Saint Joseph Health System
Saint Joseph Health System in Nicholasville, KY publishes cash prices for 153 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 98 of 152 procedures and above it for 52. By typical cash price it ranks #26 of 59 Kentucky hospitals and #3 of 8 hospitals in the Lexington, KY area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1250 Keene Road, Nicholasville, KY 40356 Collected Sep 27, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE MIN 3 VIEWS | $339.44 | $674.00 | $86.51–$613.34 | 3% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE MIN 3 VIEWS | $339.44 | $674.00 | $613.34 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS SINGLE CONTRAST | $477.43 | $948.00 | $174.90–$862.68 | 13% above | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS SINGLE CONTRAST | $477.43 | $948.00 | $862.68 | — | 50% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST BIL COMPLETE | $488.51 | $970.00 | $104.48–$882.70 | 25% above | 50% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST BIL COMPLETE | $488.51 | $970.00 | $882.70 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST | $1,113.50 | $2,211.00 | $174.90–$2,012.01 | 25% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST | $1,113.50 | $2,211.00 | $2,012.01 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD&PEL WOW CONTRAST | $2,276.36 | $4,520.00 | $350.87–$4,113.20 | 17% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD&PEL WOW CONTRAST | $2,276.36 | $4,520.00 | $4,113.20 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 HC CT BRAIN WOW CONTRAST | $1,053.07 | $2,091.00 | $174.90–$1,902.81 | 29% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT BRAIN WOW CONTRAST | $1,053.07 | $2,091.00 | $1,902.81 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC CAROTID DOPPLER BIL | $870.26 | $1,728.00 | $237.49–$1,572.48 | 14% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC CAROTID DOPPLER BIL | $870.26 | $1,728.00 | $1,572.48 | — | 50% |
| Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS | $318.29 | $632.00 | $86.51–$575.12 | 25% above | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS | $318.29 | $632.00 | $575.12 | — | 50% |
| Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW | $232.17 | $461.00 | $86.51–$419.51 | 25% above | 50% |
| Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW | $232.17 | $461.00 | $419.51 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC U/S RETROPERITONEAL COMP | $3,007.61 | $5,972.00 | $104.48–$5,434.52 | 325% above | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC U/S RETROPERITONEAL COMP | $3,007.61 | $5,972.00 | $5,434.52 | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA W/O LVA (STANDARD) | $206.99 | $411.00 | $96.55–$374.01 | 39% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA W/O LVA (STANDARD) | $206.99 | $411.00 | $374.01 | — | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA PERIPHERAL WRIST | $48.86 | $97.00 | $22.79–$173.02 | 81% below | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA PERIPHERAL WRIST | $48.86 | $97.00 | $88.27 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST | $928.17 | $1,843.00 | $174.90–$1,677.13 | 30% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST | $928.17 | $1,843.00 | $1,677.13 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC ARTERIAL DOPPLER LEGS BIL | $819.39 | $1,627.00 | $237.49–$1,480.57 | 29% below | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC ARTERIAL DOPPLER LEGS BIL | $819.39 | $1,627.00 | $1,480.57 | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC VENOUS DOPPLER EXT BIL | $1,040.48 | $2,066.00 | $237.49–$1,880.06 | 7% above | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VENOUS DOPPLER EXT BIL | $1,040.48 | $2,066.00 | $1,880.06 | — | 50% |
| MRI of both breasts, without and then with contrast dye CPT 77049 HC MRI BREAST BIL WOW CON W/CAD | $541.39 | $1,075.00 | $252.52–$1,593.00 | 7% above | 50% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HC MRI BREAST BIL WOW CON W/CAD | $541.39 | $1,075.00 | $978.25 | — | 50% |
| MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN | $752.91 | $1,495.00 | $237.49–$1,593.00 | 54% below | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABDOMEN | $752.91 | $1,495.00 | $1,360.45 | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN W/O CONTRAST | $1,289.77 | $2,561.00 | $237.49–$2,330.51 | 22% below | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN W/O CONTRAST | $1,289.77 | $2,561.00 | $2,330.51 | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRIG LIMITED LUMBAR | $845.58 | $1,679.00 | $237.49–$1,593.00 | 48% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR | $883.85 | $1,755.00 | $237.49–$1,597.05 | 45% below | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRIG LIMITED LUMBAR | $845.58 | $1,679.00 | $1,527.89 | — | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR | $883.85 | $1,755.00 | $1,597.05 | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SPINE CERVL WOW CONTR | $1,257.54 | $2,497.00 | $350.87–$2,272.27 | 45% below | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR SPINE CERVL WOW CONTR | $1,257.54 | $2,497.00 | $2,272.27 | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICAL | $879.32 | $1,746.00 | $237.49–$1,593.00 | 45% below | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SPINE CERVICAL | $879.32 | $1,746.00 | $1,588.86 | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS WOW CONTRAST | $1,032.93 | $2,051.00 | $350.87–$1,866.41 | 54% below | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS WOW CONTRAST | $1,032.93 | $2,051.00 | $1,866.41 | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS | $771.55 | $1,532.00 | $237.49–$1,593.00 | 55% below | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS | $771.55 | $1,532.00 | $1,394.12 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRIG UPPER EXT JOINT W/O UNI | $1,593.96 | $3,165.00 | $237.49–$2,880.15 | 1% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRIG UPPER EXT JOINT W/O UNI | $1,593.96 | $3,165.00 | $2,880.15 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC U/S OB <14 WKS-1 FETUS | $281.53 | $559.00 | $104.48–$508.69 | 46% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC U/S OB <14 WKS-1 FETUS | $281.53 | $559.00 | $508.69 | — | 50% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCRN BIL & CAD | $174.26 | $346.00 | $81.28–$314.86 | 2% below | 50% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCRN BIL & CAD | $174.26 | $346.00 | $314.86 | — | 50% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HC SHOULDER BILATERAL - 2 VIEW | $678.88 | $1,348.00 | $86.51–$1,226.68 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $373.19 | $741.00 | $86.51–$674.31 | 6% above | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 HC SHOULDER BILATERAL - 2 VIEW | $678.88 | $1,348.00 | $1,226.68 | — | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $373.19 | $741.00 | $674.31 | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR ESOPH SWALLOW FUNC W/VID | $462.33 | $918.00 | $174.90–$835.38 | at median | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR ESOPH SWALLOW FUNC W/VID | $462.33 | $918.00 | $835.38 | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC U/SENDO VAG (EV) | $878.82 | $1,745.00 | $104.48–$1,587.95 | 51% above | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/SENDO VAG (EV) | $878.82 | $1,745.00 | $1,587.95 | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC U/S PREGNANCY TRANSVAGINAL | $392.83 | $780.00 | $104.48–$709.80 | 9% below | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC U/S PREGNANCY TRANSVAGINAL | $392.83 | $780.00 | $709.80 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC VENOUS DOPPLER EXT UNI | $700.03 | $1,390.00 | $104.48–$1,264.90 | 19% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC VENOUS DOPPLER EXT UNI | $700.03 | $1,390.00 | $1,264.90 | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC XR WRIST 3VW/MORE UNILAT | $307.21 | $610.00 | $86.51–$555.10 | 6% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC XR WRIST 3VW/MORE UNILAT | $307.21 | $610.00 | $555.10 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP 2 VIEW W/ PELVIS UNILATERAL | $246.27 | $489.00 | $86.51–$444.99 | 4% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP 2 VIEW W/ PELVIS UNILATERAL | $246.27 | $489.00 | $444.99 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW | $232.17 | $461.00 | $86.51–$419.51 | 13% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW | $232.17 | $461.00 | $419.51 | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS MIN 2 VIEW | $254.84 | $506.00 | $86.51–$460.46 | 6% above | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS MIN 2 VIEW | $254.84 | $506.00 | $460.46 | — | 50% |
