Hendricks Regional Health
Hendricks Regional Health in Danville, IN publishes cash prices for 357 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 Indiana median for 285 of 352 procedures and above it for 66. By typical cash price it ranks #12 of 84 Indiana hospitals and #1 of 19 hospitals in the Indianapolis, IN area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1000 East Main Street, Danville, IN 46122 Collected Sep 27, 2026 Source price file (317) 745-4451
Acute care hospital Emergency department CMS star rating 5 of 5 CCN 150005 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HB ANKLE COMP MIN 3V | $253.60 | $634.00 | $14.28–$687.57 | 29% above | 60% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HB ANKLE COMP MIN 3V | $253.60 | $634.00 | $14.28–$687.57 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB TCPO2/ABI LIMITED W/PFM | $446.00 | $1,115.00 | $140.77–$1,070.40 | 30% above | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HB ESOPHAGUS | $392.80 | $982.00 | $83.89–$1,040.43 | 16% below | 60% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB ESOPHAGUS | $392.80 | $982.00 | $83.89–$1,040.43 | — | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB BONE/JNT IMAGING WHOLE BODY | $1,443.20 | $3,608.00 | $78.44–$3,463.68 | 6% below | 60% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB BONE/JNT IMAGING WHOLE BODY | $1,443.20 | $3,608.00 | $78.44–$3,463.68 | — | 60% |
| Breast ultrasound, complete, one breast CPT 76641 HB ULTRASOUND BREAST COMPLETE | $393.60 | $984.00 | $47.81–$944.64 | 9% below | 60% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HB ULTRASOUND BREAST COMPLETE | $393.60 | $984.00 | $47.81–$944.64 | — | 60% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HB ULTRASOUND BREAST LIMITED | $305.60 | $764.00 | $47.81–$828.56 | 3% above | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HB ULTRASOUND BREAST LIMITED | $305.60 | $764.00 | $47.81–$828.56 | — | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CTA CHEST W/CON INC IMG PP | $891.60 | $2,229.00 | $185.58–$2,139.84 | 22% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB CTA CHEST W/CON INC IMG PP | $891.60 | $2,229.00 | $185.58–$2,139.84 | — | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CT HEART EVAL STRUCT W/BPG | $712.80 | $1,782.00 | $165.14–$1,710.72 | 14% below | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB CT HEART EVAL STRUCT W/BPG | $712.80 | $1,782.00 | $165.14–$1,710.72 | — | 60% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT HEART W/QUANT EVAL CALCIUM | $106.00 | $265.00 | $92.07–$1,521.27 | 19% below | 60% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HB CT HEART W/QUANT EVAL CALCIUM | $106.00 | $265.00 | $92.07–$1,521.27 | — | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT ABD & PEL W/O CONTRAST | $772.40 | $1,931.00 | $73.30–$1,853.76 | 24% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB CT ABD & PEL W/O CONTRAST | $772.40 | $1,931.00 | $73.30–$1,853.76 | — | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABD & PEL W/CONTRAST | $966.00 | $2,415.00 | $97.73–$2,318.40 | 34% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABD & PEL W/CONTRAST | $966.00 | $2,415.00 | $97.73–$2,318.40 | — | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT ABD&PEL 1+ SECTION/REGNS | $1,158.80 | $2,897.00 | $97.73–$2,781.12 | 31% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB CT ABD&PEL 1+ SECTION/REGNS | $1,158.80 | $2,897.00 | $97.73–$2,781.12 | — | 60% |
| CT scan of the abdomen with contrast CPT 74160 HB CT ABDOMEN WITH CONTRAST | $416.80 | $1,042.00 | $73.30–$1,352.73 | 54% below | 60% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HB CT ABDOMEN WITH CONTRAST | $416.80 | $1,042.00 | $73.30–$1,352.73 | — | 60% |
| CT scan of the abdomen without contrast CPT 74150 HB CT ABDOMEN WITHOUT CONTRAST | $330.40 | $826.00 | $97.73–$1,720.02 | 58% below | 60% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HB CT ABDOMEN WITHOUT CONTRAST | $330.40 | $826.00 | $97.73–$1,720.02 | — | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT FACIAL W/O CONT | $206.80 | $517.00 | $110.61–$764.85 | 74% below | 60% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB CT FACIAL W/O CONT | $206.80 | $517.00 | $110.61–$764.85 | — | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD/BRAIN W/O CON | $328.80 | $822.00 | $65.81–$912.43 | 55% below | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD/BRAIN W/O CON | $328.80 | $822.00 | $65.81–$912.43 | — | 60% |
| CT scan of the head with contrast CPT 70460 HB CT HEAD/BRAIN W/CONT | $430.00 | $1,075.00 | $122.78–$1,032.00 | 48% below | 60% |
| CT scan of the head with contrast inpatient CPT 70460 HB CT HEAD/BRAIN W/CONT | $430.00 | $1,075.00 | $122.78–$1,032.00 | — | 60% |
| CT scan of the head without and with contrast CPT 70470 HB CT HEAD/BRAIN W/W/O CON | $473.20 | $1,183.00 | $144.34–$1,135.68 | 54% below | 60% |
| CT scan of the head without and with contrast inpatient CPT 70470 HB CT HEAD/BRAIN W/W/O CON | $473.20 | $1,183.00 | $144.34–$1,135.68 | — | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT LUMBAR SPINE WITHOUT CONTRAST | $308.00 | $770.00 | $110.61–$1,414.91 | 63% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB CT LUMBAR SPINE WITHOUT CONTRAST | $308.00 | $770.00 | $110.61–$1,414.91 | — | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT CERVICAL SPINE W/O CONTRAST | $328.80 | $822.00 | $110.61–$1,521.27 | 58% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT CERVICAL SPINE W/O CONTRAST | $328.80 | $822.00 | $110.61–$1,521.27 | — | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS WITH CONTRAST | $366.80 | $917.00 | $97.73–$880.32 | 59% below | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS WITH CONTRAST | $366.80 | $917.00 | $97.73–$880.32 | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL,BILAT | $144.80 | $362.00 | $43.51–$289.60 | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB DUPLEX CAROTID ART COMP BILAT | $769.20 | $1,923.00 | $252.44–$2,085.49 | — | 60% |
| Chest X-ray, 2 views CPT 71046 HB RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS | $146.40 | $366.00 | $84.66–$379.48 | 29% below | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 HB RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS | $146.40 | $366.00 | $84.66–$379.48 | — | 60% |
| Chest X-ray, single view CPT 71045 HB RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $139.20 | $348.00 | $80.49–$1,438.05 | 14% below | 60% |
| Chest X-ray, single view inpatient CPT 71045 HB RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $139.20 | $348.00 | $80.49–$1,438.05 | — | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US RETROPERITONEAL COMPLETE | $450.80 | $1,127.00 | $47.81–$1,081.92 | 9% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HB US RETROPERITONEAL COMPLETE | $450.80 | $1,127.00 | $47.81–$1,081.92 | — | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB DXA 1 OR MORE SITES AXIAL SKEL | $75.60 | $189.00 | $59.62–$1,521.27 | 73% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB DXA 1 OR MORE SITES AXIAL SKEL | $75.60 | $189.00 | $59.62–$1,521.27 | — | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DXA 1 OR MORE SITES APPND SKL | $160.40 | $401.00 | $92.07–$845.91 | 10% above | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB DXA 1 OR MORE SITES APPND SKL | $160.40 | $401.00 | $92.07–$845.91 | — | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US PREG UTER-DETAIL EXM; SNGLE | $210.00 | $525.00 | $47.81–$1,040.43 | 61% below | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HB US PREG UTER-DETAIL EXM; SNGLE | $210.00 | $525.00 | $47.81–$1,040.43 | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT CHEST W/O CONTRAST | $328.80 | $822.00 | $110.61–$789.12 | 58% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB CT CHEST W/O CONTRAST | $328.80 | $822.00 | $110.61–$789.12 | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT CHEST WITH CONTRAST | $416.80 | $1,042.00 | $185.58–$1,611.57 | 52% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB CT CHEST WITH CONTRAST | $416.80 | $1,042.00 | $185.58–$1,611.57 | — | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB DIAGNOSTIC MAMMOGRAPHY BILATERAL INCLUDING CAD | $322.80 | $807.00 | $47.81–$774.72 | — | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HB DIAGNOSTIC MAMMOGRAPHY BILATERAL INCLUDING CAD | $322.80 | $807.00 | $47.81–$774.72 | — | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 HB DIAGNOSTIC MAMMOGRAPHY UNILATERAL INCLUDING CAD | $171.20 | $428.00 | $47.81–$410.88 | 12% below | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HB DIAGNOSTIC MAMMOGRAPHY UNILATERAL INCLUDING CAD | $171.20 | $428.00 | $47.81–$410.88 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB DUPLEX LW EXTRM ART/BYG COM BI | $471.20 | $1,178.00 | $232.92–$1,390.33 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 PR DUPLEX EXTREM VENOUS,BILAT | $192.80 | $482.00 | $37.78–$385.60 | — | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HB DUPLEX EXTREM VEINS COMP BIL | $1,406.80 | $3,517.00 | $156.90–$3,376.32 | 44% above | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB EC ECHO COMPLETE | $895.20 | $2,238.00 | $68.00–$2,148.48 | 46% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB EC ECHO COMPLETE | $895.20 | $2,238.00 | $68.00–$2,148.48 | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING | $1,296.80 | $3,242.00 | $262.25–$5,645.41 | 1% below | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING | $1,296.80 | $3,242.00 | $262.25–$5,645.41 | — | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB HOME SLEEP STUDY | $505.20 | $1,263.00 | $97.43–$1,212.48 | 95% above | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HB HOME SLEEP STUDY | $505.20 | $1,263.00 | $97.43–$1,212.48 | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSOMNOGRAPHY WITH CPAP | $3,232.00 | $8,080.00 | $63.60–$7,756.80 | 6% above | 60% |
| Knee X-ray, 3 views CPT 73562 HB KNEE 3 VIEWS | $268.40 | $671.00 | $19.24–$644.16 | 17% above | 60% |
