | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HCHG PET/CT TMR IMG SKULL-MID THIGH | $4,522.36 | $11,305.88 | $5,276.45–$10,175.29 | — | 60% |
| Pelvic CT scan without contrast CPT 72192 HCHG CT PELVIS W/O | $1,064.08 | $2,660.20 | $74.61–$2,394.18 | at median | 60% |
| Pelvic CT scan without contrast inpatient CPT 72192 HCHG CT PELVIS W/O | $1,064.08 | $2,660.20 | $1,241.52–$2,394.18 | — | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG U/S FOLLOWUP LIMITED PELVIS | $196.72 | $491.80 | $74.61–$442.62 | 48% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG U/S FOLLOWUP LIMITED PELVIS | $196.72 | $491.80 | $229.52–$442.62 | — | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG US PELV STRUCTUR | $877.23 | $2,193.06 | $74.61–$1,973.75 | 16% above | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HCHG US PELV STRUCTUR | $877.23 | $2,193.06 | $1,023.50–$1,973.75 | — | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG US PREGNANCY-14 + WEEKS | $385.92 | $964.79 | $74.61–$868.31 | 21% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG ECHO PREGNANCY | $385.92 | $964.79 | $74.61–$868.31 | 21% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG US PREGNANCY-14 + WEEKS | $385.92 | $964.79 | $450.27–$868.31 | — | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG ECHO PREGNANCY | $385.92 | $964.79 | $450.27–$868.31 | — | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HCHG U/S PREGNANCY 1ST TRI TRANS | $638.19 | $1,595.47 | $74.61–$1,435.92 | 8% above | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HCHG U/S PREGNANCY 1ST TRI TRANS | $638.19 | $1,595.47 | $744.61–$1,435.92 | — | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG U/S LIMITED PREGNANCY | $275.05 | $687.61 | $74.61–$618.85 | 47% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG U/S LIMITED PREGNANCY | $275.05 | $687.61 | $320.91–$618.85 | — | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 HCHG RIBS-UNILATERAL W 2 VIEWS | $216.71 | $541.77 | $62.11–$487.59 | 31% below | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HCHG RIBS-UNILATERAL W 2 VIEWS | $216.71 | $541.77 | $252.84–$487.59 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HCHG RIBS-UNILATERAL W 3 VIEWS | $292.55 | $731.37 | $74.61–$658.23 | 17% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HCHG RIBS-UNILATERAL W 3 VIEWS | $292.55 | $731.37 | $341.33–$658.23 | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG MAMMOGRAM /W CAD SCREENING DIG BILATERAL | $269.67 | $674.17 | $86.27–$606.75 | — | 60% |
| Screening mammogram, both breasts one side CPT 77067 HCHG MAMMOGRAM /W CAD SCREENING DIG-UNILATERAL | $202.26 | $505.63 | $86.27–$455.07 | 22% above | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG MAMMOGRAM /W CAD SCREENING DIG BILATERAL | $269.67 | $674.17 | $314.64–$606.75 | — | 60% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HCHG MAMMOGRAM /W CAD SCREENING DIG-UNILATERAL | $202.26 | $505.63 | $235.98–$455.07 | — | 60% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HCHG SHOULDER 2V OR > | $238.52 | $596.29 | $62.11–$536.66 | 21% below | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HCHG SHOULDER 2V OR > | $238.52 | $596.29 | $278.29–$536.66 | — | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HCHG PARANASAL SINUSES (3+VIEWS) | $311.58 | $778.95 | $62.11–$701.06 | 18% below | 60% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HCHG PARANASAL SINUSES (3+VIEWS) | $311.58 | $778.95 | $363.54–$701.06 | — | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 HCHG SKULL LESS THAN 4 VIEWS | $210.25 | $525.61 | $74.61–$473.05 | 22% below | 60% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HCHG SKULL LESS THAN 4 VIEWS | $210.25 | $525.61 | $245.30–$473.05 | — | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSONOGRAPHY > 6YRS /W < 6HR RECORDING | $2,202.58 | $5,506.43 | $612.88–$4,955.79 | 19% below | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSOMNOGRAPHY > 6YRS OLD | $2,657.97 | $6,644.92 | $612.88–$5,980.43 | 3% below | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSONOGRAPHY > 6YRS /W < 6HR RECORDING | $2,202.58 | $5,506.43 | $2,569.85–$4,955.79 | — | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSOMNOGRAPHY > 6YRS OLD | $2,657.97 | $6,644.92 | $3,101.18–$5,980.43 | — | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HCHG VIDEORADIO/CINERADIO | $683.28 | $1,708.19 | $125.18–$1,537.37 | 50% above | 60% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HCHG VIDEORADIO/CINERADIO | $683.28 | $1,708.19 | $797.21–$1,537.37 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HCHG FEMUR 2 OR MORE VIEWS | $201.48 | $503.68 | $62.11–$453.31 | 31% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HCHG FEMUR 2 OR MORE VIEWS | $201.48 | $503.68 | $235.07–$453.31 | — | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HCHG CT THORSPINE W/O | $1,035.07 | $2,587.66 | $74.61–$2,328.89 | 18% below | 60% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HCHG CT THORSPINE W/O | $1,035.07 | $2,587.66 | $1,207.66–$2,328.89 | — | 60% |
| Toe X-ray, 2 or more views CPT 73660 HCHG GREAT TOE 3 VIEWS | $157.46 | $393.63 | $62.11–$354.27 | 17% below | 60% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HCHG GREAT TOE 3 VIEWS | $157.46 | $393.63 | $183.71–$354.27 | — | 60% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG US TRANS VAGINAL | $411.65 | $1,029.11 | $74.61–$926.20 | 38% below | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US TRANS VAGINAL | $411.65 | $1,029.11 | $480.29–$926.20 | — | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 HCHG U/S PREGNANCY TRANSVAGINAL | $312.70 | $781.74 | $74.61–$703.57 | 38% below | 60% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HCHG U/S PREGNANCY TRANSVAGINAL | $312.70 | $781.74 | $364.84–$703.57 | — | 60% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG US ABDOMEN COMPLETE | $709.08 | $1,772.69 | $74.61–$1,595.42 | 21% below | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG US ABDOMEN COMPLETE | $709.08 | $1,772.69 | $827.31–$1,595.42 | — | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 HCHG US SCROTUM AND CONTENTS | $479.48 | $1,198.68 | $74.61–$1,078.81 | 24% below | 60% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HCHG US SCROTUM AND CONTENTS | $479.48 | $1,198.68 | $559.42–$1,078.81 | — | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG US SOFT TISSUE/NECK | $635.94 | $1,589.84 | $74.61–$1,430.86 | 1% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HCHG US SOFT TISSUE/NECK | $635.94 | $1,589.84 | $741.98–$1,430.86 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HCHG UPPER G.I.(W/O KUB) | $492.51 | $1,231.26 | $125.18–$1,108.13 | 1% above | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HCHG UPPER G.I.(W/O KUB) | $492.51 | $1,231.26 | $574.63–$1,108.13 | — | 60% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HCHG ARM-HUMERUS | $203.70 | $509.25 | $62.11–$458.33 | 29% below | 60% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HCHG ARM-HUMERUS | $203.70 | $509.25 | $237.67–$458.33 | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HCHG EXTREMETY VENOUS UNILAT OR LTD | $548.37 | $1,370.92 | $74.61–$1,233.83 | 12% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG EXTREMETY VENOUS UNILAT OR LTD | $548.37 | $1,370.92 | $639.81–$1,233.83 | — | 60% |
| Wrist X-ray, 2 views CPT 73100 HCHG WRIST 2 VIEWS | $161.67 | $404.16 | $62.11–$363.74 | 23% below | 60% |
| Wrist X-ray, 2 views inpatient CPT 73100 HCHG WRIST 2 VIEWS | $161.67 | $404.16 | $188.62–$363.74 | — | 60% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HCHG NAVICULAR-4-VIEWS | $219.72 | $549.30 | $62.11–$494.37 | 30% below | 60% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HCHG WRIST 3 VIEWS | $219.72 | $549.30 | $62.11–$494.37 | 30% below | 60% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HCHG WRIST 3 VIEWS | $219.72 | $549.30 | $256.36–$494.37 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HCHG NAVICULAR-4-VIEWS | $219.72 | $549.30 | $256.36–$494.37 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HCHG HIP UNILATERAL /W OR W/O PELVIS 2-3 VIEWS | $124.69 | $311.71 | $62.11–$280.54 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HCHG HIP PINNING-O R RIGHT | $124.69 | $311.71 | $62.11–$280.54 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HCHG HIP PINNING-O R RIGHT | $124.69 | $311.71 | $145.48–$280.54 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HCHG HIP UNILATERAL /W OR W/O PELVIS 2-3 VIEWS | $124.69 | $311.71 | $145.48–$280.54 | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 HCHG KUB | $359.54 | $898.84 | $62.11–$808.96 | 37% above | 60% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG KUB | $359.54 | $898.84 | $419.49–$808.96 | — | 60% |
| X-ray of the ankle, 2 views CPT 73600 HCHG ANKLE 2 VIEWS | $199.39 | $498.47 | $62.11–$448.62 | 16% below | 60% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HCHG ANKLE 2 VIEWS | $199.39 | $498.47 | $232.64–$448.62 | — | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 HCHG RING FINGER 2+VIEWS | $163.55 | $408.87 | $62.11–$367.98 | 30% below | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 HCHG LITTLE FINGER 2+VIEWS | $163.55 | $408.87 | $62.11–$367.98 | 30% below | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 HCHG THUMB 3 VIEWS | $163.55 | $408.87 | $62.11–$367.98 | 30% below | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 HCHG INDEX FINGER 3 VIEWS | $163.55 | $408.87 | $62.11–$367.98 | 30% below | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 HCHG MIDDLE FINGER 2 VIEWS | $163.55 | $408.87 | $62.11–$367.98 | 30% below | 60% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG RING FINGER 2+VIEWS | $163.55 | $408.87 | $190.82–$367.98 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG MIDDLE FINGER 2 VIEWS | $163.55 | $408.87 | $190.82–$367.98 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG INDEX FINGER 3 VIEWS | $163.55 | $408.87 | $190.82–$367.98 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG THUMB 3 VIEWS | $163.55 | $408.87 | $190.82–$367.98 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG LITTLE FINGER 2+VIEWS | $163.55 | $408.87 | $190.82–$367.98 | — | 60% |
| X-ray of the foot, 2 views CPT 73620 HCHG FOOT 2 VIEWS | $180.94 | $452.33 | $62.11–$407.10 | 20% below | 60% |
| X-ray of the foot, 2 views inpatient CPT 73620 HCHG FOOT 2 VIEWS | $180.94 | $452.33 | $211.10–$407.10 | — | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HCHG FOOT 3V OR > RIGHT | $219.03 | $547.57 | $62.11–$492.81 | 29% below | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HCHG FOOT 3V OR > RIGHT | $219.03 | $547.57 | $255.55–$492.81 | — | 60% |
| X-ray of the hand, 3 or more views CPT 73130 HCHG HAND 3 VIEWS | $211.18 | $527.95 | $62.11–$475.16 | 30% below | 60% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HCHG HAND 3 VIEWS | $211.18 | $527.95 | $246.39–$475.16 | — | 60% |
| X-ray of the knee, 1 or 2 views CPT 73560 HCHG KNEE 1 OR 2 VIEWS | $198.27 | $495.67 | $62.11–$446.10 | 17% below | 60% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HCHG KNEE 1 OR 2 VIEWS | $198.27 | $495.67 | $231.33–$446.10 | — | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG LUMBAR SPINE AP & LAT ONLY | $347.80 | $869.50 | $74.61–$782.55 | 3% above | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG LUMBAR SPINE AP & LAT ONLY | $347.80 | $869.50 | $405.80–$782.55 | — | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 HCHG LUMBOSACRAL MIN OF 4 VIEWS | $439.97 | $1,099.91 | $74.61–$989.92 | 12% below | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG LUMBOSACRAL MIN OF 4 VIEWS | $439.97 | $1,099.91 | $513.33–$989.92 | — | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG THORACIC SPINE 2 VIEWS | $281.32 | $703.29 | $74.61–$632.96 | 11% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG THORACIC SPINE 2 VIEWS | $281.32 | $703.29 | $328.23–$632.96 | — | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HCHG NASAL BONES(3 VIEWS) | $168.36 | $420.88 | $62.11–$378.79 | 43% below | 60% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG NASAL BONES(3 VIEWS) | $168.36 | $420.88 | $196.42–$378.79 | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG C-SPINE-AP&LAT (2 OR 3 VIEWS) | $241.58 | $603.93 | $62.11–$543.54 | 24% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG C-SPINE-AP&LAT (2 OR 3 VIEWS) | $241.58 | $603.93 | $281.85–$543.54 | — | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG PELVIS-AP ONLY | $176.90 | $442.24 | $74.61–$398.02 | 37% below | 60% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HCHG PELVIS-AP ONLY | $176.90 | $442.24 | $206.39–$398.02 | — | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG SACRUM/COCCYX-2-VIEWS | $216.54 | $541.34 | $62.11–$487.21 | 27% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HCHG SACRUM/COCCYX-2-VIEWS | $216.54 | $541.34 | $252.64–$487.21 | — | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HCHG ACTH | $134.33 | $335.82 | $28.03–$302.24 | 32% below | 60% |
| ACTH blood test inpatient CPT 82024 HCHG ACTH | $134.33 | $335.82 | $156.73–$302.24 | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG SGPT(ALT) | $42.59 | $106.47 | $3.98–$95.82 | 32% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG FIBROTEST ALT (SGPT) | $42.59 | $106.47 | $3.98–$95.82 | 32% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG FIBROMETER ALT (ARUP) | $42.59 | $106.47 | $3.98–$95.82 | 32% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG FIBROMETER ALT (ARUP) | $42.59 | $106.47 | $49.69–$95.82 | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG FIBROTEST ALT (SGPT) | $42.59 | $106.47 | $49.69–$95.82 | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG SGPT(ALT) | $42.59 | $106.47 | $49.69–$95.82 | — | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG FIBROMETER AST (ARUP) | $25.85 | $64.61 | $3.89–$58.15 | 58% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG SGOT(AST) | $25.85 | $64.61 | $3.89–$58.15 | 58% below | 60% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HCHG SGOT(AST) | $25.85 | $64.61 | $30.15–$58.15 | — | 60% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HCHG FIBROMETER AST (ARUP) | $25.85 | $64.61 | $30.15–$58.15 | — | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG HEPATITIS PANEL | $237.59 | $593.97 | $35.72–$534.57 | 5% above | 60% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HCHG HEPATITIS PANEL | $237.59 | $593.97 | $277.21–$534.57 | — | 60% |
| Albumin blood test CPT 82040 HCHG ALBUMIN | $9.30 | $23.25 | $3.71–$20.93 | 84% below | 60% |
| Albumin blood test CPT 82040 HCHG MS ALBUMIN SERUM | $9.30 | $23.25 | $3.71–$20.93 | 84% below | 60% |
| Albumin blood test CPT 82040 HCHG ALBUMIN (ARUP) | $9.30 | $23.25 | $3.71–$20.93 | 84% below | 60% |
| Albumin blood test inpatient CPT 82040 HCHG ALBUMIN | $9.30 | $23.25 | $10.85–$20.93 | — | 60% |
| Albumin blood test inpatient CPT 82040 HCHG ALBUMIN (ARUP) | $9.30 | $23.25 | $10.85–$20.93 | — | 60% |
| Albumin blood test inpatient CPT 82040 HCHG MS ALBUMIN SERUM | $9.30 | $23.25 | $10.85–$20.93 | — | 60% |
| Aldosterone blood test CPT 82088 HCHG ALDOSTERONE 24 URINE | $124.56 | $311.39 | $30.56–$280.25 | at median | 60% |
| Aldosterone blood test CPT 82088 HCHG ALDOSTERONE | $124.56 | $311.39 | $30.56–$280.25 | at median | 60% |
| Aldosterone blood test inpatient CPT 82088 HCHG ALDOSTERONE | $124.56 | $311.39 | $145.33–$280.25 | — | 60% |