| X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS | $96.20 | $191.00 | $44.87–$173.81 | 68% below | 50% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS | $96.20 | $191.00 | $173.81 | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS | $330.88 | $657.00 | $86.51–$597.87 | 2% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS | $330.88 | $657.00 | $597.87 | — | 50% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HC HAND BILATERAL | $325.85 | $647.00 | $86.51–$588.77 | — | 50% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HC HAND BILATERAL | $325.85 | $647.00 | $588.77 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBAR 2- 3 VIEWS | $410.96 | $816.00 | $104.48–$742.56 | 16% above | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBAR 2- 3 VIEWS | $410.96 | $816.00 | $742.56 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBAR 4-5 VIEW | $460.31 | $914.00 | $104.48–$831.74 | 12% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBAR 4-5 VIEW | $460.31 | $914.00 | $831.74 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES 3+VWS | $410.96 | $816.00 | $86.51–$742.56 | 36% above | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES 3+VWS | $410.96 | $816.00 | $742.56 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2VIEW | $243.25 | $483.00 | $104.48–$439.53 | 3% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2VIEW | $243.25 | $483.00 | $439.53 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM&COCCYX 2VW/MORE | $260.88 | $518.00 | $86.51–$471.38 | 12% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM&COCCYX 2VW/MORE | $260.88 | $518.00 | $471.38 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC LAB SGPT (ALT) | $51.37 | $102.00 | $4.50–$92.82 | 23% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC LAB SGPT (ALT) | $51.37 | $102.00 | $92.82 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC LAB SGOT (AST) | $33.75 | $67.00 | $4.40–$60.97 | 49% below | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC LAB SGOT (AST) | $33.75 | $67.00 | $60.97 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC LAB ACUTE HEPATITIS PANEL | $256.85 | $510.00 | $40.48–$464.10 | 17% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC LAB ACUTE HEPATITIS PANEL | $256.85 | $510.00 | $464.10 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LIME | $12.09 | $24.00 | $4.43–$23.22 | 2% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T057-IGE CEDAR | $12.09 | $24.00 | $4.43–$23.22 | 2% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC LAMBS QUARTERS (W10) IGE | $14.61 | $29.00 | $4.43–$26.39 | 18% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LEMON | $14.61 | $29.00 | $4.43–$26.39 | 18% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BEE VENOM PROFILE | $16.12 | $32.00 | $4.43–$29.12 | 30% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ELM TREE | $16.62 | $33.00 | $4.43–$30.03 | 34% above | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T057-IGE CEDAR | $12.09 | $24.00 | $21.84 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LIME | $12.09 | $24.00 | $21.84 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LAMBS QUARTERS (W10) IGE | $14.61 | $29.00 | $26.39 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LEMON | $14.61 | $29.00 | $26.39 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEE VENOM PROFILE | $16.12 | $32.00 | $29.12 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ELM TREE | $16.62 | $33.00 | $30.03 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC LAB ANA | $18.64 | $37.00 | $10.27–$53.77 | 77% below | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC LAB ANA | $18.64 | $37.00 | $33.67 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC LAB NATRIURETIC PEPTDE | $152.60 | $303.00 | $28.85–$275.73 | 23% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC LAB NATRIURETIC PEPTDE | $152.60 | $303.00 | $275.73 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC LAB BASIC METABOLIC PANEL | $112.82 | $224.00 | $5.69–$203.84 | 5% above | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC LAB BASIC METABOLIC PANEL | $112.82 | $224.00 | $203.84 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LAB SURG/PATH-LEVEL IV | $235.70 | $468.00 | $36.44–$425.88 | 32% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LAB SURG/PATH-LEVEL IV | $235.70 | $468.00 | $425.88 | — | 50% |
| Blood glucose (sugar) test CPT 82947 HC LAB GLUCOMETER | $6.55 | $13.00 | $3.34–$17.48 | 89% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HC LAB GLUCOMETER | $6.55 | $13.00 | $11.83 | — | 50% |
| Blood lead test CPT 83655 HC LAB LEAD WB | $51.88 | $103.00 | $10.29–$93.73 | 43% below | 50% |
| Blood lead test inpatient CPT 83655 HC LAB LEAD WB | $51.88 | $103.00 | $93.73 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC LAB HCG (QUALITATIVE) SERUM | $152.10 | $302.00 | $6.38–$274.82 | 63% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC LAB HCG (QUALITATIVE) SERUM | $152.10 | $302.00 | $274.82 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC LAB BLOOD TYPING ABO SEROLOGIC | $44.32 | $88.00 | $2.54–$253.28 | 20% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC LAB BLOOD TYPING ABO SEROLOGIC | $44.32 | $88.00 | $80.08 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $83.61 | $166.00 | $20.52–$151.06 | 12% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $83.61 | $166.00 | $151.06 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC LAB