Hospital Nashville-Davidson--Murfreesboro--Franklin, TN

Williamson Medical Center

Listed in its price file as “Williamson County Hospital District”.

Williamson Medical Center in Franklin, TN publishes cash prices for 310 common procedures listed here, from its own machine-readable price file updated Aug 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 284 of 309 procedures and below it for 25. By typical cash price it ranks #68 of 88 Tennessee hospitals and #10 of 21 hospitals in the Nashville, TN area, cheapest first. Select a procedure to compare it with other hospitals nearby.

4321 Carothers Pkwy, Franklin, TN 37067 Collected Sep 27, 2026 Source price file Check a bill from this hospital (615) 435-5000

Acute care hospital Government-owned hospital Emergency department CMS star rating 5 of 5 CCN 440029 · CMS hospital register NPI 1265445506

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Williamson Medical Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD W/WO CONTRAST	$1,880.60	$3,335.40	$1,344.17–$3,168.63	67% above	44%
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST	$1,880.60	$3,335.40	$1,344.17–$3,168.63	67% above	44%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W/WO CONTRAST	$1,880.60	$3,335.40	$1,237.43–$3,168.63	—	44%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST	$1,880.60	$3,335.40	$1,237.43–$3,168.63	—	44%
Abdominal X-ray, 2 views CPT 74019 X-RAY ABDOMEN 2 VIEWS	$180.65	$320.40	$129.12–$304.38	4% above	44%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN AP/UPRIGHT	$180.65	$320.40	$129.12–$304.38	4% above	44%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN AP/UPRIGHT OR DECUB	$180.65	$320.40	$129.12–$304.38	4% above	44%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN AP/UPRIGHT	$180.65	$320.40	$118.87–$304.38	—	44%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN AP/UPRIGHT OR DECUB	$180.65	$320.40	$118.87–$304.38	—	44%
Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY ABDOMEN 2 VIEWS	$180.65	$320.40	$118.87–$304.38	—	44%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE	$251.36	$445.80	$179.66–$423.51	78% above	44%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMP MIN 3 VIEWS	$251.36	$445.80	$179.66–$423.51	78% above	44%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMP MIN 3 VIEWS	$251.36	$445.80	$165.39–$423.51	—	44%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMPLETE	$251.36	$445.80	$165.39–$423.51	—	44%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON-INV PHYSIOLOGIC STDY EXT	$489.69	$868.50	$350.01–$825.08	89% above	44%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE/BRACHIAL INDICES	$489.69	$868.50	$350.01–$825.08	89% above	44%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE/BRACHIAL INDICES	$489.69	$868.50	$322.21–$825.08	—	44%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON-INV PHYSIOLOGIC STDY EXT	$489.69	$868.50	$322.21–$825.08	—	44%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O CONT	$1,130.76	$2,005.50	$808.22–$1,905.22	63% above	44%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER LIMB W/O CONTRAST	$1,130.76	$2,005.50	$808.22–$1,905.22	63% above	44%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O CONT	$1,130.76	$2,005.50	$744.04–$1,905.22	—	44%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER LIMB W/O CONTRAST	$1,130.76	$2,005.50	$744.04–$1,905.22	—	44%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$303.11	$537.60	$216.65–$510.72	38% above	44%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM	$303.11	$537.60	$199.45–$510.72	—	44%
Bone scan, whole body (nuclear medicine) CPT 78306 SCAN BONE BODY	$1,142.60	$2,026.50	$816.68–$1,925.18	69% above	44%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 SCAN BONE BODY	$1,142.60	$2,026.50	$751.83–$1,925.18	—	44%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE	$211.44	$375.00	$151.12–$356.25	22% above	44%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL	$211.44	$375.00	$151.12–$356.25	22% above	44%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE	$211.44	$375.00	$139.12–$356.25	—	44%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL	$211.44	$375.00	$139.12–$356.25	—	44%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LMTD UNILATERAL	$258.80	$459.00	$184.98–$436.05	57% above	44%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LMTD UNILATERAL	$258.80	$459.00	$170.29–$436.05	—	44%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN CTA PELVIS	$2,737.39	$4,855.00	$1,956.56–$4,612.25	60% above	44%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN CTA PELVIS	$2,737.39	$4,855.00	$1,801.20–$4,612.25	—	44%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WO CONTRAST	$2,032.16	$3,604.20	$1,452.49–$3,423.99	85% above	44%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/WO CONTRAST	$2,032.16	$3,604.20	$1,337.16–$3,423.99	—	44%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CONTRAST	$2,032.16	$3,604.20	$1,452.49–$3,423.99	90% above	44%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CONTRAST	$2,032.16	$3,604.20	$1,337.16–$3,423.99	—	44%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$2,279.45	$4,042.80	$1,629.25–$3,840.66	109% above	44%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA PULMONARY	$2,279.45	$4,042.80	$1,629.25–$3,840.66	109% above	44%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA PULMONARY	$2,279.45	$4,042.80	$1,499.88–$3,840.66	—	44%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$2,279.45	$4,042.80	$1,499.88–$3,840.66	—	44%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HRT CORNRY ART/BYPASS GRFT	$1,057.18	$1,875.00	$755.62–$1,781.25	19% above	44%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HRT CORNRY ART/BYPASS GRFT	$1,057.18	$1,875.00	$695.62–$1,781.25	—	44%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CALCIUM SCORING	$99.00	$99.00	$107.48–$253.36	2% below	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CONTRAST CORANARY	$186.06	$330.00	$132.99–$313.50	84% above	44%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CALCIUM SCORING	$99.00	$99.00	$98.95–$253.36	—	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WO CONTRAST CORANARY	$186.06	$330.00	$122.43–$313.50	—	44%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS WO/CONTRAST	$1,945.95	$3,451.30	$1,390.87–$3,278.74	35% above	44%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS WO/CONTRAST	$1,945.95	$3,451.30	$1,280.43–$3,278.74	—	44%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST	$3,147.19	$5,581.80	$2,249.47–$5,302.71	68% above	44%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST	$3,147.19	$5,581.80	$2,070.85–$5,302.71	—	44%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRA	$3,147.19	$5,581.80	$2,249.47–$5,302.71	46% above	44%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAS	$3,147.19	$5,581.80	$2,249.47–$5,302.71	46% above	44%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN W/WO PELVIS W CONTR	$3,147.19	$5,581.80	$2,249.47–$5,302.71	46% above	44%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRA	$3,147.19	$5,581.80	$2,070.85–$5,302.71	—	44%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAS	$3,147.19	$5,581.80	$2,070.85–$5,302.71	—	44%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN W/WO PELVIS W CONTR	$3,147.19	$5,581.80	$2,070.85–$5,302.71	—	44%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$1,707.05	$3,027.60	$1,220.12–$2,876.22	76% above	44%
CT scan of the abdomen with contrast CPT 74160 CT ABD W CONTRAST	$1,707.05	$3,027.60	$1,220.12–$2,876.22	76% above	44%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$1,707.05	$3,027.60	$1,123.24–$2,876.22	—	44%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W CONTRAST	$1,707.05	$3,027.60	$1,123.24–$2,876.22	—	44%
CT scan of the abdomen without contrast CPT 74150 CT SCAN ABD W/O CONTRAST	$1,017.71	$1,805.00	$727.42–$1,714.75	31% above	44%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$1,017.71	$1,805.00	$727.42–$1,714.75	31% above	44%
CT scan of the abdomen without contrast inpatient CPT 74150 CT SCAN ABD W/O CONTRAST	$1,017.71	$1,805.00	$669.66–$1,714.75	—	44%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$1,017.71	$1,805.00	$669.66–$1,714.75	—	44%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS (SCREENING)	$1,356.91	$2,406.60	$969.86–$2,286.27	96% above	44%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O CONTRAST	$1,356.91	$2,406.60	$969.86–$2,286.27	96% above	44%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$1,356.91	$2,406.60	$969.86–$2,286.27	96% above	44%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS (SCREENING)	$1,356.91	$2,406.60	$892.85–$2,286.27	—	44%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL W/O CONTRAST	$1,356.91	$2,406.60	$892.85–$2,286.27	—	44%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$1,356.91	$2,406.60	$892.85–$2,286.27	—	44%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST - STROKE	$1,343.89	$2,383.50	$960.55–$2,264.32	88% above	44%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST	$1,343.89	$2,383.50	$960.55–$2,264.32	88% above	44%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN-HEAD W/O CONTRAST	$1,343.89	$2,383.50	$960.55–$2,264.32	88% above	44%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST - STROKE	$1,343.89	$2,383.50	$884.28–$2,264.32	—	44%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT SCAN-HEAD W/O CONTRAST	$1,343.89	$2,383.50	$884.28–$2,264.32	—	44%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$1,343.89	$2,383.50	$884.28–$2,264.32	—	44%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$1,353.19	$2,400.00	$967.20–$2,280.00	53% above	44%
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST	$1,353.19	$2,400.00	$967.20–$2,280.00	53% above	44%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$1,353.19	$2,400.00	$890.40–$2,280.00	—	44%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST	$1,353.19	$2,400.00	$890.40–$2,280.00	—	44%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST	$1,381.38	$2,450.00	$987.35–$2,327.50	27% above	44%
CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/O CONTRAST	$1,381.38	$2,450.00	$987.35–$2,327.50	27% above	44%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRAST	$1,381.38	$2,450.00	$908.95–$2,327.50	—	44%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W & W/O CONTRAST	$1,381.38	$2,450.00	$908.95–$2,327.50	—	44%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR W/O CONTRAST	$1,130.76	$2,005.50	$808.22–$1,905.22	43% above	44%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$1,130.76	$2,005.50	$808.22–$1,905.22	43% above	44%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR W/O CONTRAST	$1,130.76	$2,005.50	$744.04–$1,905.22	—	44%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$1,130.76	$2,005.50	$744.04–$1,905.22	—	44%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL W/O CONTRAST	$1,356.91	$2,406.60	$969.86–$2,286.27	53% above	44%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL W/O CONTRAST	$1,356.91	$2,406.60	$892.85–$2,286.27	—	44%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$1,434.72	$2,544.60	$1,025.47–$2,417.37	67% above	44%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$1,434.72	$2,544.60	$944.05–$2,417.37	—	44%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DOPPLER COMP BILAT STD	$791.62	$1,404.00	$565.81–$1,333.80	—	44%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DOPPLER	$791.62	$1,404.00	$565.81–$1,333.80	27% below	44%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DOPPLER COMP BILAT STD	$791.62	$1,404.00	$520.88–$1,333.80	—	44%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID DOPPLER	$791.62	$1,404.00	$520.88–$1,333.80	—	44%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST	$2,001.60	$3,550.00	$1,430.65–$3,372.50	109% above	44%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO CONTRAST	$2,001.60	$3,550.00	$1,317.05–$3,372.50	—	44%
Chest X-ray, 2 views CPT 71046 X-RAY CHEST 2 VIEWS	$295.84	$524.70	$211.45–$498.46	133% above	44%
Chest X-ray, 2 views CPT 71046 CHEST PA/LAT 2 VIEWS	$295.84	$524.70	$211.45–$498.46	133% above	44%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY CHEST 2 VIEWS	$295.84	$524.70	$194.66–$498.46	—	44%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA/LAT 2 VIEWS	$295.84	$524.70	$194.66–$498.46	—	44%
Chest X-ray, single view CPT 71045 CHEST PA SINGLE VIEW	$257.11	$456.00	$183.77–$433.20	145% above	44%
Chest X-ray, single view CPT 71045 CHEST DECUBITUS	$257.11	$456.00	$183.77–$433.20	145% above	44%
Chest X-ray, single view CPT 71045 CHEST AP/SINGLE VW	$257.11	$456.00	$183.77–$433.20	145% above	44%
Chest X-ray, single view CPT 71045 CHEST SPECIAL VIEWS	$257.11	$456.00	$183.77–$433.20	145% above	44%
Chest X-ray, single view CPT 71045 CHEST DECUBITUS VIEW/VIEWS	$257.11	$456.00	$183.77–$433.20	145% above	44%
Chest X-ray, single view CPT 71045 X-RAY CHEST 1 VIEW	$257.11	$456.00	$183.77–$433.20	145% above	44%
Chest X-ray, single view inpatient CPT 71045 CHEST AP/SINGLE VW	$257.11	$456.00	$169.18–$433.20	—	44%
Chest X-ray, single view inpatient CPT 71045 CHEST DECUBITUS VIEW/VIEWS	$257.11	$456.00	$169.18–$433.20	—	44%
Chest X-ray, single view inpatient CPT 71045 CHEST DECUBITUS	$257.11	$456.00	$169.18–$433.20	—	44%
Chest X-ray, single view inpatient CPT 71045 X-RAY CHEST 1 VIEW	$257.11	$456.00	$169.18–$433.20	—	44%
Chest X-ray, single view inpatient CPT 71045 CHEST PA SINGLE VIEW	$257.11	$456.00	$169.18–$433.20	—	44%