| Aldosterone blood test inpatient CPT 82088 HCHG ALDOSTERONE 24 URINE | $124.56 | $311.39 | $145.33–$280.25 | — | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HCHG ALK PHOSPHATASE | $16.00 | $40.00 | $3.89–$36.00 | 72% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HCHG PHOSPHATASE ALKALINE (ARUP) | $16.00 | $40.00 | $3.89–$36.00 | 72% below | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HCHG ALK PHOSPHATASE | $16.00 | $40.00 | $18.67–$36.00 | — | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HCHG PHOSPHATASE ALKALINE (ARUP) | $16.00 | $40.00 | $18.67–$36.00 | — | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (4) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (1) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (8) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (9) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (31) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (30) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (29) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (28) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (27) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (26) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (25) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (24) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (23) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (22) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (21) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (20) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (19) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (10) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (11) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (12) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (13) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (18) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (17) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (16) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (15) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (14) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (2) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (3) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG RAST | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (5) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (6) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (7) | $6.89 | $17.21 | $3.92–$15.49 | 32% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN EACH (SEND OUT) | $8.13 | $20.32 | $3.92–$18.29 | 20% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG VENISON IGE | $41.52 | $103.80 | $3.92–$93.42 | 307% above | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (13) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (31) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (30) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (29) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (28) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (27) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (26) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (25) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (24) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (23) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (22) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (21) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (20) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (19) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (18) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (17) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (16) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (15) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (14) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (12) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (11) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (10) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (9) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (8) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (7) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (6) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (5) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (4) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (3) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (2) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (1) | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG RAST | $6.89 | $17.21 | $8.03–$15.49 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN EACH (SEND OUT) | $8.13 | $20.32 | $9.48–$18.29 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG VENISON IGE | $41.52 | $103.80 | $48.44–$93.42 | — | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HCHG AFP EXTRA FINANCIAL ONLY | $75.43 | $188.57 | $12.58–$169.71 | 15% below | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HCHG AFP TUMOR MARKER | $75.43 | $188.57 | $12.58–$169.71 | 15% below | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HCHG AFP EXTRA FINANCIAL ONLY | $75.43 | $188.57 | $88.01–$169.71 | — | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HCHG AFP TUMOR MARKER | $75.43 | $188.57 | $88.01–$169.71 | — | 60% |
| Ammonia blood test CPT 82140 HCHG AMMONIA | $77.23 | $193.07 | $10.93–$173.76 | 23% below | 60% |
| Ammonia blood test inpatient CPT 82140 HCHG AMMONIA | $77.23 | $193.07 | $90.11–$173.76 | — | 60% |
| Amylase blood test CPT 82150 HCHG AMYLASE,24HR UR | $68.87 | $172.16 | $4.86–$154.94 | at median | 60% |
| Amylase blood test CPT 82150 HCHG AMYLASE,FLUID | $68.87 | $172.16 | $4.86–$154.94 | at median | 60% |
| Amylase blood test CPT 82150 HCHG FRACT AMYLASE | $68.87 | $172.16 | $4.86–$154.94 | at median | 60% |
| Amylase blood test CPT 82150 HCHG TOTAL AMYLASE | $68.87 | $172.16 | $4.86–$154.94 | at median | 60% |
| Amylase blood test CPT 82150 HCHG AMYLASE RAN URINE | $68.87 | $172.16 | $4.86–$154.94 | at median | 60% |
| Amylase blood test CPT 82150 HCHG AMYBD | $68.87 | $172.16 | $4.86–$154.94 | at median | 60% |
| Amylase blood test CPT 82150 HCHG AMYLASE 24 HR UA | $68.87 | $172.16 | $4.86–$154.94 | at median | 60% |
| Amylase blood test CPT 82150 HCHG AMYLASE PANCRE CYST | $68.87 | $172.16 | $4.86–$154.94 | at median | 60% |
| Amylase blood test CPT 82150 HCHG AMYLASE | $68.87 | $172.16 | $4.86–$154.94 | at median | 60% |
| Amylase blood test inpatient CPT 82150 HCHG AMYLASE,24HR UR | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Amylase blood test inpatient CPT 82150 HCHG AMYLASE 24 HR UA | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Amylase blood test inpatient CPT 82150 HCHG AMYBD | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Amylase blood test inpatient CPT 82150 HCHG AMYLASE RAN URINE | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Amylase blood test inpatient CPT 82150 HCHG TOTAL AMYLASE | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Amylase blood test inpatient CPT 82150 HCHG FRACT AMYLASE | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Amylase blood test inpatient CPT 82150 HCHG AMYLASE,FLUID | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Amylase blood test inpatient CPT 82150 HCHG AMYLASE PANCRE CYST | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Amylase blood test inpatient CPT 82150 HCHG AMYLASE | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HCHG CYCLIC CITRULLINAT PEPTIDE AB | $118.12 | $295.28 | $9.71–$265.75 | 58% above | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HCHG CYCLIC CITRULLINAT PEPTIDE AB | $118.12 | $295.28 | $137.81–$265.75 | — | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG ANA SCREEN (IN HOUSE) | $38.33 | $95.82 | $9.07–$86.24 | 45% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG ANTINUCLEAR ANTIBODY (ANA); SCREEN | $91.64 | $229.10 | $9.07–$206.19 | 33% above | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HCHG ANA SCREEN (IN HOUSE) | $38.33 | $95.82 | $44.72–$86.24 | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HCHG ANTINUCLEAR ANTIBODY (ANA); SCREEN | $91.64 | $229.10 | $106.92–$206.19 | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG BNPEP | $107.91 | $269.76 | $28.85–$242.78 | 37% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG POCT BNP TESTING | $107.91 | $269.76 | $28.85–$242.78 | 37% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG PRO BRAIN NAT PEPTIDE (ARUP) | $107.91 | $269.76 | $28.85–$242.78 | 37% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG PRO BRAIN NAT PEPTIDE (ARUP) | $107.91 | $269.76 | $125.90–$242.78 | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG BNPEP | $107.91 | $269.76 | $125.90–$242.78 | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG POCT BNP TESTING | $107.91 | $269.76 | $125.90–$242.78 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE, GC ONLY | $105.12 | $262.78 | $6.47–$236.50 | 3% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE, LEGIONELLA | $105.12 | $262.78 | $6.47–$236.50 | 3% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE GENITAL | $105.12 | $262.78 | $6.47–$236.50 | 3% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE FLUID | $105.12 | $262.78 | $6.47–$236.50 | 3% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE,RT BACT | $105.12 | $262.78 | $6.47–$236.50 | 3% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE RESPIRATORY | $105.12 | $262.78 | $6.47–$236.50 | 3% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE, LEGIONELLA | $105.12 | $262.78 | $122.64–$236.50 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE, GC ONLY | $105.12 | $262.78 | $122.64–$236.50 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE RESPIRATORY | $105.12 | $262.78 | $122.64–$236.50 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE,RT BACT | $105.12 | $262.78 | $122.64–$236.50 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE GENITAL | $105.12 | $262.78 | $122.64–$236.50 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE FLUID | $105.12 | $262.78 | $122.64–$236.50 | — | 60% |
| Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC PANEL | $59.04 | $147.60 | $5.69–$132.84 | 29% below | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC PANEL | $59.04 | $147.60 | $68.88–$132.84 | — | 60% |
| Bilirubin blood test, total CPT 82247 HCHG FIBROTEST TOTAL BILIRUBIN | $37.53 | $93.81 | $3.77–$84.43 | 25% below | 60% |
| Bilirubin blood test, total CPT 82247 HCHG BFLA BILIRUBIN TOTAL | $37.53 | $93.81 | $3.77–$84.43 | 25% below | 60% |
| Bilirubin blood test, total CPT 82247 HCHG TOTAL BILIRUBIN CORD BLD | $37.53 | $93.81 | $3.77–$84.43 | 25% below | 60% |
| Bilirubin blood test, total CPT 82247 HCHG BILIRUBIN,T | $37.53 | $93.81 | $3.77–$84.43 | 25% below | 60% |
| Bilirubin blood test, total CPT 82247 HCHG BILIRUBIN NEONTAL | $37.53 | $93.81 | $3.77–$84.43 | 25% below | 60% |
| Bilirubin blood test, total inpatient CPT 82247 HCHG FIBROTEST TOTAL BILIRUBIN | $37.53 | $93.81 | $43.78–$84.43 | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 HCHG TOTAL BILIRUBIN CORD BLD | $37.53 | $93.81 | $43.78–$84.43 | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 HCHG BILIRUBIN,T | $37.53 | $93.81 | $43.78–$84.43 | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 HCHG BFLA BILIRUBIN TOTAL | $37.53 | $93.81 | $43.78–$84.43 | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 HCHG BILIRUBIN NEONTAL | $37.53 | $93.81 | $43.78–$84.43 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG GROSS&MICRO 88305 | $114.61 | $286.52 | $20.81–$257.87 | 4% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG RENAL PATHOLOGY, LEVEL IV | $169.27 | $423.16 | $20.81–$380.84 | 42% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG CELL BLOCK | $169.27 | $423.16 | $20.81–$380.84 | 42% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG BONE MARROW 11 | $169.27 | $423.16 | $20.81–$380.84 | 42% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG BM CLOT PREP | $169.27 | $423.16 | $20.81–$380.84 | 42% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG GROSS&MICRO 88305 | $114.61 | $286.52 | $133.72–$257.87 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG RENAL PATHOLOGY, LEVEL IV | $169.27 | $423.16 | $197.49–$380.84 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG CELL BLOCK | $169.27 | $423.16 | $197.49–$380.84 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG BM CLOT PREP | $169.27 | $423.16 | $197.49–$380.84 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG BONE MARROW 11 | $169.27 | $423.16 | $197.49–$380.84 | — | 60% |
| Blood culture for bacteria CPT 87040 HCHG CULTURE, BLOOD | $70.72 | $176.78 | $7.74–$159.10 | 37% below | 60% |
| Blood culture for bacteria inpatient CPT 87040 HCHG CULTURE, BLOOD | $70.72 | $176.78 | $82.50–$159.10 | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG VENIPUNCTURE | $12.45 | $31.12 | $5.00–$28.01 | 23% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG ROUTINE VENIPUNCTURE | $12.45 | $31.12 | $5.00–$28.01 | 23% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG VENIPUNCTURE | $12.45 | $31.12 | $14.52–$28.01 | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG ROUTINE VENIPUNCTURE | $12.45 | $31.12 | $14.52–$28.01 | — | 60% |
| Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE TEST ( 1 STAT) | $26.58 | $66.43 | $2.95–$59.79 | 21% below | 60% |
| Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE, FASTING | $26.58 | $66.43 | $2.95–$59.79 | 21% below | 60% |
| Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE | $26.58 | $66.43 | $2.95–$59.79 | 21% below | 60% |
| Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE, GLUCOMETER | $26.58 | $66.43 | $2.95–$59.79 | 21% below | 60% |
| Blood glucose (sugar) test CPT 82947 HCHG GLUCOMETER TEST | $26.58 | $66.43 | $2.95–$59.79 | 21% below | 60% |
| Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE,RANDOM | $26.58 | $66.43 | $2.95–$59.79 | 21% below | 60% |
| Blood glucose (sugar) test one side CPT 82947 HCHG RT GLUCOSE | $26.58 | $66.43 | $2.95–$59.79 | 21% below | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE,RANDOM | $26.58 | $66.43 | $31.00–$59.79 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE, FASTING | $26.58 | $66.43 | $31.00–$59.79 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE | $26.58 | $66.43 | $31.00–$59.79 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE, GLUCOMETER | $26.58 | $66.43 | $31.00–$59.79 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOMETER TEST | $26.58 | $66.43 | $31.00–$59.79 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE TEST ( 1 STAT) | $26.58 | $66.43 | $31.00–$59.79 | — | 60% |
| Blood glucose (sugar) test inpatient one side CPT 82947 HCHG RT GLUCOSE | $26.58 | $66.43 | $31.00–$59.79 | — | 60% |
| Blood lead test CPT 83655 HCHG LEAD URINE (ARUP) | $44.82 | $112.04 | $9.08–$100.84 | 29% below | 60% |
| Blood lead test CPT 83655 HCHG LEAD LEVELS | $44.82 | $112.04 | $9.08–$100.84 | 29% below | 60% |
| Blood lead test CPT 83655 HCHG LEAD UR | $44.82 | $112.04 | $9.08–$100.84 | 29% below | 60% |
| Blood lead test CPT 83655 HCHG LEAD LEVEL (ARUP) | $44.82 | $112.04 | $9.08–$100.84 | 29% below | 60% |
| Blood lead test inpatient CPT 83655 HCHG LEAD LEVEL (ARUP) | $44.82 | $112.04 | $52.29–$100.84 | — | 60% |
| Blood lead test inpatient CPT 83655 HCHG LEAD UR | $44.82 | $112.04 | $52.29–$100.84 | — | 60% |
| Blood lead test inpatient CPT 83655 HCHG LEAD LEVELS | $44.82 | $112.04 | $52.29–$100.84 | — | 60% |
| Blood lead test inpatient CPT 83655 HCHG LEAD URINE (ARUP) | $44.82 | $112.04 | $52.29–$100.84 | — | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG PREGNANCY TEST,QUAL | $68.06 | $170.15 | $5.64–$153.14 | 21% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG PREGNANCY URINE, HCG QUALITATIVE | $68.06 | $170.15 | $5.64–$153.14 | 21% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG PREGNANCY URINE, HCG QUALITATIVE | $68.06 | $170.15 | $79.41–$153.14 | — | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG PREGNANCY TEST,QUAL | $68.06 | $170.15 | $79.41–$153.14 | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG ABO TYPE | $62.04 | $155.09 | $2.54–$234.22 | 7% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG RC ABO TYPE | $125.84 | $314.58 | $2.54–$283.12 | 116% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG ABO TYPE | $62.04 | $155.09 | $72.38–$139.58 | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG RC ABO TYPE | $125.84 | $314.58 | $146.81–$283.12 | — | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HCHG FIBROMETER UREA NITROGEN (ARUP) | $31.66 | $79.14 | $2.96–$71.23 | 30% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HCHG RTBUN | $31.66 | $79.14 | $2.96–$71.23 | 30% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HCHG UREA NITROGEN | $31.66 | $79.14 | $2.96–$71.23 | 30% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HCHG BLOOD UREA NIT | $31.66 | $79.14 | $2.96–$71.23 | 30% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HCHG POCT BUN | $31.66 | $79.14 | $2.96–$71.23 | 30% below | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG RTBUN | $31.66 | $79.14 | $36.93–$71.23 | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG UREA NITROGEN | $31.66 | $79.14 | $36.93–$71.23 | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG FIBROMETER UREA NITROGEN (ARUP) | $31.66 | $79.14 | $36.93–$71.23 | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG BLOOD UREA NIT | $31.66 | $79.14 | $36.93–$71.23 | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG POCT BUN | $31.66 | $79.14 | $36.93–$71.23 | — | 60% |
| C-peptide blood test CPT 84681 HCHG C-PEPTIDE | $76.70 | $191.74 | $15.61–$172.57 | 44% below | 60% |
| C-peptide blood test inpatient CPT 84681 HCHG C-PEPTIDE | $76.70 | $191.74 | $89.49–$172.57 | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG CRP QUANT | $61.34 | $153.34 | $3.25–$138.01 | 13% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG IBD SGI-CRP ASSAY | $61.34 | $153.34 | $3.25–$138.01 | 13% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HCHG IBD SGI-CRP ASSAY | $61.34 | $153.34 | $71.56–$138.01 | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HCHG CRP QUANT | $61.34 | $153.34 | $71.56–$138.01 | — | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HCHG C DIFFICILE 017/NAP1/B1 PCR | $235.13 | $587.82 | $27.95–$529.04 | 136% above | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HCHG C DIFFICILE B TOXIN PCR | $235.13 | $587.82 | $27.95–$529.04 | 136% above | 60% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HCHG C DIFFICILE B TOXIN PCR | $235.13 | $587.82 | $274.34–$529.04 | — | 60% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HCHG C DIFFICILE 017/NAP1/B1 PCR | $235.13 | $587.82 | $274.34–$529.04 | — | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 HCHG CA-19-9 | $86.54 | $216.34 | $15.61–$194.71 | 29% below | 60% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HCHG CA-19-9 | $86.54 | $216.34 | $100.97–$194.71 | — | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HCHG CA - 125 | $100.85 | $252.11 | $15.61–$226.90 | 18% below | 60% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HCHG CA - 125 | $100.85 | $252.11 | $117.66–$226.90 | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG SARS-COV-19, PCR AMP NON-VACCINATED | $134.60 | $336.49 | $38.48–$302.84 | 97% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG SARS COV 2 RNA (IN HOUSE) | $134.60 | $336.49 | $38.48–$302.84 | 97% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG SARS-COV-2 RNA | $134.60 | $336.49 | $38.48–$302.84 | 97% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG SARS-COV-2 RNA | $134.60 | $336.49 | $157.04–$302.84 | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG SARS-COV-19, PCR AMP NON-VACCINATED | $134.60 | $336.49 | $157.04–$302.84 | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG SARS COV 2 RNA (IN HOUSE) | $134.60 | $336.49 | $157.04–$302.84 | — | 60% |
