SelfPayRates
Hospital

Lisbon Area Health Services

Lisbon Area Health Services in Lisbon, ND publishes cash prices for 186 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the North Dakota median for 108 of 184 procedures and above it for 70. By typical cash price it ranks #9 of 22 North Dakota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

905 Main Street, Lisbon, ND 58054 Collected Sep 27, 2026 Source price file (701) 683-6400

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 351311 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs North DakotaOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV ANKLE BRACHIAL INDEX (ABI) $206.08 $368.00 $187.68–$353.28 25% below 44%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV ANKLE BRACHIAL INDEX (ABI) $206.08 $368.00 $268.64–$353.28 — 44%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM $441.28 $788.00 $401.88–$756.48 17% above 44%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS $441.28 $788.00 $401.88–$756.48 17% above 44%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM $441.28 $788.00 $575.24–$756.48 — 44%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS $441.28 $788.00 $575.24–$756.48 — 44%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY $948.64 $1,694.00 $863.94–$1,626.24 6% below 44%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY $948.64 $1,694.00 $1,236.62–$1,626.24 — 44%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 ANG CHEST $1,974.00 $3,525.00 $1,797.75–$3,384.00 8% below 44%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 ANG CHEST $1,974.00 $3,525.00 $2,573.25–$3,384.00 — 44%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDOMEN PELVIS WO CONT $1,300.88 $2,323.00 $1,184.73–$2,230.08 2% below 44%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABDOMEN PELVIS WO CONT $1,300.88 $2,323.00 $1,695.79–$2,230.08 — 44%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDOMEN PELVIS CT W CONT $2,601.20 $4,645.00 $2,368.95–$4,459.20 7% above 44%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABDOMEN PELVIS CT W CONT $2,601.20 $4,645.00 $3,390.85–$4,459.20 — 44%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABDOMEN PELVIS W WO CONT $2,965.76 $5,296.00 $2,700.96–$5,084.16 3% above 44%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CTA ABD PELV W WO CONT $2,965.76 $5,296.00 $2,700.96–$5,084.16 3% above 44%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABDOMEN PELVIS W WO CONT $2,965.76 $5,296.00 $3,866.08–$5,084.16 — 44%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CTA ABD PELV W WO CONT $2,965.76 $5,296.00 $3,866.08–$5,084.16 — 44%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN W CONT $1,979.60 $3,535.00 $1,802.85–$3,393.60 25% above 44%
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN W CONT $1,979.60 $3,535.00 $2,580.55–$3,393.60 — 44%
CT scan of the abdomen without contrast CPT 74150 ABDOMEN WO CONT $1,021.44 $1,824.00 $930.24–$1,751.04 8% below 44%
CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN WO CONT $1,021.44 $1,824.00 $1,331.52–$1,751.04 — 44%
CT scan of the face and sinuses, no contrast dye CPT 70486 MAX FACIAL SINUS WO CONT $1,137.36 $2,031.00 $1,035.81–$1,949.76 7% above 44%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAX FACIAL SINUS WO CONT $1,137.36 $2,031.00 $1,482.63–$1,949.76 — 44%
CT scan of the head or brain, no contrast dye CPT 70450 HEAD WO CONT $945.84 $1,689.00 $861.39–$1,621.44 at median 44%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD WO CONT $945.84 $1,689.00 $1,232.97–$1,621.44 — 44%
CT scan of the head with contrast CPT 70460 HEAD W CONT $1,276.80 $2,280.00 $1,162.80–$2,188.80 at median 44%
CT scan of the head with contrast inpatient CPT 70460 HEAD W CONT $1,276.80 $2,280.00 $1,664.40–$2,188.80 — 44%
CT scan of the head without and with contrast CPT 70470 HEAD W WO CONT $1,418.48 $2,533.00 $1,291.83–$2,431.68 2% below 44%
CT scan of the head without and with contrast inpatient CPT 70470 HEAD W WO CONT $1,418.48 $2,533.00 $1,849.09–$2,431.68 — 44%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE WO CONT $1,533.84 $2,739.00 $1,396.89–$2,629.44 19% above 44%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 LUMBAR SPINE WO CONT $1,533.84 $2,739.00 $1,999.47–$2,629.44 — 44%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE WO CONT $1,547.84 $2,764.00 $1,409.64–$2,653.44 17% above 44%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERVICAL SPINE WO CONT $1,547.84 $2,764.00 $2,017.72–$2,653.44 — 44%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CONT $1,975.12 $3,527.00 $1,798.77–$3,385.92 26% above 44%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W CONT $1,975.12 $3,527.00 $2,574.71–$3,385.92 — 44%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID COMP $630.56 $1,126.00 $574.26–$1,080.96 at median 44%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID COMP $630.56 $1,126.00 $821.98–$1,080.96 — 44%
Chest X-ray, 2 views CPT 71046 CHEST 2V $120.96 $216.00 $110.16–$207.36 23% below 44%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V $120.96 $216.00 $157.68–$207.36 — 44%
Chest X-ray, single view CPT 71045 CHEST 1V FRONTAL $93.52 $167.00 $85.17–$160.32 29% below 44%
Chest X-ray, single view inpatient CPT 71045 CHEST 1V FRONTAL $93.52 $167.00 $121.91–$160.32 — 44%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL COMP $525.84 $939.00 $478.89–$901.44 31% above 44%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RENAL COMP $525.84 $939.00 $685.47–$901.44 — 44%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY BODY $423.36 $756.00 $385.56–$725.76 58% above 44%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY BODY $423.36 $756.00 $551.88–$725.76 — 44%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY PERIPHERAL $127.12 $227.00 $115.77–$217.92 25% above 44%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY PERIPHERAL $127.12 $227.00 $165.71–$217.92 — 44%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST WO CONT $1,169.84 $2,089.00 $1,065.39–$2,005.44 at median 44%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHEST WO CONT $1,169.84 $2,089.00 $1,524.97–$2,005.44 — 44%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST CT W CONT $1,559.60 $2,785.00 $1,420.35–$2,673.60 10% above 44%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHEST CT W CONT $1,559.60 $2,785.00 $2,033.05–$2,673.60 — 44%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC DIGITAL BI $661.92 $1,182.00 $602.82–$1,134.72 — 44%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC DIGITAL BI $661.92 $1,182.00 $862.86–$1,134.72 — 44%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 CV ARTERIAL DUPLEX LEGS BI $1,052.80 $1,880.00 $958.80–$1,804.80 — 44%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DUPLEX LWR EXT BIL $1,052.80 $1,880.00 $958.80–$1,804.80 24% above 44%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 CV ARTERIAL DUPLEX LEGS BI $1,052.80 $1,880.00 $1,372.40–$1,804.80 — 44%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ARTERIAL DUPLEX LWR EXT BIL $1,052.80 $1,880.00 $1,372.40–$1,804.80 — 44%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CV VENOUS DUPLEX ARMS BI $762.16 $1,361.00 $694.11–$1,306.56 — 44%
Duplex ultrasound of the leg veins, both legs CPT 93970 VL DUPLEX LWR EXT VEINS COMP $762.16 $1,361.00 $694.11–$1,306.56 29% above 44%
