Hospital New Orleans-Metairie, LA

West Jefferson Medical Center

West Jefferson Medical Center in Marrero, LA publishes cash prices for 477 common procedures listed here, from its own machine-readable price file updated Jun 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Louisiana median for 357 of 476 procedures and above it for 109. By typical cash price it ranks #25 of 63 Louisiana hospitals and #10 of 14 hospitals in the New Orleans, LA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1101 Medical Center Blvd, Marrero, LA 70072 Collected Sep 23, 2026 Source price file Check a bill from this hospital (504) 347-5511

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 190039 · CMS hospital register NPI 1265437644

Financial assistance

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

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

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

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

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named West Jefferson Medical Center in Marrero, LA:

Sep 27, 2024 Corrective action plan requested
Jan 21, 2025 Case closed
Mar 20, 2026 Warning notice
Jun 26, 2026 Corrective action plan requested
Jul 29, 2026 Case closed

Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Scan Abdomen Before and After Contrast	$929.76	$5,811.00	$1,011.00–$780.78	6% below	84%
Abdominal X-ray, 2 views CPT 74019 X-Ray of Abdomen 2 Views	$169.44	$1,059.00	$100.00–$953.10	3% below	84%
Ankle X-ray, complete, 3 or more views CPT 73610 X-Ray of Ankle Minimum of 3 Views	$77.12	$482.00	$100.00–$92.88	32% below	84%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound Study of Arteries of Both Arms and Legs	$174.56	$1,091.00	$103.16–$981.90	6% above	84%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Scan of Arm	$416.32	$2,602.00	$100.01–$94.96	34% below	84%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-Ray of Esophagus	$178.08	$1,113.00	$100.00–$851.45	17% below	84%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or Joint Imaging Whole Body	$607.20	$3,795.00	$1,138.50–$886.66	10% above	84%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound of One Breast	$168.00	$1,050.00	$100.01–$945.00	at median	84%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound of One Breast	$165.12	$1,032.00	$1,032.00–$928.80	1% below	84%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Scan of Abdominal and Pelvic Blood Vessels With Contrast	$835.84	$5,224.00	$1,006.66–$774.00	6% below	84%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Venogrm Abd&Plvis Cntrst Mtl W/WO Cntst Img	$1,497.92	$9,362.00	$1,011.00–$9,362.00	68% above	84%
CT angiography (CTA) of the head CPT 70496 CT Scan of Blood Vessel of Head With Contrast	$849.12	$5,307.00	$1,011.00–$785.04	29% above	84%
CT angiography (CTA) of the neck CPT 70498 CT Scan of Neck Blood Vessels With Contrast	$569.92	$3,562.00	$1,011.00–$783.74	16% below	84%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Scan of Blood Vessels in Chest With Contrast	$811.04	$5,069.00	$1,011.00–$976.80	at median	84%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Scan of Heart Blood Vessels and Grafts With Contrast Dye	$905.12	$5,657.00	$1,011.00–$852.43	92% above	84%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Scan of Heart With Evaluation of Blood Vessel Calcium	$310.56	$1,941.00	$1,011.00–$82.81	279% above	84%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Scan of Abdomen and Pelvis	$710.56	$4,441.00	$1,011.00–$855.78	36% below	84%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan of Abdomen and Pelvis With Contrast	$719.52	$4,497.00	$1,011.00–$870.26	35% below	84%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Scan of Abdomen and Pelvis Before and After Contrast	$738.56	$4,616.00	$1,011.00–$982.36	48% below	84%
CT scan of the abdomen with contrast CPT 74160 CT Scan Abdomen With Contrast	$797.44	$4,984.00	$1,011.00–$960.42	4% below	84%
CT scan of the abdomen without contrast CPT 74150 CT Scan Abdomen	$792.00	$4,950.00	$100.01–$953.87	7% above	84%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Scan of Face	$500.00	$3,125.00	$100.01–$94.96	20% below	84%
CT scan of the head or brain, no contrast dye CPT 70450 CT Scan Head or Brain	$589.92	$3,687.00	$100.01–$94.96	10% below	84%
CT scan of the head with contrast CPT 70460 CT Scan Head or Brain With Contrast	$705.92	$4,412.00	$1,011.00–$850.19	2% below	84%
CT scan of the head without and with contrast CPT 70470 CT Scan Head or Brain Before and After Contrast	$776.96	$4,856.00	$1,011.00–$935.75	13% below	84%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Scan of Lower Spine	$671.36	$4,196.00	$100.01–$94.96	10% below	84%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Scan of Upper Spine	$624.64	$3,904.00	$100.01–$94.96	11% below	84%
CT scan of the pelvis, with contrast dye CPT 72193 CT Scan Pelvis With Contrast	$754.08	$4,713.00	$1,011.00–$908.20	6% below	84%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound Scanning of Blood Flow on Both Sides of Head and Neck	$360.96	$2,256.00	$1,068.00–$734.00	23% below	84%
Chest CT scan without and with contrast CPT 71270 CT Scan Thorax Diagnostic WO & W/Contrast & Further Sessions	$1,029.12	$6,432.00	$1,011.00–$774.00	at median	84%
Chest X-ray, 2 views CPT 71046 X-Ray of Chest 2 Views Front and Side	$103.20	$645.00	$100.00–$92.39	18% below	84%
Chest X-ray, single view CPT 71045 X-Ray of Chest 1 View Front	$91.84	$574.00	$100.00–$82.81	11% below	84%
Collarbone (clavicle) X-ray, complete CPT 73000 X-Ray of Collar Bone	$88.80	$555.00	$100.00–$97.66	22% below	84%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Behind Abdominal Cavity	$184.16	$1,151.00	$100.01–$94.96	33% below	84%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density Measurement Using Dedicated X-Ray Machine	$207.20	$1,295.00	$100.00–$990.68	43% above	84%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density Measurement Using Dedicated X-Ray Machine	$104.96	$656.00	$100.00–$89.78	32% above	84%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Abdominal Ultrasound of Pregnant Uterus Single or First Fetus	$285.44	$1,784.00	$1,364.76–$845.62	8% above	84%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Scan Thorax Diagnostic W/O Contrast	$667.36	$4,171.00	$100.01–$94.96	1% below	84%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Scan Thorax Diagnostic W/Contrast	$916.48	$5,728.00	$1,011.00–$774.00	9% above	84%
Diagnostic mammogram, both breasts CPT 77066 Mammography of Both Breasts	$132.80	$830.00	$101.46–$95.78	10% below	84%
Diagnostic mammogram, one breast CPT 77065 Mammography of One Breast	$96.48	$603.00	$107.00–$97.78	21% below	84%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound Study of Arteries and Arterial Grafts of Both Legs	$277.60	$1,735.00	$1,001.10–$822.39	39% below	84%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound Scan Veins Both Arms/Legs W/Assess Compression & Funct Maneuvers	$255.04	$1,594.00	$1,068.00–$919.74	39% below	84%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound Exam Heart Including Color Blood Flow Rate Direct & Valve Funct W/Contrast	$698.72	$4,367.00	$1,139.97–$982.76	3% below	84%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound Exam Heart Including Color Blood Flow Rate Direct & Valve Funct W/O Contrast	$698.72	$4,367.00	$1,310.10–$940.48	3% below	84%
Elbow X-ray, 2 views CPT 73070 X-Ray of Elbow 2 Views	$96.16	$601.00	$100.00–$84.52	15% below	84%
Elbow X-ray, complete, 3 or more views CPT 73080 X-Ray of Elbow Minimum of 3 Views	$96.96	$606.00	$100.00–$96.35	26% below	84%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Scan of Cranial Cavity	$484.48	$3,028.00	$100.01–$94.96	20% below	84%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-Ray of Bones of Face Minimum of 3 Views	$117.76	$736.00	$100.00–$94.96	20% below	84%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-Ray of Forearm 2 Views	$104.16	$651.00	$100.00–$85.83	7% below	84%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Imaging of Liver and Bile Duct System	$583.36	$3,646.00	$1,010.33–$718.92	3% above	84%
Hand X-ray, 2 views CPT 73120 X-Ray of Hand 2 Views	$77.92	$487.00	$100.00–$94.96	26% below	84%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-Ray of Heel Minimum of 2 Views	$76.48	$478.00	$100.00–$92.11	30% below	84%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Unattended Sleep Study W/Recording Heart Rate Oxygen Resp Airflow & Effort	$181.92	$1,137.00	$1,023.30–$869.81	17% below	84%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography >=6 Yrs Staging >=4 Add Parameters W/Cpap/Bipap Att/Tech	$1,409.28	$8,808.00	$1,016.44–$956.86	2% above	84%
Knee X-ray, 3 views CPT 73562 X-Ray of Knee 3 Views	$93.92	$587.00	$100.00–$82.81	30% below	84%
Knee X-ray, complete, 4 or more views CPT 73564 X-Ray of Knee 4 or More Views	$107.68	$673.00	$100.00–$94.96	26% below	84%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Scan Leg	$570.56	$3,566.00	$100.01–$94.96	5% below	84%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound of Abdomen	$201.12	$1,257.00	$100.01–$961.61	20% below	84%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound of Arm or Leg	$259.52	$1,622.00	$100.01–$94.96	49% above	84%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Low Dose Lung Cancer Screen Cst W/O Contrast	$48.16	$301.00	$100.01–$94.96	67% below	84%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-Ray of Lower Leg 2 Views	$93.12	$582.00	$100.00–$95.05	19% below	84%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Scan of Head Blood Vessels	$785.76	$4,911.00	$1,273.00–$946.35	6% below	84%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral	$1,205.28	$7,533.00	$1,273.00–$941.60	—	84%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Scan of Leg Joint	$1,025.12	$6,407.00	$1,234.63–$739.37	18% above	84%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Scan of Leg Joint Before and After Contrast	$1,205.28	$7,533.00	$1,135.00–$869.31	3% below	84%
MRI of the abdomen without contrast CPT 74181 MRI Scan of Abdomen	$779.52	$4,872.00	$1,273.00–$938.83	13% below	84%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Scan of Abdomen Before and After Contrast	$1,004.16	$6,276.00	$1,209.39–$944.21	20% below	84%
MRI of the brain, no contrast dye CPT 70551 MRI Scan Brain	$785.12	$4,907.00	$1,273.00–$945.58	20% below	84%
MRI of the brain, with and without contrast dye CPT 70553 MRI Scan of Brain Before and After Contrast	$947.20	$5,920.00	$1,140.78–$852.12	27% below	84%
MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal	$865.60	$5,410.00	$1,042.51–$624.31	16% below	84%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Scan of Lower Spinal Canal Before and After Contrast	$1,223.84	$7,649.00	$1,273.00–$882.69	10% below	84%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Scan of Middle Spinal Canal	$767.52	$4,797.00	$1,273.00–$924.38	12% below	84%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Scan of Upper Spinal Canal Before and After Contrast	$1,196.64	$7,479.00	$1,273.00–$863.08	11% below	84%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Scan of Upper Spinal Canal	$923.52	$5,772.00	$1,112.26–$666.09	1% below	84%
MRI of the pelvis without and with contrast CPT 72197 MRI Scan of Pelvis Before and After Contrast	$1,028.96	$6,431.00	$1,239.25–$938.95	at median	84%
MRI of the pelvis, no contrast dye CPT 72195 MRI Scan of Pelvis	$875.52	$5,472.00	$1,054.45–$642.63	8% above	84%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Scan of Arm Joint	$1,080.48	$6,753.00	$1,273.00–$779.30	36% above	84%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-Ray of Upper Spine 4 or 5 Views	$211.84	$1,324.00	$100.00–$94.96	5% above	84%
Neck soft tissue CT scan with contrast CPT 70491 CT Scan of Neck With Contrast	$593.44	$3,709.00	$1,011.00–$774.00	13% below	84%
Neck soft tissue CT scan without contrast CPT 70490 CT Scan of Neck	$614.56	$3,841.00	$100.01–$94.96	8% below	84%
Neck soft tissue X-ray CPT 70360 X-Ray of Soft Tissue of Neck	$65.60	$410.00	$100.00–$89.78	43% below	84%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear Medicine Study Vessels of Heart Using Drugs or Exercise Multiple	$1,193.60	$7,460.00	$1,145.96–$860.88	3% above	84%
OCT scan of the retina (optical coherence tomography) CPT 92134 Diagnostic Imaging of Retina	$55.20	$345.00	$103.50–$95.77	10% below	84%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Nuclear Medicine Study With CT Imaging Skull Base to Mid-Thigh	$2,351.36	$14,696.00	$11,242.44–$6,965.90	21% above	84%
Pelvic CT scan without contrast CPT 72192 CT Scan Pelvis	$530.56	$3,316.00	$100.01–$994.80	19% below	84%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound of Pelvis	$219.68	$1,373.00	$100.01–$94.96	43% above	84%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound of Pelvis	$242.72	$1,517.00	$100.01–$94.96	12% below	84%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdominal Ultrasound of Pregnant Uterus Single or 1st Fetus	$254.56	$1,591.00	$100.01–$94.96	10% above	84%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Abdominal Ultrasound of Pregnant Uterus Single or 1st Fetus	$245.76	$1,536.00	$100.01–$94.96	18% above	84%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound of Pregnant Uterus 1 or More Fetus(Es)	$112.16	$701.00	$100.01–$94.96	27% below	84%
Rib X-ray, one side, 2 views CPT 71100 X-Ray of Ribs of One Side of Body 2 Views	$132.64	$829.00	$100.00–$95.67	at median	84%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-Ray of Ribs on One Side of Body Including the Chest Minimum of 3 Views	$174.72	$1,092.00	$100.00–$982.80	25% above	84%
Screening mammogram, both breasts CPT 77067 Mammography of Both Breasts	$98.56	$616.00	$103.37–$88.04	25% below	84%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-Ray of Shoulder Minimum of 2 Views	$120.80	$755.00	$100.00–$87.13	5% below	84%
Sinus X-ray, complete, 3 or more views CPT 70220 X-Ray of Paranasal Sinus Complete Minimum of 3 Views	$159.36	$996.00	$100.00–$996.00	4% above	84%
Skull X-ray, fewer than 4 views CPT 70250 X-Ray of Skull Less Than 4 Views	$109.76	$686.00	$100.00–$94.96	7% below	84%
Sleep study in a lab (polysomnography) CPT 95810 Sleep Monitoring of Patient (6 Years or Older) in Sleep Lab	$1,089.12	$6,807.00	$1,046.45–$956.86	18% below	84%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ultrasound Exam & Cont Monit Heart Perf During Rest Exerc/Drug-Induc Stress W/Contrast	$261.76	$1,636.00	$1,139.97–$982.76	56% below	84%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ultrasound Exam & Cont Monit Heart Perf During Rest Exerc/Drug-Induc Stress W/O Contrast	$676.96	$4,231.00	$1,269.30–$940.48	14% above	84%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for Evaluation of Swallowing Function	$239.68	$1,498.00	$100.00–$710.05	1% above	84%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-Ray of Femur Minimum 2 Views	$92.96	$581.00	$100.00–$82.81	18% below	84%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Scan of Middle Spine	$683.04	$4,269.00	$100.01–$94.96	7% below	84%
Toe X-ray, 2 or more views CPT 73660 X-Ray of Toes Minimum of 2 Views	$90.40	$565.00	$100.00–$89.78	16% below	84%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Pelvis Through Vagina	$186.24	$1,164.00	$100.01–$94.96	4% below	84%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal Ultrasound of Pregnant Uterus	$235.52	$1,472.00	$100.01–$94.96	38% above	84%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of Abdomen	$318.72	$1,992.00	$100.01–$944.21	7% above	84%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound of Scrotum	$213.12	$1,332.00	$100.01–$94.96	1% above	84%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound of Head and Neck	$212.32	$1,327.00	$100.01–$94.96	16% below	84%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-Ray of Upper Digestive Tract	$164.96	$1,031.00	$100.00–$927.90	32% below	84%
Upper arm X-ray (humerus), 2 views CPT 73060 X-Ray of Upper Arm Minimum of 2 Views	$90.08	$563.00	$100.00–$96.35	21% below	84%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound Scan Veins 1 Arm/Leg/Ltd W/Assess Compression & Funct Maneuvers	$246.56	$1,541.00	$100.01–$94.96	2% below	84%
Wrist X-ray, 2 views CPT 73100 X-Ray of Wrist 2 Views	$78.88	$493.00	$100.00–$95.00	25% below	84%
Wrist X-ray, complete, 3 or more views CPT 73110 X-Ray of Wrist Minimum of 3 Views	$84.96	$531.00	$100.00–$82.81	25% below	84%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-Ray of Hip With Pelvis 2-3 Views	$104.16	$651.00	$100.00–$82.81	16% below	84%
X-ray of the abdomen, 1 view CPT 74018 X-Ray of Abdomen Single View	$84.80	$530.00	$100.00–$84.52	30% below	84%
