Hospital

Ozark Health

Ozark Health in Clinton, AR publishes cash prices for 196 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Arkansas median for 137 of 195 procedures and above it for 53. By typical cash price it ranks #6 of 28 Arkansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

2500 Highway 65 South, Clinton, AR, 72031-6588 Collected Sep 27, 2026 Source price file (501) 745-7000

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 041313 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING	$369.72	$711.00	$54.87–$711.00	534% above	48%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING	$369.72	$711.00	$54.87–$711.00	—	48%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY	$222.04	$427.00	$107.60–$359.07	13% above	48%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY	$222.04	$427.00	$107.60–$359.07	—	48%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, UNATTEN, HR, OX, RES FL/EFF	$344.24	$662.00	$75.00–$529.60	17% above	48%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY, UNATTEN, HR, OX, RES FL/EFF	$344.24	$662.00	$75.00–$529.60	—	48%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGR W 4PL PARA W INIT	$1,368.64	$2,632.00	$75.00–$2,105.60	52% below	48%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGR W 4PL PARA W INIT	$1,368.64	$2,632.00	$75.00–$2,105.60	—	48%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGR W 4PL PARA	$1,368.64	$2,632.00	$75.00–$2,105.60	35% below	48%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGR W 4PL PARA	$1,368.64	$2,632.00	$75.00–$2,105.60	—	48%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US STRESS TTE COMPLETE	$1,162.20	$2,235.00	$195.41–$1,788.00	108% above	48%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 US STRESS TTE COMPLETE	$1,162.20	$2,235.00	$195.41–$1,788.00	—	48%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP LEFT 2 VWS	$97.76	$188.00	$27.84–$175.00	24% below	48%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP LEFT 2 VWS	$97.76	$188.00	$27.84–$175.00	—	48%
X-ray of the lower back, 4 or more views CPT 72110 XR	$238.16	$458.00	$40.00–$366.40	17% below	48%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR	$238.16	$458.00	$40.00–$366.40	—	48%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$16.64	$32.00	$4.64–$25.60	38% below	48%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$16.64	$32.00	$4.64–$25.60	—	48%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$16.12	$31.00	$4.53–$24.80	47% below	48%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)-REPEAT	$22.18	$42.66	$4.53–$34.13	27% below	48%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)	$16.12	$31.00	$4.53–$24.80	—	48%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)-REPEAT	$22.18	$42.66	$4.53–$34.13	—	48%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE VIRAL HEPATITIS-REF LAB	$117.52	$226.00	$41.72–$180.80	45% below	48%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$148.72	$286.00	$41.72–$228.80	30% below	48%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE VIRAL HEPATITIS-REF LAB	$117.52	$226.00	$41.72–$180.80	—	48%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$148.72	$286.00	$41.72–$228.80	—	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) BERMUDA	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) ASH	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) BAHIA GRASS	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) BLUE GRASS	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) CEDAR	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) DERMATOPHAG	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) HICKORY	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) CLADOSPORIUM	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) ELM	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) JOHNSON GRASS	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) MAPLE/ELDER	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) MULBERRY	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) NETTLE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) PENICILLIUM	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) PLANTAIN	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) OAK	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) PIGWEED	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) RAGWEED	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) SHEEP SORREL	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) STEMPHYLIUM	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) EGG WHITE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) MILK (COW)	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) SOYBEAN	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) WHEAT	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) PEANUT	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) CAT HAIR/DANDER	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) DOG HAIR/DANDER	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) AMERICAN COCKROAC	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) ALTERNARIA TENUIS	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) BEEF	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) PORK	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ONION IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) HAZELNUT	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) GLUTEN	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) CODFISH	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) CORN	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) SCALLOP	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) SESAME SEED	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) WALNUT	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) SHRIMP	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) ASPERGILLUS	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CRAB	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE OYSTER	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) CHICKEN	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LAMB ALLERGY	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON SILVER BIRCH IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSHELDER IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 GERMAN COCKROACH IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN HICKORY IGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDIUM PULLULAMS	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM PURPURASCENS	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM PROLIFERATUM	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING IGE: MUCOR	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING IGE: PHOMA	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING IGE: SETON	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALMOND	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE W-5 GLIADIN	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CASHEW NUT	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SALMON	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE TUNA	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE BRAZIL NUT	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LIME	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE TANGERINE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE GRAPEFRUIT	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ORANGE	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LEMON	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CLAM	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LOBSTER	$18.72	$36.00	$4.57–$28.80	14% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPRIKA/SWEET PEPPER IGE	$74.88	$144.00	$4.57–$115.20	356% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) MESQUITE	$79.56	$153.00	$4.57–$122.40	384% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING (IGE) LENSCALE	$79.56	$153.00	$4.57–$122.40	384% above	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) HICKORY	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE OYSTER	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CRAB	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LOBSTER	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CLAM	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LEMON	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ORANGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE GRAPEFRUIT	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE TANGERINE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LIME	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE BRAZIL NUT	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE TUNA	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE SALMON	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CASHEW NUT	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE W-5 GLIADIN	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALMOND	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TESTING IGE: SETON	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TESTING IGE: PHOMA	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TESTING IGE: MUCOR	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM PROLIFERATUM	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPICOCCUM PURPURASCENS	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUREOBASIDIUM PULLULAMS	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN HICKORY IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GERMAN COCKROACH IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH MARSHELDER IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON SILVER BIRCH IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINAE IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA IGE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LAMB ALLERGY	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) CHICKEN	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) PORK	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) BEEF	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) ALTERNARIA TENUIS	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) AMERICAN COCKROAC	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) DOG HAIR/DANDER	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) CAT HAIR/DANDER	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) PEANUT	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) WHEAT	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) SOYBEAN	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) MILK (COW)	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) EGG WHITE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) STEMPHYLIUM	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) SHEEP SORREL	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) RAGWEED	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) PIGWEED	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) OAK	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) PLANTAIN	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) PENICILLIUM	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) NETTLE	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) MULBERRY	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) MAPLE/ELDER	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) JOHNSON GRASS	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) ELM	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) CLADOSPORIUM	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) DERMATOPHAG	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) CEDAR	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) BLUE GRASS	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) BAHIA GRASS	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) ASH	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) BERMUDA	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) ASPERGILLUS	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) SHRIMP	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) WALNUT	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) SESAME SEED	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) SCALLOP	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) CORN	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) CODFISH	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) GLUTEN	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) HAZELNUT	$18.72	$36.00	$4.57–$28.80	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPRIKA/SWEET PEPPER IGE	$74.88	$144.00	$4.57–$115.20	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) LENSCALE	$79.56	$153.00	$4.57–$122.40	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING (IGE) MESQUITE	$79.56	$153.00	$4.57–$122.40	—	48%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRU PEP IGG ANTI	$49.40	$95.00	$11.35–$76.00	20% below	48%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULL PEPTI ANTI IGG/IGA ELISA	$65.00	$125.00	$11.35–$100.00	6% above	48%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP ANTIBODIES, IGG/IGA	$273.52	$526.00	$11.35–$420.80	344% above	48%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRU PEP IGG ANTI	$49.40	$95.00	$11.35–$76.00	—	48%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULL PEPTI ANTI IGG/IGA ELISA	$65.00	$125.00	$11.35–$100.00	—	48%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP ANTIBODIES, IGG/IGA	$273.52	$526.00	$11.35–$420.80	—	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY MULTIPLEX, RFX TO 9-BIOMARKER	$13.52	$26.00	$7.80–$39.96	73% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA), QUAL BY MU	$13.52	$26.00	$7.80–$39.96	73% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/ REFLEX-5 BIOMARKER	$13.52	$26.00	$7.80–$39.96	73% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA