Hospital

Comanche County Hospital

Comanche County Hospital in Coldwater, KS publishes cash prices for 232 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Kansas median for 173 of 230 procedures and above it for 55. By typical cash price it ranks #9 of 55 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

202 S. Frisco, Coldwater, KS, 67029 Collected Sep 27, 2026 Source price file (620) 582-2144

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 171312 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Comanche County Hospital in Coldwater, KS:

Feb 6, 2023 Warning notice
May 12, 2023 Case closed
Jun 24, 2026 Warning notice

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 X RT ANKLE 3V OR >	$217.50	$290.00	$73.85–$139.38	at median	25%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X LT ANKLE 3V OR >	$217.50	$290.00	$73.85–$139.38	at median	25%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X LT ANKLE 3V OR >	$217.50	$290.00	$73.85–$139.38	—	25%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X RT ANKLE 3V OR >	$217.50	$290.00	$73.85–$139.38	—	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US BIL ABI'S	$675.00	$900.00	$93.81–$480.76	12% above	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US BIL ABI'S	$675.00	$900.00	$93.81–$480.76	—	25%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL	$206.25	$275.00	$90.85–$132.93	15% below	25%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL	$206.25	$275.00	$90.85–$132.93	—	25%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED	$172.50	$230.00	$73.85–$110.06	31% below	25%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED	$172.50	$230.00	$73.85–$110.06	—	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHIC PE CHEST W/CON	$1,350.00	$1,800.00	$180.34–$1,143.85	23% below	25%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHIC PE CHEST W/CON	$1,350.00	$1,800.00	$180.34–$1,143.85	—	25%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CONTRAST WITHOUT READ	$75.00	$100.00	$480.41	64% below	25%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CONTRAST WITH READ	$105.00	$140.00	$480.41	50% below	25%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WO CONTRAST WITHOUT READ	$75.00	$100.00	$480.41	—	25%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WO CONTRAST WITH READ	$105.00	$140.00	$480.41	—	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONTRAST	$900.00	$1,200.00	$198.49–$480.41	30% below	25%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O CONTRAST	$900.00	$1,200.00	$198.49–$480.41	—	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS WITH CONTRAST	$900.00	$1,200.00	$313.17–$480.41	33% below	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAM	$900.00	$1,200.00	$313.17–$480.41	33% below	25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAM	$900.00	$1,200.00	$313.17–$480.41	—	25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS WITH CONTRAST	$900.00	$1,200.00	$313.17–$480.41	—	25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/O & W CONTRAST	$900.00	$1,200.00	$313.17–$480.41	51% below	25%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/O & W CONTRAST	$900.00	$1,200.00	$313.17–$480.41	—	25%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST	$900.00	$1,200.00	$153.29–$480.41	35% below	25%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH CONTRAST	$900.00	$1,200.00	$153.29–$480.41	—	25%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$900.00	$1,200.00	$90.85–$480.41	25% below	25%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$900.00	$1,200.00	$90.85–$480.41	—	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL/SINUS W/O CONTRAST	$900.00	$1,200.00	$90.85–$480.41	8% below	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL/SINUS W/O CONTRAST	$900.00	$1,200.00	$90.85–$480.41	—	25%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$900.00	$1,200.00	$106.88–$480.41	12% below	25%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$900.00	$1,200.00	$106.88–$480.41	—	25%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN WITH CONTRAST	$900.00	$1,200.00	$153.29–$480.41	21% below	25%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD OR BRAIN WITH CONTRAST	$900.00	$1,200.00	$153.29–$480.41	—	25%
CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN W/O & W CONTRAST	$900.00	$1,200.00	$153.29–$480.41	28% below	25%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD OR BRAIN W/O & W CONTRAST	$900.00	$1,200.00	$153.29–$480.41	—	25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE W/O CONTRAST	$900.00	$1,200.00	$90.85–$480.41	21% below	25%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE W/O CONTRAST	$900.00	$1,200.00	$90.85–$480.41	—	25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE W/O CONTRAST	$900.00	$1,200.00	$106.88–$480.41	9% below	25%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE W/O CONTRAST	$900.00	$1,200.00	$106.88–$480.41	—	25%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST	$900.00	$1,200.00	$153.29–$480.41	22% below	25%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST	$900.00	$1,200.00	$153.29–$480.41	—	25%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US BIL CAROTID DOP	$675.00	$900.00	$177.96–$480.76	5% below	25%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US BIL CAROTID DOP	$675.00	$900.00	$177.96–$480.76	—	25%
Chest X-ray, 2 views CPT 71046 X CHEST 2 VIEWS	$206.25	$275.00	$73.85–$150.77	11% below	25%
Chest X-ray, 2 views inpatient CPT 71046 X CHEST 2 VIEWS	$206.25	$275.00	$73.85–$150.77	—	25%
Chest X-ray, single view CPT 71045 X CHEST SINGLE V	$195.00	$260.00	$73.85–$123.58	1% above	25%
Chest X-ray, single view inpatient CPT 71045 X CHEST SINGLE V	$195.00	$260.00	$73.85–$123.58	—	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL	$223.50	$298.00	$90.85–$151.50	46% below	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL RENAL /AORTA /NODES	$236.25	$315.00	$90.85–$151.50	43% below	25%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETROPERITONEAL	$223.50	$298.00	$90.85–$151.50	—	25%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL RENAL /AORTA /NODES	$236.25	$315.00	$90.85–$151.50	—	25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 D DEXA SCAN	$356.25	$475.00	$90.85–$197.96	13% above	25%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 D DEXA SCAN	$356.25	$475.00	$90.85–$197.96	—	25%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US ANATOMICAL SURVEY	$468.75	$625.00	$198.49–$302.15	7% above	25%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US ANATOMICAL SURVEY	$468.75	$625.00	$198.49–$302.15	—	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST THORAX W/O CONTRAST	$900.00	$1,200.00	$106.88–$480.41	5% below	25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST THORAX W/O CONTRAST	$900.00	$1,200.00	$106.88–$480.41	—	25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST THORAX WITH CONTRAST	$900.00	$1,200.00	$180.34–$480.41	18% below	25%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST THORAX WITH CONTRAST	$900.00	$1,200.00	$180.34–$480.41	—	25%
Diagnostic mammogram, both breasts both sides CPT 77066 M 3D MAMMO BILATERAL DIAG INCL CAD	$127.50	$170.00	$123.22–$125.93	—	25%
Diagnostic mammogram, one breast one side CPT 77065 M 3D MAMMO UNILATERAL DIAG INCL CAD	$127.50	$170.00	$99.82–$123.22	35% below	25%
Diagnostic mammogram, one breast one side CPT 77065 2D MAMMO UNILATERAL DIAG INCL CAD	$127.50	$170.00	$99.82–$123.22	35% below	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO 2D&M MODE	$1,875.00	$2,500.00	$126.54–$1,532.17	1% below	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO 2D&M MODE	$1,875.00	$2,500.00	$126.54–$1,532.17	—	25%
Knee X-ray, 3 views one side CPT 73562 X LT KNEE 3V	$232.50	$310.00	$73.85–$149.60	1% below	25%
Knee X-ray, 3 views one side CPT 73562 X RT KNEE 3V	$232.50	$310.00	$73.85–$149.60	1% below	25%
Knee X-ray, 3 views inpatient one side CPT 73562 X RT KNEE 3V	$232.50	$310.00	$73.85–$149.60	—	25%
Knee X-ray, 3 views inpatient one side CPT 73562 X LT KNEE 3V	$232.50	$310.00	$73.85–$149.60	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED	$206.25	$275.00	$90.85–$132.93	41% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED	$206.25	$275.00	$90.85–$132.93	—	25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE CANCER SCRN	$900.00	$1,200.00	$90.85–$480.41	40% above	25%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE CANCER SCRN	$900.00	$1,200.00	$90.85–$480.41	—	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT L EXT KNEE W/O CON	$879.00	$1,172.00	$233.52–$552.52	14% below	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXTREM FOOT W/O CONTRAST	$879.00	$1,172.00	$233.52–$552.52	14% below	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT L EXT HIP W/O CON	$879.00	$1,172.00	$233.52–$552.52	14% below	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT L EXT W/O CON	$1,287.00	$1,716.00	$233.52–$552.52	26% above	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT L EXT HIP W/O CON	$879.00	$1,172.00	$233.52–$552.52	—	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT L EXT KNEE W/O CON	$879.00	$1,172.00	$233.52–$552.52	—	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXTREM FOOT W/O CONTRAST	$879.00	$1,172.00	$233.52–$552.52	—	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT L EXT W/O CON	$1,287.00	$1,716.00	$233.52–$552.52	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT L EXT W & W/O CON	$1,287.00	$1,716.00	$313.17–$552.52	23% below	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT L EXT W & W/O CON	$1,287.00	$1,716.00	$313.17–$552.52	—	25%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WITHOUT CONTRAST	$1,287.00	$1,716.00	$198.49–$552.52	1% above	25%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WITHOUT CONTRAST	$1,287.00	$1,716.00	$198.49–$552.52	—	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & WO CONTRAST	$1,287.00	$1,716.00	$313.17–$552.52	23% below	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & WO CONTRAST	$1,287.00	$1,716.00	$313.17–$552.52	—	25%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN INCL STEM W/O CON	$1,287.00	$1,716.00	$233.52–$552.52	at median	25%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN INCL STEM W/O CON	$1,287.00	$1,716.00	$233.52–$552.52	—	25%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN