Hospital Canton-Massillon, OH

Alliance Community Hospital

Alliance Community Hospital in Alliance, OH publishes cash prices for 274 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 228 of 271 procedures and above it for 41. By typical cash price it ranks #7 of 139 Ohio hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

200 East State Street, Alliance, OH 44601 Collected Oct 16, 2026 Source price file Check a bill from this hospital (330) 596-6000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 360131 · CMS hospital register NPI 1942385794

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Alliance Community Hospital in Alliance, OH:

Jul 11, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen W/O & W/Dye	$835.20	$1,856.00	—	37% below	55%
Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen W/O & W/Dye	$835.20	$1,856.00	—	—	55%
Abdominal X-ray, 2 views CPT 74019 Xray Abdomen 2 Views	$454.05	$1,009.00	—	34% above	55%
Abdominal X-ray, 2 views inpatient CPT 74019 Xray Abdomen 2 Views	$454.05	$1,009.00	—	—	55%
Ankle X-ray, complete, 3 or more views CPT 73610 Xray Ankle Min 3 Views	$157.95	$351.00	—	51% below	55%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Xray Ankle Min 3 Views	$157.95	$351.00	—	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Arty Doppler One Leg Rest/Pvr	$118.35	$263.00	—	75% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Arty Doppler One Arm/Pvr	$118.35	$263.00	—	75% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Arty Both Arm& Leg	$118.35	$263.00	—	75% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Arterial Study Palmer Arch	$118.35	$263.00	—	75% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Us Arty Both Arm& Leg	$118.35	$263.00	—	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Arty Doppler One Leg Rest/Pvr	$118.35	$263.00	—	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Arty Doppler One Arm/Pvr	$118.35	$263.00	—	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Arterial Study Palmer Arch	$118.35	$263.00	—	—	55%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Upper Extrem W/O Dye	$472.50	$1,050.00	—	50% below	55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct Upper Extrem W/O Dye	$472.50	$1,050.00	—	—	55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Xr Esophagus	$248.85	$553.00	—	44% below	55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Xr Esophagus	$248.85	$553.00	—	—	55%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone Imagining Whole Body	$377.10	$838.00	—	75% below	55%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone Imagining Whole Body	$377.10	$838.00	—	—	55%
Breast ultrasound, complete, one breast CPT 76641 Us Breast Complete	$347.40	$772.00	—	27% below	55%
Breast ultrasound, complete, one breast inpatient CPT 76641 Us Breast Complete	$347.40	$772.00	—	—	55%
Breast ultrasound, limited (one breast or one area) CPT 76642 Noncdm Charge Record	$314.55	$699.00	—	23% below	55%
Breast ultrasound, limited (one breast or one area) CPT 76642 Us Breast Limited	$347.40	$772.00	—	15% below	55%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Noncdm Charge Record	$314.55	$699.00	—	—	55%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Us Breast Limited	$347.40	$772.00	—	—	55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd & Pelvis W & W/O Dye	$1,236.60	$2,748.00	—	42% below	55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abd & Pelvis W & W/O Dye	$1,236.60	$2,748.00	—	—	55%
CT angiography (CTA) of the head CPT 70496 Cta Head W/O & W/Dye	$586.80	$1,304.00	—	56% below	55%
CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W/O & W/Dye	$586.80	$1,304.00	—	—	55%
CT angiography (CTA) of the neck CPT 70498 Cta Neck W/O & W/Dye	$586.80	$1,304.00	—	55% below	55%
CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck W/O & W/Dye	$586.80	$1,304.00	—	—	55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/O & W/Dye	$608.85	$1,353.00	—	57% below	55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W/O & W/Dye	$608.85	$1,353.00	—	—	55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Coron Angio W & W/O Contrst	$591.75	$1,315.00	—	63% below	55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct Coron Angio W & W/O Contrst	$591.75	$1,315.00	—	—	55%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Calcium Scoring	$339.75	$755.00	—	21% above	55%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Calcium Scoring	$339.75	$755.00	—	—	55%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/Pelvis W/O Dye	$1,037.70	$2,306.00	—	35% below	55%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abdomen/Pelvis W/O Dye	$1,037.70	$2,306.00	—	—	55%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Definity: 16 Vial, Glass In 1 Carton (11994-011-16) / 1.5 Ml In 1 Vial, Glass	$1,189.35	$2,643.00	—	40% below	55%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Definity: 16 Vial, Glass In 1 Carton (11994-011-16) / 1.5 Ml In 1 Vial, Glass	$1,189.35	$2,643.00	—	—	55%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd/Pelvis 1+ Sec/Region	$1,335.15	$2,967.00	—	43% below	55%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd/Pelvis 1+ Sec/Region	$1,335.15	$2,967.00	—	—	55%
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/Dye	$726.30	$1,614.00	—	38% below	55%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W/Dye	$726.30	$1,614.00	—	—	55%
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/O Dye	$626.40	$1,392.00	—	40% below	55%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen W/O Dye	$626.40	$1,392.00	—	—	55%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/O Dye	$495.45	$1,101.00	—	43% below	55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxillofacial W/O Dye	$495.45	$1,101.00	—	—	55%
CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain W/O Dye	$456.30	$1,014.00	—	45% below	55%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain W/O Dye	$456.30	$1,014.00	—	—	55%
CT scan of the head with contrast CPT 70460 Ct Head/Brain W Dye	$579.60	$1,288.00	—	42% below	55%
CT scan of the head with contrast inpatient CPT 70460 Ct Head/Brain W Dye	$579.60	$1,288.00	—	—	55%
CT scan of the head without and with contrast CPT 70470 Ct Head/Brain W/O & W Dye	$661.05	$1,469.00	—	44% below	55%
CT scan of the head without and with contrast inpatient CPT 70470 Ct Head/Brain W/O & W Dye	$661.05	$1,469.00	—	—	55%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar W/O Dye	$594.00	$1,320.00	—	46% below	55%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Lumbar W/O Dye	$594.00	$1,320.00	—	—	55%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical W/O Dye	$572.40	$1,272.00	—	47% below	55%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Cervical W/O Dye	$572.40	$1,272.00	—	—	55%
CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis With Dye	$634.05	$1,409.00	—	48% below	55%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis With Dye	$634.05	$1,409.00	—	—	55%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial Bilat Study	$425.25	$945.00	—	—	55%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial Bilat Study	$425.25	$945.00	—	—	55%
Chest CT scan without and with contrast CPT 71270 Ct Chest W/O & W/Dye	$777.15	$1,727.00	—	49% below	55%
Chest CT scan without and with contrast inpatient CPT 71270 Ct Chest W/O & W/Dye	$777.15	$1,727.00	—	—	55%
Chest X-ray, 2 views CPT 71046 Xray Chest 2 Views	$174.60	$388.00	—	34% below	55%
Chest X-ray, 2 views inpatient CPT 71046 Xray Chest 2 Views	$174.60	$388.00	—	—	55%
Chest X-ray, single view CPT 71045 Xray Chest 1 View	$174.60	$388.00	—	22% below	55%
Chest X-ray, single view inpatient CPT 71045 Xray Chest 1 View	$174.60	$388.00	—	—	55%
