MUSC Lancaster Medical Center
MUSC Lancaster Medical Center in Lancaster, SC publishes cash prices for 356 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the South Carolina median for 271 of 352 procedures and below it for 77. By typical cash price it ranks #38 of 43 South Carolina hospitals and #12 of 17 hospitals in the Charlotte, NC area, cheapest first. Select a procedure to compare it with other hospitals nearby.
800 W Meeting St, Lancaster, SC 29720 Collected Sep 28, 2026 Source price file Check a bill from this hospital (803) 286-1481
Acute care hospital For-profit hospital Emergency department CMS star rating 4 of 5 CCN 420036 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HB CT ABDOMEN WO CONTRAST F-BY CONTRAST | $5,056.00 | $10,112.00 | — | 174% above | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HB CT ABDOMEN WO CONTRAST F-BY CONTRAST | $5,056.00 | $10,112.00 | — | — | 50% |
| Abdominal X-ray, 2 views CPT 74019 HB X-RAY EXAM ABDOMEN 2 VIEWS | $699.50 | $1,399.00 | — | 88% above | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HB X-RAY EXAM ABDOMEN 2 VIEWS | $699.50 | $1,399.00 | — | — | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HB XRAY ANKLE,COMP 3 VIEW | $1,107.00 | $2,214.00 | — | 207% above | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HB XRAY ANKLE,COMP 3 VIEW | $1,107.00 | $2,214.00 | — | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HB SCAN EXT ART BILAT SNGL LEVEL+ | $173.00 | $346.00 | — | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 HB SCAN EXT ART UNILAT SNGL LEVEL+ | $173.00 | $346.00 | — | 67% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HB SCAN EXT ART BILAT SNGL LEVEL+ | $173.00 | $346.00 | — | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 HB SCAN EXT ART UNILAT SNGL LEVEL+ | $173.00 | $346.00 | — | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HB CT UPPER EXT W/O CONT | $2,793.00 | $5,586.00 | — | 83% above | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HB CT UPPER EXT W/O CONT | $2,793.00 | $5,586.00 | — | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HB XRAY ESOPHAGUS | $1,467.50 | $2,935.00 | — | 215% above | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB XRAY ESOPHAGUS | $1,467.50 | $2,935.00 | — | — | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB NM BONE SCAN WHOLE B | $4,881.50 | $9,763.00 | — | 235% above | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB NM BONE SCAN WHOLE B | $4,881.50 | $9,763.00 | — | — | 50% |
| Breast ultrasound, complete, one breast CPT 76641 HB U/S BREAST - COMPLETE | $852.50 | $1,705.00 | — | 71% above | 50% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HB U/S BREAST - COMPLETE | $852.50 | $1,705.00 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HB U/S BREAST - LIMITED | $745.00 | $1,490.00 | — | 47% above | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HB U/S BREAST - LIMITED | $745.00 | $1,490.00 | — | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HB CTA ABDOMEN & PELVIS W/CONTRAST | $9,109.00 | $18,218.00 | — | 252% above | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HB CTA ABDOMEN & PELVIS W/CONTRAST | $9,109.00 | $18,218.00 | — | — | 50% |
| CT angiography (CTA) of the head CPT 70496 HB CTA HEAD W CONTRAST | $2,750.50 | $5,501.00 | — | 33% above | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 HB CTA HEAD W CONTRAST | $2,750.50 | $5,501.00 | — | — | 50% |
| CT angiography (CTA) of the neck CPT 70498 HB CTA NECK W CONTRAST | $3,279.50 | $6,559.00 | — | 62% above | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HB CTA NECK W CONTRAST | $3,279.50 | $6,559.00 | — | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CTA CHEST | $4,919.00 | $9,838.00 | — | 150% above | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB CTA CHEST | $4,919.00 | $9,838.00 | — | — | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CTA HEART W/3D IMAGE | $4,271.00 | $8,542.00 | — | 155% above | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB CTA HEART W/3D IMAGE | $4,271.00 | $8,542.00 | — | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT HEART W/O CONT W/EVAL COR C | $65.00 | $130.00 | — | 40% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HB CT HEART W/O CONT W/EVAL COR C | $65.00 | $130.00 | — | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT ABDOMEN & PELVIS WO CONTRAST | $7,090.00 | $14,180.00 | — | 140% above | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB CT ABDOMEN & PELVIS WO CONTRAST | $7,090.00 | $14,180.00 | — | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST | $7,558.50 | $15,117.00 | — | 103% above | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST | $7,558.50 | $15,117.00 | — | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT ABDOMEN & PELVIS WO CONTRAST F-BY CONTRAST | $9,514.00 | $19,028.00 | — | 130% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB CT ABDOMEN & PELVIS WO CONTRAST F-BY CONTRAST | $9,514.00 | $19,028.00 | — | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 HB CT ABDOMEN W/CONTRAST | $3,779.00 | $7,558.00 | — | 144% above | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HB CT ABDOMEN W/CONTRAST | $3,779.00 | $7,558.00 | — | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 HB CT ABDOMEN W/O CONTRAST | $3,078.50 | $6,157.00 | — | 140% above | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HB CT ABDOMEN W/O CONTRAST | $3,078.50 | $6,157.00 | — | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT FACIAL/SINUS WO CONTRAST | $1,960.00 | $3,920.00 | — | 54% above | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB CT FACIAL/SINUS WO CONTRAST | $1,960.00 | $3,920.00 | — | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD W/O CONTRAST | $1,960.00 | $3,920.00 | — | 43% above | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD W/O CONTRAST | $1,960.00 | $3,920.00 | — | — | 50% |
| CT scan of the head with contrast CPT 70460 HB CT HEAD W/CONTRAST | $2,344.00 | $4,688.00 | — | 37% above | 50% |
| CT scan of the head with contrast inpatient CPT 70460 HB CT HEAD W/CONTRAST | $2,344.00 | $4,688.00 | — | — | 50% |
| CT scan of the head without and with contrast CPT 70470 HB CT HEAD WO CONTRAST F-BY CONTRAST | $2,504.00 | $5,008.00 | — | 28% above | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 HB CT HEAD WO CONTRAST F-BY CONTRAST | $2,504.00 | $5,008.00 | — | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT LUMBAR SPINE W/O CONTRAST | $3,599.50 | $7,199.00 | — | 108% above | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB CT LUMBAR SPINE W/O CONTRAST | $3,599.50 | $7,199.00 | — | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT CERV SPINE W/O CONTRAST | $2,396.00 | $4,792.00 | — | 62% above | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT CERV SPINE W/O CONTRAST | $2,396.00 | $4,792.00 | — | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS W/CONTRAST | $3,779.00 | $7,558.00 | — | 118% above | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS W/CONTRAST | $3,779.00 | $7,558.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB CAROTID DUPLEX SCAN-BILAT | $3,811.00 | $7,622.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HB CAROTID DUPLEX SCAN-BILAT | $3,811.00 | $7,622.00 | — | — | 50% |
| Chest CT scan without and with contrast CPT 71270 HB CT CHEST W/WO CONTRAST | $3,596.00 | $7,192.00 | — | 73% above | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 HB CT CHEST W/WO CONTRAST | $3,596.00 | $7,192.00 | — | — | 50% |
| Chest X-ray, 2 views CPT 71046 HB X-RAY EXAM CHEST 2 VIEWS | $248.00 | $496.00 | — | 2% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 HB X-RAY EXAM CHEST 2 VIEWS | $248.00 | $496.00 | — | — | 50% |
| Chest X-ray, single view CPT 71045 HB X-RAY EXAM CHEST 1 VIEW | $207.00 | $414.00 | — | 1% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 HB X-RAY EXAM CHEST 1 VIEW | $207.00 | $414.00 | — | — | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HB XRAY CLAVICLE,COMP | $582.50 | $1,165.00 | — | 84% above | 50% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HB XRAY CLAVICLE,COMP | $582.50 | $1,165.00 | — | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US RETROPERITONEAL/COMPLETE | $2,404.50 | $4,809.00 | — | 328% above | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HB US RETROPERITONEAL/COMPLETE | $2,404.50 | $4,809.00 | — | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB DEXA BONE DENSITY STUDY | $1,555.00 | $3,110.00 | — | 270% above | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB DEXA BONE DENSITY STUDY | $1,555.00 | $3,110.00 | — | — | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DEXA BONE STUDY; APPENDICULAR | $1,189.00 | $2,378.00 | — | 641% above | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB DEXA BONE STUDY; APPENDICULAR | $1,189.00 | $2,378.00 | — | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US OB DETAIL EVAL 1ST GESTATION | $276.50 | $553.00 | — | 68% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HB US OB DETAIL EVAL 1ST GESTATION | $276.50 | $553.00 | — | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT CHEST W/O CONTRAST | $3,105.00 | $6,210.00 | — | 142% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB CT CHEST W/O CONTRAST | $3,105.00 | $6,210.00 | — | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT CHEST W/CONTRAST | $3,596.00 | $7,192.00 | — | 88% above | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB CT CHEST W/CONTRAST | $3,596.00 | $7,192.00 | — | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB DX MAMMO INCL CAD BILAT | $413.50 | $827.00 | — | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HB DX MAMMO INCL CAD BILAT | $413.50 | $827.00 | — | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 HB DX MAMMO INCL CAD UNILAT | $358.00 | $716.00 | — | 6% above | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HB DX MAMMO INCL CAD UNILAT | $358.00 | $716.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB DUPLEX LEG ART BILAT COMPLETE | $775.50 | $1,551.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HB DUPLEX LEG ART BILAT COMPLETE | $775.50 | $1,551.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB DUPLEX EXT VEIN BILAT COMPLETE | $5,238.50 | $10,477.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB DUPLEX VEINS UPPER BILAT EXTREM | $5,238.50 | $10,477.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB DUPLEX VEINS LOWER BILAT EXTREM | $5,238.50 | $10,477.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HB DUPLEX EXT VEIN BILAT COMPLETE | $5,238.50 | $10,477.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HB DUPLEX VEINS LOWER BILAT EXTREM | $5,238.50 | $10,477.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HB DUPLEX VEINS UPPER BILAT EXTREM | $5,238.50 | $10,477.00 | — | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO W/OR WO FOLL W/CON,DOPPLE | $928.50 | $1,857.00 | — | 45% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO COMPLETE W/DOPPLER&COLOR | $3,278.00 | $6,556.00 | — | 95% above | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB ECHO W/OR WO FOLL W/CON,DOPPLE | $928.50 | $1,857.00 | — | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB ECHO COMPLETE W/DOPPLER&COLOR | $3,278.00 | $6,556.00 | — | — | 50% |
| Elbow X-ray, 2 views CPT 73070 HB XRAY ELBOW AP/LAT | $1,066.50 | $2,133.00 | — | 314% above | 50% |
| Elbow X-ray, 2 views inpatient CPT 73070 HB XRAY ELBOW AP/LAT | $1,066.50 | $2,133.00 | — | — | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HB XRAY ELBOW MIN OF 3 V | $1,188.00 | $2,376.00 | — | 231% above | 50% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HB XRAY ELBOW MIN OF 3 V | $1,188.00 | $2,376.00 | — | — | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HB CT PIT, PF W/O CONTRAST (ORB) | $2,218.50 | $4,437.00 | — | 44% above | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HB CT PIT, PF W/O CONTRAST (ORB) | $2,218.50 | $4,437.00 | — | — | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HB XRAY FACIAL 3 | $873.50 | $1,747.00 | — | 143% above | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HB XRAY FACIAL 3 | $873.50 | $1,747.00 | — | — | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HB XRAY FOREARM AP/LAT | $582.50 | $1,165.00 | — | 79% above | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HB XRAY FOREARM AP/LAT | $582.50 | $1,165.00 | — | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB HEPATOBILIARY SYS IMAGING | $3,870.00 | $7,740.00 | — | 89% above | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB HEPATOBILIARY SYS IMAGING | $3,870.00 | $7,740.00 | — | — | 50% |
| Hand X-ray, 2 views CPT 73120 HB XRAY HAND 2 VIEWS | $972.00 | $1,944.00 | — | 330% above | 50% |
| Hand X-ray, 2 views inpatient CPT 73120 HB XRAY HAND 2 VIEWS | $972.00 | $1,944.00 | — | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HB XRAY HEEL MIN 2 VIEWS | $984.50 | $1,969.00 | — | 303% above | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HB XRAY HEEL MIN 2 VIEWS | $984.50 | $1,969.00 | — | — | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB SLEEP STUDY W RESPIRATORY EFFORT/UNATTENDED | $680.00 | $1,360.00 | — | 22% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HB SLEEP STUDY W RESPIRATORY EFFORT/UNATTENDED | $680.00 | $1,360.00 | — | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB SLEEP STUDY-6YR+ W/CPAP;<6HRS | $2,946.50 | $5,893.00 | — | 21% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB SLEEP STUDY CPAP/BILEVEL VENT | $5,892.00 | $11,784.00 | — | 58% above | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB SLEEP STUDY-6YR+ W/CPAP;<6HRS | $2,946.50 | $5,893.00 | — | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB SLEEP STUDY CPAP/BILEVEL VENT | $5,892.00 | $11,784.00 | — | — | 50% |
| Knee X-ray, 3 views CPT 73562 HB XRAY KNEE,AP,LAT,OBL | $681.50 | $1,363.00 | — | 127% above | 50% |
