Hospital Baton Rouge, LA

St Helena Parish Hospital

St Helena Parish Hospital in Greensburg, LA publishes cash prices for 219 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 134 of 217 procedures and below it for 73. By typical cash price it ranks #19 of 28 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

16874 Hwy 43, Greensburg, LA, 70441 Collected Sep 27, 2026 Source price file (225) 222-6111

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 191300 · CMS hospital register

The price file shows no self-pay discount

For 758 of the 758 prices listed here, the cash price in St Helena Parish Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named St Helena Parish Hospital in Greensburg, LA:

Mar 27, 2026 Warning notice
Jul 7, 2026 Corrective action plan requested

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$385.00	$385.00	$73.33–$385.00	63% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS	$385.00	$385.00	$73.33–$385.00	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL LEFT COMPLETE	$260.00	$260.00	$78.45–$260.00	50% above	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL RIGHT COMPLETE	$260.00	$260.00	$78.45–$260.00	50% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL RIGHT COMPLETE	$260.00	$260.00	$78.45–$260.00	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL LEFT COMPLETE	$260.00	$260.00	$78.45–$260.00	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LEFT	$260.00	$260.00	$59.57–$260.00	46% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT	$260.00	$260.00	$59.57–$260.00	46% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RIGHT	$260.00	$260.00	$59.57–$260.00	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LEFT	$260.00	$260.00	$59.57–$260.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WO AND W CONTRAST	$2,000.00	$2,000.00	$250.33–$2,000.00	111% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W ABD PEL W	$2,000.00	$2,000.00	$250.33–$2,000.00	111% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W ABDOMEN PEL WWO	$2,000.00	$2,000.00	$250.33–$2,000.00	111% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W CONTRAST	$2,000.00	$2,000.00	$250.33–$2,000.00	111% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WO AND W CONTRAST	$2,000.00	$2,000.00	$250.33–$2,000.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W CONTRAST	$2,000.00	$2,000.00	$250.33–$2,000.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W ABD PEL W	$2,000.00	$2,000.00	$250.33–$2,000.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W ABDOMEN PEL WWO	$2,000.00	$2,000.00	$250.33–$2,000.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS WO CONTRAST	$2,240.00	$2,240.00	$165.41–$2,240.00	80% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN AND PELVIS WO CONTRAST	$2,240.00	$2,240.00	$165.41–$2,240.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W CONTRAST	$2,800.00	$2,800.00	$256.00–$2,800.00	72% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS W CONTRAST	$2,800.00	$2,800.00	$256.00–$2,800.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM	$3,360.00	$3,360.00	$256.00–$3,360.00	98% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS WWO CONTRAST	$3,360.00	$3,360.00	$256.00–$3,360.00	98% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN AND PELVIS WWO CONTRAST	$3,360.00	$3,360.00	$256.00–$3,360.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAM	$3,360.00	$3,360.00	$256.00–$3,360.00	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON	$1,400.00	$1,400.00	$204.48–$1,400.00	55% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON	$1,400.00	$1,400.00	$204.48–$1,400.00	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON	$1,120.00	$1,120.00	$122.74–$1,120.00	31% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON	$1,120.00	$1,120.00	$122.74–$1,120.00	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL/SINUS WO CON	$980.00	$980.00	$114.50–$980.00	47% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL/SINUS WO CON	$980.00	$980.00	$114.50–$980.00	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN HEAD WITHOUT CONTRAST	$910.00	$910.00	$95.68–$910.00	39% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN HEAD WITHOUT CONTRAST	$910.00	$910.00	$95.68–$910.00	—	—
CT scan of the head with contrast CPT 70460 CT BRAIN HEAD WITH CONTRAST	$1,225.00	$1,225.00	$132.98–$1,225.00	54% above	—
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN HEAD WITH CONTRAST	$1,225.00	$1,225.00	$132.98–$1,225.00	—	—
CT scan of the head without and with contrast CPT 70470 CT BRAIN HEAD WWO CON	$1,400.00	$1,400.00	$154.94–$1,400.00	48% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN HEAD WWO CON	$1,400.00	$1,400.00	$154.94–$1,400.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON	$1,120.00	$1,120.00	$116.54–$1,120.00	41% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON	$1,120.00	$1,120.00	$116.54–$1,120.00	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON	$1,120.00	$1,120.00	$117.12–$1,120.00	42% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON	$1,120.00	$1,120.00	$117.12–$1,120.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON	$1,400.00	$1,400.00	$200.29–$1,400.00	69% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON	$1,400.00	$1,400.00	$200.29–$1,400.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BILAT	$428.00	$428.00	$100.00–$428.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX SCAN OF EXT ART COMP BILAT STUDY	$1,004.00	$1,004.00	$125.00–$1,004.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID BILAT	$428.00	$428.00	$100.00–$428.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX SCAN OF EXT ART COMP BILAT STUDY	$1,004.00	$1,004.00	$125.00–$1,004.00	—	—
Chest X-ray, 2 views CPT 71046 XR CHEST PA/LAT	$126.00	$126.00	$24.16–$126.00	8% below	—
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA/LAT	$126.00	$126.00	$24.16–$126.00	—	—
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$101.00	$101.00	$18.26–$101.00	10% below	—
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$101.00	$101.00	$18.26–$101.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMPLETE	$364.00	$364.00	$84.74–$364.00	23% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMPLETE W/ Doppler	$364.00	$364.00	$84.74–$364.00	23% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL COMPLETE W/ Doppler	$364.00	$364.00	$84.74–$364.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL COMPLETE	$364.00	$364.00	$84.74–$364.00	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON	$1,155.00	$1,155.00	$119.13–$1,155.00	49% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST ABDOMEN AND PEL WO CONTRAST	$1,155.00	$1,155.00	$119.13–$1,155.00	49% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO ABDOMEN WO CONTRAST	$1,400.00	$1,400.00	$119.13–$1,400.00	81% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT OF CHEST W/O CONTRAST	$2,170.00	$2,170.00	$119.13–$2,170.00	180% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON	$1,155.00	$1,155.00	$119.13–$1,155.00	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST ABDOMEN AND PEL WO CONTRAST	$1,155.00	$1,155.00	$119.13–$1,155.00	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO ABDOMEN WO CONTRAST	$1,400.00	$1,400.00	$119.13–$1,400.00	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT OF CHEST W/O CONTRAST	$2,170.00	$2,170.00	$119.13–$2,170.00	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST ABDOMEN AND PEL W CONTRAST	$1,400.00	$1,400.00	$149.02–$1,400.00	48% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON	$1,400.00	$1,400.00	$149.02–$1,400.00	48% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W ABDOMEN W CONTRAST	$1,400.00	$1,400.00	$149.02–$1,400.00	48% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON	$1,400.00	$1,400.00	$149.02–$1,400.00	—	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W ABDOMEN W CONTRAST	$1,400.00	$1,400.00	$149.02–$1,400.00	—	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST ABDOMEN AND PEL W CONTRAST	$1,400.00	$1,400.00	$149.02–$1,400.00	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOWER EXT BILAT	$539.00	$539.00	$100.00–$539.00	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL LOWER EXT BILAT	$539.00	$539.00	$100.00–$539.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS UPPER EXT BILAT	$435.00	$435.00	$100.00–$435.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LOWER EXT BILAT	$435.00	$435.00	$100.00–$435.00	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND OF LOWER EXTREMITIES VENOUS	$465.00	$465.00	$125.00–$465.00	11% above	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS LOWER EXT BILAT	$435.00	$435.00	$100.00–$435.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS UPPER EXT BILAT	$435.00	$435.00	$100.00–$435.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 ULTRASOUND OF LOWER EXTREMITIES VENOUS	$465.00	$465.00	$125.00–$465.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM	$1,150.00	$1,150.00	$162.25–$1,150.00	60% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAM	$1,150.00	$1,150.00	$162.25–$1,150.