Collarbone (clavicle) X-ray, complete CPT 73000 Xray Clavicle Complete	$88.20	$196.00	—	67% below	55%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Xray Clavicle Complete	$88.20	$196.00	—	—	55%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retropertioneal Complete	$416.25	$925.00	—	41% below	55%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Retropertioneal Complete	$416.25	$925.00	—	—	55%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Skeleton	$295.65	$657.00	—	35% below	55%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa Bone Density Skeleton	$295.65	$657.00	—	—	55%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa Bone Density Peripheral	$123.30	$274.00	—	52% below	55%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxa Bone Density Peripheral	$123.30	$274.00	—	—	55%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Us Detailed Sngl Fetus	$404.55	$899.00	—	52% below	55%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ob Us Detailed Sngl Fetus	$404.55	$899.00	—	—	55%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Thorax W/O Dye	$472.50	$1,050.00	—	50% below	55%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Thorax W/O Dye	$472.50	$1,050.00	—	—	55%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax W/Dye	$601.65	$1,337.00	—	50% below	55%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Thorax W/Dye	$601.65	$1,337.00	—	—	55%
Diagnostic mammogram, both breasts both sides CPT 77066 Mammo Diag W/Cad Bilat	$323.55	$719.00	—	—	55%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mammo Diag W/Cad Bilat	$323.55	$719.00	—	—	55%
Diagnostic mammogram, one breast one side CPT 77065 Mammo Diag W/Cad Unilat	$150.75	$335.00	—	58% below	55%
Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammo Diag W/Cad Unilat	$150.75	$335.00	—	—	55%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Vasc Lab-Dup/Sc Art Byps Graft	$426.15	$947.00	—	52% below	55%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Vasc Lab-Dup/Sc Art Byps Graft	$426.15	$947.00	—	—	55%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dplex Scan Vein Bilateral	$426.15	$947.00	—	—	55%
Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Scan Venous Insuff Le B	$426.15	$947.00	—	52% below	55%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Dplex Scan Vein Bilateral	$426.15	$947.00	—	—	55%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex Scan Venous Insuff Le B	$426.15	$947.00	—	—	55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler Complete	$954.00	$2,120.00	—	44% below	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler Complete	$954.00	$2,120.00	—	—	55%
Elbow X-ray, 2 views CPT 73070 Xray Of Elbow 2 Views	$142.65	$317.00	—	45% below	55%
Elbow X-ray, 2 views inpatient CPT 73070 Xray Of Elbow 2 Views	$142.65	$317.00	—	—	55%
Elbow X-ray, complete, 3 or more views CPT 73080 Xray Elbow Min 2 Views	$157.95	$351.00	—	50% below	55%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Xray Elbow Min 2 Views	$157.95	$351.00	—	—	55%
Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbit/Ear/Fossa W/O Dye	$456.30	$1,014.00	—	47% below	55%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Orbit/Ear/Fossa W/O Dye	$456.30	$1,014.00	—	—	55%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xray Facilal Bone Complete	$147.15	$327.00	—	61% below	55%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Xray Facilal Bone Complete	$147.15	$327.00	—	—	55%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Xray Forearm 2 Views	$116.10	$258.00	—	57% below	55%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Xray Forearm 2 Views	$116.10	$258.00	—	—	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging	$841.95	$1,871.00	—	47% below	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System Imaging	$841.95	$1,871.00	—	—	55%
Hand X-ray, 2 views CPT 73120 Xray Of Hand 2 Views	$142.65	$317.00	—	47% below	55%
Hand X-ray, 2 views inpatient CPT 73120 Xray Of Hand 2 Views	$142.65	$317.00	—	—	55%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xray Heel Min 2 Views	$109.35	$243.00	—	60% below	55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Xray Heel Min 2 Views	$109.35	$243.00	—	—	55%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography 4+ W/Cpap	$2,735.10	$6,078.00	—	33% below	55%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography 4+ W/Cpap	$2,735.10	$6,078.00	—	—	55%
Knee X-ray, 3 views CPT 73562 Xray Knee 3 Views	$246.60	$548.00	—	30% below	55%
Knee X-ray, 3 views inpatient CPT 73562 Xray Knee 3 Views	$246.60	$548.00	—	—	55%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extrm W/O Dye	$472.50	$1,050.00	—	50% below	55%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Lower Extrm W/O Dye	$472.50	$1,050.00	—	—	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Abdomen Limited	$179.10	$398.00	—	68% below	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Abdomen Limited	$179.10	$398.00	—	—	55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Limited Joint Nonvasc	$203.40	$452.00	—	57% below	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Limited Joint Nonvasc	$203.40	$452.00	—	—	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Lung Cancer Scr C-	$255.60	$568.00	—	13% below	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Thorax Lung Cancer Scr C-	$255.60	$568.00	—	—	55%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xray Lower Leg 2 Views	$117.00	$260.00	—	57% below	55%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Xray Lower Leg 2 Views	$117.00	$260.00	—	—	55%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Dye	$1,084.50	$2,410.00	—	25% below	55%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Dye	$1,084.50	$2,410.00	—	—	55%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri Joint Low Extrem W/O Dye	$1,048.05	$2,329.00	—	40% below	55%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Knee Left Limited	$324.45	$721.00	—	81% below	55%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Knee Right Limited	$324.45	$721.00	—	81% below	55%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri Joint Low Extrem W/O Dye	$1,048.05	$2,329.00	—	—	55%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Knee Left Limited	$324.45	$721.00	—	—	55%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Knee Right Limited	$324.45	$721.00	—	—	55%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Joint Low Extr W/O &W/Dye	$1,386.00	$3,080.00	—	42% below	55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Joint Low Extr W/O &W/Dye	$1,386.00	$3,080.00	—	—	55%
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Dye	$1,048.05	$2,329.00	—	43% below	55%
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Dye	$1,048.05	$2,329.00	—	—	55%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/O & W/Dye	$1,393.20	$3,096.00	—	39% below	55%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W/O & W/Dye	$1,393.20	$3,096.00	—	—	55%
MRI of the brain, no contrast dye CPT 70551 Mri Brain W/O Dye	$1,084.50	$2,410.00	—	33% below	55%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain W/O Dye	$1,084.50	$2,410.00	—	—	55%
MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W/O & W/Dye	$1,485.90	$3,302.00	—	32% below	55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W/O & W/Dye	$1,485.90	$3,302.00	—	—	55%
MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine W/O Dye	$1,048.05	$2,329.00	—	37% below	55%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine W/O Dye	$1,048.05	$2,329.00	—	—	55%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Spine W/O & W/Dye	$1,435.05	$3,189.00	—	39% below	55%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumbar Spine W/O & W/Dye	$1,435.05	$3,189.00	—	—	55%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine W/O Dye	$1,048.05	$2,329.00	—	38% below	55%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Thoracic Spine W/O Dye	$1,048.05	$2,329.00	—	—	55%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cervical Spine W/O &W/Dye	$1,485.90	$3,302.00	—	34% below	55%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Cervical Spine W/O &W/Dye	$1,485.90	$3,302.00	—	—	55%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical Spine W/O Dye	$1,084.50	$2,410.00	—	34% below	55%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Cervical Spine W/O Dye	$1,084.50	$2,410.00	—	—	55%
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/O & W/Dye	$1,393.20	$3,096.00	—	29% below	55%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W/O & W/Dye	$1,393.20	$3,096.00	—	—	55%