| Knee X-ray, 3 views inpatient CPT 73562 HB KNEE 3 VIEWS | $268.40 | $671.00 | $19.24–$644.16 | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US ABDOMEN LIMITED | $404.00 | $1,010.00 | $47.81–$969.60 | 3% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US ABDOMEN LIMITED | $404.00 | $1,010.00 | $47.81–$969.60 | — | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB LOW-DOSE CT SCAN FOR LUNG CANCER SCREENING | $96.80 | $242.00 | $110.61–$764.85 | 47% below | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HB LOW-DOSE CT SCAN FOR LUNG CANCER SCREENING | $96.80 | $242.00 | $110.61–$764.85 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI LOW EXT ANY JT W/O CON | $565.20 | $1,413.00 | $252.44–$2,395.66 | 42% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB MRI LOW EXT ANY JT W/O CON | $565.20 | $1,413.00 | $252.44–$2,395.66 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI LOW EXT JT W/W/O CON | $1,258.80 | $3,147.00 | $369.11–$4,521.28 | 13% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB MRI LOW EXT JT W/W/O CON | $1,258.80 | $3,147.00 | $369.11–$4,521.28 | — | 60% |
| MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN W/O CONTRAST | $589.20 | $1,473.00 | $252.44–$1,532.40 | 41% below | 60% |
| MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN W/O CONTRAST | $589.20 | $1,473.00 | $252.44–$1,532.40 | — | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN W/W/O CON | $883.20 | $2,208.00 | $369.11–$2,119.68 | 33% below | 60% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN W/W/O CON | $883.20 | $2,208.00 | $369.11–$2,119.68 | — | 60% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W/O CONTRAST | $650.00 | $1,625.00 | $144.59–$1,560.00 | 34% below | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN W/O CONTRAST | $650.00 | $1,625.00 | $144.59–$1,560.00 | — | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN INC STEM W/W/O CONT | $932.00 | $2,330.00 | $369.11–$2,236.80 | 27% below | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN INC STEM W/W/O CONT | $932.00 | $2,330.00 | $369.11–$2,236.80 | — | 60% |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE W/O CONT | $538.00 | $1,345.00 | $200.10–$1,291.20 | 45% below | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI LUMBAR SPINE W/O CONT | $538.00 | $1,345.00 | $200.10–$1,291.20 | — | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI LUMBAR SPINE W/W/O CON | $712.80 | $1,782.00 | $200.10–$1,710.72 | 46% below | 60% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB MRI LUMBAR SPINE W/W/O CON | $712.80 | $1,782.00 | $200.10–$1,710.72 | — | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI THORACIC SPINE W/O CONT | $372.00 | $930.00 | $200.10–$1,040.43 | 61% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB MRI THORACIC SPINE W/O CONT | $372.00 | $930.00 | $200.10–$1,040.43 | — | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI CERV SPINE W/W/O CON | $560.40 | $1,401.00 | $200.10–$1,521.27 | 57% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI CERVICAL SPINE W/O CONT | $354.40 | $886.00 | $252.44–$1,521.27 | 65% below | 60% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB MRI CERVICAL SPINE W/O CONT | $354.40 | $886.00 | $252.44–$1,521.27 | — | 60% |
| MRI of the pelvis without and with contrast CPT 72197 HB MRI PELVIS W/W/O CON | $883.20 | $2,208.00 | $103.04–$2,119.68 | 32% below | 60% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HB MRI PELVIS W/W/O CON | $883.20 | $2,208.00 | $103.04–$2,119.68 | — | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 HB MRI PELVIS W/O CONTRAST | $589.20 | $1,473.00 | $103.04–$1,897.15 | 43% below | 60% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HB MRI PELVIS W/O CONTRAST | $589.20 | $1,473.00 | $103.04–$1,897.15 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI UP EXT JT W/O CONT | $944.40 | $2,361.00 | $103.04–$2,266.56 | 19% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HB MRI UP EXT JT W/O CONT | $944.40 | $2,361.00 | $103.04–$2,266.56 | — | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB MYOCARD PERF SPECT MULT | $2,124.00 | $5,310.00 | $174.80–$5,097.60 | 41% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HB MYOCARD PERF SPECT MULT | $2,124.00 | $5,310.00 | $174.80–$5,097.60 | — | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB NM PET IMG W/CT,SKULL BS-MD | $2,272.40 | $5,681.00 | $97.73–$6,235.38 | 43% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB NM PET IMG W/CT,SKULL BS-MD | $2,272.40 | $5,681.00 | $97.73–$6,235.38 | — | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PR US,PELVIC (NONOBSTETRIC),REAL TIME,LIMITED | $63.20 | $158.00 | $27.38–$144.45 | 79% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIS (NONOB) LIMIT OR F/U | $200.80 | $502.00 | $73.30–$560.33 | 32% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US PELVIS (NONOB) LIMIT OR F/U | $200.80 | $502.00 | $73.30–$560.33 | — | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PR US,PELVIC (NONOBSTETRIC),REAL TIME,COMPLETE | $91.60 | $229.00 | $38.09–$183.20 | 79% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US PELVIS (NONOB) COMPLETE | $268.00 | $670.00 | $73.30–$814.82 | 38% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB US PELVIS (NONOB) COMPLETE | $268.00 | $670.00 | $73.30–$814.82 | — | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US, OB >/= 14 WKS, SNGL FETUS | $114.40 | $286.00 | $55.10–$228.80 | 78% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PREG UTRS SNG GEST >1ST TRI | $310.00 | $775.00 | $47.81–$1,067.15 | 42% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PREG UTRS SNG GEST >1ST TRI | $310.00 | $775.00 | $47.81–$1,067.15 | — | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US, OB < 14 WKS, SINGLE FETUS | $106.00 | $265.00 | $54.73–$212.00 | 78% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US PREG UTERUS <14WK-0, SNGL | $310.00 | $775.00 | $47.81–$744.00 | 35% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB US PREG UTERUS <14WK-0, SNGL | $310.00 | $775.00 | $47.81–$744.00 | — | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 CHG US,PREGNANT UTERUS,LIMITED, 1/> FETUSES | $73.20 | $183.00 | $36.10–$178.32 | 78% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US PREG UTERUS LIMITED | $310.00 | $775.00 | $73.30–$744.00 | 5% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US PREG UTERUS LIMITED | $310.00 | $775.00 | $73.30–$744.00 | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 HB SCREENING MAMMOGRAPHY BILATERAL INCLUDING CAD | $258.80 | $647.00 | $47.81–$844.46 | — | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HB SCREENING MAMMOGRAPHY BILATERAL INCLUDING CAD | $258.80 | $647.00 | $47.81–$844.46 | — | 60% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HB SHOULDER COMP MIN 2V | $284.00 | $710.00 | $16.27–$700.59 | 42% above | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HB SHOULDER COMP MIN 2V | $284.00 | $710.00 | $16.27–$700.59 | — | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGRAPHY | $2,977.20 | $7,443.00 | $69.46–$7,145.28 | 38% above | 60% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB ECHO 2D | $1,486.00 | $3,715.00 | $380.93–$3,566.40 | 15% below | 60% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB ECHO 2D | $1,486.00 | $3,715.00 | $380.93–$3,566.40 | — | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HB SWAL FUNC W/CINE/VIDEO | $293.60 | $734.00 | $101.07–$1,178.49 | 1% below | 60% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB SWAL FUNC W/CINE/VIDEO | $293.60 | $734.00 | $101.07–$1,178.49 | — | 60% |
| Transvaginal pelvic ultrasound CPT 76830 HB US NON-OB TRANSVAGINAL | $176.40 | $441.00 | $48.87–$560.33 | 49% below | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB US NON-OB TRANSVAGINAL | $176.40 | $441.00 | $48.87–$560.33 | — | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 PR US,PREGNANT UTERUS,TRANSVAGINAL | $77.20 | $193.00 | $41.64–$154.40 | 77% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 HB US PREG UTERUS, TRANSVAGINAL | $310.00 | $775.00 | $102.00–$744.00 | 9% below | 60% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB US PREG UTERUS, TRANSVAGINAL | $310.00 | $775.00 | $102.00–$744.00 | — | 60% |
| Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMPLETE | $580.00 | $1,450.00 | $47.81–$1,392.00 | 11% above | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB US ABDOMEN COMPLETE | $580.00 | $1,450.00 | $47.81–$1,392.00 | — | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 PR ECHO,SCROTUM & CONTENTS | $63.60 | $159.00 | $28.03–$127.20 | 85% below | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 HB US SCROTUM | $291.20 | $728.00 | $47.81–$698.88 | 31% below | 60% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HB US SCROTUM | $291.20 | $728.00 | $47.81–$698.88 | — | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US HEAD/NECK | $84.80 | $212.00 | $47.81–$526.34 | 76% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB US HEAD/NECK | $84.80 | $212.00 | $47.81–$526.34 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB FL UPPER GI WATER SOLUBLE WO KUB | $708.80 | $1,772.00 | $67.05–$9,115.27 | 36% above | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB FL UPPER GI WATER SOLUBLE WO KUB | $708.80 | $1,772.00 | $67.05–$9,115.27 | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HB DUPLEX EXTREM VEINS UNIL/LTD | $1,364.80 | $3,412.00 | $108.48–$3,275.52 | 116% above | 60% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HB WRIST COMP MIN 3V | $362.40 | $906.00 | $14.28–$869.76 | 40% above | 60% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HB WRIST COMP MIN 3V | $362.40 | $906.00 | $14.28–$869.76 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB RADIOLOGIC EXAM HIP, UNILATERAL, WITH PELVIS 2-3 VIEWS | $195.20 | $488.00 | $15.77–$468.48 | 28% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HB RADIOLOGIC EXAM HIP, UNILATERAL, WITH PELVIS 2-3 VIEWS | $195.20 | $488.00 | $15.77–$468.48 | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 HB RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $96.00 | $240.00 | $68.04–$379.48 | 55% below | 60% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HB RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $96.00 | $240.00 | $68.04–$379.48 | — | 60% |
| X-ray of the ankle, 2 views CPT 73600 HB HRH ANKLE 1 VIEW | $120.40 | $301.00 | $92.07–$379.48 | 19% below | 60% |