C. TRACHOMATIS RNA | $71.52 | $142.00 | $29.83–$156.11 | 40% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC LAB C. TRACHOMATIS RNA | $71.52 | $142.00 | $129.22 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LAB LIPID PANEL | $118.36 | $235.00 | $9.68–$213.85 | 17% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LAB LIPID PANEL | $118.36 | $235.00 | $213.85 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC LAB CBC (W/PLT&HEMOGRAM) | $60.44 | $120.00 | $5.50–$109.20 | 4% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC LAB CBC (W/PLT&HEMOGRAM) | $60.44 | $120.00 | $109.20 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC LAB COMP METABOLIC PANEL | $215.05 | $427.00 | $7.15–$388.57 | 48% above | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC LAB COMP METABOLIC PANEL | $215.05 | $427.00 | $388.57 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HC LAB D-DIMER | $96.70 | $192.00 | $8.65–$174.72 | 10% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC LAB D-DIMER | $96.70 | $192.00 | $174.72 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC LAB FOLLICLE STIM HORMONE | $165.19 | $328.00 | $15.79–$298.48 | 33% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC LAB FOLLICLE STIM HORMONE | $165.19 | $328.00 | $298.48 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL | $144.54 | $287.00 | $16.68–$261.17 | 41% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL | $144.54 | $287.00 | $261.17 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 HC LAB T3 FREE | $88.14 | $175.00 | $14.40–$159.25 | 57% below | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC LAB T3 FREE | $88.14 | $175.00 | $159.25 | — | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $347.00 | $689.00 | $10.26–$626.99 | 23% above | 50% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $347.00 | $689.00 | $626.99 | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC LAB GLUCOSE PST GLUCOSE DSE | $34.75 | $69.00 | $4.04–$62.79 | 38% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC LAB GLUCOSE PST GLUCOSE DSE | $34.75 | $69.00 | $62.79 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC LAB N. GONORRHOEAE RNA | $170.23 | $338.00 | $29.83–$307.58 | 51% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC LAB N. GONORRHOEAE RNA | $170.23 | $338.00 | $307.58 | — | 50% |
| H. pylori antibody blood test CPT 86677 HC LAB H.PYLORI ANTIBODIES | $99.22 | $197.00 | $12.34–$179.27 | 13% below | 50% |
| H. pylori antibody blood test inpatient CPT 86677 HC LAB H.PYLORI ANTIBODIES | $99.22 | $197.00 | $179.27 | — | 50% |
| H. pylori stool antigen test CPT 87338 HC H. PYLORI STOOL ANTIGEN | $74.54 | $148.00 | $12.22–$134.68 | 58% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HC H. PYLORI STOOL ANTIGEN | $74.54 | $148.00 | $134.68 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC LAB HEMOGLOBIN A1C | $109.79 | $218.00 | $8.25–$198.38 | 50% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC LAB HEMOGLOBIN A1C | $109.79 | $218.00 | $198.38 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC LAB HEP BS AB (ANTI-HBS) | $112.31 | $223.00 | $9.13–$202.93 | at median | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC LAB HEP BS AB (ANTI-HBS) | $112.31 | $223.00 | $202.93 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC LAB HEP BS AG (HBSAG) | $82.09 | $163.00 | $8.78–$148.33 | 19% below | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC LAB HEP BS AG (HBSAG) | $82.09 | $163.00 | $148.33 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC LAB HERPES SIMPL TYPE I | $40.29 | $80.00 | $11.21–$72.80 | 42% below | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC LAB HERPES SIMPL TYPE I | $40.29 | $80.00 | $72.80 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC LAB HERPES SIMPL TYPE 2 | $48.86 | $97.00 | $16.45–$88.27 | 39% below | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC LAB HERPES SIMPL TYPE 2 | $48.86 | $97.00 | $88.27 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC LAB C-REACTIVE PROTEIN HS | $49.36 | $98.00 | $11.00–$89.18 | 49% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC LAB C-REACTIVE PROTEIN HS | $49.36 | $98.00 | $89.18 | — | 50% |
| Homocysteine blood test CPT 83090 HC LAB HOMOCYSTEINE | $92.67 | $184.00 | $14.33–$167.44 | 44% below | 50% |
| Homocysteine blood test inpatient CPT 83090 HC LAB HOMOCYSTEINE | $92.67 | $184.00 | $167.44 | — | 50% |
| Iron blood test (serum iron) CPT 83540 HC LAB LIVER TISSUE FOR IRON | $20.65 | $41.00 | $5.51–$37.31 | 71% below | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HC LAB LIVER TISSUE FOR IRON | $20.65 | $41.00 | $37.31 | — | 50% |