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$280.00	$280.00	$68.61–$280.00	6% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$280.00	$280.00	$68.61–$280.00	6% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US RIGHT UPPER QUADRANT	$381.00	$381.00	$68.61–$381.00	28% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$280.00	$280.00	$68.61–$280.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN	$280.00	$280.00	$68.61–$280.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US RIGHT UPPER QUADRANT	$381.00	$381.00	$68.61–$381.00	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE CHEST	$1,155.00	$1,155.00	$80.90–$1,155.00	982% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE CHEST	$1,155.00	$1,155.00	$80.90–$1,155.00	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$2,090.00	$2,090.00	$175.13–$2,090.00	85% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$2,090.00	$2,090.00	$175.13–$2,090.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LIMITED	$280.00	$280.00	$26.52–$280.00	58% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON OB LIMITED	$280.00	$280.00	$26.52–$280.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB COMPLETE	$280.00	$280.00	$83.56–$280.00	3% below	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB W/TRANSVAGINAL	$280.00	$280.00	$83.56–$280.00	3% below	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB COMPLETE	$280.00	$280.00	$83.56–$280.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB W/TRANSVAGINAL	$280.00	$280.00	$83.56–$280.00	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OBSTETRICAL,COMPLETE,FETAL/MATERNAL U/S	$280.00	$280.00	$97.29–$280.00	1% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OBSTETRICAL,COMPLETE,FETAL/MATERNAL U/S	$280.00	$280.00	$97.29–$280.00	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB SINGLE LESS THAN 14 WEEKS	$280.00	$280.00	$80.41–$280.00	5% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB SINGLE LESS THAN 14 WEEKS	$280.00	$280.00	$80.41–$280.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OBSTETRICAL, LIMITED(FETAL SIZE)	$189.00	$189.00	$57.20–$189.00	40% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OBSTETRICAL, LIMITED(FETAL SIZE)	$189.00	$189.00	$57.20–$189.00	—	—
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL,PELVIC U/S	$203.00	$203.00	$97.29–$203.00	at median	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$280.00	$280.00	$97.29–$280.00	38% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL,PELVIC U/S	$203.00	$203.00	$97.29–$203.00	—	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$280.00	$280.00	$97.29–$280.00	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$412.00	$412.00	$91.03–$412.00	23% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$412.00	$412.00	$91.03–$412.00	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$203.00	$203.00	$81.20–$203.00	11% below	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$203.00	$203.00	$81.20–$203.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$412.00	$412.00	$96.31–$412.00	43% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK	$412.00	$412.00	$96.31–$412.00	43% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$412.00	$412.00	$96.31–$412.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD NECK	$412.00	$412.00	$96.31–$412.00	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SERIES,W/OR /W/O DEL. FILMS,W/O KUB	$273.00	$273.00	$87.53–$273.00	at median	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SERIES,W/OR /W/O DEL. FILMS,W/O KUB	$273.00	$273.00	$87.53–$273.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND VEINS LOWER	$1,000.00	$1,000.00	$102.59–$1,000.00	197% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER EXT LEFT	$242.75	$242.75	$100.00–$242.75	28% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPPER EXT LEFT	$242.75	$242.75	$100.00–$242.75	28% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPPER EXT RIGHT	$242.75	$242.75	$100.00–$242.75	28% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER EXT RIGHT	$242.75	$242.75	$100.00–$242.75	28% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ULTRASOUND VEINS LOWER	$1,000.00	$1,000.00	$102.59–$1,000.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UPPER EXT RIGHT	$242.75	$242.75	$100.00–$242.75	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LOWER EXT LEFT	$242.75	$242.75	$100.00–$242.75	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UPPER EXT LEFT	$242.75	$242.75	$100.00–$242.75	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LOWER EXT RIGHT	$242.75	$242.75	$100.00–$242.75	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE RT	$112.00	$112.00	$33.21–$112.00	1% below	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMPLETE RT	$112.00	$112.00	$33.21–$112.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP COMPLETE LT	$145.00	$145.00	$37.54–$145.00	2% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP COMPLETE RT	$145.00	$145.00	$37.54–$145.00	2% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP COMPLETE LT	$145.00	$145.00	$37.54–$145.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP COMPLETE RT	$145.00	$145.00	$37.54–$145.00	—	—
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN KUB	$88.00	$88.00	$22.20–$88.00	22% below	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN KUB	$88.00	$88.00	$22.20–$88.00	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS COMPLETE LT	$98.00	$98.00	$31.64–$98.00	at median	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS COMPLETE RT	$98.00	$98.00	$31.64–$98.00	at median	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS COMPLETE RT	$98.00	$98.00	$31.64–$98.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS COMPLETE LT	$98.00	$98.00	$31.64–$98.00	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP/LAT RT	$101.00	$101.00	$27.70–$101.00	8% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP/LAT LT	$101.00	$101.00	$27.70–$101.00	8% below	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE AP/LAT LT	$101.00	$101.00	$27.70–$101.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE AP/LAT RT	$101.00	$101.00	$27.70–$101.00	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE AP/LAT	$111.00	$111.00	$29.67–$111.00	27% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE AP/LAT	$111.00	$111.00	$29.67–$111.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE COMPLETE	$217.00	$217.00	$39.11–$217.00	6% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE COMPLETE	$217.00	$217.00	$39.11–$217.00	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC AP LAT	$154.00	$154.00	$23.77–$154.00	13% below	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC AP LAT	$154.00	$154.00	$23.77–$154.00	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES	$111.00	$111.00	$30.46–$111.00	8% below	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES	$111.00	$111.00	$30.46–$111.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE AP/LAT	$174.00	$174.00	$29.67–$174.00	21% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE AP/LAT	$174.00	$174.00	$29.67–$174.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS	$88.00	$88.00	$21.80–$88.00	39% below	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS	$88.00	$88.00	$21.80–$88.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX COMPLETE	$111.00	$111.00	$24.95–$111.00	21% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX COMPLETE	$111.00	$111.00	$24.95–$111.00	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$32.53	$32.53	$4.55–$32.20	5% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$32.53	$32.53	$4.55–$32.20	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$39.42	$39.42	$4.45–$39.03	20% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$39.42	$39.42	$4.45–$39.03	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$62.76	$62.76	$40.93–$62.13	46% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$62.76	$62.76	$40.93–$62.13	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT IGE (INVICTA)	$11.61	$11.61	$4.48–$11.49	15% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 WASP, PAPER ALLERGY TEST	$11.61	$11.61	$4.48–$11.49	15% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HONEYBEE ALLERGY TEST	$11.61	$11.61	$4.48–$11.49	15% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HORNET, WHITE FACE ALLERGY TEST	$11.61	$11.61	$4.48–$11.49	15% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HORNET, YELLOW ALLERGY TEST	$11.61	$11.61	$4.48–$11.49	15% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET ALLERGY TEST	$11.61	$11.61	$4.48–$11.49	15% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IgE - EACH ALLERGEN	$20.00	$20.00	$4.48–$19.80	99% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN, IGE	$60.00	$60.00	$4.48–$59.40	496% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CRAYFISH	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LOBSTER	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR SHRIMP	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR SOYBEAN	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CODFISH	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SESAME SEED	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR WALNUT	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR WHEAT	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CRAB	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WALNUT	