INCL STEM W/WO CON	$1,287.00	$1,716.00	$368.43–$552.52	25% below	25%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN INCL STEM W/WO CON	$1,287.00	$1,716.00	$368.43–$552.52	—	25%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CON	$1,287.00	$1,716.00	$233.52–$552.52	5% above	25%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE W/O CON	$1,287.00	$1,716.00	$233.52–$552.52	—	25%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/O CON & W CON, F SEQU	$1,287.00	$1,716.00	$313.17–$552.52	27% below	25%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE W/O CON & W CON, F SEQU	$1,287.00	$1,716.00	$313.17–$552.52	—	25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CON	$1,287.00	$1,716.00	$198.49–$552.52	14% above	25%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE W/O CON	$1,287.00	$1,716.00	$198.49–$552.52	—	25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/O CON FOL W CON	$1,287.00	$1,716.00	$313.17–$552.52	24% below	25%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE W/O CON FOL W CON	$1,287.00	$1,716.00	$313.17–$552.52	—	25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CON	$1,287.00	$1,716.00	$233.52–$552.52	13% above	25%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE W/O CON	$1,287.00	$1,716.00	$233.52–$552.52	—	25%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&W/O CONTRAST	$1,287.00	$1,716.00	$313.17–$552.52	23% below	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W&W/O CONTRAST	$1,287.00	$1,716.00	$313.17–$552.52	—	25%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$1,287.00	$1,716.00	$198.49–$552.52	14% above	25%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$1,287.00	$1,716.00	$198.49–$552.52	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT U EXT W/O CON	$1,287.00	$1,716.00	$198.49–$552.52	23% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT U EXT W/O CON	$1,287.00	$1,716.00	$198.49–$552.52	—	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONOBSTETRIC F/U OR LIMITED	$206.25	$275.00	$90.85–$132.93	39% below	25%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NONOBSTETRIC F/U OR LIMITED	$206.25	$275.00	$90.85–$132.93	—	25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NONOBSTETRIC COM	$206.25	$275.00	$90.85–$132.93	41% below	25%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NONOBSTETRIC COM	$206.25	$275.00	$90.85–$132.93	—	25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG COM > OR =14 WKS	$206.25	$275.00	$90.85–$132.93	46% below	25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG COM > OR =14 WKS	$206.25	$275.00	$90.85–$132.93	—	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG COM<14 WKS	$206.25	$275.00	$90.85–$132.93	41% below	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG COM<14 WKS	$206.25	$275.00	$90.85–$132.93	—	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG LIMITED	$221.25	$295.00	$90.85–$141.50	30% below	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG LIMITED	$221.25	$295.00	$90.85–$141.50	—	25%
Screening mammogram, both breasts both sides CPT 77067 M 3D MAMMO SCREEN BILATERAL INCL CAD	$127.50	$170.00	$102.03–$161.00	—	25%
Screening mammogram, both breasts both sides CPT 77067 2D MAMMO SCREEN BILAT INCL CAD	$165.00	$220.00	$102.03–$161.00	—	25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X RT SHOULDER COMPLETE	$225.00	$300.00	$73.85–$140.31	6% above	25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X LT SHOULDER COMPLETE MIN 2VIEWS	$225.00	$300.00	$73.85–$140.31	6% above	25%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X RT SHOULDER COMPLETE	$225.00	$300.00	$73.85–$140.31	—	25%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X LT SHOULDER COMPLETE MIN 2VIEWS	$225.00	$300.00	$73.85–$140.31	—	25%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$206.25	$275.00	$90.85–$132.93	36% below	25%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$206.25	$275.00	$90.85–$132.93	—	25%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$221.25	$295.00	$90.85–$141.50	38% below	25%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$221.25	$295.00	$90.85–$141.50	—	25%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMP	$236.25	$315.00	$90.85–$151.50	45% below	25%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMP	$236.25	$315.00	$90.85–$151.50	—	25%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$206.25	$275.00	$90.85–$132.93	47% below	25%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$206.25	$275.00	$90.85–$132.93	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD & NECK	$600.00	$800.00	$90.85–$480.76	at median	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD & NECK	$600.00	$800.00	$90.85–$480.76	—	25%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X RT WRIST COMPLETE	$225.00	$300.00	$73.85–$143.10	2% below	25%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X LT WRIST COMPLETE	$225.00	$300.00	$73.85–$143.10	2% below	25%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X LT WRIST COMPLETE	$225.00	$300.00	$73.85–$143.10	—	25%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X RT WRIST COMPLETE	$225.00	$300.00	$73.85–$143.10	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X HIP W PELVIS 2-3 VIEWS	$270.00	$360.00	$73.85–$173.25	5% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X LT HIP COMPLETE	$270.00	$360.00	$73.85–$173.25	5% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X RT HIP COMPLETE	$270.00	$360.00	$73.85–$173.25	5% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X HIP W PELVIS 2-3 VIEWS	$270.00	$360.00	$73.85–$173.25	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X RT HIP COMPLETE	$270.00	$360.00	$73.85–$173.25	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X LT HIP COMPLETE	$270.00	$360.00	$73.85–$173.25	—	25%
X-ray of the abdomen, 1 view CPT 74018 X ABD 1V	$210.00	$280.00	$73.85–$134.73	at median	25%
X-ray of the abdomen, 1 view inpatient CPT 74018 X ABD 1V	$210.00	$280.00	$73.85–$134.73	—	25%
X-ray of the ankle, 2 views one side CPT 73600 X LT ANKLE 2V	$172.50	$230.00	$73.85–$110.06	9% below	25%
X-ray of the ankle, 2 views one side CPT 73600 X RT ANKLE 2V	$172.50	$230.00	$73.85–$110.06	9% below	25%
X-ray of the ankle, 2 views inpatient one side CPT 73600 X RT ANKLE 2V	$172.50	$230.00	$73.85–$110.06	—	25%
X-ray of the ankle, 2 views inpatient one side CPT 73600 X LT ANKLE 2V	$172.50	$230.00	$73.85–$110.06	—	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 X RT FINGER 2-3 V	$173.25	$231.00	$73.85–$110.06	4% above	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 X LT FINGER 2-3 V	$173.25	$231.00	$73.85–$110.06	4% above	25%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X LT FINGER 2-3 V	$173.25	$231.00	$73.85–$110.06	—	25%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X RT FINGER 2-3 V	$173.25	$231.00	$73.85–$110.06	—	25%
X-ray of the foot, 2 views one side CPT 73620 X LT FOOT 2V	$172.50	$230.00	$73.85–$110.06	8% below	25%
X-ray of the foot, 2 views one side CPT 73620 X RT FOOT 2V	$172.50	$230.00	$73.85–$110.06	8% below	25%
X-ray of the foot, 2 views inpatient one side CPT 73620 X RT FOOT 2V	$172.50	$230.00	$73.85–$110.06	—	25%
X-ray of the foot, 2 views inpatient one side CPT 73620 X LT FOOT 2V	$172.50	$230.00	$73.85–$110.06	—	25%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X RT FOOT COMPLETE	$210.00	$280.00	$73.85–$134.73	4% below	25%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X LT FOOT COMPLETE	$210.00	$280.00	$73.85–$134.73	4% below	25%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X RT FOOT COMPLETE	$210.00	$280.00	$73.85–$134.73	—	25%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X LT FOOT COMPLETE	$210.00	$280.00	$73.85–$134.73	—	25%
X-ray of the hand, 3 or more views one side CPT 73130 X LT HAND COMPLETE	$213.75	$285.00	$73.85–$136.59	at median	25%
X-ray of the hand, 3 or more views one side CPT 73130 X RT HAND COMPLETE	$220.50	$294.00	$73.85–$136.59	3% above	25%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 X LT HAND COMPLETE	$213.75	$285.00	$73.85–$136.59	—	25%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 X RT HAND COMPLETE	$220.50	$294.00	$73.85–$136.59	—	25%
X-ray of the knee, 1 or 2 views one side CPT 73560 X RT KNEE 1-2V	$172.50	$230.00	$73.85–$110.06	9% below	25%
X-ray of the knee, 1 or 2 views one side CPT 73560 X LT KNEE 1-2V	$172.50	$230.00	$73.85–$110.06	9% below	25%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X LT KNEE 1-2V	$172.50	$230.00	$73.85–$110.06	—	25%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X RT KNEE 1-2V	$172.50	$230.00	$73.85–$110.06	—	25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X L-SPINE 2 OR 3V	$270.00	$360.00	$90.85–$174.69	1% below	25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X L-SPINE 2 OR 3V	$270.00	$360.00	$90.85–$174.69	—	25%
X-ray of the lower back, 4 or more views CPT 72110 X L-SPINE 4V MIN	$386.25	$515.00	$90.85–$248.10	3% below	25%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X L-SPINE 4V MIN	$386.25	$515.00	$90.85–$248.10	—	25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X T-SPINE 2V	$210.00	$280.00	$90.85–$133.80	5% below	25%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X T-SPINE 2V	$210.00	$280.00	$90.85–$133.80	—	25%
X-ray of the nasal bones, 3 or more views CPT 70160 X NASAL BONES 3V MIN	$232.50	$310.00	$73.85–$147.74	at median	25%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X NASAL BONES 3V MIN	$232.50	$310.00	$73.85–$147.74	—	25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X C-SPINE 2-3V	$247.50	$330.00	$73.85–$159.82	1% below	25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X C-SPINE 2-3V	$247.50	$330.00	$73.85–$159.82	—	25%
