Hospital Huron, SD

Huron Regional Medical Center

Huron Regional Medical Center in Huron, SD publishes cash prices for 333 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the South Dakota median for 200 of 329 procedures and above it for 127. By typical cash price it ranks #5 of 24 South Dakota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

172 Fourth Street Southeast, Huron, SD 57350 Collected Sep 27, 2026 Source price file Check a bill from this hospital (605) 353-6200

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 431335 · CMS hospital register NPI 1154312429

Financial assistance

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

Huron Regional 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 1 action for a hospital named Huron Regional Medical Center in Huron, SD:

Feb 20, 2024 Met requirements

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs South Dakota	Off list
Abdominal CT scan without and with contrast CPT 74170 CT UPPER ABDOMEN WWO IV NO ORAL	$3,202.50	$5,337.50	$3,843.00–$5,177.38	at median	40%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEW	$548.70	$914.50	$658.44–$887.07	23% above	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT 3 VIEWS	$266.10	$443.50	$319.32–$430.20	9% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT 3 VIEWS	$266.10	$443.50	$319.32–$430.20	9% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US NON INVASIVE ANKLE BRACHIAL INDEX	$353.40	$589.00	$424.08–$571.33	31% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	18% below	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$666.90	$1,111.50	$800.28–$1,078.16	20% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$1,746.60	$2,911.00	$2,095.92–$2,823.67	11% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST ECHO UNILATERAL RIGHT	$382.80	$638.00	$459.36–$618.86	32% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left.	$382.80	$638.00	$459.36–$618.86	32% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left	$382.80	$638.00	$459.36–$618.86	32% below	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST ECHO BIL LIMITED	$409.50	$682.50	$491.40–$662.03	27% below	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ECHO UNI LIMITED LEFT	$409.50	$682.50	$491.40–$662.03	27% below	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ECHO UNI LIMITED RIGHT	$409.50	$682.50	$491.40–$662.03	27% below	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN PELVIS W/WO CM	$2,634.60	$4,391.00	$3,161.52–$4,259.27	35% below	40%
CT angiography (CTA) of the head CPT 70496 CT Angio head	$3,021.30	$5,035.50	$3,625.56–$4,884.44	3% above	40%
CT angiography (CTA) of the head CPT 70496 CTA HEAD WWO CM	$3,021.30	$5,035.50	$3,625.56–$4,884.44	3% above	40%
CT angiography (CTA) of the neck CPT 70498 CTA NECK WWO CM	$3,021.30	$5,035.50	$3,625.56–$4,884.44	3% above	40%
CT angiography (CTA) of the neck CPT 70498 CT Angio Head/Neck	$3,021.30	$5,035.50	$3,625.56–$4,884.44	3% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest w/contrast	$2,934.30	$4,890.50	$3,521.16–$4,743.79	2% above	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CORONARIES CARD MORPH WWO CM	$3,762.60	$6,271.00	$4,515.12–$6,082.87	4% above	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARD CALCIUM SCORE WOC	$1,620.30	$2,700.50	$1,944.36–$2,619.49	519% above	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO ORAL AND WO IV	$2,194.80	$3,658.00	$2,633.76–$3,548.26	42% below	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W IV AND GASTRO	$2,634.60	$4,391.00	$3,161.52–$4,259.27	44% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO IV WITH GASTRO	$3,585.30	$5,975.50	$4,302.36–$5,796.24	28% below	40%
CT scan of the abdomen with contrast CPT 74160 CT UPPER ABDOMEN W IV AND ORAL	$1,949.10	$3,248.50	$2,338.92–$3,151.05	33% below	40%
CT scan of the abdomen without contrast CPT 74150 CT UPPER ABD WO IV GASTRO ONLY	$1,847.10	$3,078.50	$2,216.52–$2,986.15	7% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CM	$1,536.00	$2,560.00	$1,843.20–$2,483.20	21% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CM	$1,309.80	$2,183.00	$1,571.76–$2,117.51	34% below	40%
CT scan of the head with contrast CPT 70460 CT HEAD W CM	$1,456.20	$2,427.00	$1,747.44–$2,354.19	35% below	40%
CT scan of the head without and with contrast CPT 70470 CT HEAD WWO CM	$1,976.40	$3,294.00	$2,371.68–$3,195.18	30% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CM	$2,076.00	$3,460.00	$2,491.20–$3,356.20	13% below	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CONTRAST	$1,786.80	$2,978.00	$2,144.16–$2,888.66	21% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W IV AND GASTRO	$2,042.70	$3,404.50	$2,451.24–$3,302.37	9% below	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Scan Bilateral	$1,136.10	$1,893.50	$1,363.32–$1,836.70	—	40%
Chest CT scan without and with contrast CPT 71270 CT Chest/Abd w/w/o	$1,285.80	$2,143.00	$1,542.96–$2,078.71	56% below	40%
Chest CT scan without and with contrast CPT 71270 Ct Chest/Abd/Pelvis w/w/o	$1,285.80	$2,143.00	$1,542.96–$2,078.71	56% below	40%
Chest X-ray, 2 views CPT 71046 CHEST TWO VIEWS PA and LATERAL	$313.50	$522.50	$376.20–$506.83	15% below	40%
Chest X-ray, single view CPT 71045 71045 XR Shunt Series	$189.00	$315.00	$226.80–$305.55	36% below	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT	$336.60	$561.00	$403.92–$544.17	34% above	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT	$336.60	$561.00	$403.92–$544.17	34% above	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY	$689.70	$1,149.50	$827.64–$1,115.02	17% above	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY DEXA EXTREMITY	$235.80	$393.00	$282.96–$381.21	30% above	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL ANAT EXAM SINGLE or 1ST GES	$409.50	$682.50	$491.40–$662.03	40% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Abd/Pelvis w/o	$745.50	$1,242.50	$894.60–$1,205.23	64% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Abdomen w/o	$745.50	$1,242.50	$894.60–$1,205.23	64% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Abd/Pelvis w/	$815.40	$1,359.00	$978.48–$1,318.23	69% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Abd w/w/o	$815.40	$1,359.00	$978.48–$1,318.23	69% below	40%
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic Mammo w/ CAD, Bilateral	$468.30	$780.50	$561.96–$757.09	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammo, post clip, bilateral	$936.60	$1,561.00	$1,123.92–$1,514.17	—	40%
Diagnostic mammogram, both breasts CPT 77066 Radiology	$468.30	$780.50	$561.96–$757.09	19% below	40%
