Baptist Health Medical Center - Little Rock
Baptist Health Medical Center - Little Rock in Little Rock, AR publishes cash prices for 408 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Arkansas median for 286 of 400 procedures and above it for 85. By typical cash price it ranks #16 of 49 Arkansas hospitals and #3 of 10 hospitals in the Little Rock, AR area, cheapest first. Click a procedure to compare it with other hospitals nearby.
9601 Baptist Health Drive Little Rock AR 72205 Collected Sep 27, 2026 Source price file (501) 202-2000
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 040114 · CMS hospital register NPI 1043240682
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Baptist Health Medical Center - Little Rock in Little Rock, AR:
- Feb 9, 2024 Met requirements
- Feb 9, 2026 Warning notice
- May 14, 2026 Case closed
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 74170 - CT ABDOMEN W-O CONTRAST FLWD BY CONTRAST MATRL | $384.28 | $1,537.12 | $164.80–$392.76 | 58% below | 75% |
| Abdominal X-ray, 2 views CPT 74019 74019 - RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $61.10 | $244.40 | $30.05–$211.31 | 56% below | 75% |
| Ankle X-ray, complete, 3 or more views CPT 73610 73610 - RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $105.36 | $421.44 | $22.30–$175.90 | 21% below | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 - NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL | $156.52 | $626.08 | $33.82–$268.93 | 9% below | 75% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 73200 - CT UPPER EXTREMITY W-O CONTRAST MATERIAL | $384.28 | $1,537.12 | $98.23–$229.22 | 38% below | 75% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 74220 - RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $114.92 | $459.68 | $44.60–$354.53 | 42% below | 75% |
| Bone scan, whole body (nuclear medicine) CPT 78306 78306 - BONE AND-JOINT IMAGING WHOLE BODY | $652.08 | $2,608.32 | $73.10–$808.04 | at median | 75% |
| Breast ultrasound, complete, one breast CPT 76641 76641 - US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $85.01 | $340.04 | $78.55–$211.31 | 49% below | 75% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 76642 - US BREAST UNI REAL TIME WITH IMAGE LIMITED | $61.31 | $245.23 | $60.10–$175.90 | 56% below | 75% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 74174 - CTA ABDANDPLVS W-CNTRST AND IMG POSTPROCESSING | $384.28 | $1,537.12 | $327.79–$705.15 | 65% below | 75% |
| CT angiography (CTA) of the head CPT 70496 70496 - CT ANGIOGRAPHY HEAD W-CONTRAST-NONCONTRAST | $384.28 | $1,537.11 | $164.80–$354.53 | 45% below | 75% |
| CT angiography (CTA) of the neck CPT 70498 70498 - CT ANGIOGRAPHY NECK W-CONTRAST-NONCONTRAST | $384.28 | $1,537.11 | $164.80–$354.53 | 54% below | 75% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 - CT ANGIOGRAPHY CHEST W-CONTRAST-NONCONTRAST | $384.28 | $1,537.12 | $164.80–$422.84 | 44% below | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 75574 - CTA HRT CORNRY ART-BYPASS GRFTS CONTRST 3D POST | $384.28 | $1,537.12 | $191.56–$705.15 | 36% below | 75% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 75571 - CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | $51.61 | $206.42 | $67.98–$175.90 | 15% below | 75% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 - CT ABDOMEN AND PELVIS W-O CONTRAST MATERIAL | $384.28 | $1,537.12 | $134.19–$482.27 | 63% below | 75% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 - CT ABDOMEN AND PELVIS W-CONTRAST MATERIAL | $384.28 | $1,537.12 | $255.56–$705.15 | 74% below | 75% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 - CT ABDANDPLV W-O CNTRST 1-BTH FLWD CNTRST 1-BTH | $384.28 | $1,537.12 | $327.79–$705.15 | 77% below | 75% |
| CT scan of the abdomen with contrast CPT 74160 74160 - CT ABDOMEN W-CONTRAST MATERIAL | $384.28 | $1,537.12 | $164.80–$354.53 | 54% below | 75% |
| CT scan of the abdomen without contrast CPT 74150 74150 - CT ABDOMEN W-O CONTRAST MATERIAL | $384.28 | $1,537.12 | $98.23–$270.10 | 44% below | 75% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 70486 - CT MAXILLOFACIAL W-O CONTRAST MATERIAL | $384.28 | $1,537.12 | $98.23–$220.54 | 48% below | 75% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 - CT HEAD-BRAIN W-O CONTRAST MATERIAL | $384.28 | $1,537.11 | $98.23–$211.31 | 45% below | 75% |
| CT scan of the head with contrast CPT 70460 70460 - CT HEAD-BRAIN W-CONTRAST MATERIAL | $384.28 | $1,537.12 | $164.80–$354.53 | 52% below | 75% |
| CT scan of the head without and with contrast CPT 70470 70470 - CT HEAD-BRAIN W-O AND W-CONTRAST MATERIAL | $384.28 | $1,537.12 | $164.80–$354.53 | 59% below | 75% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 72131 - CT LUMBAR SPINE W-O CONTRAST MATERIAL | $384.28 | $1,537.12 | $98.23–$266.39 | 47% below | 75% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 72125 - CT CERVICAL SPINE W-O CONTRAST MATERIAL | $384.28 | $1,537.12 | $98.23–$266.39 | 45% below | 75% |
| CT scan of the pelvis, with contrast dye CPT 72193 72193 - CT PELVIS W-CONTRAST MATERIAL | $384.28 | $1,537.12 | $164.80–$354.53 | 48% below | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880 - DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | $291.20 | $1,164.80 | $86.73–$482.27 | — | 75% |
| Chest CT scan without and with contrast CPT 71270 71270 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C--C+ | $384.28 | $1,537.12 | $164.80–$408.87 | 55% below | 75% |
