University of Louisville Hospital
Listed in its price file as “University Medical Center, Inc.”.
University of Louisville Hospital in Louisville, KY publishes cash prices for 219 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 Kentucky median for 211 of 218 procedures and above it for 5. By typical cash price it ranks #2 of 59 Kentucky hospitals and #2 of 12 hospitals in the Louisville, KY area, cheapest first. Click a procedure to compare it with other hospitals nearby.
530 S Jackson St, Louisville, KY 40202 Collected Sep 27, 2026 Source price file (502) 562-3000
Acute care hospital Emergency department CMS star rating 1 of 5 CCN 180141 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US UPR L XTREMITY ART 2 LVLS | $165.36 | $689.00 | $115.75–$689.00 | 68% below | 76% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US UPR L XTREMITY ART 2 LVLS | $165.36 | $689.00 | $190.30–$689.00 | — | 76% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 CR ESOPHAGRAM | $218.88 | $912.00 | $153.22–$912.00 | 48% below | 76% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CR ESOPHAGRAM | $218.88 | $912.00 | $251.89–$912.00 | — | 76% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAG WHOLE BODY | $951.36 | $3,964.00 | $665.95–$3,964.00 | 41% below | 76% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE IMAG WHOLE BODY | $951.36 | $3,964.00 | $1,094.86–$3,964.00 | — | 76% |
| Breast ultrasound, complete, one breast CPT 76641 US EXAM BREAST W/DOPPLER | $215.52 | $898.00 | $150.86–$898.00 | 45% below | 76% |
| Breast ultrasound, complete, one breast CPT 76641 US EXAM BREAST | $215.52 | $898.00 | $150.86–$898.00 | 45% below | 76% |
| Breast ultrasound, complete, one breast one side CPT 76641 USN BREAST UNILAT COMPLET | $215.52 | $898.00 | $150.86–$898.00 | 45% below | 76% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US EXAM BREAST | $215.52 | $898.00 | $248.03–$898.00 | — | 76% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US EXAM BREAST W/DOPPLER | $215.52 | $898.00 | $248.03–$898.00 | — | 76% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 USN BREAST UNILAT COMPLET | $215.52 | $898.00 | $248.03–$898.00 | — | 76% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 USN BREAST UNILAT LIMITED | $162.24 | $676.00 | $113.57–$676.00 | 50% below | 76% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 USN BREAST UNILAT LIMITED | $162.24 | $676.00 | $186.71–$676.00 | — | 76% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $849.12 | $3,538.00 | $594.38–$3,538.00 | 43% below | 76% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST | $849.12 | $3,538.00 | $977.20–$3,538.00 | — | 76% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART CORONARY 3D | $1,323.59 | $5,514.94 | $926.51–$5,514.94 | at median | 76% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HEART CORONARY 3D | $1,323.59 | $5,514.94 | $1,523.23–$5,514.94 | — | 76% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CONT CAL SCORE | $23.76 | $99.00 | $16.63–$99.00 | 78% below | 76% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CAL SCORING | $137.52 | $573.00 | $96.26–$573.00 | 26% above | 76% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WO CONT CAL SCORE | $23.76 | $99.00 | $27.34–$99.00 | — | 76% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART W/O CAL SCORING | $137.52 | $573.00 | $158.26–$573.00 | — | 76% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WO CONT | $901.92 | $3,758.00 | $631.34–$3,758.00 | 56% below | 76% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WO CONT | $901.92 | $3,758.00 | $1,037.96–$3,758.00 | — | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W CONT | $1,056.24 | $4,401.00 | $739.37–$4,401.00 | 57% below | 76% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS W CONT | $1,056.24 | $4,401.00 | $1,215.56–$4,401.00 | — | 76% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS WWO CONTRAST | $1,293.60 | $5,390.00 | $905.52–$5,390.00 | 53% below | 76% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD AND PELVIS WWO CONTRAST | $1,293.60 | $5,390.00 | $1,488.72–$5,390.00 | — | 76% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD WITH CONTRAST | $521.76 | $2,174.00 | $365.23–$2,174.00 | 60% below | 76% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD WITH CONTRAST | $521.76 | $2,174.00 | $600.46–$2,174.00 | — | 76% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD WITHOUT CONTRAST | $452.16 | $1,884.00 | $316.51–$1,884.00 | 63% below | 76% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WITHOUT CONTRAST | $452.16 | $1,884.00 | $520.36–$1,884.00 | — | 76% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO | $452.16 | $1,884.00 | $316.51–$1,884.00 | 61% below | 76% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO | $452.16 | $1,884.00 | $520.36–$1,884.00 | — | 76% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $423.36 | $1,764.00 | $296.35–$1,764.00 | 63% below | 76% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $423.36 | $1,764.00 | $487.22–$1,764.00 | — | 76% |
| CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST | $487.20 | $2,030.00 | $341.04–$2,030.00 | 63% below | 76% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST | $487.20 | $2,030.00 | $560.69–$2,030.00 | — | 76% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WWO CONTRAST | $613.44 | $2,556.00 | $429.41–$2,556.00 | 59% below | 76% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WWO CONTRAST | $613.44 | $2,556.00 | $705.97–$2,556.00 | — | 76% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CONT | $488.64 | $2,036.00 | $342.05–$2,036.00 | 65% below | 76% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CONT | $488.64 | $2,036.00 | $562.34–$2,036.00 | — | 76% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE WO CONT | $521.76 | $2,174.00 | $365.23–$2,174.00 | 62% below | 76% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE WO CONT | $521.76 | $2,174.00 | $600.46–$2,174.00 | — | 76% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $625.44 | $2,606.00 | $437.81–$2,606.00 | 54% below | 76% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $625.44 | $2,606.00 | $719.78–$2,606.00 | — | 76% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US EXTRACRANIAL STD COMP | $595.68 | $2,482.00 | $416.98–$2,482.00 | 41% below | 76% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US EXTRACRANIAL STD COMP | $595.68 | $2,482.00 | $685.53–$2,482.00 | — | 76% |
| Chest X-ray, 2 views CPT 71046 CHEST PA INSPR XPRTN | $108.96 | $454.00 | $76.27–$454.00 | 57% below | 76% |
| Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS W FLUORO | $121.20 | $505.00 | $84.84–$505.00 | 52% below | 76% |
| Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS 2 | $136.56 | $569.00 | $95.59–$569.00 | 46% below | 76% |
| Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS | $136.56 | $569.00 | $95.59–$569.00 | 46% below | 76% |
| Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS W OBLIQUE | $252.72 | $1,053.00 | $176.90–$1,053.00 | at median | 76% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST PA INSPR XPRTN | $108.96 | $454.00 | $125.39–$454.00 | — | 76% |
| Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS W FLUORO | $121.20 | $505.00 | $139.48–$505.00 | — | 76% |
| Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS 2 | $136.56 | $569.00 | $157.16–$569.00 | — | 76% |
| Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS | $136.56 | $569.00 | $157.16–$569.00 | — | 76% |
| Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS W OBLIQUE | $252.72 | $1,053.00 | $290.84–$1,053.00 | — | 76% |
| Chest X-ray, single view CPT 71045 CR CHEST SINGLE VIEW | $99.60 | $415.00 | $69.72–$415.00 | 47% below | 76% |
| Chest X-ray, single view CPT 71045 CR CHEST DECUBITUS | $99.60 | $415.00 | $69.72–$415.00 | 47% below | 76% |
| Chest X-ray, single view CPT 71045 CR CHEST SINGLE VIEW PORTABLE | $99.60 | $415.00 | $69.72–$415.00 | 47% below | 76% |
| Chest X-ray, single view inpatient CPT 71045 CR CHEST SINGLE VIEW PORTABLE | $99.60 | $415.00 | $114.62–$415.00 | — | 76% |
| Chest X-ray, single view inpatient CPT 71045 CR CHEST SINGLE VIEW | $99.60 | $415.00 | $114.62–$415.00 | — | 76% |
| Chest X-ray, single view inpatient CPT 71045 CR CHEST DECUBITUS | $99.60 | $415.00 | $114.62–$415.00 | — | 76% |
| Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 XA KIDNEY SONOGRAM - BILAT | $297.36 | $1,239.00 | $208.15–$1,239.00 | — | 76% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $297.36 | $1,239.00 | $208.15–$1,239.00 | 58% below | 76% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABDOMEN RETROPERITONEAL | $297.36 | $1,239.00 | $208.15–$1,239.00 | 58% below | 76% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 XA KIDNEY SONOGRAM - BILAT | $297.36 | $1,239.00 | $342.21–$1,239.00 | — | 76% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US ABDOMEN RETROPERITONEAL | $297.36 | $1,239.00 | $342.21–$1,239.00 | — | 76% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE | $297.36 | $1,239.00 | $342.21–$1,239.00 | — | 76% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 CR DEXA BONE DENS 1 SITE | $155.76 | $649.00 | $109.03–$649.00 | 54% below | 76% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 CR DEXA BONE DENS 1 SITE | $155.76 | $649.00 | $179.25–$649.00 | — | 76% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DNES PERIPHERAL | $97.20 | $405.00 | $68.04–$405.00 | 63% below | 76% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CR DEXA BONE DENS PERIPHERAL | $97.20 | $405.00 | $68.04–$405.00 | 63% below | 76% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 CR DEXA BONE DENS PERIPHERAL | $97.20 | $405.00 | $111.86–$405.00 | — | 76% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DNES PERIPHERAL | $97.20 | $405.00 | $111.86–$405.00 | — | 76% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREGNANCY SINGLE FIRST GEST | $216.24 | $901.00 | $151.37–$901.00 | 58% below | 76% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREGNANCY SINGLE FIRST GEST | $216.24 | $901.00 | $248.86–$901.00 | — | 76% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WITHOUT CONTRAST | $705.60 | $2,940.00 | $493.92–$2,940.00 | 35% below | 76% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WITHOUT CONTRAST | $705.60 | $2,940.00 | $812.03–$2,940.00 | — | 76% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH CONTRAST | $677.28 | $2,822.00 | $474.10–$2,822.00 | 49% below | 76% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST AORTIC PROTOCAL W/CONT | $677.28 | $2,822.00 | $474.10–$2,822.00 | 49% below | 76% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX WITH CONTRAST | $677.28 | $2,822.00 | $779.44–$2,822.00 | — | 76% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST AORTIC PROTOCAL W/CONT | $677.28 | $2,822.00 | $779.44–$2,822.00 | — | 76% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMM W CAD BILAT | $99.12 | $413.00 | $69.38–$413.00 | — | 76% |