Chest X-ray, single view inpatient CPT 71045 CHEST SPECIAL VIEWS	$257.11	$456.00	$169.18–$433.20	—	44%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE	$228.35	$405.00	$163.22–$384.75	89% above	44%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMP	$228.35	$405.00	$163.22–$384.75	89% above	44%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE COMP	$228.35	$405.00	$150.26–$384.75	—	44%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE	$228.35	$405.00	$150.26–$384.75	—	44%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETRO PERITONEAL	$553.62	$981.90	$395.71–$932.80	100% above	44%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL	$553.62	$981.90	$395.71–$932.80	100% above	44%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETRO PERITONEAL	$553.62	$981.90	$364.28–$932.80	—	44%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL	$553.62	$981.90	$364.28–$932.80	—	44%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY COMPLETE	$343.54	$609.30	$245.55–$578.83	95% above	44%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY COMPLETE	$343.54	$609.30	$226.05–$578.83	—	44%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY LIMITED	$150.37	$266.70	$107.48–$253.36	77% above	44%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY LIMITED	$150.37	$266.70	$98.95–$253.36	—	44%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$1,130.76	$2,005.50	$808.22–$1,905.22	58% above	44%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 VERAN CT CHEST W/O	$1,130.76	$2,005.50	$808.22–$1,905.22	58% above	44%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 VERAN CT CHEST W/O	$1,130.76	$2,005.50	$744.04–$1,905.22	—	44%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST	$1,130.76	$2,005.50	$744.04–$1,905.22	—	44%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST/PE PROTOCOL	$1,974.98	$3,502.80	$1,411.63–$3,327.66	109% above	44%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$1,974.98	$3,502.80	$1,411.63–$3,327.66	109% above	44%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST	$1,974.98	$3,502.80	$1,299.54–$3,327.66	—	44%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST/PE PROTOCOL	$1,974.98	$3,502.80	$1,299.54–$3,327.66	—	44%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO DIR DIGITAL - BILAT	$340.50	$603.90	$243.37–$573.70	—	44%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO DIR DIGITAL - BILAT	$340.50	$603.90	$224.05–$573.70	—	44%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO DIR DIGITAL - UNIL	$279.83	$496.30	$200.01–$471.48	79% above	44%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO DIR DIGITAL - UNIL	$279.83	$496.30	$184.13–$471.48	—	44%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ARTERIAL DOPPLER COMP BILAT ST	$708.17	$1,256.00	$506.17–$1,193.20	—	44%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US ARTERIAL DOPP LOWER EXT(BIL	$708.17	$1,256.00	$506.17–$1,193.20	24% below	44%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ARTERIAL DOPPLER COMP BILAT ST	$708.17	$1,256.00	$465.98–$1,193.20	—	44%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US ARTERIAL DOPP LOWER EXT(BIL	$708.17	$1,256.00	$465.98–$1,193.20	—	44%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DOPPLER COMPLETE BILAT	$858.09	$1,521.90	$613.33–$1,445.80	—	44%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOPPLER UP EXT (BIL)	$858.09	$1,521.90	$613.33–$1,445.80	35% above	44%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOPPLER LOW EXT (BIL	$858.09	$1,521.90	$613.33–$1,445.80	35% above	44%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS DOPPLER COMPLETE BILAT	$858.09	$1,521.90	$564.62–$1,445.80	—	44%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS DOPPLER UP EXT (BIL)	$858.09	$1,521.90	$564.62–$1,445.80	—	44%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS DOPPLER LOW EXT (BIL	$858.09	$1,521.90	$564.62–$1,445.80	—	44%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W/DOPPLER W/CONTRAST	$1,772.23	$3,143.20	$1,266.71–$2,986.04	51% above	44%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOHEART COMP W/DOPPLER	$1,772.23	$3,143.20	$1,266.71–$2,986.04	51% above	44%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOHEART COMP W/DOPPLER	$1,772.23	$3,143.20	$1,166.13–$2,986.04	—	44%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO W/DOPPLER W/CONTRAST	$1,772.23	$3,143.20	$1,166.13–$2,986.04	—	44%
Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEW	$230.61	$409.00	$164.83–$388.55	90% above	44%
Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS	$230.61	$409.00	$164.83–$388.55	90% above	44%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEW	$230.61	$409.00	$151.74–$388.55	—	44%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS	$230.61	$409.00	$151.74–$388.55	—	44%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW MIN 3 VIEWS	$233.99	$415.00	$167.24–$394.25	62% above	44%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW COMP MIN 3 VIEWS	$233.99	$415.00	$167.24–$394.25	62% above	44%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW,MIN 3 VIEWS	$233.99	$415.00	$167.24–$394.25	62% above	44%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW COMP MIN 3 VIEWS	$233.99	$415.00	$153.96–$394.25	—	44%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW,MIN 3 VIEWS	$233.99	$415.00	$153.96–$394.25	—	44%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW MIN 3 VIEWS	$233.99	$415.00	$153.96–$394.25	—	44%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONTRAST	$753.84	$1,337.00	$538.81–$1,270.15	18% above	44%
Eye socket (orbit) CT scan without contrast CPT 70480 ORBIT,SELLA,FOSSA,EAR W/O CONT	$753.84	$1,337.00	$538.81–$1,270.15	18% above	44%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS W/O CONTRAST	$753.84	$1,337.00	$496.03–$1,270.15	—	44%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 ORBIT,SELLA,FOSSA,EAR W/O CONT	$753.84	$1,337.00	$496.03–$1,270.15	—	44%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3 VIEWS	$180.65	$320.40	$129.12–$304.38	12% above	44%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES,MIN 3 VIEWS	$180.65	$320.40	$129.12–$304.38	12% above	44%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES MIN 3 VIEWS	$180.65	$320.40	$129.12–$304.38	12% above	44%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES,MIN 3 VIEWS	$180.65	$320.40	$118.87–$304.38	—	44%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3 VIEWS	$180.65	$320.40	$118.87–$304.38	—	44%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES MIN 3 VIEWS	$180.65	$320.40	$118.87–$304.38	—	44%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS	$230.61	$409.00	$164.83–$388.55	86% above	44%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEW	$230.61	$409.00	$164.83–$388.55	86% above	44%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEWS	$230.61	$409.00	$151.74–$388.55	—	44%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEW	$230.61	$409.00	$151.74–$388.55	—	44%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY STUDY	$811.41	$1,439.10	$579.96–$1,367.14	25% above	44%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY STUDY	$811.41	$1,439.10	$533.91–$1,367.14	—	44%
Hand X-ray, 2 views CPT 73120 HAND 2 VIEW	$180.65	$320.40	$129.12–$304.38	37% above	44%
Hand X-ray, 2 views CPT 73120 HAND,MIN 2 VIEWS	$180.65	$320.40	$129.12–$304.38	37% above	44%
Hand X-ray, 2 views inpatient CPT 73120 HAND,MIN 2 VIEWS	$180.65	$320.40	$118.87–$304.38	—	44%
Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEW	$180.65	$320.40	$118.87–$304.38	—	44%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 OSCALCIS MIN 2 VIEWS	$154.49	$274.00	$110.42–$260.30	24% above	44%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HEEL MIN 2 VIEW	$154.49	$274.00	$110.42–$260.30	24% above	44%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HEEL MIN 2 VIEW	$154.49	$274.00	$101.65–$260.30	—	44%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 OSCALCIS MIN 2 VIEWS	$154.49	$274.00	$101.65–$260.30	—	44%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 UNATTENDED SLEEP STUDY LEVEL 3	$870.78	$1,544.40	$622.39–$1,467.18	234% above	44%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 UNATTENDED SLEEP STUDY LEVEL 3	$870.78	$1,544.40	$572.97–$1,467.18	—	44%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STD 4> PARAMETERS W/CPAP	$3,300.10	$5,853.00	$2,358.76–$5,560.35	94% above	44%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PARTIAL SLEEP STD 4 W/CPAP	$3,300.10	$5,853.00	$2,358.76–$5,560.35	94% above	44%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STD 4> PARAMETERS W/CPAP	$3,300.10	$5,853.00	$2,171.46–$5,560.35	—	44%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PARTIAL SLEEP STD 4 W/CPAP	$3,300.10	$5,853.00	$2,171.46–$5,560.35	—	44%
Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS	$231.73	$411.00	$165.63–$390.45	62% above	44%
Knee X-ray, 3 views CPT 73562 KNEE,3 VIEW	$231.73	$411.00	$165.63–$390.45	62% above	44%
Knee X-ray, 3 views inpatient CPT 73562 KNEE,3 VIEW	$231.73	$411.00	$152.48–$390.45	—	44%
Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS	$231.73	$411.00	$152.48–$390.45	—	44%
Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMPLETE 4 MORE VWS	$334.91	$594.00	$239.38–$564.30	118% above	44%
Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMP 4 OR > VIEWS	$334.91	$594.00	$239.38–$564.30	118% above	44%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMPLETE 4 MORE VWS	$334.91	$594.00	$220.37–$564.30	—	44%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMP 4 OR > VIEWS	$334.91	$594.00	$220.37–$564.30	—	44%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER LIMB W/O CONTRAST	$1,287.90	$2,284.20	$920.53–$2,169.99	84% above	44%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O CONTRAS	$1,287.90	$2,284.20	$920.53–$2,169.99	84% above	44%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER LIMB W/O CONT RT&LT	$1,156.98	$2,052.00	$826.96–$1,949.40	65% above	44%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER LIMB W/O CONTRAST	$1,287.90	$2,284.20	$847.44–$2,169.99	—	44%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O CONTRAS	$1,287.90	$2,284.20	$847.44–$2,169.99	—	44%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER LIMB W/O CONT RT&LT	$1,156.98	$2,052.00	$761.29–$1,949.40	—	44%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SINGLE ORGAN LIMITED	$525.71	$932.40	$375.76–$885.78	96% above	44%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIMITED STUDY ABDOMEN	$525.71	$932.40	$375.76–$885.78	96% above	44%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SINGLE ORGAN LIMITED	$525.71	$932.40	$345.92–$885.78	—	44%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIMITED STUDY ABDOMEN	$525.71	$932.40	$345.92–$885.78	—	44%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASC LMTD	$350.31	$621.30	$250.38–$590.23	68% above	44%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY NON-VASC LMTD	$350.31	$621.30	$230.50–$590.23	—	44%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOWDOSE LUNG CANCER SCREEN PRO	$180.65	$320.40	$129.12–$304.38	6% below	44%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCEEN PROMO	$180.65	$320.40	$129.12–$304.38	6% below	44%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CTLOW DOSE LUNG CANCER SCREEN	$897.50	$1,591.80	$641.50–$1,512.21	369% above	44%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG CANCER	$897.50	$1,591.80	$641.50–$1,512.21	369% above	44%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG CANCER SCREEN	$897.50	$1,591.80	$641.50–$1,512.21	369% above	44%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCEEN PROMO	$180.65	$320.40	$118.87–$304.38	—	44%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOWDOSE LUNG CANCER SCREEN PRO	$180.65	$320.40	$118.87–$304.38	—	44%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CTLOW DOSE LUNG CANCER SCREEN	$897.50	$1,591.80	$590.56–$1,512.21	—	44%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG CANCER SCREEN	$897.50	$1,591.80	$590.56–$1,512.21	—	44%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG CANCER	$897.50	$1,591.80	$590.56–$1,512.21	—	44%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA/FIBULA 2 VIEWS	$231.73	$411.00	$165.63–$390.45	85% above	44%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA AND FIBULA 2 VIEWS	$231.73	$411.00	$165.63–$390.45	85% above	44%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA/FIBULA 2 VIEWS	$231.73	$411.00	$152.48–$390.45	—	44%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA AND FIBULA 2 VIEWS	$231.73	$411.00	$152.48–$390.45	—	44%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD(c.o.w) W/O CONT	$1,573.59	$2,790.90	$1,124.73–$2,651.36	65% above	44%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRST	$1,573.59	$2,790.90	$1,124.73–$2,651.36	65% above	44%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD(c.o.w) W/O CONT	$1,573.59	$2,790.90	$1,035.42–$2,651.36	—	44%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRST	$1,573.59	$2,790.90	$1,035.42–$2,651.36	—	44%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILATERAL WO/W CONT	$3,301.96	$5,856.30	$2,360.09–$5,563.48	—	44%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST BIL W/WO CONTRAST	$3,301.96	$5,856.30	$2,360.09–$5,563.48	328% above	44%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILATERAL WO/W CONT	$3,301.96	$5,856.30	$2,172.69–$5,563.48	—	44%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREAST BIL W/WO CONTRAST	$3,301.96	$5,856.30	$2,172.69–$5,563.48	—	44%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT W/O CONT	$1,620.79	$2,874.60	$1,158.46–$2,730.87	69% above	44%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT WO CONT	$1,620.79	$2,874.60	$1,158.46–$2,730.87	69% above	44%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JOINT WO CONT	$1,620.79	$2,874.60	$1,066.48–$2,730.87	—	44%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JOINT W/O CONT	$1,620.79	$2,874.60	$1,066.48–$2,730.87	—	44%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT W/WO CONT	$2,540.79	$4,506.30	$1,816.04–$4,280.98	102% above	44%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXTREM JOINT W/WO CO	$2,540.79	$4,506.30	$1,816.04–$4,280.98	102% above	44%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXTREM JOINT W/WO CO	$2,540.79	$4,506.30	$1,671.84–$4,280.98	—	44%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JOINT W/WO CONT	$2,540.79	$4,506.30	$1,671.84–$4,280.98	—	44%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$1,699.66	$3,014.50	$1,214.84–$2,863.78	80% above	44%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT	$1,699.66	$3,014.50	$1,214.84–$2,863.78	80% above	44%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST	$1,699.66	$3,014.50	$1,118.38–$2,863.78	—	44%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONT	$1,699.66	$3,014.50	$1,118.38–$2,863.78	—	44%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/W CONT	$2,642.95	$4,687.50	$1,889.06–$4,453.12	108% above	44%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO/W CONT	$2,642.95	$4,687.50	$1,739.06–$4,453.12	—	44%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN SCAN- W/O CONT	$1,734.57	$3,076.40	$1,239.79–$2,922.58	51% above	44%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$1,734.57	$3,076.40	$1,239.79–$2,922.58	51% above	44%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN SCAN- W/O CONT	$1,734.57	$3,076.40	$1,141.34–$2,922.58	—	44%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST	$1,734.57	$3,076.40	$1,141.34–$2,922.58	—	44%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN SCAN- W/WO CONTRAST	$3,094.58	$5,488.50	$2,211.87–$5,214.08	108% above	44%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$3,094.58	$5,488.50	$2,211.87–$5,214.08	108% above	44%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST	$3,094.58	$5,488.50	$2,036.23–$5,214.08	—	44%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN SCAN- W/WO CONTRAST	$3,094.58	$5,488.50	$2,036.23–$5,214.08	—	44%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR,SPINE W/O CONT	$1,534.52	$2,721.60	$1,096.80–$2,585.52	56% above	44%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO CONTRAST	$1,534.52	$2,721.60	$1,096.80–$2,585.52	56% above	44%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR,SPINE W/O CONT	$1,534.52	$2,721.60	$1,009.71–$2,585.52	—	44%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO CONTRAST	$1,534.52	$2,721.60	$1,009.71–$2,585.52	—	44%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$2,907.16	$5,156.10	$2,077.91–$4,898.30	104% above	44%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$2,907.16	$5,156.10	$1,912.91–$4,898.30	—	44%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC,SPINE W/O CONT	$1,707.56	$3,028.50	$1,220.49–$2,877.08	75% above	