Hospital Paris, TN

West Tennessee Healthcare Henry County Hospital

West Tennessee Healthcare Henry County Hospital in Paris, TN publishes cash prices for 229 common procedures listed here, from its own machine-readable price file updated Jun 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 211 of 224 procedures and below it for 13. By typical cash price it ranks #68 of 79 Tennessee hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

301 Tyson Avenue, Paris, TN 38242-4544 Collected Sep 27, 2026 Source price file (731) 642-1220

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 440132 · CMS hospital register

The price file shows no self-pay discount

For 924 of the 924 prices listed here, the cash price in West Tennessee Healthcare Henry County Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-ABI LTD	$471.00	$471.00	$80.10–$306.15	102% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-ABI LTD	$471.00	$471.00	$188.40	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR-ESOPHOGRAM	$401.00	$401.00	$135.27–$318.28	92% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR-ESOPHOGRAM	$401.00	$401.00	$160.40	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM-Bone Scan-Whole Body	$1,760.00	$1,760.00	$308.30–$1,144.00	182% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-Bone Scan-Whole Body	$1,760.00	$1,760.00	$704.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CTA CHEST	$1,906.00	$1,906.00	$135.27–$1,238.90	88% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CTA CHEST	$1,906.00	$1,906.00	$762.40	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC CALCIUM SCORING	$99.00	$99.00	$39.60–$650.00	1% below	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC CALCIUM SCORING	$99.00	$99.00	$39.60	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO	$3,751.00	$3,751.00	$184.01–$2,438.15	166% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO	$3,751.00	$3,751.00	$1,500.40	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W	$4,023.00	$4,023.00	$269.04–$2,614.95	122% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W	$4,023.00	$4,023.00	$1,609.20	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO	$4,547.00	$4,547.00	$269.04–$2,955.55	127% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/WO	$4,547.00	$4,547.00	$1,818.80	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W	$2,013.00	$2,013.00	$135.27–$1,308.45	130% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W	$2,013.00	$2,013.00	$805.20	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO	$2,013.00	$2,013.00	$80.62–$1,308.45	159% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO	$2,013.00	$2,013.00	$805.20	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO	$1,841.00	$1,841.00	$80.62–$1,196.65	215% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS PEDS MAXILLARY LTD W/O	$1,841.00	$1,841.00	$80.62–$1,196.65	215% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WO	$1,841.00	$1,841.00	$80.62–$1,196.65	215% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS WO	$1,841.00	$1,841.00	$736.40	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS PEDS MAXILLARY LTD W/O	$1,841.00	$1,841.00	$736.40	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO	$1,841.00	$1,841.00	$736.40	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN WO	$1,919.00	$1,919.00	$80.62–$1,247.35	172% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN WO	$1,919.00	$1,919.00	$767.60	—	—
CT scan of the head with contrast CPT 70460 CT BRAIN W	$1,916.00	$1,916.00	$135.27–$1,245.40	117% above	—
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W	$1,916.00	$1,916.00	$766.40	—	—
CT scan of the head without and with contrast CPT 70470 CT BRAIN W/WO	$2,190.00	$2,190.00	$135.27–$1,423.50	101% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN W/WO	$2,190.00	$2,190.00	$876.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE WO	$1,966.00	$1,966.00	$80.62–$1,277.90	163% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE WO	$1,966.00	$1,966.00	$786.40	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE WO	$1,821.00	$1,821.00	$80.62–$1,183.65	116% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE WO	$1,821.00	$1,821.00	$728.40	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$1,922.00	$1,922.00	$135.27–$1,249.30	129% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W	$1,922.00	$1,922.00	$768.80	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US-CAROTID BILAT	$1,280.00	$1,280.00	$173.25–$832.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US-CAROTID BILAT	$1,280.00	$1,280.00	$512.00	—	—
Chest X-ray, 2 views CPT 71046 XR-CXR 2V	$346.00	$346.00	$67.12–$224.90	215% above	—
Chest X-ray, 2 views inpatient CPT 71046 XR-CXR 2V	$346.00	$346.00	$138.40	—	—
Chest X-ray, single view CPT 71045 XR-CXR 1V	$254.00	$254.00	$67.12–$165.10	164% above	—
Chest X-ray, single view inpatient CPT 71045 XR-CXR 1V	$254.00	$254.00	$101.60	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-RENAL	$816.00	$816.00	$80.62–$530.40	206% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-RENAL	$816.00	$816.00	$326.40	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 MM-DEXA BONE DENSITY	$583.00	$583.00	$80.62–$378.95	258% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MM-DEXA BONE DENSITY	$583.00	$583.00	$233.20	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US - OB COMPLETE DETAILED ANATOMY	$706.00	$706.00	$184.01–$458.90	78% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US - OB COMPLETE DETAILED ANATOMY	$706.00	$706.00	$282.40	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO	$1,906.00	$1,906.00	$80.62–$1,238.90	178% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WO	$1,906.00	$1,906.00	$762.40	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W	$1,906.00	$1,906.00	$135.27–$1,238.90	129% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W	$1,906.00	$1,906.00	$762.40	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MM-MAMMO DX- BILAT W CAD	$481.00	$481.00	$144.30–$312.65	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM-MAMMO DX- BILAT W CAD	$481.00	$481.00	$192.40	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-ART EXT LOWER BILAT	$1,226.00	$1,226.00	$184.01–$796.90	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-ART EXT LOWER BILAT	$1,226.00	$1,226.00	$490.40	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US-VENOUS LOWER BILAT	$1,281.00	$1,281.00	$175.52–$832.65	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US-VENOUS UPPER BILAT	$1,281.00	$1,281.00	$175.52–$832.65	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US-VENOUS BILAT	$1,357.00	$1,357.00	$175.52–$882.05	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US-VENOUS LOWER BILAT	$1,281.00	$1,281.00	$512.40	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US-VENOUS UPPER BILAT	$1,281.00	$1,281.00	$512.40	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US-VENOUS BILAT	$1,357.00	$1,357.00	$542.80	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US-ECHO 2D W/SPEC/COLOR COMPL	$2,144.00	$2,144.00	$146.32–$1,393.60	95% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US-ECHO 2D W/SPEC/COLOR COMPL	$2,144.00	$2,144.00	$857.60	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HIDA W GB NO EF	$1,556.00	$1,556.00	$308.30–$1,011.40	141% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HIDA W GB NO EF	$1,556.00	$1,556.00	$622.40	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, UNATTENDED & RESP EFFORT	$834.00	$834.00	$58.10–$542.10	220% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY, UNATTENDED & RESP EFFORT	$834.00	$834.00	$333.60	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP	$5,005.00	$5,005.00	$602.87–$3,253.25	249% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY W/CPAP	$5,005.00	$5,005.00	$2,002.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD	$454.00	$454.00	$80.62–$295.10	81% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-HEPATIC	$458.00	$458.00	$80.62–$297.70	82% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-GB	$458.00	$458.00	$80.62–$297.70	82% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-PANCREAS	$458.00	$458.00	$80.62–$297.70	82% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD	$454.00	$454.00	$181.60	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-GB	$458.00	$458.00	$183.20	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-PANCREAS	$458.00	$458.00	$183.20	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-HEPATIC	$458.00	$458.00	$183.20	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREENING	$550.00	$550.00	$80.62–$650.00	207% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG CANCER SCREENING	$550.00	$550.00	$220.00	—	—
MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO	$1,096.00	$1,096.00	$184.01–$712.40	18% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO	$1,096.00	$1,096.00	$438.40	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABD W/WO	$1,779.00	$1,779.00	$269.04–$1,156.35	43% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABD W/WO	$1,779.00	$1,779.00	$711.60	—	—
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN/ IACS/PIT WO	$2,694.00	$2,694.00	$184.01–$1,751.10	175% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN/ IACS/PIT WO	$2,694.00	$2,694.00	$1,077.60	—	—
MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN/ IACS/PIT W/WO	$3,040.00	$3,040.00	$269.04–$1,976.00	115% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN/ IACS/PIT W/WO	$3,040.00	$3,040.00	$1,216.00	—	—
MRI of the lower back, no contrast dye CPT 72148 MR-L-SP WO	$2,694.00	$2,694.00	$184.01–$1,751.10	176% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MR-L-SP WO	$2,694.00	$2,694.00	$1,077.60	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MR-L-SP W/WO	$3,040.00	$3,040.00	$269.04–$1,976.00	126% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-L-SP W/WO	$3,040.00	$3,040.00	$1,216.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-T-SP WO	$2,694.00	$2,694.00	$184.01–$1,751.10	176% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-T-SP WO	$2,694.00	$2,694.00	$1,077.60	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-C-SP W/WO	$3,040.00	$3,040.00	$269.04–$1,976.00	129% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-C-SP W/WO	$3,040.00	$3,040.00	$1,216.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-C-SP WO	$2,833.00	$2,833.00	$184.01–$1,841.45	190% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-C-SP WO	$2,833.00	$2,833.00	$1,133.20	—	—
MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS SOFT TISSUE W/WO	$1,779.00	$1,779.00	$269.04–$1,156.35	43% above	—
MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS W/WO	$2,748.00	$2,748.00	$269.04–$1,786.20	121% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS SOFT TISSUE W/WO	$1,779.00	$1,779.00	$711.60	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS W/WO	$2,748.00	$2,748.00	$1,099.20	—	—
MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS SOFT TISSUE WO	$1,096.00	$1,096.00	$184.01–$712.40	33% above	—
MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO	$2,694.00	$2,694.00	$184.01–$1,751.10	227% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS SOFT TISSUE WO	$1,096.00	$1,096.00	$438.40	—	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO	$2,694.00	$2,694.00	$1,077.60	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCARD PERF SPECT MULTI STUDIES	$4,950.00	$4,950.00	$998.41–$3,217.50	163% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCARD PERF SPECT MULTI STUDIES	$4,950.00	$4,950.00	$1,980.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS LTD	$494.00	$494.00	$80.62–$321.10	209% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS LTD	$494.00	$494.00	$197.60	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-Pelvis-Transabdominal	$787.00	$787.00	$80.62–$511.55	189% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-Pelvis-Transabdominal	$787.00	$787.00	$314.80	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-OB>14WKS	$680.00	$680.00	$80.62–$442.00	154% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-OB>14WKS	$680.00	$680.00	$272.00	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-OB FIRST TRIMESTER	$532.00	$532.00	$80.62–$345.80	135% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-OB FIRST TRIMESTER	$532.00	$532.00	$212.80	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-OB LIMITED	$342.00	$342.00	$80.62–$222.30	125% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-OB LIMITED	$342.00	$342.00	$136.80	—	—
Screening mammogram, both breasts both sides CPT 77067 MM-MAMMO SCREEN BILAT W CAD	$376.00	$376.00	$112.80–$244.40	—	—
Screening mammogram, both breasts CPT 77067 MM-SCREEN 2 VIEW IMPLANTS W-CAD	$376.00	$376.00	$112.80–$244.40	387% above	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MM-MAMMO SCREEN BILAT W CAD	$376.00	$376.00	$150.40	—	—
Screening mammogram, both breasts inpatient CPT 77067 MM-SCREEN 2 VIEW IMPLANTS W-CAD	$376.00	$376.00	$150.40	—	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY,4 OR MORE	$4,377.00	$4,377.00	$576.10–$2,845.05	228% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY,4 OR MORE	$4,377.00	$4,377.00	$1,750.80	—	—
Transvaginal pelvic ultrasound CPT 76830 US-PELVIS-TRANSVAGINAL	$680.00	$680.00	$80.62–$442.00	154% above	—
Transvaginal pelvic ultrasound CPT 76830 US-Pelvis-Vag/Abd	$680.00	$680.00	$80.62–$442.00	154% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US-Pelvis-Vag/Abd	$680.00	$680.00	$272.00	—	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US-PELVIS-TRANSVAGINAL	$680.00	$680.00	$272.00	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US-OB TRANSVAGINAL	$504.00	$504.00	$80.62–$327.60	140% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-OB TRANSVAGINAL	$504.00	$504.00	$201.60	—	—
Ultrasound of the abdomen, complete CPT 76700 US-ABD COMPLETE	$903.00	$903.00	$80.62–$586.95	182% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABD COMPLETE	$903.00	$903.00	$361.20	—	—
Ultrasound of the scrotum and testicles CPT 76870 US-Testicles	$518.00	$518.00	$80.62–$336.70	96% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-Testicles	$518.00	$518.00	$207.20	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD/NECK (SOFT TISSUE)	$409.00	$409.00	$80.62–$265.85	70% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-THYROID	$518.00	$518.00	$80.62–$336.70	116% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD/NECK (SOFT TISSUE)	$409.00	$409.00	$163.60	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-THYROID	$518.00	$518.00	$207.20	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SINGLE CONTRAST INCL SCOUT	$909.00	$909.00	$135.27–$590.85	268% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI SINGLE CONTRAST INCL SCOUT	$909.00	$909.00	$363.60	—	—
X-ray of the abdomen, 1 view CPT 74018 XR-KUB	$269.00	$269.00	$67.12–$174.85	165% above	—
X-ray of the abdomen, 1 view CPT 74018 XR-ABDOMEN	$269.00	$269.00	$67.12–$174.85	165% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR-ABDOMEN	$269.00	$269.00	$107.60	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR-KUB	$269.00	$269.00	$107.60	—	—
X-ray of the finger(s), 2 or more views both sides CPT 73140 BILATERAL FINGER MIN 2v	$378.00	$378.00	$67.12–$245.70	—	—
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 BILATERAL FINGER MIN 2v	$378.00	$378.00	$151.20	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR-LSP 2V/3V	$302.00	$302.00	$80.62–$196.30	114% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR-LSP 2V/3V	$302.00	$302.00	$120.80	—	—
X-ray of the lower back, 4 or more views CPT 72110 XR-L-SPINE 4/5 V	$401.00	$401.00	$80.62–$260.65	90% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR-L-SPINE 4/5 V	$401.00	$401.00	$160.40	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR-T-SPINE 2V	$302.00	$302.00	$80.62–$196.30	150% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR-T-SPINE 2V	$302.00	$302.00	$120.80	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR-NASAL BONES	$222.00	$222.00	$67.12–$157.92	119% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR-NASAL BONES	$222.00	$222.00	$88.80	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR-C-SPINE 3 V OR LESS	$295.00	$295.00	$67.12–$191.75	131% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR-C-SPINE 3 V OR LESS	$295.00	$295.00	$118.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR-PELVIS 1V/2V	$269.00	$269.00	$80.62–$189.70	122% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR-PELVIS 1V/2V	$269.00	$269.00	$107.60	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-SACRUM & COCCYX	$279.00	$279.00	$67.12–$181.35	122% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-SACRUM & COCCYX	$279.00	$279.00	$111.60	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$141.00	$141.00	$4.50–$91.65	391% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$141.00	$141.00	$56.40	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$141.00	$141.00	$4.40–$91.65	348% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$141.00	$141.00	$56.40	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL A,B,C	$525.00	$525.00	$40.49–$341.25	254% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL A,B,C	$525.00	$525.00	$210.00	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CORN	$28.00	$28.00	$4.44–$18.20	161% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CHOCOLATE	$28.00	$28.00	$4.44–$18.20	161% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-BEEF	$28.00	$28.00	$4.44–$18.20	161% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-PORK	$28.00	$28.00	$4.44–$18.20	161% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-EGG(WHOLE)	$28.00	$28.00	$4.44–$18.20	161% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$28.00	$28.00	$4.44–$18.20	161% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CLAM *	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-LOBSTER *	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-SCALLOP *	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast - Shrimp	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast - Crab	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast - Soybean	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast - Wheat	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast - Milk (Cow)	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CASHEW *	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-ALMOND *	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-PEANUT *	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CODFISH *	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-OYSTER *	$32.00	$32.00	$4.44–$20.80	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P15-ASH WHITE	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 T8 ELM AMERICAN TREE $	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST,BERMUDA,IGE-G2 $	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 W1 RAGWEED SHORT $	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 E2 DOG EPITHELIA $	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-DUST MITE/PTRONY	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALTERNARIA *	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK, ALLERGEN	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST -TIMOTHY GRASS	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS, IGE	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P16-CEDAR, MOUNTAIN	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P17-COMMON SILVER BIRCH	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P18-COTTONWOOD	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P19-MAPLE LEAF	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P20-MAPLE/BOX ELDER	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P21-PENICILLIUM CHRYSOGENUM	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P22-PIGWEED, ROUGH	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P23+-SHEEP CORREL	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P24-WHITE MULBERRY	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 P25-CLADOSPORIUM HERBARUM	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST: GOAT EPITHELIA	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - SWEETGUM	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - MUGWART	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - LAMBS QUARTER	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - JOHNSON	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - BAHIA	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - THISTLE, RUSSIAN	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - MOUSE URINE	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST ALLERGEN	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RASH-DUST MITE/FARIANE	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-WALNUT *	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-PECAN *	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CAT HAIR *	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-OAK, WHITE *	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-COCKROACH *	$37.00	$37.00	$4.44–$24.05	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - BLACK PEPPERCORN	$38.25	$38.25	$4.44–$24.86	256% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - CHILI PEPPER	$38.85	$38.85	$4.44–$25.25	262% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM PROLIFERATUM	$38.85	$38.85	$4.44–$25.25	262% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 SETOMELANOMMA ROSTRATA	$38.85	$38.85	$4.44–$25.25	262% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTERS	$38.85	$38.85	$4.44–$25.25	262% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS NIGER, IGE	$39.00	$39.00	$4.44–$25.35	263% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST:CODFISH	$39.00	$39.00	$4.44–$25.35	263% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST:SALMON	$39.00	$39.00	$4.44–$25.35	263% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST:TUNA	$39.00	$39.00	$4.44–$25.35	263% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST:MUSSEL	$39.00	$39.00	$4.44–$25.35	263% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST:SHRIMP	$39.00	$39.00	$4.44–$25.35	263% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-EGG WHITE	$41.00	$41.00	$4.44–$26.65	282% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST: CHICKEN	$42.00	$42.00	$4.44–$27.30	291% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST: SESAME	$44.00	$44.00	$4.44–$28.60	310% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST: ONION	$46.00	$46.00	$4.44–$29.90	329% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST: TOMATO	$48.00	$48.00	$4.44–$31.20	347% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-HAZELNUT *	$55.00	$55.00	$4.44–$35.75	413% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST:HORSE	$58.00	$58.00	$4.44–$37.70	441% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 XANTHAN GUM, ALLERGEN	$59.00	$59.00	$4.44–$38.35	450% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 GALACTOSE-ALPHA-1,3-GALACTOSE,IgE	$80.00	$80.00	$4.44–$52.00	646% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST:DOG EPITHELIUM	$91.00	$91.00	$4.44–$59.15	748% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL	$135.00	$135.00	$4.44–$87.75	1158% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CHOCOLATE	$28.00	$28.00	$11.20	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CORN	$28.00	$28.00	$11.20	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-BEEF	$28.00	$28.00	$11.20	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-PORK	$28.00	$28.00	$11.20	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-EGG(WHOLE)	$28.00	$28.00	$11.20	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$28.00	$28.00	$11.20	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CASHEW *	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-SCALLOP *	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast - Shrimp	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast - Wheat	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast - Soybean	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CLAM *	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast - Milk (Cow)	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-OYSTER *	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CODFISH *	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast - Crab	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-PEANUT *	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-ALMOND *	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-LOBSTER *	$32.00	$32.00	$12.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - MUGWART	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - LAMBS QUARTER	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - JOHNSON	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - BAHIA	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - THISTLE, RUSSIAN	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - MOUSE URINE	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST ALLERGEN	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RASH-DUST MITE/FARIANE	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-WALNUT *	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-PECAN *	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CAT HAIR *	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-OAK, WHITE *	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-COCKROACH *	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T8 ELM AMERICAN TREE $	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,BERMUDA,IGE-G2 $	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W1 RAGWEED SHORT $	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E2 DOG EPITHELIA $	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-DUST MITE/PTRONY	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALTERNARIA *	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK, ALLERGEN	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST -TIMOTHY GRASS	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS, IGE	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P15-ASH WHITE	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P16-CEDAR, MOUNTAIN	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P17-COMMON SILVER BIRCH	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P18-COTTONWOOD	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P19-MAPLE LEAF	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P20-MAPLE/BOX ELDER	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P21-PENICILLIUM CHRYSOGENUM	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P22-PIGWEED, ROUGH	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P23+-SHEEP CORREL	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P24-WHITE MULBERRY	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P25-CLADOSPORIUM HERBARUM	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST: GOAT EPITHELIA	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - SWEETGUM	$37.00	$37.00	$14.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - BLACK PEPPERCORN	$38.25	$38.25	$15.30	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - CHILI PEPPER	$38.85	$38.85	$15.54	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SETOMELANOMMA ROSTRATA	$38.85	$38.85	$15.54	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM PROLIFERATUM	$38.85	$38.85	$15.54	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB'S QUARTERS	$38.85	$38.85	$15.54	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST:CODFISH	$39.00	$39.00	$15.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST:TUNA	$39.00	$39.00	$15.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST:SALMON	$39.00	$39.00	$15.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST:MUSSEL	$39.00	$39.00	$15.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS NIGER, IGE	$39.00	$39.00	$15.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST:SHRIMP	$39.00	$39.00	$15.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-EGG WHITE	$41.00	$41.00	$16.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST: CHICKEN	$42.00	$42.00	$16.80	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST: SESAME	$44.00	$44.00	$17.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST: ONION	$46.00	$46.00	$18.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST: TOMATO	$48.00	$48.00	$19.20	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-HAZELNUT *	$55.00	$55.00	$22.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST:HORSE	$58.00	$58.00	$23.20	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 XANTHAN GUM, ALLERGEN	$59.00	$59.00	$23.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GALACTOSE-ALPHA-1,3-GALACTOSE,IgE	$80.00	$80.00	$32.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST:DOG EPITHELIUM	$91.00	$91.00	$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL	$135.00	$135.00	$54.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES	$148.00	$148.00	$11.01–$96.20	316% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES	$148.00	$148.00	$59.20	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 P1: ANA	$70.00	$70.00	$10.28–$45.50	102% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX	$86.00	$86.00	$10.28–$55.90	148% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX CASCADE	$93.00	$93.00	$10.28–$60.45	168% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB BY IFA (ANA)*	$100.00	$100.00	$10.28–$65.00	188% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 P1: ANA	$70.00	$70.00	$28.00	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX	$86.00	$86.00	$34.40	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX CASCADE	$93.00	$93.00	$37.20	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB BY IFA (ANA)*	$100.00	$100.00	$40.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP*	$368.00	$368.00	$33.37–$239.20	297% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP*	$368.00	$368.00	$147.20	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PAN/BIG 8	$50.00	$50.00	$7.19–$32.50	33% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PAN/BIG 8	$50.00	$50.00	$20.00	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST-LEVEL 4	$266.00	$266.00	$40.19–$172.90	253% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST-LEVEL 4	$266.00	$266.00	$106.40	—	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD #3	$211.00	$211.00	$8.77–$137.15	244% above	—
Blood culture for bacteria CPT 87040 CULTURE-BLOOD #1	$211.00	$211.00	$8.77–$137.15	244% above	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD #2	$211.00	$211.00	$8.77–$137.15	244% above	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD #2	$211.00	$211.00	$84.40	—	—
Blood culture for bacteria inpatient CPT 87040 CULTURE-BLOOD #1	$211.00	$211.00	$84.40	—	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD #3	$211.00	$211.00	$84.40	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$20.00	$20.00	$7.94–$18.68	119% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION FEE	$20.00	$20.00	$7.94–$18.68	119% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$20.00	$20.00	$8.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION FEE	$20.00	$20.00	$8.00	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE	$109.00	$109.00	$3.34–$70.85	361% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$109.00	$109.00	$43.60	—	—
Blood lead test CPT 83655 LEAD LEVEL (PEDIATRIC)	$126.00	$126.00	$10.29–$81.90	243% above	—
Blood lead test CPT 83655 LEAD-BLD:HVYMETALS $	$140.00	$140.00	$10.29–$91.00	281% above	—
Blood lead test CPT 83655 LEAD - BLOOD *	$186.00	$186.00	$10.29–$120.90	406% above	—
Blood lead test inpatient CPT 83655 LEAD LEVEL (PEDIATRIC)	$126.00	$126.00	$50.40	—	—
Blood lead test inpatient CPT 83655 LEAD-BLD:HVYMETALS $	$140.00	$140.00	$56.00	—	—
