Hospital Columbia, SC

Lexington Medical Center

Lexington Medical Center in West Columbia, SC publishes cash prices for 306 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the South Carolina median for 234 of 302 procedures and below it for 63. By typical cash price it ranks #28 of 35 South Carolina hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

2720 Sunset Blvd, West Columbia, SC 29169 Collected Sep 27, 2026 Source price file (803) 791-2000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 420073 · CMS hospital register

The price file shows no self-pay discount

For 852 of the 852 prices listed here, the cash price in Lexington Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

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 7 actions for a hospital named Lexington Medical Center in West Columbia, SC:

  • Aug 25, 2021 Warning notice
  • May 4, 2022 Corrective action plan requested
  • Jun 23, 2022 Case closed
  • Sep 10, 2024 Corrective action plan requested
  • Oct 18, 2024 Corrective action plan requested
  • Dec 6, 2024 Case closed
  • Jul 11, 2025 Met requirements

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

ProcedureCash price List priceInsurers payvs South CarolinaOff list
Ankle X-ray, complete, 3 or more views CPT 73610 Hc Ankle $563.00 $563.00 — 55% above —
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc Ankle $563.00 $563.00 — — —
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Uea Nonimaging Limited $870.00 $870.00 — 65% above —
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Abi With Or W/O Exercise $870.00 $870.00 — 65% above —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Uea Nonimaging Limited $870.00 $870.00 — — —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Abi With Or W/O Exercise $870.00 $870.00 — — —
Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Barium Swallow $736.00 $736.00 — 22% above —
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Barium Swallow $736.00 $736.00 — — —
Bone scan, whole body (nuclear medicine) CPT 78306 Hc Bone Scan Metastatic $2,856.00 $2,856.00 — 97% above —
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Bone Scan Metastatic $2,856.00 $2,856.00 — — —
Breast ultrasound, complete, one breast both sides CPT 76641 Hc Us Breast Bilateral Complete $659.00 $659.00 — — —
Breast ultrasound, complete, one breast CPT 76641 Hc Ultrasound Breast Complete $577.00 $577.00 — 16% above —
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 Hc Us Breast Bilateral Complete $659.00 $659.00 — — —
Breast ultrasound, complete, one breast inpatient CPT 76641 Hc Ultrasound Breast Complete $577.00 $577.00 — — —
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Hc Bilat Limited Us Breast $634.00 $634.00 — — —
Breast ultrasound, limited (one breast or one area) CPT 76642 Hc Ultrasound Breast Limited $577.00 $577.00 — 14% above —
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Hc Bilat Limited Us Breast $634.00 $634.00 — — —
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Hc Ultrasound Breast Limited $577.00 $577.00 — — —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Ct Angio Chest $3,845.00 $3,845.00 — 67% above —
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Ct Angio Chest $3,845.00 $3,845.00 — — —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Cta Heart/Cor Art/Bypass $2,719.00 $2,719.00 — 72% above —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Cta Heart/Cor Art/Bypass $2,719.00 $2,719.00 — — —
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Cp Hc Ct Heart W Calcium Scoring Wo Contrast $99.00 $99.00 — 9% below —
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Cp Hc Ct Heart W Calcium Scoring Wo Contrast $99.00 $99.00 — — —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abd Wo/Pelvis Wo $4,576.00 $4,576.00 — 43% above —
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Ct Abd Wo/Pelvis Wo $4,576.00 $4,576.00 — — —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Abd W/Pelvis W $5,099.00 $5,099.00 — 37% above —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abd W/Pelvis W $5,099.00 $5,099.00 — — —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd Wo/Pelvis W $4,322.00 $4,322.00 — 5% above —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd Wo/Pelvis $5,716.00 $5,716.00 — 38% above —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd Wo/Pelvis W/ $6,149.00 $6,149.00 — 49% above —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd With Out Pelvis With $6,312.00 $6,312.00 — 53% above —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd Wo/Pelvis Wt $6,572.00 $6,572.00 — 59% above —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd Wo/Pelvis Wh $6,601.00 $6,601.00 — 60% above —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd & Pelvis Wo & With Contrast $6,773.00 $6,773.00 — 64% above —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd Wo/Pelvis W $4,322.00 $4,322.00 — — —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd Wo/Pelvis $5,716.00 $5,716.00 — — —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd Wo/Pelvis W/ $6,149.00 $6,149.00 — — —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd With Out Pelvis With $6,312.00 $6,312.00 — — —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd Wo/Pelvis Wt $6,572.00 $6,572.00 — — —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd Wo/Pelvis Wh $6,601.00 $6,601.00 — — —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd & Pelvis Wo & With Contrast $6,773.00 $6,773.00 — — —
CT scan of the abdomen with contrast CPT 74160 Hc Ct Abdomen With Contrast $2,995.00 $2,995.00 — 37% above —
CT scan of the abdomen with contrast inpatient CPT 74160 Hc Ct Abdomen With Contrast $2,995.00 $2,995.00 — — —
CT scan of the abdomen without contrast CPT 74150 Hc Ct Abdomen W/O C $1,967.00 $1,967.00 — 10% above —
CT scan of the abdomen without contrast inpatient CPT 74150 Hc Ct Abdomen W/O C $1,967.00 $1,967.00 — — —
CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Maxillofacial W/O Contrast $1,951.00 $1,951.00 — 32% above —
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct Maxillofacial W/O Contrast $1,951.00 $1,951.00 — — —
CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Brain W/O Contrast $2,513.00 $2,513.00 — 40% above —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Brain W/O Contrast $2,513.00 $2,513.00 — — —
CT scan of the head with contrast CPT 70460 Hc Ct Brain W Contrast $2,945.00 $2,945.00 — 72% above —
CT scan of the head with contrast inpatient CPT 70460 Hc Ct Brain W Contrast $2,945.00 $2,945.00 — — —
CT scan of the head without and with contrast CPT 70470 Hc Ct Brain W/O & W Contrast $3,306.00 $3,306.00 — 69% above —
CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct Brain W/O & W Contrast $3,306.00 $3,306.00 — — —
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Lumbar Spine W/O C $1,967.00 $1,967.00 — at median —
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Ct Lumbar Spine W/O C $1,967.00 $1,967.00 — — —
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Ct Cervical Spine W/O $2,513.00 $2,513.00 — 27% above —
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hc Ct Cervical Spine W/O $2,513.00 $2,513.00 — — —
CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis W C $2,995.00 $2,995.00 — 73% above —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis W C $2,995.00 $2,995.00 — — —
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Hc Pr Duplex Carotid - P.C. $401.00 $401.00 — 89% below —
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Hc Duplex Carotid $1,400.00 $1,400.00 — 62% below —
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Hc Pr Duplex Carotid - P.C. $401.00 $401.00 — — —
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Hc Duplex Carotid $1,400.00 $1,400.00 — — —
Chest X-ray, 2 views CPT 71046 Hc Chest Xray Two Views $965.00 $965.00 — 281% above —
Chest X-ray, 2 views inpatient CPT 71046 Hc Chest Xray Two Views $965.00 $965.00 — — —
Chest X-ray, single view CPT 71045 Hc Chest Xray One View $766.00 $766.00 — 270% above —
Chest X-ray, single view inpatient CPT 71045 Hc Chest Xray One View $766.00 $766.00 — — —
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Kidney (Renal) Ultrasound $1,140.00 $1,140.00 — 103% above —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Kidney (Renal) Ultrasound $1,140.00 $1,140.00 — — —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Dxa Absorptiometry Bone Densit $676.00 $676.00 — 50% above —
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Dxa Absorptiometry Bone Densit $676.00 $676.00 — — —
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Pixie Bone Density Scan $256.00 $256.00 — 60% above —
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hc Pixie Bone Density Scan $256.00 $256.00 — — —
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc U/S Preg Uterus,Abdomen,Single/1St Gesthc $656.00 $656.00 — 26% below —
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc U/S Preg Uterus,Abdomen,Single/1St Gesthc $656.00 $656.00 — — —
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct Chest W/O C $2,203.00 $2,203.00 — 36% above —
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc Ct Chest W/O C $2,203.00 $2,203.00 — — —
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct Chest W C $3,355.00 $3,355.00 — 75% above —
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Ct Chest W C $3,355.00 $3,355.00 — — —
Diagnostic mammogram, both breasts both sides CPT 77066 Hc Bilat Diag Digital Mammogram Incl Cad $526.00 $526.00 — — —
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hc Bilat Diag Digital Mammogram Incl Cad $526.00 $526.00 — — —
Diagnostic mammogram, one breast one side CPT 77065 Hc Unilat Diag Digital Mammo Incl Cad $422.00 $422.00 — 18% above —
Diagnostic mammogram, one breast inpatient one side CPT 77065 Hc Unilat Diag Digital Mammo Incl Cad $422.00 $422.00 — — —
Duplex ultrasound of the leg arteries, both legs CPT 93925 Hc Pr Duplex Lea - P.C. $261.00 $261.00 — 75% below —
Duplex ultrasound of the leg arteries, both legs CPT 93925 Hc Duplex Lower Extremity Arteries $1,752.00 $1,752.00 — 71% above —
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Hc Pr Duplex Lea - P.C. $261.00 $261.00 — — —
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Hc Duplex Lower Extremity Arteries $1,752.00 $1,752.00 — — —
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Lower/Upper Ext Venous Bilateral $2,152.00 $2,152.00 — — —
Duplex ultrasound of the leg veins, both legs CPT 93970 Hc Pr Duplex Lev/Uev - P.C. $261.00 $261.00 — 89% below —
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Lower/Upper Ext Venous Bilateral $2,152.00 $2,152.00 — — —
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Hc Pr Duplex Lev/Uev - P.C. $261.00 $261.00 — — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Pr Echo, Complete - P.C. $877.00 $877.00 — 48% below —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Complete Echo $3,305.00 $3,305.00 — 97% above —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Complete Ped $3,637.00 $3,637.00 — 116% above —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Pr Echo, Complete - P.C. $877.00 $877.00 — — —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Complete Echo $3,305.00 $3,305.00 — — —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Echo Complete Ped $3,637.00 $3,637.00 — — —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Hepatobiliary Imaging $2,518.00 $2,518.00 — 23% above —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Hepatobiliary Imaging $2,518.00 $2,518.00 — — —
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Home Sleep Testing $642.00 $642.00 — 26% below —
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Home Sleep Testing $642.00 $642.00 — — —
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Polysomnogram With Cpap $4,690.00 $4,690.00 — 26% above —