X-ray of the pelvis, 1 or 2 views CPT 72170 X PELVIS	$210.00	$280.00	$90.85–$132.93	2% above	25%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X PELVIS	$210.00	$280.00	$90.85–$132.93	—	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X SACRUM OR COCCYX 2V MIN	$225.00	$300.00	$73.85–$143.10	at median	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X SACRUM OR COCCYX 2V MIN	$225.00	$300.00	$73.85–$143.10	—	25%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALTV/SGPT	$44.25	$59.00	$5.30–$11.36	18% above	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALTV/SGPT	$44.25	$59.00	$5.30–$11.36	—	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$44.25	$59.00	$5.18–$11.11	19% above	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$44.25	$59.00	$5.18–$11.11	—	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$136.50	$182.00	$40.49–$137.99	34% below	25%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$136.50	$182.00	$40.49–$137.99	—	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHARGE (86003)	$18.75	$25.00	$5.22–$15.51	39% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD, ALMOND, IGE	$22.50	$30.00	$5.22–$15.51	27% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY IGE	$26.25	$35.00	$5.22–$15.51	15% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW IgE	$30.00	$40.00	$5.22–$15.51	3% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO IgE	$30.00	$40.00	$5.22–$15.51	3% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN IgE	$30.00	$40.00	$5.22–$15.51	3% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT IgE	$30.00	$40.00	$5.22–$15.51	3% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT FOOD IgE	$30.00	$40.00	$5.22–$15.51	3% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IgE	$30.00	$40.00	$5.22–$15.51	3% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT IgE	$30.00	$40.00	$5.22–$15.51	3% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IgE	$30.00	$40.00	$5.22–$15.51	3% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IgE	$43.50	$58.00	$5.22–$15.51	41% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IgE W/REFLEX TO COMPONENTS	$56.25	$75.00	$5.22–$15.51	82% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA-GAL PANEL	$127.50	$170.00	$5.22–$15.51	313% above	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHARGE (86003)	$18.75	$25.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, FOOD, ALMOND, IGE	$22.50	$30.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY IGE	$26.25	$35.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW IgE	$30.00	$40.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT IgE	$30.00	$40.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT IgE	$30.00	$40.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT FOOD IgE	$30.00	$40.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT IgE	$30.00	$40.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN IgE	$30.00	$40.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO IgE	$30.00	$40.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IgE	$30.00	$40.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX IgE	$43.50	$58.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IgE W/REFLEX TO COMPONENTS	$56.25	$75.00	$5.22–$15.51	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA-GAL PANEL	$127.50	$170.00	$5.22–$15.51	—	25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RA DIAGNOSTIC PANEL 2 OF 2	$80.25	$107.00	$12.95–$27.79	26% below	25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP), AB	$90.75	$121.00	$12.95–$27.79	16% below	25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP PROTEINS	$143.25	$191.00	$12.95–$27.79	33% above	25%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RA DIAGNOSTIC PANEL 2 OF 2	$80.25	$107.00	$12.95–$27.79	—	25%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP), AB	$90.75	$121.00	$12.95–$27.79	—	25%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI CCP PROTEINS	$143.25	$191.00	$12.95–$27.79	—	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SLE COMPREHENSIVE DIAG 1 OF 5	$40.50	$54.00	$12.09–$44.30	42% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA PANEL QUANITATIVE	$44.25	$59.00	$12.09–$44.30	37% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA)	$48.75	$65.00	$12.09–$44.30	30% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B ANTIBODY Q16088	$56.25	$75.00	$12.09–$44.30	20% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RH, ARTH. PRF 4 1 OF 4	$58.50	$78.00	$12.09–$44.30	17% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTO IMMUNE SCREEN 1 OF 3	$71.25	$95.00	$12.09–$44.30	2% above	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SLE COMPREHENSIVE DIAG 1 OF 5	$40.50	$54.00	$12.09–$44.30	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA PANEL QUANITATIVE	$44.25	$59.00	$12.09–$44.30	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA)	$48.75	$65.00	$12.09–$44.30	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE B ANTIBODY Q16088	$56.25	$75.00	$12.09–$44.30	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RH, ARTH. PRF 4 1 OF 4	$58.50	$78.00	$12.09–$44.30	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AUTO IMMUNE SCREEN 1 OF 3	$71.25	$95.00	$12.09–$44.30	—	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE (LABCORP)	$75.00	$100.00	$33.37–$72.84	42% below	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-NATRIURETIC PEPTIDE	$78.75	$105.00	$33.37–$72.84	39% below	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP, N-TERMINAL	$117.00	$156.00	$33.37–$72.84	9% below	25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE (LABCORP)	$75.00	$100.00	$33.37–$72.84	—	25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP-NATRIURETIC PEPTIDE	$78.75	$105.00	$33.37–$72.84	—	25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP, N-TERMINAL	$117.00	$156.00	$33.37–$72.84	—	25%
Basic metabolic panel (blood test) CPT 80048 BMP - Q10165 (SEND OUT ONLY)	$106.50	$142.00	$8.46–$19.65	31% above	25%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROFILE	$106.50	$142.00	$8.46–$19.65	31% above	25%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP - Q10165 (SEND OUT ONLY)	$106.50	$142.00	$8.46–$19.65	—	25%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROFILE	$106.50	$142.00	$8.46–$19.65	—	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 IV PATH G&M 3 SP	$201.75	$269.00	$65.47–$195.61	8% below	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 IV PATH G&M 5 SP TC	$201.75	$269.00	$65.47–$195.61	8% below	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 IV PATH G&M 1 SP TC	$201.75	$269.00	$65.47–$195.61	8% below	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 IV PATH G&M 4 SP TC	$201.75	$269.00	$65.47–$195.61	8% below	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 IV PATH G&M 2 SP TC Q63542	$201.75	$269.00	$65.47–$195.61	8% below	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 IV PATH G&M 2 SP TC Q63542	$201.75	$269.00	$65.47–$195.61	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 IV PATH G&M 1 SP TC	$201.75	$269.00	$65.47–$195.61	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 IV PATH G&M 3 SP	$201.75	$269.00	$65.47–$195.61	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 IV PATH G&M 4 SP TC	$201.75	$269.00	$65.47–$195.61	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 IV PATH G&M 5 SP TC	$201.75	$269.00	$65.47–$195.61	—	25%
Blood culture for bacteria CPT 87040 BLOOD CULTURE #2	$47.25	$63.00	$9.45–$38.41	37% below	25%
Blood culture for bacteria CPT 87040 BLOOD CULTURE #1	$47.25	$63.00	$9.45–$38.41	37% below	25%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE #2	$47.25	$63.00	$9.45–$38.41	—	25%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE #1	$47.25	$63.00	$9.45–$38.41	—	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING FEE VENOUS	$12.00	$16.00	$12.05	34% below	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING AND HANDLING FEE	$12.75	$17.00	$12.05	30% below	25%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$44.25	$59.00	$3.93–$8.64	37% above	25%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$44.25	$59.00	$3.93–$8.64	—	25%
Blood lead test CPT 83655 LEAD BLOOD Q599	$21.00	$28.00	$11.70–$24.36	60% below	25%
Blood lead test CPT 83655 LEAD BLOOD LEVEL	$62.25	$83.00	$11.70–$24.36	19% above	25%
Blood lead test CPT 83655 LEAD BLOOD	$66.00	$88.00	$11.70–$24.36	27% above	25%
Blood lead test inpatient CPT 83655 LEAD BLOOD Q599	$21.00	$28.00	$11.70–$24.36	—	25%
Blood lead test inpatient CPT 83655 LEAD BLOOD LEVEL	$62.25	$83.00	$11.70–$24.36	—	25%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$66.00	$88.00	$11.70–$24.36	—	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM (PREG)	$31.50	$42.00	$7.52–$34.32	45% below	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM (INHOUSE)	$31.50	$42.00	$7.52–$34.32	45% below	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG URINE (INHOUSE)	$39.75	$53.00	$7.52–$34.32	31% below	25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE SERUM (PREG)	$31.50	$42.00	$7.52–$34.32	—	25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM (INHOUSE)	$31.50	$42.00	$7.52–$34.32	—	25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG URINE (INHOUSE)	$39.75	$53.00	$7.52–$34.32	—	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE (LABCORP)	$217.50	$290.00	$2.99–$210.75	148% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC ABO GROUP	$217.50	$290.00	$2.99–$210.75	148% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE (PRMC)	$265.50	$354.00	$2.99–$210.75	203% above	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPE (LABCORP)	$217.50	$290.00	$2.99–$210.75	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC ABO GROUP	$217.50	$290.00	$2.99–$210.75	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE (PRMC)	$265.50	$354.00	$2.99–$210.75	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 (CRP) C-REACTIVE PROTEIN	$44.25	$59.00	$5.18–$26.14	8% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 (CRP) C-REACTIVE PROTEIN	$44.25	$59.00	$5.18–$26.14	—	25%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILE TOXIN	$79.50	$106.00	$34.26–$75.32	27% below	25%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFFICILE TOXIN	$79.50	$106.00	$34.26–$75.32	—	25%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 GI	$60.00	$80.00	$20.81–$54.51	30% below	25%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$147.00	$196.00	$20.81–$54.51	71% above	25%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 GI	$60.00	$80.00	$20.81–$54.51	—	25%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$147.00	$196.00	$20.81–$54.51	—	25%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$60.00	$80.00	$20.81–$54.77	35% below	25%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$60.00	$80.00	$20.81–$54.77	—	25%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-CoV RNA, QUALITATIVE REAL-TIME RT-P	$120.00	$160.00	$43.61–$114.18	12% below	25%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-CoV RNA, QUALITATIVE REAL-TIME RT-P	$120.00	$160.00	$43.61–$114.18	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC CHLAMIDIA 1-2	$41.25	$55.00	$35.09–$75.32	64% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLAMIDIA DNA	$41.25	$55.00	$35.09–$75.32	64% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS, NEISSER	$54.00	$72.00	$35.09–$75.32	52% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS	$87.00	$116.00	$35.09–$75.32	23% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLAMIDIA DNA	$41.25	$55.00	$35.09–$75.32	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 GC CHLAMIDIA 1-2	$41.25	$55.00	$35.09–$75.32	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS, NEISSER	$54.00	$72.00	$35.09–$75.32	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS	$87.00	$116.00	$35.09–$75.32	—	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$54.00	$72.00	$13.39–$43.18	38% below	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - HPL	$73.50	$98.00	$13.39–$43.18	15% below	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPO-PROFILE	$127.50	$170.00	$13.39–$43.18	47% above	25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$54.00	$72.00	$13.39–$43.18	—	25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL - HPL	$73.50	$98.00	$13.39–$43.18	—	25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPO-PROFILE	$127.50	$170.00	$13.39–$43.18	—	25%
