Hospital Monroe, LA

Glenwood Regional Medical Center - HSA

Glenwood Regional Medical Center - HSA in West Monroe, LA publishes cash prices for 422 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Louisiana median for 295 of 416 procedures and above it for 112. By typical cash price it ranks #13 of 67 Louisiana hospitals and #1 of 7 hospitals in the Monroe, LA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

503 McMillan Road, West Monroe, LA 71291 Collected Sep 27, 2026 Source price file Check a bill from this hospital (318) 329-4600

Acute care hospital For-profit hospital Emergency department CMS star rating 2 of 5 CCN 190160 · CMS hospital register NPI 1548083421

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$95.10	$635.28	$91.77–$530.61	45% below	85%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS RT	$79.16	$1,349.49	$76.39–$441.67	36% below	94%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS LT	$79.16	$1,349.49	$76.39–$441.67	36% below	94%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$121.03	$1,045.23	$116.79–$675.27	31% below	88%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM	$159.57	$1,104.37	$153.99–$890.26	26% below	86%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE/JOINT; WB	$363.68	$3,383.10	$350.95–$2,029.05	34% below	89%
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RT	$95.10	$876.91	$91.77–$530.61	43% below	89%
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LT	$95.10	$876.91	$91.77–$530.61	43% below	89%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LT	$79.16	$876.91	$76.39–$441.67	53% below	91%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RT	$79.16	$876.91	$76.39–$441.67	53% below	91%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$317.37	$4,078.77	$306.26–$1,770.69	65% below	92%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$79.16	$157.86	$76.39–$441.67	6% below	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST	$317.37	$4,078.77	$306.26–$1,770.69	75% below	92%
CT scan of the head with contrast CPT 70460 CT - HEAD/BRAIN W CONTRAST	$159.57	$3,145.28	$153.99–$890.26	78% below	95%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX SCAN; BILAT	$217.06	$2,059.32	$209.46–$1,211.04	—	89%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$79.16	$644.77	$76.39–$441.67	40% below	88%
Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2 VIEWS	$79.16	$644.77	$76.39–$441.67	40% below	88%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$79.16	$452.50	$76.39–$441.67	29% below	83%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE LT	$79.16	$1,229.00	$76.39–$441.67	32% below	94%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE RT	$79.16	$1,229.00	$76.39–$441.67	32% below	94%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$95.10	$1,278.54	$91.77–$530.61	67% below	93%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BN DENSITY AXIAL 1+SITE	$94.72	$740.95	$91.40–$530.61	35% below	87%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$217.06	$1,716.10	$209.46–$1,211.04	18% below	87%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$96.32	$1,667.73	$92.95–$1,667.73	—	94%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI RT	$75.07	$946.52	$72.44–$946.52	38% below	92%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI LT	$75.07	$946.52	$72.44–$946.52	38% below	92%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ART/BPG; BILAT	$217.06	$1,716.10	$209.46–$1,211.04	—	87%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS; BILAT	$217.06	$1,999.33	$209.46–$1,211.04	—	89%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W OR WO FOL WCON DOPPLER	$497.08	$3,633.44	$479.68–$2,773.33	35% below	86%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$497.08	$3,633.44	$479.68–$2,773.33	35% below	86%
Elbow X-ray, 2 views one side CPT 73070 X-RAY EXAM ELBOW 2 VIEWS LT	$79.16	$1,239.93	$76.39–$441.67	39% below	94%
Elbow X-ray, 2 views one side CPT 73070 X-RAY EXAM ELBOW 2 VIEWS RT	$79.16	$1,239.93	$76.39–$441.67	39% below	94%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY EXAM ELBOW 3+ VIEWS RT	$79.16	$1,239.93	$76.39–$441.67	40% below	94%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY EXAM ELBOW 3+ VIEWS LT	$79.16	$1,239.93	$76.39–$441.67	40% below	94%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM FACIAL BONES 3+ VWS	$95.10	$859.96	$91.77–$530.61	39% below	89%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY EXAM FOREARM 2 VIEWS LT	$79.16	$1,253.10	$76.39–$441.67	31% below	94%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY EXAM FOREARM 2 VIEWS RT	$79.16	$1,253.10	$76.39–$441.67	31% below	94%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$363.68	$3,767.64	$350.95–$2,029.05	38% below	90%
Hand X-ray, 2 views one side CPT 73120 X-RAY EXAM OF HAND 2 VIEWS RT	$95.10	$1,653.75	$91.77–$530.61	10% below	94%
Hand X-ray, 2 views one side CPT 73120 X-RAY EXAM OF HAND 2 VIEWS LT	$95.10	$1,653.75	$91.77–$530.61	10% below	94%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY EXAM HEEL 2+ VIEWS LT	$79.16	$1,239.93	$76.39–$441.67	28% below	94%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY EXAM HEEL 2+ VIEWS RT	$79.16	$1,239.93	$76.39–$441.67	28% below	94%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSM 6/>YR CPAP 4/> PARM LTD	$781.20	$7,438.26	$753.86–$4,358.51	47% below	89%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YR CPAP 4/> PARM	$781.20	$7,438.26	$753.86–$4,358.51	47% below	89%
Knee X-ray, 3 views one side CPT 73562 X-RAY EXAM OF KNEE 3 LT	$79.16	$1,653.75	$76.39–$441.67	42% below	95%
Knee X-ray, 3 views one side CPT 73562 X-RAY EXAM OF KNEE 3 RT	$79.16	$1,653.75	$76.39–$441.67	42% below	95%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY EXAM KNEE 4 OR MORE LT	$95.10	$1,807.37	$91.77–$530.61	40% below	95%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY EXAM KNEE 4 OR MORE RT	$95.10	$1,807.37	$91.77–$530.61	40% below	95%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$95.10	$1,361.53	$91.77–$530.61	63% below	93%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR NON-VASC LMTD RT	$95.10	$1,991.55	$91.77–$530.61	45% below	95%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR NON-VASC LMTD LT	$95.10	$1,991.55	$91.77–$530.61	45% below	95%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT FOR LUNG CA SCREEN	$94.72	$1,253.31	$91.40–$530.61	36% below	92%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG 2 VW LT	$79.16	$1,239.93	$76.39–$441.67	34% below	94%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG 2 VW RT	$79.16	$1,239.93	$76.39–$441.67	34% below	94%
MR angiography (MRA) of the head without contrast CPT 70544 MRA; HEAD; WO CONTRAST	$217.06	$3,110.47	$209.46–$1,211.04	74% below	93%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI - LE JNT WO CONTR RT	$217.06	$2,990.83	$209.46–$1,211.04	75% below	93%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI - LE JNT WO CONTR LT	$217.06	$2,990.83	$209.46–$1,211.04	75% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE JNT W&WO CONTR LT	$317.37	$4,296.15	$306.26–$1,770.69	74% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE JNT W&WO CONTR RT	$317.37	$4,296.15	$306.26–$1,770.69	74% below	93%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$217.06	$3,110.47	$209.46–$1,211.04	76% below	93%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & WO CONTRAST	$317.37	$5,246.33	$306.26–$1,770.69	75% below	94%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$217.06	$3,110.47	$209.46–$1,211.04	79% below	93%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & WO CONTRAST	$317.37	$5,246.33	$306.26–$1,770.69	77% below	94%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONTR	$217.06	$3,110.47	$209.46–$1,211.04	79% below	93%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMB SPINE W & WO CONTR	$317.37	$5,246.33	$306.26–$1,770.69	77% below	94%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CONTR	$217.06	$3,110.47	$209.46–$1,211.04	77% below	93%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SPINE W & WO CONTR	$317.37	$5,246.33	$306.26–$1,770.69	77% below	94%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERV; WO CONTR	$217.06	$3,110.47	$209.46–$1,211.04	77% below	93%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & WO CONTRAST	$317.37	$6,807.09	$306.26–$1,770.69	69% below	95%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$217.06	$4,902.41	$209.46–$1,211.04	74% below	96%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI U EXTR ANY JNT WO CONT RT	$217.06	$2,990.83	$209.46–$1,211.04	75% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI U EXTR ANY JNT WO CONT LT	$217.06	$2,990.83	$209.46–$1,211.04	75% below	93%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS	$95.10	$1,031.94	$91.77–$530.61	53% below	91%
Neck soft tissue CT scan with contrast CPT 70491 CT - ST NECK W CONTR	$159.57	$2,616.44	$153.99–$890.26	77% below	94%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$79.16	$644.77	$76.39–$441.67	36% below	88%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,177.75	$11,138.64	$1,136.53–$6,570.98	1% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$1,300.84	$11,640.58	$1,255.31–$7,257.73	33% below	89%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$95.10	$1,361.53	$91.77–$530.61	43% below	93%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$95.10	$1,416.00	$91.77–$530.61	66% below	93%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS	$95.10	$1,220.43	$91.77–$530.61	63% below	92%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$95.10	$1,241.97	$91.77–$530.61	58% below	92%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1+ FETUS(S)	$95.10	$1,220.43	$91.77–$530.61	45% below	92%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS 2 VW UNILAT	$79.16	$644.77	$76.39–$441.67	44% below	88%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY RIBS/CHEST 3+ VWS UNILAT	$95.10	$792.23	$91.77–$530.61	36% below	88%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$79.11	$1,125.00	$76.34–$1,125.00	—	93%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY SHOULDER 2+ VIEWS RT	$79.16	$690.82	$76.39–$441.67	40% below	89%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY SHOULDER 2+ VIEWS LT	$79.16	$690.82	$76.39–$441.67	40% below	89%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES 3+ VIEWS	$79.16	$866.04	$76.39–$441.67	52% below	91%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL <4 VIEWS	$95.10	$451.11	$91.77–$530.61	28% below	79%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM LTD	$781.20	$8,920.90	$753.86–$4,358.51	48% below	91%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$781.20	$8,920.90	$753.86–$4,358.51	48% below	91%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FCN W CINE/VIDEO	$159.57	$834.01	$153.99–$890.26	34% below	81%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY EXAM OF FEMUR 2/> LT	$79.16	$615.85	$76.39–$441.67	34% below	87%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY EXAM OF FEMUR 2/> RT	$79.16	$615.85	$76.39–$441.67	34% below	87%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY EXAM TOE(S) 2+ VIEWS RT	$79.16	$619.98	$76.39–$441.67	30% below	87%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY EXAM TOE(S) 2+ VIEWS LT	$79.16	$619.98	$76.39–$441.67	30% below	87%
