Hospital New Orleans-Metairie, LA

Ochsner Medical Center – Kenner

Ochsner Medical Center – Kenner in Kenner, LA publishes cash prices for 304 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Louisiana median for 229 of 296 procedures and above it for 61. By typical cash price it ranks #5 of 58 Louisiana hospitals and #1 of 14 hospitals in the New Orleans, LA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

180 West Esplanade Ave Kenner, LA 70065 Collected Sep 22, 2026 Source price file (504) 464-8065

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 190274 · CMS hospital register NPI 1710097936

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Ochsner Medical Center – Kenner in Kenner, LA:

Aug 12, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS	$67.48	$241.00	$40.49–$209.67	44% below	72%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS	$67.48	$241.00	—	—	72%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRANCHIAL INDEX	$81.48	$291.00	$48.89–$1,171.00	52% below	72%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRANCHIAL INDEX	$81.48	$291.00	—	—	72%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST	$121.52	$434.00	$72.91–$401.74	44% below	72%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST	$121.52	$434.00	—	—	72%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$359.80	$1,285.00	$215.88–$1,481.58	35% below	72%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$359.80	$1,285.00	—	—	72%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILAT	$70.56	$252.00	$42.34–$397.56	58% below	72%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILAT	$70.56	$252.00	—	—	72%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LIMITED	$70.56	$252.00	$42.34–$301.90	58% below	72%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT LIMITED	$70.56	$252.00	—	—	72%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/ NON CORONARY	$497.56	$1,777.00	$136.13–$1,510.45	43% below	72%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/ NON CORONARY	$497.56	$1,777.00	—	—	72%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CARD W/3D IMAGE	$544.04	$1,943.00	$136.13–$4,392.00	8% above	72%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CARD W/3D IMAGE	$544.04	$1,943.00	—	—	72%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING	$64.96	$232.00	$38.98–$1,195.00	18% below	72%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING	$64.96	$232.00	—	—	72%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$285.04	$1,018.00	$171.02–$1,195.00	75% below	72%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$285.04	$1,018.00	—	—	72%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$440.72	$1,574.00	$264.43–$1,337.90	67% below	72%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$440.72	$1,574.00	—	—	72%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST	$491.40	$1,755.00	$284.93–$1,491.75	66% below	72%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST	$491.40	$1,755.00	—	—	72%
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST	$440.72	$1,574.00	$136.13–$1,337.90	50% below	72%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST	$440.72	$1,574.00	—	—	72%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$285.04	$1,018.00	$81.46–$1,195.00	63% below	72%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$285.04	$1,018.00	—	—	72%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$285.04	$1,018.00	$81.46–$1,195.00	57% below	72%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$285.04	$1,018.00	—	—	72%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST	$285.04	$1,018.00	$81.46–$1,195.00	57% below	72%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST	$285.04	$1,018.00	—	—	72%
CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONTRAST	$440.72	$1,574.00	$136.13–$1,337.90	40% below	72%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONTRAST	$440.72	$1,574.00	—	—	72%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST	$491.40	$1,755.00	$136.13–$1,491.75	46% below	72%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST	$491.40	$1,755.00	—	—	72%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$285.04	$1,018.00	$81.46–$1,195.00	62% below	72%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$285.04	$1,018.00	—	—	72%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$285.04	$1,018.00	$81.46–$1,195.00	61% below	72%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$285.04	$1,018.00	—	—	72%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$440.72	$1,574.00	$136.13–$1,337.90	45% below	72%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$440.72	$1,574.00	—	—	72%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT	$224.84	$803.00	$134.90–$1,066.44	—	72%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT	$224.84	$803.00	—	—	72%
Chest X-ray, 2 views CPT 71046 HC XRAY, CHEST, 2 VIEWS	$47.88	$171.00	$28.73–$182.03	64% below	72%
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY, CHEST, 2 VIEWS	$47.88	$171.00	—	—	72%
Chest X-ray, single view CPT 71045 HC XRAY, CHEST, 1 VIEW	$47.88	$171.00	$28.73–$182.03	56% below	72%
Chest X-ray, single view inpatient CPT 71045 HC XRAY, CHEST, 1 VIEW	$47.88	$171.00	—	—	72%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$145.88	$521.00	$81.46–$453.27	49% below	72%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$145.88	$521.00	—	—	72%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$103.60	$370.00	$62.16–$321.90	29% below	72%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$103.60	$370.00	—	—	72%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA BONE DENSITY APPEN SKEL	$61.04	$218.00	$36.62–$189.66	23% below	72%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA BONE DENSITY APPEN SKEL	$61.04	$218.00	—	—	72%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION	$118.16	$422.00	$70.90–$517.79	55% below	72%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION	$118.16	$422.00	—	—	72%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST	$285.04	$1,018.00	$81.46–$1,195.00	63% below	72%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST	$285.04	$1,018.00	—	—	72%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST	$440.72	$1,574.00	$136.13–$1,337.90	49% below	72%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST	$440.72	$1,574.00	—	—	72%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$120.12	$429.00	$72.07–$666.61	—	72%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$120.12	$429.00	—	—	72%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$71.12	$254.00	$42.67–$523.12	42% below	72%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$71.12	$254.00	—	—	72%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT	$224.84	$803.00	$134.90–$1,433.34	—	72%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT	$224.84	$803.00	—	—	72%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT	$224.84	$803.00	$134.90–$1,071.21	—	72%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT	$224.84	$803.00	—	—	72%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$462.28	$1,651.00	$277.37–$1,668.93	19% below	72%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$462.28	$1,651.00	—	—	72%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STAGING +4 W/CPAP	$1,147.72	$4,099.00	$688.63–$3,799.77	15% below	72%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STAGING +4 W/CPAP	$1,147.72	$4,099.00	—	—	72%
Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS	$67.48	$241.00	$40.49–$209.67	50% below	72%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS	$67.48	$241.00	—	—	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$144.76	$517.00	$81.46–$449.79	45% below	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$144.76	$517.00	—	—	72%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST	$63.28	$226.00	$37.97–$1,195.00	59% below	72%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST	$63.28	$226.00	—	—	72%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI, BREAST, CAD, W&W/O CONTRAST, BILATERAL	$580.44	$2,073.00	$184.22–$1,762.05	—	72%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI, BREAST, CAD, W&W/O CONTRAST, BILATERAL	$580.44	$2,073.00	—	—	72%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXT JT W/O CONTR	$504.00	$1,800.00	$181.55–$1,530.00	54% below	72%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXT JT W/O CONTR	$504.00	$1,800.00	—	—	72%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JT W/WO CONT	$784.28	$2,801.00	$284.93–$2,380.85	39% below	72%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXT JT W/WO CONT	$784.28	$2,801.00	—	—	72%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$504.00	$1,800.00	$181.55–$1,530.00	49% below	72%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$504.00	$1,800.00	—	—	72%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$784.28	$2,801.00	$284.93–$2,380.85	41% below	72%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$784.28	$2,801.00	—	—	72%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$504.00	$1,800.00	$181.55–$1,530.00	55% below	72%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$504.00	$1,800.00	—	—	72%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST	$784.28	$2,801.00	$284.93–$2,380.85	46% below	72%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST	$784.28	$2,801.00	—	—	72%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$504.00	$1,800.00	$181.55–$1,530.00	55% below	72%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$504.00	$1,800.00	—	—	72%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$784.28	$2,801.00	$284.93–$2,380.85	44% below	72%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$784.28	$2,801.00	—	—	72%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$504.00	$1,800.00	$181.55–$1,530.00	55% below	72%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$504.00	$1,800.00	—	—	72%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$784.28	$2,801.00	$284.93–$2,380.85	51% below	72%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$784.28	$2,801.00	—	—	72%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$504.00	$1,800.00	$181.55–$1,530.00	52% below	72%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$504.00	$1,800.00	—	—	72%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$784.28	$2,801.00	$284.93–$2,380.85	30% below	72%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$784.28	$2,801.00	—	—	72%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$504.00	$1,800.00	$181.55–$1,530.00	42% below	72%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$504.00	$1,800.00	—	—	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$504.00	$1,800.00	$181.55–$1,530.00	48% below	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$504.00	$1,800.00	—	—	72%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MPI SPECT, MULTIPLE	$1,116.92	$3,989.00	$668.11–$3,629.99	