Complete blood count (CBC) with differential CPT 85025 CBC HPL	$27.75	$37.00	$6.60–$13.36	32% below	25%
Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED DIFF	$48.75	$65.00	$6.60–$13.36	20% above	25%
Complete blood count (CBC) with differential CPT 85025 CBC W/ DIFF (SEND OUT)	$71.25	$95.00	$6.60–$13.36	75% above	25%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC HPL	$27.75	$37.00	$6.60–$13.36	—	25%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED DIFF	$48.75	$65.00	$6.60–$13.36	—	25%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ DIFF (SEND OUT)	$71.25	$95.00	$6.60–$13.36	—	25%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$48.75	$65.00	$6.47–$13.90	4% above	25%
Complete blood count (CBC), no differential CPT 85027 CBC WITH MANUAL DIFF (CBCMD) (SENDOUT)	$48.75	$65.00	$6.47–$13.90	4% above	25%
Complete blood count (CBC), no differential CPT 85027 CBC (CBCND)(SENDOUT)	$48.75	$65.00	$6.47–$13.90	4% above	25%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC (CBCND)(SENDOUT)	$48.75	$65.00	$6.47–$13.90	—	25%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITH MANUAL DIFF (CBCMD) (SENDOUT)	$48.75	$65.00	$6.47–$13.90	—	25%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$48.75	$65.00	$6.47–$13.90	—	25%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$186.75	$249.00	$10.56–$22.68	78% above	25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$186.75	$249.00	$10.56–$22.68	—	25%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$76.50	$102.00	$10.18–$73.62	34% below	25%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE (AMS)	$78.75	$105.00	$10.18–$73.62	32% below	25%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER (PRMC)	$78.75	$105.00	$10.18–$73.62	32% below	25%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER (IN-HOUSE)	$78.75	$105.00	$10.18–$73.62	32% below	25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$76.50	$102.00	$10.18–$73.62	—	25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER (IN-HOUSE)	$78.75	$105.00	$10.18–$73.62	—	25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE (AMS)	$78.75	$105.00	$10.18–$73.62	—	25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER (PRMC)	$78.75	$105.00	$10.18–$73.62	—	25%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE IMMUNOASSAY Q402	$82.50	$110.00	$22.23–$80.41	36% below	25%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S)	$86.25	$115.00	$22.23–$80.41	33% below	25%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE IMMUNOASSAY Q402	$82.50	$110.00	$22.23–$80.41	—	25%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S)	$86.25	$115.00	$22.23–$80.41	—	25%
Estradiol blood test CPT 82670 ESTRADIOL SERUM	$131.25	$175.00	$27.94–$125.19	22% below	25%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM	$131.25	$175.00	$27.94–$125.19	—	25%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$75.75	$101.00	$18.58–$71.29	34% below	25%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE (FSH)	$80.25	$107.00	$18.58–$71.29	30% below	25%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$75.75	$101.00	$18.58–$71.29	—	25%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE (FSH)	$80.25	$107.00	$18.58–$71.29	—	25%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL	$195.75	$261.00	$19.63–$24.56	10% below	25%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL	$195.75	$261.00	$19.63–$24.56	—	25%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$89.25	$119.00	$13.63–$53.23	1% above	25%
Ferritin blood test (iron stores) CPT 82728 VITROS_5600 FERRITIN	$89.25	$119.00	$13.63–$53.23	1% above	25%
Ferritin blood test (iron stores) inpatient CPT 82728 VITROS_5600 FERRITIN	$89.25	$119.00	$13.63–$53.23	—	25%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$89.25	$119.00	$13.63–$53.23	—	25%
Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM	$67.50	$90.00	$14.70–$61.81	31% below	25%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID; SERUM	$67.50	$90.00	$14.70–$61.81	—	25%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$90.00	$120.00	$16.94–$84.25	29% below	25%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$90.00	$120.00	$16.94–$84.25	—	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE; FREE T4 (SEND OUT)	$32.25	$43.00	$9.02–$30.77	47% below	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4- IN HOUSE (USE ME)	$54.75	$73.00	$9.02–$30.77	10% below	25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE; FREE T4 (SEND OUT)	$32.25	$43.00	$9.02–$30.77	—	25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4- IN HOUSE (USE ME)	$54.75	$73.00	$9.02–$30.77	—	25%
Free testosterone test CPT 84402 TESTOSTERONE FREE/TOTAL 1/2	$102.00	$136.00	$25.47–$108.65	28% below	25%
Free testosterone test CPT 84402 FREE TESTOSTERONE	$103.50	$138.00	$25.47–$108.65	27% below	25%
Free testosterone test CPT 84402 TESTOST FREE & TOTAL	$116.25	$155.00	$25.47–$108.65	18% below	25%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE/TOTAL 1/2	$102.00	$136.00	$25.47–$108.65	—	25%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE	$103.50	$138.00	$25.47–$108.65	—	25%
Free testosterone test inpatient CPT 84402 TESTOST FREE & TOTAL	$116.25	$155.00	$25.47–$108.65	—	25%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TEST	$57.00	$76.00	$12.87–$48.72	38% below	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL TEST	$57.00	$76.00	$12.87–$48.72	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA SCREEN DNA	$41.25	$55.00	$35.09–$75.32	60% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC CHLAMIDIA 2-2	$41.25	$55.00	$35.09–$75.32	60% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA	$43.50	$58.00	$35.09–$75.32	57% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMPLIFIED	$46.50	$62.00	$35.09–$75.32	54% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA TRACH NEISSERIA 2-2	$54.00	$72.00	$35.09–$75.32	47% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE	$87.00	$116.00	$35.09–$75.32	15% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE GC DNA BY PRC	$105.75	$141.00	$35.09–$75.32	4% above	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC CHLAMIDIA 2-2	$41.25	$55.00	$35.09–$75.32	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA SCREEN DNA	$41.25	$55.00	$35.09–$75.32	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA	$43.50	$58.00	$35.09–$75.32	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMPLIFIED	$46.50	$62.00	$35.09–$75.32	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA TRACH NEISSERIA 2-2	$54.00	$72.00	$35.09–$75.32	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE	$87.00	$116.00	$35.09–$75.32	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE GC DNA BY PRC	$105.75	$141.00	$35.09–$75.32	—	25%
H. pylori antibody blood test CPT 86677 HELICOBACTOR PYLORI AB	$54.00	$72.00	$14.32–$39.75	10% below	25%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTOR PYLORI AB	$54.00	$72.00	$14.32–$39.75	—	25%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AG STOOL	$156.00	$208.00	$14.38–$31.18	37% above	25%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI AG STOOL	$156.00	$208.00	$14.38–$31.18	—	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA, QUANTITATIVE PCR	$150.00	$200.00	$85.10–$182.59	56% below	25%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA, QUANTITATIVE PCR	$150.00	$200.00	$85.10–$182.59	—	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV p24 AG/AB W/REFLEX (4TH GEN)	$171.75	$229.00	$24.08–$60.02	86% above	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV p24 AG/AB W/REFLEX (4TH GEN)	$171.75	$229.00	$24.08–$60.02	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$38.25	$51.00	$9.71–$35.94	45% below	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C-HGB	$49.50	$66.00	$9.71–$35.94	28% below	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C-HGB (LABCORP)	$49.50	$66.00	$9.71–$35.94	28% below	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$38.25	$51.00	$9.71–$35.94	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C-HGB (LABCORP)	$49.50	$66.00	$9.71–$35.94	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C-HGB	$49.50	$66.00	$9.71–$35.94	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS IMMUNE PANEL 2 OF 2	$36.00	$48.00	$10.74–$46.36	50% below	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$47.25	$63.00	$10.74–$46.36	35% below	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$50.25	$67.00	$10.74–$46.36	31% below	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP PANEL 530 3 OF 4	$51.00	$68.00	$10.74–$46.36	30% below	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS IMMUNE PANEL 2 OF 2	$36.00	$48.00	$10.74–$46.36	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$47.25	$63.00	$10.74–$46.36	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$50.25	$67.00	$10.74–$46.36	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP PANEL 530 3 OF 4	$51.00	$68.00	$10.74–$46.36	—	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$38.25	$51.00	$10.33–$24.62	35% below	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG	$50.25	$67.00	$10.33–$24.62	15% below	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SCREEN 2 OF 2	$58.50	$78.00	$10.33–$24.62	1% below	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$38.25	$51.00	$10.33–$24.62	—	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG	$50.25	$67.00	$10.33–$24.62	—	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SCREEN 2 OF 2	$58.50	$78.00	$10.33–$24.62	—	25%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C Q86803	$18.75	$25.00	$14.27–$45.09	75% below	25%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$48.75	$65.00	$14.27–$45.09	36% below	25%