Transvaginal pelvic ultrasound CPT 76830 NON-OB TRANSVAG US	$95.10	$1,264.23	$91.77–$530.61	55% below	92%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB US	$95.10	$1,187.50	$91.77–$530.61	47% below	92%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$95.10	$1,464.49	$91.77–$530.61	68% below	94%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$95.10	$1,356.13	$91.77–$530.61	56% below	93%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$95.10	$1,361.53	$91.77–$530.61	62% below	93%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$159.57	$1,428.53	$153.99–$890.26	37% below	89%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY UPPER GI DELAY W/KUB	$159.57	$1,223.47	$153.99–$890.26	37% below	87%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY UPPER GI&SMALL INTEST	$159.57	$1,223.47	$153.99–$890.26	37% below	87%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS 2+ VIEWS	$79.16	$619.98	$76.39–$441.67	38% below	87%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXT VEINS; UNIL/LIMIT	$95.10	$1,291.90	$91.77–$530.61	63% below	93%
Wrist X-ray, 2 views one side CPT 73100 X-RAY EXAM WRIST 2 VIEWS LT	$79.16	$1,089.77	$76.39–$441.67	27% below	93%
Wrist X-ray, 2 views one side CPT 73100 X-RAY EXAM WRIST 2 VIEWS RT	$79.16	$1,089.77	$76.39–$441.67	27% below	93%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS LT	$79.16	$1,239.93	$76.39–$441.67	34% below	94%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS RT	$79.16	$1,239.93	$76.39–$441.67	34% below	94%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$79.16	$1,093.78	$76.39–$441.67	38% below	93%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWSLT	$79.16	$1,093.78	$76.39–$441.67	38% below	93%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWSRT	$79.16	$1,093.78	$76.39–$441.67	38% below	93%
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$79.16	$644.77	$76.39–$441.67	35% below	88%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS RT	$79.16	$1,360.21	$76.39–$441.67	27% below	94%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS LT	$79.16	$1,360.21	$76.39–$441.67	27% below	94%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER(S) 2+ VWS RT	$79.16	$619.97	$76.39–$441.67	23% below	87%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER(S) 2+ VWS LT	$79.16	$619.97	$76.39–$441.67	23% below	87%
X-ray of the foot, 2 views one side CPT 73620 X-RAY EXAM FOOT; 2 VIEWS LT	$79.16	$1,132.61	$76.39–$441.67	26% below	93%
X-ray of the foot, 2 views one side CPT 73620 X-RAY EXAM FOOT; 2 VIEWS RT	$79.16	$1,132.61	$76.39–$441.67	26% below	93%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS LT	$79.16	$1,239.93	$76.39–$441.67	36% below	94%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS RT	$79.16	$1,239.93	$76.39–$441.67	36% below	94%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS RT	$79.16	$1,239.93	$76.39–$441.67	38% below	94%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS LT	$79.16	$1,239.93	$76.39–$441.67	38% below	94%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 RT	$79.16	$1,239.72	$76.39–$441.67	30% below	94%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 LT	$79.16	$1,239.72	$76.39–$441.67	30% below	94%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER SPINE 2-3 VW	$95.10	$859.96	$91.77–$530.61	38% below	89%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER SPINE 4+ VW	$95.10	$1,031.94	$91.77–$530.61	56% below	91%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORACIC SPINE 2 VW	$95.10	$665.37	$91.77–$530.61	38% below	86%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM NASAL BONES 3+ VWS	$79.16	$644.77	$76.39–$441.67	33% below	88%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$79.16	$859.96	$76.39–$441.67	45% below	91%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS 1-2 VIEWS	$95.10	$859.96	$91.77–$530.61	28% below	89%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF TAILBONE 2+ VW	$79.16	$643.26	$76.39–$441.67	43% below	88%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 RL ADRENOCORTICOTROPHIC HORMON	$37.85	$524.80	$36.53–$524.80	65% below	93%
ACTH blood test CPT 82024 ASSAY OF ACTH	$37.85	$524.80	$36.53–$524.80	65% below	93%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL TRANSFERASE; ALANINE AMINO	$5.19	$99.07	$5.01–$99.07	74% below	95%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO	$5.19	$99.07	$5.01–$99.07	74% below	95%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL AST OR SGOT	$5.08	$104.43	$4.90–$104.43	74% below	95%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST OR SGOT	$5.08	$104.43	$4.90–$104.43	74% below	95%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$46.68	$1,044.24	$45.05–$1,044.24	58% below	96%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 RL ACUTE HEPATITIS PANEL	$46.68	$1,044.24	$45.05–$1,044.24	58% below	96%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$4.85	$81.66	$4.68–$81.66	69% below	94%
Albumin blood test CPT 82040 RL ASSAY OF SERUM ALBUMIN	$4.85	$81.66	$4.68–$81.66	69% below	94%
Aldosterone blood test CPT 82088 RL ALDOSTERONE (U)	$39.93	$530.15	$38.53–$530.15	59% below	92%
Aldosterone blood test CPT 82088 ALDOSTERONE	$39.93	$530.15	$38.53–$530.15	59% below	92%
Aldosterone blood test CPT 82088 RL ALDOSTERONE	$39.93	$530.15	$38.53–$530.15	59% below	92%
Alkaline phosphatase (ALP) blood test CPT 84075 RL ALKALINE PHOSPHATASE	$5.08	$97.73	$4.90–$97.73	73% below	95%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$5.08	$97.73	$4.90–$97.73	73% below	95%
Allergy blood test, specific IgE, per allergen CPT 86003 RL MILK, COW'S	$5.12	$15.22	$4.94–$28.66	51% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 RL CORN	$5.12	$15.22	$4.94–$28.66	51% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 RL CLAM (F207) IGE	$5.12	$15.66	$4.94–$28.66	51% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$5.12	$17.58	$4.94–$28.66	51% below	71%
Allergy blood test, specific IgE, per allergen CPT 86003 RL PEANUT (F13) IGE	$5.12	$15.22	$4.94–$28.66	51% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 RL SESAME SEED (F10) IGE	$5.12	$15.22	$4.94–$28.66	51% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 RL SHRIMP (F24) IGE	$5.12	$15.22	$4.94–$28.66	51% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 RL SOYBEAN (F14) IGE	$5.12	$15.22	$4.94–$28.66	51% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLG SPEC IGE CRUDE XTRC EA	$5.12	$17.58	$4.94–$28.66	51% below	71%
Allergy blood test, specific IgE, per allergen CPT 86003 RL WALNUT (F256) IGE	$5.12	$15.22	$4.94–$28.66	51% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 RL WHEAT (F4) IGE	$5.12	$15.22	$4.94–$28.66	51% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 RL EGG	$5.12	$15.22	$4.94–$28.66	51% below	66%
Alpha-fetoprotein (AFP) blood test CPT 82105 RL ALPHA-FETOPROTEIN SERUM	$16.43	$293.19	$15.85–$293.19	70% below	94%
Alpha-fetoprotein (AFP) blood test CPT 82105 RL ALPHA FETOPROTEIN,SERUM	$16.43	$293.19	$15.85–$293.19	70% below	94%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$16.43	$293.19	$15.85–$293.19	70% below	94%
Ammonia blood test CPT 82140 RL AMMONIA	$14.28	$182.40	$13.78–$182.40	71% below	92%
Ammonia blood test CPT 82140 AMMONIA	$14.28	$182.40	$13.78–$182.40	71% below	92%
Amylase blood test CPT 82150 RL AMYLASE	$6.35	$130.31	$6.13–$130.31	72% below	95%
Amylase blood test CPT 82150 AMYLASE	$6.35	$142.04	$6.13–$142.04	72% below	96%
Amylase blood test CPT 82150 RL AMYLASE ISOENZYMES	$6.35	$142.04	$6.13–$142.04	72% below	96%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$12.69	$76.30	$12.25–$76.30	72% below	83%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL CCP ANTIBODY	$12.69	$76.30	$12.25–$76.30	72% below	83%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANTINUCLEAR AB (ANA)	$11.85	$250.36	$11.44–$250.36	73% below	95%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$11.85	$122.00	$11.44–$122.00	73% below	90%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANTINUCLEAR AB (ANA);	$11.85	$223.00	$11.44–$223.00	73% below	95%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA);	$11.85	$250.36	$11.44–$250.36	73% below	95%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANA SCREEN	$11.85	$223.00	$11.44–$223.00	73% below	95%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANTINUCLEAR ANTIBDS CHILD 1	$11.85	$223.00	$11.44–$223.00	73% below	95%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL B-TYPE NATRIURETIC PEPTIDE	$38.47	$216.81	$37.12–$216.81	42% below	82%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$38.47	$216.81	$37.12–$216.81	42% below	82%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WOUND CULTURE-TEST EXCHANGE	$8.45	$433.82	$8.15–$433.82	71% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 RESPIRATORY CULTURE-TST EXCH	$8.45	$433.82	$8.15–$433.82	71% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE CULTURE-TEST EXCHANGE	$8.45	$433.82	$8.15–$433.82	71% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ABSCESS CULTURE- TEST EXCHANGE	$8.45	$433.82	$8.15–$433.82	71% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE -OTHR SOURCE	$8.45	$554.50	$8.15–$554.50	71% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE-TST EXCHNG	$8.45	$433.82	$8.15–$433.82	71% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE-TEST EXCHANGE	$8.45	$433.82	$8.15–$433.82	71% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE- TEST EXCHANGE	$8.45	$433.82	$8.15–$433.82	71% below	98%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$8.29	$279.86	$8.00–$279.86	76% below	97%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL CAL TTL	$8.29	$279.86	$8.00–$279.86	76% below	97%
Bilirubin blood test, total CPT 82247 RL TOTAL BILIRUBIN	$4.92	$62.93	$4.75–$62.93	71% below	92%
Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN	$4.92	$62.93	$4.75–$62.93	71% below	92%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOG LVL 4	$47.41	$491.24	$45.75–$264.51	44% below	90%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$9.15	$28.60	$2.99–$51.28	11% above	68%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$9.15	—	$2.99–$51.28	11% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE; QUAN BLOOD	$3.85	$62.93	$3.72–$62.93	73% below	94%
Blood glucose (sugar) test CPT 82947 RL GLUCOSE; QUAN BLOOD	$3.85	$62.93	$3.72–$62.93	73% below	94%
Blood lead test CPT 83655 RL LEAD	$11.87	$156.64	$11.45–$156.64	58% below	92%