X-ray of the ankle, 2 views CPT 73600 X-Ray of Ankle 2 Views	$110.56	$691.00	$100.00–$96.35	5% above	84%
X-ray of the finger(s), 2 or more views CPT 73140 X-Ray of Fingers Minimum of 2 Views	$68.48	$428.00	$100.00–$82.81	33% below	84%
X-ray of the foot, 2 views CPT 73620 X-Ray of Foot 2 Views	$106.08	$663.00	$100.00–$83.22	at median	84%
X-ray of the foot, complete, 3 or more views CPT 73630 X-Ray of Foot Minimum of 3 Views	$106.40	$665.00	$100.00–$82.81	11% below	84%
X-ray of the hand, 3 or more views CPT 73130 X-Ray of Hand Minimum of 3 Views	$83.04	$519.00	$100.00–$82.81	31% below	84%
X-ray of the knee, 1 or 2 views CPT 73560 X-Ray of Knee 1 or 2 Views	$81.12	$507.00	$100.00–$97.70	27% below	84%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray of Lower and Sacral Spine 2 or 3 Views	$103.68	$648.00	$100.00–$94.96	31% below	84%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of Lower and Sacral Spine Minimum of 4 Views	$165.92	$1,037.00	$100.00–$94.96	22% below	84%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray of Middle Spine 3 Views	$114.56	$716.00	$100.00–$94.96	24% below	84%
X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray of Bones of Nose Minimum of 3 Views	$83.04	$519.00	$100.00–$82.81	26% below	84%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-Ray of Spine of Neck 2 or 3 Views	$100.80	$630.00	$100.00–$82.81	30% below	84%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray of Pelvis 1 or 2 Views	$106.24	$664.00	$100.00–$94.96	19% below	84%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray of Pelvis Minimum of 2 Views	$90.08	$563.00	$100.00–$96.35	34% below	84%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 Ej Ref Lab Adrenocorticotrophic Hormone	$21.92	$137.00	$104.81–$86.90	80% below	84%
ACTH blood test CPT 82024 Acth Level	$64.16	$401.00	$120.30–$86.90	40% below	84%
ACTH blood test CPT 82024 Adrenocorticotropic Hormone (Acth) Level	$64.16	$401.00	$120.30–$86.90	40% below	84%
ACTH blood test CPT 82024 Acth Stim Studies	$64.16	$401.00	$120.30–$86.90	40% below	84%
ACTH blood test CPT 82024 Labcorp Adrenocorticotropic Hormone Acth	$64.16	$401.00	$120.30–$86.90	40% below	84%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Arup Alt	$19.36	$121.00	$10.35–$92.57	at median	84%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver Enzyme (Sgpt) Level	$25.12	$157.00	$10.35–$9.54	30% above	84%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt Alt	$25.12	$157.00	$10.35–$9.54	30% above	84%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver Enzyme (Sgot) Level	$23.36	$146.00	$10.12–$9.32	22% above	84%
AST (aspartate aminotransferase) enzyme test CPT 84450 Arup Ast/Sgot	$23.36	$146.00	$10.12–$9.32	22% above	84%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Ej Ref Lab Acute Hepatitis Panel	$53.44	$334.00	$100.20–$93.02	54% below	84%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Omega Acute Hepatitis Panel	$151.52	$947.00	$107.17–$947.00	29% above	84%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$151.52	$947.00	$107.17–$947.00	29% above	84%
Albumin blood test CPT 82040 Mayo Albumin Serum	$12.96	$81.00	$11.14–$9.67	11% below	84%
Albumin blood test CPT 82040 Albumin Serum Plasma Whole Bld	$12.96	$81.00	$11.14–$9.67	11% below	84%
Albumin blood test CPT 82040 Labcorp Albumin Serum Plasma/Whole Blood	$12.96	$81.00	$11.14–$9.67	11% below	84%
Albumin blood test CPT 82040 Arup Albumin Serum Plasma Whole Bld	$12.96	$81.00	$11.14–$9.67	11% below	84%
Aldosterone blood test CPT 82088 Ej Ref Lab Aldosterone	$23.20	$145.00	$110.93–$91.69	76% below	84%
Aldosterone blood test CPT 82088 Aldosterone Hormone Level	$89.44	$559.00	$107.72–$91.69	7% below	84%
Aldosterone blood test CPT 82088 Aldosterone Urine	$89.44	$559.00	$107.72–$91.69	7% below	84%
Aldosterone blood test CPT 82088 Arup Aldosterone	$89.44	$559.00	$107.72–$91.69	7% below	84%
Aldosterone blood test CPT 82088 Labcorp Aldosterone Lcms Serum 004374	$89.44	$559.00	$107.72–$91.69	7% below	84%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (Enzyme) Level	$19.52	$122.00	$10.12–$93.33	2% above	84%
Alkaline phosphatase (ALP) blood test CPT 84075 Arup Alkaline Phosphatase	$19.52	$122.00	$10.12–$93.33	2% above	84%
Alkaline phosphatase (ALP) blood test CPT 84075 Labcorp Alkaline Phosphatase	$42.72	$267.00	$10.12–$9.32	123% above	84%
Alkaline phosphatase (ALP) blood test CPT 84075 Ej Ref Lab Assay Alkaline Phosphatase	$72.00	$450.00	$10.12–$9.32	277% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Viracor Milk Precipitin Panel	$11.04	$69.00	$10.19–$9.40	6% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Ea (Rast)	$12.64	$79.00	$10.19–$9.40	22% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Ea(Rast)	$12.96	$81.00	$10.19–$9.40	25% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Labcorp Allergens W/Total Ige Area 6 602633	$12.96	$81.00	$10.19–$9.40	25% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Mayo Trichophyton Rurum	$12.96	$81.00	$10.19–$9.40	25% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Labcorp Allergens (8) Grasses 605703	$12.96	$81.00	$10.19–$9.40	25% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Arup Alpha Gal	$12.96	$81.00	$10.19–$9.40	25% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Labcorp Allergens (5) 672748	$12.96	$81.00	$10.19–$9.40	25% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Arup South East Costal Panel	$12.96	$81.00	$10.19–$9.40	25% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of Antibody (Ige) to Allergic Substance	$12.96	$81.00	$10.19–$9.40	25% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Blastomyces Ab by Cf	$12.96	$81.00	$10.19–$9.40	25% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Labcorp Allergen	$12.96	$81.00	$10.19–$9.40	25% above	84%
Allergy blood test, specific IgE, per allergen CPT 86003 Arup Allergen Ige Quant or Semi	$12.96	$81.00	$10.19–$9.40	25% above	84%
Alpha-fetoprotein (AFP) blood test CPT 82105 Ej Ref Lab Afp Serum	$57.60	$360.00	$108.00–$69.37	10% above	84%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker	$80.48	$503.00	$150.90–$96.93	54% above	84%
Alpha-fetoprotein (AFP) blood test CPT 82105 Labcorp Alpha Fetoprotein Tumor Marker	$80.48	$503.00	$150.90–$96.93	54% above	84%
Alpha-fetoprotein (AFP) blood test CPT 82105 Arup Alpha Fetroprotein Materna	$80.48	$503.00	$150.90–$96.93	54% above	84%
Alpha-fetoprotein (AFP) blood test CPT 82105 Omega-Alpha Fetoprotein Tum Mrkr	$80.48	$503.00	$150.90–$96.93	54% above	84%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein (Afp) Level Serum	$80.48	$503.00	$150.90–$96.93	54% above	84%
Alpha-fetoprotein (AFP) blood test CPT 82105 Labcorp Afp Serum Tumor Marker 002253	$80.48	$503.00	$150.90–$96.93	54% above	84%
Alpha-fetoprotein (AFP) blood test CPT 82105 Ej Ref Lab Maternal Alpha Fetoprotein	$133.92	$837.00	$16.69–$837.00	156% above	84%
Alpha-fetoprotein (AFP) blood test CPT 82105 Ej Ref Lab Alpha-Fetoprotein Tumor Marker	$133.92	$837.00	$16.69–$837.00	156% above	84%
Ammonia blood test CPT 82140 HC Assay of Ammonia	$32.64	$204.00	$14.57–$96.70	34% below	84%
Ammonia blood test CPT 82140 Ammonia Level	$32.64	$204.00	$14.57–$96.70	34% below	84%
Ammonia blood test CPT 82140 Labcorp Assay of Ammonia	$32.64	$204.00	$14.57–$96.70	34% below	84%
Amylase blood test CPT 82150 Amylase (Enzyme) Level	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Amylase Isoenzymes	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Amylase Body Fluid	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Amylase Urine	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Amylase Level Urine	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Labcorp Amylase Isoenzymes	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Amylase Body Fluid	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Amylase Serum	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Joli Diag. Pancreatic Enzyme Anal Amylase	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Labcorp Amylase Urine	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Amylase Iso Pancreatic	$29.28	$183.00	$10.85–$9.72	31% above	84%
Amylase blood test CPT 82150 Interpace Lab Body Fluid Amylase	$31.20	$195.00	$10.85–$92.43	40% above	84%
Amylase blood test CPT 82150 Labcorp Body Fluid Amylase	$31.20	$195.00	$10.85–$92.43	40% above	84%
Amylase blood test CPT 82150 Ej Ref Lab Pancreatic Isoenzyme	$126.56	$791.00	$10.85–$9.72	468% above	84%
Amylase blood test CPT 82150 Ej Ref Lab Amylase (Enzyme) Level	$126.56	$791.00	$10.85–$9.72	468% above	84%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ej Ref Lab Cyclic Cit. Peptide (CCP) Igg	$12.16	$76.00	$12.95–$76.00	73% below	84%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Omega-CCP Igg	$36.64	$229.00	$108.55–$68.70	19% below	84%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibody	$36.64	$229.00	$108.55–$68.70	19% below	84%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of Antibody for Rheumatoid Arthritis Assessment	$36.64	$229.00	$108.55–$68.70	19% below	84%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Labcorp Cyclic Citrul Peptide (CCP) Antibody	$36.64	$229.00	$108.55–$68.70	19% below	84%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Arup Cyclic Citrullinated Peptide Test	$36.64	$229.00	$108.55–$68.70	19% below	84%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ej Ref Lab Antinuclear Antibody	$6.56	$41.00	$12.09–$7.90	85% below	84%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana-Fluid Screen	$55.68	$348.00	$104.40–$67.06	29% above	84%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Serum Screen	$55.68	$348.00	$104.40–$67.06	29% above	84%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Omega-Anti Nuc Ab Scrn W/Refl	$55.68	$348.00	$104.40–$67.06	29% above	84%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Labcorp Antinuclear Antibody Screen	$55.68	$348.00	$104.40–$67.06	29% above	84%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Profile	$55.68	$348.00	$104.40–$67.06	29% above	84%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Omega-Pro Bnp Nt	$53.60	$335.00	$100.50–$88.34	14% below	84%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide	$53.60	$335.00	$100.50–$88.34	14% below	84%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp (B-Type Natriuretic Peptide)	$53.60	$335.00	$100.50–$88.34	14% below	84%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Probrain Nat Peptide Nt	$53.60	$335.00	$100.50–$88.34	14% below	84%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide (Heart and Blood Vessel Protein) Level	$53.60	$335.00	$100.50–$88.34	14% below	84%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 POCT Bnp Natriuretic Peptide	$53.60	$335.00	$100.50–$88.34	14% below	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Othr Specimn Aerobic	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Genital	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Labcorp Cul Bact Xcpt Urine Blood/Stool Aerobic Isol	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Tissue Aerobic	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Wound Aerobic	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Bronchial	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bordetella Pertussis	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Tracheal	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Burn Cult-Swab Aerobic	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Body Fluid	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Burn Cult-Biop	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF Cult	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Decubitus Culture	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial Culture	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Misc	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Cult	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Throat	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Nasopharynx	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Rectal	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Eye	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture	$40.64	$254.00	$10.58–$9.92	40% above	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ej Ref Lab Aerobic/Anaerobic Culture	$150.88	$943.00	$10.58–$943.00	419% above	84%
Basic metabolic panel (blood test) CPT 80048 Ej Yellow Fever Basic Metabolic Panel (Bmp)	$40.64	$254.00	$10.39–$9.73	22% above	84%
Basic metabolic panel (blood test) CPT 80048 Blood Test Basic Group of Blood Chemicals	$57.28	$358.00	$10.39–$9.73	72% above	84%
Basic metabolic panel (blood test) CPT 80048 HC Metabolic Panel Total Ca	$57.28	$358.00	$10.39–$9.73	72% above	84%
Bilirubin blood test, total CPT 82247 Bilirubin Level	$20.32	$127.00	$11.30–$97.16	23% above	84%
Bilirubin blood test, total CPT 82247 Baylor Genetics Lab Bilirubin Total	$20.32	$127.00	$11.30–$97.16	23% above	84%
Bilirubin blood test, total CPT 82247 Arup-Bilirubin	$20.32	$127.00	$11.30–$97.16	23% above	84%
Bilirubin blood test, total CPT 82247 Labcorp Bilirubin Total	$20.32	$127.00	$11.30–$97.16	23% above	84%
Bilirubin blood test, total CPT 82247 Bilirubin Fld	$20.32	$127.00	$11.30–$97.16	23% above	84%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Ej Ref Lab G&M Level IV; 2 Slides Blocks	$32.64	$204.00	$156.06–$96.70	60% below	84%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Prostate Needle Biopsy Any Method	$79.36	$496.00	$148.80–$95.58	3% below	84%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Examination of Tissue Using a Microscope Intermediate Complexity	$79.36	$496.00	$148.80–$96.61	3% below	84%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Arup Kidney Biopsy Level IV Exam	$79.36	$496.00	$148.80–$96.61	3% below	84%
Blood culture for bacteria CPT 87040 Cult Bact Blood	$40.64	$254.00	$10.32–$76.20	10% below	84%
Blood culture for bacteria CPT 87040 Blood Culture Adults/Peds	$40.64	$254.00	$10.32–$76.20	10% below	84%
Blood culture for bacteria CPT 87040 Blood Culture	$40.64	$254.00	$10.32–$76.20	10% below	84%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Draw Venipuncture	$6.08	$38.00	$11.40–$9.54	26% below	84%
Blood glucose (sugar) test CPT 82947 Glucose - 1 HR OB Challenge	$15.84	$99.00	$19.08–$99.00	13% above	84%
Blood glucose (sugar) test CPT 82947 Glucose-Serum	$15.84	$99.00	$19.08–$99.00	13% above	84%
Blood glucose (sugar) test CPT 82947 Resp Glucose	$15.84	$99.00	$19.08–$99.00	13% above	84%
Blood glucose (sugar) test CPT 82947 POCT Glucose	$15.84	$99.00	$19.08–$99.00	13% above	84%
Blood glucose (sugar) test CPT 82947 Baylor Genetics Lab Assay Glucose Blood Quant Xcpt Reagent Strip	$15.84	$99.00	$19.08–$99.00	13% above	84%
Blood glucose (sugar) test CPT 82947 Blood Glucose (Sugar) Level	$15.84	$99.00	$19.08–$99.00	13% above	84%
Blood glucose (sugar) test CPT 82947 Glucose - 2hr Pp	$15.84	$99.00	$19.08–$99.00	13% above	84%
Blood glucose (sugar) test CPT 82947 Mng Glucose CSF (Nc10)	$15.84	$99.00	$19.08–$99.00	13% above	84%
Blood glucose (sugar) test CPT 82947 Ej Ref Lab Glucose Tolerance Fasting	$52.64	$329.00	$155.95–$98.70	276% above	84%
Blood glucose (sugar) test CPT 82947 Ej Ref Lab Glucose Serum	$52.64	$329.00	$155.95–$98.70	276% above	84%
Blood glucose (sugar) test CPT 82947 Ej Ref Lab Assay Glucose Blood Quant	$52.64	$329.00	$155.95–$98.70	276% above	84%
Blood glucose (sugar) test CPT 82947 Ej Ref Lab Wbp Glu	$52.64	$329.00	$155.95–$98.70	276% above	84%
Blood lead test CPT 83655 Ej Ref Lab Lead Level	$11.68	$73.00	$12.11–$73.00	59% below	84%
Blood lead test CPT 83655 Lead Blood	$35.52	$222.00	$105.23–$66.60	26% above	84%
Blood lead test CPT 83655 NonIntefaced Lead Urine	$35.52	$222.00	$105.23–$66.60	26% above	84%
Blood lead test CPT 83655 Lead Capillary	$35.52	$222.00	$105.23–$66.60	26% above	84%
Blood lead test CPT 83655 Arup Lead Whole Blood	$35.52	$222.00	$105.23–$66.60	26% above	84%
Blood lead test CPT 83655 Labcorp Lead Whole Blood	$35.52	$222.00	$105.23–$66.60	26% above	84%
Blood lead test CPT 83655 Labcorp Lead Blood	$35.52	$222.00	$105.23–$66.60	26% above	84%
Blood lead test CPT 83655 Labcorp Lead	$35.52	$222.00	$105.23–$66.60	26% above	84%
Blood lead test CPT 83655 Lead Level	$35.52	$222.00	$105.23–$66.60	26% above	84%
Blood lead test CPT 83655 Arup Lead Urine	$35.52	$222.00	$105.23–$66.60	26% above	84%
Blood lead test CPT 83655 Labcorp Lead Urine	$35.52	$222.00	$105.23–$66.60	26% above	84%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (Reproductive Hormone) Analysis	$43.04	$269.00	$10.86–$9.23	37% above	84%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group Typing (Abo)	$27.84	$174.00	$103.16–$82.48	39% below	84%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ej Ref Lab Blood Typing Abo	$59.04	$369.00	$103.16–$71.11	29% above	84%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Level to Assess Kidney Function	$19.36	$121.00	$108.90–$92.57	21% above	84%