Blood lead test inpatient CPT 83655 LEAD - BLOOD *	$186.00	$186.00	$74.40	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LIFELINE ABO	$36.00	$36.00	$2.54–$23.40	27% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$53.00	$53.00	$2.54–$34.45	8% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LIFELINE ABO	$36.00	$36.00	$14.40	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$53.00	$53.00	$21.20	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN *	$40.00	$40.00	$4.40–$26.00	88% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 P3: CRP	$61.00	$61.00	$4.40–$39.65	186% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HS CPR	$114.00	$114.00	$4.40–$74.10	435% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN *	$40.00	$40.00	$16.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 P3: CRP	$61.00	$61.00	$24.40	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HS CPR	$114.00	$114.00	$45.60	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile, PCR	$181.00	$181.00	$31.68–$117.65	113% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Difficile, PCR	$181.00	$181.00	$72.40	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 *	$165.00	$165.00	$17.69–$107.25	150% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 *	$165.00	$165.00	$66.00	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 *	$165.00	$165.00	$17.69–$107.25	137% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 *	$165.00	$165.00	$66.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$75.00	$75.00	$30.00–$102.62	42% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 (DNA or RNA)	$75.00	$75.00	$30.00–$102.62	42% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$75.00	$75.00	$30.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 (DNA or RNA)	$75.00	$75.00	$30.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY DNA PROBE $	$122.00	$122.00	$29.83–$79.30	103% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA PROBE	$139.00	$139.00	$29.83–$90.35	132% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 URINE FOR CHLMYDIA * $	$201.00	$201.00	$29.83–$130.65	235% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 URINE FOR CHLAMYDIA *	$221.00	$221.00	$29.83–$143.65	268% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY DNA PROBE $	$122.00	$122.00	$48.80	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA PROBE	$139.00	$139.00	$55.60	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 URINE FOR CHLMYDIA * $	$201.00	$201.00	$80.40	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 URINE FOR CHLAMYDIA *	$221.00	$221.00	$88.40	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE - INHOUSE	$103.00	$103.00	$11.38–$66.95	152% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE - INHOUSE	$103.00	$103.00	$41.20	—	—
Complete blood count (CBC) with differential CPT 85025 CBC AUTO DIFF	$56.00	$56.00	$6.60–$36.40	42% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO DIFF	$56.00	$56.00	$22.40	—	—
Complete blood count (CBC), no differential CPT 85027 CBC-HEMOGRAM	$45.00	$45.00	$5.50–$29.25	65% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC-HEMOGRAM	$45.00	$45.00	$18.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 MULTICHEM/COMP METABOL PA	$62.00	$62.00	$8.98–$40.30	37% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 MULTICHEM/COMP METABOL PA	$62.00	$62.00	$24.80	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$193.00	$193.00	$8.65–$125.45	272% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$193.00	$193.00	$77.20	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA, SULFATE	$345.00	$345.00	$18.90–$224.25	380% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SERUM *	$470.00	$470.00	$18.90–$305.50	554% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA, SULFATE	$345.00	$345.00	$138.00	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SERUM *	$470.00	$470.00	$188.00	—	—
Estradiol blood test CPT 82670 ESTRADIOL *	$148.00	$148.00	$23.75–$96.20	74% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL *	$148.00	$148.00	$59.20	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING *	$107.00	$107.00	$15.79–$69.55	72% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING *	$107.00	$107.00	$42.80	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$384.00	$384.00	$16.69–$249.60	282% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN	$384.00	$384.00	$153.60	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN *	$205.00	$205.00	$11.59–$133.25	355% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN *	$205.00	$205.00	$82.00	—	—
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SERUM	$113.00	$113.00	$12.49–$73.45	129% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID) SERUM	$113.00	$113.00	$45.20	—	—
Free T3 thyroid hormone test CPT 84481 FREE T3 *	$269.00	$269.00	$14.40–$174.85	377% above	—
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 *	$269.00	$269.00	$107.60	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$69.00	$69.00	$7.67–$44.85	105% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$69.00	$69.00	$27.60	—	—
Free testosterone test CPT 84402 TESTOSTERONE, FREE *	$316.00	$316.00	$21.65–$205.40	394% above	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE *	$316.00	$316.00	$126.40	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$528.00	$528.00	$158.40–$403.92	290% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$528.00	$528.00	$211.20	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST GLUCOSE DOSE	$141.00	$141.00	$4.04–$91.65	362% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, POST GLUCOSE DOSE	$141.00	$141.00	$56.40	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPEC INCL 100G	$249.00	$249.00	$10.94–$161.85	496% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 SPEC INCL 100G	$249.00	$249.00	$99.60	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE, NAA AMP PROBE	$95.00	$95.00	$29.83–$70.18	56% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 URINE FOR GC * $	$201.00	$201.00	$29.83–$130.65	230% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE, NAA AMP PROBE	$95.00	$95.00	$38.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 URINE FOR GC * $	$201.00	$201.00	$80.40	—	—
H. pylori antibody blood test CPT 86677 CLO TEST	$123.00	$123.00	$14.32–$79.95	155% above	—
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY, IGM	$214.00	$214.00	$14.32–$139.10	344% above	—
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY, IGG	$214.00	$214.00	$14.32–$139.10	344% above	—
H. pylori antibody blood test inpatient CPT 86677 CLO TEST	$123.00	$123.00	$49.20	—	—
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY, IGM	$214.00	$214.00	$85.60	—	—
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY, IGG	$214.00	$214.00	$85.60	—	—
H. pylori stool antigen test CPT 87338 H PYLORI, STOOL AG	$345.00	$345.00	$12.22–$224.25	481% above	—
H. pylori stool antigen test inpatient CPT 87338 H PYLORI, STOOL AG	$345.00	$345.00	$138.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR,QUANTIT	$809.00	$809.00	$72.33–$525.85	443% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV GENOVIRAL LOAD	$809.00	$809.00	$72.33–$525.85	443% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA BY PCR,QUANTIT	$809.00	$809.00	$323.60	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV GENOVIRAL LOAD	$809.00	$809.00	$323.60	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 4th Gen Reflex Confirmation	$159.00	$159.00	$20.47–$103.35	210% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 4th Gen Reflex Confirmation	$159.00	$159.00	$63.60	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A-1-C	$70.00	$70.00	$8.25–$45.50	67% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A-1-C	$70.00	$70.00	$28.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTI$	$39.00	$39.00	$9.13–$25.35	21% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SUR ANTIBODY*	$221.00	$221.00	$9.13–$143.65	346% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTI$	$39.00	$39.00	$15.60	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SUR ANTIBODY*	$221.00	$221.00	$88.40	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFANTIGEN $	$39.00	$39.00	$8.78–$25.35	16% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN *	$173.00	$173.00	$8.78–$112.45	415% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFANTIGEN $	$39.00	$39.00	$15.60	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN *	$173.00	$173.00	$69.20	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY	$107.00	$107.00	$12.13–$69.55	143% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB CASCADE TO QUANT PCR/GENO	$107.00	$107.00	$12.13–$69.55	143% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB CASCADE TO QUANT PCR/GENO	$107.00	$107.00	$42.80	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY	$107.00	$107.00	$42.80	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD,RNA/PCR,	$719.00	$719.00	$36.41–$467.35	450% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV, QNT, RNA-ABBOTT REALTIME	$778.00	$778.00	$36.41–$505.70	495% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANTASURE-VIRAL LO	$909.00	$909.00	$36.41–$590.85	596% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR QUANT	$1,026.00	$1,026.00	$36.41–$666.90	685% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL LOAD,RNA/PCR,	$719.00	$719.00	$287.60	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV, QNT, RNA-ABBOTT REALTIME	$778.00	$778.00	$311.20	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANTASURE-VIRAL LO	$909.00	$909.00	$363.60	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR QUANT	$1,026.00	$1,026.00	$410.40	—	—
Herpes blood test, HSV-1 antibody CPT 86695 TYPE 1 ANTIBODIES IG	$76.00	$76.00	$11.21–$49.40	128% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPESELECT: HSV 1	$157.00	$157.00	$11.21–$102.05	371% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 TYPE 1 ANTIBODIES IG	$76.00	$76.00	$30.40	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPESELECT: HSV 1	$157.00	$157.00	$62.80	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPESELECT: HSV 2	$157.00	$157.00	$16.45–$102.05	265% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPESELECT, TYPE 2	$185.00	$185.00	$16.45–$120.25	330% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPESELECT: HSV 2	$157.00	$157.00	$62.80	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPESELECT, TYPE 2	$185.00	$185.00	$74.00	—	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE(SERUM)	$380.00	$380.00	$15.23–$247.00	632% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE(SERUM)	$380.00	$380.00	$152.00	—	—
Insulin blood test CPT 83525 INSULIN LEVEL, TOTAL	$199.00	$199.00	$9.72–$129.35	399% above	—
Insulin blood test inpatient CPT 83525 INSULIN LEVEL, TOTAL	$199.00	$199.00	$79.60	—	—
Iron blood test (serum iron) CPT 83540 Iron, Serum	$50.00	$50.00	$5.50–$32.50	52% above	—
Iron blood test (serum iron) inpatient CPT 83540 Iron, Serum	$50.00	$50.00	$20.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING	$150.00	$150.00	$7.43–$97.50	225% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING	$150.00	$150.00	$60.00	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$378.00	$378.00	$7.38–$245.70	448% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$378.00	$378.00	$151.20	—	—
LH (luteinizing hormone) test CPT 83002 LEUTINIZING HORMONE (LH)*	$104.00	$104.00	$15.74–$67.60	68% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LEUTINIZING HORMONE (LH)*	$104.00	$104.00	$41.60	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE-SERUM	$134.00	$134.00	$5.86–$87.10	282% above	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE-FLUID	$134.00	$134.00	$5.86–$87.10	282% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE-FLUID	$134.00	$134.00	$53.60	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE-SERUM	$134.00	$134.00	$53.60	—	—
Liver function blood test panel CPT 80076 LIVER PRO/HEPATIC FUNC PA	$265.00	$265.00	$6.94–$172.25	177% above	—
Liver function blood test panel inpatient CPT 80076 LIVER PRO/HEPATIC FUNC PA	$265.00	$265.00	$106.00	—	—
Lyme disease antibody test CPT 86618 LYME DISEASE,ABS,TOTAL IM	$142.00	$142.00	$14.48–$92.30	243% above	—
Lyme disease antibody test CPT 86618 LYME AB,IGG:PNL/RFX-WB $	$255.00	$255.00	$14.48–$165.75	516% above	—