| Knee X-ray, 3 views inpatient CPT 73562 HB XRAY KNEE,AP,LAT,OBL | $681.50 | $1,363.00 | — | — | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 HB XRAY KNEE,COMP | $1,188.00 | $2,376.00 | — | 197% above | 50% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HB XRAY KNEE,COMP | $1,188.00 | $2,376.00 | — | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HB CT LOWER EXT W/O CONT | $3,072.50 | $6,145.00 | — | 107% above | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HB CT LOWER EXT W/O CONT | $3,072.50 | $6,145.00 | — | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US ABDOMEN LIMITED | $2,272.00 | $4,544.00 | — | 246% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US ABDOMEN LIMITED | $2,272.00 | $4,544.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB US EXTREMITY NON-VAS LIMITED | $861.00 | $1,722.00 | — | 46% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HB US EXTREMITY NON-VAS LIMITED | $861.00 | $1,722.00 | — | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HB XRAY TIB/FIB AP.LAT | $582.50 | $1,165.00 | — | 79% above | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HB XRAY TIB/FIB AP.LAT | $582.50 | $1,165.00 | — | — | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 HB MRA HEAD W/O CONTRAST | $2,866.00 | $5,732.00 | — | 49% above | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HB MRA HEAD W/O CONTRAST | $2,866.00 | $5,732.00 | — | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST | $3,009.50 | $6,019.00 | — | 23% above | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST | $3,009.50 | $6,019.00 | — | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI JOINT LOWER EXTRMTY W/O F-BY CONTRAST | $3,615.50 | $7,231.00 | — | 28% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB MRI JOINT LOWER EXTRMTY W/O F-BY CONTRAST | $3,615.50 | $7,231.00 | — | — | 50% |
| MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN WO CONTRAST | $3,009.50 | $6,019.00 | — | 57% above | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN WO CONTRAST | $3,009.50 | $6,019.00 | — | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN W/O CONTRAST F-BY CONTRAST | $3,824.00 | $7,648.00 | — | 56% above | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN W/O CONTRAST F-BY CONTRAST | $3,824.00 | $7,648.00 | — | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W/O CONTRAST | $3,009.50 | $6,019.00 | — | 43% above | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN W/O CONTRAST | $3,009.50 | $6,019.00 | — | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN W/WO CONTRAST | $3,850.50 | $7,701.00 | — | 70% above | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN W/WO CONTRAST | $3,850.50 | $7,701.00 | — | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI L-SPINE W/O CONTRAST | $3,009.50 | $6,019.00 | — | 37% above | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI L-SPINE W/O CONTRAST | $3,009.50 | $6,019.00 | — | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI L-SPINE W/WO CONTRAST | $4,366.50 | $8,733.00 | — | 54% above | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB MRI L-SPINE W/WO CONTRAST | $4,366.50 | $8,733.00 | — | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI T-SPINE W/O CONTRAST | $3,009.50 | $6,019.00 | — | 39% above | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB MRI T-SPINE W/O CONTRAST | $3,009.50 | $6,019.00 | — | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI C-SPINE W/WO CONTRAST | $4,019.00 | $8,038.00 | — | 42% above | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HB MRI C-SPINE W/WO CONTRAST | $4,019.00 | $8,038.00 | — | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI C-SPINE W/O CONTRAST | $3,349.00 | $6,698.00 | — | 64% above | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB MRI C-SPINE W/O CONTRAST | $3,349.00 | $6,698.00 | — | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 HB MRI PELVIS W/O CONT F-BY CONTRAST | $4,236.00 | $8,472.00 | — | 52% above | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HB MRI PELVIS W/O CONT F-BY CONTRAST | $4,236.00 | $8,472.00 | — | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 HB MRI PELVIS W/O CONTRAST | $3,009.50 | $6,019.00 | — | 62% above | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HB MRI PELVIS W/O CONTRAST | $3,009.50 | $6,019.00 | — | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI UPPER EXT JOINT W/O CONTRAST | $3,009.50 | $6,019.00 | — | 31% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HB MRI UPPER EXT JOINT W/O CONTRAST | $3,009.50 | $6,019.00 | — | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HB XRAY SPINE,CERV 4 V | $990.00 | $1,980.00 | — | 123% above | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HB XRAY SPINE,CERV 4 V | $990.00 | $1,980.00 | — | — | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 HB CT SOFT TISSUE NECK W/CONTRAST | $2,344.00 | $4,688.00 | — | 35% above | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HB CT SOFT TISSUE NECK W/CONTRAST | $2,344.00 | $4,688.00 | — | — | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 HB CT SOFT TISSUE NECK W/O CONTRAST | $1,960.00 | $3,920.00 | — | 47% above | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HB CT SOFT TISSUE NECK W/O CONTRAST | $1,960.00 | $3,920.00 | — | — | 50% |
| Neck soft tissue X-ray CPT 70360 HB XRAY NECK SOFT TISSUE | $466.00 | $932.00 | — | 74% above | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 HB XRAY NECK SOFT TISSUE | $466.00 | $932.00 | — | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB MYOCARDIAL PERFUSION SPECT, MULTIPLE STUDIES | $5,610.00 | $11,220.00 | — | 47% above | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HB MYOCARDIAL PERFUSION SPECT, MULTIPLE STUDIES | $5,610.00 | $11,220.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT SKULL BASE TO MID-THIGH | $1,467.50 | $2,935.00 | — | 66% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT SKULL BASE TO MID-THIGH | $1,467.50 | $2,935.00 | — | — | 50% |
| Pelvic CT scan without contrast CPT 72192 HB CT PELVIS W/O CONTRAST | $3,599.50 | $7,199.00 | — | 181% above | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 HB CT PELVIS W/O CONTRAST | $3,599.50 | $7,199.00 | — | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIC NON-OB LIMITED | $432.50 | $865.00 | — | 21% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US PELVIC NON-OB LIMITED | $432.50 | $865.00 | — | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US PELVIC NON-OB COMPLETE | $1,862.50 | $3,725.00 | — | 187% above | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB US PELVIC NON-OB COMPLETE | $1,862.50 | $3,725.00 | — | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US OB 2-3 TRI 1ST GESTATION | $2,570.50 | $5,141.00 | — | 250% above | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US OB 2-3 TRI 1ST GESTATION | $2,570.50 | $5,141.00 | — | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US OB 1ST TRI 1ST GESTATION | $2,570.50 | $5,141.00 | — | 387% above | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB US OB 1ST TRI 1ST GESTATION | $2,570.50 | $5,141.00 | — | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US OB LIMITED 1 OR MORE FETUS | $1,106.50 | $2,213.00 | — | 150% above | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US OB LIMITED 1 OR MORE FETUS | $1,106.50 | $2,213.00 | — | — | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 HB XRAY RIBS UNILAT 2V | $671.50 | $1,343.00 | — | 124% above | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HB XRAY RIBS UNILAT 2V | $671.50 | $1,343.00 | — | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HB XRAY X-RAY RIBS/CHEST UNILAT | $873.50 | $1,747.00 | — | 115% above | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HB XRAY X-RAY RIBS/CHEST UNILAT | $873.50 | $1,747.00 | — | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 HB SCREEN MAMMO INCL CAD BILAT | $275.50 | $551.00 | — | — | 50% |
| Screening mammogram, both breasts one side CPT 77067 HB SCREEN MAMMO INCL CAD UNILATERAL | $275.50 | $551.00 | — | at median | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HB SCREEN MAMMO INCL CAD BILAT | $275.50 | $551.00 | — | — | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HB SCREEN MAMMO INCL CAD UNILATERAL | $275.50 | $551.00 | — | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HB XRAY SHOULDER COMP 2V | $1,188.00 | $2,376.00 | — | 280% above | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HB XRAY SHOULDER COMP 2V | $1,188.00 | $2,376.00 | — | — | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HB XRAY SINUS COMP | $873.50 | $1,747.00 | — | 136% above | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HB XRAY SINUS COMP | $873.50 | $1,747.00 | — | — | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 HB XRAY SKULL < 4 | $812.00 | $1,624.00 | — | 212% above | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HB XRAY SKULL < 4 | $812.00 | $1,624.00 | — | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HB SLEEP STUDY-6YRS+ BASIC;<6HRS | $3,116.50 | $6,233.00 | — | 15% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HB SLEEP STUDY BASIC | $3,116.50 | $6,233.00 | — | 15% below | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB SLEEP STUDY BASIC | $3,116.50 | $6,233.00 | — | — | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB SLEEP STUDY-6YRS+ BASIC;<6HRS | $3,116.50 | $6,233.00 | — | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HB XRAY SW FUNCTION | $1,467.50 | $2,935.00 | — | 229% above | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB XRAY SW FUNCTION | $1,467.50 | $2,935.00 | — | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HB XRAY FEMUR MINIMUM 2 VIEWS | $652.50 | $1,305.00 | — | 99% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HB XRAY FEMUR MINIMUM 2 VIEWS | $652.50 | $1,305.00 | — | — | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HB CT THOR SPINE W/O CONTRAST | $3,395.50 | $6,791.00 | — | 120% above | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HB CT THOR SPINE W/O CONTRAST | $3,395.50 | $6,791.00 | — | — | 50% |
| Toe X-ray, 2 or more views CPT 73660 HB XRAY TOES MIN 2 VIEWS | $466.00 | $932.00 | — | 73% above | 50% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HB XRAY TOES MIN 2 VIEWS | $466.00 | $932.00 | — | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HB US NON-OB TRANSVAGINAL | $1,496.50 | $2,993.00 | — | 105% above | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB US NON-OB TRANSVAGINAL | $1,496.50 | $2,993.00 | — | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 HB US OB TRANSVAGINAL | $1,496.50 | $2,993.00 | — | 120% above | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB US OB TRANSVAGINAL | $1,496.50 | $2,993.00 | — | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMPLETE | $2,404.50 | $4,809.00 | — | 158% above | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB US ABDOMEN COMPLETE | $2,404.50 | $4,809.00 | — | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 HB US SCROTUM | $1,496.50 | $2,993.00 | — | 149% above | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HB US SCROTUM | $1,496.50 | $2,993.00 | — | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US SOFT TISSUE HEAD AND NECK | $1,740.00 | $3,480.00 | — | 167% above | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB US SOFT TISSUE HEAD AND NECK | $1,740.00 | $3,480.00 | — | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB XRAY UGI W/KUB | $1,628.50 | $3,257.00 | — | 106% above | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB XRAY UGI W/WO FILMS W/O KUB | $1,628.50 | $3,257.00 | — | 106% above | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB XRAY UGI W/KUB | $1,628.50 | $3,257.00 | — | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB XRAY UGI W/WO FILMS W/O KUB | $1,628.50 | $3,257.00 | — | — | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HB XRAY HUMERUS 2 VIEWS | $652.50 | $1,305.00 | — | 153% above | 50% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HB XRAY HUMERUS 2 VIEWS | $652.50 | $1,305.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DUPLEX EXT VEIN UNILAT/LIMITED | $3,211.50 | $6,423.00 | — | 204% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DUPLEX EXT VEIN UNILAT/LIMITED - LEFT UPPER | $3,211.50 | $6,423.00 | — | 204% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DUPLEX EXT VEIN UNILAT/LIMITED - RIGHT UPPER | $3,211.50 | $6,423.00 | — | 204% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DUPLEX EXT VEIN UNILAT/LIMITED - LEFT LOWER | $3,211.50 | $6,423.00 | — | 204% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DUPLEX EXT VEIN UNILAT/LIMITED - RIGHT LOWER | $3,211.50 | $6,423.00 | — | 204% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB DUPLEX EXT VEIN UNILAT/LIMITED - RIGHT LOWER | $3,211.50 | $6,423.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB DUPLEX EXT VEIN UNILAT/LIMITED - RIGHT UPPER | $3,211.50 | $6,423.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB DUPLEX EXT VEIN UNILAT/LIMITED - LEFT UPPER | $3,211.50 | $6,423.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB DUPLEX EXT VEIN UNILAT/LIMITED | $3,211.50 | $6,423.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB DUPLEX EXT VEIN UNILAT/LIMITED - LEFT LOWER | $3,211.50 | $6,423.00 | — | — | 50% |
| Wrist X-ray, 2 views CPT 73100 HB XRAY WRIST,AP/LAT | $528.00 | $1,056.00 | — | 126% above | 50% |
| Wrist X-ray, 2 views inpatient CPT 73100 HB XRAY WRIST,AP/LAT | $528.00 | $1,056.00 | — | — | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HB XRAY WRIST COMP 3 V | $1,107.00 | $2,214.00 | — | 203% above | 50% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HB XRAY WRIST COMP 3 V | $1,107.00 | $2,214.00 | — | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB XRAY HIP UNILATERAL 2-3 VIEWS | $652.50 | $1,305.00 | — | 161% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HB XRAY HIP UNILATERAL 2-3 VIEWS | $652.50 | $1,305.00 | — | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HB X-RAY EXAM ABDOMEN 1 VIEW | $653.00 | $1,306.00 | — | 93% above | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HB X-RAY EXAM ABDOMEN 1 VIEW | $653.00 | $1,306.00 | — | — | 50% |
| X-ray of the ankle, 2 views CPT 73600 HB XRAY ANKLE,AP/LAT | $972.00 | $1,944.00 | — | 231% above | 50% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HB XRAY ANKLE,AP/LAT | $972.00 | $1,944.00 | — | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 HB XRAY FINGER MIN 2 VIE | $466.00 | $932.00 | — | 81% above | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HB XRAY FINGER MIN 2 VIE | $466.00 | $932.00 | — | — | 50% |
| X-ray of the foot, 2 views CPT 73620 HB XRAY FOOT,AP/LAT | $1,107.00 | $2,214.00 | — | 310% above | 50% |
| X-ray of the foot, 2 views inpatient CPT 73620 HB XRAY FOOT,AP/LAT | $1,107.00 | $2,214.00 | — | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HB XRAY FOOT,COMP,3 VIEW | $1,107.00 | $2,214.00 | — | 163% above | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HB XRAY FOOT,COMP,3 VIEW | $1,107.00 | $2,214.00 | — | — | 50% |