Hepatitis C antibody blood test (screening) CPT 86803 HEP PANEL 530 4 OF 4	$51.00	$68.00	$14.27–$45.09	33% below	25%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C VIRUS AB	$75.75	$101.00	$14.27–$45.09	at median	25%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY	$88.50	$118.00	$14.27–$45.09	17% above	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C Q86803	$18.75	$25.00	$14.27–$45.09	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$48.75	$65.00	$14.27–$45.09	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP PANEL 530 4 OF 4	$51.00	$68.00	$14.27–$45.09	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C VIRUS AB	$75.75	$101.00	$14.27–$45.09	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY	$88.50	$118.00	$14.27–$45.09	—	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA	$121.50	$162.00	$36.41–$91.91	60% below	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA BY PCR	$143.25	$191.00	$36.41–$91.91	53% below	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT. PCR	$174.75	$233.00	$36.41–$91.91	43% below	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL RNA QT Q35645	$209.25	$279.00	$36.41–$91.91	31% below	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA	$121.50	$162.00	$36.41–$91.91	—	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS RNA BY PCR	$143.25	$191.00	$36.41–$91.91	—	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT. PCR	$174.75	$233.00	$36.41–$91.91	—	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL RNA QT Q35645	$209.25	$279.00	$36.41–$91.91	—	25%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGHLY SENSITIVE	$27.75	$37.00	$11.01–$61.27	69% below	25%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$63.75	$85.00	$11.01–$61.27	29% below	25%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-SENSITIVE	$87.75	$117.00	$11.01–$61.27	3% below	25%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGHLY SENSITIVE	$27.75	$37.00	$11.01–$61.27	—	25%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$63.75	$85.00	$11.01–$61.27	—	25%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-SENSITIVE	$87.75	$117.00	$11.01–$61.27	—	25%
Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTRITIONAL & CONGEN Q36362	$168.00	$224.00	$17.92–$176.58	27% below	25%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$183.75	$245.00	$17.92–$176.58	20% below	25%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE NUTRITIONAL & CONGEN Q36362	$168.00	$224.00	$17.92–$176.58	—	25%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$183.75	$245.00	$17.92–$176.58	—	25%
Insulin blood test CPT 83525 INSULIN; TOTAL	$56.25	$75.00	$11.43–$50.72	30% below	25%
Insulin blood test inpatient CPT 83525 INSULIN; TOTAL	$56.25	$75.00	$11.43–$50.72	—	25%
Iron blood test (serum iron) CPT 83540 VITROS_5600 IRON	$23.25	$31.00	$5.50–$25.62	46% below	25%
Iron blood test (serum iron) CPT 83540 IRON PROFILE- IRON CHARGE	$30.00	$40.00	$5.50–$25.62	30% below	25%
Iron blood test (serum iron) CPT 83540 IRON	$30.00	$40.00	$5.50–$25.62	30% below	25%
Iron blood test (serum iron) inpatient CPT 83540 VITROS_5600 IRON	$23.25	$31.00	$5.50–$25.62	—	25%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$30.00	$40.00	$5.50–$25.62	—	25%
Iron blood test (serum iron) inpatient CPT 83540 IRON PROFILE- IRON CHARGE	$30.00	$40.00	$5.50–$25.62	—	25%
Iron-binding capacity (TIBC) test CPT 83550 IRON PROFILE- TIBC CHARGE	$42.75	$57.00	$8.74–$41.23	32% below	25%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON PROFILE- TIBC CHARGE	$42.75	$57.00	$8.74–$41.23	—	25%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$133.50	$178.00	$8.68–$20.32	88% above	25%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$133.50	$178.00	$8.68–$20.32	—	25%
LH (luteinizing hormone) test CPT 83002 LH	$72.00	$96.00	$18.52–$69.56	35% below	25%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE (LH)	$75.00	$100.00	$18.52–$69.56	32% below	25%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$72.00	$96.00	$18.52–$69.56	—	25%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE (LH)	$75.00	$100.00	$18.52–$69.56	—	25%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$42.00	$56.00	$6.89–$27.78	33% below	25%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$42.00	$56.00	$6.89–$27.78	—	25%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$93.00	$124.00	$8.17–$31.88	1% above	25%
Liver function blood test panel CPT 80076 LIVER PANEL - Q10256 (SEND OUT ONLY)	$93.00	$124.00	$8.17–$31.88	1% above	25%
Liver function blood test panel inpatient CPT 80076 LIVER PANEL - Q10256 (SEND OUT ONLY)	$93.00	$124.00	$8.17–$31.88	—	25%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$93.00	$124.00	$8.17–$31.88	—	25%
Lyme disease antibody test CPT 86618 LYME DISEASE EIA	$82.50	$110.00	$14.48–$76.68	32% below	25%
Lyme disease antibody test CPT 86618 LYME DISEASE SCREEN	$87.75	$117.00	$14.48–$76.68	28% below	25%
Lyme disease antibody test CPT 86618 TICK PANEL-NON REGION SPECIFIC	$262.50	$350.00	$14.48–$76.68	115% above	25%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE EIA	$82.50	$110.00	$14.48–$76.68	—	25%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SCREEN	$87.75	$117.00	$14.48–$76.68	—	25%
Lyme disease antibody test inpatient CPT 86618 TICK PANEL-NON REGION SPECIFIC	$262.50	$350.00	$14.48–$76.68	—	25%
Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE	$32.25	$43.00	$6.70–$25.85	40% below	25%
Magnesium blood test CPT 83735 24 HR UR MAGNESIUM	$33.75	$45.00	$6.70–$25.85	38% below	25%
Magnesium blood test CPT 83735 MAGNESIUM	$44.25	$59.00	$6.70–$25.85	18% below	25%
Magnesium blood test CPT 83735 RBC MAGNESIUM	$75.00	$100.00	$6.70–$25.85	39% above	25%
Magnesium blood test CPT 83735 MAGNESIUM RBC (INTRACELLULAR)	$98.25	$131.00	$6.70–$25.85	82% above	25%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$153.00	$204.00	$6.70–$25.85	183% above	25%
Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HR URINE	$32.25	$43.00	$6.70–$25.85	—	25%
Magnesium blood test inpatient CPT 83735 24 HR UR MAGNESIUM	$33.75	$45.00	$6.70–$25.85	—	25%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$44.25	$59.00	$6.70–$25.85	—	25%
Magnesium blood test inpatient CPT 83735 RBC MAGNESIUM	$75.00	$100.00	$6.70–$25.85	—	25%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC (INTRACELLULAR)	$98.25	$131.00	$6.70–$25.85	—	25%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$153.00	$204.00	$6.70–$25.85	—	25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA SCREEN	$55.50	$74.00	$10.95–$68.27	41% below	25%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) AB, IGG	$72.75	$97.00	$10.95–$68.27	22% below	25%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA SCREEN	$55.50	$74.00	$10.95–$68.27	—	25%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) AB, IGG	$72.75	$97.00	$10.95–$68.27	—	25%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN CPL	$30.00	$40.00	$5.18–$19.50	35% below	25%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB TITER A-2	$46.50	$62.00	$5.18–$19.50	1% above	25%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST WAIVED	$49.50	$66.00	$5.18–$19.50	7% above	25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN CPL	$30.00	$40.00	$5.18–$19.50	—	25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB TITER A-2	$46.50	$62.00	$5.18–$19.50	—	25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST WAIVED	$49.50	$66.00	$5.18–$19.50	—	25%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$52.50	$70.00	$47.81–$89.39	70% below	25%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$52.50	$70.00	$47.81–$89.39	—	25%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA REFLEX FREEPSA CHARGE ONLY	$60.00	$80.00	$18.39–$52.90	35% below	25%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA (PSART)	$60.00	$80.00	$18.39–$52.90	35% below	25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA (PSART)	$60.00	$80.00	$18.39–$52.90	—	25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA REFLEX FREEPSA CHARGE ONLY	$60.00	$80.00	$18.39–$52.90	—	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, FREE AND TOTAL	$75.00	$100.00	$18.39–$67.95	28% below	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC (PSA-AMS)	$84.00	$112.00	$18.39–$67.95	19% below	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN (PSA) REFLEX	$84.00	$112.00	$18.39–$67.95	19% below	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 EMPLOYEE PSA (CCH)	$96.00	$128.00	$18.39–$67.95	7% below	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC (CCH)	$96.00	$128.00	$18.39–$67.95	7% below	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, ULTRASENSITIVE	$145.50	$194.00	$18.39–$67.95	40% above	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, FREE AND TOTAL	$75.00	$100.00	$18.39–$67.95	—	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN (PSA) REFLEX	$84.00	$112.00	$18.39–$67.95	—	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC (PSA-AMS)	$84.00	$112.00	$18.39–$67.95	—	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC (CCH)	$96.00	$128.00	$18.39–$67.95	—	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 EMPLOYEE PSA (CCH)	$96.00	$128.00	$18.39–$67.95	—	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, ULTRASENSITIVE	$145.50	$194.00	$18.39–$67.95	—	25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH 1 OF 2 W/CA(PTH)	$161.25	$215.00	$35.09–$155.01	20% below	25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH W/O CALCIUM (PTH)	$161.25	$215.00	$35.09–$155.01	20% below	25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH W/O CALCIUM	$192.75	$257.00	$35.09–$155.01	4% below	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH W/O CALCIUM (PTH)	$161.25	$215.00	$35.09–$155.01	—	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH 1 OF 2 W/CA(PTH)	$161.25	$215.00	$35.09–$155.01	—	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH W/O CALCIUM	$192.75	$257.00	$35.09–$155.01	—	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (SEND OUT)	$33.75	$45.00	$5.25–$22.53	24% below	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 (APTT)THROMBOPLASTIN TIME, PARTIAL	$33.75	$45.00	$5.25–$22.53	24% below	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$40.50	$54.00	$5.25–$22.53	9% below	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 (APTT)THROMBOPLASTIN TIME, PARTIAL	$33.75	$45.00	$5.25–$22.53	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (SEND OUT)	$33.75	$45.00	$5.25–$22.53	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$40.50	$54.00	$5.25–$22.53	—	25%