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O Dye	$1,017.00	$2,260.00	—	33% below	55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O Dye	$1,017.00	$2,260.00	—	—	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Joint Upper Extrem W/O Dye	$1,048.05	$2,329.00	—	31% below	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri Joint Upper Extrem W/O Dye	$1,048.05	$2,329.00	—	—	55%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xray Cerv Spine 4-5 Views	$208.35	$463.00	—	54% below	55%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Xray Cerv Spine 4-5 Views	$208.35	$463.00	—	—	55%
Neck soft tissue CT scan with contrast CPT 70491 Ct Neck With Dye	$519.30	$1,154.00	—	56% below	55%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Neck With Dye	$519.30	$1,154.00	—	—	55%
Neck soft tissue CT scan without contrast CPT 70490 Ct Neck W/O Dye	$397.35	$883.00	—	57% below	55%
Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Neck W/O Dye	$397.35	$883.00	—	—	55%
Neck soft tissue X-ray CPT 70360 Xray Soft Tissue Neck	$146.70	$326.00	—	43% below	55%
Neck soft tissue X-ray inpatient CPT 70360 Xray Soft Tissue Neck	$146.70	$326.00	—	—	55%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Definity: 16 Vial, Glass In 1 Carton (11994-011-16) / 1.5 Ml In 1 Vial, Glass	$2,009.70	$4,466.00	—	50% below	55%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Definity: 16 Vial, Glass In 1 Carton (11994-011-16) / 1.5 Ml In 1 Vial, Glass	$2,009.70	$4,466.00	—	—	55%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/Ct Skull Thigh Initial Tx	$2,620.35	$5,823.00	—	46% below	55%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/Ct Sull Thigh Subsequent	$2,620.35	$5,823.00	—	46% below	55%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet/Ct Skull Thigh Initial Tx	$2,620.35	$5,823.00	—	—	55%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet/Ct Sull Thigh Subsequent	$2,620.35	$5,823.00	—	—	55%
Pelvic CT scan without contrast CPT 72192 Ct Pelvis W/O Dye	$567.00	$1,260.00	—	44% below	55%
Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis W/O Dye	$567.00	$1,260.00	—	—	55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Non Ob Limited	$260.10	$578.00	—	40% below	55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Pelvic Non Ob Limited	$260.10	$578.00	—	—	55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Non Ob Complete	$310.05	$689.00	—	38% below	55%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Pelvis Non Ob Complete	$310.05	$689.00	—	—	55%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob Us >= 14 Wks Sngl Fetus	$387.90	$862.00	—	35% below	55%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob Us >= 14 Wks Sngl Fetus	$387.90	$862.00	—	—	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us < 14 Wks Single Fetus	$113.40	$252.00	—	79% below	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob Us < 14 Wks Single Fetus	$113.40	$252.00	—	—	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Us Limited Fetus(S)	$306.90	$682.00	—	36% below	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob Us Limited Fetus(S)	$306.90	$682.00	—	—	55%
Rib X-ray, one side, 2 views CPT 71100 Xray Ribs 2 Views	$136.35	$303.00	—	55% below	55%
Rib X-ray, one side, 2 views inpatient CPT 71100 Xray Ribs 2 Views	$136.35	$303.00	—	—	55%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Xray Of Unilat Ribs/Chest	$314.55	$699.00	—	18% below	55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Xray Of Unilat Ribs/Chest	$314.55	$699.00	—	—	55%
Screening mammogram, both breasts both sides CPT 77067 Mammo Screen W/Cad Bilat	$156.60	$348.00	—	—	55%
Screening mammogram, both breasts inpatient both sides CPT 77067 Mammo Screen W/Cad Bilat	$156.60	$348.00	—	—	55%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xray Shoulder Complete	$160.65	$357.00	—	52% below	55%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Xray Shoulder Complete	$160.65	$357.00	—	—	55%
Sinus X-ray, complete, 3 or more views CPT 70220 Xray Sinuses Complete	$208.35	$463.00	—	42% below	55%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Xray Sinuses Complete	$208.35	$463.00	—	—	55%
Skull X-ray, fewer than 4 views CPT 70250 Xray Skull <4 Views	$142.65	$317.00	—	51% below	55%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Xray Skull <4 Views	$142.65	$317.00	—	—	55%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 4+Parameters	$2,500.65	$5,557.00	—	30% below	55%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 4+Parameters	$2,500.65	$5,557.00	—	—	55%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Complete	$1,143.00	$2,540.00	—	44% below	55%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Complete	$1,143.00	$2,540.00	—	—	55%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Video Swallowing Function	$253.35	$563.00	—	50% below	55%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Video Swallowing Function	$253.35	$563.00	—	—	55%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xray Femur Min 2 Views	$246.60	$548.00	—	9% below	55%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Xray Femur Min 2 Views	$246.60	$548.00	—	—	55%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Thoracic W/O Dye	$594.00	$1,320.00	—	34% below	55%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Thoracic W/O Dye	$594.00	$1,320.00	—	—	55%
Toe X-ray, 2 or more views CPT 73660 Xray Toe(S) Min 2 View	$89.10	$198.00	—	64% below	55%
Toe X-ray, 2 or more views inpatient CPT 73660 Xray Toe(S) Min 2 View	$89.10	$198.00	—	—	55%
Transvaginal pelvic ultrasound CPT 76830 Us Transvaginal Non Ob	$214.20	$476.00	—	62% below	55%
Transvaginal pelvic ultrasound inpatient CPT 76830 Us Transvaginal Non Ob	$214.20	$476.00	—	—	55%
Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal	$113.40	$252.00	—	77% below	55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us Ob Transvaginal	$113.40	$252.00	—	—	55%
Ultrasound of the abdomen, complete CPT 76700 Us Abdomen Complete	$410.85	$913.00	—	34% below	55%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abdomen Complete	$410.85	$913.00	—	—	55%
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum	$196.65	$437.00	—	63% below	55%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Scrotum	$196.65	$437.00	—	—	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Of Head And Neck	$233.55	$519.00	—	59% below	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Of Head And Neck	$233.55	$519.00	—	—	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xray Upper Gi W/O Kub	$362.70	$806.00	—	39% below	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Xray Upper Gi W/O Kub	$362.70	$806.00	—	—	55%
Upper arm X-ray (humerus), 2 views CPT 73060 Xray Of Humerus	$114.75	$255.00	—	58% below	55%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Xray Of Humerus	$114.75	$255.00	—	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Dplx Scan Vein Limited	$302.40	$672.00	—	59% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Dplx Scan Vein Limited	$302.40	$672.00	—	—	55%
Wrist X-ray, 2 views CPT 73100 Xray Wrist 2 Views	$196.20	$436.00	—	25% below	55%
Wrist X-ray, 2 views inpatient CPT 73100 Xray Wrist 2 Views	$196.20	$436.00	—	—	55%
Wrist X-ray, complete, 3 or more views CPT 73110 Xray Of Wrist	$196.20	$436.00	—	41% below	55%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Xray Of Wrist	$196.20	$436.00	—	—	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xray Hip 2-3 View Unilateral	$162.45	$361.00	—	47% below	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xray Hip 2-3 View Unilateral	$162.45	$361.00	—	—	55%
X-ray of the abdomen, 1 view CPT 74018 Xray Abdomen 1 View	$245.70	$546.00	—	4% below	55%
X-ray of the abdomen, 1 view inpatient CPT 74018 Xray Abdomen 1 View	$245.70	$546.00	—	—	55%
X-ray of the ankle, 2 views CPT 73600 Xray Anlke 2 Views	$142.65	$317.00	—	43% below	55%
X-ray of the ankle, 2 views inpatient CPT 73600 Xray Anlke 2 Views	$142.65	$317.00	—	—	55%
X-ray of the finger(s), 2 or more views CPT 73140 Xray Of Finger(S)	$89.10	$198.00	—	65% below	55%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Xray Of Finger(S)	$89.10	$198.00	—	—	55%
X-ray of the foot, 2 views CPT 73620 Xray Foot 2 Views	$142.65	$317.00	—	39% below	55%
X-ray of the foot, 2 views inpatient CPT 73620 Xray Foot 2 Views	$142.65	$317.00	—	—	55%