Blood urea nitrogen (BUN) test CPT 84520 Arup Bun Serum	$19.36	$121.00	$108.90–$92.57	21% above	84%
Blood urea nitrogen (BUN) test CPT 84520 POCT Bun	$19.36	$121.00	$108.90–$92.57	21% above	84%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Fluid	$19.36	$121.00	$108.90–$92.57	21% above	84%
Blood urea nitrogen (BUN) test CPT 84520 Bun Serum	$19.36	$121.00	$108.90–$92.57	21% above	84%
C-peptide blood test CPT 84681 Ej Ref Lab C-Peptide	$14.24	$89.00	$10.27–$89.00	74% below	84%
C-peptide blood test CPT 84681 C-Peptide	$26.72	$167.00	$127.76–$79.16	52% below	84%
C-peptide blood test CPT 84681 Labcorp C-Peptide	$26.72	$167.00	$127.76–$79.16	52% below	84%
C-peptide blood test CPT 84681 C-Peptide (Protein) Level	$26.72	$167.00	$127.76–$79.16	52% below	84%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Ibd Crp Sendout	$25.28	$158.00	$10.12–$9.32	9% above	84%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-Reactive Protein for Detection of Infection or Inflammation	$25.28	$158.00	$10.12–$9.32	9% above	84%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Labcorp C-Reactive Protein	$25.28	$158.00	$10.12–$9.32	9% above	84%
C. difficile toxin gene test (stool PCR) CPT 87493 Arup C Difficile by Pcr	$54.24	$339.00	$101.70–$83.86	21% below	84%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection Test for Clostridium Difficile	$54.24	$339.00	$101.70–$83.86	21% below	84%
C. difficile toxin gene test (stool PCR) CPT 87493 Amp Probe Detect Inf Agt Nuc Acid	$54.24	$339.00	$101.70–$83.86	21% below	84%
C. difficile toxin gene test (stool PCR) CPT 87493 Labcorp Inf Agent Det Nucleic Acid Clostridium Amp Probe	$54.24	$339.00	$101.70–$83.86	21% below	84%
CA 19-9 blood test (tumor marker) CPT 86301 Ej Ref Lab Ca 19-9	$19.20	$120.00	$108.00–$91.80	61% below	84%
CA 19-9 blood test (tumor marker) CPT 86301 Labcorp Ca 19 9	$60.64	$379.00	$113.70–$73.03	24% above	84%
CA 19-9 blood test (tumor marker) CPT 86301 Cancer Ag 19-9 Body Fluid	$60.64	$379.00	$113.70–$73.03	24% above	84%
CA 19-9 blood test (tumor marker) CPT 86301 Arup-Cancer Ag 19-9 Body Fluid	$60.64	$379.00	$113.70–$73.03	24% above	84%
CA 19-9 blood test (tumor marker) CPT 86301 Ca-19-9	$60.64	$379.00	$113.70–$73.03	24% above	84%
CA 19-9 blood test (tumor marker) CPT 86301 Omega-Cancer Ag Ca 19-9	$61.12	$382.00	$114.60–$73.61	25% above	84%
CA 19-9 blood test (tumor marker) CPT 86301 Mayo Ca 19-19 Pancreatic Cyst Fluid	$128.00	$800.00	$154.16–$800.00	163% above	84%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 Body Fluid	$72.16	$451.00	$135.30–$86.91	39% above	84%
CA-125 blood test (ovarian cancer marker) CPT 86304 Labcorp Ca 125	$72.16	$451.00	$135.30–$86.91	39% above	84%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125	$72.16	$451.00	$135.30–$86.91	39% above	84%
CA-125 blood test (ovarian cancer marker) CPT 86304 Omega-Cancer Antigen 125	$72.16	$451.00	$135.30–$86.91	39% above	84%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Ej Ref Lab Covid-19 Pcr Quest	$8.96	$56.00	$10.79–$92.36	88% below	84%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2/Covid-19 (Convid19pcr) Non-Cdc	$27.52	$172.00	$115.45–$92.36	62% below	84%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Ia Dna/Rna Sars-Cov-2 Covid-19 Amp Prbe Teq	$48.00	$300.00	$115.45–$92.36	34% below	84%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Arup Covid19 Ia Dna/Rna Amp Prbe Teq	$50.40	$315.00	$115.45–$94.50	30% below	84%
Calcium blood test, total CPT 82310 Calcium Serum	$15.52	$97.00	$10.08–$97.00	18% below	84%
Calcium blood test, total CPT 82310 Calcium Total Body Fluid	$15.52	$97.00	$10.08–$97.00	18% below	84%
Calcium blood test, total CPT 82310 Calcium Level	$15.52	$97.00	$10.08–$97.00	18% below	84%
Calcium blood test, total CPT 82310 Ej Ref Lab Calcium Random Urine	$37.76	$236.00	$10.08–$9.29	100% above	84%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea Carcinoembryonic Antigen	$53.60	$335.00	$100.50–$64.55	9% below	84%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (Cea) Protein Level	$53.60	$335.00	$100.50–$64.55	9% below	84%
Carcinoembryonic antigen (CEA) test CPT 82378 Labcorp Cea Carcinoembryonic Antig	$53.60	$335.00	$100.50–$64.55	9% below	84%
Carcinoembryonic antigen (CEA) test CPT 82378 Interpace Lab Carcinoembryonic Antigen (Cea) Protein Level	$56.96	$356.00	$106.80–$68.60	3% below	84%
Carcinoembryonic antigen (CEA) test CPT 82378 Ej Ref Lab Carcinoembryonic Antigen (Cea) Protein Level	$92.80	$580.00	$111.77–$580.00	57% above	84%
Carcinoembryonic antigen (CEA) test CPT 82378 Labcorp Carcinoembryonic Antigen (Cea) Protein Level	$92.80	$580.00	$111.77–$580.00	57% above	84%
Chickenpox (varicella) immunity blood test CPT 86787 Ej Ref Lab Varicella-Zoster Virus Antibody (Igm)	$7.52	$47.00	$12.88–$9.06	80% below	84%
Chickenpox (varicella) immunity blood test CPT 86787 Ej Ref Lab Varicella Zoster Antibody Igg	$7.52	$47.00	$12.88–$9.06	80% below	84%
Chickenpox (varicella) immunity blood test CPT 86787 Labcorp Varicella Zoster Antibody Igg	$25.60	$160.00	$12.88–$75.84	32% below	84%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Antibody Igm	$25.60	$160.00	$12.88–$75.84	32% below	84%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IgG	$25.60	$160.00	$12.88–$75.84	32% below	84%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Igm CSF	$25.60	$160.00	$12.88–$75.84	32% below	84%
Chickenpox (varicella) immunity blood test CPT 86787 Analysis for Antibody to Varicella-Zoster Virus (Chicken Pox)	$25.60	$160.00	$12.88–$75.84	32% below	84%
Chickenpox (varicella) immunity blood test CPT 86787 Omega-Var Zos Igg	$25.60	$160.00	$12.88–$75.84	32% below	84%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Igg CSF	$25.60	$160.00	$12.88–$75.84	32% below	84%
Chickenpox (varicella) immunity blood test CPT 86787 Labcorp Varicella Zoster Antibody Qnt (Chickenpox)	$27.20	$170.00	$12.88–$80.58	28% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Omega-Ctrach Dna Probe	$32.96	$206.00	$157.59–$97.64	44% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Omega-Nuc Acid Chlamydia Trach	$42.88	$268.00	$127.03–$80.40	27% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Amplified Detection	$42.88	$268.00	$127.03–$80.40	27% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Labcorp Gc Chlamydia Naa Sendout	$42.88	$268.00	$127.03–$80.40	27% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection Test for Chlamydia	$42.88	$268.00	$127.03–$80.40	27% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Labcorp Chlamydia CT Ng Trich Vaginals by Nna 183160	$42.88	$268.00	$127.03–$80.40	27% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Omega-C Trach N Gonn Dna Probe	$42.88	$268.00	$127.03–$80.40	27% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Labcorp Neisseria Gonorrhoeae Naa Sendout	$42.88	$268.00	$127.03–$80.40	27% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ej Ref Lab Chlamydia Trachomatis Amplified Dna	$111.36	$696.00	$134.12–$78.95	90% above	84%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood Test Lipids (Cholesterol and Triglycerides)	$45.60	$285.00	$13.39–$85.50	7% below	84%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Labcorp Lipid Panel	$45.60	$285.00	$13.39–$85.50	7% below	84%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Cell Count Automated Test	$41.12	$257.00	$10.62–$9.55	54% above	84%
Complete blood count (CBC), no differential CPT 85027 Complete Blood Cell Count Automated Test	$27.68	$173.00	$10.83–$9.71	1% below	84%
Comprehensive metabolic panel (blood test) CPT 80053 Tulane Comprehensive Metabolic Panel Sendout	$66.72	$417.00	$10.56–$80.36	10% below	84%
Comprehensive metabolic panel (blood test) CPT 80053 Blood Test Comprehensive Group of Blood Chemicals	$87.04	$544.00	$10.56–$544.00	17% above	84%
Cortisol blood test, total CPT 82533 Ej Ref Lab Cortisol 8am Post Dexamethasone	$17.60	$110.00	$110.00–$99.00	54% below	84%
Cortisol blood test, total CPT 82533 Ej Ref Lab GI Cortrosyn Stimulation Test	$17.60	$110.00	$110.00–$99.00	54% below	84%
Cortisol blood test, total CPT 82533 Arup-Cortisol Saliva	$62.72	$392.00	$117.60–$75.54	64% above	84%
Cortisol blood test, total CPT 82533 Labcorp Cortisol Lc/Ms	$62.72	$392.00	$117.60–$75.54	64% above	84%
Cortisol blood test, total CPT 82533 Labcorp Cortisol Pm	$62.72	$392.00	$117.60–$75.54	64% above	84%
Cortisol blood test, total CPT 82533 Cortisol Total Serum	$62.72	$392.00	$117.60–$75.54	64% above	84%
Cortisol blood test, total CPT 82533 Cortisol Total	$62.72	$392.00	$117.60–$75.54	64% above	84%
Cortisol blood test, total CPT 82533 Cortisol Pm	$62.72	$392.00	$117.60–$75.54	64% above	84%
Cortisol blood test, total CPT 82533 Cortisol (Hormone) Measurement	$62.72	$392.00	$117.60–$75.54	64% above	84%
Cortisol blood test, total CPT 82533 Labcorp Cortisol Am	$62.72	$392.00	$117.60–$75.54	64% above	84%
Cortisol blood test, total CPT 82533 Baylor Genetics Lab Cortisol Total	$62.72	$392.00	$117.60–$75.54	64% above	84%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (Cardiac Enzyme) Level	$23.36	$146.00	$10.90–$9.77	5% above	84%
Creatine kinase (CK) blood test, total CPT 82550 Labcorp Creatine Kinase (Cpk)	$23.36	$146.00	$10.90–$9.77	5% above	84%
Creatine kinase (CK) blood test, total CPT 82550 Ej Ref Lab Assay of CK (Cpk)	$59.68	$373.00	$10.90–$9.77	169% above	84%
Creatinine blood test CPT 82565 Baylor Genetics Lab Assay Creatinine Blood	$20.16	$126.00	$10.00–$96.39	15% above	84%
Creatinine blood test CPT 82565 POCT Creatinine Blood	$20.16	$126.00	$10.00–$96.39	15% above	84%
Creatinine blood test CPT 82565 Creatinine W Glomerl Filt Rate	$20.16	$126.00	$10.00–$96.39	15% above	84%
Creatinine blood test CPT 82565 Creatinine; Blood	$20.16	$126.00	$10.00–$96.39	15% above	84%
Creatinine blood test CPT 82565 Blood Creatinine Level	$20.16	$126.00	$10.00–$96.39	15% above	84%
Creatinine blood test CPT 82565 Ej Ref Lab Creatinine & Gfr Panel	$45.12	$282.00	$10.00–$9.22	158% above	84%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Ab Igg	$12.00	$75.00	$14.39–$75.00	68% below	84%
Cytomegalovirus (CMV) antibody test CPT 86644 Omega-Cmv Igg	$12.00	$75.00	$14.39–$75.00	68% below	84%
Cytomegalovirus (CMV) antibody test CPT 86644 Arup-Cmv Antibody Igg	$12.00	$75.00	$14.39–$75.00	68% below	84%
Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for Antibody to Cytomegalovirus (Cmv) Igg	$12.00	$75.00	$14.39–$75.00	68% below	84%
Cytomegalovirus (CMV) antibody test CPT 86644 Antib Cytomegalovirus	$12.00	$75.00	$14.39–$75.00	68% below	84%
Cytomegalovirus (CMV) antibody test CPT 86644 Labcorp Cytomegalovirus Ab Igg	$12.00	$75.00	$14.39–$75.00	68% below	84%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Antibody	$12.00	$75.00	$14.39–$75.00	68% below	84%
Cytomegalovirus (CMV) antibody test CPT 86644 Torch Cytomegalovirus Ab	$12.00	$75.00	$14.39–$75.00	68% below	84%
Cytomegalovirus (CMV) antibody test CPT 86644 Ej Ref Lab Cytomegalovirus Antibody Igg	$89.44	$559.00	$107.72–$559.00	142% above	84%
Cytomegalovirus (CMV) antibody test CPT 86644 Labcorp Cmv Ab	$89.44	$559.00	$107.72–$559.00	142% above	84%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation Function Measurement	$26.56	$166.00	$10.18–$78.68	46% below	84%
DHEA sulfate (DHEA-S) blood test CPT 82627 Ej Ref Lab Dhea Sulfate	$16.00	$100.00	$100.00–$90.00	72% below	84%
DHEA sulfate (DHEA-S) blood test CPT 82627 Thiopurine Methyltransferase	$58.24	$364.00	$109.20–$70.14	1% above	84%
DHEA sulfate (DHEA-S) blood test CPT 82627 Labcorp Dhea-S	$58.24	$364.00	$109.20–$70.14	1% above	84%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea Sulfate Test	$58.24	$364.00	$109.20–$70.14	1% above	84%
DHEA sulfate (DHEA-S) blood test CPT 82627 Arup Dhea-Sulfate Dhea	$58.24	$364.00	$109.20–$70.14	1% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Labcorp Drug Screen 10 W/ Conf Wb 700886	$23.68	$148.00	$104.05–$93.21	17% below	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ejgh Ohs Blood Alcohol Test	$32.32	$202.00	$104.05–$95.75	13% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ej Ref Lab Drug Test Prsmv Chem Anlyzr	$32.32	$202.00	$104.05–$95.75	13% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Wjmc Industrial Med Non-Dot Presumptive Drug Screen	$32.96	$206.00	$104.05–$97.64	15% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Wjmc Industrial Med Dot Presumptive Drug Screen	$32.96	$206.00	$104.05–$97.64	15% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Salicylate-Serum	$34.24	$214.00	$101.44–$93.21	20% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup-Buprenorphine Urine Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup-Serum/Plasma Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Ethanol	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Tricyclics	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Propoxyphene	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup Urine Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Cannabinoids	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Acetominophen Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Sgl Routine	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup-Ethyl Glucuronide Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Barbiturates	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Opiates	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Cocaines Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Cannabinoids Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepines Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Labcorp Drug Test Presumptive	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Salicylates Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Scrn Qual Single Class	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Tricyclics Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Scrn Qual Mult Chrom Meth	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Barbiturates Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Methadone	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PCP Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiates Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium-Cocaine	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Amphetamines	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ethanol Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup-Drg Pan 9 Ser/Pla	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NMS DRUG SCREEN-URINE TOXICOLOGY (x3)	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium-Barb	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup-Drg Scrn Prsmptv Class B	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup Flunitrazepam Urine	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup Ghb Screen Urine	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Cocaine	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen PCP	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup Drug Test Presumptive Instrument	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Sgl Oxycodone	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Benzodiazepines	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup-Drg Scrn Class List A	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium-Prep Drug Screen	$34.56	$216.00	$102.38–$93.21	21% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Acetominophen	$38.24	$239.00	$104.05–$93.21	34% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Salicylates	$38.24	$239.00	$104.05–$93.21	34% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Presumptive Drug Screen	$44.64	$279.00	$104.05–$93.21	56% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Abuse Screen	$47.84	$299.00	$104.05–$93.21	67% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Acetaminophen-Tylenol)	$51.04	$319.00	$104.05–$95.70	78% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine	$63.68	$398.00	$104.05–$93.21	123% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup-Drg Scrn Mult Class	$65.76	$411.00	$104.05–$93.21	130% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamines Drug Screen	$102.24	$639.00	$104.05–$93.21	257% above	84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Labcorp Sedative Hypnotic Panel UR 701085	$174.08	$1,088.00	$104.05–$979.20	509% above	84%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 POCT Electrolytes	$45.60	$285.00	$10.12–$85.50	23% above	84%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood Test Panel for Electrolytes	$45.60	$285.00	$10.12–$85.50	23% above	84%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Cap Igg	$48.16	$301.00	$142.67–$90.30	6% below	84%
