Hospital Little Rock-North Little Rock-Conway, AR

Arkansas Childrens Hospital

Arkansas Childrens Hospital in Little Rock, AR publishes cash prices for 427 common procedures listed here, from its own machine-readable price file updated Aug 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Arkansas median for 240 of 424 procedures and below it for 171. By typical cash price it ranks #35 of 57 Arkansas hospitals and #11 of 12 hospitals in the Little Rock, AR area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1 Childrens Way,Little Rock,AR,72202 Collected Sep 22, 2026 Source price file Check a bill from this hospital (501) 364-1100

Children's hospital Nonprofit hospital Emergency department CCN 043300 · CMS hospital register NPI 1194776757

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Arkansas Childrens Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST	$2,520.20	$2,800.22	$163.99–$1,873.47	153% above	10%
Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS	$220.91	$245.45	$97.75–$143.38	46% above	10%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$228.66	$254.07	$97.75–$143.38	51% above	10%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$181.86	$202.07	$81.37–$106.38	38% above	10%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$175.68	$195.20	$81.37	33% above	10%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$175.68	$195.20	$81.37	33% above	10%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,907.97	$2,119.97	$97.75–$1,093.35	195% above	10%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$1,798.44	$1,998.27	$97.75	178% above	10%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$1,798.44	$1,998.27	$97.75	178% above	10%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$231.89	$257.66	$163.99–$212.76	3% below	10%
Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS	$340.80	$378.67	$163.99–$212.76	43% above	10%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$217.90	$242.11	$242.11–$373.78	67% below	10%
Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY	$2,130.96	$2,367.73	$281.43–$375.67	227% above	10%
Breast ultrasound, complete, one breast CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$504.24	$560.27	$97.75–$374.69	191% above	10%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$534.95	$594.39	$97.75–$374.69	209% above	10%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$528.39	$587.10	$97.75	205% above	10%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$528.39	$587.10	$97.75	205% above	10%
Breast ultrasound, limited (one breast or one area) CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$504.24	$560.27	$81.37–$286.64	224% above	10%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$534.95	$594.39	$81.37–$286.64	244% above	10%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$504.24	$560.27	$81.37	224% above	10%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$504.24	$560.27	$81.37	224% above	10%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST	$2,949.23	$3,276.92	$326.18–$2,536.34	137% above	10%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST	$2,987.12	$3,319.02	$326.18–$2,536.34	141% above	10%
CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST	$2,292.77	$2,547.52	$163.99–$1,660.12	125% above	10%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$2,361.56	$2,623.95	$163.99–$1,660.12	132% above	10%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$2,375.61	$2,639.57	$163.99–$1,660.12	176% above	10%
CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST	$3,488.31	$3,875.90	$163.99–$1,660.12	306% above	10%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$2,419.99	$2,688.88	$163.99–$2,016.96	246% above	10%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST	$2,604.38	$2,893.76	$163.99–$2,016.96	272% above	10%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$1,040.44	$1,156.04	$326.18–$1,156.04	64% above	10%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST	$1,290.84	$1,434.27	$326.18–$1,434.27	103% above	10%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$113.96	$126.62	$81.37–$126.62	70% above	10%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$3,401.06	$3,778.95	$223.09–$640.05	235% above	10%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$3,608.18	$4,009.09	$223.09–$640.05	256% above	10%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$3,889.75	$4,321.94	$326.18–$1,219.06	169% above	10%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$4,126.64	$4,585.15	$326.18–$1,219.06	186% above	10%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST	$4,531.03	$5,034.48	$326.18–$1,613.13	182% above	10%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$4,666.96	$5,185.51	$326.18–$1,613.13	190% above	10%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$2,477.03	$2,752.25	$163.99–$1,542.51	161% above	10%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST	$2,528.67	$2,809.63	$163.99–$1,542.51	167% above	10%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$1,855.95	$2,062.17	$97.75–$1,288.38	206% above	10%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$2,279.84	$2,533.16	$97.75–$1,051.98	209% above	10%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$2,418.68	$2,687.42	$97.75–$1,051.98	228% above	10%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$1,960.78	$2,178.64	$97.75–$975.15	196% above	10%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST	$2,235.60	$2,484.00	$163.99–$1,229.28	157% above	10%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST	$2,410.95	$2,678.83	$163.99–$1,483.41	151% above	10%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$2,483.27	$2,759.19	$163.99–$1,483.41	158% above	10%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$2,143.80	$2,382.00	$97.75–$1,270.65	176% above	10%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$2,274.35	$2,527.06	$97.75–$1,270.65	193% above	10%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST	$2,252.43	$2,502.70	$97.75–$1,270.65	215% above	10%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$2,389.60	$2,655.11	$97.75–$1,270.65	234% above	10%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$2,200.42	$2,444.91	$163.99–$1,501.14	157% above	10%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST	$2,260.12	$2,511.24	$163.99–$1,501.14	164% above	10%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$586.54	$651.71	$223.09–$413.70	—	10%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+	$3,190.85	$3,545.39	$163.99–$1,950.30	245% above	10%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$311.47	$346.08	$81.37–$129.25	118% above	10%
Chest X-ray, 2 views one side CPT 71046 X-RAY OF CHEST; 2 VIEWS	$120.91	$134.34	$81.37	16% below	10%
Chest X-ray, 2 views one side CPT 71046 X-RAY OF CHEST; 2 VIEWS	$320.81	$356.46	$81.37	124% above	10%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$274.51	$305.01	$56.57–$81.78	143% above	10%
Chest X-ray, single view one side CPT 71045 X-RAY OF CHEST; 1 VIEW	$275.89	$306.54	$81.37	144% above	10%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE	$187.16	$207.95	$71.55–$88.65	71% above	10%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$180.80	$200.89	$81.37	65% above	10%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$180.80	$200.89	$81.37	65% above	10%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY	$569.91	$633.23	$97.75–$260.04	52% above	10%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$585.58	$650.64	$97.75–$260.04	56% above	10%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE	$389.12	$432.35	$97.75–$432.35	106% above	10%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$412.81	$458.68	$97.75–$458.68	118% above	10%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$40.58	$45.09	$45.09–$81.37	58% below	10%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT	$169.43	$188.25	$81.37–$188.25	76% above	10%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$1,994.26	$2,215.84	$97.75–$1,270.65	212% above	10%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$2,577.76	$2,864.18	$163.99–$1,560.24	212% above	10%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$2,734.75	$3,038.61	$163.99–$1,560.24	231% above	10%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS	$552.87	$614.30	$223.09–$431.43	16% above	10%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$586.54	$651.71	$223.09–$431.43	23% above	10%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$600.88	$667.64	$200.34–$248.22	16% above	10%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$618.90	$687.67	$200.34–$248.22	20% above	10%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION	$1,456.21	$1,618.01	$510.88–$1,521.88	32% above	10%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$1,514.46	$1,682.73	$510.88–$1,521.88	37% above	10%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW	$205.40	$228.22	$81.37–$106.38	129% above	10%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$198.42	$220.47	$81.37	121% above	10%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$198.42	$220.47	$81.37	121% above	10%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW	$212.05	$235.61	$81.37–$112.29	98% above	10%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$204.85	$227.61	$81.37	91% above	10%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$204.85	$227.61	$81.37	91% above	10%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST	$1,875.06	$2,083.40	$97.75–$1,075.62	156% above	10%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$1,931.31	$2,145.90	$97.75–$1,075.62	164% above	10%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS	$218.07	$242.30	$85.86–$106.38	56% above	10%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES	$231.35	$257.06	$85.86–$106.38	65% above	10%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM	$172.08	$191.20	$81.37–$112.29	61% above	10%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$170.37	$189.30	$81.37	59% above	10%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$170.37	$189.30	$81.37	59% above	10%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM	$1,843.70	$2,048.56	$373.78–$1,846.22	168% above	10%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,899.02	$2,110.02	$373.78–$1,846.22	176% above	10%
Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND	$155.34	$172.60	$81.09–$100.47	50% above	10%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$146.42	$162.69	$97.75	41% above	10%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$146.42	$162.69	$97.75	41% above	10%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL	$160.86	$178.73	$62.01–$81.78	55% above	10%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$156.17	$173.52	$81.37	51% above	10%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$156.17	$173.52	$81.37	51% above	10%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER)	$4,552.16	$5,057.95	$802.90–$1,213.74	156% above	10%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM	$4,688.72	$5,209.69	$802.90–$1,213.74	163% above	10%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$212.42	$236.02	$81.37–$206.85	68% above	10%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$205.21	$228.01	$81.37	63% above	10%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$205.21	$228.01	$81.37	63% above	10%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$212.00	$235.56	$97.75–$218.67	47% above	10%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$204.80	$227.56	$97.75	42% above	10%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$204.80	$227.56	$97.75	42% above	10%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,901.37	$2,112.63	$97.75–$1,075.62	211% above	10%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$1,792.22	$1,991.36	$97.75	193% above	10%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$1,845.99	$2,051.10	$97.75	202% above	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN	$503.95	$559.94	$95.40–$118.20	109% above	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$519.07	$576.74	$95.40–$118.20	115% above	10%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$439.57	$488.41	$57.19–$98.24	166% above	10%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$463.28	$514.76	$57.19–$98.24	180% above	10%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$436.69	$485.21	$97.75	164% above	10%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$442.45	$491.61	$97.75	167% above	10%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG	$187.16	$207.95	$81.37–$147.75	68% above	10%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$180.80	$200.89	$81.37	63% above	10%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$180.80	$200.89	$81.37	63% above	10%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$2,022.32	$2,247.02	$223.09–$2,247.02	124% above	10%
MR angiography (MRA) of the head without contrast CPT 70544 MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST	$4,265.29	$4,739.21	$223.09–$2,575.46	371% above	10%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$3,178.66	$3,531.84	$223.09–$2,245.80	261% above	10%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$2,996.19	$3,329.10	$223.09	241% above	10%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$2,996.19	$3,329.10	$223.09	241% above	10%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$3,416.98	$3,796.64	$326.18–$3,796.64	220% above	10%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$3,220.83	$3,578.70	$326.18	201% above	10%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$3,220.83	$3,578.70	$326.18	201% above	10%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$1,317.20	$1,463.55	$223.09–$1,463.55	43% above	10%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST	$2,996.19	$3,329.10	$223.09–$2,417.19	224% above	10%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$3,559.91	$3,955.45	$326.18–$3,955.45	192% above	10%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$3,776.70	$4,196.33	$326.18–$4,196.33	210% above	10%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST	$3,253.25	$3,614.72	$223.09–$2,381.73	246% above	10%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$340.11	$377.90	$326.18–$377.90	78% below	10%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$563.68	$626.31	$326.18–$626.31	63% below	10%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$3,121.38	$3,468.20	$223.09–$2,553.12	250% above	10%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$3,311.48	$3,679.42	$223.09–$2,553.12	271% above	10%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST	$4,310.15	$4,789.06	$326.18–$3,415.98	223% above	10%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$4,572.64	$5,080.71	$326.18–$3,415.98	242% above	10%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST	$2,996.39	$3,329.32	$223.09–$2,635.86	233% above	10%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$3,178.87	$3,532.08	$223.09–$2,635.86	253% above	10%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST	$4,310.15	$4,789.06	$326.18–$3,415.98	213% above	10%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$4,572.64	$5,080.71	$326.18–$3,415.98	232% above	10%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST	$2,996.19	$3,329.10	$223.09–$2,399.46	222% above	10%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$3,178.66	$3,531.84	$223.09–$2,399.46	241% above	10%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST	$3,399.12	$3,776.80	$326.18–$3,776.80	198% above	10%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$3,414.90	$3,794.33	$326.18–$3,794.33	200% above	10%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$1,317.20	$1,463.55	$223.09–$1,463.55	55% above	10%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST	$2,851.79	$3,168.65	$223.09–$2,548.92	235% above	10%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$3,088.67	$3,431.86	$223.09–$2,245.80	245% above	10%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$2,911.37	$3,234.85	$223.09	225% above	10%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$2,998.71	$3,331.90	$223.09	235% above	10%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS	$273.57	$303.97	$97.75–$189.12	55% above	10%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS	$290.23	$322.48	$97.75–$189.12	65% above	10%
Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST	$2,013.63	$2,237.37	$163.99–$1,347.48	145% above	10%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$2,136.26	$2,373.62	$163.99–$1,347.48	160% above	10%
Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST	$1,668.01	$1,853.34	$97.75–$1,111.08	176% above	10%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$1,718.05	$1,908.94	$97.75–$1,111.08	184% above	10%
Neck soft tissue X-ray CPT 70360 X-RAY OF SOFT TISSUE OF NECK	$175.68	$195.20	$47.70–$81.78	65% above	10%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK	$177.44	$197.16	$47.70–$81.78	67% above	10%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$3,680.74	$4,089.71	$1,210.47–$1,576.26	94% above	10%
OCT scan of the retina (optical coherence tomography) CPT 92134 IMAGING OF RETINA	$166.72	$185.24	$55.16–$106.50	50% above	10%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$2,340.22	$2,600.24	$1,336.97–$2,600.24	42% above	10%
Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST	$1,929.78	$2,144.20	$97.75–$1,347.48	197% above	10%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$1,987.68	$2,208.53	$97.75–$1,347.48	206% above	10%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS	$128.41	$142.68	$97.75–$141.84	17% below	10%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$136.23	$151.37	$97.75–$141.84	12% below	10%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$454.12	$504.58	$97.75–$236.40	57% above	10%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$481.78	$535.31	$97.75–$236.40	67% above	10%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$474.44	$527.15	$97.75–$252.65	107% above	10%
Rib X-ray, one side, 2 views CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$199.49	$221.65	$81.09–$100.47	71% above	10%
Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS	$211.64	$235.15	$81.09–$100.47	81% above	10%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$205.47	$228.30	$81.37	76% above	10%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$205.47	$228.30	$81.37	76% above	10%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$205.43	$228.25	$97.75	54% above	10%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$205.43	$228.25	$97.75	54% above	10%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST	$206.45	$229.39	$81.09–$100.47	55% above	10%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$181.86	$202.07	$81.37–$118.20	61% above	10%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$175.68	$195.20	$81.37	55% above	10%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$175.68	$195.20	$81.37	55% above	10%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES	$284.71	$316.34	$81.37–$177.30	83% above	10%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL; 1-3 VIEWS	$252.46	$280.51	$97.75–$130.02	105% above	10%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL	$267.84	$297.60	$97.75–$130.02	117% above	10%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$707.85	$786.50	$581.94–$802.90	56% below	10%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER)	$4,429.19	$4,921.32	$581.94–$806.96	172% above	10%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+	$406.50	$451.67	$138.33–$171.39	92% above	10%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION	$463.12	$514.58	$138.33–$171.39	118% above	10%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$213.68	$237.42	$81.37–$125.17	90% above	10%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$206.42	$229.36	$81.37	84% above	10%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$206.42	$229.36	$81.37	84% above	10%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST	$2,204.59	$2,449.54	$97.75–$1,270.65	215% above	10%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$2,338.85	$2,598.72	$97.75–$1,270.65	234% above	10%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S)	$147.38	$163.75	$62.01–$81.78	29% above	10%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$138.92	$154.35	$81.37	21% above	10%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$138.92	$154.35	$81.37	21% above	10%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$335.71	$373.01	$97.75–$373.01	29% above	10%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$368.06	$408.96	$97.75–$401.88	41% above	10%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$560.22	$622.47	$97.75–$330.96	49% above	10%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$523.59	$581.77	$97.75–$183.21	110% above	10%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$555.45	$617.17	$97.75–$183.21	123% above	10%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE	$504.24	$560.27	$97.75–$319.14	89% above	10%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$534.95	$594.39	$97.75–$319.14	101% above	10%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$231.89	$257.66	$143.10–$177.30	10% below	10%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT	$310.57	$345.08	$143.10–$177.30	21% above	10%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS	$210.01	$233.34	$81.37–$130.02	83% above	10%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$202.88	$225.42	$81.37	77% above	10%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$202.88	$225.42	$81.37	77% above	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$542.04	$602.27	$97.75–$431.43	117% above	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$575.06	$638.95	$97.75–$431.43	131% above	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$542.04	