44%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO CONTRAST	$1,707.56	$3,028.50	$1,220.49–$2,877.08	75% above	44%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC,SPINE W/O CONT	$1,707.56	$3,028.50	$1,123.57–$2,877.08	—	44%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE WO CONTRAST	$1,707.56	$3,028.50	$1,123.57–$2,877.08	—	44%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO CONTRA	$2,642.95	$4,687.50	$1,889.06–$4,453.12	81% above	44%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/WO CONTRA	$2,642.95	$4,687.50	$1,739.06–$4,453.12	—	44%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL,SPINE W/O CONT	$1,712.13	$3,036.60	$1,223.75–$2,884.77	74% above	44%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$1,712.13	$3,036.60	$1,223.75–$2,884.77	74% above	44%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$1,712.13	$3,036.60	$1,126.58–$2,884.77	—	44%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL,SPINE W/O CONT	$1,712.13	$3,036.60	$1,126.58–$2,884.77	—	44%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$2,642.95	$4,687.50	$1,889.06–$4,453.12	99% above	44%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/W CONT	$2,642.95	$4,687.50	$1,889.06–$4,453.12	99% above	44%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO/W CONT	$2,642.95	$4,687.50	$1,739.06–$4,453.12	—	44%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$2,642.95	$4,687.50	$1,739.06–$4,453.12	—	44%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$1,494.43	$2,650.50	$1,068.15–$2,517.98	69% above	44%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT	$1,494.43	$2,650.50	$1,068.15–$2,517.98	69% above	44%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONT	$1,494.43	$2,650.50	$983.34–$2,517.98	—	44%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$1,494.43	$2,650.50	$983.34–$2,517.98	—	44%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREM JOINT WO CONT	$1,408.16	$2,497.50	$1,006.49–$2,372.62	49% above	44%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY JNT W/O C	$1,408.16	$2,497.50	$1,006.49–$2,372.62	49% above	44%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREM JOINT WO CONT	$1,408.16	$2,497.50	$926.57–$2,372.62	—	44%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREMITY JNT W/O C	$1,408.16	$2,497.50	$926.57–$2,372.62	—	44%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE COMPLETE	$383.97	$681.00	$274.44–$646.95	82% above	44%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE COMP MIN 4 VIEW	$383.97	$681.00	$274.44–$646.95	82% above	44%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE MIN 4 VIEWS	$383.97	$681.00	$274.44–$646.95	82% above	44%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE MIN 4 VIEWS	$383.97	$681.00	$252.65–$646.95	—	44%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE COMPLETE	$383.97	$681.00	$252.65–$646.95	—	44%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE COMP MIN 4 VIEW	$383.97	$681.00	$252.65–$646.95	—	44%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CONT	$1,606.91	$2,850.00	$1,148.55–$2,707.50	92% above	44%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W CONTRAST	$1,606.91	$2,850.00	$1,148.55–$2,707.50	92% above	44%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CONT	$1,606.91	$2,850.00	$1,057.35–$2,707.50	—	44%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W CONTRAST	$1,606.91	$2,850.00	$1,057.35–$2,707.50	—	44%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$824.49	$1,462.30	$589.31–$1,389.18	14% above	44%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTR	$824.49	$1,462.30	$589.31–$1,389.18	14% above	44%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONTR	$824.49	$1,462.30	$542.51–$1,389.18	—	44%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CONTRAST	$824.49	$1,462.30	$542.51–$1,389.18	—	44%
Neck soft tissue X-ray CPT 70360 NECK-SOFT TISSUE	$231.73	$411.00	$165.63–$390.45	89% above	44%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$231.73	$411.00	$165.63–$390.45	89% above	44%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$231.73	$411.00	$152.48–$390.45	—	44%
Neck soft tissue X-ray inpatient CPT 70360 NECK-SOFT TISSUE	$231.73	$411.00	$152.48–$390.45	—	44%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERFUSION W/EF	$2,237.33	$3,968.10	$1,599.14–$3,769.70	16% above	44%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL IMAG REST/STRESS	$2,237.33	$3,968.10	$1,599.14–$3,769.70	16% above	44%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL IMAGING STRESS/REST	$2,237.33	$3,968.10	$1,599.14–$3,769.70	16% above	44%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERFUSION W/EF	$2,237.33	$3,968.10	$1,472.17–$3,769.70	—	44%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL IMAGING STRESS/REST	$2,237.33	$3,968.10	$1,472.17–$3,769.70	—	44%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL IMAG REST/STRESS	$2,237.33	$3,968.10	$1,472.17–$3,769.70	—	44%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 TUMOR IMAGING, PET/CT, SKULL-T	$3,558.72	$6,311.70	$2,543.62–$5,996.12	78% above	44%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TUMOR IMAGING, PET/CT, SKULL-T	$3,558.72	$6,311.70	$2,341.64–$5,996.12	—	44%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$1,130.76	$2,005.50	$808.22–$1,905.22	61% above	44%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$1,130.76	$2,005.50	$744.04–$1,905.22	—	44%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED	$317.66	$563.40	$227.05–$535.23	69% above	44%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED OR FOLLOW-UP	$317.66	$563.40	$227.05–$535.23	69% above	44%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED	$317.66	$563.40	$209.02–$535.23	—	44%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIC LIMITED OR FOLLOW-UP	$317.66	$563.40	$209.02–$535.23	—	44%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC ULTRASOUND COMPLETE	$607.41	$1,077.30	$434.15–$1,023.44	111% above	44%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC	$607.41	$1,077.30	$434.15–$1,023.44	111% above	44%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC ULTRASOUND COMPLETE	$607.41	$1,077.30	$399.68–$1,023.44	—	44%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC	$607.41	$1,077.30	$399.68–$1,023.44	—	44%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US > 14 WEEKS 1ST GESTATION	$661.65	$1,173.50	$472.92–$1,114.82	130% above	44%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 WEEKS, 1ST GEST	$661.65	$1,173.50	$472.92–$1,114.82	130% above	44%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US > 14 WEEKS 1ST GESTATION	$661.65	$1,173.50	$435.37–$1,114.82	—	44%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 WEEKS, 1ST GEST	$661.65	$1,173.50	$435.37–$1,114.82	—	44%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB < 14 WEEKS FIRST GESTATION	$675.75	$1,198.50	$483.00–$1,138.58	167% above	44%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 UB OB < 14 WKS, SINGLE 1ST GES	$675.75	$1,198.50	$483.00–$1,138.58	167% above	44%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB < 14 WEEKS FIRST GESTATION	$675.75	$1,198.50	$444.64–$1,138.58	—	44%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 UB OB < 14 WKS, SINGLE 1ST GES	$675.75	$1,198.50	$444.64–$1,138.58	—	44%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED OBSTETRICAL ULTRASOUND	$293.59	$520.70	$209.84–$494.66	80% above	44%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED	$293.59	$520.70	$209.84–$494.66	80% above	44%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED STUDY	$293.59	$520.70	$209.84–$494.66	80% above	44%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LIMITED	$293.59	$520.70	$193.18–$494.66	—	44%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED STUDY	$293.59	$520.70	$193.18–$494.66	—	44%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 LIMITED OBSTETRICAL ULTRASOUND	$293.59	$520.70	$193.18–$494.66	—	44%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEWS	$231.73	$411.00	$165.63–$390.45	65% above	44%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEW	$231.73	$411.00	$165.63–$390.45	65% above	44%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL	$231.73	$411.00	$165.63–$390.45	65% above	44%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS	$231.73	$411.00	$152.48–$390.45	—	44%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL	$231.73	$411.00	$152.48–$390.45	—	44%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEW	$231.73	$411.00	$152.48–$390.45	—	44%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS-UNI INC CHEST PA MIN 3	$180.65	$320.40	$129.12–$304.38	18% above	44%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL W/PA CHEST	$180.65	$320.40	$129.12–$304.38	18% above	44%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS-UNI INC CHEST PA MIN 3	$180.65	$320.40	$118.87–$304.38	—	44%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL W/PA CHEST	$180.65	$320.40	$118.87–$304.38	—	44%
Screening mammogram, both breasts CPT 77067 SCRN MAMMO DIR DIGITAL UNI/BIL	$289.24	$513.00	$206.74–$487.35	275% above	44%
Screening mammogram, both breasts inpatient CPT 77067 SCRN MAMMO DIR DIGITAL UNI/BIL	$289.24	$513.00	$190.32–$487.35	—	44%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMP MIN 2 VIEWS	$254.57	$451.50	$181.95–$428.92	85% above	44%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER MIN 2 VIEWS	$254.57	$451.50	$181.95–$428.92	85% above	44%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER MIN 2 VIEWS	$254.57	$451.50	$167.51–$428.92	—	44%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMP MIN 2 VIEWS	$254.57	$451.50	$167.51–$428.92	—	44%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES MIN 3 VIEWS	$165.20	$293.00	$118.08–$278.35	2% below	44%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMP MIN 3 VIEWS	$165.20	$293.00	$118.08–$278.35	2% below	44%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS COMP MIN 3 VIEWS	$165.20	$293.00	$108.70–$278.35	—	44%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES MIN 3 VIEWS	$165.20	$293.00	$108.70–$278.35	—	44%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4 VIEWS	$180.65	$320.40	$129.12–$304.38	49% above	44%
Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 VIEWS	$180.65	$320.40	$129.12–$304.38	49% above	44%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS THAN 4 VIEWS	$180.65	$320.40	$118.87–$304.38	—	44%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL < 4 VIEWS	$180.65	$320.40	$118.87–$304.38	—	44%
Sleep study in a lab (polysomnography) CPT 95810 PARTIAL SLEEP STUDY	$2,469.24	$4,379.40	$1,764.90–$4,160.43	72% above	44%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY	$2,469.24	$4,379.40	$1,764.90–$4,160.43	72% above	44%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PARTIAL SLEEP STUDY	$2,469.24	$4,379.40	$1,624.76–$4,160.43	—	44%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY	$2,469.24	$4,379.40	$1,624.76–$4,160.43	—	44%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW MOD/SP THER/SWA	$303.11	$537.60	$216.65–$510.72	42% above	44%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW MOD/SP THER/SWA	$303.11	$537.60	$199.45–$510.72	—	44%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VIEWS	$189.28	$335.70	$135.29–$318.91	83% above	44%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR 2 VIEWS	$189.28	$335.70	$124.54–$318.91	—	44%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CONTRAST	$1,086.73	$1,927.40	$776.74–$1,831.03	47% above	44%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O CONTRAST	$1,086.73	$1,927.40	$715.07–$1,831.03	—	44%
Toe X-ray, 2 or more views CPT 73660 TOE(S) MIN 2 VIEWS	$213.69	$379.00	$152.74–$360.05	78% above	44%
Toe X-ray, 2 or more views CPT 73660 TOE (S) MIN 2 VIEWS	$213.69	$379.00	$152.74–$360.05	78% above	44%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE (S) MIN 2 VIEWS	$213.69	$379.00	$140.61–$360.05	—	44%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE(S) MIN 2 VIEWS	$213.69	$379.00	$140.61–$360.05	—	44%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL-GYN	$523.23	$928.00	$373.98–$881.60	88% above	44%
Transvaginal pelvic ultrasound CPT 76830 TRANS VAGINAL ULTRASOUND	$523.23	$928.00	$373.98–$881.60	88% above	44%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANS VAGINAL ULTRASOUND	$523.23	$928.00	$344.29–$881.60	—	44%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL-GYN	$523.23	$928.00	$344.29–$881.60	—	44%
Transvaginal ultrasound during pregnancy CPT 76817 TRANS VAGINAL OB	$301.93	$535.50	$215.81–$508.72	34% above	44%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$301.93	$535.50	$215.81–$508.72	34% above	44%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANS VAGINAL OB	$301.93	$535.50	$198.67–$508.72	—	44%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$301.93	$535.50	$198.67–$508.72	—	44%
Ultrasound of the abdomen, complete CPT 76700 US UPPER ABDOMEN	$534.85	$948.60	$382.29–$901.17	46% above	44%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE	$534.85	$948.60	$382.29–$901.17	46% above	44%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMPLETE	$534.85	$948.60	$351.93–$901.17	—	44%
Ultrasound of the abdomen, complete inpatient CPT 76700 US UPPER ABDOMEN	$534.85	$948.60	$351.93–$901.17	—	44%
Ultrasound of the scrotum and testicles CPT 76870 SCROTOMAND AND CONTENTS	$504.80	$895.30	$360.81–$850.54	89% above	44%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR	$504.80	$895.30	$360.81–$850.54	89% above	44%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR	$504.80	$895.30	$332.16–$850.54	—	44%
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTOMAND AND CONTENTS	$504.80	$895.30	$332.16–$850.54	—	44%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$540.60	$958.80	$386.40–$910.86	118% above	44%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD&NECK	$540.60	$958.80	$386.40–$910.86	118% above	44%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK	$540.60	$958.80	$386.40–$910.86	118% above	44%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD&NECK	$540.60	$958.80	$355.71–$910.86	—	44%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK	$540.60	$958.80	$355.71–$910.86	—	44%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$540.60	$958.80	$355.71–$910.86	—	44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI,LIMITED	$568.68	$1,008.60	$406.47–$958.17	120% above	44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/SM INT W/SERIAL FILMS	$568.68	$1,008.60	$406.47–$958.17	120% above	44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/SM INT W/SERIAL FILMS	$568.68	$1,008.60	$374.19–$958.17	—	44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI,LIMITED	$568.68	$1,008.60	$374.19–$958.17	—	44%