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CORN	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CLAM	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SCALLOP	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEST	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK, IGE	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SHRIMP	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE OYSTER	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WHEAT	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR CLAM	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR CODFISH	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR EGG WHITE	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR MAIZE/CORN	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR MILK	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR PEANUT	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SOYBEAN	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR SCALLOP	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE MILK	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE EGG WHITE	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TESTING FOR SESAME SEED	$60.54	$60.54	$4.48–$59.93	502% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE GLUTEN	$129.00	$129.00	$4.48–$127.71	1182% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALFALFA IGE ANTIBODY	$255.00	$255.00	$4.48–$252.45	2435% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST	$282.52	$282.52	$4.48–$279.69	2708% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PROFILE ZONE 6	$337.08	$337.08	$4.48–$333.71	3251% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PANEL	$363.24	$363.24	$4.48–$359.61	3511% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGENS (22)	$444.00	$444.00	$4.48–$439.56	4314% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIRE ANT IGE (INVICTA)	$11.61	$11.61	$4.48–$11.49	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW JACKET ALLERGY TEST	$11.61	$11.61	$4.48–$11.49	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORNET, WHITE FACE ALLERGY TEST	$11.61	$11.61	$4.48–$11.49	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEYBEE ALLERGY TEST	$11.61	$11.61	$4.48–$11.49	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORNET, YELLOW ALLERGY TEST	$11.61	$11.61	$4.48–$11.49	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WASP, PAPER ALLERGY TEST	$11.61	$11.61	$4.48–$11.49	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IgE - EACH ALLERGEN	$20.00	$20.00	$4.48–$19.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN, IGE	$60.00	$60.00	$4.48–$59.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TEST	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CRAB	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE SHRIMP	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CRAYFISH	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LOBSTER	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE OYSTER	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR CLAM	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR CODFISH	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR EGG WHITE	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR MAIZE/CORN	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR MILK	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR PEANUT	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR SCALLOP	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR SESAME SEED	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR SHRIMP	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR SOYBEAN	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR WALNUT	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY TESTING FOR WHEAT	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK, IGE	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE SCALLOP	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CLAM	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CORN	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE WALNUT	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE SESAME SEED	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CODFISH	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE EGG WHITE	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE MILK	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE PEANUT	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE SOYBEAN	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE WHEAT	$60.54	$60.54	$4.48–$59.93	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE GLUTEN	$129.00	$129.00	$4.48–$127.71	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALFALFA IGE ANTIBODY	$255.00	$255.00	$4.48–$252.45	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST	$282.52	$282.52	$4.48–$279.69	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PROFILE ZONE 6	$337.08	$337.08	$4.48–$333.71	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PANEL	$363.24	$363.24	$4.48–$359.61	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGENS (22)	$444.00	$444.00	$4.48–$439.56	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE, ANTIBODY	$42.00	$42.00	$11.12–$41.58	12% below	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE, ANTIBODY	$42.00	$42.00	$11.12–$41.58	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT	$103.00	$103.00	$10.39–$101.97	97% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT W/REFLEX	$103.00	$103.00	$10.39–$101.97	97% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Hep2 Substrate (screen w/titer)	$423.00	$423.00	$10.39–$418.77	707% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT	$103.00	$103.00	$10.39–$101.97	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT W/REFLEX	$103.00	$103.00	$10.39–$101.97	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Hep2 Substrate (screen w/titer)	$423.00	$423.00	$10.39–$418.77	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PROBNP	$270.00	$270.00	$29.17–$267.30	244% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$270.00	$270.00	$29.17–$267.30	244% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PROBNP	$270.00	$270.00	$29.17–$267.30	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$270.00	$270.00	$29.17–$267.30	—	—
Basic metabolic panel (blood test) CPT 80048 BMP	$102.00	$102.00	$7.27–$100.98	67% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$102.00	$102.00	$7.27–$100.98	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PRODUCT OF CONCEPTION HISTOLOGY	$188.85	$188.85	$34.33–$186.96	159% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATHOLOGY--LEVEL IV, GROSS & MICROS	$472.00	$472.00	$21.44–$467.28	547% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PRODUCT OF CONCEPTION HISTOLOGY	$188.85	$188.85	$34.33–$186.96	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATHOLOGY--LEVEL IV, GROSS & MICROS	$472.00	$472.00	$21.44–$467.28	—	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$84.62	$84.62	$8.87–$83.77	16% above	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$84.62	$84.62	$8.87–$83.77	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$10.00	$10.00	$1.80–$9.90	17% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$10.00	$10.00	$1.80–$9.90	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE	$26.73	$26.73	$3.37–$26.46	54% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$26.73	$26.73	$3.37–$26.46	—	—
Blood lead test CPT 83655 LEAD, PEDIATRIC	$10.47	$10.47	$7.20–$11.87	66% below	—
Blood lead test CPT 83655 LEAD LEVEL(BLOOD)	$58.99	$58.99	$10.40–$58.40	90% above	—
Blood lead test CPT 83655 LEAD LEVEL	$60.00	$60.00	$10.40–$59.40	93% above	—
Blood lead test inpatient CPT 83655 LEAD, PEDIATRIC	$10.47	$10.47	$7.20–$11.87	—	—
Blood lead test inpatient CPT 83655 LEAD LEVEL(BLOOD)	$58.99	$58.99	$10.40–$58.40	—	—
Blood lead test inpatient CPT 83655 LEAD LEVEL	$60.00	$60.00	$10.40–$59.40	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG SERUM QUALITATIVE	$46.80	$46.80	$6.46–$46.33	15% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG SERUM QUALITATIVE	$46.80	$46.80	$6.46–$46.33	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO	$10.48	$10.48	$2.56–$10.38	78% below	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO	$10.48	$10.48	$2.56–$10.38	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$32.53	$32.53	$4.45–$32.20	4% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$32.53	$32.53	$4.45–$32.20	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE A & B EIA STOOL	$225.00	$225.00	$30.16–$222.75	227% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN GENE	$240.00	$240.00	$30.16–$237.60	249% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE PCR W/REFLEX TO E	$393.75	$393.75	$30.16–$389.81	472% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE PCR W/REFLEX TO EI	$393.75	$393.75	$30.16–$389.81	472% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE PCR TOXIN B	$712.50	$712.50	$30.16–$705.38	936% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE A & B EIA STOOL	$225.00	$225.00	$30.16–$222.75	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN GENE	$240.00	$240.00	$30.16–$237.60	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE PCR W/REFLEX TO E	$393.75	$393.75	$30.16–$389.81	