| X-ray of the ankle, 2 views CPT 73600 HB ANKLE 2 VIEWS | $120.40 | $301.00 | $17.51–$543.70 | 19% below | 60% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HB ANKLE 2 VIEWS | $120.40 | $301.00 | $17.51–$543.70 | — | 60% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HB HRH ANKLE 1 VIEW | $120.40 | $301.00 | $92.07–$379.48 | — | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 HB FINGER(S) MIN 2VIEWS | $201.60 | $504.00 | $14.28–$483.84 | 31% above | 60% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HB FINGER(S) MIN 2VIEWS | $201.60 | $504.00 | $14.28–$483.84 | — | 60% |
| X-ray of the foot, 2 views CPT 73620 HB HRH FOOT 1 VIEW | $120.00 | $300.00 | $58.13–$379.48 | 17% below | 60% |
| X-ray of the foot, 2 views CPT 73620 HB FOOT 2 VIEWS | $126.40 | $316.00 | $51.44–$379.48 | 13% below | 60% |
| X-ray of the foot, 2 views inpatient CPT 73620 HB HRH FOOT 1 VIEW | $120.00 | $300.00 | $58.13–$379.48 | — | 60% |
| X-ray of the foot, 2 views inpatient CPT 73620 HB FOOT 2 VIEWS | $126.40 | $316.00 | $51.44–$379.48 | — | 60% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HB FOOT COMP MIN 3V | $193.20 | $483.00 | $52.43–$546.59 | 1% below | 60% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HB FOOT COMP MIN 3V | $193.20 | $483.00 | $52.43–$546.59 | — | 60% |
| X-ray of the hand, 3 or more views CPT 73130 HB HAND 3 VIEWS | $226.40 | $566.00 | $13.29–$543.36 | 12% above | 60% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HB HAND 3 VIEWS | $226.40 | $566.00 | $13.29–$543.36 | — | 60% |
| X-ray of the knee, 1 or 2 views CPT 73560 HB KNEE 1-2 VIEWS | $223.60 | $559.00 | $15.77–$536.64 | 7% above | 60% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HB KNEE 1-2 VIEWS | $223.60 | $559.00 | $15.77–$536.64 | — | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB SPINE LUMBAR 2 OR 3 VIEWS | $285.20 | $713.00 | $14.28–$684.48 | 18% above | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB SPINE LUMBAR 2 OR 3 VIEWS | $285.20 | $713.00 | $14.28–$684.48 | — | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 HB SPINE LUMBAR MIN 4 VIEWS | $296.40 | $741.00 | $18.50–$711.36 | 13% below | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB SPINE LUMBAR MIN 4 VIEWS | $296.40 | $741.00 | $18.50–$711.36 | — | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB XR THORACIC SPINE AP AND LATERAL | $273.20 | $683.00 | $13.79–$655.68 | 22% above | 60% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB XR THORACIC SPINE AP AND LATERAL | $273.20 | $683.00 | $13.79–$655.68 | — | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HB NOSE COMP MIN 3V | $164.40 | $411.00 | $30.88–$515.50 | 18% below | 60% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB NOSE COMP MIN 3V | $164.40 | $411.00 | $30.88–$515.50 | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB SPINE CERVICAL 2 OR 3 VIEWS | $285.20 | $713.00 | $33.85–$684.48 | 14% above | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HB SPINE CERVICAL 2 OR 3 VIEWS | $285.20 | $713.00 | $33.85–$684.48 | — | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HB PELVIS 1/2 VIEWS | $226.00 | $565.00 | $14.53–$542.40 | 17% above | 60% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB PELVIS 1/2 VIEWS | $226.00 | $565.00 | $14.53–$542.40 | — | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB SACRUM & COCCYX MIN 2V | $201.60 | $504.00 | $25.68–$483.84 | 8% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB SACRUM & COCCYX MIN 2V | $201.60 | $504.00 | $25.68–$483.84 | — | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALT - REF LAB | $19.20 | $48.00 | $5.30–$62.14 | 28% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALT (SGPT) | $22.80 | $57.00 | $5.30–$62.14 | 15% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB AST - REF LAB | $18.80 | $47.00 | $5.18–$45.12 | 33% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB AST | $22.40 | $56.00 | $5.18–$62.14 | 20% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB ACUTE HEPATITIS PANEL | $172.00 | $430.00 | $13.72–$412.80 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLG SPEC IGE CRUDE XTRC EA -REF LAB | $23.60 | $59.00 | $5.22–$368.73 | 38% above | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CYCLIC CITRUL PEPTIDE AB IGG - ARUP | $59.20 | $148.00 | $12.95–$142.08 | 17% above | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANITNUCLEAR AB | $46.00 | $115.00 | $5.18–$110.40 | 24% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB NT PROBNP | $133.20 | $333.00 | $13.76–$319.68 | 21% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 HB BASIC METABOLIC PAN | $44.00 | $110.00 | $5.02–$105.60 | 44% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB CYTO CELL BLOCK/PATH | $78.80 | $197.00 | $39.52–$217.62 | 69% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SURG PATH 4, ONE | $120.40 | $301.00 | $32.95–$288.96 | 53% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB CYTO CELL BLOCK/PATH | $78.80 | $197.00 | $39.52–$217.62 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB SURG PATH 4, ONE | $120.40 | $301.00 | $32.95–$288.96 | — | 60% |
| Blood culture for bacteria CPT 87040 HB CULTURE BLOOD | $48.40 | $121.00 | $8.65–$116.16 | 62% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB COLLECT VENOUS BLOOD BY VENIPUNCTURE | $10.80 | $27.00 | $9.09–$27.11 | 18% below | 60% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE | $18.40 | $46.00 | $3.93–$44.16 | 29% below | 60% |
| Blood lead test CPT 83655 HB LEAD, URINE - REF LAB | $48.40 | $121.00 | $12.11–$116.16 | 21% below | 60% |
| Blood lead test CPT 83655 HB LEAD - ARUP | $48.40 | $121.00 | $4.00–$116.16 | 21% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB ABO TYPE | $203.20 | $508.00 | $2.99–$487.68 | 314% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN | $23.20 | $58.00 | $5.18–$55.68 | 66% below | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HB C DIFF AMPLIFIED PROBE | $162.00 | $405.00 | $11.98–$388.80 | 23% above | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 HB CA 19-9 - ARUP | $95.60 | $239.00 | $12.39–$229.44 | 34% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB CA-125 | $95.60 | $239.00 | $13.24–$229.44 | 41% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB COVID-19 RNA-POCT | $78.40 | $196.00 | $35.09–$188.16 | 25% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA AMP PROBE -REF LAB | $162.00 | $405.00 | $11.98–$388.80 | 66% above | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL (REFLEX) | $48.40 | $121.00 | $9.30–$116.16 | 46% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL - REF LAB | $48.40 | $121.00 | $9.30–$116.16 | 46% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL (SCREENING) | $48.40 | $121.00 | $9.30–$116.16 | 46% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 HB COMPLETE CBC W/AUTO DIFF WBC | $42.40 | $106.00 | $5.51–$101.76 | 12% above | 60% |
| Complete blood count (CBC), no differential CPT 85027 HB COMPLETE CBC AUTOMATED | $30.40 | $76.00 | $6.47–$72.96 | 7% above | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB COMP METABOLIC PANEL | $36.80 | $92.00 | $4.60–$88.32 | 50% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 HB D-DIMER SENSITIVE - ARUP | $55.20 | $138.00 | $10.18–$132.48 | 55% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HB DHEA SULFATE | $87.60 | $219.00 | $14.48–$210.24 | 40% below | 60% |
| Estradiol blood test CPT 82670 HB ESTRADIOL; TOTAL | $128.40 | $321.00 | $9.02–$308.16 | 12% above | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 HB FSH | $72.00 | $180.00 | $5.12–$172.80 | 39% below | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HB CALPROTECTIN | $77.20 | $193.00 | $4.73–$185.28 | 57% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 HB FERRITIN | $62.40 | $156.00 | $8.02–$149.76 | 8% above | 60% |
| Folate (folic acid) blood test CPT 82746 HB FOLIC ACID | $68.00 | $170.00 | $14.70–$163.20 | 5% below | 60% |
| Free T3 thyroid hormone test CPT 84481 HB FREE T3 | $67.60 | $169.00 | $11.15–$162.24 | 40% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB TPMT GENETICS | $22.00 | $55.00 | $5.32–$52.80 | 70% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB FREE T4 BY EQUIL DIALYSIS-TMS - REF LAB | $26.00 | $65.00 | $9.02–$72.30 | 65% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB FREE T4 | $26.00 | $65.00 | $4.23–$62.40 | 65% below | 60% |
| Free testosterone test CPT 84402 HB FREE TESTOSTERONE MALE - ARUP | $42.00 | $105.00 | $8.10–$179.30 | 48% below | 60% |
| Free testosterone test CPT 84402 HB TESTOSTERONE, FREE, ADULT MALES BY ED/LC-MS/MS - REF LAB | $46.00 | $115.00 | $8.10–$110.40 | 43% below | 60% |
| Free testosterone test CPT 84402 HB FREE TESTOST FEM/CHILD - ARUP | $46.00 | $115.00 | $8.10–$110.40 | 43% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE BLOOD 1 HOUR | $16.00 | $40.00 | $4.75–$38.40 | 61% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE 2 HR POST GLUCOLA | $16.00 | $40.00 | $4.75–$38.40 | 61% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE 2 HR PP | $16.00 | $40.00 | $4.75–$38.40 | 61% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB PREG GLUCOSE 1HR SCREEN | $18.80 | $47.00 | $4.75–$45.12 | 54% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE 2 HR P.C. | $18.80 | $47.00 | $4.75–$45.12 | 54% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 HB GLUCOSE BASE 3 SPE | $50.40 | $126.00 | $7.82–$120.96 | 29% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB GC DNA AMPLIFIED PROBE | $162.00 | $405.00 | $35.09–$388.80 | 66% above | 60% |
| H. pylori antibody blood test CPT 86677 HB QUANT HELICOBACTER IGM | $79.60 | $199.00 | $13.01–$191.04 | 20% below | 60% |
| H. pylori antibody blood test CPT 86677 HB QUANT HELICOBACTER IGG | $79.60 | $199.00 | $14.99–$191.04 | 20% below | 60% |
| H. pylori antibody blood test CPT 86677 HB ANTI HELICOBACTER PYLORI | $79.60 | $199.00 | $14.99–$191.04 | 20% below | 60% |