Blood lead test CPT 83655 LEAD	$11.87	$145.10	$11.45–$145.10	58% below	92%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG; QUAL	$7.37	$171.26	$7.11–$171.26	77% below	96%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$121.03	$661.98	$116.79–$675.27	165% above	82%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN; QUAN	$3.87	$84.34	$3.73–$84.34	77% below	95%
Blood urea nitrogen (BUN) test CPT 84520 RL UREA NITROGEN,QUAN(REF LAB)	$3.87	$84.34	$3.73–$84.34	77% below	95%
C-peptide blood test CPT 84681 RL C-PEPTIDE	$20.39	$160.64	$14.52–$160.64	63% below	87%
C-peptide blood test CPT 84681 C-PEPTIDE	$20.39	$160.64	$14.52–$160.64	63% below	87%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RL C-REACTIVE PROTEIN	$5.08	$86.32	$4.90–$86.32	78% below	94%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$5.08	$86.32	$4.90–$86.32	78% below	94%
C. difficile toxin gene test (stool PCR) CPT 87493 RL C DIFF AMPLIFIED PROBE	$36.52	$186.37	$35.24–$204.61	51% below	80%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$36.52	$186.37	$35.24–$204.61	51% below	80%
CA 19-9 blood test (tumor marker) CPT 86301 RL IMMUNOASSAY CA 19-9	$20.39	$341.40	$19.68–$341.40	58% below	94%
CA 19-9 blood test (tumor marker) CPT 86301 IA QUANT; CA 19-9	$20.39	$341.40	$19.68–$341.40	58% below	94%
CA-125 blood test (ovarian cancer marker) CPT 86304 IA QUANT; CA 125	$20.39	$286.52	$19.68–$286.52	62% below	93%
CA-125 blood test (ovarian cancer marker) CPT 86304 RL IMMUNOASSAY CA 125	$20.39	$286.52	$19.68–$286.52	62% below	93%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2/19 (COVID19)	$50.28	$252.61	$38.48–$281.69	32% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL SARS-CoV2/19-nCoV (COVID19)	$50.28	$252.61	$38.48–$281.69	32% below	80%
Calcium blood test, total CPT 82310 RL CALCIUM	$5.06	$201.88	$4.88–$201.88	75% below	97%
Calcium blood test, total CPT 82310 CALCIUM; TOTAL	$5.06	$201.88	$4.88–$201.88	75% below	97%
Carcinoembryonic antigen (CEA) test CPT 82378 RL CARCINOEMBRYNC ANTIGEN,FLUI	$18.58	$315.95	$17.93–$315.95	69% below	94%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$18.58	$315.95	$17.93–$315.95	69% below	94%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER IGG	$12.62	$187.43	$12.18–$187.43	67% below	93%
Chickenpox (varicella) immunity blood test CPT 86787 RL VARICELLA-ZOSTER IGG	$12.62	$187.43	$12.18–$187.43	67% below	93%
Chickenpox (varicella) immunity blood test CPT 86787 RL VARICELLA ZOSTER IGM	$12.62	$166.94	$12.18–$166.94	67% below	92%
Chickenpox (varicella) immunity blood test CPT 86787 RL VARICELLA ZOSTER IGG	$12.62	$166.94	$12.18–$166.94	67% below	92%
Chickenpox (varicella) immunity blood test CPT 86787 AB; VARICELLA-ZOSTER	$12.62	$94.00	$12.18–$94.00	67% below	87%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE	$34.39	$212.07	$33.19–$212.07	43% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL INFEC AGNT CHLAMYDIA T AMPL	$34.39	$203.91	$33.19–$203.91	43% below	83%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$13.12	$270.43	$12.66–$270.43	74% below	95%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL LIPID PANEL	$13.12	$270.43	$12.66–$270.43	74% below	95%
Complete blood count (CBC) with differential CPT 85025 COMPL CBC W PLT W AUTOM DIFF	$7.61	$313.27	$7.34–$313.27	72% below	98%
Complete blood count (CBC), no differential CPT 85027 COMPL AUTOM CBC W PLT	$6.34	$199.11	$6.12–$199.11	77% below	97%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$10.35	$609.16	$9.99–$609.16	87% below	98%
Cortisol blood test, total CPT 82533 CORTISOL; TOTAL	$15.97	$407.95	$15.41–$407.95	58% below	96%
Cortisol blood test, total CPT 82533 RL CORTISOL, TOTAL	$15.97	$407.95	$15.41–$407.95	58% below	96%
Creatine kinase (CK) blood test, total CPT 82550 CPK; TOTAL	$6.38	$109.73	$6.16–$109.73	71% below	94%
Creatine kinase (CK) blood test, total CPT 82550 RL CREATINE KINASE, TOTAL	$6.38	$109.73	$6.16–$109.73	71% below	94%
Creatinine blood test CPT 82565 CREATININE; BLOOD	$5.02	$17.44	$4.84–$28.11	71% below	71%
Creatinine blood test CPT 82565 i-STAT POC CREATININE; BLOOD	$5.02	$93.02	$4.84–$93.02	71% below	95%
Cytomegalovirus (CMV) antibody test CPT 86644 RL CYTOMEGALVIRUS IGG AB	$14.10	$263.75	$13.61–$263.75	64% below	95%
Cytomegalovirus (CMV) antibody test CPT 86644 AB; CMV	$14.10	$244.32	$13.61–$244.32	64% below	94%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER - QUAN	$9.98	$334.16	$9.63–$334.16	80% below	97%
DHEA sulfate (DHEA-S) blood test CPT 82627 RL DEHYDOEPIANDROSTERONE SLFTE	$21.79	$1,200.89	$21.03–$1,200.89	63% below	98%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$21.79	$1,200.89	$21.03–$1,200.89	63% below	98%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$50.96	$52.00	$27.09–$285.48	62% above	2%
Drug screen by lab instrument (any number of drug classes) CPT 80307 RL DRUG SCREEN CLASS LIST A	$60.90	$620.08	$58.77–$620.08	93% above	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 RL DRUG SCRN SGL CLASS INHOUSE	$60.90	$186.42	$58.77–$341.15	93% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 RL DRUG SCREEN PRSMPTV 1 CLASS	$60.90	$620.08	$58.77–$620.08	93% above	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 RL DRUG SCREEN ONE/MULT CLASS	$60.90	$696.16	$58.77–$696.16	93% above	91%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$6.87	$112.76	$6.63–$112.76	82% below	94%
Epstein-Barr virus (EBV) antibody test CPT 86665 AB; EB VCA	$17.78	$261.07	$17.16–$261.07	65% below	93%
Epstein-Barr virus (EBV) antibody test CPT 86665 RL AB; EB VCA	$17.78	$261.07	$17.16–$261.07	65% below	93%
Estradiol blood test CPT 82670 ESTRADIOL	$27.38	$228.93	$26.42–$228.93	56% below	88%
Estradiol blood test CPT 82670 RL ESTRADIOL	$27.38	$228.93	$26.42–$228.93	56% below	88%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FSH	$18.21	$369.50	$17.57–$369.50	68% below	95%
FSH (follicle-stimulating hormone) test CPT 83001 RL GONADOTROPIN;FSH	$18.21	$60.76	$17.57–$102.00	68% below	70%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$19.24	$159.38	$18.57–$159.38	82% below	88%
Fecal calprotectin (stool inflammation test) CPT 83993 RL ASSAY FOR CALPROTECTIN FECL	$19.24	$159.38	$18.57–$159.38	82% below	88%
Ferritin blood test (iron stores) CPT 82728 RL FERRITIN	$13.36	$208.87	$12.89–$208.87	71% below	94%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$13.36	$208.87	$12.89–$208.87	71% below	94%
Fibrinogen blood test CPT 85384 RL FIBRINOGEN	$9.53	$96.06	$9.20–$96.06	69% below	90%
Fibrinogen blood test CPT 85384 FIBRINOGEN; ACTIVITY	$9.53	$96.06	$9.20–$96.06	69% below	90%
Folate (folic acid) blood test CPT 82746 RL FOLIC ACID	$14.41	$208.87	$13.91–$208.87	64% below	93%
Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM	$14.41	$208.87	$13.91–$208.87	64% below	93%
Free T3 thyroid hormone test CPT 84481 T3; FREE	$16.60	$587.56	$12.02–$587.56	63% below	97%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE	$8.84	$175.45	$8.53–$175.45	75% below	95%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL FT4 BY DIALYSIS	$8.84	$150.26	$8.53–$150.26	75% below	94%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL T-4 (THYROXINE), FREE	$8.84	$175.45	$8.53–$175.45	75% below	95%
Free testosterone test CPT 84402 TESTOSTERONE; FREE	$24.96	$259.73	$24.09–$259.73	60% below	90%
Free testosterone test CPT 84402 RL TESTOSTERONE FREE	$24.96	$259.73	$24.09–$259.73	60% below	90%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 RL GGTP	$7.06	$113.29	$6.81–$113.29	72% below	94%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE GAMMA	$7.06	$127.19	$6.81–$127.19	72% below	94%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE	$4.65	$460.55	$4.49–$460.55	71% below	99%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 3 SPECM	$12.61	$620.98	$12.17–$620.98	72% below	98%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE	$34.39	$212.07	$33.19–$212.07	44% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL NEISSERIA AMPLIF NA PROBE	$34.39	$203.91	$33.19–$203.91	44% below	83%
H. pylori antibody blood test CPT 86677 AB; HELICOBACTER PYLORI	$16.51	$257.95	$14.15–$257.95	64% below	94%
H. pylori antibody blood test CPT 86677 RL HELICOBACTER PYLORI ANTIBDS	$16.51	$278.46	$14.15–$278.46	64% below	94%
H. pylori stool antigen test CPT 87338 RL HELICOBACTR PYLOR ANTG FECS	$14.09	$87.57	$6.46–$87.57	77% below	84%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL IA	$14.09	$81.12	$6.46–$81.12	77% below	83%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV GENOTYPE	$83.40	$1,112.57	$80.48–$1,112.57	53% below	93%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA BY PCR QUANT	$83.40	$1,249.09	$80.48–$1,249.09	53% below	93%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$83.40	$1,249.09	$80.48–$1,249.09	53% below	93%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV ULTRASENSITIVE	$83.40	$1,112.57	$80.48–$1,112.57	53% below	93%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA QUANTATVE PCR CSF	$83.40	$1,249.09	$80.48–$1,249.09	53% below	93%
HIV-1 and HIV-2 antibody test CPT 86703 RL HIV-1 AB SCREEN	$13.44	$41.13	$12.87–$75.27	61% below	67%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SINGLE RESULT	$13.44	$46.17	$12.87–$75.27	61% below	71%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$23.60	$148.61	$22.77–$148.61	52% below	84%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RL HIV-1 AG W/HIV-1 & HIV-2 AB	$23.60	$148.61	$22.77–$148.61	52% below	84%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$34.39	$118.19	$33.19–$192.64	39% below	71%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL HPV HIGH-RISK TYPES	$34.39	$118.19	$33.19–$192.64	39% below	71%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL HPV HC IADNA	$34.39	$105.27	$33.19–$192.64	39% below	67%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$9.52	$191.98	$9.19–$191.98	71% below	95%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL HEMOGLOBIN A1C	$9.52	$191.98	$9.19–$191.98	71% below	95%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL GLYCOSYLATED HEMOGLOBIN TST	$9.52	$191.98	$9.19–$191.98	71% below	95%
Hepatitis B core antibody test (total) CPT 86704 AB; HBCAB - TOTAL	$11.81	$129.86	$11.40–$129.86	59% below	91%
Hepatitis B core antibody test (total) CPT 86704 RL HEPATITIS B CORE AB TOTAL	$11.81	$129.86	$11.40–$129.86	59% below	91%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 AB: HBSAB	$10.53	$179.39	$10.16–$179.39	64% below	94%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 RL HEPATITIS B SURFACE AB	$10.53	$179.39	$10.16–$179.39	64% below	94%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$10.12	$34.79	$9.77–$56.71	72% below	71%
Hepatitis B surface antigen (HBsAg) test CPT 87340 RL HEPATITIS B SURFACE ANTIGEN	$10.12	$34.79	$9.77–$56.71	72% below	71%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$13.98	$223.57	$13.49–$223.57	69% below	94%