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Polysomnogram Split Study $5,026.00 $5,026.00 — 35% above —
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Polysomnogram With Cpap $4,690.00 $4,690.00 — — —
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Polysomnogram Split Study $5,026.00 $5,026.00 — — —
Knee X-ray, 3 views CPT 73562 Hc Knee 3 Views $627.00 $627.00 — 94% above —
Knee X-ray, 3 views inpatient CPT 73562 Hc Knee 3 Views $627.00 $627.00 — — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Abdominal Ultrasnd. $1,331.00 $1,331.00 — 53% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Abdominal Ultrasnd. $1,331.00 $1,331.00 — — —
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Cp Ct Lung Cancer Screening $340.00 $340.00 — 121% above —
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Cp Ct Lung Cancer Screening $340.00 $340.00 — — —
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hc Mri Breast Wo & W/Contrast,W/Cad,Bilat $5,220.00 $5,220.00 — — —
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Hc Mri Breast Wo & W/Contrast,W/Cad,Bilat $5,220.00 $5,220.00 — — —
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Lower Ext Any Jnt W/O Cont $3,438.00 $3,438.00 — 34% above —
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Lower Ext Any Jnt W/O Cont $3,438.00 $3,438.00 — — —
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Lower Ext Any Joint Wwo Cont $5,266.00 $5,266.00 — 80% above —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Lower Ext Any Joint Wwo Cont $5,266.00 $5,266.00 — — —
MRI of the abdomen without contrast CPT 74181 Hc Mri Abdomen W/O Contrast $4,120.00 $4,120.00 — 68% above —
MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri Abdomen W/O Contrast $4,120.00 $4,120.00 — — —
MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abdomen W & W/O Contrast $5,353.00 $5,353.00 — 72% above —
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri Abdomen W & W/O Contrast $5,353.00 $5,353.00 — — —
MRI of the brain, no contrast dye CPT 70551 Hc Mri, Brain, W/O Contrast $3,882.00 $3,882.00 — 22% above —
MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri, Brain, W/O Contrast $3,882.00 $3,882.00 — — —
MRI of the brain, with and without contrast dye CPT 70553 Hc Mri,Brain, W & W/Out Contrast $4,860.00 $4,860.00 — 56% above —
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri,Brain, W & W/Out Contrast $4,860.00 $4,860.00 — — —
MRI of the lower back, no contrast dye CPT 72148 Hc Mri, Lumbar Spine,W/O Contrast $4,498.00 $4,498.00 — 39% above —
MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri, Lumbar Spine,W/O Contrast $4,498.00 $4,498.00 — — —
MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri,Lumbar, W & W/O Contrast $5,220.00 $5,220.00 — 62% above —
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri,Lumbar, W & W/O Contrast $5,220.00 $5,220.00 — — —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri, Thoracic Spine, W/O Contr $3,923.00 $3,923.00 — 81% above —
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Mri, Thoracic Spine, W/O Contr $3,923.00 $3,923.00 — — —
MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri,Cervical,W & W/O Contrast $4,610.00 $4,610.00 — 44% above —
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri,Cervical,W & W/O Contrast $4,610.00 $4,610.00 — — —
MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri, Cervical Spine, W/O Contr $3,010.00 $3,010.00 — 31% above —
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Mri, Cervical Spine, W/O Contr $3,010.00 $3,010.00 — — —
MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis With & Without Contrast $5,220.00 $5,220.00 — 55% above —
MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri Pelvis With & Without Contrast $5,220.00 $5,220.00 — — —
MRI of the pelvis, no contrast dye CPT 72195 Hc Mri Pelvis Without Contrast $3,660.00 $3,660.00 — 22% above —
MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Mri Pelvis Without Contrast $3,660.00 $3,660.00 — — —
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri Upper Ext Any Joint W/O Con $3,438.00 $3,438.00 — 41% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Mri Upper Ext Any Joint W/O Con $3,438.00 $3,438.00 — — —
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Myocardial Spect, Mult $5,554.00 $5,554.00 — 46% above —
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Myocardial Spect, Mult $5,554.00 $5,554.00 — — —
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Tumor Img Petw/Ct Skulltothigh $9,162.00 $9,162.00 — 194% above —
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Tumor Img Petw/Ct Skulltothigh $9,162.00 $9,162.00 — — —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Pelvic Limited Or Bladder $973.00 $973.00 — 49% above —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Pelvic Limited Or Bladder $973.00 $973.00 — — —
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Pelvic Ultrasound $1,280.00 $1,280.00 — 60% above —
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Pelvic Ultrasound $1,280.00 $1,280.00 — — —
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Obstetrical > 14 Wks $1,454.00 $1,454.00 — 71% above —
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Obstetrical > 14 Wks $1,454.00 $1,454.00 — — —
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Obstetrical < 14 Wks $1,280.00 $1,280.00 — 66% above —
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc Obstetrical < 14 Wks $1,280.00 $1,280.00 — — —
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Ultrasound Obstetrical $876.00 $876.00 — 81% above —
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Ultrasound Obstetrical $876.00 $876.00 — — —
Screening mammogram, both breasts both sides CPT 77067 Hc Bilat Digital Screening Mammo Incl Cad $450.00 $450.00 — — —
Screening mammogram, both breasts one side CPT 77067 Hc Unilat Digital Screening Mammo Includ Cad $422.00 $422.00 — 53% above —
Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Bilat Digital Screening Mammo Incl Cad $450.00 $450.00 — — —
Screening mammogram, both breasts inpatient one side CPT 77067 Hc Unilat Digital Screening Mammo Includ Cad $422.00 $422.00 — — —
Shoulder X-ray, complete, 2 or more views CPT 73030 Hc Shoulder Complete $562.00 $562.00 — 78% above —
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hc Shoulder Complete $562.00 $562.00 — — —
Sleep study in a lab (polysomnography) CPT 95810 Hc Polysomnogram $4,189.00 $4,189.00 — 21% above —
Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysomnogram $4,189.00 $4,189.00 — — —
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hc Echo Stress $2,134.00 $2,134.00 — 35% above —
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hc Echo Stress $2,134.00 $2,134.00 — — —
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Modified Barium Swallow $755.00 $755.00 — 67% above —
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Modified Barium Swallow $755.00 $755.00 — — —
Transvaginal pelvic ultrasound CPT 76830 Hc Transvaginal Ult Non Ob $812.00 $812.00 — 5% above —
Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Transvaginal Ult Non Ob $812.00 $812.00 — — —
Transvaginal ultrasound during pregnancy CPT 76817 Hc Transvaginal Ult Ob $812.00 $812.00 — 18% above —
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Transvaginal Ult Ob $812.00 $812.00 — — —
Ultrasound of the abdomen, complete CPT 76700 Hc Ultrasound Abdominal Complete $1,700.00 $1,700.00 — 72% above —
Ultrasound of the abdomen, complete CPT 76700 Hc Abdominal Ultrasound $1,700.00 $1,700.00 — 72% above —
Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Ultrasound Abdominal Complete $1,700.00 $1,700.00 — — —
Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Abdominal Ultrasound $1,700.00 $1,700.00 — — —
Ultrasound of the scrotum and testicles CPT 76870 Hc Scrotal Ultrasound $947.00 $947.00 — 42% above —
Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Scrotal Ultrasound $947.00 $947.00 — — —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Thyroid/Neck/Head Us $950.00 $950.00 — 19% above —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Thyroid/Neck/Head Us $950.00 $950.00 — — —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Ugi Series Without Kub $1,031.00 $1,031.00 — 17% above —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Ugi Series Without Kub $1,031.00 $1,031.00 — — —
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Hc Pr Duplex Ven. Lev/Uev Limited $140.00 $140.00 — 86% below —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Lower/Upper Ext Venous Unilateral $1,315.00 $1,315.00 — 35% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Hc Pr Duplex Ven. Lev/Uev Limited $140.00 $140.00 — — —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Lower/Upper Ext Venous Unilateral $1,315.00 $1,315.00 — — —
Wrist X-ray, complete, 3 or more views CPT 73110 Hc Wrist Complete $563.00 $563.00 — 54% above —
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc Wrist Complete $563.00 $563.00 — — —
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hc Hip Unilateral 2-3 Views $199.00 $199.00 — 35% below —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hc Hip Unilateral 2-3 Views $199.00 $199.00 — — —
X-ray of the abdomen, 1 view CPT 74018 Hc Xray Abdomen One View $679.00 $679.00 — 85% above —
X-ray of the abdomen, 1 view inpatient CPT 74018 Hc Xray Abdomen One View $679.00 $679.00 — — —
X-ray of the ankle, 2 views CPT 73600 Hc Ankle 2 View $428.00 $428.00 — 44% above —
X-ray of the ankle, 2 views inpatient CPT 73600 Hc Ankle 2 View $428.00 $428.00 — — —
X-ray of the finger(s), 2 or more views CPT 73140 Hc Finger $462.00 $462.00 — 79% above —
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc Finger $462.00 $462.00 — — —
X-ray of the foot, 2 views CPT 73620 Hc Foot - 2 Views $562.00 $562.00 — 73% above —
X-ray of the foot, 2 views inpatient CPT 73620 Hc Foot - 2 Views $562.00 $562.00 — — —
X-ray of the foot, complete, 3 or more views CPT 73630 Hc Foot Complete $563.00 $563.00 — 29% above —
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc Foot Complete $563.00 $563.00 — — —
X-ray of the hand, 3 or more views CPT 73130 Hc Hand Complete $562.00 $562.00 — 39% above —
X-ray of the hand, 3 or more views inpatient CPT 73130 Hc Hand Complete $562.00 $562.00 — — —
X-ray of the knee, 1 or 2 views CPT 73560 Hc Radiology Exam Knee 1 Or 2 Views $852.00 $852.00 — 209% above —
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc Radiology Exam Knee 1 Or 2 Views $852.00 $852.00 — — —
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc Lumbar Spine 2 Or 3 Views $908.00 $908.00 — 113% above —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc Lumbar Spine 2 Or 3 Views $908.00 $908.00 — — —
X-ray of the lower back, 4 or more views CPT 72110 Hc Lumbar Spine - 4 Views $1,096.00 $1,096.00 — 104% above —
X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Lumbar Spine - 4 Views $1,096.00 $1,096.00 — — —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc Thoracic Spine $562.00 $562.00 — 80% above —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc Thoracic Spine $562.00 $562.00 — — —
X-ray of the nasal bones, 3 or more views CPT 70160 Hc Nasal Bones $501.00 $501.00 — 23% above —
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hc Nasal Bones $501.00 $501.00 — — —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc C-Spine Ap-Lat-/Odontiod $871.00 $871.00 — 140% above —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc C-Spine Ap-Lat-/Odontiod $871.00 $871.00 — — —
X-ray of the pelvis, 1 or 2 views CPT 72170 Hc Pelvis $544.00 $544.00 — 117% above —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc Pelvis $544.00 $544.00 — — —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc Sacrococygeal Area $562.00 $562.00 — 100% above —
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc Sacrococygeal Area $562.00 $562.00 — — —