Diagnostic mammogram, one breast one side CPT 77065 Diagnostic mammo w/CAD, RT	$468.30	$780.50	$561.96–$757.09	10% above	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EXTREMITY ARTERIES BILATERAL	$1,166.40	$1,944.00	$1,399.68–$1,885.68	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX SCAN BILAT EXT VEINS	$1,034.70	$1,724.50	$1,241.64–$1,672.77	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral	$1,034.70	$1,724.50	$1,241.64–$1,672.77	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US CARDIOGRAPHY COMPLETE	$2,012.70	$3,354.50	$2,415.24–$3,253.87	16% below	40%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LT	$206.10	$343.50	$247.32–$333.20	24% below	40%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RT	$206.10	$343.50	$247.32–$333.20	24% below	40%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW 3V BIL	$493.80	$823.00	$592.56–$798.31	47% above	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3V LT	$246.90	$411.50	$296.28–$399.16	27% below	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3V RT	$246.90	$411.50	$296.28–$399.16	27% below	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	19% below	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	19% below	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3V MIN	$415.50	$692.50	$498.60–$671.73	15% above	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM AP LAT RT	$206.10	$343.50	$247.32–$333.20	33% below	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM AP LAT LT	$206.10	$343.50	$247.32–$333.20	33% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM BILIARY TRACT	$1,488.00	$2,480.00	$1,785.60–$2,405.60	23% below	40%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LT	$206.10	$343.50	$247.32–$333.20	23% below	40%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RT	$206.10	$343.50	$247.32–$333.20	23% below	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEOUS MIN 2V LT	$206.10	$343.50	$247.32–$333.20	2% below	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEOUS MIN 2V RT	$206.10	$343.50	$247.32–$333.20	2% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 EEG PSG CPAP TITRATION	$4,489.80	$7,483.00	$5,387.76–$7,258.51	2% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 EEG PSG SPLIT NIGHT STUDY W/CPAP	$4,605.90	$7,676.50	$5,527.08–$7,446.21	at median	40%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW RT	$233.70	$389.50	$280.44–$377.82	29% below	40%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW LT	$233.70	$389.50	$280.44–$377.82	29% below	40%
Knee X-ray, complete, 4 or more views CPT 73564 KNEE 4V MIN BIL	$543.00	$905.00	$651.60–$877.85	54% above	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4V MIN RT	$271.50	$452.50	$325.80–$438.93	23% below	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4V MIN LT	$271.50	$452.50	$325.80–$438.93	23% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIB FIB LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIB FIB RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT RT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP LT WO CM	$1,693.20	$2,822.00	$2,031.84–$2,737.34	17% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED EO	$611.70	$1,019.50	$734.04–$988.92	26% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$611.70	$1,019.50	$734.04–$988.92	26% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US HEPATIC	$611.70	$1,019.50	$734.04–$988.92	26% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$611.70	$1,019.50	$734.04–$988.92	26% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED	$611.70	$1,019.50	$734.04–$988.92	26% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALL BLADDER	$611.70	$1,019.50	$734.04–$988.92	26% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE LT EXT MASS	$600.60	$1,001.00	$720.72–$970.97	at median	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE RT EXT MASS	$600.60	$1,001.00	$720.72–$970.97	at median	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Cancer Screening	$380.70	$634.50	$456.84–$615.47	57% below	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA FIBULA AP LAT BIL	$543.00	$905.00	$651.60–$877.85	62% above	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB-FIB AP LAT RT	$271.50	$452.50	$325.80–$438.93	19% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB FIB AP LAT LT	$271.50	$452.50	$325.80–$438.93	19% below	40%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN WO CM	$3,202.50	$5,337.50	$3,843.00–$5,177.38	9% above	40%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI HIPS BILAT WO CM	$6,253.80	$10,423.00	$7,504.56–$10,110.31	—	40%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI KNEE BILAT WO CM	$6,253.80	$10,423.00	$7,504.56–$10,110.31	—	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	1% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	1% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	1% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	1% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE LT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	1% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE RT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	1% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI HIPS BILAT WWO CM	$6,253.20	$10,422.00	$7,503.84–$10,109.34	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Ankle w/ + w/o Contrast Bilateral	$6,253.20	$10,422.00	$7,503.84–$10,109.34	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI KNEE BILAT WWO CM	$6,253.20	$10,422.00	$7,503.84–$10,109.34	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left	$3,126.90	$5,211.50	$3,752.28–$5,055.16	25% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right	$3,126.90	$5,211.50	$3,752.28–$5,055.16	25% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE LT WWO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	25% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP RT WWO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	25% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP LT WWO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	25% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE RT WWO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	25% below	40%
MRI of the abdomen without contrast CPT 74181 MRI Liver Fat Iron Quantification WO	$1,137.00	$1,895.00	$1,364.40–$1,838.15	65% below	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	4% below	40%
MRI of the abdomen without contrast CPT 74181 MRI MRCP	$3,126.90	$5,211.50	$3,752.28–$5,055.16	4% below	40%
MRI of the abdomen without contrast CPT 74181 MRI KIDNEY WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	4% below	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI KIDNEY WWO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	28% below	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WWO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	28% below	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CM	$2,934.30	$4,890.50	$3,521.16–$4,743.79	7% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WWO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	28% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY WWO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	28% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	28% below	40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CM	$3,202.50	$5,337.50	$3,843.00–$5,177.38	2% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WWO CM	$4,353.00	$7,255.00	$5,223.60–$7,037.35	1% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SACRUM WWO CM COCCYX	$4,353.00	$7,255.00	$5,223.60–$7,037.35	1% below	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WO CM	$3,202.50	$5,337.50	$3,843.00–$5,177.38	2% below	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WWO CM	$4,353.00	$7,255.00	$5,223.60–$7,037.35	1% above	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CM	$2,910.30	$4,850.50	$3,492.36–$4,704.99	11% below	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WWO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	27% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CM	$2,910.30	$4,850.50	$3,492.36–$4,704.99	19% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM WO CM COCCYX	