| Kidney function blood test panel CPT 80069 HC RENAL PROFILE | $192.39 | $382.00 | $5.69–$347.62 | 85% above | 50% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE | $192.39 | $382.00 | $347.62 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 HC LAB LUTENIZING HORMONE | $142.03 | $282.00 | $15.74–$256.62 | 30% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LAB LUTENIZING HORMONE | $142.03 | $282.00 | $256.62 | — | 50% |
| Liver function blood test panel CPT 80076 HC LAB HEPATIC FUNCTION PANEL | $125.41 | $249.00 | $5.69–$226.59 | 3% above | 50% |
| Liver function blood test panel inpatient CPT 80076 HC LAB HEPATIC FUNCTION PANEL | $125.41 | $249.00 | $226.59 | — | 50% |
| Magnesium blood test CPT 83735 HC LAB MAGNESIUM | $61.95 | $123.00 | $5.69–$111.93 | 12% above | 50% |
| Magnesium blood test CPT 83735 HC LAB MAGNESIUM STOOL | $61.95 | $123.00 | $5.69–$111.93 | 12% above | 50% |
| Magnesium blood test inpatient CPT 83735 HC LAB MAGNESIUM | $61.95 | $123.00 | $111.93 | — | 50% |
| Magnesium blood test inpatient CPT 83735 HC LAB MAGNESIUM STOOL | $61.95 | $123.00 | $111.93 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 HC LAB RUBEOLA ANTIBODIES IGM | $16.62 | $33.00 | $10.95–$57.30 | 69% below | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC LAB RUBEOLA ANTIBODIES IGM | $16.62 | $33.00 | $30.03 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC LAB INFECT MONO SCREEN | $126.92 | $252.00 | $4.40–$229.32 | 102% above | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC LAB INFECT MONO SCREEN | $126.92 | $252.00 | $229.32 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC LAB PROSTATIC SPECIFIC ANTIGEN | $127.92 | $254.00 | $15.64–$231.14 | 14% below | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC LAB PROSTATIC SPECIFIC ANTIGEN | $127.92 | $254.00 | $231.14 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC LAB PTH (INTRAOPERATIVE) HIXSON | $227.14 | $451.00 | $35.08–$410.41 | 4% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC LAB PTH (INTRAOPERATIVE) HIXSON | $227.14 | $451.00 | $410.41 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LAB THROMBOPLASTIN TIME PARTIAL | $67.49 | $134.00 | $5.10–$121.94 | 21% below | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LAB THROMBOPLASTIN TIME PARTIAL | $67.49 | $134.00 | $121.94 | — | 50% |
| Progesterone blood test CPT 84144 HC LAB PROGESTERONE | $29.72 | $59.00 | $17.73–$92.81 | 83% below | 50% |
| Progesterone blood test inpatient CPT 84144 HC LAB PROGESTERONE | $29.72 | $59.00 | $53.69 | — | 50% |
| Prolactin blood test CPT 84146 HC LAB PROLACTIN | $132.96 | $264.00 | $16.47–$240.24 | 17% below | 50% |
| Prolactin blood test inpatient CPT 84146 HC LAB PROLACTIN | $132.96 | $264.00 | $240.24 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC LAB PT | $60.44 | $120.00 | $3.34–$109.20 | 15% above | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LAB PT | $60.44 | $120.00 | $109.20 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC LAB DRUG SCREEN LATERAL FLOW | $36.27 | $72.00 | $6.43–$65.52 | 6% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC LAB DRUG SCREEN LATERAL FLOW | $36.27 | $72.00 | $65.52 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC LAB RAPID STREP A AG | $81.59 | $162.00 | $9.73–$147.42 | 28% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC LAB RAPID STREP A AG | $81.59 | $162.00 | $147.42 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC LAB RUBELLA ANTIBODIES IGM | $55.40 | $110.00 | $12.23–$100.10 | 44% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC LAB RUBELLA ANTIBODIES IGM | $55.40 | $110.00 | $100.10 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD IFOBT | $30.22 | $60.00 | $13.52–$70.75 | 38% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD IFOBT | $30.22 | $60.00 | $54.60 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC LAB SYPHILIS TEST NONTRP QL | $53.89 | $107.00 | $3.63–$97.37 | 13% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC LAB SYPHILIS TEST NONTRP QL | $53.89 | $107.00 | $97.37 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC LAB QUANTIFERON-TB | $70.51 | $140.00 | $52.67–$275.69 | 55% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC LAB QUANTIFERON-TB | $70.51 | $140.00 | $127.40 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC LAB TSH | $85.12 | $169.00 | $14.28–$153.79 | 34% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC LAB TSH | $85.12 | $169.00 | $153.79 | — | 50% |
| Uric acid blood test CPT 84550 HC LAB URIC ACID | $56.91 | $113.00 | $3.84–$102.83 | at median | 50% |
