Hospital Chattanooga, TN-GA

CHI Memorial Hospital - Georgia

CHI Memorial Hospital - Georgia in Ringgold, GA publishes cash prices for 283 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 236 of 283 procedures and above it for 42. By typical cash price it ranks #7 of 61 Georgia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

4710 Battlefield Pkwy, Ringgold, GA 30736 Collected Sep 27, 2026 Source price file (770) 874-5400

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 110236 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE 3 VIEWS	$166.95	$564.00	$39.97–$456.84	36% below	70%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE MIN 3 VIEWS	$250.42	$846.00	$39.97–$685.26	4% below	70%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE 3 VIEWS	$166.95	$564.00	$456.84	—	70%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE MIN 3 VIEWS	$250.42	$846.00	$685.26	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ARTERIAL(ABI W DOPPLER)ONLY	$162.80	$550.00	$82.50–$619.00	71% below	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ARTERIAL(ABI W DOPPLER)ONLY	$162.80	$550.00	$445.50	—	70%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS SINGLE CONTRAST	$390.13	$1,318.00	$110.74–$1,067.58	24% above	70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS SINGLE CONTRAST	$390.13	$1,318.00	$1,067.58	—	70%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE &/OR JNT IMG WHOLE BDY	$1,017.36	$3,437.00	$336.72–$2,783.97	6% below	70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE &/OR JNT IMG WHOLE BDY	$1,017.36	$3,437.00	$2,783.97	—	70%
Breast ultrasound, complete, one breast CPT 76641 HC U/S BREAST UNI	$798.32	$2,697.00	$95.07–$2,184.57	109% above	70%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST BIL COMPLETE	$997.23	$3,369.00	$95.07–$2,728.89	161% above	70%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC U/S BREAST UNI	$798.32	$2,697.00	$2,184.57	—	70%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST BIL COMPLETE	$997.23	$3,369.00	$2,728.89	—	70%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC U/S BREAST LMTD	$266.11	$899.00	$78.72–$728.19	30% below	70%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST BIL LIMITED	$332.71	$1,124.00	$78.72–$910.44	13% below	70%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC U/S BREAST LMTD	$266.11	$899.00	$728.19	—	70%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST BIL LIMITED	$332.71	$1,124.00	$910.44	—	70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST	$1,659.08	$5,605.00	$159.16–$4,540.05	11% below	70%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST	$1,659.08	$5,605.00	$4,540.05	—	70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CORONARY W/CAL EVAL	$862.55	$2,914.00	$268.07–$2,360.34	32% below	70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CORONARY W/CAL EVAL	$862.55	$2,914.00	$2,360.34	—	70%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART CORON CAL WO CONTR	$20.43	$69.00	$10.35–$1,467.00	80% below	70%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART CORON CAL WO CONTR	$20.43	$69.00	$55.89	—	70%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD&PEL WO CONTRAST	$607.40	$2,052.00	$216.11–$1,662.12	73% below	70%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD&PEL WO CONTRAST	$607.40	$2,052.00	$1,662.12	—	70%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD&PEL W CONTRAST	$714.55	$2,414.00	$302.00–$1,955.34	77% below	70%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD&PEL W CONTRAST	$714.55	$2,414.00	$1,955.34	—	70%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD&PEL WOW CONTRAST	$807.20	$2,727.00	$302.00–$2,208.87	74% below	70%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD&PEL WOW CONTRAST	$807.20	$2,727.00	$2,208.87	—	70%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$794.17	$2,683.00	$159.16–$2,173.23	54% below	70%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$794.17	$2,683.00	$2,173.23	—	70%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$626.93	$2,118.00	$95.07–$1,715.58	54% below	70%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$626.93	$2,118.00	$1,715.58	—	70%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTR	$667.19	$2,254.00	$95.07–$1,825.74	44% below	70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTR	$667.19	$2,254.00	$1,825.74	—	70%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN	$927.67	$3,134.00	$95.07–$2,538.54	33% below	70%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN	$927.67	$3,134.00	$2,538.54	—	70%
CT scan of the head with contrast CPT 70460 HC CT BRAIN CONTRAST	$1,020.61	$3,448.00	$159.16–$2,792.88	36% below	70%
CT scan of the head with contrast inpatient CPT 70460 HC CT BRAIN CONTRAST	$1,020.61	$3,448.00	$2,792.88	—	70%
CT scan of the head without and with contrast CPT 70470 HC CT BRAIN WOW CONTRAST	$1,159.73	$3,918.00	$159.16–$3,173.58	38% below	70%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT BRAIN WOW CONTRAST	$1,159.73	$3,918.00	$3,173.58	—	70%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR WO CONTR	$884.75	$2,989.00	$95.07–$2,421.09	43% below	70%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR WO CONTR	$884.75	$2,989.00	$2,421.09	—	70%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL WO CONTR	$1,168.02	$3,946.00	$95.07–$3,196.26	9% below	70%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL WO CONTR	$1,168.02	$3,946.00	$3,196.26	—	70%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$586.38	$1,981.00	$159.16–$1,604.61	64% below	70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$586.38	$1,981.00	$1,604.61	—	70%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC CAROTID DOPPLER BIL	$760.72	$2,570.00	$216.11–$2,081.70	at median	70%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC CAROTID DOPPLER BIL	$760.72	$2,570.00	$2,081.70	—	70%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$203.36	$687.00	$31.15–$556.47	30% below	70%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$203.36	$687.00	$556.47	—	70%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$135.57	$458.00	$16.90–$370.98	37% below	70%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$135.57	$458.00	$370.98	—	70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC U/S RETROPERITONEAL COMP	$253.38	$856.00	$95.07–$698.00	58% below	70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC U/S RETROPERITONEAL COMP	$253.38	$856.00	$693.36	—	70%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR BONE DENSITY STUDY	$121.36	$410.00	$54.60–$332.10	70% below	70%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR BONE DENSITY STUDY	$121.36	$410.00	$332.10	—	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA PERIPHERAL WRIST	$84.96	$287.00	$26.38–$306.00	64% below	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA PERIPHERAL WRIST	$84.96	$287.00	$232.47	—	70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST	$1,215.68	$4,107.00	$95.07–$3,326.67	6% below	70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST	$1,215.68	$4,107.00	$3,326.67	—	70%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST	$1,410.15	$4,764.00	$159.16–$3,858.84	10% below	70%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST	$1,410.15	$4,764.00	$3,858.84	—	70%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL & CAD	$126.99	$429.00	$64.35–$347.49	61% below	70%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL & CAD	$126.99	$429.00	$347.49	—	70%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI & CAD	$97.68	$330.00	$49.50–$285.00	72% below	70%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI & CAD	$97.68	$330.00	$267.30	—	70%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC ARTERIAL DOPPLER LEGS BIL	$296.30	$1,001.00	$150.15–$850.18	46% below	70%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC ARTERIAL DOPPLER LEGS BIL	$296.30	$1,001.00	$810.81	—	70%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC VENOUS DOPPLER EXT BIL	$360.53	$1,218.00	$182.70–$986.58	70% below	70%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VENOUS DOPPLER EXT BIL	$360.53	$1,218.00	$986.58	—	70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO W/DOPPLER COMP WO CON	$680.21	$2,298.00	$344.70–$1,861.38	63% below	70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2D ECHO W/DOPPLER COMP	$850.41	$2,873.00	$430.95–$2,327.13	54% below	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2D ECHO W/DOPPLER COMP WO CON	$680.21	$2,298.00	$1,861.38	—	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2D ECHO W/DOPPLER COMP	$850.41	$2,873.00	$2,327.13	—	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY IMG	$823.18	$2,781.00	$359.25–$2,252.61	29% below	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY IMG	$823.18	$2,781.00	$2,252.61	—	70%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP TESTING	$254.56	$860.00	$129.00–$711.00	61% below	70%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC HOME SLEEP TESTING	$254.56	$860.00	$696.60	—	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 REDUCED CPAP UNDER 6 HOURS	$987.76	$3,337.00	$500.55–$2,702.97	70% below	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W/CPAP	$2,195.14	$7,416.00	$909.59–$6,006.96	33% below	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 REDUCED CPAP UNDER 6 HOURS	$987.76	$3,337.00	$2,702.97	—	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W/CPAP	$2,195.14	$7,416.00	$6,006.96	—	70%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$72.52	$245.00	$36.75–$306.00	73% below	70%
Knee X-ray, 3 views one side CPT 73562 HC PATELLA 3 VIEW UNILATERAL	$122.25	$413.00	$43.93–$334.53	55% below	70%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$72.52	$245.00	$198.45	—	70%