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS MIN 2 VIEWS	$154.49	$274.00	$110.42–$260.30	35% above	44%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS MIN 2 VIEWS	$154.49	$274.00	$101.65–$260.30	—	44%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS DOPP UP EXT UNI	$675.41	$1,197.90	$482.75–$1,138.01	89% above	44%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DOPPLER LIMITED	$675.41	$1,197.90	$482.75–$1,138.01	89% above	44%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS DOPP LOW EXT UNI	$675.41	$1,197.90	$482.75–$1,138.01	89% above	44%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER, UNI UE LT	$523.12	$927.80	$373.90–$881.41	46% above	44%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER LIM LT	$523.12	$927.80	$373.90–$881.41	46% above	44%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS DOPP LOW EXT UNI	$675.41	$1,197.90	$444.42–$1,138.01	—	44%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS DOPP UP EXT UNI	$675.41	$1,197.90	$444.42–$1,138.01	—	44%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DOPPLER LIMITED	$675.41	$1,197.90	$444.42–$1,138.01	—	44%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER LIM LT	$523.12	$927.80	$344.21–$881.41	—	44%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER, UNI UE LT	$523.12	$927.80	$344.21–$881.41	—	44%
Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS	$230.61	$409.00	$164.83–$388.55	97% above	44%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS	$230.61	$409.00	$151.74–$388.55	—	44%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMP MIN 3 VIEWS	$292.80	$519.30	$209.28–$493.33	114% above	44%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMPLETE MIN 3 VIEWS	$292.80	$519.30	$209.28–$493.33	114% above	44%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST COMP MIN 3 VIEWS	$292.80	$519.30	$192.66–$493.33	—	44%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST COMPLETE MIN 3 VIEWS	$292.80	$519.30	$192.66–$493.33	—	44%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PELVIS W/FROGLEG LAT CHILD	$169.71	$301.00	$121.30–$285.95	20% above	44%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RADEX HIP UNILAT W/PELVIS 2-3V	$169.71	$301.00	$121.30–$285.95	20% above	44%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILAT COMP MIN 2 VIEWS	$254.57	$451.50	$181.95–$428.92	80% above	44%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILAT MIN 2 VIEW	$254.57	$451.50	$181.95–$428.92	80% above	44%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 PELVIS W/FROGLEG LAT CHILD	$169.71	$301.00	$111.67–$285.95	—	44%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RADEX HIP UNILAT W/PELVIS 2-3V	$169.71	$301.00	$111.67–$285.95	—	44%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILAT MIN 2 VIEW	$254.57	$451.50	$167.51–$428.92	—	44%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILAT COMP MIN 2 VIEWS	$254.57	$451.50	$167.51–$428.92	—	44%
X-ray of the abdomen, 1 view CPT 74018 KUB	$154.49	$274.00	$110.42–$260.30	12% above	44%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW	$226.83	$402.30	$162.13–$382.18	65% above	44%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SINGLE	$226.83	$402.30	$162.13–$382.18	65% above	44%
X-ray of the abdomen, 1 view inpatient CPT 74018 KUB	$154.49	$274.00	$101.65–$260.30	—	44%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW	$226.83	$402.30	$149.25–$382.18	—	44%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN SINGLE	$226.83	$402.30	$149.25–$382.18	—	44%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS	$154.49	$274.00	$110.42–$260.30	26% above	44%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2VW	$154.49	$274.00	$110.42–$260.30	26% above	44%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS	$154.49	$274.00	$101.65–$260.30	—	44%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2VW	$154.49	$274.00	$101.65–$260.30	—	44%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER (S) MIN 2 VIEWS	$221.75	$393.30	$158.50–$373.64	83% above	44%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) MIN 2 VIEWS	$221.75	$393.30	$158.50–$373.64	83% above	44%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER MIN 2 VIEWS	$221.75	$393.30	$158.50–$373.64	83% above	44%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER MIN 2 VIEWS	$221.75	$393.30	$145.91–$373.64	—	44%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) MIN 2 VIEWS	$221.75	$393.30	$145.91–$373.64	—	44%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER (S) MIN 2 VIEWS	$221.75	$393.30	$145.91–$373.64	—	44%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS	$178.28	$316.20	$127.43–$300.39	41% above	44%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS	$178.28	$316.20	$117.31–$300.39	—	44%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE MIN 3 VIEWS	$254.57	$451.50	$181.95–$428.92	82% above	44%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMP MIN 3 VIEWS	$254.57	$451.50	$181.95–$428.92	82% above	44%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMP MIN 3 VIEWS	$254.57	$451.50	$167.51–$428.92	—	44%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMPLETE MIN 3 VIEWS	$254.57	$451.50	$167.51–$428.92	—	44%
X-ray of the hand, 3 or more views CPT 73130 HAND MIN 3 VIEWS	$296.86	$526.50	$212.18–$500.17	107% above	44%
X-ray of the hand, 3 or more views CPT 73130 HAND COMPLETE MIN 3 VIEWS	$296.86	$526.50	$212.18–$500.17	107% above	44%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND COMPLETE MIN 3 VIEWS	$296.86	$526.50	$195.33–$500.17	—	44%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MIN 3 VIEWS	$296.86	$526.50	$195.33–$500.17	—	44%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VIEWS	$231.73	$411.00	$165.63–$390.45	82% above	44%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1 OR 2 VIEWS	$231.73	$411.00	$152.48–$390.45	—	44%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBOSACRAL SPINE LIMITED 2-3	$180.65	$320.40	$129.12–$304.38	4% above	44%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2/3 VIEWS	$180.65	$320.40	$129.12–$304.38	4% above	44%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2/3 VIEWS	$180.65	$320.40	$118.87–$304.38	—	44%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBOSACRAL SPINE LIMITED 2-3	$180.65	$320.40	$118.87–$304.38	—	44%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE W/OBLIQUES MIN 4	$368.91	$654.30	$263.68–$621.58	65% above	44%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4 VIEWS	$368.91	$654.30	$263.68–$621.58	65% above	44%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4 VIEWS	$368.91	$654.30	$242.75–$621.58	—	44%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE W/OBLIQUES MIN 4	$368.91	$654.30	$242.75–$621.58	—	44%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$190.69	$338.20	$136.29–$321.29	45% above	44%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC 2 VIEWS	$190.69	$338.20	$136.29–$321.29	45% above	44%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC 2 VIEWS	$190.69	$338.20	$125.47–$321.29	—	44%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS	$190.69	$338.20	$125.47–$321.29	—	44%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3 VIEWS	$164.92	$292.50	$117.88–$277.88	36% above	44%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3 VIEWS	$164.92	$292.50	$108.52–$277.88	—	44%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP/LAT (MIM4VIE	$254.57	$451.50	$181.95–$428.92	81% above	44%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE LIMITED 2 OR 3	$254.57	$451.50	$181.95–$428.92	81% above	44%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP/LAT	$254.57	$451.50	$181.95–$428.92	81% above	44%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE LIMITED 2 OR 3	$254.57	$451.50	$167.51–$428.92	—	44%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE AP/LAT	$254.57	$451.50	$167.51–$428.92	—	44%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE AP/LAT (MIM4VIE	$254.57	$451.50	$167.51–$428.92	—	44%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$180.65	$320.40	$129.12–$304.38	40% above	44%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$180.65	$320.40	$118.87–$304.38	—	44%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX MIN 2 VIEWS	$210.87	$374.00	$150.72–$355.30	49% above	44%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACROCOCCYGEAL MIN 2 VIEWS	$210.87	$374.00	$150.72–$355.30	49% above	44%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX MIN 2 VIEWS	$210.87	$374.00	$138.75–$355.30	—	44%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACROCOCCYGEAL MIN 2 VIEWS	$210.87	$374.00	$138.75–$355.30	—	44%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
ACTH blood test CPT 82024 ACTH	$289.24	$513.00	$206.74–$487.35	160% above	44%
ACTH blood test inpatient CPT 82024 ACTH	$289.24	$513.00	$190.32–$487.35	—	44%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE;ALANINE AMINO	$46.80	$83.00	$33.45–$78.85	70% above	44%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$46.80	$83.00	$33.45–$78.85	70% above	44%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE;ALANINE AMINO	$46.80	$83.00	$30.79–$78.85	—	44%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$46.80	$83.00	$30.79–$78.85	—	44%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE;ASPARTATE AMINO	$32.98	$58.50	$23.58–$55.58	24% above	44%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST OR SGOT IN PROFILE	$36.37	$64.50	$25.99–$61.28	36% above	44%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$43.13	$76.50	$30.83–$72.68	62% above	44%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE;ASPARTATE AMINO	$32.98	$58.50	$21.70–$55.58	—	44%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST OR SGOT IN PROFILE	$36.37	$64.50	$23.93–$61.28	—	44%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$43.13	$76.50	$28.38–$72.68	—	44%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$224.12	$397.50	$160.19–$377.62	41% above	44%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$224.12	$397.50	$147.47–$377.62	—	44%
Albumin blood test CPT 82040 ALBUMIN IN PROFILE	$36.09	$64.00	$25.79–$60.80	106% above	44%
Albumin blood test CPT 82040 ALBUMIN SERUM	$37.78	$67.00	$27.00–$63.65	115% above	44%
Albumin blood test inpatient CPT 82040 ALBUMIN IN PROFILE	$36.09	$64.00	$23.74–$60.80	—	44%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$37.78	$67.00	$24.86–$63.65	—	44%
Aldosterone blood test CPT 82088 ALDOSTERONE	$115.70	$205.20	$82.70–$194.94	51% above	44%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$115.70	$205.20	$76.13–$194.94	—	44%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE	$46.80	$83.00	$33.45–$78.85	85% above	44%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE	$46.80	$83.00	$30.79–$78.85	—	44%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SINGLE ALLERGEN	$26.39	$46.80	$18.86–$44.46	138% above	44%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST STACHYBOTRYS IgE	$50.74	$90.00	$36.27–$85.50	357% above	44%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SINGLE ALLERGEN	$26.39	$46.80	$17.36–$44.46	—	44%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST STACHYBOTRYS IgE	$50.74	$90.00	$33.39–$85.50	—	44%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERUM	$89.31	$158.40	$63.84–$150.48	75% above	44%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SERUM	$89.31	$158.40	$58.77–$150.48	—	44%
Ammonia blood test CPT 82140 AMMONIA BLOOD	$95.40	$169.20	$68.19–$160.74	95% above	44%
Ammonia blood test inpatient CPT 82140 AMMONIA BLOOD	$95.40	$169.20	$62.77–$160.74	—	44%
Amylase blood test CPT 82150 AMYLASE URINE RANDOM	$80.35	$142.50	$57.43–$135.38	142% above	44%
Amylase blood test CPT 82150 AMYLASE BLOOD	$80.35	$142.50	$57.43–$135.38	142% above	44%
Amylase blood test inpatient CPT 82150 AMYLASE URINE RANDOM	$80.35	$142.50	$52.87–$135.38	—	44%
Amylase blood test inpatient CPT 82150 AMYLASE BLOOD	$80.35	$142.50	$52.87–$135.38	—	44%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE(C	$113.16	$200.70	$80.88–$190.66	188% above	44%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE(C	$113.16	$200.70	$74.46–$190.66	—	44%
Antinuclear antibody (ANA) blood test, screen CPT 86038 BODY FLUID ANA	$43.98	$78.00	$31.43–$74.10	19% above	44%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN IN PROFILE	$76.12	$135.00	$54.40–$128.25	106% above	44%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$89.31	$158.40	$63.84–$150.48	142% above	44%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCREEN	$94.39	$167.40	$67.46–$159.03	155% above	44%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 BODY FLUID ANA	$43.98	$78.00	$28.94–$74.10	—	44%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN IN PROFILE	$76.12	$135.00	$50.08–$128.25	—	44%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$89.31	$158.40	$58.77–$150.48	—	44%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY SCREEN	$94.39	$167.40	$62.11–$159.03	—	44%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE B-PEPTIDE	$172.53	$306.00	$123.32–$290.70	91% above	44%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE B-PEPTIDE	$172.53	$306.00	$113.53–$290.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GC	$47.93	$85.00	$34.26–$80.75	26% above	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NEO-NATAL SURFACE CULTURE	$73.86	$131.00	$52.79–$124.45	94% above	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER	$90.21	$160.00	$64.48–$152.00	137% above	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 OTHER CULTURE IN PROFILE	$94.72	$168.00	$67.70–$159.60	149% above	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WOUND CULTURE IN PROFILE	$94.72	$168.00	$67.70–$159.60	149% above	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT	$98.11	$174.00	$70.12–$165.30	158% above	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$121.79	$216.00	$87.05–$205.20	221% above	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$121.79	$216.00	$87.05–$205.20	221% above	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GC	$47.93	$85.00	$31.54–$80.75	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NEO-NATAL SURFACE CULTURE	$73.86	$131.00	$48.60–$124.45	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHER	$90.21	$160.00	$59.36–$152.00	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 OTHER CULTURE IN PROFILE	$94.72	$168.00	$62.33–$159.60	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 WOUND CULTURE IN PROFILE	$94.72	$168.00	$62.33–$159.60	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT	$98.11	$174.00	$64.55–$165.30	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND	$121.79	$216.00	$80.14–$205.20	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM	$121.79	$216.00	$80.14–$205.20	—	44%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$35.52	$63.00	$25.39–$59.85	50% below	44%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$35.52	$63.00	$23.37–$59.85	—	44%
Bilirubin blood test, total CPT 82247 BILIRUBIN;TOTAL	$32.98	$58.50	$23.58–$55.58	19% above	44%
Bilirubin blood test, total CPT 82247 BILIRUBIN (BABY TOTAL	$58.86	$104.40	$42.07–$99.18	113% above	44%