| Calcium blood test, total CPT 82310 HCHG CALCIUM U | $18.74 | $46.84 | $3.87–$42.16 | 59% below | 60% |
| Calcium blood test, total CPT 82310 HCHG CALCIUM | $18.74 | $46.84 | $3.87–$42.16 | 59% below | 60% |
| Calcium blood test, total inpatient CPT 82310 HCHG CALCIUM U | $18.74 | $46.84 | $21.86–$42.16 | — | 60% |
| Calcium blood test, total inpatient CPT 82310 HCHG CALCIUM | $18.74 | $46.84 | $21.86–$42.16 | — | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HCHG CEA PANCRE CYST (ARUP) | $90.48 | $226.20 | $14.22–$203.58 | 26% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HCHG CEA | $90.48 | $226.20 | $14.22–$203.58 | 26% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HCHG CEA PANCRE CYST | $90.48 | $226.20 | $14.22–$203.58 | 26% below | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HCHG CEA | $90.48 | $226.20 | $105.57–$203.58 | — | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HCHG CEA PANCRE CYST | $90.48 | $226.20 | $105.57–$203.58 | — | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HCHG CEA PANCRE CYST (ARUP) | $90.48 | $226.20 | $105.57–$203.58 | — | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 HCHG VARICELLA ZOSTER AB | $129.19 | $322.97 | $9.66–$290.67 | 30% above | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 HCHG VARICELLA ZOSTER IGG | $129.19 | $322.97 | $9.66–$290.67 | 30% above | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HCHG VARICELLA ZOSTER IGG | $129.19 | $322.97 | $150.73–$290.67 | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HCHG VARICELLA ZOSTER AB | $129.19 | $322.97 | $150.73–$290.67 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HCHG CHLAMYDIA TRACH AMP PROBE | $127.18 | $317.93 | $26.32–$286.14 | 24% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HCHG CHLAMYDIA TRACH AMP PROBE | $127.18 | $317.93 | $148.38–$286.14 | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL (ARUP) | $75.93 | $189.81 | $9.68–$170.83 | 33% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL CHOLESTEC | $75.93 | $189.81 | $9.68–$170.83 | 33% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL | $75.93 | $189.81 | $9.68–$170.83 | 33% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL CHOLESTEC | $75.93 | $189.81 | $88.58–$170.83 | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL | $75.93 | $189.81 | $88.58–$170.83 | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL (ARUP) | $75.93 | $189.81 | $88.58–$170.83 | — | 60% |
| Complete blood count (CBC) with differential CPT 85025 HCHG POCT-CBC | $45.66 | $114.14 | $5.83–$102.73 | 21% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 HCHG CBC /W DIFF | $45.66 | $114.14 | $5.83–$102.73 | 21% below | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG POCT-CBC | $45.66 | $114.14 | $53.27–$102.73 | — | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC /W DIFF | $45.66 | $114.14 | $53.27–$102.73 | — | 60% |
| Complete blood count (CBC), no differential CPT 85027 HCHG HEMOGRAM | $37.17 | $92.91 | $4.85–$83.62 | 35% below | 60% |
| Complete blood count (CBC), no differential CPT 85027 HCHG BLOOD CELL PROF | $37.17 | $92.91 | $4.85–$83.62 | 35% below | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG BLOOD CELL PROF | $37.17 | $92.91 | $43.36–$83.62 | — | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG HEMOGRAM | $37.17 | $92.91 | $43.36–$83.62 | — | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL | $82.69 | $206.71 | $7.15–$186.04 | 33% below | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL | $82.69 | $206.71 | $96.47–$186.04 | — | 60% |
| Cortisol blood test, total CPT 82533 HCHG CORTISOL SALIVA (MAYO) | $83.90 | $209.75 | $12.23–$188.78 | 6% above | 60% |
| Cortisol blood test, total CPT 82533 HCHG CORTISOL SALIVA (ARUP) | $83.90 | $209.75 | $12.23–$188.78 | 6% above | 60% |
| Cortisol blood test, total CPT 82533 HCHG CORTISOL | $83.90 | $209.75 | $12.23–$188.78 | 6% above | 60% |
| Cortisol blood test, total inpatient CPT 82533 HCHG CORTISOL | $83.90 | $209.75 | $97.89–$188.78 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 HCHG CORTISOL SALIVA (ARUP) | $83.90 | $209.75 | $97.89–$188.78 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 HCHG CORTISOL SALIVA (MAYO) | $83.90 | $209.75 | $97.89–$188.78 | — | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 HCHG CPK | $49.97 | $124.91 | $4.88–$112.42 | 27% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 HCHG CK TOTAL | $49.97 | $124.91 | $4.88–$112.42 | 27% below | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HCHG CPK | $49.97 | $124.91 | $58.30–$112.42 | — | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HCHG CK TOTAL | $49.97 | $124.91 | $58.30–$112.42 | — | 60% |
| Creatinine blood test CPT 82565 HCHG POCT SERUM CREATININE | $30.13 | $75.32 | $3.84–$67.79 | 29% below | 60% |
| Creatinine blood test CPT 82565 HCHG CREATININE | $30.13 | $75.32 | $3.84–$67.79 | 29% below | 60% |
| Creatinine blood test inpatient CPT 82565 HCHG CREATININE | $30.13 | $75.32 | $35.15–$67.79 | — | 60% |
| Creatinine blood test inpatient CPT 82565 HCHG POCT SERUM CREATININE | $30.13 | $75.32 | $35.15–$67.79 | — | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HCHG CMV IGG (ARUP) | $91.64 | $229.09 | $10.79–$206.18 | 40% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HCHG CMV IGG SERUM | $91.64 | $229.09 | $10.79–$206.18 | 40% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HCHG RC CMV TESTING | $91.64 | $229.09 | $10.79–$206.18 | 40% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HCHG CMV IGG | $91.64 | $229.09 | $10.79–$206.18 | 40% above | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG CMV IGG | $91.64 | $229.09 | $106.92–$206.18 | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG CMV IGG (ARUP) | $91.64 | $229.09 | $106.92–$206.18 | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG CMV IGG SERUM | $91.64 | $229.09 | $106.92–$206.18 | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG RC CMV TESTING | $91.64 | $229.09 | $106.92–$206.18 | — | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 HCHG FIBRIN DEG. PRODUCTS QUANTATATIVE | $90.24 | $225.60 | $7.64–$203.04 | 7% above | 60% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HCHG FIBRIN DEG. PRODUCTS QUANTATATIVE | $90.24 | $225.60 | $105.29–$203.04 | — | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HCHG DHEA SULFATE | $89.36 | $223.38 | $16.67–$201.04 | 29% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HCHG DHEA-SULFATE | $89.36 | $223.38 | $16.67–$201.04 | 29% below | 60% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HCHG DHEA SULFATE | $89.36 | $223.38 | $104.25–$201.04 | — | 60% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HCHG DHEA-SULFATE | $89.36 | $223.38 | $104.25–$201.04 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG BUPRENOPHINE SCRN | $58.82 | $147.03 | $34.27–$132.33 | 26% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG GABAPENTIN (NEURONTIN), URINE | $58.82 | $147.03 | $34.27–$132.33 | 26% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG FENTANYL SCREEN | $58.82 | $147.03 | $34.27–$132.33 | 26% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN NOS, PRESUMPTIVE EA PROCEDURE | $58.82 | $147.03 | $34.27–$132.33 | 26% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRG SCRN CORDSTAT 12 | $165.83 | $414.56 | $34.27–$373.10 | 256% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN, LIST A - REFERENCE LAB PER DOS | $195.68 | $489.18 | $34.27–$440.26 | 320% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN LIST A - IN HOUSE PER DOS | $195.68 | $489.18 | $34.27–$440.26 | 320% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN TARGET LC-MS/MS S/P (ARUP) | $195.68 | $489.18 | $34.27–$440.26 | 320% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN PANEL 13 URINE PER DOS | $217.42 | $543.53 | $34.27–$489.18 | 366% above | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG BUPRENOPHINE SCRN | $58.82 | $147.03 | $68.62–$132.33 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN NOS, PRESUMPTIVE EA PROCEDURE | $58.82 | $147.03 | $68.62–$132.33 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG FENTANYL SCREEN | $58.82 | $147.03 | $68.62–$132.33 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG GABAPENTIN (NEURONTIN), URINE | $58.82 | $147.03 | $68.62–$132.33 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRG SCRN CORDSTAT 12 | $165.83 | $414.56 | $193.48–$373.10 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN, LIST A - REFERENCE LAB PER DOS | $195.68 | $489.18 | $228.30–$440.26 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN LIST A - IN HOUSE PER DOS | $195.68 | $489.18 | $228.30–$440.26 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN TARGET LC-MS/MS S/P (ARUP) | $195.68 | $489.18 | $228.30–$440.26 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN PANEL 13 URINE PER DOS | $217.42 | $543.53 | $253.67–$489.18 | — | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HCHG ELECTROLYTE SURV | $66.08 | $165.20 | $4.75–$148.68 | 5% below | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HCHG ELECTROLYTE SUR | $66.08 | $165.20 | $4.75–$148.68 | 5% below | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) one side CPT 80051 HCHG RT ELECTROLYTES | $66.08 | $165.20 | $4.75–$148.68 | 5% below | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HCHG ELECTROLYTE SURV | $66.08 | $165.20 | $77.10–$148.68 | — | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HCHG ELECTROLYTE SUR | $66.08 | $165.20 | $77.10–$148.68 | — | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient one side CPT 80051 HCHG RT ELECTROLYTES | $66.08 | $165.20 | $77.10–$148.68 | — | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HCHG EBV-VCA IGG | $55.84 | $139.60 | $13.61–$125.64 | 3% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HCHG EBV-VCA IGM | $55.84 | $139.60 | $13.61–$125.64 | 3% below | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HCHG EBV-VCA IGM | $55.84 | $139.60 | $65.15–$125.64 | — | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HCHG EBV-VCA IGG | $55.84 | $139.60 | $65.15–$125.64 | — | 60% |
| Estradiol blood test CPT 82670 HCHG ESTRADIOL | $76.71 | $191.76 | $20.96–$172.58 | 43% below | 60% |
| Estradiol blood test inpatient CPT 82670 HCHG ESTRADIOL | $76.71 | $191.76 | $89.49–$172.58 | — | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 HCHG FSH | $91.59 | $228.97 | $13.94–$206.07 | 45% below | 60% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HCHG FSH | $91.59 | $228.97 | $106.86–$206.07 | — | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HCHG CALPROTECTIN, F | $251.07 | $627.66 | $14.72–$564.89 | 22% above | 60% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HCHG CALPROTECTIN, F | $251.07 | $627.66 | $292.93–$564.89 | — | 60% |
| Ferritin blood test (iron stores) CPT 82728 HCHG FERRITIN | $71.92 | $179.79 | $10.22–$161.81 | 32% below | 60% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HCHG FERRITIN | $71.92 | $179.79 | $83.91–$161.81 | — | 60% |
| Fibrinogen blood test CPT 85384 HCHG FIBRINOGEN(200-40 | $56.17 | $140.42 | $7.22–$126.38 | 35% below | 60% |
| Fibrinogen blood test inpatient CPT 85384 HCHG FIBRINOGEN(200-40 | $56.17 | $140.42 | $65.53–$126.38 | — | 60% |
| Folate (folic acid) blood test CPT 82746 HCHG FOLIC ACID | $66.46 | $166.13 | $11.03–$149.52 | 33% below | 60% |
| Folate (folic acid) blood test inpatient CPT 82746 HCHG FOLIC ACID | $66.46 | $166.13 | $77.53–$149.52 | — | 60% |
| Free T3 thyroid hormone test CPT 84481 HCHG FREE T3 | $8.94 | $22.33 | $12.71–$31.34 | 93% below | 60% |
| Free T3 thyroid hormone test inpatient CPT 84481 HCHG FREE T3 | $8.94 | $22.33 | $10.42–$20.10 | — | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG FREE T4 | $61.28 | $153.20 | $6.77–$137.88 | 18% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG T4 FREE BY DIALYSIS | $61.28 | $153.20 | $6.77–$137.88 | 18% below | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HCHG T4 FREE BY DIALYSIS | $61.28 | $153.20 | $71.50–$137.88 | — | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HCHG FREE T4 | $61.28 | $153.20 | $71.50–$137.88 | — | 60% |
| Free testosterone test CPT 84402 HCHG TESTOS FREE(FINANCIAL) | $75.30 | $188.24 | $19.10–$169.42 | at median | 60% |
| Free testosterone test CPT 84402 HCHG TTB TESTOST BIOAVAILABLE | $75.30 | $188.24 | $19.10–$169.42 | at median | 60% |
| Free testosterone test inpatient CPT 84402 HCHG TESTOS FREE(FINANCIAL) | $75.30 | $188.24 | $87.85–$169.42 | — | 60% |
| Free testosterone test inpatient CPT 84402 HCHG TTB TESTOST BIOAVAILABLE | $75.30 | $188.24 | $87.85–$169.42 | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCHG GGT | $49.16 | $122.88 | $5.40–$110.59 | 9% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCHG FIBROTEST GGT | $49.16 | $122.88 | $5.40–$110.59 | 9% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCHG FIBROMETER GGT (ARUP) | $49.16 | $122.88 | $5.40–$110.59 | 9% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HCHG FIBROTEST GGT | $49.16 | $122.88 | $57.35–$110.59 | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HCHG GGT | $49.16 | $122.88 | $57.35–$110.59 | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HCHG FIBROMETER GGT (ARUP) | $49.16 | $122.88 | $57.35–$110.59 | — | 60% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HCHG GENERAL HEALTH PANEL | $201.69 | $504.21 | $10.26–$453.79 | 26% below | 60% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HCHG GENERAL HEALTH PANEL | $201.69 | $504.21 | $235.31–$453.79 | — | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE, PP | $20.34 | $50.85 | $3.56–$45.77 | 60% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE, PP | $20.34 | $50.85 | $23.73–$45.77 | — | 60% |
| Glucose tolerance test, 3 samples CPT 82951 HCHG GLUCOSE TOL | $89.95 | $224.87 | $9.65–$202.38 | 34% below | 60% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GLUCOSE TOL | $89.95 | $224.87 | $104.95–$202.38 | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HCHG NEISSERIA GON AMP PROBE | $127.18 | $317.93 | $26.32–$286.14 | 22% above | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HCHG NEISSERIA GON AMP PROBE | $127.18 | $317.93 | $148.38–$286.14 | — | 60% |
| H. pylori antibody blood test CPT 86677 HCHG H PYLORI ABS IGM | $65.71 | $164.27 | $12.34–$147.84 | 18% below | 60% |
| H. pylori antibody blood test CPT 86677 HCHG ANTI HELICOBACTER | $65.71 | $164.27 | $12.34–$147.84 | 18% below | 60% |
| H. pylori antibody blood test CPT 86677 HCHG HELIOBACTER IGA, ABS | $65.71 | $164.27 | $12.34–$147.84 | 18% below | 60% |
| H. pylori antibody blood test inpatient CPT 86677 HCHG H PYLORI ABS IGM | $65.71 | $164.27 | $76.66–$147.84 | — | 60% |
| H. pylori antibody blood test inpatient CPT 86677 HCHG ANTI HELICOBACTER | $65.71 | $164.27 | $76.66–$147.84 | — | 60% |
| H. pylori antibody blood test inpatient CPT 86677 HCHG HELIOBACTER IGA, ABS | $65.71 | $164.27 | $76.66–$147.84 | — | 60% |
| H. pylori stool antigen test CPT 87338 HCHG H PYLORI AG | $109.74 | $274.33 | $10.79–$246.90 | 25% below | 60% |
| H. pylori stool antigen test inpatient CPT 87338 HCHG H PYLORI AG | $109.74 | $274.33 | $128.03–$246.90 | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HCHG HIV BY PCR (ARUP) | $381.84 | $954.60 | $63.83–$859.14 | 61% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HCHG HIV BY PCR | $381.84 | $954.60 | $63.83–$859.14 | 61% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HCHG HIV BY PCR | $381.84 | $954.60 | $445.51–$859.14 | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HCHG HIV BY PCR (ARUP) | $381.84 | $954.60 | $445.51–$859.14 | — | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 HCHG HIV TYPES 1, 2 SINGLE RESULT | $118.25 | $295.62 | $10.28–$266.06 | 51% above | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HCHG HIV TYPES 1, 2 SINGLE RESULT | $118.25 | $295.62 | $137.97–$266.06 | — | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG HIV-1 AG/WHIV 1 & 2 AB AG IA (ARUP) | $24.08 | $60.20 | $18.06–$54.18 | 66% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG HIV-1 AG /WHIV 1 & 2 AB AG IA | $28.90 | $72.24 | $18.06–$65.02 | 60% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG HIV-1 AG/WHIV 1 & 2 AB AG IA (ARUP) | $24.08 | $60.20 | $28.10–$54.18 | — | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG HIV-1 AG /WHIV 1 & 2 AB AG IA | $28.90 | $72.24 | $33.71–$65.02 | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG HBAIC(GLY HEMO) | $54.93 | $137.32 | $7.28–$123.59 | 22% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG A1C REF LAB | $54.93 | $137.32 | $7.28–$123.59 | 22% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG POCT HBAI1C | $54.93 | $137.32 | $7.28–$123.59 | 22% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG A1C (ARUP) | $54.93 | $137.32 | $7.28–$123.59 | 22% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG A1C (ARUP) | $54.93 | $137.32 | $64.09–$123.59 | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG HBAIC(GLY HEMO) | $54.93 | $137.32 | $64.09–$123.59 | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG A1C REF LAB | $54.93 | $137.32 | $64.09–$123.59 | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG POCT HBAI1C | $54.93 | $137.32 | $64.09–$123.59 | — | 60% |