Knee X-ray, 3 views inpatient one side CPT 73562 HC PATELLA 3 VIEW UNILATERAL	$122.25	$413.00	$334.53	—	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC U/S ABDOMINAL LTD	$281.50	$951.00	$95.07–$770.31	43% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC U/S ABDOMINAL LTD	$281.50	$951.00	$770.31	—	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING ANNUAL FOLLOWUP	$177.60	$600.00	$90.00–$1,467.00	33% below	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREENING ANNUAL FOLLOWUP	$177.60	$600.00	$486.00	—	70%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR LOWER EXTREM JNT WO CONT	$825.84	$2,790.00	$216.11–$2,459.00	54% below	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR LOWER EXTREM JNT WO CONT	$825.84	$2,790.00	$2,259.90	—	70%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR LOWER EXTREM JNT WOW CON	$2,014.88	$6,807.00	$319.29–$5,513.67	26% below	70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR LOWER EXTREM JNT WOW CON	$2,014.88	$6,807.00	$5,513.67	—	70%
MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN	$1,183.71	$3,999.00	$216.11–$3,239.19	37% below	70%
MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABDOMEN	$1,183.71	$3,999.00	$3,239.19	—	70%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/WO LIMITED	$845.68	$2,857.00	$319.29–$2,459.00	71% below	70%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABD WOW CONTRAST	$1,691.05	$5,713.00	$319.29–$4,627.53	41% below	70%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN W/WO LIMITED	$845.68	$2,857.00	$2,314.17	—	70%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABD WOW CONTRAST	$1,691.05	$5,713.00	$4,627.53	—	70%
MRI of the brain, no contrast dye CPT 70551 HC MRIG LIMITED BRAIN	$818.44	$2,765.00	$216.11–$2,459.00	51% below	70%
MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN W/O CONTRAST	$1,636.88	$5,530.00	$216.11–$4,479.30	2% below	70%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRIG LIMITED BRAIN	$818.44	$2,765.00	$2,239.65	—	70%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN W/O CONTRAST	$1,636.88	$5,530.00	$4,479.30	—	70%
MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN WOW CONTRAST	$2,479.89	$8,378.00	$319.29–$6,786.18	12% below	70%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN WOW CONTRAST	$2,479.89	$8,378.00	$6,786.18	—	70%
MRI of the lower back, no contrast dye CPT 72148 HC MRIG LIMITED LUMBAR	$711.59	$2,404.00	$216.11–$2,459.00	60% below	70%
MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR	$1,422.88	$4,807.00	$216.11–$3,893.67	20% below	70%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRIG LIMITED LUMBAR	$711.59	$2,404.00	$1,947.24	—	70%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR	$1,422.88	$4,807.00	$3,893.67	—	70%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MR SPINE LUMBAR WOW CONTR	$2,177.08	$7,355.00	$319.29–$5,957.55	25% below	70%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR SPINE LUMBAR WOW CONTR	$2,177.08	$7,355.00	$5,957.55	—	70%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SPINE THORACIC	$1,415.18	$4,781.00	$216.11–$3,872.61	21% below	70%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRIG LIMITED THORACIC	$1,415.18	$4,781.00	$216.11–$3,872.61	21% below	70%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR SPINE THORACIC	$1,415.18	$4,781.00	$3,872.61	—	70%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRIG LIMITED THORACIC	$1,415.18	$4,781.00	$3,872.61	—	70%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SPINE CERVL WOW CONTR	$2,637.96	$8,912.00	$319.29–$7,218.72	at median	70%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR SPINE CERVL WOW CONTR	$2,637.96	$8,912.00	$7,218.72	—	70%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRIG LIMITED CERVICAL	$862.25	$2,913.00	$216.11–$2,459.00	51% below	70%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICAL	$1,724.20	$5,825.00	$216.11–$4,718.25	2% below	70%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRIG LIMITED CERVICAL	$862.25	$2,913.00	$2,359.53	—	70%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SPINE CERVICAL	$1,724.20	$5,825.00	$4,718.25	—	70%
MRI of the pelvis without and with contrast CPT 72197 HC MRI SACRUM/COCCCYX W/O W/CONT LIMITED	$868.76	$2,935.00	$319.29–$2,459.00	70% below	70%
MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS WOW CONTRAST	$1,737.23	$5,869.00	$319.29–$4,753.89	40% below	70%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI SACRUM/COCCCYX W/O W/CONT LIMITED	$868.76	$2,935.00	$2,377.35	—	70%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS WOW CONTRAST	$1,737.23	$5,869.00	$4,753.89	—	70%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI SACRUM/COCCCYX LIMITED	$695.01	$2,348.00	$216.11–$2,459.00	62% below	70%
MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS	$1,389.72	$4,695.00	$216.11–$3,802.95	23% below	70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI SACRUM/COCCCYX LIMITED	$695.01	$2,348.00	$1,901.88	—	70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS	$1,389.72	$4,695.00	$3,802.95	—	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR UPPER EXTREM JNT WO CONT	$957.27	$3,234.00	$216.11–$2,619.54	38% below	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR UPPER EXTREM JNT WO CONT	$957.27	$3,234.00	$2,619.54	—	70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARD IMG MULT SPEC	$1,669.74	$5,641.00	$641.66–$4,569.21	53% below	70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARD IMG MULT SPEC	$1,669.74	$5,641.00	$4,569.21	—	70%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMG SKULL BASE TO MID-THG W/CT	$2,254.04	$7,615.00	$1,142.25–$6,168.15	36% below	70%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMG SKULL BASE TO MID-THG W/CT	$2,254.04	$7,615.00	$6,168.15	—	70%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC U/S PELVIC LTD	$64.24	$217.00	$32.55–$698.00	84% below	70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC U/S PELVIC LTD	$64.24	$217.00	$175.77	—	70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC U/S PELVIC	$583.12	$1,970.00	$95.07–$1,595.70	4% below	70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC U/S PELVIC	$583.12	$1,970.00	$1,595.70	—	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US TRANSABD FIRST TRIMESTER	$165.76	$560.00	$84.00–$698.00	69% below	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US TRANSABD FIRST TRIMESTER	$165.76	$560.00	$453.60	—	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC U/S OB US QUICK LTD	$153.63	$519.00	$77.85–$698.00	55% below	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC U/S OB US QUICK LTD	$153.63	$519.00	$420.39	—	70%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCRN BIL & CAD	$98.28	$332.00	$49.80–$285.00	59% below	70%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCRN BIL & CAD	$98.28	$332.00	$268.92	—	70%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$268.77	$908.00	$33.74–$735.48	23% below	70%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$268.77	$908.00	$735.48	—	70%
Sleep study in a lab (polysomnography) CPT 95810 HC MSLT-REDUCED	$987.76	$3,337.00	$500.55–$2,702.97	68% below	70%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY	$2,195.14	$7,416.00	$909.59–$6,006.96	28% below	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC MSLT-REDUCED	$987.76	$3,337.00	$2,702.97	—	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY	$2,195.14	$7,416.00	$6,006.96	—	70%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR ESOPH SWALLOW FUNC W/VID	$485.15	$1,639.00	$105.07–$1,327.59	34% below	70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR ESOPH SWALLOW FUNC W/VID	$485.15	$1,639.00	$1,327.59	—	70%
Transvaginal pelvic ultrasound CPT 76830 HC U/SENDO VAG (EV)	$319.68	$1,080.00	$95.07–$874.80	37% below	70%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/SENDO VAG (EV)	$319.68	$1,080.00	$874.80	—	70%
Transvaginal ultrasound during pregnancy CPT 76817 HC U/S PREGNANCY TRANSVAGINAL	$255.75	$864.00	$95.07–$699.84	36% below	70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC U/S PREGNANCY TRANSVAGINAL	$255.75	$864.00	$699.84	—	70%
Ultrasound of the abdomen, complete CPT 76700 HC U/S ABDOMINAL COMP	$625.16	$2,112.00	$95.07–$1,710.72	22% below	70%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC U/S ABDOMINAL COMP	$625.16	$2,112.00	$1,710.72	—	70%
Ultrasound of the scrotum and testicles CPT 76870 HC U/STESTICULAR(SCROTUM)	$488.11	$1,649.00	$66.58–$1,335.69	12% below	70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC U/STESTICULAR(SCROTUM)	$488.11	$1,649.00	$1,335.69	—	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC U/S HEAD & NECK-SFT TISSUE	$374.74	$1,266.00	$95.07–$1,025.46	38% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC U/S HEAD & NECK-SFT TISSUE	$374.74	$1,266.00	$1,025.46	—	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR UGI W/O KUB	$273.51	$924.00	$129.41–$748.44	44% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR UGI W/O KUB	$273.51	$924.00	$748.44	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC VENOUS DOPPLER EXT UNI	$259.60	$877.00	$95.07–$710.37	59% below	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC VENOUS DOPPLER EXT UNI	$259.60	$877.00	$710.37	—	70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC XR WRIST 3VW/MORE UNILAT	$214.90	$726.00	$46.76–$588.06	9% below	70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC WRIST- MIN 3 VIEWS UNILATERAL	$320.57	$1,083.00	$46.76–$877.23	35% above	70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC XR WRIST 3VW/MORE UNILAT	$214.90	$726.00	$588.06	—	70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC WRIST- MIN 3 VIEWS UNILATERAL	$320.57	$1,083.00	$877.23	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIP UNI 2-3 VWS	$79.63	$269.00	$40.35–$306.00	63% below	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIP UNI 2-3 VWS	$79.63	$269.00	$217.89	—	70%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$225.26	$761.00	$28.88–$616.41	21% below	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$225.26	$761.00	$616.41	—	70%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$180.27	$609.00	$32.60–$493.29	11% below	70%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$180.27	$609.00	$493.29	—	70%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC FINGER UNILATERAL	$205.43	$694.00	$42.22–$562.14	12% above	70%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC FINGER UNILATERAL	$205.43	$694.00	$562.14	—	70%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$181.45	$613.00	$31.47–$496.53	2% below	70%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$181.45	$613.00	$496.53	—	70%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT 3 VIEWS	$188.85	$638.00	$37.14–$516.78	28% below	70%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS	$283.28	$957.00	$37.14–$775.17	8% above	70%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT 3 VIEWS	$188.85	$638.00	$516.78	—	70%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS	$283.28	$957.00	$775.17	—	70%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND 3 VIEWS	$212.53	$718.00	$38.83–$581.58	20% below	70%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND 3 VIEWS	$212.53	$718.00	$581.58	—	70%