5% below	72%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MPI SPECT, MULTIPLE	$1,116.92	$3,989.00	—	—	72%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET + CT SCAN, SKULL TO MID THIGH	$813.40	$2,905.00	$488.04–$8,104.00	58% below	72%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET + CT SCAN, SKULL TO MID THIGH	$813.40	$2,905.00	—	—	72%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB	$145.88	$521.00	$81.46–$453.27	48% below	72%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB	$145.88	$521.00	—	—	72%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$141.40	$505.00	$81.46–$507.18	46% below	72%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$141.40	$505.00	—	—	72%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION	$141.40	$505.00	$81.46–$439.35	40% below	72%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION	$141.40	$505.00	—	—	72%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT	$97.44	$348.00	$58.46–$553.03	—	72%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT	$97.44	$348.00	—	—	72%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER ROUTINE	$67.48	$241.00	$40.49–$209.67	48% below	72%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER ROUTINE	$67.48	$241.00	—	—	72%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE	$1,147.72	$4,099.00	$688.63–$3,799.77	11% below	72%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE	$1,147.72	$4,099.00	—	—	72%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO W/MONT & SUPERV	$566.44	$2,023.00	$339.86–$1,875.32	6% below	72%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS ECHO W/MONT & SUPERV	$566.44	$2,023.00	—	—	72%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST	$127.40	$455.00	$76.44–$576.94	47% below	72%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST	$127.40	$455.00	—	—	72%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$145.88	$521.00	$81.46–$497.23	31% below	72%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$145.88	$521.00	—	—	72%
Transvaginal ultrasound during pregnancy CPT 76817 HC US, OB, TRANSVAG APPROACH	$91.56	$327.00	$54.94–$327.79	49% below	72%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, OB, TRANSVAG APPROACH	$91.56	$327.00	—	—	72%
Ultrasound of the abdomen, complete CPT 76700 HC US, ABD, B-SCAN, COMPLETE	$145.88	$521.00	$81.46–$461.33	52% below	72%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABD, B-SCAN, COMPLETE	$145.88	$521.00	—	—	72%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS	$145.88	$521.00	$81.46–$453.27	31% below	72%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS	$145.88	$521.00	—	—	72%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$146.16	$522.00	$81.46–$493.22	42% below	72%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$146.16	$522.00	—	—	72%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST	$129.08	$461.00	$77.45–$447.37	49% below	72%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST	$129.08	$461.00	—	—	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD	$141.40	$505.00	$81.46–$677.00	45% below	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD	$141.40	$505.00	—	—	72%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE	$67.48	$241.00	$40.49–$209.67	41% below	72%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE	$67.48	$241.00	—	—	72%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS	$46.76	$167.00	$28.06–$190.30	63% below	72%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS	$46.76	$167.00	—	—	72%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY, ABDOMEN, 1 VIEW	$47.88	$171.00	$28.73–$182.03	63% below	72%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY, ABDOMEN, 1 VIEW	$47.88	$171.00	—	—	72%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS	$75.04	$268.00	$41.29–$233.16	31% below	72%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS	$75.04	$268.00	—	—	72%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$67.48	$241.00	$39.68–$209.67	34% below	72%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$67.48	$241.00	—	—	72%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW	$74.48	$266.00	$41.29–$231.42	31% below	72%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW	$74.48	$266.00	—	—	72%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS	$67.48	$241.00	$40.49–$209.67	45% below	72%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS	$67.48	$241.00	—	—	72%
X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE	$67.48	$241.00	$40.49–$209.67	47% below	72%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE	$67.48	$241.00	—	—	72%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS	$67.48	$241.00	$40.49–$209.67	41% below	72%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS	$67.48	$241.00	—	—	72%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3V	$67.48	$241.00	$40.49–$245.18	55% below	72%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3V	$67.48	$241.00	—	—	72%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$104.16	$372.00	$62.50–$323.64	52% below	72%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$104.16	$372.00	—	—	72%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP&LAT	$66.08	$236.00	$39.65–$245.18	58% below	72%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP&LAT	$66.08	$236.00	—	—	72%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS	$67.48	$241.00	$40.49–$209.67	42% below	72%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS	$67.48	$241.00	—	—	72%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL, AP&LAT	$67.48	$241.00	$40.49–$209.67	53% below	72%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL, AP&LAT	$67.48	$241.00	—	—	72%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS	$67.48	$241.00	$40.49–$245.18	49% below	72%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS	$67.48	$241.00	—	—	72%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS	$70.28	$251.00	$42.17–$218.37	49% below	72%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS	$70.28	$251.00	—	—	72%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC HCV FIBROSURE-ALT (SGPT)	$12.04	$43.00	$4.77–$36.94	38% below	72%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT	$19.88	$71.00	$4.77–$60.99	3% above	72%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 *HC POC ALT SGPT	$19.88	$71.00	$4.77–$60.99	3% above	72%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC HCV FIBROSURE-ALT (SGPT)	$12.04	$43.00	—	—	72%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT	$14.00	$50.00	—	—	72%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 *HC POC ALT SGPT	$19.88	$71.00	—	—	72%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT	$19.88	$71.00	$4.66–$60.99	1% above	72%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT	$14.00	$50.00	—	—	72%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL, ACUTE	$136.08	$486.00	$42.87–$417.47	23% above	72%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL, ACUTE	$136.08	$486.00	—	—	72%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH	$8.12	$29.00	$4.70–$29.59	17% below	72%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH	$8.12	$29.00	$4.70–$29.59	17% below	72%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH	$8.12	$29.00	$4.70–$29.59	17% below	72%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, BUFFERED LATEX	$12.32	$44.00	$4.70–$37.80	26% above	72%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, GLOVE LATEX EXT	$12.32	$44.00	$4.70–$37.80	26% above	72%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, AMMONIATED LATEX EXT	$12.32	$44.00	$4.70–$37.80	26% above	72%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SMUT WHEAT IGE	$18.76	$67.00	$4.70–$57.55	92% above	72%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH	$20.16	$72.00	$4.70–$61.85	106% above	72%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GALACTOSE-ALPHA-1,3-GALACTOSE, IGE	$23.80	$85.00	$4.70–$73.02	143% above	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH	$10.92	$39.00	—	—	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH	$10.92	$39.00	—	—	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH	$10.92	$39.00	—	—	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, AMMONIATED LATEX EXT	$15.40	$55.00	—	—	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, GLOVE LATEX EXT	$15.40	$55.00	—	—	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, BUFFERED LATEX	$15.40	$55.00	—	—	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SMUT WHEAT IGE	$23.52	$84.00	—	—	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH	$25.20	$90.00	—	—	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GALACTOSE-ALPHA-1,3-GALACTOSE, IGE	$29.96	$107.00	—	—	72%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODIES	$29.68	$106.00	$11.66–$91.05	29% below	72%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODIES	$31.64	$113.00	—	—	72%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI DFS70	$20.44	$73.00	$10.88–$68.59	56% below	72%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$46.20	$165.00	$10.88–$141.74	at median	72%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI DFS70	$25.48	$91.00	—	—	72%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$106.12	$379.00	—	—	72%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PRO BNP, S	$35.28	$126.00	$35.33–$222.67	46% below	72%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$49.28	$176.00	$35.33–$222.67	25% below	72%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC POC NATRIURETIC PEPTIDE ASSAY	$49.28	$176.00	$35.33–$222.67	25% below	72%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$36.40	$130.00	—	—	72%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PRO BNP, S	$43.12	$154.00	—	—	72%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC POC NATRIURETIC PEPTIDE ASSAY	$49.28	$176.00	—	—	72%
Basic metabolic panel (blood test) CPT 80048 *HC POC BASIC METABOLIC PANEL(8 TESTS)	$33.04	$118.00	$7.61–$101.36	6% below	72%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$33.04	$118.00	$7.61–$101.36	6% below	72%