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE PCR W/REFLEX TO EI	$393.75	$393.75	$30.16–$389.81	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE PCR TOXIN B	$712.50	$712.50	$30.16–$705.38	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$96.00	$96.00	$17.89–$95.04	97% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$96.00	$96.00	$17.89–$95.04	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$67.00	$67.00	$17.89–$66.33	at median	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125	$77.45	$77.45	$17.89–$76.68	16% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$67.00	$67.00	$17.89–$66.33	—	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca 125	$77.45	$77.45	$17.89–$76.68	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NASAL SWAB (RL)	$155.00	$155.00	$30.79–$153.45	174% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID RAPID	$155.00	$155.00	$30.79–$153.45	174% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NASAL SWAB (RL)	$155.00	$155.00	$30.79–$153.45	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID RAPID	$155.00	$155.00	$30.79–$153.45	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 URINE,GC	$27.00	$27.00	$18.58–$34.39	52% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 URINE, CHLAMYDIA	$27.00	$27.00	$18.58–$34.39	52% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PROBE OR URINE	$42.00	$42.00	$28.90–$42.00	25% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 URINE,GC	$27.00	$27.00	$18.58–$34.39	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 URINE, CHLAMYDIA	$27.00	$27.00	$18.58–$34.39	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PROBE OR URINE	$42.00	$42.00	$28.90–$42.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$114.66	$114.66	$11.51–$113.51	62% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$114.66	$114.66	$11.51–$113.51	—	—
Complete blood count (CBC) with differential CPT 85025 CBC AUTO DIFF RL	$44.10	$44.10	$6.68–$43.66	16% above	—
Complete blood count (CBC) with differential CPT 85025 CYTOPLASMIC NEUTROPHIL AB(C-ANCA/P-ANCA)	$185.40	$185.40	$6.68–$183.55	387% above	—
Complete blood count (CBC) with differential CPT 85025 CYTOPLASMIC NEUTROPHIL AB(C-ANCA/P-ANCA	$185.40	$185.40	$6.68–$183.55	387% above	—
Complete blood count (CBC) with differential CPT 85025 BABESIA/ MALARIA SMEAR	$450.00	$450.00	$6.68–$445.50	1083% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO DIFF RL	$44.10	$44.10	$6.68–$43.66	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 CYTOPLASMIC NEUTROPHIL AB(C-ANCA/P-ANCA	$185.40	$185.40	$6.68–$183.55	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 CYTOPLASMIC NEUTROPHIL AB(C-ANCA/P-ANCA)	$185.40	$185.40	$6.68–$183.55	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 BABESIA/ MALARIA SMEAR	$450.00	$450.00	$6.68–$445.50	—	—
Complete blood count (CBC), no differential CPT 85027 CBC HEMAGRAM	$44.10	$44.10	$5.56–$43.66	at median	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC HEMAGRAM	$44.10	$44.10	$5.56–$43.66	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PROFILE	$112.00	$112.00	$9.08–$110.88	1% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PROFILE	$112.00	$112.00	$9.08–$110.88	—	—
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION PROD D-DIMER QUANT	$62.00	$62.00	$8.74–$61.38	14% below	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION PROD D-DIMER QUANT	$62.00	$62.00	$8.74–$61.38	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS SULFATE, SERUM	$99.50	$99.50	$19.11–$98.50	61% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS SULFATE, SERUM	$99.50	$99.50	$19.11–$98.50	—	—
Estradiol blood test CPT 82670 ESTRADIOL	$45.00	$45.00	$24.01–$44.55	43% below	—
Estradiol blood test CPT 82670 ESTRADIOL, SENSITIVE, E2	$78.96	$78.96	$24.01–$78.17	at median	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$45.00	$45.00	$24.01–$44.55	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL, SENSITIVE, E2	$78.96	$78.96	$24.01–$78.17	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH HORMONE LEVEL	$82.14	$82.14	$15.97–$81.32	30% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH HORMONE LEVEL	$82.14	$82.14	$15.97–$81.32	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$300.00	$300.00	$16.87–$297.00	127% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$300.00	$300.00	$16.87–$297.00	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL	$64.77	$64.77	$11.71–$64.12	17% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN (RL)	$64.77	$64.77	$11.71–$64.12	17% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN (RL)	$64.77	$64.77	$11.71–$64.12	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL	$64.77	$64.77	$11.71–$64.12	—	—
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$47.00	$47.00	$12.64–$46.53	at median	—
Folate (folic acid) blood test CPT 82746 FOLIC ACID (RL)	$47.00	$47.00	$12.64–$46.53	at median	—
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$47.00	$47.00	$12.64–$46.53	—	—
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID (RL)	$47.00	$47.00	$12.64–$46.53	—	—
Free T3 thyroid hormone test CPT 84481 FREE T3	$91.00	$91.00	$13.43–$90.09	65% above	—
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$91.00	$91.00	$13.43–$90.09	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$62.00	$62.00	$7.75–$61.38	7% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$62.00	$62.00	$7.75–$61.38	—	—
Free testosterone test CPT 84402 TESTOSTERONE BIOAVAILABLE	$135.00	$135.00	$21.88–$133.65	85% above	—
Free testosterone test CPT 84402 TESTOSTERONE, FREE W/TOTAL	$328.13	$328.13	$21.88–$324.85	349% above	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE BIOAVAILABLE	$135.00	$135.00	$21.88–$133.65	—	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE W/TOTAL	$328.13	$328.13	$21.88–$324.85	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 TWO POST GLUCOSE DOSE INCLUDES GLUCOSE	$65.88	$65.88	$4.08–$65.22	310% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 TWO POST GLUCOSE DOSE INCLUDES GLUCOSE	$65.88	$65.88	$4.08–$65.22	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2 HOUR	$67.25	$67.25	$11.06–$66.58	45% above	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 HOUR	$67.25	$67.25	$11.06–$66.58	45% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 2 HOUR	$67.25	$67.25	$11.06–$66.58	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 HOUR	$67.25	$67.25	$11.06–$66.58	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC PROBE OR URINE	$42.00	$42.00	$28.90–$42.00	20% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMP PROBE TECH	$70.00	$70.00	$30.16–$69.30	33% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA/GC BY D&A PROBE	$86.00	$86.00	$30.16–$85.14	63% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC PROBE OR URINE	$42.00	$42.00	$28.90–$42.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMP PROBE TECH	$70.00	$70.00	$30.16–$69.30	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA/GC BY D&A PROBE	$86.00	$86.00	$30.16–$85.14	—	—
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG,IGA,IGM	$212.40	$212.40	$12.47–$210.28	174% above	—
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGG,IGA,IGM	$212.40	$212.40	$12.47–$210.28	—	—
H. pylori stool antigen test CPT 87338 STOOL H PYLORI ANTIGEN	$201.00	$201.00	$6.31–$198.99	205% above	—
H. pylori stool antigen test inpatient CPT 87338 STOOL H PYLORI ANTIGEN	$201.00	$201.00	$6.31–$198.99	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 QUANT(VIRAL LOAD)	$232.17	$232.17	$73.13–$229.85	21% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 QUANT(VIRAL LOAD)	$232.17	$232.17	$73.13–$229.85	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 AND 2	$429.00	$429.00	$11.79–$424.71	740% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 AND 2	$429.00	$429.00	$11.79–$424.71	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV (AG/AB COMBO) p24	$40.59	$40.59	$20.47–$40.18	18% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV (AG/AB COMBO)	$40.59	$40.59	$20.47–$40.18	18% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV (AG/AB COMBO) p24	$40.59	$40.59	$20.47–$40.18	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV (AG/AB COMBO)	$40.59	$40.59	$20.47–$40.18	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMAVIRUS	$81.38	$81.38	$28.66–$80.57	79% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HUMAN PAPILLOMAVIRUS	$81.38	$81.38	$28.66–$80.57	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C	$50.99	$50.99	$8.34–$50.48	3% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C	$50.99	$50.99	$8.34–$50.48	3% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C	$50.99	$50.99	$8.34–$50.48	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$48.00	$48.00	$9.23–$47.52	19% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$48.00	$48.00	$9.23–$47.52	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$45.00	$45.00	$8.87–$44.55	4% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$45.00	$45.00	$8.87–$44.55	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB REFLEX TO QUANT PCR	$45.00	$45.00	$12.26–$44.55	12% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$50.99	$50.99	$12.26–$50.48	at median	—