| Chest X-ray, 2 views CPT 71046 71046 - RADIOLOGIC EXAM CHEST 2 VIEWS | $45.24 | $180.95 | $27.09–$175.90 | 65% below | 75% |
| Chest X-ray, single view CPT 71045 71045 - RADIOLOGIC EXAM CHEST SINGLE VIEW | $44.72 | $178.88 | $14.69–$175.90 | 59% below | 75% |
| Collarbone (clavicle) X-ray, complete CPT 73000 73000 - RADEX CLAVICLE COMPLETE | $71.72 | $286.88 | $18.59–$175.90 | 33% below | 75% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080 - DXA BONE DENSITY STUDY 1-GREATER THAN SITES AXIAL SKEL | $103.74 | $414.96 | $98.23–$211.31 | 19% below | 75% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 77081 - DXA BONE DENSITY STUDY 1-GREATER THAN SITES APPENDICLR SKEL | $51.22 | $204.88 | $47.01–$175.90 | 14% below | 75% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W-O CNTRST | $384.28 | $1,537.12 | $98.23–$266.39 | 36% below | 75% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W-CONTRAST | $384.28 | $1,537.12 | $164.80–$354.53 | 50% below | 75% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $281.06 | $1,124.24 | $122.49–$302.54 | — | 75% |
| Diagnostic mammogram, one breast CPT 77065 77065 - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $160.94 | $643.76 | $96.05–$239.06 | at median | 75% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 93925 - DUP-SCAN LXTR ART-ARTL BPGS COMPL BI STUDY | $198.64 | $794.56 | $90.45–$482.27 | — | 75% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970 - DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY | $156.48 | $625.90 | $52.04–$482.27 | — | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 - ECHO TTHRC R-T 2D W-WOM-MODE COMPL SPECANDCOLR D | $477.69 | $1,910.74 | $319.05–$1,104.44 | 27% below | 75% |
| Elbow X-ray, 2 views CPT 73070 73070 - RADEX ELBOW 2 VIEWS | $61.73 | $246.93 | $22.30–$175.90 | 26% below | 75% |
| Elbow X-ray, complete, 3 or more views CPT 73080 73080 - RADEX ELBOW COMPLETE MINIMUM 3 VIEWS | $75.95 | $303.78 | $23.54–$175.90 | 29% below | 75% |
| Eye socket (orbit) CT scan without contrast CPT 70480 70480 - CT ORBIT SELLA-POST FOSSA-EAR W-O CONTRAST MATRL | $384.28 | $1,537.12 | $98.23–$225.50 | 41% below | 75% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 70150 - RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS | $77.48 | $309.92 | $22.30–$211.31 | 35% below | 75% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 73090 - RADEX FOREARM 2 VIEWS | $74.38 | $297.50 | $23.54–$175.90 | 32% below | 75% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 78226 - HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $388.96 | $1,555.84 | $375.62–$808.04 | 35% below | 75% |
| Hand X-ray, 2 views CPT 73120 73120 - RADEX HAND 2 VIEWS | $66.06 | $264.24 | $21.06–$211.31 | 38% below | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 73650 - RADEX CALCANEUS MINIMUM 2 VIEWS | $55.90 | $223.60 | $16.11–$175.90 | 46% below | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 - POLYSOM 6-GREATER THAN YRS SLEEP W-CPAP 4-GREATER THAN ADDL PARAM ATTND | $1,043.38 | $4,173.52 | $254.45–$1,900.00 | 31% below | 75% |
| Knee X-ray, 3 views CPT 73562 73562 - RADIOLOGIC EXAMINATION KNEE 3 VIEWS | $116.43 | $465.72 | $43.37–$175.90 | 8% below | 75% |
| Knee X-ray, complete, 4 or more views CPT 73564 73564 - RADIOLOGIC EXAM KNEE COMPLETE 4-MORE VIEWS | $102.96 | $411.84 | $45.84–$211.31 | 28% below | 75% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 73700 - CT LOWER EXTREMITY W-O CONTRAST MATERIAL | $384.28 | $1,537.12 | $98.23–$225.50 | 36% below | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 - US ABDOMINAL REAL TIME W-IMAGE LIMITED | $61.62 | $246.48 | $24.78–$211.31 | 74% below | 75% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 76882 - US LMTD JT-FCL EVAL NONVASC XTR STRUX R-T W-IMG | $105.30 | $421.20 | $14.86–$211.31 | 35% below | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 71271 - COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $384.28 | $1,537.12 | $86.32–$211.31 | 30% above | 75% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 73590 - RADIOLOGIC EXAMINATION TIBIA AND FIBULA 2 VIEWS | $88.82 | $355.27 | $30.98–$175.90 | 20% below | 75% |
| MR angiography (MRA) of the head without contrast CPT 70544 70544 - MRA HEAD W-O CONTRST MATERIAL | $583.70 | $2,334.80 | $224.19–$539.93 | 34% below | 75% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 77049 - MRI BREAST WITHOUTANDWITH CONTRAST W-CAD BILATERAL | $828.10 | $3,312.40 | $290.86–$379.56 | — | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 73721 - MRI ANY JT LOWER EXTREM W-O CONTRAST MATRL | $583.70 | $2,334.80 | $224.19–$482.27 | 35% below | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 73723 - MRI ANY JT LOWER EXTREM W-O AND W-CONTRAST MATRL | $583.70 | $2,334.80 | $327.79–$1,180.71 | 41% below | 75% |
| MRI of the abdomen without contrast CPT 74181 74181 - MRI ABDOMEN W-O CONTRAST MATERIAL | $583.70 | $2,334.80 | $224.19–$506.75 | 35% below | 75% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 74183 - MRI ABDOMEN W-O CONTRAST FLWD BY W-CONTRAST | $583.70 | $2,334.80 | $327.79–$1,183.49 | 46% below | 75% |
| MRI of the brain, no contrast dye CPT 70551 70551 - MRI BRAIN BRAIN STEM W-O CONTRAST MATERIAL | $583.70 | $2,334.79 | $224.19–$499.32 | 35% below | 75% |
| MRI of the brain, with and without contrast dye CPT 70553 70553 - MRI BRAIN BRAIN STEM W-O W-CONTRAST MATERIAL | $583.70 | $2,334.80 | $327.79–$716.14 | 60% below | 75% |