Lab tests

ProcedureCash price List priceInsurers payvs South CarolinaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Alt $60.00 $60.00 — 28% above —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Alt $60.00 $60.00 — — —
AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Sgot (Ast) $64.00 $64.00 — 46% above —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Sgot (Ast) $64.00 $64.00 — — —
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige $60.00 $60.00 — 55% above —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige $60.00 $60.00 — — —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Ima Cyclic Citrulline Pep(Ccpt $209.00 $209.00 — 76% above —
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Ima Cyclic Citrulline Pep(Ccpt $209.00 $209.00 — — —
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Anti-Nuclear Antibody, Qual $196.00 $196.00 — 273% above —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Anti-Nuclear Antibody, Qual $196.00 $196.00 — — —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Natriuretic Peptide,Brain(Bnp) $363.00 $363.00 — 188% above —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Natriuretic Peptide,Brain(Bnp) $363.00 $363.00 — — —
Basic metabolic panel (blood test) CPT 80048 Noncdm Charge Record $89.00 $89.00 — 59% below —
Basic metabolic panel (blood test) CPT 80048 Hc Avian/Reptile Chem 1 (Ar1) $106.00 $106.00 — 51% below —
Basic metabolic panel (blood test) CPT 80048 Hc Avian/Reptile Chem Ii (Ar2) $116.00 $116.00 — 46% below —
Basic metabolic panel (blood test) CPT 80048 Hc Mammal Chem Ii (Ar2) $134.00 $134.00 — 38% below —
Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel $136.00 $136.00 — 37% below —
Basic metabolic panel (blood test) inpatient CPT 80048 Noncdm Charge Record $89.00 $89.00 — — —
Basic metabolic panel (blood test) inpatient CPT 80048 Hc Avian/Reptile Chem 1 (Ar1) $106.00 $106.00 — — —
Basic metabolic panel (blood test) inpatient CPT 80048 Hc Avian/Reptile Chem Ii (Ar2) $116.00 $116.00 — — —
Basic metabolic panel (blood test) inpatient CPT 80048 Hc Mammal Chem Ii (Ar2) $134.00 $134.00 — — —
Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel $136.00 $136.00 — — —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Sendout G&M $449.00 $449.00 — 293% above —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Cytotech - Fna Cell Block $536.00 $536.00 — 370% above —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Cytotech - Ngy Cell Block $536.00 $536.00 — 370% above —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Cytotech - Fna Core Biopsy $536.00 $536.00 — 370% above —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc G & M Level Iv - D $537.00 $537.00 — 370% above —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc G & M Level Iv - E $658.00 $658.00 — 476% above —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Sendout G&M $449.00 $449.00 — — —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Cytotech - Ngy Cell Block $536.00 $536.00 — — —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Cytotech - Fna Cell Block $536.00 $536.00 — — —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Cytotech - Fna Core Biopsy $536.00 $536.00 — — —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc G & M Level Iv - D $537.00 $537.00 — — —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc G & M Level Iv - E $658.00 $658.00 — — —
Blood culture for bacteria CPT 87040 Hc Blood Culture $434.00 $434.00 — 137% above —
Blood culture for bacteria inpatient CPT 87040 Hc Blood Culture $434.00 $434.00 — — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Venipucture $38.00 $38.00 — 41% above —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Venipucture $38.00 $38.00 — — —
Blood glucose (sugar) test CPT 82947 Noncdm Charge Record $53.00 $53.00 — 64% above —
Blood glucose (sugar) test CPT 82947 Hc Glucose - Whole Blood $64.00 $64.00 — 98% above —
Blood glucose (sugar) test CPT 82947 Hc Glucose $64.00 $64.00 — 98% above —
Blood glucose (sugar) test CPT 82947 Hc Glucose,Bedside (Glubc) $73.00 $73.00 — 126% above —
Blood glucose (sugar) test inpatient CPT 82947 Noncdm Charge Record $53.00 $53.00 — — —
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose $64.00 $64.00 — — —
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose - Whole Blood $64.00 $64.00 — — —
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose,Bedside (Glubc) $73.00 $73.00 — — —
Blood lead test CPT 83655 Hc Lead $97.00 $97.00 — 33% above —
Blood lead test inpatient CPT 83655 Hc Lead $97.00 $97.00 — — —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Irl Abo (R86900) $80.00 $80.00 — 31% above —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Blood Group, Abo $80.00 $80.00 — 31% above —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Irl Abo (R86900) $80.00 $80.00 — — —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Blood Group, Abo $80.00 $80.00 — — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein, Qual $194.00 $194.00 — 331% above —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C-Reactive Protein, Qual $194.00 $194.00 — — —
C. difficile toxin gene test (stool PCR) CPT 87493 Hc Clostridium Difficile Toxin $401.00 $401.00 — 122% above —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc Clostridium Difficile Toxin $401.00 $401.00 — — —
CA 19-9 blood test (tumor marker) CPT 86301 Hc Ca 19-9 $208.00 $208.00 — 44% above —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Ca 19-9 $208.00 $208.00 — — —
CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Ca - 125 $356.00 $356.00 — 113% above —
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Ca - 125 $356.00 $356.00 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Dhec Sars Cov2, Pcr $156.00 $156.00 — 90% above —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Commercial Sars Cov2, Pcr $156.00 $156.00 — 90% above —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Dhec Sars Cov2, Pcr $156.00 $156.00 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Commercial Sars Cov2, Pcr $156.00 $156.00 — — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Amplified Pcr $348.00 $348.00 — 71% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlam Trac Amp Dna Probe(Ctamp $348.00 $348.00 — 71% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlamydia Amplified Pcr $348.00 $348.00 — — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlam Trac Amp Dna Probe(Ctamp $348.00 $348.00 — — —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Noncdm Charge Record $111.00 $111.00 — 1% above —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Profile $172.00 $172.00 — 56% above —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Noncdm Charge Record $111.00 $111.00 — — —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Profile $172.00 $172.00 — — —
Complete blood count (CBC) with differential CPT 85025 Hc Rikard Employee Panel $65.00 $65.00 — 44% below —
Complete blood count (CBC) with differential CPT 85025 Hc Cbc, Automated Diff $72.00 $72.00 — 38% below —
Complete blood count (CBC) with differential CPT 85025 Noncdm Charge Record $72.00 $72.00 — 38% below —
Complete blood count (CBC) with differential inpatient CPT 85025 Hc Rikard Employee Panel $65.00 $65.00 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc, Automated Diff $72.00 $72.00 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 Noncdm Charge Record $72.00 $72.00 — — —
Complete blood count (CBC), no differential CPT 85027 Hc Cbc Hemogram $179.00 $179.00 — 105% above —
Complete blood count (CBC), no differential inpatient CPT 85027 Hc Cbc Hemogram $179.00 $179.00 — — —
Comprehensive metabolic panel (blood test) CPT 80053 Noncdm Charge Record $111.00 $111.00 — 55% below —
Comprehensive metabolic panel (blood test) CPT 80053 Hc Mammal Chem I (Ar1) $133.00 $133.00 — 46% below —
Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel $172.00 $172.00 — 30% below —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Noncdm Charge Record $111.00 $111.00 — — —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Mammal Chem I (Ar1) $133.00 $133.00 — — —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel $172.00 $172.00 — — —
D-dimer blood test (blood clot marker) CPT 85379 Noncdm Charge Record $139.88 $139.88 — 25% below —
D-dimer blood test (blood clot marker) CPT 85379 Hc Ddimer Quanatiative $248.00 $248.00 — 32% above —
D-dimer blood test (blood clot marker) inpatient CPT 85379 Noncdm Charge Record $139.88 $139.88 — — —
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc Ddimer Quanatiative $248.00 $248.00 — — —
DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dhea-Sulfate (Dheas) $457.00 $457.00 — 154% above —
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dhea-Sulfate (Dheas) $457.00 $457.00 — — —
Estradiol blood test CPT 82670 Hc Estradiol $316.00 $316.00 — 118% above —
Estradiol blood test inpatient CPT 82670 Hc Estradiol $316.00 $316.00 — — —
FSH (follicle-stimulating hormone) test CPT 83001 Hc Fsh Serum $297.00 $297.00 — 29% above —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Fsh Serum $297.00 $297.00 — — —
Fecal calprotectin (stool inflammation test) CPT 83993 Hc Cp Calprotectin, Fecal $358.00 $358.00 — 49% above —
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc Cp Calprotectin, Fecal $358.00 $358.00 — — —
Ferritin blood test (iron stores) CPT 82728 Noncdm Charge Record $133.00 $133.00 — 16% above —
Ferritin blood test (iron stores) CPT 82728 Hc Ferritin Level $161.00 $161.00 — 41% above —
Ferritin blood test (iron stores) inpatient CPT 82728 Noncdm Charge Record $133.00 $133.00 — — —
Ferritin blood test (iron stores) inpatient CPT 82728 Hc Ferritin Level $161.00 $161.00 — — —
Folate (folic acid) blood test CPT 82746 Hc Folate, Serum $147.00 $147.00 — 24% above —
Folate (folic acid) blood test inpatient CPT 82746 Hc Folate, Serum $147.00 $147.00 — — —
Free T3 thyroid hormone test CPT 84481 Hc T3 Free (T3F) $171.00 $171.00 — 2% below —
Free T3 thyroid hormone test inpatient CPT 84481 Hc T3 Free (T3F) $171.00 $171.00 — — —
Free T4 (free thyroxine) thyroid blood test CPT 84439 Noncdm Charge Record $124.00 $124.00 — 16% above —
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc T4, Free $150.00 $150.00 — 40% above —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Noncdm Charge Record $124.00 $124.00 — — —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc T4, Free $150.00 $150.00 — — —
Free testosterone test CPT 84402 Hc Testosterone Free Testfw $122.00 $122.00 — 37% above —
Free testosterone test inpatient CPT 84402 Hc Testosterone Free Testfw $122.00 $122.00 — — —
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hc General Health Panel $451.00 $451.00 — 196% above —
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hc General Health Panel $451.00 $451.00 — — —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Post Dose Glucose $84.00 $84.00 — 10% above —
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc Post Dose Glucose $84.00 $84.00 — — —
Glucose tolerance test, 3 samples CPT 82951 Hc Glucose Tdl Blood/Ob $258.00 $258.00 — 43% above —
Glucose tolerance test, 3 samples CPT 82951 Hc 2Hr Glucose (Gt2) $275.00 $275.00 — 52% above —
Glucose tolerance test, 3 samples inpatient CPT 82951 Hc Glucose Tdl Blood/Ob $258.00 $258.00 — — —
Glucose tolerance test, 3 samples inpatient CPT 82951 Hc 2Hr Glucose (Gt2) $275.00 $275.00 — — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Gc Amplified Pcr $347.00 $347.00 — 71% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Gc Amplified Pcr $347.00 $347.00 — — —
H. pylori antibody blood test CPT 86677 Hc Helicobacter Pylori $196.00 $196.00 — 44% above —
H. pylori antibody blood test inpatient CPT 86677 Hc Helicobacter Pylori $196.00 $196.00 — — —
H. pylori stool antigen test CPT 87338 Hc H.Pylori Stool Ag (Hpsa) $557.00 $557.00 — 171% above —
H. pylori stool antigen test inpatient CPT 87338 Hc H.Pylori Stool Ag (Hpsa) $557.00 $557.00 — — —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv Rna By Pcr Quant (Hivrn) $913.00 $913.00 — 107% above —
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv Rna By Pcr Quant (Hivrn) $913.00 $913.00 — — —
HIV-1 and HIV-2 antibody test CPT 86703 Noncdm Charge Record $122.00 $122.00 — at median —
HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv Antibody Screen $158.00 $158.00 — 30% above —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Noncdm Charge Record $122.00 $122.00 — — —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Hiv Antibody Screen $158.00 $158.00 — — —
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv High-Risk Types $364.00 $364.00 — 180% above —
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv High-Risk Types $364.00 $364.00 — — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Noncdm Charge Record $95.00 $95.00 — 10% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Glycosylated Hgb(A-1-C) $113.00 $113.00 — 30% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Noncdm Charge Record $95.00 $95.00 — — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Glycosylated Hgb(A-1-C) $113.00 $113.00 — — —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Noncdm Charge Record $137.00 $137.00 — 34% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis Bsab(Quant) $178.00 $178.00 — 74% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Noncdm Charge Record $137.00 $137.00 — — —