Duplex ultrasound of the leg veins, both legs one side CPT 93970 VEIN MAPPING LT $616.00 $1,100.00 $561.00–$1,056.00 4% above 44%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 CV VENOUS DUPLEX ARMS BI $762.16 $1,361.00 $993.53–$1,306.56 — 44%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VL DUPLEX LWR EXT VEINS COMP $762.16 $1,361.00 $993.53–$1,306.56 — 44%
Duplex ultrasound of the leg veins, both legs inpatient one side CPT 93970 VEIN MAPPING LT $616.00 $1,100.00 $803.00–$1,056.00 — 44%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP WO CONT $680.40 $1,215.00 $619.65–$1,166.40 17% below 44%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP WO CONT $680.40 $1,215.00 $886.95–$1,166.40 — 44%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 CHOLESCINTIGRAPHY $1,437.52 $2,567.00 $1,309.17–$2,464.32 33% above 44%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 CHOLESCINTIGRAPHY $1,437.52 $2,567.00 $1,873.91–$2,464.32 — 44%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W BIPAP OR CPAP $2,648.24 $4,729.00 $2,411.79–$4,539.84 14% above 44%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W CPAP LTD $2,648.24 $4,729.00 $2,411.79–$4,539.84 14% above 44%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W BIPAP OR CPAP $2,648.24 $4,729.00 $3,452.17–$4,539.84 — 44%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W CPAP LTD $2,648.24 $4,729.00 $3,452.17–$4,539.84 — 44%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SOFT TISSUE LOWER BACK $235.20 $420.00 $214.20–$403.20 38% below 44%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LTD $443.52 $792.00 $403.92–$760.32 17% above 44%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SOFT TISSUE LOWER BACK $235.20 $420.00 $306.60–$403.20 — 44%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LTD $443.52 $792.00 $578.16–$760.32 — 44%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG SCREEN PROTOCOL $623.84 $1,114.00 $568.14–$1,069.44 5% below 44%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG SCREEN PROTOCOL $623.84 $1,114.00 $813.22–$1,069.44 — 44%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 LWR EXT JOINT WO CONT BI $1,819.44 $3,249.00 $1,656.99–$3,119.04 — 44%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 LWR EXT JOINT WO CONT LT $2,193.52 $3,917.00 $1,997.67–$3,760.32 13% above 44%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 LWR EXT JOINT WO CONT BI $1,819.44 $3,249.00 $2,371.77–$3,119.04 — 44%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 LWR EXT JOINT WO CONT LT $2,193.52 $3,917.00 $2,859.41–$3,760.32 — 44%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ACHILLES W WO CONT LT $2,550.24 $4,554.00 $2,322.54–$4,371.84 11% below 44%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 ACHILLES W WO CONT LT $2,550.24 $4,554.00 $3,324.42–$4,371.84 — 44%
MRI of the abdomen without contrast CPT 74181 ABDOMEN WO CONT $1,609.44 $2,874.00 $1,465.74–$2,759.04 16% below 44%
MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN WO CONT $1,609.44 $2,874.00 $2,098.02–$2,759.04 — 44%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W WO CONT $2,475.76 $4,421.00 $2,254.71–$4,244.16 23% below 44%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W WO CONT $2,475.76 $4,421.00 $3,227.33–$4,244.16 — 44%
MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONT $1,880.48 $3,358.00 $1,712.58–$3,223.68 15% above 44%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONT $1,880.48 $3,358.00 $2,451.34–$3,223.68 — 44%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W WO CONT $2,724.96 $4,866.00 $2,481.66–$4,671.36 5% below 44%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W WO CONT $2,724.96 $4,866.00 $3,552.18–$4,671.36 — 44%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE COMP WO CONT $1,790.88 $3,198.00 $1,630.98–$3,070.08 2% below 44%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE LTD $1,844.64 $3,294.00 $1,679.94–$3,162.24 1% above 44%
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE COMP WO CONT $1,790.88 $3,198.00 $2,334.54–$3,070.08 — 44%
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE LTD $1,844.64 $3,294.00 $2,404.62–$3,162.24 — 44%
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE COMP W WO CONT $3,295.04 $5,884.00 $3,000.84–$5,648.64 at median 44%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR SPINE COMP W WO CONT $3,295.04 $5,884.00 $4,295.32–$5,648.64 — 44%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE COMP WO CONT $1,933.68 $3,453.00 $1,761.03–$3,314.88 2% below 44%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE LTD WO CONT $1,933.68 $3,453.00 $1,761.03–$3,314.88 2% below 44%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE LTD WO CONT $1,933.68 $3,453.00 $2,520.69–$3,314.88 — 44%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE COMP WO CONT $1,933.68 $3,453.00 $2,520.69–$3,314.88 — 44%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE COMP W WO CONT $2,770.88 $4,948.00 $2,523.48–$4,750.08 10% below 44%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL SPINE COMP W WO CONT $2,770.88 $4,948.00 $3,612.04–$4,750.08 — 44%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE COMP WO CONT $1,639.68 $2,928.00 $1,493.28–$2,810.88 12% below 44%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL SPINE COMP WO CONT $1,639.68 $2,928.00 $2,137.44–$2,810.88 — 44%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W WO CONT $2,353.12 $4,202.00 $2,143.02–$4,033.92 24% below 44%
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W WO CONT $2,353.12 $4,202.00 $3,067.46–$4,033.92 — 44%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CONT $1,778.56 $3,176.00 $1,619.76–$3,048.96 13% below 44%
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS WO CONT $1,778.56 $3,176.00 $2,318.48–$3,048.96 — 44%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 UPR EXT JOINT WO CONT BI $1,859.76 $3,321.00 $1,693.71–$3,188.16 — 44%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 UPR EXT JOINT WO CONT LT $2,082.08 $3,718.00 $1,896.18–$3,569.28 8% above 44%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 UPR EXT JOINT WO CONT BI $1,859.76 $3,321.00 $2,424.33–$3,188.16 — 44%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 UPR EXT JOINT WO CONT LT $2,082.08 $3,718.00 $2,714.14–$3,569.28 — 44%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF SPECT MULTI $2,232.16 $3,986.00 $2,032.86–$3,826.56 14% above 44%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF SPECT MULTI $2,232.16 $3,986.00 $2,909.78–$3,826.56 — 44%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS NON OB LTD $343.84 $614.00 $313.14–$589.44 9% above 44%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS NON OB LTD $343.84 $614.00 $448.22–$589.44 — 44%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS NON OB COMP $520.80 $930.00 $474.30–$892.80 33% above 44%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS NON OB COMP $520.80 $930.00 $678.90–$892.80 — 44%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST $476.00 $850.00 $433.50–$816.00 4% above 44%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST $476.00 $850.00 $620.50–$816.00 — 44%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB 1ST TRI SGL 1ST GEST $334.88 $598.00 $304.98–$574.08 11% below 44%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB 1ST TRI SGL 1ST GEST $334.88 $598.00 $436.54–$574.08 — 44%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LTD 1 OR MORE FETUS $325.92 $582.00 $296.82–$558.72 18% above 44%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LTD 1 OR MORE FETUS $325.92 $582.00 $424.86–$558.72 — 44%