| Diagnostic mammogram, both breasts CPT 77066 MAMM DIAG DIGIT BILATER | $99.12 | $413.00 | $69.38–$413.00 | 67% below | 76% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMM W CAD BILAT | $99.12 | $413.00 | $114.07–$413.00 | — | 76% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMM DIAG DIGIT BILATER | $99.12 | $413.00 | $114.07–$413.00 | — | 76% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US LWR EXTREMITY STDY COMPLETE | $791.04 | $3,296.00 | $553.73–$3,296.00 | 31% below | 76% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US LWR EXTREMITY STDY COMPLETE | $791.04 | $3,296.00 | $910.36–$3,296.00 | — | 76% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX SCAN EXT VEINS BI | $466.08 | $1,942.00 | $326.26–$1,942.00 | — | 76% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CR BI LOWER VENOUS W DOPPLER | $466.08 | $1,942.00 | $326.26–$1,942.00 | — | 76% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX SCAN EXT VEINS BI | $466.08 | $1,942.00 | $536.38–$1,942.00 | — | 76% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 CR BI LOWER VENOUS W DOPPLER | $466.08 | $1,942.00 | $536.38–$1,942.00 | — | 76% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W DOPPLER COMPLETE | $705.84 | $2,941.00 | $494.09–$2,941.00 | 59% below | 76% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W DOPPLER COMPLETE | $705.84 | $2,941.00 | $812.30–$2,941.00 | — | 76% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATO SYS IMG | $557.04 | $2,321.00 | $389.93–$2,321.00 | 53% below | 76% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATO SYS IMG | $557.04 | $2,321.00 | $641.06–$2,321.00 | — | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE LOWER TORSO | $280.08 | $1,167.00 | $196.06–$1,167.00 | 53% below | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ER USN BEDSIDE ABDOMEN LIMITED | $280.08 | $1,167.00 | $196.06–$1,167.00 | 53% below | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $280.08 | $1,167.00 | $196.06–$1,167.00 | 53% below | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 XA ABDWALL QUADRANT US | $280.08 | $1,167.00 | $196.06–$1,167.00 | 53% below | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ER USN BEDSIDE ABDOMEN LIMITED | $280.08 | $1,167.00 | $322.33–$1,167.00 | — | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 XA ABDWALL QUADRANT US | $280.08 | $1,167.00 | $322.33–$1,167.00 | — | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE LOWER TORSO | $280.08 | $1,167.00 | $322.33–$1,167.00 | — | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $280.08 | $1,167.00 | $322.33–$1,167.00 | — | 76% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CT SCREENING | $281.76 | $1,174.00 | $197.23–$1,174.00 | 48% below | 76% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG CT SCREENING | $281.76 | $1,174.00 | $324.26–$1,174.00 | — | 76% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MR BREAST W WO CAD BIL | $249.36 | $1,039.00 | $174.55–$1,039.00 | 51% below | 76% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MR BREAST W WO CAD BIL | $249.36 | $1,039.00 | $286.97–$1,039.00 | — | 76% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CONTRAST | $884.40 | $3,685.00 | $619.08–$3,685.00 | 46% below | 76% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CONTRAST | $884.40 | $3,685.00 | $1,017.80–$3,685.00 | — | 76% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WWO CONTRAST | $1,473.84 | $6,141.00 | $1,031.69–$6,141.00 | 35% below | 76% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WWO CONTRAST | $1,473.84 | $6,141.00 | $1,696.14–$6,141.00 | — | 76% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $1,079.28 | $4,497.00 | $755.50–$4,497.00 | 34% below | 76% |
| MRI of the brain, no contrast dye CPT 70551 XA PTA AORTA | $1,079.28 | $4,497.00 | $755.50–$4,497.00 | 34% below | 76% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $1,079.28 | $4,497.00 | $1,242.07–$4,497.00 | — | 76% |
| MRI of the brain, no contrast dye inpatient CPT 70551 XA PTA AORTA | $1,079.28 | $4,497.00 | $1,242.07–$4,497.00 | — | 76% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CONTRAST | $1,228.32 | $5,118.00 | $859.82–$5,118.00 | 43% below | 76% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/WO PERFUSION | $1,228.32 | $5,118.00 | $859.82–$5,118.00 | 43% below | 76% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO STRYKER VARIAN | $1,228.32 | $5,118.00 | $859.82–$5,118.00 | 43% below | 76% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO STRYKER VARIAN | $1,228.32 | $5,118.00 | $1,413.59–$5,118.00 | — | 76% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/WO PERFUSION | $1,228.32 | $5,118.00 | $1,413.59–$5,118.00 | — | 76% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO CONTRAST | $1,228.32 | $5,118.00 | $1,413.59–$5,118.00 | — | 76% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CONTRAST | $1,228.32 | $5,118.00 | $859.82–$5,118.00 | 24% below | 76% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO CONTRAST | $1,228.32 | $5,118.00 | $1,413.59–$5,118.00 | — | 76% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WWO CONT | $1,172.16 | $4,884.00 | $820.51–$4,884.00 | 48% below | 76% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE WWO CONT | $1,172.16 | $4,884.00 | $1,348.96–$4,884.00 | — | 76% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE WO CONT | $933.36 | $3,889.00 | $653.35–$3,889.00 | 47% below | 76% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI CHEST SPINE WO CONT | $933.36 | $3,889.00 | $1,074.14–$3,889.00 | — | 76% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE WWO CONT | $1,172.16 | $4,884.00 | $820.51–$4,884.00 | 49% below | 76% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI NECK SPINE WWO CONT | $1,172.16 | $4,884.00 | $1,348.96–$4,884.00 | — | 76% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL WO CONTRAST | $884.40 | $3,685.00 | $619.08–$3,685.00 | 44% below | 76% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL WO CONTRAST | $884.40 | $3,685.00 | $1,017.80–$3,685.00 | — | 76% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WWO CONTRAST | $1,473.84 | $6,141.00 | $1,031.69–$6,141.00 | 34% below | 76% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WWO CONTRAST | $1,473.84 | $6,141.00 | $1,696.14–$6,141.00 | — | 76% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE WO | $982.56 | $4,094.00 | $687.79–$4,094.00 | 42% below | 76% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST | $982.56 | $4,094.00 | $687.79–$4,094.00 | 42% below | 76% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE W/O | $1,473.96 | $6,141.48 | $1,031.77–$6,141.48 | 13% below | 76% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST | $982.56 | $4,094.00 | $1,130.76–$4,094.00 | — | 76% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE WO | $982.56 | $4,094.00 | $1,130.76–$4,094.00 | — | 76% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE W/O | $1,473.96 | $6,141.48 | $1,696.28–$6,141.48 | — | 76% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT WO CONT | $933.36 | $3,889.00 | $653.35–$3,889.00 | 42% below | 76% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT WO CONT | $933.36 | $3,889.00 | $1,074.14–$3,889.00 | — | 76% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC EXER/PHARMCO. | $1,366.32 | $5,693.00 | $956.42–$5,693.00 | 62% below | 76% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC TOMO SPECT MULIT | $1,616.43 | $6,735.12 | $1,131.50–$6,735.12 | 56% below | 76% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARDIAC EXER/PHARMCO. | $1,366.32 | $5,693.00 | $1,572.41–$5,693.00 | — | 76% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CARDIAC TOMO SPECT MULIT | $1,616.43 | $6,735.12 | $1,860.24–$6,735.12 | — | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US ED GYN TRANSABD NON PREG | $187.92 | $783.00 | $131.54–$783.00 | 53% below | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US LIM NON OB | $187.92 | $783.00 | $131.54–$783.00 | 53% below | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIM NON OB | $187.92 | $783.00 | $131.54–$783.00 | 53% below | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE BUTTOCK/PELVIS | $187.92 | $783.00 | $131.54–$783.00 | 53% below | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 NON OB USN LIMITED FOLLOWUP | $187.92 | $783.00 | $131.54–$783.00 | 53% below | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED | $187.92 | $783.00 | $131.54–$783.00 | 53% below | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US ED GYN TRANSABD NON PREG | $187.92 | $783.00 | $216.26–$783.00 | — | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIM NON OB | $187.92 | $783.00 | $216.26–$783.00 | — | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 NON OB USN LIMITED FOLLOWUP | $187.92 | $783.00 | $216.26–$783.00 | — | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE BUTTOCK/PELVIS | $187.92 | $783.00 | $216.26–$783.00 | — | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED | $187.92 | $783.00 | $216.26–$783.00 | — | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US LIM NON OB | $187.92 | $783.00 | $216.26–$783.00 | — | 76% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 GYN COMPLETE | $96.24 | $401.00 | $67.37–$401.00 | 85% below | 76% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 USN URINARY BLADDER | $316.08 | $1,317.00 | $221.26–$1,317.00 | 52% below | 76% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 USN PELVIC | $316.08 | $1,317.00 | $221.26–$1,317.00 | 52% below | 76% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $316.08 | $1,317.00 | $221.26–$1,317.00 | 52% below | 76% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 GYN COMPLETE | $96.24 | $401.00 | $110.76–$401.00 | — | 76% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 USN PELVIC | $316.08 | $1,317.00 | $363.76–$1,317.00 | — | 76% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 USN URINARY BLADDER | $316.08 | $1,317.00 | $363.76–$1,317.00 | — | 76% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE | $316.08 | $1,317.00 | $363.76–$1,317.00 | — | 76% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2ND TRIMESTER BASIC | $289.44 | $1,206.00 | $202.61–$1,206.00 | 33% below | 76% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2ND TRIMESTER BASIC | $289.44 | $1,206.00 | $333.10–$1,206.00 | — | 76% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB 1ST TRIMESTER BASIC | $257.28 | $1,072.00 | $180.10–$1,072.00 | 51% below | 76% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB 1ST TRIMESTER BASIC | $257.28 | $1,072.00 | $296.09–$1,072.00 | — | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ER USN BDSD OB ABDMN LIMITED | $192.00 | $800.00 | $134.40–$800.00 | 61% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS | $192.00 | $800.00 | $134.40–$800.00 | 61% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED FETUS(S) | $192.00 | $800.00 | $134.40–$800.00 | 61% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ER USN BDSD OB ABDMN LIMITED | $192.00 | $800.00 | $220.96–$800.00 | — | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS | $192.00 | $800.00 | $220.96–$800.00 | — | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED FETUS(S) | $192.00 | $800.00 | $220.96–$800.00 | — | 76% |
| Screening mammogram, both breasts both sides CPT 77067 SCREEN MAMM BILAT | $97.44 | $406.00 | $68.21–$406.00 | — | 76% |
| Screening mammogram, both breasts both sides CPT 77067 DIG MAM SCREEN BILAT MOBILE | $97.44 | $406.00 | $68.21–$406.00 | — | 76% |
| Screening mammogram, both breasts CPT 77067 MAMM SCREEN DIGITAL | $97.44 | $406.00 | $68.21–$406.00 | 45% below | 76% |
| Screening mammogram, both breasts CPT 77067 MAMM SCREEN DIGITAL IMP | $97.44 | $406.00 | $68.21–$406.00 | 45% below | 76% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCREEN MAMM BILAT | $97.44 | $406.00 | $112.14–$406.00 | — | 76% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 DIG MAM SCREEN BILAT MOBILE | $97.44 | $406.00 | $112.14–$406.00 | — | 76% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMM SCREEN DIGITAL IMP | $97.44 | $406.00 | $112.14–$406.00 | — | 76% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMM SCREEN DIGITAL | $97.44 | $406.00 | $112.14–$406.00 | — | 76% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 CR SWALLOWING FX W CINE OR VID | $158.16 | $659.00 | $110.71–$659.00 | 66% below | 76% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CR SWALLOWING FX W CINE OR VID | $158.16 | $659.00 | $182.02–$659.00 | — | 76% |