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis Bsab(Quant) $178.00 $178.00 — — —
Hepatitis B surface antigen (HBsAg) test CPT 87340 Noncdm Charge Record $148.00 $148.00 — 54% above —
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Ant $181.00 $181.00 — 89% above —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Noncdm Charge Record $148.00 $148.00 — — —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hepatitis B Surface Ant $181.00 $181.00 — — —
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Antibody $298.00 $298.00 — 128% above —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Antibody $298.00 $298.00 — — —
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Hcv Rna Pcr (Hcvpcr) $1,133.00 $1,133.00 — 187% above —
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Hcv Rna Pcr (Hcvpcr) $1,133.00 $1,133.00 — — —
Herpes blood test, HSV-1 antibody CPT 86695 Hc Herpeselect Hsvi Igg Ab Dif $137.00 $137.00 — 87% above —
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Herpeselect Hsvi Igg Ab Dif $137.00 $137.00 — — —
Herpes blood test, HSV-2 antibody CPT 86696 Hc Herpeselect Hsv2 Igg Ab Dif $170.00 $170.00 — 92% above —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Herpeselect Hsv2 Igg Ab Dif $170.00 $170.00 — — —
High-sensitivity CRP (hs-CRP) test CPT 86141 Hc C-Reactive Protein $176.00 $176.00 — 80% above —
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc C-Reactive Protein $176.00 $176.00 — — —
Homocysteine blood test CPT 83090 Noncdm Charge Record $195.67 $195.67 — 25% below —
Homocysteine blood test CPT 83090 Hc Homocysteine (Homo) $664.00 $664.00 — 156% above —
Homocysteine blood test inpatient CPT 83090 Noncdm Charge Record $195.67 $195.67 — — —
Homocysteine blood test inpatient CPT 83090 Hc Homocysteine (Homo) $664.00 $664.00 — — —
Insulin blood test CPT 83525 Hc Insulin, Serum (Insul) $258.00 $258.00 — 48% above —
Insulin blood test inpatient CPT 83525 Hc Insulin, Serum (Insul) $258.00 $258.00 — — —
Iron blood test (serum iron) CPT 83540 Noncdm Charge Record $67.00 $67.00 — 8% above —
Iron blood test (serum iron) CPT 83540 Hc Hemachromatosis Screen (Ironp) $80.00 $80.00 — 30% above —
Iron blood test (serum iron) inpatient CPT 83540 Noncdm Charge Record $67.00 $67.00 — — —
Iron blood test (serum iron) inpatient CPT 83540 Hc Hemachromatosis Screen (Ironp) $80.00 $80.00 — — —
Iron-binding capacity (TIBC) test CPT 83550 Noncdm Charge Record $91.00 $91.00 — 12% above —
Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Bind Cap,Total $109.00 $109.00 — 35% above —
Iron-binding capacity (TIBC) test inpatient CPT 83550 Noncdm Charge Record $91.00 $91.00 — — —
Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Iron Bind Cap,Total $109.00 $109.00 — — —
Kidney function blood test panel CPT 80069 Hc Renal Panel (Renal) $153.00 $153.00 — 12% above —
Kidney function blood test panel inpatient CPT 80069 Hc Renal Panel (Renal) $153.00 $153.00 — — —
LH (luteinizing hormone) test CPT 83002 Hc Lh Serum $215.00 $215.00 — 15% above —
LH (luteinizing hormone) test inpatient CPT 83002 Hc Lh Serum $215.00 $215.00 — — —
Lipase blood test (pancreas enzyme) CPT 83690 Hc Lipase $140.00 $140.00 — at median —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Lipase $140.00 $140.00 — — —
Liver function blood test panel CPT 80076 Hc Hepatic Function Panel A $308.00 $308.00 — 98% above —
Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel A $308.00 $308.00 — — —
Lyme disease antibody test CPT 86618 Hc B Burgdorfer Igm (Borabs) $245.00 $245.00 — 135% above —
Lyme disease antibody test inpatient CPT 86618 Hc B Burgdorfer Igm (Borabs) $245.00 $245.00 — — —
Magnesium blood test CPT 83735 Hc Magnesium, Urine (Kidney) $92.00 $92.00 — 144% above —
Magnesium blood test inpatient CPT 83735 Hc Magnesium, Urine (Kidney) $92.00 $92.00 — — —
Measles (rubeola) antibody test CPT 86765 Noncdm Charge Record $108.00 $108.00 — 41% above —
Measles (rubeola) antibody test CPT 86765 Hc Rubeola Igg, Quant-S $202.00 $202.00 — 163% above —
Measles (rubeola) antibody test inpatient CPT 86765 Noncdm Charge Record $108.00 $108.00 — — —
Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola Igg, Quant-S $202.00 $202.00 — — —
Mono test (heterophile antibody, Monospot) CPT 86308 Hc Mono Test $154.00 $154.00 — 47% above —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Mono Test $154.00 $154.00 — — —
PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Free Psa (Rpsa) $154.00 $154.00 — 31% above —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Free Psa (Rpsa) $154.00 $154.00 — — —
PSA (prostate-specific antigen) blood test, total CPT 84153 Noncdm Charge Record $149.00 $149.00 — 24% above —
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Ultrasensitive $345.00 $345.00 — 187% above —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Noncdm Charge Record $149.00 $149.00 — — —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Ultrasensitive $345.00 $345.00 — — —
Pap test (liquid-based, automated screening with review) CPT 88175 Hc Sp Dx/Scr Pap A&M Fp Rej(Nofo) $167.00 $167.00 — 114% above —
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Hc Sp Dx/Scr Pap A&M Fp Rej(Nofo) $167.00 $167.00 — — —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc S-Path T-Layer Scr Or Diag M/O $152.00 $152.00 — 11% below —
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc S-Path T-Layer Scr Or Diag M/O $152.00 $152.00 — — —
Parathyroid hormone (PTH) blood test CPT 83970 Hc Pth - Intact (Pthic) $364.00 $364.00 — 82% above —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Pth - Intact (Pthic) $364.00 $364.00 — — —
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Partial Thrombopl Time $150.00 $150.00 — 150% above —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Partial Thrombopl Time $150.00 $150.00 — — —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Hc Fetal Chrom Aneuploidy $1,366.00 $1,366.00 — 24% below —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Hc Fetal Chrom Aneuploidy $1,366.00 $1,366.00 — — —
Progesterone blood test CPT 84144 Hc Progesterone $266.00 $266.00 — 84% above —
Progesterone blood test inpatient CPT 84144 Hc Progesterone $266.00 $266.00 — — —
Prolactin blood test CPT 84146 Hc Prolactin $459.00 $459.00 — 165% above —
Prolactin blood test inpatient CPT 84146 Hc Prolactin $459.00 $459.00 — — —
Prothrombin time (PT/INR) clotting test CPT 85610 Noncdm Charge Record $49.00 $49.00 — 7% below —
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time,W.Bld (Ptwb) $150.00 $150.00 — 185% above —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Noncdm Charge Record $49.00 $49.00 — — —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time,W.Bld (Ptwb) $150.00 $150.00 — — —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hc Optical Read Drug Scrn $272.00 $272.00 — 433% above —
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Hc Optical Read Drug Scrn $272.00 $272.00 — — —
Rapid flu test (influenza antigen) CPT 87804 Hc Influenza B (Refluab) $239.00 $239.00 — 119% above —
Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza B (Refluab) $239.00 $239.00 — — —
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Rapid Strep Screen $196.00 $196.00 — 92% above —
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hc Rapid Strep Screen $196.00 $196.00 — — —
Rheumatoid factor (RF) test CPT 86431 Hc R.A. Test $133.00 $133.00 — 93% above —
Rheumatoid factor (RF) test inpatient CPT 86431 Hc R.A. Test $133.00 $133.00 — — —
Rubella antibody test (immunity check) CPT 86762 Noncdm Charge Record $121.00 $121.00 — 36% above —
Rubella antibody test (immunity check) CPT 86762 Hc Rubella Ab,Igg (Ruab) $157.00 $157.00 — 76% above —
Rubella antibody test (immunity check) inpatient CPT 86762 Noncdm Charge Record $121.00 $121.00 — — —
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Ab,Igg (Ruab) $157.00 $157.00 — — —
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hc Sed Rate, Westergren $46.00 $46.00 — 53% below —
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hc Sed Rate, Westergren $46.00 $46.00 — — —
Stool ova and parasites exam CPT 87177 Hc Feces, Ova And Parasites(Oap) $191.00 $191.00 — 79% above —
Stool ova and parasites exam inpatient CPT 87177 Hc Feces, Ova And Parasites(Oap) $191.00 $191.00 — — —
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Occult Bld Screen Only (Socbs) $58.00 $58.00 — 43% above —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Occult Bld Screen Only (Socbs) $58.00 $58.00 — — —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Feces, Occult Blood Dx $54.00 $54.00 — 7% below —
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Feces, Occult Blood Dx $54.00 $54.00 — — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Rpr Qualitative $93.00 $93.00 — 94% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Rpr Qualitative $93.00 $93.00 — — —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Quantiferon Tb Gold (Qntb) $408.00 $408.00 — 95% above —
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Quantiferon Tb Gold (Qntb) $408.00 $408.00 — — —
Testosterone blood test, total (not free testosterone) CPT 84403 Noncdm Charge Record $185.00 $185.00 — 141% above —
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone Total $223.00 $223.00 — 191% above —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Noncdm Charge Record $185.00 $185.00 — — —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Testosterone Total $223.00 $223.00 — — —
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Thyroid Peroxidase Ab (Perox) $291.00 $291.00 — 181% above —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Thyroid Peroxidase Ab (Perox) $291.00 $291.00 — — —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Noncdm Charge Record $159.00 $159.00 — 14% above —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh $192.00 $192.00 — 37% above —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Noncdm Charge Record $159.00 $159.00 — — —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh $192.00 $192.00 — — —
Trichomonas test (NAAT) CPT 87661 Hc Iadna Trichomonas Vaginalis Amplified Probe Tech $197.00 $197.00 — 35% above —
Trichomonas test (NAAT) inpatient CPT 87661 Hc Iadna Trichomonas Vaginalis Amplified Probe Tech $197.00 $197.00 — — —
Uric acid blood test CPT 84550 Hc Uric Acid, Serum $59.00 $59.00 — 4% below —
Uric acid blood test inpatient CPT 84550 Hc Uric Acid, Serum $59.00 $59.00 — — —
Urinalysis with microscope exam, automated CPT 81001 Noncdm Charge Record $36.00 $36.00 — 65% below —
Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis $43.00 $43.00 — 59% below —
Urinalysis with microscope exam, automated inpatient CPT 81001 Noncdm Charge Record $36.00 $36.00 — — —
Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis $43.00 $43.00 — — —
Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis W/O Micrscopic(Ua2) $158.00 $158.00 — 158% above —
Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis W/O Micrscopic(Ua2) $158.00 $158.00 — — —
Urinalysis without microscope exam, manual CPT 81002 Hc Ph (Kidney) $11.00 $11.00 — 73% below —
Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Ph (Kidney) $11.00 $11.00 — — —
Urine culture for bacteria, with colony count CPT 87086 Hc Urine Culture $203.00 $203.00 — 99% above —
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Urine Culture $203.00 $203.00 — — —
Urine pregnancy test, read by color change CPT 81025 Noncdm Charge Record $66.00 $66.00 — 43% below —
Urine pregnancy test, read by color change CPT 81025 Hc Urine Hcg, Qual (Dhcgu) $174.00 $174.00 — 51% above —
Urine pregnancy test, read by color change inpatient CPT 81025 Noncdm Charge Record $66.00 $66.00 — — —
Urine pregnancy test, read by color change inpatient CPT 81025 Hc Urine Hcg, Qual (Dhcgu) $174.00 $174.00 — — —
Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B-12 $151.00 $151.00 — 38% above —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Vitamin B-12 $151.00 $151.00 — — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Noncdm Charge Record $178.00 $178.00 — 11% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D 25 Hydroxy $219.00 $219.00 — 36% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Noncdm Charge Record $178.00 $178.00 — — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc Vitamin D 25 Hydroxy $219.00 $219.00 — — —
Zinc blood test CPT 84630 Hc Zinc (Znc) $156.00 $156.00 — 1% above —
Zinc blood test inpatient CPT 84630 Hc Zinc (Znc) $156.00 $156.00 — — —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc B-Hcg Serum Quant $234.00 $234.00 — 68% above —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc B-Hcg Serum Quant $234.00 $234.00 — — —