Screening mammogram, both breasts both sides CPT 77067 SCREENING DIGITAL BI $421.68 $753.00 $91.23–$722.88 — 44%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING DIGITAL BI $421.68 $753.00 $549.69–$722.88 — 44%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY $2,461.20 $4,395.00 $2,241.45–$4,219.20 10% above 44%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY $2,461.20 $4,395.00 $3,208.35–$4,219.20 — 44%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION W VIDEO $530.88 $948.00 $483.48–$910.08 7% above 44%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION W VIDEO $530.88 $948.00 $692.04–$910.08 — 44%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL NON OB $462.00 $825.00 $420.75–$792.00 2% above 44%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL NON OB $462.00 $825.00 $602.25–$792.00 — 44%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAGINAL $287.84 $514.00 $262.14–$493.44 3% below 44%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAGINAL $287.84 $514.00 $375.22–$493.44 — 44%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMP $585.76 $1,046.00 $533.46–$1,004.16 16% above 44%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMP $585.76 $1,046.00 $763.58–$1,004.16 — 44%
Ultrasound of the scrotum and testicles CPT 76870 SCROTUM AND CONTENTS $390.32 $697.00 $355.47–$669.12 1% above 44%
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM AND CONTENTS $390.32 $697.00 $508.81–$669.12 — 44%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD NECK SOFT TISSUE $452.48 $808.00 $412.08–$775.68 at median 44%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD NECK SOFT TISSUE $452.48 $808.00 $589.84–$775.68 — 44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WO KUB $557.20 $995.00 $507.45–$955.20 32% above 44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI $684.88 $1,223.00 $623.73–$1,174.08 62% above 44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WO KUB $557.20 $995.00 $726.35–$955.20 — 44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI $684.88 $1,223.00 $892.79–$1,174.08 — 44%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CV VENOUS DUPLEX UNI $514.64 $919.00 $468.69–$882.24 8% below 44%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX ARM LT $504.56 $901.00 $459.51–$864.96 10% below 44%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CV VENOUS DUPLEX UNI $514.64 $919.00 $670.87–$882.24 — 44%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX ARM LT $504.56 $901.00 $657.73–$864.96 — 44%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V DECUBITIS $124.32 $222.00 $113.22–$213.12 8% above 44%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V CROSS TABLE LATERAL $124.32 $222.00 $113.22–$213.12 8% above 44%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V FLAT $124.32 $222.00 $113.22–$213.12 8% above 44%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V FLAT $124.32 $222.00 $162.06–$213.12 — 44%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V DECUBITIS $124.32 $222.00 $162.06–$213.12 — 44%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V CROSS TABLE LATERAL $124.32 $222.00 $162.06–$213.12 — 44%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3V $157.36 $281.00 $143.31–$269.76 8% below 44%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3V $157.36 $281.00 $205.13–$269.76 — 44%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4V $218.96 $391.00 $199.41–$375.36 6% below 44%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4V $218.96 $391.00 $285.43–$375.36 — 44%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2V $133.84 $239.00 $121.89–$229.44 7% below 44%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2V $133.84 $239.00 $174.47–$229.44 — 44%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3V $126.56 $226.00 $115.26–$216.96 15% below 44%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3V $126.56 $226.00 $164.98–$216.96 — 44%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2V OR 3V $157.36 $281.00 $143.31–$269.76 at median 44%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2V OR 3V $157.36 $281.00 $205.13–$269.76 — 44%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V OR 2V $156.24 $279.00 $142.29–$267.84 5% above 44%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1V OR 2V $156.24 $279.00 $203.67–$267.84 — 44%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM $138.88 $248.00 $126.48–$238.08 5% below 44%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX MIN 2V $138.88 $248.00 $126.48–$238.08 5% below 44%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM $138.88 $248.00 $181.04–$238.08 — 44%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX MIN 2V $138.88 $248.00 $181.04–$238.08 — 44%

Lab tests

ProcedureCash price List priceInsurers payvs North DakotaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT $54.88 $98.00 $5.30–$94.08 35% above 44%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT $54.88 $98.00 $71.54–$94.08 — 44%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST $47.04 $84.00 $5.18–$80.64 5% above 44%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST $47.04 $84.00 $61.32–$80.64 — 44%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE W HCV NAA RFL $80.02 $142.89 $47.63–$137.18 63% below 44%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE $227.92 $407.00 $47.63–$390.72 5% above 44%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE W HCV NAA RFL $80.02 $142.89 $104.31–$137.18 — 44%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE $227.92 $407.00 $297.11–$390.72 — 44%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD GLUTEN $8.77 $15.66 $5.22–$15.04 39% below 44%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGEN X1 $21.28 $38.00 $5.22–$36.48 48% above 44%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHEAT IGE $24.64 $44.00 $5.22–$42.24 71% above 44%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PISTASHIO NUT IGE $25.20 $45.00 $5.22–$43.20 75% above 44%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D. PTERONYSSINUS $37.52 $67.00 $5.22–$64.32 161% above 44%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD GLUTEN $8.77 $15.66 $11.44–$15.04 — 44%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILDHOOD ALLERGEN X1 $21.28 $38.00 $27.74–$36.48 — 44%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHEAT IGE $24.64 $44.00 $32.12–$42.24 — 44%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PISTASHIO NUT IGE $25.20 $45.00 $32.85–$43.20 — 44%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN D. PTERONYSSINUS $37.52 $67.00 $48.91–$64.32 — 44%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRUL PEPTIDE CCP IGG $21.76 $38.85 $12.95–$37.30 62% below 44%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDEAB $83.44 $149.00 $12.95–$143.04 47% above 44%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRUL PEPTIDE CCP IGG $21.76 $38.85 $28.37–$37.30 — 44%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDEAB $83.44 $149.00 $108.77–$143.04 — 44%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY ELISA IGG W/RFLX IFA $20.32 $36.27 $12.09–$34.82 64% below 44%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LCFP ANA $51.52 $92.00 $12.09–$88.32 9% below 44%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ALDP - ANA AB $52.08 $93.00 $12.09–$89.28 8% below 44%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX TO EIGHT AUTOA $90.16 $161.00 $12.09–$154.56 59% above 44%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY ELISA IGG W/RFLX IFA $20.32 $36.27 $26.48–$34.82 — 44%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LCFP ANA $51.52 $92.00 $67.16–$88.32 — 44%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ALDP - ANA AB $52.08 $93.00 $67.89–$89.28 — 44%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX TO EIGHT AUTOA $90.16 $161.00 $117.53–$154.56 — 44%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP $258.72 $462.00 $39.26–$443.52 22% above 44%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP $258.72 $462.00 $337.26–$443.52 — 44%