| X-ray of the hand, 3 or more views CPT 73130 HB XRAY HAND,MIN 3 VIEWS | $1,107.00 | $2,214.00 | — | 219% above | 50% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HB XRAY HAND,MIN 3 VIEWS | $1,107.00 | $2,214.00 | — | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 HB XRAY KNEE AP/LAT | $681.50 | $1,363.00 | — | 155% above | 50% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HB XRAY KNEE AP/LAT | $681.50 | $1,363.00 | — | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB XRAY LUMBOSACRAL SPIN | $757.00 | $1,514.00 | — | 116% above | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB XRAY LUMBOSACRAL SPIN | $757.00 | $1,514.00 | — | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HB XRAY LUMBOSACRAL COMP | $1,013.00 | $2,026.00 | — | 90% above | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB XRAY LUMBOSACRAL COMP | $1,013.00 | $2,026.00 | — | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB XRAY THORACIC SPINE 2 | $721.50 | $1,443.00 | — | 162% above | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB XRAY THORACIC SPINE 2 | $721.50 | $1,443.00 | — | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HB XRAY NASAL COMP | $582.50 | $1,165.00 | — | 76% above | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB XRAY NASAL COMP | $582.50 | $1,165.00 | — | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views one side CPT 72040 HB XRAY SPINE,CERV AP/LT | $675.50 | $1,351.00 | — | 97% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient one side CPT 72040 HB XRAY SPINE,CERV AP/LT | $675.50 | $1,351.00 | — | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HB XRAY PELVIS,AP ONLY | $541.50 | $1,083.00 | — | 123% above | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB XRAY PELVIS,AP ONLY | $541.50 | $1,083.00 | — | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB XRAY SACRUM & COCCYX | $652.50 | $1,305.00 | — | 138% above | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB XRAY SACRUM & COCCYX | $652.50 | $1,305.00 | — | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HB ADRENOCORTICOTROPHIC HORMONE/ACTH (SEND OUT) | $1,165.50 | $2,331.00 | — | 357% above | 50% |
| ACTH blood test inpatient CPT 82024 HB ADRENOCORTICOTROPHIC HORMONE/ACTH (SEND OUT) | $1,165.50 | $2,331.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB TRANFSERASE ALANINE AMINO/ALT FIBROSURE (SEND OUT) | $330.50 | $661.00 | — | 634% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB TRANSFERASE ALANINE AMINO/ALT (SGPT) | $330.50 | $661.00 | — | 634% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB TRANFSERASE ALANINE AMINO/ALT FIBROSURE (SEND OUT) | $330.50 | $661.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB TRANSFERASE ALANINE AMINO/ALT (SGPT) | $330.50 | $661.00 | — | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB AST FIBROSURE (SEND OUT) | $292.50 | $585.00 | — | 559% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB AST (SGOT) | $292.50 | $585.00 | — | 559% above | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB AST FIBROSURE (SEND OUT) | $292.50 | $585.00 | — | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB AST (SGOT) | $292.50 | $585.00 | — | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB ACUTE HEPATITIS PANEL (AHP) | $282.50 | $565.00 | — | 2% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB ACUTE HEPATITIS PANEL (AHP) | $282.50 | $565.00 | — | — | 50% |
| Albumin blood test CPT 82040 HB SFIG ALBUMIN-S (SEND OUT) | $26.00 | $52.00 | — | 36% below | 50% |
| Albumin blood test CPT 82040 HB SFIG CSF IGG INDEX PROFILE ALBUMIN S (SEND OUT) | $26.00 | $52.00 | — | 36% below | 50% |
| Albumin blood test CPT 82040 HB ALBUMIN LNBAI MA (SEND OUT) | $135.00 | $270.00 | — | 234% above | 50% |
| Albumin blood test CPT 82040 HB ALBUMIN SERUM | $135.00 | $270.00 | — | 234% above | 50% |
| Albumin blood test inpatient CPT 82040 HB SFIG CSF IGG INDEX PROFILE ALBUMIN S (SEND OUT) | $26.00 | $52.00 | — | — | 50% |
| Albumin blood test inpatient CPT 82040 HB SFIG ALBUMIN-S (SEND OUT) | $26.00 | $52.00 | — | — | 50% |
| Albumin blood test inpatient CPT 82040 HB ALBUMIN LNBAI MA (SEND OUT) | $135.00 | $270.00 | — | — | 50% |
| Albumin blood test inpatient CPT 82040 HB ALBUMIN SERUM | $135.00 | $270.00 | — | — | 50% |
| Aldosterone blood test CPT 82088 HB ALDOSTERONE | $78.50 | $157.00 | — | 64% below | 50% |
| Aldosterone blood test CPT 82088 HB ALDOSTERONE SERUM (SEND OUT) | $1,059.00 | $2,118.00 | — | 392% above | 50% |
| Aldosterone blood test CPT 82088 HB ALDOSTERONE (SEND OUT) | $1,059.00 | $2,118.00 | — | 392% above | 50% |
| Aldosterone blood test inpatient CPT 82088 HB ALDOSTERONE | $78.50 | $157.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 HB ALDOSTERONE SERUM (SEND OUT) | $1,059.00 | $2,118.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 HB ALDOSTERONE (SEND OUT) | $1,059.00 | $2,118.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HB ALKALINE PHOSPHATASE (SEND OUT) | $24.50 | $49.00 | — | 48% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HB ALKALINE PHOSPHATASE | $330.50 | $661.00 | — | 603% above | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB ALKALINE PHOSPHATASE (SEND OUT) | $24.50 | $49.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB ALKALINE PHOSPHATASE | $330.50 | $661.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN LATEX (SEND OUT) | $46.00 | $92.00 | — | 14% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN TESTING MULTIPLES | $46.00 | $92.00 | — | 14% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN PEANUT (SEND OUT) | $46.00 | $92.00 | — | 14% above | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN LATEX (SEND OUT) | $46.00 | $92.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN PEANUT (SEND OUT) | $46.00 | $92.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN TESTING MULTIPLES | $46.00 | $92.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HB ALPHA-FETOPROTEIN/AFP TUMOR MARKER | $467.50 | $935.00 | — | 310% above | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HB AFP NEURAL TUBE DEFECT SCREEN | $467.50 | $935.00 | — | 310% above | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HB ALPHA-FETOPROTEIN/AFP TUMOR MARKER | $467.50 | $935.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HB AFP NEURAL TUBE DEFECT SCREEN | $467.50 | $935.00 | — | — | 50% |
| Ammonia blood test CPT 82140 HB AMMONIA | $374.50 | $749.00 | — | 259% above | 50% |
| Ammonia blood test CPT 82140 HB AMMONIA STONE (SEND OUT) | $374.50 | $749.00 | — | 259% above | 50% |
| Ammonia blood test inpatient CPT 82140 HB AMMONIA | $374.50 | $749.00 | — | — | 50% |
| Ammonia blood test inpatient CPT 82140 HB AMMONIA STONE (SEND OUT) | $374.50 | $749.00 | — | — | 50% |
| Amylase blood test CPT 82150 HB AMYLASE SALIVARY ISO (SEND OUT) | $284.50 | $569.00 | — | 201% above | 50% |
| Amylase blood test CPT 82150 HB AMYLASE FLUID | $284.50 | $569.00 | — | 201% above | 50% |
| Amylase blood test CPT 82150 HB AMYLASE PANCREATIC ISO (SEND OUT) | $284.50 | $569.00 | — | 201% above | 50% |
| Amylase blood test CPT 82150 HB AMYLASE | $284.50 | $569.00 | — | 201% above | 50% |
| Amylase blood test inpatient CPT 82150 HB AMYLASE | $284.50 | $569.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 HB AMYLASE FLUID | $284.50 | $569.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 HB AMYLASE PANCREATIC ISO (SEND OUT) | $284.50 | $569.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 HB AMYLASE SALIVARY ISO (SEND OUT) | $284.50 | $569.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB ANTI-CYCLIC CITRULINATE PEPTIDE | $214.00 | $428.00 | — | 161% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB ANTI-CYCLIC CITRULINATE PEPTIDE | $214.00 | $428.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANA (SEND OUT) | $25.00 | $50.00 | — | 64% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANA SCREEN | $70.00 | $140.00 | — | 1% above | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANA (SEND OUT) | $25.00 | $50.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANA SCREEN | $70.00 | $140.00 | — | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB NATRIURETIC PEPTIDE BRAIN | $428.50 | $857.00 | — | 133% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB PBNP NT PRO B NATIURETIC PEPTIDE MA (SEND OUT) | $428.50 | $857.00 | — | 133% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB NATRIURETIC PEPTIDE BRAIN | $428.50 | $857.00 | — | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB PBNP NT PRO B NATIURETIC PEPTIDE MA (SEND OUT) | $428.50 | $857.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE BACTERIAL (ROUTINE) | $267.50 | $535.00 | — | 146% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE BTA | $267.50 | $535.00 | — | 146% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB CULTURE BHS | $356.50 | $713.00 | — | 228% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE BACTERIAL (ROUTINE) | $267.50 | $535.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE BTA | $267.50 | $535.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB CULTURE BHS | $356.50 | $713.00 | — | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 HB BASIC METABOLIC PANEL | $473.00 | $946.00 | — | 121% above | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB BASIC METABOLIC PANEL | $473.00 | $946.00 | — | — | 50% |
| Bilirubin blood test, total CPT 82247 HB BILIRUBIN TOTAL | $66.00 | $132.00 | — | 57% above | 50% |
| Bilirubin blood test, total CPT 82247 HB BILIRUBIN FIBROSURE (SEND OUT) | $66.00 | $132.00 | — | 57% above | 50% |
| Bilirubin blood test, total CPT 82247 HB BILIRUBIN FLUID | $66.00 | $132.00 | — | 57% above | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HB BILIRUBIN FIBROSURE (SEND OUT) | $66.00 | $132.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HB BILIRUBIN TOTAL | $66.00 | $132.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HB BILIRUBIN FLUID | $66.00 | $132.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB ENFD LEVEL IV SP - THERAPATH (SEND OUT) | $94.50 | $189.00 | — | 50% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB CELL BLOCK | $344.50 | $689.00 | — | 81% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB LEVEL 4 SURG PATH 2 OR LESS BLOCKS | $344.50 | $689.00 | — | 81% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB LEVEL 4 SURG PATH 3 OR MORE BLOCKS | $378.50 | $757.00 | — | 98% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB ENFD LEVEL IV SP - THERAPATH (SEND OUT) | $94.50 | $189.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB LEVEL 4 SURG PATH 2 OR LESS BLOCKS | $344.50 | $689.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB CELL BLOCK | $344.50 | $689.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB LEVEL 4 SURG PATH 3 OR MORE BLOCKS | $378.50 | $757.00 | — | — | 50% |
| Blood culture for bacteria CPT 87040 HB AEROBIC BACTERIAL BLOOD CULTURE | $356.50 | $713.00 | — | 132% above | 50% |
| Blood culture for bacteria inpatient CPT 87040 HB AEROBIC BACTERIAL BLOOD CULTURE | $356.50 | $713.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB VENIPUNCTURE (PROCEDURE) | $38.00 | $76.00 | — | 67% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB VENIPUNCTURE (PROCEDURE) | $38.00 | $76.00 | — | — | 50% |
| Blood glucose (sugar) test CPT 82947 HB NOVA POCT GLUCOSE | $10.50 | $21.00 | — | 69% below | 50% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE ARTERIAL POC | $216.00 | $432.00 | — | 543% above | 50% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE QT | $216.00 | $432.00 | — | 543% above | 50% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE QN | $216.00 | $432.00 | — | 543% above | 50% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE FIBROSURE (SEND OUT) | $216.00 | $432.00 | — | 543% above | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HB NOVA POCT GLUCOSE | $10.50 | $21.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE QT | $216.00 | $432.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE ARTERIAL POC | $216.00 | $432.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE FIBROSURE (SEND OUT) | $216.00 | $432.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE QN | $216.00 | $432.00 | — | — | 50% |
| Blood lead test CPT 83655 HB LEAD WHOLE BLOOD (SEND OUT) | $309.00 | $618.00 | — | 293% above | 50% |
| Blood lead test CPT 83655 HB LEAD URINE UG/L (SEND OUT) | $309.00 | $618.00 | — | 293% above | 50% |
| Blood lead test CPT 83655 HB LEAD BLOOD | $309.00 | $618.00 | — | 293% above | 50% |
| Blood lead test inpatient CPT 83655 HB LEAD URINE UG/L (SEND OUT) | $309.00 | $618.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 HB LEAD BLOOD | $309.00 | $618.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 HB LEAD WHOLE BLOOD (SEND OUT) | $309.00 | $618.00 | — | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB HUMAN CHORIONIC GONADOTROPIN/HCG QL | $318.50 | $637.00 | — | 105% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB HUMAN CHORIONIC GONADOTROPIN/HCG QL | $318.50 | $637.00 | — | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB BLOOD TYPING ABO W/RH | $84.00 | $168.00 | — | 38% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB BLOOD TYPING ABO NEWBORN | $84.00 | $168.00 | — | 38% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB BLOOD TYPING ABO W/RH | $84.00 | $168.00 | — | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB BLOOD TYPING ABO NEWBORN | $84.00 | $168.00 | — | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HB BLOOD UREA NITROGEN QN | $252.00 | $504.00 | — | 460% above | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HB BLOOD UREA NITROGEN QN | $252.00 | $504.00 | — | — | 50% |
| C-peptide blood test CPT 84681 HB C-PEPTIDE | $558.50 | $1,117.00 | — | 400% above | 50% |
| C-peptide blood test inpatient CPT 84681 HB C-PEPTIDE | $558.50 | $1,117.00 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB IBDSGI CRP - PROMETHEUS (SEND OUT) | $313.50 | $627.00 | — | 367% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN (CRP) | $313.50 | $627.00 | — | 367% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB IBDSGI CRP - PROMETHEUS (SEND OUT) | $313.50 | $627.00 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN (CRP) | $313.50 | $627.00 | — | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HB C DIFF PCR | $150.50 | $301.00 | — | 22% below | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB C DIFF PCR | $150.50 | $301.00 | — | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HB CA19-9 (CANCER ANTIGEN 19-9) | $417.50 | $835.00 | — | 188% above | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CA19-9 (CANCER ANTIGEN 19-9) | $417.50 | $835.00 | — | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB IA QN CANCER ANTIGEN 125 | $513.00 | $1,026.00 | — | 207% above | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB CANCER ANTIGEN 125/ROMA SCORE (SEND OUT) | $513.00 | $1,026.00 | — | 207% above | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB IA QN CANCER ANTIGEN 125 | $513.00 | $1,026.00 | — | — | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CANCER ANTIGEN 125/ROMA SCORE (SEND OUT) | $513.00 | $1,026.00 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB SARS COV-2 PCR RAPID | $25.00 | $50.00 | — | 69% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB SARS COV-2 PCR RAPID (POCT) | $25.00 | $50.00 | — | 69% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB SARS COV-2 PCR RAPID | $25.00 | $50.00 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB SARS COV-2 PCR RAPID (POCT) | $25.00 | $50.00 | — | — | 50% |