Hepatitis C antibody blood test (screening) CPT 86803 RL HEPATITIS C ANTIBODY	$13.98	$223.57	$13.49–$223.57	69% below	94%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$41.98	$621.19	$40.51–$621.19	66% below	93%
Hepatitis C viral load (HCV RNA) test CPT 87522 RL HEPATITIS C VIRUS RNA	$41.98	$621.19	$40.51–$621.19	66% below	93%
Hepatitis C viral load (HCV RNA) test CPT 87522 RL HEPATITS C VIRUS RNA BY PCR	$41.98	$553.30	$40.51–$553.30	66% below	92%
Herpes blood test, HSV-1 antibody CPT 86695 AB; HSV 1	$12.93	$142.11	$12.48–$142.11	56% below	91%
Herpes blood test, HSV-1 antibody CPT 86695 RL HERPES SIMPLEX TYPE 1	$12.93	$142.11	$12.48–$142.11	56% below	91%
Herpes blood test, HSV-2 antibody CPT 86696 RL HERPES SIMPLEX TYPE 2	$18.96	$142.11	$18.30–$142.11	57% below	87%
Herpes blood test, HSV-2 antibody CPT 86696 RL AB; HSV TYPE 2	$18.96	$126.58	$18.30–$126.58	57% below	85%
Herpes blood test, HSV-2 antibody CPT 86696 AB; HSV TYPE 2	$18.96	$142.11	$18.30–$142.11	57% below	87%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$12.69	$252.00	$12.25–$252.00	71% below	95%
Homocysteine blood test CPT 83090 RL HOMOCYSTEINE	$17.56	$261.15	$16.95–$261.15	69% below	93%
Homocysteine blood test CPT 83090 RL HOMOCYSTEINE, TOTAL	$17.56	$304.93	$16.95–$304.93	69% below	94%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$17.56	$304.93	$16.95–$304.93	69% below	94%
Insulin blood test CPT 83525 RL INSULIN; TOTAL	$11.20	$168.70	$10.81–$168.70	68% below	93%
Insulin blood test CPT 83525 INSULIN; TOTAL	$11.20	$168.70	$10.81–$168.70	68% below	93%
Insulin blood test CPT 83525 RL INSULIN	$11.20	$168.70	$10.81–$168.70	68% below	93%
Iron blood test (serum iron) CPT 83540 RL IRON	$6.34	$100.25	$6.12–$100.25	71% below	94%
Iron blood test (serum iron) CPT 83540 IRON	$6.34	$100.25	$6.12–$100.25	71% below	94%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$8.57	$29.44	$8.27–$47.98	74% below	71%
Iron-binding capacity (TIBC) test CPT 83550 RL IRON BINDING CAPACITY,TOTAL	$8.57	$29.44	$8.27–$47.98	74% below	71%
LH (luteinizing hormone) test CPT 83002 RL LUTEINIZING HORMONE	$18.15	$60.56	$17.51–$101.67	66% below	70%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LUTEINIZING HORMN	$18.15	$377.33	$17.51–$377.33	66% below	95%
Lactate (lactic acid) blood test CPT 83605 LACTATE	$11.34	$155.95	$10.94–$155.95	60% below	93%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE	$5.92	$81.66	$5.71–$81.66	72% below	93%
Lactate dehydrogenase (LDH) blood test CPT 83615 RL LACTATE DEHYDROGENASE (U)	$5.92	$72.74	$5.71–$72.74	72% below	92%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$6.75	$151.77	$6.51–$151.77	75% below	96%
Lyme disease antibody test CPT 86618 AB; LYME'S DISEASE	$16.69	$552.90	$16.11–$552.90	67% below	97%
Lyme disease antibody test CPT 86618 RL LYME DISEASE AB SCREEN	$16.69	$552.90	$16.11–$552.90	67% below	97%
Magnesium blood test CPT 83735 RL MAGNESIUM, RANDOM URINE	$6.57	$85.86	$6.34–$85.86	71% below	92%
Magnesium blood test CPT 83735 RL MAGNESIUM	$6.57	$85.86	$6.34–$85.86	71% below	92%
Magnesium blood test CPT 83735 MAGNESIUM	$6.57	$96.40	$6.34–$96.40	71% below	93%
Measles (rubeola) antibody test CPT 86765 AB; RUBEOLA	$12.62	$86.00	$12.18–$86.00	61% below	85%
Measles (rubeola) antibody test CPT 86765 RL MEASLES (RUBEOLA) IGM	$12.62	$176.49	$12.18–$176.49	61% below	93%
Measles (rubeola) antibody test CPT 86765 RL RUBEOLA IGG	$12.62	$198.14	$12.18–$198.14	61% below	94%
Measles (rubeola) antibody test CPT 86765 RL RUBEOLA VIRUS IGG AB	$12.62	$176.49	$12.18–$176.49	61% below	93%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$12.62	$198.14	$12.18–$198.14	61% below	94%
Mumps immunity blood test CPT 86735 AB; MUMPS	$12.79	$89.00	$12.34–$89.00	59% below	86%
Mumps immunity blood test CPT 86735 RL MUMPS VIRUS IGM AB	$12.79	$39.15	$12.34–$71.64	59% below	67%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG	$12.79	$43.95	$12.34–$71.64	59% below	71%
Mumps immunity blood test CPT 86735 RL MUMPS VIRUS AB IGG	$12.79	$43.95	$12.34–$71.64	59% below	71%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$46.85	$161.03	$24.01–$262.48	42% below	71%
PSA (prostate-specific antigen) blood test, free CPT 84154 RL PSA; FREE	$18.02	$196.80	$17.39–$196.80	63% below	91%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA; FREE	$18.02	$196.80	$17.39–$196.80	63% below	91%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA; TOTAL	$18.02	$364.16	$17.39–$364.16	59% below	95%
PSA (prostate-specific antigen) blood test, total CPT 84153 RL PSA; TOTAL	$18.02	$364.16	$17.39–$364.16	59% below	95%
Pap test (liquid-based, automated screening with review) CPT 88175 RL CYTOPATH C/V AUTO FLUID RED	$26.08	$89.62	$25.17–$146.09	40% below	71%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$26.08	$89.62	$25.17–$146.09	40% below	71%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CP CERV/VAG; ATL; MANUAL SCRN	$19.85	$68.23	$15.87–$111.23	33% below	71%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 RL CP CERV/VAG; ATL; MANL SCRN	$19.85	$68.23	$15.87–$111.23	33% below	71%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE	$40.45	$686.42	$39.03–$686.42	56% below	94%
Parathyroid hormone (PTH) blood test CPT 83970 RL PARATHYROID HORMONE INTACT	$40.45	$686.42	$39.03–$686.42	56% below	94%
Parathyroid hormone (PTH) blood test CPT 83970 RL PARATHYROID HORMONE, INTACT	$40.45	$587.88	$39.03–$587.88	56% below	93%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT; PLASMA OR WHOLE BLOOD.	$5.89	$148.61	$5.68–$148.61	72% below	96%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL PTT (LAC)	$5.89	$148.61	$5.68–$148.61	72% below	96%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE	$4.65	$52.91	$4.49–$52.91	72% below	91%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$4.66	$66.84	$4.50–$66.84	74% below	93%
Progesterone blood test CPT 84144 RL PROGESTERONE	$20.44	$389.59	$19.72–$389.59	63% below	95%
Progesterone blood test CPT 84144 PROGESTERONE ASSAY	$20.44	$389.59	$19.72–$389.59	63% below	95%
Prolactin blood test CPT 84146 PROLACTIN ASSAY	$18.99	$307.74	$18.33–$307.74	71% below	94%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME;	$4.20	$137.89	$4.05–$137.89	71% below	97%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME, FINGERSTICK	$4.20	$137.89	$4.05–$137.89	71% below	97%
Prothrombin time (PT/INR) clotting test CPT 85610 RL PROTIME/INR	$4.20	$137.89	$4.05–$137.89	71% below	97%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$12.35	$42.43	$11.92–$69.17	48% below	71%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO	$16.22	$141.56	$15.65–$141.56	30% below	89%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$16.20	$275.06	$15.63–$275.06	39% below	94%
Renin blood test CPT 84244 RENIN	$21.55	$321.20	$20.80–$321.20	64% below	93%
Renin blood test CPT 84244 RL RENIN ACTIVITY	$21.55	$346.75	$20.80–$346.75	64% below	94%
Rh blood typing CPT 86901 RL BLD TYPING SEROLOGIC RH(D)	$33.98	$64.42	$32.79–$189.57	59% above	47%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D)	$33.98	$64.42	$32.79–$189.57	59% above	47%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID TITRE	$5.56	$23.34	$5.37–$31.13	76% below	76%
Rheumatoid factor (RF) test CPT 86431 QUAN RHEUM FACTOR	$5.56	$81.65	$5.37–$81.65	76% below	93%
Rheumatoid factor (RF) test CPT 86431 RL QUAN RHEUM FACTOR	$5.56	$81.65	$5.37–$81.65	76% below	93%
Rubella antibody test (immunity check) CPT 86762 AB; RUBELLA	$14.10	$140.00	$13.61–$140.00	58% below	90%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$14.10	$266.43	$13.61–$266.43	58% below	95%
Rubella antibody test (immunity check) CPT 86762 RL RUBELLA IGG	$14.10	$266.43	$13.61–$266.43	58% below	95%
Rubella antibody test (immunity check) CPT 86762 RL RUBELLA VIRUS IGG AB	$14.10	$237.31	$13.61–$237.31	58% below	94%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT	$12.06	$41.46	$3.75–$67.58	56% below	71%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM	$4.71	$71.01	$4.55–$71.01	74% below	93%
Stool ova and parasites exam CPT 87177 RL OVA & PARASITE DIR SMR W ID	$8.72	$57.57	$8.41–$57.57	71% below	85%
Stool ova and parasites exam CPT 87177 RL CONCENTRATE RESULT	$8.72	$26.70	$8.41–$48.86	71% below	67%
Stool ova and parasites exam CPT 87177 OVA & PARASITES DIR SMR W ID	$8.72	$57.57	$8.41–$57.57	71% below	85%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$4.29	$41.78	$3.23–$41.78	70% below	90%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 RL BLOOD FECAL IMMUNO	$15.60	$53.62	$15.05–$87.40	39% below	71%
Syphilis antibody test (Treponema pallidum) CPT 86780 RL TREPONEMA PALLIDUM ANTIBODS	$12.98	$156.64	$12.53–$156.64	54% below	92%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$12.98	$156.64	$12.53–$156.64	54% below	92%
Syphilis antibody test (Treponema pallidum) CPT 86780 RL MHA-TP	$12.98	$139.52	$12.53–$139.52	54% below	91%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL VDRL (CSF)	$4.18	$62.93	$4.03–$62.93	69% below	93%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL RAPID PLASMA REAGIN	$4.18	$62.93	$4.03–$62.93	69% below	93%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN	$4.18	$62.93	$4.03–$62.93	69% below	93%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL TB TEST, CELL IMMUN MEASURE	$60.74	$208.76	$58.61–$340.27	51% below	71%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$60.74	$208.76	$58.61–$340.27	51% below	71%
Testosterone blood test, total (not free testosterone) CPT 84403 RL TESTOSTERONE, TOTAL	$25.29	$540.87	$24.40–$540.87	58% below	95%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL	$25.29	$540.87	$24.40–$540.87	58% below	95%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL MICROSOMAL AB EACH	$14.26	$49.01	$13.76–$79.88	63% below	71%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL THYROID PEROXIDASE ABS	$14.26	$294.54	$13.76–$294.54	63% below	95%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB EACH	$14.26	$330.68	$13.76–$330.68	63% below	96%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL LIVER/KIDNEY MICROSOMAL AUT	$14.26	$294.54	$13.76–$294.54	63% below	95%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$16.46	$334.16	$15.88–$334.16	60% below	95%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL THYROID STIMULATING HORMONE	$16.46	$334.16	$15.88–$334.16	60% below	95%
Total IgE blood test CPT 82785 RL IMMUNOGLOBULIN IGE	$16.13	$323.16	$15.57–$323.16	58% below	95%
Total IgE blood test CPT 82785 ASSAY OF IGE	$16.13	$362.81	$15.57–$362.81	58% below	96%
Total IgE blood test CPT 82785 RL ASSAY OF IGE	$16.13	$352.24	$15.57–$352.24	58% below	95%
Total IgE blood test CPT 82785 RL IMMUNOGLOBULIN E	$16.13	$323.16	$15.57–$323.16	58% below	95%
Total cholesterol blood test CPT 82465 SERUM/WB TOT CHOLEST	$4.26	$65.60	$4.11–$65.60	72% below	94%
Total cholesterol blood test CPT 82465 RL SERUM/WB TOT CHOLEST	$4.26	$65.60	$4.11–$65.60	72% below	94%
Total thyroxine (T4) blood test CPT 84436 THYROXINE; TOTAL	$6.73	$140.62	$5.86–$140.62	74% below	95%