Bilirubin blood test, total CPT 82247 BILIRUBIN B.F. TOTAL	$58.86	$104.40	$42.07–$99.18	113% above	44%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$60.89	$108.00	$43.52–$102.60	121% above	44%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN;TOTAL	$32.98	$58.50	$21.70–$55.58	—	44%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN (BABY TOTAL	$58.86	$104.40	$38.73–$99.18	—	44%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN B.F. TOTAL	$58.86	$104.40	$38.73–$99.18	—	44%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$60.89	$108.00	$40.07–$102.60	—	44%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM LVL IV	$90.04	$159.70	$64.36–$151.71	19% above	44%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM LVL IV	$90.04	$159.70	$59.25–$151.71	—	44%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$127.03	$225.30	$90.80–$214.04	134% above	44%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$127.03	$225.30	$83.59–$214.04	—	44%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN PROCUREMENT	$19.62	$34.80	$14.02–$33.06	97% above	44%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN PROCUREMENT	$19.62	$34.80	$12.91–$33.06	—	44%
Blood glucose (sugar) test CPT 82947 WHOLE BLOOD GLUCOSE - LAB	$34.28	$60.80	$24.50–$57.76	59% above	44%
Blood glucose (sugar) test CPT 82947 GLUCOSE;BLOOD QUANTITATIVE	$40.09	$71.10	$28.65–$67.54	86% above	44%
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM QUANTITATIVE	$40.09	$71.10	$28.65–$67.54	86% above	44%
Blood glucose (sugar) test inpatient CPT 82947 WHOLE BLOOD GLUCOSE - LAB	$34.28	$60.80	$22.56–$57.76	—	44%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM QUANTITATIVE	$40.09	$71.10	$26.38–$67.54	—	44%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE;BLOOD QUANTITATIVE	$40.09	$71.10	$26.38–$67.54	—	44%
Blood lead test CPT 83655 LEAD BLOOD	$50.74	$90.00	$36.27–$85.50	38% above	44%
Blood lead test CPT 83655 LEAD IN PROFILE	$50.74	$90.00	$36.27–$85.50	38% above	44%
Blood lead test inpatient CPT 83655 LEAD IN PROFILE	$50.74	$90.00	$33.39–$85.50	—	44%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$50.74	$90.00	$33.39–$85.50	—	44%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST QUAL URINE	$108.59	$192.60	$77.62–$182.97	102% above	44%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST QUAL SERUM	$108.59	$192.60	$77.62–$182.97	102% above	44%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST QUAL SERUM	$108.59	$192.60	$71.45–$182.97	—	44%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST QUAL URINE	$108.59	$192.60	$71.45–$182.97	—	44%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$229.93	$407.80	$164.34–$387.41	205% above	44%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$229.93	$407.80	$151.29–$387.41	—	44%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN; QUAN	$40.09	$71.10	$28.65–$67.54	69% above	44%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN; QUAN	$40.09	$71.10	$26.38–$67.54	—	44%
C-peptide blood test CPT 84681 C-PEPTIDE	$77.64	$137.70	$55.49–$130.81	22% above	44%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$77.64	$137.70	$51.09–$130.81	—	44%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 ALLERGY TESTING	$40.03	$71.00	$28.61–$67.45	88% above	44%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$56.83	$100.80	$40.62–$95.76	167% above	44%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 ALLERGY TESTING	$40.03	$71.00	$26.34–$67.45	—	44%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$56.83	$100.80	$37.40–$95.76	—	44%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN/GE	$117.22	$207.90	$83.78–$197.50	31% above	44%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE/EPI	$117.22	$207.90	$83.78–$197.50	31% above	44%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN/GE	$117.22	$207.90	$77.13–$197.50	—	44%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE/EPI	$117.22	$207.90	$77.13–$197.50	—	44%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$132.44	$234.90	$94.66–$223.16	90% above	44%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$132.44	$234.90	$87.15–$223.16	—	44%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$114.18	$202.50	$81.61–$192.38	64% above	44%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$114.18	$202.50	$75.13–$192.38	—	44%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2;COVID-19 AMP PRO TE	$167.46	$297.00	$119.69–$282.15	202% above	44%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19	$174.05	$308.70	$124.41–$293.26	214% above	44%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2;COVID-19 AMP PRO TE	$167.46	$297.00	$110.19–$282.15	—	44%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19	$174.05	$308.70	$114.53–$293.26	—	44%
Calcium blood test, total CPT 82310 CALCIUM TOTAL IN PROFILE	$38.57	$68.40	$27.57–$64.98	41% above	44%
Calcium blood test, total CPT 82310 CALCIUM SERUM TOTAL	$38.57	$68.40	$27.57–$64.98	41% above	44%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL IN PROFILE	$38.57	$68.40	$25.38–$64.98	—	44%
Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM TOTAL	$38.57	$68.40	$25.38–$64.98	—	44%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$121.28	$215.10	$86.69–$204.34	91% above	44%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$121.28	$215.10	$79.80–$204.34	—	44%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IgG	$72.68	$128.90	$51.95–$122.46	85% above	44%
Chickenpox (varicella) immunity blood test CPT 86787 VZV IgM IN PROFILE	$72.68	$128.90	$51.95–$122.46	85% above	44%
Chickenpox (varicella) immunity blood test CPT 86787 VARICERLLA IGM	$72.68	$128.90	$51.95–$122.46	85% above	44%
Chickenpox (varicella) immunity blood test CPT 86787 VZV IgG IN PROFILE	$72.68	$128.90	$51.95–$122.46	85% above	44%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IgG	$72.68	$128.90	$47.82–$122.46	—	44%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICERLLA IGM	$72.68	$128.90	$47.82–$122.46	—	44%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV IgM IN PROFILE	$72.68	$128.90	$47.82–$122.46	—	44%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV IgG IN PROFILE	$72.68	$128.90	$47.82–$122.46	—	44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA IN PROFILE	$60.89	$108.00	$43.52–$102.60	1% above	44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYD TRACH DNA PROBE	$131.43	$233.10	$93.94–$221.44	119% above	44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA IN PROFILE	$60.89	$108.00	$40.07–$102.60	—	44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYD TRACH DNA PROBE	$131.43	$233.10	$86.48–$221.44	—	44%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$69.01	$122.40	$49.33–$116.28	50% above	44%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$69.01	$122.40	$45.41–$116.28	—	44%
Complete blood count (CBC) with differential CPT 85025 EOSINOPHIL COUNT ABSOLUTE	$38.34	$68.00	$27.40–$64.60	11% below	44%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD COUNT AND DIFF	$56.72	$100.60	$40.54–$95.57	32% above	44%
Complete blood count (CBC) with differential CPT 85025 COMPL CBC W PLT W AUTOM DIFF	$56.72	$100.60	$40.54–$95.57	32% above	44%
Complete blood count (CBC) with differential inpatient CPT 85025 EOSINOPHIL COUNT ABSOLUTE	$38.34	$68.00	$25.23–$64.60	—	44%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPL CBC W PLT W AUTOM DIFF	$56.72	$100.60	$37.32–$95.57	—	44%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE BLOOD COUNT AND DIFF	$56.72	$100.60	$37.32–$95.57	—	44%
Complete blood count (CBC), no differential CPT 85027 COMPL AUTOM CBC W PLT NODIFF	$43.64	$77.40	$31.19–$73.53	68% above	44%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPL AUTOM CBC W PLT NODIFF	$43.64	$77.40	$28.72–$73.53	—	44%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$52.77	$93.60	$37.72–$88.92	46% below	44%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$52.77	$93.60	$34.73–$88.92	—	44%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$54.69	$97.00	$39.09–$92.15	at median	44%
Cortisol blood test, total CPT 82533 CORTISOL PLASMA TOTAL	$134.98	$239.40	$96.48–$227.43	147% above	44%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$54.69	$97.00	$35.99–$92.15	—	44%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PLASMA TOTAL	$134.98	$239.40	$88.82–$227.43	—	44%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$59.88	$106.20	$42.80–$100.89	90% above	44%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$59.88	$106.20	$39.40–$100.89	—	44%
Creatinine blood test CPT 82565 CREATININE; BLOOD IN PROFILE	$37.21	$66.00	$26.60–$62.70	65% above	44%
Creatinine blood test CPT 82565 CREATININE	$46.18	$81.90	$33.01–$77.81	105% above	44%
Creatinine blood test inpatient CPT 82565 CREATININE; BLOOD IN PROFILE	$37.21	$66.00	$24.49–$62.70	—	44%
Creatinine blood test inpatient CPT 82565 CREATININE	$46.18	$81.90	$30.38–$77.81	—	44%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$76.91	$136.40	$54.97–$129.58	76% above	44%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG IN PROFILE	$76.91	$136.40	$54.97–$129.58	76% above	44%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$76.91	$136.40	$50.60–$129.58	—	44%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IgG IN PROFILE	$76.91	$136.40	$50.60–$129.58	—	44%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE	$87.79	$155.70	$62.75–$147.92	69% above	44%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE	$87.79	$155.70	$57.76–$147.92	—	44%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$165.94	$294.30	$118.60–$279.58	131% above	44%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$165.94	$294.30	$109.19–$279.58	—	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG PANEL	$102.05	$181.00	$72.94–$171.95	44% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM/PLASMA	$108.26	$192.00	$77.38–$182.40	52% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENYANYL	$147.16	$261.00	$105.18–$247.95	107% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS/ALC	$178.17	$316.00	$127.35–$300.20	151% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UMBILICAL CORD DRUG TESTING	$218.20	$387.00	$155.96–$367.65	207% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PSYCHIATRIC DRUG PANEL	$445.03	$789.30	$318.09–$749.83	526% above	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG PANEL	$102.05	$181.00	$67.15–$171.95	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM/PLASMA	$108.26	$192.00	$71.23–$182.40	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENYANYL	$147.16	$261.00	$96.83–$247.95	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS/ALC	$178.17	$316.00	$117.24–$300.20	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UMBILICAL CORD DRUG TESTING	$218.20	$387.00	$143.58–$367.65	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PSYCHIATRIC DRUG PANEL	$445.03	$789.30	$292.83–$749.83	—	44%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$38.34	$68.00	$27.40–$64.60	17% below	44%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$38.34	$68.00	$25.23–$64.60	—	44%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IgM Ab VCA IN PROFILE	$84.24	$149.40	$60.21–$141.93	69% above	44%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IgG Ab VCA IN PROFILE	$84.24	$149.40	$60.21–$141.93	69% above	44%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IgG Ab VCA IN PROFILE	$84.24	$149.40	$55.43–$141.93	—	44%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IgM Ab VCA IN PROFILE	$84.24	$149.40	$55.43–$141.93	—	44%
Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE	$69.35	$123.00	$49.57–$116.85	19% below	44%
Estradiol blood test CPT 82670 ESTRADIAL	$175.07	$310.50	$125.13–$294.97	106% above	44%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SENSITIVE	$69.35	$123.00	$45.63–$116.85	—	44%
Estradiol blood test inpatient CPT 82670 ESTRADIAL	$175.07	$310.50	$115.20–$294.97	—	44%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PITUITARY GONADOTROPIN	$154.77	$274.50	$110.62–$260.77	149% above	44%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PITUITARY GONADOTROPIN	$154.77	$274.50	$101.84–$260.77	—	44%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$202.98	$360.00	$145.08–$342.00	102% above	44%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$202.98	$360.00	$133.56–$342.00	—	44%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$84.24	$149.40	$60.21–$141.93	86% above	44%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$84.24	$149.40	$55.43–$141.93	—	44%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$54.80	$97.20	$39.17–$92.34	14% above	44%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$54.80	$97.20	$36.06–$92.34	—	44%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$66.98	$118.80	$47.88–$112.86	36% above	44%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$66.98	$118.80	$44.07–$112.86	—	44%
Free T3 thyroid hormone test CPT 84481 FREE T3	$67.49	$119.70	$48.24–$113.72	20% above	44%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$67.49	$119.70	$44.41–$113.72	—	44%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$54.97	$97.50	$39.29–$92.62	63% above	44%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$54.97	$97.50	$36.17–$92.62	—	44%
Free testosterone test CPT 84402 FREE TESTOSTERONE	$124.32	$220.50	$88.86–$209.48	94% above	44%
Free testosterone test CPT 84402 FREE TESTOSTERONE IN PROFLE	$124.32	$220.50	$88.86–$209.48	94% above	44%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE IN PROFLE	$124.32	$220.50	$81.81–$209.48	—	44%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE	$124.32	$220.50	$81.81–$209.48	—	44%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE,GAMMA	$23.68	$42.00	$16.93–$39.90	21% below	44%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP	$84.74	$150.30	$60.57–$142.78	184% above	44%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFERASE,GAMMA	$23.68	$42.00	$15.58–$39.90	—	44%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP	$84.74	$150.30	$55.76–$142.78	—	44%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$153.47	$272.20	$109.70–$258.59	10% above	44%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$153.47	$272.20	$100.99–$258.59	—	44%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST,POST GLUCOSE DOSE	$44.54	$79.00	$31.84–$75.05	47% above	44%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST,POST GLUCOSE DOSE	$44.54	$79.00	$29.31–$75.05	—	44%
Glucose tolerance test, 3 samples CPT 82951 GTT DRINK & 3 GLUCOSES	$51.31	$91.00	$36.67–$86.45	17% above	44%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT DRINK & 3 GLUCOSES	$51.31	$91.00	$33.76–$86.45	—	44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC IN PROFILE	$60.89	$108.00	$43.52–$102.60	1% below	44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROBE	$131.43	$233.10	$93.94–$221.44	114% above	44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC IN PROFILE	$60.89	$108.00	$40.07–$102.60	—	44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROBE	$131.43	$233.10	$86.48–$221.44	—	44%
H. pylori antibody blood test CPT 86677 HELICOBACTER IgG IN PROFILE	$60.89	$108.00	$43.52–$102.60	26% above	44%
H. pylori antibody blood test CPT 86677 HELICOBACTER IgM IN PROFILE	$60.89	$108.00	$43.52–$102.60	26% above	44%
H. pylori antibody blood test CPT 86677 HELICOBACTER IgA IN PROFILE	$60.89	$108.00	$43.52–$102.60	26% above	44%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGM ABS	$85.70	$152.00	$61.26–$144.40	78% above	44%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER IgM IN PROFILE	$60.89	$108.00	$40.07–$102.60	—	44%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER IgA IN PROFILE	$60.89	$108.00	$40.07–$102.60	—	44%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER IgG IN PROFILE	$60.89	$108.00	$40.07–$102.60	—	44%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGM ABS	$85.70	$152.00	$56.39–$144.40	—	44%