PROFILE W/REFLEX	$20.80	$40.00	$10.59–$39.96	58% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA)	$20.80	$40.00	$10.59–$39.96	58% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTIBODY	$46.80	$90.00	$10.59–$72.00	6% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY-IFA, SYNOVIAL FLUID	$51.48	$99.00	$10.59–$79.20	3% above	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CONFIRMATORY TESTS	$51.48	$99.00	$10.59–$79.20	3% above	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA, REFLEX TO 11 BIOMARKER PROFI	$68.12	$131.00	$10.59–$104.80	37% above	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES BY IFA	$271.96	$523.00	$10.59–$418.40	446% above	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA), QUAL BY MU	$13.52	$26.00	$7.80–$39.96	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/ REFLEX-5 BIOMARKER	$13.52	$26.00	$7.80–$39.96	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY MULTIPLEX, RFX TO 9-BIOMARKER	$13.52	$26.00	$7.80–$39.96	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA)	$20.80	$40.00	$10.59–$39.96	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA PROFILE W/REFLEX	$20.80	$40.00	$10.59–$39.96	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR ANTIBODY	$46.80	$90.00	$10.59–$72.00	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY-IFA, SYNOVIAL FLUID	$51.48	$99.00	$10.59–$79.20	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CONFIRMATORY TESTS	$51.48	$99.00	$10.59–$79.20	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA, REFLEX TO 11 BIOMARKER PROFI	$68.12	$131.00	$10.59–$104.80	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES BY IFA	$271.96	$523.00	$10.59–$418.40	—	48%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP/NT-proBNP-p	$122.72	$236.00	$29.74–$188.80	49% above	48%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP/NT-proBNP-v	$122.72	$236.00	$29.74–$188.80	49% above	48%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$145.08	$279.00	$29.74–$223.20	76% above	48%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP/NT-proBNP-v	$122.72	$236.00	$29.74–$188.80	—	48%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP/NT-proBNP-p	$122.72	$236.00	$29.74–$188.80	—	48%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$145.08	$279.00	$29.74–$223.20	—	48%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$26.52	$51.00	$7.42–$40.80	76% below	48%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$26.52	$51.00	$7.42–$40.80	—	48%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH TISSUE EXAM BY PATHOLOGIST LEV IV	$156.00	$300.00	$20.73–$240.00	46% above	48%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH TISSUE EXAM BY PATHOLOGIST LEV IV	$156.00	$300.00	$20.73–$240.00	—	48%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$32.24	$62.00	$9.04–$49.60	52% below	48%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$32.24	$62.00	$9.04–$49.60	—	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 OP VENIPUNCTURE	$9.36	$18.00	$1.80–$14.40	22% below	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ER COL VENOUS BL VENIPUNCTUR	$13.52	$26.00	$1.80–$20.80	13% above	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$29.12	$56.00	$1.80–$44.80	144% above	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 OP VENIPUNCTURE	$9.36	$18.00	$1.80–$14.40	—	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ER COL VENOUS BL VENIPUNCTUR	$13.52	$26.00	$1.80–$20.80	—	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$29.12	$56.00	$1.80–$44.80	—	48%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD ASSAY	$12.48	$24.00	$3.44–$19.20	57% below	48%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD ASSAY	$12.48	$24.00	$3.44–$19.20	—	48%
Blood lead test CPT 83655 LEAD, BLOOD (PEDIATRIC)	$14.56	$28.00	$8.40–$40.01	60% below	48%
Blood lead test CPT 83655 LEAD	$14.56	$28.00	$8.40–$40.01	60% below	48%
Blood lead test CPT 83655 LEAD, URINE	$50.44	$97.00	$10.60–$77.60	40% above	48%
Blood lead test inpatient CPT 83655 LEAD, BLOOD (PEDIATRIC)	$14.56	$28.00	$8.40–$40.01	—	48%
Blood lead test inpatient CPT 83655 LEAD	$14.56	$28.00	$8.40–$40.01	—	48%
Blood lead test inpatient CPT 83655 LEAD, URINE	$50.44	$97.00	$10.60–$77.60	—	48%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL SERUM	$23.40	$45.00	$6.58–$36.00	38% below	48%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL SERUM	$23.40	$45.00	$6.58–$36.00	—	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLD TYPING ABO	$9.36	$18.00	$2.61–$18.00	84% below	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO CHARGE	$9.36	$18.00	$2.61–$18.00	84% below	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP- REFERRAL	$81.64	$157.00	$2.61–$125.60	40% above	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP-REFERAL	$84.76	$163.00	$2.61–$130.40	45% above	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO CHARGE	$9.36	$18.00	$2.61–$18.00	—	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLD TYPING ABO	$9.36	$18.00	$2.61–$18.00	—	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP- REFERRAL	$81.64	$157.00	$2.61–$125.60	—	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP-REFERAL	$84.76	$163.00	$2.61–$130.40	—	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (REF)	$15.60	$30.00	$4.54–$24.00	61% below	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN-V	$16.12	$31.00	$4.54–$24.80	60% below	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (REF)	$15.60	$30.00	$4.54–$24.00	—	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN-V	$16.12	$31.00	$4.54–$24.80	—	48%
CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE ANTIGEN (CA) 19-9	$46.80	$90.00	$18.23–$72.00	44% below	48%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE ANTIGEN (CA) 19-9	$46.80	$90.00	$18.23–$72.00	—	48%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN (CA) 125	$28.08	$54.00	$16.20–$68.81	59% below	48%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN (CA) 125	$28.08	$54.00	$16.20–$68.81	—	48%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2, NAA	$169.52	$326.00	$30.79–$260.80	28% above	48%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2, NAA	$169.52	$326.00	$30.79–$260.80	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMYDIA PCR	$53.04	$102.00	$30.60–$116.05	29% below	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS	$53.04	$102.00	$30.60–$116.05	29% below	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS CONJUNCTIVA NAA	$53.04	$102.00	$30.60–$116.05	29% below	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GC AMPLIFICATION	$106.08	$204.00	$30.75–$163.20	42% above	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 .CHLAMYDIA PCR	$53.04	$102.00	$30.60–$116.05	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS CONJUNCTIVA NAA	$53.04	$102.00	$30.60–$116.05	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS	$53.04	$102.00	$30.60–$116.05	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA/GC AMPLIFICATION	$106.08	$204.00	$30.75–$163.20	—	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID CASCADE-RFX LIPOPROTEIN PARTICLE	$15.60	$30.00	$9.00–$42.05	81% below	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$41.60	$80.00	$11.74–$64.00	50% below	48%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID CASCADE-RFX LIPOPROTEIN PARTICLE	$15.60	$30.00	$9.00–$42.05	—	48%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$41.60	$80.00	$11.74–$64.00	—	48%
Complete blood count (CBC) with differential CPT 85025 .CBC W/ AUTO DIFF	$24.44	$47.00	$6.81–$37.60	50% below	48%
Complete blood count (CBC) with differential inpatient CPT 85025 .CBC W/ AUTO DIFF	$24.44	$47.00	$6.81–$37.60	—	48%
Complete blood count (CBC), no differential CPT 85027 .CBC HEMAGRAM (AcT CBC)	$20.28	$39.00	$5.67–$31.20	33% below	48%
Complete blood count (CBC), no differential inpatient CPT 85027 .CBC HEMAGRAM (AcT CBC)	$20.28	$39.00	$5.67–$31.20	—	48%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL	$32.76	$63.00	$9.26–$50.40	74% below	48%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$32.76	$63.00	$9.26–$50.40	—	48%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$31.72	$61.00	$8.91–$48.80	49% below	48%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$31.72	$61.00	$8.91–$48.80	—	48%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$34.32	$66.00	$19.48–$73.49	51% below	48%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$34.32	$66.00	$19.48–$73.49	—	48%
Estradiol blood test CPT 82670 ESTRADIOL	$110.76	$213.00	$24.48–$170.40	6% above	48%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$110.76	$213.00	$24.48–$170.40	—	48%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$15.60	$30.00	$9.00–$61.47	78% below	48%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORM	$57.72	$111.00	$16.28–$88.80	20% below	48%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$15.60	$30.00	$9.00–$61.47	—	48%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORM	$57.72	$111.00	$16.28–$88.80	—	48%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL	$624.00	$1,200.00	$17.20–$960.00	373% above	48%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL	$624.00	$1,200.00	$17.20–$960.00	—	48%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$42.64	$82.00	$11.93–$65.60	38% below	48%
Ferritin blood test (iron stores) CPT 82728 LEVEL 1 SURGICAL PATH, GROSS EXAM ONLY	$53.56	$103.00	$11.93–$82.40	22% below	48%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$42.64	$82.00	$11.93–$65.60	—	48%
Ferritin blood test (iron stores) inpatient CPT 82728 LEVEL 1 SURGICAL PATH, GROSS EXAM ONLY	$53.56	$103.00	$11.93–$82.40	—	48%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$45.76	$88.00	$12.88–$70.40	28% below	48%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$45.76	$88.00	$12.88–$70.40	—	48%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE, FREE-REF	$24.96	$48.00	$14.40–$56.01	61% below	48%
Free T3 thyroid hormone test CPT 84481 T3 FREE-V	$53.04	$102.00	$14.84–$81.60	17% below	48%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE, FREE-REF	$24.96	$48.00	$14.40–$56.01	—	48%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE-V	$53.04	$102.00	$14.84–$81.60	—	48%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$28.08	$54.00	$7.90–$43.20	42% below	48%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$28.08	$54.00	$7.90–$43.20	—	48%
Free testosterone test CPT 84402 TESTOSTERONE, FREE DIRECT-REF LAB	$59.28	$114.00	$22.31–$91.20	29% below	48%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE DIRECT-REF LAB	$59.28	$114.00	$22.31–$91.20	—	48%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$73.32	$141.00	$23.56–$112.80	49% below	48%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$73.32	$141.00	$23.56–$112.80	—	48%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$17.16	$33.00	$4.16–$26.40	50% below	48%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$17.16	$33.00	$4.16–$26.40	—	48%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER 3 SPEC	$40.04	$77.00	$11.28–$61.60	38% below	48%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLER 3 SPEC	$40.04	$77.00	$11.28–$61.60	—	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .GC PCR	$53.04	$102.00	$30.60–$116.05	31% below	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE-AMP	$53.04	$102.00	$30.60–$116.05	31% below	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE PCR	$53.04	$102.00	$30.60–$116.05	31% below	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE PCR	$53.04	$102.00	$30.60–$116.05	—	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE-AMP	$53.04	$102.00	$30.60–$116.05	—	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 .GC PCR	$53.04	$102.00	$30.60–$116.05	—	48%
H. pylori antibody blood test CPT 86677 H PYLORI IGG	$55.64	$107.00	$12.71–$85.60	20% below	48%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI- IGM	$61.88	$119.00	$12.71–$95.20	11% below	48%
H. pylori antibody blood test CPT 86677 H PYLORI IGA	$68.12	$131.00	$12.71–$104.80	2% below	48%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG	$55.64	$107.00	$12.71–$85.60	—	48%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI- IGM	$61.88	$119.00	$12.71–$95.20	—	48%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA	$68.12	$131.00	$12.71–$104.80	—	48%
H. pylori stool antigen test CPT 87338 H. PYLORI STOOL ANTIGEN	$44.72	$86.00	$6.12–$68.80	37% below	48%
H. pylori stool antigen test CPT 87338 REF - HELICOBACTER PYLORI STOOL	$55.64	$107.00	$6.12–$85.60	21% below	48%
H. pylori stool antigen test inpatient CPT 87338 H. PYLORI STOOL ANTIGEN	$44.72	$86.00	$6.12–$68.80	—	48%