| Uric acid blood test inpatient CPT 84550 HC LAB URIC ACID | $56.91 | $113.00 | $102.83 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 HC LAB PREG URINE VIS CLR | $38.28 | $76.00 | $1.02–$69.16 | 44% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC LAB PREG URINE VIS CLR | $38.28 | $76.00 | $69.16 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC LAB ASSAY VITAMIN B-12 | $84.61 | $168.00 | $12.81–$152.88 | 9% below | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC LAB ASSAY VITAMIN B-12 | $84.61 | $168.00 | $152.88 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC LAB VITAMIN D 25-OH | $39.29 | $78.00 | $23.22–$121.56 | 71% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC LAB VITAMIN D 25-OH | $39.29 | $78.00 | $70.98 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/LESION REMOVAL | $1,204.16 | $2,391.00 | $561.65–$2,316.84 | 17% below | 50% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/LESION REMOVAL | $1,204.16 | $2,391.00 | $2,175.81 | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY | $1,199.62 | $2,382.00 | $559.54–$2,167.62 | 28% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY | $1,199.62 | $2,382.00 | $2,167.62 | — | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUC BENIGN/PREMALFIRST LESION | $87.13 | $173.00 | $40.64–$390.44 | 38% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUC BENIGN/PREMALFIRST LESION | $87.13 | $173.00 | $157.43 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNI | $138.50 | $275.00 | $58.36–$250.25 | 25% above | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNI | $138.50 | $275.00 | $250.25 | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN | $267.43 | $531.00 | $58.36–$483.21 | 77% above | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN | $267.43 | $531.00 | $483.21 | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC CYSTOPLASTY ON BLADDER | $231.67 | $460.00 | $108.06–$418.60 | 5% above | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC CYSTOPLASTY ON BLADDER | $231.67 | $460.00 | $418.60 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHTH/LIG SGL | $448.23 | $890.00 | $209.07–$809.90 | at median | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHTH/LIG SGL | $448.23 | $890.00 | $809.90 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIRATION/INJECTION MAJOR JOINT | $470.89 | $935.00 | $219.64–$850.85 | at median | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIRATION/INJECTION MAJOR JOINT | $470.89 | $935.00 | $850.85 | — | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ SINGLE LUMBAR SACRAL | $832.99 | $1,654.00 | $388.53–$1,749.38 | 7% below | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ SINGLE LUMBAR SACRAL | $832.99 | $1,654.00 | $1,505.14 | — | 50% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC TX OF MISSED ABORTION 1ST TRIM SURGICAL | $1,537.05 | $3,052.00 | $716.92–$6,247.64 | 71% below | 50% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC TX OF MISSED ABORTION 1ST TRIM SURGICAL | $1,537.05 | $3,052.00 | $2,777.32 | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION OF SGL NAIL PLATE | $197.42 | $392.00 | $92.09–$390.44 | 24% below | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION OF SGL NAIL PLATE | $197.42 | $392.00 | $356.72 | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECT ANESH AGENT OCC NERVE | $414.99 | $824.00 | $193.56–$749.84 | 25% below | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT ANESH AGENT OCC NERVE | $414.99 | $824.00 | $749.84 | — | 50% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING | $785.15 | $1,559.00 | $366.21–$1,842.26 | 31% below | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING | $785.15 | $1,559.00 | $1,418.69 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $501.61 | $996.00 | $233.97–$906.36 | at median | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED | $501.61 | $996.00 | $906.36 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT FOREARM-HAND | $294.62 | $585.00 | $126.64–$532.35 | 57% above | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT FOREARM-HAND | $294.62 | $585.00 | $532.35 | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $245.27 | $487.00 | $114.40–$785.06 | 4% below | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $245.27 | $487.00 | $443.17 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAG | $568.59 | $1,129.00 | $265.21–$1,360.78 | 30% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAG | $568.59 | $1,129.00 | $1,027.39 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR SIM FACE 2.5CM/< | $444.70 | $883.00 | $195.22–$803.53 | 54% above | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR SIM FACE 2.5CM/< | $444.70 | $883.00 | $803.53 | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING | $613.92 | $1,219.00 | $286.35–$1,214.86 | 53% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 HC U/S THORACENTESIS GUID | $613.92 | $1,219.00 | $286.35–$1,214.86 | 53% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 HC CT THORACENTESIS