| Hemoglobin blood test CPT 85018 HCHG HEMOGLOBIN-ISTAT | $16.48 | $41.19 | $1.78–$37.07 | 39% below | 60% |
| Hemoglobin blood test CPT 85018 HCHG HEMOGLOBIN, FILTER PAPER (REFERENCE LAB) | $16.48 | $41.19 | $1.78–$37.07 | 39% below | 60% |
| Hemoglobin blood test CPT 85018 HCHG HEMOGLOBIN | $16.48 | $41.19 | $1.78–$37.07 | 39% below | 60% |
| Hemoglobin blood test inpatient CPT 85018 HCHG HEMOGLOBIN-ISTAT | $16.48 | $41.19 | $19.22–$37.07 | — | 60% |
| Hemoglobin blood test inpatient CPT 85018 HCHG HEMOGLOBIN, FILTER PAPER (REFERENCE LAB) | $16.48 | $41.19 | $19.22–$37.07 | — | 60% |
| Hemoglobin blood test inpatient CPT 85018 HCHG HEMOGLOBIN | $16.48 | $41.19 | $19.22–$37.07 | — | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HCHG ANTI HBC IGG/IGM | $98.71 | $246.77 | $9.04–$222.09 | 41% above | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HCHG HEPATITIS B, CORE AB TOTAL | $98.71 | $246.77 | $9.04–$222.09 | 41% above | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HCHG HEPATITIS B CORE (REFERENCE LAB ONLY) | $98.71 | $246.77 | $9.04–$222.09 | 41% above | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HCHG HEPATITIS B, CORE AB TOTAL | $98.71 | $246.77 | $115.17–$222.09 | — | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HCHG ANTI HBC IGG/IGM | $98.71 | $246.77 | $115.17–$222.09 | — | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HCHG HEPATITIS B CORE (REFERENCE LAB ONLY) | $98.71 | $246.77 | $115.17–$222.09 | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HCHG ANTI-HBS | $76.06 | $190.14 | $8.06–$171.13 | 17% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HCHG ANTI-HBS | $76.06 | $190.14 | $88.74–$171.13 | — | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG HBSAG SCREENING | $115.45 | $288.62 | $7.75–$259.76 | 66% above | 60% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HCHG HBSAG SCREENING | $115.45 | $288.62 | $134.70–$259.76 | — | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCHG HEPATITIS C (ANTI HCV) | $71.38 | $178.45 | $10.70–$160.61 | 16% below | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCHG HEPATITIS C (ANTI HCV) | $71.38 | $178.45 | $83.28–$160.61 | — | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCHG HCV AB SCRN /W REFLEX HCV PCR | $516.94 | $1,292.35 | $32.13–$1,163.12 | 107% above | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCHG HCV RNA PCR QUANT | $516.94 | $1,292.35 | $32.13–$1,163.12 | 107% above | 60% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCHG HCV AB SCRN /W REFLEX HCV PCR | $516.94 | $1,292.35 | $603.14–$1,163.12 | — | 60% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCHG HCV RNA PCR QUANT | $516.94 | $1,292.35 | $603.14–$1,163.12 | — | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HCHG HERPES II AB IGM | $33.39 | $83.46 | $9.89–$75.11 | 44% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HCHG HERPES AB 1 IGG | $33.39 | $83.46 | $9.89–$75.11 | 44% below | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HCHG HERPES II AB IGM | $33.39 | $83.46 | $38.95–$75.11 | — | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HCHG HERPES AB 1 IGG | $33.39 | $83.46 | $38.95–$75.11 | — | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HCHG HERPES AB 2 IGG | $74.26 | $185.64 | $14.51–$167.08 | 22% above | 60% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HCHG HERPES AB 2 IGG | $74.26 | $185.64 | $86.64–$167.08 | — | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG HSCRP | $57.92 | $144.78 | $9.71–$130.30 | 15% below | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG CRP HIGH SENSITIVE | $57.92 | $144.78 | $9.71–$130.30 | 15% below | 60% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG HSCRP | $57.92 | $144.78 | $67.57–$130.30 | — | 60% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG CRP HIGH SENSITIVE | $57.92 | $144.78 | $67.57–$130.30 | — | 60% |
| Homocysteine blood test CPT 83090 HCHG HOMOCYSTINE | $98.90 | $247.24 | $13.44–$222.52 | 22% below | 60% |
| Homocysteine blood test CPT 83090 HCHG HOMOCYSTEINE LIPOMED | $98.90 | $247.24 | $13.44–$222.52 | 22% below | 60% |
| Homocysteine blood test CPT 83090 HCHG HOMOCYSTEINE ASSAY (ARUP) | $98.90 | $247.24 | $13.44–$222.52 | 22% below | 60% |
| Homocysteine blood test inpatient CPT 83090 HCHG HOMOCYSTEINE ASSAY (ARUP) | $98.90 | $247.24 | $115.39–$222.52 | — | 60% |
| Homocysteine blood test inpatient CPT 83090 HCHG HOMOCYSTINE | $98.90 | $247.24 | $115.39–$222.52 | — | 60% |
| Homocysteine blood test inpatient CPT 83090 HCHG HOMOCYSTEINE LIPOMED | $98.90 | $247.24 | $115.39–$222.52 | — | 60% |
| Insulin blood test CPT 83525 HCHG INSULIN LEVEL | $54.21 | $135.51 | $8.57–$121.96 | 36% below | 60% |
| Insulin blood test inpatient CPT 83525 HCHG INSULIN LEVEL | $54.21 | $135.51 | $63.24–$121.96 | — | 60% |
| Iron blood test (serum iron) CPT 83540 HCHG IRON,SERUM | $43.95 | $109.87 | $4.85–$98.88 | 39% below | 60% |
| Iron blood test (serum iron) CPT 83540 HCHG IRON LIVER TISSUE | $43.95 | $109.87 | $4.85–$98.88 | 39% below | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 HCHG IRON,SERUM | $43.95 | $109.87 | $51.28–$98.88 | — | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 HCHG IRON LIVER TISSUE | $43.95 | $109.87 | $51.28–$98.88 | — | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 HCHG TIBC | $41.00 | $102.50 | $6.56–$92.25 | 47% below | 60% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HCHG TIBC | $41.00 | $102.50 | $47.84–$92.25 | — | 60% |
| Kidney function blood test panel CPT 80069 HCHG RENAL PANEL | $25.60 | $63.99 | $5.69–$57.59 | 71% below | 60% |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL PANEL | $25.60 | $63.99 | $29.86–$57.59 | — | 60% |
| LH (luteinizing hormone) test CPT 83002 HCHG LH | $97.60 | $243.98 | $13.89–$219.58 | 29% below | 60% |
| LH (luteinizing hormone) test inpatient CPT 83002 HCHG LH | $97.60 | $243.98 | $113.87–$219.58 | — | 60% |
| Lactate (lactic acid) blood test CPT 83605 HCHG LACTIC ACID OR LACTATE | $69.75 | $174.37 | $8.68–$156.93 | 2% above | 60% |
| Lactate (lactic acid) blood test CPT 83605 HCHG LACTIC ACID | $69.75 | $174.37 | $8.68–$156.93 | 2% above | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HCHG LACTIC ACID OR LACTATE | $69.75 | $174.37 | $81.38–$156.93 | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HCHG LACTIC ACID | $69.75 | $174.37 | $81.38–$156.93 | — | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HCHG LDH | $41.82 | $104.54 | $4.53–$94.09 | 11% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HCHG LDH,FLUID | $41.82 | $104.54 | $4.53–$94.09 | 11% below | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HCHG LDH | $41.82 | $104.54 | $48.79–$94.09 | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HCHG LDH,FLUID | $41.82 | $104.54 | $48.79–$94.09 | — | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 HCHG LIPASE BODY FLD | $68.87 | $172.16 | $5.17–$154.94 | 7% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 HCHG LIPASE | $68.87 | $172.16 | $5.17–$154.94 | 7% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 HCHG LIPASE (ARUP) | $68.87 | $172.16 | $5.17–$154.94 | 7% below | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG LIPASE | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG LIPASE (ARUP) | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG LIPASE BODY FLD | $68.87 | $172.16 | $80.35–$154.94 | — | 60% |
| Liver function blood test panel CPT 80076 HCHG HEPATIC FUNCTION PANEL | $59.21 | $148.01 | $5.69–$133.21 | 39% below | 60% |
| Liver function blood test panel inpatient CPT 80076 HCHG HEPATIC FUNCTION PANEL | $59.21 | $148.01 | $69.08–$133.21 | — | 60% |
| Lyme disease antibody test CPT 86618 HCHG LYME | $204.93 | $512.32 | $12.77–$461.09 | 303% above | 60% |
| Lyme disease antibody test CPT 86618 HCHG BORRELIA BURGDORFERI AB (ARUP) | $204.93 | $512.32 | $12.77–$461.09 | 303% above | 60% |
| Lyme disease antibody test inpatient CPT 86618 HCHG BORRELIA BURGDORFERI AB (ARUP) | $204.93 | $512.32 | $239.10–$461.09 | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 HCHG LYME | $204.93 | $512.32 | $239.10–$461.09 | — | 60% |
| Magnesium blood test CPT 83735 HCHG MAGNESIUM | $17.28 | $43.18 | $5.03–$38.86 | 65% below | 60% |
| Magnesium blood test CPT 83735 HCHG MAGNESIUM 24 UA | $17.28 | $43.18 | $5.03–$38.86 | 65% below | 60% |
| Magnesium blood test CPT 83735 HCHG MAGNESIUM, FECES | $17.28 | $43.18 | $5.03–$38.86 | 65% below | 60% |
| Magnesium blood test CPT 83735 HCHG MAGNESIUM URINE (ARUP) | $17.28 | $43.18 | $5.03–$38.86 | 65% below | 60% |
| Magnesium blood test CPT 83735 HCHG MAGNESIUM RBC (ARUP) | $17.28 | $43.18 | $5.03–$38.86 | 65% below | 60% |
| Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM, FECES | $17.28 | $43.18 | $20.15–$38.86 | — | 60% |
| Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM URINE (ARUP) | $17.28 | $43.18 | $20.15–$38.86 | — | 60% |
| Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM RBC (ARUP) | $17.28 | $43.18 | $20.15–$38.86 | — | 60% |
| Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM 24 UA | $17.28 | $43.18 | $20.15–$38.86 | — | 60% |
| Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM | $17.28 | $43.18 | $20.15–$38.86 | — | 60% |
| Measles (rubeola) antibody test CPT 86765 HCHG ANTIBODY RUBEOLA (ARUP) | $70.91 | $177.26 | $9.66–$159.53 | 30% above | 60% |
| Measles (rubeola) antibody test CPT 86765 HCHG ANTIBODY,RUBEOLA | $73.74 | $184.35 | $9.66–$165.92 | 35% above | 60% |
| Measles (rubeola) antibody test CPT 86765 HCHG MEASLES ANTIBODIES | $73.74 | $184.35 | $9.66–$165.92 | 35% above | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 HCHG ANTIBODY RUBEOLA (ARUP) | $70.91 | $177.26 | $82.73–$159.53 | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 HCHG ANTIBODY,RUBEOLA | $73.74 | $184.35 | $86.04–$165.92 | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 HCHG MEASLES ANTIBODIES | $73.74 | $184.35 | $86.04–$165.92 | — | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HCHG MONOTEST | $49.06 | $122.63 | $3.89–$110.37 | 10% below | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HCHG POCT INFECTIOUS MONO ANTIBODIES | $49.06 | $122.63 | $3.89–$110.37 | 10% below | 60% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG MONOTEST | $49.06 | $122.63 | $57.23–$110.37 | — | 60% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG POCT INFECTIOUS MONO ANTIBODIES | $49.06 | $122.63 | $57.23–$110.37 | — | 60% |
| Mumps immunity blood test CPT 86735 HCHG MUMPS ANTIBODIES | $43.90 | $109.75 | $9.79–$98.78 | 37% below | 60% |
| Mumps immunity blood test inpatient CPT 86735 HCHG MUMPS ANTIBODIES | $43.90 | $109.75 | $51.22–$98.78 | — | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSA FREE AND TOTAL | $38.97 | $97.41 | $13.79–$87.67 | 47% below | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSA, FREE | $38.97 | $97.41 | $13.79–$87.67 | 47% below | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSA FREE AND TOTAL | $38.97 | $97.41 | $45.46–$87.67 | — | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSA, FREE | $38.97 | $97.41 | $45.46–$87.67 | — | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA SCREEN | $72.53 | $181.32 | $13.79–$163.19 | 37% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA, TOTAL | $72.53 | $181.32 | $13.79–$163.19 | 37% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA, ULTRASENSITIVE, S (REFERENCE LAB) | $72.53 | $181.32 | $13.79–$163.19 | 37% below | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA, ULTRASENSITIVE, S (REFERENCE LAB) | $72.53 | $181.32 | $84.62–$163.19 | — | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA SCREEN | $72.53 | $181.32 | $84.62–$163.19 | — | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA, TOTAL | $72.53 | $181.32 | $84.62–$163.19 | — | 60% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HCHG IMAGED THIN PREP PAP | $94.52 | $236.30 | $19.96–$212.67 | 97% above | 60% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HCHG IMAGED THIN PREP PAP | $94.52 | $236.30 | $110.28–$212.67 | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HCHG THIN PREP PAP | $70.98 | $177.43 | $15.20–$159.69 | 17% above | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HCHG THIN PREP PAP | $70.98 | $177.43 | $82.81–$159.69 | — | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 HCHG PARATHY HOR INTACT | $80.07 | $200.16 | $30.96–$180.14 | 58% below | 60% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HCHG PARATHY HOR INTACT | $80.07 | $200.16 | $93.41–$180.14 | — | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT (ARUP) | $27.46 | $68.64 | $4.51–$61.78 | 65% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG APTT REF LAB | $34.90 | $87.24 | $4.51–$78.52 | 55% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG APTT | $34.90 | $87.24 | $4.51–$78.52 | 55% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT HEPARIN | $34.90 | $87.24 | $4.51–$78.52 | 55% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT RATIO TREATED (ARUP) | $34.90 | $87.24 | $4.51–$78.52 | 55% below | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT (ARUP) | $27.46 | $68.64 | $32.03–$61.78 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT RATIO TREATED (ARUP) | $34.90 | $87.24 | $40.71–$78.52 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG APTT REF LAB | $34.90 | $87.24 | $40.71–$78.52 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT HEPARIN | $34.90 | $87.24 | $40.71–$78.52 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG APTT | $34.90 | $87.24 | $40.71–$78.52 | — | 60% |
| Phosphorus (phosphate) blood test CPT 84100 HCHG PHOSPHORUS | $28.39 | $70.96 | $3.56–$63.86 | 47% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 HCHG PHOSPHOROUS, FECES | $28.39 | $70.96 | $3.56–$63.86 | 47% below | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HCHG PHOSPHOROUS, FECES | $28.39 | $70.96 | $33.12–$63.86 | — | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HCHG PHOSPHORUS | $28.39 | $70.96 | $33.12–$63.86 | — | 60% |
| Potassium blood test CPT 84132 HCHG POCT POTASSIUM | $31.07 | $77.66 | $3.57–$69.89 | 32% below | 60% |
| Potassium blood test CPT 84132 HCHG POTASSIUM | $31.07 | $77.66 | $3.57–$69.89 | 32% below | 60% |
| Potassium blood test one side CPT 84132 HCHG RT K | $31.07 | $77.66 | $3.57–$69.89 | 32% below | 60% |
| Potassium blood test inpatient CPT 84132 HCHG POTASSIUM | $31.07 | $77.66 | $36.24–$69.89 | — | 60% |
| Potassium blood test inpatient CPT 84132 HCHG POCT POTASSIUM | $31.07 | $77.66 | $36.24–$69.89 | — | 60% |
| Potassium blood test inpatient one side CPT 84132 HCHG RT K | $31.07 | $77.66 | $36.24–$69.89 | — | 60% |
| Progesterone blood test CPT 84144 HCHG PROGESTERONE | $86.97 | $217.41 | $15.65–$195.67 | 30% below | 60% |
| Progesterone blood test inpatient CPT 84144 HCHG PROGESTERONE | $86.97 | $217.41 | $101.47–$195.67 | — | 60% |
| Prolactin blood test CPT 84146 HCHG PROLACTIN LEVEL | $95.04 | $237.60 | $14.54–$213.84 | 31% below | 60% |
| Prolactin blood test inpatient CPT 84146 HCHG PROLACTIN LEVEL | $95.04 | $237.60 | $110.89–$213.84 | — | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTIME (ARUP) | $26.09 | $65.21 | $3.22–$58.69 | 37% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT POST B | $26.09 | $65.21 | $3.22–$58.69 | 37% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTIME REF LAB | $26.09 | $65.21 | $3.22–$58.69 | 37% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT/INR/CAP | $26.09 | $65.21 | $3.22–$58.69 | 37% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT/INR | $26.09 | $65.21 | $3.22–$58.69 | 37% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT PRE A | $26.09 | $65.21 | $3.22–$58.69 | 37% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT PRE B | $26.09 | $65.21 | $3.22–$58.69 | 37% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT POST A | $26.09 | $65.21 | $3.22–$58.69 | 37% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG POCT PT/INR | $26.09 | $65.21 | $3.22–$58.69 | 37% below | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT/INR | $26.09 | $65.21 | $30.43–$58.69 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT PRE A | $26.09 | $65.21 | $30.43–$58.69 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT POST A | $26.09 | $65.21 | $30.43–$58.69 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT POST B | $26.09 | $65.21 | $30.43–$58.69 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTIME (ARUP) | $26.09 | $65.21 | $30.43–$58.69 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG POCT PT/INR | $26.09 | $65.21 | $30.43–$58.69 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT PRE B | $26.09 | $65.21 | $30.43–$58.69 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTIME REF LAB | $26.09 | $65.21 | $30.43–$58.69 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT/INR/CAP | $26.09 | $65.21 | $30.43–$58.69 | — | 60% |