Basic metabolic panel (blood test) CPT 80048 BMP $78.96 $141.00 $8.46–$135.36 7% above 44%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP $78.96 $141.00 $102.93–$135.36 — 44%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $86.74 $154.89 $79.00–$148.70 23% below 44%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS/MICRO L4 $122.08 $218.00 $111.18–$209.28 8% above 44%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST $86.74 $154.89 $113.07–$148.70 — 44%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS/MICRO L4 $122.08 $218.00 $159.14–$209.28 — 44%
Blood culture for bacteria CPT 87040 CULT BLOOD AEROBIC $75.60 $135.00 $10.32–$129.60 at median 44%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD AEROBIC $75.60 $135.00 $98.55–$129.60 — 44%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $19.60 $35.00 $8.83–$33.60 14% above 44%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $19.60 $35.00 $25.55–$33.60 — 44%
Blood glucose (sugar) test CPT 82947 GLUCOMETER NOVA $19.04 $34.00 $3.93–$32.64 26% below 44%
Blood glucose (sugar) test CPT 82947 GLUCOSE $34.72 $62.00 $3.93–$59.52 35% above 44%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOMETER NOVA $19.04 $34.00 $24.82–$32.64 — 44%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $34.72 $62.00 $45.26–$59.52 — 44%
Blood lead test CPT 83655 LEAD BLOOD VENOUS $20.35 $36.33 $12.11–$34.88 31% below 44%
Blood lead test CPT 83655 LEAD $54.32 $97.00 $12.11–$93.12 84% above 44%
Blood lead test CPT 83655 LEAD PEDIATRIC $57.12 $102.00 $12.11–$97.92 93% above 44%
Blood lead test inpatient CPT 83655 LEAD BLOOD VENOUS $20.35 $36.33 $26.53–$34.88 — 44%
Blood lead test inpatient CPT 83655 LEAD $54.32 $97.00 $70.81–$93.12 — 44%
Blood lead test inpatient CPT 83655 LEAD PEDIATRIC $57.12 $102.00 $74.46–$97.92 — 44%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL. SERUM $61.60 $110.00 $7.52–$105.60 9% below 44%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL. SERUM $61.60 $110.00 $80.30–$105.60 — 44%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $23.52 $42.00 $2.99–$40.32 40% below 44%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO $23.52 $42.00 $30.66–$40.32 — 44%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $8.71 $15.54 $5.18–$14.92 65% below 44%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP $39.76 $71.00 $5.18–$68.16 60% above 44%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $8.71 $15.54 $11.35–$14.92 — 44%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP $39.76 $71.00 $51.83–$68.16 — 44%
C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMP PROBE $40.88 $73.00 $37.27–$70.08 78% below 44%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR $62.62 $111.81 $37.27–$107.34 66% below 44%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN $230.16 $411.00 $37.27–$394.56 25% above 44%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF AMP PROBE $40.88 $73.00 $53.29–$70.08 — 44%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR $62.62 $111.81 $81.63–$107.34 — 44%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN $230.16 $411.00 $300.03–$394.56 — 44%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN GI (19-9) $34.97 $62.43 $20.81–$59.94 66% below 44%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 $183.68 $328.00 $20.81–$314.88 81% above 44%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN GI (19-9) $34.97 $62.43 $45.58–$59.94 — 44%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 $183.68 $328.00 $239.44–$314.88 — 44%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 $34.97 $62.43 $20.81–$59.94 67% below 44%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $73.92 $132.00 $20.81–$126.72 30% below 44%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 $34.97 $62.43 $45.58–$59.94 — 44%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $73.92 $132.00 $96.36–$126.72 — 44%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C $31.92 $57.00 $40.47–$54.72 73% below 44%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C $31.92 $57.00 $41.61–$54.72 — 44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS BY TMA $58.80 $105.00 $35.09–$100.80 49% below 44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS BY TMA $58.96 $105.27 $35.09–$101.06 48% below 44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PROBE $242.48 $433.00 $35.09–$415.68 112% above 44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS BY TMA $58.80 $105.00 $76.65–$100.80 — 44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS BY TMA $58.96 $105.27 $76.85–$101.06 — 44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PROBE $242.48 $433.00 $316.09–$415.68 — 44%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL $34.16 $61.00 $13.39–$58.56 50% below 44%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $99.12 $177.00 $13.39–$169.92 46% above 44%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PNL $34.16 $61.00 $44.53–$58.56 — 44%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $99.12 $177.00 $129.21–$169.92 — 44%
Complete blood count (CBC) with differential CPT 85025 CBC W/MANUAL DIFF $57.12 $102.00 $7.77–$97.92 2% below 44%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/MANUAL DIFF $57.12 $102.00 $74.46–$97.92 — 44%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF $51.52 $92.00 $6.47–$88.32 14% above 44%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF $51.52 $92.00 $67.16–$88.32 — 44%
Comprehensive metabolic panel (blood test) CPT 80053 CMP $96.88 $173.00 $10.56–$166.08 2% above 44%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP $96.88 $173.00 $126.29–$166.08 — 44%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER $72.24 $129.00 $10.18–$123.84 4% below 44%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT $82.88 $148.00 $10.18–$142.08 11% above 44%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER $72.24 $129.00 $94.17–$123.84 — 44%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT $82.88 $148.00 $108.04–$142.08 — 44%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE $37.35 $66.69 $22.23–$64.03 61% below 44%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SO4 $151.20 $270.00 $22.23–$259.20 59% above 44%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE $37.35 $66.69 $48.69–$64.03 — 44%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SO4 $151.20 $270.00 $197.10–$259.20 — 44%
Estradiol blood test CPT 82670 ESTRADIOL BY IMMUNOASSAY $46.94 $83.82 $27.94–$80.47 41% below 44%