X-ray of the knee, 1 or 2 views both sides CPT 73560 HC KNEE BILATERAL	$265.52	$897.00	$34.30–$726.57	—	70%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$177.01	$598.00	$34.30–$484.38	4% below	70%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 HC KNEE BILATERAL	$265.52	$897.00	$726.57	—	70%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$177.01	$598.00	$484.38	—	70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBAR 2- 3 VIEWS	$248.35	$839.00	$38.83–$679.59	27% below	70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBAR 2- 3 VIEWS	$248.35	$839.00	$679.59	—	70%
X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBAR 4-5 VIEW	$548.79	$1,854.00	$53.56–$1,501.74	8% above	70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBAR 4-5 VIEW	$548.79	$1,854.00	$1,501.74	—	70%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES 3+VWS	$216.97	$733.00	$40.53–$593.73	at median	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES 3+VWS	$216.97	$733.00	$593.73	—	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINECERVICAL 3/- VIEWS	$101.53	$343.00	$38.83–$306.00	76% below	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINECERVICAL 3/- VIEWS	$101.53	$343.00	$277.83	—	70%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2VIEW	$80.81	$273.00	$31.47–$306.00	67% below	70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2VIEW	$80.81	$273.00	$221.13	—	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM&COCCYX 2VW/MORE	$220.23	$744.00	$32.60–$602.64	23% below	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM&COCCYX 2VW/MORE	$220.23	$744.00	$602.64	—	70%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC LAB SGPT (ALT)	$8.00	$27.00	$5.30–$21.87	82% below	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC LAB SGPT (ALT)	$8.00	$27.00	$21.87	—	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC LAB SGOT (AST)	$37.89	$128.00	$5.18–$103.68	5% above	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC LAB SGOT (AST)	$37.89	$128.00	$103.68	—	70%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC LAB ACUTE HEPATITIS PANEL	$145.64	$492.00	$47.63–$398.52	59% below	70%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC LAB ACUTE HEPATITIS PANEL	$145.64	$492.00	$398.52	—	70%
Allergy blood test, specific IgE, per allergen CPT 86003 F081-IGE CHEESE CHEDDAR TYPE	$5.92	$20.00	$5.22–$16.20	84% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ABY TO ALLERGIC SUBSTANCE	$6.81	$23.00	$5.22–$18.63	82% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GOOSE FEATHER (E70) IGE	$7.11	$24.00	$5.22–$19.44	81% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 M207-IGG ASPERGILLUS NIGER	$7.40	$25.00	$5.22–$20.25	80% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALTERNARIA TENUIS	$7.40	$25.00	$5.22–$20.25	80% below	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F081-IGE CHEESE CHEDDAR TYPE	$5.92	$20.00	$16.20	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ABY TO ALLERGIC SUBSTANCE	$6.81	$23.00	$18.63	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GOOSE FEATHER (E70) IGE	$7.11	$24.00	$19.44	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALTERNARIA TENUIS	$7.40	$25.00	$20.25	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M207-IGG ASPERGILLUS NIGER	$7.40	$25.00	$20.25	—	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC LAB CYCLIC CITRULINATD PEP IGG	$167.24	$565.00	$12.95–$457.65	30% above	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC LAB CYCLIC CITRULLINATED PEPTIDE	$167.24	$565.00	$12.95–$457.65	30% above	70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC LAB CYCLIC CITRULINATD PEP IGG	$167.24	$565.00	$457.65	—	70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC LAB CYCLIC CITRULLINATED PEPTIDE	$167.24	$565.00	$457.65	—	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTIBODIES	$24.28	$82.00	$12.09–$66.42	74% below	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR ANTIBODIES	$24.28	$82.00	$66.42	—	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP	$93.54	$316.00	$39.26–$255.96	31% below	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC LAB NATRIURETIC PEPTDE	$102.72	$347.00	$39.26–$281.07	24% below	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP	$93.54	$316.00	$255.96	—	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC LAB NATRIURETIC PEPTDE	$102.72	$347.00	$281.07	—	70%
Basic metabolic panel (blood test) CPT 80048 HC LAB BASIC METABOLIC PANEL	$105.38	$356.00	$8.46–$288.36	29% above	70%
Basic metabolic panel (blood test) inpatient CPT 80048 HC LAB BASIC METABOLIC PANEL	$105.38	$356.00	$288.36	—	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LAB SURG/PATH-LEVEL IV	$78.15	$264.00	$47.77–$213.84	18% below	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LAB RENAL BIOPSY	$78.15	$264.00	$47.77–$213.84	18% below	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LAB SURG/PATH-LEVEL IV	$78.15	$264.00	$213.84	—	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LAB RENAL BIOPSY	$78.15	$264.00	$213.84	—	70%
Blood culture for bacteria CPT 87040 HC LAB CULT-BLOOD	$24.57	$83.00	$10.32–$67.23	69% below	70%
Blood culture for bacteria inpatient CPT 87040 HC LAB CULT-BLOOD	$24.57	$83.00	$67.23	—	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$17.76	$60.00	$0.65–$3,196.00	42% above	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$17.76	$60.00	$48.60	—	70%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$10.07	$34.00	$3.93–$27.54	73% below	70%
Blood glucose (sugar) test CPT 82947 HC LAB GLUCOMETER	$10.07	$34.00	$3.93–$27.54	73% below	70%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$10.07	$34.00	$27.54	—	70%
Blood glucose (sugar) test inpatient CPT 82947 HC LAB GLUCOMETER	$10.07	$34.00	$27.54	—	70%
Blood lead test CPT 83655 HC LAB LEAD	$41.44	$140.00	$11.19–$113.40	40% below	70%
Blood lead test CPT 83655 HC LAB LEAD WB	$41.44	$140.00	$11.19–$113.40	40% below	70%
Blood lead test inpatient CPT 83655 HC LAB LEAD WB	$41.44	$140.00	$113.40	—	70%
Blood lead test inpatient CPT 83655 HC LAB LEAD	$41.44	$140.00	$113.40	—	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC LAB HCG QUALITATIVE	$140.31	$474.00	$7.52–$383.94	4% above	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC LAB HCG QUALITATIVE	$140.31	$474.00	$383.94	—	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC LAB BLOOD TYPING ABO SEROLOGIC	$8.59	$29.00	$2.99–$282.21	87% below	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC LAB BLOOD TYPING ABO SEROLOGIC	$8.59	$29.00	$23.49	—	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC LAB CRP (C-REACTPROTEIN)	$87.03	$294.00	$5.18–$238.14	37% below	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC LAB CRP (C-REACTPROTEIN)	$87.03	$294.00	$238.14	—	70%
C. difficile toxin gene test (stool PCR) CPT 87493 HC LAB C DIFFICILE TOXIN PCR	$86.44	$292.00	$37.27–$236.52	3% below	70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC LAB C DIFFICILE TOXIN PCR	$86.44	$292.00	$236.52	—	70%
CA 19-9 blood test (tumor marker) CPT 86301 HC LAB CARBOHYDRATE ANTI 19-9	$39.08	$132.00	$20.81–$106.92	55% below	70%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC LAB CARBOHYDRATE ANTI 19-9	$39.08	$132.00	$106.92	—	70%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC LAB CANCER ANTIGEN 125	$60.68	$205.00	$20.81–$166.05	57% below	70%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC LAB CANCER ANTIGEN 125	$60.68	$205.00	$166.05	—	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC LAB C. TRACHOMATIS RNA	$116.33	$393.00	$27.60–$318.33	55% above	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC LAB CHLAMYDIA RNA TMA THROAT	$116.33	$393.00	$27.60–$318.33	55% above	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC LAB CHLAMYDIA RNA TMA THROAT	$116.33	$393.00	$318.33	—	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC LAB C. TRACHOMATIS RNA	$116.33	$393.00	$318.33	—	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LAB LIPID PANEL	$24.57	$83.00	$13.39–$67.23	71% below	70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LAB LIPID PANEL	$24.57	$83.00	$67.23	—	70%
Complete blood count (CBC) with differential CPT 85025 HC LAB CBC W/AUTO DIFF	$82.88	$280.00	$7.77–$226.80	27% above	70%
Complete blood count (CBC) with differential inpatient CPT 85025 HC LAB CBC W/AUTO DIFF	$82.88	$280.00	$226.80	—	70%
Complete blood count (CBC), no differential CPT 85027 HC LAB CBC (W/PLT&HEMOGRAM)	$84.96	$287.00	$6.47–$232.47	79% above	70%
Complete blood count (CBC), no differential inpatient CPT 85027 HC LAB CBC (W/PLT&HEMOGRAM)	$84.96	$287.00	$232.47	—	70%
Comprehensive metabolic panel (blood test) CPT 80053 HC LAB COMP METABOLIC PANEL	$183.23	$619.00	$10.56–$501.39	74% above	70%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC LAB COMP METABOLIC PANEL	$183.23	$619.00	$501.39	—	70%
