Flowers Hospital
Listed in its price file as “Triad of Alabama LLC”.
Flowers Hospital in Dothan, AL publishes cash prices for 345 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Alabama median for 188 of 341 procedures and above it for 141. By typical cash price it ranks #18 of 39 Alabama hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
4370 W Main St Dothan, AL 36305 Collected Sep 27, 2026 Source price file (334) 793-5000
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 010055 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR | $169.50 | $1,130.00 | $20.01–$1,017.00 | 27% below | 85% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR | $339.00 | $1,130.00 | $282.50–$1,017.00 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD | $276.60 | $1,844.00 | $66.74–$1,659.60 | 29% above | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD | $553.20 | $1,844.00 | $461.00–$1,659.60 | — | 70% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS | $240.75 | $1,605.00 | $22.68–$1,444.50 | 32% below | 85% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS | $481.50 | $1,605.00 | $401.25–$1,444.50 | — | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY | $1,166.55 | $7,777.00 | $107.18–$6,999.30 | 12% below | 85% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY | $2,333.10 | $7,777.00 | $1,944.25–$6,999.30 | — | 70% |
| Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE | $278.85 | $1,859.00 | $58.06–$1,673.10 | 7% above | 85% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE | $557.70 | $1,859.00 | $464.75–$1,673.10 | — | 70% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED | $278.85 | $1,859.00 | $44.99–$1,673.10 | 7% above | 85% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED | $557.70 | $1,859.00 | $464.75–$1,673.10 | — | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST | $2,336.85 | $15,579.00 | $154.60–$14,021.10 | 52% above | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST | $4,673.70 | $15,579.00 | $3,894.75–$14,021.10 | — | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-HT CARD FUNC W | $807.95 | $5,386.31 | $309.66–$4,847.68 | 45% below | 85% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT-HT CARD FUNC W | $1,615.89 | $5,386.31 | $1,346.58–$4,847.68 | — | 70% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO QUAL | $209.10 | $1,394.00 | $57.24–$1,296.00 | 11% below | 85% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-HEART WO QUAL | $418.20 | $1,394.00 | $348.50–$1,254.60 | — | 70% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO | $2,421.15 | $16,141.00 | $126.84–$14,526.90 | 16% above | 85% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO | $4,842.30 | $16,141.00 | $4,035.25–$14,526.90 | — | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W | $2,617.35 | $17,449.00 | $242.07–$15,704.10 | at median | 85% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W | $5,234.70 | $17,449.00 | $4,362.25–$15,704.10 | — | 70% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO | $2,940.45 | $19,603.00 | $309.94–$17,642.70 | 5% below | 85% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO | $5,880.90 | $19,603.00 | $4,900.75–$17,642.70 | — | 70% |
| CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W | $1,334.40 | $8,896.00 | $140.03–$8,006.40 | 26% below | 85% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W | $2,668.80 | $8,896.00 | $2,224.00–$8,006.40 | — | 70% |
| CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO | $1,214.10 | $8,094.00 | $92.10–$7,284.60 | 17% below | 85% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO | $2,428.20 | $8,094.00 | $2,023.50–$7,284.60 | — | 70% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO | $1,600.65 | $10,671.00 | $88.07–$9,603.90 | 3% below | 85% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO | $3,201.30 | $10,671.00 | $2,667.75–$9,603.90 | — | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO | $1,214.10 | $8,094.00 | $92.29–$7,284.60 | 9% below | 85% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO | $2,428.20 | $8,094.00 | $2,023.50–$7,284.60 | — | 70% |
| CT scan of the head with contrast CPT 70460 CT-HEAD W | $1,290.90 | $8,606.00 | $143.48–$7,745.40 | 11% below | 85% |
| CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W | $2,581.80 | $8,606.00 | $2,151.50–$7,745.40 | — | 70% |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO | $1,824.75 | $12,165.00 | $152.95–$10,948.50 | 10% below | 85% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO | $3,649.50 | $12,165.00 | $3,041.25–$10,948.50 | — | 70% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO | $2,514.60 | $16,764.00 | $92.10–$15,087.60 | 60% above | 85% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO | $5,029.20 | $16,764.00 | $4,191.00–$15,087.60 | — | 70% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO | $2,514.60 | $16,764.00 | $92.10–$15,087.60 | 43% above | 85% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO | $5,029.20 | $16,764.00 | $4,191.00–$15,087.60 | — | 70% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W | $1,282.95 | $8,553.00 | $80.06–$7,697.70 | 25% below | 85% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W | $2,565.90 | $8,553.00 | $2,138.25–$7,697.70 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CRAN DPLX SCN BIL | $419.28 | $2,795.21 | $133.48–$2,515.69 | 2% below | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN | $452.85 | $3,019.00 | $133.48–$2,717.10 | 5% above | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CRAN DPLX SCN BIL | $838.56 | $2,795.21 | $698.80–$2,515.69 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN | $905.70 | $3,019.00 | $754.75–$2,717.10 | — | 70% |
| Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR | $168.75 | $1,125.00 | $16.14–$1,012.50 | 26% below | 85% |
| Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR | $337.50 | $1,125.00 | $281.25–$1,012.50 | — | 70% |
| Chest X-ray, single view CPT 71045 CH-CHEST 1V DR | $118.20 | $788.00 | $8.74–$709.20 | 30% below | 85% |
| Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR | $236.40 | $788.00 | $197.00–$709.20 | — | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER | $438.00 | $2,920.00 | $56.35–$2,628.00 | 12% above | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER | $876.00 | $2,920.00 | $730.00–$2,628.00 | — | 70% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL | $93.45 | $623.00 | $88.98–$560.70 | 73% below | 85% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL | $186.90 | $623.00 | $155.75–$560.70 | — | 70% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL | $56.25 | $375.00 | $25.21–$337.50 | 42% below | 85% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA PERIPHERAL | $112.50 | $375.00 | $93.75–$337.50 | — | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO | $1,207.95 | $8,053.00 | $92.10–$7,247.70 | at median | 85% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO | $2,415.90 | $8,053.00 | $2,013.25–$7,247.70 | — | 70% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W | $1,334.40 | $8,896.00 | $154.31–$8,006.40 | 22% below | 85% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W | $2,668.80 | $8,896.00 | $2,224.00–$8,006.40 | — | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT | $226.20 | $1,508.00 | $34.98–$1,357.20 | — | 85% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BILAT | $452.40 | $1,508.00 | $377.00–$1,357.20 | — | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT | $182.85 | $1,219.00 | $27.56–$1,097.10 | 22% below | 85% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 BR-DIG MAMMO UNILAT | $365.70 | $1,219.00 | $304.75–$1,097.10 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI | $480.60 | $3,204.00 | $105.30–$2,883.60 | — | 85% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BI | $961.20 | $3,204.00 | $801.00–$2,883.60 | — | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC | $430.05 | $2,867.00 | $94.92–$2,580.30 | 38% below | 85% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC | $860.10 | $2,867.00 | $716.75–$2,580.30 | — | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP | $1,287.45 | $8,583.00 | $181.08–$7,724.70 | 10% above | 85% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI-TTE 2D W DOPP | $2,574.90 | $8,583.00 | $2,145.75–$7,724.70 | — | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS | $1,162.05 | $7,747.00 | $267.02–$6,972.30 | 3% above | 85% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS | $2,324.10 | $7,747.00 | $1,936.75–$6,972.30 | — | 70% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLPSTDY UNATT RS EFF | $182.67 | $1,217.82 | $44.50–$1,096.04 | 44% below | 85% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLPSTDY UNATT RS EFF | $365.35 | $1,217.82 | $304.46–$1,096.04 | — | 70% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO | $2,193.30 | $14,622.00 | $379.68–$13,159.80 | 22% below | 85% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYS-CPAP GT4 GE6YO | $4,386.60 | $14,622.00 | $3,655.50–$13,159.80 | — | 70% |
| Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR | $169.50 | $1,130.00 | $35.60–$1,017.00 | 19% below | 85% |
| Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR | $339.00 | $1,130.00 | $282.50–$1,017.00 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO | $497.10 | $3,314.00 | $50.03–$2,982.60 | 37% above | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO | $994.20 | $3,314.00 | $828.50–$2,982.60 | — | 70% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO | $1,071.30 | $7,142.00 | $74.86–$6,427.80 | 400% above | 85% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO | $2,142.60 | $7,142.00 | $1,785.50–$6,427.80 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO | $1,229.55 | $8,197.00 | $209.50–$7,377.30 | 44% below | 85% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO | $2,459.10 | $8,197.00 | $2,049.25–$7,377.30 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO | $1,281.75 | $8,545.00 | $309.94–$7,690.50 | 47% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO | $2,563.50 | $8,545.00 | $2,136.25–$7,690.50 | — | 70% |
| MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO | $1,516.80 | $10,112.00 | $209.59–$9,100.80 | at median | 85% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO | $3,033.60 | $10,112.00 | $2,528.00–$9,100.80 | — | 70% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO | $1,626.90 | $10,846.00 | $309.85–$9,761.40 | 24% below | 85% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO | $3,253.80 | $10,846.00 | $2,711.50–$9,761.40 | — | 70% |
| MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO | $1,667.40 | $11,116.00 | $209.59–$10,004.40 | 10% below | 85% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO | $3,334.80 | $11,116.00 | $2,779.00–$10,004.40 | — | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO | $2,553.90 | $17,026.00 | $309.85–$15,323.40 | 4% above | 85% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO | $5,107.80 | $17,026.00 | $4,256.50–$15,323.40 | — | 70% |
| MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO | $1,607.70 | $10,718.00 | $209.59–$9,646.20 | 12% below | 85% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO | $3,215.40 | $10,718.00 | $2,679.50–$9,646.20 | — | 70% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO | $2,552.70 | $17,018.00 | $309.85–$15,316.20 | at median | 85% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO | $5,105.40 | $17,018.00 | $4,254.50–$15,316.20 | — | 70% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO | $1,516.80 | $10,112.00 | $209.59–$9,100.80 | 2% below | 85% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO | $3,033.60 | $10,112.00 | $2,528.00–$9,100.80 | — | 70% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO | $2,553.90 | $17,026.00 | $309.85–$15,323.40 | at median | 85% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO | $5,107.80 | $17,026.00 | $4,256.50–$15,323.40 | — | 70% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO | $1,607.70 | $10,718.00 | $209.59–$9,646.20 | 14% below | 85% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO | $3,215.40 | $10,718.00 | $2,679.50–$9,646.20 | — | 70% |
| MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO | $1,631.10 | $10,874.00 | $309.85–$9,786.60 | 25% below | 85% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO | $3,262.20 | $10,874.00 | $2,718.50–$9,786.60 | — | 70% |
| MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO | $1,607.70 | $10,718.00 | $209.69–$9,646.20 | 4% below | 85% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO | $3,215.40 | $10,718.00 | $2,679.50–$9,646.20 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO | $1,229.55 | $8,197.00 | $209.50–$7,377.30 | 42% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO | $2,459.10 | $8,197.00 | $2,049.25–$7,377.30 | — | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT | $2,730.15 | $18,201.00 | $340.82–$16,380.90 | 22% above | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT | $5,460.30 | $18,201.00 | $4,550.25–$16,380.90 | — | 70% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-IMG /CT SKL-THI | $3,334.35 | $22,229.00 | $1,308.68–$20,006.10 | 22% below | 85% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-IMG /CT SKL-THI | $6,668.70 | $22,229.00 | $5,557.25–$20,006.10 | — | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU | $194.85 | $1,299.00 | $47.45–$1,169.10 | 3% below | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU | $389.70 | $1,299.00 | $324.75–$1,169.10 | — | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB | $428.40 | $2,856.00 | $71.19–$2,570.40 | 16% below | 85% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB | $856.80 | $2,856.00 | $714.00–$2,570.40 | — | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG | $347.85 | $2,319.00 | $37.82–$2,087.10 | 21% below | 85% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG | $695.70 | $2,319.00 | $579.75–$2,087.10 | — | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS | $331.65 | $2,211.00 | $35.59–$1,989.90 | at median | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS | $663.30 | $2,211.00 | $552.75–$1,989.90 | — | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD | $310.20 | $2,068.00 | $37.08–$1,861.20 | 22% above | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD | $620.40 | $2,068.00 | $517.00–$1,861.20 | — | 70% |
| Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI | $189.45 | $1,263.00 | $53.00–$1,136.70 | — | 85% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 BR-DIG MAMMO SCRN BI | $378.90 | $1,263.00 | $315.75–$1,136.70 | — | 70% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR | $96.00 | $640.00 | $18.40–$576.00 | 56% below | 85% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR | $192.00 | $640.00 | $160.00–$576.00 | — | 70% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO | $1,814.70 | $12,098.00 | $369.30–$10,888.20 | 38% below | 85% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNO GT4 GE6YO | $3,629.40 | $12,098.00 | $3,024.50–$10,888.20 | — | 70% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW | $168.75 | $1,125.00 | $23.21–$1,012.50 | 56% below | 85% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW | $337.50 | $1,125.00 | $281.25–$1,012.50 | — | 70% |
| Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL | $605.40 | $4,036.00 | $42.61–$3,632.40 | 46% above | 85% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL | $1,210.80 | $4,036.00 | $1,009.00–$3,632.40 | — | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV | $544.65 | $3,631.00 | $51.70–$3,267.90 | 49% above | 85% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV | $1,089.30 | $3,631.00 | $907.75–$3,267.90 | — | 70% |
| Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO | $583.50 | $3,890.00 | $92.19–$3,501.00 | 15% above | 85% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO | $1,167.00 | $3,890.00 | $972.50–$3,501.00 | — | 70% |
| Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM | $209.70 | $1,398.00 | $21.41–$1,258.20 | 51% below | 85% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM | $419.40 | $1,398.00 | $349.50–$1,258.20 | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS | $357.75 | $2,385.00 | $28.47–$2,146.50 | 6% below | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS | $715.50 | $2,385.00 | $596.25–$2,146.50 | — | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE | $304.65 | $2,031.00 | $32.02–$1,827.90 | 20% below | 85% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE | $609.30 | $2,031.00 | $507.75–$1,827.90 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD | $270.90 | $1,806.00 | $92.29–$1,625.40 | 16% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD | $541.80 | $1,806.00 | $451.50–$1,625.40 | — | 70% |
| Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR | $196.80 | $1,312.00 | $20.01–$1,180.80 | 13% below | 85% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR | $393.60 | $1,312.00 | $328.00–$1,180.80 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR | $130.80 | $872.00 | $24.54–$784.80 | 44% below | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR | $261.60 | $872.00 | $218.00–$784.80 | — | 70% |