X-ray of the foot, complete, 3 or more views CPT 73630 Xray Foot Min 3 Views	$157.95	$351.00	—	48% below	55%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Xray Foot Min 3 Views	$157.95	$351.00	—	—	55%
X-ray of the hand, 3 or more views CPT 73130 Xray Hand Min 3 Views	$157.95	$351.00	—	52% below	55%
X-ray of the hand, 3 or more views inpatient CPT 73130 Xray Hand Min 3 Views	$157.95	$351.00	—	—	55%
X-ray of the knee, 1 or 2 views CPT 73560 Xray Knee 1-2 Views	$223.20	$496.00	—	18% below	55%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Xray Knee 1-2 Views	$223.20	$496.00	—	—	55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Lumbosacral 2 Or 3 Views	$222.75	$495.00	—	31% below	55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr Lumbosacral 2 Or 3 Views	$222.75	$495.00	—	—	55%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views	$245.70	$546.00	—	48% below	55%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Spine Lumbar Min 4 Views	$245.70	$546.00	—	—	55%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xray Spine Thoracic 2 Views	$142.65	$317.00	—	53% below	55%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xray Spine Thoracic 2 Views	$142.65	$317.00	—	—	55%
X-ray of the nasal bones, 3 or more views CPT 70160 Xray Nasal Bones Complete	$123.75	$275.00	—	58% below	55%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Xray Nasal Bones Complete	$123.75	$275.00	—	—	55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Cerv Spine 2/3 Views	$154.35	$343.00	—	54% below	55%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr Cerv Spine 2/3 Views	$154.35	$343.00	—	—	55%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xray Pelivs 1 Or 2 Views	$139.05	$309.00	—	45% below	55%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xray Pelivs 1 Or 2 Views	$139.05	$309.00	—	—	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/Coccyx Min 2 Views	$131.85	$293.00	—	56% below	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xr Sacrum/Coccyx Min 2 Views	$131.85	$293.00	—	—	55%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Lab-Alt (Sgpt)	$20.25	$45.00	—	27% below	55%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Lab-Alt (Sgpt)	$20.25	$45.00	—	—	55%
AST (aspartate aminotransferase) enzyme test CPT 84450 Lab-Ast (Sgot)	$20.25	$45.00	—	20% below	55%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Lab-Ast (Sgot)	$20.25	$45.00	—	—	55%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Lab-Panel Hepatitis Acute	$95.85	$213.00	—	56% below	55%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Lab-Panel Hepatitis Acute	$95.85	$213.00	—	—	55%
Albumin blood test CPT 82040 Lab-Albumin	$17.10	$38.00	—	23% below	55%
Albumin blood test inpatient CPT 82040 Lab-Albumin	$17.10	$38.00	—	—	55%
Alkaline phosphatase (ALP) blood test CPT 84075 Lab-Phosphatase Alkaline	$45.00	$100.00	—	88% above	55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Lab-Phosphatase Alkaline	$45.00	$100.00	—	—	55%
Ammonia blood test CPT 82140 Lab-Ammonia Blood	$71.10	$158.00	—	30% above	55%
Ammonia blood test inpatient CPT 82140 Lab-Ammonia Blood	$71.10	$158.00	—	—	55%
Amylase blood test CPT 82150 Lab-Amylase Serum	$25.65	$57.00	—	46% below	55%
Amylase blood test CPT 82150 Lab-Amylase Urine	$25.65	$57.00	—	46% below	55%
Amylase blood test inpatient CPT 82150 Lab-Amylase Urine	$25.65	$57.00	—	—	55%
Amylase blood test inpatient CPT 82150 Lab-Amylase Serum	$25.65	$57.00	—	—	55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Lab-N Terminal Pro Bnp	$103.95	$231.00	—	30% below	55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Lab-N Terminal Pro Bnp	$103.95	$231.00	—	—	55%
Basic metabolic panel (blood test) CPT 80048 Lab-Panel Basic Metabolic	$60.30	$134.00	—	8% below	55%
Basic metabolic panel (blood test) inpatient CPT 80048 Lab-Panel Basic Metabolic	$60.30	$134.00	—	—	55%
Bilirubin blood test, total CPT 82247 Lab-Bilirubin Total	$39.15	$87.00	—	63% above	55%
Bilirubin blood test, total inpatient CPT 82247 Lab-Bilirubin Total	$39.15	$87.00	—	—	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Lab-Venipuncture	$18.00	$40.00	—	13% above	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$18.00	$40.00	—	13% above	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Lab-Venipuncture	$18.00	$40.00	—	—	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$18.00	$40.00	—	—	55%
Blood glucose (sugar) test CPT 82947 Lab-Glucose	$26.10	$58.00	—	11% above	55%
Blood glucose (sugar) test CPT 82947 Lab-Glucose Serum	$26.10	$58.00	—	11% above	55%
Blood glucose (sugar) test inpatient CPT 82947 Lab-Glucose Serum	$26.10	$58.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 Lab-Glucose	$26.10	$58.00	—	—	55%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Lab-Pregnancy Serum Qualitativ	$46.80	$104.00	—	14% below	55%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Lab-Pregnancy Serum Qualitativ	$46.80	$104.00	—	—	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Lab-Abo Group	$13.05	$29.00	—	78% below	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Lab-Abo Group	$13.05	$29.00	—	—	55%
Blood urea nitrogen (BUN) test CPT 84520 Lab-Blood Urea Nitrogen	$27.90	$62.00	—	19% above	55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Lab-Blood Urea Nitrogen	$27.90	$62.00	—	—	55%
C-peptide blood test CPT 84681 Lab-C-Peptide	$54.00	$120.00	—	32% below	55%
C-peptide blood test inpatient CPT 84681 Lab-C-Peptide	$54.00	$120.00	—	—	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Lab-C-Reactive Protein	$45.45	$101.00	—	10% below	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Lab-C-Reactive Protein	$45.45	$101.00	—	—	55%
C. difficile toxin gene test (stool PCR) CPT 87493 Lab-C Diff Cepheid	$56.70	$126.00	—	57% below	55%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Lab-C Diff Cepheid	$56.70	$126.00	—	—	55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Lab-Sars Cov-2 Covid 19	$105.75	$235.00	—	25% below	55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Lab-Sars Cov-2 Covid 19	$105.75	$235.00	—	—	55%
Calcium blood test, total CPT 82310 Lab-Calcium Serum	$39.15	$87.00	—	24% above	55%
Calcium blood test, total inpatient CPT 82310 Lab-Calcium Serum	$39.15	$87.00	—	—	55%
Carcinoembryonic antigen (CEA) test CPT 82378 Lab-Cea Assay	$46.80	$104.00	—	46% below	55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Lab-Cea Assay	$46.80	$104.00	—	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Lab-Chlmyd Trach Dna Amp Probe	$23.85	$53.00	—	74% below	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Lab-Chlmyd Trach Dna Amp Probe	$23.85	$53.00	—	—	55%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lab-Panel Lipid	$65.70	$146.00	—	24% above	55%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lab-Panel Lipid	$65.70	$146.00	—	—	55%
Complete blood count (CBC), no differential CPT 85027 Lab-Hemogram/Platelets	$46.80	$104.00	—	38% above	55%
Complete blood count (CBC), no differential inpatient CPT 85027 Lab-Hemogram/Platelets	$46.80	$104.00	—	—	55%
Comprehensive metabolic panel (blood test) CPT 80053 Lab-Panel Comp Metabolic	$83.70	$186.00	—	32% above	55%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Lab-Panel Comp Metabolic	$83.70	$186.00	—	—	55%
Creatine kinase (CK) blood test, total CPT 82550 Lab-Ck Total	$49.95	$111.00	—	41% above	55%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Lab-Ck Total	$49.95	$111.00	—	—	55%
Creatinine blood test CPT 82565 Creatinine Poc Service	$32.40	$72.00	—	31% above	55%
Creatinine blood test CPT 82565 Lab-Creatinine Serum	$33.75	$75.00	—	37% above	55%
Creatinine blood test inpatient CPT 82565 Creatinine Poc Service	$32.40	$72.00	—	—	55%
Creatinine blood test inpatient CPT 82565 Lab-Creatinine Serum	$33.75	$75.00	—	—	55%
D-dimer blood test (blood clot marker) CPT 85379 Lab-D-Dimer	$47.25	$105.00	—	32% below	55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Lab-D-Dimer	$47.25	$105.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Lab-Drug Screen Per Dos	$60.75	$135.00	—	36% below	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Lab-Drug Screen Per Dos	$60.75	$135.00	—	—	55%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Lab-Panel Electrolytes	$47.70	$106.00	—	at median	55%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Lab-Panel Electrolytes	$47.70	$106.00	—	—	55%