D-dimer blood test (blood clot marker) CPT 85379 HC LAB D-DIMER	$161.62	$546.00	$10.18–$442.26	52% above	70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC LAB D-DIMER	$161.62	$546.00	$442.26	—	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC LAB DHEA SULFATE	$35.82	$121.00	$22.23–$98.01	79% below	70%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC LAB DHEA SULFATE	$35.82	$121.00	$98.01	—	70%
Estradiol blood test CPT 82670 HC LAB ESTRADIOL ULTRASENSITIVE	$33.45	$113.00	$27.94–$91.53	69% below	70%
Estradiol blood test CPT 82670 HC LAB ESTRADIOL (E2)	$33.45	$113.00	$27.94–$91.53	69% below	70%
Estradiol blood test inpatient CPT 82670 HC LAB ESTRADIOL ULTRASENSITIVE	$33.45	$113.00	$91.53	—	70%
Estradiol blood test inpatient CPT 82670 HC LAB ESTRADIOL (E2)	$33.45	$113.00	$91.53	—	70%
FSH (follicle-stimulating hormone) test CPT 83001 HC LAB FOLLICLE STIM HORMONE	$106.27	$359.00	$18.58–$290.79	31% below	70%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC LAB FOLLICLE STIM HORMONE	$106.27	$359.00	$290.79	—	70%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL	$98.87	$334.00	$19.63–$270.54	73% below	70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL	$98.87	$334.00	$270.54	—	70%
Ferritin blood test (iron stores) CPT 82728 HC LAB FERRITIN	$96.50	$326.00	$13.63–$264.06	34% below	70%
Ferritin blood test (iron stores) inpatient CPT 82728 HC LAB FERRITIN	$96.50	$326.00	$264.06	—	70%
Folate (folic acid) blood test CPT 82746 HC LAB FOLATESERUM	$37.30	$126.00	$14.70–$102.06	78% below	70%
Folate (folic acid) blood test inpatient CPT 82746 HC LAB FOLATESERUM	$37.30	$126.00	$102.06	—	70%
Free T3 thyroid hormone test CPT 84481 HC LAB T3 FREE	$33.75	$114.00	$16.94–$92.34	81% below	70%
Free T3 thyroid hormone test inpatient CPT 84481 HC LAB T3 FREE	$33.75	$114.00	$92.34	—	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC LAB FREE T4	$52.10	$176.00	$9.02–$142.56	62% below	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC LAB FREE T4	$52.10	$176.00	$142.56	—	70%
Free testosterone test CPT 84402 HC LAB TESTOSTERONE FREE	$22.80	$77.00	$25.47–$63.45	90% below	70%
Free testosterone test inpatient CPT 84402 HC LAB TESTOSTERONE FREE	$22.80	$77.00	$62.37	—	70%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$31.97	$108.00	$16.20–$103.90	90% below	70%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$31.97	$108.00	$87.48	—	70%
Glucose tolerance test, 3 samples CPT 82951 HC LAB GLUCOSE TT FIRST 3 SPECS	$17.17	$58.00	$12.87–$46.98	83% below	70%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC LAB GLUCOSE TT FIRST 3 SPECS	$17.17	$58.00	$46.98	—	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC LAB GC RNA TMA THROAT	$80.81	$273.00	$23.96–$221.13	8% above	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC LAB N. GONORRHOEAE RNA	$80.81	$273.00	$23.96–$221.13	8% above	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC LAB GC RNA TMA THROAT	$80.81	$273.00	$221.13	—	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC LAB N. GONORRHOEAE RNA	$80.81	$273.00	$221.13	—	70%
H. pylori antibody blood test CPT 86677 HC LAB HELICOBACTER PYLORI IGG QUANT	$14.21	$48.00	$16.85–$43.96	84% below	70%
H. pylori antibody blood test CPT 86677 HC LAB H.PYLORI ANTIBODIES	$14.21	$48.00	$16.85–$43.96	84% below	70%
H. pylori antibody blood test inpatient CPT 86677 HC LAB HELICOBACTER PYLORI IGG QUANT	$14.21	$48.00	$38.88	—	70%
H. pylori antibody blood test inpatient CPT 86677 HC LAB H.PYLORI ANTIBODIES	$14.21	$48.00	$38.88	—	70%
H. pylori stool antigen test CPT 87338 HC H. PYLORI STOOL ANTIGEN	$39.08	$132.00	$14.38–$106.92	77% below	70%
H. pylori stool antigen test inpatient CPT 87338 HC H. PYLORI STOOL ANTIGEN	$39.08	$132.00	$106.92	—	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC LAB HIV-1 RNA	$143.86	$486.00	$63.21–$393.66	44% below	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA PCR(GRAPH)RFX/GENOPRI	$143.86	$486.00	$63.21–$393.66	44% below	70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA PCR(GRAPH)RFX/GENOPRI	$143.86	$486.00	$393.66	—	70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC LAB HIV-1 RNA	$143.86	$486.00	$393.66	—	70%
HIV-1 and HIV-2 antibody test CPT 86703 HC LAB HIV-1/HIV-2 AB SNGL RES	$19.24	$65.00	$13.71–$52.65	71% below	70%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC LAB HIV-1/HIV-2 AB SNGL RES	$19.24	$65.00	$52.65	—	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC LAB HIV-1 AG W/HIV-1&2 AB	$54.76	$185.00	$24.08–$149.85	48% below	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ABY/P24 AGN WITH REFLEX	$54.76	$185.00	$24.08–$149.85	48% below	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC LAB HIV-1 AG W/HIV-1&2 AB	$54.76	$185.00	$149.85	—	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV ABY/P24 AGN WITH REFLEX	$54.76	$185.00	$149.85	—	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC LAB HEMOGLOBIN A1C	$24.57	$83.00	$9.71–$67.23	75% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC LAB HEMOGLOBIN A1C	$24.57	$83.00	$67.23	—	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC LAB HEP BS AB (ANTI-HBS)	$50.32	$170.00	$10.74–$137.70	38% below	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC LAB HEPATITIS B SURFACE ANTIBODY	$50.32	$170.00	$10.74–$137.70	38% below	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC LAB HEP BS AB (ANTI-HBS)	$50.32	$170.00	$137.70	—	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC LAB HEPATITIS B SURFACE ANTIBODY	$50.32	$170.00	$137.70	—	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC LAB HEP BS AG (HBSAG)	$46.18	$156.00	$10.33–$126.36	21% below	70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC LAB HEP BS AG (HBSAG)	$46.18	$156.00	$126.36	—	70%
Hepatitis C antibody blood test (screening) CPT 86803 HC LAB HEP C AB (ANTI-HCV) DONOR	$16.58	$56.00	$11.19–$45.36	88% below	70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC LAB HEP C AB (ANTI-HCV) DONOR	$16.58	$56.00	$45.36	—	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY PCR QN RFX GENO	$76.37	$258.00	$42.84–$208.98	61% below	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC LAB HEP C PCR-QUANT	$76.37	$258.00	$42.84–$208.98	61% below	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV VIRAL LOAD REALTIME ABBOTT	$213.12	$720.00	$42.84–$583.20	8% above	70%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR QUANT (WITH GRAPH)	$81.11	$274.00	$42.84–$221.94	59% below	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA BY PCR QN RFX GENO	$76.37	$258.00	$208.98	—	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC LAB HEP C PCR-QUANT	$76.37	$258.00	$208.98	—	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV VIRAL LOAD REALTIME ABBOTT	$213.12	$720.00	$583.20	—	70%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR QUANT (WITH GRAPH)	$81.11	$274.00	$221.94	—	70%
Herpes blood test, HSV-1 antibody CPT 86695 HC LAB HERPES SIMPL TYPE I	$20.72	$70.00	$13.19–$56.70	78% below	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC LAB HERPES SIMPL TYPE I	$20.72	$70.00	$56.70	—	70%
Herpes blood test, HSV-2 antibody CPT 86696 HC LAB HERPES SIMPL TYPE 2	$22.50	$76.00	$19.35–$61.56	77% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 AB IGG	$22.50	$76.00	$19.35–$61.56	77% below	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC LAB HERPES SIMPL TYPE 2	$22.50	$76.00	$61.56	—	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE 2 AB IGG	$22.50	$76.00	$61.56	—	70%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC LAB C-REACTIVE PROTEIN HS	$90.28	$305.00	$12.95–$247.05	1% below	70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC LAB C-REACTIVE PROTEIN HS	$90.28	$305.00	$247.05	—	70%
Homocysteine blood test CPT 83090 HC LAB HOMOCYSTEINE	$31.68	$107.00	$17.92–$86.67	89% below	70%
Homocysteine blood test inpatient CPT 83090 HC LAB HOMOCYSTEINE	$31.68	$107.00	$86.67	—	70%
Insulin blood test CPT 83525 HC LAB INSULIN	$21.02	$71.00	$11.43–$57.51	68% below	70%
Insulin blood test inpatient CPT 83525 HC LAB INSULIN	$21.02	$71.00	$57.51	—	70%
Iron blood test (serum iron) CPT 83540 HC LAB IRON SERUM	$15.40	$52.00	$6.47–$42.12	67% below	70%
Iron blood test (serum iron) CPT 83540 HC LAB LIVER TISSUE FOR IRON	$15.40	$52.00	$6.47–$42.12	67% below	70%
Iron blood test (serum iron) inpatient CPT 83540 HC LAB LIVER TISSUE FOR IRON	$15.40	$52.00	$42.12	—	70%
Iron blood test (serum iron) inpatient CPT 83540 HC LAB IRON SERUM	$15.40	$52.00	$42.12	—	70%
Iron-binding capacity (TIBC) test CPT 83550 HC LAB TOTAL IRON BIND CAP	$95.91	$324.00	$8.74–$262.44	30% below	70%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC LAB TOTAL IRON BIND CAP	$95.91	$324.00	$262.44	—	70%
Kidney function blood test panel CPT 80069 HC RENAL PROFILE	$145.04	$490.00	$8.68–$396.90	16% above	70%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE	$145.04	$490.00	$396.90	—	70%
LH (luteinizing hormone) test CPT 83002 HC LAB LUTENIZING HORMONE	$34.04	$115.00	$18.52–$93.15	60% below	70%
LH (luteinizing hormone) test inpatient CPT 83002 HC LAB LUTENIZING HORMONE	$34.04	$115.00	$93.15	—	70%
Lipase blood test (pancreas enzyme) CPT 83690 HC LAB LIPASE	$124.62	$421.00	$6.89–$341.01	at median	70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LAB LIPASE	$124.62	$421.00	$341.01	—	70%
Liver function blood test panel CPT 80076 HC LAB HEPATIC FUNCTION PANEL	$150.08	$507.00	$8.17–$410.67	41% above	70%
Liver function blood test panel inpatient CPT 80076 HC LAB HEPATIC FUNCTION PANEL	$150.08	$507.00	$410.67	—	70%
Lyme disease antibody test CPT 86618 HC LAB LYME DISEASE AB TOTAL	$38.19	$129.00	$17.03–$104.49	51% below	70%
Lyme disease antibody test inpatient CPT 86618 HC LAB LYME DISEASE AB TOTAL	$38.19	$129.00	$104.49	—	70%
Magnesium blood test CPT 83735 HC LAB MAGNESIUM STOOL	$15.40	$52.00	$6.70–$42.12	76% below	70%