Estradiol blood test CPT 82670 ESTRADIOL $118.16 $211.00 $27.94–$202.56 48% above 44%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BY IMMUNOASSAY $46.94 $83.82 $61.19–$80.47 — 44%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $118.16 $211.00 $154.03–$202.56 — 44%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE $31.22 $55.74 $18.58–$53.52 68% below 44%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE $31.22 $55.74 $40.70–$53.52 — 44%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL $32.98 $58.89 $19.63–$56.54 72% below 44%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL $32.98 $58.89 $42.99–$56.54 — 44%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $22.90 $40.89 $13.63–$39.26 68% below 44%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $22.90 $40.89 $29.85–$39.26 — 44%
Folate (folic acid) blood test CPT 82746 FOLATESERUM $24.70 $44.10 $14.70–$42.34 70% below 44%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM $112.56 $201.00 $14.70–$192.96 36% above 44%
Folate (folic acid) blood test inpatient CPT 82746 FOLATESERUM $24.70 $44.10 $32.20–$42.34 — 44%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM $112.56 $201.00 $146.73–$192.96 — 44%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINEFREE FREE T3 $28.46 $50.82 $16.94–$48.79 67% below 44%
Free T3 thyroid hormone test CPT 84481 T3 FREE $114.24 $204.00 $16.94–$195.84 33% above 44%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINEFREE FREE T3 $28.46 $50.82 $37.10–$48.79 — 44%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE $114.24 $204.00 $148.92–$195.84 — 44%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE $15.16 $27.06 $9.02–$25.98 57% below 44%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE $71.12 $127.00 $9.02–$121.92 104% above 44%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE $15.16 $27.06 $19.76–$25.98 — 44%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE $71.12 $127.00 $92.71–$121.92 — 44%
Free testosterone test CPT 84402 TESTOSTERONE FREE $42.79 $76.41 $25.47–$73.36 29% below 44%
Free testosterone test CPT 84402 TESTOSTERONEFREE(ADULT MALE) $115.36 $206.00 $25.47–$197.76 92% above 44%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE $42.79 $76.41 $55.78–$73.36 — 44%
Free testosterone test inpatient CPT 84402 TESTOSTERONEFREE(ADULT MALE) $115.36 $206.00 $150.38–$197.76 — 44%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR $40.88 $73.00 $4.75–$70.08 4% above 44%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR $40.88 $73.00 $53.29–$70.08 — 44%
Glucose tolerance test, 3 samples CPT 82951 GTT2 $103.60 $185.00 $12.87–$177.60 9% above 44%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT2 $103.60 $185.00 $135.05–$177.60 — 44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE BY TMA $58.96 $105.27 $35.09–$101.06 32% below 44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC PROBE $242.48 $433.00 $35.09–$415.68 181% above 44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CULT GONORRHEA $254.80 $455.00 $35.09–$436.80 195% above 44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE BY TMA $58.96 $105.27 $76.85–$101.06 — 44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC PROBE $242.48 $433.00 $316.09–$415.68 — 44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CULT GONORRHEA $254.80 $455.00 $332.15–$436.80 — 44%
H. pylori antibody blood test CPT 86677 H. PYLORI IGG $58.24 $104.00 $16.85–$99.84 31% below 44%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGG $58.24 $104.00 $75.92–$99.84 — 44%
H. pylori stool antigen test CPT 87338 HELICOBACT PYLORI AGFECAL EIA $24.16 $43.14 $14.38–$41.42 75% below 44%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL ANTI $95.76 $171.00 $14.38–$164.16 2% below 44%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACT PYLORI AGFECAL EIA $24.16 $43.14 $31.50–$41.42 — 44%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL ANTI $95.76 $171.00 $124.83–$164.16 — 44%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QNT BY NAAT $142.97 $255.30 $85.10–$245.09 32% below 44%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QNT BY NAAT $142.97 $255.30 $186.37–$245.09 — 44%
HIV-1 and HIV-2 antibody test CPT 86703 HIV RAPID $105.28 $188.00 $13.71–$180.48 39% above 44%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV RAPID $105.28 $188.00 $137.24–$180.48 — 44%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 12 COMBO AG/AB CIA W/RFLX $40.46 $72.24 $24.08–$69.36 61% below 44%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB COMBO $113.12 $202.00 $24.08–$193.92 9% above 44%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 12 COMBO AG/AB CIA W/RFLX $40.46 $72.24 $52.74–$69.36 — 44%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB COMBO $113.12 $202.00 $147.46–$193.92 — 44%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV NUCLEIC ACID AMPLIFICATION $58.96 $105.27 $35.09–$101.06 39% below 44%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA PROBE HI RISK $151.20 $270.00 $35.09–$259.20 56% above 44%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HVP HIGH RISK $164.08 $293.00 $35.09–$281.28 70% above 44%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV NUCLEIC ACID AMPLIFICATION $58.96 $105.27 $76.85–$101.06 — 44%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA PROBE HI RISK $151.20 $270.00 $197.10–$259.20 — 44%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HVP HIGH RISK $164.08 $293.00 $213.89–$281.28 — 44%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO HGB $71.68 $128.00 $9.71–$122.88 3% above 44%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO HGB $71.68 $128.00 $93.44–$122.88 — 44%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY $18.05 $32.22 $10.74–$30.94 47% below 44%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIB QUAL $65.52 $117.00 $10.74–$112.32 91% above 44%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY $18.05 $32.22 $23.53–$30.94 — 44%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIB QUAL $65.52 $117.00 $85.41–$112.32 — 44%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG W/RFLX $17.36 $30.99 $10.33–$29.76 66% below 44%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN $47.60 $85.00 $10.33–$81.60 6% below 44%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG $51.52 $92.00 $10.33–$88.32 2% above 44%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG W/RFLX $17.36 $30.99 $22.63–$29.76 — 44%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN $47.60 $85.00 $62.05–$81.60 — 44%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG $51.52 $92.00 $67.16–$88.32 — 44%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA $23.98 $42.81 $14.27–$41.10 46% below 44%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $61.04 $109.00 $14.27–$104.64 36% above 44%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA $23.98 $42.81 $31.26–$41.10 — 44%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $61.04 $109.00 $79.57–$104.64 — 44%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QNT BY NAAT $71.98 $128.52 $42.84–$123.38 44% below 44%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS RNA QUANT BY PCR $168.56 $301.00 $42.84–$288.96 30% above 44%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT BY PCR $179.76 $321.00 $42.84–$308.16 39% above 44%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QNT BY NAAT $71.98 $128.52 $93.82–$123.38 — 44%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRUS RNA QUANT BY PCR $168.56 $301.00 $219.73–$288.96 — 44%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT BY PCR $179.76 $321.00 $234.33–$308.16 — 44%