Ferritin blood test (iron stores) CPT 82728 Lab-Ferritin Serum	$65.70	$146.00	—	14% below	55%
Ferritin blood test (iron stores) inpatient CPT 82728 Lab-Ferritin Serum	$65.70	$146.00	—	—	55%
Fibrinogen blood test CPT 85384 Lab-Fibrinogen	$46.80	$104.00	—	4% above	55%
Fibrinogen blood test inpatient CPT 85384 Lab-Fibrinogen	$46.80	$104.00	—	—	55%
Folate (folic acid) blood test CPT 82746 Lab-Folate	$94.05	$209.00	—	39% above	55%
Folate (folic acid) blood test inpatient CPT 82746 Lab-Folate	$94.05	$209.00	—	—	55%
Free T3 thyroid hormone test CPT 84481 Lab-T-3 Free	$49.50	$110.00	—	35% below	55%
Free T3 thyroid hormone test inpatient CPT 84481 Lab-T-3 Free	$49.50	$110.00	—	—	55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Lab-T-4 Free	$49.50	$110.00	—	16% above	55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Lab-T-4 Free	$49.50	$110.00	—	—	55%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Lab-Gamma Gt (Ggt)	$48.15	$107.00	—	13% above	55%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Lab-Gamma Gt (Ggt)	$48.15	$107.00	—	—	55%
Glucose tolerance test, 3 samples CPT 82951 Lab-Gtt (3 Specimens)	$90.45	$201.00	—	35% above	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 Lab-Gtt (3 Specimens)	$90.45	$201.00	—	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Lab-Neisseria Gonorrhoeae Pcr	$23.85	$53.00	—	74% below	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Lab-Neisseria Gonorrhoeae Pcr	$23.85	$53.00	—	—	55%
H. pylori antibody blood test CPT 86677 Lab-Helicobacter Pylori Ab	$76.95	$171.00	—	2% above	55%
H. pylori antibody blood test inpatient CPT 86677 Lab-Helicobacter Pylori Ab	$76.95	$171.00	—	—	55%
HIV-1 and HIV-2 antibody test CPT 86703 Noncdm Charge Record	$35.10	$78.00	—	43% below	55%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Noncdm Charge Record	$35.10	$78.00	—	—	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Lab-Hiv 1/2	$35.10	$78.00	—	53% below	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Lab-Hiv 1/2	$35.10	$78.00	—	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Lab-Glycosylated Hemoglobin	$6.75	$15.00	—	85% below	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1C Poc	$46.80	$104.00	—	3% above	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Lab-Glycosylated Hemoglob	$46.80	$104.00	—	3% above	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Lab-Glycosylated Hemoglobin	$6.75	$15.00	—	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb A1C Poc	$46.80	$104.00	—	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Lab-Glycosylated Hemoglob	$46.80	$104.00	—	—	55%
Hemoglobin blood test CPT 85018 Lab-Hemoglobin	$20.70	$46.00	—	28% above	55%
Hemoglobin blood test inpatient CPT 85018 Lab-Hemoglobin	$20.70	$46.00	—	—	55%
Hepatitis B core antibody test (total) CPT 86704 Lab-Hepatitis B Core Ab-Total	$8.55	$19.00	—	84% below	55%
Hepatitis B core antibody test (total) inpatient CPT 86704 Lab-Hepatitis B Core Ab-Total	$8.55	$19.00	—	—	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Lab-Hep B Surface Ab	$35.55	$79.00	—	26% below	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Lab-Hep B Surface Ab	$35.55	$79.00	—	—	55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Lab-Hep B Surf Ag Screen	$34.20	$76.00	—	28% below	55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Lab-Hep B Surf Ag Screen	$34.20	$76.00	—	—	55%
Hepatitis C antibody blood test (screening) CPT 86803 Lab-Hep C Ab	$49.95	$111.00	—	22% below	55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Lab-Hep C Ab	$49.95	$111.00	—	—	55%
High-sensitivity CRP (hs-CRP) test CPT 86141 Lab-C-React Protein High Sens	$69.75	$155.00	—	3% above	55%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Lab-C-React Protein High Sens	$69.75	$155.00	—	—	55%
Iron blood test (serum iron) CPT 83540 Lab-Iron Total	$24.30	$54.00	—	36% below	55%
Iron blood test (serum iron) inpatient CPT 83540 Lab-Iron Total	$24.30	$54.00	—	—	55%
Iron-binding capacity (TIBC) test CPT 83550 Lab-Iron Binding Capacity	$28.80	$64.00	—	26% below	55%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Lab-Iron Binding Capacity	$28.80	$64.00	—	—	55%
Kidney function blood test panel CPT 80069 Lab-Renal Function Panel	$76.95	$171.00	—	7% above	55%
Kidney function blood test panel inpatient CPT 80069 Lab-Renal Function Panel	$76.95	$171.00	—	—	55%
Lactate (lactic acid) blood test CPT 83605 Lab-Lactic Acid	$39.15	$87.00	—	25% below	55%
Lactate (lactic acid) blood test inpatient CPT 83605 Lab-Lactic Acid	$39.15	$87.00	—	—	55%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lab-Ld Total	$38.70	$86.00	—	42% above	55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lab-Ld Total	$38.70	$86.00	—	—	55%
Lipase blood test (pancreas enzyme) CPT 83690 Lab-Lipase Serum	$23.85	$53.00	—	59% below	55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lab-Lipase Serum	$23.85	$53.00	—	—	55%
Liver function blood test panel CPT 80076 Lab-Panel Hepatic Function	$65.25	$145.00	—	8% above	55%
Liver function blood test panel inpatient CPT 80076 Lab-Panel Hepatic Function	$65.25	$145.00	—	—	55%
Magnesium blood test CPT 83735 Lab-Magnesium, Serum	$4.05	$9.00	—	88% below	55%
Magnesium blood test CPT 83735 Lab-Magnesium Serum	$26.10	$58.00	—	23% below	55%
Magnesium blood test inpatient CPT 83735 Lab-Magnesium, Serum	$4.05	$9.00	—	—	55%
Magnesium blood test inpatient CPT 83735 Lab-Magnesium Serum	$26.10	$58.00	—	—	55%
Mono test (heterophile antibody, Monospot) CPT 86308 Lab-Monolatex	$32.40	$72.00	—	39% below	55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Lab-Monolatex	$32.40	$72.00	—	—	55%
Parathyroid hormone (PTH) blood test CPT 83970 Lab-Pth Bio-Intact	$117.00	$260.00	—	17% below	55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Lab-Pth Bio-Intact	$117.00	$260.00	—	—	55%
Partial thromboplastin time (PTT) clotting test CPT 85730 Lab-Aptt (P.Thrombin Time)	$40.95	$91.00	—	9% above	55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lab-Aptt (P.Thrombin Time)	$40.95	$91.00	—	—	55%
Phosphorus (phosphate) blood test CPT 84100 Lab-Phosphorus Serum	$40.50	$90.00	—	13% above	55%
Phosphorus (phosphate) blood test inpatient CPT 84100 Lab-Phosphorus Serum	$40.50	$90.00	—	—	55%
Potassium blood test CPT 84132 Lab-Potassium Serum	$27.90	$62.00	—	19% above	55%
Potassium blood test inpatient CPT 84132 Lab-Potassium Serum	$27.90	$62.00	—	—	55%
Prothrombin time (PT/INR) clotting test CPT 85610 Lab-Prothrombin Time	$22.95	$51.00	—	5% below	55%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$22.95	$51.00	—	5% below	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lab-Prothrombin Time	$22.95	$51.00	—	—	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$22.95	$51.00	—	—	55%
Rh blood typing CPT 86901 Lab-Rh Type	$13.05	$29.00	—	65% below	55%
Rh blood typing inpatient CPT 86901 Lab-Rh Type	$13.05	$29.00	—	—	55%
Rubella antibody test (immunity check) CPT 86762 Lab-Rubella Immune Status	$49.95	$111.00	—	2% above	55%
Rubella antibody test (immunity check) inpatient CPT 86762 Lab-Rubella Immune Status	$49.95	$111.00	—	—	55%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Lab-Sedimentation Rate	$22.95	$51.00	—	39% below	55%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Lab-Sedimentation Rate	$22.95	$51.00	—	—	55%
Sodium blood test CPT 84295 Lab-Sodium Serum	$27.90	$62.00	—	3% above	55%
Sodium blood test inpatient CPT 84295 Lab-Sodium Serum	$27.90	$62.00	—	—	55%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Lab-Occult Blood Fecal	$15.30	$34.00	—	47% below	55%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Lab-Occult Blood Fecal	$15.30	$34.00	—	—	55%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Lab-Occult Blood (Immunoassay)	$49.50	$110.00	—	8% below	55%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Lab-Occult Blood (Immunoassay)	$49.50	$110.00	—	—	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Lab-Vdrl/Rpr Screen	$23.85	$53.00	—	at median	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Lab-Vdrl/Rpr Screen	$23.85	$53.00	—	—	55%
Testosterone blood test, total (not free testosterone) CPT 84403 Lab-Testosterone, Total	$13.05	$29.00	—	86% below	55%