| Transvaginal pelvic ultrasound CPT 76830 OBGYN ULTRASOUND TRANS VAGINAL | $433.68 | $1,807.00 | $303.58–$1,807.00 | 26% below | 76% |
| Transvaginal pelvic ultrasound CPT 76830 US ED GYN TRASVAG NON PREG | $433.68 | $1,807.00 | $303.58–$1,807.00 | 26% below | 76% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL US NON OB | $433.68 | $1,807.00 | $303.58–$1,807.00 | 26% below | 76% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL US NON OB | $433.68 | $1,807.00 | $499.09–$1,807.00 | — | 76% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 OBGYN ULTRASOUND TRANS VAGINAL | $433.68 | $1,807.00 | $499.09–$1,807.00 | — | 76% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US ED GYN TRASVAG NON PREG | $433.68 | $1,807.00 | $499.09–$1,807.00 | — | 76% |
| Transvaginal ultrasound during pregnancy CPT 76817 CERVICAL LENGTH TRANSVAG OB | $224.64 | $936.00 | $157.25–$936.00 | 48% below | 76% |
| Transvaginal ultrasound during pregnancy CPT 76817 ER USN OB BEDSIDE TRANSVAGINAL | $224.64 | $936.00 | $157.25–$936.00 | 48% below | 76% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 CERVICAL LENGTH TRANSVAG OB | $224.64 | $936.00 | $258.52–$936.00 | — | 76% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 ER USN OB BEDSIDE TRANSVAGINAL | $224.64 | $936.00 | $258.52–$936.00 | — | 76% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $367.20 | $1,530.00 | $257.04–$1,530.00 | 55% below | 76% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE | $367.20 | $1,530.00 | $422.59–$1,530.00 | — | 76% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $282.96 | $1,179.00 | $198.07–$1,179.00 | 51% below | 76% |
| Ultrasound of the scrotum and testicles CPT 76870 US ED TESTICULAR | $282.96 | $1,179.00 | $198.07–$1,179.00 | 51% below | 76% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM | $282.96 | $1,179.00 | $325.64–$1,179.00 | — | 76% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US ED TESTICULAR | $282.96 | $1,179.00 | $325.64–$1,179.00 | — | 76% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE | $259.92 | $1,083.00 | $181.94–$1,083.00 | 54% below | 76% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SFT TISS HEAD/NECK | $259.92 | $1,083.00 | $181.94–$1,083.00 | 54% below | 76% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE | $259.92 | $1,083.00 | $299.12–$1,083.00 | — | 76% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SFT TISS HEAD/NECK | $259.92 | $1,083.00 | $299.12–$1,083.00 | — | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UPPER GI & SBFT WO AIR | $263.76 | $1,099.00 | $184.63–$1,099.00 | 38% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XA PERC STUDY DISTAL STOMACH | $263.76 | $1,099.00 | $184.63–$1,099.00 | 38% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI UPPR SERIE WO KUB | $263.76 | $1,099.00 | $184.63–$1,099.00 | 38% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UPPER GI SERIES W KUB | $263.76 | $1,099.00 | $184.63–$1,099.00 | 38% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XA PERC STUDY DISTAL STOMACH | $263.76 | $1,099.00 | $303.54–$1,099.00 | — | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UPPER GI & SBFT WO AIR | $263.76 | $1,099.00 | $303.54–$1,099.00 | — | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI UPPR SERIE WO KUB | $263.76 | $1,099.00 | $303.54–$1,099.00 | — | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UPPER GI SERIES W KUB | $263.76 | $1,099.00 | $303.54–$1,099.00 | — | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX SCAN EXT VEN LIMITED | $515.28 | $2,147.00 | $360.70–$2,147.00 | 12% below | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ED BEDSIDE ULTRASOUND FOR DVT | $515.28 | $2,147.00 | $360.70–$2,147.00 | 12% below | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ED BEDSIDE ULTRASOUND FOR DVT | $515.28 | $2,147.00 | $593.00–$2,147.00 | — | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX SCAN EXT VEN LIMITED | $515.28 | $2,147.00 | $593.00–$2,147.00 | — | 76% |
| Wrist X-ray, complete, 3 or more views CPT 73110 CR WRIST MIN 3 VIEWS | $110.40 | $460.00 | $77.28–$460.00 | 66% below | 76% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CR WRIST MIN 3 VIEWS | $110.40 | $460.00 | $127.05–$460.00 | — | 76% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 CR HIP MIN 2 VIEWS UNI | $112.08 | $467.00 | $78.46–$467.00 | 53% below | 76% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 CR HIP MIN 2 VIEWS UNI | $112.08 | $467.00 | $128.99–$467.00 | — | 76% |
| X-ray of the abdomen, 1 view CPT 74018 CR ABDOMEN SINGLE AP VIEW | $99.60 | $415.00 | $69.72–$415.00 | 63% below | 76% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CR ABDOMEN SINGLE AP VIEW | $99.60 | $415.00 | $114.62–$415.00 | — | 76% |
| X-ray of the ankle, 2 views CPT 73600 CR ANKLE 2 VIEWS BIL | $92.88 | $387.00 | $65.02–$387.00 | 65% below | 76% |
| X-ray of the ankle, 2 views inpatient CPT 73600 CR ANKLE 2 VIEWS BIL | $92.88 | $387.00 | $106.89–$387.00 | — | 76% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR L SPINE 2 OR 3 VIEWS | $174.72 | $728.00 | $122.30–$728.00 | 51% below | 76% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR L SPINE 2 OR 3 VIEWS | $174.72 | $728.00 | $201.07–$728.00 | — | 76% |
| X-ray of the lower back, 4 or more views CPT 72110 CR L SPINE MIN 4 VIEW | $179.28 | $747.00 | $125.50–$747.00 | 66% below | 76% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 CR L SPINE MIN 4 VIEW | $179.28 | $747.00 | $206.32–$747.00 | — | 76% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 CR THORACIC SPINE 2 VIEWS | $171.36 | $714.00 | $119.95–$714.00 | 43% below | 76% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CR THORACIC SPINE 2 VIEWS | $171.36 | $714.00 | $197.21–$714.00 | — | 76% |
| X-ray of the nasal bones, 3 or more views CPT 70160 CR NASAL BONES MIN 3 VIEWS | $81.12 | $338.00 | $56.78–$338.00 | 73% below | 76% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CR NASAL BONES MIN 3 VIEWS | $81.12 | $338.00 | $93.36–$338.00 | — | 76% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR EXAM OF NECK SPINE | $153.12 | $638.00 | $107.18–$638.00 | 55% below | 76% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR EXAM OF NECK SPINE | $153.12 | $638.00 | $176.22–$638.00 | — | 76% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 CR PELVIS 1 OR 2 VIEWS | $183.60 | $765.00 | $128.52–$765.00 | 27% below | 76% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR PELVIS 1 OR 2 VIEWS | $183.60 | $765.00 | $211.29–$765.00 | — | 76% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CR SACRUM AND COCCYX MIN 2 VIEWS | $102.24 | $426.00 | $71.57–$426.00 | 65% below | 76% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CR SACRUM AND COCCYX MIN 2 VIEWS | $102.24 | $426.00 | $117.66–$426.00 | — | 76% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO ALT SGPT | $7.68 | $32.00 | $5.38–$32.00 | 88% below | 76% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO ALT SGPT | $7.68 | $32.00 | $8.84–$32.00 | — | 76% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST SGOT | $22.08 | $92.00 | $15.46–$92.00 | 67% below | 76% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST SGOT | $22.08 | $92.00 | $25.41–$92.00 | — | 76% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL 1 | $265.92 | $1,108.00 | $186.14–$1,108.00 | 14% below | 76% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL 1 | $265.92 | $1,108.00 | $306.03–$1,108.00 | — | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE QUANT SEMIQ1 | $5.52 | $23.00 | $3.86–$23.00 | 55% below | 76% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE QUANT SEMIQ1 | $5.52 | $23.00 | $6.35–$23.00 | — | 76% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $37.20 | $155.00 | $26.04–$155.00 | 58% below | 76% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY | $37.20 | $155.00 | $42.81–$155.00 | — | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES 1 | $42.96 | $179.00 | $30.07–$179.00 | 48% below | 76% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES 1 | $42.96 | $179.00 | $49.44–$179.00 | — | 76% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $31.92 | $133.00 | $22.34–$133.00 | 84% below | 76% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $31.92 | $133.00 | $36.73–$133.00 | — | 76% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $81.12 | $338.00 | $56.78–$338.00 | 24% below | 76% |
| Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA | $81.12 | $338.00 | $93.36–$338.00 | — | 76% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM PATHOLOGIST LEVEL4 | $128.64 | $536.00 | $90.05–$536.00 | 28% below | 76% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH GROSS AND MICRO EXA | $128.64 | $536.00 | $90.05–$536.00 | 28% below | 76% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH GROSS AND MICRO EXA | $128.64 | $536.00 | $148.04–$536.00 | — | 76% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM PATHOLOGIST LEVEL4 | $128.64 | $536.00 | $148.04–$536.00 | — | 76% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $94.08 | $392.00 | $65.86–$392.00 | 27% below | 76% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA | $94.08 | $392.00 | $108.27–$392.00 | — | 76% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE 2 | $3.36 | $14.00 | $2.35–$14.00 | 81% below | 76% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $3.36 | $14.00 | $2.35–$14.00 | 81% below | 76% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE. | $3.36 | $14.00 | $2.35–$14.00 | 81% below | 76% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCT | $3.36 | $14.00 | $2.35–$14.00 | 81% below | 76% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $3.36 | $14.00 | $2.35–$14.00 | 81% below | 76% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE 3 | $3.36 | $14.00 | $2.35–$14.00 | 81% below | 76% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW NON-PORT | $3.36 | $14.00 | $2.35–$14.00 | 81% below | 76% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCT | $3.36 | $14.00 | $3.87–$14.00 | — | 76% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE. | $3.36 | $14.00 | $3.87–$14.00 | — | 76% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $3.36 | $14.00 | $3.87–$14.00 | — | 76% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW NON-PORT | $3.36 | $14.00 | $3.87–$14.00 | — | 76% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE 3 | $3.36 | $14.00 | $3.87–$14.00 | — | 76% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $3.36 | $14.00 | $3.87–$14.00 | — | 76% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE 2 | $3.36 | $14.00 | $3.87–$14.00 | — | 76% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $5.52 | $23.00 | $3.86–$23.00 | 91% below | 76% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM QUANT | $8.40 | $35.00 | $5.88–$35.00 | 86% below | 76% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE TESTING | $19.68 | $82.00 | $13.78–$82.00 | 68% below | 76% |
| Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $5.52 | $23.00 | $6.35–$23.00 | — | 76% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM QUANT | $8.40 | $35.00 | $9.67–$35.00 | — | 76% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE TESTING | $19.68 | $82.00 | $22.65–$82.00 | — | 76% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $20.40 | $85.00 | $14.28–$85.00 | 78% below | 76% |