| MRI of the lower back, no contrast dye CPT 72148 72148 - MRI SPINAL CANAL LUMBAR W-O CONTRAST MATERIAL | $583.70 | $2,334.79 | $224.19–$535.25 | 35% below | 75% |
| MRI of the lower back, without and then with contrast dye CPT 72158 72158 - MRI SPINAL CANAL LUMBAR W-O AND W-CONTR MATRL | $583.70 | $2,334.80 | $327.79–$716.14 | 55% below | 75% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 72146 - MRI SPINAL CANAL THORACIC W-O CONTRAST MATRL | $583.70 | $2,334.80 | $224.19–$552.59 | 35% below | 75% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 72156 - MRI SPINAL CANAL CERVICAL W-O AND W-CONTR MATRL | $583.70 | $2,334.80 | $327.79–$716.14 | 57% below | 75% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 72141 - MRI SPINAL CANAL CERVICAL W-O CONTRAST MATRL | $583.70 | $2,334.80 | $224.19–$503.03 | 35% below | 75% |
| MRI of the pelvis without and with contrast CPT 72197 72197 - MRI PELVIS W-O AND W-CONTRAST MATERIAL | $583.70 | $2,334.80 | $327.79–$1,183.49 | 46% below | 75% |
| MRI of the pelvis, no contrast dye CPT 72195 72195 - MRI PELVIS W-O CONTRAST MATERIAL | $583.70 | $2,334.80 | $224.19–$534.36 | 33% below | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 73221 - MRI ANY JT UPPER EXTREMITY W-O CONTRAST MATRL | $583.70 | $2,334.80 | $224.19–$482.27 | 34% below | 75% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 72050 - RADEX SPINE CERVICAL 4 OR 5 VIEWS | $95.16 | $380.64 | $39.65–$211.31 | 46% below | 75% |
| Neck soft tissue CT scan with contrast CPT 70491 70491 - CT SOFT TISSUE NECK W-CONTRAST MATERIAL | $384.28 | $1,537.12 | $164.80–$354.53 | 49% below | 75% |
| Neck soft tissue CT scan without contrast CPT 70490 70490 - CT SOFT TISSUE NECK W-O CONTRAST MATERIAL | $384.28 | $1,537.12 | $98.23–$232.93 | 41% below | 75% |
| Neck soft tissue X-ray CPT 70360 70360 - RADIOLOGIC EXAMINATION NECK SOFT TISSUE | $43.94 | $175.76 | $12.39–$175.90 | 58% below | 75% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452 - MYOCARDIAL SPECT MULTIPLE STUDIES | $782.86 | $3,131.44 | $330.46–$2,616.79 | 58% below | 75% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 78815 - PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $1,058.46 | $4,233.84 | $1,343.55–$2,890.26 | 37% below | 75% |
| Pelvic CT scan without contrast CPT 72192 72192 - CT PELVIS W-O CONTRAST MATERIAL | $384.28 | $1,537.12 | $98.23–$282.49 | 41% below | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 - US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED-F-U | $118.04 | $472.16 | $29.74–$211.31 | 6% below | 75% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 - US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | $169.26 | $677.04 | $49.56–$211.31 | 40% below | 75% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 - US PREG UTERUS AFTER 1ST TRIMEST 1-1ST GESTATION | $96.98 | $387.92 | $69.38–$211.31 | 56% below | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 - US PREGNANT UTERUS 14 WK TRANSABDL 1-1ST GESTAT | $96.98 | $387.92 | $52.97–$211.31 | 45% below | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 - US PREGNANT UTERUS LIMITED 1-GREATER THAN FETUSES | $127.14 | $508.56 | $32.21–$211.31 | 1% below | 75% |
| Rib X-ray, one side, 2 views one side CPT 71100 71100 - RADEX RIBS UNILATERAL 2 VIEWS | $77.48 | $309.92 | $21.06–$175.90 | 28% below | 75% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 71101 - RADEX RIBS UNI W-POSTEROANT CH MINIMUM 3 VIEWS | $81.90 | $327.60 | $21.06–$211.31 | 32% below | 75% |
| Screening mammogram, both breasts both sides CPT 77067 77067 - SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $126.36 | $505.44 | $101.56–$243.17 | — | 75% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 73030 - RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $80.95 | $323.78 | $24.78–$175.90 | 31% below | 75% |
| Sinus X-ray, complete, 3 or more views CPT 70220 70220 - RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS | $77.48 | $309.92 | $37.17–$175.90 | 41% below | 75% |
| Skull X-ray, fewer than 4 views CPT 70250 70250 - RADIOLOGIC EXAMINATION SKULL 4LESS THAN VIEWS | $98.02 | $392.08 | $27.26–$211.31 | 14% below | 75% |
| Sleep study in a lab (polysomnography) CPT 95810 95810 - POLYSOM 6-GREATER THAN YRS SLEEP 4-GREATER THAN ADDL PARAM ATTND | $940.42 | $3,761.68 | $151.16–$1,900.00 | 33% below | 75% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 93351 - ECHO TTHRC R-T 2D W-WO M-MODE RESTANDSTRS CONT ECG | $353.86 | $1,415.44 | $270.76–$1,104.44 | 37% below | 75% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 74230 - RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY | $99.32 | $397.28 | $35.93–$354.53 | 51% below | 75% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 73552 - RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | $46.37 | $185.47 | $26.24–$175.90 | 62% below | 75% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 72128 - CT THORACIC SPINE W-O CONTRAST MATERIAL | $384.28 | $1,537.12 | $98.23–$266.39 | 47% below | 75% |
| Toe X-ray, 2 or more views CPT 73660 73660 - RADEX TOE MINIMUM 2 VIEWS | $60.59 | $242.36 | $16.11–$175.90 | 43% below | 75% |
| Transvaginal pelvic ultrasound CPT 76830 76830 - US TRANSVAGINAL | $165.10 | $660.40 | $84.25–$211.31 | 25% below | 75% |
| Transvaginal ultrasound during pregnancy CPT 76817 76817 - US PREG UTERUS REAL TIME W-IMAGE DCMTN TRANSVAG | $157.04 | $628.16 | $72.49–$211.31 | 10% below | 75% |