Epstein-Barr virus (EBV) antibody test CPT 86665 Arup-Ebv Ab Capsid Igg	$48.16	$301.00	$142.67–$90.30	6% below	84%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Cap Igm	$48.16	$301.00	$142.67–$90.30	6% below	84%
Epstein-Barr virus (EBV) antibody test CPT 86665 Labcorp Ebv Ab Vca Igm	$48.16	$301.00	$142.67–$90.30	6% below	84%
Epstein-Barr virus (EBV) antibody test CPT 86665 Arup-Ebv Cap Igm	$48.16	$301.00	$142.67–$90.30	6% below	84%
Epstein-Barr virus (EBV) antibody test CPT 86665 Labcorp Ebv Ab Vca Igg	$48.16	$301.00	$142.67–$90.30	6% below	84%
Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis for Antibody to Epstein-Barr Virus (Mononucleosis Virus)	$48.16	$301.00	$142.67–$90.30	6% below	84%
Estradiol blood test CPT 82670 Labcorp Estradiol; Total	$78.72	$492.00	$147.60–$94.81	38% above	84%
Estradiol blood test CPT 82670 Assay of Estradiol; Total	$78.72	$492.00	$147.60–$94.81	38% above	84%
Estradiol blood test CPT 82670 Arup-Estradiol by Tms; Total	$78.72	$492.00	$147.60–$94.81	38% above	84%
Estradiol blood test CPT 82670 Arup Estradiol Ultrasensitive; Total	$78.72	$492.00	$147.60–$94.81	38% above	84%
Estradiol blood test CPT 82670 Omega-Estradiol Adult Prem Female; Total	$79.20	$495.00	$148.50–$95.39	39% above	84%
Estradiol blood test CPT 82670 Ej Ref Lab Estradiol Level	$90.56	$566.00	$109.07–$62.87	59% above	84%
FSH (follicle-stimulating hormone) test CPT 83001 Ej Ref Lab Follicle Stimulating Hormone Level	$60.80	$380.00	$114.00–$73.23	8% above	84%
FSH (follicle-stimulating hormone) test CPT 83001 Arup Fsh Serum	$62.72	$392.00	$117.60–$75.54	12% above	84%
FSH (follicle-stimulating hormone) test CPT 83001 Labcorp Fsh	$62.72	$392.00	$117.60–$75.54	12% above	84%
FSH (follicle-stimulating hormone) test CPT 83001 Omega-Follicle Stim Hormone	$62.72	$392.00	$117.60–$75.54	12% above	84%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh-Bioassay Urine	$62.72	$392.00	$117.60–$75.54	12% above	84%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin Follicle Stimulating (Reproductive Hormone) Level	$62.72	$392.00	$117.60–$75.54	12% above	84%
Fecal calprotectin (stool inflammation test) CPT 83993 Ej Ref Lab Calprotectin Stool	$19.68	$123.00	$110.70–$94.10	80% below	84%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool Calprotectin (Protein) Level	$99.84	$624.00	$120.24–$624.00	at median	84%
Fecal calprotectin (stool inflammation test) CPT 83993 Assay of Calprotectin Fecal	$99.84	$624.00	$120.24–$624.00	at median	84%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin	$31.04	$194.00	$13.63–$91.96	33% below	84%
Ferritin blood test (iron stores) CPT 82728 Labcorp Ferritin	$31.04	$194.00	$13.63–$91.96	33% below	84%
Ferritin blood test (iron stores) CPT 82728 Ferritin (Blood Protein) Level	$31.04	$194.00	$13.63–$91.96	33% below	84%
Fibrinogen blood test CPT 85384 HC Fibrinogen Activity	$33.44	$209.00	$10.21–$99.07	11% above	84%
Fibrinogen blood test CPT 85384 Fibrinogen (Factor 1) Activity Measurement	$33.44	$209.00	$10.21–$99.07	11% above	84%
Folate (folic acid) blood test CPT 82746 Baylor Genetics Lab Assay Folic Acid Serum	$35.52	$222.00	$105.23–$66.60	10% below	84%
Folate (folic acid) blood test CPT 82746 Folic Acid Level	$35.52	$222.00	$105.23–$66.60	10% below	84%
Folate (folic acid) blood test CPT 82746 Labcorp Folic Acid	$35.52	$222.00	$105.23–$66.60	10% below	84%
Free T3 thyroid hormone test CPT 84481 Ej Ref Lab Triiodothyronine Free	$13.76	$86.00	$12.02–$86.00	68% below	84%
Free T3 thyroid hormone test CPT 84481 Omega-Triiodothyronine Free T3	$64.32	$402.00	$12.02–$77.47	50% above	84%
Free T3 thyroid hormone test CPT 84481 Thyroid Hormone T3 Measurement	$64.32	$402.00	$12.02–$77.47	50% above	84%
Free T3 thyroid hormone test CPT 84481 Labcorp T3 Free	$64.32	$402.00	$12.02–$77.47	50% above	84%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (Thyroid Chemical) Measurement	$33.92	$212.00	$10.38–$9.47	3% below	84%
Free testosterone test CPT 84402 Ej Ref Lab Testosterone Free	$47.04	$294.00	$139.36–$88.20	23% below	84%
Free testosterone test CPT 84402 Labcorp Testosterone Free	$60.00	$375.00	$112.50–$72.26	2% below	84%
Free testosterone test CPT 84402 Testosterone Free	$60.00	$375.00	$112.50–$72.26	2% below	84%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Arup Ggt	$22.88	$143.00	$10.39–$8.84	8% below	84%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Labcorp Ggt (Glutamyltransferase Gamma)	$29.60	$185.00	$10.39–$87.69	19% above	84%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt (Glutamyltransferase Gamma)	$29.60	$185.00	$10.39–$87.69	19% above	84%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$62.24	$389.00	$116.70–$92.43	68% below	84%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood Glucose (Sugar) Level After Receiving Dose of Glucose	$13.76	$86.00	$10.69–$9.28	15% below	84%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Ej Ref Lab Glucose 2 Hr Post 75 Gms	$38.72	$242.00	$10.69–$9.28	139% above	84%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Ej Ref Lab Glucose Gestl 1 Hr Post W/ Glucola	$38.72	$242.00	$10.69–$9.28	139% above	84%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Ej Ref Lab Glucose 1 Hr Post 75 Gms	$38.72	$242.00	$10.69–$9.28	139% above	84%
Glucose tolerance test, 3 samples CPT 82951 Blood Glucose (Sugar) Tolerance Test	$42.56	$266.00	$12.87–$79.80	5% below	84%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Specimens	$42.56	$266.00	$12.87–$79.80	5% below	84%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance Test	$42.56	$266.00	$12.87–$79.80	5% below	84%
Glucose tolerance test, 3 samples CPT 82951 Ej Ref Lab Gestatl Glu 3 Hr 100 Gms	$51.36	$321.00	$12.87–$96.30	15% above	84%
Glucose tolerance test, 3 samples CPT 82951 Ej Ref Lab Glucose Tolerance Test (Gtt) 2 Hrs Gms	$51.36	$321.00	$12.87–$96.30	15% above	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Ej Ref Lab Neisseria Gonorrhoeae Amplified Dna	$18.72	$117.00	$105.30–$89.51	68% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Ej Ref Lab N Gonorrhoeae Amplified Dna	$18.72	$117.00	$105.30–$89.51	68% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Omega-N Gonnorhea Dna Probe	$29.92	$187.00	$143.06–$88.64	49% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc Amplified Detection	$39.04	$244.00	$115.66–$78.95	33% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Omega-Nuc Acid Am Neisseria	$39.68	$248.00	$117.55–$78.95	32% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Labcorp Neisseria Gonorrhoeae Nna 188086	$39.68	$248.00	$117.55–$78.95	32% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection Test for Neisseria Gonorrhoeae (Gonorrhoeae Bacteria)	$39.68	$248.00	$117.55–$78.95	32% below	84%
H. pylori antibody blood test CPT 86677 Labcorp H Pylori Antibody Igm	$54.72	$342.00	$102.60–$65.90	20% above	84%
H. pylori antibody blood test CPT 86677 Labcorp H Pylori Antibody Iga	$54.72	$342.00	$102.60–$65.90	20% above	84%
H. pylori antibody blood test CPT 86677 H Pylori	$54.72	$342.00	$102.60–$65.90	20% above	84%
H. pylori antibody blood test CPT 86677 Analysis for Antibody to Helicobacter Pylori (Gastrointestinal Bacteria)	$54.72	$342.00	$102.60–$65.90	20% above	84%
H. pylori antibody blood test CPT 86677 Labcorp H Pylori Antibody Igg	$54.72	$342.00	$102.60–$65.90	20% above	84%
H. pylori stool antigen test CPT 87338 Ej Ref Lab Helicobacter Pylori Stool Antigen	$38.56	$241.00	$114.23–$72.30	37% below	84%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori Antigen Infectious Agent Tech Stool	$52.00	$325.00	$14.38–$97.50	16% below	84%
H. pylori stool antigen test CPT 87338 Labcorp Iaad Ia Hpylori Stool	$52.00	$325.00	$14.38–$97.50	16% below	84%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Arup Hiv-1 Quantification Nucleic Acid Probe	$124.64	$779.00	$104.48–$97.92	28% below	84%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv 1 Quantification Nucleic Acid Probe	$124.64	$779.00	$104.48–$97.92	28% below	84%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Labcorp Hiv1 Qnt Pcr	$124.64	$779.00	$104.48–$97.92	28% below	84%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Ej Ref Lab Hiv 1 Rna Quantitative Pcr Ultra	$311.84	$1,949.00	$104.48–$97.92	81% above	84%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for Antibody to Hiv-1 and Hiv-2 Virus	$49.76	$311.00	$12.87–$93.30	68% above	84%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1 and 2 Combo by Wb	$49.76	$311.00	$12.87–$93.30	68% above	84%
HIV-1 and HIV-2 antibody test CPT 86703 Arup Hiv1-2 W/Rflx Hiv 1 Western Blot	$49.76	$311.00	$12.87–$93.30	68% above	84%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv Rapid 1 and 2 Combo	$50.08	$313.00	$12.87–$93.90	69% above	84%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Labcorp Hiv 1 Ag W/Hiv 1 2 Ab Immunoassay Technique	$36.48	$228.00	$108.07–$68.40	24% below	84%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W Hiv1/2 Ab Immunoassay Technique	$36.48	$228.00	$108.07–$68.40	24% below	84%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ab 1&2 Grant Charge	$36.48	$228.00	$108.07–$68.40	24% below	84%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Omega-Hiv 1 2 Ab P24ag	$36.48	$228.00	$108.07–$68.40	24% below	84%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Omega-Hiv Ag/Ab	$36.48	$228.00	$108.07–$68.40	24% below	84%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Arup-Hiv Combo Ag/Ab	$40.64	$254.00	$120.40–$76.20	16% below	84%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection Test for Hiv-1 and Hiv-2	$40.64	$254.00	$120.40–$76.20	16% below	84%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Ej Ref Lab Hiv 1 & 2 Ag Ab 4th Gen	$149.60	$935.00	$14.16–$935.00	211% above	84%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection Test for Human Papillomavirus (Hpv)	$36.48	$228.00	$108.07–$78.95	31% below	84%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Ej Ref Lab Hpv Dna High Risk Pooled Result	$46.88	$293.00	$138.88–$87.90	11% below	84%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Ej Ref Lab High Risk Hpv Pooled Result	$46.88	$293.00	$138.88–$87.90	11% below	84%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Arup-Hemoglobin A1c	$32.80	$205.00	$10.20–$97.17	at median	84%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Labcorp Hemoglobin Glycosylated A1c	$37.12	$232.00	$10.20–$9.71	13% above	84%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$37.12	$232.00	$10.20–$9.71	13% above	84%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c Level	$37.12	$232.00	$10.20–$9.71	13% above	84%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 POCT Hemoglobin A1c	$37.12	$232.00	$10.20–$9.71	13% above	84%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Ej Ref Lab Hemoglobin Glycosylated A1c	$74.24	$464.00	$10.20–$9.71	126% above	84%
Hemoglobin blood test CPT 85018 POCT Hemoglobin	$3.52	$22.00	$10.43–$6.60	66% below	84%
Hemoglobin blood test CPT 85018 Hemoglobin Body Fluid	$3.52	$22.00	$10.43–$6.60	66% below	84%
Hemoglobin blood test CPT 85018 Hemoglobin Measurement	$3.52	$22.00	$10.43–$6.60	66% below	84%
Hemoglobin blood test CPT 85018 HC Hemoglobin	$24.00	$150.00	$114.75–$71.10	131% above	84%
Hemoglobin blood test CPT 85018 Resp Hemoglobin	$24.00	$150.00	$114.75–$71.10	131% above	84%
Hemoglobin blood test CPT 85018 Ej Ref Lab Hemoglobin	$33.28	$208.00	$159.12–$98.59	220% above	84%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody Total	$21.92	$137.00	$104.81–$64.94	24% below	84%
Hepatitis B core antibody test (total) CPT 86704 Labcorp Hepatitis B Core Antibody Total	$32.80	$205.00	$12.05–$97.17	14% above	84%
Hepatitis B core antibody test (total) CPT 86704 Ej Ref Lab Hepatitis B Core Antibody	$58.40	$365.00	$109.50–$70.34	102% above	84%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Labcorp Hep B Surface Ab	$24.00	$150.00	$10.74–$71.10	16% below	84%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Measurement	$33.60	$210.00	$10.74–$99.54	17% above	84%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Omega Hepatitis B Surface Antigen	$40.32	$252.00	$10.33–$75.60	10% above	84%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection Test for Hepatitis B Surface Antigen	$40.32	$252.00	$10.33–$75.60	10% above	84%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag	$40.32	$252.00	$10.33–$75.60	10% above	84%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Ej Ref Lab Hepatitis B Surface Antigen	$56.32	$352.00	$10.33–$67.83	54% above	84%
Hepatitis C antibody blood test (screening) CPT 86803 Ej Ref Lab Hepatitis C Ab Test	$13.60	$85.00	$14.27–$85.00	71% below	84%
Hepatitis C antibody blood test (screening) CPT 86803 Labcorp Hepatitis C Ab	$56.32	$352.00	$105.60–$83.43	21% above	84%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Measurement	$56.32	$352.00	$105.60–$83.43	21% above	84%
Hepatitis C antibody blood test (screening) CPT 86803 Omega Hepatitis C Ab	$56.32	$352.00	$105.60–$83.43	21% above	84%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Ab Grant Charge	$56.32	$352.00	$105.60–$83.43	21% above	84%
Hepatitis C antibody blood test (screening) CPT 86803 Arup Hepatitis C Ab	$56.32	$352.00	$105.60–$83.43	21% above	84%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Quantative Nucleic Acid Probe	$127.84	$799.00	$153.97–$96.39	9% above	84%
Hepatitis C viral load (HCV RNA) test CPT 87522 Labcorp Iadna Hepatitis C Quant & Reverse Transcription	$127.84	$799.00	$153.97–$96.39	9% above	84%
Hepatitis C viral load (HCV RNA) test CPT 87522 Ej Ref Lab Hcv Rna Quant Real Time Pcr	$393.28	$2,458.00	$1,165.09–$96.39	235% above	84%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 Ab	$23.52	$147.00	$112.46–$69.68	10% below	84%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for Antibody to Herpes Simplex Virus Type 1	$23.52	$147.00	$112.46–$69.68	10% below	84%
Herpes blood test, HSV-1 antibody CPT 86695 Labcorp Hsv 1 Ab Igg	$23.52	$147.00	$112.46–$69.68	10% below	84%
Herpes blood test, HSV-1 antibody CPT 86695 Ej Ref Lab Herpes Simplex Type 1 Test	$93.28	$583.00	$112.34–$583.00	257% above	84%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2 Antibody	$31.04	$194.00	$148.41–$91.96	30% below	84%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for Antibody to Herpes Simplex Virus Type 2	$31.04	$194.00	$148.41–$91.96	30% below	84%
Herpes blood test, HSV-2 antibody CPT 86696 Labcorp Herpes Simplex Type 2 Antibody	$31.04	$194.00	$148.41–$91.96	30% below	84%
Herpes blood test, HSV-2 antibody CPT 86696 Labcorp Hsv 2 Ab Igg	$31.04	$194.00	$148.41–$91.96	30% below	84%
Herpes blood test, HSV-2 antibody CPT 86696 Ej Ref Lab Herpes Simplex Type 2 Test	$45.28	$283.00	$134.14–$84.90	2% above	84%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-Reactive Protein for Detection of Infection or Inflammation	$25.28	$158.00	$12.95–$74.89	42% below	84%
High-sensitivity CRP (hs-CRP) test CPT 86141 Labcorp C-Reactive Protein High Sensitivity	$25.28	$158.00	$12.95–$74.89	42% below	84%
Homocysteine blood test CPT 83090 Labcorp Homocystein	$43.04	$269.00	$127.51–$80.70	25% below	84%
Homocysteine blood test CPT 83090 Homocysteine	$43.04	$269.00	$127.51–$80.70	25% below	84%
Homocysteine blood test CPT 83090 Ej Ref Lab Homocysteine	$53.44	$334.00	$100.20–$64.36	6% below	84%
Insulin blood test CPT 83525 Ej Ref Lab Cardio Iq Insulin	$11.68	$73.00	$11.43–$73.00	65% below	84%
Insulin blood test CPT 83525 Ej Ref Lab Insulin Level	$11.68	$73.00	$11.43–$73.00	65% below	84%
Insulin blood test CPT 83525 Labcorp Assay of Insulin Total	$26.08	$163.00	$11.43–$77.26	21% below	84%
Insulin blood test CPT 83525 Insulin Fasting Test	$26.08	$163.00	$11.43–$77.26	21% below	84%
Insulin blood test CPT 83525 Labcorp Insulin Fasting	$26.08	$163.00	$11.43–$77.26	21% below	84%
Insulin blood test CPT 83525 Insulin Random Test	$26.08	$163.00	$11.43–$77.26	21% below	84%
Insulin blood test CPT 83525 Insulin Measurement	$26.08	$163.00	$11.43–$77.26	21% below	84%
Insulin blood test CPT 83525 Arup Insulin Fasting	$26.08	$163.00	$11.43–$77.26	21% below	84%
Iron blood test (serum iron) CPT 83540 Iron Liver Tissue	$20.80	$130.00	$10.83–$99.45	4% below	84%
Iron blood test (serum iron) CPT 83540 Arup Iron	$20.80	$130.00	$10.83–$99.45	4% below	84%
Iron blood test (serum iron) CPT 83540 Labcorp Iron	$20.80	$130.00	$10.83–$99.45	4% below	84%
Iron blood test (serum iron) CPT 83540 Iron 24hr Urine	$20.80	$130.00	$10.83–$99.45	4% below	84%
Iron blood test (serum iron) CPT 83540 Iron Serum	$20.80	$130.00	$10.83–$99.45	4% below	84%
Iron blood test (serum iron) CPT 83540 Omega-Iron	$20.80	$130.00	$10.83–$99.45	4% below	84%