Magnesium blood test CPT 83735 HC LAB MAGNESIUM	$15.40	$52.00	$6.70–$42.12	76% below	70%
Magnesium blood test inpatient CPT 83735 HC LAB MAGNESIUM STOOL	$15.40	$52.00	$42.12	—	70%
Magnesium blood test inpatient CPT 83735 HC LAB MAGNESIUM	$15.40	$52.00	$42.12	—	70%
Measles (rubeola) antibody test CPT 86765 HC LAB RUBEOLA AB	$29.31	$99.00	$12.88–$80.19	52% below	70%
Measles (rubeola) antibody test inpatient CPT 86765 HC LAB RUBEOLA AB	$29.31	$99.00	$80.19	—	70%
Mono test (heterophile antibody, Monospot) CPT 86308 HC LAB INFECT MONO SCREEN	$123.44	$417.00	$5.18–$337.77	55% above	70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC LAB INFECT MONO SCREEN	$123.44	$417.00	$337.77	—	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC LAB PSA FREE	$38.48	$130.00	$18.39–$105.30	71% below	70%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC LAB PSA FREE	$38.48	$130.00	$105.30	—	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC LAB PSA TOTAL	$31.38	$106.00	$18.39–$85.86	82% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC LAB PROSTATIC SPECIFIC ANTIGEN	$31.38	$106.00	$18.39–$85.86	82% below	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC LAB PSA TOTAL	$31.38	$106.00	$85.86	—	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC LAB PROSTATIC SPECIFIC ANTIGEN	$31.38	$106.00	$85.86	—	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CERVICAL-VAGINAL THIN LAYER PR	$58.91	$199.00	$20.26–$161.19	24% below	70%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CERVICAL-VAGINAL THIN LAYER PR	$58.91	$199.00	$161.19	—	70%
Parathyroid hormone (PTH) blood test CPT 83970 HC LAB PTH INTACT	$184.12	$622.00	$41.28–$503.82	19% below	70%
Parathyroid hormone (PTH) blood test CPT 83970 HC LAB PTH (INTRAOPERATIVE) HIXSON	$184.12	$622.00	$41.28–$503.82	19% below	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC LAB PTH (INTRAOPERATIVE) HIXSON	$184.12	$622.00	$503.82	—	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC LAB PTH INTACT	$184.12	$622.00	$503.82	—	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LAB MS PARTIAL THROMB TIME	$82.29	$278.00	$6.01–$225.18	87% above	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LAB PTT	$82.29	$278.00	$6.01–$225.18	87% above	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LAB PTT	$82.29	$278.00	$225.18	—	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LAB MS PARTIAL THROMB TIME	$82.29	$278.00	$225.18	—	70%
Progesterone blood test CPT 84144 HC LAB PROGESTERONE	$28.42	$96.00	$20.86–$77.76	83% below	70%
Progesterone blood test inpatient CPT 84144 HC LAB PROGESTERONE	$28.42	$96.00	$77.76	—	70%
Prolactin blood test CPT 84146 HC LAB PROLACTIN	$33.16	$112.00	$19.38–$90.72	83% below	70%
Prolactin blood test inpatient CPT 84146 HC LAB PROLACTIN	$33.16	$112.00	$90.72	—	70%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LAB PT (NOT ORD)	$76.67	$259.00	$4.29–$209.79	102% above	70%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LAB PT	$76.67	$259.00	$4.29–$209.79	102% above	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LAB PT	$76.67	$259.00	$209.79	—	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LAB PT (NOT ORD)	$76.67	$259.00	$209.79	—	70%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC LAB COTININE SCREEN URINE	$21.32	$72.00	$12.60–$58.32	70% below	70%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC LAB DRUG SCREEN LATERAL FLOW	$21.32	$72.00	$12.60–$58.32	70% below	70%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC LAB DRUG SCREEN LATERAL FLOW	$21.32	$72.00	$58.32	—	70%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC LAB COTININE SCREEN URINE	$21.32	$72.00	$58.32	—	70%
Rapid flu test (influenza antigen) CPT 87804 HC LAB INFLUENZA IA W/DO	$57.43	$194.00	$16.55–$157.14	21% below	70%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC LAB INFLUENZA IA W/DO	$57.43	$194.00	$157.14	—	70%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC LAB RAPID STREP A AG	$34.34	$116.00	$16.53–$93.96	55% below	70%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC LAB RAPID STREP A AG	$34.34	$116.00	$93.96	—	70%
Rheumatoid factor (RF) test CPT 86431 HC LAB RA SYNOVIAL FLUID	$87.92	$297.00	$5.67–$240.57	11% above	70%
Rheumatoid factor (RF) test CPT 86431 HC LAB RHEUMATOID ARTH TTR	$87.92	$297.00	$5.67–$240.57	11% above	70%
Rheumatoid factor (RF) test inpatient CPT 86431 HC LAB RA SYNOVIAL FLUID	$87.92	$297.00	$240.57	—	70%
Rheumatoid factor (RF) test inpatient CPT 86431 HC LAB RHEUMATOID ARTH TTR	$87.92	$297.00	$240.57	—	70%
Rubella antibody test (immunity check) CPT 86762 HC LAB RUBELLA AB	$32.56	$110.00	$14.39–$89.10	55% below	70%
Rubella antibody test (immunity check) inpatient CPT 86762 HC LAB RUBELLA AB	$32.56	$110.00	$89.10	—	70%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC LAB SED RATE	$53.88	$182.00	$2.70–$147.42	38% above	70%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC LAB SEDIMENTATION RATE (SED)	$53.88	$182.00	$2.70–$147.42	38% above	70%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC LAB SED RATE	$53.88	$182.00	$147.42	—	70%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC LAB SEDIMENTATION RATE (SED)	$53.88	$182.00	$147.42	—	70%
Stool ova and parasites exam CPT 87177 HC LAB OVA-PARASITE EXAM	$21.91	$74.00	$8.90–$59.94	77% below	70%
Stool ova and parasites exam CPT 87177 HC LAB O&P DIRECT SMEAR	$21.91	$74.00	$8.90–$59.94	77% below	70%
Stool ova and parasites exam inpatient CPT 87177 HC LAB O&P DIRECT SMEAR	$21.91	$74.00	$59.94	—	70%
Stool ova and parasites exam inpatient CPT 87177 HC LAB OVA-PARASITE EXAM	$21.91	$74.00	$59.94	—	70%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD GUAIAC	$11.84	$40.00	$4.38–$32.40	68% below	70%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD GUAIAC	$11.84	$40.00	$32.40	—	70%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD IFOBT	$20.72	$70.00	$15.92–$56.70	80% below	70%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD IFOBT	$20.72	$70.00	$56.70	—	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC LAB RPR	$8.59	$29.00	$4.27–$23.49	77% below	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC LAB SYPHILIS TEST NONTRP QL	$8.59	$29.00	$4.27–$23.49	77% below	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC LAB SYPHILIS TEST NONTRP QL	$8.59	$29.00	$23.49	—	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC LAB RPR	$8.59	$29.00	$23.49	—	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC LAB QUANTIFERON-TB	$24.87	$84.00	$61.98–$187.72	86% below	70%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC LAB QUANTIFERON-TB	$24.87	$84.00	$68.04	—	70%
Testosterone blood test, total (not free testosterone) CPT 84403 HC LAB TESTOSTERONE TOTAL	$62.16	$210.00	$25.81–$170.10	64% below	70%
Testosterone blood test, total (not free testosterone) CPT 84403 HC LAB TESTOSTERONE TOTAL BY LC MS/M	$62.16	$210.00	$25.81–$170.10	64% below	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC LAB TESTOSTERONE TOTAL	$62.16	$210.00	$170.10	—	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC LAB TESTOSTERONE TOTAL BY LC MS/M	$62.16	$210.00	$170.10	—	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LAB MICROSOMAL AB EA	$169.32	$572.00	$14.55–$463.32	62% above	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LAB THYROID PEROXIDASE AB	$169.32	$572.00	$14.55–$463.32	62% above	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LAB THYROID PEROXIDASE AB	$169.32	$572.00	$463.32	—	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LAB MICROSOMAL AB EA	$169.32	$572.00	$463.32	—	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC LAB TSH	$57.72	$195.00	$16.80–$157.95	63% below	70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC LAB TSH	$57.72	$195.00	$157.95	—	70%
Trichomonas test (NAAT) CPT 87661 TRICHAMONAS VAG BY NAA	$44.70	$151.00	$23.96–$122.31	51% below	70%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHAMONAS VAG BY NAA	$44.70	$151.00	$122.31	—	70%
Uric acid blood test CPT 84550 HC LAB URIC ACID	$75.78	$256.00	$4.52–$207.36	2% above	70%
Uric acid blood test inpatient CPT 84550 HC LAB URIC ACID	$75.78	$256.00	$207.36	—	70%
Urinalysis with microscope exam, automated CPT 81001 HC LAB URINALYSIS W/REFLEX TO URINE	$10.07	$34.00	$3.17–$27.54	76% below	70%
Urinalysis with microscope exam, automated CPT 81001 HC LAB AUTO URINALYS W/ MICRO	$10.07	$34.00	$3.17–$27.54	76% below	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC LAB AUTO URINALYS W/ MICRO	$10.07	$34.00	$27.54	—	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC LAB URINALYSIS W/REFLEX TO URINE	$10.07	$34.00	$27.54	—	70%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS NON AUTOMATED (BO)	$9.48	$32.00	$4.02–$25.92	69% below	70%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS NON AUTOMATED (BO)	$9.48	$32.00	$25.92	—	70%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE - AUTO	$6.52	$22.00	$2.25–$17.82	82% below	70%
Urinalysis without microscope exam, automated CPT 81003 HC LAB AUTO URINALYS WO MICRO	$7.70	$26.00	$2.25–$21.06	78% below	70%
Urinalysis without microscope exam, automated CPT 81003 HC LAB KETONES	$7.70	$26.00	$2.25–$21.06	78% below	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE - AUTO	$6.52	$22.00	$17.82	—	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC LAB AUTO URINALYS WO MICRO	$7.70	$26.00	$21.06	—	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC LAB KETONES	$7.70	$26.00	$21.06	—	70%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY URINE - MANUAL	$10.36	$35.00	$3.48–$28.35	80% below	70%
Urinalysis without microscope exam, manual CPT 81002 HC LAB NON AUTO URINALYSIS	$10.36	$35.00	$3.48–$28.35	80% below	70%
Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY URINE - MANUAL	$10.36	$35.00	$28.35	—	70%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC LAB NON AUTO URINALYSIS	$10.36	$35.00	$28.35	—	70%
Urine culture for bacteria, with colony count CPT 87086 HC LAB URINE CULTURE SPECIAL	$13.32	$45.00	$8.07–$36.45	80% below	70%