| Ultrasound of the abdomen, complete CPT 76700 76700 - US ABDOMINAL REAL TIME W-IMAGE DOCUMENTATION | $376.74 | $1,506.96 | $69.38–$211.31 | at median | 75% |
| Ultrasound of the scrotum and testicles CPT 76870 76870 - US SCROTUM AND CONTENTS | $174.72 | $698.88 | $38.41–$211.31 | 29% below | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536 - US SOFT TISSUE HEAD AND NECK REAL TIME IMGE DOCM | $174.20 | $696.80 | $66.91–$211.31 | 23% below | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 - RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY | $96.98 | $387.92 | $37.17–$354.53 | 60% below | 75% |
| Upper arm X-ray (humerus), 2 views CPT 73060 73060 - RADEX HUMERUS MINIMUM 2 VIEWS | $72.28 | $289.12 | $27.26–$175.90 | 42% below | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 - DUP-SCAN XTR VEINS UNILATERAL-LIMITED STUDY | $209.56 | $838.24 | $90.45–$211.31 | 7% below | 75% |
| Wrist X-ray, 2 views CPT 73100 73100 - RADEX WRIST 2 VIEWS | $50.90 | $203.61 | $23.54–$175.90 | 53% below | 75% |
| Wrist X-ray, complete, 3 or more views CPT 73110 73110 - RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $65.97 | $263.89 | $28.50–$175.90 | 43% below | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 73502 - RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $47.58 | $190.30 | $34.49–$175.90 | 59% below | 75% |
| X-ray of the abdomen, 1 view CPT 74018 74018 - RADIOLOGIC EXAM ABDOMEN 1 VIEW | $46.54 | $186.16 | $25.10–$175.90 | 58% below | 75% |
| X-ray of the ankle, 2 views CPT 73600 73600 - RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $97.96 | $391.83 | $37.17–$175.90 | 5% below | 75% |
| X-ray of the finger(s), 2 or more views CPT 73140 73140 - RADEX FINGR MINIMUM 2 VIEWS | $59.27 | $237.09 | $19.82–$175.90 | 38% below | 75% |
| X-ray of the foot, 2 views CPT 73620 73620 - RADIOLOGIC EXAMINATION FOOT 2 VIEWS | $64.77 | $259.07 | $28.50–$175.90 | 25% below | 75% |
| X-ray of the foot, complete, 3 or more views CPT 73630 73630 - RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $124.47 | $497.88 | $34.69–$175.90 | 6% below | 75% |
| X-ray of the hand, 3 or more views CPT 73130 73130 - RADEX HAND MINIMUM 3 VIEWS | $85.96 | $343.83 | $30.98–$175.90 | 31% below | 75% |
| X-ray of the knee, 1 or 2 views CPT 73560 73560 - RADIOLOGIC EXAMINATION KNEE 1-2 VIEWS | $90.89 | $363.56 | $30.98–$175.90 | 21% below | 75% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100 - RADEX SPINE LUMBOSACRAL 2-3 VIEWS | $103.74 | $414.96 | $34.69–$211.31 | 18% below | 75% |
| X-ray of the lower back, 4 or more views CPT 72110 72110 - RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $120.38 | $481.52 | $49.56–$211.31 | 34% below | 75% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 72070 - RADEX SPINE THORACIC 2 VIEWS | $72.54 | $290.16 | $29.74–$211.31 | 46% below | 75% |
| X-ray of the nasal bones, 3 or more views CPT 70160 70160 - RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS | $77.48 | $309.92 | $28.50–$175.90 | 26% below | 75% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 72040 - RADEX SPINE CERVICAL 2 OR 3 VIEWS | $89.96 | $359.84 | $34.69–$175.90 | 26% below | 75% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 72170 - RADIOLOGIC EXAMINATION PELVIS 1-2 VIEWS | $84.76 | $339.04 | $26.02–$211.31 | 23% below | 75% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 72220 - RADEX SACRUM AND COCCYX MINIMUM 2 VIEWS | $82.16 | $328.64 | $21.06–$175.90 | 27% below | 75% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 82024 - ADRENOCORTICOTROPIC HORMONE ACTH | $78.52 | $314.08 | $29.31–$84.33 | at median | 75% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 - TRANSFERASE ALANINE AMINO ALT SGPT | $4.40 | $17.58 | $5.30–$11.57 | 73% below | 75% |
| Albumin blood test CPT 82040 82040 - ALBUMIN SERUM PLASMA-WHOLE BLOOD | $10.79 | $43.15 | $4.95–$10.81 | 45% below | 75% |
| Aldosterone blood test CPT 82088 82088 - ASSAY OF ALDOSTERONE | $36.67 | $146.69 | $40.75–$88.98 | 65% below | 75% |
| Alkaline phosphatase (ALP) blood test CPT 84075 84075 - ASSAY OF PHOSPHATASE ALKALINE | $8.78 | $35.13 | $5.18–$11.31 | 57% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 - ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $5.97 | $23.88 | $5.22–$11.40 | 55% below | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 82105 - ALPHA-FETOPROTEIN SERUM | $87.27 | $349.09 | $16.77–$36.62 | 3% above | 75% |
| Ammonia blood test CPT 82140 82140 - ASSAY OF AMMONIA | $25.15 | $100.59 | $14.57–$31.82 | 54% below | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 86200 - CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $11.67 | $46.69 | $12.95–$28.28 | 71% below | 75% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 - ANTINUCLEAR ANTIBODIES ANA | $11.43 | $45.71 | $12.09–$26.40 | 70% below | 75% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 83880 - NATRIURETIC PEPTIDE | $30.98 | $123.93 | $39.26–$85.73 | 49% below | 75% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 - CUL BACT XCPT URINE BLOOD-STOOL AEROBIC ISOL | $11.75 | $47.00 | $8.62–$18.82 | 69% below | 75% |
| Basic metabolic panel (blood test) CPT 80048 80048 - BASIC METABOLIC PANEL CALCIUM TOTAL | $25.31 | $101.22 | $8.46–$18.47 | 74% below | 75% |
| Bilirubin blood test, total CPT 82247 82247 - BILIRUBIN TOTAL | $30.15 | $120.61 | $5.02–$10.96 | 23% below | 75% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 - LEVEL IV SURG PATHOLOGY GROSSANDMICROSCOPIC EXAM | $62.45 | $249.79 | $34.69–$105.33 | 19% below | 75% |