| H. pylori stool antigen test CPT 87338 HB H. PYLORI STOOL ANTIGEN | $57.20 | $143.00 | $4.27–$137.28 | 54% below | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV-1 RNA/DNA QNT - REF LAB | $334.40 | $836.00 | $35.09–$802.56 | 8% below | 60% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HPV HIGH RISK | $136.40 | $341.00 | $16.07–$327.36 | 33% above | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB GLYCOHEMOGLOBIN | $44.40 | $111.00 | $5.16–$106.56 | 30% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HEMOGLOBIN A1C - REF LAB | $44.40 | $111.00 | $9.71–$106.56 | 30% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEPATITIS BS AB | $50.00 | $125.00 | $10.74–$120.00 | 14% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEPATITIS BS AG | $30.40 | $76.00 | $4.27–$72.96 | 38% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C AB | $22.80 | $57.00 | $13.19–$60.01 | 73% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIC C | $24.00 | $60.00 | $12.01–$57.60 | 71% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEPATITIS C RNA QNT/PCR | $196.80 | $492.00 | $13.91–$472.32 | 5% above | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HB HSV TYPE 1 - ARUP | $40.00 | $100.00 | $11.54–$96.00 | 19% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HB HSV TYPE 2 - ARUP | $76.00 | $190.00 | $13.05–$182.40 | 7% above | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HB CRP-HIGH SENSITIVITY | $50.40 | $126.00 | $12.95–$120.96 | 28% below | 60% |
| Homocysteine blood test CPT 83090 HB HOMOCYSTEINE TOTAL - ARUP | $65.20 | $163.00 | $6.61–$156.48 | 48% below | 60% |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL, 120 MINUTE | $65.20 | $163.00 | $11.43–$156.48 | 3% above | 60% |
| Insulin blood test CPT 83525 HB INSULIN | $65.20 | $163.00 | $11.43–$156.48 | 3% above | 60% |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL, FASTING | $65.20 | $163.00 | $11.43–$156.48 | 3% above | 60% |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL -REF LAB | $76.80 | $192.00 | $11.43–$184.32 | 21% above | 60% |
| Iron blood test (serum iron) CPT 83540 HB IRON | $30.40 | $76.00 | $6.47–$72.96 | 25% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 HB TIBC | $40.00 | $100.00 | $8.74–$96.00 | 4% below | 60% |
| Kidney function blood test panel CPT 80069 HB RENAL FUNCTIONAL PANEL | $33.60 | $84.00 | $5.02–$80.64 | 65% below | 60% |
| LH (luteinizing hormone) test CPT 83002 HB LH | $72.00 | $180.00 | $5.18–$172.80 | 49% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE, BODY FLUID | $16.00 | $40.00 | $6.04–$57.12 | 82% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE | $17.20 | $43.00 | $3.93–$41.28 | 80% below | 60% |
| Liver function blood test panel CPT 80076 HB HEPATIC PANEL | $24.80 | $62.00 | $8.17–$59.52 | 73% below | 60% |
| Lyme disease antibody test CPT 86618 HB BORRELIA BURGDORFERI ABS -REF LAB | $40.00 | $100.00 | $10.74–$96.00 | 57% below | 60% |
| Magnesium blood test CPT 83735 HB MAGNESIUM, RBC - REF LAB | $30.40 | $76.00 | $6.70–$72.96 | 31% below | 60% |
| Magnesium blood test CPT 83735 HB MAGNESIUM | $30.40 | $76.00 | $4.75–$72.96 | 31% below | 60% |
| Magnesium blood test CPT 83735 HB MAGNESIUM, URINE - REF LAB | $30.40 | $76.00 | $6.70–$72.96 | 31% below | 60% |
| Measles (rubeola) antibody test CPT 86765 HB MEASLES IGG - ARUP | $50.40 | $126.00 | $12.88–$120.96 | 31% below | 60% |
| Obstetric blood test panel CPT 80055 HB OBSTETRIC PANEL | $156.40 | $391.00 | $9.30–$375.36 | 47% below | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB PSA FREE | $71.60 | $179.00 | $11.58–$171.84 | 3% above | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA TOTAL | $82.40 | $206.00 | $16.87–$197.76 | 12% above | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA,TOTAL (TUMOR MARKER) | $82.40 | $206.00 | $4.23–$197.76 | 12% above | 60% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HB HRH CYTOPATH C/V AUTO FLUID REDO | $46.80 | $117.00 | $19.24–$144.60 | 40% below | 60% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HB HRH CYTOPATH C/V AUTO FLUID REDO | $46.80 | $117.00 | $19.24–$144.60 | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB LIQUID BASED PAP, MANUAL SCREEN UNDER PHYSICIAN SUPER | $80.00 | $200.00 | $7.60–$210.39 | 15% above | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB LIQUID BASED PAP, MANUAL SCREEN UNDER PHYSICIAN SUPER | $80.00 | $200.00 | $7.60–$210.39 | — | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB PTH INTACT | $185.60 | $464.00 | $33.94–$445.44 | 2% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT | $27.20 | $68.00 | $6.01–$65.28 | 44% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT - REF LAB | $27.20 | $68.00 | $6.01–$65.28 | 44% below | 60% |
| Progesterone blood test CPT 84144 HB PROGESTERONE | $82.00 | $205.00 | $14.18–$196.80 | 40% below | 60% |
| Prolactin blood test CPT 84146 HB PROLACTIN | $75.60 | $189.00 | $16.87–$181.44 | 22% below | 60% |
| Prolactin blood test CPT 84146 HB MACROPROLACTIN - REF LAB | $75.60 | $189.00 | $14.71–$269.68 | 22% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PT - REF LAB | $18.40 | $46.00 | $4.29–$44.16 | 29% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME | $18.40 | $46.00 | $2.54–$44.16 | 29% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB BETA STREP SCREEN A RAPID | $55.20 | $138.00 | $5.60–$488.66 | 26% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID TITER | $82.00 | $205.00 | $5.67–$196.80 | 73% above | 60% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA IGG | $57.20 | $143.00 | $7.91–$137.28 | 14% below | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SEDRATE | $14.40 | $36.00 | $2.37–$34.70 | 63% below | 60% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HB SEMEN EXAM FOR FER | $34.80 | $87.00 | $12.31–$122.22 | 68% below | 60% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HB SEMEN EXAM FOR FER | $34.80 | $87.00 | $12.31–$122.22 | — | 60% |
| Stool ova and parasites exam CPT 87177 HB O&P CONCENTRATION - REF LAB | $35.20 | $88.00 | $5.88–$84.48 | 25% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB FECAL HEME DIAGNOSTIC | $68.80 | $172.00 | $15.92–$165.12 | 37% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB TREPONEMA PALLIDUM (VDRL), SERUM WITH REFLEX TO TITER - REF LAB | $14.00 | $35.00 | $4.27–$209.42 | 65% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR QUALITATIVE | $16.80 | $42.00 | $4.27–$40.32 | 57% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB VDRL, CSF - ARUP | $16.80 | $42.00 | $4.27–$258.83 | 57% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB TB GAMMA INTERFERON | $182.80 | $457.00 | $4.27–$438.72 | 21% above | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE, TOTAL -REF LAB | $46.00 | $115.00 | $11.53–$169.18 | 55% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE/TOTAL | $46.00 | $115.00 | $11.53–$110.40 | 55% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB THYROID PEROXIDASE - REF LAB | $65.20 | $163.00 | $11.47–$156.48 | 22% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB LIVER-KIDNEY MICROSOME-1 AB, IGG - REF LAB | $65.20 | $163.00 | $12.12–$156.48 | 22% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH | $50.80 | $127.00 | $16.80–$121.92 | 38% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH REFLEXIVE | $50.80 | $127.00 | $11.53–$121.92 | 38% below | 60% |
| Trichomonas test (NAAT) CPT 87661 HB HRH IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $33.60 | $84.00 | $35.09–$488.66 | 65% below | 60% |
| Trichomonas test (NAAT) CPT 87661 HB TRICH VAGINALIS BY TMA | $139.60 | $349.00 | $27.37–$530.68 | 47% above | 60% |
| Uric acid blood test CPT 84550 HB URIC ACID | $21.60 | $54.00 | $4.52–$51.84 | 53% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 HB URINALYSIS W/MICRO, AUTO | $14.00 | $35.00 | $2.25–$46.51 | 66% below | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB URINALYSIS W/MICRO, AUTO | $14.00 | $35.00 | $2.25–$46.51 | — | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HB UR SPEC GRAVITY | $8.40 | $21.00 | $2.25–$56.42 | 57% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HB POC URINALYSIS AUTO W/O SCOPE | $8.40 | $21.00 | $2.25–$20.16 | 57% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HB UA DIPSTICK | $9.60 | $24.00 | $2.25–$2,956.35 | 51% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 HB URINALYSIS NONAUTO W/O SCOPE | $16.40 | $41.00 | $3.05–$39.36 | 51% above | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINALYSIS NONAUTO W/O SCOPE | $16.40 | $41.00 | $3.05–$39.36 | — | 60% |
| Urine culture for bacteria, with colony count CPT 87086 HB CULTURE, URINE | $37.20 | $93.00 | $6.76–$89.28 | 10% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 HB URINE PREG TEST, VISUAL COLOR | $25.60 | $64.00 | $8.61–$61.44 | 52% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 HB URINE PREGNANCY TEST | $28.40 | $71.00 | $3.64–$183.69 | 46% below | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HB URINE PREGNANCY TEST | $28.40 | $71.00 | $3.64–$183.69 | — | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB B-12 | $69.20 | $173.00 | $13.44–$166.08 | 8% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB VITAMIN D,25 HYDROXY | $136.00 | $340.00 | $8.17–$326.40 | 16% above | 60% |
| Zinc blood test CPT 84630 HB ZINC SERUM - ARUP | $18.40 | $46.00 | $8.10–$79.53 | 73% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG QUANT - ARUP | $25.60 | $64.00 | $15.05–$106.28 | 67% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG QNT/NON TUMOR | $26.80 | $67.00 | $6.47–$64.32 | 65% below | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 PR APPENDECTOMY,RUPT APPENDX+ABSCESS | $1,084.40 | $2,711.00 | $776.02–$2,168.80 | 34% above | 60% |
| Appendectomy, open surgery CPT 44950 PR APPENDECTOMY | $732.80 | $1,832.00 | $569.59–$1,465.60 | 10% above | 60% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 PR KNEE SCOPE,AID ANT CRUCIATE REPAIR | $746.40 | $1,866.00 | $880.26–$1,496.44 | 95% below | 60% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 PR SHLDR ARTHROSCOP,SURG,W/ROTAT CUFF REPR | $818.00 | $2,045.00 | $964.87–$1,640.28 | 83% below | 60% |
| Botox injections for chronic migraine CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $101.60 | $254.00 | $107.41–$226.02 | 82% below | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB BX BREAST W PLACE OF BREAST LOCALIZATION DEVICE FIRST LESION W STEREO | $3,726.80 | $9,317.00 | $1,747.41–$96,994.51 | 65% above | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HB BX BREAST W PLACE OF BREAST LOCALIZATION DEVICE FIRST LESION W STEREO | $3,726.80 | $9,317.00 | $1,747.41–$96,994.51 | — | 60% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PR CLOSED TREATMENT OF DISTAL FIBULAR FX (LAT MALLEOLUS)W/O MANIPUL | $238.40 | $596.00 | $269.68–$616.98 | 37% below | 60% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PR CLOSED RX METATARSAL FX | $150.80 | $377.00 | $193.57–$885.89 | 56% below | 60% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT | $427.20 | $1,068.00 | $478.91–$1,350.31 | 80% below | 60% |