| X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR | $107.10 | $714.00 | $14.97–$642.60 | 38% below | 85% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR | $214.20 | $714.00 | $178.50–$642.60 | — | 70% |
| X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR | $133.65 | $891.00 | $18.53–$801.90 | 30% below | 85% |
| X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR | $267.30 | $891.00 | $222.75–$801.90 | — | 70% |
| X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR | $100.05 | $667.00 | $16.39–$600.30 | 51% below | 85% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR | $200.10 | $667.00 | $166.75–$600.30 | — | 70% |
| X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR | $133.65 | $891.00 | $18.53–$801.90 | 14% below | 85% |
| X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR | $267.30 | $891.00 | $222.75–$801.90 | — | 70% |
| X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR | $162.90 | $1,086.00 | $20.01–$977.40 | 21% below | 85% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR | $325.80 | $1,086.00 | $271.50–$977.40 | — | 70% |
| X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR | $166.65 | $1,111.00 | $16.83–$999.90 | 35% below | 85% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR | $333.30 | $1,111.00 | $277.75–$999.90 | — | 70% |
| X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR | $124.95 | $833.00 | $22.53–$749.70 | 31% below | 85% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR | $249.90 | $833.00 | $208.25–$749.70 | — | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR | $156.75 | $1,045.00 | $26.31–$940.50 | 52% below | 85% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR | $313.50 | $1,045.00 | $261.25–$940.50 | — | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR | $315.60 | $2,104.00 | $30.02–$1,893.60 | 2% below | 85% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR | $631.20 | $2,104.00 | $526.00–$1,893.60 | — | 70% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR | $194.40 | $1,296.00 | $25.79–$1,166.40 | 10% below | 85% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW DR | $388.80 | $1,296.00 | $324.00–$1,166.40 | — | 70% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR | $145.95 | $973.00 | $20.01–$875.70 | 47% below | 85% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR | $291.90 | $973.00 | $243.25–$875.70 | — | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR | $158.85 | $1,059.00 | $21.63–$953.10 | 28% below | 85% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR | $317.70 | $1,059.00 | $264.75–$953.10 | — | 70% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR | $205.50 | $1,370.00 | $20.31–$1,233.00 | 1% above | 85% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR | $411.00 | $1,370.00 | $342.50–$1,233.00 | — | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR | $166.65 | $1,111.00 | $13.27–$999.90 | 29% below | 85% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR | $333.30 | $1,111.00 | $277.75–$999.90 | — | 70% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT | $12.60 | $84.00 | $3.71–$75.60 | 68% below | 85% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT | $25.20 | $84.00 | $21.00–$75.60 | — | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST | $10.50 | $70.00 | $3.62–$63.00 | 72% below | 85% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST | $21.00 | $70.00 | $17.50–$63.00 | — | 70% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE | $94.50 | $630.00 | $33.34–$567.00 | 69% below | 85% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE | $189.00 | $630.00 | $157.50–$567.00 | — | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT | $12.15 | $81.00 | $3.65–$72.90 | 48% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 L608005 ALG IGE QT | $12.15 | $81.00 | $3.65–$72.90 | 48% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 L608035 ALG IGE QT | $12.15 | $81.00 | $3.65–$72.90 | 48% below | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L608005 ALG IGE QT | $24.30 | $81.00 | $20.25–$72.90 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT | $24.30 | $81.00 | $20.25–$72.90 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L608035 ALG IGE QT | $24.30 | $81.00 | $20.25–$72.90 | — | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $25.50 | $170.00 | $9.06–$153.00 | 49% below | 85% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY | $51.00 | $170.00 | $42.50–$153.00 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $29.70 | $198.00 | $8.46–$178.20 | 29% below | 85% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $59.40 | $198.00 | $49.50–$178.20 | — | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $59.85 | $399.00 | $27.48–$359.10 | 41% below | 85% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $119.70 | $399.00 | $99.75–$359.10 | — | 70% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA | $64.95 | $433.00 | $5.92–$389.70 | 6% above | 85% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA | $129.90 | $433.00 | $108.25–$389.70 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4 | $94.95 | $633.00 | $21.24–$569.70 | 44% below | 85% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4 | $189.90 | $633.00 | $158.25–$569.70 | — | 70% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER | $68.25 | $455.00 | $7.22–$409.50 | 34% below | 85% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER | $136.50 | $455.00 | $113.75–$409.50 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,ROUTINE | $4.80 | $32.00 | $2.70–$28.80 | 35% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LABCORPOUT VENIPNCTR | $3.00 | $10.00 | $2.50–$9.00 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE,ROUTINE | $9.60 | $32.00 | $8.00–$28.80 | — | 70% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT | $13.35 | $89.00 | $2.75–$80.10 | 54% below | 85% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANT | $26.70 | $89.00 | $22.25–$80.10 | — | 70% |
| Blood lead test CPT 83655 LEAD | $18.30 | $122.00 | $8.47–$109.80 | 51% below | 85% |
| Blood lead test inpatient CPT 83655 LEAD | $36.60 | $122.00 | $30.50–$109.80 | — | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL | $48.60 | $324.00 | $4.87–$291.60 | 24% below | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL | $97.20 | $324.00 | $81.00–$291.60 | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $21.45 | $143.00 | $126.12–$224.30 | 64% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $42.90 | $143.00 | $35.75–$128.70 | — | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $24.75 | $165.00 | $3.62–$148.50 | 45% below | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $49.50 | $165.00 | $41.25–$148.50 | — | 70% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE | $69.75 | $465.00 | $18.94–$418.50 | 31% below | 85% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE | $139.50 | $465.00 | $116.25–$418.50 | — | 70% |
| CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9 | $29.55 | $197.00 | $12.19–$177.30 | 72% below | 85% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9 | $59.10 | $197.00 | $49.25–$177.30 | — | 70% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125 | $31.05 | $207.00 | $12.19–$186.30 | 69% below | 85% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125 | $62.10 | $207.00 | $51.75–$186.30 | — | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB | $27.60 | $184.00 | $27.60–$165.60 | 50% below | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 L139900 COVID19 NAA | $30.64 | $204.29 | $30.64–$183.86 | 44% below | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB | $55.20 | $184.00 | $46.00–$165.60 | — | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 L139900 COVID19 NAA | $61.29 | $204.29 | $51.07–$183.86 | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP | $46.35 | $309.00 | $18.94–$278.10 | 29% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP | $92.70 | $309.00 | $77.25–$278.10 | — | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $24.45 | $163.00 | $9.37–$146.70 | 53% below | 85% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $48.90 | $163.00 | $40.75–$146.70 | — | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD | $34.80 | $232.00 | $5.43–$208.80 | 10% below | 85% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD | $69.60 | $232.00 | $58.00–$208.80 | — | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC W-PLT | $24.90 | $166.00 | $3.90–$149.40 | 23% below | 85% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT | $49.80 | $166.00 | $41.50–$149.40 | — | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL | $59.10 | $394.00 | $7.39–$354.60 | 34% below | 85% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL | $118.20 | $394.00 | $98.50–$354.60 | — | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT | $47.10 | $314.00 | $6.83–$282.60 | 32% below | 85% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT | $94.20 | $314.00 | $78.50–$282.60 | — | 70% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $58.95 | $393.00 | $15.56–$353.70 | 49% below | 85% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $117.90 | $393.00 | $98.25–$353.70 | — | 70% |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $42.00 | $280.00 | $19.55–$252.00 | 62% below | 85% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL | $84.00 | $280.00 | $70.00–$252.00 | — | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM | $31.65 | $211.00 | $13.00–$189.90 | 68% below | 85% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM | $63.30 | $211.00 | $52.75–$189.90 | — | 70% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $80.85 | $539.00 | $13.74–$485.10 | 58% below | 85% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $161.70 | $539.00 | $134.75–$485.10 | — | 70% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $24.75 | $165.00 | $9.54–$148.50 | 62% below | 85% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $49.50 | $165.00 | $41.25–$148.50 | — | 70% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $24.30 | $162.00 | $10.29–$145.80 | 63% below | 85% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM | $48.60 | $162.00 | $40.50–$145.80 | — | 70% |
| Free T3 thyroid hormone test CPT 84481 T3,FREE | $43.35 | $289.00 | $11.85–$260.10 | 47% below | 85% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3,FREE | $86.70 | $289.00 | $72.25–$260.10 | — | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE | $23.40 | $156.00 | $6.31–$140.40 | 62% below | 85% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE | $46.80 | $156.00 | $39.00–$140.40 | — | 70% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $33.79 | $225.27 | $17.82–$202.74 | 54% below | 85% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE | $67.58 | $225.27 | $56.32–$202.74 | — | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST DOSE | $13.88 | $92.55 | $3.32–$83.30 | 77% below | 85% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, POST DOSE | $27.77 | $92.55 | $23.14–$83.30 | — | 70% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC | $22.91 | $152.76 | $7.32–$137.48 | 62% below | 85% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC | $45.83 | $152.76 | $38.19–$137.48 | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO,DNA,AMPPR | $46.35 | $309.00 | $18.94–$278.10 | 29% below | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHO,DNA,AMPPR | $92.70 | $309.00 | $77.25–$278.10 | — | 70% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL | $35.69 | $237.95 | $11.79–$214.16 | 1% below | 85% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB QL | $71.39 | $237.95 | $59.49–$214.16 | — | 70% |
| H. pylori stool antigen test CPT 87338 HPYLORI,STOOL,EIA | $70.20 | $467.97 | $9.15–$421.17 | 9% below | 85% |
| H. pylori stool antigen test inpatient CPT 87338 HPYLORI,STOOL,EIA | $140.39 | $467.97 | $116.99–$421.17 | — | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, DNA, QUANT | $112.50 | $750.00 | $41.19–$675.00 | 51% below | 85% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, DNA, QUANT | $225.00 | $750.00 | $187.50–$675.00 | — | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES | $49.57 | $330.49 | $18.94–$297.44 | 18% above | 85% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES | $99.15 | $330.49 | $82.62–$297.44 | — | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $24.15 | $161.00 | $6.79–$144.90 | 20% below | 85% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $48.30 | $161.00 | $40.25–$144.90 | — | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB | $24.30 | $162.00 | $7.51–$145.80 | 65% below | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB | $48.60 | $162.00 | $40.50–$145.80 | — | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG | $38.55 | $257.00 | $7.23–$231.30 | 30% above | 85% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG | $77.10 | $257.00 | $64.25–$231.30 | — | 70% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $37.95 | $253.00 | $9.98–$227.70 | 45% below | 85% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST | $75.90 | $253.00 | $63.25–$227.70 | — | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA,QUAN | $89.25 | $595.00 | $29.98–$535.50 | 52% below | 85% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C,RNA,QUAN | $178.50 | $595.00 | $148.75–$535.50 | — | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1 | $19.80 | $132.00 | $9.23–$118.80 | 66% below | 85% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1 | $39.60 | $132.00 | $33.00–$118.80 | — | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2 | $28.35 | $189.00 | $13.54–$170.10 | 61% below | 85% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2 | $56.70 | $189.00 | $47.25–$170.10 | — | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS | $34.05 | $227.00 | $9.06–$204.30 | 42% below | 85% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGHLY SENS | $68.10 | $227.00 | $56.75–$204.30 | — | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $54.00 | $360.00 | $12.54–$324.00 | 59% below | 85% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $108.00 | $360.00 | $90.00–$324.00 | — | 70% |
| Insulin blood test CPT 83525 INSULIN, TOTAL | $26.18 | $174.50 | $8.00–$157.05 | 62% below | 85% |
| Insulin blood test inpatient CPT 83525 INSULIN, TOTAL | $52.35 | $174.50 | $43.62–$157.05 | — | 70% |
| Iron blood test (serum iron) CPT 83540 IRON | $16.20 | $108.00 | $4.52–$97.20 | 45% below | 85% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $32.40 | $108.00 | $27.00–$97.20 | — | 70% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT | $23.10 | $154.00 | $6.11–$138.60 | 19% below | 85% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT | $46.20 | $154.00 | $38.50–$138.60 | — | 70% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $48.00 | $320.00 | $6.07–$288.00 | 44% below | 85% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $96.00 | $320.00 | $80.00–$288.00 | — | 70% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $33.90 | $226.00 | $12.96–$203.40 | 70% below | 85% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $67.80 | $226.00 | $56.50–$203.40 | — | 70% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $34.80 | $232.00 | $4.82–$208.80 | 39% below | 85% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $69.60 | $232.00 | $58.00–$208.80 | — | 70% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN | $43.20 | $288.00 | $5.71–$259.20 | 46% below | 85% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN | $86.40 | $288.00 | $72.00–$259.20 | — | 70% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB | $53.10 | $354.00 | $11.92–$318.60 | 53% below | 85% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB | $106.20 | $354.00 | $88.50–$318.60 | — | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM | $26.85 | $179.00 | $4.69–$161.10 | 18% below | 85% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $53.70 | $179.00 | $44.75–$161.10 | — | 70% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB | $20.70 | $138.00 | $9.01–$124.20 | 47% below | 85% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB | $41.40 | $138.00 | $34.50–$124.20 | — | 70% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE | $108.45 | $723.00 | $3.62–$650.70 | 49% above | 85% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE | $216.90 | $723.00 | $180.75–$650.70 | — | 70% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $133.74 | $891.57 | $33.46–$802.41 | 32% below | 85% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $267.47 | $891.57 | $222.89–$802.41 | — | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $24.30 | $162.00 | $12.87–$145.80 | 71% below | 85% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE | $48.60 | $162.00 | $40.50–$145.80 | — | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL | $28.80 | $192.00 | $12.87–$172.80 | 69% below | 85% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL | $57.60 | $192.00 | $48.00–$172.80 | — | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP THINLAY LIQ DIAG | $24.90 | $165.97 | $16.50–$149.37 | 44% below | 85% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP THINLAY LIQ DIAG | $49.79 | $165.97 | $41.49–$149.37 | — | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH | $63.30 | $422.00 | $28.89–$379.80 | 54% below | 85% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH | $126.60 | $422.00 | $105.50–$379.80 | — | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT | $32.85 | $219.00 | $4.20–$197.10 | 19% below | 85% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT | $65.70 | $219.00 | $54.75–$197.10 | — | 70% |