Iron-binding capacity (TIBC) test CPT 83550 Arup Iron Binding Capacity	$18.56	$116.00	$10.06–$9.18	42% below	84%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$18.56	$116.00	$10.06–$9.18	42% below	84%
Iron-binding capacity (TIBC) test CPT 83550 Labcorp Iron Binding Capacity	$18.56	$116.00	$10.06–$9.18	42% below	84%
Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel	$62.08	$388.00	$10.67–$9.99	14% above	84%
LH (luteinizing hormone) test CPT 83002 Ej Ref Lab Luteinizing Hormone	$58.72	$367.00	$110.10–$70.72	9% above	84%
LH (luteinizing hormone) test CPT 83002 Gonadotropin Luteinizing (Reproductive Hormone) Level	$60.00	$375.00	$112.50–$72.26	11% above	84%
LH (luteinizing hormone) test CPT 83002 Arup Lutenizing Hormone	$60.00	$375.00	$112.50–$72.26	11% above	84%
LH (luteinizing hormone) test CPT 83002 Labcorp Luteinizing Hormone	$60.00	$375.00	$112.50–$72.26	11% above	84%
LH (luteinizing hormone) test CPT 83002 Omega-Luteinizing Hormone	$60.00	$375.00	$112.50–$72.26	11% above	84%
Lactate (lactic acid) blood test CPT 83605 Resp Lactic Acid	$15.84	$99.00	$11.57–$99.00	43% below	84%
Lactate (lactic acid) blood test CPT 83605 Hayward Gen Organic Acids UR (Lactic Acid)	$26.72	$167.00	$11.57–$79.16	4% below	84%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Level	$26.72	$167.00	$11.57–$79.16	4% below	84%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Body Fluid	$26.72	$167.00	$11.57–$79.16	4% below	84%
Lactate (lactic acid) blood test CPT 83605 Mng Lab Lactate (CSF)	$26.72	$167.00	$11.57–$79.16	4% below	84%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid	$26.72	$167.00	$11.57–$79.16	4% below	84%
Lactate (lactic acid) blood test CPT 83605 Arup-Lactic Acid Body Fluid	$26.72	$167.00	$11.57–$79.16	4% below	84%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid CSF	$26.72	$167.00	$11.57–$79.16	4% below	84%
Lactate (lactic acid) blood test CPT 83605 Baylor Genetics Lab Assay Lactic/Lactate Acid	$26.72	$167.00	$11.57–$79.16	4% below	84%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Levelpoct	$26.72	$167.00	$11.57–$79.16	4% below	84%
Lactate (lactic acid) blood test CPT 83605 Lactate CSF	$36.00	$225.00	$106.65–$67.50	29% above	84%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh CSF	$19.52	$122.00	$10.11–$93.33	6% below	84%
Lactate dehydrogenase (LDH) blood test CPT 83615 Labcorp Lactate Dehydrogenase (Ldh)	$19.52	$122.00	$10.11–$93.33	6% below	84%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase (Enzyme) Level (Ldh)	$19.52	$122.00	$10.11–$93.33	6% below	84%
Lactate dehydrogenase (LDH) blood test CPT 83615 Arup Ld Blood	$19.52	$122.00	$10.11–$93.33	6% below	84%
Lactate dehydrogenase (LDH) blood test CPT 83615 Arup Ldh	$19.52	$122.00	$10.11–$93.33	6% below	84%
Lactate dehydrogenase (LDH) blood test CPT 83615 Labcorp Ld Blood	$19.52	$122.00	$10.11–$93.33	6% below	84%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh-Blood	$19.52	$122.00	$10.11–$93.33	6% below	84%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ej Ref Lab Lactate (Ld) (Ldh) Enzyme	$55.20	$345.00	$10.11–$9.06	165% above	84%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid	$29.28	$183.00	$10.06–$9.95	17% above	84%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Serum	$29.28	$183.00	$10.06–$9.95	17% above	84%
Lipase blood test (pancreas enzyme) CPT 83690 Joli Diag. Pancreatic Enzyme Anal Lipase	$29.28	$183.00	$10.06–$9.95	17% above	84%
Lipase blood test (pancreas enzyme) CPT 83690 Labcorp Lipase	$29.28	$183.00	$10.06–$9.95	17% above	84%
Liver function blood test panel CPT 80076 Liver Function Blood Test Panel	$64.80	$405.00	$10.03–$9.40	27% above	84%
Lyme disease antibody test CPT 86618 Ej Ref Lab Lyme Disease Antibody	$13.12	$82.00	$15.80–$82.00	74% below	84%
Lyme disease antibody test CPT 86618 Arup Lyme Disease Ab	$41.12	$257.00	$121.82–$77.10	19% below	84%
Lyme disease antibody test CPT 86618 Arup Lyme Disease Ab CSF	$41.12	$257.00	$121.82–$77.10	19% below	84%
Lyme disease antibody test CPT 86618 Labcorp Lyme Disease Antibody	$41.12	$257.00	$121.82–$77.10	19% below	84%
Magnesium blood test CPT 83735 Omega-Magnesium Urine	$21.44	$134.00	$10.05–$9.78	3% below	84%
Magnesium blood test CPT 83735 HC Assay of Magnesium	$21.44	$134.00	$10.05–$9.78	3% below	84%
Magnesium blood test CPT 83735 Magnesium Serum	$21.44	$134.00	$10.05–$9.78	3% below	84%
Magnesium blood test CPT 83735 Magnesium Fecal	$21.44	$134.00	$10.05–$9.78	3% below	84%
Magnesium blood test CPT 83735 Magnesium RBC	$21.44	$134.00	$10.05–$9.78	3% below	84%
Magnesium blood test CPT 83735 Labcorp Magnesium Urine	$21.44	$134.00	$10.05–$9.78	3% below	84%
Magnesium blood test CPT 83735 Magnesium Urine	$21.44	$134.00	$10.05–$9.78	3% below	84%
Magnesium blood test CPT 83735 Ej Ref Lab Magnesium RBC	$73.92	$462.00	$10.05–$9.78	234% above	84%
Measles (rubeola) antibody test CPT 86765 Ej Ref Lab Rubeola Igg Eia	$13.28	$83.00	$12.88–$83.00	57% below	84%
Measles (rubeola) antibody test CPT 86765 Labcorp Measles (Rubeola) Antibodies Igm 160178	$14.24	$89.00	$12.88–$89.00	54% below	84%
Measles (rubeola) antibody test CPT 86765 Rubeloa Ab Igg	$31.04	$194.00	$12.88–$91.96	at median	84%
Measles (rubeola) antibody test CPT 86765 Labcorp Rubeola Ab Igg	$32.64	$204.00	$12.88–$96.70	6% above	84%
Measles (rubeola) antibody test CPT 86765 Rubeola Antibody Igg	$32.64	$204.00	$12.88–$96.70	6% above	84%
Measles (rubeola) antibody test CPT 86765 Omega-Measles Rubeola Ab Igg	$33.12	$207.00	$12.88–$98.12	7% above	84%
Measles (rubeola) antibody test CPT 86765 Rubelola Ab	$33.12	$207.00	$12.88–$98.12	7% above	84%
Measles (rubeola) antibody test CPT 86765 Rubeloa Ab Igm	$35.68	$223.00	$105.70–$66.90	15% above	84%
Mono test (heterophile antibody, Monospot) CPT 86308 Arup Heterophile Ab Screen (Infectious Mono)	$33.92	$212.00	$10.12–$9.32	47% above	84%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening Test for Mononucleosis (Mono)	$33.92	$212.00	$10.12–$9.32	47% above	84%
Mono test (heterophile antibody, Monospot) CPT 86308 Labcorp Heterophile Antibodies Screen	$33.92	$212.00	$10.12–$9.32	47% above	84%
Mumps immunity blood test CPT 86735 Ej Ref Lab Mumps Antibody	$15.68	$98.00	$13.05–$98.00	48% below	84%
Mumps immunity blood test CPT 86735 Arup-Mumps Ab Igg	$35.68	$223.00	$105.70–$66.90	18% above	84%
Mumps immunity blood test CPT 86735 Analysis for Antibody to Mumps Virus	$36.00	$225.00	$106.65–$67.50	19% above	84%
Mumps immunity blood test CPT 86735 Labcorp Mumps Antibody Igm	$36.00	$225.00	$106.65–$67.50	19% above	84%
Mumps immunity blood test CPT 86735 Mumps Abs Igg & Igm	$36.00	$225.00	$106.65–$67.50	19% above	84%
Mumps immunity blood test CPT 86735 Labcorp Mumps Antibody Igg	$36.00	$225.00	$106.65–$67.50	19% above	84%
Mumps immunity blood test CPT 86735 Mumps Ab Igm	$40.96	$256.00	$121.34–$76.80	35% above	84%
Obstetric blood test panel CPT 80055 Ej Ref Lab Prenatal Panel	$52.00	$325.00	$154.05–$97.50	36% below	84%
Obstetric blood test panel CPT 80055 Obstetric Blood Test Panel	$98.72	$617.00	$118.90–$93.37	22% above	84%
PSA (prostate-specific antigen) blood test, free CPT 84154 Ej Ref Lab Assay of Psa Free	$27.68	$173.00	$132.35–$82.00	43% below	84%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa (Prostate Specific Antigen) Measurement	$40.64	$254.00	$120.40–$76.20	16% below	84%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free	$40.64	$254.00	$120.40–$76.20	16% below	84%
PSA (prostate-specific antigen) blood test, free CPT 84154 Labcorp Assay of Prostate Specific Antigen Free	$40.64	$254.00	$120.40–$76.20	16% below	84%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultra Sensitive	$41.60	$260.00	$123.24–$78.00	6% below	84%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa (Prostate Specific Antigen) Measurement	$47.84	$299.00	$141.73–$89.70	8% above	84%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Psa Total Screening	$47.84	$299.00	$141.73–$89.70	8% above	84%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Spec Antigen (Psa) Total	$47.84	$299.00	$141.73–$89.70	8% above	84%
PSA (prostate-specific antigen) blood test, total CPT 84153 Labcorp Psa Screen	$47.84	$299.00	$141.73–$89.70	8% above	84%
PSA (prostate-specific antigen) blood test, total CPT 84153 Labcorp Psa Total	$47.84	$299.00	$141.73–$89.70	8% above	84%
PSA (prostate-specific antigen) blood test, total CPT 84153 Ej Ref Lab Psa Post Prostatectomy (Ultrasensitive)	$80.96	$506.00	$151.80–$97.51	82% above	84%
PSA (prostate-specific antigen) blood test, total CPT 84153 Ej Ref Lab Assay of Psa Total	$80.96	$506.00	$151.80–$97.51	82% above	84%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Test	$30.88	$193.00	$147.65–$91.48	29% below	84%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Test (Pap Smear)	$24.80	$155.00	$118.58–$73.47	14% below	84%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Ej Ref Lab Thin Prep Normal/Gyn	$49.60	$310.00	$146.94–$93.00	71% above	84%
Parathyroid hormone (PTH) blood test CPT 83970 Pth C-Terminal	$53.76	$336.00	$100.80–$92.88	41% below	84%
Parathyroid hormone (PTH) blood test CPT 83970 Labcorp Pth Intact	$53.76	$336.00	$100.80–$92.88	41% below	84%
Parathyroid hormone (PTH) blood test CPT 83970 Pth Io Baseline	$53.76	$336.00	$100.80–$92.88	41% below	84%
Parathyroid hormone (PTH) blood test CPT 83970 Pth N-Terminal	$53.76	$336.00	$100.80–$92.88	41% below	84%
Parathyroid hormone (PTH) blood test CPT 83970 Pth Io 10 Min Post Ex	$53.76	$336.00	$100.80–$92.88	41% below	84%
Parathyroid hormone (PTH) blood test CPT 83970 Intact Parathyroid	$53.76	$336.00	$100.80–$92.88	41% below	84%
Parathyroid hormone (PTH) blood test CPT 83970 Parathy Hormone	$53.76	$336.00	$100.80–$92.88	41% below	84%
Partial thromboplastin time (PTT) clotting test CPT 85730 Cia Ptt	$23.52	$147.00	$10.06–$9.02	13% above	84%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Prothrombin Time	$23.52	$147.00	$10.06–$9.02	13% above	84%
Partial thromboplastin time (PTT) clotting test CPT 85730 Arup Partial Prothrombin Time La	$23.52	$147.00	$10.06–$9.02	13% above	84%
Partial thromboplastin time (PTT) clotting test CPT 85730 Arup Partial Thromboplastin	$23.52	$147.00	$10.06–$9.02	13% above	84%
Partial thromboplastin time (PTT) clotting test CPT 85730 Labcorp Ptt-La Mix	$23.52	$147.00	$10.06–$9.02	13% above	84%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ej Ref Lab Ptt-La Screen	$73.12	$457.00	$10.06–$9.02	252% above	84%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Phosphorus	$17.92	$112.00	$10.67–$9.26	10% above	84%
Phosphorus (phosphate) blood test CPT 84100 Phosphate Level	$17.92	$112.00	$10.67–$9.26	10% above	84%
Potassium blood test CPT 84132 Assay of Serum Potassium	$12.00	$75.00	$10.71–$9.30	29% below	84%
Potassium blood test CPT 84132 Resp Potassium	$12.00	$75.00	$10.71–$9.30	29% below	84%
Potassium blood test CPT 84132 POCT Potassium	$12.00	$75.00	$10.71–$9.30	29% below	84%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Labcorp Maternit21 Plus Core 451934	$153.60	$960.00	$1,108.21–$960.00	63% below	84%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Test for Detecting Genes Associated With Fetal Disease	$523.36	$3,271.00	$1,095.69–$981.30	25% above	84%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Chromosomal Aneuploidy Genomic Seq Analys(Chromo 13 18 21)	$523.36	$3,271.00	$1,095.69–$981.30	25% above	84%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Arup Non-Invasive Prenatal Aneuploidy	$523.36	$3,271.00	$1,095.69–$981.30	25% above	84%
Progesterone blood test CPT 84144 Progesterone (Reproductive Hormone) Level	$48.80	$305.00	$144.57–$91.50	12% below	84%
Progesterone blood test CPT 84144 Labcorp Progesterone	$48.80	$305.00	$144.57–$91.50	12% below	84%
Progesterone blood test CPT 84144 Arup Progesterone	$48.80	$305.00	$144.57–$91.50	12% below	84%
Progesterone blood test CPT 84144 Omega-Progesterone	$48.80	$305.00	$144.57–$91.50	12% below	84%
Prolactin blood test CPT 84146 Labcorp Prolactin	$76.48	$478.00	$143.40–$92.11	18% above	84%
Prolactin blood test CPT 84146 Omega-Prolactin	$76.48	$478.00	$143.40–$92.11	18% above	84%
Prolactin blood test CPT 84146 Prolactin-Prolactin	$76.48	$478.00	$143.40–$92.11	18% above	84%
Prolactin blood test CPT 84146 Prolactin (Milk Producing Hormone) Level	$76.48	$478.00	$143.40–$92.11	18% above	84%
Prolactin blood test CPT 84146 Ej Ref Lab Prolactin Level	$80.80	$505.00	$151.50–$97.31	25% above	84%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood Test Clotting Time	$16.64	$104.00	$104.00–$93.60	15% above	84%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$16.64	$104.00	$104.00–$93.60	15% above	84%
Prothrombin time (PT/INR) clotting test CPT 85610 Labcorp Prothrombin Time	$16.64	$104.00	$104.00–$93.60	15% above	84%
Prothrombin time (PT/INR) clotting test CPT 85610 Arup Prothrombin Time	$16.64	$104.00	$104.00–$93.60	15% above	84%
Prothrombin time (PT/INR) clotting test CPT 85610 Pt/Inr	$16.64	$104.00	$104.00–$93.60	15% above	84%
Prothrombin time (PT/INR) clotting test CPT 85610 Cia Pt	$16.64	$104.00	$104.00–$93.60	15% above	84%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for Presence of Drug	$9.92	$62.00	$11.95–$62.00	57% below	84%
Rapid flu test (influenza antigen) CPT 87804 Ej Ref Lab Rapid Influenza Virus Screen	$9.12	$57.00	$10.98–$57.00	60% below	84%
Rapid flu test (influenza antigen) CPT 87804 Detection Test for Influenza Virus	$23.36	$146.00	$111.69–$69.20	4% above	84%
Rapid flu test (influenza antigen) CPT 87804 Sofia Influenza a+B	$23.36	$146.00	$111.69–$69.20	4% above	84%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Assay W/Optic	$23.36	$146.00	$111.69–$69.20	4% above	84%
Rapid flu test (influenza antigen) CPT 87804 Influenza a Assay W/Optic	$23.36	$146.00	$111.69–$69.20	4% above	84%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Sofia Strep A	$15.36	$96.00	$14.72–$96.00	37% below	84%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Test (Streptococcus Group A)	$15.36	$96.00	$14.72–$96.00	37% below	84%
Renin blood test CPT 84244 Ej Ref Lab Renin Activity Plasma	$16.32	$102.00	$102.00–$91.80	73% below	84%
Renin blood test CPT 84244 Renin (Kidney Enzyme) Level	$54.08	$338.00	$101.40–$65.13	10% below	84%
Renin blood test CPT 84244 Labcorp Renin	$54.08	$338.00	$101.40–$65.13	10% below	84%
Rh blood typing CPT 86901 Blood Typing for Rh (D) Antigen	$14.56	$91.00	$17.54–$91.00	31% below	84%
Rh blood typing CPT 86901 Ej Ref Lab Bill Blood Typing Rh - Cdm 41093428	$24.48	$153.00	$117.05–$72.52	15% above	84%
Rheumatoid factor (RF) test CPT 86431 Ej Ref Lab Rheumatoid Factor	$10.08	$63.00	$10.21–$9.49	56% below	84%
Rheumatoid factor (RF) test CPT 86431 Labcorp Rheumatoid Factor Quant	$29.60	$185.00	$10.21–$9.49	28% above	84%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Level	$29.60	$185.00	$10.21–$9.49	28% above	84%
Rubella antibody test (immunity check) CPT 86762 Torch Rubella Ab	$33.12	$207.00	$14.39–$98.12	1% below	84%
Rubella antibody test (immunity check) CPT 86762 Labcorp Rubella Antibody Igm	$33.12	$207.00	$14.39–$98.12	1% below	84%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody Igg	$33.12	$207.00	$14.39–$98.12	1% below	84%
Rubella antibody test (immunity check) CPT 86762 Labcorp Rubella Antibody Igg	$33.12	$207.00	$14.39–$98.12	1% below	84%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab	$33.92	$212.00	$100.49–$63.60	1% above	84%
Rubella antibody test (immunity check) CPT 86762 Ej Ref Lab Rubella Igm	$91.52	$572.00	$110.22–$572.00	174% above	84%
Rubella antibody test (immunity check) CPT 86762 Ej Ref Lab Rubella Immune Screen	$91.52	$572.00	$110.22–$572.00	174% above	84%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red Blood Cell Sedimentation Rate to Detect Inflammation	$21.44	$134.00	$102.51–$63.52	17% above	84%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Evaluation Volume Sperm Count Motility and Analysis	$66.72	$417.00	$12.31–$80.36	155% above	84%
Sodium blood test CPT 84295 POCT Sodium	$12.64	$79.00	$10.82–$9.39	26% below	84%
Sodium blood test CPT 84295 Resp Sodium	$12.64	$79.00	$10.82–$9.39	26% below	84%
Sodium blood test CPT 84295 Assay of Serum Sodium	$12.64	$79.00	$10.82–$9.39	26% below	84%
Stool ova and parasites exam CPT 87177 Labcorp Ova and Parasite Fecal	$36.80	$230.00	$10.24–$9.35	22% above	84%
Stool ova and parasites exam CPT 87177 Smear for Parasites	$36.80	$230.00	$10.24–$9.35	22% above	84%
Stool ova and parasites exam CPT 87177 Ova & Parasites	$36.96	$231.00	$10.24–$9.35	22% above	84%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool Analysis for Blood to Screen for Colon Tumors	$12.64	$79.00	$15.22–$9.86	7% below	84%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool Analysis for Blood	$9.44	$59.00	$11.37–$59.00	61% below	84%
Syphilis antibody test (Treponema pallidum) CPT 86780 Arup-Treponema Pallidum Antibody	$28.00	$175.00	$13.24–$82.95	4% above	84%