| Blood culture for bacteria CPT 87040 87040 - CULTURE BACTERIAL BLOOD AEROBIC W-ID ISOLATES | $24.98 | $99.90 | $10.32–$22.53 | 47% below | 75% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 - COLLECTION VENOUS BLOOD VENIPUNCTURE | $6.50 | $26.00 | $3.00–$20.39 | 29% below | 75% |
| Blood glucose (sugar) test CPT 82947 82947 - GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $9.31 | $37.25 | $3.93–$8.58 | 39% below | 75% |
| Blood lead test CPT 83655 83655 - ASSAY OF LEAD | $20.02 | $80.08 | $12.11–$26.44 | 11% below | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 84703 - GONADOTROPIN CHORIONIC QUALITATIVE | $17.16 | $68.65 | $7.52–$16.42 | 54% below | 75% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 - BLOOD TYPING SEROLOGIC ABO | $51.74 | $206.96 | $2.99–$268.93 | 3% below | 75% |
| Blood urea nitrogen (BUN) test CPT 84520 84520 - ASSAY OF UREA NITROGEN QUANTITATIVE | $4.38 | $17.53 | $3.95–$8.63 | 82% below | 75% |
| C-peptide blood test CPT 84681 84681 - ASSAY OF C-PEPTIDE | $28.08 | $112.32 | $20.81–$45.44 | 54% below | 75% |
| C. difficile toxin gene test (stool PCR) CPT 87493 87493 - INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $38.74 | $154.96 | $37.27–$81.38 | 53% below | 75% |
| CA 19-9 blood test (tumor marker) CPT 86301 86301 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9 | $27.82 | $111.28 | $20.81–$45.44 | 55% below | 75% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 86304 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 | $29.12 | $116.48 | $20.81–$45.44 | 55% below | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 87635 - IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $65.00 | $260.00 | $51.31–$112.04 | 42% below | 75% |
| Calcium blood test, total CPT 82310 82310 - CALCIUM TOTAL | $5.60 | $22.39 | $5.16–$11.27 | 67% below | 75% |
| Carcinoembryonic antigen (CEA) test CPT 82378 82378 - CARCINOEMBRYONIC ANTIGEN CEA | $25.22 | $100.88 | $18.96–$41.40 | 55% below | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 86787 - ANTIBODY VARICELLA-ZOSTER | $15.82 | $63.26 | $12.88–$28.12 | 46% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 - IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | $23.11 | $92.44 | $35.09–$76.62 | 58% below | 75% |
| Complete blood count (CBC) with differential CPT 85025 85025 - BLOOD COUNT COMPLETE AUTOANDAUTO DIFRNTL WBC | $8.06 | $32.22 | $7.77–$16.97 | 74% below | 75% |
| Complete blood count (CBC), no differential CPT 85027 85027 - BLOOD COUNT COMPLETE AUTOMATED | $8.00 | $31.98 | $6.47–$14.13 | 67% below | 75% |
| Comprehensive metabolic panel (blood test) CPT 80053 80053 - COMPREHENSIVE METABOLIC PANEL | $42.69 | $170.76 | $10.56–$23.06 | 68% below | 75% |
| Cortisol blood test, total CPT 82533 82533 - CORTISOL TOTAL | $59.02 | $236.08 | $16.30–$35.59 | 6% above | 75% |
| Creatine kinase (CK) blood test, total CPT 82550 82550 - CREATINE KINASE TOTAL | $8.88 | $35.52 | $6.51–$14.22 | 70% below | 75% |
| Creatinine blood test CPT 82565 82565 - CREATININE BLOOD | $4.31 | $17.24 | $5.12–$11.18 | 76% below | 75% |
| Cytomegalovirus (CMV) antibody test CPT 86644 86644 - ANTIBODY CYTOMEGALOVIRUS CMV | $28.56 | $114.25 | $14.39–$31.42 | 25% below | 75% |
| D-dimer blood test (blood clot marker) CPT 85379 85379 - FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | $26.27 | $105.07 | $10.18–$22.23 | 38% below | 75% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 82627 - DEHYDROEPIANDROSTERONE-SULFATE | $29.90 | $119.60 | $22.23–$48.54 | 55% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 80307 - DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE | $49.41 | $197.64 | $62.14–$135.69 | 1% below | 75% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 80051 - ELECTROLYTE PANEL | $15.19 | $60.75 | $7.01–$15.31 | 72% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 - ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA | $15.95 | $63.81 | $18.14–$39.61 | 64% below | 75% |
| Fecal calprotectin (stool inflammation test) CPT 83993 83993 - ASSAY OF CALPROTECTIN FECAL | $25.48 | $101.92 | $19.63–$42.86 | 74% below | 75% |
| Fibrinogen blood test CPT 85384 85384 - FIBRINOGEN ACTIVITY | $10.92 | $43.68 | $9.72–$21.22 | 61% below | 75% |
| Free testosterone test CPT 84402 84402 - ASSAY OF TESTOSTERONE FREE | $22.62 | $90.48 | $25.47–$55.62 | 67% below | 75% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 82950 - GLUCOSE POST GLUCOSE DOSE | $8.58 | $34.32 | $4.75–$10.37 | 66% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 82951 - GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS | $10.66 | $42.64 | $12.87–$28.10 | 78% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 - IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $23.28 | $93.11 | $35.09–$76.62 | 67% below | 75% |
| H. pylori stool antigen test CPT 87338 87338 - IAAD IA HPYLORI STOOL | $16.64 | $66.56 | $7.58–$31.40 | 67% below | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 87536 - IADNA HIV-1 QUANT AND REVERSE TRANSCRIPTION | $113.72 | $454.88 | $85.10–$185.82 | 23% below | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 - IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT | $42.64 | $170.56 | $35.09–$76.62 | 49% below | 75% |