$2,910.30	$4,850.50	$3,492.36–$4,704.99	19% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI WRIST BIL WO CM	$6,253.80	$10,423.00	$7,504.56–$10,110.31	91% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SHOULDER BIL WO CM	$6,253.80	$10,423.00	$7,504.56–$10,110.31	91% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST RT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	4% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER LT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	4% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW LT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	4% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST LT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	4% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW RT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	4% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER RT WO CM	$3,126.90	$5,211.50	$3,752.28–$5,055.16	4% below	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE 4-5 VIEWS AP LAT FLEX EXT	$473.70	$789.50	$568.44–$765.82	11% below	40%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W CM	$1,786.80	$2,978.00	$2,144.16–$2,888.66	29% below	40%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK WO CM	$1,536.00	$2,560.00	$1,843.20–$2,483.20	25% below	40%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$305.70	$509.50	$366.84–$494.22	4% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC MULTI STUDY SPECT	$3,417.60	$5,696.00	$4,101.12–$5,525.12	16% below	40%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W GASTRO ONLY	$1,847.10	$3,078.50	$2,216.52–$2,986.15	4% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED/FOLLOW UP	$183.90	$306.50	$220.68–$297.31	60% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US URINARY BLADDER COMPLETE	$289.20	$482.00	$347.04–$467.54	71% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$289.20	$482.00	$347.04–$467.54	71% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB AFTER 1ST TRIMESTER or 1ST GEST	$324.90	$541.50	$389.88–$525.26	59% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIMESTER SINGLE or 1ST GEST	$296.10	$493.50	$355.32–$478.70	53% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$238.50	$397.50	$286.20–$385.58	52% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB BEDSIDE ULTRASOUND PROVIDER	$238.50	$397.50	$286.20–$385.58	52% below	40%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2V RT	$438.60	$731.00	$526.32–$709.07	31% above	40%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2V LT	$438.60	$731.00	$526.32–$709.07	31% above	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT UNI WPA CXR MIN 3V	$517.20	$862.00	$620.64–$836.14	9% above	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT UNI WPA CXR MIN 3V	$517.20	$862.00	$620.64–$836.14	9% above	40%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screening Bilateral w/ Tomo.	$468.30	$780.50	$561.96–$757.09	—	40%
Screening mammogram, both breasts CPT 77067 MM DIGITAL MAMMO SCR BIL W CAD	$468.30	$780.50	$561.96–$757.09	3% below	40%
Screening mammogram, both breasts one side CPT 77067 MM DIGITAL MAMMO SCR UNI RT W CAD	$468.30	$780.50	$561.96–$757.09	3% below	40%
Screening mammogram, both breasts one side CPT 77067 MM DIGITAL MAMMO SCR UNI LT W CAD	$468.30	$780.50	$561.96–$757.09	3% below	40%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screening Left w/ Tomo.	$468.30	$780.50	$561.96–$757.09	3% below	40%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screening Right w/ Tomo.	$468.30	$780.50	$561.96–$757.09	3% below	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER MIN 2V BIL	$588.00	$980.00	$705.60–$950.60	72% above	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2V LT	$294.00	$490.00	$352.80–$475.30	14% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2V RT	$294.00	$490.00	$352.80–$475.30	14% below	40%
Sinus X-ray, complete, 3 or more views CPT 70220 PARANASAL SINUSES 3V OR GREATER	$442.50	$737.50	$531.00–$715.38	9% above	40%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LIMITED LESS 4V	$189.00	$315.00	$226.80–$305.55	54% below	40%
Sleep study in a lab (polysomnography) CPT 95810 EEG PSG POLYSOMNOGRAPHY	$4,377.30	$7,295.50	$5,252.76–$7,076.64	at median	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING STUDY VIDEO	$704.70	$1,174.50	$845.64–$1,139.27	1% below	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR AP LATERAL BIL	$543.00	$905.00	$651.60–$877.85	72% above	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR AP LATERAL LT	$271.50	$452.50	$325.80–$438.93	14% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR AP LATERAL RT	$271.50	$452.50	$325.80–$438.93	14% below	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WO CM	$2,076.00	$3,460.00	$2,491.20–$3,356.20	9% below	40%
Toe X-ray, 2 or more views both sides CPT 73660 TOES 2 VIEWS BILATERAL	$412.20	$687.00	$494.64–$666.39	—	40%
Toe X-ray, 2 or more views one side CPT 73660 TOES 2 VIEWS RT	$206.10	$343.50	$247.32–$333.20	17% below	40%
Toe X-ray, 2 or more views one side CPT 73660 TOES 2 VIEWS LT	$206.10	$343.50	$247.32–$333.20	17% below	40%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$289.20	$482.00	$347.04–$467.54	50% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$238.50	$397.50	$286.20–$385.58	61% below	40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$987.60	$1,646.00	$1,185.12–$1,596.62	11% below	40%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$744.90	$1,241.50	$893.88–$1,204.26	10% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US PARATHYROIDS	$515.70	$859.50	$618.84–$833.72	36% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$515.70	$859.50	$618.84–$833.72	36% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD NECK MASS	$515.70	$859.50	$618.84–$833.72	36% below	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2V LT	$203.10	$338.50	$243.72–$328.35	31% below	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2V RT	$203.10	$338.50	$243.72–$328.35	31% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left	$658.80	$1,098.00	$790.56–$1,065.06	32% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX SCAN RT EXT VEIN UNI	$658.80	$1,098.00	$790.56–$1,065.06	32% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right	$658.80	$1,098.00	$790.56–$1,065.06	32% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX SCAN LT EXT VEIN UNI	$658.80	$1,098.00	$790.56–$1,065.06	32% below	40%
Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS BIL	$412.20	$687.00	$494.64–$666.39	72% above	40%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LT	$206.10	$343.50	$247.32–$333.20	14% below	40%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RT	$206.10	$343.50	$247.32–$333.20	14% below	40%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST MIN 3 VIEWS BIL	$493.80	$823.00	$592.56–$798.31	65% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS RT	$246.90	$411.50	$296.28–$399.16	17% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS LT	$246.90	$411.50	$296.28–$399.16	17% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILATERAL RT M2V	$307.80	$513.00	$369.36–$497.61	at median	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILATERAL LT M2V	$307.80	$513.00	$369.36–$497.61	at median	40%