Testosterone blood test, total (not free testosterone) CPT 84403 Lab-Testosterone Total	$70.65	$157.00	—	23% below	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Lab-Testosterone, Total	$13.05	$29.00	—	—	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Lab-Testosterone Total	$70.65	$157.00	—	—	55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Lab-Tsh Thyroid Stim	$54.00	$120.00	—	28% below	55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Lab-Tsh Thyroid Stim	$54.00	$120.00	—	—	55%
Total cholesterol blood test CPT 82465 Lab-Cholesterol Total	$35.10	$78.00	—	4% below	55%
Total cholesterol blood test inpatient CPT 82465 Lab-Cholesterol Total	$35.10	$78.00	—	—	55%
Total thyroxine (T4) blood test CPT 84436 Lab-T-4 Thyroxine	$40.50	$90.00	—	3% below	55%
Total thyroxine (T4) blood test inpatient CPT 84436 Lab-T-4 Thyroxine	$40.50	$90.00	—	—	55%
Trichomonas test (NAAT) CPT 87661 Lab-Candida Vag/Trich Vag Pcr	$23.85	$53.00	—	72% below	55%
Trichomonas test (NAAT) inpatient CPT 87661 Lab-Candida Vag/Trich Vag Pcr	$23.85	$53.00	—	—	55%
Triglycerides blood test CPT 84478 Lab-Triglycerides Serum	$38.70	$86.00	—	12% above	55%
Triglycerides blood test inpatient CPT 84478 Lab-Triglycerides Serum	$38.70	$86.00	—	—	55%
Troponin test, quantitative CPT 84484 Lab-High Sensitive Troponin I	$28.35	$63.00	—	66% below	55%
Troponin test, quantitative inpatient CPT 84484 Lab-High Sensitive Troponin I	$28.35	$63.00	—	—	55%
Uric acid blood test CPT 84550 Lab-Uric Acid Serum	$28.80	$64.00	—	18% below	55%
Uric acid blood test inpatient CPT 84550 Lab-Uric Acid Serum	$28.80	$64.00	—	—	55%
Urinalysis with microscope exam, automated CPT 81001 Lab-Auto Ua With Microscopic	$28.80	$64.00	—	7% above	55%
Urinalysis with microscope exam, automated inpatient CPT 81001 Lab-Auto Ua With Microscopic	$28.80	$64.00	—	—	55%
Urinalysis without microscope exam, automated CPT 81003 Lab Auto Urinalysis	$3.60	$8.00	—	85% below	55%
Urinalysis without microscope exam, automated CPT 81003 Lab-Ph Urine	$21.15	$47.00	—	10% below	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 Lab Auto Urinalysis	$3.60	$8.00	—	—	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 Lab-Ph Urine	$21.15	$47.00	—	—	55%
Urinalysis without microscope exam, manual CPT 81002 Er-Ua Non Auto W/O Micro	$8.10	$18.00	—	50% below	55%
Urinalysis without microscope exam, manual inpatient CPT 81002 Er-Ua Non Auto W/O Micro	$8.10	$18.00	—	—	55%
Urine culture for bacteria, with colony count CPT 87086 Lab-Culture Urine	$53.10	$118.00	—	7% below	55%
Urine culture for bacteria, with colony count inpatient CPT 87086 Lab-Culture Urine	$53.10	$118.00	—	—	55%
Urine microalbumin (albumin) test CPT 82043 Lab-Microalbumin, Urine	$7.20	$16.00	—	86% below	55%
Urine microalbumin (albumin) test CPT 82043 Lab-Microalbumin Urine	$49.50	$110.00	—	3% below	55%
Urine microalbumin (albumin) test inpatient CPT 82043 Lab-Microalbumin, Urine	$7.20	$16.00	—	—	55%
Urine microalbumin (albumin) test inpatient CPT 82043 Lab-Microalbumin Urine	$49.50	$110.00	—	—	55%
Urine pregnancy test, read by color change CPT 81025 Er-Urine Pregnancy Test	$54.90	$122.00	—	13% above	55%
Urine pregnancy test, read by color change CPT 81025 Lab-Urine Pregnancy Test	$57.15	$127.00	—	17% above	55%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$57.15	$127.00	—	17% above	55%
Urine pregnancy test, read by color change inpatient CPT 81025 Er-Urine Pregnancy Test	$54.90	$122.00	—	—	55%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test	$57.15	$127.00	—	—	55%
Urine pregnancy test, read by color change inpatient CPT 81025 Lab-Urine Pregnancy Test	$57.15	$127.00	—	—	55%
Vitamin B12 (cobalamin) blood test CPT 82607 Lab-Vitamin B12	$73.80	$164.00	—	1% below	55%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Lab-Vitamin B12	$73.80	$164.00	—	—	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Lab-Vitamin D Hydroxy	$76.95	$171.00	—	18% below	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Lab-Vitamin D Hydroxy	$76.95	$171.00	—	—	55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Lab-Hcg Quantitative	$90.45	$201.00	—	34% above	55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Lab-Hcg Quantitative	$90.45	$201.00	—	—	55%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Brst Stero W/Dev 1St Les	$1,968.75	$4,375.00	—	51% below	55%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Brst Stero W/Dev 1St Les	$1,968.75	$4,375.00	—	—	55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Er-Cardioversion Electr Ext	$667.35	$1,483.00	—	68% below	55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext	$667.35	$1,483.00	—	68% below	55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Er-Cardioversion Electr Ext	$667.35	$1,483.00	—	—	55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Electric Ext	$667.35	$1,483.00	—	—	55%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Er-Clsd Fx Rad/Ulna W/O Manip	$301.50	$670.00	—	26% below	55%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Er-Clsd Fx Rad/Ulna W/O Manip	$301.50	$670.00	—	—	55%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Er-Rmv Impacted Ear Wax Unilat	$80.55	$179.00	—	48% below	55%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Er-Rmv Impacted Ear Wax Unilat	$80.55	$179.00	—	—	55%
Earwax removal with instruments, one ear CPT 69210 Er-Rmv Impct Cerumen W/Ins Uni	$83.70	$186.00	—	46% below	55%
Earwax removal with instruments, one ear inpatient CPT 69210 Er-Rmv Impct Cerumen W/Ins Uni	$83.70	$186.00	—	—	55%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Interlam Crv/Thor W/Guide	$1,631.25	$3,625.00	—	27% below	55%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj Interlam Crv/Thor W/Guide	$1,631.25	$3,625.00	—	—	55%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 Inj Fac L/S 1 Lvl W/Guid-Bilat	$967.95	$2,151.00	—	—	55%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Fac Lumb/Sacr Snglv W/Guid	$967.95	$2,151.00	—	56% below	55%
Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 Inj Fac L/S 1 Lvl W/Guid-Bilat	$967.95	$2,151.00	—	—	55%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Fac Lumb/Sacr Snglv W/Guid	$967.95	$2,151.00	—	—	55%
Incision and drainage of a simple or single skin abscess CPT 10060 Er-Drain Skin Abscess Simp	$252.00	$560.00	—	35% below	55%
Incision and drainage of a simple or single skin abscess CPT 10060 Drain Skin Abcess Simple	$252.00	$560.00	—	35% below	55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Er-Drain Skin Abscess Simp	$252.00	$560.00	—	—	55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drain Skin Abcess Simple	$252.00	$560.00	—	—	55%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath Ligament	$486.90	$1,082.00	—	44% above	55%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon Sheath Ligament	$486.90	$1,082.00	—	—	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthro Lg W/O Guide W/O Record	$473.85	$1,053.00	—	32% below	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Er-Arthro Lg W/O Guide W/O Rec	$473.85	$1,053.00	—	32% below	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Er-Arthro Lg W/O Guide W/O Rec	$473.85	$1,053.00	—	—	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthro Lg W/O Guide W/O Record	$473.85	$1,053.00	—	—	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Noncdm Charge Record	$158.40	$352.00	—	74% below	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthro Md W/O Guide W/O Record	$450.90	$1,002.00	—	27% below	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Er-Arthro Md W/O Guide W/O Rec	$450.90	$1,002.00	—	27% below	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Noncdm Charge Record	$158.40	$352.00	—	—	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Er-Arthro Md W/O Guide W/O Rec	$450.90	$1,002.00	—	—	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthro Md W/O Guide W/O Record	$450.90	$1,002.00	—	—	55%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthro Sm W/O Guide W/O Record	$105.30	$234.00	—	79% below	55%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthro Sm W/O Guide W/O Record	$105.30	$234.00	—	—	55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Er-Repr Layr Body Extrm <2.5	$463.95	$1,031.00	—	13% below	55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Er-Repr Layr Body Extrm <2.5	$463.95	$1,031.00	—	—	55%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Interlam Lmbr/Sac W/ Guid	$1,631.25	$3,625.00	—	20% below	55%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Interlam Lmbr/Sac W/ Guid	$1,631.25	$3,625.00	—	—	55%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Tranform Lub/Sac W Gde	$937.80	$2,084.00	—	55% below	55%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Tranform Lub/Sac W Gde	$937.80	$2,084.00	—	—	55%
Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate	$252.00	$560.00	—	21% below	55%
Nail removal (partial or complete), one nail CPT 11730 Er-Removal Of Nail Plate	$252.00	$560.00	—	21% below	55%
Nail removal (partial or complete), one nail inpatient CPT 11730 Er-Removal Of Nail Plate	$252.00	$560.00	—	—	55%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal Of Nail Plate	$252.00	$560.00	—	—	55%
Occipital nerve block (injection for headaches) CPT 64405 Inj Occipital Nerve	$256.05	$569.00	—	67% below	55%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Occipital Nerve	$256.05	$569.00	—	—	55%
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging	$936.90	$2,082.00	—	46% below	55%
Paracentesis with imaging guidance CPT 49083 Er-Abd Paracentesis W/ Imaging	$936.90	$2,082.00	—	46% below	55%
Paracentesis with imaging guidance inpatient CPT 49083 Er-Abd Paracentesis W/ Imaging	$936.90	$2,082.00	—	—	55%
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imaging	$936.90	$2,082.00	—	—	55%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Er-Removal Of Nail Bed	$463.95	$1,031.00	—	40% below	55%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed	$463.95	$1,031.00	—	40% below	55%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail Bed	$463.95	$1,031.00	—	—	55%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Er-Removal Of Nail Bed	$463.95	$1,031.00	—	—	55%
Radiofrequency ablation of facet joint nerves, lower back, one level both sides CPT 64635 Rfa L/S Facet Jnt W/Guid-Bilat	$2,683.80	$5,964.00	—	—	55%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Rf Abla Lumb/Sac Sng Lv W/Fluo	$2,683.80	$5,964.00	—	20% below	55%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient both sides CPT 64635 Rfa L/S Facet Jnt W/Guid-Bilat	$2,683.80	$5,964.00	—	—	55%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Rf Abla Lumb/Sac Sng Lv W/Fluo	$2,683.80	$5,964.00	—	—	55%
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body Simple	$355.05	$789.00	—	47% below	55%
Removal of a foreign object under the skin, simple CPT 10120 Er-Remove Foreign Body Simple	$363.60	$808.00	—	46% below	55%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body Simple	$355.05	$789.00	—	—	55%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Er-Remove Foreign Body Simple	$363.60	$808.00	—	—	55%
Short arm splint (forearm and hand) CPT 29125 Er-Apply Forearm Splint	$157.05	$349.00	—	46% below	55%
Short arm splint (forearm and hand) inpatient CPT 29125 Er-Apply Forearm Splint	$157.05	$349.00	—	—	55%
Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast	$383.40	$852.00	—	1% above	55%
Short leg cast (below the knee) CPT 29405 Er-Apply Short Leg Cast	$383.40	$852.00	—	1% above	55%
Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast	$383.40	$852.00	—	—	55%
Short leg cast (below the knee) inpatient CPT 29405 Er-Apply Short Leg Cast	$383.40	$852.00	—	—	55%
Short leg splint (calf to foot) CPT 29515 Er-Apply Lower Leg Splint	$202.95	$451.00	—	31% below	55%
Short leg splint (calf to foot) inpatient CPT 29515 Er-Apply Lower Leg Splint	$202.95	$451.00	—	—	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Er-Repr Smp Body Hd Ft <2.5	$252.00	$560.00	—	24% below	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Er-Repr Smp Body Hd Ft <2.5	$252.00	$560.00	—	—	55%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion	$261.00	$580.00	—	41% below	55%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion	$261.00	$580.00	—	—	55%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Diagnostic	$530.55	$1,179.00	—	50% below	55%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Er-Lumbar Puncture Diagnostic	$530.55	$1,179.00	—	50% below	55%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Diagnostic	$530.55	$1,179.00	—	—	55%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Er-Lumbar Puncture Diagnostic	$530.55	$1,179.00	—	—	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple Body Hd Ft <7.5	$252.00	$560.00	—	29% below	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Er-Repr Smp Body Hd Ft <7.5	$252.00	$560.00	—	29% below	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Er-Repr Smp Body Hd Ft <7.5	$252.00	$560.00	—	—	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair Simple Body Hd Ft <7.5	$252.00	$560.00	—	—	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Er-Repr Smp Face Lip <2.5	$252.00	$560.00	—	21% below	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Er-Repr Smp Face Lip <2.5	$252.00	$560.00	—	—	55%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/Guide No Tube	$892.80	$1,984.00	—	49% below	55%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W/Guide No Tube	$892.80	$1,984.00	—	—	55%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl	$486.90	$1,082.00	—	30% below	55%
Trigger point injections, 1 or 2 muscles CPT 20552 Er-Inj Trigger Point 1/2 Muscl	$486.90	$1,082.00	—	30% below	55%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1/2 Muscl	$486.90	$1,082.00	—	—	55%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Er-Inj Trigger Point 1/2 Muscl	$486.90	$1,082.00	—	—	55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Brst Us W/Dev 1St Les	$1,968.75	$4,375.00	—	41% below	55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Brst Us W/Dev 1St Les	$1,968.75	$4,375.00	—	—	55%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Lvl 3 1St 20 Sq Cm	$463.95	$1,031.00	—	40% below	55%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Er-Debride Lvl 3 1St 20 Sq Cm	$463.95	$1,031.00	—	40% below	55%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Lvl 3 1St 20 Sq Cm	$463.95	$1,031.00	—	—	55%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Er-Debride Lvl 3 1St 20 Sq Cm	$463.95	$1,031.00	—	—	55%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Er-Blood Transfusion	$474.75	$1,055.00	—	57% below	55%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion	$474.75	$1,055.00	—	57% below	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion	$474.75	$1,055.00	—	—	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Er-Blood Transfusion	$474.75	$1,055.00	—	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment	$39.15	$87.00	—	78% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treat	$39.15	$87.00	—	78% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment	$39.15	$87.00	—	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treat	$39.15	$87.00	—	—	55%
Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Inf Smp 1 Hr	$239.40	$532.00	—	69% below	55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Inf Smp 1 Hr	$239.40	$532.00	—	—	55%