| Calcium blood test, total CPT 82310 HB CALCIUM TOTAL | $271.00 | $542.00 | — | 510% above | 50% |
| Calcium blood test, total CPT 82310 HB CALCIUM TOTAL URINE | $271.00 | $542.00 | — | 510% above | 50% |
| Calcium blood test, total inpatient CPT 82310 HB CALCIUM TOTAL URINE | $271.00 | $542.00 | — | — | 50% |
| Calcium blood test, total inpatient CPT 82310 HB CALCIUM TOTAL | $271.00 | $542.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HB CARCINOEMBTYONIC ANTIGEN/CEA | $681.50 | $1,363.00 | — | 334% above | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HB ACCUCEA - INTERPACE (SEND OUT) | $681.50 | $1,363.00 | — | 334% above | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HB ACCUCEA - INTERPACE (SEND OUT) | $681.50 | $1,363.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HB CARCINOEMBTYONIC ANTIGEN/CEA | $681.50 | $1,363.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HB VZV AB IGM (SEND OUT) | $420.00 | $840.00 | — | 419% above | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HB VZV AB IGG | $420.50 | $841.00 | — | 419% above | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB VZV AB IGM (SEND OUT) | $420.00 | $840.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB VZV AB IGG | $420.50 | $841.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA T AMPLIFIED DNA PROBE | $156.00 | $312.00 | — | at median | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA T AMPLIFIED DNA PROBE | $156.00 | $312.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL NMR (SEND OUT) | $337.00 | $674.00 | — | 262% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL | $337.00 | $674.00 | — | 262% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL | $337.00 | $674.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL NMR (SEND OUT) | $337.00 | $674.00 | — | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 HB CBC W/PLATELET &AUTO DIFF | $299.00 | $598.00 | — | 156% above | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC W/PLATELET &AUTO DIFF | $299.00 | $598.00 | — | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 HB COMPLETE BLOOD COUNT (HEMOGRAM) | $299.00 | $598.00 | — | 248% above | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB COMPLETE BLOOD COUNT (HEMOGRAM) | $299.00 | $598.00 | — | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB COMPREHENSIVE METABOLIC PANEL | $541.00 | $1,082.00 | — | 119% above | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMPREHENSIVE METABOLIC PANEL | $541.00 | $1,082.00 | — | — | 50% |
| Cortisol blood test, total CPT 82533 HB CORTISOL TOTAL (SEND OUT) | $89.50 | $179.00 | — | 34% below | 50% |
| Cortisol blood test, total CPT 82533 HB CORTISOL FREE SALIVARY (SEND OUT) | $256.50 | $513.00 | — | 88% above | 50% |
| Cortisol blood test, total CPT 82533 HB CORTISOL TOTAL | $609.00 | $1,218.00 | — | 347% above | 50% |
| Cortisol blood test, total inpatient CPT 82533 HB CORTISOL TOTAL (SEND OUT) | $89.50 | $179.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 HB CORTISOL FREE SALIVARY (SEND OUT) | $256.50 | $513.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 HB CORTISOL TOTAL | $609.00 | $1,218.00 | — | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 HB CREATINE KINASE TOTAL | $151.50 | $303.00 | — | 191% above | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HB CREATINE KINASE TOTAL | $151.50 | $303.00 | — | — | 50% |
| Creatinine blood test CPT 82565 HB CREATININE BLOOD | $386.50 | $773.00 | — | 759% above | 50% |
| Creatinine blood test inpatient CPT 82565 HB CREATININE BLOOD | $386.50 | $773.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HB CYTOMEGALOVIRUS AB, IGG (SEND OUT) | $44.00 | $88.00 | — | 52% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HB CYTOMEGALOVIRUS/CMV AB IGG | $202.50 | $405.00 | — | 119% above | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HB CYTOMEGALOVIRUS/CMV TOTAL AB (SEND OUT) | $202.50 | $405.00 | — | 119% above | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB CYTOMEGALOVIRUS AB, IGG (SEND OUT) | $44.00 | $88.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB CYTOMEGALOVIRUS/CMV AB IGG | $202.50 | $405.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB CYTOMEGALOVIRUS/CMV TOTAL AB (SEND OUT) | $202.50 | $405.00 | — | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HB FIBRIN DEGRADATION D-DIMER QN | $272.00 | $544.00 | — | 90% above | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HB FIBRIN DEGRADATION D-DIMER QN | $272.00 | $544.00 | — | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HB DHEA-SULFATE (SEND OUT) | $944.50 | $1,889.00 | — | 429% above | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB DHEA-SULFATE (SEND OUT) | $944.50 | $1,889.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB METHADONE | $39.50 | $79.00 | — | 66% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB FENTANYL QL | $66.00 | $132.00 | — | 44% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB ETHYL GLUCURONIDE (ETG P) | $121.00 | $242.00 | — | 3% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB DRUG SCREEN - MECONIUM - NMS (SEND OUT) | $274.00 | $548.00 | — | 133% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB BENZODIAZEPINE QN | $290.50 | $581.00 | — | 147% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB HYPOGLYCEMIC SCREEN (SEND OUT) | $330.00 | $660.00 | — | 180% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB DRUG SCREEN URINE | $1,162.00 | $2,324.00 | — | 887% above | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB METHADONE | $39.50 | $79.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB FENTANYL QL | $66.00 | $132.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB ETHYL GLUCURONIDE (ETG P) | $121.00 | $242.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB DRUG SCREEN - MECONIUM - NMS (SEND OUT) | $274.00 | $548.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB BENZODIAZEPINE QN | $290.50 | $581.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB HYPOGLYCEMIC SCREEN (SEND OUT) | $330.00 | $660.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB DRUG SCREEN URINE | $1,162.00 | $2,324.00 | — | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB ELECTROLYTE PANEL | $328.50 | $657.00 | — | 217% above | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HB ELECTROLYTE PANEL | $328.50 | $657.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HB EBV AB PROFILE S (SEND OUT) | $35.00 | $70.00 | — | 67% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HB EPSTEIN-BARR VIRUS IGM | $284.00 | $568.00 | — | 168% above | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HB EPSTEIN-BARR VIRUS AB IGG | $284.00 | $568.00 | — | 168% above | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB EBV AB PROFILE S (SEND OUT) | $35.00 | $70.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB EPSTEIN-BARR VIRUS AB IGG | $284.00 | $568.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB EPSTEIN-BARR VIRUS IGM | $284.00 | $568.00 | — | — | 50% |
| Estradiol blood test CPT 82670 HB ESTRADIOL (SEND OUT) | $716.50 | $1,433.00 | — | 491% above | 50% |
| Estradiol blood test CPT 82670 HB ESTRADIOL TIMED | $716.50 | $1,433.00 | — | 491% above | 50% |
| Estradiol blood test CPT 82670 HB ESTRADIOL | $716.50 | $1,433.00 | — | 491% above | 50% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL | $716.50 | $1,433.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL TIMED | $716.50 | $1,433.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL (SEND OUT) | $716.50 | $1,433.00 | — | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HB GONADOTROPIN/FOLLICLE STIM HORMONE (SEND OUT) | $529.50 | $1,059.00 | — | 288% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HB GONADOTROPIN/FOLLICLE STIM HORMONE | $529.50 | $1,059.00 | — | 288% above | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB GONADOTROPIN/FOLLICLE STIM HORMONE (SEND OUT) | $529.50 | $1,059.00 | — | — | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB GONADOTROPIN/FOLLICLE STIM HORMONE | $529.50 | $1,059.00 | — | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HB CELPROTECTIN FECAL (SEND OUT) | $171.50 | $343.00 | — | 9% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB CELPROTECTIN FECAL (SEND OUT) | $171.50 | $343.00 | — | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 HB THEV1 FERRITIN (SEND OUT) | $230.50 | $461.00 | — | 106% above | 50% |
| Ferritin blood test (iron stores) CPT 82728 HB FERRITIN | $461.50 | $923.00 | — | 312% above | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HB THEV1 FERRITIN (SEND OUT) | $230.50 | $461.00 | — | — | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HB FERRITIN | $461.50 | $923.00 | — | — | 50% |
| Fibrinogen blood test CPT 85384 HB FIBRINOGEN ACTIVITY | $383.50 | $767.00 | — | 195% above | 50% |
| Fibrinogen blood test inpatient CPT 85384 HB FIBRINOGEN ACTIVITY | $383.50 | $767.00 | — | — | 50% |
| Folate (folic acid) blood test CPT 82746 HB FOLIC ACID/FOLATE | $379.50 | $759.00 | — | 220% above | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 HB FOLIC ACID/FOLATE | $379.50 | $759.00 | — | — | 50% |
| Free T3 thyroid hormone test CPT 84481 HB TRIIODOTHYRONINE T3 (FREE) | $520.00 | $1,040.00 | — | 342% above | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 HB TRIIODOTHYRONINE T3 (FREE) | $520.00 | $1,040.00 | — | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB THYROXINE FREE RIA ASSAY | $407.00 | $814.00 | — | 304% above | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB THYROXINE FREE RIA ASSAY | $407.00 | $814.00 | — | — | 50% |
| Free testosterone test CPT 84402 HB TESTOSTERONE EQUIL ULTRAFILT FREE (SEND OUT) | $26.00 | $52.00 | — | 76% below | 50% |
| Free testosterone test CPT 84402 HB TESTOSTERONE FREE (SEND OUT) | $1,265.50 | $2,531.00 | — | 1066% above | 50% |
| Free testosterone test inpatient CPT 84402 HB TESTOSTERONE EQUIL ULTRAFILT FREE (SEND OUT) | $26.00 | $52.00 | — | — | 50% |
| Free testosterone test inpatient CPT 84402 HB TESTOSTERONE FREE (SEND OUT) | $1,265.50 | $2,531.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB GAMMA GLUTAMYL TRANSFERASE | $200.00 | $400.00 | — | 238% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB GAMMA GLUTAMYL TRANSERASE FIBROSURE (SEND OUT) | $200.00 | $400.00 | — | 238% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HB GAMMA GLUTAMYL TRANSERASE FIBROSURE (SEND OUT) | $200.00 | $400.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HB GAMMA GLUTAMYL TRANSFERASE | $200.00 | $400.00 | — | — | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HB GENERAL HEALTH PANEL RHC | $121.00 | $242.00 | — | at median | 50% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HB GENERAL HEALTH PANEL RHC | $121.00 | $242.00 | — | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE TOLERANCE 2HR NON PREGNANT | $263.50 | $527.00 | — | 335% above | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE TOLERANCE SCREEN GESTATIONAL DIABETES | $263.50 | $527.00 | — | 335% above | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB GLUCOSE TOLERANCE 2HR NON PREGNANT | $263.50 | $527.00 | — | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB GLUCOSE TOLERANCE SCREEN GESTATIONAL DIABETES | $263.50 | $527.00 | — | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 HB GLUCOSE TOLERANCE 1 | $528.50 | $1,057.00 | — | 312% above | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HB GLUCOSE TOLERANCE 1 | $528.50 | $1,057.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB NEISSERIA AMPLIFIED DNA PROBE GC | $149.50 | $299.00 | — | 1% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB NEISSERIA AMPLIFIED DNA PROBE GC | $149.50 | $299.00 | — | — | 50% |
| H. pylori antibody blood test CPT 86677 HB HELICOBACTER PYLORI AB | $71.50 | $143.00 | — | 39% below | 50% |
| H. pylori antibody blood test inpatient CPT 86677 HB HELICOBACTER PYLORI AB | $71.50 | $143.00 | — | — | 50% |
| H. pylori stool antigen test CPT 87338 HB HPYLORI ANTIGEN STOOL | $301.50 | $603.00 | — | 47% above | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HB HPYLORI ANTIGEN STOOL | $301.50 | $603.00 | — | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV1 QN RNA | $1,049.00 | $2,098.00 | — | 138% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV1 QN RNA | $1,049.00 | $2,098.00 | — | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB HIV DONOR HIV (SEND OUT) | $56.50 | $113.00 | — | 54% below | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB HIV DONOR HIV (SEND OUT) | $56.50 | $113.00 | — | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV AG/AB COMBO (HIV-1/HIV-2) | $110.00 | $220.00 | — | 13% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB HIV AG/AB COMBO (HIV-1/HIV-2) | $110.00 | $220.00 | — | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HPV HIGH RISK | $149.50 | $299.00 | — | 24% above | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HPV HIGH RISK | $149.50 | $299.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HEMOGLOBIN A1C | $259.50 | $519.00 | — | 200% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HGB/A1C | $259.50 | $519.00 | — | 200% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HEMOGLOBIN A1C (SEND OUT) | $259.50 | $519.00 | — | 200% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HGB/A1C | $259.50 | $519.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HEMOGLOBIN A1C | $259.50 | $519.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HEMOGLOBIN A1C (SEND OUT) | $259.50 | $519.00 | — | — | 50% |
| Hemoglobin blood test CPT 85018 HB BLOOD COUNT/HEMOGLOBIN | $101.50 | $203.00 | — | 217% above | 50% |
| Hemoglobin blood test CPT 85018 HB BLOOD COUNT/HEMOGLOBIN BLOOD GAS VENOUS | $101.50 | $203.00 | — | 217% above | 50% |