X-ray of the abdomen, 1 view CPT 74018 XR Shunt Series	$252.00	$420.00	$302.40–$407.40	21% below	40%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS BIL	$412.20	$687.00	$494.64–$666.39	48% above	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEWS	$206.10	$343.50	$247.32–$333.20	26% below	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEWS	$206.10	$343.50	$247.32–$333.20	26% below	40%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER MIN 2 VIEWS BIL	$412.20	$687.00	$494.64–$666.39	73% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VIEWS LT	$206.10	$343.50	$247.32–$333.20	13% below	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VIEWS RT	$206.10	$343.50	$247.32–$333.20	13% below	40%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS BIL	$412.20	$687.00	$494.64–$666.39	47% above	40%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT	$206.10	$343.50	$247.32–$333.20	26% below	40%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LT	$206.10	$343.50	$247.32–$333.20	26% below	40%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS BIL	$532.20	$887.00	$638.64–$860.39	84% above	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS RT	$266.10	$443.50	$319.32–$430.20	8% below	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS LT	$266.10	$443.50	$319.32–$430.20	8% below	40%
X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS BIL	$493.80	$823.00	$592.56–$798.31	64% above	40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT	$246.90	$411.50	$296.28–$399.16	18% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT	$246.90	$411.50	$296.28–$399.16	18% below	40%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1or2 VIEW BIL	$412.20	$687.00	$494.64–$666.39	48% above	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1or2 VIEW LT	$206.10	$343.50	$247.32–$333.20	26% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1or2 VIEW RT	$206.10	$343.50	$247.32–$333.20	26% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMB SPINE AP LAT	$539.40	$899.00	$647.28–$872.03	34% above	40%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE AP LAT OBLIQUES	$564.00	$940.00	$676.80–$911.80	3% below	40%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE AP LAT FLEX EXT	$564.00	$940.00	$676.80–$911.80	3% below	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE AP LAT	$376.20	$627.00	$451.44–$608.19	2% above	40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3V	$344.40	$574.00	$413.28–$556.78	9% above	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP LAT	$415.50	$692.50	$498.60–$671.73	12% above	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS ADULT	$305.70	$509.50	$366.84–$494.22	4% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX	$404.40	$674.00	$485.28–$653.78	26% above	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs South Dakota	Off list
ACTH blood test CPT 82024 ACTH	$389.70	$649.50	$467.64–$630.02	123% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$75.00	$125.00	$90.00–$121.25	3% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$75.00	$125.00	$90.00–$121.25	1% above	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$364.80	$608.00	$437.76–$589.76	37% above	40%
Albumin blood test CPT 82040 ALBUMIN	$113.40	$189.00	$136.08–$183.33	84% above	40%
Aldosterone blood test CPT 82088 ALDOSTERONE/TANNER STAGES	$408.90	$681.50	$490.68–$661.06	279% above	40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE	$113.40	$189.00	$136.08–$183.33	56% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Mountain Cedar Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Drug: Amoxicilloyl Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Drug: Penicilloyl G Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Drug: Penicilloyl V Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Rabbit Eithelia Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Cod Fish Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Corn (Maize) Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Egg White Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Milk Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Peanut Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Mosquito Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Horse Dander Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Cow Dander Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Yeast Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Tomato Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Scallops Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Shrimp Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Soybean Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Walnut Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Wheat Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Grass: Bermuda Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Grass: Kentucky Blue Grass Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Misc: Mouse Ur Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold: Alternaria Alternata Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold: Penicillium Chrysogenum Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold: Aspergillus Fumigatus Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold: Cladosporium Herbarum Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Cat Dander Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Potato Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Pork Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Orange Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Oats Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Chicken Meat Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Cockroach Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Derm Farinae Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Cashew Nut Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Cacao (Cocao) Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Food: Barley Class SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel, Food #2 SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Weed: Sheep Sorrel Red Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Weed: Russian Thistle Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Derm Pteronyss Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Weed: Ragweed Common Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Weed: Pigweed Rough Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Weed: Nettle Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Oak Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Mulberry Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Dog Dander Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Ash (White) Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Box Elder/Maple Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Cottonwood Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Elm American Quant SF	$59.40	$99.00	$71.28–$96.03	73% above	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN	$169.80	$283.00	$203.76–$274.51	27% above	40%
Ammonia blood test CPT 82140 AMMONIA	$231.90	$386.50	$278.28–$374.91	37% above	40%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$182.10	$303.50	$218.52–$294.40	81% above	40%
Amylase blood test CPT 82150 Amylase Body Fluid SF	$182.10	$303.50	$218.52–$294.40	81% above	40%
Amylase blood test CPT 82150 AMYLASE URINE	$182.10	$303.50	$218.52–$294.40	81% above	40%