| Blood lead test inpatient CPT 83655 ASSAY OF LEAD | $20.40 | $85.00 | $23.48–$85.00 | — | 76% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GANADOTROPIN ASSAY | $49.20 | $205.00 | $34.44–$205.00 | 47% below | 76% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GANADOTROPIN ASSAY | $49.20 | $205.00 | $56.62–$205.00 | — | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO. | $34.56 | $144.00 | $24.19–$144.00 | 37% below | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO 1. | $34.56 | $144.00 | $24.19–$144.00 | 37% below | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO 1. | $34.56 | $144.00 | $39.77–$144.00 | — | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO. | $34.56 | $144.00 | $39.77–$144.00 | — | 76% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $22.56 | $94.00 | $15.79–$94.00 | 66% below | 76% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $22.56 | $94.00 | $25.96–$94.00 | — | 76% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE. | $67.20 | $280.00 | $47.04–$280.00 | 35% below | 76% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE. | $67.20 | $280.00 | $77.34–$280.00 | — | 76% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $44.16 | $184.00 | $30.91–$184.00 | 72% below | 76% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $44.16 | $184.00 | $50.82–$184.00 | — | 76% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $27.12 | $113.00 | $18.98–$113.00 | 84% below | 76% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125 | $27.12 | $113.00 | $31.21–$113.00 | — | 76% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP | $34.80 | $145.00 | $24.36–$145.00 | 63% below | 76% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP | $34.80 | $145.00 | $40.05–$145.00 | — | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SO CHYLMD TRACH DNA AMP PRO TRACH | $18.48 | $77.00 | $12.94–$77.00 | 84% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SO CHYLMD TRACH DNA AMP PRO TRACH | $18.48 | $77.00 | $21.27–$77.00 | — | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $146.16 | $609.00 | $102.31–$609.00 | 2% above | 76% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $146.16 | $609.00 | $168.21–$609.00 | — | 76% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W AUTO DIFF WBC | $41.52 | $173.00 | $29.06–$173.00 | 36% below | 76% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W AUTO DIFF WBC | $41.52 | $173.00 | $47.78–$173.00 | — | 76% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $36.72 | $153.00 | $25.70–$153.00 | 42% below | 76% |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED | $36.72 | $153.00 | $42.26–$153.00 | — | 76% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $141.60 | $590.00 | $99.12–$590.00 | 2% below | 76% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $141.60 | $590.00 | $162.96–$590.00 | — | 76% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $55.44 | $231.00 | $38.81–$231.00 | 48% below | 76% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT | $55.44 | $231.00 | $63.80–$231.00 | — | 76% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $54.24 | $226.00 | $37.97–$226.00 | 66% below | 76% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $54.24 | $226.00 | $62.42–$226.00 | — | 76% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $89.52 | $373.00 | $62.66–$373.00 | 64% below | 76% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $89.52 | $373.00 | $103.02–$373.00 | — | 76% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $107.28 | $447.00 | $75.10–$447.00 | 29% below | 76% |
| Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN | $107.28 | $447.00 | $123.46–$447.00 | — | 76% |
| Folate (folic acid) blood test CPT 82746 BLOOD FOLIC ACID SERUM | $23.52 | $98.00 | $16.46–$98.00 | 83% below | 76% |
| Folate (folic acid) blood test inpatient CPT 82746 BLOOD FOLIC ACID SERUM | $23.52 | $98.00 | $27.07–$98.00 | — | 76% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY FT 3 | $58.56 | $244.00 | $40.99–$244.00 | 71% below | 76% |
| Free T3 thyroid hormone test CPT 84481 SO FREE ASSAY FT 3 | $58.56 | $244.00 | $40.99–$244.00 | 71% below | 76% |
| Free T3 thyroid hormone test inpatient CPT 84481 SO FREE ASSAY FT 3 | $58.56 | $244.00 | $67.39–$244.00 | — | 76% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY FT 3 | $58.56 | $244.00 | $67.39–$244.00 | — | 76% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $29.04 | $121.00 | $20.33–$121.00 | 70% below | 76% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE | $29.04 | $121.00 | $33.42–$121.00 | — | 76% |
| Free testosterone test CPT 84402 ASSAY OF TESTOSTERONE | $72.24 | $301.00 | $50.57–$301.00 | 11% below | 76% |
| Free testosterone test inpatient CPT 84402 ASSAY OF TESTOSTERONE | $72.24 | $301.00 | $83.14–$301.00 | — | 76% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $125.04 | $521.00 | $87.53–$521.00 | 55% below | 76% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $125.04 | $521.00 | $143.90–$521.00 | — | 76% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $13.44 | $56.00 | $9.41–$56.00 | 76% below | 76% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST | $13.44 | $56.00 | $15.47–$56.00 | — | 76% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST GTT | $28.08 | $117.00 | $19.66–$117.00 | 82% below | 76% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST GTT | $28.08 | $117.00 | $32.32–$117.00 | — | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $57.60 | $240.00 | $40.32–$240.00 | 49% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB | $57.60 | $240.00 | $66.29–$240.00 | — | 76% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI | $18.00 | $75.00 | $12.60–$75.00 | 84% below | 76% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI | $18.00 | $75.00 | $20.72–$75.00 | — | 76% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL EIA | $160.56 | $669.00 | $112.39–$669.00 | 11% below | 76% |
| H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL EIA | $160.56 | $669.00 | $184.78–$669.00 | — | 76% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 SO HIV 1 DNA QUANT | $141.84 | $591.00 | $99.29–$591.00 | 46% below | 76% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 SO HIV 1 DNA QUANT | $141.84 | $591.00 | $163.23–$591.00 | — | 76% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SINGLE RESULT2 | $34.32 | $143.00 | $24.02–$143.00 | 61% below | 76% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV2 SINGLE RESULT 2 | $34.32 | $143.00 | $24.02–$143.00 | 61% below | 76% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV2 SINGLE RESULT 2 | $34.32 | $143.00 | $39.50–$143.00 | — | 76% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 SINGLE RESULT2 | $34.32 | $143.00 | $39.50–$143.00 | — | 76% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1 AG HIV1/2 AB SNGL RST | $45.36 | $189.00 | $31.75–$189.00 | 56% below | 76% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV1 AG HIV1/2 AB SNGL RST | $45.36 | $189.00 | $52.20–$189.00 | — | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA AMP PROBE | $75.84 | $316.00 | $53.09–$316.00 | 27% below | 76% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA AMP PROBE | $75.84 | $316.00 | $87.28–$316.00 | — | 76% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $43.68 | $182.00 | $30.58–$182.00 | 40% below | 76% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $43.68 | $182.00 | $50.27–$182.00 | — | 76% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG EIA 1 | $34.32 | $143.00 | $24.02–$143.00 | 66% below | 76% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 SO HEPATITIS B SURFACE AG EIA | $34.32 | $143.00 | $24.02–$143.00 | 66% below | 76% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG EIA 1 | $34.32 | $143.00 | $39.50–$143.00 | — | 76% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SO HEPATITIS B SURFACE AG EIA | $34.32 | $143.00 | $39.50–$143.00 | — | 76% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST 1 | $34.32 | $143.00 | $24.02–$143.00 | 74% below | 76% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST EMP 2 | $34.32 | $143.00 | $24.02–$143.00 | 74% below | 76% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST EMP 2 | $34.32 | $143.00 | $39.50–$143.00 | — | 76% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST 1 | $34.32 | $143.00 | $39.50–$143.00 | — | 76% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT 2 | $138.00 | $575.00 | $96.60–$575.00 | 49% below | 76% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT 2 | $138.00 | $575.00 | $158.82–$575.00 | — | 76% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TEST TYPE 1 | $31.44 | $131.00 | $22.01–$131.00 | 55% below | 76% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TEST TYPE 1 | $31.44 | $131.00 | $36.18–$131.00 | — | 76% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IGG ANTIBODY | $14.40 | $60.00 | $10.08–$60.00 | 82% below | 76% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TEST TYPE 2 | $19.44 | $81.00 | $13.61–$81.00 | 76% below | 76% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IGG ANTIBODY | $14.40 | $60.00 | $16.57–$60.00 | — | 76% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TEST TYPE 2 | $19.44 | $81.00 | $22.37–$81.00 | — | 76% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS | $91.20 | $380.00 | $63.84–$380.00 | 5% below | 76% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HS | $91.20 | $380.00 | $104.96–$380.00 | — | 76% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $123.36 | $514.00 | $86.35–$514.00 | 26% below | 76% |
| Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTEINE | $123.36 | $514.00 | $141.97–$514.00 | — | 76% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL | $34.80 | $145.00 | $24.36–$145.00 | 68% below | 76% |
| Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN TOTAL | $34.80 | $145.00 | $40.05–$145.00 | — | 76% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $66.00 | $275.00 | $46.20–$275.00 | 9% below | 76% |
| Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON | $66.00 | $275.00 | $75.96–$275.00 | — | 76% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $98.64 | $411.00 | $69.05–$411.00 | 1% below | 76% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST | $98.64 | $411.00 | $113.52–$411.00 | — | 76% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $92.16 | $384.00 | $64.51–$384.00 | 11% below | 76% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $92.16 | $384.00 | $106.06–$384.00 | — | 76% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LH | $92.64 | $386.00 | $64.85–$386.00 | 54% below | 76% |
| LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN LH | $92.64 | $386.00 | $106.61–$386.00 | — | 76% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $42.72 | $178.00 | $29.90–$178.00 | 49% below | 76% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE | $42.72 | $178.00 | $49.16–$178.00 | — | 76% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $67.68 | $282.00 | $47.38–$282.00 | 44% below | 76% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $67.68 | $282.00 | $77.89–$282.00 | — | 76% |
| Lyme disease antibody test CPT 86618 SO LYME DISEASE ANTIBODY | $31.44 | $131.00 | $22.01–$131.00 | 52% below | 76% |
| Lyme disease antibody test inpatient CPT 86618 SO LYME DISEASE ANTIBODY | $31.44 | $131.00 | $36.18–$131.00 | — | 76% |