Surgery and procedures

ProcedureCash price List priceInsurers payvs South CarolinaOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Mam Stereotactic Bx $8,777.00 $8,777.00 — 118% above —
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Mam Stereotactic Bx $8,777.00 $8,777.00 — — —
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Pr Cltx Dstl Fibular Fx Lat Malls W/O Manj $799.00 $799.00 — 64% above —
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Closed Tx Distal Fibula Fx $2,125.00 $2,125.00 — 336% above —
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Pr Cltx Dstl Fibular Fx Lat Malls W/O Manj $799.00 $799.00 — — —
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Closed Tx Distal Fibula Fx $2,125.00 $2,125.00 — — —
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hc Pr Closed Tx Metatarsal Fx $561.00 $561.00 — at median —
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hc Closed Tx Metatarsal Fracture W/O Manipulation $1,290.00 $1,290.00 — 130% above —
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Hc Pr Closed Tx Metatarsal Fx $561.00 $561.00 — — —
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Hc Closed Tx Metatarsal Fracture W/O Manipulation $1,290.00 $1,290.00 — — —
Cardiac catheterization with coronary angiogram CPT 93458 Hc Lhc/Corns/V-Gram $18,033.00 $18,033.00 — 52% above —
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Hc Lhc/Corns/V-Gram $18,033.00 $18,033.00 — — —
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion $3,317.00 $3,317.00 — 123% above —
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion $3,317.00 $3,317.00 — — —
Catheter ablation for atrial fibrillation CPT 93656 Hc Comprehensive Af Ablation $41,775.00 $41,775.00 — 6% above —
Catheter ablation for atrial fibrillation inpatient CPT 93656 Hc Comprehensive Af Ablation $41,775.00 $41,775.00 — — —
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hc Circumcision Using Clamp Device W/O Regional Block $959.00 $959.00 — 26% below —
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hc Circumcision Using Clamp Device W/Regional Block $1,473.00 $1,473.00 — 14% above —
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hc Circumcision Using Clamp Device W/O Regional Block $959.00 $959.00 — — —
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hc Circumcision Using Clamp Device W/Regional Block $1,473.00 $1,473.00 — — —
Circumcision, surgical, older than a newborn CPT 54160 Hc Circumcision Surgical Excision Not Clamp Device - Neonate $1,215.00 $1,215.00 — 6% below —
Circumcision, surgical, older than a newborn inpatient CPT 54160 Hc Circumcision Surgical Excision Not Clamp Device - Neonate $1,215.00 $1,215.00 — — —
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Pr Fx Radius W/O Manipulation $1,321.00 $1,321.00 — 181% above —
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Fx Radius W/O Manipilation $1,856.00 $1,856.00 — 294% above —
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Pr Fx Radius W/O Manipulation $1,321.00 $1,321.00 — — —
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Fx Radius W/O Manipilation $1,856.00 $1,856.00 — — —
Coronary stent placement, one artery CPT 92928 Hc Stent Non-Des W/Ptca Maj Art $12,344.00 $12,344.00 — 5% above —
Coronary stent placement, one artery inpatient CPT 92928 Hc Stent Non-Des W/Ptca Maj Art $12,344.00 $12,344.00 — — —
Cystoscopy with ureteral stent placement CPT 52332 Hc Cystourethroscopy With Insertion Of Stent $11,795.00 $11,795.00 — 62% above —
Cystoscopy with ureteral stent placement inpatient CPT 52332 Hc Cystourethroscopy With Insertion Of Stent $11,795.00 $11,795.00 — — —
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Cystoureteroscopy $2,750.00 $2,750.00 — 456% above —
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hc Cystoureteroscopy $2,750.00 $2,750.00 — — —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Ct Cryogenic Ablation $742.00 $742.00 — 73% above —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hc Ct Cryogenic Ablation $742.00 $742.00 — — —
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Hc Pr Removal Impacted Cerumen Using Irrig/Lavage,Unilateral $32.00 $32.00 — 81% below —
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Hc Removal Impacted Cerumen Using Irrig/Lavage,Unilateral $291.00 $291.00 — 76% above —
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Hc Pr Removal Impacted Cerumen Using Irrig/Lavage,Unilateral $32.00 $32.00 — — —
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Hc Removal Impacted Cerumen Using Irrig/Lavage,Unilateral $291.00 $291.00 — — —
Earwax removal with instruments, one ear CPT 69210 Hc Impacted Cerumen $811.00 $811.00 — 441% above —
Earwax removal with instruments, one ear one side CPT 69210 Hc Pr Remove Impacted Cerumen Requiring Instrumentation, Unilateral $366.00 $366.00 — 144% above —
Earwax removal with instruments, one ear inpatient CPT 69210 Hc Impacted Cerumen $811.00 $811.00 — — —
Earwax removal with instruments, one ear inpatient one side CPT 69210 Hc Pr Remove Impacted Cerumen Requiring Instrumentation, Unilateral $366.00 $366.00 — — —
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Endometrial Sampl $5,801.00 $5,801.00 — 834% above —
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Endometrial Sampl $5,801.00 $5,801.00 — — —
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Epidural Inject Cerv Ot Thorac W/ Image $5,438.00 $5,438.00 — 275% above —
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hc Epidural Inject Cerv Ot Thorac W/ Image $5,438.00 $5,438.00 — — —
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Inj F Jnt Lumb/Sacr 1St Level $4,274.00 $4,274.00 — 54% above —
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc Inj F Jnt Lumb/Sacr 1St Level $4,274.00 $4,274.00 — — —
Gallbladder removal, laparoscopic CPT 47562 Hc Laparoscopic Cholecystectomy $25,316.00 $25,316.00 — 36% above —
Gallbladder removal, laparoscopic inpatient CPT 47562 Hc Laparoscopic Cholecystectomy $25,316.00 $25,316.00 — — —
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Hc Lap Chole W/Cholangiography $24,695.00 $24,695.00 — 39% above —
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Hc Lap Chole W/Cholangiography $24,695.00 $24,695.00 — — —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Inj Procedure For Hysterosalp $267.00 $267.00 — 19% below —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Inj Procedure For Hysterosalp $267.00 $267.00 — — —
Incision and drainage of a simple or single skin abscess CPT 10060 Hc Pr I&D Abscess; Simple/Single $447.00 $447.00 — 9% above —
Incision and drainage of a simple or single skin abscess CPT 10060 Hc I&D Abscess; Simple/Single $1,678.00 $1,678.00 — 308% above —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc Pr I&D Abscess; Simple/Single $447.00 $447.00 — — —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I&D Abscess; Simple/Single $1,678.00 $1,678.00 — — —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Pr Inj Ten/Lig/Trig Pt/Gang Cyst $259.00 $259.00 — 53% below —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Inj Ten/Lig/Trig Pt/Gang Cyst $675.00 $675.00 — 23% above —
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Pr Inj Ten/Lig/Trig Pt/Gang Cyst $259.00 $259.00 — — —
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Inj Ten/Lig/Trig Pt/Gang Cyst $675.00 $675.00 — — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Pr Arthrocent,Aspir,Inject Large $563.00 $563.00 — 21% below —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Er Arthrocent,Aspir,Inject Large $1,171.00 $1,171.00 — 65% above —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Arthrocent,Aspir,Inject Large Joint $1,171.00 $1,171.00 — 65% above —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Pr Arthrocent,Aspir,Inject Large $563.00 $563.00 — — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Arthrocent,Aspir,Inject Large Joint $1,171.00 $1,171.00 — — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Er Arthrocent,Aspir,Inject Large $1,171.00 $1,171.00 — — —
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hc Insertion, Non-Biodegrad Drug Del Impl $8,762.00 $8,762.00 — 2841% above —
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hc Insertion, Non-Biodegrad Drug Del Impl $8,762.00 $8,762.00 — — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Pr Arthrocent,Aspir,Inject Int $474.00 $474.00 — 10% below —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthrocent,Aspir,Inject Int $1,078.00 $1,078.00 — 104% above —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Pr Arthrocent,Aspir,Inject Int $474.00 $474.00 — — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Arthrocent,Aspir,Inject Int $1,078.00 $1,078.00 — — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Pr Arthrocent,Aspir,Inject Small $396.00 $396.00 — 8% below —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Arthrocent,Aspir,Inject Smal $1,152.00 $1,152.00 — 167% above —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Arthrocent Aspir Inject Smal $21,347.00 $21,347.00 — 4851% above —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Pr Arthrocent,Aspir,Inject Small $396.00 $396.00 — — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Arthrocent,Aspir,Inject Smal $1,152.00 $1,152.00 — — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Arthrocent Aspir Inject Smal $21,347.00 $21,347.00 — — —
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Hc Laparoscopy, Surgical, Appendectomy $23,731.00 $23,731.00 — 28% above —
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Hc Laparoscopy, Surgical, Appendectomy $23,731.00 $23,731.00 — — —
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Hc Laparoscopy W Tot Hysterectuterus <=250 Gram $16,350.00 $16,350.00 — 59% below —
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Hc Laparoscopy W Tot Hysterectuterus <=250 Gram $16,350.00 $16,350.00 — — —
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Hc Laparoscopy With $24,069.00 $24,069.00 — 6% above —
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Hc Laparoscopy With $24,069.00 $24,069.00 — — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Pr Layer,To 2.5 Cm, Close Wound $598.00 $598.00 — 14% above —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Pr Layer,To 2.5 Cm, Close Wound $598.00 $598.00 — — —
Left heart catheterization, diagnostic one side CPT 93452 Hc Left Hrt Cath W/ Lft Ventrclgrphy $10,687.00 $10,687.00 — 3% above —
Left heart catheterization, diagnostic inpatient one side CPT 93452 Hc Left Hrt Cath W/ Lft Ventrclgrphy $10,687.00 $10,687.00 — — —
Lower-back epidural injection, with imaging guidance CPT 62323 Hc Cisternogrm/Epidural Injec Lum Or Sacral W/Imag $5,720.00 $5,720.00 — 295% above —
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Cisternogrm/Epidural Injec Lum Or Sacral W/Imag $5,720.00 $5,720.00 — — —