Amylase blood test CPT 82150 AMYLASE SERUM	$182.10	$303.50	$218.52–$294.40	81% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP	$77.40	$129.00	$92.88–$125.13	46% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN /c REFLEX	$125.70	$209.50	$150.84–$203.22	72% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$222.00	$370.00	$266.40–$358.90	4% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Bacterial, Other w/Gram Stain SF	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Bacterial Resp w/Gram Stain SF	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Environmental Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Blood Unit Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Bacterial, Other SF	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture	$83.10	$138.50	$99.72–$134.35	3% below	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$123.00	$205.00	$147.60–$198.85	14% below	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$119.40	$199.00	$143.28–$193.03	44% above	40%
Bilirubin blood test, total CPT 82247 Bili Total	$119.40	$199.00	$143.28–$193.03	44% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS/MICRO LEVEL IV	$186.98	$311.63	$224.37–$302.28	16% above	40%
Blood culture for bacteria CPT 87040 Blood Culture	$174.60	$291.00	$209.52–$282.27	6% above	40%
Blood culture for bacteria CPT 87040 Blood Culture Initial	$174.60	$291.00	$209.52–$282.27	6% above	40%
Blood culture for bacteria CPT 87040 Culture, Blood x 2	$174.60	$291.00	$209.52–$282.27	6% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$9.60	$16.00	$11.52–$15.52	65% below	40%
Blood glucose (sugar) test CPT 82947 Glucose Level	$40.80	$68.00	$48.96–$65.96	31% below	40%
Blood lead test CPT 83655 LEAD VENOUS	$117.60	$196.00	$141.12–$190.12	112% above	40%
Blood lead test CPT 83655 LEAD CAPILLARY ONLY	$117.60	$196.00	$141.12–$190.12	112% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BHCG SERUM SCREEN	$130.80	$218.00	$156.96–$211.46	12% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Only	$42.60	$71.00	$51.12–$68.87	24% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh	$42.60	$71.00	$51.12–$68.87	24% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh	$42.60	$71.00	$51.12–$68.87	24% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Only 2	$77.40	$129.00	$92.88–$125.13	38% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh 3	$77.40	$129.00	$92.88–$125.13	38% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh 2	$77.40	$129.00	$92.88–$125.13	38% above	40%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$119.40	$199.00	$143.28–$193.03	91% above	40%
C-peptide blood test CPT 84681 C-Peptide SF	$42.00	$70.00	$50.40–$67.90	72% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP QUANTITATIVE	$66.00	$110.00	$79.20–$106.70	21% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Synovasure Alpha Defe	$66.30	$110.50	$79.56–$107.19	20% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile by NAAT(PCR) SF	$126.60	$211.00	$151.92–$204.67	39% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 Toxigenic C. Diff(C Diff/Epi)-GeneXpert	$126.60	$211.00	$151.92–$204.67	39% below	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9	$204.00	$340.00	$244.80–$329.80	76% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$210.60	$351.00	$252.72–$340.47	13% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert)	$99.30	$165.50	$119.16–$160.54	20% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) RNA (ID Now)	$99.30	$165.50	$119.16–$160.54	20% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-CoV-2 RT-PCR SF	$99.30	$165.50	$119.16–$160.54	20% below	40%
Calcium blood test, total CPT 82310 CA (PTH Intact +Ca) SF	$119.40	$199.00	$143.28–$193.03	58% above	40%
Calcium blood test, total CPT 82310 CALCIUM SERUM	$119.40	$199.00	$143.28–$193.03	58% above	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$193.20	$322.00	$231.84–$312.34	16% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Ab IgM SF	$57.00	$95.00	$68.40–$92.15	5% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster IgG SF	$57.00	$95.00	$68.40–$92.15	5% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Plus Piccolo	$79.20	$132.00	$95.04–$128.04	27% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$170.10	$283.50	$204.12–$275.00	58% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipoprotein Metabolism Profile SF	$170.10	$283.50	$204.12–$275.00	58% above	40%
Complete blood count (CBC) with differential CPT 85025 CBC PLATELETS AUTO DIFF	$104.10	$173.50	$124.92–$168.30	3% below	40%
Complete blood count (CBC), no differential CPT 85027 CBC without Differential	$84.00	$140.00	$100.80–$135.80	2% below	40%
Complete blood count (CBC), no differential CPT 85027 CBC w/ Man Diff	$104.10	$173.50	$124.92–$168.30	22% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$167.10	$278.50	$200.52–$270.15	2% above	40%
Cortisol blood test, total CPT 82533 CORTISOL 4PM	$165.30	$275.50	$198.36–$267.24	80% above	40%
Cortisol blood test, total CPT 82533 CORTISOL 8AM	$165.30	$275.50	$198.36–$267.24	80% above	40%
Cortisol blood test, total CPT 82533 CORTISOL 1HR POST CORTROSYN	$165.30	$275.50	$198.36–$267.24	80% above	40%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL	$145.20	$242.00	$174.24–$234.74	91% above	40%
Creatine kinase (CK) blood test, total CPT 82550 CK	$145.20	$242.00	$174.24–$234.74	91% above	40%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL w/ CKMB if IND	$145.20	$242.00	$174.24–$234.74	91% above	40%
Creatinine blood test CPT 82565 Creatinine	$119.40	$199.00	$143.28–$193.03	76% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMv IgG SF	$53.70	$89.50	$64.44–$86.82	24% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG Interp SF	$145.50	$242.50	$174.60–$235.23	107% above	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$242.10	$403.50	$290.52–$391.40	53% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MECONIUM	$158.10	$263.50	$189.72–$255.60	5% above	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$115.20	$192.00	$138.24–$186.24	9% above	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IgG Interp SF	$21.30	$35.50	$25.56–$34.44	69% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IgM Interp SF	$21.30	$35.50	$25.56–$34.44	69% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IgG SF	$66.30	$110.50	$79.56–$107.19	4% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IgM SF	$66.30	$110.50	$79.56–$107.19	4% below	40%
Estradiol blood test CPT 82670 ESTRADIOL	$287.10	$478.50	$344.52–$464.15	95% above	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$187.50	$312.50	$225.00–$303.13	72% above	40%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin SF	$61.80	$103.00	$74.16–$99.91	74% below	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$141.00	$235.00	$169.20–$227.95	15% above	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$127.20	$212.00	$152.64–$205.64	12% above	40%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$157.20	$262.00	$188.64–$254.14	40% above	40%
Free T3 thyroid hormone test CPT 84481 FREE T3	$291.30	$485.50	$349.56–$470.94	77% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$78.90	$131.50	$94.68–$127.56	17% below	40%