H. pylori stool antigen test inpatient CPT 87338 REF - HELICOBACTER PYLORI STOOL	$55.64	$107.00	$6.12–$85.60	—	48%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, QUANTITATIVE, REAL-TIME PCR	$336.44	$647.00	$74.54–$517.60	50% above	48%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, QUANTITATIVE, REAL-TIME PCR	$336.44	$647.00	$74.54–$517.60	—	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV p24 AG/AB SCREEN	$74.88	$144.00	$20.47–$115.20	7% below	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV p24 AG/AB SCREEN	$74.88	$144.00	$20.47–$115.20	—	48%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV, NAAT	$140.40	$270.00	$28.66–$216.00	34% above	48%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV, NAAT	$140.40	$270.00	$28.66–$216.00	—	48%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED A1C	$30.16	$58.00	$8.50–$46.40	23% below	48%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCATED A1C	$30.16	$58.00	$8.50–$46.40	—	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY, QUAL	$11.44	$22.00	$6.60–$35.50	82% below	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY, QUAL	$11.44	$22.00	$6.60–$35.50	—	48%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN SCREEN-REF LAB	$10.92	$21.00	$6.30–$34.15	74% below	48%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN SCREEN	$32.24	$62.00	$9.05–$49.60	22% below	48%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN SCREEN-REF LAB	$10.92	$21.00	$6.30–$34.15	—	48%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN SCREEN	$32.24	$62.00	$9.05–$49.60	—	48%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C VIRUS ANTIBODY-REF LAB	$20.28	$39.00	$11.70–$47.21	60% below	48%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS (HCV) ANTIBODY W/ REFL	$20.28	$39.00	$11.70–$47.21	60% below	48%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C TOTAL ANTIBODY	$44.72	$86.00	$12.50–$68.80	13% below	48%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB- CONFIRM REF LAB	$421.20	$810.00	$12.50–$648.00	721% above	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C VIRUS ANTIBODY-REF LAB	$20.28	$39.00	$11.70–$47.21	—	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS (HCV) ANTIBODY W/ REFL	$20.28	$39.00	$11.70–$47.21	—	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C TOTAL ANTIBODY	$44.72	$86.00	$12.50–$68.80	—	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB- CONFIRM REF LAB	$421.20	$810.00	$12.50–$648.00	—	48%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEP C VIRUS, QUANT, RT-PCR	$421.20	$810.00	$37.52–$648.00	221% above	48%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HEP C VIRUS, QUANT, RT-PCR	$421.20	$810.00	$37.52–$648.00	—	48%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1, IGG	$41.60	$80.00	$11.55–$64.00	20% below	48%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1, IGG	$41.60	$80.00	$11.55–$64.00	—	48%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2, IGG-PART OF PANEL-DO NOT USE	$50.96	$98.00	$16.96–$78.40	12% below	48%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2, IGG-PART OF PANEL-DO NOT USE	$50.96	$98.00	$16.96–$78.40	—	48%
High-sensitivity CRP (hs-CRP) test CPT 86141 hs-CRP (REF)	$21.84	$42.00	$11.35–$41.42	58% below	48%
High-sensitivity CRP (hs-CRP) test CPT 86141 hs-CRP (DO NOT USE)	$45.24	$87.00	$11.35–$69.60	13% below	48%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 hs-CRP (REF)	$21.84	$42.00	$11.35–$41.42	—	48%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 hs-CRP (DO NOT USE)	$45.24	$87.00	$11.35–$69.60	—	48%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$56.16	$108.00	$14.78–$86.40	41% below	48%
Homocysteine blood test CPT 83090 HOMOCYSTEINE-REF	$92.56	$178.00	$14.78–$142.40	3% below	48%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$56.16	$108.00	$14.78–$86.40	—	48%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE-REF	$92.56	$178.00	$14.78–$142.40	—	48%
Insulin blood test CPT 83525 INSULIN TOTAL-REF	$12.48	$24.00	$7.20–$37.83	73% below	48%
Insulin blood test CPT 83525 INSULIN	$35.88	$69.00	$10.01–$55.20	22% below	48%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL-REF	$12.48	$24.00	$7.20–$37.83	—	48%
Insulin blood test inpatient CPT 83525 INSULIN	$35.88	$69.00	$10.01–$55.20	—	48%
Iron blood test (serum iron) CPT 83540 IRON	$20.28	$39.00	$5.68–$31.20	34% below	48%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$20.28	$39.00	$5.68–$31.20	—	48%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$27.04	$52.00	$7.66–$41.60	5% below	48%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$27.04	$52.00	$7.66–$41.60	—	48%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$27.04	$52.00	$7.61–$41.60	67% below	48%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$27.04	$52.00	$7.61–$41.60	—	48%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$71.24	$137.00	$16.22–$109.60	7% above	48%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$71.24	$137.00	$16.22–$109.60	—	48%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE-v	$21.32	$41.00	$6.04–$32.80	30% below	48%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (DO NOT USE)	$26.52	$51.00	$6.04–$40.80	13% below	48%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE-v	$21.32	$41.00	$6.04–$32.80	—	48%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE (DO NOT USE)	$26.52	$51.00	$6.04–$40.80	—	48%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$25.48	$49.00	$7.16–$39.20	71% below	48%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$25.48	$49.00	$7.16–$39.20	—	48%
Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY W/ REFLEX	$24.96	$48.00	$14.40–$56.31	68% below	48%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBO TOTAL	$65.52	$126.00	$14.92–$100.80	15% below	48%
Lyme disease antibody test CPT 86618 LYME TITER- IGM	$65.52	$126.00	$14.92–$100.80	15% below	48%
Lyme disease antibody test CPT 86618 LYME TITER	$65.52	$126.00	$14.92–$100.80	15% below	48%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY TITER	$65.52	$126.00	$14.92–$100.80	15% below	48%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES W/REFLEX W BLTX2	$81.64	$157.00	$14.92–$125.60	6% above	48%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SEROLOGY W/ REFLEX	$24.96	$48.00	$14.40–$56.31	—	48%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBO TOTAL	$65.52	$126.00	$14.92–$100.80	—	48%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY TITER	$65.52	$126.00	$14.92–$100.80	—	48%
Lyme disease antibody test inpatient CPT 86618 LYME TITER	$65.52	$126.00	$14.92–$100.80	—	48%
Lyme disease antibody test inpatient CPT 86618 LYME TITER- IGM	$65.52	$126.00	$14.92–$100.80	—	48%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODIES W/REFLEX W BLTX2	$81.64	$157.00	$14.92–$125.60	—	48%
Magnesium blood test CPT 83735 MAGNESIUM, 24HR URINE	$18.20	$35.00	$5.87–$28.00	43% below	48%
Magnesium blood test CPT 83735 MAGNESIUM	$20.80	$40.00	$5.87–$32.00	35% below	48%
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$137.80	$265.00	$5.87–$212.00	331% above	48%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, 24HR URINE	$18.20	$35.00	$5.87–$28.00	—	48%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$20.80	$40.00	$5.87–$32.00	—	48%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC	$137.80	$265.00	$5.87–$212.00	—	48%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY, IGG	$18.72	$36.00	$10.80–$42.60	59% below	48%
Measles (rubeola) antibody test CPT 86765 RUBEOLLA ANTIBODIES IGM	$72.80	$140.00	$11.29–$112.00	58% above	48%
Measles (rubeola) antibody test CPT 86765 RUBEOLLA ANTIBODIES IGG	$72.80	$140.00	$11.29–$112.00	58% above	48%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY, IGM	$334.88	$644.00	$11.29–$515.20	626% above	48%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY, IGG	$18.72	$36.00	$10.80–$42.60	—	48%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLLA ANTIBODIES IGG	$72.80	$140.00	$11.29–$112.00	—	48%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLLA ANTIBODIES IGM	$72.80	$140.00	$11.29–$112.00	—	48%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY, IGM	$334.88	$644.00	$11.29–$515.20	—	48%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$16.12	$31.00	$4.54–$24.80	47% below	48%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST, QUALITA W/REFLEX TITER ON +	$28.60	$55.00	$4.54–$44.00	6% below	48%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$16.12	$31.00	$4.54–$24.80	—	48%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST, QUALITA W/REFLEX TITER ON +	$28.60	$55.00	$4.54–$44.00	—	48%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIF ANTIGEN FREE	$15.08	$29.00	$8.70–$60.83	73% below	48%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIF ANTIGEN FREE	$15.08	$29.00	$8.70–$60.83	—	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, FREE:TOTAL RATIO REFLEX	$15.08	$29.00	$8.70–$60.83	77% below	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL-T	$57.20	$110.00	$16.11–$88.00	14% below	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIF ANTIGEN TOTAL	$57.20	$110.00	$16.11–$88.00	14% below	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING	$60.32	$116.00	$16.11–$92.80	9% below	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA- TOTAL- SCREENING	$70.72	$136.00	$16.11–$108.80	6% above	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, FREE:TOTAL RATIO REFLEX	$15.08	$29.00	$8.70–$60.83	—	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIF ANTIGEN TOTAL	$57.20	$110.00	$16.11–$88.00	—	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL-T	$57.20	$110.00	$16.11–$88.00	—	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING	$60.32	$116.00	$16.11–$92.80	—	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA- TOTAL- SCREENING	$70.72	$136.00	$16.11–$108.80	—	48%
Pap test (liquid-based, automated screening with review) CPT 88175 GYNO PAP SMEAR AUTOMATED	$74.88	$144.00	$23.21–$115.20	77% above	48%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 GYNO PAP SMEAR AUTOMATED	$74.88	$144.00	$23.21–$115.20	—	48%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYNO PAP SMEAR	$74.88	$144.00	$17.75–$115.20	47% above	48%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 GYNO PAP SMEAR	$74.88	$144.00	$17.75–$115.20	—	48%
Parathyroid hormone (PTH) blood test CPT 83970 INTACT PTH	$128.96	$248.00	$36.16–$198.40	18% below	48%
Parathyroid hormone (PTH) blood test CPT 83970 iPTH-REF	$143.00	$275.00	$36.16–$220.00	10% below	48%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE, INTACT	$143.00	$275.00	$36.16–$220.00	10% below	48%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTACT PTH	$128.96	$248.00	$36.16–$198.40	—	48%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 iPTH-REF	$143.00	$275.00	$36.16–$220.00	—	48%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE, INTACT	$143.00	$275.00	$36.16–$220.00	—	48%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$18.72	$36.00	$5.26–$28.80	46% below	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$18.72	$36.00	$5.26–$28.80	—	48%
Progesterone blood test CPT 84144 PROGESTERONE	$80.60	$155.00	$18.28–$124.00	34% above	48%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$80.60	$155.00	$18.28–$124.00	—	48%
Prolactin blood test CPT 84146 PROLACTIN	$23.40	$45.00	$13.50–$64.07	66% below	48%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$23.40	$45.00	$13.50–$64.07	—	48%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/INR	$13.52	$26.00	$3.44–$20.80	50% below	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME/INR	$13.52	$26.00	$3.44–$20.80	—	48%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 METHADONE SCREEN, URINE	$27.04	$52.00	$8.98–$41.60	16% above	48%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 METHADONE	$41.60	$80.00	$8.98–$64.00	79% above	48%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN NON TLC DEVICES (COCAINE)	$41.60	$80.00	$8.98–$64.00	79% above	48%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN NON TLC DEVICES (OPIATES)	$41.60	$80.00	$8.98–$64.00	79% above	48%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN NON TLC DEVICES (CANNABINOID	$41.60	$80.00	$8.98–$64.00	79% above	48%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN NON TLC DEVICES (BENZODIAZEP	$41.60	$80.00	$8.98–$64.00	79% above	48%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN NON TLC DEVICES (BARBITUATES	$41.60	$80.00	$8.98–$64.00	79% above	48%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN NON TLC DEVICES (AMPHETAMINE	$41.60	$80.00	$8.98–$64.00	79% above	48%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 METHADONE SCREEN, URINE	$27.04	$52.00	$8.98–$41.60	—	48%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN NON TLC DEVICES (BARBITUATES	$41.60	$80.00	$8.98–$64.00	—	48%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN NON TLC DEVICES (CANNABINOID	$41.60	$80.00	$8.98–$64.00	—	48%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN NON TLC DEVICES (COCAINE)	$41.60	$80.00	$8.98–$64.00	—	48%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN NON TLC DEVICES (BENZODIAZEP	$41.60	$80.00	$8.98–$64.00	—	48%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN NON TLC DEVICES (AMPHETAMINE	$41.60	$80.00	$8.98–$64.00	—	48%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN NON TLC DEVICES (OPIATES)	$41.60	$80.00	$8.98–$64.00	—	48%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 METHADONE	$41.60	$80.00	$8.98–$64.00	—	48%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN- GROUP A	$51.48	$99.00	$10.51–$79.20	48% above	48%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN- GROUP A	$51.48	$99.00	$10.51–$79.20	—	48%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR - REF	$12.48	$24.00	$4.97–$19.20	66% below	48%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR-v	$17.68	$34.00	$4.97–$27.20	52% below	48%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT BODYFLUID	$21.84	$42.00	$4.97–$33.60	40% below	48%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT BODYFLUID QUANT	$109.72	$211.00	$4.97–$168.80	201% above	48%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, IGG	$262.08	$504.00	$4.97–$403.20	619% above	48%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, IGM	$262.08	$504.00	$4.97–$403.20	619% above	48%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, IGA	$262.08	$504.00	$4.97–$403.20	619% above	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR - REF	$12.48	$24.00	$4.97–$19.20	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR-v	$17.68	$34.00	$4.97–$27.20	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT BODYFLUID	$21.84	$42.00	$4.97–$33.60	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT BODYFLUID QUANT	$109.72	$211.00	$4.97–$168.80	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, IGM	$262.08	$504.00	$4.97–$403.20	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, IGG	$262.08	$504.00	$4.97–$403.20	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, IGA	$262.08	$504.00	$4.97–$403.20	—	48%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES, IGG	$15.60	$30.00	$9.00–$47.58	64% below	48%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGM	$35.36	$68.00	$12.61–$54.40	19% below	48%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES, IGG	$15.60	$30.00	$9.00–$47.58	—	48%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IGM	$35.36	$68.00	$12.61–$54.40	—	48%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE ESR-AUTO	$8.32	$16.00	$2.36–$12.80	67% below	48%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE ESR-AUTO	$8.32	$16.00	$2.36–$12.80	—	48%