Basic metabolic panel (blood test) inpatient CPT 80048 *HC POC BASIC METABOLIC PANEL(8 TESTS)	$33.04	$118.00	—	—	72%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$91.28	$326.00	—	—	72%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 *HC G&M LEVEL IV (MUSCLE OR NERVE BX)-RL	$29.40	$105.00	$40.14–$173.45	62% below	72%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC MUSCLE OR NERVE TISSSUE EXAM - RL	$30.80	$110.00	$40.14–$173.45	61% below	72%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SKIN, MODERATE,SINGLE SPECIMEN	$30.80	$110.00	$40.14–$173.45	61% below	72%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC RENAL BIOPSY	$43.96	$157.00	$40.14–$173.45	44% below	72%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE, G & M, LEVEL IV	$47.04	$168.00	$40.14–$173.45	40% below	72%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL	$93.24	$333.00	$40.14–$286.05	19% above	72%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE G&M LVL IV MULTI BX, EA	$132.72	$474.00	$40.14–$407.17	70% above	72%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *HC G&M LEVEL IV (MUSCLE OR NERVE BX)-RL	$35.28	$126.00	—	—	72%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC MUSCLE OR NERVE TISSSUE EXAM - RL	$38.64	$138.00	—	—	72%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SKIN, MODERATE,SINGLE SPECIMEN	$42.28	$151.00	—	—	72%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC RENAL BIOPSY	$55.16	$197.00	—	—	72%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL	$116.76	$417.00	—	—	72%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE, G & M, LEVEL IV	$132.72	$474.00	—	—	72%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE G&M LVL IV MULTI BX, EA	$132.72	$474.00	—	—	72%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE	$41.44	$148.00	$9.29–$127.13	8% below	72%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE	$51.80	$185.00	—	—	72%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE/BL COLL	$3.64	$13.00	$2.99–$11.57	56% below	72%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE/BL COLL	$4.48	$16.00	—	—	72%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE-ISTAT	$15.68	$56.00	$3.54–$48.10	20% above	72%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE	$15.68	$56.00	$3.54–$48.10	20% above	72%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE	$8.40	$30.00	—	—	72%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE-ISTAT	$10.64	$38.00	—	—	72%
Blood lead test CPT 83655 HC LEAD, URINE	$15.96	$57.00	$10.90–$68.69	41% below	72%
Blood lead test CPT 83655 HC LEAD, BLOOD	$25.20	$90.00	$10.90–$77.31	7% below	72%
Blood lead test inpatient CPT 83655 HC LEAD, URINE	$22.12	$79.00	—	—	72%
Blood lead test inpatient CPT 83655 HC LEAD, BLOOD	$68.04	$243.00	—	—	72%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR	$27.72	$99.00	$6.77–$85.04	6% below	72%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR	$52.36	$187.00	—	—	72%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BB REF ABO TYPE	$8.68	$31.00	$2.99–$121.90	80% below	72%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC C-BLOOD TYPING, ABO	$27.16	$97.00	$2.99–$121.90	38% below	72%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BB REF ABO TYPE	$10.92	$39.00	—	—	72%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC C-BLOOD TYPING, ABO	$27.16	$97.00	—	—	72%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP, SYNOVIAL FLD	$8.40	$30.00	$4.66–$29.37	64% below	72%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC IBD SGI CRP	$11.20	$40.00	$4.66–$34.36	52% below	72%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$21.56	$77.00	$4.66–$66.14	8% below	72%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC CRP, SYNOVIAL FLD	$10.50	$37.50	—	—	72%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC IBD SGI CRP	$14.00	$50.00	—	—	72%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$49.28	$176.00	—	—	72%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$20.16	$72.00	$33.54–$211.38	68% below	72%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$23.24	$83.00	—	—	72%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9	$35.28	$126.00	$18.73–$118.02	27% below	72%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9, BODY FLUID	$122.36	$437.00	$18.73–$375.38	154% above	72%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9	$44.24	$158.00	—	—	72%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9, BODY FLUID	$122.36	$437.00	—	—	72%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER AG 125 (CA 125)-RL	$33.60	$120.00	$18.73–$118.02	35% below	72%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$66.36	$237.00	$18.73–$203.58	28% above	72%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CANCER AG 125 (CA 125)-RL	$42.00	$150.00	—	—	72%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$162.68	$581.00	—	—	72%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 PR SARS-COV-2 COVID-19 AMPLIFIED PROBE	$51.80	$185.00	$38.48–$274.51	28% below	72%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$51.80	$185.00	$38.48–$274.51	28% below	72%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$51.80	$185.00	—	—	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA AMPLIFIED DNA, EYE	$28.00	$100.00	$31.58–$199.02	51% below	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA CONF	$57.12	$204.00	$31.58–$199.02	1% below	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA	$57.12	$204.00	$31.58–$199.02	1% below	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA	$57.12	$204.00	$31.58–$199.02	1% below	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA	$61.88	$221.00	$31.58–$199.02	8% above	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE	$86.52	$309.00	$31.58–$265.43	51% above	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA AMPLIFIED DNA, EYE	$35.00	$125.00	—	—	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE	$41.44	$148.00	—	—	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA	$71.40	$255.00	—	—	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA	$71.40	$255.00	—	—	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA	$71.40	$255.00	—	—	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA CONF	$71.40	$255.00	—	—	72%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC NMR LIPIDS	$8.68	$31.00	$12.05–$75.92	83% below	72%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$23.24	$83.00	$12.05–$75.92	54% below	72%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC NMR LIPIDS	$10.92	$39.00	—	—	72%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$85.68	$306.00	—	—	72%
Complete blood count (CBC) with differential CPT 85025 HC POC CBC	$8.40	$30.00	$6.99–$44.08	68% below	72%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$17.92	$64.00	$6.99–$54.98	32% below	72%
Complete blood count (CBC) with differential inpatient CPT 85025 HC POC CBC	$8.40	$30.00	—	—	72%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$42.00	$150.00	—	—	72%
Complete blood count (CBC), no differential CPT 85027 *HC POC HEMATOLOGY PROFILE	$15.40	$55.00	$5.82–$47.25	45% below	72%
Complete blood count (CBC), no differential CPT 85027 HC HEMATOLOGY PROFILE	$15.40	$55.00	$5.82–$47.25	45% below	72%
Complete blood count (CBC), no differential CPT 85027 *HC OB PANEL HEMATOLOGY PROFILE	$17.64	$63.00	$5.82–$54.12	37% below	72%
Complete blood count (CBC), no differential inpatient CPT 85027 *HC POC HEMATOLOGY PROFILE	$15.40	$55.00	—	—	72%
Complete blood count (CBC), no differential inpatient CPT 85027 *HC OB PANEL HEMATOLOGY PROFILE	$17.64	$63.00	—	—	72%
Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMATOLOGY PROFILE	$34.44	$123.00	—	—	72%
Comprehensive metabolic panel (blood test) CPT 80053 *HC POC COMPREHENSIVE METABOLIC PAN 14	$39.20	$140.00	$9.50–$120.26	47% below	72%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14	$39.20	$140.00	$9.50–$120.26	47% below	72%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 *HC POC COMPREHENSIVE METABOLIC PAN 14	$39.20	$140.00	—	—	72%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14	$137.76	$492.00	—	—	72%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER, QUANT	$38.08	$136.00	$9.16–$116.82	24% below	72%
D-dimer blood test (blood clot marker) CPT 85379 HC POC D-DIMER, QUANT	$38.08	$136.00	$9.16–$116.82	24% below	72%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC POC D-DIMER, QUANT	$38.08	$136.00	—	—	72%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER, QUANT	$65.52	$234.00	—	—	72%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S	$55.16	$197.00	$20.01–$169.22	2% below	72%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S	$59.08	$211.00	—	—	72%
Estradiol blood test CPT 82670 HC ESTRADIOL, ULTRASENSITIVE, LC/MS - RL	$16.24	$58.00	$25.15–$158.47	72% below	72%
Estradiol blood test CPT 82670 HC ESTROGENS, FRACT-ESTRADIOL BLD	$55.72	$199.00	$25.15–$170.94	2% below	72%
Estradiol blood test CPT 82670 HC ESTRADIOL	$92.96	$332.00	$25.15–$285.19	63% above	72%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL, ULTRASENSITIVE, LC/MS - RL	$20.44	$73.00	—	—	72%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$50.12	$179.00	—	—	72%
Estradiol blood test inpatient CPT 82670 HC ESTROGENS, FRACT-ESTRADIOL BLD	$77.00	$275.00	—	—	72%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH	$72.24	$258.00	$16.72–$221.62	31% above	72%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH	$150.92	$539.00	—	—	72%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL	$141.68	$506.00	$17.67–$434.65	50% above	72%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL	$141.68	$506.00	—	—	72%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN - RL	$23.24	$83.00	$12.27–$77.31	49% below	72%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$55.72	$199.00	$12.27–$170.94	22% above	72%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN - RL	$29.12	$104.00	—	—	72%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$44.24	$158.00	—	—	72%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID	$54.04	$193.00	$13.23–$165.79	43% above	72%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID	$60.48	$216.00	—	—	72%
Free T3 thyroid hormone test CPT 84481 HC T3,FREE	$32.48	$116.00	$12.02–$99.64	34% below	72%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3,FREE	$109.20	$390.00	—	—	72%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE BY DIALYSIS	$21.56	$77.00	$8.12–$66.14	38% below	72%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE	$34.16	$122.00	$8.12–$104.80	2% below	72%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE BY DIALYSIS	$29.68	$106.00	—	—	72%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE	$98.56	$352.00	—	—	72%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS	$59.64	$213.00	$22.92–$182.97	1% below	72%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE	$83.44	$298.00	$22.92–$255.98	38% above	72%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE	$31.64	$113.00	—	—	72%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS	$74.20	$265.00	—	—	72%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE	$15.68	$56.00	$4.28–$48.10	2% below	72%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE	$30.80	$110.00	—	—	72%
Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE 3 SPECIMENS	$32.48	$116.00	$11.58–$99.64	28% below	72%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$45.36	$162.00	$11.58–$139.16	1% above	72%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$45.36	$162.00	$11.58–$139.16	1% above	72%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE 3 SPECIMENS	$38.08	$136.00	—	—	72%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$64.40	$230.00	—	—	72%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$64.40	$230.00	—	—	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA	$57.12	$204.00	$31.58–$199.02	at median	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE RNA, TMA	$57.12	$204.00	$31.58–$199.02	at median	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA CONF	$57.12	$204.00	$31.58–$199.02	at median	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA	$62.44	$223.00	$31.58–$199.02	9% above	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC BY AMPLIFIED PROBE	$87.36	$312.00	$31.58–$268.01	53% above	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC BY AMPLIFIED PROBE	$41.44	$148.00	—	—	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA	$62.44	$223.00	—	—	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE RNA, TMA	$71.40	$255.00	—	—	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA	$71.40	$255.00	—	—	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA CONF	$71.40	$255.00	—	—	72%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB IGM	$25.48	$91.00	$14.15–$95.55	45% below	72%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB, EACH	$25.48	$91.00	$14.15–$95.55	45% below	72%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB IGA	$25.48	$91.00	$14.15–$95.55	45% below	72%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG	$56.84	$203.00	$14.15–$174.38	24% above	72%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG	$59.36	$212.00	—	—	72%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB, EACH	$59.36	$212.00	—	—	72%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB IGA	$59.36	$212.00	—	—	72%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB IGM	$59.36	$212.00	—	—	72%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$56.00	$200.00	$6.46–$171.80	8% below	72%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$95.76	$342.00	—	—	72%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA DETECT/QUANT	$35.00	$125.00	$68.75–$482.62	80% below	72%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$119.56	$427.00	$76.59–$482.62	31% below	72%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA DETECT/QUANT	$43.96	$157.00	—	—	72%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$79.52	$284.00	—	—	72%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1/2 AB, DONOR EVAL (BLOOD CENTER)	$15.12	$54.00	$12.34–$77.74	56% below	72%
HIV-1 and HIV-2 antibody test CPT 86703 HC RAPID HIV-1/2 AB	$19.32	$69.00	$12.34–$77.74	44% below	72%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1 & HIV2, SGL ASSAY	$79.52	$284.00	$12.34–$243.96	133% above	72%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1/2 AB, DONOR EVAL (BLOOD CENTER)	$19.04	$68.00	—	—	72%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC RAPID HIV-1/2 AB	$22.40	$80.00	—	—	72%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1 & HIV2, SGL ASSAY	$79.52	$284.00	—	—	72%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB	$22.40	$80.00	$21.67–$136.53	52% below	72%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB	$28.00	$100.00	—	—	72%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT	$66.36	$237.00	$31.58–$203.58	31% above	72%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT	$91.28	$326.00	—	—	72%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C - RL	$7.00	$25.00	$8.74–$55.05	80% below	72%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HB	$19.88	$71.00	$8.74–$60.99	44% below	72%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C - RL	$8.96	$32.00	—	—	72%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HB	$54.60	$195.00	—	—	72%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HBSAB	$20.16	$72.00	$9.67–$61.85	33% below	72%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB, DONOR EVAL (BLOOD CENTER)	$30.80	$110.00	$9.67–$94.49	3% above	72%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TITER	$38.08	$136.00	$9.67–$116.82	27% above	72%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HBSAB	$20.16	$72.00	—	—	72%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB, DONOR EVAL (BLOOD CENTER)	$38.64	$138.00	—	—	72%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TITER	$87.08	$311.00	—	—	72%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER)	$15.12	$54.00	$9.30–$58.58	58% below	72%
Hepatitis B surface antigen (HBsAg) test CPT 87340 *HC HBSAG-OB	$19.60	$70.00	$9.30–$60.13	45% below	72%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG	$105.84	$378.00	$9.30–$324.70	197% above	72%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER)	$19.04	$68.00	—	—	72%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 *HC HBSAG-OB	$19.60	$70.00	—	—	72%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG	$105.84	$378.00	—	—	72%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER)	$15.12	$54.00	$12.84–$80.95	66% below	72%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV-AB	$165.76	$592.00	$12.84–$508.53	268% above	72%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER)	$19.04	$68.00	—	—	72%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV-AB	$165.76	$592.00	—	—	72%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY PCR	$134.40	$480.00	$38.56–$412.32	22% above	72%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY BDNA	$134.40	$480.00	$38.56–$412.32	22% above	72%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$134.40	$480.00	$38.56–$412.32	22% above	72%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY BDNA	$317.52	$1,134.00	—	—	72%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$317.52	$1,134.00	—	—	72%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY PCR	$317.52	$1,134.00	—	—	72%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB	$21.00	$75.00	$11.87–$74.79	17% below	72%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGM	$23.24	$83.00	$11.87–$74.79	8% below	72%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE 1 GLYCOPROTEIN IGG, CSF	$23.80	$85.00	$11.87–$74.79	6% below	72%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG	$46.20	$165.00	$11.87–$141.74	83% above	72%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM ABS IFA	$48.72	$174.00	$11.87–$149.47	93% above	72%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB	$26.32	$94.00	—	—	72%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV TYPE 1 GLYCOPROTEIN IGG, CSF	$29.68	$106.00	—	—	72%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGM ABS IFA	$33.04	$118.00	—	—	72%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGM	$53.48	$191.00	—	—	72%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG	$75.04	$268.00	—	—	72%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB	$31.36	$112.00	$17.42–$109.73	27% below	72%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGM	$33.32	$119.00	$17.42–$109.73	23% below	72%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGM ABS IFA	$48.72	$174.00	$17.42–$149.47	13% above	72%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG	$61.04	$218.00	$17.42–$187.26	41% above	72%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV-2 INHIBITION STUDY	$61.04	$218.00	$17.42–$187.26	41% above	72%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGM ABS IFA	$33.04	$118.00	—	—	72%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB	$39.20	$140.00	—	—	72%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGM	$53.48	$191.00	—	—	72%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG	$53.48	$191.00	—	—	72%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV-2 INHIBITION STUDY	$53.48	$191.00	—	—	72%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS	$42.84	$153.00	$11.66–$131.43	at median	72%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS	$62.16	$222.00	—	—	72%
Homocysteine blood test CPT 83090 HC HOMOCYSTINES, PLASMA	$23.24	$83.00	$16.13–$101.65	59% below	72%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINES, PLASMA	$26.60	$95.00	—	—	72%
Insulin blood test CPT 83525 HC INSULIN	$29.12	$104.00	$10.29–$89.34	2% above	72%
Insulin blood test inpatient CPT 83525 HC INSULIN	$31.92	$114.00	—	—	72%
Iron blood test (serum iron) CPT 83540 HC IRON, LIVER TISSUE	$9.80	$35.00	$5.82–$36.70	55% below	72%
Iron blood test (serum iron) CPT 83540 HC IRON, URINE	$15.68	$56.00	$5.82–$48.10	28% below	72%
Iron blood test (serum iron) CPT 83540 HC IRON	$25.48	$91.00	$5.82–$78.17	17% above	72%
Iron blood test (serum iron) CPT 83540 HC IRON, LIVER TISSUE - RL	$33.32	$119.00	$5.82–$102.22	53% above	72%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, LIVER TISSUE	$12.32	$44.00	—	—	72%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, URINE	$21.84	$78.00	—	—	72%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$26.88	$96.00	—	—	72%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, LIVER TISSUE - RL	$42.56	$152.00	—	—	72%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$25.76	$92.00	$7.87–$79.03	20% below	72%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$31.92	$114.00	—	—	72%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$35.00	$125.00	$7.81–$107.38	30% below	72%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$113.68	$406.00	—	—	72%
LH (luteinizing hormone) test CPT 83002 HC LH	$51.80	$185.00	$16.67–$158.92	4% below	72%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH	$64.96	$232.00	—	—	72%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, BODY FLUID - RL	$7.56	$27.00	$6.20–$39.06	70% below	72%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$30.24	$108.00	$6.20–$92.77	20% above	72%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, BODY FLUID - RL	$9.52	$34.00	—	—	72%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$47.04	$168.00	—	—	72%
Liver function blood test panel CPT 80076 *HC POC HEPATIC FUNCTION PANEL,7 TESTS	$47.88	$171.00	$7.35–$146.89	5% below	72%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS	$47.88	$171.00	$7.35–$146.89	5% below	72%
Liver function blood test panel inpatient CPT 80076 *HC POC HEPATIC FUNCTION PANEL,7 TESTS	$47.88	$171.00	—	—	72%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS	$85.96	$307.00	—	—	72%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODIES	$50.40	$180.00	$15.33–$154.62	at median	72%
Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, CSF - RL	$56.00	$200.00	$15.33–$171.80	11% above	72%
Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, SERUM - RL	$56.00	$200.00	$15.33–$171.80	11% above	72%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODIES	$63.00	$225.00	—	—	72%
Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, CSF - RL	$70.00	$250.00	—	—	72%
Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, SERUM - RL	$70.00	$250.00	—	—	72%
Magnesium blood test CPT 83735 HC SUPERSAT URINE, MAGNESIUM	$5.04	$18.00	$6.03–$37.99	77% below	72%
Magnesium blood test CPT 83735 HC MAGNESIUM, RBC	$10.08	$36.00	$6.03–$37.99	53% below	72%
Magnesium blood test CPT 83735 HC MAGNESIUM, FECES	$13.44	$48.00	$6.03–$41.23	37% below	72%