$602.27	$97.75	117% above	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$542.04	$602.27	$97.75	117% above	10%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST	$156.95	$174.39	$81.37–$112.29	46% above	10%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$151.62	$168.47	$81.37	41% above	10%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$151.62	$168.47	$81.37	41% above	10%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$204.75	$227.50	$81.37–$135.93	55% above	10%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$211.95	$235.50	$81.37–$135.93	61% above	10%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$204.75	$227.50	$81.37	55% above	10%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$204.75	$227.50	$81.37	55% above	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$212.00	$235.56	$81.37–$164.53	81% above	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$199.84	$222.04	$81.37	71% above	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$199.84	$222.04	$81.37	71% above	10%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW	$172.09	$191.21	$81.37–$119.74	45% above	10%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW	$182.57	$202.86	$81.37–$119.74	54% above	10%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$155.34	$172.60	$81.37–$172.60	45% above	10%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$146.42	$162.69	$81.37	37% above	10%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$146.42	$162.69	$81.37	37% above	10%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$150.36	$167.07	$76.32–$94.56	51% above	10%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$155.65	$172.94	$76.32–$94.56	56% above	10%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$150.36	$167.07	$81.37	51% above	10%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$150.36	$167.07	$81.37	51% above	10%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$156.95	$174.39	$81.37–$135.93	72% above	10%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$151.62	$168.47	$81.37	66% above	10%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$151.62	$168.47	$81.37	66% above	10%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$181.86	$202.07	$81.37–$165.48	40% above	10%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$175.68	$195.20	$81.37	35% above	10%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$175.68	$195.20	$81.37	35% above	10%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$181.86	$202.07	$81.37–$147.75	49% above	10%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$175.68	$195.20	$81.37	44% above	10%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$175.68	$195.20	$81.37	44% above	10%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$187.16	$207.95	$81.37–$147.75	60% above	10%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$180.80	$200.89	$81.37	55% above	10%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$180.80	$200.89	$81.37	55% above	10%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS	$274.34	$304.82	$97.75–$165.48	97% above	10%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$283.98	$315.53	$97.75–$165.48	104% above	10%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$293.73	$326.37	$97.75–$236.40	58% above	10%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$311.62	$346.24	$97.75–$236.40	67% above	10%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS	$274.34	$304.82	$97.75–$141.84	81% above	10%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$283.98	$315.53	$97.75–$141.84	87% above	10%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS	$175.68	$195.20	$81.37–$135.93	64% above	10%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$186.38	$207.09	$81.37–$135.93	74% above	10%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$175.68	$195.20	$81.37–$165.48	44% above	10%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$177.44	$197.16	$81.37–$165.48	45% above	10%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$196.44	$218.27	$97.75–$124.11	44% above	10%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$203.35	$225.94	$97.75–$124.11	49% above	10%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS	$131.72	$146.36	$81.09–$100.47	at median	10%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$136.35	$151.50	$81.09–$100.47	4% above	10%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ACTH blood test CPT 82024 ASSAY OF ACTH	$42.44	$47.16	$38.62–$47.16	57% below	10%
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL	$58.68	$65.20	$38.62–$65.20	40% below	10%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$4.85	$5.39	$5.30–$5.39	77% below	10%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL	$79.14	$87.93	$5.30–$44.68	273% above	10%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$4.85	$5.39	$5.18–$5.39	77% below	10%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL	$77.16	$85.73	$5.18–$43.62	271% above	10%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$390.38	$433.75	$47.63–$401.94	105% above	10%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$30.12	$33.47	$4.95–$33.47	27% above	10%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE	$49.31	$54.79	$40.75–$54.79	51% below	10%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$5.46	$6.07	$5.18–$6.07	74% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH	$5.63	$6.25	$5.22–$6.25	62% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$118.13	$131.26	$5.22–$44.09	688% above	10%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$43.00	$47.78	$16.77–$47.78	51% below	10%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM	$60.79	$67.54	$16.77–$67.54	30% below	10%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$47.64	$52.93	$14.57–$52.93	12% below	10%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$119.23	$132.48	$14.57–$73.82	119% above	10%
Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL	$77.16	$85.73	$6.48–$54.73	160% above	10%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$17.69	$19.66	$12.95–$19.66	64% below	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER	$14.63	$16.25	$12.09–$16.25	69% below	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$40.84	$45.38	$12.09–$45.38	14% below	10%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$56.41	$62.68	$39.26–$62.68	12% below	10%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$110.97	$123.30	$39.26–$123.30	74% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$9.73	$10.81	$8.62–$10.81	75% below	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC	$152.73	$169.70	$8.62–$72.69	297% above	10%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$285.17	$316.86	$8.46–$71.45	192% above	10%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$13.77	$15.30	$5.02–$15.30	65% below	10%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$72.77	$80.85	$48.72–$80.85	6% below	10%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY	$89.24	$99.16	$48.72–$99.16	15% above	10%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$14.78	$16.42	$10.32–$16.42	70% below	10%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$238.98	$265.53	$10.32–$87.17	385% above	10%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$11.93	$13.25	$9.34	33% above	10%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$1,107.42	$1,230.47	$9.34	12232% above	10%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$4.76	$5.29	$3.93–$5.29	75% below	10%
Blood lead test CPT 83655 ASSAY OF LEAD	$14.64	$16.27	$12.11–$16.27	51% below	10%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$7.53	$8.37	$7.52–$8.37	80% below	10%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS	$77.32	$85.91	$7.52–$63.41	105% above	10%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$17.52	$19.47	$19.47–$124.40	69% below	10%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$107.84	$119.82	$20.32–$124.40	88% above	10%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$12.61	$14.01	$3.95–$14.01	52% below	10%
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE	$25.18	$27.98	$20.81–$27.98	60% below	10%
C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL	$75.32	$83.69	$20.81–$83.69	21% above	10%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$75.94	$84.38	$5.18–$43.67	143% above	10%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$123.37	$137.08	$37.27–$137.08	39% above	10%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE	$268.19	$297.99	$37.27–$297.99	202% above	10%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$25.19	$27.99	$20.81–$27.99	67% below	10%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$25.19	$27.99	$20.81–$27.99	64% below	10%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$99.00	$110.00	$51.31–$110.00	at median	10%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM	$4.85	$5.39	$5.16–$5.39	75% below	10%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$22.94	$25.49	$18.96–$25.49	63% below	10%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$15.59	$17.32	$12.88–$17.32	55% below	10%
Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX)	$115.86	$128.73	$12.88–$108.74	236% above	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$67.50	$75.00	$35.09–$75.00	7% above	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE	$135.01	$150.01	$35.09–$150.01	114% above	10%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$367.94	$408.82	$13.39–$107.33	415% above	10%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$8.51	$9.45	$7.77–$9.45	72% below	10%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$86.12	$95.69	$7.77–$65.60	181% above	10%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$6.98	$7.76	$6.47–$7.76	71% below	10%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$63.80	$70.89	$6.47–$54.67	167% above	10%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$33.75	$37.50	$10.56–$37.50	76% below	10%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$1,425.98	$1,584.42	$10.56–$89.24	929% above	10%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$12.43	$13.81	$13.81–$16.30	79% below	10%
Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL	$157.27	$174.74	$16.30–$133.15	170% above	10%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL	$73.43	$81.59	$6.51–$55.02	108% above	10%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$8.64	$9.60	$5.12–$9.60	64% below	10%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$93.42	$103.80	$14.39–$103.80	70% above	10%
Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV)	$100.49	$111.65	$14.39–$111.65	83% above	10%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$15.62	$17.36	$10.18–$17.36	69% below	10%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE	$210.29	$233.66	$10.18–$85.87	318% above	10%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$26.91	$29.90	$22.23–$29.90	60% below	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$96.53	$107.25	$62.14–$107.25	66% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS	$454.28	$504.75	$62.14–$471.68	679% above	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$21.95	$24.39	$18.14–$24.39	54% below	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID	$198.61	$220.68	$18.14–$153.13	318% above	10%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$41.36	$45.96	$27.94–$45.96	53% below	10%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$22.49	$24.99	$18.58–$24.99	66% below	10%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$96.22	$106.91	$18.58–$106.91	45% above	10%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL	$90.00	$100.00	$19.63–$100.00	7% below	10%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$196.88	$218.75	$19.63–$167.43	104% above	10%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$9.76	$10.84	$10.84–$13.63	81% below	10%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$147.62	$164.02	$13.63–$115.01	182% above	10%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$10.47	$11.63	$9.72–$11.63	64% below	10%
Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT	$95.55	$106.17	$9.72–$71.69	225% above	10%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$53.27	$59.19	$14.70–$59.19	at median	10%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$84.45	$93.83	$14.70–$93.83	58% above	10%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$43.41	$48.23	$16.94–$48.23	28% below	10%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$87.93	$97.70	$16.94–$97.70	45% above	10%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$7.78	$8.64	$8.64–$9.02	81% below	10%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$82.53	$91.70	$9.02–$76.12	105% above	10%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE	$31.73	$35.26	$25.47–$35.26	58% below	10%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$37.93	$42.14	$7.20–$42.14	at median	10%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL	$82.65	$91.83	$7.20–$60.75	118% above	10%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$391.53	$435.03	$232.16–$287.64	170% above	10%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$31.30	$34.78	$12.87–$34.78	38% below	10%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$42.46	$47.18	$35.09–$47.18	38% below	10%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE	$132.45	$147.17	$35.09–$147.17	93% above	10%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$37.18	$41.31	$16.85–$41.31	50% below	10%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$58.10	$64.55	$14.38–$36.17	6% above	10%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL	$65.64	$72.93	$14.38–$36.17	20% above	10%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$121.15	$134.61	$85.10–$134.61	28% below	10%
HIV-1 and HIV-2 antibody test CPT 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS	$27.30	$30.33	$13.71–$30.33	58% below	10%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$28.12	$31.24	$13.71–$31.24	57% below	10%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$112.50	$125.00	$24.08–$125.00	131% above	10%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES	$117.28	$130.31	$24.08–$130.31	141% above	10%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT	$62.32	$69.24	$35.09–$69.24	1% above	10%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$10.06	$11.18	$9.71–$11.18	71% below	10%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$130.06	$144.51	$9.71–$81.97	278% above	10%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$5.56	$6.18	$2.37–$6.18	55% below	10%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN	$35.47	$39.41	$2.37–$19.98	188% above	10%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$82.89	$92.10	$12.05–$92.10	147% above	10%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT	$125.27	$139.19	$12.05–$101.77	274% above	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT	$69.54	$77.27	$10.74–$77.27	42% above	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$73.83	$82.03	$10.74–$82.03	50% above	10%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$71.07	$78.97	$10.33–$78.97	92% above	10%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$72.70	$80.78	$10.33–$80.78	96% above	10%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$17.26	$19.18	$14.27–$19.18	67% below	10%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT	$90.64	$100.71	$14.27–$100.71	73% above	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION	$90.00	$100.00	$42.84–$100.00	31% below	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$145.13	$161.25	$42.84–$161.25	11% above	10%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$78.41	$87.12	$13.19–$80.08	84% above	10%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1	$108.41	$120.45	$13.19–$80.08	155% above	10%
Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2	$108.41	$120.45	$19.35–$120.45	102% above	10%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$115.09	$127.88	$19.35–$127.88	115% above	10%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$32.69	$36.32	$12.95–$36.32	25% below	10%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$23.04	$25.60	$17.92–$25.60	63% below	10%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL	$102.86	$114.29	$17.92–$114.29	63% above	10%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$17.54	$19.49	$11.43–$19.49	56% below	10%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL	$41.50	$46.11	$11.43–$46.11	5% above	10%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$4.66	$5.18	$5.18–$6.47	81% below	10%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$67.38	$74.87	$6.47–$54.67	170% above	10%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$26.28	$29.20	$8.74–$29.20	1% below	10%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$98.27	$109.19	$8.74–$73.76	269% above	10%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL	$314.60	$349.55	$8.68–$73.28	310% above	10%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$22.40	$24.89	$18.52–$24.89	66% below	10%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL	$108.62	$120.69	$18.52–$120.69	65% above	10%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL	$116.60	$129.55	$11.57–$90.13	168% above	10%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$361.58	$401.75	$11.57–$90.13	731% above	10%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$4.66	$5.18	$5.18–$6.04	78% below	10%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL	$67.75	$75.28	$6.04–$51.00	226% above	10%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$17.68	$19.64	$6.89–$19.64	35% below	10%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$71.29	$79.21	$6.89–$58.15	164% above	10%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$205.16	$227.96	$8.17–$68.97	130% above	10%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$143.15	$159.06	$17.03–$143.73	134% above	10%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$38.19	$42.43	$6.70–$42.43	39% above	10%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$107.18	$119.09	$6.70–$56.56	291% above	10%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$88.29	$98.10	$12.88–$98.10	153% above	10%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS)	$148.73	$165.26	$12.88–$108.74	325% above	10%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$32.97	$36.63	$5.18–$36.63	63% above	10%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$22.39	$24.88	$13.05–$24.88	42% below	10%
Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS	$148.01	$164.45	$13.05–$110.10	283% above	10%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$47.14	$52.38	$18.39–$52.38	19% below	10%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$22.80	$25.33	$20.26–$25.33	53% below	10%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$206.33	$229.25	$41.28–$229.25	87% above	10%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$209.80	$233.11	$41.28–$233.11	90% above	10%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$6.61	$7.34	$6.01–$7.34	75% below	10%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$75.45	$83.83	$6.01–$50.71	183% above	10%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL	$57.44	$63.82	$4.74–$40.07	102% above	10%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$68.76	$76.40	$4.74–$40.07	142% above	10%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$4.85	$5.39	$4.76–$5.39	77% below	10%
Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL	$76.30	$84.78	$4.76–$38.77	264% above	10%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$33.18	$36.87	$20.86–$36.87	41% below	10%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$50.87	$56.52	$19.38–$56.52	13% below	10%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL	$93.47	$103.86	$19.38–$103.86	60% above	10%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$8.73	$9.70	$4.29–$9.70	61% below	10%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$73.69	$81.88	$4.29–$33.16	226% above	10%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$21.81	$24.23	$12.60–$24.23	19% below	10%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$101.72	$113.02	$16.55–$73.58	112% above	10%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$9.29	$10.32	$10.32–$16.53	65% below	10%
Renin blood test CPT 84244 ASSAY OF RENIN	$33.75	$37.50	$21.99–$37.50	57% below	10%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D)	$16.28	$18.09	$18.09–$34.92	46% below	10%
Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN	$104.01	$115.57	$34.92–$115.57	247% above	10%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$39.38	$43.75	$5.67–$43.75	37% above	10%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL	$67.19	$74.65	$5.67–$47.93	133% above	10%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS)	$108.41	$120.45	$14.39–$120.45	192% above	10%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$115.00	$127.78	$14.39–$121.45	210% above	10%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$23.45	$26.06	$2.70–$22.75	at median	10%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED	$72.96	$81.07	$2.70–$22.75	211% above	10%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM	$4.66	$5.18	$4.81–$5.18	80% below	10%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES	$10.77	$11.97	$8.90–$11.97	66% below	10%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$21.01	$23.34	$4.38–$23.34	at median	10%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS	$30.07	$33.41	$4.38–$27.42	43% above	10%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$33.85	$37.61	$13.24–$37.61	33% above	10%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM	$75.92	$84.35	$13.24–$84.35	199% above	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$6.60	$7.33	$4.27–$7.33	62% below	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST	$80.18	$89.09	$4.27–$36.05	358% above	10%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON	$75.01	$83.34	$61.98–$83.34	7% below	10%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$270.00	$300.00	$61.98–$300.00	234% above	10%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$39.46	$43.84	$25.81–$43.84	49% below	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT	$40.30	$44.78	$14.55–$44.78	3% above	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$68.84	$76.49	$14.55–$76.49	76% above	10%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$8.66	$9.62	$9.62–$16.80	82% below	10%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$218.59	$242.88	$16.80–$141.72	358% above	10%