Stool ova and parasites exam CPT 87177 OVA & PARASITES EXAMINATION	$41.08	$79.00	$7.79–$63.20	3% above	48%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES EXAMINATION	$41.08	$79.00	$7.79–$63.20	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS: RPR W/ REFLEX TO RPR TITER	$8.84	$17.00	$3.74–$13.66	49% below	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR/VDRL	$8.84	$17.00	$3.74–$13.66	49% below	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL (CSF)	$16.64	$32.00	$3.74–$25.60	3% below	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR/VDRL	$8.84	$17.00	$3.74–$13.66	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS: RPR W/ REFLEX TO RPR TITER	$8.84	$17.00	$3.74–$13.66	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL (CSF)	$16.64	$32.00	$3.74–$25.60	—	48%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD+ CLIENT INCUBATED	$171.60	$330.00	$54.29–$264.00	110% above	48%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS (NOT INCUBATED)	$248.56	$478.00	$54.29–$382.40	203% above	48%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD+ CLIENT INCUBATED	$171.60	$330.00	$54.29–$264.00	—	48%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS (NOT INCUBATED)	$248.56	$478.00	$54.29–$382.40	—	48%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL-REF	$18.72	$36.00	$10.80–$85.37	76% below	48%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE WOMEN CHILDREN & HYPOGONADA	$74.88	$144.00	$22.62–$115.20	6% below	48%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$80.60	$155.00	$22.62–$124.00	2% above	48%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$80.60	$155.00	$22.62–$124.00	2% above	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL-REF	$18.72	$36.00	$10.80–$85.37	—	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE WOMEN CHILDREN & HYPOGONADA	$74.88	$144.00	$22.62–$115.20	—	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$80.60	$155.00	$22.62–$124.00	—	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$80.60	$155.00	$22.62–$124.00	—	48%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) ANTIBODIES	$24.96	$48.00	$12.75–$48.11	38% below	48%
Thyroid peroxidase (TPO) antibody test CPT 86376 T-THYROID PEROXIDASE ANTIBODIES	$45.24	$87.00	$12.75–$69.60	12% above	48%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL (LKM) ANTIBODIES	$46.80	$90.00	$12.75–$72.00	16% above	48%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) ANTIBODIES	$24.96	$48.00	$12.75–$48.11	—	48%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 T-THYROID PEROXIDASE ANTIBODIES	$45.24	$87.00	$12.75–$69.60	—	48%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL (LKM) ANTIBODIES	$46.80	$90.00	$12.75–$72.00	—	48%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH-v	$52.52	$101.00	$14.72–$80.80	13% below	48%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH-v	$52.52	$101.00	$14.72–$80.80	—	48%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS PCR	$336.44	$647.00	$28.72–$517.60	330% above	48%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS PCR	$336.44	$647.00	$28.72–$517.60	—	48%
Uric acid blood test CPT 84550 URIC ACID	$14.04	$27.00	$3.95–$21.60	61% below	48%
Uric acid blood test inpatient CPT 84550 URIC ACID	$14.04	$27.00	$3.95–$21.60	—	48%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICRO	$9.88	$19.00	$2.78–$15.20	66% below	48%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICRO	$9.88	$19.00	$2.78–$15.20	—	48%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS (DIP ONLY)	$7.28	$14.00	$1.97–$11.20	62% below	48%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS (DIP ONLY)	$7.28	$14.00	$1.97–$11.20	—	48%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COL CNT	$24.96	$48.00	$7.07–$38.40	44% below	48%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE COL CNT	$24.96	$48.00	$7.07–$38.40	—	48%
Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE	$27.04	$52.00	$5.54–$41.60	48% below	48%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE	$27.04	$52.00	$5.54–$41.60	—	48%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$46.80	$90.00	$13.21–$72.00	14% below	48%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 UNSATURATED BINDING CAPACITY	$61.36	$118.00	$13.21–$94.40	13% above	48%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$46.80	$90.00	$13.21–$72.00	—	48%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 UNSATURATED BINDING CAPACITY	$61.36	$118.00	$13.21–$94.40	—	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25	$92.56	$178.00	$25.93–$142.40	20% above	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 OH VITAMIN D, FRACTIONATED	$260.00	$500.00	$25.93–$400.00	238% above	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25	$92.56	$178.00	$25.93–$142.40	—	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 OH VITAMIN D, FRACTIONATED	$260.00	$500.00	$25.93–$400.00	—	48%
Zinc blood test CPT 84630 ZINC, SERUM/PLASMA	$18.72	$36.00	$9.98–$37.65	57% below	48%
Zinc blood test CPT 84630 ZINC URINE	$43.16	$83.00	$9.98–$66.40	2% below	48%
Zinc blood test CPT 84630 ZINC, WHOLE BLOOD	$288.60	$555.00	$9.98–$444.00	556% above	48%
Zinc blood test inpatient CPT 84630 ZINC, SERUM/PLASMA	$18.72	$36.00	$9.98–$37.65	—	48%
Zinc blood test inpatient CPT 84630 ZINC URINE	$43.16	$83.00	$9.98–$66.40	—	48%
Zinc blood test inpatient CPT 84630 ZINC, WHOLE BLOOD	$288.60	$555.00	$9.98–$444.00	—	48%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG	$46.80	$90.00	$11.54–$72.00	32% above	48%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT SERUM	$58.24	$112.00	$11.54–$89.60	64% above	48%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG	$46.80	$90.00	$11.54–$72.00	—	48%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT SERUM	$58.24	$112.00	$11.54–$89.60	—	48%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Botox injections for chronic migraine CPT 64615 NR BOTOX MUSC MIGRAINE PRO FEE	$148.72	$286.00	$107.25–$687.67	at median	48%
Botox injections for chronic migraine CPT 64615 NR BOTOX INJ MUSC MIGRAINE	$489.32	$941.00	$125.00–$752.80	229% above	48%
Botox injections for chronic migraine inpatient CPT 64615 NR BOTOX MUSC MIGRAINE PRO FEE	$148.72	$286.00	$107.25–$687.67	—	48%
Botox injections for chronic migraine inpatient CPT 64615 NR BOTOX INJ MUSC MIGRAINE	$489.32	$941.00	$125.00–$752.80	—	48%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ER TREAT CL FX DISTAL FIBULA	$393.12	$756.00	$118.09–$604.80	6% above	48%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ER TREAT CL FX DISTAL FIBULA	$393.12	$756.00	$118.09–$604.80	—	48%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PC TREAT CL FX METATARSAL	$385.32	$741.00	$208.85–$592.80	10% below	48%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ER TREAT CL FX METATARSAL	$393.12	$756.00	$118.09–$604.80	8% below	48%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 PC TREAT CL FX METATARSAL	$385.32	$741.00	$208.85–$592.80	—	48%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 ER TREAT CL FX METATARSAL	$393.12	$756.00	$118.09–$604.80	—	48%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION OBS PHY	$138.84	$267.00	$76.00–$267.00	69% below	48%
Cardioversion, elective (restoring heart rhythm) CPT 92960 PC CARDIOVERSION	$185.12	$356.00	$76.00–$356.00	59% below	48%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ER CARDIOVERSION	$1,053.52	$2,026.00	$76.00–$1,620.80	133% above	48%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION OBS	$1,053.52	$2,026.00	$76.00–$1,620.80	133% above	48%
Cardioversion, elective (restoring heart rhythm) CPT 92960 MS CARDIOVERSION	$1,053.52	$2,026.00	$76.00–$1,620.80	133% above	48%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION OBS PHY	$138.84	$267.00	$76.00–$267.00	—	48%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PC CARDIOVERSION	$185.12	$356.00	$76.00–$356.00	—	48%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 MS CARDIOVERSION	$1,053.52	$2,026.00	$76.00–$1,620.80	—	48%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ER CARDIOVERSION	$1,053.52	$2,026.00	$76.00–$1,620.80	—	48%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION OBS	$1,053.52	$2,026.00	$76.00–$1,620.80	—	48%
Carpal tunnel release, open surgery CPT 64721 PC CARPAL TUNNEL SURGERY	$605.28	$1,164.00	$320.00–$1,164.00	75% below	48%
Carpal tunnel release, open surgery inpatient CPT 64721 PC CARPAL TUNNEL SURGERY	$605.28	$1,164.00	$320.00–$1,164.00	—	48%
Cataract surgery with lens implant CPT 66984 CATARACT EXTRACTION	$2,865.20	$5,510.00	$363.00–$4,408.00	6% below	48%
Cataract surgery with lens implant inpatient CPT 66984 CATARACT EXTRACTION	$2,865.20	$5,510.00	$363.00–$4,408.00	—	48%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PC CIRCUM 28 DAYS OR OLDER	$276.64	$532.00	$187.01–$578.85	66% below	48%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PC CIRCUM 28 DAYS OR OLDER	$276.64	$532.00	$187.01–$578.85	—	48%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ER TREAT CL FX DISTAL RADIUS	$393.12	$756.00	$118.09–$604.80	17% above	48%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PC TREAT CL FX DISTAL RADIUS	$624.52	$1,201.00	$210.54–$960.80	86% above	48%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ER TREAT CL FX DISTAL RADIUS	$393.12	$756.00	$118.09–$604.80	—	48%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 PC TREAT CL FX DISTAL RADIUS	$624.52	$1,201.00	$210.54–$960.80	—	48%
Colonoscopy with polyp removal CPT 45385 PC COLONOSCOPY W/LESION REMOVAL	$352.04	$677.00	$233.39–$677.00	65% below	48%
Colonoscopy with polyp removal inpatient CPT 45385 PC COLONOSCOPY W/LESION REMOVAL	$352.04	$677.00	$233.39–$677.00	—	48%
Colonoscopy with tissue sample CPT 45380 PC COLONOSCOPY W/COLD BIOPSY	$277.68	$534.00	$184.99–$578.85	67% below	48%
Colonoscopy with tissue sample inpatient CPT 45380 PC COLONOSCOPY W/COLD BIOPSY	$277.68	$534.00	$184.99–$578.85	—	48%
Colonoscopy, diagnostic CPT 45378 PC DIAGNOSTIC COLONOSCOPY	$255.32	$491.00	$170.98–$578.85	62% below	48%
Colonoscopy, diagnostic inpatient CPT 45378 PC DIAGNOSTIC COLONOSCOPY	$255.32	$491.00	$170.98–$578.85	—	48%
Complex cataract surgery with lens implant CPT 66982 CATARACT EXTRACTION COMPLEX	$2,865.20	$5,510.00	$363.00–$4,408.00	11% below	48%
Complex cataract surgery with lens implant inpatient CPT 66982 CATARACT EXTRACTION COMPLEX	$2,865.20	$5,510.00	$363.00–$4,408.00	—	48%
Earwax removal with instruments, one ear CPT 69210 PC REMOVAL IMPACTED CERUM	$52.52	$101.00	$28.41–$578.85	12% below	48%
Earwax removal with instruments, one ear CPT 69210 ER REMOVE IMPACTED CERUM	$94.12	$181.00	$53.21–$567.50	57% above	48%
Earwax removal with instruments, one ear inpatient CPT 69210 PC REMOVAL IMPACTED CERUM	$52.52	$101.00	$28.41–$578.85	—	48%
Earwax removal with instruments, one ear inpatient CPT 69210 ER REMOVE IMPACTED CERUM	$94.12	$181.00	$53.21–$567.50	—	48%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ INTERLAMINAR CERV OR THOR W IMAGE	$720.20	$1,385.00	$250.00–$1,108.00	at median	48%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ INTERLAMINAR CERV OR THOR W IMAGE	$720.20	$1,385.00	$250.00–$1,108.00	—	48%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERTEBRAL FACET JT LUMB/SACR 1ST	$926.12	$1,781.00	$250.00–$1,424.80	16% above	48%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERTEBRAL FACET JT LUMB/SACR 1ST	$926.12	$1,781.00	$250.00–$1,424.80	—	48%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PC REPAIR AA HERNIA INITIAL	$782.08	$1,504.00	$363.00–$1,504.00	55% below	48%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 PC REPAIR AA HERNIA INITIAL	$782.08	$1,504.00	$363.00–$1,504.00	—	48%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PC RPR AA HRN 1ST < 3 CM RDC	$466.96	$898.00	$317.12–$898.00	67% below	48%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 PC RPR AA HRN 1ST < 3 CM RDC	$466.96	$898.00	$317.12–$898.00	—	48%
Gallbladder removal, laparoscopic CPT 47562 PC LAPAROSCOPIC CHOLECYSTECTOMY	$903.76	$1,738.00	$363.00–$1,738.00	86% below	48%
Gallbladder removal, laparoscopic inpatient CPT 47562 PC LAPAROSCOPIC CHOLECYSTECTOMY	$903.76	$1,738.00	$363.00–$1,738.00	—	48%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PC LAP CHOLECYSTECTOMY W CHOLANGIOGRAPHY	$982.80	$1,890.00	$363.00–$1,890.00	64% below	48%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 PC LAP CHOLECYSTECTOMY W CHOLANGIOGRAPHY	$982.80	$1,890.00	$363.00–$1,890.00	—	48%
Hysterectomy through an abdominal incision (total) CPT 58150 PC TOTAL HYSTERECTOMY	$1,418.04	$2,727.00	$948.88–$2,518.88	27% below	48%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 PC TOTAL HYSTERECTOMY	$1,418.04	$2,727.00	$948.88–$2,518.88	—	48%
Incision and drainage of a simple or single skin abscess CPT 10060 PC I&D OF ABSCESS SIMPLE	$188.24	$362.00	$101.96–$578.85	at median	48%
Incision and drainage of a simple or single skin abscess CPT 10060 OP I&D SIMPLE	$213.20	$410.00	$120.54–$578.85	14% above	48%
Incision and drainage of a simple or single skin abscess CPT 10060 OBS I&D ABSCESS	$319.80	$615.00	$125.00–$578.85	71% above	48%
Incision and drainage of a simple or single skin abscess CPT 10060 ER I&D OF ABSCESS SIMPLE	$319.80	$615.00	$118.09–$567.50	71% above	48%