Urine culture for bacteria, with colony count CPT 87086 HC LAB CULT-URINE	$13.32	$45.00	$8.07–$36.45	80% below	70%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC LAB URINE CULTURE SPECIAL	$13.32	$45.00	$36.45	—	70%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC LAB CULT-URINE	$13.32	$45.00	$36.45	—	70%
Urine pregnancy test, read by color change CPT 81025 HC LAB PREG URINE VIS CLR-WAIV	$26.35	$89.00	$8.61–$72.09	66% below	70%
Urine pregnancy test, read by color change inpatient CPT 81025 HC LAB PREG URINE VIS CLR-WAIV	$26.35	$89.00	$72.09	—	70%
Vitamin B12 (cobalamin) blood test CPT 82607 HC LAB VITAMIN B12	$34.64	$117.00	$15.08–$94.77	70% below	70%
Vitamin B12 (cobalamin) blood test CPT 82607 HC LAB ASSAY VITAMIN B-12	$34.64	$117.00	$15.08–$94.77	70% below	70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC LAB ASSAY VITAMIN B-12	$34.64	$117.00	$94.77	—	70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC LAB VITAMIN B12	$34.64	$117.00	$94.77	—	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC LAB VITAMIN D 25-OH	$93.24	$315.00	$29.60–$255.15	61% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC LAB VITAMIN D 25-OH	$93.24	$315.00	$255.15	—	70%
Zinc blood test CPT 84630 HC LAB ZINC	$20.43	$69.00	$11.39–$55.89	81% below	70%
Zinc blood test CPT 84630 HC LAB ZINC RBC	$20.43	$69.00	$11.39–$55.89	81% below	70%
Zinc blood test inpatient CPT 84630 HC LAB ZINC RBC	$20.43	$69.00	$55.89	—	70%
Zinc blood test inpatient CPT 84630 HC LAB ZINC	$20.43	$69.00	$55.89	—	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC LAB HCG QUANTITATIVE	$65.42	$221.00	$9.03–$179.01	59% below	70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC LAB HCG QUANTITATIVE	$65.42	$221.00	$179.01	—	70%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC	$1,892.04	$6,392.00	$0.65–$5,177.52	31% below	70%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STRTCTC	$1,892.04	$6,392.00	$5,177.52	—	70%
Cardiac catheterization with coronary angiogram CPT 93458 HC L HRT ART/VENTR ANGIO	$7,074.40	$23,900.00	$167.00–$19,359.00	29% below	70%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L HRT ART/VENTR ANGIO	$7,074.40	$23,900.00	$19,359.00	—	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSIONEXTERNAL	$652.68	$2,205.00	$330.75–$7,669.00	74% below	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSIONEXTERNAL	$652.68	$2,205.00	$1,786.05	—	70%
Carpal tunnel release, open surgery CPT 64721 HC NEUROPLASTYMED NERVECARPAL	$1,998.30	$6,751.00	$167.00–$5,468.31	57% above	70%
Carpal tunnel release, open surgery inpatient CPT 64721 HC NEUROPLASTYMED NERVECARPAL	$1,998.30	$6,751.00	$5,468.31	—	70%
Catheter ablation for atrial fibrillation CPT 93656 HC TX ATRIAL FIB PULM VEIN ISOL	$24,828.48	$83,880.00	$167.00–$67,942.80	49% above	70%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC TX ATRIAL FIB PULM VEIN ISOL	$24,828.48	$83,880.00	$67,942.80	—	70%
Coronary stent placement, one artery CPT 92928 HC PRQ CARD STNT W/ANGIO 1 VSL	$10,810.81	$36,523.00	$167.00–$29,583.63	24% above	70%
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STNT W/ANGIO 1 VSL	$10,810.81	$36,523.00	$29,583.63	—	70%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTO W/INSERT URETERAL STENT	$2,269.73	$7,668.00	$167.00–$7,550.91	45% below	70%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTO W/INSERT URETERAL STENT	$2,269.73	$7,668.00	$6,211.08	—	70%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY	$520.37	$1,758.00	$167.00–$1,836.63	68% below	70%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY	$520.37	$1,758.00	$1,423.98	—	70%
Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN	$70.75	$239.00	$0.65–$3,196.00	79% below	70%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN	$70.75	$239.00	$193.59	—	70%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC CYSTOPLASTY ON BLADDER	$231.48	$782.00	$0.65–$2,204.00	46% below	70%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC CYSTOPLASTY ON BLADDER	$231.48	$782.00	$633.42	—	70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC CERV/THORACIC EPIDUR W/FLURO	$392.80	$1,327.00	$0.65–$3,196.00	88% below	70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDURL INTRLAMNAR CERVC/THORC	$1,226.92	$4,145.00	$0.65–$3,357.45	63% below	70%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC CERV/THORACIC EPIDUR W/FLURO	$392.80	$1,327.00	$1,074.87	—	70%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPIDURL INTRLAMNAR CERVC/THORC	$1,226.92	$4,145.00	$3,357.45	—	70%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ FACET LUMBAR 64493	$487.81	$1,648.00	$0.65–$3,196.00	84% below	70%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ FACET LUMBAR	$500.24	$1,690.00	$0.65–$3,196.00	83% below	70%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ FACET LUMBAR 64493	$487.81	$1,648.00	$1,334.88	—	70%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ FACET LUMBAR	$500.24	$1,690.00	$1,368.90	—	70%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORR INTBY LIGATION	$933.00	$3,152.00	$0.65–$3,196.00	38% above	70%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORR INTBY LIGATION	$933.00	$3,152.00	$2,553.12	—	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO CATHETERIZATION	$70.45	$238.00	$0.65–$3,196.00	90% below	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ SIS/HYSTEROGRAPHY	$122.25	$413.00	$0.65–$3,196.00	82% below	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO CATHETERIZATION	$70.45	$238.00	$192.78	—	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ SIS/HYSTEROGRAPHY	$122.25	$413.00	$334.53	—	70%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC SIMPL OR SGL	$205.72	$695.00	$0.65–$2,204.00	66% below	70%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC SIMPL OR SGL	$205.72	$695.00	$562.95	—	70%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHTH/LIG SGL	$302.52	$1,022.00	$0.65–$2,204.00	76% below	70%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHTH/LIG SGL	$302.52	$1,022.00	$827.82	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIR/INJ JOINT MAJOR	$393.39	$1,329.00	$0.65–$2,204.00	57% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIRATION MAJOR JOINT	$393.39	$1,329.00	$0.65–$2,204.00	57% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC HIP INJ UNILATERAL PM	$393.39	$1,329.00	$0.65–$2,204.00	57% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIR/INJ JOINT MAJOR	$393.39	$1,329.00	$1,076.49	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIRATION MAJOR JOINT	$393.39	$1,329.00	$1,076.49	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC HIP INJ UNILATERAL PM	$393.39	$1,329.00	$1,076.49	—	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ASPIR/INJ JOINT INTERM	$129.95	$439.00	$0.65–$3,196.00	83% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ASPIR/INJ JOINT INTERM	$129.95	$439.00	$355.59	—	70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ASPIR/INJ JOINT SMALL	$373.56	$1,262.00	$0.65–$2,204.00	38% below	70%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ASPIR/INJ JOINT SMALL	$373.56	$1,262.00	$1,022.22	—	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INT SCLP 2.5CM /<	$95.91	$324.00	$0.65–$3,196.00	87% below	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INT SCLP 2.5CM /<	$95.91	$324.00	$262.44	—	70%
Left heart catheterization, diagnostic one side CPT 93452 HC LT HRT CATH W/VENTRCLGRP	$4,783.36	$16,160.00	$167.00–$13,089.60	38% below	70%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LT HRT CATH W/VENTRCLGRP	$4,783.36	$16,160.00	$13,089.60	—	70%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR W IMAGING	$392.80	$1,327.00	$0.65–$3,196.00	78% below	70%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR W IMAGING	$392.80	$1,327.00	$1,074.87	—	70%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ(S) FORAMEN LUMB/SAC	$634.92	$2,145.00	$167.00–$1,949.14	81% below	70%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ(S) FORAMEN LUMB/SAC	$634.92	$2,145.00	$1,737.45	—	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT B9+MARG 0.5CM/<	$721.95	$2,439.00	$0.65–$2,204.00	16% above	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TR-EXT B9+MARG 0.5CM/<	$721.95	$2,439.00	$1,975.59	—	70%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC FACE-MM B9+MARG 0.5CM/<	$803.94	$2,716.00	$0.65–$2,204.00	32% above	70%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC FACE-MM B9+MARG 0.5CM/<	$803.94	$2,716.00	$2,199.96	—	70%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION OF SGL NAIL PLATE	$127.88	$432.00	$64.80–$2,204.00	75% below	70%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION OF SGL NAIL PLATE	$127.88	$432.00	$349.92	—	70%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT ANESH AGENT OCC NERVE	$308.14	$1,041.00	$0.65–$3,196.00	61% below	70%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANESTH GREATER OCCIPITAL NERVE	$308.14	$1,041.00	$0.65–$3,196.00	61% below	70%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANESTH GREATER OCCIPITAL NERVE	$308.14	$1,041.00	$843.21	—	70%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT ANESH AGENT OCC NERVE	$308.14	$1,041.00	$843.21	—	70%
Pacemaker implant (dual chamber) CPT 33208 HC INSERT PM W/ATRL&VENT LEAD	$10,656.00	$36,000.00	$0.65–$29,160.00	7% below	70%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERT PM W/ATRL&VENT LEAD	$10,656.00	$36,000.00	$29,160.00	—	70%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING	$1,461.65	$4,938.00	$0.65–$3,999.78	at median	70%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING	$1,461.65	$4,938.00	$3,999.78	—	70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$389.84	$1,317.00	$0.65–$2,204.00	48% below	70%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$389.84	$1,317.00	$1,066.77	—	70%
Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE	$186.19	$629.00	$0.65–$4,484.85	93% below	70%