Total thyroxine (T4) blood test CPT 84436 RL T-4 (THYROXINE), TOTAL	$6.73	$140.62	$5.86–$140.62	74% below	95%
Total triiodothyronine (T3) blood test CPT 84480 RL TRIIODOTHYRONINE, TOTAL	$13.90	$187.43	$7.83–$187.43	68% below	93%
Total triiodothyronine (T3) blood test CPT 84480 T3; TOTAL	$13.90	$187.43	$7.83–$187.43	68% below	93%
Transferrin blood test CPT 84466 TRANSFERRIN	$12.50	$174.03	$12.06–$174.03	69% below	93%
Trichomonas test (NAAT) CPT 87661 RL TRICHOMONAS VAGINALIS AMPLF	$34.39	$118.19	$33.19–$192.64	38% below	71%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$34.39	$118.19	$33.19–$192.64	38% below	71%
Triglycerides blood test CPT 84478 RL TRIGLYCERIDES	$5.63	$93.72	$5.43–$93.72	76% below	94%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$5.63	$93.72	$5.43–$93.72	76% below	94%
Troponin test, quantitative CPT 84484 TROPONIN I LEVELS	$12.22	$139.52	$11.79–$139.52	71% below	91%
Troponin test, quantitative CPT 84484 TROPONIN QUAN	$12.22	$183.78	$11.79–$183.78	71% below	93%
Uric acid blood test CPT 84550 URIC ACID; BLOOD	$4.43	$96.06	$4.27–$96.06	75% below	95%
Urinalysis with microscope exam, manual CPT 81000 N-AUTOM URINE DIP W MICRO	$3.94	$12.06	$3.80–$22.07	46% below	67%
Urinalysis without microscope exam, manual CPT 81002 N-AUTOM URINALYS WO MICRO	$3.41	$57.02	$3.28–$57.02	52% below	94%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$3.41	$64.02	$3.28–$64.02	52% below	95%
Urine culture for bacteria, with colony count CPT 87086 BACT CULTURE - URINE; QUAN CNT	$7.91	$24.21	$7.63–$44.30	79% below	67%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE-TEST EXCHANGE	$7.91	$171.36	$7.63–$171.36	79% below	95%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN; URINE QUAN	$5.66	$38.83	$5.46–$38.83	71% below	85%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR	$8.44	$104.43	$8.14–$104.43	59% below	92%
Vitamin B12 (cobalamin) blood test CPT 82607 RL VITAMIN B12	$14.78	$220.01	$14.26–$220.01	63% below	93%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 LEVEL	$14.78	$220.01	$14.26–$220.01	63% below	93%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL VITAMIN D, 25-HYDROXY	$29.01	$572.99	$27.99–$572.99	63% below	95%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$29.01	$572.99	$27.99–$572.99	63% below	95%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$37.73	$680.09	$20.52–$680.09	63% below	94%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 RL VITAMIN D (1,25 DIHYDROXY)	$37.73	$680.09	$20.52–$680.09	63% below	94%
Zinc blood test CPT 84630 RL ZINC	$11.16	$257.05	$10.77–$257.05	66% below	96%
Zinc blood test CPT 84630 ZINC	$11.16	$238.12	$10.77–$238.12	66% below	95%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL HCG; QUAN	$14.75	$311.87	$14.23–$311.87	70% below	95%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL HCG, QUANT INTACT	$14.75	$286.12	$14.23–$286.12	70% below	95%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG; QUAN	$14.75	$311.87	$14.23–$311.87	70% below	95%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS	$3,016.10	—	$2,910.54–$16,827.62	1% below	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL	$11,666.69	—	$11,258.36–$65,162.79	24% below	—
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$5,889.28	—	$5,683.16–$32,857.87	228% above	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AID ACL RPR/AGMNTJ	$6,601.04	—	$6,370.00–$36,828.95	33% below	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$6,601.04	—	$6,370.00–$36,828.95	29% below	—
Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS	$6,420.23	—	$6,195.52–$35,820.16	66% above	—
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$279.24	—	$269.47–$1,557.95	66% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$1,502.47	—	$1,449.88–$8,382.68	98% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LES STRTCTC LT	$1,502.47	$7,245.48	$1,449.88–$8,382.68	98% above	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LES STRTCTC RT	$1,502.47	$7,245.48	$1,449.88–$8,382.68	98% above	79%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$224.39	—	$216.54–$1,251.94	7% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CL TX DSTL FIB FX WO MANIP RT	$224.39	$633.61	$216.54–$1,251.94	7% above	65%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CL TX DSTL FIB FX WO MANIP LT	$224.39	$633.61	$216.54–$1,251.94	7% above	65%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLTX METATARSAL FX WO MNP EA	$224.39	—	$216.54–$1,251.94	15% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSAL FX; WO MANIP	$224.39	$717.06	$216.54–$1,251.94	15% above	69%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO	$2,976.56	—	$2,872.38–$16,607.03	16% below	—
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$2,976.56	—	$2,872.38–$16,607.03	31% below	—
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$2,952.85	$27,402.46	$2,849.50–$16,454.41	37% below	89%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$601.26	$4,094.32	$580.22–$3,354.61	at median	85%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$1,776.41	—	$1,714.24–$9,911.04	at median	—
Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP	$2,099.44	—	$2,025.96–$11,713.35	4% below	—
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$837.89	—	$808.56–$4,674.79	62% above	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$1,901.64	$6,038.97	$1,835.08–$10,609.75	21% above	69%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$1,901.64	$6,542.62	$1,835.08–$10,609.75	66% above	71%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE	$634.34	—	$612.14–$3,539.13	14% below	—
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE <=28 DAYS	$634.34	$2,065.40	$612.14–$3,539.13	14% below	69%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$224.39	—	$216.54–$1,251.94	21% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLTX DIS RADFX/EPYS WO MN RT	$224.39	$633.61	$216.54–$1,251.94	21% below	65%
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLTX DIS RADFX/EPYS WO MN LT	$224.39	$633.61	$216.54–$1,251.94	21% below	65%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US	$1,088.59	—	$1,050.49–$6,073.53	79% above	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$1,088.59	—	$1,050.49–$6,073.53	26% above	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$1,088.59	—	$1,050.49–$6,073.53	26% above	—
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$845.99	—	$816.38–$4,720.03	3% above	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP	$2,944.84	—	$2,841.77–$16,430.03	85% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$277.21	—	$267.51–$1,546.64	at median	—
Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP	$2,099.44	—	$2,025.96–$11,713.35	37% below	—
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$3,206.70	—	$3,094.47–$17,891.03	53% above	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$634.34	—	$612.14–$3,539.13	3% below	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$2,944.84	—	$2,841.77–$16,430.03	47% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$182.52	—	$176.13–$1,018.34	88% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$1,411.49	—	$1,362.09–$7,875.08	6% below	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING	$490.63	—	$473.46–$2,737.37	3% below	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$53.67	—	$51.79–$299.42	30% below	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTD EAR WAX UNI RT	$53.67	$161.64	$51.79–$299.42	30% below	67%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTD EAR WAX UNI LT	$53.67	$161.64	$51.79–$299.42	30% below	67%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$53.67	$3,287.29	$51.79–$299.42	17% below	98%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$183.92	—	$177.48–$1,026.14	14% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX W/O CERV DILAT	$183.92	$573.66	$177.48–$1,026.14	14% above	68%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT	$6,420.23	—	$6,195.52–$35,820.16	9% below	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL	$6,420.23	—	$6,195.52–$35,820.16	6% above	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$3,391.70	—	$3,272.99–$18,923.21	at median	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS	$6,420.23	—	$6,195.52–$35,820.16	5% below	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$642.15	—	$619.67–$3,582.72	15% below	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG	$300.48	—	$289.96–$1,676.48	1% below	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$804.61	—	$776.45–$4,489.12	12% above	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$5,889.28	—	$5,683.16–$32,857.87	at median	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$5,889.28	—	$5,683.16–$32,857.87	31% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$3,257.12	—	$3,143.12–$18,172.34	23% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$845.99	—	$816.38–$4,720.03	68% above	—
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$5,499.66	—	$5,307.17–$30,684.10	81% above	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$5,499.66	—	$5,307.17–$30,684.10	51% above	—
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$2,976.56	—	$2,872.38–$16,607.03	8% below	—
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$845.99	—	$816.38–$4,720.03	70% above	—
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$2,525.04	—	$2,436.66–$14,087.89	40% above	—
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY	$11,666.69	—	$11,258.36–$65,162.79	34% below	—
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$4,550.76	—	$4,391.48–$25,389.93	57% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$2,944.84	—	$2,841.77–$16,430.03	49% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL	$182.52	$513.40	$176.13–$1,018.34	17% below	64%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$182.52	—	$176.13–$1,018.34	17% below	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$3,257.12	—	$3,143.12–$18,172.34	3% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT	$279.24	—	$269.47–$1,557.95	17% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$279.24	—	$269.47–$1,557.95	8% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRN/INJ MAJ JNT/BRSA WO US	$279.24	$1,837.97	$269.47–$1,557.95	8% above	85%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRN/INJ MAJ JNT/BRSA WO US RT	$279.24	$1,837.97	$269.47–$1,557.95	8% above	85%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRN/INJ MAJ JNT/BRSA WO US LT	$279.24	$1,837.97	$269.47–$1,557.95	8% above	85%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$121.03	—	$116.79–$675.27	26% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$279.24	—	$269.47–$1,557.95	8% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 DRN/INJ INT JNT/BRSA WO US LT	$279.24	$769.15	$269.47–$1,557.95	8% above	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 DRN/INJ INT JNT/BRSA WO US RT	$279.24	$769.15	$269.47–$1,557.95	8% above	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$279.24	—	$269.47–$1,557.95	8% above	—