| Hemoglobin blood test CPT 85018 85018 - BLOOD COUNT HEMOGLOBIN | $3.89 | $15.57 | $2.37–$5.18 | 66% below | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 - HEPATITIS B SURF ANTIBODY HBSAB | $7.47 | $29.87 | $10.74–$23.45 | 83% below | 75% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 87522 - IADNA HEPATITIS C QUANT AND REVERSE TRANSCRIPTION | $73.32 | $293.28 | $42.84–$93.55 | 41% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 - ANTIBODY HERPES SMPLX TYPE 1 | $11.78 | $47.12 | $13.19–$28.80 | 69% below | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 - ANTIBODY HERPES SMPLX TYPE 2 | $17.15 | $68.60 | $19.35–$42.25 | 66% below | 75% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 86141 - C-REACTIVE PROTEIN HIGH SENSITIVITY | $43.01 | $172.04 | $12.95–$28.28 | 1% below | 75% |
| Homocysteine blood test CPT 83090 83090 - ASSAY OF HOMOCYSTEINE | $43.22 | $172.86 | $17.92–$39.13 | 26% below | 75% |
| Insulin blood test CPT 83525 83525 - ASSAY OF INSULIN TOTAL | $22.36 | $89.44 | $11.43–$24.96 | 36% below | 75% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 - IRON BINDING CAPACITY | $12.19 | $48.76 | $8.74–$19.08 | 54% below | 75% |
| Kidney function blood test panel CPT 80069 80069 - RENAL FUNCTION PANEL | $11.03 | $44.13 | $8.68–$18.95 | 83% below | 75% |
| LH (luteinizing hormone) test CPT 83002 83002 - GONADOTROPIN LUTEINIZING HORMONE | $28.86 | $115.44 | $18.52–$40.44 | 50% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 83605 - ASSAY OF LACTATE | $24.14 | $96.56 | $11.57–$25.26 | 40% below | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 83615 - LACTATE DEHYDROGENASE LDH | $6.71 | $26.83 | $6.04–$13.19 | 53% below | 75% |
| Lipase blood test (pancreas enzyme) CPT 83690 83690 - ASSAY OF LIPASE | $15.77 | $63.08 | $6.89–$15.05 | 39% below | 75% |
| Liver function blood test panel CPT 80076 80076 - HEPATIC FUNCTION PANEL | $12.68 | $50.72 | $8.17–$17.84 | 86% below | 75% |
| Lyme disease antibody test CPT 86618 86618 - ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $14.89 | $59.55 | $17.03–$37.19 | 75% below | 75% |
| Magnesium blood test CPT 83735 83735 - ASSAY OF MAGNESIUM | $5.56 | $22.22 | $6.70–$14.63 | 78% below | 75% |
| Measles (rubeola) antibody test CPT 86765 86765 - ANTIBODY RUBEOLA | $14.09 | $56.37 | $12.88–$28.12 | 63% below | 75% |
| Mono test (heterophile antibody, Monospot) CPT 86308 86308 - HETEROPHILE ANTIBODIES SCREEN | $6.28 | $25.10 | $5.18–$11.31 | 68% below | 75% |
| Mumps immunity blood test CPT 86735 86735 - ANTIBODY MUMPS | $11.44 | $45.76 | $13.05–$28.50 | 69% below | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 - ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $50.95 | $203.79 | $18.39–$40.16 | 2% below | 75% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 - CYTP C-V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $30.94 | $123.76 | $25.71–$58.11 | 27% below | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 - ASSAY OF PARATHORMONE | $34.52 | $138.08 | $41.28–$90.14 | 69% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 - THROMBOPLASTIN TIME PARTIAL PLASMA-WHOLE BLOOD | $5.87 | $23.47 | $6.01–$13.12 | 78% below | 75% |
| Potassium blood test CPT 84132 84132 - POTASSIUM SERUM PLASMA-WHOLE BLOOD | $10.56 | $42.24 | $4.76–$10.39 | 46% below | 75% |
| Rapid flu test (influenza antigen) CPT 87804 87804 - IAADIADOO INFLUENZA | $27.82 | $111.28 | $15.43–$36.14 | 38% below | 75% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 - IAADIADOO STREPTOCOCCUS GROUP A | $20.54 | $82.16 | $15.95–$36.09 | 23% below | 75% |
| Renin blood test CPT 84244 84244 - ASSAY OF RENIN | $34.06 | $136.24 | $21.99–$48.02 | 57% below | 75% |
| Rh blood typing CPT 86901 86901 - BLOOD TYPING SEROLOGIC RH (D) | $23.14 | $92.56 | $2.99–$75.49 | 6% below | 75% |
| Rubella antibody test (immunity check) CPT 86762 86762 - ANTIBODY RUBELLA | $13.85 | $55.39 | $14.39–$31.42 | 62% below | 75% |
| Sodium blood test CPT 84295 84295 - SODIUM SERUM PLASMA OR WHOLE BLOOD | $7.20 | $28.79 | $4.81–$10.50 | 67% below | 75% |
| Stool ova and parasites exam CPT 87177 87177 - OVAANDPARASITES DIRECT SMEARS CONCENTRATION AND ID | $7.71 | $30.83 | $8.90–$19.43 | 74% below | 75% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 - BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER | $9.10 | $36.40 | $4.38–$9.56 | 57% below | 75% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 82274 - BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $13.78 | $55.12 | $15.92–$34.76 | 36% below | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 86780 - ANTIBODY TREPONEMA PALLIDUM | $12.97 | $51.86 | $13.24–$28.91 | 26% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 - SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $13.29 | $53.15 | $4.27–$9.32 | 23% below | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 86480 - TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $55.38 | $221.52 | $61.98–$135.34 | 31% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 - ASSAY OF TESTOSTERONE TOTAL | $28.51 | $114.03 | $25.81–$56.36 | 55% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 - MICROSOMAL ANTIBODIES EACH | $22.83 | $91.31 | $14.55–$31.77 | 41% below | 75% |
| Total IgE blood test CPT 82785 82785 - ASSAY OF GAMMAGLOBULIN IGE | $28.34 | $113.36 | $16.46–$35.94 | 40% below | 75% |
| Transferrin blood test CPT 84466 84466 - ASSAY OF L7383TRANSFERRIN | $26.52 | $106.08 | $12.76–$27.86 | 22% below | 75% |
| Trichomonas test (NAAT) CPT 87661 87661 - IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $29.81 | $119.22 | $35.09–$76.62 | 35% below | 75% |