Prostate biopsy CPT 55700 BIOPSY PROSTATE NEEDLE	$2,088.28	$7,055.00	$0.65–$5,714.55	26% below	70%
Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE	$186.19	$629.00	$509.49	—	70%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NEEDLE	$2,088.28	$7,055.00	$5,714.55	—	70%
Removal of a foreign object under the skin, simple CPT 10120 HC REMO FB SOFT TISSUE	$383.32	$1,295.00	$0.65–$2,204.00	60% below	70%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO FB SOFT TISSUE	$383.32	$1,295.00	$1,048.95	—	70%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY MOBILE	$5,916.75	$19,989.00	$167.00–$16,191.09	58% below	70%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY MOBILE	$5,916.75	$19,989.00	$16,191.09	—	70%
Short arm splint (forearm and hand) CPT 29125 HC APPLY ARM SHORT SPLINT	$129.65	$438.00	$0.65–$3,196.00	66% below	70%
Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT FOREARM-HAND	$129.65	$438.00	$0.65–$3,196.00	66% below	70%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY ARM SHORT SPLINT	$129.65	$438.00	$354.78	—	70%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT FOREARM-HAND	$129.65	$438.00	$354.78	—	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SIMSCLP 2.5CM/<	$196.84	$665.00	$0.65–$3,196.00	43% below	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SIMSCLP 2.5CM/<	$196.84	$665.00	$538.65	—	70%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SINGLE	$258.41	$873.00	$0.65–$3,196.00	54% below	70%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$258.41	$873.00	$0.65–$3,196.00	54% below	70%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SINGLE	$258.41	$873.00	$707.13	—	70%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$258.41	$873.00	$707.13	—	70%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC MAL LES TR/ARM/LEGS .5CM	$942.76	$3,185.00	$0.65–$3,196.00	49% above	70%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC MAL LES TR/ARM/LEGS .5CM	$942.76	$3,185.00	$2,579.85	—	70%
Skin tag removal, up to 15 tags CPT 11200 HC REM SKIN TAGS <=15 LESIONS	$66.60	$225.00	$33.75–$2,204.00	83% below	70%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REM SKIN TAGS <=15 LESIONS	$66.60	$225.00	$182.25	—	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAG	$742.08	$2,507.00	$0.65–$2,030.67	64% below	70%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAG	$742.08	$2,507.00	$2,030.67	—	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR SIM SCLP 2.6-7.5CM	$196.84	$665.00	$0.65–$3,196.00	49% below	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR SIM SCLP 2.6-7.5CM	$196.84	$665.00	$538.65	—	70%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SINGLE	$258.41	$873.00	$0.65–$3,196.00	52% below	70%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SINGLE	$258.41	$873.00	$707.13	—	70%
Thoracentesis with imaging guidance CPT 32555 HC CT THORACENTESIS GUID	$1,386.17	$4,683.00	$0.65–$3,793.23	53% below	70%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING	$1,386.17	$4,683.00	$0.65–$3,793.23	53% below	70%
Thoracentesis with imaging guidance CPT 32555 HC U/S THORACENTESIS GUID	$1,386.17	$4,683.00	$0.65–$3,793.23	53% below	70%
Thoracentesis with imaging guidance inpatient CPT 32555 HC CT THORACENTESIS GUID	$1,386.17	$4,683.00	$3,793.23	—	70%
Thoracentesis with imaging guidance inpatient CPT 32555 HC U/S THORACENTESIS GUID	$1,386.17	$4,683.00	$3,793.23	—	70%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING	$1,386.17	$4,683.00	$3,793.23	—	70%
Trigger finger release surgery CPT 26055 HC INCISE FINGER TENDON SHEATH	$1,648.72	$5,570.00	$167.00–$4,511.70	63% below	70%
Trigger finger release surgery inpatient CPT 26055 HC INCISE FINGER TENDON SHEATH	$1,648.72	$5,570.00	$4,511.70	—	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$1,084.25	$3,663.00	$0.65–$3,547.23	60% below	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$1,084.25	$3,663.00	$2,967.03	—	70%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC CYSTO W/ LITHOTRIPSY	$1,437.38	$4,856.00	$167.00–$12,869.00	82% below	70%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HC CYSTO W/ LITHOTRIPSY	$1,437.38	$4,856.00	$3,933.36	—	70%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO LITHO/LASER STENT INS	$3,176.08	$10,730.00	$0.65–$11,129.71	77% below	70%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO LITHO/LASER STENT INS	$3,176.08	$10,730.00	$8,691.30	—	70%
Vein ablation, radiofrequency, first vein both sides CPT 36475 BILAT ENDOVEN ABLAT INCP VEIN	$4,216.52	$14,245.00	$167.00–$11,538.45	—	70%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVEN ABLAT INCOMP 1ST VEIN	$3,100.31	$10,474.00	$167.00–$9,652.34	60% below	70%
Vein ablation, radiofrequency, first vein inpatient both sides CPT 36475 BILAT ENDOVEN ABLAT INCP VEIN	$4,216.52	$14,245.00	$11,538.45	—	70%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVEN ABLAT INCOMP 1ST VEIN	$3,100.31	$10,474.00	$8,483.94	—	70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SQ TISS IST 20SQCM/<	$686.43	$2,319.00	$0.65–$3,196.00	26% below	70%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SQ TISS IST 20SQCM/<	$686.43	$2,319.00	$1,878.39	—	70%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD	$434.24	$1,467.00	$0.65–$3,196.00	44% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 HC PLATELETS TRANSFUSION PROCESS	$473.31	$1,599.00	$0.65–$3,196.00	39% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION PROCESS - 6 HRS	$629.89	$2,128.00	$0.65–$3,196.00	19% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION PROCESS - 8 HRS	$829.40	$2,802.00	$0.65–$3,196.00	7% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION PROCESS - 12 HRS	$1,220.41	$4,123.00	$0.65–$3,339.63	58% above	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD	$434.24	$1,467.00	$1,188.27	—	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC PLATELETS TRANSFUSION PROCESS	$473.31	$1,599.00	$1,295.19	—	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION PROCESS - 6 HRS	$629.89	$2,128.00	$1,723.68	—	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION PROCESS - 8 HRS	$829.40	$2,802.00	$2,269.62	—	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION PROCESS - 12 HRS	$1,220.41	$4,123.00	$3,339.63	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION INIT TX	$142.68	$482.00	$55.16–$445.30	24% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION INIT TX	$142.68	$482.00	$390.42	—	70%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INIT 1HR	$337.15	$1,139.00	$106.00–$1,094.00	52% below	70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INIT 1HR	$337.15	$1,139.00	$922.59	—	70%
Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE	$757.76	$2,560.00	$384.00–$2,489.00	67% below	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE	$757.76	$2,560.00	$2,073.60	—	70%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY	$463.54	$1,566.00	$234.90–$1,268.46	32% below	70%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY	$463.54	$1,566.00	$1,268.46	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG-12 LEAD TRACING ONLY	$243.61	$823.00	$24.61–$666.63	10% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG-12 LEAD TRACING ONLY	$243.61	$823.00	$666.63	—	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1	$166.06	$561.00	$67.00–$1,222.00	26% below	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1	$166.06	$561.00	$454.41	—	70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2	$355.20	$1,200.00	$141.58–$1,222.00	4% above	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2	$355.20	$1,200.00	$972.00	—	70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3	$450.22	$1,521.00	$228.15–$1,282.00	30% below	70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3	$450.22	$1,521.00	$1,232.01	—	70%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4	$529.25	$1,788.00	$268.20–$1,521.00	40% below	70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4	$529.25	$1,788.00	$1,448.28	—	70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5	$789.73	$2,668.00	$400.20–$2,161.08	34% below	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5	$789.73	$2,668.00	$2,161.08	—	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST	$839.76	$2,837.00	$118.41–$2,297.97	26% above	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST	$839.76	$2,837.00	$2,297.97	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRA INIT 31-60M	$225.56	$762.00	$106.00–$617.22	27% below	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRA INIT 31-60M	$225.56	$762.00	$617.22	—	70%
IV infusion of a medicine, first hour CPT 96365 HC IV INF TX PROP DX INITIAL	$278.84	$942.00	$106.00–$763.02	8% below	70%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF TX PROP DX INITIAL	$278.84	$942.00	$763.02	—	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THYROGEN INJECTION	$87.03	$294.00	$44.10–$389.00	10% above	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ IM/SQ	$91.47	$309.00	$46.35–$389.00	16% above	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THYROGEN INJECTION	$87.03	$294.00	$238.14	—	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ IM/SQ	$91.47	$309.00	$250.29	—	70%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDT STDY 7-8 STDS	$254.56	$860.00	$129.00–$710.00	72% below	70%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDT STDY 7-8 STDS	$254.56	$860.00	$696.60	—	70%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC EDUC 15 MIN	$77.85	$263.00	$34.20–$213.03	12% below	70%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC EDUC 15 MIN	$77.85	$263.00	$34.20–$270.00	12% below	70%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC EDUC 15 MIN	$77.85	$263.00	$213.03	—	70%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC EDUC 15 MIN	$77.85	$263.00	$213.03	—	70%
New patient office visit, about 30 minutes CPT 99203 HC CLINIC VISIT LEVEL 3 NEW	$155.70	$526.00	$78.90–$426.06	32% below	70%