Herpes blood test, HSV-1 antibody CPT 86695 HSV1-GLYCO-G ABIGGBYCIA $22.16 $39.57 $13.19–$37.99 33% below 44%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 G SPECIFIC IGG $22.40 $40.00 $13.19–$38.40 33% below 44%
Herpes blood test, HSV-1 antibody CPT 86695 H SIMPLEX IGG $119.28 $213.00 $13.19–$204.48 259% above 44%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1-GLYCO-G ABIGGBYCIA $22.16 $39.57 $28.89–$37.99 — 44%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 G SPECIFIC IGG $22.40 $40.00 $29.20–$38.40 — 44%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 H SIMPLEX IGG $119.28 $213.00 $155.49–$204.48 — 44%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 G SPECIFIC IGG $32.48 $58.00 $19.35–$55.68 32% below 44%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2-GLYCO-G ABIGGBYCIA $32.51 $58.05 $19.35–$55.73 32% below 44%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGG $119.28 $213.00 $19.35–$204.48 148% above 44%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 G SPECIFIC IGG $32.48 $58.00 $42.34–$55.68 — 44%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2-GLYCO-G ABIGGBYCIA $32.51 $58.05 $42.38–$55.73 — 44%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 2 IGG $119.28 $213.00 $155.49–$204.48 — 44%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRPHIGH SENSITIVITY $21.76 $38.85 $12.95–$37.30 68% below 44%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENSIT $108.64 $194.00 $12.95–$186.24 58% above 44%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRPHIGH SENSITIVITY $21.76 $38.85 $28.37–$37.30 — 44%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENSIT $108.64 $194.00 $141.62–$186.24 — 44%
Homocysteine blood test CPT 83090 HOMOCYSTINE TOTAL $30.11 $53.76 $17.92–$51.61 49% below 44%
Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIAC RISK $201.04 $359.00 $17.92–$344.64 240% above 44%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE TOTAL $30.11 $53.76 $39.25–$51.61 — 44%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIAC RISK $201.04 $359.00 $262.07–$344.64 — 44%
Insulin blood test CPT 83525 INSULIN $19.21 $34.29 $11.43–$32.92 67% below 44%
Insulin blood test CPT 83525 INSULIN TOTAL $52.08 $93.00 $11.43–$89.28 10% below 44%
Insulin blood test CPT 83525 INSULIN ASSAY $94.08 $168.00 $11.43–$161.28 63% above 44%
Insulin blood test inpatient CPT 83525 INSULIN $19.21 $34.29 $25.04–$32.92 — 44%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL $52.08 $93.00 $67.89–$89.28 — 44%
Insulin blood test inpatient CPT 83525 INSULIN ASSAY $94.08 $168.00 $122.64–$161.28 — 44%
Iron blood test (serum iron) CPT 83540 IRONPLASMA OR SERUM $10.87 $19.41 $6.47–$18.64 66% below 44%
Iron blood test (serum iron) CPT 83540 IRON $48.16 $86.00 $6.47–$82.56 50% above 44%
Iron blood test (serum iron) inpatient CPT 83540 IRONPLASMA OR SERUM $10.87 $19.41 $14.17–$18.64 — 44%
Iron blood test (serum iron) inpatient CPT 83540 IRON $48.16 $86.00 $62.78–$82.56 — 44%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL $14.69 $26.22 $8.74–$25.18 68% below 44%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY $63.84 $114.00 $8.74–$109.44 38% above 44%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOTAL $14.69 $26.22 $19.15–$25.18 — 44%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY $63.84 $114.00 $83.22–$109.44 — 44%
Kidney function blood test panel CPT 80069 RENAL PROFILE $80.64 $144.00 $8.68–$138.24 20% above 44%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE $80.64 $144.00 $105.12–$138.24 — 44%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONESERUM $31.12 $55.56 $18.52–$53.34 69% below 44%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $91.84 $164.00 $18.52–$157.44 7% below 44%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONESERUM $31.12 $55.56 $40.56–$53.34 — 44%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE $91.84 $164.00 $119.72–$157.44 — 44%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM OR PLASMA $11.58 $20.67 $6.89–$19.85 77% below 44%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $54.32 $97.00 $6.89–$93.12 7% above 44%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM OR PLASMA $11.58 $20.67 $15.09–$19.85 — 44%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $54.32 $97.00 $70.81–$93.12 — 44%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION $72.24 $129.00 $8.17–$123.84 at median 44%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION $72.24 $129.00 $94.17–$123.84 — 44%
Lyme disease antibody test CPT 86618 LYME DISEASE ACUTE REFLEXIVE $28.62 $51.09 $17.03–$49.05 28% below 44%
Lyme disease antibody test CPT 86618 LYME(B BURGDORFERI) AB IGG/IGM $90.16 $161.00 $17.03–$154.56 125% above 44%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ACUTE REFLEXIVE $28.62 $51.09 $37.30–$49.05 — 44%
Lyme disease antibody test inpatient CPT 86618 LYME(B BURGDORFERI) AB IGG/IGM $90.16 $161.00 $117.53–$154.56 — 44%
Magnesium blood test CPT 83735 MAGNESIUM URINE $7.84 $14.00 $6.70–$13.44 62% below 44%
Magnesium blood test CPT 83735 MAGNESIUM RBC $11.26 $20.10 $6.70–$19.30 45% below 44%
Magnesium blood test CPT 83735 MAGNESIUM - TOTAL RBCS $50.96 $91.00 $6.70–$87.36 150% above 44%
Magnesium blood test CPT 83735 MAGNESIUM $53.20 $95.00 $6.70–$91.20 161% above 44%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE $7.84 $14.00 $10.22–$13.44 — 44%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC $11.26 $20.10 $14.68–$19.30 — 44%
Magnesium blood test inpatient CPT 83735 MAGNESIUM - TOTAL RBCS $50.96 $91.00 $66.43–$87.36 — 44%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $53.20 $95.00 $69.35–$91.20 — 44%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) AB IGG $21.64 $38.64 $12.88–$37.10 61% below 44%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG $48.16 $86.00 $12.88–$82.56 13% below 44%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) AB IGG $21.64 $38.64 $28.21–$37.10 — 44%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG $48.16 $86.00 $62.78–$82.56 — 44%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST $58.80 $105.00 $5.18–$100.80 55% above 44%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST $58.80 $105.00 $76.65–$100.80 — 44%
Obstetric blood test panel CPT 80055 PRENATAL PANEL W/ CBC & HBSAG $239.12 $427.00 $47.81–$409.92 21% below 44%
Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL W/ CBC & HBSAG $239.12 $427.00 $311.71–$409.92 — 44%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $30.90 $55.17 $18.39–$52.97 50% below 44%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $30.90 $55.17 $40.28–$52.97 — 44%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN $30.90 $55.17 $18.39–$52.97 52% below 44%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC $127.68 $228.00 $18.39–$218.88 97% above 44%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN $30.90 $55.17 $40.28–$52.97 — 44%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC $127.68 $228.00 $166.44–$218.88 — 44%
Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP PAP SMEAR $131.04 $234.00 $26.61–$224.64 9% above 44%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP PAP SMEAR $131.04 $234.00 $170.82–$224.64 — 44%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV $34.04 $60.78 $20.26–$58.35 62% below 44%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG IN OR B $95.76 $171.00 $20.26–$164.16 6% above 44%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV $34.04 $60.78 $44.37–$58.35 — 44%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG IN OR B $95.76 $171.00 $124.83–$164.16 — 44%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT $69.36 $123.84 $41.28–$118.89 67% below 44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT $69.36 $123.84 $90.41–$118.89 — 44%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN (PTT-D) $10.10 $18.03 $6.01–$17.31 68% below 44%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $53.20 $95.00 $6.01–$91.20 69% above 44%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME $57.12 $102.00 $6.01–$97.92 81% above 44%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT $59.36 $106.00 $6.01–$101.76 88% above 44%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN (PTT-D) $10.10 $18.03 $13.17–$17.31 — 44%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $53.20 $95.00 $69.35–$91.20 — 44%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME $57.12 $102.00 $74.46–$97.92 — 44%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT $59.36 $106.00 $77.38–$101.76 — 44%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NON INV PRENATAL SCREENING $1,275.21 $2,277.15 $759.05–$2,186.07 4% above 44%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NON INV PRENATAL SCREENING $1,275.21 $2,277.15 $1,662.32–$2,186.07 — 44%
Progesterone blood test CPT 84144 PROGESTERONE QUANTSER/PLAS $35.05 $62.58 $20.86–$60.08 68% below 44%
Progesterone blood test CPT 84144 PROGESTERONE $96.88 $173.00 $20.86–$166.08 12% below 44%
Progesterone blood test inpatient CPT 84144 PROGESTERONE QUANTSER/PLAS $35.05 $62.58 $45.69–$60.08 — 44%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $96.88 $173.00 $126.29–$166.08 — 44%
Prolactin blood test CPT 84146 PROLACTIN $32.56 $58.14 $19.38–$55.82 33% below 44%
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN $33.04 $59.00 $19.38–$56.64 32% below 44%
Prolactin blood test inpatient CPT 84146 PROLACTIN $32.56 $58.14 $42.45–$55.82 — 44%
Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN $33.04 $59.00 $43.07–$56.64 — 44%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $7.21 $12.87 $4.29–$12.36 64% below 44%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR $35.84 $64.00 $4.29–$61.44 79% above 44%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $7.21 $12.87 $9.40–$12.36 — 44%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR $35.84 $64.00 $46.72–$61.44 — 44%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AG $114.24 $204.00 $16.55–$195.84 36% above 44%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AG $114.24 $204.00 $148.92–$195.84 — 44%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR $9.53 $17.01 $5.67–$16.33 74% below 44%
Rheumatoid factor (RF) test CPT 86431 LCFP RF $26.88 $48.00 $5.67–$46.08 25% below 44%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR $9.53 $17.01 $12.42–$16.33 — 44%
Rheumatoid factor (RF) test inpatient CPT 86431 LCFP RF $26.88 $48.00 $35.04–$46.08 — 44%
Rubella antibody test (immunity check) CPT 86762 RUBELLA $20.16 $36.00 $14.39–$34.56 55% below 44%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODYIGG $24.18 $43.17 $14.39–$41.45 46% below 44%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG $62.72 $112.00 $14.39–$107.52 40% above 44%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA $20.16 $36.00 $26.28–$34.56 — 44%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODYIGG $24.18 $43.17 $31.52–$41.45 — 44%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGG $62.72 $112.00 $81.76–$107.52 — 44%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR AUTO $21.84 $39.00 $2.70–$37.44 20% below 44%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR AUTO $21.84 $39.00 $28.47–$37.44 — 44%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $14.96 $26.70 $8.90–$25.64 69% below 44%
Stool ova and parasites exam CPT 87177 O&P SMEAR $44.24 $79.00 $8.90–$75.84 9% below 44%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS $14.96 $26.70 $19.50–$25.64 — 44%
Stool ova and parasites exam inpatient CPT 87177 O&P SMEAR $44.24 $79.00 $57.67–$75.84 — 44%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN $29.68 $53.00 $4.38–$50.88 9% above 44%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN $29.68 $53.00 $38.69–$50.88 — 44%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD BY IA $26.75 $47.76 $15.92–$45.85 54% below 44%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD BY IA $26.75 $47.76 $34.87–$45.85 — 44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TO TITER $7.18 $12.81 $4.27–$12.30 69% below 44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHYLLISQUAL $20.72 $37.00 $4.27–$35.52 11% below 44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN (RPR) $21.84 $39.00 $4.27–$37.44 6% below 44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (SYPHILLUS SEROLOGY) $35.84 $64.00 $4.27–$61.44 54% above 44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TO TITER $7.18 $12.81 $9.36–$12.30 — 44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHYLLISQUAL $20.72 $37.00 $27.01–$35.52 — 44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN (RPR) $21.84 $39.00 $28.47–$37.44 — 44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (SYPHILLUS SEROLOGY) $35.84 $64.00 $46.72–$61.44 — 44%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS4TUBE $104.13 $185.94 $61.98–$178.51 7% below 44%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD $274.96 $491.00 $61.98–$471.36 146% above 44%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS4TUBE $104.13 $185.94 $135.74–$178.51 — 44%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD $274.96 $491.00 $358.43–$471.36 — 44%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTO ADULT MALE $43.37 $77.43 $25.81–$74.34 29% below 44%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $132.72 $237.00 $25.81–$227.52 118% above 44%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTO ADULT MALE $43.37 $77.43 $56.53–$74.34 — 44%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL $132.72 $237.00 $173.01–$227.52 — 44%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY (TPO) $24.45 $43.65 $14.55–$41.91 56% below 44%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL LIVER-KIDNEY AB $66.08 $118.00 $14.55–$113.28 20% above 44%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY $104.16 $186.00 $14.55–$178.56 89% above 44%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY (TPO) $24.45 $43.65 $31.87–$41.91 — 44%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL LIVER-KIDNEY AB $66.08 $118.00 $86.14–$113.28 — 44%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY $104.16 $186.00 $135.78–$178.56 — 44%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE $28.23 $50.40 $16.80–$48.39 68% below 44%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CONG HYPOTHYROIDISM $129.92 $232.00 $16.80–$222.72 48% above 44%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE $28.23 $50.40 $36.80–$48.39 — 44%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CONG HYPOTHYROIDISM $129.92 $232.00 $169.36–$222.72 — 44%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS BY TMA $58.96 $105.27 $35.09–$101.06 11% below 44%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS BY TMA $58.96 $105.27 $76.85–$101.06 — 44%
Uric acid blood test CPT 84550 URIC ACID $34.72 $62.00 $4.52–$59.52 6% below 44%