| Progesterone blood test CPT 84144 PROGESTERONE | $30.00 | $200.00 | $14.60–$180.00 | 73% below | 85% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $60.00 | $200.00 | $50.00–$180.00 | — | 70% |
| Prolactin blood test CPT 84146 PROLACTIN | $30.60 | $204.00 | $13.56–$183.60 | 71% below | 85% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $61.20 | $204.00 | $51.00–$183.60 | — | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $23.55 | $157.00 | $3.00–$141.30 | 3% above | 85% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $47.10 | $157.00 | $39.25–$141.30 | — | 70% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PRS DRG IA VIS | $15.00 | $100.00 | $8.82–$90.00 | 68% below | 85% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 PRS DRG IA VIS | $30.00 | $100.00 | $25.00–$90.00 | — | 70% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP | $31.35 | $209.00 | $9.15–$188.10 | 36% above | 85% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP | $62.70 | $209.00 | $52.25–$188.10 | — | 70% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI | $39.75 | $265.00 | $9.15–$238.50 | 9% below | 85% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W-OPTI | $79.50 | $265.00 | $66.25–$238.50 | — | 70% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN | $28.50 | $190.00 | $3.96–$171.00 | 37% below | 85% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN | $57.00 | $190.00 | $47.50–$171.00 | — | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $19.95 | $133.00 | $10.07–$119.70 | 48% below | 85% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB | $39.90 | $133.00 | $33.25–$119.70 | — | 70% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, AUTOMATED | $13.80 | $92.00 | $1.89–$82.80 | 27% below | 85% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE, AUTOMATED | $27.60 | $92.00 | $23.00–$82.80 | — | 70% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANYL COMP-WDIF | $14.76 | $98.41 | $9.77–$88.57 | 83% below | 85% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANYL COMP-WDIF | $29.52 | $98.41 | $24.60–$88.57 | — | 70% |
| Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS | $37.65 | $251.00 | $6.23–$225.90 | 34% below | 85% |
| Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS | $75.30 | $251.00 | $62.75–$225.90 | — | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES 1-3 | $16.95 | $113.00 | $2.74–$101.70 | 51% above | 85% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES 1-3 | $33.90 | $113.00 | $28.25–$101.70 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL | $18.30 | $122.00 | $2.98–$109.80 | 34% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, QUAL | $36.60 | $122.00 | $30.50–$109.80 | — | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS | $76.05 | $507.00 | $43.38–$456.30 | 29% below | 85% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS | $152.10 | $507.00 | $126.75–$456.30 | — | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $38.10 | $254.00 | $18.06–$228.60 | 55% below | 85% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $76.20 | $254.00 | $63.50–$228.60 | — | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB | $38.55 | $257.00 | $10.18–$231.30 | 45% below | 85% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB | $77.10 | $257.00 | $64.25–$231.30 | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH | $28.95 | $193.00 | $11.76–$173.70 | 66% below | 85% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH | $57.90 | $193.00 | $48.25–$173.70 | — | 70% |
| Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP | $42.96 | $286.42 | $18.94–$257.78 | 40% below | 85% |
| Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP | $85.93 | $286.42 | $71.60–$257.78 | — | 70% |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD | $19.65 | $131.00 | $3.16–$117.90 | 45% below | 85% |
| Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD | $39.30 | $131.00 | $32.75–$117.90 | — | 70% |
| Urinalysis with microscope exam, automated CPT 81001 UA, AUTO W-SCOPE | $27.30 | $182.00 | $2.21–$163.80 | 15% below | 85% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA, AUTO W-SCOPE | $54.60 | $182.00 | $45.50–$163.80 | — | 70% |
| Urinalysis without microscope exam, automated CPT 81003 UA, AUTO, W-O SCOPE | $21.90 | $146.00 | $1.57–$131.40 | 9% below | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA, AUTO, W-O SCOPE | $43.80 | $146.00 | $36.50–$131.40 | — | 70% |
| Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W-O SCOPE | $26.00 | $173.33 | $2.15–$156.00 | 136% above | 85% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W-O SCOPE | $52.00 | $173.33 | $43.33–$156.00 | — | 70% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT | $33.60 | $224.00 | $5.64–$201.60 | 46% below | 85% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT | $67.20 | $224.00 | $56.00–$201.60 | — | 70% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL | $36.90 | $246.00 | $2.14–$221.40 | 30% below | 85% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL | $73.80 | $246.00 | $61.50–$221.40 | — | 70% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $24.30 | $162.00 | $10.55–$145.80 | 57% below | 85% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $48.60 | $162.00 | $40.50–$145.80 | — | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH | $57.45 | $383.00 | $11.85–$344.70 | 41% below | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH | $114.90 | $383.00 | $95.75–$344.70 | — | 70% |
| Zinc blood test CPT 84630 ZINC | $21.45 | $143.00 | $7.97–$128.70 | 71% below | 85% |
| Zinc blood test inpatient CPT 84630 ZINC | $42.90 | $143.00 | $35.75–$128.70 | — | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT | $59.70 | $398.00 | $8.54–$358.20 | at median | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT | $119.40 | $398.00 | $99.50–$358.20 | — | 70% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $7,437.36 | $49,582.42 | $191.07–$44,624.18 | 29% above | 85% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $16,604.44 | $110,696.26 | $1,482.41–$99,626.63 | at median | 85% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $24,093.28 | $160,621.86 | $440.80–$144,559.67 | 87% above | 85% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $18,657.86 | $124,385.71 | $440.80–$111,947.14 | 60% above | 85% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS | $24,113.77 | $160,758.44 | $440.80–$144,682.60 | 29% above | 85% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION | $10,183.60 | $67,890.66 | $440.80–$61,101.59 | 35% above | 85% |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION OF BUNION | $5,997.06 | $39,980.41 | $383.49–$35,982.37 | 8% above | 85% |
| Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT | $6,398.10 | $42,654.00 | $595.16–$38,388.60 | 2% below | 85% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT | $12,796.20 | $42,654.00 | $10,663.50–$38,388.60 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION | $641.85 | $4,279.00 | $135.69–$3,851.10 | 23% below | 85% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION | $1,283.70 | $4,279.00 | $1,069.75–$3,851.10 | — | 70% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $4,439.13 | $29,594.23 | $383.49–$26,634.81 | 16% below | 85% |
| Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I | $15,000.00 | $99,999.99 | $814.99–$89,999.99 | 48% below | 85% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-ATR FIB PULM VN I | $30,000.00 | $99,999.99 | $25,000.00–$89,999.99 | — | 70% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $4,471.78 | $29,811.86 | $130.24–$26,830.67 | 89% above | 85% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION | $7,237.63 | $48,250.84 | $178.08–$43,425.76 | 110% above | 85% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $5,528.67 | $36,857.78 | $383.49–$33,172.00 | 53% above | 85% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $4,811.69 | $32,077.96 | $370.97–$28,870.16 | 77% above | 85% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $2,431.51 | $16,210.04 | $294.47–$14,589.04 | at median | 85% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 VAGINA EXAMINATION & BIOPSY | $9,240.36 | $61,602.42 | $148.68–$55,442.18 | 1004% above | 85% |
| Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG | $6,787.96 | $45,253.07 | $506.90–$40,727.76 | 52% below | 85% |
| Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG | $13,575.92 | $45,253.07 | $11,313.27–$40,727.76 | — | 70% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $8,925.52 | $59,503.48 | $323.72–$53,553.13 | 117% above | 85% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $12,106.54 | $80,710.26 | $190.01–$72,639.23 | 496% above | 85% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $7,689.96 | $51,266.41 | $260.80–$46,139.77 | 19% above | 85% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $7,423.82 | $49,492.11 | $142.09–$44,542.90 | 68% above | 85% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $1,111.73 | $7,411.54 | $13.12–$6,670.39 | 1014% above | 85% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $410.48 | $2,736.55 | $42.40–$5,578.00 | 319% above | 85% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $6,067.59 | $40,450.57 | $87.83–$36,405.51 | 997% above | 85% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 REMOVAL OF ETHMOID SINUS | $19,764.61 | $131,764.06 | $288.10–$118,587.65 | 83% above | 85% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 SINUS ENDOSCOPY, SURGICAL | $24,644.42 | $164,296.10 | $336.92–$147,866.49 | 145% above | 85% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $19,965.63 | $133,104.19 | $161.25–$119,793.77 | 34% above | 85% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY, MAXILLARY SINUS | $21,126.33 | $140,842.21 | $236.36–$126,757.99 | 141% above | 85% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,265.18 | $8,434.56 | $224.68–$7,591.10 | 22% below | 85% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,281.97 | $8,546.44 | $154.46–$7,691.80 | 14% above | 85% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $11,637.90 | $77,585.99 | $504.11–$69,827.39 | 9% below | 85% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $16,168.14 | $107,787.57 | $542.16–$97,008.81 | 33% above | 85% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $10,102.24 | $67,348.27 | $286.51–$60,613.44 | 66% above | 85% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $3,247.18 | $21,647.85 | $158.89–$19,483.06 | 182% above | 85% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $8,867.94 | $59,119.61 | $440.80–$53,207.65 | 2% above | 85% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $7,246.24 | $48,308.26 | $440.80–$43,477.43 | at median | 85% |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $11,002.99 | $73,353.28 | $440.80–$66,017.95 | 157% above | 85% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $3,563.31 | $23,755.37 | $248.88–$21,379.83 | 95% above | 85% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY | $6,630.80 | $44,205.36 | $440.80–$39,784.82 | at median | 85% |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $7,438.19 | $49,587.90 | $908.72–$44,629.11 | 37% below | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO | $63.90 | $426.00 | $233.48–$443.42 | 76% below | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $12,681.01 | $84,540.04 | $101.72–$76,086.04 | 4595% above | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO | $127.80 | $426.00 | $106.50–$383.40 | — | 70% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION | $13,789.61 | $91,930.70 | $542.16–$82,737.63 | 105% above | 85% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, BIOPSY | $7,458.36 | $49,722.42 | $440.80–$44,750.18 | 1% above | 85% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $4,946.79 | $32,978.60 | $43.48–$29,680.74 | at median | 85% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $1,901.91 | $12,679.41 | $111.87–$11,411.47 | 453% above | 85% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $6,857.93 | $45,719.55 | $462.86–$41,147.60 | 84% above | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA | $1,314.73 | $8,764.85 | $57.21–$7,888.37 | 230% above | 85% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $9,152.33 | $61,015.55 | $88.00–$54,914.00 | 3169% above | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM | $647.55 | $4,317.00 | $48.50–$5,578.00 | 68% above | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT, JOINT/BURSA | $2,050.37 | $13,669.16 | $48.50–$12,302.24 | 433% above | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM | $1,295.10 | $4,317.00 | $1,079.25–$3,885.30 | — | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM | $474.30 | $3,162.00 | $47.57–$5,578.00 | 23% above | 85% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT, JOINT/BURSA | $1,662.59 | $11,083.95 | $47.57–$9,975.56 | 330% above | 85% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 S-JOINT ASP-INJ SM | $948.60 | $3,162.00 | $790.50–$2,845.80 | — | 70% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $21,394.22 | $142,628.13 | $440.80–$128,365.32 | 77% above | 85% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $11,044.17 | $73,627.82 | $440.80–$66,265.04 | 52% above | 85% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $7,852.28 | $52,348.56 | $502.50–$47,113.70 | at median | 85% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $9,969.07 | $66,460.44 | $542.16–$59,814.40 | 50% above | 85% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY | $18,275.96 | $121,839.70 | $532.19–$109,655.73 | 53% above | 85% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, FUNDOPLASTY | $16,007.34 | $106,715.60 | $542.16–$96,044.04 | 7% above | 85% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $13,457.31 | $89,715.38 | $440.80–$80,743.84 | 9% below | 85% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $13,328.56 | $88,857.05 | $440.80–$79,971.35 | 6% above | 85% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL | $12,136.96 | $80,913.07 | $383.43–$72,821.76 | 38% above | 85% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA REPAIR RECUR | $14,206.68 | $94,711.18 | $499.95–$85,240.06 | 45% above | 85% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA | $11,852.49 | $79,016.59 | $582.27–$71,114.93 | 14% above | 85% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $33,649.22 | $224,328.11 | $969.76–$201,895.30 | 2% above | 85% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S) | $4,841.13 | $32,274.23 | $226.01–$29,046.81 | 1094% above | 85% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC | $1,875.60 | $12,504.00 | $527.23–$11,253.60 | 60% below | 85% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC | $3,751.20 | $12,504.00 | $3,126.00–$11,253.60 | — | 70% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,316.31 | $8,775.39 | $220.48–$7,897.85 | 15% below | 85% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,653.91 | $11,026.04 | $116.08–$9,923.44 | 47% above | 85% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $1,930.70 | $12,871.36 | $211.73–$11,584.22 | 47% above | 85% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $11,362.33 | $75,748.84 | $618.24–$68,173.96 | 10% below | 85% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVAL OF SPINAL LAMINA | $15,736.24 | $104,908.27 | $618.24–$94,417.44 | 5% above | 85% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $12,073.71 | $80,491.42 | $440.80–$72,442.28 | 91% above | 85% |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $29,809.04 | $198,726.94 | $542.16–$178,854.25 | 181% above | 85% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $4,736.15 | $31,574.34 | $378.98–$28,416.91 | 5% above | 85% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION | $5,281.14 | $35,207.57 | $110.52–$31,686.81 | 498% above | 85% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF SKIN LESION | $3,229.48 | $21,529.84 | $123.33–$19,376.86 | 292% above | 85% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $2,405.36 | $16,035.75 | $99.82–$14,432.18 | 923% above | 85% |
| Pacemaker implant (dual chamber) CPT 33208 INSERTION OF HEART PACEMAKER | $33,949.84 | $226,332.24 | $383.49–$203,699.02 | 154% above | 85% |
| Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG | $781.13 | $5,207.51 | $247.47–$4,686.76 | 7% below | 85% |
| Paracentesis with imaging guidance CPT 49083 IR-ABD PARACEN W IMG | $843.60 | $5,624.00 | $247.47–$5,061.60 | at median | 85% |
| Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACEN W IMG | $1,562.25 | $5,207.51 | $1,301.88–$4,686.76 | — | 70% |
| Paracentesis with imaging guidance inpatient CPT 49083 IR-ABD PARACEN W IMG | $1,687.20 | $5,624.00 | $1,406.00–$5,061.60 | — | 70% |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $20,014.30 | $133,428.65 | $542.16–$120,085.79 | 23% above | 85% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $2,944.56 | $19,630.43 | $140.38–$17,667.39 | 419% above | 85% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $4,961.82 | $33,078.79 | $33,078.79 | 79% above | 85% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,270.86 | $8,472.38 | $286.51–$7,625.14 | 26% below | 85% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $6,226.68 | $41,511.19 | $365.97–$37,360.07 | 59% above | 85% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $1,713.98 | $11,426.56 | $131.64–$10,283.90 | 232% above | 85% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $8,215.31 | $54,768.75 | $383.49–$49,291.88 | 21% below | 85% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $2,318.23 | $15,454.88 | $294.66–$13,909.39 | at median | 85% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $2,125.73 | $14,171.50 | $294.47–$12,754.35 | 38% above | 85% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $13,817.28 | $92,115.23 | $542.16–$82,903.71 | 173% above | 85% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $15,773.06 | $105,153.75 | $653.17–$94,638.38 | 69% above | 85% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $2,145.96 | $14,306.40 | $54.44–$12,875.76 | 1267% above | 85% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $3,254.19 | $21,694.63 | $54.44–$19,525.17 | 2144% above | 85% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $15,541.81 | $103,612.09 | $605.05–$93,250.88 | 21% above | 85% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $16,535.54 | $110,236.93 | $151.86–$99,213.24 | 27% above | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S) | $1,285.41 | $8,569.40 | $81.31–$7,712.46 | 403% above | 85% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $3,685.97 | $24,573.10 | $106.29–$22,115.79 | 918% above | 85% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS | $8,067.26 | $53,781.70 | $81.14–$48,403.53 | 2419% above | 85% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST | $389.55 | $2,597.00 | $125.62–$2,337.30 | 48% below | 85% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC | $2,755.42 | $18,369.46 | $125.62–$16,532.51 | 271% above | 85% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST | $779.10 | $2,597.00 | $649.25–$2,337.30 | — | 70% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $2,258.25 | $15,054.99 | $99.15–$13,549.49 | 909% above | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S) | $1,848.81 | $12,325.41 | $97.26–$11,092.87 | 729% above | 85% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $7,298.55 | $48,656.98 | $542.16–$43,791.28 | 24% below | 85% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $8,239.22 | $54,928.12 | $85.43–$49,435.31 | 2516% above | 85% |
| Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG | $548.25 | $3,655.02 | $265.94–$3,289.52 | 51% below | 85% |
| Thoracentesis with imaging guidance CPT 32555 CT-THORACNTSIS W IMG | $548.25 | $3,655.02 | $265.94–$3,289.52 | 51% below | 85% |
| Thoracentesis with imaging guidance CPT 32555 IR-THORACNTSIS W IMG | $592.05 | $3,947.00 | $265.94–$3,552.30 | 47% below | 85% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACNTSIS W IMG | $1,096.51 | $3,655.02 | $913.76–$3,289.52 | — | 70% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT-THORACNTSIS W IMG | $1,096.51 | $3,655.02 | $913.76–$3,289.52 | — | 70% |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR-THORACNTSIS W IMG | $1,184.10 | $3,947.00 | $986.75–$3,552.30 | — | 70% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $9,116.15 | $60,774.31 | $273.06–$54,696.88 | 32% above | 85% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $4,887.22 | $32,581.49 | $261.97–$29,323.34 | 13% below | 85% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $8,672.31 | $57,815.38 | $229.68–$52,033.84 | 24% above | 85% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $4,758.50 | $31,723.32 | $241.36–$28,550.99 | 12% below | 85% |
| Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT | $17,949.60 | $119,664.02 | $1,139.40–$107,697.62 | at median | 85% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $19,296.43 | $128,642.89 | $511.49–$115,778.60 | 9% above | 85% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $23,511.43 | $156,742.87 | $1,006.32–$141,068.58 | 4% above | 85% |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $10,878.94 | $72,526.28 | $440.80–$65,273.65 | 9% below | 85% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $4,399.45 | $29,329.67 | $383.49–$26,396.70 | 167% above | 85% |
| Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $896.68 | $5,977.86 | $46.26–$5,578.00 | 191% above | 85% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, TUBAL CAUTERY | $11,826.88 | $78,845.88 | $330.92–$70,961.29 | 45% above | 85% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATION | $11,912.96 | $79,419.74 | $286.51–$71,477.77 | 261% above | 85% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $5,677.89 | $37,852.61 | $317.69–$34,067.35 | 45% above | 85% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $9,622.11 | $64,147.43 | $337.37–$57,732.69 | 111% above | 85% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY | $6,862.68 | $45,751.22 | $383.49–$41,176.10 | 90% above | 85% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPPR GI ENDOSCOPY/GUIDE WIRE | $6,075.84 | $40,505.57 | $350.43–$36,455.01 | 146% above | 85% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $2,750.32 | $18,335.44 | $246.34–$16,501.90 | 26% above | 85% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $9,668.88 | $64,459.18 | $349.38–$58,013.26 | 55% above | 85% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $13,184.35 | $87,895.67 | $370.98–$79,106.10 | 24% above | 85% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $5,535.94 | $36,906.25 | $286.51–$33,215.63 | 6% below | 85% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $6,172.64 | $41,150.90 | $286.51–$37,035.81 | 7% above | 85% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION, 1-14 | $7,859.41 | $52,396.06 | $97.97–$47,156.45 | 2068% above | 85% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE | $3,662.57 | $24,417.10 | $111.83–$21,975.39 | 553% above | 85% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $10,188.10 | $67,920.69 | $618.24–$61,128.62 | at median | 85% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLD TRAN 10 TO 12HRS | $549.94 | $3,666.24 | $35.98–$3,299.62 | 43% above | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $740.10 | $4,934.00 | $35.98–$4,440.60 | 93% above | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRAN 10 TO 12HRS | $1,099.87 | $3,666.24 | $916.56–$3,299.62 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $1,480.20 | $4,934.00 | $1,233.50–$4,440.60 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI | $68.10 | $454.00 | $6.65–$408.60 | 38% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI | $136.20 | $454.00 | $113.50–$408.60 | — | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFU 1ST HR | $1,108.14 | $7,387.60 | $104.34–$6,648.84 | 146% above | 85% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFU 1ST HR | $2,216.28 | $7,387.60 | $1,846.90–$6,648.84 | — | 70% |
| Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M | $861.03 | $5,740.20 | $245.66–$6,660.00 | 21% below | 85% |
| Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M | $1,722.06 | $5,740.20 | $1,435.05–$5,166.18 | — | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY | $495.00 | $3,300.00 | $57.84–$2,970.00 | 22% below | 85% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY | $990.00 | $3,300.00 | $825.00–$2,970.00 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD ED STAFF | $72.95 | $486.30 | $19.27–$544.00 | 43% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS | $78.00 | $520.00 | $19.27–$544.00 | 39% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD ED STAFF | $145.89 | $486.30 | $121.58–$437.67 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG, 12 LEADS | $156.00 | $520.00 | $130.00–$468.00 | — | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT | $76.79 | $511.92 | $10.33–$1,497.00 | 43% below | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT | $153.58 | $511.92 | $127.98–$460.73 | — | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT | $294.68 | $1,964.52 | $38.13–$1,768.07 | 55% above | 85% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT | $589.36 | $1,964.52 | $491.13–$1,768.07 | — | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST | $372.44 | $2,482.92 | $56.88–$2,666.00 | 22% above | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST | $744.88 | $2,482.92 | $620.73–$2,234.63 | — | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT | $488.59 | $3,257.28 | $104.24–$4,163.00 | 3% below | 85% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT | $977.18 | $3,257.28 | $814.32–$2,931.55 | — | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 POST AR TRA EM LV 5F | $618.19 | $4,121.28 | $159.59–$4,163.00 | 5% below | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE ED VST | $618.19 | $4,121.28 | $159.59–$4,163.00 | 5% below | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 POST AR TRA EM LV 5F | $1,236.38 | $4,121.28 | $1,030.32–$3,709.15 | — | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE ED VST | $1,236.38 | $4,121.28 | $1,030.32–$3,709.15 | — | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST | $390.30 | $2,602.00 | $32.14–$2,341.80 | 36% below | 85% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST | $780.60 | $2,602.00 | $650.50–$2,341.80 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR | $425.10 | $2,834.00 | $26.77–$2,550.60 | 36% above | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR | $850.20 | $2,834.00 | $708.50–$2,550.60 | — | 70% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR | $437.70 | $2,918.00 | $48.00–$2,626.20 | 36% above | 85% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR | $875.40 | $2,918.00 | $729.50–$2,626.20 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM | $274.05 | $1,827.00 | $12.71–$1,644.30 | 226% above | 85% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM | $548.10 | $1,827.00 | $456.75–$1,644.30 | — | 70% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 MTR-SENS 7-8 NRV TST | $1,178.15 | $7,854.34 | $58.93–$7,068.91 | 10% below | 85% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 MTR-SENS 7-8 NRV TST | $2,356.30 | $7,854.34 | $1,963.58–$7,068.91 | — | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL EA 15 MN | $7.14 | $47.62 | $7.14–$159.00 | 86% below | 85% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL EA 15 MN | $14.29 | $47.62 | $11.90–$42.86 | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10 | $20.85 | $139.00 | $12.91–$159.00 | 40% below | 85% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHG SMOKE U 10 | $41.70 | $139.00 | $34.75–$125.10 | — | 70% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $103.80 | $692.00 | $17.79–$919.00 | 48% below | 85% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $207.60 | $692.00 | $173.00–$622.80 | — | 70% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST | $200.40 | $1,336.00 | $26.69–$1,202.40 | 48% below | 85% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST | $400.80 | $1,336.00 | $334.00–$1,202.40 | — | 70% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT | $130.20 | $868.00 | $66.74–$781.20 | 7% above | 85% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT | $260.40 | $868.00 | $217.00–$781.20 | — | 70% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVACC NO PRES OV3Y | $106.05 | $707.00 | $22.06–$636.30 | 96% above | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVACC NO PRES OV3Y | $212.10 | $707.00 | $176.75–$636.30 | — | 70% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 50 unit(s)/1 mL SuspInj | $108.67 | $724.45 | $73.79–$652.01 | 29% below | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 HEP A VIRUS VACCINE | $282.05 | $1,880.32 | $73.79–$1,692.29 | 84% above | 85% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 50 unit(s)/1 mL SuspInj | $217.34 | $724.45 | $181.11–$652.01 | — | 70% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VIRUS VACCINE | $564.10 | $1,880.32 | $470.08–$1,692.29 | — | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VAC NOPRSV ANTIG | $223.43 | $1,489.55 | $87.58–$1,340.60 | 106% above | 85% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC NOPRSV ANTIG | $446.87 | $1,489.55 | $372.39–$1,340.60 | — | 70% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ | $237.81 | $1,585.38 | $97.99–$1,426.84 | 61% above | 85% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine PowderInj 0.5 | $237.81 | $1,585.38 | $97.99–$1,426.84 | 61% above | 85% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ | $475.61 | $1,585.38 | $396.34–$1,426.84 | — | 70% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine PowderInj 0.5 | $475.61 | $1,585.38 | $396.34–$1,426.84 | — | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOC 20-VAL IM | $458.55 | $3,057.00 | $179.75–$2,751.30 | 44% below | 85% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOC 20-VAL IM | $917.10 | $3,057.00 | $764.25–$2,751.30 | — | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23polyvalent vaccine SolnInj 0.5 mL | $26.14 | $174.25 | $10.25–$156.83 | 84% below | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT | $26.14 | $174.25 | $10.25–$156.83 | 84% below | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23polyvalent vaccine SolnInj 0.5 mL | $52.28 | $174.25 | $43.56–$156.83 | — | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT | $52.28 | $174.25 | $43.56–$156.83 | — | 70% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOCLON AB 0.5M | $661.05 | $4,407.00 | $290.86–$3,966.30 | 82% below | 85% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV MONOCLON AB 0.5M | $1,322.10 | $4,407.00 | $1,101.75–$3,966.30 | — | 70% |
| Rabies vaccine, one dose CPT 90675 rabies vaccine purified chick embryo cell 2.5 Intl | $1,079.40 | $7,196.00 | $313.68–$6,476.40 | 66% above | 85% |
| Rabies vaccine, one dose CPT 90675 rabies vaccine human diploid cell 2.5 IntlUnit(s) | $1,079.40 | $7,196.00 | $313.68–$6,476.40 | 66% above | 85% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $1,079.40 | $7,196.00 | $313.68–$6,476.40 | 66% above | 85% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM | $2,158.80 | $7,196.00 | $1,799.00–$6,476.40 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine human diploid cell 2.5 IntlUnit(s) | $2,158.80 | $7,196.00 | $1,799.00–$6,476.40 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine purified chick embryo cell 2.5 Intl | $2,158.80 | $7,196.00 | $1,799.00–$6,476.40 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD IM NO PRSRV GE 7Y | $52.98 | $353.17 | $35.50–$317.85 | 7% above | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 diphtheriatetanus toxoids (DT) ped pediatric Susp | $52.98 | $353.17 | $35.50–$317.85 | 7% above | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 diphtheriatetanus toxoids (DT) ped pediatric Susp | $105.95 | $353.17 | $88.29–$317.85 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD IM NO PRSRV GE 7Y | $105.95 | $353.17 | $88.29–$317.85 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML | $227.55 | $1,517.00 | $39.81–$1,365.30 | 72% above | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertuss (Tdap) adult/adol 5 units2 | $227.55 | $1,517.00 | $39.81–$1,365.30 | 72% above | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML | $455.10 | $1,517.00 | $379.25–$1,365.30 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertuss (Tdap) adult/adol 5 units2 | $455.10 | $1,517.00 | $379.25–$1,365.30 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE | $72.60 | $484.00 | $8.00–$435.60 | 13% above | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE | $145.20 | $484.00 | $121.00–$435.60 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC | $72.60 | $484.00 | $12.91–$435.60 | 35% above | 85% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC | $145.20 | $484.00 | $121.00–$435.60 | — | 70% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 IMPACT TOOTH REMOV COMP BONY | $3,435.76 | $22,905.08 | $591.66–$20,614.57 | — | 85% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION ERUPTED TOOTH/EXR | $3,516.52 | $23,443.45 | $591.66–$21,099.10 | 14% below | 85% |