| Rapid flu test (influenza antigen) CPT 87804 HCHG RAPID INFLUENZA A | $80.73 | $201.82 | $9.73–$181.64 | 64% above | 60% |
| Rapid flu test (influenza antigen) CPT 87804 HCHG FLU B | $80.73 | $201.82 | $9.73–$181.64 | 64% above | 60% |
| Rapid flu test (influenza antigen) CPT 87804 HCHG POCT INFLUENZA B | $80.73 | $201.82 | $9.73–$181.64 | 64% above | 60% |
| Rapid flu test (influenza antigen) CPT 87804 HCHG POCT INFLUENZA A | $80.73 | $201.82 | $9.73–$181.64 | 64% above | 60% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HCHG RAPID INFLUENZA A | $80.73 | $201.82 | $94.19–$181.64 | — | 60% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HCHG FLU B | $80.73 | $201.82 | $94.19–$181.64 | — | 60% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HCHG POCT INFLUENZA B | $80.73 | $201.82 | $94.19–$181.64 | — | 60% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HCHG POCT INFLUENZA A | $80.73 | $201.82 | $94.19–$181.64 | — | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HCHG POCT RAPID STREP TEST | $65.16 | $162.90 | $9.73–$146.61 | 10% above | 60% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HCHG POCT RAPID STREP TEST | $65.16 | $162.90 | $76.03–$146.61 | — | 60% |
| Renin blood test CPT 84244 HCHG RENIN-PLASMA | $85.69 | $214.22 | $16.49–$192.80 | 38% below | 60% |
| Renin blood test inpatient CPT 84244 HCHG RENIN-PLASMA | $85.69 | $214.22 | $99.98–$192.80 | — | 60% |
| Rh blood typing CPT 86901 HCHG RC RH(D) TYPE | $37.78 | $94.44 | $2.54–$85.00 | 18% below | 60% |
| Rh blood typing CPT 86901 HCHG RH TYPE | $54.20 | $135.49 | $2.54–$121.94 | 17% above | 60% |
| Rh blood typing CPT 86901 HCHG UNIT RH | $54.20 | $135.49 | $2.54–$121.94 | 17% above | 60% |
| Rh blood typing inpatient CPT 86901 HCHG RC RH(D) TYPE | $37.78 | $94.44 | $44.08–$85.00 | — | 60% |
| Rh blood typing inpatient CPT 86901 HCHG UNIT RH | $54.20 | $135.49 | $63.23–$121.94 | — | 60% |
| Rh blood typing inpatient CPT 86901 HCHG RH TYPE | $54.20 | $135.49 | $63.23–$121.94 | — | 60% |
| Rheumatoid factor (RF) test CPT 86431 HCHG RHEUM FACTOR IGM | $65.39 | $163.46 | $4.25–$147.11 | 38% above | 60% |
| Rheumatoid factor (RF) test CPT 86431 HCHG RHEUMATOID FLUID QUANT | $65.80 | $164.50 | $4.25–$148.05 | 39% above | 60% |
| Rheumatoid factor (RF) test CPT 86431 HCHG RHEUM FACTOR IGA | $65.80 | $164.50 | $4.25–$148.05 | 39% above | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HCHG RHEUM FACTOR IGM | $65.39 | $163.46 | $76.29–$147.11 | — | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HCHG RHEUMATOID FLUID QUANT | $65.80 | $164.50 | $76.77–$148.05 | — | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HCHG RHEUM FACTOR IGA | $65.80 | $164.50 | $76.77–$148.05 | — | 60% |
| Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA ANTIBODIES | $63.56 | $158.89 | $10.79–$143.00 | 30% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA AB IGM | $63.56 | $158.89 | $10.79–$143.00 | 30% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 HCHG ANTIBODY RUBELLA (ARUP) | $63.56 | $158.89 | $10.79–$143.00 | 30% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA, IGM | $63.56 | $158.89 | $10.79–$143.00 | 30% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA SCREEN | $63.56 | $158.89 | $10.79–$143.00 | 30% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA AB IGG | $63.56 | $158.89 | $10.79–$143.00 | 30% below | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA AB IGG | $63.56 | $158.89 | $74.15–$143.00 | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA ANTIBODIES | $63.56 | $158.89 | $74.15–$143.00 | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA AB IGM | $63.56 | $158.89 | $74.15–$143.00 | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA SCREEN | $63.56 | $158.89 | $74.15–$143.00 | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA, IGM | $63.56 | $158.89 | $74.15–$143.00 | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HCHG ANTIBODY RUBELLA (ARUP) | $63.56 | $158.89 | $74.15–$143.00 | — | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HCHG SED RATE | $34.97 | $87.42 | $2.03–$78.68 | 9% below | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HCHG SED RATE | $34.97 | $87.42 | $40.80–$78.68 | — | 60% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HCHG SEMEN ANALYSIS | $152.13 | $380.31 | $9.23–$342.28 | 52% above | 60% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HCHG SEMEN ANALYSIS | $152.13 | $380.31 | $177.49–$342.28 | — | 60% |
| Sodium blood test CPT 84295 HCHG SODIUM,CSF | $28.15 | $70.36 | $3.61–$63.32 | 43% below | 60% |
| Sodium blood test CPT 84295 HCHG SODIUM | $28.15 | $70.36 | $3.61–$63.32 | 43% below | 60% |
| Sodium blood test one side CPT 84295 HCHG RT NA | $28.15 | $70.36 | $3.61–$63.32 | 43% below | 60% |
| Sodium blood test inpatient CPT 84295 HCHG SODIUM | $28.15 | $70.36 | $32.84–$63.32 | — | 60% |
| Sodium blood test inpatient CPT 84295 HCHG SODIUM,CSF | $28.15 | $70.36 | $32.84–$63.32 | — | 60% |
| Sodium blood test inpatient one side CPT 84295 HCHG RT NA | $28.15 | $70.36 | $32.84–$63.32 | — | 60% |
| Stool ova and parasites exam CPT 87177 HCHG PINWORM SLIDE | $89.78 | $224.44 | $6.68–$202.00 | 41% above | 60% |
| Stool ova and parasites exam CPT 87177 HCHG OAP DIRECT SMEARS CONCEN. & ID (ARUP) | $89.78 | $224.44 | $6.68–$202.00 | 41% above | 60% |
| Stool ova and parasites exam inpatient CPT 87177 HCHG OAP DIRECT SMEARS CONCEN. & ID (ARUP) | $89.78 | $224.44 | $104.75–$202.00 | — | 60% |
| Stool ova and parasites exam inpatient CPT 87177 HCHG PINWORM SLIDE | $89.78 | $224.44 | $104.75–$202.00 | — | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG POCT OCCULT BLOOD | $22.00 | $54.98 | $2.77–$49.48 | 5% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG OCCULT BLOOD | $22.00 | $54.98 | $2.77–$49.48 | 5% below | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG POCT OCCULT BLOOD | $22.00 | $54.98 | $25.66–$49.48 | — | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG OCCULT BLOOD | $22.00 | $54.98 | $25.66–$49.48 | — | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HCHG OCCULT BLOOD IMMUNOASSAY | $46.15 | $115.37 | $11.94–$103.83 | 22% above | 60% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HCHG OCCULT BLOOD IMMUNOASSAY | $46.15 | $115.37 | $53.84–$103.83 | — | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HCHG ANTIBODY TREPONEMA PALLIDUM | $61.41 | $153.51 | $5.42–$138.16 | 36% above | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HCHG TREPONEMA PALLIDIUM AB | $61.41 | $153.51 | $5.42–$138.16 | 36% above | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HCHG TREPONEMA PALLIDIUM AB | $61.41 | $153.51 | $71.64–$138.16 | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HCHG ANTIBODY TREPONEMA PALLIDUM | $61.41 | $153.51 | $71.64–$138.16 | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG RPR (ARUP) | $55.62 | $139.03 | $3.20–$125.13 | 35% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG VDRL, CSF (ARUP) | $55.62 | $139.03 | $3.20–$125.13 | 35% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG VDRL,CSF | $55.62 | $139.03 | $3.20–$125.13 | 35% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG SYPHILIS NON-TREP QL | $55.62 | $139.03 | $3.20–$125.13 | 35% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG RPR (ARUP) | $55.62 | $139.03 | $64.89–$125.13 | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG VDRL, CSF (ARUP) | $55.62 | $139.03 | $64.89–$125.13 | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG SYPHILIS NON-TREP QL | $55.62 | $139.03 | $64.89–$125.13 | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG VDRL,CSF | $55.62 | $139.03 | $64.89–$125.13 | — | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HCHG TB QUANTIFERON | $148.14 | $370.34 | $46.49–$333.31 | 12% above | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HCHG TB QUANTIFERON | $148.14 | $370.34 | $172.84–$333.31 | — | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE TOTAL F | $106.79 | $266.96 | $19.36–$240.26 | 7% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE TOTAL | $106.79 | $266.96 | $19.36–$240.26 | 7% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE, TOTAL | $106.79 | $266.96 | $19.36–$240.26 | 7% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE HIR | $106.79 | $266.96 | $19.36–$240.26 | 7% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TTB TESTOSTERONE TOTAL | $106.79 | $266.96 | $19.36–$240.26 | 7% below | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE, TOTAL | $106.79 | $266.96 | $124.59–$240.26 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE TOTAL | $106.79 | $266.96 | $124.59–$240.26 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE TOTAL F | $106.79 | $266.96 | $124.59–$240.26 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TTB TESTOSTERONE TOTAL | $106.79 | $266.96 | $124.59–$240.26 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE HIR | $106.79 | $266.96 | $124.59–$240.26 | — | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG LKM1 ANTIBODIES (ARUP) | $67.87 | $169.67 | $10.91–$152.70 | 27% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG ANTIBODY THYROID ANTIMICOSOMAL | $67.87 | $169.67 | $10.91–$152.70 | 27% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG LKM1 ANTIBODIES | $67.87 | $169.67 | $10.91–$152.70 | 27% below | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG ANTIBODY THYROID ANTIMICOSOMAL | $67.87 | $169.67 | $79.18–$152.70 | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG LKM1 ANTIBODIES | $67.87 | $169.67 | $79.18–$152.70 | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG LKM1 ANTIBODIES (ARUP) | $67.87 | $169.67 | $79.18–$152.70 | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH | $76.96 | $192.38 | $12.60–$173.14 | 10% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH HIGH SENS | $76.96 | $192.38 | $12.60–$173.14 | 10% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH NEWBORN SCRN | $76.96 | $192.38 | $12.60–$173.14 | 10% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH | $76.96 | $192.38 | $89.78–$173.14 | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH NEWBORN SCRN | $76.96 | $192.38 | $89.78–$173.14 | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH HIGH SENS | $76.96 | $192.38 | $89.78–$173.14 | — | 60% |
| Total IgE blood test CPT 82785 HCHG IGE | $52.21 | $130.51 | $12.35–$117.46 | 47% below | 60% |
| Total IgE blood test inpatient CPT 82785 HCHG IGE | $52.21 | $130.51 | $60.91–$117.46 | — | 60% |
| Total cholesterol blood test CPT 82465 HCHG NMR CHOLESTEROL | $37.15 | $92.87 | $3.26–$83.58 | 20% below | 60% |
| Total cholesterol blood test CPT 82465 HCHG CHOLESTEROL | $37.15 | $92.87 | $3.26–$83.58 | 20% below | 60% |
| Total cholesterol blood test inpatient CPT 82465 HCHG NMR CHOLESTEROL | $37.15 | $92.87 | $43.34–$83.58 | — | 60% |
| Total cholesterol blood test inpatient CPT 82465 HCHG CHOLESTEROL | $37.15 | $92.87 | $43.34–$83.58 | — | 60% |
| Total thyroxine (T4) blood test CPT 84436 HCHG T4 | $50.92 | $127.28 | $5.15–$114.55 | 30% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 HCHG T4 NEONATAL | $50.92 | $127.28 | $5.15–$114.55 | 30% below | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HCHG T4 NEONATAL | $50.92 | $127.28 | $59.40–$114.55 | — | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HCHG T4 | $50.92 | $127.28 | $59.40–$114.55 | — | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 HCHG TOTAL T3 | $93.84 | $234.60 | $10.64–$211.14 | 2% below | 60% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HCHG TOTAL T3 | $93.84 | $234.60 | $109.49–$211.14 | — | 60% |
| Transferrin blood test CPT 84466 HCHG TRANSFERRIN | $57.24 | $143.10 | $9.57–$128.79 | 39% below | 60% |
| Transferrin blood test inpatient CPT 84466 HCHG TRANSFERRIN | $57.24 | $143.10 | $66.78–$128.79 | — | 60% |
| Trichomonas test (NAAT) CPT 87661 HCHG TRICH VAG AMP PROBE | $40.01 | $100.01 | $26.32–$90.01 | 39% below | 60% |
| Trichomonas test (NAAT) inpatient CPT 87661 HCHG TRICH VAG AMP PROBE | $40.01 | $100.01 | $46.67–$90.01 | — | 60% |
| Triglycerides blood test CPT 84478 HCHG TRIGLYCERIDE | $45.99 | $114.97 | $4.31–$103.47 | 10% below | 60% |
| Triglycerides blood test CPT 84478 HCHG BLFA TRIGLYCERIDES | $45.99 | $114.97 | $4.31–$103.47 | 10% below | 60% |
| Triglycerides blood test CPT 84478 HCHG NMR TRIGYCERIDES | $45.99 | $114.97 | $4.31–$103.47 | 10% below | 60% |
| Triglycerides blood test inpatient CPT 84478 HCHG TRIGLYCERIDE | $45.99 | $114.97 | $53.66–$103.47 | — | 60% |
| Triglycerides blood test inpatient CPT 84478 HCHG NMR TRIGYCERIDES | $45.99 | $114.97 | $53.66–$103.47 | — | 60% |
| Triglycerides blood test inpatient CPT 84478 HCHG BLFA TRIGLYCERIDES | $45.99 | $114.97 | $53.66–$103.47 | — | 60% |
| Troponin test, quantitative CPT 84484 HCHG TROPONIN | $65.70 | $164.25 | $8.36–$147.83 | 46% below | 60% |
| Troponin test, quantitative inpatient CPT 84484 HCHG TROPONIN | $65.70 | $164.25 | $76.66–$147.83 | — | 60% |
| Uric acid blood test CPT 84550 HCHG URIC ACID | $42.80 | $106.99 | $3.39–$96.29 | 24% below | 60% |
| Uric acid blood test inpatient CPT 84550 HCHG URIC ACID | $42.80 | $106.99 | $49.93–$96.29 | — | 60% |
| Urinalysis with microscope exam, automated CPT 81001 HCHG URINALYSIS | $35.59 | $88.97 | $2.38–$80.07 | 30% below | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG URINALYSIS | $35.59 | $88.97 | $41.52–$80.07 | — | 60% |
| Urinalysis with microscope exam, manual CPT 81000 HCHG BILIRUBIN,URINE | $6.84 | $17.09 | $2.69–$15.38 | 67% below | 60% |
| Urinalysis with microscope exam, manual CPT 81000 HCHG PH URINE | $6.84 | $17.09 | $2.69–$15.38 | 67% below | 60% |
| Urinalysis with microscope exam, manual CPT 81000 HCHG ACETONE,URINE | $6.84 | $17.09 | $2.69–$15.38 | 67% below | 60% |
| Urinalysis with microscope exam, manual CPT 81000 HCHG SPECIFIC GRAVITY | $6.84 | $17.09 | $2.69–$15.38 | 67% below | 60% |
| Urinalysis with microscope exam, manual CPT 81000 HCHG URINE RED SUB | $6.84 | $17.09 | $2.69–$15.38 | 67% below | 60% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG URINE RED SUB | $6.84 | $17.09 | $7.98–$15.38 | — | 60% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG ACETONE,URINE | $6.84 | $17.09 | $7.98–$15.38 | — | 60% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG BILIRUBIN,URINE | $6.84 | $17.09 | $7.98–$15.38 | — | 60% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG SPECIFIC GRAVITY | $6.84 | $17.09 | $7.98–$15.38 | — | 60% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG PH URINE | $6.84 | $17.09 | $7.98–$15.38 | — | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS-AUTOMATED WITHOUT MICROSCOPY(CLINTEK) | $19.37 | $48.42 | $1.69–$43.58 | 25% below | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS-AUTOMATED WITHOUT MICROSCOPY(CLINTEK) | $19.37 | $48.42 | $22.60–$43.58 | — | 60% |
| Urinalysis without microscope exam, manual CPT 81002 HCHG URINE W/O MICRO | $11.98 | $29.93 | $2.05–$26.94 | 33% below | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG URINE W/O MICRO | $11.98 | $29.93 | $13.97–$26.94 | — | 60% |
| Urine culture for bacteria, with colony count CPT 87086 HCHG CULTURE, URINE | $81.66 | $204.14 | $6.05–$183.73 | 1% below | 60% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HCHG CULTURE, URINE | $81.66 | $204.14 | $95.27–$183.73 | — | 60% |
| Urine microalbumin (albumin) test CPT 82043 HCHG MICRO ALB/URINE | $53.98 | $134.93 | $4.34–$121.44 | 4% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 HCHG MICROALB 24 URINE | $53.98 | $134.93 | $4.34–$121.44 | 4% below | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HCHG MICROALB 24 URINE | $53.98 | $134.93 | $62.97–$121.44 | — | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HCHG MICRO ALB/URINE | $53.98 | $134.93 | $62.97–$121.44 | — | 60% |
| Urine pregnancy test, read by color change CPT 81025 HCHG POCT URINE PREG TEST | $78.98 | $197.44 | $1.02–$177.70 | 53% above | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCHG POCT URINE PREG TEST | $78.98 | $197.44 | $92.15–$177.70 | — | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HCHG VITAMIN B 12 | $67.00 | $167.50 | $11.31–$150.75 | 21% below | 60% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HCHG VITAMIN B 12 | $67.00 | $167.50 | $78.17–$150.75 | — | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HCHG VIT D, 25 HYDROXY | $134.02 | $335.05 | $22.20–$301.55 | 21% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HCHG VIT D, 25 HYDROXY | $134.02 | $335.05 | $156.37–$301.55 | — | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HCHG VIT D1, 25 DIHYDROXY | $145.38 | $363.43 | $28.88–$327.09 | 9% below | 60% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HCHG VIT D1, 25 DIHYDROXY | $145.38 | $363.43 | $169.61–$327.09 | — | 60% |
| Zinc blood test CPT 84630 HCHG ZINC SERUM | $49.44 | $123.60 | $8.54–$111.24 | 57% below | 60% |