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 DRN/INJ SM JNT/BRSA WO US LT	$279.24	$880.23	$269.47–$1,557.95	8% above	68%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRS KNE SRG MNISC RPR M/L	$2,976.56	—	$2,872.38–$16,607.03	61% below	—
Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SRG MNISECTMY M/L	$2,976.56	—	$2,872.38–$16,607.03	15% below	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNE SRG MNISECTMY M&L	$2,976.56	—	$2,872.38–$16,607.03	19% below	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG	$2,976.56	—	$2,872.38–$16,607.03	26% below	—
Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAP PLACE GASTR ADJ DEVICE	$9,665.45	—	$9,327.16–$53,951.77	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$5,499.66	—	$5,307.17–$30,684.10	16% above	—
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$9,665.45	—	$9,327.16–$53,951.77	54% above	—
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$9,665.45	—	$9,327.16–$53,951.77	12% below	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$9,665.45	—	$9,327.16–$53,951.77	70% above	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$5,499.66	—	$5,307.17–$30,684.10	19% above	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$5,499.66	—	$5,307.17–$30,684.10	29% below	—
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS	$3,507.35	—	$3,384.59–$19,568.45	32% below	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$5,499.66	—	$5,307.17–$30,684.10	10% below	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY	$500.33	—	$482.82–$2,791.50	8% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REPAIR S/A/T/EXT	$369.81	$938.81	$356.87–$2,063.25	6% above	61%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$369.81	—	$356.87–$2,063.25	6% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$642.15	$1,979.49	$619.67–$3,582.72	17% below	68%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$804.61	—	$776.45–$4,489.12	101% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$804.61	—	$776.45–$4,489.12	31% above	—
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 LAMOT DCMPRN NRV RT 1 LMBR	$6,601.04	—	$6,370.00–$36,828.95	15% below	—
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR	$24,618.40	—	$23,756.76–$137,718.79	at median	—
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM	$24,618.40	—	$23,756.76–$137,718.79	17% below	—
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR	$6,601.04	—	$6,370.00–$36,828.95	19% below	—
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR	$15,920.53	—	$15,363.31–$88,992.95	at median	—
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$3,561.90	—	$3,437.23–$19,872.81	20% below	—
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$6,040.61	—	$5,829.19–$33,702.18	28% above	—
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$2,944.84	—	$2,841.77–$16,430.03	55% above	—
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G	$672.34	—	$648.81–$3,751.15	113% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$644.20	—	$621.65–$3,594.14	68% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$644.20	—	$621.65–$3,594.14	31% above	—
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$182.52	$513.40	$176.13–$1,018.34	22% above	64%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE 1	$182.52	—	$176.13–$1,018.34	22% above	—
Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL	$182.52	$513.40	$176.13–$1,018.34	22% above	64%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$279.24	$782.81	$269.47–$1,557.95	8% above	64%
Occipital nerve block (injection for headaches) one side CPT 64405 INJ ANES GRTR OCCIP NERVE RT	$279.24	$782.81	$269.47–$1,557.95	8% above	64%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$9,504.33	$45,250.04	$9,171.68–$53,049.16	10% below	79%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$825.09	$4,428.69	$796.21–$4,603.42	40% above	81%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$11,666.69	—	$11,258.36–$65,162.79	21% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL&NAIL MATRIX	$369.81	—	$356.87–$2,063.25	11% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$369.81	$938.81	$356.87–$2,063.25	11% below	61%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD	$9,665.45	—	$9,327.16–$53,951.77	55% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$1,776.41	—	$1,714.24–$9,911.04	74% above	—
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$3,561.90	—	$3,437.23–$19,872.81	129% above	—
Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL	$369.81	$2,463.90	$356.87–$2,063.25	33% above	85%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$369.81	—	$356.87–$2,063.25	33% above	—
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$5,499.66	—	$5,307.17–$30,684.10	1% below	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCRN COLONOSCPY PT NOT HI RISK	$842.55	$2,303.75	$813.06–$4,720.03	12% above	63%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCRN COLONOSCOPY ON HI RISK PT	$842.55	$2,303.75	$813.06–$4,720.03	35% above	63%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$3,016.10	—	$2,910.54–$16,827.62	47% below	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$3,206.70	—	$3,094.47–$17,891.03	20% below	—
Short arm cast (elbow to hand) CPT 29075 APPL CST ELBW FNGR SHORT ARM	$254.44	—	$245.53–$1,419.60	42% above	—
Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLINT STATIC	$121.03	—	$116.79–$675.27	8% below	—
Short arm splint (forearm and hand) one side CPT 29125 APPL SHT ARM SPLINT STATIC RT	$121.03	$367.93	$116.79–$675.27	8% below	67%
Short arm splint (forearm and hand) one side CPT 29125 APPL SHT ARM SPLINT STATIC LT	$121.03	$367.93	$116.79–$675.27	8% below	67%
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST	$254.44	—	$245.53–$1,419.60	22% above	—
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT	$147.83	—	$142.66–$824.76	5% below	—
Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT RT	$147.83	$392.97	$142.66–$824.76	5% below	62%
Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT LT	$147.83	$392.97	$142.66–$824.76	5% below	62%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$2,976.56	—	$2,872.38–$16,607.03	52% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/<	$182.52	$513.40	$176.13–$1,018.34	8% below	64%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$182.52	—	$176.13–$1,018.34	8% below	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$369.81	$513.40	$356.87–$2,063.25	19% above	28%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$644.20	—	$621.65–$3,594.14	27% above	—
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$182.52	—	$176.13–$1,018.34	37% above	—
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS; <=15 LESIONS	$182.52	$604.74	$176.13–$1,018.34	37% above	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG	$642.15	$3,373.54	$619.67–$3,582.72	40% above	81%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$642.15	$3,373.54	$619.67–$3,582.72	40% above	81%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM	$182.52	$513.40	$176.13–$1,018.34	7% below	64%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$182.52	$513.40	$176.13–$1,018.34	7% below	64%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM/<	$182.52	$513.40	$176.13–$1,018.34	6% below	64%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$182.52	—	$176.13–$1,018.34	6% below	—
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$4,877.67	—	$4,706.95–$27,213.82	2% above	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$369.81	—	$356.87–$2,063.25	91% above	—
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$570.66	$2,141.70	$550.69–$3,183.87	12% below	73%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAGING LT	$570.66	$3,795.43	$550.69–$3,183.87	12% below	85%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAGING RT	$570.66	$3,795.43	$550.69–$3,183.87	12% below	85%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS	$3,016.10	—	$2,910.54–$16,827.62	29% below	—
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS	$5,385.31	—	$5,196.82–$30,046.11	79% above	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$3,016.10	—	$2,910.54–$16,827.62	6% above	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS	$5,385.31	—	$5,196.82–$30,046.11	98% above	—
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$11,666.69	—	$11,258.36–$65,162.79	21% below	—
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$11,666.69	—	$11,258.36–$65,162.79	6% below	—
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$15,920.53	—	$15,363.31–$88,992.95	2% below	—
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$5,499.66	—	$5,307.17–$30,684.10	3% above	—
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$1,462.80	—	$1,411.60–$8,161.38	3% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2	$279.24	—	$269.47–$1,557.95	68% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$279.24	$916.93	$269.47–$1,557.95	68% above	70%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$5,499.66	—	$5,307.17–$30,684.10	14% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,502.47	—	$1,449.88–$8,382.68	34% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LES US IMAG LT	$1,502.47	$9,160.08	$1,449.88–$8,382.68	34% above	84%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LES US IMAG RT	$1,502.47	$9,160.08	$1,449.88–$8,382.68	34% above	84%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$1,745.65	—	$1,684.55–$9,739.42	99% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$825.09	—	$796.21–$4,603.42	6% above	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$825.09	—	$796.21–$4,603.42	32% above	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$1,745.65	—	$1,684.55–$9,739.42	105% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$825.09	—	$796.21–$4,603.42	18% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$825.09	—	$796.21–$4,603.42	at median	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST	$5,522.74	—	$5,329.44–$30,812.84	231% above	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$4,877.67	—	$4,706.95–$27,213.82	20% above	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$4,877.67	—	$4,706.95–$27,213.82	21% above	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S)	$1,901.64	—	$1,835.08–$10,609.75	50% above	—
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$2,872.38	—	$2,771.85–$16,025.80	21% above	—
Wart removal, up to 14 warts CPT 17110 DESTRUCTION B9 LES UP TO 14	$182.52	—	$176.13–$1,018.34	30% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$369.81	$2,463.90	$356.87–$2,063.25	11% below	85%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$369.81	—	$356.87–$2,063.25	11% below	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$6,601.04	—	$6,370.00–$36,828.95	2% below	—