Progesterone blood test CPT 84144 PROGESTERONE	$78.75	$105.00	$20.86–$71.72	29% below	25%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$78.75	$105.00	$20.86–$71.72	—	25%
Prolactin blood test CPT 84146 PROLACTIN	$86.25	$115.00	$19.38–$79.41	33% below	25%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$86.25	$115.00	$19.38–$79.41	—	25%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME w/ INR	$40.50	$54.00	$4.29–$16.08	31% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME WITH INR (LABCORP)	$45.00	$60.00	$4.29–$16.08	46% above	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME w/ INR	$40.50	$54.00	$4.29–$16.08	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME WITH INR (LABCORP)	$45.00	$60.00	$4.29–$16.08	—	25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN IN HOUSE (URINE)	$45.75	$61.00	$11.95–$28.15	17% below	25%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN IN HOUSE (URINE)	$45.75	$61.00	$11.95–$28.15	—	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN CPL	$49.50	$66.00	$14.05–$54.84	28% below	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN	$60.00	$80.00	$14.05–$54.84	13% below	25%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN CPL	$49.50	$66.00	$14.05–$54.84	—	25%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN	$60.00	$80.00	$14.05–$54.84	—	25%
Rheumatoid factor (RF) test CPT 86431 RA DIAGNOSTIC PANEL 1 OF 2	$24.75	$33.00	$5.67–$25.74	48% below	25%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR; QUANTITATIVE	$41.25	$55.00	$5.67–$25.74	13% below	25%
Rheumatoid factor (RF) test CPT 86431 AUTO IMMUNE SCREEN 3 OF 3	$43.50	$58.00	$5.67–$25.74	9% below	25%
Rheumatoid factor (RF) test inpatient CPT 86431 RA DIAGNOSTIC PANEL 1 OF 2	$24.75	$33.00	$5.67–$25.74	—	25%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR; QUANTITATIVE	$41.25	$55.00	$5.67–$25.74	—	25%
Rheumatoid factor (RF) test inpatient CPT 86431 AUTO IMMUNE SCREEN 3 OF 3	$43.50	$58.00	$5.67–$25.74	—	25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IgG	$25.50	$34.00	$12.23–$30.90	56% below	25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN	$38.25	$51.00	$12.23–$30.90	34% below	25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY, IGG	$48.00	$64.00	$12.23–$30.90	17% below	25%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IgG	$25.50	$34.00	$12.23–$30.90	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN	$38.25	$51.00	$12.23–$30.90	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY, IGG	$48.00	$64.00	$12.23–$30.90	—	25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE	$33.00	$44.00	$2.70–$12.82	2% above	25%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE	$33.00	$44.00	$2.70–$12.82	—	25%
Stool ova and parasites exam CPT 87177 OVA & PARASITE EXAM	$46.50	$62.00	$8.40–$31.41	24% below	25%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE EXAM	$46.50	$62.00	$8.40–$31.41	—	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT SINGLE DETERMINATION	$28.50	$38.00	$3.82–$12.41	6% above	25%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT SINGLE DETERMINATION	$28.50	$38.00	$3.82–$12.41	—	25%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 COLOFIT, OCCULT BLOOD- LABCORP	$33.75	$45.00	$13.53–$34.14	34% below	25%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 COLOFIT, OCCULT BLOOD- LABCORP	$33.75	$45.00	$13.53–$34.14	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$15.75	$21.00	$4.27–$16.26	56% below	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SYPHILIS TEST	$17.25	$23.00	$4.27–$16.26	52% below	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS: RPR With Reflex to RPR Titer	$26.25	$35.00	$4.27–$16.26	27% below	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL	$15.75	$21.00	$4.27–$16.26	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SYPHILIS TEST	$17.25	$23.00	$4.27–$16.26	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS: RPR With Reflex to RPR Titer	$26.25	$35.00	$4.27–$16.26	—	25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFIER TB GOLD Q19453	$120.00	$160.00	$61.98–$133.00	37% below	25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST	$138.75	$185.00	$61.98–$133.00	27% below	25%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFIER TB GOLD Q19453	$120.00	$160.00	$61.98–$133.00	—	25%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST	$138.75	$185.00	$61.98–$133.00	—	25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FREE/TOTAL 2/2	$83.25	$111.00	$25.81–$104.86	42% below	25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOST FREE & TOT 2OF2(ZG062)	$104.25	$139.00	$25.81–$104.86	27% below	25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$123.00	$164.00	$25.81–$104.86	14% below	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE FREE/TOTAL 2/2	$83.25	$111.00	$25.81–$104.86	—	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOST FREE & TOT 2OF2(ZG062)	$104.25	$139.00	$25.81–$104.86	—	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$123.00	$164.00	$25.81–$104.86	—	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES 1 OF 2	$34.50	$46.00	$14.55–$50.96	56% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODIES	$56.25	$75.00	$14.55–$50.96	28% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 LUPUS PANEL 513 3 OF 5	$69.00	$92.00	$14.55–$50.96	12% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL AB	$69.00	$92.00	$14.55–$50.96	12% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIV/KID MICROSOME 1 AB	$99.00	$132.00	$14.55–$50.96	27% above	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES 1 OF 2	$34.50	$46.00	$14.55–$50.96	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODIES	$56.25	$75.00	$14.55–$50.96	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LUPUS PANEL 513 3 OF 5	$69.00	$92.00	$14.55–$50.96	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-MICROSOMAL AB	$69.00	$92.00	$14.55–$50.96	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIV/KID MICROSOME 1 AB	$99.00	$132.00	$14.55–$50.96	—	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH- IN HOUSE ORDER (USE ME)	$144.75	$193.00	$15.75–$43.97	62% above	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 EMPLOYEE TSH (CCH)	$144.75	$193.00	$15.75–$43.97	62% above	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH- (REF LAB ORDER)	$144.75	$193.00	$15.75–$43.97	62% above	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH- (REF LAB ORDER)	$144.75	$193.00	$15.75–$43.97	—	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH- IN HOUSE ORDER (USE ME)	$144.75	$193.00	$15.75–$43.97	—	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 EMPLOYEE TSH (CCH)	$144.75	$193.00	$15.75–$43.97	—	25%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS	$150.00	$200.00	$95.50	8% above	25%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS	$150.00	$200.00	$95.50	—	25%
Uric acid blood test CPT 84550 URIC ACID; BLOOD	$44.25	$59.00	$4.52–$14.72	18% above	25%
Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD	$44.25	$59.00	$4.52–$14.72	—	25%
Urinalysis with microscope exam, automated CPT 81001 UA W/ MICRO; CX IF INDICATED	$24.75	$33.00	$3.17–$9.72	28% below	25%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/ MICRO; CX IF INDICATED	$24.75	$33.00	$3.17–$9.72	—	25%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WITHOUT MICROSCOPY	$11.25	$15.00	$1.91–$9.20	50% below	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WITHOUT MICROSCOPY	$11.25	$15.00	$1.91–$9.20	—	25%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP STICK	$7.50	$10.00	$3.01–$10.36	57% below	25%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP STICK	$7.50	$10.00	$3.01–$10.36	—	25%
Urine culture for bacteria, with colony count CPT 87086 UR CULTURE	$41.25	$55.00	$8.07–$30.38	22% below	25%
Urine culture for bacteria, with colony count inpatient CPT 87086 UR CULTURE	$41.25	$55.00	$8.07–$30.38	—	25%
Vitamin B12 (cobalamin) blood test CPT 82607 VITROS_5600 (B12) CYANOCOBALAMIN	$57.00	$76.00	$15.08–$57.41	35% below	25%
Vitamin B12 (cobalamin) blood test CPT 82607 (B12) CYANOCOBALAMIN	$63.75	$85.00	$15.08–$57.41	28% below	25%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITROS_5600 (B12) CYANOCOBALAMIN	$57.00	$76.00	$15.08–$57.41	—	25%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 (B12) CYANOCOBALAMIN	$63.75	$85.00	$15.08–$57.41	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCFEDIOL (25-OH VITAMIN D-3)	$132.00	$176.00	$25.16–$218.43	46% below	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITROS_5600 VITAMIN D 25	$216.00	$288.00	$25.16–$218.43	12% below	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY USE ME	$225.00	$300.00	$25.16–$218.43	8% below	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 D2+D3 25 OH FRACTIONATED (MISC)	$285.00	$380.00	$25.16–$218.43	16% above	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCFEDIOL (25-OH VITAMIN D-3)	$132.00	$176.00	$25.16–$218.43	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITROS_5600 VITAMIN D 25	$216.00	$288.00	$25.16–$218.43	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY USE ME	$225.00	$300.00	$25.16–$218.43	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 D2+D3 25 OH FRACTIONATED (MISC)	$285.00	$380.00	$25.16–$218.43	—	25%
Zinc blood test CPT 84630 ZINC PLASMA Q945	$29.25	$39.00	$11.39–$28.85	50% below	25%
Zinc blood test CPT 84630 ZINC, SERUM	$46.50	$62.00	$11.39–$28.85	20% below	25%