Uric acid blood test inpatient CPT 84550 URIC ACID $34.72 $62.00 $45.26–$59.52 — 44%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPIC $38.08 $68.00 $3.17–$65.28 6% above 44%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPIC $38.08 $68.00 $49.64–$65.28 — 44%
Urinalysis without microscope exam, automated CPT 81003 PH URINE KS $10.64 $19.00 $2.25–$18.24 39% below 44%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPIC $16.80 $30.00 $2.25–$28.80 3% below 44%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE KS $10.64 $19.00 $13.87–$18.24 — 44%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPIC $16.80 $30.00 $21.90–$28.80 — 44%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK $17.92 $32.00 $3.48–$30.72 at median 44%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK $17.92 $32.00 $23.36–$30.72 — 44%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE $59.92 $107.00 $8.07–$102.72 7% below 44%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE $59.92 $107.00 $78.11–$102.72 — 44%
Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE $61.04 $109.00 $8.61–$104.64 9% above 44%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE $61.04 $109.00 $79.57–$104.64 — 44%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $25.34 $45.24 $15.08–$43.44 68% below 44%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $25.34 $45.24 $33.03–$43.44 — 44%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25-HYDROXY $49.73 $88.80 $29.60–$85.25 49% below 44%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 D3 25-HYDROXY $215.04 $384.00 $29.60–$368.64 122% above 44%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25-HYDROXY $49.73 $88.80 $64.83–$85.25 — 44%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 D3 25-HYDROXY $215.04 $384.00 $280.32–$368.64 — 44%
Zinc blood test CPT 84630 ZINC $19.14 $34.17 $11.39–$32.81 28% below 44%
Zinc blood test inpatient CPT 84630 ZINC $19.14 $34.17 $24.95–$32.81 — 44%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER $25.29 $45.15 $15.05–$43.35 65% below 44%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT SERUM $115.36 $206.00 $15.05–$197.76 58% above 44%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER $25.29 $45.15 $32.96–$43.35 — 44%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT SERUM $115.36 $206.00 $150.38–$197.76 — 44%

Surgery and procedures

ProcedureCash price List priceInsurers payvs North DakotaOff list
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE US $799.68 $1,428.00 $728.28–$1,370.88 9% below 44%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE US $799.68 $1,428.00 $1,042.44–$1,370.88 — 44%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING US $799.68 $1,428.00 $728.28–$1,370.88 26% above 44%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING US $799.68 $1,428.00 $1,042.44–$1,370.88 — 44%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs North DakotaOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION $759.92 $1,357.00 $692.07–$1,302.72 2% above 44%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION $759.92 $1,357.00 $990.61–$1,302.72 — 44%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY $950.32 $1,697.00 $865.47–$1,629.12 38% above 44%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY $950.32 $1,697.00 $1,238.81–$1,629.12 — 44%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACE $135.52 $242.00 $123.42–$232.32 13% above 44%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACE $135.52 $242.00 $176.66–$232.32 — 44%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE TEST - TREADMILL $501.76 $896.00 $456.96–$860.16 29% above 44%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE TEST - TREADMILL $501.76 $896.00 $654.08–$860.16 — 44%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY $504.00 $900.00 $459.00–$864.00 91% above 44%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY $504.00 $900.00 $657.00–$864.00 — 44%

Vaccines

ProcedureCash price List priceInsurers payvs North DakotaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FL FLUAD TRI 24-25 (65UP) 0.5M $172.26 $307.59 $78.86–$295.29 33% above 44%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FL FLUAD TRI 24-25 (65UP) 0.5M $172.26 $307.59 $224.55–$295.29 — 44%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX TRIV24-25 6M+ 0.5M SY $46.12 $82.34 $21.21–$79.05 36% above 44%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX TRIV24-25 6M+ 0.5M SY $46.12 $82.34 $60.11–$79.05 — 44%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACC ADULT 10MCG/1ML $133.40 $238.21 $73.97–$228.69 67% above 44%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML $140.13 $250.22 $73.97–$240.22 75% above 44%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACC ADULT 10MCG/1ML $133.40 $238.21 $173.90–$228.69 — 44%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML $140.13 $250.22 $182.67–$240.22 — 44%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MU & RUB VAC.5 ML $182.19 $325.33 $102.34–$312.32 35% above 44%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MU & RUB VAC.5 ML $182.19 $325.33 $237.50–$312.32 — 44%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOL 20-VAL CONJUG 0.5 ML $553.63 $988.61 $504.20–$949.07 57% above 44%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOL 20-VAL CONJUG 0.5 ML $553.63 $988.61 $721.69–$949.07 — 44%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL P-SAC VAC 25MCG $229.48 $409.78 $125.86–$393.39 52% above 44%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML $229.48 $409.78 $125.86–$393.39 52% above 44%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL P-SAC VAC 25MCG $229.48 $409.78 $299.14–$393.39 — 44%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML $229.48 $409.78 $299.14–$393.39 — 44%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML S $1,222.46 $2,182.95 $1,113.31–$2,095.64 36% above 44%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML S $1,222.46 $2,182.95 $1,593.56–$2,095.64 — 44%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC AB/PF 120 MCG/0.5 ML $601.33 $1,073.80 $547.64–$1,030.85 4% above 44%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACC AB/PF 120 MCG/0.5 ML $601.33 $1,073.80 $783.88–$1,030.85 — 44%
Rabies vaccine, one dose CPT 90675 RABIES VAC HUM DIPLOID PF2.5 $850.28 $1,518.34 $344.65–$1,457.61 32% above 44%
Rabies vaccine, one dose CPT 90675 RABIES VAC (AVIAN) 1 ML $973.52 $1,738.42 $344.65–$1,668.89 51% above 44%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUM DIPLOID PF2.5 $850.28 $1,518.34 $1,108.39–$1,457.61 — 44%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC (AVIAN) 1 ML $973.52 $1,738.42 $1,269.05–$1,668.89 — 44%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP TOXOIDS ADULT TD .5ML $76.08 $135.84 $36.84–$130.41 36% above 44%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP TOXOIDS ADULT TD0.5ML $86.68 $154.77 $36.84–$148.58 55% above 44%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP TOXOIDS ADULT TD .5ML $76.08 $135.84 $99.17–$130.41 — 44%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP TOXOIDS ADULT TD0.5ML $86.68 $154.77 $112.99–$148.58 — 44%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 10+YRS 0.5ML SYRNG $107.49 $191.94 $42.39–$184.27 54% above 44%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 10+YRS 0.5ML SYRNG $107.49 $191.94 $140.12–$184.27 — 44%

Source file: https://lisbonhospital.com/820558836-1609872431_lisbon-area-health-services_standardcharges.json