Total IgE blood test CPT 82785 ASSAY OF IGE	$19.92	$22.13	$16.46–$22.13	54% below	10%
Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL	$112.34	$124.82	$16.46–$124.82	160% above	10%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$5.46	$6.07	$4.35–$6.07	80% below	10%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE	$11.71	$13.01	$6.87–$13.01	56% below	10%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL	$96.76	$107.51	$6.87–$52.60	266% above	10%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$9.06	$10.07	$10.07–$14.18	80% below	10%
Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL	$64.24	$71.38	$14.18–$71.38	41% above	10%
Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL	$89.08	$98.98	$12.76–$98.98	149% above	10%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$94.51	$105.01	$12.76–$105.01	164% above	10%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$78.17	$86.85	$35.09–$86.85	57% above	10%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE	$162.74	$180.82	$35.09–$180.82	228% above	10%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$14.73	$16.37	$5.74–$16.37	37% below	10%
Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE	$52.89	$58.77	$12.47–$58.77	14% below	10%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$56.12	$62.35	$12.47–$62.35	9% below	10%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$14.16	$15.73	$4.52–$15.73	53% below	10%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$53.12	$59.02	$4.52–$38.18	77% above	10%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$9.63	$10.70	$3.17–$10.70	55% below	10%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$42.98	$47.75	$3.17–$26.71	100% above	10%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$20.20	$22.44	$2.25–$18.91	44% above	10%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST	$32.33	$35.92	$2.25–$18.91	130% above	10%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$37.87	$42.08	$3.48–$21.63	224% above	10%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE	$132.21	$146.90	$8.07–$68.14	362% above	10%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$140.27	$155.85	$8.07–$68.14	390% above	10%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$5.00	$5.55	$5.55–$5.78	76% below	10%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$6.58	$7.31	$7.31–$8.61	79% below	10%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$54.57	$60.63	$15.08–$60.63	1% above	10%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$86.61	$96.23	$15.08–$96.23	60% above	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$35.82	$39.80	$29.60–$39.80	52% below	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$99.68	$110.76	$29.60–$110.76	35% above	10%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$46.58	$51.76	$38.50–$51.76	54% below	10%
Zinc blood test CPT 84630 ASSAY OF ZINC	$13.78	$15.31	$11.39–$15.31	63% below	10%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$24.93	$27.70	$15.05–$27.70	37% below	10%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$60.17	$66.85	$15.05–$66.85	51% above	10%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS)	$4,098.61	$4,554.01	$1,731.51–$3,115.56	64% above	10%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$5,720.60	$6,356.22	$1,416.69–$6,818.71	99% above	10%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$19,392.00	$21,546.67	$1,416.69–$6,818.71	576% above	10%
Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE	$16,799.17	$18,665.74	$287.00–$1,755.27	3220% above	10%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$4,509.18	$5,010.20	$790.10–$3,046.46	1% below	10%
Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST	$9,328.05	$10,364.50	$3,031.12–$3,046.46	105% above	10%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT	$880.70	$978.55	$362.52–$621.09	16% above	10%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$915.92	$1,017.69	$362.52–$621.09	20% above	10%
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$9,111.11	$10,123.46	$1,416.69–$2,168.68	282% above	10%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$5,064.36	$5,627.07	$1,192.50–$1,964.35	39% above	10%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$374.63	$416.25	$416.25–$1,964.35	62% below	10%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 REMOVAL OF FORESKIN USING CLAMP OR DEVICE	$387.50	$430.56	$430.56–$1,964.35	60% below	10%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$1,885.92	$2,095.47	$1,118.83–$1,477.50	147% above	10%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$178.20	$198.00	$198.00–$1,124.49	77% below	10%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,660.23	$2,955.81	$1,118.83–$1,477.50	249% above	10%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$169.87	$188.74	$188.74–$873.89	86% below	10%
Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$11,609.13	$12,899.03	$1,416.69–$2,168.68	421% above	10%
Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$13,321.91	$14,802.12	$1,416.69–$2,168.68	498% above	10%
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES	$17,241.74	$19,157.49	$1,526.40–$10,848.13	100% above	10%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$5,865.80	$6,517.56	$1,731.51–$3,312.44	181% above	10%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$6,322.40	$7,024.89	$1,416.69–$3,312.44	202% above	10%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$6,949.04	$7,721.16	$1,416.69–$3,312.44	232% above	10%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$3,764.67	$4,182.97	$651.96–$1,477.50	101% above	10%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$2,900.39	$3,222.66	$1,192.50–$1,477.50	47% above	10%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$1,693.50	$1,881.67	$1,416.69–$1,755.27	14% below	10%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$3,129.03	$3,476.70	$1,416.69–$1,755.27	58% above	10%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING	$1,194.57	$1,327.30	$504.26–$1,327.30	155% above	10%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA	$1,199.88	$1,333.20	$504.26–$1,477.50	156% above	10%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA	$1,204.69	$1,338.54	$504.26–$1,477.50	157% above	10%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$14.14	$15.71	$15.71–$55.44	75% below	10%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$49.12	$54.58	$54.58–$55.44	13% below	10%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$14.14	$15.71	$55.16–$1,477.50	75% below	10%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$14.14	$15.71	$55.16–$1,477.50	75% below	10%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX	$5,282.21	$5,869.12	$55.16–$1,477.50	5512% above	10%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX	$1,394.46	$1,549.40	$55.16–$1,755.27	1382% above	10%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX	$2,709.41	$3,010.46	$55.16–$1,755.27	2779% above	10%
Endoscopic sinus surgery: full ethmoid sinus opening one side CPT 31255 REMOVAL OF NASAL SINUS USING AN ENDOSCOPE	$8,098.40	$8,998.22	$1,416.69–$6,631.93	223% above	10%
Endoscopic sinus surgery: full ethmoid sinus opening one side CPT 31255 REMOVAL OF NASAL SINUS USING AN ENDOSCOPE	$8,794.39	$9,771.54	$1,416.69–$6,631.93	251% above	10%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$9,339.62	$10,377.35	$1,416.69–$6,631.93	262% above	10%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION OF DRUG INTO EYE	$3,262.03	$3,624.48	$308.83–$2,145.33	597% above	10%
Eye injection into the vitreous (intravitreal injection) one side CPT 67028 INJECTION OF DRUG INTO EYE	$1,682.32	$1,869.24	$308.83–$1,755.27	259% above	10%
Eye injection into the vitreous (intravitreal injection) one side CPT 67028 INJECTION OF DRUG INTO EYE	$12,018.75	$13,354.17	$308.83–$1,755.27	2468% above	10%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,641.30	$1,823.67	$826.96–$1,477.50	71% above	10%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE	$6,407.06	$7,118.96	$1,731.51–$6,083.48	43% above	10%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$5,503.55	$6,115.05	$1,731.51–$3,364.52	37% above	10%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$146.49	$162.77	$162.77–$873.89	80% below	10%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,232.42	$1,369.36	$869.49–$1,369.36	68% above	10%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$7,985.41	$8,872.68	$1,731.51–$5,681.02	49% above	10%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE	$8,852.22	$9,835.80	$1,731.51–$5,681.02	30% above	10%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$777.73	$864.14	$47.20–$864.14	238% above	10%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$9,964.80	$11,072.00	$1,731.51–$3,041.94	265% above	10%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$8,443.29	$9,381.43	$193.09–$239.24	449% above	10%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$236.37	$262.63	$187.59–$262.63	4% below	10%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$266.72	$296.36	$187.59–$296.36	8% above	10%
Incision and drainage of a simple or single skin abscess one side CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$2,587.84	$2,875.38	$187.59–$1,755.27	947% above	10%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$6,103.95	$6,782.17	$1,731.51–$3,364.52	32% above	10%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$2,601.49	$2,890.54	$1,416.69–$3,364.52	44% below	10%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$5,122.06	$5,691.18	$1,416.69–$3,364.52	10% above	10%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT	$415.32	$461.47	$287.00–$461.47	at median	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$399.31	$443.68	$287.00–$443.68	3% below	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$632.18	$702.42	$287.00–$702.42	54% above	10%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE	$1,439.06	$1,598.95	$124.40–$589.35	351% above	10%