| Troponin test, quantitative CPT 84484 84484 - ASSAY OF TROPONIN QUANTITATIVE | $25.22 | $100.88 | $12.47–$27.23 | 58% below | 75% |
| Urinalysis with microscope exam, automated CPT 81001 81001 - URNLS DIP STICK-TABLET REAGENT AUTO MICROSCOPY | $6.83 | $27.31 | $3.17–$6.92 | 61% below | 75% |
| Urinalysis without microscope exam, automated CPT 81003 81003 - URNLS DIP STICK-TABLET RGNT AUTO W-O MICROSCOPY | $8.45 | $33.81 | $2.25–$4.91 | 40% below | 75% |
| Urine pregnancy test, read by color change CPT 81025 81025 - URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $15.01 | $60.05 | $8.61–$18.80 | 50% below | 75% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 82652 - 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $55.90 | $223.60 | $38.50–$84.07 | 45% below | 75% |
| Zinc blood test CPT 84630 84630 - ASSAY OF ZINC | $16.12 | $64.48 | $11.39–$24.87 | 57% below | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 - GONADOTROPIN CHORIONIC QUANTITATIVE | $15.87 | $63.48 | $14.30–$32.86 | 58% below | 75% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 42830 - ADENOIDECTOMY PRIMARY LESS THAN AGE 12 | $1,446.25 | $5,785.00 | $449.76–$11,316.00 | 39% below | 75% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 22551 - ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $1,741.21 | $6,964.82 | $449.76–$25,950.00 | 2% above | 75% |
| Appendectomy, open surgery CPT 44950 44950 - APPENDECTOMY | $4,768.92 | $19,075.68 | $396.48–$13,085.10 | at median | 75% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 29888 - ARTHRS AIDED ANT CRUCIATE LIGM RPR-AGMNTJ-RCNSTJ | $2,943.13 | $11,772.50 | $367.98–$14,666.50 | 5% above | 75% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827 - SURGICAL ARTHROSCOPY SHOULDER W-ROTATOR CUFF RPR | $2,363.05 | $9,452.20 | $449.76–$14,666.50 | 3% below | 75% |
| Botox injections for chronic migraine CPT 64615 64615 - CHEMODERVATE FACIAL-TRIGEM-CERV MUSC MIGRAINE | $167.70 | $670.80 | $288.41–$10,533.00 | 47% below | 75% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 - BX BREAST W-DEVICE 1ST LESION STEREOTACTIC GUID | $2,632.24 | $10,528.96 | $309.75–$3,487.00 | 87% above | 75% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296 - CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT | $3,562.26 | $14,249.04 | $309.75–$6,613.49 | 27% above | 75% |
| Cardiac catheterization with coronary angiogram CPT 93458 93458 - CATH PLMT L HRT AND ARTS W-NJX AND ANGIO IMG SANDI | $4,090.84 | $16,363.36 | $205.23–$6,957.00 | 7% below | 75% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $379.86 | $1,519.44 | $94.16–$1,511.00 | 17% below | 75% |
| Carpal tunnel release, open surgery CPT 64721 64721 - NEUROPLASTY AND-TRANSPOS MEDIAN NRV CARPAL TUNNE | $3,395.01 | $13,580.02 | $396.48–$3,946.92 | 45% above | 75% |
| Cataract surgery with lens implant CPT 66984 66984 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH W-O ECP | $2,385.65 | $9,542.58 | $449.76–$16,082.00 | at median | 75% |
| Catheter ablation for atrial fibrillation CPT 93656 93656 - COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $11,770.46 | $47,081.84 | $657.85–$52,830.70 | 40% below | 75% |
| Cervical biopsy CPT 57500 57500 - BIOPSY CERVIX SINGLE-MULT-EXCISION OF LESION SPX | $2,161.93 | $8,647.70 | $309.75–$10,533.00 | 17% above | 75% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161 - CIRCUMCISION AGE GREATER THAN 28 DAYS | $3,250.96 | $13,003.82 | $309.75–$4,225.17 | at median | 75% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 - CLTX DSTL RADIAL FX-EPIPHYSL SEP W-O MNPJ | $215.54 | $862.16 | $231.76–$806.00 | 23% below | 75% |
| Colonoscopy with polyp removal CPT 45385 45385 - COLSC FLX W-RMVL OF TUMOR POLYP LESION SNARE TQ | $758.78 | $3,035.10 | $309.75–$3,487.00 | 5% below | 75% |
| Colonoscopy with tissue sample CPT 45380 45380 - COLONOSCOPY W-BIOPSY SINGLE-MULTIPLE | $766.44 | $3,065.74 | $309.75–$3,487.00 | 1% below | 75% |
| Colonoscopy, diagnostic CPT 45378 45378 - COLONOSCOPY FLX DX W-COLLJ SPEC WHEN PFRMD | $1,172.69 | $4,690.76 | $309.75–$3,487.00 | 1% above | 75% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 - COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $2,374.84 | $9,499.36 | $309.75–$10,533.00 | 7% below | 75% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 - COLPOSCOPY CERVIX BX CERVIX AND ENDOCRV CURRETAGE | $2,148.12 | $8,592.48 | $286.32–$10,533.00 | 305% above | 75% |
| Complex cataract surgery with lens implant CPT 66982 66982 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP | $2,538.99 | $10,155.94 | $449.76–$16,082.00 | 9% above | 75% |
| Coronary stent placement, one artery CPT 92928 92928 - PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS | $8,637.20 | $34,548.80 | $396.48–$23,333.50 | at median | 75% |
| Cystoscopy with ureteral stent placement CPT 52332 52332 - CYSTO W-INSERT URETERAL STENT | $2,069.63 | $8,278.50 | $449.76–$7,124.82 | at median | 75% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 - CYSTOURETHROSCOPY | $1,871.26 | $7,485.02 | $309.75–$10,533.00 | 2% above | 75% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 - DILATION AND CURETTAGE DXAND-THER NONOBSTETRIC | $2,450.07 | $9,800.26 | $396.48–$6,542.99 | 9% below | 75% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436 - TYMPANOSTOMY GENERAL ANESTHESIA | $1,964.29 | $7,857.16 | $309.75–$4,769.00 | 1% below | 75% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 - REMOVAL IMPACTED CERUMEN IRRIGATION-LVG UNILAT | $215.80 | $863.20 | $55.43–$806.00 | 263% above | 75% |