Hepatitis C antibody blood test (screening) CPT 86803 HEP C PCR AND GENOTYPE	$70.32	$70.32	$12.26–$69.62	37% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB REFLEX TO QUANT PCR	$45.00	$45.00	$12.26–$44.55	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$50.99	$50.99	$12.26–$50.48	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C PCR AND GENOTYPE	$70.32	$70.32	$12.26–$69.62	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C PCR DNA or RNA QUANTITATIVE	$225.00	$225.00	$36.81–$222.75	35% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT	$375.00	$375.00	$36.81–$371.25	126% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS, VIRAL LOAD (QUAN	$729.60	$729.60	$36.81–$722.30	339% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C PCR DNA or RNA QUANTITATIVE	$225.00	$225.00	$36.81–$222.75	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QUANT	$375.00	$375.00	$36.81–$371.25	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS, VIRAL LOAD (QUAN	$729.60	$729.60	$36.81–$722.30	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS TYPE 1	$75.00	$75.00	$11.33–$74.25	107% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS TYPE 1 SPECIFIC IG	$300.00	$300.00	$11.33–$297.00	726% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS TYPE 1	$75.00	$75.00	$11.33–$74.25	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS TYPE 1 SPECIFIC IG	$300.00	$300.00	$11.33–$297.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS TYPE 2	$75.00	$75.00	$16.63–$74.25	67% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS TYPE2 SPECIFIC IG	$300.00	$300.00	$16.63–$297.00	567% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS TYPE 2	$75.00	$75.00	$16.63–$74.25	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS TYPE2 SPECIFIC IG	$300.00	$300.00	$16.63–$297.00	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 HS CRP	$101.25	$101.25	$11.12–$100.24	127% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HS CRP	$101.25	$101.25	$11.12–$100.24	—	—
Homocysteine blood test CPT 83090 HOMOCYSTINE	$175.00	$175.00	$14.50–$173.25	207% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$175.00	$175.00	$14.50–$173.25	—	—
Insulin blood test CPT 83525 SERUM INSULIN FASTING & 1 HOUR	$47.13	$47.13	$9.83–$46.66	12% above	—
Insulin blood test CPT 83525 INSULIN LEVEL(BLOOD)	$55.68	$55.68	$9.83–$55.12	32% above	—
Insulin blood test CPT 83525 TWO HOUR PP INSULIN LEVEL	$69.00	$69.00	$9.83–$68.31	64% above	—
Insulin blood test inpatient CPT 83525 SERUM INSULIN FASTING & 1 HOUR	$47.13	$47.13	$9.83–$46.66	—	—
Insulin blood test inpatient CPT 83525 INSULIN LEVEL(BLOOD)	$55.68	$55.68	$9.83–$55.12	—	—
Insulin blood test inpatient CPT 83525 TWO HOUR PP INSULIN LEVEL	$69.00	$69.00	$9.83–$68.31	—	—
Iron blood test (serum iron) CPT 83540 IRON	$12.00	$12.00	$5.57–$11.88	65% below	—
Iron blood test (serum iron) CPT 83540 IRON (RL)	$12.00	$12.00	$5.57–$11.88	65% below	—
Iron blood test (serum iron) CPT 83540 TOTAL SERUM IRON	$30.00	$30.00	$5.57–$29.70	13% below	—
Iron blood test (serum iron) inpatient CPT 83540 IRON (RL)	$12.00	$12.00	$5.57–$11.88	—	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$12.00	$12.00	$5.57–$11.88	—	—
Iron blood test (serum iron) inpatient CPT 83540 TOTAL SERUM IRON	$30.00	$30.00	$5.57–$29.70	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY (RL)	$12.00	$12.00	$7.51–$11.88	73% below	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$103.09	$103.09	$7.51–$102.06	133% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY (RL)	$12.00	$12.00	$7.51–$11.88	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$103.09	$103.09	$7.51–$102.06	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$130.00	$130.00	$7.46–$128.70	59% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$130.00	$130.00	$7.46–$128.70	—	—
LH (luteinizing hormone) test CPT 83002 LUTINIZING HORMONE	$74.55	$74.55	$15.92–$73.80	22% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LUTINIZING HORMONE	$74.55	$74.55	$15.92–$73.80	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$40.52	$40.52	$5.92–$40.11	3% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (RL)	$40.52	$40.52	$5.92–$40.11	3% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$40.52	$40.52	$5.92–$40.11	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE (RL)	$40.52	$40.52	$5.92–$40.11	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION/LIVER	$100.88	$100.88	$7.02–$99.87	19% above	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION/LIVER	$100.88	$100.88	$7.02–$99.87	—	—
Lyme disease antibody test CPT 86618 LYMES DIS ANTIBODY	$125.00	$125.00	$14.64–$123.75	147% above	—
Lyme disease antibody test inpatient CPT 86618 LYMES DIS ANTIBODY	$125.00	$125.00	$14.64–$123.75	—	—
Magnesium blood test CPT 83735 MAGNESIUM	$54.58	$54.58	$5.76–$54.03	99% above	—
Magnesium blood test CPT 83735 MAGNESIUM (RL)	$54.58	$54.58	$5.76–$54.03	99% above	—
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$103.26	$103.26	$5.76–$102.23	277% above	—
Magnesium blood test CPT 83735 MAGNESIUM, 24 HR, URINE	$165.00	$165.00	$5.76–$163.35	503% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM (RL)	$54.58	$54.58	$5.76–$54.03	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$54.58	$54.58	$5.76–$54.03	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC	$103.26	$103.26	$5.76–$102.23	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM, 24 HR, URINE	$165.00	$165.00	$5.76–$163.35	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA-MMR	$17.43	$17.43	$11.08–$17.26	53% below	—
Measles (rubeola) antibody test CPT 86765 MEASLES IMMUNE STATUS, IGG	$108.75	$108.75	$11.08–$107.66	192% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) --IgG Immune	$108.75	$108.75	$11.08–$107.66	192% above	—
Measles (rubeola) antibody test CPT 86765 MEASLES (SYM/EXP) IGM	$111.18	$111.18	$11.08–$110.07	198% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$121.17	$121.17	$11.08–$119.96	225% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA-MMR	$17.43	$17.43	$11.08–$17.26	—	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IMMUNE STATUS, IGG	$108.75	$108.75	$11.08–$107.66	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) --IgG Immune	$108.75	$108.75	$11.08–$107.66	—	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (SYM/EXP) IGM	$111.18	$111.18	$11.08–$110.07	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$121.17	$121.17	$11.08–$119.96	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCREENING	$30.00	$30.00	$4.45–$29.70	18% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO	$31.14	$31.14	$4.45–$30.83	15% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES SCREENING	$30.00	$30.00	$4.45–$29.70	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO	$31.14	$31.14	$4.45–$30.83	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA WITH TOTAL	$122.00	$122.00	$15.80–$120.78	111% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA WITH TOTAL	$122.00	$122.00	$15.80–$120.78	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (TOTAL) DIAGNOSTIC (R L)	$74.55	$74.55	$15.80–$73.80	32% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC (I H)	$74.55	$74.55	$15.80–$73.80	32% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, ULTRASENSITIVE	$80.10	$80.10	$15.80–$79.30	41% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (TOTAL) DIAGNOSTIC (R L)	$74.55	$74.55	$15.80–$73.80	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC (I H)	$74.55	$74.55	$15.80–$73.80	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, ULTRASENSITIVE	$80.10	$80.10	$15.80–$79.30	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST	$58.11	$58.11	$25.04–$57.53	26% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR- THIN PREP	$81.38	$81.38	$25.04–$80.57	77% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP TEST	$58.11	$58.11	$25.04–$57.53	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP SMEAR- THIN PREP	$81.38	$81.38	$25.04–$80.57	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$122.65	$122.65	$35.47–$121.42	13% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$122.65	$122.65	$35.47–$121.42	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT (REF LAB)	$8.73	$8.73	$5.16–$8.64	74% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (PARTIAL THROMBOPLASTIN)	$40.52	$40.52	$5.16–$40.11	23% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL (PTT)	$576.00	$576.00	$5.16–$570.24	1645% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT (REF LAB)	$8.73	$8.73	$5.16–$8.64	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (PARTIAL THROMBOPLASTIN)	$40.52	$40.52	$5.16–$40.11	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL (PTT)	$576.00	$576.00	$5.16–$570.24	—	—
Progesterone blood test CPT 84144 PROGESTERONE	$89.03	$89.03	$17.93–$88.14	24% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$89.03	$89.03	$17.93–$88.14	—	—