Insertion of a drug-delivery implant, such as the arm birth control implant one side CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE	$44.01	$48.90	$124.40–$125.03	86% below	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$399.31	$443.68	$287.00–$443.68	10% above	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$5,932.39	$6,591.54	$287.00–$1,477.50	1530% above	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$387.68	$430.76	$287.00–$1,477.50	7% above	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$5,871.31	$6,523.68	$287.00–$1,477.50	1513% above	10%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$630.64	$700.71	$287.00–$700.71	96% above	10%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$24,235.77	$26,928.63	$1,192.50–$3,074.72	677% above	10%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$15,284.66	$16,982.95	$1,416.69–$3,074.72	390% above	10%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$15,706.08	$17,451.20	$1,416.69–$3,074.72	403% above	10%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$5,566.54	$6,185.04	$1,416.69–$3,074.72	51% above	10%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$16,412.50	$18,236.11	$1,416.69–$3,074.72	345% above	10%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$5,803.70	$6,448.56	$1,416.69–$3,074.72	58% above	10%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$8,226.42	$9,140.47	$1,731.51–$5,681.02	48% above	10%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE	$15,016.00	$16,684.44	$1,731.51–$9,988.92	82% above	10%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$6,149.30	$6,832.55	$1,731.51–$5,681.02	26% above	10%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$4,877.40	$5,419.33	$1,416.69–$5,681.02	at median	10%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$6,702.60	$7,447.33	$1,416.69–$5,681.02	37% above	10%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$4,523.41	$5,026.01	$1,731.51–$5,681.02	9% above	10%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$6,822.30	$7,580.33	$1,416.69–$5,681.02	65% above	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs one side CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$3,376.74	$3,751.93	$380.08–$1,755.27	685% above	10%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$4,509.18	$5,010.20	$642.28–$3,046.46	at median	10%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$951.49	$1,057.21	$659.98–$1,057.21	25% above	10%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$98,087.45	$108,986.06	$659.98–$1,477.50	12793% above	10%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$1,226.98	$1,363.31	$826.96–$1,363.31	98% above	10%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL	$2,581.42	$2,868.24	$826.96–$1,755.27	316% above	10%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$928.49	$1,031.65	$826.96–$1,031.65	3% above	10%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$2,157.08	$2,396.75	$826.96–$1,477.50	139% above	10%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$4,240.15	$4,711.28	$826.96–$1,755.27	371% above	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$4,465.01	$4,961.12	$662.09–$1,477.50	749% above	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm one side CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$1,826.34	$2,029.27	$662.09–$1,755.27	247% above	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm one side CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$6,106.77	$6,785.30	$662.09–$1,755.27	1061% above	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$1,438.16	$1,597.95	$662.09–$1,597.95	107% above	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$3,599.57	$3,999.52	$662.09–$1,755.27	419% above	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$4,184.87	$4,649.86	$662.09–$1,755.27	503% above	10%
Nail removal (partial or complete), one nail one side CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL	$3,028.14	$3,364.60	$187.59–$1,755.27	1239% above	10%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$16,217.48	$18,019.42	$1,416.69–$9,821.79	89% above	10%
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE	$24,794.61	$27,549.57	$1,416.69–$9,821.79	190% above	10%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,196.38	$1,329.31	$848.00–$1,329.31	68% above	10%
Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL	$1,642.66	$1,825.18	$380.08–$1,755.27	176% above	10%
Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL	$3,158.97	$3,509.97	$380.08–$1,755.27	432% above	10%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$1,595.13	$1,772.37	$1,416.69–$1,834.99	21% below	10%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$9,016.59	$10,018.43	$1,416.69–$3,679.35	194% above	10%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$265.78	$295.31	$295.31–$382.00	35% below	10%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$5,284.05	$5,871.17	$380.08–$1,477.50	1194% above	10%
Removal of a foreign object under the skin, simple one side CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$5,066.60	$5,629.56	$380.08–$1,755.27	1141% above	10%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$10,191.99	$11,324.43	$1,731.51–$5,681.02	58% above	10%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$13,708.25	$15,231.39	$1,416.69–$5,681.02	113% above	10%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$17,100.50	$19,000.56	$1,416.69–$5,681.02	165% above	10%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$2,886.90	$3,207.67	$3,207.67–$3,312.44	7% below	10%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$4,114.54	$4,571.71	$1,416.69–$3,312.44	33% above	10%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$4,195.26	$4,661.40	$1,416.69–$3,312.44	36% above	10%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF ELBOW TO FINGER CAST	$97.37	$108.19	$108.19–$262.83	19% below	10%
Short arm cast (elbow to hand) CPT 29075 APPL CST ELBW FNGR SHORT ARM	$174.83	$194.26	$194.26–$262.83	46% above	10%
Short arm cast (elbow to hand) one side CPT 29075 APPLICATION OF ELBOW TO FINGER CAST	$97.37	$108.19	$261.50–$1,477.50	19% below	10%
Short arm cast (elbow to hand) one side CPT 29075 APPLICATION OF ELBOW TO FINGER CAST	$97.37	$108.19	$261.50–$1,477.50	19% below	10%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$218.24	$242.49	$124.40–$242.49	52% above	10%
Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLINT STATIC	$224.78	$249.76	$124.40–$249.76	56% above	10%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$224.78	$249.76	$124.40–$125.03	56% above	10%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$224.78	$249.76	$124.40–$125.03	56% above	10%
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST	$136.03	$151.14	$151.14–$262.83	10% below	10%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST	$241.15	$267.94	$261.50–$267.94	60% above	10%
Short leg cast (below the knee) one side CPT 29405 APPLICATION OF SHORT LEG CAST	$135.35	$150.39	$261.50–$1,477.50	10% below	10%
Short leg cast (below the knee) one side CPT 29405 APPLICATION OF SHORT LEG CAST	$174.95	$194.39	$261.50–$1,477.50	16% above	10%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$412.57	$458.41	$151.93–$458.41	182% above	10%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT	$424.94	$472.16	$151.93–$472.16	191% above	10%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$76.31	$84.79	$151.93–$1,477.50	48% below	10%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$76.69	$85.21	$151.93–$1,477.50	48% below	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$258.04	$286.71	$187.59–$286.71	24% above	10%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH	$4,448.94	$4,943.27	$380.08–$1,477.50	1573% above	10%
Skin biopsy, punch, one lesion one side CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH	$4,681.45	$5,201.61	$380.08–$1,755.27	1661% above	10%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$4,518.79	$5,020.88	$187.59–$1,477.50	1872% above	10%
Skin tag removal, up to 15 tags one side CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$4,479.79	$4,977.54	$187.59–$1,755.27	1855% above	10%
Skin tag removal, up to 15 tags one side CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$4,797.01	$5,330.01	$187.59–$1,755.27	1994% above	10%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$923.78	$1,026.42	$659.98–$1,026.42	33% above	10%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST	$2,953.60	$3,281.78	$659.98–$1,477.50	324% above	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$166.88	$185.42	$185.42–$188.54	18% below	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$8,341.27	$9,268.08	$187.59–$1,755.27	4018% above	10%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$603.28	$670.31	$380.08–$670.31	144% above	10%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH	$10,094.35	$11,215.94	$380.08–$1,477.50	3985% above	10%
Tangential (shave-style) skin biopsy, one lesion one side CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH	$2,666.39	$2,962.66	$380.08–$1,755.27	979% above	10%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$960.85	$1,067.61	$586.51–$1,067.61	at median	10%
Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$9,559.54	$10,621.71	$586.51–$1,477.50	895% above	10%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$17,027.40	$18,919.33	$586.51–$1,477.50	1672% above	10%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)	$2,865.66	$3,184.07	$1,731.51–$3,115.56	6% above	10%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$2,073.97	$2,304.41	$1,731.51–$5,562.90	24% below	10%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER)	$3,180.28	$3,533.64	$1,731.51–$3,115.56	19% above	10%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS)	$2,964.40	$3,293.78	$1,731.51–$5,562.90	at median	10%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$19,980.41	$22,200.46	$1,526.40–$5,681.02	102% above	10%
Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER	$3,255.89	$3,617.65	$1,192.50–$1,511.04	107% above	10%
Trigger finger release surgery one side CPT 26055 INCISION OF TENDON COVERING OF FINGER	$3,172.30	$3,524.78	$1,416.69–$1,755.27	102% above	10%
Trigger finger release surgery one side CPT 26055 INCISION OF TENDON COVERING OF FINGER	$5,313.00	$5,903.33	$1,416.69–$1,755.27	238% above	10%
Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2	$415.32	$461.47	$287.00–$461.47	3% above	10%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$1,793.68	$1,992.98	$1,731.51–$1,992.98	80% above	10%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM	$15,101.14	$16,779.04	$1,731.51–$2,145.33	1412% above	10%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$1,793.68	$1,992.98	$848.00–$1,755.27	53% above	10%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$12,401.27	$13,779.19	$848.00–$1,755.27	960% above	10%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$1,267.69	$1,408.54	$1,192.50–$1,803.21	59% above	10%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$1,362.74	$1,514.15	$1,192.50–$1,803.21	71% above	10%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$1,589.71	$1,766.34	$848.00–$1,477.50	5% above	10%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$7,838.28	$8,709.20	$848.00–$1,477.50	418% above	10%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$5,170.27	$5,744.74	$1,731.51–$5,038.50	49% above	10%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$4,326.38	$4,807.09	$1,416.69–$5,038.50	25% above	10%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$4,978.52	$5,531.69	$1,416.69–$5,038.50	43% above	10%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$19,839.09	$22,043.43	$1,731.51–$5,038.50	469% above	10%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$7,711.41	$8,568.23	$1,416.69–$5,038.50	121% above	10%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS	$5,222.11	$5,802.34	$187.59–$1,477.50	2657% above	10%