Syphilis antibody test (Treponema pallidum) CPT 86780 Mha-Tp	$28.00	$175.00	$13.24–$82.95	4% above	84%
Syphilis antibody test (Treponema pallidum) CPT 86780 Labcorp Treponema Pallidum Fta Abs	$28.00	$175.00	$13.24–$82.95	4% above	84%
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM AB IgG BY ELISA	$28.00	$175.00	$13.24–$82.95	4% above	84%
Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for Antibody Treponema Pallidum	$28.00	$175.00	$13.24–$82.95	4% above	84%
Syphilis antibody test (Treponema pallidum) CPT 86780 Labcorp Treponema Pallidum Antibody	$28.00	$175.00	$13.24–$82.95	4% above	84%
Syphilis antibody test (Treponema pallidum) CPT 86780 Fta/Abs	$28.00	$175.00	$13.24–$82.95	4% above	84%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ej Ref Lab Fluorescent Treponema Ab	$66.40	$415.00	$124.50–$79.97	148% above	84%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ej Ref Lab Fta Igm - Neonatal Only	$66.40	$415.00	$124.50–$79.97	148% above	84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Arup Vdrl CSF Sendout	$3.52	$22.00	$10.43–$9.61	73% below	84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Trep Qual Rpr	$19.52	$122.00	$109.80–$93.33	52% above	84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Labcorp Vdrl CSF	$19.52	$122.00	$109.80–$93.33	52% above	84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl CSF	$19.52	$122.00	$109.80–$93.33	52% above	84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Treponemal Antibody; Qualitativ	$19.52	$122.00	$109.80–$93.33	52% above	84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Omega-Rpr	$19.52	$122.00	$109.80–$93.33	52% above	84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr W/Rflx	$19.52	$122.00	$109.80–$93.33	52% above	84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Labcorp Rpr	$19.52	$122.00	$109.80–$93.33	52% above	84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Ej Ref Lab Vdrl CSF	$45.76	$286.00	$135.56–$9.61	255% above	84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Ej Ref Lab Syphilis Confirmatory Profile	$45.76	$286.00	$135.56–$9.61	255% above	84%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Otb-Tuberculosis Antigen Response Gamma Interferon	$79.84	$499.00	$103.78–$96.16	32% below	84%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis Test	$79.84	$499.00	$103.78–$96.16	32% below	84%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Labcorp Quantiferon-TB Gold Plus (Tuberculosis Antigen Resp) 182879	$79.84	$499.00	$103.78–$96.16	32% below	84%
Testosterone blood test, total (not free testosterone) CPT 84403 Arup-Testosterone Ms/Ms	$54.56	$341.00	$102.30–$65.71	8% below	84%
Testosterone blood test, total (not free testosterone) CPT 84403 Labcorp Testosterone	$54.56	$341.00	$102.30–$65.71	8% below	84%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone-Total	$54.56	$341.00	$102.30–$65.71	8% below	84%
Testosterone blood test, total (not free testosterone) CPT 84403 Arup Testosterone Total	$54.56	$341.00	$102.30–$65.71	8% below	84%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (Hormone) Level	$54.56	$341.00	$102.30–$65.71	8% below	84%
Testosterone blood test, total (not free testosterone) CPT 84403 Ej Ref Lab Testosterone Total Female Pediatric	$87.84	$549.00	$105.79–$58.07	47% above	84%
Testosterone blood test, total (not free testosterone) CPT 84403 Ej Ref Lab Testosterone Total	$87.84	$549.00	$105.79–$58.07	47% above	84%
Testosterone blood test, total (not free testosterone) CPT 84403 Ej Ref Lab Testosterone Level	$87.84	$549.00	$105.79–$58.07	47% above	84%
Thyroid peroxidase (TPO) antibody test CPT 86376 Ej Ref Lab Liver Kidney Microsomal (Lkm-1) Ab (Igg)	$15.68	$98.00	$14.55–$98.00	58% below	84%
Thyroid peroxidase (TPO) antibody test CPT 86376 Ej Ref Lab Thyroid Microsomal Antibody	$15.68	$98.00	$14.55–$98.00	58% below	84%
Thyroid peroxidase (TPO) antibody test CPT 86376 Arup Liver Kidney Microsome Ab	$43.68	$273.00	$129.40–$81.90	16% above	84%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab	$43.68	$273.00	$129.40–$81.90	16% above	84%
Thyroid peroxidase (TPO) antibody test CPT 86376 Arup Thyroid Peroxidase Tpo Ab	$43.68	$273.00	$129.40–$81.90	16% above	84%
Thyroid peroxidase (TPO) antibody test CPT 86376 Labcorp Liver Kidney Microsome Ab	$43.68	$273.00	$129.40–$81.90	16% above	84%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Thyroid Antibody	$43.68	$273.00	$129.40–$81.90	16% above	84%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies (Autoantibody) Measurement	$43.68	$273.00	$129.40–$81.90	16% above	84%
Thyroid peroxidase (TPO) antibody test CPT 86376 Labcorp-Thyroid Peroxidase Tpo Ab	$43.68	$273.00	$129.40–$81.90	16% above	84%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood Test Thyroid Stimulating Hormone (Tsh)	$37.60	$235.00	$111.39–$70.50	7% below	84%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Arup Tsh	$37.60	$235.00	$111.39–$70.50	7% below	84%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Labcorp Assay of Thyroid Stimulating Hormone Tsh	$119.20	$745.00	$143.56–$745.00	196% above	84%
Total IgE blood test CPT 82785 Gammaglobulin Ige	$49.28	$308.00	$145.99–$92.40	28% above	84%
Total IgE blood test CPT 82785 Ige (Immune System Protein) Level	$49.28	$308.00	$145.99–$92.40	28% above	84%
Total IgE blood test CPT 82785 Arup Immunoglobulin E	$49.28	$308.00	$145.99–$92.40	28% above	84%
Total IgE blood test CPT 82785 Labcorp Ige Gammaglobulin	$49.28	$308.00	$145.99–$92.40	28% above	84%
Total IgE blood test CPT 82785 Ej Ref Lab Immunoglobulin E	$92.00	$575.00	$110.80–$575.00	139% above	84%
Total cholesterol blood test CPT 82465 Baylor Genetics Lab Assay Cholesterol Blood Total	$29.12	$182.00	$139.23–$9.79	94% above	84%
Total cholesterol blood test CPT 82465 Cholesterol Level	$29.12	$182.00	$139.23–$9.79	94% above	84%
Total thyroxine (T4) blood test CPT 84436 Labcorp T4 Total	$28.16	$176.00	$10.03–$9.92	20% above	84%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (Thyroid Chemical) Measurement	$28.16	$176.00	$10.03–$9.92	20% above	84%
Total thyroxine (T4) blood test CPT 84436 Arup T4 Total	$28.16	$176.00	$10.03–$9.92	20% above	84%
Total triiodothyronine (T3) blood test CPT 84480 Omega-Triiodothyronine Total T3	$49.28	$308.00	$14.18–$92.40	11% above	84%
Total triiodothyronine (T3) blood test CPT 84480 Labcorp T3 Total	$49.28	$308.00	$14.18–$92.40	11% above	84%
Total triiodothyronine (T3) blood test CPT 84480 Thyroid Hormone T3 Measurement	$49.28	$308.00	$14.18–$92.40	11% above	84%
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine Total	$49.28	$308.00	$14.18–$92.40	11% above	84%
Transferrin blood test CPT 84466 Ej Ref Lab Transferrin	$12.00	$75.00	$12.76–$75.00	70% below	84%
Transferrin blood test CPT 84466 Labcorp Transferrin	$19.68	$123.00	$110.70–$94.10	51% below	84%
Transferrin blood test CPT 84466 Transferrin (Iron Binding Protein) Level	$19.68	$123.00	$110.70–$94.10	51% below	84%
Trichomonas test (NAAT) CPT 87661 Ej Ref Lab Trichomonas Vaginalis Amplif	$18.56	$116.00	$104.40–$88.74	64% below	84%
Trichomonas test (NAAT) CPT 87661 Ej Ref Lab Sureswab Trichomonas Vaginalis Rna Ql	$18.56	$116.00	$104.40–$88.74	64% below	84%
Trichomonas test (NAAT) CPT 87661 Labcorp Trichomonas Vaginalis by Nna 188052	$73.12	$457.00	$137.10–$88.06	40% above	84%
Trichomonas test (NAAT) CPT 87661 Detection Test for Trichomonas Vaginalis (Genital Parasite)	$73.12	$457.00	$137.10–$88.06	40% above	84%
Trichomonas test (NAAT) CPT 87661 Arup T Vaginalis by Pcr	$73.12	$457.00	$137.10–$88.06	40% above	84%
Trichomonas test (NAAT) CPT 87661 Omega T Vaginalis Pcr	$73.12	$457.00	$137.10–$88.06	40% above	84%
Triglycerides blood test CPT 84478 Labcorp Assay of Triglycerides	$23.84	$149.00	$10.33–$9.61	at median	84%
Triglycerides blood test CPT 84478 Arup-Triglycerides Fluid	$23.84	$149.00	$10.33–$9.61	at median	84%
Triglycerides blood test CPT 84478 Triglycerides Level	$23.84	$149.00	$10.33–$9.61	at median	84%
Triglycerides blood test CPT 84478 Triglycerides Fluid	$23.84	$149.00	$10.33–$9.61	at median	84%
Triglycerides blood test CPT 84478 Ej Ref Lab Triglyceride	$55.20	$345.00	$10.33–$9.61	131% above	84%
Troponin test, quantitative CPT 84484 Troponin Quan	$44.00	$275.00	$12.08–$82.50	16% above	84%
Troponin test, quantitative CPT 84484 Arup-Troponin T	$44.00	$275.00	$12.08–$82.50	16% above	84%
Troponin test, quantitative CPT 84484 Troponin (Protein) Analysis	$44.00	$275.00	$12.08–$82.50	16% above	84%
Troponin test, quantitative CPT 84484 POCT Troponin Quan	$44.00	$275.00	$12.08–$82.50	16% above	84%
Uric acid blood test CPT 84550 Uric Acid Level Blood	$16.64	$104.00	$10.17–$93.60	at median	84%
Uric acid blood test CPT 84550 Baylor Genetics Lab Assay Uric Acid Blood	$16.64	$104.00	$10.17–$93.60	at median	84%
Urinalysis with microscope exam, automated CPT 81001 Manual Urinalysis Test With Examination Using Microscope	$26.24	$164.00	$125.46–$77.74	11% above	84%
Urinalysis with microscope exam, manual CPT 81000 Ej Ref Lab OB ED Urine Dip Stick	$6.56	$41.00	$12.30–$9.05	11% below	84%
Urinalysis with microscope exam, manual CPT 81000 Manual Urinalysis Test With Examination Using Microscope	$11.84	$74.00	$14.26–$9.05	61% above	84%
Urinalysis without microscope exam, automated CPT 81003 Sp Grav - 24 Hr Urine	$14.72	$92.00	$17.73–$92.00	70% above	84%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto	$14.72	$92.00	$17.73–$92.00	70% above	84%
Urinalysis without microscope exam, automated CPT 81003 Sp Gravity-Urine	$14.72	$92.00	$17.73–$92.00	70% above	84%
Urinalysis without microscope exam, automated CPT 81003 Automated Urinalysis Test	$14.72	$92.00	$17.73–$92.00	70% above	84%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto POCT	$14.72	$92.00	$17.73–$92.00	70% above	84%
Urinalysis without microscope exam, automated CPT 81003 Arup-Specific Gravity Fluid	$14.72	$92.00	$17.73–$92.00	70% above	84%
Urinalysis without microscope exam, automated CPT 81003 Ketones-Urine	$14.72	$92.00	$17.73–$92.00	70% above	84%
Urinalysis without microscope exam, automated CPT 81003 Ph-Urine	$14.72	$92.00	$17.73–$92.00	70% above	84%
Urinalysis without microscope exam, automated CPT 81003 Bile-Urine	$14.72	$92.00	$17.73–$92.00	70% above	84%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Micro	$15.52	$97.00	$18.69–$97.00	125% above	84%
Urinalysis without microscope exam, manual CPT 81002 Reducing Substances Urine	$15.52	$97.00	$18.69–$97.00	125% above	84%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Manual Test	$15.52	$97.00	$18.69–$97.00	125% above	84%
Urinalysis without microscope exam, manual CPT 81002 Ictotest Bilirubin Conf Urine	$15.52	$97.00	$18.69–$97.00	125% above	84%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto Specific Gr	$15.52	$97.00	$18.69–$97.00	125% above	84%
Urine culture for bacteria, with colony count CPT 87086 Bacterial Colony Count Urine	$36.00	$225.00	$106.65–$9.91	2% below	84%
Urine culture for bacteria, with colony count CPT 87086 Ej Ref Lab Urine Culture/Colony Count	$100.32	$627.00	$11.65–$9.91	173% above	84%
Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 Hrs	$19.20	$120.00	$10.40–$91.80	2% below	84%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Random	$19.20	$120.00	$10.40–$91.80	2% below	84%
Urine microalbumin (albumin) test CPT 82043 Labcorp Microalbumin Urine Quantitative	$19.20	$120.00	$10.40–$91.80	2% below	84%
Urine microalbumin (albumin) test CPT 82043 Ej Ref Lab 24 Hr Urine Microalbumin	$36.32	$227.00	$10.40–$9.68	86% above	84%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$31.52	$197.00	$12.43–$93.38	58% above	84%
Urine pregnancy test, read by color change CPT 81025 POCT Pregnancy Test Urine	$31.52	$197.00	$12.43–$93.38	58% above	84%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12) Level	$39.68	$248.00	$117.55–$74.40	at median	84%
Vitamin B12 (cobalamin) blood test CPT 82607 Labcorp Vitamin B12	$39.68	$248.00	$117.55–$74.40	at median	84%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Ej Ref Lab Vitamin D (25-Hydroxy) Level	$14.24	$89.00	$17.15–$89.00	82% below	84%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Omega-Vitamin D 25 Hydroxy	$76.00	$475.00	$142.50–$91.53	1% below	84%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy (Calcifediol	$76.00	$475.00	$142.50–$91.53	1% below	84%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D (Calciferol)	$76.00	$475.00	$142.50–$91.53	1% below	84%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Labcorp Vitamin D-3 25-Oh	$76.00	$475.00	$142.50–$91.53	1% below	84%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Arup 25-Hydroxyvitamin D2&D3 by Tandem Mass	$76.00	$475.00	$142.50–$91.53	1% below	84%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Ej Ref Lab Vitamin D 1 25-Dihydroxy	$24.48	$153.00	$117.05–$86.63	76% below	84%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D (1 25 Dihydroxy)	$66.88	$418.00	$125.40–$86.63	35% below	84%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Labcorp Vitamin D (1 25 Hydroxy)	$66.88	$418.00	$125.40–$86.63	35% below	84%
Zinc blood test CPT 84630 Ej Ref Lab Zinc Level	$13.44	$84.00	$11.39–$84.00	60% below	84%
Zinc blood test CPT 84630 Zinc Level	$35.20	$220.00	$104.28–$66.00	5% above	84%
Zinc blood test CPT 84630 Labcorp Zinc Urine	$35.20	$220.00	$104.28–$66.00	5% above	84%
Zinc blood test CPT 84630 Labcorp Zinc	$35.20	$220.00	$104.28–$66.00	5% above	84%
Zinc blood test CPT 84630 Arup Zinc Urine	$35.20	$220.00	$104.28–$66.00	5% above	84%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Tumor Marker Quant	$48.64	$304.00	$144.10–$91.20	4% below	84%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Arup-Maternal Hcg	$48.80	$305.00	$144.57–$91.50	4% below	84%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin Chorionic Quantitative Hcg	$48.80	$305.00	$144.57–$91.50	4% below	84%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Labcorp Hcg Quantitative Tumor Marker	$48.80	$305.00	$144.57–$91.50	4% below	84%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Labcorp Beta Hcg Quantitative 501676	$48.80	$305.00	$144.57–$91.50	4% below	84%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Ej Ref Lab Hcg Tumor Marker	$129.12	$807.00	$15.05–$807.00	154% above	84%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin Chorionic (Reproductive Hormone) Level	$129.12	$807.00	$15.05–$807.00	154% above	84%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Appendectomy, open surgery CPT 44950 Removal of Appendix	$1,793.76	$11,211.00	$10,089.90–$8,576.42	5% above	84%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Dilation of Nasal Sinus Using an Endoscope	$2,061.92	$12,887.00	$11,598.30–$9,858.56	22% below	84%
Botox injections for chronic migraine CPT 64615 Inject Chemical for Destruction of Facial & Neck Nerve Muscles	$140.80	$880.00	$101.55–$880.00	12% below	84%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy of Breast Accessed Through the Skin With Stereotactic Guidance	$523.20	$3,270.00	$1,291.65–$981.00	24% below	84%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Treatment of Broken Ankle	$159.68	$998.00	$183.92–$998.00	13% below	84%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Treatment of Broken Foot Bone	$120.32	$752.00	$144.91–$86.78	38% below	84%
Cardiac catheterization with coronary angiogram one side CPT 93458 Insert Catheter Left Heart Imaging Blood Vessels/Grafts & Left Lower Heart	$5,453.12	$34,082.00	$10,224.60–$6,567.60	16% above	84%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External Shock to Heart to Regulate Heart Beat	$428.48	$2,678.00	$1,047.65–$898.24	26% below	84%
Cataract surgery with lens implant CPT 66984 Removal of Cataract With Insertion of Lens	$1,192.96	$7,456.00	$1,436.77–$7,456.00	44% below	84%
Catheter ablation for atrial fibrillation CPT 93656 Evaluation & Insert Catheters Rec Pacing & Treatment Abnormal Heart Rhythm	$12,190.40	$76,190.00	$14,037.00–$8,792.33	14% below	84%
Cervical biopsy CPT 57500 Biopsy of Cervix or Excision of Local Growths	$551.36	$3,446.00	$1,033.80–$921.61	10% above	84%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal of Foreskin Patient Older Than 28 Days of Age	$1,691.04	$10,569.00	$10,569.00–$9,512.10	10% above	84%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of Foreskin of Using Clamp or Device	$1,664.96	$10,406.00	$10,406.00–$9,365.40	40% above	84%
Circumcision, surgical, older than a newborn CPT 54160 Removal of Foreskin Neonate (28 Days of Age or Less)	$265.92	$1,662.00	$1,076.16–$931.85	70% below	84%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Treatment of Broken Forearm Bones	$180.96	$1,131.00	$1,017.90–$865.22	27% below	84%
Colonoscopy with endoscopic ultrasound CPT 45391 Ultrasound Examination of Lower Large Bowel Using an Endoscope	$698.08	$4,363.00	$1,035.00–$962.12	14% above	84%