Prolactin blood test CPT 84146 PROLACTIN	$74.14	$74.14	$16.66–$73.40	3% below	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$74.14	$74.14	$16.66–$73.40	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME (REF LAB)	$8.73	$8.73	$3.37–$8.64	58% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR	$54.00	$54.00	$3.37–$53.46	161% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME (REF LAB)	$8.73	$8.73	$3.37–$8.64	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR	$54.00	$54.00	$3.37–$53.46	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FENTANYL RAPID URINE TEST (INHOUSE)	$23.70	$23.70	$8.98–$23.46	4% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 UDS NEW/ALL EMLOYEES	$69.46	$69.46	$8.98–$68.77	205% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN SERUM	$98.00	$98.00	$8.98–$97.02	330% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 FENTANYL RAPID URINE TEST (INHOUSE)	$23.70	$23.70	$8.98–$23.46	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 UDS NEW/ALL EMLOYEES	$69.46	$69.46	$8.98–$68.77	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN SERUM	$98.00	$98.00	$8.98–$97.02	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA BY DIRECT OPTICAL OBS	$38.00	$38.00	$10.31–$37.62	6% above	—
Rapid flu test (influenza antigen) CPT 87804 FLU TEST	$47.00	$47.00	$10.31–$46.53	31% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU TEST	$47.00	$47.00	$10.31–$46.53	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP TEST	$34.00	$34.00	$10.31–$33.66	23% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS, GROUP A	$34.00	$34.00	$10.31–$33.66	23% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP TEST	$34.00	$34.00	$10.31–$33.66	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, QUANTTATIVE	$35.00	$35.00	$4.88–$34.65	28% above	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, QUANTITATIVE	$35.00	$35.00	$4.88–$34.65	28% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, QUANTITATIVE	$35.00	$35.00	$4.88–$34.65	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, QUANTTATIVE	$35.00	$35.00	$4.88–$34.65	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA-MMR IMMUNITY STATUS	$12.78	$12.78	$8.79–$14.10	66% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER-IgG	$51.48	$51.48	$12.37–$50.97	35% above	—
Rubella antibody test (immunity check) CPT 86762 REBELLA IMMUNE STATUS-IYG	$116.00	$116.00	$12.37–$114.84	205% above	—
Rubella antibody test (immunity check) CPT 86762 MUMPS ATIBODIES-TgG	$139.80	$139.80	$12.37–$138.40	268% above	—
Rubella antibody test (immunity check) CPT 86762 MMR ANTIBODIES RUBELLA IMMUNITY	$393.60	$393.60	$12.37–$389.66	935% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA-MMR IMMUNITY STATUS	$12.78	$12.78	$8.79–$14.10	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER-IgG	$51.48	$51.48	$12.37–$50.97	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 REBELLA IMMUNE STATUS-IYG	$116.00	$116.00	$12.37–$114.84	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 MUMPS ATIBODIES-TgG	$139.80	$139.80	$12.37–$138.40	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 MMR ANTIBODIES RUBELLA IMMUNITY	$393.60	$393.60	$12.37–$389.66	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE (RL)	$9.54	$9.54	$2.32–$9.44	70% below	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE (RL)	$9.54	$9.54	$2.32–$9.44	—	—
Stool ova and parasites exam CPT 87177 OVA & PARASITES OCP	$36.00	$36.00	$7.64–$35.64	2% below	—
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES OCP	$36.00	$36.00	$7.64–$35.64	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 LAB OCCULT BLOOD	$20.00	$20.00	$2.80–$19.80	at median	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/REFLEX	$8.97	$8.97	$3.67–$8.88	55% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$20.95	$20.95	$3.67–$20.74	5% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR W/REFLEX	$8.97	$8.97	$3.67–$8.88	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL	$20.95	$20.95	$3.67–$20.74	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST/QUANTIFERON GOLD	$315.00	$315.00	$53.26–$311.85	173% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST/QUANTIFERON GOLD	$315.00	$315.00	$53.26–$311.85	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE RL	$96.19	$96.19	$22.19–$95.23	39% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$96.19	$96.19	$22.19–$95.23	39% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 SERUM TESTOSTERONE	$97.29	$97.29	$22.19–$96.32	41% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$96.19	$96.19	$22.19–$95.23	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE RL	$96.19	$96.19	$22.19–$95.23	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 SERUM TESTOSTERONE	$97.29	$97.29	$22.19–$96.32	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE TPO	$36.00	$36.00	$12.50–$35.64	19% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ALBUMIN	$38.31	$38.31	$12.50–$37.93	14% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$78.83	$78.83	$12.50–$78.04	77% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 TPO AB	$78.83	$78.83	$12.50–$78.04	77% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYRO MICROSUMAL AB	$112.50	$112.50	$12.50–$111.38	153% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LC1(ANTIBODY TO LIVER CYTOSOL)	$225.00	$225.00	$12.50–$222.75	406% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LKM	$300.00	$300.00	$12.50–$297.00	575% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO)	$630.00	$630.00	$12.50–$623.70	1317% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE TPO	$36.00	$36.00	$12.50–$35.64	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ALBUMIN	$38.31	$38.31	$12.50–$37.93	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$78.83	$78.83	$12.50–$78.04	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO AB	$78.83	$78.83	$12.50–$78.04	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYRO MICROSUMAL AB	$112.50	$112.50	$12.50–$111.38	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-LC1(ANTIBODY TO LIVER CYTOSOL)	$225.00	$225.00	$12.50–$222.75	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-LKM	$300.00	$300.00	$12.50–$297.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO)	$630.00	$630.00	$12.50–$623.70	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE	$20.16	$20.16	$13.87–$20.16	58% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$107.77	$107.77	$14.44–$106.69	125% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE PROFILE	$20.16	$20.16	$13.87–$20.16	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$107.77	$107.77	$14.44–$106.69	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS GEN-PROBE	$105.00	$105.00	$28.72–$103.95	79% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS GEN-PROBE	$105.00	$105.00	$28.72–$103.95	—	—
Uric acid blood test CPT 84550 URIC ACID	$26.73	$26.73	$3.88–$26.46	1% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$26.73	$26.73	$3.88–$26.46	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W MICROSCOPY	$25.00	$25.00	$2.72–$24.75	48% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W MICROSCOPY	$25.00	$25.00	$2.72–$24.75	—	—
Urinalysis with microscope exam, manual CPT 81000 URINE ALBUMIN	$13.89	$13.89	$2.72–$13.75	142% above	—
Urinalysis with microscope exam, manual CPT 81000 URINE SPECIFIC GRAVITY	$14.06	$14.06	$2.72–$13.92	145% above	—
Urinalysis with microscope exam, manual CPT 81000 URINE	$26.73	$26.73	$2.72–$26.46	366% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE ALBUMIN	$13.89	$13.89	$2.72–$13.75	—	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE SPECIFIC GRAVITY	$14.06	$14.06	$2.72–$13.92	—	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE	$26.73	$26.73	$2.72–$26.46	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITHOUT MICROSCOPY	$25.00	$25.00	$1.93–$24.75	153% above	—
Urinalysis without microscope exam, automated CPT 81003 ADULTERANTS	$28.00	$28.00	$1.93–$27.72	183% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WITHOUT MICROSCOPY	$25.00	$25.00	$1.93–$24.75	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 ADULTERANTS	$28.00	$28.00	$1.93–$27.72	—	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$84.62	$84.62	$6.94–$83.77	58% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$84.62	$84.62	$6.94–$83.77	—	—
Urine pregnancy test, read by color change CPT 81025 LAB PREGNANCY TEST URINE	$20.00	$20.00	$5.44–$19.80	7% below	—
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$33.00	$33.00	$5.44–$32.67	53% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$33.00	$33.00	$5.44–$32.67	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VIT B12)	$69.00	$69.00	$12.95–$68.31	26% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 (RL)	$69.00	$69.00	$12.95–$68.31	26% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN (VIT B12)	$69.00	$69.00	$12.95–$68.31	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 (RL)	$69.00	$69.00	$12.95–$68.31	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY RL	$156.75	$156.75	$25.44–$155.18	52% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HYDROXYVITAMIN D2 AND D3 SERUM	$156.75	$156.75	$25.44–$155.18	52% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$156.75	$156.75	$25.44–$155.18	52% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY VITAMIN D(D2+D3 FRACTIONATED	$280.50	$280.50	$25.44–$277.70	172% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY VITAMIN D (D2+D3 FRACTIONATED	$280.50	$280.50	$25.44–$277.70	172% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY RL	$156.75	$156.75	$25.44–$155.18	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HYDROXYVITAMIN D2 AND D3 SERUM	$156.75	$156.75	$25.44–$155.18	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$156.75	$156.75	$25.44–$155.18	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXY VITAMIN D(D2+D3 FRACTIONATED	$280.50	$280.50	$25.44–$277.70	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXY VITAMIN D (D2+D3 FRACTIONATED	$280.50	$280.50	$25.44–$277.70	—	—