| Magnesium blood test CPT 83735 MAGNESIUM | $10.08 | $42.00 | $7.06–$42.00 | 82% below | 76% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $10.08 | $42.00 | $11.60–$42.00 | — | 76% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY 1 | $54.24 | $226.00 | $37.97–$226.00 | at median | 76% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY 1 | $54.24 | $226.00 | $62.42–$226.00 | — | 76% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCREEN | $55.20 | $230.00 | $38.64–$230.00 | 12% below | 76% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES SCREEN | $55.20 | $230.00 | $63.53–$230.00 | — | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $63.36 | $264.00 | $44.35–$264.00 | 47% below | 76% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE | $63.36 | $264.00 | $72.92–$264.00 | — | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $57.12 | $238.00 | $39.98–$238.00 | 62% below | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL | $57.12 | $238.00 | $65.74–$238.00 | — | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY CERVICAL OR VAGINA | $41.28 | $172.00 | $28.90–$172.00 | 22% below | 76% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATHOLOGY CERVICAL OR VAGINA | $41.28 | $172.00 | $47.51–$172.00 | — | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR THINPREP | $43.20 | $180.00 | $30.24–$180.00 | 29% below | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR THINPREP | $43.20 | $180.00 | $49.72–$180.00 | — | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL. | $48.72 | $203.00 | $34.10–$203.00 | 43% below | 76% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL. | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL ANEUPLOIDY | $248.88 | $1,037.00 | $174.22–$1,037.00 | 81% below | 76% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL ANEUPLOIDY | $248.88 | $1,037.00 | $286.42–$1,037.00 | — | 76% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $42.24 | $176.00 | $29.57–$176.00 | 75% below | 76% |
| Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE | $42.24 | $176.00 | $48.61–$176.00 | — | 76% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $98.40 | $410.00 | $68.88–$410.00 | 38% below | 76% |
| Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN | $98.40 | $410.00 | $113.24–$410.00 | — | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 SO PROTHROMBIN TIME | $12.72 | $53.00 | $8.90–$53.00 | 76% below | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $12.72 | $53.00 | $8.90–$53.00 | 76% below | 76% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $12.72 | $53.00 | $14.64–$53.00 | — | 76% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SO PROTHROMBIN TIME | $12.72 | $53.00 | $14.64–$53.00 | — | 76% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRESUMPTIVE DIR OBS | $15.12 | $63.00 | $10.58–$63.00 | 61% below | 76% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRESUMPTIVE DIR OBS | $15.12 | $63.00 | $17.40–$63.00 | — | 76% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W OPTIC | $39.12 | $163.00 | $27.38–$163.00 | 20% below | 76% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W OPTIC | $39.12 | $163.00 | $45.02–$163.00 | — | 76% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A AG EIA. | $33.60 | $140.00 | $23.52–$140.00 | 47% below | 76% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A AG EIA. | $33.60 | $140.00 | $38.67–$140.00 | — | 76% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $16.80 | $70.00 | $11.76–$70.00 | 68% below | 76% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $16.80 | $70.00 | $19.33–$70.00 | — | 76% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY 3 | $10.56 | $44.00 | $7.39–$44.00 | 89% below | 76% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY 3 | $10.56 | $44.00 | $12.15–$44.00 | — | 76% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $26.16 | $109.00 | $18.31–$109.00 | 35% below | 76% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED | $26.16 | $109.00 | $30.11–$109.00 | — | 76% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD POINT OF CARE | $17.04 | $71.00 | $11.93–$71.00 | 36% below | 76% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN (GUAIAC) | $17.04 | $71.00 | $11.93–$71.00 | 36% below | 76% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN (GUAIAC) | $17.04 | $71.00 | $19.61–$71.00 | — | 76% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD POINT OF CARE | $17.04 | $71.00 | $19.61–$71.00 | — | 76% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $16.80 | $70.00 | $11.76–$70.00 | 65% below | 76% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL | $16.80 | $70.00 | $19.33–$70.00 | — | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST TREPONEMAL ANTIBODY | $21.84 | $91.00 | $15.29–$91.00 | 54% below | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST TREPONEMAL ANTIBODY | $21.84 | $91.00 | $25.13–$91.00 | — | 76% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $85.68 | $357.00 | $59.98–$357.00 | 45% below | 76% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE | $85.68 | $357.00 | $98.60–$357.00 | — | 76% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TESTOSTERONE TOTAL | $61.44 | $256.00 | $43.01–$256.00 | 45% below | 76% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TESTOSTERONE TOTAL | $61.44 | $256.00 | $70.71–$256.00 | — | 76% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 SO MICROSOMAL ANTIBODY | $55.68 | $232.00 | $38.98–$232.00 | 40% below | 76% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 SO MICROSOMAL ANTIBODY | $55.68 | $232.00 | $64.08–$232.00 | — | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY OF THYROID STIM HORMONE | $23.28 | $97.00 | $16.30–$97.00 | 82% below | 76% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY OF THYROID STIM HORMONE | $23.28 | $97.00 | $26.79–$97.00 | — | 76% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG AMP PROBE | $25.92 | $108.00 | $18.14–$108.00 | 66% below | 76% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG AMP PROBE | $25.92 | $108.00 | $29.83–$108.00 | — | 76% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD URIC ACID | $9.84 | $41.00 | $6.89–$41.00 | 83% below | 76% |
| Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD URIC ACID | $9.84 | $41.00 | $11.32–$41.00 | — | 76% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W SCOPE | $23.28 | $97.00 | $16.30–$97.00 | 58% below | 76% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W SCOPE | $23.28 | $97.00 | $26.79–$97.00 | — | 76% |
| Urinalysis with microscope exam, manual CPT 81000 URINE DIP UADIPPOC | $2.40 | $10.00 | $1.68–$10.00 | 89% below | 76% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE DIP UADIPPOC | $2.40 | $10.00 | $2.76–$10.00 | — | 76% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W O SCOPE | $10.32 | $43.00 | $7.22–$43.00 | 62% below | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W O SCOPE | $10.32 | $43.00 | $11.88–$43.00 | — | 76% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $9.36 | $39.00 | $6.55–$39.00 | 45% below | 76% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $9.36 | $39.00 | $10.77–$39.00 | — | 76% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $16.32 | $68.00 | $11.42–$68.00 | 84% below | 76% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT | $16.32 | $68.00 | $18.78–$68.00 | — | 76% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $24.24 | $101.00 | $16.97–$101.00 | 74% below | 76% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $24.24 | $101.00 | $27.90–$101.00 | — | 76% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $27.36 | $114.00 | $19.15–$114.00 | 80% below | 76% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $27.36 | $114.00 | $31.49–$114.00 | — | 76% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $35.76 | $149.00 | $25.03–$149.00 | 70% below | 76% |
| Zinc blood test inpatient CPT 84630 ASSAY OF ZINC | $35.76 | $149.00 | $41.15–$149.00 | — | 76% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $76.08 | $317.00 | $53.26–$317.00 | 54% below | 76% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST | $76.08 | $317.00 | $87.56–$317.00 | — | 76% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $469.92 | $1,958.00 | $328.94–$1,958.00 | 50% below | 76% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $840.24 | $3,501.00 | $588.17–$3,501.00 | 10% below | 76% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT | $469.92 | $1,958.00 | $540.80–$1,958.00 | — | 76% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL | $840.24 | $3,501.00 | $966.98–$3,501.00 | — | 76% |
| Catheter ablation for atrial fibrillation CPT 93656 EP AND ABLATE A FIB | $10,890.44 | $45,376.82 | $7,623.31–$45,376.82 | 60% below | 76% |
| Catheter ablation for atrial fibrillation CPT 93656 EP AND ABLATE A FIB W/ANESTH | $10,890.48 | $45,377.00 | $7,623.34–$45,377.00 | 60% below | 76% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AND ABLATE A FIB | $10,890.44 | $45,376.82 | $12,533.08–$45,376.82 | — | 76% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AND ABLATE A FIB W/ANESTH | $10,890.48 | $45,377.00 | $12,533.13–$45,377.00 | — | 76% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN HI RISK IND | $1,010.88 | $4,212.00 | $707.62–$4,212.00 | 63% below | 76% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTCAL CANCER SCREENING | $1,010.88 | $4,212.00 | $707.62–$4,212.00 | 63% below | 76% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN HI RISK IND | $1,010.88 | $4,212.00 | $1,163.35–$4,212.00 | — | 76% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTCAL CANCER SCREENING | $1,010.88 | $4,212.00 | $1,163.35–$4,212.00 | — | 76% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 TECH COMP DEBRIDE 1ST 20 SQCM | $475.92 | $1,983.00 | $333.14–$1,983.00 | 6% below | 76% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 TECH COMP DEBRIDE 1ST 20 SQCM | $475.92 | $1,983.00 | $547.70–$1,983.00 | — | 76% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $297.60 | $1,240.00 | $208.32–$1,240.00 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD DAILY | $297.60 | $1,240.00 | $208.32–$1,240.00 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 0-60 MIN | $360.24 | $1,501.00 | $252.17–$1,501.00 | 40% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 0 60 MIN | $360.24 | $1,501.00 | $252.17–$1,501.00 | 40% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 0-60 MIN | $360.24 | $1,501.00 | $252.17–$1,501.00 | 40% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 61-120 MIN | $745.92 | $3,108.00 | $522.14–$3,108.00 | 24% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 61 120 MIN | $745.92 | $3,108.00 | $522.14–$3,108.00 | 24% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 61-120 MIN | $745.92 | $3,108.00 | $522.14–$3,108.00 | 24% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 121 180 MIN | $876.00 | $3,650.00 | $613.20–$3,650.00 | 45% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 121-180 MIN | $876.00 | $3,650.00 | $613.20–$3,650.00 | 45% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 121-180 MIN | $876.00 | $3,650.00 | $613.20–$3,650.00 | 45% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 181-240 MIN | $936.00 | $3,900.00 | $655.20–$3,900.00 | 55% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 181 240 MIN | $936.00 | $3,900.00 | $655.20–$3,900.00 | 55% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 181-240 MIN | $936.00 | $3,900.00 | $655.20–$3,900.00 | 55% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 241-300 MIN | $1,080.00 | $4,500.00 | $756.00–$4,500.00 | 79% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 241 300 MIN | $1,080.00 | $4,500.00 | $756.00–$4,500.00 | 79% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 241-300 MIN | $1,080.00 | $4,500.00 | $756.00–$4,500.00 | 79% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 301 360 MIN | $1,934.88 | $8,062.00 | $1,354.42–$8,062.00 | 221% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 301-360 MIN | $1,934.88 | $8,062.00 | $1,354.42–$8,062.00 | 221% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 301-360 MIN | $1,934.88 | $8,062.00 | $1,354.42–$8,062.00 | 221% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 361-420 MIN | $1,960.80 | $8,170.00 | $1,372.56–$8,170.00 | 225% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 361 420 MIN | $1,960.80 | $8,170.00 | $1,372.56–$8,170.00 | 225% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 361-420 MIN | $1,960.80 | $8,170.00 | $1,372.56–$8,170.00 | 225% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 421-480 MIN | $2,211.60 | $9,215.00 | $1,548.12–$9,215.00 | 267% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 421 480 MIN | $2,211.60 | $9,215.00 | $1,548.12–$9,215.00 | 267% above | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 421-480 MIN | $2,211.60 | $9,215.00 | $1,548.12–$9,215.00 | 267% above | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $297.60 | $1,240.00 | $342.49–$1,240.