Lower-back epidural injection, without imaging guidance CPT 62322 Hc Epidural Inject Lumbar Or Sacral W/O Image $7,458.00 $7,458.00 — 302% above —
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Epidural Inject Lumbar Or Sacral W/O Image $7,458.00 $7,458.00 — — —
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Nerve Blk Lumbar/Sacral Single $5,516.00 $5,516.00 — 201% above —
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Nerve Blk Lumbar/Sacral Single $5,516.00 $5,516.00 — — —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Ex Ben Les Trunk To .5 Cm $5,774.00 $5,774.00 — 306% above —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Ex Ben Les Trunk To .5 Cm $5,774.00 $5,774.00 — — —
Nail removal (partial or complete), one nail CPT 11730 Hc Pr Avul Nail Plate Part/Comp Simp $490.00 $490.00 — 19% above —
Nail removal (partial or complete), one nail CPT 11730 Hc Avul Nail Plate Part/Comp Simp $1,319.00 $1,319.00 — 221% above —
Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Pr Avul Nail Plate Part/Comp Simp $490.00 $490.00 — — —
Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avul Nail Plate Part/Comp Simp $1,319.00 $1,319.00 — — —
Occipital nerve block (injection for headaches) CPT 64405 Hc Pr Inj Anes; Greater Occipt Nerv $221.00 $221.00 — 63% below —
Occipital nerve block (injection for headaches) CPT 64405 Hc Inj Anes;Greater Occipt Nerv $729.00 $729.00 — 21% above —
Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Pr Inj Anes; Greater Occipt Nerv $221.00 $221.00 — — —
Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Inj Anes;Greater Occipt Nerv $729.00 $729.00 — — —
Pacemaker implant (dual chamber) CPT 33208 Hc Insert New Ppm Atr+Vent Leads $47,068.00 $47,068.00 — 214% above —
Pacemaker implant (dual chamber) inpatient CPT 33208 Hc Insert New Ppm Atr+Vent Leads $47,068.00 $47,068.00 — — —
Paracentesis with imaging guidance CPT 49083 Hc Pr Paracentesis W/Imaging $896.00 $896.00 — 48% below —
Paracentesis with imaging guidance CPT 49083 Hc Paracentesis W/Imaging $2,529.00 $2,529.00 — 46% above —
Paracentesis with imaging guidance inpatient CPT 49083 Hc Pr Paracentesis W/Imaging $896.00 $896.00 — — —
Paracentesis with imaging guidance inpatient CPT 49083 Hc Paracentesis W/Imaging $2,529.00 $2,529.00 — — —
Partial knee replacement (one compartment) CPT 27446 Hc Plasty Knee, Med Or Lat Compartment $78,379.00 $78,379.00 — — —
Partial knee replacement (one compartment) inpatient CPT 27446 Hc Plasty Knee, Med Or Lat Compartment $78,379.00 $78,379.00 — — —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Pr Hc Exc Nail/Matrix $678.00 $678.00 — 14% below —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Exc Nail/Matrix $3,061.00 $3,061.00 — 287% above —
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Pr Hc Exc Nail/Matrix $678.00 $678.00 — — —
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Exc Nail/Matrix $3,061.00 $3,061.00 — — —
Prostate biopsy CPT 55700 Hc Biopsy, Prostate $8,879.00 $8,879.00 — 158% above —
Prostate biopsy inpatient CPT 55700 Hc Biopsy, Prostate $8,879.00 $8,879.00 — — —
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Neurolytic Inj Lumb Sacr Singl $3,735.00 $3,735.00 — 9% above —
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hc Neurolytic Inj Lumb Sacr Singl $3,735.00 $3,735.00 — — —
Removal of a foreign object under the skin, simple CPT 10120 Hc Pr Incision & Removal Of Foreign, Simp $424.00 $424.00 — 38% below —
Removal of a foreign object under the skin, simple CPT 10120 Hc Incision & Removal Of Foreign,Simp $2,433.00 $2,433.00 — 258% above —
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Pr Incision & Removal Of Foreign, Simp $424.00 $424.00 — — —
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Incision & Removal Of Foreign,Simp $2,433.00 $2,433.00 — — —
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hc Colon Ca Scrn Not Hi Rsk Ind $2,572.00 $2,572.00 — 38% below —
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Hc Colon Ca Scrn Not Hi Rsk Ind $2,572.00 $2,572.00 — — —
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hc Colorectal Scrn;Hi Risk Ind $2,572.00 $2,572.00 — 38% below —
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hc Colorectal Scrn;Hi Risk Ind $2,572.00 $2,572.00 — — —
Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 Hc Lithotripsy - Bilateral $53,843.00 $53,843.00 — — —
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 Hc Lithotripsy - Unilateral $49,410.00 $49,410.00 — 399% above —
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient both sides CPT 50590 Hc Lithotripsy - Bilateral $53,843.00 $53,843.00 — — —
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 Hc Lithotripsy - Unilateral $49,410.00 $49,410.00 — — —
Short arm splint (forearm and hand) CPT 29125 Hc Pr Short Arm Splint, Static $392.00 $392.00 — 7% above —
Short arm splint (forearm and hand) CPT 29125 Hc Short Arm Splint, Static $1,085.00 $1,085.00 — 196% above —
Short arm splint (forearm and hand) inpatient CPT 29125 Hc Pr Short Arm Splint, Static $392.00 $392.00 — — —
Short arm splint (forearm and hand) inpatient CPT 29125 Hc Short Arm Splint, Static $1,085.00 $1,085.00 — — —
Short leg splint (calf to foot) CPT 29515 Hc Pr Short Leg Splint $240.00 $240.00 — 22% below —
Short leg splint (calf to foot) CPT 29515 Hc Short Leg Splint $1,401.00 $1,401.00 — 356% above —
Short leg splint (calf to foot) inpatient CPT 29515 Hc Pr Short Leg Splint $240.00 $240.00 — — —
Short leg splint (calf to foot) inpatient CPT 29515 Hc Short Leg Splint $1,401.00 $1,401.00 — — —
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Hc Arthroscopy, Decompression $16,702.00 $16,702.00 — 90% above —
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Hc Arthroscopy, Decompression $16,702.00 $16,702.00 — — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Pr Simp Rep Superficial Wound, 2.5 $542.00 $542.00 — 59% above —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Simp Rep Superficial Wound,2.5 $1,077.00 $1,077.00 — 216% above —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Pr Simp Rep Superficial Wound, 2.5 $542.00 $542.00 — — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Simp Rep Superficial Wound,2.5 $1,077.00 $1,077.00 — — —
Skin biopsy, punch, one lesion CPT 11104 Hc Pr Punch Biopsy Skin Single Lesion $263.00 $263.00 — 62% below —
Skin biopsy, punch, one lesion CPT 11104 Hc Punch Biopsy Skin Single Lesion $970.00 $970.00 — 39% above —
Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Pr Punch Biopsy Skin Single Lesion $263.00 $263.00 — — —
Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Biopsy Skin Single Lesion $970.00 $970.00 — — —
Skin tag removal, up to 15 tags CPT 11200 Hc Pr Rem Skin Tags Up To 15 $294.00 $294.00 — 23% below —
Skin tag removal, up to 15 tags CPT 11200 Hc Remove Skin Tags Up To 15 $2,444.00 $2,444.00 — 539% above —
Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Pr Rem Skin Tags Up To 15 $294.00 $294.00 — — —
Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Remove Skin Tags Up To 15 $2,444.00 $2,444.00 — — —
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Pr Lumbar Puncture $563.00 $563.00 — 43% below —
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Lumbar Puncture $2,252.00 $2,252.00 — 127% above —
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Pr Lumbar Puncture $563.00 $563.00 — — —
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Lumbar Puncture $2,252.00 $2,252.00 — — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Pr Simple, 2.6-7.5 Cm,Close Wound $629.00 $629.00 — 46% above —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Simple,2.6-7.5 Cm,Close Wound $1,092.00 $1,092.00 — 154% above —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Pr Simple, 2.6-7.5 Cm,Close Wound $629.00 $629.00 — — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Simple,2.6-7.5 Cm,Close Wound $1,092.00 $1,092.00 — — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Pr Face,Ear,Muc Mem Up To 2.5Cm $595.00 $595.00 — 62% above —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Face, Ear, Muc Mem Up To 2.5Cm $1,077.00 $1,077.00 — 194% above —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Pr Face,Ear,Muc Mem Up To 2.5Cm $595.00 $595.00 — — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Face, Ear, Muc Mem Up To 2.5Cm $1,077.00 $1,077.00 — — —
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangential Biopsy Skin Single Lesion $517.00 $517.00 — 61% above —
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Tangential Biopsy Skin Single Lesion $517.00 $517.00 — — —
Thoracentesis with imaging guidance CPT 32555 Hc Pr Thoracentesis W/Imaging $858.00 $858.00 — 20% below —
Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis W/Imaging $2,743.00 $2,743.00 — 157% above —
Thoracentesis with imaging guidance inpatient CPT 32555 Hc Pr Thoracentesis W/Imaging $858.00 $858.00 — — —
Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis W/Imaging $2,743.00 $2,743.00 — — —
Tonsil and adenoid removal, age 12 or older CPT 42821 Hc Tonsillectomy, Adenoid Over 12 $4,432.00 $4,432.00 — 47% below —
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Hc Tonsillectomy, Adenoid Over 12 $4,432.00 $4,432.00 — — —
Trigger point injections, 1 or 2 muscles CPT 20552 Hc Pr Trigger Pt Injection 1-2 $833.00 $833.00 — 79% above —
Trigger point injections, 1 or 2 muscles CPT 20552 Hc Trigger Pt Injection 1-2 $1,662.00 $1,662.00 — 258% above —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Pr Trigger Pt Injection 1-2 $833.00 $833.00 — — —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Trigger Pt Injection 1-2 $1,662.00 $1,662.00 — — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Us Guidance Breast Biopsy First Lesion $4,824.00 $4,824.00 — 47% above —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Us Guidance Breast Biopsy First Lesion $4,824.00 $4,824.00 — — —
Upper endoscopy (EGD) with biopsy CPT 43239 Hc Egd With Biopsy $11,113.00 $11,113.00 — 68% above —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Egd With Biopsy $11,113.00 $11,113.00 — — —
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Hc Lithotripsy W/Cysto,Uro/Pyelo,Stent $10,618.00 $10,618.00 — 81% above —
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Hc Lithotripsy W/Cysto,Uro/Pyelo,Stent $10,618.00 $10,618.00 — — —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Pr Debridement Subcutaneous Tiss 20 Sq Cm/< $361.00 $361.00 — 55% below —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debridement Subcutaneous Tiss 20 Sq Cm /< $6,133.00 $6,133.00 — 657% above —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Pr Debridement Subcutaneous Tiss 20 Sq Cm/< $361.00 $361.00 — — —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debridement Subcutaneous Tiss 20 Sq Cm /< $6,133.00 $6,133.00 — — —