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 BLD/BLD COMPNT	$401.34	—	$387.29–$2,239.21	16% below	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMP	$401.34	$1,073.30	$387.29–$2,239.21	16% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$199.20	$1,432.63	$192.23–$1,111.40	112% above	86%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$300.48	$1,002.47	$289.96–$1,676.48	3% above	70%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR	$751.44	$3,838.64	$725.14–$4,192.49	10% below	80%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY	$196.43	$1,889.40	$189.55–$1,095.91	36% below	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG; TRACING ONLY	$53.67	$710.17	$51.79–$299.42	34% below	92%
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY	$781.20	$1,654.38	$753.86–$2,294.37	49% above	53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$76.71	$570.84	$74.03–$428.00	42% below	87%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$139.68	$932.88	$134.79–$779.31	18% below	85%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$248.33	$1,732.05	$239.64–$1,385.51	8% below	86%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$379.59	$2,379.49	$366.30–$2,117.82	11% below	84%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$541.76	$2,387.85	$522.80–$3,022.63	2% above	77%
Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST; TRACING	$196.43	$2,013.67	$189.55–$1,095.91	42% below	90%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN	$161.46	$1,079.06	$155.81–$474.22	29% above	85%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$161.46	$1,079.06	$155.81–$474.22	22% above	85%
Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTI-FAMILY	$92.42	$235.40	$89.19–$271.43	5% below	61%
Group psychotherapy session CPT 90853 GRP THRPY NOT MULTI FAMILY	$92.42	$235.40	$89.19–$271.43	5% below	61%
Group psychotherapy session CPT 90853 GRP PSYCH PARTIAL HOSP 45-50	$92.42	$235.40	$89.19–$271.43	5% below	61%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INF INIT 31-60	$193.49	$1,175.49	$186.72–$1,079.55	14% above	84%
IV infusion of a medicine, first hour CPT 96365 THER/PRO/DX IV INF INIT =<1 HR	$193.49	$1,571.03	$186.72–$1,079.55	8% below	88%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$193.49	$979.60	$186.72–$1,079.55	76% above	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$65.50	$484.55	$63.21–$365.41	16% above	86%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT NUTRITION THX; EA 15M	$28.80	$60.08	$5.43–$175.00	7% below	52%
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES	$161.46	$174.03	$155.81–$474.22	70% above	7%
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES	$161.46	$216.88	$155.81–$474.22	22% above	26%
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES	$161.46	$259.73	$155.81–$474.22	42% above	38%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$33.95	$50.88	$32.76–$190.17	77% above	33%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$196.43	$1,459.61	$189.55–$1,095.91	54% above	87%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM - PRE & POST BD	$339.46	$866.04	$327.58–$1,893.94	52% above	61%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$121.03	$679.36	$116.79–$675.27	16% above	82%