Incision and drainage of a simple or single skin abscess CPT 10060 WC I&D ABSCESS SGL SIMP	$319.80	$615.00	$125.00–$578.85	71% above	48%
Incision and drainage of a simple or single skin abscess CPT 10060 MS I & D ABSCESS SIMPLE	$319.80	$615.00	$125.00–$578.85	71% above	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PC I&D OF ABSCESS SIMPLE	$188.24	$362.00	$101.96–$578.85	—	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 OP I&D SIMPLE	$213.20	$410.00	$120.54–$578.85	—	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ER I&D OF ABSCESS SIMPLE	$319.80	$615.00	$118.09–$567.50	—	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 MS I & D ABSCESS SIMPLE	$319.80	$615.00	$125.00–$578.85	—	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 OBS I&D ABSCESS	$319.80	$615.00	$125.00–$578.85	—	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 WC I&D ABSCESS SGL SIMP	$319.80	$615.00	$125.00–$578.85	—	48%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PC PRP I/HERN INIT REDUC >5 YR	$716.56	$1,378.00	$363.00–$1,378.00	76% below	48%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PC PRP I/HERN INIT REDUC >5 YR	$716.56	$1,378.00	$363.00–$1,378.00	—	48%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 RC INJ 1 TENDON SHEATH LIGAMENT PROFEE	$54.60	$105.00	$35.05–$578.85	39% below	48%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 RC INJ 1 TENDON SHEATH LIGAMENT	$440.44	$847.00	$130.00–$677.60	393% above	48%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT, SINGLE TENDON SHEATH	$652.08	$1,254.00	$130.00–$1,003.20	630% above	48%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 RC INJ 1 TENDON SHEATH LIGAMENT PROFEE	$54.60	$105.00	$35.05–$578.85	—	48%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 RC INJ 1 TENDON SHEATH LIGAMENT	$440.44	$847.00	$130.00–$677.60	—	48%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT, SINGLE TENDON SHEATH	$652.08	$1,254.00	$130.00–$1,003.20	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RC ARTHROCENT/ASPIR INJ INT MAJ JNT PROF	$62.92	$121.00	$40.89–$578.85	64% below	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PC DRAIN/INJ JOINT SHLD/KNEE	$75.40	$145.00	$40.89–$578.85	56% below	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OP ARTHROCENTESIS ASPIR/INJECT SH HIP KN	$326.04	$627.00	$130.00–$578.85	89% above	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RC ARTHROCENT ASPIR INJ MAJ JNT	$440.44	$847.00	$249.02–$677.60	155% above	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ER DRAIN/INJ KNEE HIP SHOULD	$489.32	$941.00	$118.09–$752.80	183% above	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OBS ARTHROCENTESIS ASPIR/INJ KNEE HIP SH	$489.32	$941.00	$130.00–$752.80	183% above	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US	$652.08	$1,254.00	$130.00–$1,003.20	277% above	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 RC ARTHROCENT/ASPIR INJ INT MAJ JNT PROF	$62.92	$121.00	$40.89–$578.85	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PC DRAIN/INJ JOINT SHLD/KNEE	$75.40	$145.00	$40.89–$578.85	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 OP ARTHROCENTESIS ASPIR/INJECT SH HIP KN	$326.04	$627.00	$130.00–$578.85	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 RC ARTHROCENT ASPIR INJ MAJ JNT	$440.44	$847.00	$249.02–$677.60	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ER DRAIN/INJ KNEE HIP SHOULD	$489.32	$941.00	$118.09–$752.80	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 OBS ARTHROCENTESIS ASPIR/INJ KNEE HIP SH	$489.32	$941.00	$130.00–$752.80	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US	$652.08	$1,254.00	$130.00–$1,003.20	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 RC ARTHROCENT ASPIR INJ INT JNT PROFEE	$51.48	$99.00	$33.51–$578.85	65% below	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PC DRAIN/INJ WRIST ELB ANKLE	$61.88	$119.00	$33.51–$578.85	58% below	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 RC ARTHROCENT ASPIR INJ INT JNT	$440.44	$847.00	$249.02–$677.60	201% above	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ER DRAIN/INJ WRIST ELBOW ANK	$489.32	$941.00	$118.09–$752.80	235% above	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERMED JOINT/BURSA W/O US	$652.08	$1,254.00	$130.00–$1,003.20	346% above	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASPIR INJ INTERMEDIATE JNT	$652.08	$1,254.00	$130.00–$1,003.20	346% above	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 RC ARTHROCENT ASPIR INJ INT JNT PROFEE	$51.48	$99.00	$33.51–$578.85	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PC DRAIN/INJ WRIST ELB ANKLE	$61.88	$119.00	$33.51–$578.85	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 RC ARTHROCENT ASPIR INJ INT JNT	$440.44	$847.00	$249.02–$677.60	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ER DRAIN/INJ WRIST ELBOW ANK	$489.32	$941.00	$118.09–$752.80	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTERMED JOINT/BURSA W/O US	$652.08	$1,254.00	$130.00–$1,003.20	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT ASPIR INJ INTERMEDIATE JNT	$652.08	$1,254.00	$130.00–$1,003.20	—	48%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 RC ARTHROCENT ASPIR INJ SML JNT PROFEE	$49.92	$96.00	$32.75–$578.85	59% below	48%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PC DRAIN/INJ FINGERS- TOES	$60.32	$116.00	$32.75–$578.85	50% below	48%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ANES ARTHROCENT ASPIR INJ SML JNT	$60.32	$116.00	$32.75–$578.85	50% below	48%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 RC ARTHROCENT ASPIR INJ SML JNT	$440.44	$847.00	$249.02–$677.60	262% above	48%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ER DRAIN/INJ JT FINGERS- TOE	$489.32	$941.00	$118.09–$752.80	303% above	48%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASPIR INJ SML JNT	$652.08	$1,254.00	$130.00–$1,003.20	436% above	48%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 RC ARTHROCENT ASPIR INJ SML JNT PROFEE	$49.92	$96.00	$32.75–$578.85	—	48%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PC DRAIN/INJ FINGERS- TOES	$60.32	$116.00	$32.75–$578.85	—	48%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ANES ARTHROCENT ASPIR INJ SML JNT	$60.32	$116.00	$32.75–$578.85	—	48%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 RC ARTHROCENT ASPIR INJ SML JNT	$440.44	$847.00	$249.02–$677.60	—	48%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ER DRAIN/INJ JT FINGERS- TOE	$489.32	$941.00	$118.09–$752.80	—	48%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENT ASPIR INJ SML JNT	$652.08	$1,254.00	$130.00–$1,003.20	—	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PC INT LAC <2 5 SCALP/TK/EXT	$251.68	$484.00	$136.39–$687.67	22% below	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ER INT REP LAC SCALP, AX, TK EXT < 2.5CM	$647.92	$1,246.00	$118.09–$996.80	101% above	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PC INT LAC <2 5 SCALP/TK/EXT	$251.68	$484.00	$136.39–$687.67	—	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ER INT REP LAC SCALP, AX, TK EXT < 2.5CM	$647.92	$1,246.00	$118.09–$996.80	—	48%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTERLAMINAR LUMB OR SACR W IMAGE	$720.20	$1,385.00	$250.00–$1,108.00	at median	48%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ INTERLAMINAR LUMB OR SACR W IMAGE	$720.20	$1,385.00	$250.00–$1,108.00	—	48%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ INTERLAMINAR LUMB OR SACR W/O IMAGE	$926.12	$1,781.00	$297.00–$1,424.80	39% above	48%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ INTERLAMINAR LUMB OR SACR W/O IMAGE	$926.12	$1,781.00	$297.00–$1,424.80	—	48%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRANSFORAMINAL LUMB OR SACRAL, SNG	$926.12	$1,781.00	$250.00–$1,424.80	23% above	48%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRANSFORAMINAL LUMB OR SACRAL, SNG	$926.12	$1,781.00	$250.00–$1,424.80	—	48%
Mastectomy (total removal of the breast) both sides CPT 19303 PC MASTECTOMY BILATERAL	$1,309.88	$2,519.00	$320.00–$2,519.00	—	48%
Mastectomy (total removal of the breast) inpatient both sides CPT 19303 PC MASTECTOMY BILATERAL	$1,309.88	$2,519.00	$320.00–$2,519.00	—	48%
Nail removal (partial or complete), one nail CPT 11730 PC REMOVAL OF NAIL PLATE	$76.44	$147.00	$51.59–$578.85	45% below	48%
Nail removal (partial or complete), one nail CPT 11730 PC AVULSION NAIL PLATE EA	$95.16	$183.00	$51.59–$578.85	32% below	48%
Nail removal (partial or complete), one nail CPT 11730 ER AVULSION NAIL PLATE EA	$319.80	$615.00	$118.09–$567.50	129% above	48%
Nail removal (partial or complete), one nail CPT 11730 WC AVULSION NAIL PLATE SGL SIMP	$319.80	$615.00	$125.00–$578.85	129% above	48%
Nail removal (partial or complete), one nail inpatient CPT 11730 PC REMOVAL OF NAIL PLATE	$76.44	$147.00	$51.59–$578.85	—	48%
Nail removal (partial or complete), one nail inpatient CPT 11730 PC AVULSION NAIL PLATE EA	$95.16	$183.00	$51.59–$578.85	—	48%
Nail removal (partial or complete), one nail inpatient CPT 11730 WC AVULSION NAIL PLATE SGL SIMP	$319.80	$615.00	$125.00–$578.85	—	48%
Nail removal (partial or complete), one nail inpatient CPT 11730 ER AVULSION NAIL PLATE EA	$319.80	$615.00	$118.09–$567.50	—	48%
Occipital nerve block (injection for headaches) CPT 64405 PC BLOCK INJ OCCIPITAL	$86.32	$166.00	$46.79–$578.85	49% below	48%
Occipital nerve block (injection for headaches) CPT 64405 PC BLOCK INJ OCCIPITAL NERVE	$86.32	$166.00	$46.79–$578.85	49% below	48%
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK INJ, OPITCAL NERVE	$254.80	$490.00	$130.00–$578.85	52% above	48%
Occipital nerve block (injection for headaches) CPT 64405 ER BLOCK INJ OCCIPITAL	$489.32	$941.00	$118.09–$752.80	191% above	48%
Occipital nerve block (injection for headaches) CPT 64405 ER BLOCK INJ OCCIPITAL NERVE	$489.32	$941.00	$118.09–$752.80	191% above	48%
Occipital nerve block (injection for headaches) inpatient CPT 64405 PC BLOCK INJ OCCIPITAL NERVE	$86.32	$166.00	$46.79–$578.85	—	48%
Occipital nerve block (injection for headaches) inpatient CPT 64405 PC BLOCK INJ OCCIPITAL	$86.32	$166.00	$46.79–$578.85	—	48%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK INJ, OPITCAL NERVE	$254.80	$490.00	$130.00–$578.85	—	48%
Occipital nerve block (injection for headaches) inpatient CPT 64405 ER BLOCK INJ OCCIPITAL NERVE	$489.32	$941.00	$118.09–$752.80	—	48%
Occipital nerve block (injection for headaches) inpatient CPT 64405 ER BLOCK INJ OCCIPITAL	$489.32	$941.00	$118.09–$752.80	—	48%
Paracentesis with imaging guidance CPT 49083 PC ABD PARACENTEIS W IMAGE	$179.92	$346.00	$97.52–$578.85	70% below	48%
Paracentesis with imaging guidance CPT 49083 ER ABD PARACENTESIS W IMAGE	$1,445.60	$2,780.00	$118.09–$2,224.00	140% above	48%
Paracentesis with imaging guidance inpatient CPT 49083 PC ABD PARACENTEIS W IMAGE	$179.92	$346.00	$97.52–$578.85	—	48%
Paracentesis with imaging guidance inpatient CPT 49083 ER ABD PARACENTESIS W IMAGE	$1,445.60	$2,780.00	$118.09–$2,224.00	—	48%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PC EXCISION NAIL & MATRIX	$179.92	$346.00	$97.54–$578.85	47% below	48%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ER EXCISION NAIL & MATRIX	$647.92	$1,246.00	$118.09–$996.80	90% above	48%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PC EXCISION NAIL & MATRIX	$179.92	$346.00	$97.54–$578.85	—	48%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ER EXCISION NAIL & MATRIX	$647.92	$1,246.00	$118.09–$996.80	—	48%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY PARAVERT LUMB/SACRAL SNG JT	$2,031.12	$3,906.00	$297.00–$3,124.80	25% above	48%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY PARAVERT LUMB/SACRAL SNG JT	$2,031.12	$3,906.00	$297.00–$3,124.80	—	48%
Removal of a breast lump, open surgery CPT 19120 PC EXCISION BREAST TISSUE	$573.04	$1,102.00	$320.00–$1,102.00	55% below	48%
Removal of a breast lump, open surgery inpatient CPT 19120 PC EXCISION BREAST TISSUE	$573.04	$1,102.00	$320.00–$1,102.00	—	48%
Removal of a foreign object under the skin, simple CPT 10120 PC F B REMOV SIMPLE SKIN	$190.84	$367.00	$103.45–$578.85	19% below	48%
Removal of a foreign object under the skin, simple CPT 10120 ER F B REMOV SIMPLE SKIN	$647.92	$1,246.00	$118.09–$996.80	176% above	48%
Removal of a foreign object under the skin, simple inpatient CPT 10120 PC F B REMOV SIMPLE SKIN	$190.84	$367.00	$103.45–$578.85	—	48%
Removal of a foreign object under the skin, simple inpatient CPT 10120 ER F B REMOV SIMPLE SKIN	$647.92	$1,246.00	$118.09–$996.80	—	48%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PC SCREENING COLONOSCOPY	$255.84	$492.00	$171.18–$492.00	59% below	48%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 PC SCREENING COLONOSCOPY	$255.84	$492.00	$171.18–$492.00	—	48%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PC SCREENING COLONOSCOPY-HIGH RISK	$255.32	$491.00	$170.98–$491.00	59% below	48%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 PC SCREENING COLONOSCOPY-HIGH RISK	$255.32	$491.00	$170.98–$491.00	—	48%
Short arm splint (forearm and hand) CPT 29125 PC SPLINT SHORT ARM	$75.92	$146.00	$41.20–$578.85	33% below	48%
Short arm splint (forearm and hand) CPT 29125 ER SPLINT SHORT ARM ER	$212.16	$408.00	$118.09–$567.50	86% above	48%
Short arm splint (forearm and hand) inpatient CPT 29125 PC SPLINT SHORT ARM	$75.92	$146.00	$41.20–$578.85	—	48%
Short arm splint (forearm and hand) inpatient CPT 29125 ER SPLINT SHORT ARM ER	$212.16	$408.00	$118.09–$567.50	—	48%
Short leg splint (calf to foot) CPT 29515 PC SPLINT SHORT LEG	$93.08	$179.00	$50.40–$578.85	27% below	48%
Short leg splint (calf to foot) CPT 29515 ER SPLINT SHORT LEG	$156.00	$300.00	$88.20–$578.85	23% above	48%