Zinc blood test CPT 84630 ZINC	$67.50	$67.50	$9.79–$66.82	64% above	—
Zinc blood test CPT 84630 ZINC (SERUM)	$67.50	$67.50	$9.79–$66.82	64% above	—
Zinc blood test inpatient CPT 84630 ZINC	$67.50	$67.50	$9.79–$66.82	—	—
Zinc blood test inpatient CPT 84630 ZINC (SERUM)	$67.50	$67.50	$9.79–$66.82	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE (SERUM)	$86.82	$86.82	$12.94–$85.95	27% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANTITATIVE (SERUM)	$86.82	$86.82	$12.94–$85.95	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX FIBULA	$134.00	$134.00	$92.21–$315.95	16% below	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED FIBULAR FRACTURE	$219.00	$219.00	$131.40–$315.95	37% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX METATARSAL	$130.00	$130.00	$89.45–$213.83	27% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 DEFIBRILLATION (CARDIOVERSION)	$536.00	$536.00	$141.83–$536.00	1% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX DISTAL RADIUS/ULNAR W/O MANIPULATION	$132.00	$132.00	$90.83–$345.81	22% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED DISTAL RADIUS & ULNAR FX W/O MANI	$200.00	$200.00	$120.00–$354.38	18% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATIO	$37.00	$37.00	$14.80–$37.00	33% below	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED CERUMEN USING IRRIGATION	$99.00	$99.00	$14.80–$99.00	79% above	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN ONE/BOTH EARS	$58.00	$58.00	$39.91–$58.00	4% below	—
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN WITH INSTRUMENTA	$99.00	$99.00	$43.82–$99.00	64% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY	$183.00	$183.00	$90.11–$183.00	56% above	—
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$192.00	$192.00	$115.20–$192.00	65% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE-ABSCESS/CYST SIMPLE	$150.00	$150.00	$90.00–$150.00	18% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASP/INJECTION MARJOR JOI	$90.00	$90.00	$61.93–$90.00	65% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT BURSA W/O US	$131.16	$131.16	$62.89–$131.16	49% below	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE	$183.00	$183.00	$97.96–$183.00	64% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ ACROCLAVICULAR WRIST ELBOW ANK	$171.00	$171.00	$35.06–$171.00	33% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JOINT	$110.00	$110.00	$51.26–$110.00	52% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLO SCLP/AX/TR/EXTR 2.5CM/LESS	$137.00	$137.00	$82.20–$233.27	54% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCLP/AX/TR/EXT 2.5CM/LESS	$298.00	$298.00	$205.05–$298.00	1% below	—
Miscarriage treatment with D&C, first trimester CPT 59820 D & C	$1,260.00	$1,260.00	$335.00–$1,260.00	9% above	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$150.00	$150.00	$100.78–$150.00	at median	—
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$154.41	$154.41	$92.65–$154.41	3% above	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE	$206.00	$206.00	$53.27–$206.00	37% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$150.00	$150.00	$103.22–$150.00	42% below	—
Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY	$168.00	$168.00	$100.80–$168.00	32% below	—
Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL FOREIGN BODY	$222.00	$222.00	$141.26–$222.00	10% below	—
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT STATIC	$97.00	$97.00	$58.20–$97.00	14% below	—
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM	$106.00	$106.00	$70.72–$106.00	7% below	—
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM SPLINT	$138.00	$138.00	$43.35–$138.00	22% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT STATIC	$97.00	$97.00	$58.20–$97.00	—	—
Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG	$105.00	$105.00	$53.04–$105.00	22% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR-SIMPLE HEAD,TRUNK,EXTM.TO 2.5 CM	$100.00	$100.00	$48.02–$102.30	45% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR-SIMPLE 2.5 CM	$150.00	$150.00	$102.30–$150.00	18% below	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAG ANY AREA UP TO 15 LESI	$99.00	$99.00	$59.40–$99.00	26% below	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS ANY AREA UP TO 15 LESI	$100.00	$100.00	$68.81–$100.00	25% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC	$120.00	$120.00	$64.58–$148.27	76% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR SUPERVICIAL WOUND	$75.00	$75.00	$45.00–$125.55	59% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMP REPR SCLP/NK/TR/GEN/EX 2.6 TO 7.5CM	$150.00	$150.00	$62.76–$150.00	18% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SIMPLE SCLP/NK/TR/GEN/EX 2.6-7.5C	$263.00	$263.00	$125.55–$263.00	44% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR-SIMPLE FACE,MUCOCUS MEMB TO 2.5CM	$133.00	$133.00	$59.44–$133.00	27% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SIMPLE FACE/MUCOUS MEMBRANE 2.5 C	$261.00	$261.00	$125.56–$261.00	43% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION TRIGGER POINT	$143.00	$143.00	$47.48–$143.00	7% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT;EXCISION-SKIN & SUB TISSUE	$205.00	$205.00	$119.00–$205.00	45% below	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BB FRESH FROZEN PLAZMA	$102.00	$102.00	$41.21–$102.00	78% below	—
Blood transfusion (giving blood or blood components) CPT 36430 BB BLOOD PROCESSING FEE	$265.00	$265.00	$41.21–$265.00	44% below	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$356.00	$356.00	$41.21–$356.00	25% below	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB FRESH FROZEN PLAZMA	$102.00	$102.00	$41.21–$102.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB BLOOD PROCESSING FEE	$265.00	$265.00	$41.21–$265.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX INITIAL 2ND MEDICINE	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX SUBSEQUENT	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TX	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX INITIAL 3RD MEDICINE	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TX SUBSEQUENT 3RD MEDICINE	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TX SUBSEQUENT 2ND MEDICINE	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX MEDICATION 2	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TX SUBSEQUENT	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX SUBSEQUENT 3RD MEDICINE	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX SUBSEQUENT 2ND MEDICINE	$385.00	$385.00	$7.56–$385.00	310% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX MEDICATION 2	$385.00	$385.00	$7.56–$385.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TX SUBSEQUENT	$385.00	$385.00	$7.56–$385.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX INITIAL 3RD MEDICINE	$385.00	$385.00	$7.56–$385.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX SUBSEQUENT 3RD MEDICINE	$385.00	$385.00	$7.56–$385.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TX	$385.00	$385.00	$7.56–$385.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX INITIAL 2ND MEDICINE	$385.00	$385.00	$7.56–$385.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX SUBSEQUENT	$385.00	$385.00	$7.56–$385.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TX SUBSEQUENT 3RD MEDICINE	$385.00	$385.00	$7.56–$385.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX SUBSEQUENT 2ND MEDICINE	$385.00	$385.00	$7.56–$385.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TX SUBSEQUENT 2ND MEDICINE	$385.00	$385.00	$7.56–$385.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX	$385.00	$385.00	$7.56–$385.00	—	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MINUTES	$1,000.00	$1,000.00	$285.99–$1,000.00	33% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ER CARDIAC MONITOR PER HOUR	$81.59	$81.59	$6.11–$81.59	1% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$125.00	$125.00	$6.11–$125.00	52% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CARDIAC MONITOR PER DAY	$289.41	$289.41	$6.11–$289.41	252% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ER CARDIAC MONITOR PER HOUR	$81.59	$81.59	$6.11–$81.59	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$125.00	$125.00	$6.11–$125.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CARDIAC MONITOR PER DAY	$289.41	$289.41	$6.11–$289.41	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMTALA EMERGENCY MED SCREENING	$52.09	$52.09	$10.57–$52.09	11% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 STERILE SET-UP (SIMPLE)	$72.00	$72.00	$10.57–$72.00	23% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LEVEL I	$116.00	$116.00	$10.57–$116.00	98% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R LEVEL I PRO-FEE	$118.00	$118.00	$10.57–$118.00	102% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM LEVEL II	$147.00	$147.00	$38.82–$147.00	at median	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R LEVEL II PRO-FEE	$148.00	$148.00	$38.82–$148.00	1% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R LEVEL III PRO-FEE	$231.00	$231.00	$66.76–$231.00	at median	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LEVEL III	$232.00	$232.00	$66.76–$232.00	at median	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LEVEL IV	$299.00	$299.00	$113.70–$299.00	21% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R LEVEL IV PRO-FEE	$343.00	$343.00	$113.70–$343.00	10% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEVEL V	$391.00	$391.00	$164.82–$391.00	25% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R LEVEL V PRO-FEE	$511.00	$511.00	$164.82–$511.00	1% below	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W/PATIENT	$225.00	$225.00	$105.83–$225.00	70% above	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PATIENT	$185.00	$185.00	$102.21–$185.00	44% above	—