Wart removal, up to 14 warts one side CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS	$2,981.66	$3,312.95	$187.59–$1,755.27	1474% above	10%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$10,061.48	$11,179.42	$380.08–$1,477.50	1538% above	10%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$9,388.10	$10,431.22	$380.08–$1,755.27	1428% above	10%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$14,074.23	$15,638.03	$380.08–$1,755.27	2191% above	10%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$2,795.82	$3,106.47	$1,416.69–$6,818.71	18% below	10%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$6,853.83	$7,615.37	$1,416.69–$6,818.71	100% above	10%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$902.48	$1,002.76	$412.49–$1,002.76	92% above	10%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$2,979.46	$3,310.51	$412.49–$1,477.50	533% above	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$21.21	$23.57	$3,144.60–$5,199.00	—	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$140.20	$155.78	$3,144.60–$5,199.00	—	10%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$498.05	$553.39	$308.83–$310.39	56% above	10%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS	$759.47	$843.85	$308.83–$310.39	139% above	10%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/>	$18.45	$20.50	$20.50–$124.48	83% below	10%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 NEW PATIENT COMPLETE EXAM OF VISUAL SYSTEM	$39.60	$44.00	$44.00–$124.48	64% below	10%
Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/>	$18.45	$20.50	$20.50–$124.48	83% below	10%
Comprehensive eye exam, returning patient CPT 92014 ESTABLISHED PATIENT COMPLETE EXAM OF VISUAL SYSTEM	$39.60	$44.00	$44.00–$124.48	64% below	10%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST	$55.20	$61.33	$57.24–$120.31	32% below	10%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST	$167.27	$185.86	$57.24–$120.92	105% above	10%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$486.95	$541.06	$243.27–$772.32	59% below	10%
EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY	$882.16	$980.18	$119.25–$202.91	155% above	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$26.49	$29.43	$29.43–$55.16	65% below	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$264.96	$294.40	$55.16–$100.47	248% above	10%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$181.44	$201.60	$71.55–$153.70	1% above	10%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY	$240.78	$267.53	$78.84–$301.41	34% above	10%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$408.66	$454.07	$71.55–$175.43	34% above	10%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY	$548.24	$609.16	$143.56–$301.41	80% above	10%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$775.51	$861.68	$71.55–$255.22	58% above	10%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$976.33	$1,084.81	$210.89–$301.41	99% above	10%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$1,047.67	$1,164.08	$71.55–$390.13	52% above	10%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$1,293.09	$1,436.77	$243.27–$390.13	88% above	10%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$2,035.22	$2,261.36	$243.27–$556.81	93% above	10%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG)	$318.16	$353.51	$201.89–$353.51	20% below	10%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY	$337.54	$375.04	$201.89–$360.51	15% below	10%
Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT	$18.45	$20.50	$20.50–$124.48	83% below	10%
Eye exam, returning patient, intermediate CPT 92012 ESTABLISHED PATIENT PROBLEM FOCUSED EXAM OF VISUAL SYSTEM	$4,670.13	$5,189.03	$124.48–$1,755.27	4200% above	10%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$539.99	$599.99	$198.87–$199.88	268% above	10%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES	$553.10	$614.55	$198.87–$199.88	277% above	10%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$579.33	$643.70	$198.87–$535.33	231% above	10%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$814.18	$904.64	$198.87–$535.33	365% above	10%
IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN	$227.03	$252.25	$198.87–$199.88	88% above	10%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$236.11	$262.34	$198.87–$199.88	95% above	10%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$18.36	$20.40	$20.40–$67.32	62% below	10%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$151.61	$168.46	$67.32–$67.66	214% above	10%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION; 7-8 STUDIES	$209.24	$232.49	$232.49–$348.89	60% below	10%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$215.51	$239.46	$239.46–$348.89	59% below	10%
Neuromuscular re-education, 15 minutes CPT 97112 THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION; EACH 15 MINUTES	$93.43	$103.81	$30.36–$30.51	80% above	10%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$96.23	$106.92	$30.36–$30.51	86% above	10%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN	$38.70	$43.00	$43.00–$67.10	61% below	10%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES	$39.60	$44.00	$44.00–$67.10	60% below	10%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES	$39.60	$44.00	$44.00–$109.91	73% below	10%
New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN	$315.00	$350.00	$57.24–$150.81	45% above	10%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN	$38.70	$43.00	$38.87–$39.06	52% below	10%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES	$39.60	$44.00	$38.87–$39.06	51% below	10%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES	$42.79	$47.54	$25.05–$25.17	11% above	10%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$44.07	$48.97	$25.05–$25.17	15% above	10%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$159.87	$177.63	$93.50–$177.63	52% above	10%
Occupational therapy evaluation, low complexity CPT 97165 EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 30 MINUTES	$164.66	$182.96	$93.50–$182.96	56% above	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES	$310.73	$345.25	$91.20–$345.25	118% above	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$147.93	$164.37	$91.20–$164.37	40% above	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES	$179.06	$198.95	$91.20–$198.95	70% above	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$288.23	$320.26	$91.20–$320.26	127% above	10%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 THERAPY PROCEDURE USING MANUAL TECHNIQUE; EACH 15 MINUTES	$98.43	$109.37	$25.73–$25.85	136% above	10%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS	$101.39	$112.65	$25.73–$25.85	143% above	10%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$153.77	$170.85	$26.97–$128.60	137% above	10%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES	$447.85	$497.61	$26.97–$128.60	589% above	10%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39	$18.45	$20.50	—	82% below	10%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64	$38.70	$43.00	—	69% below	10%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS	$38.70	$43.00	—	61% below	10%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39	$18.45	$20.50	—	82% below	10%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64	$18.45	$20.50	—	83% below	10%
Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR	$18.45	$20.50	—	84% below	10%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$36.25	$40.28	$35.03–$35.21	9% above	10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES	$28.13	$31.25	$31.25–$118.65	83% below	10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$39.60	$44.00	$44.00–$118.65	77% below	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN	$18.45	$20.50	$20.50–$54.44	82% below	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$39.60	$44.00	$44.00–$54.44	61% below	10%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$39.60	$44.00	$44.00–$80.02	70% below	10%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN	$38.70	$43.00	$29.29–$29.44	49% below	10%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES	$39.60	$44.00	$29.29–$29.44	47% below	10%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30	$18.45	$20.50	—	83% below	10%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION; TYPICALLY 40 MINUTES	$39.60	$44.00	—	64% below	10%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40	$38.70	$43.00	—	71% below	10%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION; TYPICALLY 1 HOUR	$39.60	$44.00	—	71% below	10%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$170.06	$188.96	$188.96–$212.50	3% below	10%
Speech and language evaluation CPT 92523 EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION	$480.30	$533.67	$212.50–$213.56	175% above	10%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$170.06	$188.96	$71.42–$128.60	38% above	10%
Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH; LANGUAGE; VOICE; COMMUNICATION; AND/OR HEARING PROCESSING DISORDER	$304.97	$338.86	$71.42–$128.60	147% above	10%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME	$203.57	$226.19	$114.48–$202.91	31% above	10%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION	$266.45	$296.05	$186.03–$348.89	5% above	10%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TCRANIAL MAGN STIM TX PLAN	$925.77	$1,028.63	$201.89–$202.91	515% above	10%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$136.40	$151.55	$32.08–$128.60	116% above	10%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES	$237.10	$263.44	$32.08–$128.60	275% above	10%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM	$276.75	$307.50	$124.40–$125.03	163% above	10%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$287.82	$319.80	$124.40–$125.03	173% above	10%