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs South CarolinaOff list
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Administration $2,687.00 $2,687.00 — 164% above —
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Administration - Er $2,687.00 $2,687.00 — 164% above —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Administration $2,687.00 $2,687.00 — — —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Administration - Er $2,687.00 $2,687.00 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Mdi Treatment $315.00 $315.00 — 58% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Sputum Induction $365.00 $365.00 — 83% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Hhn /Ippb Treatment $395.00 $395.00 — 98% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Positive Airway Pressure (Ezpap) $414.00 $414.00 — 108% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Mdi Treatment $315.00 $315.00 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Sputum Induction $365.00 $365.00 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Hhn /Ippb Treatment $395.00 $395.00 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Positive Airway Pressure (Ezpap) $414.00 $414.00 — — —
Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo Iv Infusion 1St Hour $3,132.00 $3,132.00 — 318% above —
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemo Iv Infusion 1St Hour $3,132.00 $3,132.00 — — —
Critical care, first 30 to 74 minutes CPT 99291 Hc Pr Critical Care Service First Hour $1,959.00 $1,959.00 — 31% below —
Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care Serv.1St Hour $5,204.00 $5,204.00 — 84% above —
Critical care, first 30 to 74 minutes CPT 99291 Hc Er Visit Level 6 30 - 74 Min $5,723.00 $5,723.00 — 102% above —
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Pr Critical Care Service First Hour $1,959.00 $1,959.00 — — —
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care Serv.1St Hour $5,204.00 $5,204.00 — — —
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Er Visit Level 6 30 - 74 Min $5,723.00 $5,723.00 — — —
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Pr Eeg < 40 Min, Awake P.C. $746.00 $746.00 — at median —
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg < 40 Min, Awake $3,720.00 $3,720.00 — 399% above —
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Pr Eeg < 40 Min, Awake P.C. $746.00 $746.00 — — —
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Eeg < 40 Min, Awake $3,720.00 $3,720.00 — — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg Pediatric $469.00 $469.00 — 40% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg Adult $469.00 $469.00 — 40% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Ekg Adult $469.00 $469.00 — — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Ekg Pediatric $469.00 $469.00 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Pr Emergency Room Visit Level 1 $294.00 $294.00 — 7% below —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Emergency Room Visit Level 1 $557.00 $557.00 — 77% above —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Lwt W/Ancillary Chgs $614.00 $614.00 — 95% above —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Pr Emergency Room Visit Level 1 $294.00 $294.00 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Emergency Room Visit Level 1 $557.00 $557.00 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Lwt W/Ancillary Chgs $614.00 $614.00 — — —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Pr Physician - Level 2 W/Proc $396.00 $396.00 — 16% below —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Pr Emergency Room Visit Level 2 $396.00 $396.00 — 16% below —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Emergency Room Visit Level 2 $924.00 $924.00 — 95% above —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Pr Emergency Room Visit Level 2 $396.00 $396.00 — — —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Pr Physician - Level 2 W/Proc $396.00 $396.00 — — —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Emergency Room Visit Level 2 $924.00 $924.00 — — —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Pr Emergency Room Visit Level 3 $756.00 $756.00 — 25% below —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Pr Physician - Level 3 W/Proc $756.00 $756.00 — 25% below —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Emergency Room Visit Level 3 $1,545.00 $1,545.00 — 53% above —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Pr Physician - Level 3 W/Proc $756.00 $756.00 — — —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Pr Emergency Room Visit Level 3 $756.00 $756.00 — — —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Emergency Room Visit Level 3 $1,545.00 $1,545.00 — — —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Pr Emergency Room Visit Level 4 $1,140.00 $1,140.00 — 24% below —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Pr Physician - Level 4 W/Proc $1,140.00 $1,140.00 — 24% below —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Emergency Room Visit Level 4 $2,346.00 $2,346.00 — 56% above —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Pr Physician - Level 4 W/Proc $1,140.00 $1,140.00 — — —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Pr Emergency Room Visit Level 4 $1,140.00 $1,140.00 — — —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Emergency Room Visit Level 4 $2,346.00 $2,346.00 — — —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Pr Emergency Room Visit Level 5 $1,503.00 $1,503.00 — 36% below —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Pr Physician - Level 5 W/Proc $1,503.00 $1,503.00 — 36% below —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Emergency Room Visit Level 5 $3,464.00 $3,464.00 — 48% above —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Pr Emergency Room Visit Level 5 $1,503.00 $1,503.00 — — —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Pr Physician - Level 5 W/Proc $1,503.00 $1,503.00 — — —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Emergency Room Visit Level 5 $3,464.00 $3,464.00 — — —
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Cardiovascular Stress Test $1,160.00 $1,160.00 — 13% above —
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Cardiovascular Stress Test $1,160.00 $1,160.00 — — —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Hydration Iv Infusion 1St Hour $644.00 $644.00 — 48% above —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Hydration Iv Infusion 1St Hour $644.00 $644.00 — — —
IV infusion of a medicine, first hour CPT 96365 Hc Iv Med Infusion 1St Hour $1,138.00 $1,138.00 — 125% above —
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Med Infusion 1St Hour $1,138.00 $1,138.00 — — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Injection Im / Sq $230.00 $230.00 — 34% above —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Injection Im / Sq $230.00 $230.00 — — —
Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromuscular Re-Ed 15 Minutes $174.00 $174.00 — 79% above —
Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromuscular Re-Ed 15 Min $247.00 $247.00 — 154% above —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuromuscular Re-Ed 15 Minutes $174.00 $174.00 — — —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuromuscular Re-Ed 15 Min $247.00 $247.00 — — —
New patient office visit, about 45 minutes CPT 99204 Hc Pr New Patient Exam Level Iv $382.00 $382.00 — at median —
New patient office visit, about 45 minutes inpatient CPT 99204 Hc Pr New Patient Exam Level Iv $382.00 $382.00 — — —
New patient office visit, about 60 minutes CPT 99205 Hc Pr New Patient Exam Level V $904.00 $904.00 — 57% above —
New patient office visit, about 60 minutes inpatient CPT 99205 Hc Pr New Patient Exam Level V $904.00 $904.00 — — —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc New Patient $398.00 $398.00 — 51% above —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Wound Care New Patient $398.00 $398.00 — 51% above —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Facility W/Other: New Patient $398.00 $398.00 — 51% above —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Facility W/Other: New Patient $398.00 $398.00 — — —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc New Patient $398.00 $398.00 — — —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Wound Care New Patient $398.00 $398.00 — — —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Med Nutrit Tx Init Per 15 Min $72.00 $72.00 — 34% above —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Med Nutrit Tx Init Per 15 Min $72.00 $72.00 — — —
Occupational therapy evaluation, low complexity CPT 97165 Hc Ot Eval Low Complexity $241.00 $241.00 — 38% above —
Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc Ot Eval Low Complexity $241.00 $241.00 — — —
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Pt Eval High Complexity $539.00 $539.00 — 154% above —
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Pt Eval High Complexity $539.00 $539.00 — — —
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Pt Eval Low Complexity $539.00 $539.00 — 204% above —
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Pt Eval Low Complexity $539.00 $539.00 — — —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Pt Eval Moderate Complexity $539.00 $539.00 — 186% above —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Pt Eval Moderate Complexity $539.00 $539.00 — — —
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy Tech Ea 15 Min $247.00 $247.00 — 96% above —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Manual Therapy Tech Ea 15 Min $247.00 $247.00 — — —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercise (15 Min) $247.00 $247.00 — 122% above —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapeutic Exercise (15 Min) $247.00 $247.00 — — —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Pr Estab Patient Exam Level V $634.00 $634.00 — 57% above —
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Pr Estab Patient Exam Level V $634.00 $634.00 — — —
Speech and language evaluation CPT 92523 Hc Eval Spch Snd Prod.Comprehensn/Expresn $489.00 $489.00 — 81% above —
Speech and language evaluation inpatient CPT 92523 Hc Eval Spch Snd Prod.Comprehensn/Expresn $489.00 $489.00 — — —
Speech therapy session, individual CPT 92507 Hc Treatment Speech + Language $273.00 $273.00 — 38% above —
Speech therapy session, individual inpatient CPT 92507 Hc Treatment Speech + Language $273.00 $273.00 — — —
Spirometry (breathing test) CPT 94010 Hc Rout Spiro Wo Bron Dilat $550.00 $550.00 — 97% above —
Spirometry (breathing test) inpatient CPT 94010 Hc Rout Spiro Wo Bron Dilat $550.00 $550.00 — — —
Spirometry before and after a bronchodilator CPT 94060 Hc Comp Spiro W Bron Dilato $907.00 $907.00 — 81% above —
Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Comp Spiro W Bron Dilato $907.00 $907.00 — — —
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Act Direct 15 Min $193.00 $193.00 — 106% above —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Therapeutic Act Direct 15 Min $193.00 $193.00 — — —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Therapeutic Phlebotomy (Thp) $661.00 $661.00 — 150% above —
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Therapeutic Phlebotomy (Thp) $661.00 $661.00 — — —