Free testosterone test CPT 84402 Testosterone Free SF	$264.60	$441.00	$317.52–$427.77	341% above	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$124.80	$208.00	$149.76–$201.76	79% above	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GHP (CBC-CMP-TSH)	$357.00	$595.00	$428.40–$577.15	39% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1Hr 50 gm OB	$113.40	$189.00	$136.08–$183.33	40% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour Post Prandial	$113.40	$189.00	$136.08–$183.33	40% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE GESTATIONAL	$113.40	$189.00	$136.08–$183.33	40% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP	$113.40	$189.00	$136.08–$183.33	40% above	40%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test (GTT) 2 Hour	$185.10	$308.50	$222.12–$299.25	28% above	40%
Glucose tolerance test, 3 samples CPT 82951 .GLUCOSE TOLERANCE 3 SPECIMENS OB	$185.10	$308.50	$222.12–$299.25	28% above	40%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance, 1-3 Specimens	$185.10	$308.50	$222.12–$299.25	28% above	40%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance (GTT) 2 Hour OB	$185.10	$308.50	$222.12–$299.25	28% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae DNA GeneXpert	$201.30	$335.50	$241.56–$325.44	133% above	40%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN STOOL	$205.80	$343.00	$246.96–$332.71	9% above	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA Quantitative SF	$145.67	$242.79	$174.81–$235.51	65% below	40%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 2 ANTIBODY	$184.80	$308.00	$221.76–$298.76	71% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 SCREEN REFLEX	$99.90	$166.50	$119.88–$161.51	6% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AB AND AG	$99.90	$166.50	$119.88–$161.51	6% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$78.90	$131.50	$94.68–$127.56	3% below	40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$46.80	$78.00	$56.16–$75.66	at median	40%
Hemoglobin blood test CPT 85018 Hgb	$46.80	$78.00	$56.16–$75.66	at median	40%
Hepatitis B core antibody test (total) CPT 86704 HBCAB Total Aby	$125.70	$209.50	$150.84–$203.22	40% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB	$113.40	$189.00	$136.08–$183.33	3% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$99.90	$166.50	$119.88–$161.51	19% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ABY REFLEX PCR	$145.50	$242.50	$174.60–$235.23	17% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$283.50	$472.50	$340.20–$458.33	11% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM Screen SF	$136.50	$227.50	$163.80–$220.68	55% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 .HSV TYPE 1	$136.50	$227.50	$163.80–$220.68	55% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Type1 IgG SF	$136.50	$227.50	$163.80–$220.68	55% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 .HSV TYPE 2	$92.40	$154.00	$110.88–$149.38	2% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Type 2 IgG SF	$92.40	$154.00	$110.88–$149.38	2% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM Screen SF	$92.40	$154.00	$110.88–$149.38	2% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$132.00	$220.00	$158.40–$213.40	29% above	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$169.80	$283.00	$203.76–$274.51	77% above	40%
Insulin blood test CPT 83525 INSULIN LEVEL	$120.60	$201.00	$144.72–$194.97	14% above	40%
Iron blood test (serum iron) CPT 83540 IRON SERUM	$77.10	$128.50	$92.52–$124.65	6% above	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY (TIBC)	$180.30	$300.50	$216.36–$291.49	109% above	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$185.10	$308.50	$222.12–$299.25	33% above	40%
LH (luteinizing hormone) test CPT 83002 LH	$187.50	$312.50	$225.00–$303.13	8% above	40%
Lactate (lactic acid) blood test CPT 83605 LACTATE	$57.00	$95.00	$68.40–$92.15	45% below	40%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Body Fluid Sf	$57.00	$95.00	$68.40–$92.15	45% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$145.20	$242.00	$174.24–$234.74	99% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, Body Fluid, SF	$145.20	$242.00	$174.24–$234.74	99% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (Revised)	$195.60	$326.00	$234.72–$316.22	63% above	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$157.50	$262.50	$189.00–$254.63	13% above	40%
Lyme disease antibody test CPT 86618 LYME DISEASE IgG/IgM	$172.20	$287.00	$206.64–$278.39	54% above	40%
Magnesium blood test CPT 83735 MAGNESIUM	$109.80	$183.00	$131.76–$177.51	60% above	40%
Magnesium blood test CPT 83735 Magnesium U SF	$109.80	$183.00	$131.76–$177.51	60% above	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IgG SCREEN	$53.70	$89.50	$64.44–$86.82	32% below	40%
Measles (rubeola) antibody test CPT 86765 Rubeola IgG Ab SF	$53.70	$89.50	$64.44–$86.82	32% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST	$109.50	$182.50	$131.40–$177.03	59% above	40%
Mumps immunity blood test CPT 86735 Mumps IgG SF	$53.70	$89.50	$64.44–$86.82	57% below	40%
Obstetric blood test panel CPT 80055 .OB PANEL /c HIV	$285.90	$476.50	$343.08–$462.21	29% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$110.40	$184.00	$132.48–$178.48	17% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP THIN PREP GYN SCREEN	$98.40	$164.00	$118.08–$159.08	5% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 Liquid Based Pap Test SF	$98.40	$164.00	$118.08–$159.08	5% below	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CERV OR VAG AUTO THIN LAYER PR	$60.00	$100.00	$72.00–$97.00	14% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH	$399.30	$665.50	$479.16–$645.54	83% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH Only	$399.30	$665.50	$479.16–$645.54	83% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$127.20	$212.00	$152.64–$205.64	42% above	40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS	$195.60	$326.00	$234.72–$316.22	235% above	40%
Potassium blood test CPT 84132 POTASSIUM SERUM	$104.40	$174.00	$125.28–$168.78	80% above	40%
Progesterone blood test CPT 84144 PROGESTERONE	$205.80	$343.00	$246.96–$332.71	43% above	40%
Prolactin blood test CPT 84146 PROLACTIN	$195.60	$326.00	$234.72–$316.22	42% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME WITH INR	$63.60	$106.00	$76.32–$102.82	71% above	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG ABUSE URINE SCREEN	$174.00	$290.00	$208.80–$281.30	198% above	40%
Rapid flu test (influenza antigen) CPT 87804 Influenza	$49.80	$83.00	$59.76–$80.51	37% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A POC/Waived	$49.80	$83.00	$59.76–$80.51	34% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN RAPID	$121.80	$203.00	$146.16–$196.91	61% above	40%
Renin blood test CPT 84244 RENIN PLASMA	$259.50	$432.50	$311.40–$419.53	205% above	40%
Rh blood typing CPT 86901 Rh Typing	$35.70	$59.50	$42.84–$57.72	16% below	40%
Rh blood typing CPT 86901 Rh Only	$35.70	$59.50	$42.84–$57.72	16% below	40%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Qnt SF	$16.20	$27.00	$19.44–$26.19	80% below	40%
Rubella antibody test (immunity check) CPT 86762 Rubella Igg Antibody	$50.40	$84.00	$60.48–$81.48	28% below	40%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody, Immune Status SF	$50.40	$84.00	$60.48–$81.48	28% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$145.50	$242.50	$174.60–$235.23	107% above	40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN EXAM COMPLETE	$201.30	$335.50	$241.56–$325.44	75% above	40%