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD DAILY | $297.60 | $1,240.00 | $342.49–$1,240.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 0-60 MIN | $360.24 | $1,501.00 | $414.58–$1,501.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 0 60 MIN | $360.24 | $1,501.00 | $414.58–$1,501.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 0-60 MIN | $360.24 | $1,501.00 | $414.58–$1,501.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 61 120 MIN | $745.92 | $3,108.00 | $858.43–$3,108.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 61-120 MIN | $745.92 | $3,108.00 | $858.43–$3,108.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 61-120 MIN | $745.92 | $3,108.00 | $858.43–$3,108.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 121 180 MIN | $876.00 | $3,650.00 | $1,008.13–$3,650.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 121-180 MIN | $876.00 | $3,650.00 | $1,008.13–$3,650.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 121-180 MIN | $876.00 | $3,650.00 | $1,008.13–$3,650.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 181-240 MIN | $936.00 | $3,900.00 | $1,077.18–$3,900.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 181-240 MIN | $936.00 | $3,900.00 | $1,077.18–$3,900.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 181 240 MIN | $936.00 | $3,900.00 | $1,077.18–$3,900.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 241 300 MIN | $1,080.00 | $4,500.00 | $1,242.90–$4,500.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 241-300 MIN | $1,080.00 | $4,500.00 | $1,242.90–$4,500.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 241-300 MIN | $1,080.00 | $4,500.00 | $1,242.90–$4,500.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 301-360 MIN | $1,934.88 | $8,062.00 | $2,226.72–$8,062.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 301-360 MIN | $1,934.88 | $8,062.00 | $2,226.72–$8,062.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 301 360 MIN | $1,934.88 | $8,062.00 | $2,226.72–$8,062.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 361 420 MIN | $1,960.80 | $8,170.00 | $2,256.55–$8,170.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 361-420 MIN | $1,960.80 | $8,170.00 | $2,256.55–$8,170.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 361-420 MIN | $1,960.80 | $8,170.00 | $2,256.55–$8,170.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 421-480 MIN | $2,211.60 | $9,215.00 | $2,545.18–$9,215.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 421 480 MIN | $2,211.60 | $9,215.00 | $2,545.18–$9,215.00 | — | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 421-480 MIN | $2,211.60 | $9,215.00 | $2,545.18–$9,215.00 | — | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $98.88 | $412.00 | $69.22–$412.00 | 36% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT | $98.88 | $412.00 | $69.22–$412.00 | 36% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MINI NEB/MDI TREATMENT | $98.88 | $412.00 | $69.22–$412.00 | 36% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL | $98.88 | $412.00 | $69.22–$412.00 | 36% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI FOLLOWUP | $98.88 | $412.00 | $69.22–$412.00 | 36% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MINI NEBULIZER | $98.88 | $412.00 | $69.22–$412.00 | 36% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI FOLLOWUP | $98.88 | $412.00 | $113.79–$412.00 | — | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $98.88 | $412.00 | $113.79–$412.00 | — | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MINI NEBULIZER | $98.88 | $412.00 | $113.79–$412.00 | — | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT | $98.88 | $412.00 | $113.79–$412.00 | — | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MINI NEB/MDI TREATMENT | $98.88 | $412.00 | $113.79–$412.00 | — | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL | $98.88 | $412.00 | $113.79–$412.00 | — | 76% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $590.64 | $2,461.00 | $413.45–$2,461.00 | 17% above | 76% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUS INIT HR | $590.64 | $2,461.00 | $413.45–$2,461.00 | 17% above | 76% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR | $590.64 | $2,461.00 | $679.73–$2,461.00 | — | 76% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUS INIT HR | $590.64 | $2,461.00 | $679.73–$2,461.00 | — | 76% |
| Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30 74 MIN | $1,295.52 | $5,398.00 | $906.86–$5,398.00 | 35% below | 76% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30 74 MIN | $1,295.52 | $5,398.00 | $1,490.93–$5,398.00 | — | 76% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $360.24 | $1,501.00 | $252.17–$1,501.00 | 53% below | 76% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY | $360.24 | $1,501.00 | $414.58–$1,501.00 | — | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG MIN 12 LEAD TRACE ONLY | $72.48 | $302.00 | $50.74–$302.00 | 62% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG WITHOUT PROFESSIONAL FEE | $72.48 | $302.00 | $50.74–$302.00 | 62% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG WO PRO FEE | $72.48 | $302.00 | $50.74–$302.00 | 62% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $72.48 | $302.00 | $50.74–$302.00 | 62% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG WITHOUT PROFESSIONAL FEE | $72.48 | $302.00 | $83.41–$302.00 | — | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING | $72.48 | $302.00 | $83.41–$302.00 | — | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG MIN 12 LEAD TRACE ONLY | $72.48 | $302.00 | $83.41–$302.00 | — | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG WO PRO FEE | $72.48 | $302.00 | $83.41–$302.00 | — | 76% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $170.16 | $709.00 | $119.11–$709.00 | 92% below | 76% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY | $170.16 | $709.00 | $195.83–$709.00 | — | 76% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EPS LEVEL ONE | $63.84 | $266.00 | $44.69–$266.00 | 56% below | 76% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LEVEL 1 | $63.84 | $266.00 | $44.69–$266.00 | 56% below | 76% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SAFE SERVICES LEVEL 1 | $63.84 | $266.00 | $44.69–$266.00 | 56% below | 76% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SAFE SERVICES LEVEL 1 | $63.84 | $266.00 | $73.47–$266.00 | — | 76% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY ROOM LEVEL 1 | $63.84 | $266.00 | $73.47–$266.00 | — | 76% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EPS LEVEL ONE | $63.84 | $266.00 | $73.47–$266.00 | — | 76% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 SAFE SERVICES LEVEL 2 | $190.08 | $792.00 | $133.06–$792.00 | 34% below | 76% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EPS LEVEL TWO | $190.08 | $792.00 | $133.06–$792.00 | 34% below | 76% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM LEVEL 2 | $190.08 | $792.00 | $133.06–$792.00 | 34% below | 76% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 SAFE SERVICES LEVEL 2 | $190.08 | $792.00 | $218.75–$792.00 | — | 76% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EPS LEVEL TWO | $190.08 | $792.00 | $218.75–$792.00 | — | 76% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM LEVEL 2 | $190.08 | $792.00 | $218.75–$792.00 | — | 76% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EPS LEVEL THREE | $217.44 | $906.00 | $152.21–$906.00 | 49% below | 76% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 SAFE SERVICES LEVEL 3 | $217.44 | $906.00 | $152.21–$906.00 | 49% below | 76% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LEVEL 3 | $217.44 | $906.00 | $152.21–$906.00 | 49% below | 76% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 SAFE SERVICES LEVEL 3 | $217.44 | $906.00 | $250.24–$906.00 | — | 76% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM LEVEL 3 | $217.44 | $906.00 | $250.24–$906.00 | — | 76% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EPS LEVEL THREE | $217.44 | $906.00 | $250.24–$906.00 | — | 76% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LEVEL 4 | $410.40 | $1,710.00 | $287.28–$1,710.00 | 64% below | 76% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 SAFE SERVICES LEVEL 4 | $410.40 | $1,710.00 | $287.28–$1,710.00 | 64% below | 76% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EPS LEVEL FOUR | $410.40 | $1,710.00 | $287.28–$1,710.00 | 64% below | 76% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EPS LEVEL FOUR | $410.40 | $1,710.00 | $472.30–$1,710.00 | — | 76% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM LEVEL 4 | $410.40 | $1,710.00 | $472.30–$1,710.00 | — | 76% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 SAFE SERVICES LEVEL 4 | $410.40 | $1,710.00 | $472.30–$1,710.00 | — | 76% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEVEL 5 | $828.48 | $3,452.00 | $579.94–$3,452.00 | 29% below | 76% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 SAFE SERVICES LEVEL 5 | $828.48 | $3,452.00 | $579.94–$3,452.00 | 29% below | 76% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EPS LEVEL FIVE | $828.48 | $3,452.00 | $579.94–$3,452.00 | 29% below | 76% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM LEVEL 5 | $828.48 | $3,452.00 | $953.44–$3,452.00 | — | 76% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EPS LEVEL FIVE | $828.48 | $3,452.00 | $953.44–$3,452.00 | — | 76% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 SAFE SERVICES LEVEL 5 | $828.48 | $3,452.00 | $953.44–$3,452.00 | — | 76% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIO STRESS NO SUPERV | $414.96 | $1,729.00 | $290.47–$1,729.00 | 48% below | 76% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVA STRESS TEST NO SUPERV | $414.96 | $1,729.00 | $290.47–$1,729.00 | 48% below | 76% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVA STRESS TEST NO SUPERV | $414.96 | $1,729.00 | $477.55–$1,729.00 | — | 76% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIO STRESS NO SUPERV | $414.96 | $1,729.00 | $477.55–$1,729.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PM IV INFUS HYDRATION INIT 31 60M | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 31-60 MIN | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31 60M | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INIT 31MIN 1HR | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-61M | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INIT 31MIN 1 HR | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INIT 31 MIN-1 HR | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYSRATION IV INFUSION INIT 31-60M | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60M | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUS INIT 31-60M | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31 60 | $119.76 | $499.00 | $83.83–$499.00 | 59% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INIT 31 MIN-1HR | $155.52 | $648.00 | $108.86–$648.00 | 46% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUS INIT 31-60M | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31 60M | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 31-60 MIN | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PM IV INFUS HYDRATION INIT 31 60M | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYSRATION IV INFUSION INIT 31-60M | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INIT 31 MIN-1 HR | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INIT 31MIN 1 HR | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31 60 | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-61M | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INIT 31MIN 1HR | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60M | $119.76 | $499.00 | $137.82–$499.00 | — | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INIT 31 MIN-1HR | $155.52 | $648.00 | $178.98–$648.00 | — | 76% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION UP TO 1ST HR | $447.60 | $1,865.00 | $313.32–$1,865.00 | 24% above | 76% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY FIRST HOUR | $447.60 | $1,865.00 | $313.32–$1,865.00 | 24% above | 76% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY FIRST HR | $447.60 | $1,865.00 | $313.32–$1,865.00 | 24% above | 76% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS INITIAL UP TO 60 MIN | $447.60 | $1,865.00 | $313.32–$1,865.00 | 24% above | 76% |