Colonoscopy with polyp removal CPT 45385 Removal of Polyps or Growths of Large Bowel Using an Endoscope	$823.20	$5,145.00	$1,035.00–$991.44	at median	84%
Colonoscopy with tissue sample CPT 45380 Biopsy of Large Bowel Using an Endoscope	$779.68	$4,873.00	$1,035.00–$962.12	8% below	84%
Colonoscopy, diagnostic CPT 45378 Diagnostic Exam of Large Bowel Using a Flexible Endoscope	$705.60	$4,410.00	$1,102.66–$857.47	9% below	84%
Colonoscopy, diagnostic CPT 45378 Colorectal Cancer Screening High Risk	$705.60	$4,410.00	$1,102.66–$857.47	9% below	84%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec if Pfrmd-Barium	$705.60	$4,410.00	$1,102.66–$857.47	9% below	84%
Colonoscopy, diagnostic CPT 45378 Diag Colonoscopy W/Spec Collection	$705.60	$4,410.00	$1,102.66–$857.47	9% below	84%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy of Cervix Using an Endoscope	$740.64	$4,629.00	$1,388.70–$892.01	49% below	84%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy and Scraping of the Cervix Using an Endoscope	$361.28	$2,258.00	$1,527.00–$891.91	41% above	84%
Coronary stent placement, one artery CPT 92928 Catheter Insert Bare Metal Stent(S) in Major Coronary Artery or Branch	$5,722.08	$35,763.00	$10,665.87–$9,954.82	28% below	84%
Coronary stent placement, one artery CPT 92928 Catheter Insert Stents in Major Coronary Artery or Branch	$6,294.24	$39,339.00	$10,665.87–$9,954.82	21% below	84%
Cystoscopy with ureteral stent placement CPT 52332 Insertion of Stent in Urinary Duct (Ureter) Using an Endoscope	$767.04	$4,794.00	$1,438.20–$923.80	61% below	84%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic Exam of the Bladder and Bladder Canal (Urethra) Using Endoscope	$550.72	$3,442.00	$1,032.60–$931.85	13% below	84%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C for Diagnosis and/or Therapy (Non-Obstetrical)	$1,239.20	$7,745.00	$1,492.46–$7,745.00	38% below	84%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of Skin Growth	$59.20	$370.00	$111.00–$71.30	39% below	84%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Incision of Eardrum With Insertion of Eardrum Tube Under General Anesthesia	$1,023.68	$6,398.00	$1,232.89–$6,398.00	31% below	84%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Incision of Eardrum With Insert Eardrum Tube Under Local Anesth	$252.64	$1,579.00	$1,207.94–$862.63	49% below	84%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of Impacted Ear Wax by Washing	$80.80	$505.00	$107.42–$97.31	15% above	84%
Earwax removal with instruments, one ear CPT 69210 Removal of Impact Ear Wax One Ear	$57.44	$359.00	$107.42–$95.77	7% below	84%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of Uterine Lining	$68.96	$431.00	$129.30–$83.05	56% below	84%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Incision of Nasal Sinus Using an Endoscope	$3,188.80	$19,930.00	$15,246.45–$7,872.35	3% below	84%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of Substand Into Spinal Canal of Upper or Middle Back Using Imaging Guidance	$314.88	$1,968.00	$1,142.00–$777.36	58% below	84%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection of Drug Into Eye	$251.36	$1,571.00	$1,142.00–$620.55	14% below	84%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injections of Lower or Sacral Spine Facet Joint Using Imaging Guidance	$409.12	$2,557.00	$1,010.02–$767.10	40% below	84%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic Examination of Large Bowel Using an Endoscope	$191.52	$1,197.00	$1,077.30–$915.71	62% below	84%
Gallbladder removal, laparoscopic CPT 47562 Removal of Gallbladder Using an Endoscope	$1,873.92	$11,712.00	$10,540.80–$8,959.68	37% below	84%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Removal of Gallbladder With X-Ray Study of Bile Ducts Using Endoscope	$1,696.64	$10,604.00	$10,604.00–$9,543.60	52% below	84%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal of Hemorrhoid by Rubber Banding	$277.44	$1,734.00	$1,102.66–$898.00	40% below	84%
Hemorrhoidectomy (internal and external), one area CPT 46255 Removal of Internal and External Hemorrhoids	$781.28	$4,883.00	$1,464.90–$940.95	54% below	84%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Introduction Contrast Material for X-Ray Imaging of the Uterus and Tubes	$120.80	$755.00	$125.66–$755.00	2% below	84%
Hysteroscopy with endometrial ablation CPT 58563 Examination of Uterus With Destruction of Uterine Lining Using an Endoscope	$2,022.40	$12,640.00	$11,376.00–$9,669.60	28% below	84%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy and/or Removal of Polyp of the Uterus Using an Endoscope	$1,274.24	$7,964.00	$1,534.66–$7,964.00	35% below	84%
IUD insertion (the device itself billed separately) CPT 58300 Placement of Intra-Uterine Device (Iud) for Pregnancy Prevention	$130.24	$814.00	$103.11–$814.00	20% below	84%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of Abscess Simple	$92.64	$579.00	$111.57–$579.00	54% below	84%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injections of Tendon Sheath Ligament or Muscle Membrane	$116.48	$728.00	$140.29–$84.78	46% below	84%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or Injection of Large Joint or Joint Capsule	$123.52	$772.00	$148.76–$98.37	52% below	84%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of Drug Delivery Implant Into Tissue	$31.84	$199.00	$103.16–$78.61	63% below	84%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or Injection of Medium Joint or Joint Capsule	$79.84	$499.00	$149.70–$96.16	68% below	84%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or Injection of Small Joint or Joint Capsule	$171.36	$1,071.00	$1,071.00–$963.90	34% below	84%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of Appendix Using an Endoscope	$1,543.04	$9,644.00	$1,744.00–$9,644.00	67% below	84%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Repair of Muscle at Esophagus and Stomach Using an Endoscope	$3,679.68	$22,998.00	$17,593.47–$9,084.21	32% below	84%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Abdominal Removal of Uterus W/Removal of Tubes/Ovaries Using Endoscope	$4,728.96	$29,556.00	$11,674.62–$8,866.80	10% below	84%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of Recurring Cataract in Lens Capsule Using Laser	$459.68	$2,873.00	$1,134.84–$989.98	at median	84%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Wound (2.5 Cm or Less) of the Scalp Underarms Trunk Arms and/or Legs	$369.76	$2,311.00	$1,142.00–$912.85	15% above	84%
Left heart catheterization, diagnostic one side CPT 93452 Insertion of Catheter Into Left Heart for Diagnosis	$3,985.76	$24,911.00	$11,807.81–$7,473.30	23% above	84%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of Substance Into Spinal Canal of Lower Back or Sacrum Using Imaging Guidance	$363.84	$2,274.00	$1,046.58–$911.85	49% below	84%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of Substance Into Spinal Canal of Lower Back or Sacrum W/O Guidance	$348.48	$2,178.00	$1,046.58–$902.25	11% below	84%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(S) Anes/Steroid Anes Agent(S)/Steroid Transforamen Lumbar/Sacral W/Img Guide 1 Level	$320.16	$2,001.00	$1,142.00–$898.00	40% below	84%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Partial Remove Bone W/Release of Spinal Cord or Spinal Nerve 1 Interspace	$2,305.92	$14,412.00	$11,025.18–$5,692.74	63% below	84%
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of First Trimester Missed Abortion	$1,044.64	$6,529.00	$1,258.14–$6,529.00	40% below	84%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Removal and Microscopic Exam Growth of the Head Neck Hands Feet or Genitals	$277.44	$1,734.00	$1,326.51–$986.93	12% below	84%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of Growth (0.5 Centimeters or Less) of the Trunk Arms or Legs	$628.32	$3,927.00	$1,021.40–$926.42	67% above	84%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal Growth (0.5 Cm or Less) of the Face Ear Eyelid Nose Lip or Mouth	$569.28	$3,558.00	$1,021.40–$926.42	50% above	84%
Nail removal (partial or complete), one nail CPT 11730 Separation of Nail Plate From Nail Bed	$61.60	$385.00	$115.50–$74.19	57% below	84%
Occipital nerve block (injection for headaches) CPT 64405 Injection of Anesthetic Agent Greater Occipital Nerve	$300.64	$1,879.00	$1,142.00–$742.21	16% above	84%
Pacemaker implant (dual chamber) CPT 33208 Insert New/Replacement Permanent Pacemkr W/Upper & Lower Chamber Electrodes	$6,296.96	$39,356.00	$1,112.18–$9,842.71	40% below	84%
Paracentesis with imaging guidance CPT 49083 Drainage of Fluid From Abdominal Cavity Using Imaging Guidance	$532.80	$3,330.00	$1,134.47–$999.00	at median	84%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of Nail	$175.52	$1,097.00	$1,097.00–$987.30	56% below	84%
Prostate biopsy CPT 55700 Biopsy of Prostate Gland	$769.76	$4,811.00	$1,443.30–$927.08	1% above	84%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Lap Prostatectomy Radical W/Nerve Spare Incl Robotic	$5,451.04	$34,069.00	$10,220.70–$6,565.10	12% below	84%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction Lower or Sacral Spinal Facet Joint Nerve Using Imaging Guidance	$1,010.40	$6,315.00	$1,142.00–$728.75	at median	84%
Removal of a breast lump, open surgery CPT 19120 Removal of 1 or More Breast Growth Open Procedure	$809.28	$5,058.00	$1,517.40–$974.68	43% below	84%
Removal of a foreign object under the skin, simple CPT 10120 Removal of Foreign Body From Tissue Accessed Beneath the Skin	$64.16	$401.00	$120.30–$77.27	75% below	84%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy Cancer Screening	$594.88	$3,718.00	$1,102.66–$898.00	8% below	84%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colonoscopy Cancer Screening High Risk	$392.32	$2,452.00	$1,102.66–$968.54	37% below	84%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Shock Wave Crushing of Kidney Stones	$3,525.92	$22,037.00	$1,238.87–$8,704.62	2% below	84%
Short arm cast (elbow to hand) CPT 29075 Application of Cast Elbow to Finger (Short Arm)	$92.32	$577.00	$111.19–$66.59	47% below	84%
Short arm splint (forearm and hand) CPT 29125 Application of Non-Moveable Short Arm Splint (Forearm to Hand)	$88.16	$551.00	$103.16–$87.35	28% below	84%
Short leg cast (below the knee) CPT 29405 Application of Short Leg Cast (Below Knee to Toes)	$62.56	$391.00	$117.30–$75.35	70% below	84%
Short leg splint (calf to foot) CPT 29515 Application of Short Leg Splint (Calf to Foot)	$72.16	$451.00	$108.81–$86.91	53% below	84%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of Shoulder Bone Using an Endoscope	$2,127.52	$13,297.00	$10,172.21–$5,252.32	37% below	84%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Wound (2.5 Cm or Less) of Scalp Neck Underarm Trunk Arm and/or Legs	$62.24	$389.00	$116.70–$97.74	68% below	84%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion	$102.56	$641.00	$100.80–$73.97	62% below	84%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal of Malignant Growth (0.5 Cm or Less) of the Trunk Arms or Legs	$718.56	$4,491.00	$1,142.00–$865.42	51% above	84%
Skin tag removal, up to 15 tags CPT 11200 Removal of Up to and Including 15 Skin Tags	$93.28	$583.00	$112.34–$67.28	29% below	84%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Tap for Diagnosis	$339.84	$2,124.00	$1,046.58–$911.85	21% below	84%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Wound (2.6 to 7.5 Cm) of Scalp Neck Underarm Genital Trunk Arm Legs	$74.88	$468.00	$128.70–$90.18	60% below	84%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Wound (2.5 Cm or Less) of Face Ear Eyelid Nose Lips Mucous Membranes	$129.44	$809.00	$122.09–$809.00	30% below	84%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion	$102.56	$641.00	$123.52–$80.30	40% below	84%
Thoracentesis with imaging guidance CPT 32555 Removal of Fluid From Chest Cavity With Imaging Guidance	$199.52	$1,247.00	$1,055.72–$996.82	69% below	84%
Tonsil and adenoid removal, child under 12 CPT 42820 Removal of Tonsils and Adenoid Glands Patient Younger Than Age 12	$3,143.04	$19,644.00	$15,027.66–$7,759.38	9% above	84%
Total knee replacement CPT 27447 Total Knee Arthroplasty	$5,761.12	$36,007.00	$10,802.10–$6,938.55	55% below	84%
Trigger point injections, 1 or 2 muscles CPT 20552 Injections of Trigger Points in 1 or 2 Muscles	$133.12	$832.00	$160.33–$96.01	9% below	84%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of Breast Accessed Through the Skin With Ultrasound Guidance	$431.52	$2,697.00	$1,065.32–$809.10	54% below	84%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon Dilation of Esophagus Using an Endoscope	$555.84	$3,474.00	$1,042.20–$669.44	33% below	84%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy the Esophagus Stomach and/or Upper Small Bowel Using an Endoscope	$619.36	$3,871.00	$1,134.47–$881.78	18% below	84%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Injections Esophagus Stomach and/or Upper Small Bowel Using an Endoscope	$385.28	$2,408.00	$1,134.47–$951.16	36% below	84%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of Polyps or Growths of Esophagus Stomach and/or Upper Small Bowel	$741.92	$4,637.00	$1,391.10–$893.55	10% below	84%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion of Guide Wire With Dilation of Esophagus Using an Endoscope	$474.56	$2,966.00	$1,134.47–$889.80	28% below	84%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic Exam of Esophagus Stomach/Upper Small Bowel Using Endoscope	$429.92	$2,687.00	$1,061.37–$881.78	46% below	84%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Drainage of Cyst of the Esophagus Stomach and/or Upper Small Bowel	$935.84	$5,849.00	$1,127.10–$9,597.69	44% below	84%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Crushing of Stone in Urinary Duct (Ureter) Using an Endoscope	$1,886.56	$11,791.00	$10,611.90–$9,020.12	53% below	84%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy & Indwell Stent Insrt	$2,632.64	$16,454.00	$12,587.31–$6,499.33	35% below	84%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of Sperm Duct	$884.00	$5,525.00	$1,064.67–$5,525.00	28% below	84%
Vein ablation, radiofrequency, first vein CPT 36475 Destruction of Insufficient Vein of Arm or Leg Accessed Through the Skin	$1,314.08	$8,213.00	$1,582.65–$8,213.00	38% below	84%
Wart removal, up to 14 warts CPT 17110 Destruction of Up to 14 Skin Growths	$55.68	$348.00	$104.40–$67.06	59% below	84%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of Skin and Tissue First 20 Sq Cm or Less	$152.64	$954.00	$130.73–$954.00	61% below	84%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of Blood or Blood Products	$260.80	$1,630.00	$1,142.00–$88.27	45% below	84%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Respiratory Inhaled Pressure/Nonpressure Treatm Reliev Airw Obstr/Sput Spec	$87.20	$545.00	$105.02–$62.89	5% above	84%
Chemotherapy IV infusion, first hour CPT 96413 Infusion of Chemotherapy Into a Vein Up to 1 Hour	$220.48	$1,378.00	$1,054.17–$854.36	23% below	84%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye and Medical Exam for Diagnosis & Treatment New Patient 1 or More Visits	$84.64	$529.00	$101.94–$61.05	37% above	84%
Comprehensive eye exam, returning patient CPT 92014 Eye & Medical Exam Diagnosis & Treatment Estab Patient 1 or More Visits	$64.16	$401.00	$107.38–$77.27	4% above	84%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Air and Bone Conduction Assessment of Hearing Loss and Speech Recognition	$104.16	$651.00	$125.45–$75.13	2% above	84%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care First 30-74 Minute	$828.80	$5,180.00	$1,101.92–$998.19	1% above	84%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement and Recording of Brain Wave (Eeg) Activity Awake and Drowsy	$305.92	$1,912.00	$1,103.22–$906.29	at median	84%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine Ekg Using at Least 12 Leads Including Interpretation and Report	$108.16	$676.00	$107.43–$95.77	164% above	84%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine Electrocardiogram (Ekg) With Tracing Using at Least 12 Leads	$97.60	$610.00	$107.43–$95.77	29% above	84%