Critical care, first 30 to 74 minutes CPT 99291 Er-Critical Care E&M 30-74 Min	$807.30	$1,794.00	—	73% below	55%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Er-Critical Care E&M 30-74 Min	$807.30	$1,794.00	—	—	55%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Neuro-Eeg Routine Awake/Drowse	$511.65	$1,137.00	—	46% below	55%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Neuro-Eeg Routine Awake/Drowse	$511.65	$1,137.00	—	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogam Tracing	$94.05	$209.00	—	49% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Er-Electrocardiogam Tracing	$94.05	$209.00	—	49% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Noncdm Charge Record	$123.30	$274.00	—	33% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogam Tracing	$94.05	$209.00	—	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Er-Electrocardiogam Tracing	$94.05	$209.00	—	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Noncdm Charge Record	$123.30	$274.00	—	—	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er-Emergency Dept Level 1	$102.60	$228.00	—	67% below	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er-Emergency Dept Level 1	$102.60	$228.00	—	—	55%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er-Emergency Dept Level 2	$151.20	$336.00	—	70% below	55%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er-Emergency Dept Level 2	$151.20	$336.00	—	—	55%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er-Emergency Dept Level 3	$257.85	$573.00	—	69% below	55%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er-Emergency Dept Level 3	$257.85	$573.00	—	—	55%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er-Emergency Dept Level 4	$505.35	$1,123.00	—	62% below	55%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er-Emergency Dept Level 4	$505.35	$1,123.00	—	—	55%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er-Emergency Dept Level 5	$676.80	$1,504.00	—	61% below	55%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er-Emergency Dept Level 5	$676.80	$1,504.00	—	—	55%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test	$553.95	$1,231.00	—	38% below	55%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test	$553.95	$1,231.00	—	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Er-Iv Inf Hydrat Init 31Min-1H	$132.30	$294.00	—	68% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Inf Hydrat Init 31Min To 1H	$132.30	$294.00	—	68% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Inf Hydrat Init 31Min To 1H	$132.30	$294.00	—	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Er-Iv Inf Hydrat Init 31Min-1H	$132.30	$294.00	—	—	55%
IV infusion of a medicine, first hour CPT 96365 Iv Inf Tx/Pro/Dx Init Upto 1Hr	$92.25	$205.00	—	79% below	55%
IV infusion of a medicine, first hour CPT 96365 Er-Iv Inf Tx/Pro/Dx Initial	$92.25	$205.00	—	79% below	55%
IV infusion of a medicine, first hour inpatient CPT 96365 Er-Iv Inf Tx/Pro/Dx Initial	$92.25	$205.00	—	—	55%
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Inf Tx/Pro/Dx Init Upto 1Hr	$92.25	$205.00	—	—	55%
IV push of a medicine, first drug CPT 96374 Er-Tx/Proph/Dx Inj/Ivp Init	$49.50	$110.00	—	81% below	55%
IV push of a medicine, first drug CPT 96374 Tx/Proph/Dx Inj/Ivp Initial	$49.50	$110.00	—	81% below	55%
IV push of a medicine, first drug inpatient CPT 96374 Tx/Proph/Dx Inj/Ivp Initial	$49.50	$110.00	—	—	55%
IV push of a medicine, first drug inpatient CPT 96374 Er-Tx/Proph/Dx Inj/Ivp Init	$49.50	$110.00	—	—	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Er-Tx/Proph/Dx Inj Subq/Im	$31.95	$71.00	—	77% below	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tx/Proph/Dx Inj Subq/Im	$31.95	$71.00	—	77% below	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Tx/Proph/Dx Inj Subq/Im	$31.95	$71.00	—	—	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Er-Tx/Proph/Dx Inj Subq/Im	$31.95	$71.00	—	—	55%
Neuromuscular re-education, 15 minutes CPT 97112 Pt-Tilt Table	$78.30	$174.00	—	29% below	55%
Neuromuscular re-education, 15 minutes CPT 97112 Ot-Neuromuscular Re-Educat	$78.30	$174.00	—	29% below	55%
Neuromuscular re-education, 15 minutes CPT 97112 Pt-Neuromuscular Re-Education	$78.30	$174.00	—	29% below	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt-Neuromuscular Re-Education	$78.30	$174.00	—	—	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot-Neuromuscular Re-Educat	$78.30	$174.00	—	—	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt-Tilt Table	$78.30	$174.00	—	—	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Indiv Nutrit Counsel Ea 15 Min	$72.90	$162.00	—	13% above	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Indiv Nutrit Counsel Ea 15 Min	$72.90	$162.00	—	—	55%
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex	$203.85	$453.00	—	22% below	55%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex	$203.85	$453.00	—	—	55%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex	$419.40	$932.00	—	39% above	55%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complex	$419.40	$932.00	—	—	55%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex	$186.30	$414.00	—	29% below	55%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complex	$186.30	$414.00	—	—	55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex	$279.90	$622.00	—	1% above	55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complex	$279.90	$622.00	—	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot-Manual Therapy Per 15 Min	$83.70	$186.00	—	25% below	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt-Tissue Mobilization	$83.70	$186.00	—	25% below	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt-Manual Therapy Per 15Min	$83.70	$186.00	—	25% below	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt-Manual Therapy Per 15Min	$83.70	$186.00	—	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot-Manual Therapy Per 15 Min	$83.70	$186.00	—	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt-Tissue Mobilization	$83.70	$186.00	—	—	55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt-Theraputic Exercis Ea 15Min	$78.30	$174.00	—	34% below	55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot-Theraputic Exercis Ea 15Min	$78.30	$174.00	—	34% below	55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt-Theraputic Exercis Ea 15Min	$78.30	$174.00	—	—	55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot-Theraputic Exercis Ea 15Min	$78.30	$174.00	—	—	55%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smok/Tobac Cessation 3-10 Min	$49.05	$109.00	—	12% above	55%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smok/Tobac Cessation 3-10 Min	$49.05	$109.00	—	—	55%
Speech and language evaluation CPT 92523 Speech Sound Lang Comprehen	$173.25	$385.00	—	49% below	55%
Speech and language evaluation inpatient CPT 92523 Speech Sound Lang Comprehen	$173.25	$385.00	—	—	55%
Speech therapy session, individual CPT 92507 Speech Therapy Individ	$141.75	$315.00	—	35% below	55%
Speech therapy session, individual inpatient CPT 92507 Speech Therapy Individ	$141.75	$315.00	—	—	55%
Spirometry (breathing test) CPT 94010 Pul Func-Spirometry Screening	$137.25	$305.00	—	56% below	55%
Spirometry (breathing test) inpatient CPT 94010 Pul Func-Spirometry Screening	$137.25	$305.00	—	—	55%
Spirometry before and after a bronchodilator CPT 94060 Evaluation Of Wheezing	$147.15	$327.00	—	74% below	55%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation Of Wheezing	$147.15	$327.00	—	—	55%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt-Therapeutic Activ Ea 15 Min	$89.10	$198.00	—	27% below	55%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot-Therapeutic Activ Ea 15 Min	$89.10	$198.00	—	27% below	55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot-Therapeutic Activ Ea 15 Min	$89.10	$198.00	—	—	55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt-Therapeutic Activ Ea 15 Min	$89.10	$198.00	—	—	55%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$177.30	$394.00	—	25% below	55%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic	$177.30	$394.00	—	—	55%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Er-Immunization Administration	$18.45	$41.00	—	55% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration	$18.45	$41.00	—	55% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Er-Immunization Administration	$18.45	$41.00	—	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Administration	$18.45	$41.00	—	—	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Er-Immunization Admin Ea Addtl	$35.10	$78.00	—	1% above	55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Er-Immunization Admin Ea Addtl	$35.10	$78.00	—	—	55%

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

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

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

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

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

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

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

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

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

Source file: https://aultman.org/pricing-transparency/2026/1942385794_alliance-community-hospital_standardcharges.json