Sodium blood test CPT 84295 SODIUM SERUM	$104.40	$174.00	$125.28–$168.78	79% above	40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$195.60	$326.00	$234.72–$316.22	124% above	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen 1-3	$70.50	$117.50	$84.60–$113.98	38% above	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD IMMUNOCHEMICAL	$47.40	$79.00	$56.88–$76.63	18% below	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hemosure iFOB	$47.40	$79.00	$56.88–$76.63	18% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis IgG and IgM Ab w/rflx	$92.70	$154.50	$111.24–$149.87	35% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qualitative	$92.70	$154.50	$111.24–$149.87	54% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB	$251.10	$418.50	$301.32–$405.95	10% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 Total Testosterone SF	$266.70	$444.50	$320.04–$431.17	104% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 Total Testosterone, Random Draw Females SF	$266.70	$444.50	$320.04–$431.17	104% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab SF	$110.40	$184.00	$132.48–$178.48	14% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$125.10	$208.50	$150.12–$202.25	15% above	40%
Total IgE blood test CPT 82785 IgE Total SF	$87.00	$145.00	$104.40–$140.65	3% above	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$133.50	$222.50	$160.20–$215.83	155% above	40%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$78.90	$131.50	$94.68–$127.56	35% above	40%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$131.40	$219.00	$157.68–$212.43	6% above	40%
Transferrin blood test CPT 84466 TRANSFERRIN	$132.00	$220.00	$158.40–$213.40	19% above	40%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis MVP (GeneXpert)	$94.50	$157.50	$113.40–$152.78	13% below	40%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis NAD SF	$94.50	$157.50	$113.40–$152.78	13% below	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$195.60	$326.00	$234.72–$316.22	181% above	40%
Troponin test, quantitative CPT 84484 TROPONIN	$151.80	$253.00	$182.16–$245.41	2% above	40%
Uric acid blood test CPT 84550 URIC ACID	$124.80	$208.00	$149.76–$201.76	114% above	40%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic	$50.40	$84.00	$60.48–$81.48	12% below	40%
Urinalysis without microscope exam, automated CPT 81003 KETONES URINE	$40.20	$67.00	$48.24–$64.99	2% above	40%
Urinalysis without microscope exam, automated CPT 81003 GLUCOSE URINE	$40.20	$67.00	$48.24–$64.99	2% above	40%
Urinalysis without microscope exam, automated CPT 81003 UA DIPSTICK ONLY	$40.20	$67.00	$48.24–$64.99	2% above	40%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$103.20	$172.00	$123.84–$166.84	27% above	40%
Urine microalbumin (albumin) test CPT 82043 Albumin, Urine (Microalbumin)	$117.00	$195.00	$140.40–$189.15	7% above	40%
Urine pregnancy test, read by color change CPT 81025 BHCG URINE SCREEN	$130.80	$218.00	$156.96–$211.46	60% above	40%
Vitamin B12 (cobalamin) blood test CPT 82607 B12	$163.80	$273.00	$196.56–$264.81	41% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25 OH Total	$227.10	$378.50	$272.52–$367.15	47% above	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25 TOTAL	$453.90	$756.50	$544.68–$733.81	243% above	40%
Zinc blood test CPT 84630 ZINC SERUM	$110.40	$184.00	$132.48–$178.48	166% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG TOTAL QUANTITATIVE	$156.00	$260.00	$187.20–$252.20	15% above	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs South Dakota	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MG Breast Biopsy w/ Stereo Guide	$2,011.20	$3,352.00	$2,413.44–$3,251.44	7% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left	$2,011.20	$3,352.00	$2,413.44–$3,251.44	7% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right	$2,011.20	$3,352.00	$2,413.44–$3,251.44	7% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy Loc w/ Clip Right	$2,011.20	$3,352.00	$2,413.44–$3,251.44	7% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy Loc w/ Clip Left	$2,011.20	$3,352.00	$2,413.44–$3,251.44	7% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Nursing	$984.60	$1,641.00	$1,181.52–$1,591.77	33% below	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision, using clamp or other Device	$1,260.00	$2,100.00	$1,512.00–$2,037.00	29% below	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Reduction (Closed) FX Radius (Distal)/Epiphyseal Separation w/o	$592.20	$987.00	$710.64–$957.39	1% below	40%
Cystoscopy with ureteral stent placement CPT 52332 Cystourethoscopy w/Insertion Indwelling Ureteral Stent	$455.10	$758.50	$546.12–$735.75	90% below	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$317.70	$529.50	$381.24–$513.62	80% below	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st Lesion	$115.50	$192.50	$138.60–$186.73	52% below	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Cerumen Impacted Irrigation/Lavage	$93.90	$156.50	$112.68–$151.81	43% below	40%
Earwax removal with instruments, one ear CPT 69210 Removal Cerumen Impacted w/Instruments	$84.60	$141.00	$101.52–$136.77	49% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection, Interlaminar, C/T	$1,226.70	$2,044.50	$1,472.04–$1,983.17	36% below	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection, Facet Joint,Lumbar/Sacral,1st level	$1,215.90	$2,026.50	$1,459.08–$1,965.71	39% below	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligation	$547.20	$912.00	$656.64–$884.64	54% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath Insertion US Sonohystero	$975.90	$1,626.50	$1,171.08–$1,577.71	113% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I and D Abscess, Simple	$183.90	$306.50	$220.68–$297.31	60% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection Tendon Sheath/Ligament	$66.90	$111.50	$80.28–$108.16	86% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspiration/Injection Major Joint/Bursa	$177.00	$295.00	$212.40–$286.15	74% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Arthrocentesis Aspiration/Injection Major Joint/Bursa RT	$677.40	$1,129.00	$812.88–$1,095.13	2% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Arthrocentesis Aspiration/Injection Major Joint/Bursa LT	$677.40	$1,129.00	$812.88–$1,095.13	2% below	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant Non-Biodegradable	$152.70	$254.50	$183.24–$246.87	50% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspiration/Injection Intermediate Joint/Bursa	$177.00	$295.00	$212.40–$286.15	63% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis, aspiration and/or injection, Intmed Join	$186.60	$311.00	$223.92–$301.67	62% below	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspiration/Injection Small Joint/Bursa	$177.00	$295.00	$212.40–$286.15	63% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Interdemediate Scalp/Axillae/Trunk/Extrem <=2.5 cm	$203.70	$339.50	$244.44–$329.32	71% below	40%
Lower-back epidural injection, with imaging guidance CPT 62323 CRNA LUMBAR ESI w IMAGING	$1,226.70	$2,044.50	$1,472.04–$1,983.17	29% below	40%
Lower-back epidural injection, without imaging guidance CPT 62322 CRNA LUMBAR/SACRAL EPIDURAL STEROID INJ	$330.00	$550.00	$396.00–$533.50	75% below	40%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection Epidural/Subarachnoid Lumbar/Sacral	$330.30	$550.50	$396.36–$533.99	75% below	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection Nerve Transforaminal Epidural w/Imaging Lumbar/Sacral	$1,297.20	$2,162.00	$1,556.64–$2,097.14	31% below	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision, Benign Lesion	$144.90	$241.50	$173.88–$234.26	79% below	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision Benign Lesion Trunk/Arms/Legs <=0.5 cm	$144.90	$241.50	$173.88–$234.26	79% below	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision Benign Lesion Face/Ears 0.5 cm or less	$235.20	$392.00	$282.24–$380.24	71% below	40%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Single	$87.60	$146.00	$105.12–$141.62	71% below	40%