| Zinc blood test inpatient CPT 84630 HCHG ZINC SERUM | $49.44 | $123.60 | $57.68–$111.24 | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG PREGNANCY TEST,QUANT | $91.15 | $227.86 | $11.29–$205.07 | 41% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG B-HCG,QUAN MALE | $91.15 | $227.86 | $11.29–$205.07 | 41% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG HCG AFP EXTRA | $91.15 | $227.86 | $11.29–$205.07 | 41% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG HCG AFP EXTRA | $91.15 | $227.86 | $106.34–$205.07 | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG PREGNANCY TEST,QUANT | $91.15 | $227.86 | $106.34–$205.07 | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG B-HCG,QUAN MALE | $91.15 | $227.86 | $106.34–$205.07 | — | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HCHG CHEMODENERV MUSCLE MIGRAINE | $333.76 | $834.38 | $219.07–$750.94 | 39% below | 60% |
| Botox injections for chronic migraine inpatient CPT 64615 HCHG CHEMODENERV MUSCLE MIGRAINE | $333.76 | $834.38 | $389.41–$750.94 | — | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HCHG STERO GUIDE BREAST BX W/WO CLIP-PERCUTANEOUS | $2,273.41 | $5,683.51 | $1,178.74–$5,115.16 | at median | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HCHG STERO GUIDE BREAST BX W/WO CLIP-PERCUTANEOUS | $2,273.41 | $5,683.51 | $2,652.49–$5,115.16 | — | 60% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HCHG CORONARY ANGIOGRAPHY /W LT HEART CATH\ | $4,296.77 | $10,741.91 | $2,313.75–$12,953.00 | 48% below | 60% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HCHG CORONARY ANGIOGRAPHY /W LT HEART CATH\ | $4,296.77 | $10,741.91 | $5,013.25–$9,667.72 | — | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG ELECTIVE CARDIOVERSION | $887.57 | $2,218.91 | $471.71–$2,035.00 | 2% below | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG CARDIOVERSION ELECT EXTERNAL | $887.57 | $2,218.91 | $471.71–$2,035.00 | 2% below | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG ELECTIVE CARDIOVERSION | $887.57 | $2,218.91 | $1,035.57–$1,997.02 | — | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG CARDIOVERSION ELECT EXTERNAL | $887.57 | $2,218.91 | $1,035.57–$1,997.02 | — | 60% |
| Catheter ablation for atrial fibrillation CPT 93656 HCHG ABLATION BY PULMONARY VEIN /W COMPLETE EP STUDY | $15,992.23 | $39,980.57 | $18,654.47–$46,014.37 | 7% above | 60% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HCHG ABLATION BY PULMONARY VEIN /W COMPLETE EP STUDY | $15,992.23 | $39,980.57 | $18,658.93–$35,982.51 | — | 60% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HCHG CIRCUMCISION, 28 DAYS OR OLDER | $2,200.33 | $5,500.81 | $1,491.90–$4,950.73 | 65% below | 60% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HCHG CIRCUMCISION, 28 DAYS OR OLDER | $2,200.33 | $5,500.81 | $2,567.23–$4,950.73 | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HCHG CIRCUMCISION WITH PENILE BLOCK | $251.32 | $628.30 | $390.17–$3,680.01 | 84% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HCHG CIRCUMCISION WITH LOCAL ANESTHESIA | $251.32 | $628.30 | $390.17–$3,680.01 | 84% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HCHG CIRCUMCISION WITH LOCAL ANESTHESIA | $251.32 | $628.30 | $293.23–$565.47 | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HCHG CIRCUMCISION WITH PENILE BLOCK | $251.32 | $628.30 | $293.23–$565.47 | — | 60% |
| Coronary stent placement, one artery CPT 92928 HCHG PCI (STENT) ANY CORONARY VESSEL | $4,584.44 | $11,461.08 | $7,117.33–$30,168.00 | 39% below | 60% |
| Coronary stent placement, one artery CPT 92928 HCHG PCI (STENT) ANY CORONARY VESSEL (DES) | $4,584.44 | $11,461.08 | $7,117.33–$30,168.00 | 39% below | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 HCHG PCI (STENT) ANY CORONARY VESSEL (DES) | $4,584.44 | $11,461.08 | $5,348.89–$10,314.97 | — | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 HCHG PCI (STENT) ANY CORONARY VESSEL | $4,584.44 | $11,461.08 | $5,348.89–$10,314.97 | — | 60% |
| Cystoscopy with ureteral stent placement CPT 52332 HCHG CYSTO WITH URETERAL STENT INSERTION | $3,335.53 | $8,338.82 | $2,515.76–$13,176.00 | 8% below | 60% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HCHG CYSTO WITH URETERAL STENT INSERTION | $3,335.53 | $8,338.82 | $3,891.73–$7,504.94 | — | 60% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HCHG CYSTOURETHROSCOPY | $937.75 | $2,344.36 | $497.66–$2,109.92 | 3% below | 60% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HCHG CYSTOURETHROSCOPY | $937.75 | $2,344.36 | $1,094.11–$2,109.92 | — | 60% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HCHG REMOVE EAR WAX (CERUMEN) /W IRRIGATION | $84.60 | $211.48 | $42.10–$190.33 | 19% below | 60% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HCHG REMOVE EAR WAX (CERUMEN) /W IRRIGATION | $84.60 | $211.48 | $98.70–$190.33 | — | 60% |
| Earwax removal with instruments, one ear CPT 69210 HCHG REMOVAL EAR WAX/CERUMEN /W INSTRUMENTATION | $84.60 | $211.48 | $42.10–$2,035.00 | 23% below | 60% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HCHG REMOVAL EAR WAX/CERUMEN /W INSTRUMENTATION | $84.60 | $211.48 | $98.70–$190.33 | — | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG INJECTION CERV/THORAC INTERLAM /W GUIDANCE | $2,067.21 | $5,168.02 | $503.78–$4,651.22 | 131% above | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG INJECTION CERV/THORAC INTERLAM /W GUIDANCE | $2,067.21 | $5,168.02 | $2,411.91–$4,651.22 | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJ, LUMBAR/SACRAL FACET SINGLE LEVEL | $554.67 | $1,386.67 | $631.24–$2,035.00 | 55% below | 60% |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HCHG LUMBAR FACET SINGLE LT | $554.67 | $1,386.67 | $631.24–$2,035.00 | 55% below | 60% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG INJ, LUMBAR/SACRAL FACET SINGLE LEVEL | $554.67 | $1,386.67 | $647.16–$1,248.00 | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HCHG LUMBAR FACET SINGLE LT | $554.67 | $1,386.67 | $647.16–$1,248.00 | — | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HCHG INJECTION HYSTEROSALPINGOGRAM | $149.00 | $372.49 | $160.38–$395.60 | 42% below | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HCHG INJECTION HYSTEROSALPINGOGRAM | $149.00 | $372.49 | $173.84–$335.24 | — | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HCHG I & D ABCESS-SIMPLE OR SINGLE | $194.58 | $486.45 | $143.19–$2,035.00 | 34% below | 60% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HCHG I & D ABCESS-SIMPLE OR SINGLE | $194.58 | $486.45 | $227.03–$437.81 | — | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG INJECT SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS (PLANTAR FASCIA) | $267.42 | $668.55 | $173.00–$601.70 | 14% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HCHG INJECT SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS (PLANTAR FASCIA) | $267.42 | $668.55 | $312.01–$601.70 | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG INJ/ASP LARGE JOINT/BURSA W/O US GUIDE | $414.25 | $1,035.62 | $219.07–$2,035.00 | 6% above | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG INJ MAJOR JOINT/BURSA W/O US GUIDE | $429.36 | $1,073.40 | $219.07–$2,035.00 | 10% above | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG INJ/ASP LARGE JOINT/BURSA W/O US GUIDE | $414.25 | $1,035.62 | $483.32–$932.06 | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG INJ MAJOR JOINT/BURSA W/O US GUIDE | $429.36 | $1,073.40 | $500.96–$966.06 | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG INJ/ASP INTERMEDIATE JOINT/BURSA W/O US GUIDE | $331.97 | $829.92 | $219.07–$746.93 | 59% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG INJ INTERMEDIATE JOINT/BURSA W/O US GUIDE | $331.97 | $829.92 | $219.07–$746.93 | 59% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG INJ INTERMEDIATE JOINT/BURSA W/O US GUIDE | $331.97 | $829.92 | $387.32–$746.93 | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG INJ/ASP INTERMEDIATE JOINT/BURSA W/O US GUIDE | $331.97 | $829.92 | $387.32–$746.93 | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG INJ SMALL JOINT/BURSA W/O US GUIDE | $305.68 | $764.18 | $219.07–$687.76 | 46% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG INJ/ASP SMALL JOINT/BURSA W/O US GUIDE | $305.68 | $764.18 | $219.07–$687.76 | 46% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG INJ SMALL JOINT/BURSA W/O US GUIDE | $305.68 | $764.18 | $356.64–$687.76 | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG INJ/ASP SMALL JOINT/BURSA W/O US GUIDE | $305.68 | $764.18 | $356.64–$687.76 | — | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 HCHG LEFT HEART CATH | $4,296.77 | $10,741.91 | $2,313.75–$9,667.72 | 36% below | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HCHG LEFT HEART CATH | $4,296.77 | $10,741.91 | $5,013.25–$9,667.72 | — | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJECTION LUMBAR/SACRAL INTERLAM /W GUIDANCE | $2,531.60 | $6,328.98 | $503.78–$5,696.08 | 180% above | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG INJECTION LUMBAR/SACRAL INTERLAM /W GUIDANCE | $2,531.60 | $6,328.98 | $2,953.73–$5,696.08 | — | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJ LUMBAR/SACRAL TRANSFOR SNGL LVL (INCL FLUORO) | $1,520.60 | $3,801.49 | $631.24–$3,421.34 | 22% above | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJ LUMBAR/SACRAL TRANSFOR SNGL LVL (INCL FLUORO) | $1,520.60 | $3,801.49 | $1,774.16–$3,421.34 | — | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HCHG EXC BENIGN ARM/LEG/TRUNK LESION 0.5CM OR LESS | $493.34 | $1,233.35 | $505.39–$2,035.00 | 6% above | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HCHG EXC BENIGN ARM/LEG/TRUNK LESION 0.5CM OR LESS | $493.34 | $1,233.35 | $575.60–$1,110.02 | — | 60% |
| Nail removal (partial or complete), one nail CPT 11730 HCHG AVULSION NAIL PLATE-SIMPLE, SINGLE | $111.09 | $277.71 | $143.19–$2,035.00 | 57% below | 60% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG AVULSION NAIL PLATE-SIMPLE, SINGLE | $111.09 | $277.71 | $129.61–$249.94 | — | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 HCHG NN BLOCK OCCIPITAL | $407.76 | $1,019.39 | $219.07–$917.45 | 8% below | 60% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG NN BLOCK OCCIPITAL | $407.76 | $1,019.39 | $475.75–$917.45 | — | 60% |
| Pacemaker implant (dual chamber) CPT 33208 HCHG INSERT NEW PPM /W ATRIAL & VENTRICULAR LEAD | $5,843.31 | $14,608.26 | $6,886.33–$18,400.20 | 68% below | 60% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HCHG INSERT NEW PPM /W ATRIAL & VENTRICULAR LEAD | $5,843.31 | $14,608.26 | $6,817.67–$13,147.43 | — | 60% |
| Paracentesis with imaging guidance CPT 49083 HCHG PARACENTESIS /W IMAGE GUIDANCE | $1,350.66 | $3,376.63 | $647.31–$3,038.97 | 20% above | 60% |
| Paracentesis with imaging guidance inpatient CPT 49083 HCHG PARACENTESIS /W IMAGE GUIDANCE | $1,350.66 | $3,376.63 | $1,575.87–$3,038.97 | — | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HCHG FACET NEUROLYTIC LUMBAR/SACRAL; SINGLE LEVEL (INCL FLUORO) | $1,769.06 | $4,422.63 | $1,393.65–$3,980.37 | 8% below | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HCHG FACET NEUROLYTIC LUMBAR/SACRAL; SINGLE LEVEL (INCL FLUORO) | $1,769.06 | $4,422.63 | $2,064.04–$3,980.37 | — | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 HCHG INCISION AND REMOVAL FB SUBQ; SIMPLE | $281.80 | $704.50 | $290.13–$2,035.00 | 29% below | 60% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HCHG INCISION AND REMOVAL FB SUBQ; SIMPLE | $281.80 | $704.50 | $328.79–$634.05 | — | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 HCHG LITHOTRIPSY BILATERAL | $15,285.68 | $38,214.20 | $2,515.76–$34,392.78 | — | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HCHG LITHOTRIPSY RIGHT | $7,165.14 | $17,912.84 | $2,515.76–$16,121.56 | 5% above | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HCHG LITHOTRIPSY LEFT | $7,165.14 | $17,912.84 | $2,515.76–$16,121.56 | 5% above | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient both sides CPT 50590 HCHG LITHOTRIPSY BILATERAL | $15,285.68 | $38,214.20 | $17,834.57–$34,392.78 | — | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HCHG LITHOTRIPSY RIGHT | $7,165.14 | $17,912.84 | $8,359.92–$16,121.56 | — | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HCHG LITHOTRIPSY LEFT | $7,165.14 | $17,912.84 | $8,359.92–$16,121.56 | — | 60% |
| Short arm splint (forearm and hand) CPT 29125 HCHG APPLY SHORT ARM SPLINT-STATIC (ER USE ONLY) | $64.48 | $161.20 | $75.99–$234.22 | 65% below | 60% |
| Short arm splint (forearm and hand) one side CPT 29125 HCHG APPL SHO ARM SPL FOR TO HAN RT | $64.48 | $161.20 | $75.99–$234.22 | 65% below | 60% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HCHG APPLY SHORT ARM SPLINT-STATIC (ER USE ONLY) | $64.48 | $161.20 | $75.23–$145.08 | — | 60% |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 HCHG APPL SHO ARM SPL FOR TO HAN RT | $64.48 | $161.20 | $75.23–$145.08 | — | 60% |
| Short leg splint (calf to foot) CPT 29515 HCHG APPL SHORT LEG SPLINT (ER USE ONLY) | $72.71 | $181.76 | $85.68–$286.07 | 61% below | 60% |
| Short leg splint (calf to foot) inpatient CPT 29515 HCHG APPL SHORT LEG SPLINT (ER USE ONLY) | $72.71 | $181.76 | $84.83–$163.58 | — | 60% |
| Skin biopsy, punch, one lesion CPT 11104 HCHG BIOPSY SKIN PUNCH 1ST LESION | $476.44 | $1,191.09 | $290.13–$1,071.98 | 82% above | 60% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HCHG BIOPSY SKIN PUNCH 1ST LESION | $476.44 | $1,191.09 | $555.88–$1,071.98 | — | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG SPINAL FLUID TAP DX | $682.82 | $1,707.05 | $503.78–$2,035.00 | 1% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG SPINAL PUNCTURE LUMBAR | $682.82 | $1,707.05 | $503.78–$2,035.00 | 1% below | 60% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG SPINAL FLUID TAP DX | $682.82 | $1,707.05 | $796.68–$1,536.35 | — | 60% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG SPINAL PUNCTURE LUMBAR | $682.82 | $1,707.05 | $796.68–$1,536.35 | — | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HCHG BIOPSY SKIN TANGENTIAL 1ST LESION | $397.03 | $992.57 | $290.13–$893.31 | 95% above | 60% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HCHG BIOPSY SKIN TANGENTIAL 1ST LESION | $397.03 | $992.57 | $463.23–$893.31 | — | 60% |
| Thoracentesis with imaging guidance CPT 32555 HCHG THORACENTESIS /W IMAGE GUIDANCE | $1,739.05 | $4,347.62 | $447.70–$3,912.86 | 78% above | 60% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HCHG THORACENTESIS /W IMAGE GUIDANCE | $1,739.05 | $4,347.62 | $2,029.03–$3,912.86 | — | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HCHG INJ TRIGGER POINT 1OR 2 MUSCLE/S | $342.64 | $856.59 | $219.07–$770.93 | 30% below | 60% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG INJ TRIGGER POINT 1OR 2 MUSCLE/S | $342.64 | $856.59 | $399.77–$770.93 | — | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HCHG US GUIDE BREAST BX W/WO CLIP-PERCUTANEOUS | $1,840.32 | $4,600.79 | $1,178.74–$4,140.71 | 10% below | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HCHG US GUIDE BREAST BX W/WO CLIP-PERCUTANEOUS | $1,840.32 | $4,600.79 | $2,147.19–$4,140.71 | — | 60% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HCHG VASECTOMY, INCL EXAM | $457.94 | $1,144.83 | $710.94–$3,680.01 | 51% below | 60% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HCHG VASECTOMY, INCL EXAM | $457.94 | $1,144.83 | $534.29–$1,030.35 | — | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG DEBRIDEMENT SUBCUTANEOUS/TISSUE; FIRST 20SQ CM OR LESS | $1,074.70 | $2,686.75 | $290.13–$2,418.08 | 110% above | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG DEBRIDEMENT SUBCUTANEOUS/TISSUE; FIRST 20SQ CM OR LESS | $1,074.70 | $2,686.75 | $1,253.91–$2,418.08 | — | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG TRANSFUSION OR COMPONENTS | $697.44 | $1,743.58 | $314.86–$1,569.22 | 16% above | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION SERVICE | $697.44 | $1,743.58 | $314.86–$1,569.22 | 16% above | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION SERVICE | $697.44 | $1,743.58 | $813.73–$1,569.22 | — | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG TRANSFUSION OR COMPONENTS | $697.44 | $1,743.58 | $813.73–$1,569.22 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPPB INITIAL | $118.32 | $295.79 | $139.44–$385.50 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI SUBSEQUENT | $118.32 | $295.79 | $139.44–$385.50 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPPB IP/OBS EA SUBSEQUENT TREATMENT | $118.32 | $295.79 | $139.44–$385.50 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG ASM AEROSOL TREATMENT | $118.32 | $295.79 | $139.44–$385.50 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AEROSOL INITIAL | $118.32 | $295.79 | $139.44–$385.50 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI INITIAL | $118.32 | $295.79 | $139.44–$385.50 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AEROSOL SUBSEQUENT | $118.32 | $295.79 | $139.44–$385.50 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPPB IP/OBS EA SUBSEQUENT TREATMENT | $118.32 | $295.79 | $138.05–$266.21 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG ASM AEROSOL TREATMENT | $118.32 | $295.79 | $138.05–$266.21 