Lyme disease antibody test CPT 86618 LYME AB,IGM:ONL/RFX-WB $	$255.00	$255.00	$14.48–$165.75	516% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE ANTI EIA *	$449.00	$449.00	$14.48–$291.85	985% above	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE,ABS,TOTAL IM	$142.00	$142.00	$56.80	—	—
Lyme disease antibody test inpatient CPT 86618 LYME AB,IGG:PNL/RFX-WB $	$255.00	$255.00	$102.00	—	—
Lyme disease antibody test inpatient CPT 86618 LYME AB,IGM:ONL/RFX-WB $	$255.00	$255.00	$102.00	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTI EIA *	$449.00	$449.00	$179.60	—	—
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$134.00	$134.00	$5.70–$87.10	567% above	—
Magnesium blood test CPT 83735 MAGNESIUM	$141.00	$141.00	$5.70–$91.65	601% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC	$134.00	$134.00	$53.60	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$141.00	$141.00	$56.40	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES IGM	$94.00	$94.00	$10.95–$61.10	139% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES IGG $	$95.00	$95.00	$10.95–$61.75	141% above	—
Measles (rubeola) antibody test CPT 86765 ACUTE MEASLES PANEL	$412.00	$412.00	$10.95–$267.80	946% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES IGM	$94.00	$94.00	$37.60	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES IGG $	$95.00	$95.00	$38.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 ACUTE MEASLES PANEL	$412.00	$412.00	$164.80	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT	$141.00	$141.00	$4.40–$91.65	259% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT	$141.00	$141.00	$56.40	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$112.00	$112.00	$15.63–$72.80	143% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$112.00	$112.00	$44.80	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$184.00	$184.00	$15.63–$119.60	227% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$184.00	$184.00	$73.60	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTACT	$110.00	$110.00	$35.09–$82.56	5% below	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH + CALCIUM P2: PTH	$144.00	$144.00	$35.09–$93.60	25% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTACT	$110.00	$110.00	$44.00	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH + CALCIUM P2: PTH	$144.00	$144.00	$57.60	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT(LC-BU) $	$59.00	$59.00	$5.11–$38.35	138% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$93.00	$93.00	$5.11–$60.45	275% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT(LC-BU) $	$59.00	$59.00	$23.60	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$93.00	$93.00	$37.20	—	—
Progesterone blood test CPT 84144 PROGESTERONE SERUM *	$133.00	$133.00	$17.73–$86.45	109% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM *	$133.00	$133.00	$53.20	—	—
Prolactin blood test CPT 84146 PROLACTIN *	$316.00	$316.00	$16.47–$205.40	279% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN *	$316.00	$316.00	$126.40	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $	$51.00	$51.00	$3.65–$33.15	159% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$89.00	$89.00	$3.65–$57.85	351% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $	$51.00	$51.00	$20.40	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME	$89.00	$89.00	$35.60	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 OP DRUG SCREEN, RAPID	$55.00	$55.00	$10.71–$35.75	186% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 OP DRUG SCREEN, RAPID	$55.00	$55.00	$22.00	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP GROUP A ID, DIRECT OBSERVATION	$89.00	$89.00	$14.05–$57.85	153% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP GROUP A ID, DIRECT OBSERVATION	$89.00	$89.00	$35.60	—	—
Rheumatoid factor (RF) test CPT 86431 RA LATEX TURBID *	$31.00	$31.00	$4.82–$20.15	5% above	—
Rheumatoid factor (RF) test CPT 86431 RA LATEX TEST	$46.00	$46.00	$4.82–$29.90	56% above	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, FLUID	$48.30	$48.30	$4.82–$31.39	64% above	—
Rheumatoid factor (RF) test CPT 86431 P2: RA FACTOR QT	$70.00	$70.00	$4.82–$45.50	137% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RA LATEX TURBID *	$31.00	$31.00	$12.40	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RA LATEX TEST	$46.00	$46.00	$18.40	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, FLUID	$48.30	$48.30	$19.32	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 P2: RA FACTOR QT	$70.00	$70.00	$28.00	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES,IGG $	$109.00	$109.00	$12.23–$70.85	244% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IMM STS*	$126.00	$126.00	$12.23–$81.90	297% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES,IGG $	$109.00	$109.00	$43.60	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IMM STS*	$126.00	$126.00	$50.40	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED	$21.00	$21.00	$2.29–$13.65	1% below	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED	$21.00	$21.00	$8.40	—	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITE EXAM, CONCENTRATION	$96.00	$96.00	$7.57–$62.40	220% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE EXAM, CONCENTRATION	$96.00	$96.00	$38.40	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY	$95.00	$95.00	$13.53–$61.75	221% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY	$95.00	$95.00	$38.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/REFLEX TO CONFIRM T PALLIDUM	$118.00	$118.00	$3.63–$76.70	357% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR W/REFLEX TO CONFIRM T PALLIDUM	$118.00	$118.00	$47.20	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD-CLIENT INCUBATED	$227.00	$227.00	$52.68–$147.55	85% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTAFERON TB GOLD	$299.00	$299.00	$52.68–$194.35	143% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD-CLIENT INCUBATED	$227.00	$227.00	$90.80	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTAFERON TB GOLD	$299.00	$299.00	$119.60	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LEVEL,TOTAL*	$155.00	$155.00	$21.94–$100.75	115% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTERONE TOTAL LC/MS-MS	$200.00	$200.00	$21.94–$130.00	178% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE LEVEL,TOTAL*	$155.00	$155.00	$62.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTERONE TOTAL LC/MS-MS	$200.00	$200.00	$80.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVER KIDNEY ANTIBODY	$98.00	$98.00	$12.37–$63.70	140% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTI-MICROSOMAL	$135.00	$135.00	$12.37–$87.75	231% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE	$153.00	$153.00	$12.37–$99.45	275% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI LIVER KIDNEY ANTIBODY	$98.00	$98.00	$39.20	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTI-MICROSOMAL	$135.00	$135.00	$54.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE	$153.00	$153.00	$61.20	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$130.00	$130.00	$14.28–$84.50	155% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE	$164.00	$164.00	$14.28–$106.60	221% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$130.00	$130.00	$52.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE PROFILE	$164.00	$164.00	$65.60	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, NAA	$146.00	$146.00	$29.83–$94.90	135% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS, NAA	$146.00	$146.00	$58.40	—	—
Uric acid blood test CPT 84550 URIC ACID SERUM	$34.65	$34.65	$3.84–$22.52	18% above	—
Uric acid blood test CPT 84550 P5: URIC ACID	$65.00	$65.00	$3.84–$42.25	121% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID SERUM	$34.65	$34.65	$13.86	—	—
Uric acid blood test inpatient CPT 84550 P5: URIC ACID	$65.00	$65.00	$26.00	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, AUTOMATED W/ MICROSCOPY	$24.00	$24.00	$2.69–$15.60	22% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS, AUTOMATED W/ MICROSCOPY	$24.00	$24.00	$9.60	—	—
Urinalysis with microscope exam, manual CPT 81000 ACETONE, URINE	$54.00	$54.00	$3.42–$35.10	299% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 ACETONE, URINE	$54.00	$54.00	$21.60	—	—
Urinalysis without microscope exam, automated CPT 81003 UA-SP. GRAVITY AUTO W/O MICROSCOPY	$18.00	$18.00	$1.91–$11.70	67% above	—
Urinalysis without microscope exam, automated CPT 81003 UA-PROTEIN AUTO W/O MICROSCOPY	$18.00	$18.00	$1.91–$11.70	67% above	—
Urinalysis without microscope exam, automated CPT 81003 UA DIPSTICK ONLY AUTO W/O MICROSCOPY	$18.00	$18.00	$1.91–$11.70	67% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 UA-PROTEIN AUTO W/O MICROSCOPY	$18.00	$18.00	$7.20	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIPSTICK ONLY AUTO W/O MICROSCOPY	$18.00	$18.00	$7.20	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 UA-SP. GRAVITY AUTO W/O MICROSCOPY	$18.00	$18.00	$7.20	—	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE-URINE	$62.00	$62.00	$6.86–$40.30	70% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE-URINE	$62.00	$62.00	$24.80	—	—
Urine pregnancy test, read by color change CPT 81025 SURGERY CENTER URINE HCG	$54.00	$54.00	$7.32–$35.10	36% above	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST - URINE	$54.00	$54.00	$7.32–$35.10	36% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST - URINE	$54.00	$54.00	$21.60	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 SURGERY CENTER URINE HCG	$54.00	$54.00	$21.60	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VIT B12 DEFICIENCY CASCADE	$111.30	$111.30	$12.82–$72.34	122% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 *	$116.00	$116.00	$12.82–$75.40	131% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VIT B12 DEFICIENCY CASCADE	$111.30	$111.30	$44.52	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 *	$116.00	$116.00	$46.40	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY *	$100.00	$100.00	$25.16–$65.00	37% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 - Hydroxy Vitamin D2 and D3	$355.00	$355.00	$25.16–$230.75	385% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY *	$100.00	$100.00	$40.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 - Hydroxy Vitamin D2 and D3	$355.00	$355.00	$142.00	—	—
Zinc blood test CPT 84630 ZINC, RBC	$116.55	$116.55	$9.68–$75.76	240% above	—
Zinc blood test CPT 84630 ZINC *	$190.00	$190.00	$9.68–$123.50	454% above	—
Zinc blood test inpatient CPT 84630 ZINC, RBC	$116.55	$116.55	$46.62	—	—
Zinc blood test inpatient CPT 84630 ZINC *	$190.00	$190.00	$76.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, QUANT-PART 3	$159.00	$159.00	$12.79–$103.35	190% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHORIONIC(hCG), QUANT	$211.00	$211.00	$12.79–$137.15	284% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, QUANT-PART 3	$159.00	$159.00	$63.60	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN, CHORIONIC(hCG), QUANT	$211.00	$211.00	$84.40	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Botox injections for chronic migraine CPT 64615 BOTOX INJECTION	$591.00	$591.00	$171.10–$556.98	225% above	—