Electroconvulsive therapy (ECT), one session CPT 90870 Shock Treatment and Monitoring	$311.84	$1,949.00	$1,124.57–$948.35	40% below	84%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Visit Lvl 1	$47.52	$297.00	$100.50–$89.10	62% below	84%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC L&D Triage Level I	$47.52	$297.00	$100.50–$89.10	62% below	84%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Visit Lvl 2	$134.72	$842.00	$124.11–$97.17	18% below	84%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC L&D Triage Level II	$134.72	$842.00	$124.11–$97.17	18% below	84%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC L&D Triage Level III	$222.88	$1,393.00	$1,065.65–$901.00	16% below	84%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Visit Lvl 3	$222.88	$1,393.00	$1,065.65–$901.00	16% below	84%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC L&D Triage Level IV	$344.64	$2,154.00	$1,045.00–$863.00	18% below	84%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Visit Lvl 4	$344.64	$2,154.00	$1,045.00–$863.00	18% below	84%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Visit Lvl 5	$518.72	$3,242.00	$1,280.59–$988.50	1% below	84%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC L&D Triage Level V	$518.72	$3,242.00	$1,280.59–$988.50	1% below	84%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or Drug-Induced Heart and Blood Vessel Stress Test	$341.44	$2,134.00	$1,011.52–$917.00	1% above	84%
Eye exam, returning patient, intermediate CPT 92012 Eye and Medical Examination for Diagnosis & Treatment Established Patient	$64.16	$401.00	$105.55–$77.27	2% above	84%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy Including Patient 50 Minutes	$71.52	$447.00	$129.45–$86.14	37% below	84%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy 50 Minutes	$63.68	$398.00	$119.40–$76.69	50% below	84%
Group psychotherapy session CPT 90853 Group Psychotherapy	$27.36	$171.00	$113.37–$98.67	72% below	84%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Heart Rhythm Tracing of 48-Hour Ekg	$406.56	$2,541.00	$1,083.00–$762.30	491% above	84%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Infusion Into a Vein 31 Minutes to 1 Hour	$129.92	$812.00	$154.00–$93.70	9% below	84%
IV infusion of a medicine, first hour CPT 96365 IV Inf Admin Remdesivir (Veklury) 1mg Antiviral Therapy Initial Up to 1 Hr	$111.36	$696.00	$123.44–$696.00	41% below	84%
IV infusion of a medicine, first hour CPT 96365 Infusion Into a Vein for Therapy Prevention or Diagnosis Up to 1 Hour	$128.16	$801.00	$123.44–$92.44	32% below	84%
IV push of a medicine, first drug CPT 96374 Injection Drug or Substance Into a Vein for Therapy Diagnosis or Prevention	$65.76	$411.00	$123.30–$79.20	33% below	84%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Beneath Skin or Into Muscle for Therapy Diagnosis or Prevention	$47.36	$296.00	$101.25–$93.71	11% below	84%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation	$108.96	$681.00	$129.45–$681.00	at median	84%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Transmission Studies 7-8 Studies	$258.08	$1,613.00	$1,233.95–$930.70	93% above	84%
Neuromuscular re-education, 15 minutes CPT 97112 Therapeutic Procedure Re-Educate Brain-to-Nerve-to-Muscle Funct Ea 15 Mins	$21.28	$133.00	$10.96–$76.74	45% below	84%
New patient office visit, about 30 minutes CPT 99203 Hosp Outpt Clinic Visit New Low/Minor/Ltd	$28.96	$181.00	$107.38–$54.30	60% below	84%
New patient office visit, about 45 minutes CPT 99204 Hosp Outpt Clinic Visit New Mod/Chronic/Stbl	$28.96	$181.00	$107.38–$56.77	68% below	84%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hosp Outpt Clinic Visit New Stratfwd	$28.96	$181.00	$100.80–$67.20	51% below	84%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Therapy Assessment and Intervention Each 15 Minutes	$47.20	$295.00	$139.83–$88.50	54% above	84%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation of Occupational Therapy Typically 30 Minutes	$49.44	$309.00	$102.46–$97.58	57% below	84%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation of Physical Therapy Typically 45 Minutes	$62.24	$389.00	$116.70–$99.92	51% below	84%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation of Physical Therapy Typically 20 Minutes	$62.40	$390.00	$117.00–$99.92	42% below	84%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation of Physical Therapy Typically 30 Minutes	$62.08	$388.00	$116.40–$99.92	49% below	84%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual (Physical) Therapy Techniques to 1 or More Regions Each 15 Minutes	$38.08	$238.00	$112.81–$71.40	2% below	84%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Dev Strength Endur Rng of Mtn & Flexblty Ea 15 Mins	$32.80	$205.00	$10.96–$97.17	14% below	84%
Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Preventive Med Est Patient 18-39 Yrs	$74.40	$465.00	$110.48–$89.84	25% below	84%
Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Evaluation With Medical Services	$108.96	$681.00	$129.45–$681.00	7% below	84%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for Crisis First 60 Minutes	$49.28	$308.00	$129.45–$92.40	48% below	84%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy 30 Minutes	$81.92	$512.00	$129.45–$98.66	5% below	84%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45 Minutes	$108.96	$681.00	$129.45–$681.00	at median	84%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Minutes	$108.96	$681.00	$129.45–$681.00	at median	84%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking & Tobacco Use Intermediate Counsel > Than 3 Minute Up to 10 Minute	$14.40	$90.00	$10.39–$90.00	23% below	84%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hosp Outpt Clinic Visit Estab Extensive 40-54 Min	$28.96	$181.00	$107.38–$56.77	60% below	84%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hosp Outpt Clinic Visit Estab Low/Minor/Ltd	$28.96	$181.00	$107.38–$94.55	49% below	84%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hosp Outpt Clinic Visit Estab Mod/Chronic/Stbl	$28.96	$181.00	$107.38–$56.77	56% below	84%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hosp Outpt Clinic Visit Estab Stratfwd Min	$28.96	$181.00	$107.38–$75.58	44% below	84%
Speech and language evaluation CPT 92523 Evaluation Speech Sound Production W/Eval Language Comprehen & Expression	$57.60	$360.00	$108.00–$69.37	69% below	84%
Speech therapy session, individual CPT 92507 Treatment Speech Language Voice Comm/Hearing Processing Disorder	$56.16	$351.00	$105.30–$76.81	32% below	84%
Spirometry (breathing test) CPT 94010 Measurement and Graphic Recording of Total and Timed Exhaled Air Capacity	$84.48	$528.00	$101.75–$60.93	33% below	84%
Spirometry before and after a bronchodilator CPT 94060 Measurement & Graphic Rec Amount&Speed Breathed Air Before/Follow Med Admin	$142.88	$893.00	$103.05–$893.00	31% below	84%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Repet Tms Tx Initial W/Map/Motr Threshld/Del&M	$128.32	$802.00	$154.55–$802.00	5% below	84%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities to Improve Function Each 15 Minutes	$29.12	$182.00	$105.01–$86.27	26% below	84%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Removal of Whole Blood to Correct Blood Level Imbalance	$62.08	$388.00	$103.16–$74.77	38% below	84%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Exercise or Drug-Induced Heart and Blood Vessel Stress Test	$374.24	$2,339.00	$102.15–$99.43	26% above	84%
Visual field test, extended CPT 92083 Measurement of Field of Vision During Daylight Conditions	$73.12	$457.00	$103.16–$88.06	66% above	84%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Iiv Adjuvanted Vaccine for Im Use	$61.60	$385.00	$115.50–$91.48	39% below	84%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Covid-19 (Pfizer) Sarscv2 Vac 30mcg Trs-Suc Im	$54.08	$338.00	$101.40–$80.31	40% below	84%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2024-2025 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE	$410.25	$410.25	$123.08–$97.48	355% above	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Vaccine for Varicella (Chicken Pox) Injection Beneath Skin	$141.60	$885.00	$102.13–$885.00	31% below	84%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1 350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$548.75	$548.75	$105.74–$63.33	169% above	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Vaccine for Diphtheria Tetanus Toxoids Pertussis & Polio Age 4-6 Yrs	$79.84	$499.00	$149.70–$96.16	14% above	84%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Vaccine for Diphtheria Tetanus Toxoids Pertussis & Polio Age <7yrs	$32.80	$205.00	$118.29–$97.17	7% below	84%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH PERTUS(ACEL) TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$192.25	$192.25	$110.93–$91.13	443% above	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Vaccine for Diphtheria Tetanus Toxoids Pertussis Hepatitis B & Polio	$61.76	$386.00	$101.94–$93.35	36% below	84%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$292.25	$292.25	$101.94–$93.35	204% above	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Ipv/Hib Vaccine for Im Use (Pentacel)	$74.56	$466.00	$120.33–$89.80	at median	84%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT	$728.75	$728.75	$120.33–$84.10	873% above	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Dtap-Ipv-Hib-Hepb Vaccine for Im Use (Vaxelis)	$46.08	$288.00	$136.51–$86.40	43% below	84%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Vaccine for Influenza Administered Into Muscle Preservative Free	$14.88	$93.00	$10.73–$93.00	28% below	84%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2024(65YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE	$219.75	$219.75	$104.16–$65.93	968% above	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Vaccine for Human Papilloma Virus (3 Dose) Injection Into Muscle	$101.28	$633.00	$121.98–$633.00	60% below	84%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE 9-VALENT (PF) 0.5 ML IM SUSPENSION	$922.50	$922.50	$177.77–$922.50	263% above	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE 9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$922.50	$922.50	$177.77–$922.50	263% above	—
Hepatitis A vaccine, adult dose CPT 90632 Vaccine for Hepatitis a Injection Into Muscle Adult Dosage	$33.12	$207.00	$119.44–$98.12	62% below	84%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$116.25	$116.25	$104.63–$88.93	32% above	—
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$243.75	$243.75	$115.54–$78.08	177% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Vaccine for Hepatitis a Injection Into Muscle Pediatric	$16.00	$100.00	$100.00–$90.00	60% below	84%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$29.12	$182.00	$105.01–$91.00	59% below	84%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$208.25	$208.25	$104.13–$98.71	196% above	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb Vaccine Adult 2/4 Dose Schedule for Im Use	$28.32	$177.00	$102.13–$88.50	80% below	84%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$443.00	$443.00	$105.26–$85.37	221% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Vaccine for Hepatitis B (3 Dose) for Injection Into Muscle Pediatric	$33.28	$208.00	$104.00–$98.59	15% below	84%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$83.50	$83.50	$16.09–$9.64	114% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$85.00	$85.00	$16.38–$9.81	118% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Vaccine for Hemophilus Influenza B (3 Dose) Injection Into Muscle	$24.32	$152.00	$116.28–$87.70	13% below	84%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Vaccine for Hemophilus Influenza B (4 Dose) Injection Into Muscle	$8.48	$53.00	$10.21–$6.12	62% below	84%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$91.75	$91.75	$10.59–$91.75	308% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Vaccine for Influenza for Injection Into Muscle	$37.28	$233.00	$110.44–$77.80	42% below	84%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Vaccine for Measles Mumps and Rubella Injection Beneath Skin	$35.04	$219.00	$103.81–$99.11	52% below	84%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA VACCINE LIVE(PF)1 000-12 500TCID50/0.5 ML SUBCUT	$284.50	$284.50	$134.85–$99.11	292% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Vaccine for Meningococcus for Administration Into Muscle	$66.24	$414.00	$124.20–$98.37	58% below	84%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A C Y W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$955.50	$955.50	$110.26–$955.50	509% above	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal Conjugate Vaccine (Menacwy-Tt) for Im Use (Menquadfi)	$47.52	$297.00	$140.78–$89.10	43% below	84%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal Recombinant Protein and Outer Membrane Vesicle Vaccine	$82.08	$513.00	$121.89–$98.86	60% below	84%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP	$1,632.00	$1,632.00	$0.01–$941.66	at median	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal Vaccine for Injection Into Muscle	$181.76	$1,136.00	$1,022.40–$869.04	14% below	84%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Inj Pcv20 Vaccine (Prevnar 20) for Intramuscular Use	$152.80	$955.00	$184.03–$955.00	51% below	84%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$809.00	$809.00	$155.89–$809.00	161% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Vaccine for Pneumococcal Polysaccharide >2yrs	$52.00	$325.00	$133.47–$97.50	61% below	84%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$351.25	$351.25	$105.38–$83.46	160% above	—
Polio vaccine, inactivated (IPV) CPT 90713 Vaccine for Polio Injection Beneath the Skin or Into Muscle	$16.64	$104.00	$104.00–$93.60	60% below	84%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$134.00	$134.00	$102.51–$77.32	224% above	—
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Mab Nirsevimab-Alip 1 Ml Neonatate-24 Mo (Beyortus)	$244.80	$1,530.00	$1,170.45–$882.81	at median	84%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Mab Nirsevimab-Alip 0.5 Ml Neonatate-24 Mo (Beyortus)	$489.44	$3,059.00	$1,449.97–$917.70	2% below	84%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$3,130.50	$3,130.50	$1,483.86–$939.15	526% above	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Vaccine for Rotavirus (3 Dose Schedule) for Oral Administration	$60.96	$381.00	$106.10–$92.18	32% below	84%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE PENTAVALENT 2 ML ORAL SOLUTION	$296.25	$296.25	$106.10–$92.18	230% above	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Vaccine for Shingles for Injection Into Muscle	$75.04	$469.00	$111.43–$90.38	51% below	84%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Vaccine for Tetanus and Diphtheria Toxoids Injection Into Muscle >7 Yrs	$17.12	$107.00	$107.00–$96.30	62% below	84%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$84.00	$84.00	$16.19–$9.69	89% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$120.25	$120.25	$108.23–$91.99	170% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Vaccine for Tetanus Diphtheria Toxoids Acellular Pertussis >7yrs	$55.84	$349.00	$104.70–$67.25	13% below	84%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$141.25	$141.25	$108.06–$81.50	121% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$146.50	$146.50	$112.07–$84.53	129% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPTH PERTUS (ACEL) TETANUS (PF) 2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML (WRAPPED)	$146.50	$146.50	$112.07–$84.53	129% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Inj Vacc Admn Smallpox&Monkeypox 0.5ml Subq	$27.36	$171.00	$114.75–$98.67	32% below	84%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Administration of Pneumococcal Vaccine Subsequent	$16.00	$100.00	$100.00–$90.00	40% below	84%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of Influenza Virus Vaccine Subsequent	$16.00	$100.00	$100.00–$90.00	40% below	84%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of Vaccine	$16.00	$100.00	$100.00–$90.00	40% below	84%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Administration of Hepatitis B Vaccine Subsequent	$16.00	$100.00	$100.00–$90.00	40% below	84%

Dental

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 Endodontic Therapy	$195.04	$1,219.00	$1,097.10–$932.54	52% below	84%
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Dental Prophylaxis Adult	$36.16	$226.00	$113.00–$67.80	19% below	84%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction Erupted Tooth	$578.08	$3,613.00	$1,083.90–$696.23	1% below	84%

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

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

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

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

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

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

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

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

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

Source file: https://lcmchealthfiles.blob.core.windows.net/mrf/West%20Jefferson%20Medical%20Center-PricingTransparency-2026-06-30%2016_41_44.csv