| Hemoglobin blood test inpatient CPT 85018 HB BLOOD COUNT/HEMOGLOBIN | $101.50 | $203.00 | — | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 HB BLOOD COUNT/HEMOGLOBIN BLOOD GAS VENOUS | $101.50 | $203.00 | — | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HB CORAB DONOR (SEND OUT) | $343.00 | $686.00 | — | 393% above | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HB HEPATITIS B CORE AB | $343.50 | $687.00 | — | 394% above | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HB CORAB DONOR (SEND OUT) | $343.00 | $686.00 | — | — | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HB HEPATITIS B CORE AB | $343.50 | $687.00 | — | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEPATITIS B SURFACE ANTIBODY N | $334.00 | $668.00 | — | 298% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEPATITIS B SURFACE AB TITER (SEND OUT) | $334.00 | $668.00 | — | 298% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEPATITIS B SURFACE ANTIBODY N | $334.00 | $668.00 | — | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEPATITIS B SURFACE AB TITER (SEND OUT) | $334.00 | $668.00 | — | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEPATITIS B SURFACE ANTIGEN DONOR (SEND OUT) | $297.00 | $594.00 | — | 249% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEPATITIS B SURFACE ANTIGEN N | $297.00 | $594.00 | — | 249% above | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEPATITIS B SURFACE ANTIGEN DONOR (SEND OUT) | $297.00 | $594.00 | — | — | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEPATITIS B SURFACE ANTIGEN N | $297.00 | $594.00 | — | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C VIRUS AB N | $335.50 | $671.00 | — | 314% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C VIRUS AB DONOR (SEND OUT) | $335.50 | $671.00 | — | 314% above | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C VIRUS AB DONOR (SEND OUT) | $335.50 | $671.00 | — | — | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C VIRUS AB N | $335.50 | $671.00 | — | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEPATITIS C RNA VIRAL LOAD | $1,329.00 | $2,658.00 | — | 236% above | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HEPATITIS C RNA VIRAL LOAD | $1,329.00 | $2,658.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HB HERPES SIMPLEX AB LGG TYPE 1 | $571.50 | $1,143.00 | — | 681% above | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB HERPES SIMPLEX AB LGG TYPE 1 | $571.50 | $1,143.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HB HERPES SIMPLEX AB LGG TYPE 2 | $571.50 | $1,143.00 | — | 601% above | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB HERPES SIMPLEX AB LGG TYPE 2 | $571.50 | $1,143.00 | — | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HB C-REACTIVE PROTEIN (CRP) HIGH SENSITIVITY | $70.00 | $140.00 | — | 29% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB C-REACTIVE PROTEIN (CRP) HIGH SENSITIVITY | $70.00 | $140.00 | — | — | 50% |
| Homocysteine blood test CPT 83090 HB HOMOCYSTEINE TOTAL | $425.00 | $850.00 | — | 64% above | 50% |
| Homocysteine blood test inpatient CPT 83090 HB HOMOCYSTEINE TOTAL | $425.00 | $850.00 | — | — | 50% |
| Insulin blood test CPT 83525 HB INSULIN TOTAL (SEND OUT) | $357.50 | $715.00 | — | 270% above | 50% |
| Insulin blood test CPT 83525 HB INSULIN TOTAL | $357.50 | $715.00 | — | 270% above | 50% |
| Insulin blood test inpatient CPT 83525 HB INSULIN TOTAL | $357.50 | $715.00 | — | — | 50% |
| Insulin blood test inpatient CPT 83525 HB INSULIN TOTAL (SEND OUT) | $357.50 | $715.00 | — | — | 50% |
| Iron blood test (serum iron) CPT 83540 HB IRON LIVER TISSUE (SEND OUT) | $91.50 | $183.00 | — | 55% above | 50% |
| Iron blood test (serum iron) CPT 83540 HB IRON | $271.00 | $542.00 | — | 359% above | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON LIVER TISSUE (SEND OUT) | $91.50 | $183.00 | — | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON | $271.00 | $542.00 | — | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HB IRON BINDING CAPACITY | $271.00 | $542.00 | — | 254% above | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HB IRON BINDING CAPACITY | $271.00 | $542.00 | — | — | 50% |
| Kidney function blood test panel CPT 80069 HB RENAL FUNCTION PANEL | $447.00 | $894.00 | — | 226% above | 50% |
| Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTION PANEL | $447.00 | $894.00 | — | — | 50% |
| LH (luteinizing hormone) test CPT 83002 HB GONADROTOPIN LUTEINIZING HORMONE (SEND OUT) | $524.50 | $1,049.00 | — | 231% above | 50% |
| LH (luteinizing hormone) test CPT 83002 HB GONADROTOPIN LUTEINIZING HORMONE | $524.50 | $1,049.00 | — | 231% above | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 HB GONADROTOPIN LUTEINIZING HORMONE | $524.50 | $1,049.00 | — | — | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 HB GONADROTOPIN LUTEINIZING HORMONE (SEND OUT) | $524.50 | $1,049.00 | — | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 HB LACTATE ACID - BLOOD GAS VENOUS | $645.00 | $1,290.00 | — | 594% above | 50% |
| Lactate (lactic acid) blood test CPT 83605 HB LACTIC ACID CSF | $645.00 | $1,290.00 | — | 594% above | 50% |
| Lactate (lactic acid) blood test CPT 83605 HB LACTIC ACID ARTERIAL I STAT | $645.00 | $1,290.00 | — | 594% above | 50% |
| Lactate (lactic acid) blood test CPT 83605 HB LACTIC ACID | $645.00 | $1,290.00 | — | 594% above | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HB LACTIC ACID | $645.00 | $1,290.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HB LACTATE ACID - BLOOD GAS VENOUS | $645.00 | $1,290.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HB LACTIC ACID CSF | $645.00 | $1,290.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HB LACTIC ACID ARTERIAL I STAT | $645.00 | $1,290.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HB LACTATE DEHYDOGENASE (LD) FLUID | $157.50 | $315.00 | — | 167% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HB LACTATE DEHYDROGENASE (LD) | $157.50 | $315.00 | — | 167% above | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB LACTATE DEHYDOGENASE (LD) FLUID | $157.50 | $315.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB LACTATE DEHYDROGENASE (LD) | $157.50 | $315.00 | — | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE | $444.00 | $888.00 | — | 415% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE FLUID | $444.00 | $888.00 | — | 415% above | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE | $444.00 | $888.00 | — | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE FLUID | $444.00 | $888.00 | — | — | 50% |
| Liver function blood test panel CPT 80076 HB HEPATIC FUNCTION PANEL | $296.50 | $593.00 | — | 91% above | 50% |
| Liver function blood test panel inpatient CPT 80076 HB HEPATIC FUNCTION PANEL | $296.50 | $593.00 | — | — | 50% |
| Lyme disease antibody test CPT 86618 HB LYME DISEASE AB TOTAL | $54.00 | $108.00 | — | 58% below | 50% |
| Lyme disease antibody test CPT 86618 HB LYME CSF LNBAI MA (SEND OUT) | $608.00 | $1,216.00 | — | 368% above | 50% |
| Lyme disease antibody test CPT 86618 HB LYME'S DISEASE AB DETECTION (SEND OUT) | $608.00 | $1,216.00 | — | 368% above | 50% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE AB TOTAL | $54.00 | $108.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME'S DISEASE AB DETECTION (SEND OUT) | $608.00 | $1,216.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME CSF LNBAI MA (SEND OUT) | $608.00 | $1,216.00 | — | — | 50% |
| Magnesium blood test CPT 83735 HB MAGRU MAG URINE (SEND OUT) | $19.00 | $38.00 | — | 65% below | 50% |
| Magnesium blood test CPT 83735 HB MAG/CREAT U (SEND OUT) | $21.50 | $43.00 | — | 60% below | 50% |
| Magnesium blood test CPT 83735 HB MAGNESIUM URINE 24 HOUR (SEND OUT) | $21.50 | $43.00 | — | 60% below | 50% |
| Magnesium blood test CPT 83735 HB EFPO MAGNESIUM MA (SEND OUT) | $29.50 | $59.00 | — | 45% below | 50% |
| Magnesium blood test CPT 83735 HB MAGNESIUM URINE (SEND OUT) | $34.00 | $68.00 | — | 37% below | 50% |
| Magnesium blood test CPT 83735 HB MAGNESIUM | $302.50 | $605.00 | — | 462% above | 50% |
| Magnesium blood test CPT 83735 HB MAGNESIUM URINE 24 HR | $302.50 | $605.00 | — | 462% above | 50% |
| Magnesium blood test CPT 83735 HB MAGNESIUM STONE (SEND OUT) | $302.50 | $605.00 | — | 462% above | 50% |
| Magnesium blood test inpatient CPT 83735 HB MAGRU MAG URINE (SEND OUT) | $19.00 | $38.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM URINE 24 HOUR (SEND OUT) | $21.50 | $43.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 HB MAG/CREAT U (SEND OUT) | $21.50 | $43.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 HB EFPO MAGNESIUM MA (SEND OUT) | $29.50 | $59.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM URINE (SEND OUT) | $34.00 | $68.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM | $302.50 | $605.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM STONE (SEND OUT) | $302.50 | $605.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM URINE 24 HR | $302.50 | $605.00 | — | — | 50% |
| Measles (rubeola) antibody test CPT 86765 HB MEASLES/RUBEOLA ANTIBODY IGM (SEND OUT) | $353.50 | $707.00 | — | 350% above | 50% |
| Measles (rubeola) antibody test CPT 86765 HB MEASLES/RUBEOLA IGG | $433.50 | $867.00 | — | 452% above | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 HB MEASLES/RUBEOLA ANTIBODY IGM (SEND OUT) | $353.50 | $707.00 | — | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 HB MEASLES/RUBEOLA IGG | $433.50 | $867.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HB INFECTIOUS MONONUCLEOSIS TEST (SEND OUT) | $49.50 | $99.00 | — | 21% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HB HETEROPHILE ANTIBODY SCREEN | $193.00 | $386.00 | — | 206% above | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB INFECTIOUS MONONUCLEOSIS TEST (SEND OUT) | $49.50 | $99.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB HETEROPHILE ANTIBODY SCREEN | $193.00 | $386.00 | — | — | 50% |
| Mumps immunity blood test CPT 86735 HB MUMPS VIRUS ANTIBODY IGM (SEND OUT) | $393.50 | $787.00 | — | 358% above | 50% |
| Mumps immunity blood test CPT 86735 HB MUMPS IGG | $394.00 | $788.00 | — | 359% above | 50% |
| Mumps immunity blood test inpatient CPT 86735 HB MUMPS VIRUS ANTIBODY IGM (SEND OUT) | $393.50 | $787.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 HB MUMPS IGG | $394.00 | $788.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB PROSTATE SPECIFIC ANTIGEN/PSA FREE | $138.50 | $277.00 | — | 18% above | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB PROSTATE SPECIFIC ANTIGEN/PSA FREE | $138.50 | $277.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA TOTAL | $539.00 | $1,078.00 | — | 394% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PROSTATE HEALTH INDEX/PHI (SEND OUT) | $539.00 | $1,078.00 | — | 394% above | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA TOTAL | $539.00 | $1,078.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PROSTATE HEALTH INDEX/PHI (SEND OUT) | $539.00 | $1,078.00 | — | — | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HB GYN THINPREP IMAGING DIAGNOSTIC | $78.00 | $156.00 | — | 4% below | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HB GYN THINPREP IMAGING SCREENING | $167.00 | $334.00 | — | 105% above | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HB GYN THINPREP IMAGING DIAGNOSTIC | $78.00 | $156.00 | — | — | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HB GYN THINPREP IMAGING SCREENING | $167.00 | $334.00 | — | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB CYTOPATH C/V THIN LAYER MANUAL SCREEN | $64.50 | $129.00 | — | 47% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB CYTOPATH C/V THIN LAYER MANUAL SCREEN | $64.50 | $129.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB PTHFN PARATHYROID FNA - MA (SEND OUT) | $100.50 | $201.00 | — | 50% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB PARATHORMONE/PTH/IRMA | $1,144.50 | $2,289.00 | — | 472% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB PARATHORMONE/PTH INTRA-OP | $1,145.00 | $2,290.00 | — | 472% above | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PTHFN PARATHYROID FNA - MA (SEND OUT) | $100.50 | $201.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PARATHORMONE/PTH/IRMA | $1,144.50 | $2,289.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PARATHORMONE/PTH INTRA-OP | $1,145.00 | $2,290.00 | — | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB FLUPV PTT (SEND OUT) | $60.00 | $120.00 | — | 11% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB ACTIVATED PARTIAL THROMBOPLASTIN TIME/PTT | $184.50 | $369.00 | — | 242% above | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB FLUPV PTT (SEND OUT) | $60.00 | $120.00 | — | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB ACTIVATED PARTIAL THROMBOPLASTIN TIME/PTT | $184.50 | $369.00 | — | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 HB PHOSPHOROUS | $271.00 | $542.00 | — | 509% above | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HB PHOSPHOROUS | $271.00 | $542.00 | — | — | 50% |
| Potassium blood test CPT 84132 HB POTASSIUM | $144.00 | $288.00 | — | 220% above | 50% |
| Potassium blood test CPT 84132 HB POTASSIUM BLOOD GAS VENOUS | $144.00 | $288.00 | — | 220% above | 50% |
| Potassium blood test CPT 84132 HB POTASSIUM FLUID | $144.00 | $288.00 | — | 220% above | 50% |
| Potassium blood test inpatient CPT 84132 HB POTASSIUM BLOOD GAS VENOUS | $144.00 | $288.00 | — | — | 50% |
| Potassium blood test inpatient CPT 84132 HB POTASSIUM FLUID | $144.00 | $288.00 | — | — | 50% |
| Potassium blood test inpatient CPT 84132 HB POTASSIUM | $144.00 | $288.00 | — | — | 50% |
| Progesterone blood test CPT 84144 HB PROGESTERONE (SEND OUT) | $553.50 | $1,107.00 | — | 282% above | 50% |
| Progesterone blood test CPT 84144 HB PROGESTERONE | $553.50 | $1,107.00 | — | 282% above | 50% |
| Progesterone blood test inpatient CPT 84144 HB PROGESTERONE (SEND OUT) | $553.50 | $1,107.00 | — | — | 50% |
| Progesterone blood test inpatient CPT 84144 HB PROGESTERONE | $553.50 | $1,107.00 | — | — | 50% |
| Prolactin blood test CPT 84146 HB PROLACTIN | $674.00 | $1,348.00 | — | 393% above | 50% |
| Prolactin blood test inpatient CPT 84146 HB PROLACTIN | $674.00 | $1,348.00 | — | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME | $184.50 | $369.00 | — | 379% above | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME | $184.50 | $369.00 | — | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB DRUG TEST PRSMV DIRECT OPTICAL OBS PER DOS | $37.00 | $74.00 | — | 7% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HB DRUG TEST PRSMV DIRECT OPTICAL OBS PER DOS | $37.00 | $74.00 | — | — | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HB RAPID FLU TEST | $157.50 | $315.00 | — | 84% above | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HB RAPID FLU TEST | $157.50 | $315.00 | — | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB RAPID STREP TEST | $148.50 | $297.00 | — | 70% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB STREP A ASSAY WITH OPTICAL | $148.50 | $297.00 | — | 70% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB RAPID STREP TEST | $148.50 | $297.00 | — | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB STREP A ASSAY WITH OPTICAL | $148.50 | $297.00 | — | — | 50% |
| Renin blood test CPT 84244 HB RENIN | $65.00 | $130.00 | — | 58% below | 50% |
| Renin blood test CPT 84244 HB RENIN ACTIVITY (SEND OUT) | $126.00 | $252.00 | — | 19% below | 50% |
| Renin blood test inpatient CPT 84244 HB RENIN | $65.00 | $130.00 | — | — | 50% |
| Renin blood test inpatient CPT 84244 HB RENIN ACTIVITY (SEND OUT) | $126.00 | $252.00 | — | — | 50% |