Botox injections for chronic migraine inpatient CPT 64615 BOTOX INJECTION	$591.00	$591.00	$236.40	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MM-BX BREAST STEREO GUIDE PLACE 1ST LES	$3,737.00	$3,737.00	$1,273.68–$2,996.90	149% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MM-BX BREAST STEREO GUIDE PLACE 1ST LES	$3,737.00	$3,737.00	$1,494.80	—	—
Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HEART CATH W/ LV	$12,709.00	$12,709.00	$1,210.24–$8,670.00	244% above	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 LEFT HEART CATH W/ LV	$12,709.00	$12,709.00	$5,083.60	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,087.00	$1,087.00	$180.64–$1,462.00	112% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTV EXTERNAL	$1,484.00	$1,484.00	$180.64–$1,199.32	189% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,484.00	$1,484.00	$180.64–$1,199.32	189% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$1,087.00	$1,087.00	$434.80	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,484.00	$1,484.00	$593.60	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTV EXTERNAL	$1,484.00	$1,484.00	$593.60	—	—
Earwax removal with instruments, one ear CPT 69210 IMPACTION CERUMEN	$123.00	$123.00	$49.20–$1,462.00	70% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 IMPACTION CERUMEN	$123.00	$123.00	$49.20	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDURAL INJ CERVICAL/THOR W/FLUORO	$1,662.00	$1,662.00	$544.37–$1,280.86	238% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPIDURAL INJ CERVICAL/THOR W/FLUORO	$1,662.00	$1,662.00	$664.80	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMBAR/SACRAL FACET/MBB INJ, 1 LEVEL	$1,929.00	$1,929.00	$626.00–$1,604.92	177% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 LUMBAR/SACRAL FACET/MBB INJ, 1 LEVEL	$1,929.00	$1,929.00	$771.60	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR-Hysterosalpingram Inj	$177.00	$177.00	$48.24–$151.00	15% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR-Hysterosalpingram Inj	$177.00	$177.00	$70.80	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE/SINGLE	$364.00	$364.00	$145.60–$364.06	111% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS, SIMPLE	$364.00	$364.00	$145.60–$1,462.00	111% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE SINGLE	$364.00	$364.00	$145.60–$364.06	111% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE/SINGLE	$364.00	$364.00	$145.60–$364.06	111% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$365.00	$365.00	$146.00–$364.06	112% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE SINGLE	$364.00	$364.00	$145.60	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF ABSCESS, SIMPLE	$364.00	$364.00	$145.60	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SIMPLE/SINGLE	$364.00	$364.00	$145.60	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE/SINGLE	$364.00	$364.00	$145.60	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$365.00	$365.00	$146.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJECTION - RADIOLOGY W/O US	$575.00	$575.00	$230.00–$556.98	86% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT ASP/INJ JT MAJOR WO US	$575.00	$575.00	$230.00–$556.98	86% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, MAJOR JOINT W/O US	$575.00	$575.00	$230.00–$1,462.00	86% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 LARGE JOINT INJECTION W/O US	$1,983.00	$1,983.00	$151.00–$1,288.95	542% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENT ASP/INJ JT MAJOR WO US	$575.00	$575.00	$230.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS, MAJOR JOINT W/O US	$575.00	$575.00	$230.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT INJECTION - RADIOLOGY W/O US	$575.00	$575.00	$230.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 LARGE JOINT INJECTION W/O US	$1,983.00	$1,983.00	$793.20	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ/ASP INTERM JOINT/BURSA	$578.00	$578.00	$231.20–$556.98	98% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 MEDIUM JOINT INJECTION W/O US	$591.00	$591.00	$151.00–$712.76	102% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ/ASP INTERM JOINT/BURSA	$578.00	$578.00	$231.20	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 MEDIUM JOINT INJECTION W/O US	$591.00	$591.00	$236.40	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT INJ W/O US	$578.00	$578.00	$231.20–$1,462.00	134% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT INJECTION W/O US	$1,502.00	$1,502.00	$151.00–$976.30	509% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT INJ W/O US	$578.00	$578.00	$231.20	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT INJECTION W/O US	$1,502.00	$1,502.00	$600.80	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WOUND SCALP < 2.5cm	$649.00	$649.00	$259.60–$1,462.00	214% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE WOUND SCALP < 2.5cm	$649.00	$649.00	$259.60	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJ LUMBAR/SACRA W/FLUORO	$1,662.00	$1,662.00	$544.37–$1,280.86	267% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJ LUMBAR/SACRA W/FLUORO	$1,662.00	$1,662.00	$664.80	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBAR/SAC EPID C/T S LV	$1,606.00	$1,606.00	$626.00–$1,604.92	195% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SELECTIVE NERVE ROOT BLOCK	$1,983.00	$1,983.00	$626.00–$1,604.92	265% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRANSFORMINAL EDRL L/S SGL	$1,983.00	$1,983.00	$626.00–$1,604.92	265% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUMBAR/SAC EPID C/T S LV	$1,606.00	$1,606.00	$642.40	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRANSFORMINAL EDRL L/S SGL	$1,983.00	$1,983.00	$793.20	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SELECTIVE NERVE ROOT BLOCK	$1,983.00	$1,983.00	$793.20	—	—
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE PART/COMP SIMPLE 1	$379.00	$379.00	$151.60–$364.06	236% above	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE	$419.48	$419.48	$154.73–$364.06	272% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE PART/COMP SIMPLE 1	$379.00	$379.00	$151.60	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE	$419.48	$419.48	$167.79	—	—
Occipital nerve block (injection for headaches) CPT 64405 OCCIPITAL NERVE BLOCK	$591.00	$591.00	$151.00–$712.76	182% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 OCCIPITAL NERVE BLOCK	$591.00	$591.00	$236.40	—	—
Paracentesis with imaging guidance CPT 49083 US-ABD PARACENTESIS	$946.00	$946.00	$378.40–$1,645.76	77% above	—
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W IMAGING GUIDE	$1,573.00	$1,573.00	$629.20–$1,645.76	195% above	—
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W IMAG GUIDE	$1,573.00	$1,573.00	$629.20–$1,645.76	195% above	—
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/IMAGING	$1,573.00	$1,573.00	$425.00–$1,645.76	195% above	—
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W IMAGE GUIDE	$1,573.00	$1,573.00	$629.20–$1,645.76	195% above	—
Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACENTESIS	$946.00	$946.00	$378.40	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W IMAGE GUIDE	$1,573.00	$1,573.00	$629.20	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W IMAGING GUIDE	$1,573.00	$1,573.00	$629.20	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W IMAG GUIDE	$1,573.00	$1,573.00	$629.20	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/IMAGING	$1,573.00	$1,573.00	$629.20	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL & MATRIX	$764.00	$764.00	$305.60–$1,462.00	190% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL & MATRIX	$764.00	$764.00	$305.60	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 RFA LUMBAR/SACRAL FACET JOINT	$4,000.00	$4,000.00	$984.63–$3,543.32	160% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 RFA LUMBAR/SACRAL FACET JOINT	$4,000.00	$4,000.00	$1,600.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM SKIN	$649.00	$649.00	$259.60–$1,462.00	152% above	—
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGHN BODY,SIMPLE-NOT FOOT	$764.00	$764.00	$305.60–$737.64	197% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL OF FOREIGN BODY FROM SKIN	$649.00	$649.00	$259.60	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL OF FOREIGHN BODY,SIMPLE-NOT FOOT	$764.00	$764.00	$305.60	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR WOUND SCALP 2.5 OR LESS	$364.00	$364.00	$145.60–$1,462.00	72% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE WOUND REPAIR 2.5CM OR <	$397.00	$397.00	$154.73–$364.06	88% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR WOUND SCALP 2.5 OR LESS	$364.00	$364.00	$145.60	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE WOUND REPAIR 2.5CM OR <	$397.00	$397.00	$158.80	—	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN, SINGLE LESION	$365.00	$365.00	$146.00–$737.64	144% above	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN, SINGLE LESION	$809.00	$809.00	$313.50–$737.64	442% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN, SINGLE LESION	$365.00	$365.00	$146.00	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN, SINGLE LESION	$809.00	$809.00	$323.60	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP	$294.00	$294.00	$117.60–$1,280.86	19% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUNBAR PUNCTURE	$1,237.00	$1,237.00	$494.80–$1,280.86	240% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$2,218.00	$2,218.00	$544.37–$1,441.70	510% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP	$294.00	$294.00	$117.60	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUNBAR PUNCTURE	$1,237.00	$1,237.00	$494.80	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$2,218.00	$2,218.00	$887.20	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUND SCALP 2.6 TO 7.5 CM	$364.00	$364.00	$145.60–$1,462.00	57% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR WOUND SCALP 2.6 TO 7.5 CM	$364.00	$364.00	$145.60	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR WOUND FACE 2.5 CM OR LESS	$364.00	$364.00	$145.60–$1,462.00	72% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR WOUND FACE 2.5 CM OR LESS	$364.00	$364.00	$145.60	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION	$389.00	$389.00	$155.60–$737.64	163% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION	$389.00	$389.00	$155.60	—	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAG	$1,280.00	$1,280.00	$425.00–$1,462.00	151% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTEIS NDLE/CATH ASPIR W GUIDE	$1,280.00	$1,280.00	$483.77–$1,138.28	151% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTEIS NDL CATH ASPIR W IMG GUID	$1,280.00	$1,280.00	$483.77–$1,138.28	151% above	—
Thoracentesis with imaging guidance CPT 32555 US-Thoracentesis S&I	$1,871.00	$1,871.00	$483.77–$1,216.15	268% above	—