GUID | $841.05 | $1,670.00 | $392.29–$1,611.00 | 35% below | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING | $613.92 | $1,219.00 | $1,109.29 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC U/S THORACENTESIS GUID | $613.92 | $1,219.00 | $1,109.29 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC CT THORACENTESIS GUID | $841.05 | $1,670.00 | $1,519.70 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIG POINT 1-2 MUSCL | $327.36 | $650.00 | $152.69–$591.50 | 44% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIG POINT 1-2 MUSCL | $327.36 | $650.00 | $591.50 | — | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD WITH BIOPSY | $1,510.86 | $3,000.00 | $704.70–$2,730.00 | at median | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD WITH BIOPSY | $1,510.86 | $3,000.00 | $2,730.00 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD PRODUCT ADMINISTRATION | $741.83 | $1,473.00 | $346.01–$1,340.43 | 23% above | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD PRODUCT ADMINISTRATION | $741.83 | $1,473.00 | $1,340.43 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX INIT EA DAY | $67.99 | $135.00 | $31.72–$399.66 | 56% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION INIT TX | $71.52 | $142.00 | $33.36–$399.66 | 54% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX INIT EA DAY | $67.99 | $135.00 | $122.85 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION INIT TX | $71.52 | $142.00 | $129.22 | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE | $1,885.55 | $3,744.00 | $827.85–$3,407.04 | 5% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE | $1,885.55 | $3,744.00 | $3,407.04 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG-12 LEAD TRACING ONLY | $232.68 | $462.00 | $58.36–$420.42 | 21% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG-12 LEAD TRACING ONLY | $232.68 | $462.00 | $420.42 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 | $220.09 | $437.00 | $86.51–$397.67 | 53% above | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1 | $220.09 | $437.00 | $397.67 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2 | $370.67 | $736.00 | $155.59–$669.76 | 29% above | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2 | $370.67 | $736.00 | $669.76 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4 | $960.91 | $1,908.00 | $418.36–$1,736.28 | 16% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4 | $960.91 | $1,908.00 | $1,736.28 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5 | $1,203.65 | $2,390.00 | $561.42–$2,174.90 | 2% above | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5 | $1,203.65 | $2,390.00 | $2,174.90 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRA INIT 31-60M | $323.83 | $643.00 | $151.05–$585.13 | 12% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRA INIT 31-60M | $323.83 | $643.00 | $585.13 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION COSYNTROPIN INTRAMUSCULAR | $92.17 | $183.00 | $42.99–$166.53 | 4% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION COSYNTROPIN INTRAMUSCULAR | $92.17 | $183.00 | $166.53 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC EDUC 15 MIN | $113.82 | $226.00 | $53.09–$205.66 | 3% above | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC EDUC 15 MIN | $113.82 | $226.00 | $205.66 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX | $196.92 | $391.00 | $91.85–$355.81 | 24% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX | $196.92 | $391.00 | $355.81 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THRPY 15 MIN | $122.38 | $243.00 | $57.09–$221.13 | 27% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THRPY 15 MIN | $122.38 | $243.00 | $57.09–$221.13 | 27% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THRPY 15 MIN | $122.38 | $243.00 | $221.13 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THRPY 15 MIN | $122.38 | $243.00 | $221.13 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EXERCISE 15 MIN | $103.75 | $206.00 | $48.39–$187.46 | 5% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER EXERCISE 15 MIN | $103.75 | $206.00 | $187.46 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $55.40 | $110.00 | $25.84–$100.10 | 72% above | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $55.40 | $110.00 | $100.10 | — | 50% |
| Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN | $243.76 | $484.00 | $113.70–$440.44 | 28% below | 50% |
| Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN | $243.76 | $484.00 | $440.44 | — | 50% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH 15 MIN | $213.04 | $423.00 | $99.37–$384.93 | 12% above | 50% |
| Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH 15 MIN | $213.04 | $423.00 | $384.93 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT FUNCTIONAL ACTIV 15 MIN | $77.06 | $153.00 | $35.94–$139.23 | 19% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT FUNCTIONAL ACTIV 15 MIN | $81.59 | $162.00 | $38.06–$147.42 | 14% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT FUNCTIONAL ACTIV 15 MIN | $77.06 | $153.00 | $139.23 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT FUNCTIONAL ACTIV 15 MIN | $81.59 | $162.00 | $147.42 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $65.89 | $130.82 | $30.73–$119.05 | 63% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $65.89 | $130.82 | $119.05 | — | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION | $30.32 | $60.19 | $14.14–$54.78 | 76% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $30.87 | $61.29 | $14.40–$55.78 | 75% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $145.01 | $287.93 | $67.64–$262.02 | 16% above | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION | $30.32 | $60.19 | $54.78 | — | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $30.87 | $61.29 | $55.78 | — | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $145.01 | $287.93 | $262.02 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP | $62.33 | $123.76 | $19.81–$211.14 | 62% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $89.96 | $178.61 | $28.58–$211.14 | 45% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $104.92 | $208.33 | $33.34–$211.14 | 35% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP | $62.33 | $123.76 | $19.81–$112.63 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $89.96 | $178.61 | $28.58–$162.54 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $104.92 | $208.33 | $33.34–$189.59 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $179.13 | $355.68 | $83.55–$323.67 | 6% above | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $179.13 | $355.68 | $323.67 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT | $215.83 | $428.54 | $100.67–$389.98 | 36% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $279.24 | $554.46 | $130.25–$504.56 | 17% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT | $215.83 | $428.54 | $389.98 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $279.24 | $554.46 | $504.56 | — | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $322.88 | $641.12 | $150.60–$583.42 | 52% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $322.88 | $641.12 | $583.42 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $451.61 | $896.73 | $210.65–$816.03 | 21% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $451.61 | $896.73 | $816.03 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $48.64 | $96.58 | $15.46–$400.41 | 81% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $214.99 | $426.89 | $68.31–$400.41 | 15% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $48.64 | $96.58 | $15.46–$87.89 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $214.99 | $426.89 | $68.31–$388.47 | — | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $609.24 | $1,209.72 | $284.17–$1,100.85 | 8% below | 50% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $609.24 | $1,209.72 | $1,100.85 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT | $307.37 | $610.32 | $143.37–$555.40 | 4% above | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT | $307.37 | $610.32 | $555.40 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $66.36 | $131.75 | $30.95–$119.90 | 4% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $85.90 | $170.55 | $40.07–$155.21 | 35% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $66.36 | $131.75 | $119.90 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $85.90 | $170.55 | $155.21 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACELL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $91.12 | $180.92 | $42.50–$164.64 | 15% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $104.92 | $208.32 | $48.94–$189.58 | 2% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACELL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $91.12 | $180.92 | $164.64 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $104.92 | $208.32 | $189.58 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCINE | $53.39 | $106.00 | $24.90–$139.84 | 28% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC HEP B ONLY ADMIN FEE | $54.40 | $108.00 | $25.37–$139.84 | 27% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCINE | $53.39 | $106.00 | $96.46 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC HEP B ONLY ADMIN FEE | $54.40 | $108.00 | $98.28 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN VACCINE ADDL | $41.30 | $82.00 | $19.27–$74.62 | 3% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN VACCINE ADDL | $41.30 | $82.00 | $74.62 | — | 50% |