H. pylori stool antigen test CPT 87338 STOOL H. PYLORI ANTIGEN	$151.39	$268.50	$108.21–$255.08	148% above	44%
H. pylori stool antigen test inpatient CPT 87338 STOOL H. PYLORI ANTIGEN	$151.39	$268.50	$99.61–$255.08	—	44%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$166.89	$296.00	$119.29–$281.20	5% above	44%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$166.89	$296.00	$109.82–$281.20	—	44%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 & 2 SINGLE RESULT	$74.59	$132.30	$53.32–$125.68	33% above	44%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 & 2 SINGLE RESULT	$74.59	$132.30	$49.08–$125.68	—	44%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO HEMOGLOBIN (HGB AIC)	$61.40	$108.90	$43.89–$103.46	46% above	44%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO HEMOGLOBIN (HGB AIC)	$61.40	$108.90	$40.40–$103.46	—	44%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$27.85	$49.40	$19.91–$46.93	46% above	44%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$27.85	$49.40	$18.33–$46.93	—	44%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$34.96	$62.00	$24.99–$58.90	5% below	44%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB IGM	$64.95	$115.20	$46.43–$109.44	77% above	44%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE REFLEX IGM	$79.16	$140.40	$56.58–$133.38	115% above	44%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY TOTAL	$34.96	$62.00	$23.00–$58.90	—	44%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB IGM	$64.95	$115.20	$42.74–$109.44	—	44%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE REFLEX IGM	$79.16	$140.40	$52.09–$133.38	—	44%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B AB QUANT END POINT	$77.24	$137.00	$55.21–$130.15	65% above	44%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B AB QUANT END POINT	$77.24	$137.00	$50.83–$130.15	—	44%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGEN	$86.77	$153.90	$62.02–$146.21	128% above	44%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF ANTIGEN	$86.77	$153.90	$57.10–$146.21	—	44%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$80.35	$142.50	$57.43–$135.38	83% above	44%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$80.35	$142.50	$52.87–$135.38	—	44%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RFLX QUANT	$219.89	$390.00	$157.17–$370.50	42% above	44%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS RNA QUANTITATIVE	$225.31	$399.60	$161.04–$379.62	46% above	44%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C BY (PCR)	$225.31	$399.60	$161.04–$379.62	46% above	44%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANT GT1A NS5A PROFILE RF	$323.53	$573.80	$231.24–$545.11	109% above	44%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RFLX QUANT	$219.89	$390.00	$144.69–$370.50	—	44%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRUS RNA QUANTITATIVE	$225.31	$399.60	$148.25–$379.62	—	44%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C BY (PCR)	$225.31	$399.60	$148.25–$379.62	—	44%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QUANT GT1A NS5A PROFILE RF	$323.53	$573.80	$212.88–$545.11	—	44%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$37.78	$67.00	$27.00–$63.65	12% above	44%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES IgG TYPE 1 IN PROFILE	$73.58	$130.50	$52.59–$123.98	118% above	44%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$37.78	$67.00	$24.86–$63.65	—	44%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES IgG TYPE 1 IN PROFILE	$73.58	$130.50	$48.42–$123.98	—	44%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES IgG TYPE 2	$84.24	$149.40	$60.21–$141.93	87% above	44%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES IgG TYPE 2	$84.24	$149.40	$55.43–$141.93	—	44%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HIGH SENSIT	$93.88	$166.50	$67.10–$158.17	127% above	44%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HIGH SENSIT	$93.88	$166.50	$61.77–$158.17	—	44%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$76.62	$135.90	$54.77–$129.10	43% above	44%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$76.62	$135.90	$50.42–$129.10	—	44%
Insulin blood test CPT 83525 INSULIN TOTAL	$24.81	$44.00	$17.73–$41.80	40% below	44%
Insulin blood test CPT 83525 INSULIN SERUM TOTAL	$107.58	$190.80	$76.89–$181.26	161% above	44%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$24.81	$44.00	$16.32–$41.80	—	44%
Insulin blood test inpatient CPT 83525 INSULIN SERUM TOTAL	$107.58	$190.80	$70.79–$181.26	—	44%
Iron blood test (serum iron) CPT 83540 IRON TOTAL SERUM	$38.06	$67.50	$27.20–$64.12	55% above	44%
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL SERUM	$38.06	$67.50	$25.04–$64.12	—	44%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$66.98	$118.80	$47.88–$112.86	63% above	44%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$66.98	$118.80	$44.07–$112.86	—	44%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$82.21	$145.80	$58.76–$138.51	23% above	44%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$82.21	$145.80	$54.09–$138.51	—	44%
LH (luteinizing hormone) test CPT 83002 LH	$154.77	$274.50	$110.62–$260.77	150% above	44%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$154.77	$274.50	$101.84–$260.77	—	44%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BLOOD	$144.23	$255.80	$103.09–$243.01	283% above	44%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID BLOOD	$144.23	$255.80	$94.90–$243.01	—	44%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE IN PROF	$32.98	$58.50	$23.58–$55.58	46% above	44%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE- BF	$38.57	$68.40	$27.57–$64.98	70% above	44%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LDH)	$38.57	$68.40	$27.57–$64.98	70% above	44%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE IN PROF	$32.98	$58.50	$21.70–$55.58	—	44%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LDH)	$38.57	$68.40	$25.38–$64.98	—	44%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE- BF	$38.57	$68.40	$25.38–$64.98	—	44%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM	$80.68	$143.10	$57.67–$135.94	130% above	44%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM	$80.68	$143.10	$53.09–$135.94	—	44%
Liver function blood test panel CPT 80076 LIVER PANEL(HEPATIC)	$107.58	$190.80	$76.89–$181.26	42% above	44%
Liver function blood test panel inpatient CPT 80076 LIVER PANEL(HEPATIC)	$107.58	$190.80	$70.79–$181.26	—	44%
Lyme disease antibody test CPT 86618 LYMES IgG IN PROFILE	$62.02	$110.00	$44.33–$104.50	50% above	44%
Lyme disease antibody test CPT 86618 LYMES IgM IN PROFILE	$62.02	$110.00	$44.33–$104.50	50% above	44%
Lyme disease antibody test CPT 86618 LYMES TOTAL AB	$97.26	$172.50	$69.52–$163.88	135% above	44%
Lyme disease antibody test inpatient CPT 86618 LYMES IgG IN PROFILE	$62.02	$110.00	$40.81–$104.50	—	44%
Lyme disease antibody test inpatient CPT 86618 LYMES IgM IN PROFILE	$62.02	$110.00	$40.81–$104.50	—	44%
Lyme disease antibody test inpatient CPT 86618 LYMES TOTAL AB	$97.26	$172.50	$64.00–$163.88	—	44%
Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HRS	$56.83	$100.80	$40.62–$95.76	175% above	44%
Magnesium blood test CPT 83735 MAGNESIUM SERUM	$56.83	$100.80	$40.62–$95.76	175% above	44%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$66.98	$118.80	$47.88–$112.86	224% above	44%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24 HRS	$56.83	$100.80	$37.40–$95.76	—	44%
Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM	$56.83	$100.80	$37.40–$95.76	—	44%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$66.98	$118.80	$44.07–$112.86	—	44%
Measles (rubeola) antibody test CPT 86765 MEASLES IgM IN PROFILE	$48.21	$85.50	$34.46–$81.22	22% above	44%
Measles (rubeola) antibody test CPT 86765 MEASLES IgG IN PROFILE	$48.21	$85.50	$34.46–$81.22	22% above	44%
Measles (rubeola) antibody test CPT 86765 MEASLES IN PROFILE	$48.21	$85.50	$34.46–$81.22	22% above	44%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$73.58	$130.50	$52.59–$123.98	87% above	44%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IgM IN PROFILE	$48.21	$85.50	$31.72–$81.22	—	44%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IgG IN PROFILE	$48.21	$85.50	$31.72–$81.22	—	44%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IN PROFILE	$48.21	$85.50	$31.72–$81.22	—	44%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA	$73.58	$130.50	$48.42–$123.98	—	44%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE PRESUMPTIVE	$42.12	$74.70	$30.10–$70.96	11% above	44%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN	$45.16	$80.10	$32.28–$76.09	19% above	44%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE PRESUMPTIVE	$42.12	$74.70	$27.71–$70.96	—	44%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN	$45.16	$80.10	$29.72–$76.09	—	44%
Mumps immunity blood test CPT 86735 MUMPS IGM	$14.10	$25.00	$10.08–$23.75	64% below	44%
Mumps immunity blood test CPT 86735 MUMPS IgG	$42.63	$75.60	$30.47–$71.82	8% above	44%
Mumps immunity blood test CPT 86735 MUMP IN PROFILE	$49.22	$87.30	$35.18–$82.93	24% above	44%
Mumps immunity blood test CPT 86735 MUMPS TITER	$107.58	$190.80	$76.89–$181.26	172% above	44%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGM	$14.10	$25.00	$9.28–$23.75	—	44%
Mumps immunity blood test inpatient CPT 86735 MUMPS IgG	$42.63	$75.60	$28.05–$71.82	—	44%
Mumps immunity blood test inpatient CPT 86735 MUMP IN PROFILE	$49.22	$87.30	$32.39–$82.93	—	44%
Mumps immunity blood test inpatient CPT 86735 MUMPS TITER	$107.58	$190.80	$70.79–$181.26	—	44%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA IN PROFILE	$85.76	$152.10	$61.30–$144.49	80% above	44%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA IN PROFILE	$85.76	$152.10	$56.43–$144.49	—	44%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA IN PROFILE	$99.80	$177.00	$71.33–$168.15	77% above	44%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$99.80	$177.00	$71.33–$168.15	77% above	44%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$99.80	$177.00	$71.33–$168.15	77% above	44%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA IN PROFILE	$99.80	$177.00	$65.67–$168.15	—	44%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$99.80	$177.00	$65.67–$168.15	—	44%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$99.80	$177.00	$65.67–$168.15	—	44%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT IN PROFILE	$174.05	$308.70	$124.41–$293.26	44% above	44%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT ONLY	$174.05	$308.70	$124.41–$293.26	44% above	44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT IN PROFILE	$174.05	$308.70	$114.53–$293.26	—	44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT ONLY	$174.05	$308.70	$114.53–$293.26	—	44%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT IN PROFILE	$38.06	$67.50	$27.20–$64.12	45% above	44%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$65.12	$115.50	$46.55–$109.72	149% above	44%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT IN PROFILE	$38.06	$67.50	$25.04–$64.12	—	44%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$65.12	$115.50	$42.85–$109.72	—	44%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM	$36.03	$63.90	$25.75–$60.70	25% above	44%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM	$36.03	$63.90	$23.71–$60.70	—	44%
Potassium blood test CPT 84132 POTASSIUM SERUM	$49.22	$87.30	$35.18–$82.93	136% above	44%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$49.22	$87.30	$32.39–$82.93	—	44%
Progesterone blood test CPT 84144 PROGESTERONE SERUM	$142.59	$252.90	$101.92–$240.26	124% above	44%
Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM	$142.59	$252.90	$93.83–$240.26	—	44%
Prolactin blood test CPT 84146 PROLACTIN ASSAY	$166.95	$296.10	$119.33–$281.30	139% above	44%
Prolactin blood test inpatient CPT 84146 PROLACTIN ASSAY	$166.95	$296.10	$109.85–$281.30	—	44%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME(PT IN PROFILE	$20.86	$37.00	$14.91–$35.15	3% above	44%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PROTIME)	$54.97	$97.50	$39.29–$92.62	171% above	44%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME(PT IN PROFILE	$20.86	$37.00	$13.73–$35.15	—	44%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PROTIME)	$54.97	$97.50	$36.17–$92.62	—	44%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 COCAINE METABOLITE	$91.85	$162.90	$65.65–$154.76	378% above	44%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 COCAINE METABOLITE	$91.85	$162.90	$60.44–$154.76	—	44%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B	$46.52	$82.50	$33.25–$78.38	25% above	44%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A	$46.52	$82.50	$33.25–$78.38	25% above	44%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B ANTIGEN (FLG)	$103.18	$183.00	$73.75–$173.85	177% above	44%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A	$46.52	$82.50	$30.61–$78.38	—	44%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B	$46.52	$82.50	$30.61–$78.38	—	44%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B ANTIGEN (FLG)	$103.18	$183.00	$67.89–$173.85	—	44%
Renin blood test CPT 84244 RENIN PLASMA	$150.20	$266.40	$107.36–$253.08	139% above	44%
Renin blood test inpatient CPT 84244 RENIN PLASMA	$150.20	$266.40	$98.83–$253.08	—	44%
Rh blood typing CPT 86901 RH (D)	$64.56	$114.50	$46.14–$108.78	111% above	44%
Rh blood typing CPT 86901 ABO/Rh TYPE	$76.62	$135.90	$54.77–$129.10	151% above	44%
Rh blood typing inpatient CPT 86901 RH (D)	$64.56	$114.50	$42.48–$108.78	—	44%
Rh blood typing inpatient CPT 86901 ABO/Rh TYPE	$76.62	$135.90	$50.42–$129.10	—	44%
Rheumatoid factor (RF) test CPT 86431 RA QUANTITATIVE	$54.30	$96.30	$38.81–$91.48	76% above	44%
Rheumatoid factor (RF) test CPT 86431 BF RA QUANTITATIVE	$56.38	$100.00	$40.30–$95.00	82% above	44%
Rheumatoid factor (RF) test inpatient CPT 86431 RA QUANTITATIVE	$54.30	$96.30	$35.73–$91.48	—	44%
Rheumatoid factor (RF) test inpatient CPT 86431 BF RA QUANTITATIVE	$56.38	$100.00	$37.10–$95.00	—	44%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IN PROFILE	$53.79	$95.40	$38.45–$90.63	74% above	44%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER	$53.79	$95.40	$38.45–$90.63	74% above	44%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IN PROFILE	$53.79	$95.40	$35.39–$90.63	—	44%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER	$53.79	$95.40	$35.39–$90.63	—	44%
Sodium blood test CPT 84295 SODIUM	$54.13	$96.00	$38.69–$91.20	101% above	44%
Sodium blood test inpatient CPT 84295 SODIUM	$54.13	$96.00	$35.62–$91.20	—	44%
Stool ova and parasites exam CPT 87177 OVA WITH PARASITES	$71.55	$126.90	$51.14–$120.56	129% above	44%