Thoracentesis with imaging guidance CPT 32555 XA-ASPIRATE PLEURA W IMAGE	$1,871.00	$1,871.00	$483.77–$1,216.15	268% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTEIS NDL CATH ASPIR W IMG GUID	$1,280.00	$1,280.00	$512.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAG	$1,280.00	$1,280.00	$512.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTEIS NDLE/CATH ASPIR W GUIDE	$1,280.00	$1,280.00	$512.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 XA-ASPIRATE PLEURA W IMAGE	$1,871.00	$1,871.00	$748.40	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 US-Thoracentesis S&I	$1,871.00	$1,871.00	$748.40	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 BLOCK FOR PAIN - MUSCLE	$511.00	$511.00	$204.40–$1,462.00	108% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PTS, 1-2MUSCL	$1,570.00	$1,570.00	$236.72–$1,020.50	539% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 BLOCK FOR PAIN - MUSCLE	$511.00	$511.00	$204.40	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PTS, 1-2MUSCL	$1,570.00	$1,570.00	$628.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US-VACUUM ASSISTED BIOPSY(VACORA)	$3,737.00	$3,737.00	$791.00–$2,996.90	277% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US-VACUUM ASSISTED BIOPSY(VACORA)	$3,737.00	$3,737.00	$1,494.80	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE;SKIN & SUBQ(epi&dermis<=20sq cm)	$718.00	$718.00	$150.41–$737.64	82% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUT TIS1ST 20 SQ CM/<	$884.65	$884.65	$150.41–$737.64	124% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE;SKIN & SUBQ(epi&dermis<=20sq cm)	$718.00	$718.00	$287.20	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBCUT TIS1ST 20 SQ CM/<	$884.65	$884.65	$353.86	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Blood transfusion (giving blood or blood components) CPT 36430 FFP TRANSFUSION	$823.00	$823.00	$47.71–$800.54	119% above	—
Blood transfusion (giving blood or blood components) CPT 36430 CRYOPRECIPITATE TRANS	$823.00	$823.00	$47.71–$800.54	119% above	—
Blood transfusion (giving blood or blood components) CPT 36430 PLATELET TRANSFUSION	$823.00	$823.00	$47.71–$800.54	119% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$823.00	$823.00	$47.71–$800.54	119% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CRYOPRECIPITATE TRANS	$823.00	$823.00	$329.20	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PLATELET TRANSFUSION	$823.00	$823.00	$329.20	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 FFP TRANSFUSION	$823.00	$823.00	$329.20	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$823.00	$823.00	$329.20	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB #1, EACH ADD DAY	$171.00	$171.00	$8.96–$397.34	74% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB, REPEAT SAME DAY	$171.00	$171.00	$8.96–$397.34	74% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB #1, AFTER INITAL	$174.00	$174.00	$8.96–$397.34	77% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL	$176.00	$176.00	$8.96–$397.34	79% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL #1, AFTER INITIAL	$176.00	$176.00	$8.96–$397.34	79% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL #1, EA ADD DAY	$176.00	$176.00	$8.96–$397.34	79% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL, REPEAT SAME DAY	$176.00	$176.00	$8.96–$397.34	79% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT	$176.00	$176.00	$8.96–$397.34	79% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER PERFORMED BY ED STAFF	$396.00	$396.00	$8.96–$1,462.00	302% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER PERFORMED BY RESPIRATORY STAFF	$396.00	$396.00	$8.96–$1,462.00	302% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB #1, EACH ADD DAY	$171.00	$171.00	$68.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB, REPEAT SAME DAY	$171.00	$171.00	$68.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB #1, AFTER INITAL	$174.00	$174.00	$69.60	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB INITIAL	$176.00	$176.00	$70.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT	$176.00	$176.00	$70.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL #1, EA ADD DAY	$176.00	$176.00	$70.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL #1, AFTER INITIAL	$176.00	$176.00	$70.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL, REPEAT SAME DAY	$176.00	$176.00	$70.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER PERFORMED BY RESPIRATORY STAFF	$396.00	$396.00	$158.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER PERFORMED BY ED STAFF	$396.00	$396.00	$158.40	—	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUS 1STHR,S/IN SB	$491.00	$491.00	$196.40–$1,120.00	100% above	—
Chemotherapy IV infusion, first hour CPT 96413 IV PUSH - CHEMOTHERAPY - INITIAL HOUR	$596.00	$596.00	$238.40–$1,462.00	143% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUS 1STHR,S/IN SB	$491.00	$491.00	$196.40	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV PUSH - CHEMOTHERAPY - INITIAL HOUR	$596.00	$596.00	$238.40	—	—
Critical care, first 30 to 74 minutes CPT 99291 ER-CRITICAL CARE	$2,651.00	$2,651.00	$425.00–$1,723.15	157% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER-CRITICAL CARE	$2,651.00	$2,651.00	$1,060.40	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG (AWAKE & DROWSY)	$771.00	$771.00	$166.51–$501.15	159% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG (AWAKE & DROWSY)	$771.00	$771.00	$308.40	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-REPEAT BY SAME DR.	$272.00	$272.00	$7.06–$176.80	155% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM (EKG)	$272.00	$272.00	$7.06–$176.80	155% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-REPEAT BY DIFF DR.	$272.00	$272.00	$7.06–$176.80	155% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM (EKG)	$272.00	$272.00	$108.80	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-REPEAT BY DIFF DR.	$272.00	$272.00	$108.80	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-REPEAT BY SAME DR.	$272.00	$272.00	$108.80	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER-LEVEL 1	$351.00	$351.00	$43.73–$1,462.00	157% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER-LEVEL 1	$351.00	$351.00	$140.40	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER-LEVEL 2	$404.00	$404.00	$43.73–$1,462.00	95% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER-LEVEL 2	$404.00	$404.00	$161.60	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER-LEVEL 3	$781.00	$781.00	$96.20–$1,462.00	107% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER-LEVEL 3	$781.00	$781.00	$312.40	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER-LEVEL 4	$1,396.00	$1,396.00	$148.66–$1,462.00	121% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER-LEVEL 4	$1,396.00	$1,396.00	$558.40	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER-LEVEL 5	$2,024.00	$2,024.00	$279.82–$1,462.00	119% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER-LEVEL 5	$2,024.00	$2,024.00	$809.60	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS/TREADMILL	$891.00	$891.00	$42.55–$579.15	163% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS/CHEMICAL	$891.00	$891.00	$42.55–$579.15	163% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS/CHEMICAL	$891.00	$891.00	$356.40	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS/TREADMILL	$891.00	$891.00	$356.40	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF,HYDRATION,1ST HR	$387.00	$387.00	$154.80–$1,462.00	260% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV ADMIN HYDRATION INTIAL HR	$387.00	$387.00	$154.80–$385.96	260% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV ADMIN HYDRATION INITIAL HOUR	$387.00	$387.00	$154.80–$385.96	260% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV ADMIN HYDRATION INITIAL HR	$387.00	$387.00	$154.80–$385.96	260% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV ADMIN HYDRATION INTIAL HOUR	$387.00	$387.00	$154.80–$385.96	260% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS,HYDRATION 1ST HR	$389.00	$389.00	$155.60–$385.96	262% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS, HYDRATION 1ST HR	$462.00	$462.00	$164.03–$385.96	329% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV ADMIN HYDRATION INITIAL HR	$387.00	$387.00	$154.80	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV ADMIN HYDRATION INTIAL HOUR	$387.00	$387.00	$154.80	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV ADMIN HYDRATION INITIAL HOUR	$387.00	$387.00	$154.80	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV ADMIN HYDRATION INTIAL HR	$387.00	$387.00	$154.80	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF,HYDRATION,1ST HR	$387.00	$387.00	$154.80	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS,HYDRATION 1ST HR	$389.00	$389.00	$155.60	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS, HYDRATION 1ST HR	$462.00	$462.00	$184.80	—	—
IV infusion of a medicine, first hour CPT 96365 THROMBOLYTIC IV ADMIN 1HR	$333.00	$333.00	$133.20–$1,462.00	124% above	—
IV infusion of a medicine, first hour CPT 96365 IV ADMIN MEDICATION INITIAL HOUR	$387.00	$387.00	$154.80–$385.96	161% above	—
IV infusion of a medicine, first hour CPT 96365 IV ADMIN MEDICATION INTIAL HOUR	$387.00	$387.00	$154.80–$385.96	161% above	—
IV infusion of a medicine, first hour CPT 96365 IV ADMIN MEDICATION INITIAL HR	$387.00	$387.00	$154.80–$385.96	161% above	—
IV infusion of a medicine, first hour CPT 96365 IV INF,THER/DX,INIT,1HR	$387.00	$387.00	$154.80–$1,462.00	161% above	—
IV infusion of a medicine, first hour CPT 96365 IV INF,THER/DX,INIT,1STHR	$428.00	$428.00	$164.03–$385.96	188% above	—
IV infusion of a medicine, first hour CPT 96365 IV THERAPY 1ST HR	$445.00	$445.00	$164.03–$385.96	200% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 THROMBOLYTIC IV ADMIN 1HR	$333.00	$333.00	$133.20	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV ADMIN MEDICATION INITIAL HOUR	$387.00	$387.00	$154.80	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV ADMIN MEDICATION INTIAL HOUR	$387.00	$387.00	$154.80	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF,THER/DX,INIT,1HR	$387.00	$387.00	$154.80	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV ADMIN MEDICATION INITIAL HR	$387.00	$387.00	$154.80	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF,THER/DX,INIT,1STHR	$428.00	$428.00	$171.20	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY 1ST HR	$445.00	$445.00	$178.00	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NON CHEMO INJ;SQ.IM	$88.00	$88.00	$35.20–$130.64	57% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IV INJ; SQ OR IM	$120.00	$120.00	$48.00–$130.64	114% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNSTC INJ	$123.00	$123.00	$49.20–$130.64	120% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ, SQ/IM (EA)	$123.00	$123.00	$49.20–$1,462.00	120% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$123.00	$123.00	$49.20–$130.64	120% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 DIAGNOSTIC INJECTION INTRAMUSCULAR	$123.00	$123.00	$49.20–$130.64	120% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non Chemo IM Inj/Antibiotic	$204.00	$204.00	$55.52–$132.60	264% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NON CHEMO INJ;SQ.IM	$88.00	$88.00	$35.20	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IV INJ; SQ OR IM	$120.00	$120.00	$48.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNSTC INJ	$123.00	$123.00	$49.20	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ, SQ/IM (EA)	$123.00	$123.00	$49.20	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$123.00	$123.00	$49.20	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 DIAGNOSTIC INJECTION INTRAMUSCULAR	$123.00	$123.00	$49.20	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non Chemo IM Inj/Antibiotic	$204.00	$204.00	$81.60	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC EVALULATION	$456.00	$456.00	$161.04–$1,462.00	276% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC EVALULATION	$456.00	$456.00	$182.40	—	—