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 INFLU (FLUAD TRIV 65 )PF 0.5ML	$157.50	$803.55	$59.53–$882.30	54% above	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 RAXT/PF 10 MCG/0.3 ML VIAL	$141.86	$723.80	$65.43–$794.73	at median	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 RAXT)/PF 30 MCG/0.3 ML VIAL	$157.78	$805.00	$72.77–$883.89	11% above	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 (ANDU)/PF 50 MCG/0.5 ML VIAL	$175.62	$896.00	$81.00–$983.81	24% above	80%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 ANDU/PF 50 MCG/0.5 ML SYR	$177.67	$906.50	$81.95–$995.34	86% above	80%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 ANDU/PF 50 MCG/0.5 ML SYR COVI	$177.67	$906.50	$81.95–$995.34	86% above	80%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 INFLU (FLUBLOK TRIV) PF 0.5ML	$157.50	$803.55	$40.61–$882.30	608% above	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU (FLUZONE TRIV) PF 0.5ML	$56.03	$285.85	$19.77–$313.86	87% above	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU (AFLURIA TRIVAL)PF 0.5ML	$60.35	$307.90	$19.77–$338.07	101% above	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACC 10 MCG/1 ML	$131.66	$671.75	$60.73–$737.58	84% above	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC 20 MCG/ 1 ML INJ	$136.98	$698.90	$63.18–$767.39	91% above	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VACC 5MCG/0.5ML VIAL	$65.96	$336.55	$30.42–$369.53	69% above	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VIR VAC 10MCG/0.5ML VIAL	$67.90	$346.45	$31.32–$380.40	74% above	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLU (FLUZONE HD65 )PF 0.5ML	$157.50	$803.55	$72.64–$882.30	109% above	80%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13 VACCINE 0.5 ML	$309.64	$1,579.80	$142.81–$1,734.62	46% above	80%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF	$434.12	$2,214.90	$200.23–$2,431.96	35% above	80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC VAC 23 VALENT >2 YRS	$160.64	$819.60	$74.09–$899.92	19% above	80%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 IU SYR IM	$331.98	$3,284.50	$320.36–$959.41	49% below	90%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE	$65.50	$465.91	$63.21–$365.41	62% above	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VIRUS VACCINE	$65.50	$465.91	$63.21–$365.41	62% above	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$65.50	$465.91	$63.21–$365.41	62% above	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE	$65.50	$465.91	$63.21–$365.41	62% above	86%

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

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

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

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

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

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

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

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

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

Source file: https://glenwoodregional.org/pricetransparency/994786140_hsa-glenwood-llc_standardcharges.csv