| IV infusion of a medicine, first hour CPT 96365 4TH IV INF INITIAL UPTO 15 MIN | $447.60 | $1,865.00 | $313.32–$1,865.00 | 24% above | 76% |
| IV infusion of a medicine, first hour CPT 96365 4TH IV INF INITIAL UPTO 30 MIN | $447.60 | $1,865.00 | $313.32–$1,865.00 | 24% above | 76% |
| IV infusion of a medicine, first hour CPT 96365 4TH IV INF INITIAL UPTO 60 MIN | $447.60 | $1,865.00 | $313.32–$1,865.00 | 24% above | 76% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL 1ST HOUR | $447.60 | $1,865.00 | $313.32–$1,865.00 | 24% above | 76% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HOUR | $447.60 | $1,865.00 | $313.32–$1,865.00 | 24% above | 76% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS INIT 1ST HR | $447.60 | $1,865.00 | $313.32–$1,865.00 | 24% above | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL 1ST HOUR | $447.60 | $1,865.00 | $515.11–$1,865.00 | — | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 4TH IV INF INITIAL UPTO 60 MIN | $447.60 | $1,865.00 | $515.11–$1,865.00 | — | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 4TH IV INF INITIAL UPTO 30 MIN | $447.60 | $1,865.00 | $515.11–$1,865.00 | — | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 4TH IV INF INITIAL UPTO 15 MIN | $447.60 | $1,865.00 | $515.11–$1,865.00 | — | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS INITIAL UP TO 60 MIN | $447.60 | $1,865.00 | $515.11–$1,865.00 | — | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY FIRST HR | $447.60 | $1,865.00 | $515.11–$1,865.00 | — | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY FIRST HOUR | $447.60 | $1,865.00 | $515.11–$1,865.00 | — | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION UP TO 1ST HR | $447.60 | $1,865.00 | $515.11–$1,865.00 | — | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HOUR | $447.60 | $1,865.00 | $515.11–$1,865.00 | — | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS INIT 1ST HR | $447.60 | $1,865.00 | $515.11–$1,865.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ IM/SQ | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SQ INJECTION | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPH DIAG INJ ADDITIONAL | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER PROPH DIAG SQ IM | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THERA/PROPH/DIAG SQ/IM | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ/IM INJECTION | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM INJ THER PROPH DIAG SQ IM | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ OR IM INJECTION | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH/DIAG SQ/IM | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ OR IM | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ANTIBIOTIC IM | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SQ INJECTION ANTIBIOTIC | $48.72 | $203.00 | $34.10–$203.00 | 49% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBQ OR IM INJECTION | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER/PROPH/DIAG SQ/IM | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THERA/PROPH/DIAG SQ/IM | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER PROPH DIAG SQ IM | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SQ INJECTION | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ IM/SQ | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION ANTIBIOTIC IM | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBQ OR IM | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER PROPH DIAG INJ ADDITIONAL | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SQ INJECTION ANTIBIOTIC | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBQ/IM INJECTION | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM INJ THER PROPH DIAG SQ IM | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ | $48.72 | $203.00 | $56.07–$203.00 | — | 76% |
| New patient office visit, about 30 minutes CPT 99203 INITIAL OUTPT EVAL INTERMEDIAT | $66.48 | $277.00 | $46.54–$277.00 | 49% below | 76% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE OUTPT NEW LVL3 | $66.48 | $277.00 | $46.54–$277.00 | 49% below | 76% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 | $66.48 | $277.00 | $46.54–$277.00 | 49% below | 76% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE OUTPT NEW LVL 3 | $66.48 | $277.00 | $46.54–$277.00 | 49% below | 76% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW LVL 3 | $66.48 | $277.00 | $46.54–$277.00 | 49% below | 76% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OUTPT NEW LVL 3 | $66.48 | $277.00 | $76.51–$277.00 | — | 76% |
| New patient office visit, about 30 minutes inpatient CPT 99203 INITIAL OUTPT EVAL INTERMEDIAT | $66.48 | $277.00 | $76.51–$277.00 | — | 76% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3 | $66.48 | $277.00 | $76.51–$277.00 | — | 76% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT NEW LVL 3 | $66.48 | $277.00 | $76.51–$277.00 | — | 76% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OUTPT NEW LVL3 | $66.48 | $277.00 | $76.51–$277.00 | — | 76% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT NEW LVL 4 | $92.16 | $384.00 | $64.51–$384.00 | 55% below | 76% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW LVL 4 | $92.16 | $384.00 | $64.51–$384.00 | 55% below | 76% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4 | $92.16 | $384.00 | $64.51–$384.00 | 55% below | 76% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE OUTPT NEW LVL 4 | $92.16 | $384.00 | $64.51–$384.00 | 55% below | 76% |
| New patient office visit, about 45 minutes CPT 99204 INITIAL OUTPT EVAL COMPLEX | $92.16 | $384.00 | $64.51–$384.00 | 55% below | 76% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE OUTPT NEW LVL4 | $92.16 | $384.00 | $64.51–$384.00 | 55% below | 76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LEVEL 4 | $92.16 | $384.00 | $106.06–$384.00 | — | 76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 INITIAL OUTPT EVAL COMPLEX | $92.16 | $384.00 | $106.06–$384.00 | — | 76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OUTPT NEW LVL4 | $92.16 | $384.00 | $106.06–$384.00 | — | 76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPT NEW LVL 4 | $92.16 | $384.00 | $106.06–$384.00 | — | 76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT NEW LVL 4 | $92.16 | $384.00 | $106.06–$384.00 | — | 76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OUTPT NEW LVL 4 | $92.16 | $384.00 | $106.06–$384.00 | — | 76% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE OUTPT NEW LVL5 | $110.40 | $460.00 | $77.28–$460.00 | 53% below | 76% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE OUTPT NEW LVL 5 | $110.40 | $460.00 | $77.28–$460.00 | 53% below | 76% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5 | $110.40 | $460.00 | $77.28–$460.00 | 53% below | 76% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW LVL 5 | $110.40 | $460.00 | $77.28–$460.00 | 53% below | 76% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE OUTPT NEW LVL5 | $110.40 | $460.00 | $127.05–$460.00 | — | 76% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE OUTPT NEW LVL 5 | $110.40 | $460.00 | $127.05–$460.00 | — | 76% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LEVEL 5 | $110.40 | $460.00 | $127.05–$460.00 | — | 76% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT NEW LVL 5 | $110.40 | $460.00 | $127.05–$460.00 | — | 76% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OUTPT NEW LVL 2 | $55.20 | $230.00 | $38.64–$230.00 | 43% below | 76% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LEVEL 2 | $55.20 | $230.00 | $38.64–$230.00 | 43% below | 76% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW LVL 2 | $55.20 | $230.00 | $38.64–$230.00 | 43% below | 76% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OUTPT NEW LVL2 | $55.20 | $230.00 | $38.64–$230.00 | 43% below | 76% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 INITIAL OUTPT EVAL PROBLEM FOC | $55.20 | $230.00 | $38.64–$230.00 | 43% below | 76% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 INITIAL OUTPT EVAL BRIEF | $55.20 | $230.00 | $38.64–$230.00 | 43% below | 76% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 INITIAL OUTPT EVAL PROBLEM FOC | $55.20 | $230.00 | $63.53–$230.00 | — | 76% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 INITIAL OUTPT EVAL BRIEF | $55.20 | $230.00 | $63.53–$230.00 | — | 76% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE OUTPT NEW LVL 2 | $55.20 | $230.00 | $63.53–$230.00 | — | 76% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT NEW LVL 2 | $55.20 | $230.00 | $63.53–$230.00 | — | 76% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE OUTPT NEW LVL2 | $55.20 | $230.00 | $63.53–$230.00 | — | 76% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LEVEL 2 | $55.20 | $230.00 | $63.53–$230.00 | — | 76% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTR THPY INIT ASMT EA - 15 MIN | $18.96 | $79.00 | $13.27–$79.00 | 40% below | 76% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTR THPY INIT ASMT EA - 15 MIN | $18.96 | $79.00 | $21.82–$79.00 | — | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXER EACH 15MIN | $44.40 | $185.00 | $31.08–$185.00 | 55% below | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXER EACH 15MIN | $44.40 | $185.00 | $51.10–$185.00 | — | 76% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CESSATION BASIC | $33.36 | $139.00 | $23.35–$139.00 | 3% above | 76% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOB CESS CNSLNG 3-10MIN-RISK FAC | $33.36 | $139.00 | $23.35–$139.00 | 3% above | 76% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO CESSATION BASIC | $33.36 | $139.00 | $38.39–$139.00 | — | 76% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOB CESS CNSLNG 3-10MIN-RISK FAC | $33.36 | $139.00 | $38.39–$139.00 | — | 76% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LEVEL 5 | $84.00 | $350.00 | $58.80–$350.00 | 50% below | 76% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PATIENT VISIT LEVEL 5 ENDO | $84.00 | $350.00 | $58.80–$350.00 | 50% below | 76% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT EST LVL5 | $84.00 | $350.00 | $58.80–$350.00 | 50% below | 76% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT VISIT 40 MINS | $84.00 | $350.00 | $58.80–$350.00 | 50% below | 76% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED LEVEL5 | $84.00 | $350.00 | $58.80–$350.00 | 50% below | 76% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED LEVEL 5 | $84.00 | $350.00 | $58.80–$350.00 | 50% below | 76% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPATIENT VISIT 40 MINS | $84.00 | $350.00 | $96.67–$350.00 | — | 76% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PATIENT VISIT LEVEL 5 ENDO | $84.00 | $350.00 | $96.67–$350.00 | — | 76% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED LEVEL 5 | $84.00 | $350.00 | $96.67–$350.00 | — | 76% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT LEVEL 5 | $84.00 | $350.00 | $96.67–$350.00 | — | 76% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED LEVEL5 | $84.00 | $350.00 | $96.67–$350.00 | — | 76% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT EST LVL5 | $84.00 | $350.00 | $96.67–$350.00 | — | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PATIENT VISIT LEVEL 3 ENDO | $56.64 | $236.00 | $39.65–$236.00 | 35% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT 15 MINS | $56.64 | $236.00 | $39.65–$236.00 | 35% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED OUTPT INTERMEDIATE | $56.64 | $236.00 | $39.65–$236.00 | 35% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED LEVEL3 | $56.64 | $236.00 | $39.65–$236.00 | 35% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT EST LVL3 | $56.64 | $236.00 | $39.65–$236.00 | 35% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LEVEL 3 | $56.64 | $236.00 | $39.65–$236.00 | 35% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED LEVEL 3 | $56.64 | $236.00 | $39.65–$236.00 | 35% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED LEVEL 3 | $56.64 | $236.00 | $65.18–$236.00 | — | 76% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPATIENT VISIT 15 MINS | $56.64 | $236.00 | $65.18–$236.00 | — | 76% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED OUTPT INTERMEDIATE | $56.64 | $236.00 | $65.18–$236.00 | — | 76% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED LEVEL3 | $56.64 | $236.00 | $65.18–$236.00 | — | 76% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT EST LVL3 | $56.64 | $236.00 | $65.18–$236.00 | — | 76% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT LEVEL 3 | $56.64 | $236.00 | $65.18–$236.00 | — | 76% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PATIENT VISIT LEVEL 3 ENDO | $56.64 | $236.00 | $65.18–$236.00 | — | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED LEVEL 4 | $67.44 | $281.00 | $47.21–$281.00 | 44% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT EST LVL4 | $67.44 | $281.00 | $47.21–$281.00 | 44% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED LEVEL4 | $67.44 | $281.00 | $47.21–$281.00 | 44% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PATIENT VISIT LEVEL 4 ENDO | $67.44 | $281.00 | $47.21–$281.00 | 44% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LEVEL 4 | $67.44 | $281.00 | $47.21–$281.00 | 44% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED OUTPT COMPLEX | $67.44 | $281.00 | $47.21–$281.00 | 44% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT 25 MINS | $67.44 | $281.00 | $47.21–$281.00 | 44% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PATIENT VISIT LEVEL 4 ENDO | $67.44 | $281.00 | $77.61–$281.00 | — | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED LEVEL 4 | $67.44 | $281.00 | $77.61–$281.00 | — | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT LEVEL 4 | $67.44 | $281.00 | $77.61–$281.00 | — | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT EST LVL4 | $67.44 | $281.00 | $77.61–$281.00 | — | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED LEVEL4 | $67.44 | $281.00 | $77.61–$281.00 | — | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED OUTPT COMPLEX | $67.44 | $281.00 | $77.61–$281.00 | — | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPATIENT VISIT 25 MINS | $67.44 | $281.00 | $77.61–$281.00 | — | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED LEVEL2 | $51.12 | $213.00 | $35.78–$213.00 | 28% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT 10 MINS | $51.12 | $213.00 | $35.78–$213.00 | 28% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED OUTPT BRIEF | $51.12 | $213.00 | $35.78–$213.00 | 28% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PATIENT VISIT LEVEL 2 ENDO | $51.12 | $213.00 | $35.78–$213.00 | 28% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LEVEL 2 | $51.12 | $213.00 | $35.78–$213.00 | 28% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED LEVEL 2 | $51.12 | $213.00 | $35.78–$213.00 | 28% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT EST LVL2 | $51.12 | $213.00 | $35.78–$213.00 | 28% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED LEVEL 2 | $51.12 | $213.00 | $58.83–$213.00 | — | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPATIENT VISIT 10 MINS | $51.12 | $213.00 | $58.83–$213.00 | — | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED OUTPT BRIEF | $51.12 | $213.00 | $58.83–$213.00 | — | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED LEVEL2 | $51.12 | $213.00 | $58.83–$213.00 | — | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT EST LVL2 | $51.12 | $213.00 | $58.83–$213.00 | — | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LEVEL 2 | $51.12 | $213.00 | $58.83–$213.00 | — | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PATIENT VISIT LEVEL 2 ENDO | $51.12 | $213.00 | $58.83–$213.00 | — | 76% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $44.16 | $184.00 | $30.91–$184.00 | 41% below | 76% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $44.16 | $184.00 | $50.82–$184.00 | — | 76% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $49.68 | $207.00 | $34.78–$207.00 | 54% below | 76% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $49.68 | $207.00 | $57.17–$207.00 | — | 76% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $97.92 | $408.00 | $68.54–$408.00 | 66% below | 76% |
| Spirometry (breathing test) CPT 94010 SIMPLE PULMONARY FUNCTION | $97.92 | $408.00 | $68.54–$408.00 | 66% below | 76% |
| Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST | $97.92 | $408.00 | $112.69–$408.00 | — | 76% |
| Spirometry (breathing test) inpatient CPT 94010 SIMPLE PULMONARY FUNCTION | $97.92 | $408.00 | $112.69–$408.00 | — | 76% |
| Spirometry before and after a bronchodilator CPT 94060 EVAL OF WHEEZING PRE/POST | $86.88 | $362.00 | $60.82–$362.00 | 81% below | 76% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 EVAL OF WHEEZING PRE/POST | $86.88 | $362.00 | $99.98–$362.00 | — | 76% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $90.72 | $378.00 | $63.50–$378.00 | 42% below | 76% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $90.72 | $378.00 | $104.40–$378.00 | — | 76% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX | $85.52 | $356.33 | $59.86–$356.33 | at median | 76% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX | $85.52 | $356.33 | $98.42–$356.33 | — | 76% |
| Hepatitis A vaccine, adult dose CPT 90632 HAVRIX | $56.15 | $233.94 | $39.30–$233.94 | 50% below | 76% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX | $56.15 | $233.94 | $64.61–$233.94 | — | 76% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza HIGH-DOSE (trivalent) vaccine 0.5 mL inj | $71.31 | $297.13 | $49.92–$297.13 | 46% below | 76% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza HIGH-DOSE (trivalent) vaccine 0.5 mL inj | $71.31 | $297.13 | $82.07–$297.13 | — | 76% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles-mumps-rubella vaccine inj | $165.19 | $688.29 | $115.63–$688.29 | 3% below | 76% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles-mumps-rubella vaccine inj | $165.19 | $688.29 | $190.11–$688.29 | — | 76% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B vacc, OMV, adj inj 0.5 mL | $531.19 | $2,213.29 | $371.83–$2,213.29 | 22% below | 76% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B vacc, OMV, adj inj 0.5 mL | $531.19 | $2,213.29 | $611.31–$2,213.29 | — | 76% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR | $157.68 | $657.01 | $110.38–$657.01 | 72% below | 76% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent inj 0.5 mL | $755.06 | $3,146.10 | $528.54–$3,146.10 | 33% above | 76% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR | $157.68 | $657.01 | $181.47–$657.01 | — | 76% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent inj 0.5 mL | $755.06 | $3,146.10 | $868.95–$3,146.10 | — | 76% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL VACCINE INJ | $119.29 | $497.04 | $83.50–$497.04 | 53% below | 76% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-valent inj 0.5 mL | $367.69 | $1,532.06 | $257.39–$1,532.06 | 45% above | 76% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL VACCINE INJ | $119.29 | $497.04 | $137.28–$497.04 | — | 76% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-valent inj 0.5 mL | $367.69 | $1,532.06 | $423.15–$1,532.06 | — | 76% |
| Rabies vaccine, one dose CPT 90675 rabies virus vaccine 2.5 unit/1 mL inj (RabAvert) | $443.70 | $1,848.75 | $310.59–$1,848.75 | 33% below | 76% |
| Rabies vaccine, one dose inpatient CPT 90675 rabies virus vaccine 2.5 unit/1 mL inj (RabAvert) | $443.70 | $1,848.75 | $510.62–$1,848.75 | — | 76% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX | $132.65 | $552.72 | $92.86–$552.72 | 53% below | 76% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine, inactivated (recombinant) inj | $269.84 | $1,124.35 | $188.89–$1,124.35 | 5% below | 76% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX | $132.65 | $552.72 | $152.66–$552.72 | — | 76% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine, inactivated (recombinant) inj | $269.84 | $1,124.35 | $310.55–$1,124.35 | — | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 diphth/tetanus tox *ADULT* inj 0.5 mL | $115.84 | $482.66 | $81.09–$482.66 | 82% above | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 diphth/tetanus tox *ADULT* inj 0.5 mL | $115.84 | $482.66 | $133.31–$482.66 | — | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX | $32.19 | $134.12 | $22.53–$134.12 | 70% below | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX | $32.19 | $134.12 | $37.04–$134.12 | — | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INIT VACCINE | $36.24 | $151.00 | $25.37–$151.00 | 51% below | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION HEPATITIS BVAC | $36.24 | $151.00 | $25.37–$151.00 | 51% below | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INIT | $36.24 | $151.00 | $25.37–$151.00 | 51% below | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INIT VACC | $36.24 | $151.00 | $25.37–$151.00 | 51% below | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION HEPATITIS BVAC | $36.24 | $151.00 | $41.71–$151.00 | — | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN INIT | $36.24 | $151.00 | $41.71–$151.00 | — | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INIT VACC | $36.24 | $151.00 | $41.71–$151.00 | — | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INIT VACCINE | $36.24 | $151.00 | $41.71–$151.00 | — | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADDTL VACCINE | $21.36 | $89.00 | $14.95–$89.00 | 47% below | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADDL VACCINE | $21.36 | $89.00 | $14.95–$89.00 | 47% below | 76% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADDL VACCINE | $21.36 | $89.00 | $24.58–$89.00 | — | 76% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADDTL VACCINE | $21.36 | $89.00 | $24.58–$89.00 | — | 76% |
Source file: https://uoflhealth.org/wp-content/uploads/2026/04/611293786_UofL-Health-UofL-Hospital_standardcharges2.zip