| Bunion correction with removal of part of the big toe joint CPT 28292 PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE | $496.80 | $1,242.00 | $452.81–$1,076.53 | 56% below | 60% |
| Cardiac catheterization with coronary angiogram CPT 93458 HB L HRT ARTERY/VENT ANGIO | $13,400.00 | $33,500.00 | $194.13–$32,160.00 | 40% above | 60% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HB L HRT ARTERY/VENT ANGIO | $13,400.00 | $33,500.00 | $194.13–$32,160.00 | — | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $218.80 | $547.00 | $98.97–$437.60 | 84% below | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION ELECTIVE, EXTERN | $2,112.80 | $5,282.00 | $166.77–$5,070.72 | 52% above | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB CARDIOVERSION ELECTIVE, EXTERN | $2,112.80 | $5,282.00 | $166.77–$5,070.72 | — | 60% |
| Carpal tunnel release, open surgery CPT 64721 PR REVISE MEDIAN N/CARPAL TUNNEL SURG | $304.00 | $760.00 | $401.88–$693.12 | 84% below | 60% |
| Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $500.80 | $1,252.00 | $491.82–$1,159.83 | 86% below | 60% |
| Cervical biopsy CPT 57500 PR BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION | $118.80 | $297.00 | $68.43–$237.60 | 85% below | 60% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR FULL ROUT OBSTE CARE,CESAREAN DELIV | $1,511.20 | $3,778.00 | $2,043.69–$3,981.62 | 23% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PR CIRCUMCISION,CLAMP,NEWBORN W/ ANESTH | $231.20 | $578.00 | $87.46–$462.40 | 22% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB CIRCUMCISION | $1,019.60 | $2,549.00 | $310.75–$9,115.27 | 244% above | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HB CIRCUMCISION | $1,019.60 | $2,549.00 | $310.75–$9,115.27 | — | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PR CLOSED RX DIST RAD/ULNA FX | $218.80 | $547.00 | $266.07–$942.20 | 44% below | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB HRH CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | $282.40 | $706.00 | $161.22–$1,338.48 | 27% below | 60% |
| Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $394.40 | $986.00 | $229.78–$788.80 | 79% below | 60% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $332.80 | $832.00 | $181.52–$665.60 | 76% below | 60% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $277.20 | $693.00 | $166.85–$554.40 | 76% below | 60% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 PR COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX | $185.60 | $464.00 | $144.81–$468.83 | 26% below | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PR COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG | $102.80 | $257.00 | $121.43–$257.67 | 69% below | 60% |
| Complex cataract surgery with lens implant CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP | $704.00 | $1,760.00 | $673.49–$1,408.00 | 60% below | 60% |
| Coronary stent placement, one artery CPT 92928 HB PERCUT TRANS INTRACOR STENT W PLASTY SINGLE MAJOR | $15,734.80 | $39,337.00 | $263.24–$37,763.52 | 1% above | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 HB PERCUT TRANS INTRACOR STENT W PLASTY SINGLE MAJOR | $15,734.80 | $39,337.00 | $263.24–$37,763.52 | — | 60% |
| Cystoscopy with ureteral stent placement CPT 52332 cysto w/insertion of indwelling ureteral stent | $448.40 | $1,121.00 | $141.07–$896.80 | 92% below | 60% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 PR CYSTOURETHROSCOPY | $161.60 | $404.00 | $73.04–$959.04 | 75% below | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PR DESTRUC PREMALIGNANT, FIRST LESION | $43.20 | $108.00 | $45.63–$156.10 | 72% below | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HB WND CAUTERY(ELECTRIC) 1 L | $198.40 | $496.00 | $212.27–$3,078.05 | 30% above | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HB WND CAUTERY(ELECTRIC) 1 L | $198.40 | $496.00 | $212.27–$3,078.05 | — | 60% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 PR CREATE EARDRUM OPENING,GEN ANESTH | $180.00 | $450.00 | $145.62–$360.00 | 43% below | 60% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 PR CREATE EARDRUM OPENING,LOCAL ANESTH | $203.20 | $508.00 | $122.08–$406.40 | 78% above | 60% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HB REM IMP CERUM IRRIG, UNI | $78.40 | $196.00 | $62.41–$12,666.21 | 38% below | 60% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HB REM IMP CERUM IRRIG, UNI | $78.40 | $196.00 | $62.41–$12,666.21 | — | 60% |
| Earwax removal with instruments, one ear both sides CPT 69210 HB REMOV EAR CERUMEN R/L/BI | $160.40 | $401.00 | $62.41–$1,772.62 | — | 60% |
| Earwax removal with instruments, one ear CPT 69210 HB REMOVAL OF IMPACTED CERUMEN ONE OR BOTH EARS | $136.80 | $342.00 | $40.54–$349.93 | 24% above | 60% |
| Earwax removal with instruments, one ear one side CPT 69210 PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $34.00 | $85.00 | $29.70–$73.95 | 69% below | 60% |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 HB REMOV EAR CERUMEN R/L/BI | $160.40 | $401.00 | $62.41–$1,772.62 | — | 60% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HB REMOVAL OF IMPACTED CERUMEN ONE OR BOTH EARS | $136.80 | $342.00 | $40.54–$349.93 | — | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PR BIOPSY OF UTERUS LINING | $66.40 | $166.00 | $57.29–$152.98 | 53% below | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB ENDOMETRIAL (BIOPSY) W/ OR W/O ENDOCERVICAL SAMPLING W/O CERV DIL | $252.00 | $630.00 | $43.02–$1,338.48 | 79% above | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HB ENDOMETRIAL (BIOPSY) W/ OR W/O ENDOCERVICAL SAMPLING W/O CERV DIL | $252.00 | $630.00 | $43.02–$1,338.48 | — | 60% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY | $427.60 | $1,069.00 | $291.01–$855.20 | 95% below | 60% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS | $1,520.00 | $3,800.00 | $340.18–$3,040.00 | 40% above | 60% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 PR NASAL SCOPY,OPEN MAXILL SINUS | $202.00 | $505.00 | $163.00–$646.21 | 97% below | 60% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 PR NASAL SCOPY,RMV TISS MAXILL SINUS | $1,376.00 | $3,440.00 | $238.84–$2,752.00 | 76% below | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $215.20 | $538.00 | $98.87–$430.40 | 78% below | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PR INJ DX/THER AGNT PARAVERT FACET JOINT, LUMBAR/SAC, 1ST LEVEL | $154.40 | $386.00 | $83.25–$381.63 | 86% below | 60% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $479.60 | $1,199.00 | $504.30–$959.20 | 96% below | 60% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE | $645.20 | $1,613.00 | $680.52–$1,290.40 | 96% below | 60% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $286.40 | $716.00 | $301.74–$797.78 | 96% below | 60% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAP,CHOLECYSTECTOMY | $835.60 | $2,089.00 | $587.64–$1,671.20 | 86% below | 60% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PR LAP,CHOLECYSTECTOMY/GRAPH | $899.20 | $2,248.00 | $638.54–$1,798.40 | 82% below | 60% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 PR REMOVAL GALLBLADDER | $1,390.00 | $3,475.00 | $868.39–$2,780.00 | 52% above | 60% |
| Hammertoe correction surgery CPT 28285 PR REPAIR OF HAMMERTOE,ONE | $262.40 | $656.00 | $342.89–$833.05 | 96% below | 60% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $143.60 | $359.00 | $120.52–$438.50 | 77% below | 60% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HB I&D LIGATION HEMORRHOID | $612.40 | $1,531.00 | $341.86–$1,967.80 | 3% below | 60% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HB I&D LIGATION HEMORRHOID | $612.40 | $1,531.00 | $341.86–$1,967.80 | — | 60% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 PR HEMORRHOIDECTOMY,INT/EXT,1 COLUMN/GROUP | $386.00 | $965.00 | $323.00–$794.60 | 75% below | 60% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 PR CONV PREV HIP SURG TO TOT HIP ARTHROPLAS | $1,512.40 | $3,781.00 | $1,498.32–$3,024.80 | at median | 60% |
| Hysterectomy through an abdominal incision (total) CPT 58150 PR TOTAL ABDOM HYSTERECTOMY | $686.00 | $1,715.00 | $918.26–$1,561.04 | 37% below | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 PR CATH/INJECT HYSTEROSALPINGOGRAM | $115.60 | $289.00 | $52.47–$355.52 | 59% below | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB SONOHYSTEROGRAM INJ PROC | $167.60 | $419.00 | $20.73–$402.24 | 41% below | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HB SONOHYSTEROGRAM INJ PROC | $167.60 | $419.00 | $20.73–$402.24 | — | 60% |
| Hysteroscopy with endometrial ablation CPT 58563 PR HYSTEROSCOPY,W/ENDOMETRIAL ABLATION | $1,283.60 | $3,209.00 | $222.58–$3,106.02 | 80% below | 60% |
| IUD insertion (the device itself billed separately) CPT 58300 PR INSERT INTRAUTERINE DEVICE | $60.00 | $150.00 | $47.88–$159.72 | 78% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $61.60 | $154.00 | $82.24–$196.79 | 85% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HB I&D SIMPLE SKIN ABSCESS | $445.60 | $1,114.00 | $170.01–$1,772.62 | 10% above | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HB I & D ABSCESS/CYST SMPL SNGL | $465.60 | $1,164.00 | $212.27–$2,226.60 | 15% above | 60% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB I&D SIMPLE SKIN ABSCESS | $445.60 | $1,114.00 | $170.01–$1,772.62 | — | 60% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB I & D ABSCESS/CYST SMPL SNGL | $465.60 | $1,164.00 | $212.27–$2,226.60 | — | 60% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR REPAIR ING HERNIA,5+Y/O,REDUCIBL | $630.00 | $1,575.00 | $467.34–$1,260.00 | 88% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $46.40 | $116.00 | $35.51–$92.80 | 91% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $59.60 | $149.00 | $41.22–$119.20 | 84% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB ARTHROCENTESIS MAJOR JT W/O US | $278.80 | $697.00 | $324.76–$2,226.60 | 27% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB ASPIRATION/INJ IN JOINT | $278.80 | $697.00 | $318.54–$14,267.78 | 27% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB ARTHROCENTESIS MAJOR JT W/O US | $278.80 | $697.00 | $324.76–$2,226.60 | — | 60% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT | $72.00 | $180.00 | $51.53–$153.46 | 76% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $46.80 | $117.00 | $33.66–$93.60 | 87% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB ARTHROCENTESIS INTMED JT W/O US | $592.40 | $1,481.00 | $324.76–$1,644.66 | 67% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB INJ ARTHROCENT INTER JT | $696.00 | $1,740.00 | $82.34–$1,670.40 | 96% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB ARTHROCENTESIS INTMED JT W/O US | $592.40 | $1,481.00 | $324.76–$1,644.66 | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $43.20 | $108.00 | $32.70–$86.40 | 84% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB ARTHROCENTESIS SM JT/BURSA | $424.00 | $1,060.00 | $324.76–$1,338.48 | 53% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB INJ ARTHROCENT SM JNT | $475.20 | $1,188.00 | $186.66–$1,140.48 | 71% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB ARTHROCENTESIS SM JT/BURSA | $424.00 | $1,060.00 | $324.76–$1,338.48 | — | 60% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 PR KNEE SCOPE,MED OR LAT MENIS REPAIR | $515.20 | $1,288.00 | $626.47–$1,065.00 | 95% below | 60% |
| Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $475.20 | $1,188.00 | $494.35–$950.40 | 87% below | 60% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $510.00 | $1,275.00 | $512.62–$1,020.00 | 86% below | 60% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 PR KNEE SCOPE,SHAVE ARTICULAR CART | $456.00 | $1,140.00 | $566.19–$962.52 | 49% below | 60% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 PR LAP,APPENDECTOMY | $671.60 | $1,679.00 | $536.66–$1,343.20 | 86% below | 60% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 PR LAP,ESOPHAGOGAST FUNDOPLASTY | $1,338.40 | $3,346.00 | $951.02–$2,676.80 | 48% below | 60% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 PR LAPAROSCOPY W TOT HYSTERECT UTERUS 250 GRAM OR LESS | $630.80 | $1,577.00 | $728.98–$2,381.46 | 80% below | 60% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PR LAPAROSCOPY W TOT HYSTERECTUTERUS <=250 GRAM W TUBE/OVARY | $692.40 | $1,731.00 | $819.21–$1,392.66 | 87% below | 60% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PR LAP,INGUINAL HERNIA REPR,INITIAL | $515.20 | $1,288.00 | $387.84–$1,030.40 | 88% below | 60% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PR LAP,INGUINAL HERNIA REPR,RECUR | $650.00 | $1,625.00 | $505.33–$1,300.00 | 71% below | 60% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PR LAP,RMV ADNEXAL STRUCTURE | $482.80 | $1,207.00 | $587.67–$999.04 | 76% below | 60% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR DISCISSION,2ND CATARACT,LASER | $199.60 | $499.00 | $232.55–$510.09 | 26% below | 60% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HB LASER TREATMENT EYE | $2,222.00 | $5,555.00 | $97.73–$15,612.57 | 724% above | 60% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HB LASER TREATMENT EYE | $2,222.00 | $5,555.00 | $97.73–$15,612.57 | — | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PR LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $126.00 | $315.00 | $126.00–$399.28 | 73% below | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB INTERMEDIATE REPAIR | $458.40 | $1,146.00 | $430.10–$7,011.75 | at median | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 HB LT HRT CATH W/ VENTRCGRAPHY | $3,765.20 | $9,413.00 | $119.07–$17,276.09 | 51% below | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HB LT HRT CATH W/ VENTRCGRAPHY | $3,765.20 | $9,413.00 | $119.07–$17,276.09 | — | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $211.60 | $529.00 | $91.38–$423.20 | 82% below | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $135.60 | $339.00 | $72.77–$271.20 | 90% below | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $196.00 | $490.00 | $102.51–$451.46 | 87% below | 60% |
| Lumpectomy (partial mastectomy) CPT 19301 PR MASTECTOMY, PARTIAL | $400.00 | $1,000.00 | $372.66–$997.65 | 73% below | 60% |
| Mastectomy (total removal of the breast) CPT 19303 PR MASTECTOMY, SIMPLE, COMPLETE | $560.00 | $1,400.00 | $780.00–$1,448.32 | 73% below | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PR EXC SKIN BENIG <5MM TRUNK,ARM,LEG | $67.60 | $169.00 | $67.14–$195.43 | 85% below | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB EXC BEN TRK EXTREM <.5CM | $943.20 | $2,358.00 | $443.28–$6,864.18 | 110% above | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HB EXC BEN TRK EXTREM <.5CM | $943.20 | $2,358.00 | $443.28–$6,864.18 | — | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC SKIN BENIG <5MM FACE,FACIAL | $75.20 | $188.00 | $88.47–$241.21 | 71% below | 60% |
| Nail removal (partial or complete), one nail CPT 11730 PR REMOVAL OF NAIL PLATE | $56.00 | $140.00 | $49.70–$175.97 | 83% below | 60% |
| Nail removal (partial or complete), one nail CPT 11730 HB AVULSION OF NAIL PLATE | $461.60 | $1,154.00 | $212.27–$1,772.62 | 42% above | 60% |
| Nail removal (partial or complete), one nail CPT 11730 HB AVULSION NAIL PLATE-SINGL | $461.60 | $1,154.00 | $212.27–$7,201.91 | 42% above | 60% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HB AVULSION NAIL PLATE-SINGL | $461.60 | $1,154.00 | $212.27–$7,201.91 | — | 60% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HB AVULSION OF NAIL PLATE | $461.60 | $1,154.00 | $212.27–$1,772.62 | — | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $73.20 | $183.00 | $46.95–$146.40 | 79% below | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 HB BLOCK OCCIPITAL NERVE | $664.80 | $1,662.00 | $324.76–$7,714.02 | 93% above | 60% |
| Pacemaker implant (dual chamber) CPT 33208 HB INS/RPLC PER PM W/ELECT-ATRL AND VENT | $9,415.20 | $23,538.00 | $318.54–$23,601.61 | 22% below | 60% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HB INS/RPLC PER PM W/ELECT-ATRL AND VENT | $9,415.20 | $23,538.00 | $318.54–$23,601.61 | — | 60% |
| Paracentesis with imaging guidance CPT 49083 PR ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $277.20 | $693.00 | $96.44–$554.40 | 79% below | 60% |
| Paracentesis with imaging guidance CPT 49083 HB ABD PARACENTESIS W/IMAG | $1,181.60 | $2,954.00 | $151.04–$2,835.84 | 12% below | 60% |
| Paracentesis with imaging guidance CPT 49083 HB ABD PARACENTESIS W/IMAGING | $1,267.20 | $3,168.00 | $16.51–$36,085.34 | 6% below | 60% |
| Paracentesis with imaging guidance inpatient CPT 49083 HB ABD PARACENTESIS W/IMAG | $1,181.60 | $2,954.00 | $151.04–$2,835.84 | — | 60% |
| Paracentesis with imaging guidance inpatient CPT 49083 HB ABD PARACENTESIS W/IMAGING | $1,267.20 | $3,168.00 | $16.51–$36,085.34 | — | 60% |
| Partial knee replacement (one compartment) CPT 27446 PR PLASTY KNEE,MED OR LAT COMPARTMT | $844.00 | $2,110.00 | $1,034.11–$1,757.99 | 84% below | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PR REMOVAL OF NAIL BED | $111.20 | $278.00 | $94.56–$247.01 | 82% below | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB EXCISION NAIL&NAIL MATRIX | $501.60 | $1,254.00 | $430.10–$1,203.84 | 19% below | 60% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HB EXCISION NAIL&NAIL MATRIX | $501.60 | $1,254.00 | $430.10–$1,203.84 | — | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $400.00 | $1,000.00 | $177.49–$800.00 | 81% below | 60% |
| Removal of a breast lump, open surgery CPT 19120 PR REMOVAL OF BREAST LESION | $250.40 | $626.00 | $341.50–$790.35 | 77% below | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $73.60 | $184.00 | $75.57–$232.31 | 83% below | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 HB REMOVE FOREIGN BODY | $616.00 | $1,540.00 | $430.10–$7,011.75 | 43% above | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 HB FB REMOVAL TISSUE SIMPLE | $646.00 | $1,615.00 | $48.87–$7,011.75 | 50% above | 60% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HB REMOVE FOREIGN BODY | $616.00 | $1,540.00 | $430.10–$7,011.75 | — | 60% |
| Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 PR THYROID LOBECTOMY,UNILAT | $486.40 | $1,216.00 | $636.35–$1,081.80 | 82% below | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PR COLON CA SCRN NOT HI RSK IND | $277.20 | $693.00 | $167.01–$554.40 | 83% below | 60% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND | $277.20 | $693.00 | $166.85–$554.40 | 79% below | 60% |
| Septoplasty to straighten the nasal septum CPT 30520 PR REPAIR OF NASAL SEPTUM | $1,080.00 | $2,700.00 | $544.91–$2,160.00 | 57% below | 60% |
| Short arm cast (elbow to hand) CPT 29075 PR APPLY FOREARM CAST | $67.60 | $169.00 | $56.88–$138.89 | 74% below | 60% |
| Short arm cast (elbow to hand) CPT 29075 HB APP SHORT ARM CAST | $570.80 | $1,427.00 | $144.56–$1,369.92 | 118% above | 60% |
| Short arm splint (forearm and hand) CPT 29125 PR APPLY FOREARM SPLINT,STATIC | $51.60 | $129.00 | $36.82–$105.67 | 72% below | 60% |
| Short arm splint (forearm and hand) CPT 29125 HB APPLY SPLNT SHORT ARM ST | $108.00 | $270.00 | $97.73–$7,201.91 | 41% below | 60% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HB APPLY SPLNT SHORT ARM ST | $108.00 | $270.00 | $97.73–$7,201.91 | — | 60% |
| Short leg cast (below the knee) CPT 29405 PR APPLY SHORT LEG CAST | $69.20 | $173.00 | $53.62–$138.40 | 78% below | 60% |
| Short leg cast (below the knee) CPT 29405 HB APPLY SHORT LEG CAST | $425.60 | $1,064.00 | $163.30–$1,075.62 | 35% above | 60% |
| Short leg splint (calf to foot) CPT 29515 PR APPLY LOWER LEG SPLINT | $53.60 | $134.00 | $45.58–$114.84 | 71% below | 60% |
| Short leg splint (calf to foot) CPT 29515 HB APP SHORT LEG SPLNT | $162.80 | $407.00 | $171.93–$874.88 | 11% below | 60% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB APP SHORT LEG SPLNT | $162.80 | $407.00 | $171.93–$874.88 | — | 60% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 PR SHLDR ARTHROSCOP,SURG,DIS CLAVICULECTOMY | $497.20 | $1,243.00 | $617.07–$1,049.02 | 73% below | 60% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SHOULDER SCOPE BONE SHAVING | $633.60 | $1,584.00 | $152.82–$1,267.20 | 91% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PR REPR SUPERF WND BODY <2.5CM | $86.00 | $215.00 | $36.84–$208.86 | 67% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB VI SURGICAL CLOSURE | $381.20 | $953.00 | $212.27–$12,666.21 | 47% above | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB SMP REP SF WD SC NK<2.5C | $428.80 | $1,072.00 | $212.27–$1,772.62 | 66% above | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB VI SURGICAL CLOSURE | $381.20 | $953.00 | $212.27–$12,666.21 | — | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB SMP REP SF WD SC NK<2.5C | $428.80 | $1,072.00 | $212.27–$1,772.62 | — | 60% |