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI SUBSEQUENT | $118.32 | $295.79 | $138.05–$266.21 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AEROSOL SUBSEQUENT | $118.32 | $295.79 | $138.05–$266.21 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AEROSOL INITIAL | $118.32 | $295.79 | $138.05–$266.21 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI INITIAL | $118.32 | $295.79 | $138.05–$266.21 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPPB INITIAL | $118.32 | $295.79 | $138.05–$266.21 | — | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 HCHG CHEMO INF INIT UP TO 1 HR | $415.35 | $1,038.36 | $235.74–$934.52 | 13% below | 60% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG CHEMO INF INIT UP TO 1 HR | $415.35 | $1,038.36 | $484.60–$934.52 | — | 60% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HCHG EVAL AUDIOLOGICAL | $121.64 | $304.08 | $91.83–$273.67 | 65% above | 60% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HCHG EVAL AUDIOLOGICAL | $121.64 | $304.08 | $141.91–$273.67 | — | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 HCHG CRITICAL CARE FIRST 30-74 MINS | $812.06 | $2,030.13 | $589.53–$2,135.00 | 60% below | 60% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG CRITICAL CARE FIRST 30-74 MINS | $812.06 | $2,030.13 | $947.46–$1,827.12 | — | 60% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HCHG EEG ROUTINE 95816 | $701.60 | $1,754.00 | $154.10–$1,578.60 | 20% above | 60% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HCHG EEG ROUTINE 95816 | $701.60 | $1,754.00 | $818.59–$1,578.60 | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG | $116.91 | $292.27 | $42.10–$263.04 | 35% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG SUBSEQUENT | $134.45 | $336.11 | $42.10–$302.50 | 26% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG | $116.91 | $292.27 | $136.40–$263.04 | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG SUBSEQUENT | $134.45 | $336.11 | $156.86–$302.50 | — | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG BRIEF VISIT (LEVEL 1) | $93.58 | $233.93 | $60.18–$1,200.00 | 53% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG BRIEF VISIT (LEVEL 1) | $93.58 | $233.93 | $109.18–$210.54 | — | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG LIMITED VISIT (LEVEL 2) | $228.51 | $571.26 | $109.58–$1,200.00 | 22% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG LIMITED VISIT (LEVEL 2) | $228.51 | $571.26 | $266.61–$514.13 | — | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG INTERMEDIATE VISIT (LEVEL 3) | $338.28 | $845.70 | $194.82–$1,335.00 | 29% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG INTERMEDIATE VISIT (LEVEL 3) | $338.28 | $845.70 | $394.69–$761.13 | — | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG EXTENDED VISIT (LEVEL 4) | $520.46 | $1,301.13 | $297.80–$1,734.00 | 43% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG EXTENDED VISIT (LEVEL 4) | $520.46 | $1,301.13 | $607.24–$1,171.02 | — | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG COMPREHENSIVE VISIT (LEVEL 5) | $694.68 | $1,736.68 | $425.03–$2,135.00 | 41% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG COMPREHENSIVE VISIT (LEVEL 5) | $694.68 | $1,736.68 | $810.51–$1,563.01 | — | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG CARDIAC STRESS TEST/PUL LAB | $580.61 | $1,451.51 | $154.10–$2,035.00 | 24% below | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG EXER EKG-HOSP | $580.61 | $1,451.51 | $154.10–$2,035.00 | 24% below | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG EXER EKG-HOSP | $580.61 | $1,451.51 | $677.42–$1,306.36 | — | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG CARDIAC STRESS TEST/PUL LAB | $580.61 | $1,451.51 | $677.42–$1,306.36 | — | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 HCHG FAMILY PSYCHOTHERAPY /W PATIENT (FACILITY FEE) | $224.37 | $560.91 | $126.68–$504.82 | 10% below | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG FAMILY PSYCHOTHERAPY /W PATIENT (FACILITY FEE) | $224.37 | $560.91 | $261.78–$504.82 | — | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 HCHG FAMILY PSYCHOTHERAPY W/O PATIENT (FACILITY FEE) | $107.52 | $268.79 | $126.68–$312.47 | 52% below | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HCHG FAMILY PSYCHOTHERAPY W/O PATIENT (FACILITY FEE) | $107.52 | $268.79 | $125.44–$241.91 | — | 60% |
| Group psychotherapy session CPT 90853 HCHG GROUP MED PSYCHOTHERAPY | $73.84 | $184.59 | $72.50–$178.84 | 49% below | 60% |
| Group psychotherapy session inpatient CPT 90853 HCHG GROUP MED PSYCHOTHERAPY | $73.84 | $184.59 | $86.15–$166.13 | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG EMR INF HYDRATION, INT.1ST HR | $335.00 | $837.49 | $151.81–$753.74 | 18% above | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG INF HYDRATION, INIT 1ST HR | $335.00 | $837.49 | $151.81–$753.74 | 18% above | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG INF HYDRATION, INIT 1ST HR | $335.00 | $837.49 | $390.86–$753.74 | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG EMR INF HYDRATION, INT.1ST HR | $335.00 | $837.49 | $390.86–$753.74 | — | 60% |
| IV infusion of a medicine, first hour CPT 96365 HCHG EMR INF THER/DIAG, INT;1ST HR | $407.77 | $1,019.42 | $151.81–$917.48 | 26% above | 60% |
| IV infusion of a medicine, first hour CPT 96365 HCHG INF THERAPY/DIAG INIT 1STHR | $407.77 | $1,019.42 | $151.81–$917.48 | 26% above | 60% |
| IV infusion of a medicine, first hour CPT 96365 HCHG IV THER INIT SUBSQ VISIT 31-60 MINS | $407.77 | $1,019.42 | $151.81–$917.48 | 26% above | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HCHG INF THERAPY/DIAG INIT 1STHR | $407.77 | $1,019.42 | $475.76–$917.48 | — | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HCHG EMR INF THER/DIAG, INT;1ST HR | $407.77 | $1,019.42 | $475.76–$917.48 | — | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HCHG IV THER INIT SUBSQ VISIT 31-60 MINS | $407.77 | $1,019.42 | $475.76–$917.48 | — | 60% |
| IV push of a medicine, first drug CPT 96374 HCHG IV PUSH INITIAL DRUG | $161.83 | $404.56 | $151.81–$374.45 | 15% below | 60% |
| IV push of a medicine, first drug CPT 96374 HCHG IV INJECTION DIURETIC | $161.83 | $404.56 | $151.81–$374.45 | 15% below | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 HCHG IV INJECTION DIURETIC | $161.83 | $404.56 | $188.81–$364.10 | — | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 HCHG IV PUSH INITIAL DRUG | $161.83 | $404.56 | $188.81–$364.10 | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJ SUB-Q OR IM | $78.08 | $195.19 | $51.39–$175.67 | 12% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJ SUBCUTAN OR INTRA MUSCUAL | $78.08 | $195.19 | $51.39–$175.67 | 12% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJ SUBQ/IM-THERAP,PROPHX,DIAGNSTIC | $78.08 | $195.19 | $51.39–$175.67 | 12% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJ IM ANTIBIOTIC | $78.08 | $195.19 | $51.39–$175.67 | 12% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJ SUB-Q OR IM | $78.08 | $195.19 | $91.10–$175.67 | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJ SUBCUTAN OR INTRA MUSCUAL | $78.08 | $195.19 | $91.10–$175.67 | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJ SUBQ/IM-THERAP,PROPHX,DIAGNSTIC | $78.08 | $195.19 | $91.10–$175.67 | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJ IM ANTIBIOTIC | $78.08 | $195.19 | $91.10–$175.67 | — | 60% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HCHG PSYCH EVAL (FACILITY FEE) | $110.15 | $275.36 | $126.68–$312.47 | 31% below | 60% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HCHG PSYCH EVAL (FACILITY FEE) | $110.15 | $275.36 | $128.51–$247.82 | — | 60% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HCHG NERVE CONDUCTION 7-8 STUDIES | $1,593.49 | $3,983.71 | $266.32–$3,585.34 | 86% above | 60% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HCHG NERVE CONDUCTION 7-8 STUDIES | $1,593.49 | $3,983.71 | $1,859.20–$3,585.34 | — | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HCHG NEURO RE-ED PER 15 MIN | $49.40 | $123.49 | $22.00–$111.14 | 35% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HCHG NEURO RE-ED REH | $49.40 | $123.49 | $22.00–$111.14 | 35% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HCHG NEUROMUSC RE-ED PER 15 MIN | $49.40 | $123.49 | $22.00–$111.14 | 35% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HCHG NEUROMUSCULAR RE-ED REH | $49.40 | $123.49 | $22.00–$111.14 | 35% below | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG NEUROMUSC RE-ED PER 15 MIN | $49.40 | $123.49 | $57.63–$111.14 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG NEURO RE-ED REH | $49.40 | $123.49 | $57.63–$111.14 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG NEUROMUSCULAR RE-ED REH | $49.40 | $123.49 | $57.63–$111.14 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG NEURO RE-ED PER 15 MIN | $49.40 | $123.49 | $57.63–$111.14 | — | 60% |
| New patient office visit, about 30 minutes CPT 99203 HCHG NEW PATIENT LEVEL III | $135.73 | $339.31 | $82.94–$305.38 | 9% above | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHG NEW PATIENT LEVEL III | $135.73 | $339.31 | $158.36–$305.38 | — | 60% |
| New patient office visit, about 45 minutes CPT 99204 HCHG NEW PATIENT LEVE IV | $172.75 | $431.87 | $125.64–$388.68 | 7% below | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHG NEW PATIENT LEVE IV | $172.75 | $431.87 | $201.55–$388.68 | — | 60% |
| New patient office visit, about 60 minutes CPT 99205 HCHG NEW PATIENT LEVEL V | $255.10 | $637.73 | $167.86–$573.96 | 3% above | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG NEW PATIENT LEVEL V | $255.10 | $637.73 | $297.63–$573.96 | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG NEW PATIENT LEVEL II | $106.12 | $265.28 | $52.74–$238.75 | 13% above | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG NEW PATIENT LEVEL II | $106.12 | $265.28 | $123.81–$238.75 | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG MED.NUTRITION TX,INITIAL EA 15MINS | $44.84 | $112.09 | $25.98–$100.88 | 51% above | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG NUTRITIONAL CONSULT PER 15 MIN | $44.84 | $112.09 | $25.98–$100.88 | 51% above | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG NUTRITIONAL ASSESSMENT,INITIAL/15 MINS | $44.84 | $112.09 | $25.98–$100.88 | 51% above | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG NUTRITIONAL CONSULT PER 15 MIN | $44.84 | $112.09 | $52.31–$100.88 | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG NUTRITIONAL ASSESSMENT,INITIAL/15 MINS | $44.84 | $112.09 | $52.31–$100.88 | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG MED.NUTRITION TX,INITIAL EA 15MINS | $44.84 | $112.09 | $52.31–$100.88 | — | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 HCHG OT EVAL; LOW COMPLEXITY | $90.20 | $225.49 | $61.37–$202.94 | 48% below | 60% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG OT EVAL; LOW COMPLEXITY | $90.20 | $225.49 | $105.24–$202.94 | — | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HCHG PT EVAL; HIGH COMPLEXITY | $163.54 | $408.83 | $60.35–$367.95 | 18% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HCHG PT EVAL; HIGH COMPLEXITY | $163.54 | $408.83 | $190.80–$367.95 | — | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HCHG PT EVAL; LOW COMPLEXITY | $108.56 | $271.39 | $60.35–$244.25 | 38% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HCHG PT EVAL; LOW COMPLEXITY | $108.56 | $271.39 | $126.66–$244.25 | — | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HCHG PT EVAL; MODERATE COMPLEXITY | $136.28 | $340.69 | $60.35–$306.62 | 26% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HCHG PT EVAL; MODERATE COMPLEXITY | $136.28 | $340.69 | $159.00–$306.62 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG MANUAL THERAPY REH | $46.56 | $116.39 | $19.69–$104.75 | 32% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG MANUAL LYMPH DRAIN 15MIN | $46.56 | $116.39 | $19.69–$104.75 | 32% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG MANUAL THERAPY | $46.56 | $116.39 | $19.69–$104.75 | 32% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG MANUAL THERAPY LYMPHADEMA | $46.56 | $116.39 | $19.69–$104.75 | 32% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG MANUAL THERAPY LYMPHADEMA | $46.56 | $116.39 | $54.32–$104.75 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG MANUAL THERAPY | $46.56 | $116.39 | $54.32–$104.75 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG MANUAL LYMPH DRAIN 15MIN | $46.56 | $116.39 | $54.32–$104.75 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG MANUAL THERAPY REH | $46.56 | $116.39 | $54.32–$104.75 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG THERAPEUTIC EX EA 15 MINS | $60.30 | $150.74 | $20.63–$135.67 | 25% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPUTIC PROCED (15 MIN) | $60.30 | $150.74 | $20.63–$135.67 | 25% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG THERAPEUTIC EX EA 15 MINS | $60.30 | $150.74 | $70.35–$135.67 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPUTIC PROCED (15 MIN) | $60.30 | $150.74 | $70.35–$135.67 | — | 60% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HCHG PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINS (FACILITY FEE) | $92.38 | $230.93 | $108.86–$312.47 | 64% below | 60% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HCHG PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINS (FACILITY FEE) | $92.38 | $230.93 | $107.78–$207.84 | — | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG PSYCHOTHERAPY 30 MINUTE (FACILITY FEE) | $75.86 | $189.65 | $89.40–$312.47 | 38% below | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG PSYCHOTHERAPY 30 MINUTE (FACILITY FEE) | $75.86 | $189.65 | $88.51–$170.69 | — | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HCHG PSYCHOTHERAPY 45 MINUTES (FACILITY FEE) | $104.60 | $261.49 | $123.27–$312.47 | 42% below | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG PSYCHOTHERAPY 45 MINUTES (FACILITY FEE) | $104.60 | $261.49 | $122.04–$235.34 | — | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HCHG PSYCHOTHERAPY 60 MINS (FACILITY FEE) | $107.74 | $269.35 | $126.68–$312.47 | 42% below | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG PSYCHOTHERAPY 60 MINS (FACILITY FEE) | $107.74 | $269.35 | $125.71–$242.42 | — | 60% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HCHG SMOKING/TOBAC CES COUNS3-10MIN SYMPTOMATIC PATIENT | $19.54 | $48.83 | $23.02–$65.96 | 39% below | 60% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HCHG SMOKING/TOBAC CES COUNS3-10MIN SYMPTOMATIC PATIENT | $19.54 | $48.83 | $22.79–$43.95 | — | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG ESTABLISHED PATIENT LEVEL V | $159.55 | $398.86 | $136.20–$358.97 | 11% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG ESTABLISHED PATIENT LEVEL V | $159.55 | $398.86 | $186.15–$358.97 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG ESTABLISHED PATIENT LEVEL III | $89.76 | $224.40 | $67.14–$208.00 | 9% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG ESTABLISHED PATIENT LEVEL III | $89.76 | $224.40 | $104.73–$201.96 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG ESTABLISHED PATIENT LEVEL IV | $122.68 | $306.68 | $95.85–$276.01 | 3% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG ESTABLISHED PATIENT LEVEL IV | $122.68 | $306.68 | $143.13–$276.01 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG ESTABLISHED PATIENT LEVEL II | $84.59 | $211.46 | $41.63–$208.00 | 29% above | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG ESTABLISHED PATIENT LEVEL II | $84.59 | $211.46 | $98.69–$190.31 | — | 60% |
| Speech and language evaluation CPT 92523 HCHG SPEECH SOUND LANGUAGE COMPREHENSION | $225.59 | $563.96 | $161.68–$507.56 | 18% below | 60% |
| Speech and language evaluation inpatient CPT 92523 HCHG SPEECH SOUND LANGUAGE COMPREHENSION | $225.59 | $563.96 | $263.20–$507.56 | — | 60% |
| Speech therapy session, individual CPT 92507 HCHG INDIVIDUAL THERAPY | $110.00 | $275.00 | $54.40–$247.50 | 34% below | 60% |
| Speech therapy session, individual CPT 92507 HCHG INDIVIDUAL THERAPY REH | $110.00 | $275.00 | $54.40–$247.50 | 34% below | 60% |
| Speech therapy session, individual inpatient CPT 92507 HCHG INDIVIDUAL THERAPY | $110.00 | $275.00 | $128.34–$247.50 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 HCHG INDIVIDUAL THERAPY REH | $110.00 | $275.00 | $128.34–$247.50 | — | 60% |
| Spirometry (breathing test) CPT 94010 HCHG SPIRO TEST | $325.00 | $812.49 | $154.10–$731.24 | 43% above | 60% |
| Spirometry (breathing test) CPT 94010 HCHG ASM SPIROMETRY | $325.00 | $812.49 | $154.10–$731.24 | 43% above | 60% |
| Spirometry (breathing test) inpatient CPT 94010 HCHG ASM SPIROMETRY | $325.00 | $812.49 | $379.19–$731.24 | — | 60% |
| Spirometry (breathing test) inpatient CPT 94010 HCHG SPIRO TEST | $325.00 | $812.49 | $379.19–$731.24 | — | 60% |
| Spirometry before and after a bronchodilator CPT 94060 HCHG SPIROMETRY PRE & POST | $383.59 | $958.96 | $266.32–$863.06 | 17% below | 60% |