Group psychotherapy session CPT 90853 GROUP THERAPY	$65.00	$65.00	$28.91–$65.00	at median	—
Group psychotherapy session CPT 90853 GOAL SETTING DO NOT USE	$195.00	$195.00	$28.91–$195.00	200% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION THERAPY FOR HYDRATION 1 HR	$183.00	$183.00	$29.64–$183.00	8% above	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION FOR THERAPY 1 HR	$305.00	$305.00	$59.11–$305.00	64% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC/IM	$57.00	$57.00	$13.98–$57.00	9% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTIONS SUBQ/IM	$75.00	$75.00	$13.98–$75.00	44% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL NO MEDICAL	$95.00	$95.00	$57.00–$164.85	9% below	—
New patient office visit, about 30 minutes CPT 99203 CLINIC VISIT NEW PT. LEVEL 3	$230.00	$230.00	$38.00–$227.70	316% above	—
New patient office visit, about 30 minutes CPT 99203 PSYCH NEW PT. LEVEL 3	$230.00	$230.00	$38.00–$227.70	316% above	—
New patient office visit, about 45 minutes CPT 99204 CLINIC VISIT NEW PT. LEVEL 4	$385.00	$385.00	$57.00–$381.15	328% above	—
New patient office visit, about 45 minutes CPT 99204 PSYCH NEW PT. LEVEL 4	$385.00	$385.00	$57.00–$381.15	328% above	—
New patient office visit, about 60 minutes CPT 99205 PSYCH NEW PT. LEVEL 5	$505.00	$505.00	$57.00–$499.95	265% above	—
New patient office visit, about 60 minutes CPT 99205 CLINIC VISIT NEW PT. LEVEL 5	$505.00	$505.00	$57.00–$499.95	265% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OPTHAL.CLINIC VISIT- BASIC	$40.00	$40.00	$24.00–$68.84	at median	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OPTHAL. CLINIC VISIT - NEW PT. EXTENDED	$60.00	$60.00	$33.00–$68.84	50% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC VISIT NEW PT. LEVEL 2	$150.00	$150.00	$33.00–$148.50	275% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PSYCH NEW PT. LEVEL 2	$150.00	$150.00	$33.00–$148.50	275% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OPTHAL.CLINIC VISIT- BASIC	$40.00	$40.00	$24.00–$68.84	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OPTHAL. CLINIC VISIT - NEW PT. EXTENDED	$60.00	$60.00	$33.00–$68.84	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 WELL-PATIENT - NEW PT 18-39 YRS	$386.00	$386.00	$231.60–$386.00	166% above	—
Preventive checkup, new patient aged 40–64 CPT 99386 WELL-PATIENT - NEW PT 40-64 YRS	$450.00	$450.00	$270.00–$450.00	240% above	—
Preventive checkup, new patient aged 65 or older CPT 99387 WELL-PATIENT - NEW PT 65 YRS & OLDER	$488.00	$488.00	$292.80–$488.00	231% above	—
Preventive checkup, returning patient aged 18–39 CPT 99395 WELL-PATIENT - EST PT 18-39 YRS	$349.00	$349.00	$209.40–$349.00	328% above	—
Preventive checkup, returning patient aged 40–64 CPT 99396 WELL-PATIENT - EST PT 40-64 YRS	$372.00	$372.00	$223.20–$372.00	203% above	—
Preventive checkup, returning patient aged 65 or older CPT 99397 WELL-PATIENT - EST PT 65 YRS & OLDER	$400.00	$400.00	$240.00–$400.00	264% above	—
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 20-30 MIN	$120.00	$120.00	$72.00–$120.00	20% above	—
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30 MIN	$344.00	$344.00	$81.77–$344.00	244% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY 30 MIN	$344.00	$344.00	$81.77–$344.00	—	—
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45-50 MIN	$190.00	$190.00	$108.47–$190.00	47% above	—
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45 MIN	$344.00	$344.00	$108.47–$344.00	166% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL THERAPY 45 MIN	$344.00	$344.00	$108.47–$344.00	—	—
Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY 60 MIN	$275.00	$275.00	$159.12–$275.00	75% above	—
Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY 60 MIN	$344.00	$344.00	$159.12–$344.00	119% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL THERAPY 60 MIN	$344.00	$344.00	$159.12–$344.00	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CESSATION 3-10 MINUTES	$37.00	$37.00	$14.28–$37.00	27% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CESSATION - 3 TO 10 MIN	$90.00	$90.00	$14.28–$90.00	210% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO CESSATION - 3 TO 10 MIN	$90.00	$90.00	$14.28–$90.00	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC VISIT EST PT. LEVEL 5	$330.00	$330.00	$57.00–$326.70	279% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PSYCH EST PT. LEVEL 5	$330.00	$330.00	$57.00–$326.70	279% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OPTHAL.CLINIC VISIT/ESTB.PT. EXTENDED	$35.00	$35.00	$21.00–$87.67	at median	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT EST PT. LEVEL 3	$153.00	$153.00	$38.00–$151.47	337% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PSYCH EST PT. LEVEL 3	$153.00	$153.00	$38.00–$151.47	337% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OPTHAL.CLINIC VISIT/ESTB.PT. EXTENDED	$35.00	$35.00	$21.00–$87.67	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PSYCH EST PT. LEVEL 4	$234.00	$234.00	$57.00–$231.66	267% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC VISIT EST PT. LEVEL 4	$234.00	$234.00	$57.00–$231.66	267% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OPTHAL.CLINIC VISIT- ESTB.PT. BASIC	$20.00	$20.00	$12.00–$54.34	31% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC VISIT EST PT. LEVEL 2	$76.00	$76.00	$33.00–$75.24	162% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PSYCH EST PT. LEVEL 2	$76.00	$76.00	$33.00–$75.24	162% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OPTHAL.CLINIC VISIT- ESTB.PT. BASIC	$20.00	$20.00	$12.00–$54.34	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$98.40	$98.40	$59.04–$98.40	4% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$98.40	$98.40	$59.04–$98.40	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACC LIVE (VARIVAX) 0.5ML INJ	$379.00	$379.00	$227.40–$379.00	183% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACC LIVE (VARIVAX) 0.5ML INJ	$379.00	$379.00	$227.40–$379.00	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VAC (FLUARIX 2025/26) 0.5ML	$72.00	$72.00	$22.76–$72.00	211% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VAC (FLUARIX 2025/26) 0.5ML	$72.00	$72.00	$22.76–$72.00	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILL VACC 9-VAL (GARDASIL) 0.5ML	$659.00	$659.00	$395.40–$659.00	434% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILL VACC 9-VAL (GARDASIL) 0.5ML	$659.00	$659.00	$395.40–$659.00	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B (HEPATITIS B) 20MCG/ML 1ML VL*	$238.00	$238.00	$73.64–$238.00	449% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B (HEPATITIS B) 20MCG/ML 1ML SYR	$238.00	$238.00	$73.64–$238.00	449% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B (HEPATITIS B) 20MCG/ML 1ML VL*	$238.00	$238.00	$73.64–$238.00	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B (HEPATITIS B) 20MCG/ML 1ML SYR	$238.00	$238.00	$73.64–$238.00	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II SUBQ VACCINE 0.5ML	$298.00	$298.00	$178.80–$298.00	307% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II SUBQ VACCINE 0.5ML	$298.00	$298.00	$178.80–$298.00	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 (PNEUMOVAX) 0.5ML SYR	$364.00	$364.00	$130.80–$364.00	499% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 (PNEUMOVAX) 0.5ML SYR	$364.00	$364.00	$130.80–$364.00	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX IM 50MCG/0.5ML INJ	$687.00	$687.00	$412.20–$687.00	816% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX IM 50MCG/0.5ML INJ	$687.00	$687.00	$412.20–$687.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHERIA (TENIVAC) 0.5ML INJ	$144.00	$144.00	$37.98–$144.00	362% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTHERIA (TENIVAC) 0.5ML INJ	$144.00	$144.00	$37.98–$144.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPHT/PERT (BOOSTRIX) 0.5ML INJ	$162.00	$162.00	$38.69–$162.00	248% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPHT/PERT (BOOSTRIX) 0.5ML INJ	$162.00	$162.00	$38.69–$162.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION, 1 VACCINE	$53.17	$53.17	$19.79–$53.17	32% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION, 1 VACCINE	$53.17	$53.17	$19.79–$53.17	—	—

Source file: https://www.sthph.com/_files/ugd/daac04_bcd705451e344ae48548e0b4dcdb8921.csv?dn=720627145_st-helena-parish-hospital_standardcharges.csv.csv