| Rh blood typing CPT 86901 HB ARC RH | $41.00 | $82.00 | — | 17% below | 50% |
| Rh blood typing CPT 86901 HB BLOOD TYPING RH NEWBORN | $66.50 | $133.00 | — | 35% above | 50% |
| Rh blood typing CPT 86901 HB BLOOD TYPING D/RHO | $66.50 | $133.00 | — | 35% above | 50% |
| Rh blood typing inpatient CPT 86901 HB ARC RH | $41.00 | $82.00 | — | — | 50% |
| Rh blood typing inpatient CPT 86901 HB BLOOD TYPING RH NEWBORN | $66.50 | $133.00 | — | — | 50% |
| Rh blood typing inpatient CPT 86901 HB BLOOD TYPING D/RHO | $66.50 | $133.00 | — | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACTOR QN | $108.00 | $216.00 | — | 57% above | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACTOR QN | $108.00 | $216.00 | — | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA AB, IGG (SEND OUT) | $27.50 | $55.00 | — | 58% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA IGM | $388.50 | $777.00 | — | 498% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA IGG AB | $404.00 | $808.00 | — | 522% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA AB | $494.00 | $988.00 | — | 660% above | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA AB, IGG (SEND OUT) | $27.50 | $55.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA IGM | $388.50 | $777.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA IGG AB | $404.00 | $808.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA AB | $494.00 | $988.00 | — | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SEDIMENTION RATE ERTHROCYTE WESTERGREN | $37.00 | $74.00 | — | 32% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB SEDIMENTION RATE ERTHROCYTE WESTERGREN | $37.00 | $74.00 | — | — | 50% |
| Sodium blood test CPT 84295 HB POC SODIUM | $107.00 | $214.00 | — | 149% above | 50% |
| Sodium blood test CPT 84295 HB SODIUM | $107.00 | $214.00 | — | 149% above | 50% |
| Sodium blood test inpatient CPT 84295 HB POC SODIUM | $107.00 | $214.00 | — | — | 50% |
| Sodium blood test inpatient CPT 84295 HB SODIUM | $107.00 | $214.00 | — | — | 50% |
| Stool ova and parasites exam CPT 87177 HB PARASITE EXAM (SEND OUT) | $190.50 | $381.00 | — | 79% above | 50% |
| Stool ova and parasites exam inpatient CPT 87177 HB PARASITE EXAM (SEND OUT) | $190.50 | $381.00 | — | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HB STOOL FOR OCCULT BLOOD SINGLE (SCREEN) | $102.50 | $205.00 | — | 242% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HB HEMOCCULT W/OUT SIGNS/SYMPTOMS | $102.50 | $205.00 | — | 242% above | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB HEMOCCULT W/OUT SIGNS/SYMPTOMS | $102.50 | $205.00 | — | — | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB STOOL FOR OCCULT BLOOD SINGLE (SCREEN) | $102.50 | $205.00 | — | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB FECAL IMMUNO TEST (FIT) | $110.00 | $220.00 | — | 89% above | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB FECAL IMMUNO TEST (FIT) | $110.00 | $220.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HB SYPH AB CONFIRM (TPAA) | $78.50 | $157.00 | — | 16% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HB FTA-ABS IFA (SEND OUT) | $350.50 | $701.00 | — | 419% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HB TREPONEMA PALLIDUM/SYPHILIS AB IGG | $350.50 | $701.00 | — | 419% above | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB SYPH AB CONFIRM (TPAA) | $78.50 | $157.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB FTA-ABS IFA (SEND OUT) | $350.50 | $701.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB TREPONEMA PALLIDUM/SYPHILIS AB IGG | $350.50 | $701.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR MANUAL QL | $48.00 | $96.00 | — | 3% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR DONOR (SEND OUT) | $165.50 | $331.00 | — | 254% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR QL (SEND OUT) | $165.50 | $331.00 | — | 254% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPH AB CSF (VDRL) | $165.50 | $331.00 | — | 254% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILLIS AB SCREEN (RPR) | $165.50 | $331.00 | — | 254% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR MANUAL QL | $48.00 | $96.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR DONOR (SEND OUT) | $165.50 | $331.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILLIS AB SCREEN (RPR) | $165.50 | $331.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR QL (SEND OUT) | $165.50 | $331.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPH AB CSF (VDRL) | $165.50 | $331.00 | — | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB QUANTIFERON TB | $169.50 | $339.00 | — | 19% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB QUANTIFERON TB | $169.50 | $339.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE EQUIL ULTRAFILT TOTAL (SEND OUT) | $26.00 | $52.00 | — | 77% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE TOTAL | $1,033.00 | $2,066.00 | — | 814% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE TOTAL (SEND OUT) | $1,033.00 | $2,066.00 | — | 814% above | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE EQUIL ULTRAFILT TOTAL (SEND OUT) | $26.00 | $52.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE TOTAL | $1,033.00 | $2,066.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE TOTAL (SEND OUT) | $1,033.00 | $2,066.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB THYROID PEROXIDASE AB | $220.50 | $441.00 | — | 107% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB LIVER-KIDNEY M-1 AB IGG (SEND OUT) | $220.50 | $441.00 | — | 107% above | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB LIVER-KIDNEY M-1 AB IGG (SEND OUT) | $220.50 | $441.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB THYROID PEROXIDASE AB | $220.50 | $441.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB THYROID STIMULATING HORMONE T | $594.00 | $1,188.00 | — | 325% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB THYROID STIMULATING HORMONE | $594.00 | $1,188.00 | — | 325% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB THYROID STIMULATING HORMONE | $594.00 | $1,188.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB THYROID STIMULATING HORMONE T | $594.00 | $1,188.00 | — | — | 50% |
| Total IgE blood test CPT 82785 HB IMMUNOGLOBULINE E/IGE | $470.50 | $941.00 | — | 247% above | 50% |
| Total IgE blood test inpatient CPT 82785 HB IMMUNOGLOBULINE E/IGE | $470.50 | $941.00 | — | — | 50% |
| Total cholesterol blood test CPT 82465 HB CHOLESTEROL TOTAL | $330.50 | $661.00 | — | 738% above | 50% |
| Total cholesterol blood test CPT 82465 HB CHOLESTEROL FIBROSURE (SEND OUT) | $330.50 | $661.00 | — | 738% above | 50% |
| Total cholesterol blood test CPT 82465 HB CHOLESTEROL TOTAL (FLUID) | $330.50 | $661.00 | — | 738% above | 50% |
| Total cholesterol blood test inpatient CPT 82465 HB CHOLESTEROL TOTAL | $330.50 | $661.00 | — | — | 50% |
| Total cholesterol blood test inpatient CPT 82465 HB CHOLESTEROL FIBROSURE (SEND OUT) | $330.50 | $661.00 | — | — | 50% |
| Total cholesterol blood test inpatient CPT 82465 HB CHOLESTEROL TOTAL (FLUID) | $330.50 | $661.00 | — | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 HB THYROXINE TOTAL | $477.50 | $955.00 | — | 613% above | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HB THYROXINE TOTAL | $477.50 | $955.00 | — | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 HB TRIIODOTHYRONINE | $455.00 | $910.00 | — | 279% above | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HB TRIIODOTHYRONINE | $455.00 | $910.00 | — | — | 50% |
| Transferrin blood test CPT 84466 HB TRANSFERRIN | $224.50 | $449.00 | — | 95% above | 50% |
| Transferrin blood test inpatient CPT 84466 HB TRANSFERRIN | $224.50 | $449.00 | — | — | 50% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS VAGINALIS NA AMPLIFIED TEST | $149.50 | $299.00 | — | 10% above | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS VAGINALIS NA AMPLIFIED TEST | $149.50 | $299.00 | — | — | 50% |
| Triglycerides blood test CPT 84478 HB TRIGYLCERIDES | $311.50 | $623.00 | — | 600% above | 50% |
| Triglycerides blood test CPT 84478 HB TRIGLYCERIDES FIBROSURE (SEND OUT) | $311.50 | $623.00 | — | 600% above | 50% |
| Triglycerides blood test inpatient CPT 84478 HB TRIGYLCERIDES | $311.50 | $623.00 | — | — | 50% |
| Triglycerides blood test inpatient CPT 84478 HB TRIGLYCERIDES FIBROSURE (SEND OUT) | $311.50 | $623.00 | — | — | 50% |
| Troponin test, quantitative CPT 84484 HB TRPS TROPONIN T 5TH GEN (SEND OUT) | $70.50 | $141.00 | — | 49% below | 50% |
| Troponin test, quantitative CPT 84484 HB TROPONIN I ULTRA/TPIU | $340.00 | $680.00 | — | 144% above | 50% |
| Troponin test, quantitative CPT 84484 HB TROPONIN II | $340.00 | $680.00 | — | 144% above | 50% |
| Troponin test, quantitative inpatient CPT 84484 HB TRPS TROPONIN T 5TH GEN (SEND OUT) | $70.50 | $141.00 | — | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 HB TROPONIN II | $340.00 | $680.00 | — | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 HB TROPONIN I ULTRA/TPIU | $340.00 | $680.00 | — | — | 50% |
| Uric acid blood test CPT 84550 HB URIC ACID BLOOD | $333.00 | $666.00 | — | 464% above | 50% |
| Uric acid blood test inpatient CPT 84550 HB URIC ACID BLOOD | $333.00 | $666.00 | — | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HB URINALYSIS W/MICROSCOPIC WITH REFLEX TO CULTURE | $142.00 | $284.00 | — | 117% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HB URINE DIP AUTO W/MICRO | $142.00 | $284.00 | — | 117% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HB URINALYSIS AUTO W/MICRO | $142.00 | $284.00 | — | 117% above | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB URINALYSIS AUTO W/MICRO | $142.00 | $284.00 | — | — | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB URINE DIP AUTO W/MICRO | $142.00 | $284.00 | — | — | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB URINALYSIS W/MICROSCOPIC WITH REFLEX TO CULTURE | $142.00 | $284.00 | — | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS SPECIFIC GRAVITY | $80.00 | $160.00 | — | 103% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS DIPSTICK AUTO W/O MICRO | $80.00 | $160.00 | — | 103% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HB PH URINE | $80.00 | $160.00 | — | 103% above | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB PH URINE | $80.00 | $160.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS DIPSTICK AUTO W/O MICRO | $80.00 | $160.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS SPECIFIC GRAVITY | $80.00 | $160.00 | — | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HB URINE DIP NON AUTO W/O MICRO | $103.00 | $206.00 | — | 293% above | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINE DIP NON AUTO W/O MICRO | $103.00 | $206.00 | — | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 HB BACTERIAL URINE CULTURE QT | $356.50 | $713.00 | — | 249% above | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HB BACTERIAL URINE CULTURE QT | $356.50 | $713.00 | — | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 HB URINE ALBUMIN QN (MICROALBUMIN) | $277.50 | $555.00 | — | 283% above | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HB URINE ALBUMIN QN (MICROALBUMIN) | $277.50 | $555.00 | — | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 HB URINE PREG TEST-DIAG USE ONLY | $305.50 | $611.00 | — | 270% above | 50% |
| Urine pregnancy test, read by color change CPT 81025 HB URINE PREGNANCY QL (DIAGNOSTIC) | $305.50 | $611.00 | — | 270% above | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HB URINE PREGNANCY QL (DIAGNOSTIC) | $305.50 | $611.00 | — | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HB URINE PREG TEST-DIAG USE ONLY | $305.50 | $611.00 | — | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B-12 | $231.00 | $462.00 | — | 111% above | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B-12 | $231.00 | $462.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB VITAMIN D25 HYDROXY | $1,014.00 | $2,028.00 | — | 560% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB 25-HYDROXY D3 25HDN MA (SEND OUT) | $1,014.00 | $2,028.00 | — | 560% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB 25-HYDROXY D3 25HDN MA (SEND OUT) | $1,014.00 | $2,028.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB VITAMIN D25 HYDROXY | $1,014.00 | $2,028.00 | — | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB VITAMIN D 1 25-DIHYDROXY (SEND OUT) | $70.50 | $141.00 | — | 55% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB 1 25-DIHYDROXYVITAMIN D | $95.00 | $190.00 | — | 40% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HB VITAMIN D 1 25-DIHYDROXY (SEND OUT) | $70.50 | $141.00 | — | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HB 1 25-DIHYDROXYVITAMIN D | $95.00 | $190.00 | — | — | 50% |
| Zinc blood test CPT 84630 HB ZINC SERUM (SEND OUT) | $343.50 | $687.00 | — | 142% above | 50% |
| Zinc blood test CPT 84630 HB ZINC (SEND OUT) | $343.50 | $687.00 | — | 142% above | 50% |
| Zinc blood test inpatient CPT 84630 HB ZINC (SEND OUT) | $343.50 | $687.00 | — | — | 50% |
| Zinc blood test inpatient CPT 84630 HB ZINC SERUM (SEND OUT) | $343.50 | $687.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HUMAN CHORIONIC GONADOTROPIN/HCG QN | $318.50 | $637.00 | — | 262% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HUMAN CHORIONIC GONADOTROPIN/HCG QN | $318.50 | $637.00 | — | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB BRST BX;1ST LESSION/STEREOTACT | $1,485.50 | $2,971.00 | — | 57% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HB BRST BX;1ST LESSION/STEREOTACT | $1,485.50 | $2,971.00 | — | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HB CLOS TX DIST FIBR FX; W O MANIP | $271.00 | $542.00 | — | 10% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HB CLOS TX DIST FIBR FX; W O MANIP | $271.00 | $542.00 | — | — | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 HB CORONARY ART ANG W/LHC/INJ | $24,236.50 | $48,473.00 | — | 114% above | 50% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HB CORONARY ART ANG W/LHC/INJ | $24,236.50 | $48,473.00 | — | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION ELECTIVE | $3,530.00 | $7,060.00 | — | 154% above | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB CARDIOVERSION ELECTIVE | $3,530.00 | $7,060.00 | — | — | 50% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HB CIRCUM 28 DAYS OR OLDER | $4,776.00 | $9,552.00 | — | 90% above | 50% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HB CIRCUM 28 DAYS OR OLDER | $4,776.00 | $9,552.00 | — | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB CIRCUMCISION W/REGIONAL BLOCK | $2,169.00 | $4,338.00 | — | 68% above | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HB CIRCUMCISION W/REGIONAL BLOCK | $2,169.00 | $4,338.00 | — | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB CLOS TX DIST RADIAL FX; W/O MANIP | $463.50 | $927.00 | — | 22% above | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HB CLOS TX DIST RADIAL FX; W/O MANIP | $463.50 | $927.00 | — | — | 50% |