Magnesium blood test CPT 83735 HC MAGNESIUM, URINE	$15.12	$54.00	$6.03–$46.39	30% below	72%
Magnesium blood test CPT 83735 HC MAGNESIUM	$15.68	$56.00	$6.03–$48.10	27% below	72%
Magnesium blood test CPT 83735 HC CATHARTIC LAXATIVE PROF - MAGNESIUM, FECES	$38.64	$138.00	$6.03–$118.54	80% above	72%
Magnesium blood test inpatient CPT 83735 HC SUPERSAT URINE, MAGNESIUM	$6.44	$23.00	—	—	72%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC	$14.00	$50.00	—	—	72%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, FECES	$16.24	$58.00	—	—	72%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE	$19.04	$68.00	—	—	72%
Magnesium blood test inpatient CPT 83735 HC CATHARTIC LAXATIVE PROF - MAGNESIUM, FECES	$48.44	$173.00	—	—	72%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$50.40	$180.00	—	—	72%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM	$26.60	$95.00	$11.59–$81.61	8% below	72%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG	$50.96	$182.00	$11.59–$156.34	75% above	72%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM	$36.68	$131.00	—	—	72%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG	$77.28	$276.00	—	—	72%
Mono test (heterophile antibody, Monospot) CPT 86308 HC POC MONO TEST	$12.60	$45.00	$4.66–$38.66	48% below	72%
Mono test (heterophile antibody, Monospot) CPT 86308 *HC POC HETEROPHILE TITER	$12.88	$46.00	$4.66–$39.51	47% below	72%
Mono test (heterophile antibody, Monospot) CPT 86308 *HC HETEROPHILE TITER	$12.88	$46.00	$4.66–$39.51	47% below	72%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN	$13.44	$48.00	$4.66–$41.23	44% below	72%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT	$21.28	$76.00	$4.66–$65.28	12% below	72%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC POC MONO TEST	$12.60	$45.00	—	—	72%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 *HC POC HETEROPHILE TITER	$12.88	$46.00	—	—	72%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 *HC HETEROPHILE TITER	$12.88	$46.00	—	—	72%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODY SCREEN	$18.76	$67.00	—	—	72%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT	$53.48	$191.00	—	—	72%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE	$14.56	$52.00	$16.55–$104.27	70% below	72%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, FREE	$21.00	$75.00	$16.55–$104.27	57% below	72%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE	$18.20	$65.00	—	—	72%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, FREE	$29.12	$104.00	—	—	72%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE HEALTH INDEX (PHI)	$9.52	$34.00	$16.55–$104.27	78% below	72%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL	$21.00	$75.00	$16.55–$104.27	52% below	72%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, SCREENING	$28.28	$101.00	$16.55–$104.27	36% below	72%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL-REF LAB ONLY	$33.04	$118.00	$16.55–$104.27	25% below	72%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC	$68.32	$244.00	$16.55–$209.60	55% above	72%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE HEALTH INDEX (PHI)	$12.04	$43.00	—	—	72%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL	$29.12	$104.00	—	—	72%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL-REF LAB ONLY	$33.04	$118.00	—	—	72%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, SCREENING	$94.64	$338.00	—	—	72%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC	$94.64	$338.00	—	—	72%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC	$19.32	$69.00	$23.95–$150.92	55% below	72%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC	$19.32	$69.00	—	—	72%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP SCREENING	$31.36	$112.00	$15.87–$114.92	13% above	72%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP SCREENING	$36.40	$130.00	—	—	72%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTRAOPERATIVE	$47.88	$171.00	$37.15–$234.12	47% below	72%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTACT	$73.36	$262.00	$37.15–$234.12	19% below	72%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTRAOPERATIVE	$66.08	$236.00	—	—	72%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTACT	$147.00	$525.00	—	—	72%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT - RL	$10.36	$37.00	$5.41–$34.08	49% below	72%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$13.72	$49.00	$5.41–$42.09	33% below	72%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT - RL	$13.16	$47.00	—	—	72%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$51.80	$185.00	—	—	72%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY	$633.92	$2,264.00	$587.51–$4,304.56	51% above	72%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY	$633.92	$2,264.00	—	—	72%
Progesterone blood test CPT 84144 HC PROGESTERONE	$68.32	$244.00	$18.77–$209.60	25% above	72%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$100.52	$359.00	—	—	72%
Prolactin blood test CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC	$34.72	$124.00	$17.44–$109.89	46% below	72%
Prolactin blood test CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT	$34.72	$124.00	$17.44–$109.89	46% below	72%
Prolactin blood test CPT 84146 HC PROLACTIN	$71.40	$255.00	$17.44–$219.05	12% above	72%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT	$34.72	$124.00	—	—	72%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC	$34.72	$124.00	—	—	72%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$98.56	$352.00	—	—	72%
Prothrombin time (PT/INR) clotting test CPT 85610 HC POC PT/INR	$4.20	$15.00	$3.86–$24.34	71% below	72%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS PT - RL	$6.44	$23.00	$3.86–$24.34	55% below	72%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR	$8.96	$32.00	$3.86–$27.49	38% below	72%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$12.60	$45.00	$3.86–$38.66	13% below	72%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POC PT/INR	$4.20	$15.00	—	—	72%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS PT - RL	$8.12	$29.00	—	—	72%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR	$10.92	$39.00	—	—	72%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$43.96	$157.00	—	—	72%
Rapid flu test (influenza antigen) CPT 87804 HC POC INFLUENZA A & B VIRUS TESTING	$12.60	$45.00	$14.90–$93.84	44% below	72%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A & B VIRUS TESTING	$24.08	$86.00	$14.90–$93.84	7% above	72%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC POC INFLUENZA A & B VIRUS TESTING	$12.60	$45.00	—	—	72%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A & B VIRUS TESTING	$24.08	$86.00	—	—	72%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 *HC POC STREP A SCREEN	$39.76	$142.00	$14.88–$121.98	79% above	72%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A SCREEN	$39.76	$142.00	$14.88–$121.98	79% above	72%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POC STREP A SCREEN	$39.76	$142.00	$14.88–$121.98	79% above	72%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC THROAT SCREEN	$43.96	$157.00	$14.88–$134.86	98% above	72%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC POC STREP A SCREEN	$39.76	$142.00	—	—	72%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 *HC POC STREP A SCREEN	$39.76	$142.00	—	—	72%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A SCREEN	$39.76	$142.00	—	—	72%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC THROAT SCREEN	$59.08	$211.00	—	—	72%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT	$23.52	$84.00	$5.10–$72.16	at median	72%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT	$6.44	$23.00	—	—	72%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG	$34.16	$122.00	$12.95–$104.80	3% above	72%
Rubella antibody test (immunity check) CPT 86762 *HC RUBELLA IGG OB	$65.52	$234.00	$12.95–$201.01	97% above	72%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$65.52	$234.00	$12.95–$201.01	97% above	72%
Rubella antibody test (immunity check) CPT 86762 *HC RUBELLA VACCINE SCREEN	$65.52	$234.00	$12.95–$201.01	97% above	72%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG	$65.52	$234.00	—	—	72%
Rubella antibody test (immunity check) inpatient CPT 86762 *HC RUBELLA VACCINE SCREEN	$65.52	$234.00	—	—	72%
Rubella antibody test (immunity check) inpatient CPT 86762 *HC RUBELLA IGG OB	$65.52	$234.00	—	—	72%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$65.52	$234.00	—	—	72%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE,AUTOMATED	$52.02	$185.77	$2.43–$159.58	115% above	72%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE,AUTOMATED	$52.02	$185.77	—	—	72%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS	$25.48	$91.00	$12.31–$78.17	29% below	72%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS	$35.00	$125.00	—	—	72%
Stool ova and parasites exam CPT 87177 HC EXAM PARA, URINE/B.F.	$22.68	$81.00	$8.01–$69.58	24% below	72%
Stool ova and parasites exam CPT 87177 HC PARASITE EXAM BODY FLUID	$35.56	$127.00	$8.01–$109.09	19% above	72%
Stool ova and parasites exam inpatient CPT 87177 HC EXAM PARA, URINE/B.F.	$31.36	$112.00	—	—	72%
Stool ova and parasites exam inpatient CPT 87177 HC PARASITE EXAM BODY FLUID	$64.68	$231.00	—	—	72%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$14.56	$52.00	$3.23–$44.67	8% above	72%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC POC OCCULT BLOOD SCREEN	$14.56	$52.00	$3.23–$44.67	8% above	72%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC POC OCCULT BLOOD SCREEN	$14.56	$52.00	—	—	72%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$16.52	$59.00	—	—	72%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD	$12.60	$45.00	$14.33–$90.31	50% below	72%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD	$19.04	$68.00	—	—	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 *HC RPR OB	$12.88	$46.00	$3.84–$39.51	11% below	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR, DONOR EVAL (BLOOD CENTER)	$15.12	$54.00	$3.84–$46.39	5% above	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN - RL	$18.48	$66.00	$3.84–$56.69	28% above	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN	$18.76	$67.00	$3.84–$57.55	30% above	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL (CSF ONLY)	$18.76	$67.00	$3.84–$57.55	30% above	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 *HC RPR OB	$12.88	$46.00	—	—	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR, DONOR EVAL (BLOOD CENTER)	$19.04	$68.00	—	—	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN - RL	$23.24	$83.00	—	—	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN	$39.48	$141.00	—	—	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL (CSF ONLY)	$51.52	$184.00	—	—	72%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON GOLD TB TEST	$60.20	$215.00	$55.78–$351.50	49% below	72%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON GOLD TB TEST	$60.20	$215.00	—	—	72%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL	$54.60	$195.00	$23.23–$167.51	7% below	72%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS	$54.60	$195.00	$23.23–$167.51	7% below	72%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$84.56	$302.00	$23.23–$259.42	44% above	72%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL	$75.04	$268.00	—	—	72%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS	$75.04	$268.00	—	—	72%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$106.40	$380.00	—	—	72%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH	$11.48	$41.00	$13.10–$82.50	68% below	72%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$30.52	$109.00	$13.10–$93.63	15% below	72%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$211.40	$755.00	$13.10–$648.55	487% above	72%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH	$14.56	$52.00	—	—	72%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$38.92	$139.00	—	—	72%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$211.40	$755.00	—	—	72%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH - SENSITIVE, SERUM - RL	$11.48	$41.00	$15.12–$95.28	72% below	72%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC CU INDEX-TSH ASSAY	$12.32	$44.00	$15.12–$95.28	70% below	72%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$40.04	$143.00	$15.12–$122.84	3% below	72%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH - SENSITIVE, SERUM - RL	$14.56	$52.00	—	—	72%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC CU INDEX-TSH ASSAY	$15.40	$55.00	—	—	72%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$96.32	$344.00	—	—	72%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE	$22.40	$80.00	$31.58–$199.02	54% below	72%
Trichomonas test (NAAT) CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE	$24.36	$87.00	$31.58–$199.02	50% below	72%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE	$28.00	$100.00	—	—	72%
Trichomonas test (NAAT) inpatient CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE	$31.36	$112.00	—	—	72%
Uric acid blood test CPT 84550 HC URIC ACID	$15.68	$56.00	$4.07–$48.10	10% below	72%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$9.80	$35.00	—	—	72%
Urinalysis with microscope exam, automated CPT 81001 HC POC URINALYSIS, AUTO W/MICRO	$11.76	$42.00	$2.85–$36.08	53% below	72%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO W/MICRO	$11.76	$42.00	$2.85–$36.08	53% below	72%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC POC URINALYSIS, AUTO W/MICRO	$11.76	$42.00	—	—	72%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO W/MICRO	$56.28	$201.00	—	—	72%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO	$7.84	$28.00	$3.62–$24.05	20% above	72%
Urinalysis with microscope exam, manual CPT 81000 CHG URINALYSIS, NONAUTO, W/SCOPE	$11.76	$42.00	$3.62–$36.08	79% above	72%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO	$10.64	$38.00	—	—	72%
Urinalysis without microscope exam, automated CPT 81003 HC POC URINE W/O MICRO, AUTO	$8.68	$31.00	$2.03–$26.63	2% below	72%
Urinalysis without microscope exam, automated CPT 81003 HC POC UA DIPSTICK	$8.68	$31.00	$2.03–$26.63	2% below	72%
Urinalysis without microscope exam, automated CPT 81003 HC URINE W/O MICRO, AUTO	$8.68	$31.00	$2.03–$26.63	2% below	72%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY, URINE	$12.88	$46.00	$2.03–$39.51	46% above	72%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY, URINE	$8.68	$31.00	—	—	72%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC POC UA DIPSTICK	$8.68	$31.00	—	—	72%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC POC URINE W/O MICRO, AUTO	$8.68	$31.00	—	—	72%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE W/O MICRO, AUTO	$34.72	$124.00	—	—	72%
Urinalysis without microscope exam, manual CPT 81002 *HC URINE SINGLE ITEM	$5.04	$18.00	$3.13–$19.74	27% below	72%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS W/O MICRO NON-AUTO	$5.04	$18.00	$3.13–$19.74	27% below	72%
Urinalysis without microscope exam, manual CPT 81002 HC ACETONE/KETONE-URINE	$8.68	$31.00	$3.13–$26.63	26% above	72%
Urinalysis without microscope exam, manual CPT 81002 *HC PROTEIN, QUALI-URINE	$8.68	$31.00	$3.13–$26.63	26% above	72%
Urinalysis without microscope exam, manual inpatient CPT 81002 *HC URINE SINGLE ITEM	$5.04	$18.00	—	—	72%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS W/O MICRO NON-AUTO	$5.04	$18.00	—	—	72%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC ACETONE/KETONE-URINE	$26.04	$93.00	—	—	72%
Urinalysis without microscope exam, manual inpatient CPT 81002 *HC PROTEIN, QUALI-URINE	$26.04	$93.00	—	—	72%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, URINE COLONY COUNT	$20.72	$74.00	$7.26–$63.57	45% below	72%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, URINE COLONY COUNT	$38.36	$137.00	—	—	72%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST, URINE	$13.44	$48.00	$7.75–$48.85	36% below	72%
Urine pregnancy test, read by color change CPT 81025 *HC POC PREGNANCY TEST, URINE	$13.44	$48.00	$7.75–$48.85	36% below	72%
Urine pregnancy test, read by color change CPT 81025 PR URINE PREGNANCY TEST	$13.44	$48.00	$7.75–$48.85	36% below	72%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST, URINE	$13.44	$48.00	—	—	72%
Urine pregnancy test, read by color change inpatient CPT 81025 *HC POC PREGNANCY TEST, URINE	$13.44	$48.00	—	—	72%
Vitamin B12 (cobalamin) blood test CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12	$10.92	$39.00	$13.57–$85.49	72% below	72%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12	$58.52	$209.00	$13.57–$179.53	47% above	72%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12	$13.72	$49.00	—	—	72%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12	$87.64	$313.00	—	—	72%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$28.00	$100.00	$26.64–$167.88	63% below	72%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D, 25 HYDROXY	$29.40	$105.00	$26.64–$167.88	62% below	72%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$35.00	$125.00	—	—	72%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D, 25 HYDROXY	$36.96	$132.00	—	—	72%
Zinc blood test CPT 84630 HC ZINC, URINE	$24.36	$87.00	$10.25–$74.73	22% below	72%
Zinc blood test CPT 84630 HC ZINC, SERUM - RL	$37.52	$134.00	$10.25–$115.11	20% above	72%
Zinc blood test CPT 84630 HC ZINC QUANTITATIVE	$37.52	$134.00	$10.25–$115.11	20% above	72%
Zinc blood test inpatient CPT 84630 HC ZINC, URINE	$33.32	$119.00	—	—	72%
Zinc blood test inpatient CPT 84630 HC ZINC QUANTITATIVE	$65.52	$234.00	—	—	72%
Zinc blood test inpatient CPT 84630 HC ZINC, SERUM - RL	$65.52	$234.00	—	—	72%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG BETA SUBUNIT, CSF	$15.96	$57.00	$13.55–$85.33	67% below	72%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC POC BHCG	$15.96	$57.00	$13.55–$85.33	67% below	72%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 *HC HCG, MATERNAL SEQ SCRN	$22.96	$82.00	$13.55–$85.33	53% below	72%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE	$29.40	$105.00	$13.55–$90.20	40% below	72%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER)	$29.40	$105.00	$13.55–$90.20	40% below	72%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG, MATERNAL SCREEN	$129.92	$464.00	$13.55–$398.58	167% above	72%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC POC BHCG	$15.96	$57.00	—	—	72%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG BETA SUBUNIT, CSF	$20.16	$72.00	—	—	72%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 *HC HCG, MATERNAL SEQ SCRN	$25.76	$92.00	—	—	72%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER)	$31.36	$112.00	—	—	72%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE	$40.60	$145.00	—	—	72%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG, MATERNAL SCREEN	$129.92	$464.00	—	—	72%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BRST, 1ST LESION, STEREOTACTIC GUIDANCE	$540.68	$1,931.00	$481.27–$4,154.00	16% below	72%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BRST, 1ST LESION, STEREOTACTIC GUIDANCE	$540.68	$1,931.00	—	—	72%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX DST FIB FX WO MAN	$97.16	$347.00	$174.72–$3,091.00	54% below	72%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX DST FIB FX WO MAN	$97.16	$347.00	—	—	72%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL TX METATAR FX WO MAN	$97.16	$347.00	$58.30–$3,091.00	51% below	72%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CL TX METATAR FX WO MAN	$97.16	$347.00	—	—	72%
Cardiac catheterization with coronary angiogram CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO	$2,687.44	$9,598.00	$1,612.46–$13,539.19	43% below	72%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO	$2,687.44	$9,598.00	—	—	72%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$579.04	$2,068.00	$347.42–$4,392.00	6% above	72%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION	$579.04	$2,068.00	—	—	72%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE)	$1,187.76	$4,242.00	$481.27–$6,075.99	48% above	72%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE)	$1,187.76	$4,242.00	—	—	72%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE)	$1,187.76	$4,242.00	$481.27–$6,075.99	72% above	72%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE)	$1,187.76	$4,242.00	—	—	72%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA	$97.16	$347.00	$58.30–$3,091.00	58% below	72%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA	$97.16	$347.00	—	—	72%
Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY W/EUS	$342.16	$1,222.00	$481.27–$4,154.00	50% below	72%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY W/EUS	$342.16	$1,222.00	—	—	72%
Colonoscopy with polyp removal CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$483.84	$1,728.00	$481.27–$4,154.00	43% below	72%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$483.84	$1,728.00	—	—	72%
Colonoscopy with tissue sample CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$483.84	$1,728.00	$481.27–$4,154.00	44% below	72%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$483.84	$1,728.00	—	—	72%
Colonoscopy, diagnostic CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$483.84	$1,728.00	$481.27–$4,154.00	35% below	72%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$483.84	$1,728.00	—	—	72%
Coronary stent placement, one artery CPT 92928 HC STENT PLACE CORONARY SINGLE	$7,271.32	$25,969.00	$4,362.79–$28,894.46	20% below	72%