| Skin biopsy, punch, one lesion CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION | $107.20 | $268.00 | $39.10–$214.40 | 73% below | 60% |
| Skin biopsy, punch, one lesion CPT 11104 HB PUNCH BIOPSY OF SKIN SINGLE LESION | $446.00 | $1,115.00 | $430.10–$1,219.63 | 12% above | 60% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HB PUNCH BIOPSY OF SKIN SINGLE LESION | $446.00 | $1,115.00 | $430.10–$1,219.63 | — | 60% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 PR EXC SKIN MALIG <5MM TRUNK,ARM,LEG | $102.00 | $255.00 | $95.90–$319.05 | 55% below | 60% |
| Skin tag removal, up to 15 tags CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 | $45.60 | $114.00 | $59.44–$143.06 | 80% below | 60% |
| Skin tag removal, up to 15 tags CPT 11200 HB SK TAG REMOVAL UP TO 15 | $200.80 | $502.00 | $73.30–$1,772.62 | 14% below | 60% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HB SK TAG REMOVAL UP TO 15 | $200.80 | $502.00 | $73.30–$1,772.62 | — | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $112.80 | $282.00 | $56.61–$439.50 | 88% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB SPINAL PUNCTURE LUMBAR DIAG | $693.20 | $1,733.00 | $29.15–$7,761.34 | 27% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB SPINAL PUNCTURE LUMBAR | $693.20 | $1,733.00 | $174.17–$6,955.00 | 27% below | 60% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB SPINAL PUNCTURE LUMBAR | $693.20 | $1,733.00 | $174.17–$6,955.00 | — | 60% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB SPINAL PUNCTURE LUMBAR DIAG | $693.20 | $1,733.00 | $29.15–$7,761.34 | — | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PR REPR SUP NPTERF WND BODY 2.6-7.5 | $91.60 | $229.00 | $48.25–$183.20 | 70% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB RPR S/N/AX/GEN/TRNK 2.6-7.0 | $426.40 | $1,066.00 | $212.27–$1,023.36 | 38% above | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB SMP REP SF WD 2.9-7.5 | $500.40 | $1,251.00 | $212.27–$1,772.62 | 62% above | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB RPR S/N/AX/GEN/TRNK 2.6-7.0 | $426.40 | $1,066.00 | $212.27–$1,023.36 | — | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB SMP REP SF WD 2.9-7.5 | $500.40 | $1,251.00 | $212.27–$1,772.62 | — | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PR REPR SUPERF WND FACE <2.5CM | $91.60 | $229.00 | $45.30–$183.20 | 58% below | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB REP SF WD FA EA< 2.5 CM | $448.00 | $1,120.00 | $212.27–$1,772.62 | 107% above | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HB REP SF WD FA EA< 2.5 CM | $448.00 | $1,120.00 | $212.27–$1,772.62 | — | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION | $60.80 | $152.00 | $31.62–$151.45 | 80% below | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB TANGENTIAL BIOPSY OF SKIN SINGLE LESION | $398.40 | $996.00 | $412.39–$956.16 | 32% above | 60% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HB TANGENTIAL BIOPSY OF SKIN SINGLE LESION | $398.40 | $996.00 | $412.39–$956.16 | — | 60% |
| Thoracentesis with imaging guidance CPT 32555 HB THORACENTESIS ASPIR OF PLEURAL SPACE W IMAGE | $1,312.00 | $3,280.00 | $267.91–$3,148.80 | 20% above | 60% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HB THORACENTESIS ASPIR OF PLEURAL SPACE W IMAGE | $1,312.00 | $3,280.00 | $267.91–$3,148.80 | — | 60% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 PR REMOVE TONSILS/ADENOIDS,12+ Y/O | $364.00 | $910.00 | $278.56–$728.00 | 89% below | 60% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS/ADENOIDS,<12 Y/O | $300.00 | $750.00 | $267.16–$746.28 | 90% below | 60% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 PR REMOVAL OF TONSILS,12+ Y/O | $328.00 | $820.00 | $234.86–$656.00 | 44% below | 60% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS,<12 Y/O | $280.00 | $700.00 | $247.09–$560.00 | 2% above | 60% |
| Total hip replacement CPT 27130 PR TOTAL HIP ARTHROPLASTY | $1,094.00 | $2,735.00 | $1,154.08–$2,188.00 | 82% below | 60% |
| Total knee replacement CPT 27447 PR TOTAL KNEE ARTHROPLASTY | $1,170.80 | $2,927.00 | $1,152.73–$2,341.60 | 90% below | 60% |
| Total shoulder replacement CPT 23472 PR RECONSTR TOTAL SHOULDER IMPLANT | $1,139.60 | $2,849.00 | $1,298.97–$2,279.20 | 93% below | 60% |
| Total thyroid removal (thyroidectomy) CPT 60240 PR THYROIDECTOMY | $649.60 | $1,624.00 | $821.51–$1,396.57 | 70% below | 60% |
| Trigger finger release surgery CPT 26055 PR INCISE FINGER TENDON SHEATH | $666.80 | $1,667.00 | $270.61–$1,333.60 | 67% below | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECT TRIGGER POINT, 1 OR 2 | $42.00 | $105.00 | $33.75–$84.00 | 92% below | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HB INJ TRIG 1-2 MUS | $422.80 | $1,057.00 | $318.54–$7,201.91 | 18% below | 60% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 PR LAP,TUBAL CAUTERY | $272.40 | $681.00 | $335.40–$907.02 | 51% below | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 PR BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $394.80 | $987.00 | $128.71–$789.60 | 79% below | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB BX BREAST W PLACE LOCALIZATION DEVICE PERCUT FIRST LESION INCL US | $3,614.00 | $9,035.00 | $329.12–$16,295.25 | 90% above | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HB BX BREAST W PLACE LOCALIZATION DEVICE PERCUT FIRST LESION INCL US | $3,614.00 | $9,035.00 | $329.12–$16,295.25 | — | 60% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $222.80 | $557.00 | $139.02–$1,600.20 | 93% below | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $219.60 | $549.00 | $125.59–$563.01 | 89% below | 60% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $224.40 | $561.00 | $125.59–$598.50 | 82% below | 60% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $264.00 | $660.00 | $177.35–$738.17 | 87% below | 60% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $242.00 | $605.00 | $150.51–$619.84 | 89% below | 60% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HB UGI W GUIDEWIRE DILATI | $1,028.00 | $2,570.00 | $65.52–$3,744.58 | 53% below | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $185.20 | $463.00 | $111.21–$435.46 | 86% below | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HB UPPER GI ENDOSCOPY | $1,224.00 | $3,060.00 | $47.81–$2,937.60 | 8% below | 60% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HB UPPER GI ENDOSCOPY | $1,224.00 | $3,060.00 | $47.81–$2,937.60 | — | 60% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $1,405.20 | $3,513.00 | $1,852.26–$3,751.31 | 6% below | 60% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $1,334.80 | $3,337.00 | $210.97–$3,608.91 | 26% below | 60% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 PR REMOVAL OF SPERM DUCT(S) | $490.80 | $1,227.00 | $212.10–$981.60 | 13% below | 60% |
| Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 | $57.20 | $143.00 | $55.90–$305.37 | 72% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< | $88.40 | $221.00 | $49.76–$431.64 | 87% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEB SK & SQ TISSUE | $396.80 | $992.00 | $73.30–$12,666.21 | 43% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEBRIDE SK & SQ TISSUE 0-15 | $406.80 | $1,017.00 | $17.12–$976.32 | 41% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEBRIDE SUBC TISSUE, 1ST 20CM | $446.00 | $1,115.00 | $430.10–$1,850.71 | 36% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB DEBRIDE SUBC TISSUE, 1ST 20CM | $446.00 | $1,115.00 | $430.10–$1,850.71 | — | 60% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 PR OPEN RX DISTAL RADIUS FX, EXTRA-ARTICULAR | $525.20 | $1,313.00 | $679.47–$1,155.10 | 69% below | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HB BLOOD TRANSFUSION ADMIN | $1,472.00 | $3,680.00 | $97.73–$3,532.80 | 64% above | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLOOD TRANSFUSION ADMIN | $1,472.00 | $3,680.00 | $97.73–$3,532.80 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB SPUTUM INDUCTION | $70.00 | $175.00 | $47.65–$954.86 | 38% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MDI TX-SUBSEQUENT | $70.00 | $175.00 | $47.65–$954.86 | 38% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL THPY TX-SUBSEQUENT | $73.60 | $184.00 | $47.65–$954.86 | 35% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AERO BRONCHO SPUT SUBSEQ X2 | $82.40 | $206.00 | $47.81–$954.86 | 27% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL MOBIL/BRONCHO/SPUT | $82.40 | $206.00 | $47.65–$954.86 | 27% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MED TX W PEP SUBSEQUENT | $82.40 | $206.00 | $47.81–$580.18 | 27% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AIRWAY INHALATION TREATMENT | $82.40 | $206.00 | $73.30–$954.86 | 27% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AERO BRONCHO SPUT SUBSEQ X | $82.40 | $206.00 | $48.87–$954.86 | 27% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB SPUTUM INDUCTION | $70.00 | $175.00 | $47.65–$954.86 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MDI TX-SUBSEQUENT | $70.00 | $175.00 | $47.65–$954.86 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL THPY TX-SUBSEQUENT | $73.60 | $184.00 | $47.65–$954.86 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AERO BRONCHO SPUT SUBSEQ X | $82.40 | $206.00 | $48.87–$954.86 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MED TX W PEP SUBSEQUENT | $82.40 | $206.00 | $47.81–$580.18 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AERO BRONCHO SPUT SUBSEQ X2 | $82.40 | $206.00 | $47.81–$954.86 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AIRWAY INHALATION TREATMENT | $82.40 | $206.00 | $73.30–$954.86 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL MOBIL/BRONCHO/SPUT | $82.40 | $206.00 | $47.65–$954.86 | — | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO IV INF, INITIAL UP TO 1HR | $1,028.00 | $2,570.00 | $349.47–$2,467.20 | 70% above | 60% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HB CHEMO IV INF, INITIAL UP TO 1HR | $1,028.00 | $2,570.00 | $349.47–$2,467.20 | — | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 PR CRITICAL CARE, E/M 1ST 30-74 MIN | $281.20 | $703.00 | $195.98–$562.40 | 85% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 HB CC CRITICAL CARE 30-74 MI | $2,147.20 | $5,368.00 | $202.23–$5,153.28 | 12% above | 60% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HB CC CRITICAL CARE 30-74 MI | $2,147.20 | $5,368.00 | $202.23–$5,153.28 | — | 60% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HB EEG,AWAKE AND DROWSY | $875.20 | $2,188.00 | $97.43–$3,744.58 | 35% above | 60% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB EEG,AWAKE AND DROWSY | $875.20 | $2,188.00 | $97.43–$3,744.58 | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB ECG 12 LEAD, TRACING ONLY | $207.60 | $519.00 | $62.41–$498.24 | 3% above | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB ECG 12 LEAD, TRACING ONLY | $207.60 | $519.00 | $62.41–$498.24 | — | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB SUTURES STAPLES REMOVED 99281 | $166.40 | $416.00 | $89.22–$3,087.84 | 12% above | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ER LEVEL 1 | $166.40 | $416.00 | $89.22–$443.28 | 12% above | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB SUTURES STAPLES REMOVED 99281 | $166.40 | $416.00 | $89.22–$3,087.84 | — | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB ER LEVEL 1 | $166.40 | $416.00 | $89.22–$443.28 | — | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ER LEVEL 2 | $307.20 | $768.00 | $102.93–$874.88 | 2% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB ER LEVEL 2 | $307.20 | $768.00 | $102.93–$874.88 | — | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PR EMERGENCY DEPARTMENT VISIT LOW MDM | $68.80 | $172.00 | $51.62–$137.60 | 89% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ER LEVEL 3 | $594.80 | $1,487.00 | $202.23–$14,267.78 | 5% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ER LEVEL 4 | $1,447.20 | $3,618.00 | $89.05–$3,473.28 | 41% above | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB ER LEVEL 4 | $1,447.20 | $3,618.00 | $89.05–$3,473.28 | — | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ER LEVEL 5 | $1,820.00 | $4,550.00 | $202.23–$4,368.00 | 20% above | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB ER LEVEL 5 | $1,820.00 | $4,550.00 | $202.23–$4,368.00 | — | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB CARDIO STRESS TEST TRACING ONLY | $450.80 | $1,127.00 | $111.55–$3,155.17 | 35% below | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB CARDIO STRESS TEST TRACING ONLY | $450.80 | $1,127.00 | $111.55–$3,155.17 | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB HYDRATION IV, INITIAL 31 MIN-1HR | $629.60 | $1,574.00 | $19.12–$1,511.04 | 71% above | 60% |
| IV infusion of a medicine, first hour CPT 96365 HB IV INFUS INITIAL UP TO 1 HOUR | $711.60 | $1,779.00 | $19.12–$1,707.84 | 78% above | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB INJ THERA PROPHYL SQ IM | $92.80 | $232.00 | $76.18–$874.88 | 7% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB INJECTION SC/IM | $92.80 | $232.00 | $18.90–$927.51 | 7% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB INJ THERA PROPHYL SQ IM | $92.80 | $232.00 | $76.18–$874.88 | — | 60% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 PR MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB | $137.60 | $344.00 | $96.21–$275.20 | 78% below | 60% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB NERVE CONDUCTION STUDIES; 7-8 STUDIES | $409.20 | $1,023.00 | $394.80–$1,627.16 | 33% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC RE-EDUC, 15 MIN | $49.20 | $123.00 | $27.89–$118.08 | 28% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB HT - OT NEUROMUSCULAR RE-ED | $49.20 | $123.00 | $31.42–$166.20 | 28% below | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB HT - OT NEUROMUSCULAR RE-ED | $49.20 | $123.00 | $31.42–$166.20 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC RE-EDUC, 15 MIN | $49.20 | $123.00 | $27.89–$118.08 | — | 60% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $54.80 | $137.00 | $68.82–$148.31 | 59% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $83.20 | $208.00 | $113.62–$222.98 | 45% below | 60% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $104.40 | $261.00 | $147.37–$294.28 | 44% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES | $37.20 | $93.00 | $43.80–$95.38 | 63% below | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MNT INITIAL 15 MIN | $28.80 | $72.00 | $35.20–$98.33 | 14% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 HB OT EVAL LOW COMPLEX | $140.00 | $350.00 | $96.81–$336.00 | 12% below | 60% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OT EVAL LOW COMPLEX | $140.00 | $350.00 | $96.81–$336.00 | — | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL HIGH COMPLEX | $193.60 | $484.00 | $64.74–$464.64 | 16% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PT EVAL HIGH COMPLEX | $193.60 | $484.00 | $64.74–$464.64 | — | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL LOW COMPLEX | $140.00 | $350.00 | $94.64–$336.00 | at median | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PT EVAL LOW COMPLEX | $140.00 | $350.00 | $94.64–$336.00 | — | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL MOD COMPLEX | $166.40 | $416.00 | $94.64–$399.36 | 8% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PT EVAL MOD COMPLEX | $166.40 | $416.00 | $94.64–$399.36 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB OT MANUAL THERAPY, 15 MIN | $48.80 | $122.00 | $19.03–$117.12 | 10% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY, 15 MIN | $48.80 | $122.00 | $26.60–$117.12 | 10% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB OT MANUAL THERAPY, 15 MIN | $48.80 | $122.00 | $19.03–$117.12 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY, 15 MIN | $48.80 | $122.00 | $26.60–$117.12 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THER EXERCISE 15 MINUTES | $49.60 | $124.00 | $6.19–$119.04 | 8% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB PHYS THER VISIT, EA 15 MIN | $49.60 | $124.00 | $13.75–$119.04 | 8% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB OT THER EXERCISE 15 MIN | $49.60 | $124.00 | $18.20–$119.04 | 8% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THER EXERCISE 15 MINUTES | $49.60 | $124.00 | $6.19–$119.04 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB OT THER EXERCISE 15 MIN | $49.60 | $124.00 | $18.20–$119.04 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB PHYS THER VISIT, EA 15 MIN | $49.60 | $124.00 | $13.75–$119.04 | — | 60% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB SMOKE/TOBAC COUNSEL 3-10M | $58.80 | $147.00 | $26.60–$141.12 | 106% above | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN | $72.80 | $182.00 | $99.21–$240.76 | 27% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB HRH TREATMENT ROOM LEVEL V | $262.00 | $655.00 | $140.86–$628.80 | 162% above | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $36.00 | $90.00 | $43.43–$121.63 | 36% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB HRH EVALUATION WITH SWAB | $54.00 | $135.00 | $81.00–$140.86 | 4% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN | $54.00 | $135.00 | $67.19–$171.30 | 28% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB HRH TREATMENT ROOM LEVEL IV | $193.20 | $483.00 | $61.61–$463.68 | 156% above | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN | $22.40 | $56.00 | $22.95–$75.05 | 46% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB HRH EVALUATION | $43.20 | $108.00 | $64.80–$6,914.05 | 4% above | 60% |
| Speech and language evaluation CPT 92523 HB EVAL SPEECH SOUND W EVAL OF LANGUAGE COMPREHENSION EXPRESSION | $255.20 | $638.00 | $55.13–$612.48 | 25% above | 60% |
| Speech and language evaluation inpatient CPT 92523 HB EVAL SPEECH SOUND W EVAL OF LANGUAGE COMPREHENSION EXPRESSION | $255.20 | $638.00 | $55.13–$612.48 | — | 60% |
| Speech therapy session, individual CPT 92507 HB SPEECH THERAPY 15 MIN | $94.80 | $237.00 | $73.62–$852.42 | 4% below | 60% |
| Speech therapy session, individual CPT 92507 HB SPEECH THERAPY 30 MIN | $118.80 | $297.00 | $55.13–$285.12 | 20% above | 60% |
| Speech therapy session, individual CPT 92507 HB SPEECH THERAPY 45 MIN | $143.60 | $359.00 | $73.62–$344.64 | 45% above | 60% |
| Speech therapy session, individual CPT 92507 HB SPEECH THERAPY 60 MIN | $167.60 | $419.00 | $73.62–$402.24 | 70% above | 60% |
| Speech therapy session, individual inpatient CPT 92507 HB SPEECH THERAPY 15 MIN | $94.80 | $237.00 | $73.62–$852.42 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 HB SPEECH THERAPY 30 MIN | $118.80 | $297.00 | $55.13–$285.12 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 HB SPEECH THERAPY 45 MIN | $143.60 | $359.00 | $73.62–$344.64 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 HB SPEECH THERAPY 60 MIN | $167.60 | $419.00 | $73.62–$402.24 | — | 60% |
| Spirometry (breathing test) CPT 94010 PR BREATHING CAPACITY TEST | $24.80 | $62.00 | $7.45–$264.89 | 90% below | 60% |
| Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY , ADULT | $264.00 | $660.00 | $202.23–$941.56 | — | 60% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HB SPIROMETRY ADULT PREPOST | $480.80 | $1,202.00 | $202.23–$1,153.92 | — | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB OT THERAPEUTIC ACTIVITIES, 15 MIN | $52.80 | $132.00 | $30.75–$163.40 | 8% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNCT ACTIVITIES, 15 MIN | $52.80 | $132.00 | $33.44–$582.98 | 8% below | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNCT ACTIVITIES, 15 MIN | $52.80 | $132.00 | $33.44–$582.98 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB OT THERAPEUTIC ACTIVITIES, 15 MIN | $52.80 | $132.00 | $30.75–$163.40 | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB THER PHLEBOTOMY | $110.00 | $275.00 | $127.22–$922.55 | 46% below | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUN ADMIN, ONE VACCINE | $92.80 | $232.00 | $16.19–$222.72 | 59% above | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB EACH ADDITIONAL VACCINE | $36.80 | $92.00 | $53.66–$167.74 | 1% below | 60% |
Source file: https://www.hendricks.org/upload/docs/Billing/351361243_hendricks-regional-health_standardcharges.csv