Visual field test, extended CPT 92083 EXAM OF VISUAL FIELD WITH EXTENDED TESTING	$212.18	$235.76	$124.40–$125.03	11% above	10%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax 2025-2026 Ages 12 and up	$189.90	$211.00	$211.00	at median	10%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty PFS 2024-2025 Age 12 and older	$183.35	$203.72	$203.72	31% below	10%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax	$243.30	$270.33	$270.33	at median	10%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ	$243.31	$270.34	$270.34	at median	10%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varivax	$642.24	$713.60	$3,144.60–$5,199.00	—	10%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix	$78.31	$87.01	—	1% above	10%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHTHERIA; TETANUS; ACELLULAR PERTUSSIS; AND POLIO VACCINE	$83.17	$92.41	—	8% above	10%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix Prefilled Syringe	$83.17	$92.41	—	8% above	10%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS IM	$87.62	$97.35	—	14% above	10%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM	$44.52	$49.47	$49.47	45% below	10%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix Prefilled Syringe	$45.89	$50.99	$50.99	43% below	10%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix	$103.37	$114.85	$102.41–$114.85	28% above	10%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (YOUNGER THAN 7 YEARS)	$112.21	$124.68	$102.41–$124.68	38% above	10%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM	$140.52	$156.13	—	16% below	10%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pediarix Prefilled Syringe	$330.19	$366.88	—	97% above	10%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Vaxelis Prefilled Syringe	$223.02	$247.80	—	at median	10%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM	$209.33	$232.59	—	at median	10%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Vaxelis	$537.83	$597.59	—	157% above	10%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIPHTHERIA; TETANUS; ACELLULAR PERTUSSIS; POLIO; HAEMOPHILUS INFLUENZAE TYPE B; AND HEPATITIS B VACCINE	$551.67	$612.97	—	164% above	10%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Vaxelis Prefilled Syringe	$588.18	$653.53	—	181% above	10%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE; TRIVALENT; SPLIT VIRUS; PRESERVATIVE-FREE; 0.5 ML DOSAGE	$23.58	$26.20	$26.20	29% below	10%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2024-2025 Formula	$31.72	$35.24	$35.24	5% below	10%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2025-2026 Formula	$32.70	$36.33	$36.33	2% below	10%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$32.70	$36.33	$36.33	2% below	10%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2025-2026 Formula Prefilled Syringe	$33.20	$36.89	$36.89	at median	10%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2025-2026 Formula	$80.65	$89.61	$62.58–$77.54	142% above	10%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9	$301.53	$335.03	$335.03	6% below	10%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM	$404.78	$449.76	$449.76	26% above	10%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9 Prefilled Syringe	$1,147.12	$1,274.58	$1,025.65–$1,270.77	257% above	10%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT DOSAGE	$14.85	$16.50	$16.50	83% below	10%
Hepatitis A vaccine, adult dose CPT 90632 Vaqta Prefilled Syringe	$114.64	$127.38	$127.38	31% above	10%
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM	$117.79	$130.88	$130.88	34% above	10%
Hepatitis A vaccine, adult dose CPT 90632 Havrix Prefilled Syringe	$296.23	$329.14	$291.21–$329.14	238% above	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE PEDIATRIC OR ADOLESCENT DOSAGE	$56.47	$62.74	$62.74	2% above	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM	$56.84	$63.16	$63.16	3% above	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Havrix Pediatric Prefilled Syringe	$145.06	$161.18	$149.54–$161.18	163% above	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Vaqta Pediatric	$132.91	$147.68	$3,144.60–$5,199.00	—	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Havrix Pediatric Prefilled Syringe	$145.06	$161.18	$3,144.60–$5,199.00	—	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Vaqta Pediatric Prefilled Syringe	$147.99	$164.43	$3,144.60–$5,199.00	—	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM	$147.99	$164.43	$3,144.60–$5,199.00	—	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE PEDIATRIC OR ADOLESCENT DOSAGE	$147.99	$164.43	$3,144.60–$5,199.00	—	10%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$99.77	$110.85	$110.85	8% below	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B Pediatric-Adolescent Prefilled Syringe	$38.36	$42.62	$42.62	34% below	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM	$42.29	$46.99	$46.99	27% below	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Recombivax HB Pediatric-Adolescent	$44.06	$48.95	$48.95	24% below	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE; PEDIATRIC OR ADOLESCENT DOSAGE (3 DOSE SCHEDULE)	$106.24	$118.04	$118.04	83% above	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Engerix-B Pediatric-Adolescent Prefilled Syringe	$104.39	$115.99	$3,144.60–$5,199.00	—	10%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS INFLUENZAE TYPE B VACCINE; PRP-OMP CONJUGATE	$14.85	$16.50	$16.50	74% below	10%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3 DOSE IM	$45.75	$50.83	$50.83	19% below	10%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Pedvaxhib	$46.92	$52.13	$52.13	17% below	10%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Pedvaxhib	$118.56	$131.73	$3,144.60–$5,199.00	—	10%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II	$119.34	$132.60	$132.60	36% below	10%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC	$129.50	$143.89	$143.89	31% below	10%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II	$348.44	$387.16	$3,144.60–$5,199.00	—	10%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 ProQuad	$346.23	$384.70	$116.91–$144.85	31% above	10%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC	$366.70	$407.44	$116.91–$144.85	39% above	10%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES; MUMPS; RUBELLA; AND VARICELLA VACCINE	$971.12	$1,079.02	$116.91–$144.85	268% above	10%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE; SEROGROUPS A; C; W; Y; DIPHTHERIA TOXOID CARRIER VACCINE	$197.44	$219.38	$219.38	6% below	10%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM	$222.24	$246.93	$246.93	6% above	10%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo	$235.13	$261.26	$261.26	12% above	10%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra	$519.97	$577.74	$312.91–$387.70	148% above	10%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM	$229.01	$254.46	$254.46	at median	10%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MenQuadfi	$229.02	$254.47	$254.47	at median	10%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero	$227.41	$252.68	$252.68	40% below	10%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM	$313.45	$348.28	$348.28	18% below	10%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero Prefilled Syringe	$331.82	$368.69	$368.69	13% below	10%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumovax 23 Prefilled Syringe	$142.45	$158.28	$158.28	63% below	10%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM	$157.86	$175.40	$175.40	59% below	10%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13	$792.39	$880.43	$880.43	104% above	10%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VACCINE IM	$303.17	$336.85	$336.85	7% above	10%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Vaxneuvance Prefilled Syringe	$841.38	$934.87	$934.87	197% above	10%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM	$373.18	$414.64	$414.64	41% below	10%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE; 20 VALENT (PCV20); FOR INTRAMUSCULAR USE	$958.86	$1,065.40	$1,065.40	52% above	10%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 Prefilled Syringe	$1,105.95	$1,228.83	$1,228.83	75% above	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE; 23-VALENT	$157.86	$175.40	$175.40	13% below	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23	$414.42	$460.47	$460.47	128% above	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 Prefilled Syringe	$414.42	$460.47	$460.47	128% above	10%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE	$53.69	$59.65	$59.65	9% below	10%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM	$64.12	$71.24	$71.24	9% above	10%
Polio vaccine, inactivated (IPV) CPT 90713 Ipol	$1,662.13	$1,846.81	$92.68–$114.83	2721% above	10%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV MONOC ANTB SEASN 1 ML IM	$726.87	$807.63	—	36% below	10%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Beyfortus Prefilled Syringe	$777.32	$863.69	—	32% below	10%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM	$726.87	$807.63	—	36% below	10%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus Prefilled Syringe	$2,066.32	$2,295.91	—	81% above	10%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INJECTION INTO MUSCLE	$569.38	$632.64	$331.98–$632.64	39% below	10%
Rabies vaccine, one dose CPT 90675 RabAvert	$2,060.04	$2,288.93	$331.98–$1,554.21	122% above	10%
Rabies vaccine, one dose inpatient CPT 90675 Imovax Rabies	$1,171.86	$1,302.07	$3,144.60–$5,199.00	—	10%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM	$1,440.25	$1,600.28	$3,144.60–$5,199.00	—	10%
Rabies vaccine, one dose inpatient CPT 90675 RabAvert	$1,571.87	$1,746.52	$3,144.60–$5,199.00	—	10%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL	$196.68	$218.53	—	at median	10%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE; HUMAN; ATTENUATED	$423.32	$470.35	—	115% above	10%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotarix	$448.20	$498.00	—	128% above	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$58.39	$64.88	$64.88	18% below	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac	$60.91	$67.68	$66.78–$67.68	14% below	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac Prefilled Syringe	$65.63	$72.92	$66.78–$72.92	7% below	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX	$106.51	$118.34	$66.78–$82.74	50% above	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA AND TETANUS VACCINE (7 YEARS OR OLDER)	$135.36	$150.40	$66.78–$82.74	91% above	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix	$62.64	$69.60	$69.60	28% below	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix Prefilled Syringe	$65.90	$73.22	$73.22	24% below	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM	$69.35	$77.06	$77.06	20% below	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER)	$160.49	$178.32	$137.38–$170.21	84% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$17.59	$19.54	$19.54–$67.32	34% below	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE	$24.48	$27.20	$27.20–$67.32	8% below	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$13.50	$15.00	$15.00	44% below	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE	$14.85	$16.50	$16.50	38% below	10%

Dental

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 PROPHYLAXIS - ADULT	$93.18	$103.53	$57.24–$124.48	—	10%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/d3b6b861569568a87f28dfbc66463efd/charges/mrf