New patient office visit, about 30 minutes CPT 99203 NEW PT VISIT<=30 MINUTES	$210.00	$210.00	$63.00–$136.50	146% above	—
New patient office visit, about 30 minutes CPT 99203 NEW PT VISIT W/PROC 30MIN	$248.00	$248.00	$67.85–$161.20	191% above	—
New patient office visit, about 30 minutes CPT 99203 NEW PT VISIT 30 MIN	$248.00	$248.00	$67.85–$161.20	191% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT VISIT<=30 MINUTES	$210.00	$210.00	$84.00	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT VISIT 30 MIN	$248.00	$248.00	$99.20	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT VISIT W/PROC 30MIN	$248.00	$248.00	$99.20	—	—
New patient office visit, about 45 minutes CPT 99204 NEW PT VISIT 45MIN	$313.00	$313.00	$93.90–$203.45	226% above	—
New patient office visit, about 45 minutes CPT 99204 NEW PT VISIT W/PROC 45MIN	$313.00	$313.00	$93.90–$203.45	226% above	—
New patient office visit, about 45 minutes CPT 99204 NEW PT VISIT <=45 MINUTES	$337.00	$337.00	$101.10–$219.05	251% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT VISIT W/PROC 45MIN	$313.00	$313.00	$125.20	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT VISIT 45MIN	$313.00	$313.00	$125.20	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT VISIT <=45 MINUTES	$337.00	$337.00	$134.80	—	—
New patient office visit, about 60 minutes CPT 99205 NEW PT VISIT 60+ MIN	$311.00	$311.00	$93.30–$202.15	143% above	—
New patient office visit, about 60 minutes CPT 99205 NEW PT VISIT W/PROC 60+MI	$311.00	$311.00	$93.30–$202.15	143% above	—
New patient office visit, about 60 minutes CPT 99205 NEW PT VISIT >45 MINUTES	$380.00	$380.00	$114.00–$247.00	197% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT VISIT 60+ MIN	$311.00	$311.00	$124.40	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT VISIT W/PROC 60+MI	$311.00	$311.00	$124.40	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT VISIT >45 MINUTES	$380.00	$380.00	$152.00	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT VISIT 20 MIN	$190.00	$190.00	$39.30–$123.50	202% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT VISIT W/PROC 20MIN	$190.00	$190.00	$39.30–$123.50	202% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT VISIT <= 20 MIN	$233.00	$233.00	$39.30–$151.45	270% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT VISIT 20 MIN	$190.00	$190.00	$76.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT VISIT W/PROC 20MIN	$190.00	$190.00	$76.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT VISIT <= 20 MIN	$233.00	$233.00	$93.20	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESSMENT/15MIN	$35.00	$35.00	$10.50–$48.46	31% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INIT ASSESSMENT/15MIN	$35.00	$35.00	$14.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT TREAT PHYSICAL THER- HCSS	$50.00	$50.00	$15.00–$177.00	7% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES, EA 15 MIN	$119.00	$119.00	$35.21–$177.00	154% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT TREAT PHYSICAL THER- HCSS	$50.00	$50.00	$20.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISES, EA 15 MIN	$119.00	$119.00	$47.60	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION ADVISED 3 MIN OR MORE	$69.00	$69.00	$17.45–$1,462.00	147% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION ADVISED 3 MIN OR MORE	$69.00	$69.00	$27.60	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT VISIT 40+ MIN	$313.00	$313.00	$93.90–$203.45	248% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT VISIT W/PROC 40+MI	$313.00	$313.00	$93.90–$203.45	248% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT VISIT >25 MINUTES	$354.00	$354.00	$106.20–$230.10	293% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT VISIT W/PROC 40+MI	$313.00	$313.00	$125.20	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT VISIT 40+ MIN	$313.00	$313.00	$125.20	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT VISIT >25 MINUTES	$354.00	$354.00	$141.60	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT VISIT 15 MIN	$190.00	$190.00	$55.05–$123.50	207% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT VISIT W/PROC 15MIN	$190.00	$190.00	$55.05–$123.50	207% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT VISIT <=15 MINUTES	$210.00	$210.00	$55.05–$136.50	240% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT VISIT W/PROC 15MIN	$190.00	$190.00	$76.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT VISIT 15 MIN	$190.00	$190.00	$76.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT VISIT <=15 MINUTES	$210.00	$210.00	$84.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT VISIT 25 MIN	$276.00	$276.00	$80.91–$179.40	268% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT VISIT W/PROC 25MIN	$276.00	$276.00	$80.91–$179.40	268% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT VISIT <=25 MINUTES	$313.00	$313.00	$80.91–$203.45	317% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT VISIT 25 MIN	$276.00	$276.00	$110.40	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT VISIT W/PROC 25MIN	$276.00	$276.00	$110.40	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT VISIT <=25 MINUTES	$313.00	$313.00	$125.20	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT VISIT W/PROC 10MIN	$190.00	$190.00	$29.62–$123.50	236% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT VISIT 10 MIN	$190.00	$190.00	$29.62–$123.50	236% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT <= 10 MIN	$195.00	$195.00	$29.62–$126.75	245% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT VISIT W/PROC 10MIN	$190.00	$190.00	$76.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT VISIT 10 MIN	$190.00	$190.00	$76.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT <= 10 MIN	$195.00	$195.00	$78.00	—	—
Speech and language evaluation CPT 92523 EVAL SPEECH SOUND PRODUCTION W/ LANG	$690.00	$690.00	$67.00–$448.50	271% above	—
Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND PRODUCTION W/ LANG	$690.00	$690.00	$276.00	—	—
Speech therapy session, individual CPT 92507 SPEECH TX - HCSS	$50.00	$50.00	$15.00–$177.00	64% below	—
Speech therapy session, individual CPT 92507 SPEECH TREATMENT	$375.00	$375.00	$67.00–$243.75	174% above	—
Speech therapy session, individual inpatient CPT 92507 SPEECH TX - HCSS	$50.00	$50.00	$20.00	—	—
Speech therapy session, individual inpatient CPT 92507 SPEECH TREATMENT	$375.00	$375.00	$150.00	—	—
Spirometry before and after a bronchodilator CPT 94060 PFT PRE & POST BRONCH	$608.00	$608.00	$32.84–$677.12	136% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE & POST BRONCH	$608.00	$608.00	$243.20	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY - THERAPUTIC	$291.00	$291.00	$102.60–$241.42	284% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY (THERAPUTIC)	$351.00	$351.00	$102.60–$241.42	364% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY - THERAPUTIC	$291.00	$291.00	$116.40	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY (THERAPUTIC)	$351.00	$351.00	$140.40	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACCINE	$30.00	$30.00	$9.00–$29.26	2% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACCINE	$30.00	$30.00	$12.00	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC (ADULT) SKB	$177.00	$177.00	$53.10–$115.05	42% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC (ADULT) MSD	$272.00	$272.00	$75.15–$176.80	119% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VAC (ADULT) SKB	$177.00	$177.00	$70.80	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VAC (ADULT) MSD	$272.00	$272.00	$108.80	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II VACCINE 0.5ML	$190.00	$190.00	$57.00–$145.35	66% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II VACCINE 0.5ML	$190.00	$190.00	$76.00	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 0.5CC INJ	$270.15	$270.15	$81.05–$175.60	92% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 0.5CC INJ	$270.15	$270.15	$108.06	—	—
Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VACCINE	$430.00	$430.00	$172.00–$639.50	20% below	—
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VACCINE	$430.00	$430.00	$172.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIP/TET PF VACC >=7YR IM DOSE	$52.00	$52.00	$15.60–$47.09	9% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPTHERIA&TETANUS TOXOID	$52.00	$52.00	$15.60–$47.09	9% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPTHERIA&TETANUS TOXOID	$52.00	$52.00	$20.80	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIP/TET PF VACC >=7YR IM DOSE	$52.00	$52.00	$20.80	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE IMMUN;SINGLE (DR)	$123.00	$123.00	$24.11–$130.64	273% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION; SINGLE	$123.00	$123.00	$24.11–$1,462.00	273% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE	$123.00	$123.00	$24.11–$130.64	273% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE IMMUN;SINGLE (DR)	$123.00	$123.00	$49.20	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE	$123.00	$123.00	$49.20	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION; SINGLE	$123.00	$123.00	$49.20	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION; EACH ADDITIONAL	$65.00	$65.00	$14.91–$42.25	110% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNZIATION ADMIN EACH ADD	$81.00	$81.00	$14.91–$52.65	162% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADD	$81.00	$81.00	$14.91–$52.65	162% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNICATION ADMIN EA ADDITIONAL	$81.00	$81.00	$14.91–$52.65	162% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA. ADD VACCINE	$81.00	$81.00	$14.91–$52.65	162% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION; EACH ADDITIONAL	$65.00	$65.00	$26.00	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA. ADD VACCINE	$81.00	$81.00	$32.40	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNICATION ADMIN EA ADDITIONAL	$81.00	$81.00	$32.40	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNZIATION ADMIN EACH ADD	$81.00	$81.00	$32.40	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADD	$81.00	$81.00	$32.40	—	—

Source file: https://www.wth.org/wp-content/uploads/standard-charges/99-4256908-HCH-Standard-Charges.csv