Coronary stent placement, one artery inpatient CPT 92928 HC STENT PLACE CORONARY SINGLE	$7,271.32	$25,969.00	—	—	72%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTO	$886.48	$3,166.00	$359.35–$3,091.00	42% above	72%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTO	$886.48	$3,166.00	—	—	72%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC D&C, NON-PREGNANCY	$2,285.08	$8,161.00	$481.27–$6,936.85	9% above	72%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC D&C, NON-PREGNANCY	$2,285.08	$8,161.00	—	—	72%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL	$43.12	$154.00	$25.87–$3,091.00	38% below	72%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL	$43.12	$154.00	—	—	72%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$41.16	$147.00	$24.70–$3,091.00	36% below	72%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$41.16	$147.00	—	—	72%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING	$59.64	$213.00	$35.78–$3,091.00	61% below	72%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING	$59.64	$213.00	—	—	72%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ CERV/THORAC,W/GUIDANCE	$390.32	$1,394.00	$359.35–$3,091.00	49% below	72%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ CERV/THORAC,W/GUIDANCE	$390.32	$1,394.00	—	—	72%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INTRAVITREAL INJ OF PHARM AGEN	$492.80	$1,760.00	—	—	72%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL	$649.88	$2,321.00	$243.24–$3,091.00	28% above	72%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL	$649.88	$2,321.00	—	—	72%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX	$294.28	$1,051.00	$359.35–$3,091.00	34% below	72%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX	$294.28	$1,051.00	—	—	72%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOID LIGATION	$387.24	$1,383.00	$232.34–$3,091.00	16% below	72%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOID LIGATION	$387.24	$1,383.00	—	—	72%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HC TOTAL ABDOM HYSTERCTOMY	$2,518.60	$8,995.00	—	—	72%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGIOGRAM	$57.12	$204.00	$112.20–$3,091.00	53% below	72%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGIOGRAM	$57.12	$204.00	—	—	72%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD)	$649.88	$2,321.00	$41.82–$3,091.00	238% above	72%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD)	$649.88	$2,321.00	—	—	72%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE SINGLE	$87.92	$314.00	$148.33–$3,091.00	55% below	72%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE SINGLE	$87.92	$314.00	—	—	72%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$649.88	$2,321.00	$107.81–$3,091.00	352% above	72%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$649.88	$2,321.00	—	—	72%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR	$52.36	$187.00	$31.42–$3,091.00	43% below	72%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR	$52.36	$187.00	—	—	72%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA	$127.96	$457.00	$76.78–$3,091.00	40% below	72%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA	$127.96	$457.00	—	—	72%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHOCENTESIS, SMALL JOINT	$82.04	$293.00	$49.22–$3,091.00	64% below	72%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHOCENTESIS, SMALL JOINT	$82.04	$293.00	—	—	72%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT REP S/A/T/EX 2.5CM/<	$176.12	$629.00	$295.43–$3,091.00	46% below	72%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT REP S/A/T/EX 2.5CM/<	$176.12	$629.00	—	—	72%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY	$1,854.72	$6,624.00	$1,112.83–$13,539.19	56% below	72%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY	$1,854.72	$6,624.00	—	—	72%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$390.32	$1,394.00	$359.35–$3,091.00	50% below	72%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$390.32	$1,394.00	—	—	72%
Lower-back epidural injection, without imaging guidance CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING	$390.32	$1,394.00	$213.31–$3,091.00	1% above	72%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING	$390.32	$1,394.00	—	—	72%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$395.92	$1,414.00	$237.55–$3,091.00	13% below	72%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$395.92	$1,414.00	—	—	72%
Mastectomy (total removal of the breast) CPT 19303 HC ASC MASTECTOMY, COMPLETE, SIMPLE	$2,808.12	$10,029.00	$679.83–$9,302.48	15% below	72%
Mastectomy (total removal of the breast) inpatient CPT 19303 HC ASC MASTECTOMY, COMPLETE, SIMPLE	$2,808.12	$10,029.00	—	—	72%
Miscarriage treatment with D&C, first trimester CPT 59820 HC D&C, MISSED ABORT, 1ST TRIMESTER	$1,727.32	$6,169.00	$773.72–$6,698.00	5% above	72%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC D&C, MISSED ABORT, 1ST TRIMESTER	$1,727.32	$6,169.00	—	—	72%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC LESION TRUNK,ARMS,LEGS BGN <.5CM	$1,050.00	$3,750.00	$359.35–$3,187.50	214% above	72%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC LESION TRUNK,ARMS,LEGS BGN <.5CM	$1,050.00	$3,750.00	—	—	72%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE	$59.64	$213.00	$35.78–$3,091.00	56% below	72%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE	$59.64	$213.00	—	—	72%
Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL	$309.40	$1,105.00	$184.85–$3,091.00	20% above	72%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL	$309.40	$1,105.00	—	—	72%
Pacemaker implant (dual chamber) CPT 33208 HC INS/RPL PERM PACER A&V	$7,130.48	$25,466.00	$3,253.00–$31,912.00	31% below	72%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INS/RPL PERM PACER A&V	$7,130.48	$25,466.00	—	—	72%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE	$400.68	$1,431.00	$240.41–$4,154.00	32% below	72%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE	$400.68	$1,431.00	—	—	72%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION INGROWN TOENAIL	$235.48	$841.00	$295.43–$3,091.00	34% below	72%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION INGROWN TOENAIL	$235.48	$841.00	—	—	72%
Prostate biopsy CPT 55700 HC PROSTATE NEEDLE BIOPSY	$1,125.88	$4,021.00	$481.27–$4,154.00	48% above	72%
Prostate biopsy inpatient CPT 55700 HC PROSTATE NEEDLE BIOPSY	$1,125.88	$4,021.00	—	—	72%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC R/F FACET NERVE - LUM/SAC	$982.52	$3,509.00	$589.51–$4,449.64	3% below	72%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC R/F FACET NERVE - LUM/SAC	$982.52	$3,509.00	—	—	72%
Removal of a foreign object under the skin, simple CPT 10120 HC REMO F/B SUBQ SIMPLE	$146.72	$524.00	$288.20–$3,091.00	37% below	72%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO F/B SUBQ SIMPLE	$146.72	$524.00	—	—	72%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$995.40	$3,555.00	$481.27–$4,154.00	59% above	72%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$995.40	$3,555.00	—	—	72%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$995.40	$3,555.00	$481.27–$4,154.00	64% above	72%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$995.40	$3,555.00	—	—	72%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC	$66.36	$237.00	$39.82–$4,392.00	45% below	72%
Short arm splint (forearm and hand) CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$66.36	$237.00	$65.55–$431.17	45% below	72%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC	$66.36	$237.00	—	—	72%
Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$66.36	$237.00	—	—	72%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION, SPLINT, LOWER LEG	$66.36	$237.00	$39.82–$4,392.00	53% below	72%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION, SPLINT, LOWER LEG	$66.36	$237.00	—	—	72%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM	$87.92	$314.00	$148.33–$3,091.00	53% below	72%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM	$87.92	$314.00	—	—	72%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION	$89.32	$319.00	$53.59–$3,091.00	67% below	72%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION	$89.32	$319.00	—	—	72%
Skin tag removal, up to 15 tags CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS	$45.08	$161.00	$27.05–$3,091.00	66% below	72%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS	$45.08	$161.00	—	—	72%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX	$204.12	$729.00	$197.90–$3,091.00	52% below	72%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX	$204.12	$729.00	—	—	72%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C	$87.92	$314.00	$148.33–$4,392.00	52% below	72%
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 SIM REP S/N/A/G/T/E 2.6-7.5C	$87.92	$314.00	—	—	72%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM	$87.92	$314.00	$148.33–$4,392.00	52% below	72%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM	$87.92	$314.00	—	—	72%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY, SKIN, SINGLE LESION	$89.32	$319.00	$53.59–$3,091.00	46% below	72%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY, SKIN, SINGLE LESION	$89.32	$319.00	—	—	72%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING	$490.84	$1,753.00	$359.35–$3,091.00	24% below	72%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING	$490.84	$1,753.00	—	—	72%
Trigger finger release surgery CPT 26055 HC TRIGGER FINGER RELEASE	$1,009.68	$3,606.00	$481.27–$4,621.19	37% below	72%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$82.04	$293.00	$49.22–$3,091.00	38% below	72%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE	$540.68	$1,931.00	$481.27–$4,154.00	21% below	72%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE	$540.68	$1,931.00	—	—	72%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILATION BALLOON <30MM	$890.96	$3,182.00	$481.27–$4,154.00	5% above	72%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILATION BALLOON <30MM	$890.96	$3,182.00	—	—	72%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$742.00	$2,650.00	$481.27–$4,154.00	at median	72%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$742.00	$2,650.00	—	—	72%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUC INJECT(S)	$742.00	$2,650.00	$481.27–$4,154.00	29% above	72%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUC INJECT(S)	$742.00	$2,650.00	—	—	72%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$890.96	$3,182.00	$481.27–$4,154.00	8% above	72%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$890.96	$3,182.00	—	—	72%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$742.00	$2,650.00	$481.27–$4,154.00	12% above	72%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$742.00	$2,650.00	—	—	72%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$742.00	$2,650.00	$359.35–$3,091.00	8% below	72%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$742.00	$2,650.00	—	—	72%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD, W/EUS, DRAIN CYST, TRANSMURAL	$551.32	$1,969.00	$481.27–$5,629.60	67% below	72%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD, W/EUS, DRAIN CYST, TRANSMURAL	$551.32	$1,969.00	—	—	72%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO/URETERO W/LITHO INCL INSERT STENT	$2,544.36	$9,087.00	$679.83–$15,625.01	36% below	72%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO/URETERO W/LITHO INCL INSERT STENT	$2,544.36	$9,087.00	—	—	72%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC VASECTOMY UNI OR BIL	$375.20	$1,340.00	$481.27–$7,175.44	64% below	72%