| Spirometry before and after a bronchodilator CPT 94060 HCHG ASM SPIROMET PRE/POST BRONCH | $383.59 | $958.96 | $266.32–$863.06 | 17% below | 60% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG ASM SPIROMET PRE/POST BRONCH | $383.59 | $958.96 | $447.55–$863.06 | — | 60% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG SPIROMETRY PRE & POST | $383.59 | $958.96 | $447.55–$863.06 | — | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG THERAPEUTIC ACTIVITIES EA 15 MINS | $64.30 | $160.74 | $18.37–$144.67 | 15% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG OT FUNCTION TRAINING PR 15 MIN | $64.30 | $160.74 | $18.37–$144.67 | 15% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG THERAPEUTIC ACTIVE INCR REH | $64.30 | $160.74 | $18.37–$144.67 | 15% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG FUNCT TRAIN 15 REH | $64.30 | $160.74 | $18.37–$144.67 | 15% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG THERAPEUTIC ACTIVE INCR | $64.30 | $160.74 | $18.37–$144.67 | 15% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG TRAIN,TRANSFER | $64.30 | $160.74 | $18.37–$144.67 | 15% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG FUNCT TRAIN PER 15 MIN | $64.30 | $160.74 | $18.37–$144.67 | 15% below | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG THERAPEUTIC ACTIVE INCR | $64.30 | $160.74 | $75.02–$144.67 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG THERAPEUTIC ACTIVITIES EA 15 MINS | $64.30 | $160.74 | $75.02–$144.67 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG THERAPEUTIC ACTIVE INCR REH | $64.30 | $160.74 | $75.02–$144.67 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG TRAIN,TRANSFER | $64.30 | $160.74 | $75.02–$144.67 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG OT FUNCTION TRAINING PR 15 MIN | $64.30 | $160.74 | $75.02–$144.67 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG FUNCT TRAIN PER 15 MIN | $64.30 | $160.74 | $75.02–$144.67 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG FUNCT TRAIN 15 REH | $64.30 | $160.74 | $75.02–$144.67 | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG THERAPEUTIC PHLEBOTOMY | $134.68 | $336.68 | $94.96–$303.01 | 14% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG PHLEBOTOMY | $134.68 | $336.68 | $94.96–$303.01 | 14% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG RC PHLEBOTOMY | $134.68 | $336.68 | $94.96–$303.01 | 14% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG RC PHLEBOTOMY | $134.68 | $336.68 | $157.13–$303.01 | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG THERAPEUTIC PHLEBOTOMY | $134.68 | $336.68 | $157.13–$303.01 | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG PHLEBOTOMY | $134.68 | $336.68 | $157.13–$303.01 | — | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HCHG FLU IIV ADJUVANT VACCINE | $62.74 | $156.84 | $86.83–$226.67 | at median | 60% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HCHG FLU IIV ADJUVANT VACCINE | $62.74 | $156.84 | $73.20–$141.16 | — | 60% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HCHG SARSCOV2 VAC 50 MCG/0.5ML IM (MODERNA) | $125.44 | $313.60 | $121.24–$299.06 | 55% below | 60% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HCHG SARSCOV2 VAC 50 MCG/0.5ML IM (MODERNA) | $125.44 | $313.60 | $146.36–$282.24 | — | 60% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HCHG SARSCV2 VAC 30MCG TRS-SUC IM (PFIZER) | $126.92 | $317.30 | $126.28–$311.48 | 62% below | 60% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HCHG SARSCV2 VAC 30MCG TRS-SUC IM (PFIZER) | $126.92 | $317.30 | $148.08–$285.57 | — | 60% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vacc live (PF) 1,350 unit/0.5 mL Susr 1 Each Vial | $102.62 | $256.54 | $76.96–$230.89 | 66% below | 60% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vacc live (PF) 1,350 unit/0.5 mL Susr 1 Each Vial | $102.62 | $256.54 | $119.73–$230.89 | — | 60% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 diph,pertus(acel),tet,pol (PF) 25 Lf-58 mcg-10 Lf/0.5 mL Syrg 0.5 mL Syringe | $44.10 | $110.25 | $33.08–$99.23 | 60% below | 60% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 diph,pertus(acel),tet,pol (PF) 25 Lf-58 mcg-10 Lf/0.5 mL Syrg 0.5 mL Syringe | $44.10 | $110.25 | $51.45–$99.23 | — | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diptheria-acellular pertussis-tetanus vaccine 25-58-10 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe | $18.81 | $47.01 | $14.10–$42.31 | 72% below | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diptheria-acellular pertussis-tetanus vaccine 25-58-10 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe | $18.81 | $47.01 | $21.94–$42.31 | — | 60% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 dip,per(a)tet-hepB-polio-Hib(PF) 15 unit-5 unit- 10 mcg/0.5 mL Syrg 0.5 mL Syringe | $132.62 | $331.54 | $99.46–$298.39 | 16% below | 60% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 dip,per(a)tet-hepB-polio-Hib(PF) 15 unit-5 unit- 10 mcg/0.5 mL Syrg 0.5 mL Syringe | $132.62 | $331.54 | $154.73–$298.39 | — | 60% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 HCHG FLUBLOK 2025-2026 (PF) 135 MCG (45 MCG X 3)/0.5 ML IM SYRINGE | $76.86 | $192.13 | $86.83–$226.67 | 46% below | 60% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HCHG FLUBLOK 2025-2026 (PF) 135 MCG (45 MCG X 3)/0.5 ML IM SYRINGE | $76.86 | $192.13 | $89.67–$172.92 | — | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 flu vacc ts2024-25 6mos up(PF) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $19.54 | $48.83 | $17.92–$44.19 | 42% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HCHG FLU IIV3 VACCINE NO PRSV 0.5ML | $21.25 | $53.12 | $17.92–$47.81 | 37% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 flu vacc ts2024-25 6mos up(PF) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $19.54 | $48.83 | $22.79–$43.95 | — | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HCHG FLU IIV3 VACCINE NO PRSV 0.5ML | $21.25 | $53.12 | $24.79–$47.81 | — | 60% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 human papillomav vac,9-val(PF) 0.5 mL Susp 0.5 mL Vial | $173.42 | $433.54 | $130.06–$390.19 | 55% below | 60% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 human papillomav vac,9-val(PF) 0.5 mL Susp 0.5 mL Vial | $173.42 | $433.54 | $202.33–$390.19 | — | 60% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A virus vaccine (PF) 25 unit/0.5 mL Susp 0.5 mL Vial | $36.25 | $90.61 | $27.18–$88.10 | 73% below | 60% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL Syrg 1 mL Syringe | $80.48 | $201.18 | $60.35–$181.06 | 40% below | 60% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A virus vaccine (PF) 25 unit/0.5 mL Susp 0.5 mL Vial | $36.25 | $90.61 | $42.29–$81.55 | — | 60% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL Syrg 1 mL Syringe | $80.48 | $201.18 | $93.89–$181.06 | — | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vacc.rec(PF) 5 mcg/0.5 mL Susp 0.5 mL Vial | $25.84 | $64.60 | $40.12–$139.02 | 84% below | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Susp 1 mL Vial | $33.69 | $84.21 | $52.29–$139.02 | 79% below | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus vacc.rec(PF) 5 mcg/0.5 mL Susp 0.5 mL Vial | $25.84 | $64.60 | $30.15–$58.14 | — | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Susp 1 mL Vial | $33.69 | $84.21 | $39.30–$75.79 | — | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B virus vacc.rec(PF) 5 mcg/0.5 mL Syrg 0.5 mL Syringe | $25.84 | $64.60 | $24.92–$61.46 | 63% below | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B virus vacc.rec(PF) 5 mcg/0.5 mL Syrg 0.5 mL Syringe | $25.84 | $64.60 | $30.15–$58.14 | — | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemoph B poly conj-tet tox/PF 10 mcg/0.5 mL Solr 1 Each Vial | $9.32 | $23.30 | $6.99–$20.97 | 72% below | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemoph B poly conj-tet tox/PF 10 mcg/0.5 mL Solr 1 Each Vial | $9.32 | $23.30 | $10.87–$20.97 | — | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 flu vacc ts2024-25(65yr up)-PF 180 mcg/0.5 mL Syrg 0.5 mL Syringe | $71.16 | $177.90 | $86.83–$226.67 | 37% below | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HCHG FLU IIV VACCINE PRSV FREE INCREASED AG CONTENT | $76.86 | $192.13 | $86.83–$226.67 | 32% below | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 flu vacc ts2024-25(65yr up)-PF 180 mcg/0.5 mL Syrg 0.5 mL Syringe | $71.16 | $177.90 | $83.03–$160.11 | — | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HCHG FLU IIV VACCINE PRSV FREE INCREASED AG CONTENT | $76.86 | $192.13 | $89.67–$172.92 | — | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles, mumps and rubella vaccine 1,000-12,500 TCID50/0.5 mL Solr 1 Each Vial | $56.51 | $141.27 | $42.38–$127.14 | 71% below | 60% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles, mumps and rubella vaccine 1,000-12,500 TCID50/0.5 mL Solr 1 Each Vial | $56.51 | $141.27 | $65.93–$127.14 | — | 60% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 measles,mumps,mub, and varicel (pf) 10exp3-4.3-3- 3.99 TCID50/0.5 Susr 1 Each Vial | $184.36 | $460.89 | $138.27–$414.80 | 52% below | 60% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 measles,mumps,mub, and varicel (pf) 10exp3-4.3-3- 3.99 TCID50/0.5 Susr 1 Each Vial | $184.36 | $460.89 | $215.10–$414.80 | — | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 mening vac A,C,Y,W135 Dip (PF) 10-5 mcg/0.5 mL Kit 5 Each KIT | $114.34 | $285.84 | $85.75–$257.26 | 65% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 mening vac A,C,Y,W135 Dip (PF) 10-5 mcg/0.5 mL Kit 1 Each KIT | $120.13 | $300.32 | $90.10–$270.29 | 63% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Mening Vac A,C,Y,W135 Dip (PF) 4 mcg/0.5 mL Soln 0.5 mL Vial | $129.54 | $323.84 | $97.15–$291.46 | 60% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 mening vac A,C,Y,W135 Dip (PF) 10-5 mcg/0.5 mL Kit 5 Each KIT | $114.34 | $285.84 | $133.40–$257.26 | — | 60% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 mening vac A,C,Y,W135 Dip (PF) 10-5 mcg/0.5 mL Kit 1 Each KIT | $120.13 | $300.32 | $140.16–$270.29 | — | 60% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Mening Vac A,C,Y,W135 Dip (PF) 4 mcg/0.5 mL Soln 0.5 mL Vial | $129.54 | $323.84 | $151.14–$291.46 | — | 60% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal B vaccine,4-comp 50-50-50-25 mcg/0.5 mL Syrg 0.5 mL Syringe | $156.80 | $392.00 | $117.60–$352.80 | 82% below | 60% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal B vaccine,4-comp 50-50-50-25 mcg/0.5 mL Syrg 0.5 mL Syringe | $156.80 | $392.00 | $182.95–$352.80 | — | 60% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 HCHG FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE | $4.99 | $12.47 | $7.74–$56.57 | 84% below | 60% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HCHG FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE | $4.99 | $12.47 | $5.82–$11.22 | — | 60% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HCHG PNEUMOCOCCAL 13-VQL CONJ VACCINE-DIP CR 0.5ML | $133.87 | $334.66 | $100.40–$322.49 | 58% below | 60% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HCHG PNEUMONIA PCV13 VACCINE | $176.75 | $441.87 | $132.56–$397.68 | 45% below | 60% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HCHG PNEUMOCOCCAL 13-VQL CONJ VACCINE-DIP CR 0.5ML | $133.87 | $334.66 | $156.19–$301.19 | — | 60% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HCHG PNEUMONIA PCV13 VACCINE | $176.75 | $441.87 | $206.22–$397.68 | — | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HCHG PNEUMOCOCCAL 20-VALENT VACCINE 0.5ML | $121.85 | $304.61 | $189.16–$630.85 | 79% below | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-val conj-dip cr(PF) 0.5 mL Syrg 0.5 mL Syringe | $250.93 | $627.32 | $255.75–$630.85 | 57% below | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HCHG PNEUMOCOCCAL 20-VALENT VACCINE 0.5ML | $121.85 | $304.61 | $142.16–$274.15 | — | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-val conj-dip cr(PF) 0.5 mL Syrg 0.5 mL Syringe | $250.93 | $627.32 | $292.77–$564.59 | — | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HCHG PNEUMOCOCCAL 23-VAL VACCINE 25MCG/0.5ML | $81.38 | $203.43 | $100.10–$246.92 | 71% below | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HCHG PNEUMOCOCCAL 23-VAL VACCINE 25MCG/0.5ML | $81.38 | $203.43 | $94.94–$183.09 | — | 60% |
| Polio vaccine, inactivated (IPV) CPT 90713 poliovirus vaccine (inactivate) 40-8-32 unit/0.5 mL Susp 5 mL Vial | $30.46 | $76.15 | $22.85–$68.54 | 69% below | 60% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 poliovirus vaccine (inactivate) 40-8-32 unit/0.5 mL Susp 5 mL Vial | $30.46 | $76.15 | $35.54–$68.54 | — | 60% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HCHG BEYFORTUS 100MG / NIRSEVIMAB -ALIP RSV VACCINE 100 MG/0.5 ML | $485.10 | $1,212.75 | $363.83–$1,091.48 | 17% below | 60% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HCHG BEYFORTUS 100MG / NIRSEVIMAB -ALIP RSV VACCINE 100 MG/0.5 ML | $485.10 | $1,212.75 | $565.99–$1,091.48 | — | 60% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HCHG BEYFORTUS 50MG / NIRSEVIMAB-ALIP RSV VACCINE 50 MG/0.5 ML | $485.10 | $1,212.75 | $363.83–$1,091.48 | 43% below | 60% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HCHG BEYFORTUS 50MG / NIRSEVIMAB-ALIP RSV VACCINE 50 MG/0.5 ML | $485.10 | $1,212.75 | $565.99–$1,091.48 | — | 60% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HCHG ABRYSVO RSV VACCINE 0.5ML | $289.10 | $722.75 | $216.83–$650.48 | 3% below | 60% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HCHG ABRYSVO RSV VACCINE 0.5ML | $289.10 | $722.75 | $337.31–$650.48 | — | 60% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HCHG AREXVY RSV VACCINE 0.5ML IM 60+YRS | $274.40 | $686.00 | $205.80–$617.40 | 24% below | 60% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HCHG AREXVY RSV VACCINE 0.5ML IM 60+YRS | $274.40 | $686.00 | $320.16–$617.40 | — | 60% |
| Rabies vaccine, one dose CPT 90675 rabies vacc,human diploid (PF) 2.5 unit Solr 1 Each Vial | $315.86 | $789.64 | $248.98–$710.68 | 62% below | 60% |
| Rabies vaccine, one dose CPT 90675 rabies vaccine, PCEC (PF) 2.5 unit Susr 1 Each KIT | $405.64 | $1,014.08 | $248.98–$912.67 | 51% below | 60% |
| Rabies vaccine, one dose CPT 90675 HCHG VACCINE, RABIES (RABAVERT) INJECTION 2.5 UNITS | $405.64 | $1,014.10 | $248.98–$912.69 | 51% below | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vacc,human diploid (PF) 2.5 unit Solr 1 Each Vial | $315.86 | $789.64 | $368.52–$710.68 | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, PCEC (PF) 2.5 unit Susr 1 Each KIT | $405.64 | $1,014.08 | $473.27–$912.67 | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 HCHG VACCINE, RABIES (RABAVERT) INJECTION 2.5 UNITS | $405.64 | $1,014.10 | $473.28–$912.69 | — | 60% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 varicella-zoster gE-AS01B (PF) 50 mcg/0.5 mL Susr 1 Each KIT | $137.20 | $343.00 | $102.90–$308.70 | 66% below | 60% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 varicella-zoster gE-AS01B (PF) 50 mcg/0.5 mL Susr 1 Each KIT | $137.20 | $343.00 | $160.08–$308.70 | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids-Td 2-2 Lf unit/0.5 mL Susp 0.5 mL Vial | $21.52 | $53.78 | $16.13–$54.58 | 72% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus and diphtheria tox-PF 5-2 Lf unit/0.5 mL Syrg 0.5 mL Syringe | $30.76 | $76.90 | $23.07–$69.21 | 59% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids-Td 2-2 Lf unit/0.5 mL Susp 0.5 mL Vial | $21.52 | $53.78 | $25.10–$48.40 | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus and diphtheria tox-PF 5-2 Lf unit/0.5 mL Syrg 0.5 mL Syringe | $30.76 | $76.90 | $35.89–$69.21 | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphth,pertus(acell),tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe | $35.64 | $89.08 | $26.72–$80.17 | 68% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphth,pertus(acell),tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe | $35.64 | $89.08 | $41.57–$80.17 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG ADMINISTRATION PNEUMOCCOCAL (PNEUMONIA) VACCINE | $81.29 | $203.21 | $51.39–$182.89 | 15% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG VACC/TD INJ INITIAL | $81.29 | $203.21 | $51.39–$182.89 | 15% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG VACC ADMIN SINGLE | $81.29 | $203.21 | $51.39–$182.89 | 15% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG ADMIN FLU VIRUS VACCINE | $81.29 | $203.21 | $51.39–$182.89 | 15% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG ADMIN FLU VIRUS VACCINE | $81.29 | $203.21 | $94.84–$182.89 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG VACC ADMIN SINGLE | $81.29 | $203.21 | $94.84–$182.89 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG VACC/TD INJ INITIAL | $81.29 | $203.21 | $94.84–$182.89 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG ADMINISTRATION PNEUMOCCOCAL (PNEUMONIA) VACCINE | $81.29 | $203.21 | $94.84–$182.89 | — | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG VACC/TD INJ ADD'L | $34.46 | $86.15 | $11.11–$77.54 | 14% below | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG VACC ADMIN EA ADD'L | $34.46 | $86.15 | $11.11–$77.54 | 14% below | 60% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG VACC ADMIN EA ADD'L | $34.46 | $86.15 | $40.21–$77.54 | — | 60% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG VACC/TD INJ ADD'L | $34.46 | $86.15 | $40.21–$77.54 | — | 60% |