Zinc blood test CPT 84630 ZINC SERUM	$63.00	$84.00	$11.39–$28.85	9% above	25%
Zinc blood test inpatient CPT 84630 ZINC PLASMA Q945	$29.25	$39.00	$11.39–$28.85	—	25%
Zinc blood test inpatient CPT 84630 ZINC, SERUM	$46.50	$62.00	$11.39–$28.85	—	25%
Zinc blood test inpatient CPT 84630 ZINC SERUM	$63.00	$84.00	$11.39–$28.85	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE	$66.00	$88.00	$12.79–$60.36	31% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANTITATIVE	$66.00	$88.00	$12.79–$60.36	—	25%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Botox injections for chronic migraine CPT 64615 CRNA TRIGGER POINT INJ BOTOX MIGRAINE	$600.00	$800.00	$123.45–$293.63	66% above	25%
Botox injections for chronic migraine CPT 64615 TRIGGER POINT INJ BOTOX MIGRAINE	$810.00	$1,080.00	$123.45–$293.63	124% above	25%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TX DISTAL FIBULAR FX W/O MANIP	$356.25	$475.00	$312.00–$1,454.40	13% below	25%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX/FOOT (NO REDUCTION)	$130.50	$174.00	$312.00–$1,454.40	61% below	25%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FRACTURE METATARSAL OF FOOT CLOSED	$255.00	$340.00	$312.00–$1,454.40	23% below	25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX/DISTAL RADIUS (NO REDUCTION)	$356.25	$475.00	$299.85–$312.00	22% below	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 LESION DESTRUCTION 2-14, BENIGN/PREMALIG	$93.75	$125.00	$64.86–$248.38	12% below	25%
Earwax removal with instruments, one ear CPT 69210 EAR WASH	$67.50	$90.00	$140.40–$543.31	19% below	25%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CRNA INTERLAMINAR CERVICAL THORACIC	$468.75	$625.00	$377.15–$1,141.80	61% below	25%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INTERLAMINAR CERVICAL THORCIC W/GUIDANCE	$1,425.00	$1,900.00	$377.15–$1,141.80	17% above	25%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D SEBACEOUS CYST	$112.50	$150.00	$202.02–$248.38	46% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 WC INCISION DRAINAGE SIMPLE/SINGLE	$337.50	$450.00	$202.02–$248.38	62% above	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 WC INCISION DRAINAGE SIMPLE/SINGLE	$337.50	$450.00	$202.02–$248.38	—	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 CRNA INJ TENDON SHEALTH LIG	$75.00	$100.00	$142.41–$192.19	48% below	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIGGER INJ TENDON SHEALTH LIG	$86.25	$115.00	$142.41–$192.19	40% below	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH LIGAMENT	$412.50	$550.00	$142.41–$192.19	185% above	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION JOINT SHOULDER	$105.00	$140.00	$257.40–$368.99	52% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CRNA INJ MAJOR JOINT OR BURSA	$360.00	$480.00	$257.40–$368.99	64% above	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION MAJOR JOINT OR BURSA	$562.50	$750.00	$257.40–$368.99	156% above	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT INJ ELB WR ANK APJ	$45.75	$61.00	$192.19–$368.99	80% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ JOINT ELBOW WR ANK AP	$82.50	$110.00	$192.19–$368.99	64% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CRNA INJ SM JT OR BURSA	$210.00	$280.00	$192.19–$368.99	7% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 WC ASPIRATION INJ INTERM JOINT BURSA	$510.00	$680.00	$192.19–$368.99	125% above	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ INTERMEDIATE JOINT OR BURSA	$521.25	$695.00	$192.19–$368.99	130% above	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 WC ASPIRATION INJ INTERM JOINT BURSA	$510.00	$680.00	$192.19–$368.99	—	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CRNA SMALL JOINT	$67.50	$90.00	$192.19–$368.99	68% below	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT INJECTION FINGER/TOE	$78.75	$105.00	$192.19–$368.99	63% below	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 WC ASPIRATION INJ SMALL JOINT BURSA	$510.00	$680.00	$192.19–$368.99	140% above	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT	$562.50	$750.00	$192.19–$368.99	165% above	25%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 WC ASPIRATION INJ SMALL JOINT BURSA	$510.00	$680.00	$192.19–$368.99	—	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYERED CLOSURE WOUND SCALP,TRUNK	$236.25	$315.00	$286.00–$451.17	32% below	25%
Lower-back epidural injection, with imaging guidance CPT 62323 CRNA INTERLAM LUMB OR SACRAL W GUIDANCE	$562.50	$750.00	$377.15–$1,141.80	53% below	25%
Lower-back epidural injection, with imaging guidance CPT 62323 INTERLAMINAR LUMB OR SACRAL W GUIDANCE	$1,425.00	$1,900.00	$377.15–$1,141.80	19% above	25%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 CRNA INJ FORAMEN EPIDURAL RIGHT	$420.00	$560.00	$295.27–$1,112.86	59% below	25%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 CRNA INJ FORAMEN EPIDURAL LEFT	$420.00	$560.00	$295.27–$1,112.86	59% below	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION OF LESION TO 0.5	$93.75	$125.00	$257.40–$879.49	50% below	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION OF LESION 0.5	$150.00	$200.00	$257.40–$879.49	19% below	25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BENIGN LESION FACE 0.5CM OR LES	$168.75	$225.00	$286.00–$783.57	10% below	25%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$127.50	$170.00	$248.38–$260.00	8% below	25%
Nail removal (partial or complete), one nail CPT 11730 WC REMOVE NAIL PLATE	$337.50	$450.00	$248.38–$260.00	142% above	25%
Nail removal (partial or complete), one nail inpatient CPT 11730 WC REMOVE NAIL PLATE	$337.50	$450.00	$248.38–$260.00	—	25%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION,GREATER OCCIPITAL NERVE	$93.75	$125.00	$192.19–$319.16	75% below	25%
Occipital nerve block (injection for headaches) CPT 64405 CRNA OCCIPITAL BLOCK	$446.25	$595.00	$192.19–$319.16	19% above	25%
Occipital nerve block (injection for headaches) CPT 64405 OCCIPITAL BLOCK	$675.00	$900.00	$192.19–$319.16	80% above	25%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABDOM W IMAGE	$393.75	$525.00	$260.47–$1,171.95	40% below	25%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS ABDOM W IMAGE	$393.75	$525.00	$260.47–$1,171.95	—	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL & MATRIX PARTIAL/COMPLE	$213.75	$285.00	$286.00–$499.41	44% below	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$255.00	$340.00	$286.00–$499.41	33% below	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 WC PERMANENT NAIL REMOVAL	$690.00	$920.00	$286.00–$499.41	81% above	25%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 WC PERMANENT NAIL REMOVAL	$690.00	$920.00	$286.00–$499.41	—	25%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 CRNA RADIO ABLAT LUMB SACR 1ST JT-L	$1,425.00	$1,900.00	$609.97–$2,440.96	23% below	25%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 CRNA RADIO ABLAT LUMB SACR 1ST JT-R	$1,425.00	$1,900.00	$609.97–$2,440.96	23% below	25%
Removal of a foreign object under the skin, simple CPT 10120 I & R FOREIGN BODY	$142.50	$190.00	$223.08–$1,075.65	39% below	25%
Removal of a foreign object under the skin, simple CPT 10120 WC INCISION REMOVAL FOREIGN BODY SIMPLE	$1,642.50	$2,190.00	$223.08–$1,075.65	598% above	25%
Removal of a foreign object under the skin, simple inpatient CPT 10120 WC INCISION REMOVAL FOREIGN BODY SIMPLE	$1,642.50	$2,190.00	$223.08–$1,075.65	—	25%
Short arm cast (elbow to hand) CPT 29075 SHORT ARM CAST	$112.50	$150.00	$228.80–$432.28	48% below	25%
Short arm splint (forearm and hand) CPT 29125 SPLINT CHANGE	$33.75	$45.00	$208.00–$230.28	81% below	25%
Short arm splint (forearm and hand) CPT 29125 APPLICATION SHORT ARM SPLINT FOREARM/HAN	$86.25	$115.00	$208.00–$230.28	50% below	25%
Short leg cast (below the knee) CPT 29405 SHORT LEG CAST	$116.25	$155.00	$228.80–$277.75	38% below	25%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT	$93.75	$125.00	$208.00–$230.28	41% below	25%
Short leg splint (calf to foot) CPT 29515 WC APPLICATION SHORT LEG CAST	$352.50	$470.00	$208.00–$230.28	122% above	25%
Short leg splint (calf to foot) inpatient CPT 29515 WC APPLICATION SHORT LEG CAST	$352.50	$470.00	$208.00–$230.28	—	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION SUTURE S T EX<2.5 CM	$131.25	$175.00	$207.48–$382.79	46% below	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION SUTURE S T EX < 2.5 CM	$131.25	$175.00	$207.48–$382.79	46% below	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND	$393.75	$525.00	$207.48–$382.79	61% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND 2.5 CM OR LE	$393.75	$525.00	$207.48–$382.79	61% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WC REPAIR SUPERFICIAL WOUND 2.5 CM OR LE	$585.00	$780.00	$207.48–$382.79	140% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPERFICIAL WOUND 2.5 CM OR LE	$393.75	$525.00	$207.48–$382.79	—	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPERFICIAL WOUND	$393.75	$525.00	$207.48–$382.79	—	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WC REPAIR SUPERFICIAL WOUND 2.5 CM OR LE	$585.00	$780.00	$207.48–$382.79	—	25%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SINGLE LESION	$150.00	$200.00	$129.17–$499.41	70% below	25%
Skin biopsy, punch, one lesion CPT 11104 WC PUNCH BIOPSY SKIN 1 LESION	$690.00	$920.00	$129.17–$499.41	38% above	25%
Skin biopsy, punch, one lesion inpatient CPT 11104 WC PUNCH BIOPSY SKIN 1 LESION	$690.00	$920.00	$129.17–$499.41	—	25%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MAL LESION .5 CM OR LESS	$135.00	$180.00	$343.20–$783.57	42% below	25%
Skin tag removal, up to 15 tags CPT 11200 SKIN TAG REMOVE UP TO 15	$101.25	$135.00	$217.71–$336.96	25% below	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LACERATION SUTURE S T EX 2.6-7.5CM	$150.00	$200.00	$260.00–$457.53	46% below	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LACERATION SUTURE S T EX 2.6 - 7.5 CM	$150.00	$200.00	$260.00–$457.53	46% below	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WC REPAIR SUPERFICIAL WOUND 2.6-7.5 CM	$697.50	$930.00	$260.00–$457.53	151% above	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 WC REPAIR SUPERFICIAL WOUND 2.6-7.5 CM	$697.50	$930.00	$260.00–$457.53	—	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LACERATION SUTURE F E N L <2.5 CM	$150.00	$200.00	$68.64–$475.71	44% below	25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN SINGLE LESION	$127.50	$170.00	$126.16–$248.38	51% below	25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 WC TANGENTIAL BIOPSY SKIN, 1 LESION	$337.50	$450.00	$126.16–$248.38	30% above	25%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 WC TANGENTIAL BIOPSY SKIN, 1 LESION	$337.50	$450.00	$126.16–$248.38	—	25%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS-WITH IMAGING	$412.50	$550.00	$278.77–$862.54	53% below	25%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SINGLE JOINT OR MULT TRIGG POI	$82.50	$110.00	$192.19–$330.53	45% below	25%