Short leg splint (calf to foot) inpatient CPT 29515 PC SPLINT SHORT LEG	$93.08	$179.00	$50.40–$578.85	—	48%
Short leg splint (calf to foot) inpatient CPT 29515 ER SPLINT SHORT LEG	$156.00	$300.00	$88.20–$578.85	—	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PC SIMP LAC 2.5 S-N-TK- EXT	$82.68	$159.00	$44.71–$578.85	65% below	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ER SIMP REP 2.5 OR L S-N-T-E	$319.80	$615.00	$118.09–$567.50	34% above	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PC SIMP LAC 2.5 S-N-TK- EXT	$82.68	$159.00	$44.71–$578.85	—	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ER SIMP REP 2.5 OR L S-N-T-E	$319.80	$615.00	$118.09–$567.50	—	48%
Skin biopsy, punch, one lesion CPT 11104 WC PUNCH BIOPSY OF SKIN; SINGLE LESION	$647.92	$1,246.00	$130.00–$996.80	243% above	48%
Skin biopsy, punch, one lesion inpatient CPT 11104 WC PUNCH BIOPSY OF SKIN; SINGLE LESION	$647.92	$1,246.00	$130.00–$996.80	—	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PC LUMBAR PUNCTURE W/FLUORO/CT	$109.72	$211.00	$59.48–$578.85	71% below	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PC LUMBAR PUNCTURE	$109.72	$211.00	$59.48–$578.85	71% below	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 NR LUMBAR PUNCTURE	$1,125.28	$2,164.00	$250.00–$1,731.20	195% above	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 OBS LUMBAR PUNCTURE	$1,125.28	$2,164.00	$250.00–$1,731.20	195% above	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ER LUMBAR PUNCTURE	$1,125.28	$2,164.00	$118.09–$1,731.20	195% above	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PC LUMBAR PUNCTURE W/FLUORO/CT	$109.72	$211.00	$59.48–$578.85	—	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PC LUMBAR PUNCTURE	$109.72	$211.00	$59.48–$578.85	—	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ER LUMBAR PUNCTURE	$1,125.28	$2,164.00	$118.09–$1,731.20	—	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 NR LUMBAR PUNCTURE	$1,125.28	$2,164.00	$250.00–$1,731.20	—	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 OBS LUMBAR PUNCTURE	$1,125.28	$2,164.00	$250.00–$1,731.20	—	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PC SIMP LAC 2.6-7.5 S-N-TK-E	$107.64	$207.00	$58.40–$578.85	67% below	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ER SIMP REP 2.6-7.5 S-N-TR-E	$319.80	$615.00	$118.09–$567.50	2% below	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PC SIMP LAC 2.6-7.5 S-N-TK-E	$107.64	$207.00	$58.40–$578.85	—	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ER SIMP REP 2.6-7.5 S-N-TR-E	$319.80	$615.00	$118.09–$567.50	—	48%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PC SIMP LAC 2.5 F-E-N-L-MUCO	$101.92	$196.00	$55.24–$578.85	38% below	48%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER SIMP REP 2.5 OR L F-E-L-M	$319.80	$615.00	$118.09–$567.50	94% above	48%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PC SIMP LAC 2.5 F-E-N-L-MUCO	$101.92	$196.00	$55.24–$578.85	—	48%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ER SIMP REP 2.5 OR L F-E-L-M	$319.80	$615.00	$118.09–$567.50	—	48%
Thoracentesis with imaging guidance CPT 32555 PC THORACENTESIS W IMAGING	$152.88	$294.00	$99.74–$578.85	80% below	48%
Thoracentesis with imaging guidance CPT 32555 MS THORACENTESIS W IMAGE GUIDANCE	$999.96	$1,923.00	$250.00–$1,538.40	33% above	48%
Thoracentesis with imaging guidance inpatient CPT 32555 PC THORACENTESIS W IMAGING	$152.88	$294.00	$99.74–$578.85	—	48%
Thoracentesis with imaging guidance inpatient CPT 32555 MS THORACENTESIS W IMAGE GUIDANCE	$999.96	$1,923.00	$250.00–$1,538.40	—	48%
Tonsil and adenoid removal, age 12 or older CPT 42821 PC TONSILECTOMY & ADENOIDECTOMY OVER 12	$425.88	$819.00	$278.19–$840.49	76% below	48%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 PC TONSILECTOMY & ADENOIDECTOMY OVER 12	$425.88	$819.00	$278.19–$840.49	—	48%
Tonsil and adenoid removal, child under 12 CPT 42820 PC REMOVE TONSILS AND ADENOIDS UNDER 12	$415.48	$799.00	$266.72–$840.49	84% below	48%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 PC REMOVE TONSILS AND ADENOIDS UNDER 12	$415.48	$799.00	$266.72–$840.49	—	48%
Trigger finger release surgery CPT 26055 PC INCISE FINGER TENDON SHEATH	$406.64	$782.00	$250.00–$782.00	55% below	48%
Trigger finger release surgery inpatient CPT 26055 PC INCISE FINGER TENDON SHEATH	$406.64	$782.00	$250.00–$782.00	—	48%
Trigger point injections, 1 or 2 muscles CPT 20552 PC INJ TRIGGER POINT 1-2	$68.64	$132.00	$37.09–$578.85	55% below	48%
Trigger point injections, 1 or 2 muscles CPT 20552 ER INJ TRIGGER POINT 1-2 ER	$489.32	$941.00	$118.09–$752.80	223% above	48%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ, SINGLE/MULTI TRIGGER PT 1 OR 2 MUSC	$652.08	$1,254.00	$130.00–$1,003.20	331% above	48%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PC INJ TRIGGER POINT 1-2	$68.64	$132.00	$37.09–$578.85	—	48%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ER INJ TRIGGER POINT 1-2 ER	$489.32	$941.00	$118.09–$752.80	—	48%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ, SINGLE/MULTI TRIGGER PT 1 OR 2 MUSC	$652.08	$1,254.00	$130.00–$1,003.20	—	48%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 PC TUBAL LIGATION	$518.96	$998.00	$339.75–$998.00	at median	48%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 PC TUBAL LIGATION	$518.96	$998.00	$339.75–$998.00	—	48%
Upper endoscopy (EGD) with biopsy CPT 43239 PC EGD BIOPSY SINGLE/MULTIPLE	$191.88	$369.00	$128.51–$687.67	72% below	48%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PC EGD BIOPSY SINGLE/MULTIPLE	$191.88	$369.00	$128.51–$687.67	—	48%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PC EGD REMOVE LESION SNARE	$271.44	$522.00	$180.39–$578.85	75% below	48%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 PC EGD REMOVE LESION SNARE	$271.44	$522.00	$180.39–$578.85	—	48%
Upper endoscopy (EGD), diagnostic CPT 43235 PC EGD DIAGNOSTIC BRUSH WASH	$170.04	$327.00	$114.75–$578.85	75% below	48%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PC EGD DIAGNOSTIC BRUSH WASH	$170.04	$327.00	$114.75–$578.85	—	48%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 PC VASECTOMY	$321.36	$618.00	$223.17–$674.19	73% below	48%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 PC VASECTOMY	$321.36	$618.00	$223.17–$674.19	—	48%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PC DEB SUBQ TISSUE 20 SQ CM/<	$84.24	$162.00	$57.53–$578.85	68% below	48%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PC DEBRIDE SKIN & SUBQ 1ST 20SQ CM	$106.08	$204.00	$57.53–$578.85	59% below	48%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 MS DEBRID SKIN SBQ TISSUE <= 20 SQ CM	$647.92	$1,246.00	$130.00–$996.80	147% above	48%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC DEBRID SKIN SBQ TISSUE <= 20 SQ CM	$647.92	$1,246.00	$130.00–$996.80	147% above	48%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER DEBRID SKIN & SUBQ 1ST 20SQ CM	$647.92	$1,246.00	$118.09–$996.80	147% above	48%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PC DEB SUBQ TISSUE 20 SQ CM/<	$84.24	$162.00	$57.53–$578.85	—	48%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PC DEBRIDE SKIN & SUBQ 1ST 20SQ CM	$106.08	$204.00	$57.53–$578.85	—	48%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WC DEBRID SKIN SBQ TISSUE <= 20 SQ CM	$647.92	$1,246.00	$130.00–$996.80	—	48%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ER DEBRID SKIN & SUBQ 1ST 20SQ CM	$647.92	$1,246.00	$118.09–$996.80	—	48%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 MS DEBRID SKIN SBQ TISSUE <= 20 SQ CM	$647.92	$1,246.00	$130.00–$996.80	—	48%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSIN>2 YR ER	$348.92	$671.00	$118.09–$567.50	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OBS BLOOD ADMIN 1-2 HOURS	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 8-12 HOURS	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM 4-8 HOURS	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OP BLOOD ADM 8-12 HOURS	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OP BLOOD ADM 4-8 HOURS	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OP BLOOD ADM < 1 HOUR	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM < 1 HOUR	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OP BLOOD ADM 1-2 HOURS	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OBS BLOOD ADM LESS THAN 1 HOUR	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OBS BLOOD ADM 8-12 HOURS	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM 2-4 HOURS	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OP BLOOD ADM 2-4 HOURS	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM 1-2 HOURS	$348.92	$671.00	$197.27–$671.00	18% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OBS BLOOD ADM 4-8 HOURS	$383.76	$738.00	$216.97–$700.00	9% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OBS BLOOD ADM 2-4 HOURS	$383.76	$738.00	$216.97–$700.00	9% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 OR BLOOD ADM 2-4 HOURS	$383.76	$738.00	$216.97–$700.00	9% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION ONE PER DAY	$703.04	$1,352.00	$250.00–$1,081.60	66% above	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP BLOOD ADM 1-2 HOURS	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADM 2-4 HOURS	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADM 4-8 HOURS	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 8-12 HOURS	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OBS BLOOD ADM LESS THAN 1 HOUR	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OBS BLOOD ADMIN 1-2 HOURS	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OBS BLOOD ADM 8-12 HOURS	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP BLOOD ADM < 1 HOUR	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP BLOOD ADM 2-4 HOURS	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP BLOOD ADM 4-8 HOURS	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP BLOOD ADM 8-12 HOURS	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSIN>2 YR ER	$348.92	$671.00	$118.09–$567.50	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADM < 1 HOUR	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADM 1-2 HOURS	$348.92	$671.00	$197.27–$671.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OBS BLOOD ADM 2-4 HOURS	$383.76	$738.00	$216.97–$700.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OR BLOOD ADM 2-4 HOURS	$383.76	$738.00	$216.97–$700.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OBS BLOOD ADM 4-8 HOURS	$383.76	$738.00	$216.97–$700.00	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION ONE PER DAY	$703.04	$1,352.00	$250.00–$1,081.60	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MIST TENT / DAY	$210.60	$405.00	$6.00–$324.00	170% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-TRELEGY	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-DULERA	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-STIALTO	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-SEEBRE	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-BREO	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-ANORO	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-SPIRIVA REPIMAT	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-ASMANEX SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-XOPENEX 0.63 SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-XOPENEX 1.25 SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-ATROVENT SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-INCRUZ	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-COMBIVENTRESPIMAT	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-AIRSUPRA	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-HYPERTONIC SALINE	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-XOPENEX 0.63/ATROVENT SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-MORPHINE SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-SPIRIVA SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-XOPENEX 1.25/ATROVENT SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-STRIVERDI RESPIMAT	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-TUDORZA	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-BEVESPI	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-RACEMIC EPINEPHRINE	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-BREZTRI	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-WIXELA	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-MUCOMYST	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-YUPELRI	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-BROVANA	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-LYDOCAINE SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-OHTUVAYRE	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-SPIRIVARESPIMAT	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-SYMBICORT SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-BREYANA	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-PULMICORT SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-ALBUTEROL SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-COMBIVENT SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-DUONEB SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-FLOVENT SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-ADVAIR SUB	$232.96	$448.00	$6.00–$358.40	199% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL	$290.68	$559.00	$6.00–$447.20	273% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INITIAL	$290.68	$559.00	$6.00–$447.20	273% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT INITIAL	$290.68	$559.00	$6.00–$447.20	273% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT INITIAL	$465.40	$895.00	$6.00–$716.00	497% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MIST TENT / DAY	$210.60	$405.00	$6.00–$324.00	