Vein ablation, radiofrequency, first vein CPT 36475 HC RF ABLATION VEIN 1ST W/ IMAGE	$2,117.36	$7,562.00	$550.32–$8,533.65	23% below	72%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC RF ABLATION VEIN 1ST W/ IMAGE	$2,117.36	$7,562.00	—	—	72%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION 1-14	$50.12	$179.00	$30.07–$3,091.00	63% below	72%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESION 1-14	$50.12	$179.00	—	—	72%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY	$41.72	$149.00	$25.03–$412.00	52% below	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT	$41.72	$149.00	$25.03–$412.00	52% below	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT	$41.72	$149.00	$25.03–$412.00	52% below	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$41.72	$149.00	$25.03–$412.00	52% below	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX	$41.72	$149.00	$25.03–$412.00	52% below	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY	$41.72	$149.00	—	—	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX	$41.72	$149.00	—	—	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$41.72	$149.00	—	—	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT	$41.72	$149.00	—	—	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT	$41.72	$149.00	—	—	72%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR	$168.00	$600.00	$100.80–$7,743.00	45% below	72%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR	$168.00	$600.00	—	—	72%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$656.88	$2,346.00	$394.13–$2,174.74	13% below	72%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$656.88	$2,346.00	—	—	72%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG: AWAKE & DROWSY	$129.64	$463.00	$77.78–$641.00	58% below	72%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG: AWAKE & DROWSY	$129.64	$463.00	—	—	72%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMER ROOM LEVEL I	$72.52	$259.00	$43.51–$1,301.00	22% below	72%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMER ROOM LEVEL I	$72.52	$259.00	—	—	72%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMER ROOM LEVEL II	$122.08	$436.00	$73.25–$1,301.00	23% below	72%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMER ROOM LEVEL II	$122.08	$436.00	—	—	72%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMER ROOM LEVEL III	$194.88	$696.00	$116.93–$1,301.00	22% below	72%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMER ROOM LEVEL III	$194.88	$696.00	—	—	72%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMER ROOM LEVEL IV	$311.64	$1,113.00	$186.98–$1,301.00	22% below	72%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMER ROOM LEVEL IV	$311.64	$1,113.00	—	—	72%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMER ROOM LEVEL V	$461.44	$1,648.00	$276.86–$1,400.80	11% below	72%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMER ROOM LEVEL V	$461.44	$1,648.00	—	—	72%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM	$259.84	$928.00	$155.90–$2,519.00	24% below	72%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM	$259.84	$928.00	—	—	72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR	$111.16	$397.00	$66.70–$4,920.00	25% below	72%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR	$111.16	$397.00	—	—	72%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$40.04	$143.00	$27.51–$365.00	3% above	72%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$40.04	$143.00	—	—	72%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$146.44	$523.00	$37.83–$465.47	105% above	72%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$146.44	$523.00	—	—	72%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$189.00	$675.00	$56.77–$600.75	140% above	72%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$189.00	$675.00	—	—	72%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$231.00	$825.00	$56.77–$734.25	137% above	72%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN	$110.32	$394.00	$32.87–$350.66	101% above	72%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN	$110.32	$394.00	—	—	72%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRTN TH INIT 15 MIN	$21.84	$78.00	$30.52–$354.00	26% below	72%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRTN TH INIT 15 MIN	$21.84	$78.00	—	—	72%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$114.52	$409.00	$72.35–$484.74	1% above	72%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$114.52	$409.00	—	—	72%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$131.88	$471.00	$74.48–$457.55	4% above	72%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$131.88	$471.00	—	—	72%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$114.52	$409.00	$74.48–$457.55	5% above	72%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$114.52	$409.00	—	—	72%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS	$126.28	$451.00	$74.48–$457.55	8% above	72%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS	$126.28	$451.00	—	—	72%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CES INTERMED,CTTS ONLY	$18.48	$66.00	$24.70–$354.00	6% below	72%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CES INTERMED,CTTS ONLY	$18.48	$66.00	—	—	72%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$189.00	$675.00	$56.77–$600.75	175% above	72%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$189.00	$675.00	—	—	72%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$146.44	$523.00	$56.77–$465.47	129% above	72%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$146.44	$523.00	—	—	72%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN	$110.32	$394.00	$29.27–$350.66	124% above	72%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN	$110.32	$394.00	—	—	72%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION	$111.16	$397.00	$169.45–$1,015.10	40% below	72%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION	$111.16	$397.00	—	—	72%
Speech therapy session, individual CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$61.04	$218.00	$32.79–$416.42	28% below	72%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$61.04	$218.00	—	—	72%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$60.20	$215.00	$36.12–$765.00	53% below	72%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$60.20	$215.00	—	—	72%
Spirometry before and after a bronchodilator CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN	$98.00	$350.00	$58.80–$765.00	55% below	72%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN	$98.00	$350.00	—	—	72%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$30.52	$109.00	$8.76–$365.00	24% below	72%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$30.52	$109.00	—	—	72%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$148.68	$531.00	$94.64–$508.00	52% above	72%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$148.68	$531.00	—	—	72%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168)	$121.99	$435.68	$73.19–$387.76	13% above	72%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168)	$121.99	$435.68	$239.62–$300.62	—	72%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$306.18	$1,093.51	$135.72–$973.22	50% above	72%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$306.18	$1,093.51	$601.43–$754.52	—	72%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140)	$31.89	$113.88	$16.72–$101.35	3% above	72%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140)	$31.89	$113.88	$62.63–$78.58	—	72%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$137.96	$492.70	$77.53–$438.50	57% above	72%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$137.96	$492.70	$270.99–$339.96	—	72%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACC-CPG 1018 (PF) 20 MCG/0.5 ML IM SYRG (UIR)	$248.02	$885.78	$148.81–$788.34	79% above	72%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACC-CPG 1018 (PF) 20 MCG/0.5 ML IM SYRG (UIR)	$248.02	$885.78	$487.18–$611.19	—	72%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 5 MCG/0.5 ML IM SUSP (UIR)	$45.63	$162.95	$27.38–$145.03	15% above	72%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM SYRG (UIR)	$46.49	$166.04	$27.89–$147.78	17% above	72%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM UMBRELLA	$46.49	$166.04	$27.89–$147.78	17% above	72%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 5 MCG/0.5 ML IM SUSP (UIR)	$45.63	$162.95	$89.62–$112.44	—	72%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM SYRG (UIR)	$46.49	$166.04	$91.32–$114.57	—	72%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM UMBRELLA	$46.49	$166.04	$91.32–$114.57	—	72%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR	$20.45	$73.02	$12.27–$64.99	9% below	72%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR	$20.45	$73.02	$40.16–$50.38	—	72%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR	$156.16	$557.71	$93.70–$496.36	4% above	72%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR	$156.16	$557.71	$306.74–$384.82	—	72%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT (2 MO - 55 YO)	$263.09	$939.61	$157.35–$836.25	60% above	72%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT (2 MO - 55 YO)	$263.09	$939.61	$516.79–$648.33	—	72%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$451.94	$1,614.06	$271.16–$1,436.51	35% above	72%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$451.94	$1,614.06	$887.73–$1,113.70	—	72%
Rabies vaccine, one dose CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR	$728.80	$2,602.86	$312.03–$2,316.55	1% above	72%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR	$728.80	$2,602.86	$1,431.57–$1,795.97	—	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP	$47.01	$167.91	$28.21–$149.44	at median	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UIR)	$59.81	$213.62	$33.48–$190.12	27% above	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UMBRELLA)	$59.81	$213.62	$33.48–$190.12	27% above	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP	$47.01	$167.91	$92.35–$115.86	—	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UMBRELLA)	$59.81	$213.62	$117.49–$147.40	—	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UIR)	$59.81	$213.62	$117.49–$147.40	—	72%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA)	$75.84	$270.86	$42.37–$241.07	12% above	72%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA)	$76.58	$273.50	$42.37–$243.42	13% above	72%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA)	$75.84	$270.86	$148.97–$186.89	—	72%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA)	$76.58	$273.50	$150.43–$188.72	—	72%

Source file: https://ochsner-craft.s3.us-east-1.amazonaws.com/core/205432782_ochsner-medical-center-kenner-llc_standardcharges.csv.csv