Stool ova and parasites exam inpatient CPT 87177 OVA WITH PARASITES	$71.55	$126.90	$47.08–$120.56	—	44%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL QUALITATIVE	$24.81	$44.00	$17.73–$41.80	31% above	44%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL QUALITATIVE	$24.81	$44.00	$16.32–$41.80	—	44%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FOBT-COLORECTAL NEOPLASM SCREE	$33.49	$59.40	$23.94–$56.43	5% above	44%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD TEST	$33.49	$59.40	$23.94–$56.43	5% above	44%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FOBT-COLORECTAL NEOPLASM SCREE	$33.49	$59.40	$22.04–$56.43	—	44%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD TEST	$33.49	$59.40	$22.04–$56.43	—	44%
Syphilis antibody test (Treponema pallidum) CPT 86780 TP-PA	$80.35	$142.50	$57.43–$135.38	145% above	44%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TP-PA	$80.35	$142.50	$52.87–$135.38	—	44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL (SPINAL FLUID) QUALIT	$41.72	$74.00	$29.82–$70.30	62% above	44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUALITATIVE	$41.72	$74.00	$29.82–$70.30	62% above	44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL (SPINAL FLUID) QUALIT	$41.72	$74.00	$27.45–$70.30	—	44%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUALITATIVE	$41.72	$74.00	$27.45–$70.30	—	44%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD	$157.31	$279.00	$112.44–$265.05	24% above	44%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD	$157.31	$279.00	$103.51–$265.05	—	44%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE SERUM	$140.39	$249.00	$100.35–$236.55	78% above	44%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE IN PROFILE	$156.29	$277.20	$111.71–$263.34	98% above	44%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE SERUM	$140.39	$249.00	$92.38–$236.55	—	44%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE IN PROFILE	$156.29	$277.20	$102.84–$263.34	—	44%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL AB	$28.19	$50.00	$20.15–$47.50	31% below	44%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE IN PROFILE	$52.77	$93.60	$37.72–$88.92	29% above	44%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LIVER/KIDNEY	$54.80	$97.20	$39.17–$92.34	34% above	44%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ABS	$54.80	$97.20	$39.17–$92.34	34% above	44%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI MICROSOMAL AB	$28.19	$50.00	$18.55–$47.50	—	44%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE IN PROFILE	$52.77	$93.60	$34.73–$88.92	—	44%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ABS	$54.80	$97.20	$36.06–$92.34	—	44%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-LIVER/KIDNEY	$54.80	$97.20	$36.06–$92.34	—	44%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$80.51	$142.80	$57.55–$135.66	58% above	44%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HYPOTHYROIDISM	$89.82	$159.30	$64.20–$151.34	76% above	44%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$80.51	$142.80	$52.98–$135.66	—	44%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HYPOTHYROIDISM	$89.82	$159.30	$59.10–$151.34	—	44%
Total IgE blood test CPT 82785 IGE IN PROFILE	$54.13	$96.00	$38.69–$91.20	8% below	44%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E	$150.20	$266.40	$107.36–$253.08	155% above	44%
Total IgE blood test inpatient CPT 82785 IGE IN PROFILE	$54.13	$96.00	$35.62–$91.20	—	44%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E	$150.20	$266.40	$98.83–$253.08	—	44%
Total cholesterol blood test CPT 82465 CHOLESTEROL,SERUM	$43.13	$76.50	$30.83–$72.68	108% above	44%
Total cholesterol blood test CPT 82465 CHOLESTEROL BODY FLUID	$43.13	$76.50	$30.83–$72.68	108% above	44%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$43.13	$76.50	$30.83–$72.68	108% above	44%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$43.13	$76.50	$28.38–$72.68	—	44%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL BODY FLUID	$43.13	$76.50	$28.38–$72.68	—	44%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL,SERUM	$43.13	$76.50	$28.38–$72.68	—	44%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE TOTAL	$80.18	$142.20	$57.31–$135.09	197% above	44%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROXINE TOTAL	$80.18	$142.20	$52.76–$135.09	—	44%
Total triiodothyronine (T3) blood test CPT 84480 TOTAL TRIIODOTHYRONINE (T3)	$130.92	$232.20	$93.58–$220.59	169% above	44%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL TRIIODOTHYRONINE (T3)	$130.92	$232.20	$86.15–$220.59	—	44%
Transferrin blood test CPT 84466 TRANSFERRIN	$98.67	$175.00	$70.53–$166.25	91% above	44%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$98.67	$175.00	$64.92–$166.25	—	44%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS IN PROFILE	$60.89	$108.00	$43.52–$102.60	5% below	44%
Trichomonas test (NAAT) CPT 87661 TRICH,NUC,TRICHO,NAA,TVNAA,VAG	$87.96	$156.00	$62.87–$148.20	38% above	44%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS IN PROFILE	$60.89	$108.00	$40.07–$102.60	—	44%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH,NUC,TRICHO,NAA,TVNAA,VAG	$87.96	$156.00	$57.88–$148.20	—	44%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$44.09	$78.20	$31.51–$74.29	88% above	44%
Triglycerides blood test CPT 84478 TRIGLYCERIDES BODY FLUID	$44.09	$78.20	$31.51–$74.29	88% above	44%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$44.09	$78.20	$29.01–$74.29	—	44%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES BODY FLUID	$44.09	$78.20	$29.01–$74.29	—	44%
Troponin test, quantitative CPT 84484 TROPONIN QUANT	$87.11	$154.50	$62.26–$146.78	89% above	44%
Troponin test, quantitative CPT 84484 TROPONIN QUANTITATIVE	$87.11	$154.50	$62.26–$146.78	89% above	44%
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTITATIVE	$87.11	$154.50	$57.32–$146.78	—	44%
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANT	$87.11	$154.50	$57.32–$146.78	—	44%
Uric acid blood test CPT 84550 URIC ACID IN PROFILE	$33.83	$60.00	$24.18–$57.00	19% above	44%
Uric acid blood test CPT 84550 URIC ACID	$38.34	$68.00	$27.40–$64.60	35% above	44%
Uric acid blood test inpatient CPT 84550 URIC ACID IN PROFILE	$33.83	$60.00	$22.26–$57.00	—	44%
Uric acid blood test inpatient CPT 84550 URIC ACID	$38.34	$68.00	$25.23–$64.60	—	44%
Urinalysis with microscope exam, automated CPT 81001 AUTOM URINE DIP W MICRO	$55.20	$97.90	$39.45–$93.00	80% above	44%
Urinalysis with microscope exam, automated inpatient CPT 81001 AUTOM URINE DIP W MICRO	$55.20	$97.90	$36.32–$93.00	—	44%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS W/O MICROSCOPY	$29.94	$53.10	$21.40–$50.44	278% above	44%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS W/O MICROSCOPY	$29.94	$53.10	$19.70–$50.44	—	44%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY COUNT	$98.28	$174.30	$70.24–$165.58	156% above	44%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE COLONY COUNT	$98.28	$174.30	$64.67–$165.58	—	44%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE QUANTITATIV	$9.02	$16.00	$6.45–$15.20	54% below	44%
Urine microalbumin (albumin) test CPT 82043 URINE ALBUMIN QUANTITATIVE	$22.84	$40.50	$16.32–$38.48	18% above	44%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE QUANTITATIV	$9.02	$16.00	$5.94–$15.20	—	44%
Urine microalbumin (albumin) test inpatient CPT 82043 URINE ALBUMIN QUANTITATIVE	$22.84	$40.50	$15.03–$38.48	—	44%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$69.01	$122.40	$49.33–$116.28	38% above	44%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$69.01	$122.40	$45.41–$116.28	—	44%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 3 25 OH	$117.45	$208.30	$83.94–$197.88	60% above	44%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 3 25 OH	$117.45	$208.30	$77.28–$197.88	—	44%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 OH	$175.58	$311.40	$125.49–$295.83	60% above	44%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125 OH	$175.58	$311.40	$115.53–$295.83	—	44%
Zinc blood test CPT 84630 ZINC RBC	$112.65	$199.80	$80.52–$189.81	221% above	44%
Zinc blood test CPT 84630 ZINC	$119.25	$211.50	$85.23–$200.92	240% above	44%
Zinc blood test inpatient CPT 84630 ZINC RBC	$112.65	$199.80	$74.13–$189.81	—	44%
Zinc blood test inpatient CPT 84630 ZINC	$119.25	$211.50	$78.47–$200.92	—	44%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE	$125.73	$223.00	$89.87–$211.85	126% above	44%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANTITATIVE	$125.73	$223.00	$82.73–$211.85	—	44%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Cardiac catheterization with coronary angiogram one side CPT 93458 CARDIAC CATH-LEFT HEART	$5,602.49	$9,936.50	$4,004.41–$9,439.67	5% above	44%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CARDIAC CATH-LEFT HEART	$5,602.49	$9,936.50	$3,686.44–$9,439.67	—	44%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,142.21	$2,025.80	$816.40–$1,924.51	64% above	44%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION OP	$1,142.21	$2,025.80	$816.40–$1,924.51	64% above	44%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTERNA	$1,142.21	$2,025.80	$816.40–$1,924.51	64% above	44%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$1,142.21	$2,025.80	$751.57–$1,924.51	—	44%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION OP	$1,142.21	$2,025.80	$751.57–$1,924.51	—	44%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXTERNA	$1,142.21	$2,025.80	$751.57–$1,924.51	—	44%
Catheter ablation for atrial fibrillation CPT 93656 CPMPRE EP EVAL ABLTJ ATR FIB	$48,179.03	$85,449.60	$34,436.19–$81,177.12	182% above	44%
Catheter ablation for atrial fibrillation CPT 93656 ABLATION ADD'L DISCRETE ARRHYT	$48,179.03	$85,449.60	$34,436.19–$81,177.12	182% above	44%
Catheter ablation for atrial fibrillation inpatient CPT 93656 ABLATION ADD'L DISCRETE ARRHYT	$48,179.03	$85,449.60	$31,701.80–$81,177.12	—	44%
Catheter ablation for atrial fibrillation inpatient CPT 93656 CPMPRE EP EVAL ABLTJ ATR FIB	$48,179.03	$85,449.60	$31,701.80–$81,177.12	—	44%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$1,127.66	$2,000.00	$806.00–$1,900.00	83% above	44%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION	$1,127.66	$2,000.00	$742.00–$1,900.00	—	44%
Coronary stent placement, one artery CPT 92928 DES CORONARY ADD'L VESSEL	$19,949.82	$35,382.70	$14,259.23–$33,613.56	153% above	44%
Coronary stent placement, one artery CPT 92928 DES CORONARY SINGLE VESSEL	$19,949.82	$35,382.70	$14,259.23–$33,613.56	153% above	44%
Coronary stent placement, one artery CPT 92928 BMS CORONARY SINGLE VESSEL	$19,949.82	$35,382.70	$14,259.23–$33,613.56	153% above	44%
Coronary stent placement, one artery inpatient CPT 92928 DES CORONARY ADD'L VESSEL	$19,949.82	$35,382.70	$13,126.98–$33,613.56	—	44%
Coronary stent placement, one artery inpatient CPT 92928 DES CORONARY SINGLE VESSEL	$19,949.82	$35,382.70	$13,126.98–$33,613.56	—	44%
Coronary stent placement, one artery inpatient CPT 92928 BMS CORONARY SINGLE VESSEL	$19,949.82	$35,382.70	$13,126.98–$33,613.56	—	44%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERVICAL ESI	$1,243.24	$2,205.00	$888.62–$2,094.75	124% above	44%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ SINGLE CERV/THOR	$1,243.24	$2,205.00	$888.62–$2,094.75	124% above	44%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CERVICAL ESI	$1,243.24	$2,205.00	$818.06–$2,094.75	—	44%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ SINGLE CERV/THOR	$1,243.24	$2,205.00	$818.06–$2,094.75	—	44%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FLUORO-FACET JOINT INJ ADD'L	$1,528.49	$2,710.90	$1,092.49–$2,575.36	118% above	44%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FLUORO-FACET JOINT INJ ADD'L	$1,528.49	$2,710.90	$1,005.74–$2,575.36	—	44%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPAROSCOPY SURGICAL CHOLECYST	$10,447.43	$18,529.40	$7,467.35–$17,602.93	33% above	44%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPAROSCOPY SURGICAL CHOLECYST	$10,447.43	$18,529.40	$6,874.41–$17,602.93	—	44%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ PROC HYSTEROSALPINGOGRAPHY	$519.29	$921.00	$371.16–$874.95	237% above	44%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ & CATH HYSTEROSONOGRAPHY	$519.29	$921.00	$371.16–$874.95	237% above	44%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ & CATH HYSTEROSONOGRAPHY	$519.29	$921.00	$341.69–$874.95	—	44%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ PROC HYSTEROSALPINGOGRAPHY	$519.29	$921.00	$341.69–$874.95	—	44%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$20,650.83	$36,626.00	$14,760.28–$34,794.70	299% above	44%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT HEART PM ATRIAL & VENT	$20,650.83	$36,626.00	$13,588.25–$34,794.70	—	44%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DX	$1,219.85	$2,163.50	$871.89–$2,055.32	203% above	44%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DX	$1,219.85	$2,163.50	$802.66–$2,055.32	—	44%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$904.27	$1,603.80	$646.33–$1,523.61	127% above	44%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$904.27	$1,603.80	$595.01–$1,523.61	—	44%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX INITIAL DEMO / EVAL	$378.44	$671.20	$270.49–$637.64	284% above	44%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPBX TX SUBSEQUENT	$378.44	$671.20	$270.49–$637.64	284% above	44%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL SUBSEQUENT	$378.44	$671.20	$270.49–$637.64	284% above	44%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INITIAL	$378.44	$671.20	$270.49–$637.64	284% above	44%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL SUBSEQUENT	$378.44	$671.20	$249.02–$637.64	—	44%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPBX TX SUBSEQUENT	$378.44	$671.20	$249.02–$637.64	—	44%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL INITIAL	$378.44	$671.20	$249.02–$637.64	—	44%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TX INITIAL DEMO / EVAL	$378.44	$671.20	$249.02–$637.64	—	44%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INF UP TO 1HR	$570.82	$1,012.40	$408.00–$961.78	119% above	44%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN IV INF UP TO 1HR	$570.82	$1,012.40	$375.60–$961.78	—	44%
Critical care, first 30 to 74 minutes CPT 99291 ER RM VISIT CRIT/CARE 30-74	$3,366.51	$5,970.80	$2,406.23–$5,672.26	188% above	44%
Critical care, first 30 to 74 minutes CPT 99291 EMERGENCY ROOM CRIT/CARE 30-74	$3,366.51	$5,970.80	$2,406.23–$5,672.26	188% above	44%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER RM VISIT CRIT/CARE 30-74	$3,366.51	$5,970.80	$2,215.17–$5,672.26	—	44%