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-COMBIVENT SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-LYDOCAINE SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-MORPHINE SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-FLOVENT SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-SPIRIVA SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-SYMBICORT SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-ADVAIR SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-DUONEB SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-ALBUTEROL SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-COMBIVENTRESPIMAT	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-SPIRIVARESPIMAT	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-OHTUVAYRE	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-INCRUZ	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-BREYANA	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-AIRSUPRA	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-HYPERTONIC SALINE	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-XOPENEX 0.63/ATROVENT SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-XOPENEX 1.25/ATROVENT SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-STRIVERDI RESPIMAT	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-TUDORZA	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-BEVESPI	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-RACEMIC EPINEPHRINE	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-BREZTRI	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-WIXELA	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-MUCOMYST	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-YUPELRI	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-BROVANA	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-TRELEGY	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-DULERA	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-STIALTO	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-SEEBRE	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-BREO	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-ANORO	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-SPIRIVA REPIMAT	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-ASMANEX SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-XOPENEX 0.63 SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-XOPENEX 1.25 SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-ATROVENT SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-PULMICORT SUB	$232.96	$448.00	$6.00–$358.40	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL	$290.68	$559.00	$6.00–$447.20	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL INITIAL	$290.68	$559.00	$6.00–$447.20	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 UPDRAFT INITIAL	$290.68	$559.00	$6.00–$447.20	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT INITIAL	$465.40	$895.00	$6.00–$716.00	—	48%
Chemotherapy IV infusion, first hour CPT 96413 OP CHEMO IV INFUSION 1 HOUR	$351.00	$675.00	$198.45–$650.00	39% above	48%
Chemotherapy IV infusion, first hour CPT 96413 RC CHEMO INFUSE ONLY INIT HR	$503.36	$968.00	$284.59–$774.40	100% above	48%
Chemotherapy IV infusion, first hour CPT 96413 ER HIGHLY COMP DRUG/BIOLOGIC AG INF INIT	$526.24	$1,012.00	$51.00–$809.60	109% above	48%
Chemotherapy IV infusion, first hour CPT 96413 MS IV INF CHEMO INITIAL	$526.24	$1,012.00	$297.53–$809.60	109% above	48%
Chemotherapy IV infusion, first hour inpatient CPT 96413 OP CHEMO IV INFUSION 1 HOUR	$351.00	$675.00	$198.45–$650.00	—	48%
Chemotherapy IV infusion, first hour inpatient CPT 96413 RC CHEMO INFUSE ONLY INIT HR	$503.36	$968.00	$284.59–$774.40	—	48%
Chemotherapy IV infusion, first hour inpatient CPT 96413 ER HIGHLY COMP DRUG/BIOLOGIC AG INF INIT	$526.24	$1,012.00	$51.00–$809.60	—	48%
Chemotherapy IV infusion, first hour inpatient CPT 96413 MS IV INF CHEMO INITIAL	$526.24	$1,012.00	$297.53–$809.60	—	48%
Critical care, first 30 to 74 minutes CPT 99291 MS PHY CRITICAL CARE 1ST HR	$291.72	$561.00	$210.38–$448.80	56% below	48%
Critical care, first 30 to 74 minutes CPT 99291 PC PHYSICIAN CRITICAL CARE 1 ST HOUR	$388.96	$748.00	$210.65–$598.40	41% below	48%
Critical care, first 30 to 74 minutes CPT 99291 HOSPITALIST CRITICAL CARE 1ST HOUR	$1,040.00	$2,000.00	$210.65–$1,600.00	57% above	48%
Critical care, first 30 to 74 minutes CPT 99291 ER EMERGENCY RM CRITICAL CARE	$1,316.64	$2,532.00	$51.00–$2,025.60	98% above	48%
Critical care, first 30 to 74 minutes inpatient CPT 99291 MS PHY CRITICAL CARE 1ST HR	$291.72	$561.00	$210.38–$448.80	—	48%
Critical care, first 30 to 74 minutes inpatient CPT 99291 PC PHYSICIAN CRITICAL CARE 1 ST HOUR	$388.96	$748.00	$210.65–$598.40	—	48%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HOSPITALIST CRITICAL CARE 1ST HOUR	$1,040.00	$2,000.00	$210.65–$1,600.00	—	48%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER EMERGENCY RM CRITICAL CARE	$1,316.64	$2,532.00	$51.00–$2,025.60	—	48%
EEG (brain wave test), awake and drowsy, routine CPT 95816 NR EEG PROFEE	$82.68	$159.00	$25.00–$159.00	76% below	48%
EEG (brain wave test), awake and drowsy, routine CPT 95816 NR EEG	$344.24	$662.00	$25.00–$529.60	at median	48%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 NR EEG PROFEE	$82.68	$159.00	$25.00–$159.00	—	48%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 NR EEG	$344.24	$662.00	$25.00–$529.60	—	48%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING ONLY W/O INTER INITIAL	$123.76	$238.00	$10.98–$190.40	18% above	48%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG TRACING ONLY W/O INTER INITIAL	$123.76	$238.00	$10.98–$190.40	—	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PC MEDICAL ASSESSMENT	$21.32	$41.00	$11.61–$41.00	80% below	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PC PHYSICIAN/BRIEF	$21.32	$41.00	$11.61–$41.00	80% below	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER MEDICAL ASSESSMENT	$134.16	$258.00	$15.00–$258.00	24% above	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER EMERGENCY ROOM I-BRIEF	$134.16	$258.00	$51.00–$258.00	24% above	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PC PHYSICIAN/BRIEF	$21.32	$41.00	$11.61–$41.00	—	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PC MEDICAL ASSESSMENT	$21.32	$41.00	$11.61–$41.00	—	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER MEDICAL ASSESSMENT	$134.16	$258.00	$15.00–$258.00	—	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER EMERGENCY ROOM I-BRIEF	$134.16	$258.00	$51.00–$258.00	—	48%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PC PHYSICIAN/LIMITED	$78.52	$151.00	$42.63–$151.00	49% below	48%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER EMERGENCY ROOM II-LIMITED	$244.92	$471.00	$51.00–$471.00	60% above	48%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PC PHYSICIAN/LIMITED	$78.52	$151.00	$42.63–$151.00	—	48%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER EMERGENCY ROOM II-LIMITED	$244.92	$471.00	$51.00–$471.00	—	48%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PC PHYSICIAN INTERMEDIATE	$135.20	$260.00	$73.17–$260.00	51% below	48%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER EMERGENCY ROOM III-INTERM	$435.24	$837.00	$51.00–$669.60	58% above	48%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PC PHYSICIAN INTERMEDIATE	$135.20	$260.00	$73.17–$260.00	—	48%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER EMERGENCY ROOM III-INTERM	$435.24	$837.00	$51.00–$669.60	—	48%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PC PHYSICIAN/EXTENDED	$229.84	$442.00	$124.48–$442.00	49% below	48%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER EMERGENCY ROOM IV-EXTEND	$665.08	$1,279.00	$51.00–$1,023.20	48% above	48%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PC PHYSICIAN/EXTENDED	$229.84	$442.00	$124.48–$442.00	—	48%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER EMERGENCY ROOM IV-EXTEND	$665.08	$1,279.00	$51.00–$1,023.20	—	48%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PC PHY/COMPREHENSIVE	$333.84	$642.00	$180.90–$642.00	52% below	48%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER EMERGENCY ROOM V-COMPREH	$949.00	$1,825.00	$51.00–$1,460.00	36% above	48%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PC PHY/COMPREHENSIVE	$333.84	$642.00	$180.90–$642.00	—	48%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER EMERGENCY ROOM V-COMPREH	$949.00	$1,825.00	$51.00–$1,460.00	—	48%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST EXER TRACE WO INT	$621.92	$1,196.00	$44.87–$956.80	62% above	48%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST EXER TRACE WO INT	$621.92	$1,196.00	$44.87–$956.80	—	48%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP HYDRATION FIRST 31MIN-1HR	$226.20	$435.00	$107.81–$435.00	27% above	48%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER HYDRATION FIRST 31 MIN-1 HR	$339.04	$652.00	$51.00–$521.60	90% above	48%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OBS HYDRATION FIRST 31MIN-1HR	$339.04	$652.00	$107.81–$521.60	90% above	48%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OP HYDRATION FIRST 31MIN-1HR	$226.20	$435.00	$107.81–$435.00	—	48%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OBS HYDRATION FIRST 31MIN-1HR	$339.04	$652.00	$107.81–$521.60	—	48%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER HYDRATION FIRST 31 MIN-1 HR	$339.04	$652.00	$51.00–$521.60	—	48%
IV infusion of a medicine, first hour CPT 96365 OP INFUSION INITIAL HOUR	$226.20	$435.00	$90.58–$435.00	22% above	48%
IV infusion of a medicine, first hour CPT 96365 OBS INFUSION INITIAL HOUR	$339.04	$652.00	$90.58–$521.60	83% above	48%
IV infusion of a medicine, first hour CPT 96365 ER INFUSION 1ST HOUR	$339.04	$652.00	$90.58–$521.60	83% above	48%
IV infusion of a medicine, first hour inpatient CPT 96365 OP INFUSION INITIAL HOUR	$226.20	$435.00	$90.58–$435.00	—	48%
IV infusion of a medicine, first hour inpatient CPT 96365 OBS INFUSION INITIAL HOUR	$339.04	$652.00	$90.58–$521.60	—	48%
IV infusion of a medicine, first hour inpatient CPT 96365 ER INFUSION 1ST HOUR	$339.04	$652.00	$90.58–$521.60	—	48%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJ IM OR SQ	$76.44	$147.00	$43.22–$147.00	at median	48%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBS INJ IM OR SQ	$114.92	$221.00	$49.37–$221.00	50% above	48%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJ IM OR SQ	$114.92	$221.00	$49.37–$176.80	50% above	48%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OP INJ IM OR SQ	$76.44	$147.00	$43.22–$147.00	—	48%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OBS INJ IM OR SQ	$114.92	$221.00	$49.37–$221.00	—	48%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER INJ IM OR SQ	$114.92	$221.00	$49.37–$176.80	—	48%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NR NCV NERVE CONDUCTION 7-8 STUDIES PF	$155.48	$299.00	$71.51–$265.84	28% below	48%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NR NCV NERVE CONDUCT 7-8 STUDIES BIL PF	$206.96	$398.00	$71.51–$318.40	4% below	48%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NR NCV NERVE CONDUCTION 7-8 STUDIES	$594.88	$1,144.00	$71.51–$915.20	176% above	48%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NR NCV NERVE CONDUCTION 7-8 STUDIES PF	$155.48	$299.00	$71.51–$265.84	—	48%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NR NCV NERVE CONDUCT 7-8 STUDIES BIL PF	$206.96	$398.00	$71.51–$318.40	—	48%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NR NCV NERVE CONDUCTION 7-8 STUDIES	$594.88	$1,144.00	$71.51–$915.20	—	48%
New patient office visit, about 30 minutes CPT 99203 NR NEW PT VISIT LEVEL 3 PROFEE	$104.52	$201.00	$73.58–$160.80	30% above	48%
New patient office visit, about 30 minutes CPT 99203 RC NEW PT VISIT LEVEL 3 PRO FEE	$114.92	$221.00	$73.58–$176.80	43% above	48%
New patient office visit, about 30 minutes CPT 99203 PC OFFICE VISIT NEW LEVEL 3	$115.96	$223.00	$73.58–$178.40	44% above	48%
New patient office visit, about 30 minutes CPT 99203 RC NEW PT VISIT LEVEL 3	$188.24	$362.00	$12.80–$289.60	134% above	48%
New patient office visit, about 30 minutes CPT 99203 NR NEW PT LEVEL 3	$193.96	$373.00	$12.80–$298.40	141% above	48%
New patient office visit, about 30 minutes CPT 99203 WC NEW PT VISIT LEVEL 3	$193.96	$373.00	$12.80–$298.40	141% above	48%
New patient office visit, about 30 minutes inpatient CPT 99203 NR NEW PT VISIT LEVEL 3 PROFEE	$104.52	$201.00	$73.58–$160.80	—	48%
New patient office visit, about 30 minutes inpatient CPT 99203 RC NEW PT VISIT LEVEL 3 PRO FEE	$114.92	$221.00	$73.58–$176.80	—	48%
New patient office visit, about 30 minutes inpatient CPT 99203 PC OFFICE VISIT NEW LEVEL 3	$115.96	$223.00	$73.58–$178.40	—	48%
New patient office visit, about 30 minutes inpatient CPT 99203 RC NEW PT VISIT LEVEL 3	$188.24	$362.00	$12.80–$289.60	—	48%
New patient office visit, about 30 minutes inpatient CPT 99203 NR NEW PT LEVEL 3	$193.96	$373.00	$12.80–$298.40	—	48%
New patient office visit, about 30 minutes inpatient CPT 99203 WC NEW PT VISIT LEVEL 3	$193.96	$373.00	$12.80–$298.40	—	48%
New patient office visit, about 45 minutes CPT 99204 NR NEW PT VISIT LEVEL 4 PROFEE	$171.60	$330.00	$123.75–$264.00	68% above	48%
New patient office visit, about 45 minutes CPT 99204 RC NEW PT VISIT LEVEL 4 PRO FEE	$187.20	$360.00	$123.87–$288.00	84% above	48%
New patient office visit, about 45 minutes CPT 99204 PC OFFICE VISIT NEW 45-59 MIN	$188.76	$363.00	$123.87–$290.40	85% above	48%
New patient office visit, about 45 minutes CPT 99204 RC NEW PT VISIT LEVEL 4	$229.32	$441.00	$12.80–$352.80	125% above	48%
New patient office visit, about 45 minutes CPT 99204 WC NEW PT VISIT LEVEL 4	$236.60	$455.00	$12.80–$364.00	132% above	48%