Vaccines

ProcedureCash price List priceInsurers payvs South CarolinaOff list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Hc Ec Sarscov2 Vacc 30Mcg/0.3Ml Tris-Sucrose Im Use $140.00 $140.00 — 72% below —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Hc Rx Med 250 Wo Hcpcs $703.97 $703.97 — 42% above —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Noncdm Charge Record Pharmacy $724.44 $724.44 — 46% above —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Hc Ec Sarscov2 Vacc 30Mcg/0.3Ml Tris-Sucrose Im Use $140.00 $140.00 — — —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Hc Rx Med 250 Wo Hcpcs $703.97 $703.97 — — —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Noncdm Charge Record Pharmacy $724.44 $724.44 — — —
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Hc Eh Var Vaccine Live For Subcutaneous Use $250.00 $250.00 — 29% below —
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Hc Eh Var Vaccine Live For Subcutaneous Use $250.00 $250.00 — — —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Hc Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $40.00 $40.00 — 11% below —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Noncdm Charge Record Pharmacy $116.81 $116.81 — 160% above —
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Hc Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $40.00 $40.00 — — —
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Noncdm Charge Record Pharmacy $116.81 $116.81 — — —
Hepatitis A vaccine, adult dose CPT 90632 Hc Eh Hepa Vaccine Adult Dose For Intramuscular Use $156.00 $156.00 — 39% above —
Hepatitis A vaccine, adult dose CPT 90632 Hc Rx Med 250 Wo Hcpcs $434.91 $434.91 — 288% above —
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hc Eh Hepa Vaccine Adult Dose For Intramuscular Use $156.00 $156.00 — — —
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hc Rx Med 250 Wo Hcpcs $434.91 $434.91 — — —
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hc Eh Hepb Vaccine Adult 3 Dose Schedule For Im Use $157.00 $157.00 — 10% above —
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Noncdm Charge Record Pharmacy $288.39 $288.39 — 102% above —
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hc Eh Hepb Vaccine Adult 3 Dose Schedule For Im Use $157.00 $157.00 — — —
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Noncdm Charge Record Pharmacy $288.39 $288.39 — — —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Hc Emp Health Iiv Vacc Presrv Free Increased Ag Count Im $82.00 $82.00 — 46% above —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Hc Emp Health Iiv Vacc Presrv Free Increased Ag Count Im $82.00 $82.00 — — —
MMR vaccine (measles, mumps and rubella), live CPT 90707 Hc Eh Mmr Virus Immunization, Subcut $145.00 $145.00 — 49% below —
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Hc Eh Mmr Virus Immunization, Subcut $145.00 $145.00 — — —
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Hc Eh Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use $258.00 $258.00 — 7% below —
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Hc Eh Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use $258.00 $258.00 — — —
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Hc Eh Menb-4C Recombnt Prot & Outer Memb Vesic Vacc Im $388.41 $388.41 — 66% below —
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Hc Eh Menb-4C Recombnt Prot & Outer Memb Vesic Vacc Im $388.41 $388.41 — — —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Noncdm Charge Record Pharmacy $1,560.28 $1,560.28 — 130% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Noncdm Charge Record Pharmacy $1,560.28 $1,560.28 — — —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Noncdm Charge Record Pharmacy $536.85 $536.85 — 101% above —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Noncdm Charge Record Pharmacy $536.85 $536.85 — — —
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Hc Rx Med 250 Wo Hcpcs $2,925.11 $2,925.11 — 134% above —
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Hc Rx Med 250 Wo Hcpcs $2,925.11 $2,925.11 — — —
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Noncdm Charge Record Pharmacy $1,612.22 $1,612.22 — 402% above —
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Noncdm Charge Record Pharmacy $1,612.22 $1,612.22 — — —
Rabies vaccine, one dose CPT 90675 Noncdm Charge Record Pharmacy $2,150.43 $2,150.43 — 1% above —
Rabies vaccine, one dose inpatient CPT 90675 Noncdm Charge Record Pharmacy $2,150.43 $2,150.43 — — —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Hc Eh Td Vaccine Prsrv Free >7 Yo, Im $58.00 $58.00 — 53% below —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Noncdm Charge Record Pharmacy $240.07 $240.07 — 94% above —
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Hc Eh Td Vaccine Prsrv Free >7 Yo, Im $58.00 $58.00 — — —
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Noncdm Charge Record Pharmacy $240.07 $240.07 — — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Hc Eh Tdap Vaccine >7 Yo, Im $83.00 $83.00 — 42% below —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Hc Tdap Immuniz, Im >7 Yrs Old $99.00 $99.00 — 31% below —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Noncdm Charge Record Pharmacy $224.28 $224.28 — 57% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Hc Eh Tdap Vaccine >7 Yo, Im $83.00 $83.00 — — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Hc Tdap Immuniz, Im >7 Yrs Old $99.00 $99.00 — — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Noncdm Charge Record Pharmacy $224.28 $224.28 — — —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Comm Outreach Flu Administration $30.00 $30.00 — 46% below —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Emp Health Immuniz Admin 1 Single/Comb Vac/Taxoid $40.00 $40.00 — 28% below —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Immunization Admin Im/Sq $117.00 $117.00 — 112% above —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Comm Outreach Flu Administration $30.00 $30.00 — — —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Emp Health Immuniz Admin 1 Single/Comb Vac/Taxoid $40.00 $40.00 — — —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Immunization Admin Im/Sq $117.00 $117.00 — — —
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Eh Immuniz,Admin,Each Addl $20.00 $20.00 — 53% below —
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Immunization Admin Im/Sq Each Addl $117.00 $117.00 — 177% above —
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Eh Immuniz,Admin,Each Addl $20.00 $20.00 — — —
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Immunization Admin Im/Sq Each Addl $117.00 $117.00 — — —

Dental

ProcedureCash price List priceInsurers payvs South CarolinaOff list
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Hc Surg Rem Of Impact Tooth-Comp $1,342.00 $1,342.00 — — —
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 Hc Surg Rem Of Impact Tooth-Comp $1,342.00 $1,342.00 — — —
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Hc Extraction, Erupted Tooth $1,342.00 $1,342.00 — 16% below —
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 Hc Extraction, Erupted Tooth $1,342.00 $1,342.00 — — —

Source file: https://lexhealth.com/lexhealth/docs/852276567_lexington-medical-center_standardcharges-Q2-2026.json