Trigger point injections, 1 or 2 muscles CPT 20552 CRNA TRIGGER POINT INJ 1-2 MUSCLES	$105.00	$140.00	$192.19–$330.53	30% below	25%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1-2 MUSC	$562.50	$750.00	$192.19–$330.53	275% above	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN SUBCU	$207.00	$276.00	$286.00–$451.17	36% below	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC DEBRIDEMENT SKIN SQ TISSUE 1ST 20SQCM	$675.00	$900.00	$286.00–$451.17	109% above	25%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WC DEBRIDEMENT SKIN SQ TISSUE 1ST 20SQCM	$675.00	$900.00	$286.00–$451.17	—	25%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF ADMN ER ROOM 1-4 HRS	$450.00	$600.00	$257.40–$515.69	22% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF ADMN TX ROOM 1-4 HRS	$450.00	$600.00	$257.40–$515.69	22% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF ADMN OPOB ROOM 1-4 HRS	$450.00	$600.00	$257.40–$515.69	22% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF ADMN ER ROOM 4-8 HRS	$525.00	$700.00	$257.40–$515.69	9% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF ADMN OPOB ROOM 4-8 HRS	$525.00	$700.00	$257.40–$515.69	9% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF ADMN TX ROOM 4-8 HRS	$525.00	$700.00	$257.40–$515.69	9% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF ADMN OPOB ROOM 8-12 HRS	$600.00	$800.00	$257.40–$515.69	4% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF ADMN TX ROOM 8-12 HRS	$600.00	$800.00	$257.40–$515.69	4% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF ADMN ER ROOM 8-12 HRS	$600.00	$800.00	$257.40–$515.69	4% above	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF ADMN OPOB ROOM 1-4 HRS	$450.00	$600.00	$257.40–$515.69	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF ADMN TX ROOM 1-4 HRS	$450.00	$600.00	$257.40–$515.69	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF ADMN ER ROOM 1-4 HRS	$450.00	$600.00	$257.40–$515.69	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF ADMN TX ROOM 4-8 HRS	$525.00	$700.00	$257.40–$515.69	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF ADMN OPOB ROOM 4-8 HRS	$525.00	$700.00	$257.40–$515.69	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF ADMN ER ROOM 4-8 HRS	$525.00	$700.00	$257.40–$515.69	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF ADMN TX ROOM 8-12 HRS	$600.00	$800.00	$257.40–$515.69	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF ADMN OPOB ROOM 8-12 HRS	$600.00	$800.00	$257.40–$515.69	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF ADMN ER ROOM 8-12 HRS	$600.00	$800.00	$257.40–$515.69	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BREATHING TREATMENT - ER ROOM	$262.50	$350.00	$69.09–$254.03	129% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BREATHING TREATMENT - TX ROOM	$262.50	$350.00	$69.09–$254.03	129% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BREATHING TREATMENT - TX ROOM	$262.50	$350.00	$69.09–$254.03	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BREATHING TREATMENT - ER ROOM	$262.50	$350.00	$69.09–$254.03	—	25%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE EVAL AND MANAGEMENT	$345.00	$460.00	$122.27–$1,021.79	48% below	25%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL ER LEVEL 30-74 MIN	$1,050.00	$1,400.00	$122.27–$1,021.79	58% above	25%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL ER LEVEL 30-74 MIN	$1,050.00	$1,400.00	$122.27–$1,021.79	—	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 E EKG	$255.00	$340.00	$20.86–$164.48	39% above	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 E EKG	$255.00	$340.00	$20.86–$164.48	—	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT(STRAIGHTFORWARD)	$45.00	$60.00	$105.00–$170.31	68% below	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 99281	$180.00	$240.00	$105.00–$170.31	29% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 99281	$180.00	$240.00	$105.00–$170.31	—	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LOW COMPLEXITY	$52.50	$70.00	$105.00–$265.31	73% below	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 99282	$281.25	$375.00	$105.00–$265.31	46% above	25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 99282	$281.25	$375.00	$105.00–$265.31	—	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT MODERATE COMPLEXITY	$120.00	$160.00	$105.00–$407.79	56% below	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 99283	$450.00	$600.00	$105.00–$407.79	64% above	25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 99283	$450.00	$600.00	$105.00–$407.79	—	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MODERATE/DETAILED	$150.00	$200.00	$105.00–$695.24	62% below	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 99284	$712.50	$950.00	$105.00–$695.24	81% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 99284	$712.50	$950.00	$105.00–$695.24	—	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HIGH COMPLEXITY	$225.00	$300.00	$105.00–$1,080.54	65% below	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 99285	$1,125.00	$1,500.00	$105.00–$1,080.54	76% above	25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 99285	$1,125.00	$1,500.00	$105.00–$1,080.54	—	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION ER-UP TO 1 HR	$262.50	$350.00	$49.81–$255.28	8% above	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION TX-UP TO 1 HR	$262.50	$350.00	$49.81–$255.28	8% above	25%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION TX-UP TO 1 HR	$262.50	$350.00	$49.81–$255.28	—	25%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION ER-UP TO 1 HR	$262.50	$350.00	$49.81–$255.28	—	25%
IV infusion of a medicine, first hour CPT 96365 IV INF THERAPUTIC/TX-UP TO 1 HR	$262.50	$350.00	$86.94–$255.28	1% below	25%
IV infusion of a medicine, first hour CPT 96365 IV INF THERAPUTIC/ER-UP TO 1 HR	$262.50	$350.00	$86.94–$255.28	1% below	25%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THERAPUTIC/TX-UP TO 1 HR	$262.50	$350.00	$86.94–$255.28	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THERAPUTIC/ER-UP TO 1 HR	$262.50	$350.00	$86.94–$255.28	—	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 DRUG ADM SUB Q/INTRAMUSCULAR- TX ROOM	$86.25	$115.00	$16.83–$83.90	29% above	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 DRUG ADM SUB Q/INTRAMUSCULAR- ER	$86.25	$115.00	$16.83–$83.90	29% above	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 DRUG ADM SUB Q/INTRAMUSCULAR- TX ROOM	$86.25	$115.00	$16.83–$83.90	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 DRUG ADM SUB Q/INTRAMUSCULAR- ER	$86.25	$115.00	$16.83–$83.90	—	25%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE-ED	$121.50	$162.00	$27.18–$50.50	57% above	25%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE-ED	$121.50	$162.00	$27.18–$50.50	—	25%
New patient office visit, about 30 minutes CPT 99203 WC LEVEL 3 INITIAL VISIT	$292.50	$390.00	$101.00	93% above	25%
New patient office visit, about 45 minutes CPT 99204 WC LEVEL 4 INITIAL VISIT	$292.50	$390.00	$101.00	46% above	25%
New patient office visit, about 60 minutes CPT 99205 WC LEVEL 5 INITIAL VISIT	$292.50	$390.00	$168.67	6% above	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC LEVEL 2 INITIAL VISIT	$292.50	$390.00	$67.67	152% above	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL HIGH COMPLEXITY	$299.25	$399.00	$57.45–$120.60	44% above	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVAL HIGH COMPLEXITY	$299.25	$399.00	$57.45–$120.60	—	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEXITY	$239.25	$319.00	$71.82–$138.69	47% above	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEXITY	$239.25	$319.00	$71.82–$138.69	—	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEXITY	$264.75	$353.00	$71.82–$120.60	44% above	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEXITY	$264.75	$353.00	$71.82–$120.60	—	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY	$121.50	$162.00	$22.37–$58.08	60% above	25%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY	$121.50	$162.00	$22.37–$58.08	—	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXCERCISES	$121.50	$162.00	$28.04–$56.91	55% above	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXCERCISES	$121.50	$162.00	$28.04–$56.91	—	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC LEVEL 5 FOLLOWUP VISIT	$322.50	$430.00	$266.24	55% above	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC LEVEL 3 FOLLOWUP VISIT	$307.50	$410.00	$133.49	128% above	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC LEVEL 4 FOLLOWUP VISIT	$315.00	$420.00	$188.57	82% above	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WC LEVEL 2 FOLLOWUP VISIT	$300.00	$400.00	$85.38	188% above	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$120.00	$160.00	$28.44–$56.91	53% above	25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES	$120.00	$160.00	$28.44–$56.91	—	25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$65.25	$87.00	$69.01–$102.07	45% below	25%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$65.25	$87.00	$69.01–$102.07	—	25%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 TREADMILL	$92.25	$123.00	$114.66–$171.13	65% below	25%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTH TOXOID (TD) 0.5ML INJ	$66.75	$89.00	$40.66–$57.20	8% above	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTH TOXOID (TD) 0.5ML INJ	$66.75	$89.00	$40.66–$57.20	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETAN/DIPHT/PERT (BOOSTRIX) 0.5ML INJ	$69.75	$93.00	$40.29–$67.14	2% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETAN/DIPHT/PERT (BOOSTRIX) 0.5ML INJ	$69.75	$93.00	$40.29–$67.14	—	25%

Source file: https://www.comanchecountyhospital.com/vimages/shared/vnews/stories/60187d4dbaf14/486075762_comanche-county-hospital_standardcharges.csv