Occipital nerve block (injection for headaches) CPT 64405 Injection, Anes Agen, Grtr Occip Nerve	$70.56	$117.60	$84.67–$114.07	91% below	40%
Paracentesis with imaging guidance CPT 49083 Paracentesis Abdominal w/Imaging	$2,415.00	$4,025.00	$2,898.00–$3,904.25	23% above	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail and Matrix Permanent Removal	$342.90	$571.50	$411.48–$554.36	60% below	40%
Removal of a foreign object under the skin, simple CPT 10120 Removal/Incision FB Subq Simple	$239.70	$399.50	$287.64–$387.52	63% below	40%
Short arm cast (elbow to hand) CPT 29075 Application, Cast, Short Arm	$424.20	$707.00	$509.04–$685.79	38% above	40%
Short arm splint (forearm and hand) CPT 29125 Application Splint Short Arm Static	$93.90	$156.50	$112.68–$151.81	64% below	40%
Short leg splint (calf to foot) CPT 29515 Application, Splint, Short Leg	$115.80	$193.00	$138.96–$187.21	57% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Simple Scalp/Neck/Axillae/Ext. Genitalia/Trunk/Extrem <=2	$139.50	$232.50	$167.40–$225.53	70% below	40%
Skin biopsy, punch, one lesion CPT 11104 Bx,. Punch, Skin	$144.90	$241.50	$173.88–$234.26	69% below	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Malignant Lesion Trunk/Arms/Legs <=0.5 cm	$181.50	$302.50	$217.80–$293.43	78% below	40%
Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags 1-15	$135.00	$225.00	$162.00–$218.25	66% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Puncture Lumbar (Spinal Tap)	$665.40	$1,109.00	$798.48–$1,075.73	35% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$678.60	$1,131.00	$814.32–$1,097.07	33% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple Scalp/Neck/Axillae/Ext. Genitalia/Trunk/Extrem 2.6	$140.70	$234.50	$168.84–$227.47	72% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Simple Face/Ears <=2.5 cm	$119.40	$199.00	$143.28–$193.03	74% below	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy Tangential Skin Single Lesion	$121.80	$203.00	$146.16–$196.91	69% below	40%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis w/Imaging	$2,570.10	$4,283.50	$3,084.12–$4,155.00	40% above	40%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point/Muscle 1-2	$177.00	$295.00	$212.40–$286.15	65% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Left	$2,011.20	$3,352.00	$2,413.44–$3,251.44	43% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Right	$2,011.20	$3,352.00	$2,413.44–$3,251.44	43% below	40%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystourethoscopy w/Lithotripsy	$689.40	$1,149.00	$827.28–$1,114.53	—	40%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cystourethoscopy w/Lithotripsy Stent	$593.70	$989.50	$712.44–$959.82	92% below	40%
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesion Up to 14 Lesions	$213.00	$355.00	$255.60–$344.35	8% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Subcu 1st 20 cm	$101.40	$169.00	$121.68–$163.93	90% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subq 1st <20 sq cm	$101.40	$169.00	$121.68–$163.93	90% below	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs South Dakota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood/Components	$739.80	$1,233.00	$887.76–$1,196.01	23% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment Initial	$160.80	$268.00	$192.96–$259.96	26% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment - Single/MDI	$465.00	$775.00	$558.00–$751.75	114% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment Multiple	$465.00	$775.00	$558.00–$751.75	114% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment - Multiple	$1,125.30	$1,875.50	$1,350.36–$1,819.24	417% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment Single/MDI	$1,164.90	$1,941.50	$1,397.88–$1,883.26	435% above	40%
Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy Infusion Initial	$400.80	$668.00	$480.96–$647.96	47% below	40%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care 30-74 Min Facility Fee	$1,452.90	$2,421.50	$1,743.48–$2,348.86	41% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Tracing Only	$90.00	$150.00	$108.00–$145.50	63% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER Visit Level 1 Facility Fee	$156.30	$260.50	$187.56–$252.69	43% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER Visit Level 2 Facility Fee	$262.80	$438.00	$315.36–$424.86	40% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER Visit Level 3 Facility Fee	$316.50	$527.50	$379.80–$511.68	55% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER Visit Level 4 Facility Fee	$574.80	$958.00	$689.76–$929.26	47% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER Visit Level 5 Facility Fee	$828.60	$1,381.00	$994.32–$1,339.57	48% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 ECG CARDIAC EXER TEST	$835.20	$1,392.00	$1,002.24–$1,350.24	29% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion Hydration Initial	$400.80	$668.00	$480.96–$647.96	7% below	40%
IV infusion of a medicine, first hour CPT 96365 Infusion Initial	$400.80	$668.00	$480.96–$647.96	10% below	40%
IV push of a medicine, first drug CPT 96374 IV Push Initial	$126.60	$211.00	$151.92–$204.67	64% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Subcu/IM	$42.60	$71.00	$51.12–$68.87	52% below	40%
New patient office visit, about 30 minutes CPT 99203 E/M, Level 3, New Pt	$136.80	$228.00	$164.16–$221.16	28% below	40%
New patient office visit, about 45 minutes CPT 99204 E/M, Level 4, New Pt	$223.80	$373.00	$268.56–$361.81	13% below	40%
New patient office visit, about 60 minutes CPT 99205 New patient, level 5	$113.40	$189.00	$136.08–$183.33	64% below	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E/M, Level 2, New Pt	$79.20	$132.00	$95.04–$128.04	46% below	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION COUNSILING <10 MIN	$10.20	$17.00	$12.24–$16.49	76% below	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M, Level 5	$242.40	$404.00	$290.88–$391.88	5% below	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/OP, Est, Level 3	$111.00	$185.00	$133.20–$179.45	20% below	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/OP Visit Level IV	$163.50	$272.50	$196.20–$264.33	11% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/OP, Est, Level 2	$77.40	$129.00	$92.88–$125.13	30% below	40%
Spirometry (breathing test) CPT 94010 PFT BASIC SPIROMETRY	$195.30	$325.50	$234.36–$315.74	39% below	40%
Spirometry before and after a bronchodilator CPT 94060 PFT BRONCHOSPASM EVALUATION	$314.40	$524.00	$377.28–$508.28	43% below	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$283.50	$472.50	$340.20–$458.33	17% above	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs South Dakota	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Administration 1st	$42.60	$71.00	$51.12–$68.87	18% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION each add	$18.30	$30.50	$21.96–$29.59	63% below	40%

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://huron.pt.panaceainc.com/MRFDownload/huron/huron