New patient office visit, about 30 minutes inpatient CPT 99203 HC CLINIC VISIT LEVEL 3 NEW	$155.70	$526.00	$426.06	—	70%
New patient office visit, about 45 minutes CPT 99204 HC CLINIC VISIT LEVEL 4 NEW	$226.44	$765.00	$94.76–$619.65	8% above	70%
New patient office visit, about 45 minutes inpatient CPT 99204 HC CLINIC VISIT LEVEL 4 NEW	$226.44	$765.00	$619.65	—	70%
New patient office visit, about 60 minutes CPT 99205 HC CLINIC VISIT LEVEL 5 NEW	$287.72	$972.00	$94.76–$787.32	6% above	70%
New patient office visit, about 60 minutes inpatient CPT 99205 HC CLINIC VISIT LEVEL 5 NEW	$287.72	$972.00	$787.32	—	70%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC VISIT LEVEL 2 NEW	$105.68	$357.00	$53.55–$289.17	43% below	70%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 REMOVAL PEG TUBE W/O ENDO	$311.10	$1,051.00	$157.65–$3,642.00	67% above	70%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC CLINIC VISIT LEVEL 2 NEW	$105.68	$357.00	$289.17	—	70%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 REMOVAL PEG TUBE W/O ENDO	$311.10	$1,051.00	$851.31	—	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INITIAL EACH 15M	$13.62	$46.00	$6.90–$152.88	68% below	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INITIAL EACH 15M	$13.62	$46.00	$37.26	—	70%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN	$154.22	$521.00	$78.15–$422.01	3% above	70%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN	$154.22	$521.00	$422.01	—	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX	$166.06	$561.00	$84.15–$454.41	11% below	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 60 MIN	$197.44	$667.00	$100.05–$540.27	5% above	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX	$166.06	$561.00	$454.41	—	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 60 MIN	$197.44	$667.00	$540.27	—	70%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX	$166.06	$561.00	$84.15–$454.41	3% below	70%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX	$166.06	$561.00	$454.41	—	70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX	$144.45	$488.00	$73.20–$395.28	18% below	70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX	$144.45	$488.00	$395.28	—	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THRPY 15 MIN	$82.59	$279.00	$27.43–$270.00	15% below	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THRPY 15 MIN	$82.59	$279.00	$27.43–$225.99	15% below	70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THRPY 15 MIN	$82.59	$279.00	$225.99	—	70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THRPY 15 MIN	$82.59	$279.00	$225.99	—	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THER EXERCISE 15 MIN	$90.58	$306.00	$29.80–$247.86	3% above	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EXERCISE 15 MIN	$90.58	$306.00	$29.80–$270.00	3% above	70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THER EXERCISE 15 MIN	$90.58	$306.00	$247.86	—	70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER EXERCISE 15 MIN	$90.58	$306.00	$247.86	—	70%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC CLINIC VISIT LEVEL 5 EST	$279.72	$945.00	$94.76–$765.45	6% above	70%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC CLINIC VISIT LEVEL 5 EST	$279.72	$945.00	$765.45	—	70%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC VISIT LEVEL 3 EST	$71.04	$240.00	$36.00–$194.40	67% below	70%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC CLINIC VISIT LEVEL 3 EST	$71.04	$240.00	$194.40	—	70%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CLINIC VISIT LEVEL 4 EST	$109.52	$370.00	$55.50–$299.70	35% below	70%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC CLINIC VISIT LEVEL 4 EST	$109.52	$370.00	$299.70	—	70%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC CLINIC VISIT LEVEL 2 EST	$67.20	$227.00	$34.05–$183.87	47% below	70%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC CLINIC VISIT LEVEL 2 EST	$67.20	$227.00	$183.87	—	70%
Speech and language evaluation CPT 92523 HC EVAL OF SP LANGUAGE	$144.16	$487.00	$73.05–$809.39	41% below	70%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SP LANGUAGE	$144.16	$487.00	$394.47	—	70%
Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH 15 MIN	$69.56	$235.00	$35.25–$326.86	59% below	70%
Speech therapy session, individual CPT 92507 HC SPEECH-LANGUAGE TREATMENT	$88.21	$298.00	$44.70–$326.86	48% below	70%
Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH 45 MIN	$114.56	$387.00	$58.05–$326.86	33% below	70%
Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH 90 MIN	$184.12	$622.00	$77.22–$503.82	8% above	70%
Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH 15 MIN	$69.56	$235.00	$190.35	—	70%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH-LANGUAGE TREATMENT	$88.21	$298.00	$241.38	—	70%
Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH 45 MIN	$114.56	$387.00	$313.47	—	70%
Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH 90 MIN	$184.12	$622.00	$503.82	—	70%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY W/O BRONCH	$222.00	$750.00	$83.53–$607.50	47% below	70%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY W/O BRONCH	$222.00	$750.00	$607.50	—	70%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/BRONCHODILATOR	$293.64	$992.00	$144.58–$803.52	59% below	70%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY W/BRONCHODILATOR	$293.64	$992.00	$803.52	—	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT FUNCTIONAL ACTIV 15 MIN	$78.44	$265.00	$37.58–$270.00	at median	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT FUNCTIONAL ACTIV 15 MIN	$78.44	$265.00	$37.58–$214.65	at median	70%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT FUNCTIONAL ACTIV 15 MIN	$78.44	$265.00	$214.65	—	70%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT FUNCTIONAL ACTIV 15 MIN	$78.44	$265.00	$214.65	—	70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$51.21	$173.00	$25.95–$394.02	66% below	70%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$51.21	$173.00	$140.13	—	70%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE	$48.03	$162.26	$22.72–$131.44	78% below	70%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE	$48.03	$162.26	$22.72–$131.44	—	70%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$24.93	$84.22	$11.80–$68.22	65% below	70%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$24.93	$84.22	$11.80–$68.22	—	70%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$18.44	$62.27	$9.35–$62.27	85% below	70%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$21.46	$72.47	$10.88–$72.47	83% below	70%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$98.28	$332.01	$49.81–$268.93	21% below	70%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$18.44	$62.27	$37.37–$50.44	—	70%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$21.46	$72.47	$43.49–$58.71	—	70%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$98.28	$332.01	$199.21–$268.93	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE	$58.55	$197.79	$27.70–$160.21	72% below	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$61.66	$208.30	$29.17–$168.73	70% below	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE	$58.55	$197.79	$27.70–$160.21	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$61.66	$208.30	$29.17–$168.73	—	70%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT	$114.68	$387.40	$58.11–$313.80	66% below	70%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT	$114.68	$387.40	$232.44–$313.80	—	70%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$144.23	$487.23	$73.09–$394.66	72% below	70%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$144.23	$487.23	$292.34–$394.66	—	70%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$210.06	$709.65	$106.45–$574.82	69% below	70%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$210.06	$709.65	$425.79–$574.82	—	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR VACCINE FOR IM	$88.43	$298.75	$44.82–$241.99	92% below	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$287.73	$972.03	$145.81–$787.35	73% below	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR VACCINE FOR IM	$88.43	$298.75	$179.25–$241.99	—	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$287.73	$972.03	$583.22–$787.35	—	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$126.36	$426.89	$59.77–$345.79	73% below	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$126.36	$426.89	$59.77–$345.79	—	70%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$423.47	$1,430.64	$214.60–$1,158.82	59% below	70%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$423.47	$1,430.64	$858.39–$1,158.82	—	70%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT	$194.77	$658.00	$98.70–$532.98	72% below	70%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT	$194.77	$658.00	$394.80–$532.98	—	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$43.29	$146.23	$21.94–$118.45	69% below	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$50.48	$170.52	$25.58–$138.13	64% below	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$43.29	$146.23	$87.74–$118.45	—	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$50.48	$170.52	$102.32–$138.13	—	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$60.63	$204.82	$30.73–$165.91	69% below	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$60.63	$204.82	$122.90–$165.91	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCINE	$63.35	$214.00	$32.10–$173.34	2% above	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCINE	$63.35	$214.00	$173.34	—	70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADDITIONAL PNEUMOCOCCAL ADM	$41.15	$139.00	$20.85–$112.59	9% above	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADDITIONAL PNEUMOCOCCAL ADM	$41.15	$139.00	$112.59	—	70%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/chime/sotg/finance/price-transparency/822748395-1356860621_chi-memorial-hospital-georgia_standardcharges.json