| Colonoscopy with polyp removal CPT 45385 HB COLONOSCOPY REM LESION/SNARE | $1,310.50 | $2,621.00 | — | 44% below | 50% |
| Colonoscopy with polyp removal inpatient CPT 45385 HB COLONOSCOPY REM LESION/SNARE | $1,310.50 | $2,621.00 | — | — | 50% |
| Coronary stent placement, one artery CPT 92928 HB PLACE DRUG-E STENT;SGL ART | $13,127.50 | $26,255.00 | — | at median | 50% |
| Coronary stent placement, one artery inpatient CPT 92928 HB PLACE DRUG-E STENT;SGL ART | $13,127.50 | $26,255.00 | — | — | 50% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HB IRRIGATE / LAVAGE IMPACTED CERUMEN; UNILAT | $189.00 | $378.00 | — | 61% above | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HB IRRIGATE / LAVAGE IMPACTED CERUMEN; UNILAT | $189.00 | $378.00 | — | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 HB REMOVE IMPACTED CERUMEN/FB | $103.00 | $206.00 | — | 19% below | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HB REMOVE IMPACTED CERUMEN/FB | $103.00 | $206.00 | — | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB INJECT DX/TX EPID/SUBAC CERV/THOR W/IMAGING | $2,014.50 | $4,029.00 | — | 40% above | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HB INJECT DX/TX EPID/SUBAC CERV/THOR W/IMAGING | $2,014.50 | $4,029.00 | — | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB INJECT FACET JT W/IMAGE L/S 1ST L | $1,749.50 | $3,499.00 | — | 24% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HB INJECT FACET JT W/IMAGE L/S 1ST L | $1,749.50 | $3,499.00 | — | — | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB CATH/INJ FOR HYSTEROSONOGRAM | $244.50 | $489.00 | — | 26% below | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HB CATH/INJ FOR HYSTEROSONOGRAM | $244.50 | $489.00 | — | — | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HB HYSTEROSCOPY W/BX ENDOME OR POLYP | $3,401.00 | $6,802.00 | — | 56% below | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HB HYSTEROSCOPY W/BX ENDOME OR POLYP | $3,401.00 | $6,802.00 | — | — | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 HB INSERTION IUD | $451.50 | $903.00 | — | 55% above | 50% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HB INSERTION IUD | $451.50 | $903.00 | — | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HB I&D ABSCESS/SIMPLE/SINGLE | $726.50 | $1,453.00 | — | 100% above | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB I&D ABSCESS/SIMPLE/SINGLE | $726.50 | $1,453.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB ARTHO/ASP/INJ/MAJOR JOINT OR BURSA | $2,466.00 | $4,932.00 | — | 281% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB ARTHO/ASP/INJ/MAJOR JOINT OR BURSA | $2,466.00 | $4,932.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB ARTHO/ASP/INJ/INTERMEDIATE JOINT OR BURSA | $2,466.00 | $4,932.00 | — | 465% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB ARTHO/ASP/INJ/INTERMEDIATE JOINT OR BURSA | $2,466.00 | $4,932.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB ARTHO/ASP/INJ/SMALL JOINT OR BURSA | $2,466.00 | $4,932.00 | — | 557% above | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB ARTHO/ASP/INJ/SMALL JOINT OR BURSA | $2,466.00 | $4,932.00 | — | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB RPR/INT/SCP/TRK/EXT TO 2.5CM | $518.00 | $1,036.00 | — | 2% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HB RPR/INT/SCP/TRK/EXT TO 2.5CM | $518.00 | $1,036.00 | — | — | 50% |
| Left heart catheterization, diagnostic CPT 93452 HB LHC INCLD INJ/VENT IF PERFORM | $22,041.50 | $44,083.00 | — | 188% above | 50% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HB LHC INCLD INJ/VENT IF PERFORM | $22,041.50 | $44,083.00 | — | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB INJECT DX/TX EPID/SUBAC LUM/SACR W/IMAGING | $2,014.50 | $4,029.00 | — | 39% above | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB INJECT DX/TX EPID/SUBAC LUM/SACR W/IMAGING | $2,014.50 | $4,029.00 | — | — | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB INJECT DX/TX EPID/SUBAC LUM/SACR | $2,014.50 | $4,029.00 | — | 28% above | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB INJECT DX/TX EPID/SUBAC LUM/SACR | $2,014.50 | $4,029.00 | — | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB INJECT TRANSFOR EPI LUMBAR OR SAC | $2,202.00 | $4,404.00 | — | 17% above | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB INJECT TRANSFOR EPI LUMBAR OR SAC | $2,202.00 | $4,404.00 | — | — | 50% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HB TX MISSED ABORT 1ST TRI | $2,979.00 | $5,958.00 | — | 34% below | 50% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HB TX MISSED ABORT 1ST TRI | $2,979.00 | $5,958.00 | — | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 HB AVULSION NAIL PLATE/PART/COMP/ | $543.00 | $1,086.00 | — | 125% above | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HB AVULSION NAIL PLATE/PART/COMP/ | $543.00 | $1,086.00 | — | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 HB INJECT ANES/AGNT/OCCIPITAL NERVE | $1,703.50 | $3,407.00 | — | 134% above | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HB INJECT ANES/AGNT/OCCIPITAL NERVE | $1,703.50 | $3,407.00 | — | — | 50% |
| Pacemaker implant (dual chamber) CPT 33208 HB INS/RPL PERM PACER ATRIAL&VENT | $20,706.50 | $41,413.00 | — | 42% above | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HB INS/RPL PERM PACER ATRIAL&VENT | $20,706.50 | $41,413.00 | — | — | 50% |
| Paracentesis with imaging guidance CPT 49083 HB PARACENTESIS;ABDOMINAL W/IMAGE | $2,533.50 | $5,067.00 | — | 71% above | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 HB PARACENTESIS;ABDOMINAL W/IMAGE | $2,533.50 | $5,067.00 | — | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB EXC/NAIL & MATRIX PERM REMOVE | $1,953.00 | $3,906.00 | — | 187% above | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HB EXC/NAIL & MATRIX PERM REMOVE | $1,953.00 | $3,906.00 | — | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB DESTUCT PARAVERT JNT, LUMB/SACR;SINGLE | $3,091.50 | $6,183.00 | — | 21% below | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HB DESTUCT PARAVERT JNT, LUMB/SACR;SINGLE | $3,091.50 | $6,183.00 | — | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 HB INCIS/REM FB/SUBQ/SIMPLE | $583.00 | $1,166.00 | — | 3% above | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HB INCIS/REM FB/SUBQ/SIMPLE | $583.00 | $1,166.00 | — | — | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HB LITHOTRIPSY | $12,555.50 | $25,111.00 | — | 20% above | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HB LITHOTRIPSY | $12,555.50 | $25,111.00 | — | — | 50% |
| Short arm cast (elbow to hand) CPT 29075 HB PT APPLY ELBOW TO FINGER CAST | $540.50 | $1,081.00 | — | 22% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 HB APPL/S ARM CAST/ELBOW-FINGER | $540.50 | $1,081.00 | — | 22% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 HB APPLY SHORT ARM CAST | $540.50 | $1,081.00 | — | 22% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 HB APPL/SHRT ARM CAST/ELBOW-FINGER | $540.50 | $1,081.00 | — | 22% above | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB APPL/S ARM CAST/ELBOW-FINGER | $540.50 | $1,081.00 | — | — | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB PT APPLY ELBOW TO FINGER CAST | $540.50 | $1,081.00 | — | — | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB APPLY SHORT ARM CAST | $540.50 | $1,081.00 | — | — | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB APPL/SHRT ARM CAST/ELBOW-FINGER | $540.50 | $1,081.00 | — | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 HB APPLY SHORT ARM SPLINT (FOREARM TO HAND); STATIC | $424.00 | $848.00 | — | 59% above | 50% |
| Short arm splint (forearm and hand) CPT 29125 HB APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC | $424.00 | $848.00 | — | 59% above | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HB APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC | $424.00 | $848.00 | — | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HB APPLY SHORT ARM SPLINT (FOREARM TO HAND); STATIC | $424.00 | $848.00 | — | — | 50% |
| Short leg splint (calf to foot) CPT 29515 HB APPLY SHORT LEG SPLINT (CALF TO FOOT) | $307.50 | $615.00 | — | 12% above | 50% |
| Short leg splint (calf to foot) CPT 29515 HB APPLY SHORT LEG SPLINT | $307.50 | $615.00 | — | 12% above | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB APPLY SHORT LEG SPLINT (CALF TO FOOT) | $307.50 | $615.00 | — | — | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB APPLY SHORT LEG SPLINT | $307.50 | $615.00 | — | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB RPR/SIM/SCP/TRK/ETC TO 2.5CM | $160.00 | $320.00 | — | 50% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB RPR/SIM/SCP/TRK/ETC TO 2.5CM | $160.00 | $320.00 | — | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 HB PUNCH BX SKIN; SINGLE LESION | $726.50 | $1,453.00 | — | 23% above | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HB PUNCH BX SKIN; SINGLE LESION | $726.50 | $1,453.00 | — | — | 50% |
| Skin tag removal, up to 15 tags CPT 11200 HB REMOVAL SKIN TAGS/ANY/UP TO 15 | $252.50 | $505.00 | — | 10% below | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HB REMOVAL SKIN TAGS/ANY/UP TO 15 | $252.50 | $505.00 | — | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB SPINAL TAP LUMBAR DIAGNOSTIC | $778.00 | $1,556.00 | — | 23% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB LP SPINAL/SHUNT TAP | $778.00 | $1,556.00 | — | 23% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB SPINAL TAP LUMBAR DIAGNOSTIC | $778.00 | $1,556.00 | — | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB LP SPINAL/SHUNT TAP | $778.00 | $1,556.00 | — | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB RPR/SIM/SCP/TRK/ETC 2.6-7.5CM | $343.00 | $686.00 | — | 16% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB RPR/SIM/SCP/TRK/ETC 2.6-7.5CM | $343.00 | $686.00 | — | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB RPR/SIM/FCE/EAR/ETC TO 2.5CM | $878.00 | $1,756.00 | — | 180% above | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HB RPR/SIM/FCE/EAR/ETC TO 2.5CM | $878.00 | $1,756.00 | — | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB TANGENTIAL BX SKIN; SINGLE LESION | $278.50 | $557.00 | — | 1% above | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HB TANGENTIAL BX SKIN; SINGLE LESION | $278.50 | $557.00 | — | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 HB THORACENTESIS,ASPIRATE W IMG | $3,359.50 | $6,719.00 | — | 139% above | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HB THORACENTESIS,ASPIRATE W IMG | $3,359.50 | $6,719.00 | — | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HB INJ TRIGGER POINT(S) 1-2 | $248.00 | $496.00 | — | 43% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HB INJ TRIGGER POINT(S) 1-2 | $248.00 | $496.00 | — | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB BRST BX;1ST LESSION/INC U/S | $2,793.50 | $5,587.00 | — | 6% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HB BRST BX;1ST LESSION/INC U/S | $2,793.50 | $5,587.00 | — | — | 50% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HB CYSTO/URETERO W/LITHOTRIPSY | $5,386.00 | $10,772.00 | — | 49% below | 50% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HB CYSTO/URETERO W/LITHOTRIPSY | $5,386.00 | $10,772.00 | — | — | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 HB ENDOVENOUS RADIOFREQUENCY, 1ST VEIN | $4,866.50 | $9,733.00 | — | 22% below | 50% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HB ENDOVENOUS RADIOFREQUENCY, 1ST VEIN | $4,866.50 | $9,733.00 | — | — | 50% |
| Wart removal, up to 14 warts CPT 17110 HB DESTRUCT LESION UP TO 14 LESIO | $428.50 | $857.00 | — | 9% above | 50% |
| Wart removal, up to 14 warts inpatient CPT 17110 HB DESTRUCT LESION UP TO 14 LESIO | $428.50 | $857.00 | — | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEBRIDE SKIN/TISS | $726.50 | $1,453.00 | — | 9% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB DEBRIDE SKIN/TISS | $726.50 | $1,453.00 | — | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 2 - 4 HRS | $3,060.50 | $6,121.00 | — | 199% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 10 - 12 HRS | $3,060.50 | $6,121.00 | — | 199% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 6 - 8 HRS | $3,060.50 | $6,121.00 | — | 199% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 8 - 10 HRS | $3,060.50 | $6,121.00 | — | 199% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 4 - 6 HRS | $3,060.50 | $6,121.00 | — | 199% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 0 - 2 HRS | $3,060.50 | $6,121.00 | — | 199% above | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 10 - 12 HRS | $3,060.50 | $6,121.00 | — | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 8 - 10 HRS | $3,060.50 | $6,121.00 | — | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 6 - 8 HRS | $3,060.50 | $6,121.00 | — | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 4 - 6 HRS | $3,060.50 | $6,121.00 | — | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 2 - 4 HRS | $3,060.50 | $6,121.00 | — | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB TRANSFUSION BLOOD OR BLOOD COMPONENTS 0 - 2 HRS | $3,060.50 | $6,121.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB HHN TREATMENT | $386.50 | $773.00 | — | 147% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AIRWAY TREATMENT/SPUTUM INDUCT | $386.50 | $773.00 | — | 147% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB INHALATION TREATMENT BY RN | $386.50 | $773.00 | — | 147% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB IPPB | $386.50 | $773.00 | — | 147% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MDI TREATMENT | $386.50 | $773.00 | — | 147% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB HHN TREATMENT | $386.50 | $773.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AIRWAY TREATMENT/SPUTUM INDUCT | $386.50 | $773.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MDI TREATMENT | $386.50 | $773.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB IPPB | $386.50 | $773.