New patient office visit, about 45 minutes CPT 99204 NR NEW PT LEVEL 4	$236.60	$455.00	$12.80–$364.00	132% above	48%
New patient office visit, about 45 minutes inpatient CPT 99204 NR NEW PT VISIT LEVEL 4 PROFEE	$171.60	$330.00	$123.75–$264.00	—	48%
New patient office visit, about 45 minutes inpatient CPT 99204 RC NEW PT VISIT LEVEL 4 PRO FEE	$187.20	$360.00	$123.87–$288.00	—	48%
New patient office visit, about 45 minutes inpatient CPT 99204 PC OFFICE VISIT NEW 45-59 MIN	$188.76	$363.00	$123.87–$290.40	—	48%
New patient office visit, about 45 minutes inpatient CPT 99204 RC NEW PT VISIT LEVEL 4	$229.32	$441.00	$12.80–$352.80	—	48%
New patient office visit, about 45 minutes inpatient CPT 99204 WC NEW PT VISIT LEVEL 4	$236.60	$455.00	$12.80–$364.00	—	48%
New patient office visit, about 45 minutes inpatient CPT 99204 NR NEW PT LEVEL 4	$236.60	$455.00	$12.80–$364.00	—	48%
New patient office visit, about 60 minutes CPT 99205 NR NEW PT LEVEL 5 PROFEE	$234.00	$450.00	$12.00–$360.00	22% above	48%
New patient office visit, about 60 minutes CPT 99205 RC NEW PT VISIT LEVEL 5 PRO FEE	$254.28	$489.00	$12.00–$391.20	33% above	48%
New patient office visit, about 60 minutes CPT 99205 RC NEW PT VISIT LEVEL 5	$270.40	$520.00	$12.00–$416.00	41% above	48%
New patient office visit, about 60 minutes CPT 99205 NR NEW PT LEVEL 5	$278.20	$535.00	$12.00–$428.00	45% above	48%
New patient office visit, about 60 minutes CPT 99205 WC NEW PT VISIT LEVEL 5	$278.20	$535.00	$12.00–$428.00	45% above	48%
New patient office visit, about 60 minutes inpatient CPT 99205 NR NEW PT LEVEL 5 PROFEE	$234.00	$450.00	$12.00–$360.00	—	48%
New patient office visit, about 60 minutes inpatient CPT 99205 RC NEW PT VISIT LEVEL 5 PRO FEE	$254.28	$489.00	$12.00–$391.20	—	48%
New patient office visit, about 60 minutes inpatient CPT 99205 RC NEW PT VISIT LEVEL 5	$270.40	$520.00	$12.00–$416.00	—	48%
New patient office visit, about 60 minutes inpatient CPT 99205 WC NEW PT VISIT LEVEL 5	$278.20	$535.00	$12.00–$428.00	—	48%
New patient office visit, about 60 minutes inpatient CPT 99205 NR NEW PT LEVEL 5	$278.20	$535.00	$12.00–$428.00	—	48%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PUBLIC HEALTH INITIAL VISIT	$53.56	$103.00	$38.62–$82.40	10% below	48%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NR NEW PT VISIT LEVEL 2 PROFEE	$60.84	$117.00	$43.81–$93.60	2% above	48%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PC OFFICE NEW 15-29MIN	$67.08	$129.00	$43.81–$103.20	13% above	48%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NR NEW PT LEVEL 2	$153.40	$295.00	$12.80–$236.00	157% above	48%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC NEW PT VISIT LEVEL 2	$153.40	$295.00	$12.80–$236.00	157% above	48%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PUBLIC HEALTH INITIAL VISIT	$53.56	$103.00	$38.62–$82.40	—	48%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NR NEW PT VISIT LEVEL 2 PROFEE	$60.84	$117.00	$43.81–$93.60	—	48%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PC OFFICE NEW 15-29MIN	$67.08	$129.00	$43.81–$103.20	—	48%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WC NEW PT VISIT LEVEL 2	$153.40	$295.00	$12.80–$236.00	—	48%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NR NEW PT LEVEL 2	$153.40	$295.00	$12.80–$236.00	—	48%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITIONAL ASSESSMENT	$46.80	$90.00	$26.46–$72.00	19% above	48%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUT TX INITIAL, IND W/PT EA 15 MIN	$52.00	$100.00	$29.40–$80.00	32% above	48%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITIONAL ASSESSMENT	$46.80	$90.00	$26.46–$72.00	—	48%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUT TX INITIAL, IND W/PT EA 15 MIN	$52.00	$100.00	$29.40–$80.00	—	48%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBACCO COUNSELING 3-10 MINUTES	$47.32	$91.00	$26.75–$72.80	32% above	48%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO EDUCATION	$61.88	$119.00	$28.17–$95.20	73% above	48%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBACCO COUNSELING 3-10 MINUTES	$47.32	$91.00	$26.75–$72.80	—	48%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO EDUCATION	$61.88	$119.00	$28.17–$95.20	—	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 NR EST PT VISIT LEVEL 5 PROFEE	$185.12	$356.00	$133.50–$284.80	44% above	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RC OFFICE OP ESTAB VISIT LEVEL 5 PRO FEE	$202.28	$389.00	$133.72–$311.20	57% above	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RC EST PT VISIT LEVEL 5	$270.40	$520.00	$12.80–$416.00	110% above	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC EST PT VISIT LEVEL 5	$278.20	$535.00	$12.80–$428.00	116% above	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 NR EST PT LEVEL 5	$278.20	$535.00	$12.80–$428.00	116% above	48%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 NR EST PT VISIT LEVEL 5 PROFEE	$185.12	$356.00	$133.50–$284.80	—	48%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 RC OFFICE OP ESTAB VISIT LEVEL 5 PRO FEE	$202.28	$389.00	$133.72–$311.20	—	48%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 RC EST PT VISIT LEVEL 5	$270.40	$520.00	$12.80–$416.00	—	48%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WC EST PT VISIT LEVEL 5	$278.20	$535.00	$12.80–$428.00	—	48%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 NR EST PT LEVEL 5	$278.20	$535.00	$12.80–$428.00	—	48%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 NR EST PT VISIT LEVEL 3 PROFEE	$84.76	$163.00	$61.12–$130.40	1% above	48%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RC OFFICE OP ESTAB VISIT LEVEL 3 PRO FEE	$93.08	$179.00	$61.36–$143.20	10% above	48%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PC OFFICE OP EST LOW 20-29MIN	$93.60	$180.00	$61.36–$144.00	11% above	48%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OR LEVEL 3	$139.36	$268.00	$74.12–$214.40	65% above	48%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RC EST PT VISIT LEVEL 3	$188.24	$362.00	$12.80–$289.60	123% above	48%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC EST PT VISIT LEVEL 3	$193.96	$373.00	$12.80–$298.40	130% above	48%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 NR EST PT LEVEL 3	$193.96	$373.00	$12.80–$298.40	130% above	48%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 NR EST PT VISIT LEVEL 3 PROFEE	$84.76	$163.00	$61.12–$130.40	—	48%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RC OFFICE OP ESTAB VISIT LEVEL 3 PRO FEE	$93.08	$179.00	$61.36–$143.20	—	48%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PC OFFICE OP EST LOW 20-29MIN	$93.60	$180.00	$61.36–$144.00	—	48%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OR LEVEL 3	$139.36	$268.00	$74.12–$214.40	—	48%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RC EST PT VISIT LEVEL 3	$188.24	$362.00	$12.80–$289.60	—	48%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WC EST PT VISIT LEVEL 3	$193.96	$373.00	$12.80–$298.40	—	48%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 NR EST PT LEVEL 3	$193.96	$373.00	$12.80–$298.40	—	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 NR EST PT LEVEL 4 PROFEE	$124.80	$240.00	$90.00–$192.00	28% above	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RC OFFICE OP ESTAB VISIT LEVEL 4 PRO FEE	$136.76	$263.00	$90.18–$210.40	40% above	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PC EST PT OFFICE	$140.92	$271.00	$90.18–$216.80	45% above	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RC EST PT VISIT LEVEL 4	$229.32	$441.00	$12.80–$352.80	135% above	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC EST PT VISIT LEVEL 4	$236.60	$455.00	$12.80–$364.00	143% above	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 NR EST PT LEVEL 4	$236.60	$455.00	$12.80–$364.00	143% above	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 NR EST PT LEVEL 4 PROFEE	$124.80	$240.00	$90.00–$192.00	—	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RC OFFICE OP ESTAB VISIT LEVEL 4 PRO FEE	$136.76	$263.00	$90.18–$210.40	—	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PC EST PT OFFICE	$140.92	$271.00	$90.18–$216.80	—	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RC EST PT VISIT LEVEL 4	$229.32	$441.00	$12.80–$352.80	—	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 NR EST PT LEVEL 4	$236.60	$455.00	$12.80–$364.00	—	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WC EST PT VISIT LEVEL 4	$236.60	$455.00	$12.80–$364.00	—	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PUBLIC HEALTH FOLLOW-UP VISIT	$32.76	$63.00	$23.62–$50.40	48% below	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP LEVEL 2 WORKERS COMP PROFEE	$40.04	$77.00	$28.88–$61.60	36% below	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 NR EST PT LEVEL 2 PROFEE	$45.76	$88.00	$33.00–$70.40	27% below	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP LEVEL 2	$137.80	$265.00	$44.45–$212.00	119% above	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OR LEVEL 2	$139.36	$268.00	$44.45–$214.40	122% above	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 NR EST PT LEVEL 2	$153.40	$295.00	$12.80–$236.00	144% above	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WC EST PT VISIT LEVEL 2	$153.40	$295.00	$12.80–$236.00	144% above	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PUBLIC HEALTH FOLLOW-UP VISIT	$32.76	$63.00	$23.62–$50.40	—	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP LEVEL 2 WORKERS COMP PROFEE	$40.04	$77.00	$28.88–$61.60	—	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 NR EST PT LEVEL 2 PROFEE	$45.76	$88.00	$33.00–$70.40	—	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP LEVEL 2	$137.80	$265.00	$44.45–$212.00	—	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OR LEVEL 2	$139.36	$268.00	$44.45–$214.40	—	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 NR EST PT LEVEL 2	$153.40	$295.00	$12.80–$236.00	—	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WC EST PT VISIT LEVEL 2	$153.40	$295.00	$12.80–$236.00	—	48%
Spirometry (breathing test) CPT 94010 SPIROMETRY INCL GRAPHIC REC	$460.20	$885.00	$24.00–$708.00	126% above	48%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY INCL GRAPHIC REC	$460.20	$885.00	$24.00–$708.00	—	48%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL SPIROMETRY	$793.00	$1,525.00	$39.00–$1,220.00	193% above	48%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL SPIROMETRY	$793.00	$1,525.00	$39.00–$1,220.00	—	48%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY- THERAPEUTIC	$343.72	$661.00	$60.00–$528.80	155% above	48%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY- THERAPEUTIC	$343.72	$661.00	$60.00–$528.80	—	48%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B(RECOMBIVAX)VACCINE	$115.44	$222.00	$21.00–$503.94	4% above	48%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B(ENGERIX-B)20MCG/ML VACCINE	$124.90	$240.20	$70.62–$192.16	13% above	48%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B(RECOMBIVAX)VACCINE	$115.44	$222.00	$21.00–$503.94	—	48%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B(ENGERIX-B)20MCG/ML VACCINE	$124.90	$240.20	$70.62–$192.16	—	48%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMONIA(PREVNAR-20)VACCINE	$490.07	$942.45	$277.09–$753.96	47% below	48%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMONIA(PREVNAR-20)VACCINE	$490.07	$942.45	$277.09–$753.96	—	48%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL(PNEUMOVAX23)VACCINE	$197.08	$379.00	$111.43–$309.04	25% above	48%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL(PNEUMOVAX23)VACCINE	$197.08	$379.00	$111.43–$309.04	—	48%
Rabies vaccine, one dose CPT 90675 RABIES(RABAVERT)VACCINE	$745.06	$1,432.80	$262.98–$1,146.24	21% below	48%
Rabies vaccine, one dose inpatient CPT 90675 RABIES(RABAVERT)VACCINE	$745.06	$1,432.80	$262.98–$1,146.24	—	48%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHERIA(TD)VACCINE	$34.19	$65.75	$19.34–$52.60	43% below	48%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTHERIA(TD)VACCINE	$34.19	$65.75	$19.34–$52.60	—	48%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPHT/PERTUSSIS(ADACEL)VACCINE	$97.42	$187.35	$37.44–$149.88	at median	48%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPHT/PERTUSSIS(ADACEL)VACCINE	$97.42	$187.35	$37.44–$149.88	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OP IMMUNIZATION ADMINISTRATION	$76.44	$147.00	$29.83–$117.60	218% above	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER IMMUNIZATION ADMINISTRATION	$114.92	$221.00	$29.83–$176.80	378% above	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBS IMMUNIZATION	$114.92	$221.00	$29.83–$176.80	378% above	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MS IMMUNIZATION	$114.92	$221.00	$29.83–$176.80	378% above	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OP IMMUNIZATION ADMINISTRATION	$76.44	$147.00	$29.83–$117.60	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MS IMMUNIZATION	$114.92	$221.00	$29.83–$176.80	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OBS IMMUNIZATION	$114.92	$221.00	$29.83–$176.80	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ER IMMUNIZATION ADMINISTRATION	$114.92	$221.00	$29.83–$176.80	—	48%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OP IMMUNIZATION ADMINI EA ADD'L COMPONEN	$40.56	$78.00	$22.93–$62.40	175% above	48%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER IMMUNIZATION ADM EA ADD'L VACCINE	$41.08	$79.00	$23.23–$118.09	179% above	48%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OP IMMUNIZATION ADMINI EA ADD'L COMPONEN	$40.56	$78.00	$22.93–$62.40	—	48%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ER IMMUNIZATION ADM EA ADD'L VACCINE	$41.08	$79.00	$23.23–$118.09	—	48%

Source file: https://ozarkhealth.net/sites/default/files/pdf/710407683_ozark-health-inc_standardcharges.csv