Critical care, first 30 to 74 minutes inpatient CPT 99291 EMERGENCY ROOM CRIT/CARE 30-74	$3,366.51	$5,970.80	$2,215.17–$5,672.26	—	44%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG ROUTINE	$373.14	$661.80	$266.71–$628.71	25% above	44%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG ROUTINE	$373.14	$661.80	$245.53–$628.71	—	44%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TECHNICAL COMP	$190.41	$337.70	$136.09–$320.82	78% above	44%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG SUBSEQUENT	$190.41	$337.70	$136.09–$320.82	78% above	44%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TECHNICAL COMP	$190.41	$337.70	$125.29–$320.82	—	44%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG SUBSEQUENT	$190.41	$337.70	$125.29–$320.82	—	44%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM VISIT-MINIMAL	$353.07	$626.20	$252.36–$594.89	158% above	44%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY ROOM VISIT-MINIMAL	$353.07	$626.20	$232.32–$594.89	—	44%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM VISIT BRIEF	$609.56	$1,081.10	$435.68–$1,027.04	165% above	44%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY RM VISIT BRIEF	$609.56	$1,081.10	$435.68–$1,027.04	165% above	44%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY RM VISIT BRIEF	$609.56	$1,081.10	$401.09–$1,027.04	—	44%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM VISIT BRIEF	$609.56	$1,081.10	$401.09–$1,027.04	—	44%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM VISIT-LIMITED	$1,021.60	$1,811.90	$730.20–$1,721.30	130% above	44%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY RM VISIT-LIMITED	$1,021.60	$1,811.90	$730.20–$1,721.30	130% above	44%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY RM VISIT-LIMITED	$1,021.60	$1,811.90	$672.21–$1,721.30	—	44%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM VISIT-LIMITED	$1,021.60	$1,811.90	$672.21–$1,721.30	—	44%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM VISIT-INTERMDT	$1,470.58	$2,608.20	$1,051.10–$2,477.79	104% above	44%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY RM VISIT-INTERMDT	$1,470.58	$2,608.20	$1,051.10–$2,477.79	104% above	44%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY RM VISIT-INTERMDT	$1,470.58	$2,608.20	$967.64–$2,477.79	—	44%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM VISIT-INTERMDT	$1,470.58	$2,608.20	$967.64–$2,477.79	—	44%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY RM EXTENDED COMPLEX	$2,275.90	$4,036.50	$1,626.71–$3,834.68	130% above	44%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM EXTEND COMPLEX	$2,275.90	$4,036.50	$1,626.71–$3,834.68	130% above	44%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY RM EXTENDED COMPLEX	$2,275.90	$4,036.50	$1,497.54–$3,834.68	—	44%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM EXTEND COMPLEX	$2,275.90	$4,036.50	$1,497.54–$3,834.68	—	44%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL ECHO	$441.82	$783.60	$315.79–$744.42	5% above	44%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$662.73	$1,175.40	$473.69–$1,116.63	58% above	44%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL ECHO	$441.82	$783.60	$290.72–$744.42	—	44%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST	$662.73	$1,175.40	$436.07–$1,116.63	—	44%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST HR PRIMARY	$367.56	$651.90	$262.72–$619.30	148% above	44%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV THERAPY HYDRATION 1ST HR	$367.56	$651.90	$262.72–$619.30	148% above	44%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST HR PRIMARY	$367.56	$651.90	$241.85–$619.30	—	44%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV THERAPY HYDRATION 1ST HR	$367.56	$651.90	$241.85–$619.30	—	44%
IV infusion of a medicine, first hour CPT 96365 IVF THER/PRO/DG 1HR PRIMARY	$420.22	$745.30	$300.36–$708.04	173% above	44%
IV infusion of a medicine, first hour CPT 96365 IVF/IVPB TH/PR/DG 1ST HR PRIM	$420.22	$745.30	$300.36–$708.04	173% above	44%
IV infusion of a medicine, first hour CPT 96365 IVF/IVPB TH/PR/DG 1 HR PRIMARY	$420.22	$745.30	$300.36–$708.04	173% above	44%
IV infusion of a medicine, first hour CPT 96365 IVF/IVPB TH/PR/DG 1ST HR PRIMA	$420.22	$745.30	$300.36–$708.04	173% above	44%
IV infusion of a medicine, first hour CPT 96365 IVF/IVPB TH/PR/DG 1HR PRIMARY	$420.22	$745.30	$300.36–$708.04	173% above	44%
IV infusion of a medicine, first hour CPT 96365 IVF/IFPV TH/PR/DG 1HR PRIMARY	$420.22	$745.30	$300.36–$708.04	173% above	44%
IV infusion of a medicine, first hour inpatient CPT 96365 IVF/IFPV TH/PR/DG 1HR PRIMARY	$420.22	$745.30	$276.51–$708.04	—	44%
IV infusion of a medicine, first hour inpatient CPT 96365 IVF/IVPB TH/PR/DG 1HR PRIMARY	$420.22	$745.30	$276.51–$708.04	—	44%
IV infusion of a medicine, first hour inpatient CPT 96365 IVF/IVPB TH/PR/DG 1ST HR PRIMA	$420.22	$745.30	$276.51–$708.04	—	44%
IV infusion of a medicine, first hour inpatient CPT 96365 IVF THER/PRO/DG 1HR PRIMARY	$420.22	$745.30	$276.51–$708.04	—	44%
IV infusion of a medicine, first hour inpatient CPT 96365 IVF/IVPB TH/PR/DG 1ST HR PRIM	$420.22	$745.30	$276.51–$708.04	—	44%
IV infusion of a medicine, first hour inpatient CPT 96365 IVF/IVPB TH/PR/DG 1 HR PRIMARY	$420.22	$745.30	$276.51–$708.04	—	44%
IV push of a medicine, first drug CPT 96374 DIAGNOSTIC INJECTION I.V.	$367.56	$651.90	$262.72–$619.30	228% above	44%
IV push of a medicine, first drug CPT 96374 IVP TH/PR/DG PRIMARY	$367.56	$651.90	$262.72–$619.30	228% above	44%
IV push of a medicine, first drug CPT 96374 IVP TH/PR/DX PRIMARY	$367.56	$651.90	$262.72–$619.30	228% above	44%
IV push of a medicine, first drug CPT 96374 IVP THER/PRO/DG PRIMARY	$367.56	$651.90	$262.72–$619.30	228% above	44%
IV push of a medicine, first drug CPT 96374 DIAGNOSTIC INJECTION IV	$367.56	$651.90	$262.72–$619.30	228% above	44%
IV push of a medicine, first drug inpatient CPT 96374 IVP TH/PR/DX PRIMARY	$367.56	$651.90	$241.85–$619.30	—	44%
IV push of a medicine, first drug inpatient CPT 96374 IVP TH/PR/DG PRIMARY	$367.56	$651.90	$241.85–$619.30	—	44%
IV push of a medicine, first drug inpatient CPT 96374 IVP THER/PRO/DG PRIMARY	$367.56	$651.90	$241.85–$619.30	—	44%
IV push of a medicine, first drug inpatient CPT 96374 DIAGNOSTIC INJECTION IV	$367.56	$651.90	$241.85–$619.30	—	44%
IV push of a medicine, first drug inpatient CPT 96374 DIAGNOSTIC INJECTION I.V.	$367.56	$651.90	$241.85–$619.30	—	44%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ TH/PR/DG	$138.65	$245.90	$99.10–$233.60	148% above	44%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$138.65	$245.90	$99.10–$233.60	148% above	44%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ IM/SQ THER/PROC/DG	$139.04	$246.60	$99.38–$234.27	148% above	44%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ IM/SQ THER/PRO/DG	$140.00	$248.30	$100.06–$235.88	150% above	44%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ IN/SQ THER/PROC/DG	$140.00	$248.30	$100.06–$235.88	150% above	44%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ TH/PR/DG	$138.65	$245.90	$91.23–$233.60	—	44%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$138.65	$245.90	$91.23–$233.60	—	44%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IM/SQ THER/PROC/DG	$139.04	$246.60	$91.49–$234.27	—	44%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IM/SQ THER/PRO/DG	$140.00	$248.30	$92.12–$235.88	—	44%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IN/SQ THER/PROC/DG	$140.00	$248.30	$92.12–$235.88	—	44%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN	$62.59	$111.00	$44.73–$105.45	34% above	44%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR EA 15 MINS	$62.59	$111.00	$44.73–$105.45	34% above	44%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN	$62.59	$111.00	$41.18–$105.45	—	44%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR EA 15 MINS	$62.59	$111.00	$41.18–$105.45	—	44%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL 15 MIN	$44.66	$79.20	$31.92–$75.24	68% above	44%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL 15 MIN	$44.66	$79.20	$29.38–$75.24	—	44%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY	$137.86	$244.50	$98.53–$232.27	4% below	44%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY	$137.86	$244.50	$90.71–$232.27	—	44%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH SEVERITY COMPLEXI	$125.17	$222.00	$89.47–$210.90	8% below	44%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH SEVERITY COMPLEXI	$125.17	$222.00	$82.36–$210.90	—	44%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY	$125.17	$222.00	$89.47–$210.90	3% below	44%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY	$125.17	$222.00	$82.36–$210.90	—	44%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY	$125.17	$222.00	$89.47–$210.90	3% below	44%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEXITY	$125.17	$222.00	$82.36–$210.90	—	44%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECH EA 15 MINS	$110.12	$195.30	$78.71–$185.54	136% above	44%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL LYMPHATIC DRAINAGE 15MI	$110.12	$195.30	$78.71–$185.54	136% above	44%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EACH 15MIN	$110.12	$195.30	$78.71–$185.54	136% above	44%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15MIN	$110.12	$195.30	$72.46–$185.54	—	44%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TECH EA 15 MINS	$110.12	$195.30	$72.46–$185.54	—	44%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL LYMPHATIC DRAINAGE 15MI	$110.12	$195.30	$72.46–$185.54	—	44%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EACH 15 MIN	$99.80	$177.00	$71.33–$168.15	113% above	44%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE EA 15 MINS	$99.80	$177.00	$71.33–$168.15	113% above	44%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE EA 15 MINS	$99.80	$177.00	$65.67–$168.15	—	44%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EACH 15 MIN	$99.80	$177.00	$65.67–$168.15	—	44%
Speech and language evaluation CPT 92523 EVAL OF SPEECH SOUND W/EV LANG	$291.50	$517.00	$208.35–$491.15	57% above	44%
Speech and language evaluation inpatient CPT 92523 EVAL OF SPEECH SOUND W/EV LANG	$291.50	$517.00	$191.81–$491.15	—	44%
Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH	$149.98	$266.00	$107.20–$252.70	1% below	44%
Speech therapy session, individual inpatient CPT 92507 TREATMENT OF SPEECH	$149.98	$266.00	$98.69–$252.70	—	44%
Spirometry (breathing test) CPT 94010 SPIROMETRY TESTING	$373.14	$661.80	$266.71–$628.71	158% above	44%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY TESTING	$373.14	$661.80	$245.53–$628.71	—	44%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL PRE/PAST B/D	$644.85	$1,143.70	$460.91–$1,086.52	95% above	44%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL PRE/PAST B/D	$644.85	$1,143.70	$424.31–$1,086.52	—	44%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNC ACTIVITIES 1 EACH 15 MIN	$94.72	$168.00	$67.70–$159.60	105% above	44%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNC ACTIVITIES 1 EA 15 MINS	$94.72	$168.00	$67.70–$159.60	105% above	44%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNC ACTIVITIES 1 EA 15 MINS	$94.72	$168.00	$62.33–$159.60	—	44%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNC ACTIVITIES 1 EACH 15 MIN	$94.72	$168.00	$62.33–$159.60	—	44%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$229.93	$407.80	$164.34–$387.41	146% above	44%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$229.93	$407.80	$151.29–$387.41	—	44%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC ADJ (65+)/PF 2024-25	$192.78	$341.92	$137.79–$324.82	119% above	44%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC ADJ (65+)/PF 2024-25	$192.78	$341.92	$126.85–$324.82	—	44%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX VACCINE 0.5ML VL	$67.83	$120.30	$48.48–$114.28	19% above	44%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INFANRIX VACCINE 0.5ML VL	$67.83	$120.30	$44.63–$114.28	—	44%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 20mcg/1ml SYRINGE	$167.68	$297.40	$119.85–$282.53	33% above	44%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 20mcg/1ml SYRINGE	$167.68	$297.40	$110.34–$282.53	—	44%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR II SD VIAL	$215.92	$382.96	$154.33–$363.81	64% above	44%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR II SD VIAL	$215.92	$382.96	$142.08–$363.81	—	44%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VACCINE 1 EA	$297.63	$527.88	$212.74–$501.49	45% above	44%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO VACCINE 1 EA	$297.63	$527.88	$195.84–$501.49	—	44%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 13 DS PFS 0.5ML	$300.88	$533.64	$215.06–$506.96	18% above	44%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR 13 DS PFS 0.5ML	$300.88	$533.64	$197.98–$506.96	—	44%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 VAC 25MCG/0.5ML	$187.53	$332.60	$134.04–$315.97	18% above	44%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX-23 VAC 25MCG/0.5ML	$187.53	$332.60	$123.39–$315.97	—	44%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 IU IJ	$540.85	$959.24	$386.57–$911.28	1% below	44%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 2.5 IU IJ	$540.85	$959.24	$355.88–$911.28	—	44%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA TOXOIDS VL	$112.68	$199.85	$80.54–$189.86	94% above	44%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA TOXOIDS VL	$112.68	$199.85	$74.14–$189.86	—	44%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPTH/TETANUS/PERTUSSIS 0.5ML	$121.51	$215.51	$86.85–$204.73	31% above	44%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPTH/TETANUS/PERTUSSIS 0.5ML	$121.51	$215.51	$79.95–$204.73	—	44%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ IM/SQ/IV VACCINE/TOXOID	$124.44	$220.70	$88.94–$209.66	243% above	44%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION VACCINE/TOXOID	$124.44	$220.70	$88.94–$209.66	243% above	44%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ IM/SQ PNEUMOCOCAL VACCINE	$124.44	$220.70	$88.94–$209.66	243% above	44%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ IM SQ IV VACCINE TOXOID	$124.44	$220.70	$88.94–$209.66	243% above	44%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ IM/SQ/IV VACCINE TOXOID	$124.44	$220.70	$88.94–$209.66	243% above	44%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJ IM/SQ/IV VACCINE TOXOID	$124.44	$220.70	$81.88–$209.66	—	44%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJ IM/SQ PNEUMOCOCAL VACCINE	$124.44	$220.70	$81.88–$209.66	—	44%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION VACCINE/TOXOID	$124.44	$220.70	$81.88–$209.66	—	44%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJ IM SQ IV VACCINE TOXOID	$124.44	$220.70	$81.88–$209.66	—	44%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJ IM/SQ/IV VACCINE/TOXOID	$124.44	$220.70	$81.88–$209.66	—	44%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EA ADD'L VACCINE	$57.51	$102.00	$41.11–$96.90	69% above	44%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EACH ADD'L VACCINE	$57.51	$102.00	$41.11–$96.90	69% above	44%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EACH ADD'L VACCINE/TOXOID	$57.51	$102.00	$41.11–$96.90	69% above	44%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EACH ADD'L VACCINE/TOXOID	$57.51	$102.00	$37.84–$96.90	—	44%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EACH ADD'L VACCINE	$57.51	$102.00	$37.84–$96.90	—	44%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EA ADD'L VACCINE	$57.51	$102.00	$37.84–$96.90	—	44%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: http://williamsonhealth.org/content/uploads/2026/08/621501534_williamson-medical-center_standardcharges.csv