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB INHALATION TREATMENT BY RN | $386.50 | $773.00 | — | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 HB ADMIN INF CHEMO; 1ST HOUR | $321.50 | $643.00 | — | 58% below | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HB ADMIN INF CHEMO; 1ST HOUR | $321.50 | $643.00 | — | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 HB ER VISIT CRITICAL CARE | $2,519.00 | $5,038.00 | — | 11% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HB ER VISIT CRITICAL CARE | $2,519.00 | $5,038.00 | — | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HB EEG AWAKE/DROWSY | $3,368.00 | $6,736.00 | — | 347% above | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB EEG AWAKE/DROWSY | $3,368.00 | $6,736.00 | — | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB EKG 12-LEAD TRACING ONLY | $550.00 | $1,100.00 | — | 114% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB EKG 12-LEAD TRACING ONLY | $550.00 | $1,100.00 | — | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ER VISIT BRIEF | $284.00 | $568.00 | — | 5% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB ER VISIT BRIEF | $284.00 | $568.00 | — | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ER VISIT LIMITED | $566.50 | $1,133.00 | — | 9% above | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB ER VISIT LIMITED | $566.50 | $1,133.00 | — | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ER VISIT INTERMEDIATE | $755.50 | $1,511.00 | — | 14% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB ER VISIT INTERMEDIATE | $755.50 | $1,511.00 | — | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ER VISIT EXTENDED | $1,385.50 | $2,771.00 | — | 7% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB ER VISIT EXTENDED | $1,385.50 | $2,771.00 | — | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ER VISIT COMPREHENSIVE | $1,952.00 | $3,904.00 | — | 10% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB ER VISIT COMPREHENSIVE | $1,952.00 | $3,904.00 | — | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB EKG STRESS TEST TRACING ONLY | $1,942.50 | $3,885.00 | — | 89% above | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB EKG STRESS TEST TRACING ONLY | $1,942.50 | $3,885.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB ADMIN IV HYDRATE; 1ST HOUR | $375.00 | $750.00 | — | 14% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB ADMIN IV HYDRATE; 1ST HOUR | $375.00 | $750.00 | — | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 HB ADMIN IV INF TX/DX; 1ST HR | $375.00 | $750.00 | — | 24% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HB ADMIN IV INF TX/DX; 1ST HR | $375.00 | $750.00 | — | — | 50% |
| IV push of a medicine, first drug CPT 96374 HB ADMIN IV PUSH TX/DX; 1ST MED | $229.00 | $458.00 | — | 2% below | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 HB ADMIN IV PUSH TX/DX; 1ST MED | $229.00 | $458.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB ADMIN INJ IM/SUBQ TX/DX MED | $436.00 | $872.00 | — | 238% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB ADMIN INJ IM/SUBQ TX/DX MED | $436.00 | $872.00 | — | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVAL | $139.00 | $278.00 | — | 55% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVAL | $139.00 | $278.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB THERAPEUTIC-NEUROMUS/REEDUCATE; EA 15 MIN | $213.50 | $427.00 | — | 114% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC/BAL MASTER TRAINING; EA 15 MIN | $213.50 | $427.00 | — | 114% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC/RE-ED/PMS TRAINING; EA 15 MIN | $213.50 | $427.00 | — | 114% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSCULAR RE-ED 30 MIN | $213.50 | $427.00 | — | 114% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC RE-ED/MOVE/BAL/COORD; EA 15 MIN | $213.50 | $427.00 | — | 114% above | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB THERAPEUTIC-NEUROMUS/REEDUCATE; EA 15 MIN | $213.50 | $427.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC RE-ED/MOVE/BAL/COORD; EA 15 MIN | $213.50 | $427.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC/BAL MASTER TRAINING; EA 15 MIN | $213.50 | $427.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC/RE-ED/PMS TRAINING; EA 15 MIN | $213.50 | $427.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSCULAR RE-ED 30 MIN | $213.50 | $427.00 | — | — | 50% |
| New patient office visit, about 30 minutes CPT 99203 HB MEDICAL VISIT NEW LEVEL 3 | $229.50 | $459.00 | — | 10% above | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HB MEDICAL VISIT NEW LEVEL 3 | $229.50 | $459.00 | — | — | 50% |
| New patient office visit, about 45 minutes CPT 99204 HB MEDICAL VISIT NEW LEVEL 4 | $304.00 | $608.00 | — | 36% above | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HB MEDICAL VISIT NEW LEVEL 4 | $304.00 | $608.00 | — | — | 50% |
| New patient office visit, about 60 minutes CPT 99205 HB MEDICAL VISIT NEW LEVEL 5 | $416.00 | $832.00 | — | 31% above | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HB MEDICAL VISIT NEW LEVEL 5 | $416.00 | $832.00 | — | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB MEDICAL VISIT NEW LEVEL 2 | $174.50 | $349.00 | — | 9% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HB MEDICAL VISIT NEW LEVEL 2 | $174.50 | $349.00 | — | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 HB OT EVAL LOW COMPLEX 30 MIN | $186.50 | $373.00 | — | 1% below | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OT EVAL LOW COMPLEX 30 MIN | $186.50 | $373.00 | — | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL HIGH COMPLEX 45 MIN | $323.50 | $647.00 | — | 29% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PT EVAL HIGH COMPLEX 45 MIN | $323.50 | $647.00 | — | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL LOW COMPLEX 20 MIN | $289.00 | $578.00 | — | 50% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PT EVAL LOW COMPLEX 20 MIN | $289.00 | $578.00 | — | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL MODERATE COMPLEX 30 MIN | $302.00 | $604.00 | — | 40% above | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PT EVAL MODERATE COMPLEX 30 MIN | $302.00 | $604.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL TRACTION | $160.50 | $321.00 | — | 27% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB JOINT MOBILIZATION | $160.50 | $321.00 | — | 27% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL LYMPHATIC DRAIN; EA 15 MIN+ | $160.50 | $321.00 | — | 27% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MYOFASCL RELEAS/SFT TSS MOBILI | $160.50 | $321.00 | — | 27% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY 15 MIN | $160.50 | $321.00 | — | 27% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY TECHNIQUES | $160.50 | $321.00 | — | 27% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY 15 MIN | $160.50 | $321.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL TRACTION | $160.50 | $321.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB JOINT MOBILIZATION | $160.50 | $321.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY TECHNIQUES | $160.50 | $321.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MYOFASCL RELEAS/SFT TSS MOBILI | $160.50 | $321.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL LYMPHATIC DRAIN; EA 15 MIN+ | $160.50 | $321.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB HOME EVALUATION 15 MIN | $249.50 | $499.00 | — | 124% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB HOME EXERCISE 15 MIN | $249.50 | $499.00 | — | 124% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXER/1:1/STRENGTH/ | $249.50 | $499.00 | — | 124% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB SUP.THERAPEUTIC TR. | $249.50 | $499.00 | — | 124% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERA PROC/ZUNI UNWEIGHT/SUPER | $249.50 | $499.00 | — | 124% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB B/SUPERVISED THERAPEUTIC TRMT. | $249.50 | $499.00 | — | 124% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISES;EA 15MIN | $249.50 | $499.00 | — | 124% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB HOME EVALUATION 15 MIN | $249.50 | $499.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXER/1:1/STRENGTH/ | $249.50 | $499.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERA PROC/ZUNI UNWEIGHT/SUPER | $249.50 | $499.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB HOME EXERCISE 15 MIN | $249.50 | $499.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISES;EA 15MIN | $249.50 | $499.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB SUP.THERAPEUTIC TR. | $249.50 | $499.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB B/SUPERVISED THERAPEUTIC TRMT. | $249.50 | $499.00 | — | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB SMOKING CESS COUNSEL; 3-10 MIN | $24.00 | $48.00 | — | 54% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HB SMOKING CESS COUNSEL; 3-10 MIN | $24.00 | $48.00 | — | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB MEDICAL VISIT EST LEVEL 5 | $304.00 | $608.00 | — | 12% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB MEDICAL VISIT EST LEVEL 5 | $304.00 | $608.00 | — | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB MEDICAL VISIT EST LEVEL 3 | $202.00 | $404.00 | — | 86% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB MEDICAL VISIT EST LEVEL 3 | $202.00 | $404.00 | — | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB MEDICAL VISIT EST LEVEL 4 | $229.50 | $459.00 | — | 13% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB MEDICAL VISIT EST LEVEL 4 | $229.50 | $459.00 | — | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB MEDICAL VISIT EST LEVEL 2 | $174.50 | $349.00 | — | 29% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB MEDICAL VISIT EST LEVEL 2 | $174.50 | $349.00 | — | — | 50% |
| Speech and language evaluation CPT 92523 HB SPEECH/HEARING VISIT EVAL | $145.00 | $290.00 | — | 54% below | 50% |
| Speech and language evaluation CPT 92523 HB LANG/SPEECH SOUND PRO EVAL-BAS | $145.00 | $290.00 | — | 54% below | 50% |
| Speech and language evaluation CPT 92523 HB LANG/SPEECH SOUND PRO EVAL-STD | $145.00 | $290.00 | — | 54% below | 50% |
| Speech and language evaluation inpatient CPT 92523 HB SPEECH/HEARING VISIT EVAL | $145.00 | $290.00 | — | — | 50% |
| Speech and language evaluation inpatient CPT 92523 HB LANG/SPEECH SOUND PRO EVAL-STD | $145.00 | $290.00 | — | — | 50% |
| Speech and language evaluation inpatient CPT 92523 HB LANG/SPEECH SOUND PRO EVAL-BAS | $145.00 | $290.00 | — | — | 50% |
| Speech therapy session, individual CPT 92507 HB TREATMENT SPCH/LANG/V; 61-75 MIN | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual CPT 92507 HB TREATMENT SPCH/LANG/V; 46-60 MIN | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual CPT 92507 HB BASIC TREATMENT SPCH/LANG/VOIC | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual CPT 92507 HB TREATMENT SPCH/LANG/V; 15-30 MIN | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual CPT 92507 HB TREATMENT SPCH/LANG/V; 31-45 MIN | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual CPT 92507 HB MOD BASIC VOICE PROSTHESIS | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual CPT 92507 HB MOD STANDARD VOICE PROSTHESIS | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual CPT 92507 HB STANDARD TREATMENT SPCH/LANG/V | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual CPT 92507 HB TREATMENT SPCH/LANG/V; 1-15 MIN | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual CPT 92507 HB TREATMENT SPCH/LANG/V; 91-120 MIN | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual CPT 92507 HB TREATMENT SPCH/LANG/V; 76-90 MIN | $267.50 | $535.00 | — | 10% above | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB TREATMENT SPCH/LANG/V; 15-30 MIN | $267.50 | $535.00 | — | — | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB TREATMENT SPCH/LANG/V; 91-120 MIN | $267.50 | $535.00 | — | — | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB TREATMENT SPCH/LANG/V; 76-90 MIN | $267.50 | $535.00 | — | — | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB TREATMENT SPCH/LANG/V; 61-75 MIN | $267.50 | $535.00 | — | — | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB TREATMENT SPCH/LANG/V; 46-60 MIN | $267.50 | $535.00 | — | — | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB TREATMENT SPCH/LANG/V; 31-45 MIN | $267.50 | $535.00 | — | — | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB TREATMENT SPCH/LANG/V; 1-15 MIN | $267.50 | $535.00 | — | — | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB STANDARD TREATMENT SPCH/LANG/V | $267.50 | $535.00 | — | — | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB MOD STANDARD VOICE PROSTHESIS | $267.50 | $535.00 | — | — | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB MOD BASIC VOICE PROSTHESIS | $267.50 | $535.00 | — | — | 50% |
| Speech therapy session, individual inpatient CPT 92507 HB BASIC TREATMENT SPCH/LANG/VOIC | $267.50 | $535.00 | — | — | 50% |
| Spirometry (breathing test) CPT 94010 HB SPIROMETRY | $466.00 | $932.00 | — | 100% above | 50% |
| Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY | $466.00 | $932.00 | — | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HB SPIROMETRY W/BRONCHODILATORS | $474.00 | $948.00 | — | 8% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HB BRONCHIAL PROVOCATION | $474.00 | $948.00 | — | 8% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HB PRE/POST SPIROMETRY | $474.00 | $948.00 | — | 8% above | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HB BRONCHIAL PROVOCATION | $474.00 | $948.00 | — | — | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HB PRE/POST SPIROMETRY | $474.00 | $948.00 | — | — | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HB SPIROMETRY W/BRONCHODILATORS | $474.00 | $948.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB SUPERVISED THERAPEUTIC ACTIVITY | $80.50 | $161.00 | — | 20% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB THERAPEUTIC ACTIVITY 1:1, EA 15 MIN | $80.50 | $161.00 | — | 20% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB B/SUPERVISED THERAPEUTIC ACTIVITY | $80.50 | $161.00 | — | 20% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB THERAPEUTIC ACTIVITY 1:1, EA 15 MIN | $80.50 | $161.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB SUPERVISED THERAPEUTIC ACTIVITY | $80.50 | $161.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB B/SUPERVISED THERAPEUTIC ACTIVITY | $80.50 | $161.00 | — | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB THERAPEUTIC PHLEBOTOMY | $1,744.50 | $3,489.00 | — | 546% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HB THERAPEUTIC PHLEBOTOMY | $1,744.50 | $3,489.00 | — | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB ADMIN VACCINE OTHER INITAL | $79.50 | $159.00 | — | 44% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB ADMIN VACCINE OTHER INITAL | $79.50 | $159.00 | — | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB ADMIN VACCINE OTHER EA ADD | $79.50 | $159.00 | — | 88% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB ADMIN VACCINE OTHER EA ADD | $79.50 | $159.00 | — | — | 50% |
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.