| Earwax removal with instruments, one ear one side CPT 69210 69210 - REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $220.57 | $882.26 | $55.43–$806.00 | 134% above | 75% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 31255 - NASAL-SINUS NDSC W-TOTAL ETHOIDECTOMY | $2,505.34 | $10,021.34 | $396.48–$14,264.80 | at median | 75% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 31276 - NASAL-SINUS NDSC W-RMVL TISS FROM FRONTAL SINUS | $1,645.12 | $6,580.49 | $367.98–$14,264.80 | 31% below | 75% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 31256 - NASAL-SINUS ENDOSCOPY W-MAXILLARY ANTROSTOMY | $2,102.49 | $8,409.97 | $367.98–$7,535.86 | 29% above | 75% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 31267 - NSL-SINUS NDSC MAX ANTROST W-RMVL TISS MAX SINUS | $1,714.12 | $6,856.48 | $367.98–$14,264.80 | 34% below | 75% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 - NJX DX-THER SBST INTRLMNR CRV-THRC W-IMG GDN | $608.40 | $2,433.60 | $309.75–$10,533.00 | 16% below | 75% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 67028 - INTRAVITREAL NJX PHARMACOLOGIC AGT SPX | $1,807.92 | $7,231.69 | $310.35–$2,184.00 | 286% above | 75% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 - NJX DX-THER AGT PVRT FACET JT LMBR-SAC 1 LEVEL | $835.64 | $3,342.56 | $309.75–$10,533.00 | 16% below | 75% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593 - RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $4,495.32 | $17,981.29 | $449.76–$13,085.10 | 32% above | 75% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595 - RPR AA HERNIA 1ST GREATER THAN 10 CM REDUCIBLE | $6,736.22 | $26,944.88 | $449.76–$13,085.10 | 70% above | 75% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 - RPR AA HERNIA 1ST LESS THAN 3 CM REDUCIBLE | $3,968.46 | $15,873.85 | $449.76–$11,316.00 | 4% above | 75% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 - SIGMOIDOSCOPY FLX DX W-COLLJ SPEC BR-WA IF PFRMD | $584.98 | $2,339.90 | $309.75–$10,533.00 | 17% above | 75% |
| Gallbladder removal, laparoscopic CPT 47562 47562 - LAPAROSCOPY SURG CHOLECYSTECTOMY | $4,976.46 | $19,905.82 | $449.76–$12,219.40 | 7% below | 75% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 47563 - LAPS SURG CHOLECYSTECTOMY W-CHOLANGIOGRAPHY | $5,754.41 | $23,017.65 | $449.76–$12,219.40 | 5% above | 75% |
| Hammertoe correction surgery CPT 28285 28285 - CORRECTION HAMMERTOE | $2,271.34 | $9,085.35 | $309.75–$6,613.49 | 36% above | 75% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 46221 - HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $354.64 | $1,418.56 | $309.75–$4,769.00 | 23% below | 75% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 46255 - HEMORRHOIDECTOMY NTRNL AND XTRNL 1 COLUMN-GROUP | $3,597.41 | $14,389.62 | $367.98–$5,610.25 | at median | 75% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 27132 - CONV PREV HIP TOT HIP ARTHRP W-WO AGRFT-ALGRFT | $8,915.01 | $35,660.04 | $396.48–$25,950.00 | at median | 75% |
| Hysterectomy through an abdominal incision (total) CPT 58150 58150 - TOTAL ABDOMINAL HYSTERECT W-WO RMVL TUBE OVARY | $4,004.59 | $16,018.34 | $3,914.34–$6,256.00 | 49% below | 75% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 - CATH AND SALINE-CONTRAST SONOHYSTER-HYSTEROSALPI | $226.20 | $904.80 | $367.98–$6,256.00 | 5% below | 75% |
| Hysteroscopy with endometrial ablation CPT 58563 58563 - HYSTEROSCOPY ENDOMETRIAL ABLATION | $2,212.38 | $8,849.51 | $449.76–$16,082.00 | 21% below | 75% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 - HYSTEROSCOPY BX ENDOMETRIUMAND-POLYPC W-WO DANDC | $2,559.94 | $10,239.76 | $449.76–$6,542.99 | 6% below | 75% |
| IUD insertion (the device itself billed separately) CPT 58300 58300 - INSERTION INTRAUTERINE DEVICE IUD | $1,272.47 | $5,089.88 | $50.15–$806.00 | 11% below | 75% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE | $290.95 | $1,163.78 | $188.51–$3,487.00 | 35% above | 75% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 - RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN REDUCIBLE | $4,657.35 | $18,629.41 | $449.76–$11,316.00 | 11% above | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 - ARTHROCENTESIS ASPIRAND-INJ MAJOR JT-BURSA W-O US | $514.69 | $2,058.77 | $288.41–$10,533.00 | 127% above | 75% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 - INSERTION DRUG DELIVERY IMPLANT | $1,144.91 | $4,579.64 | $125.01–$806.00 | 259% above | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 - ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US | $1,253.01 | $5,012.02 | $288.41–$10,533.00 | 244% above | 75% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 - ARTHROCENTESIS ASPIRAND-INJ SMALL JT-BURSA W-O US | $500.76 | $2,003.04 | $288.41–$10,533.00 | 91% above | 75% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 29882 - ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL-LATERAL | $2,465.87 | $9,863.46 | $309.75–$6,613.49 | 17% below | 75% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 - ARTHRS KNEE SURG W-MENISCECTOMY MED-LAT W-SHVG | $3,963.08 | $15,852.31 | $367.98–$11,316.00 | 24% above | 75% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 29880 - ARTHRS KNEE SURG MENISCECTOMY MEDANDLAT W-SHAVING | $3,967.80 | $15,871.19 | $367.98–$11,316.00 | 11% above | 75% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877 - ARTHRS KNEE SURG DEBRIDEMENT-SHVG ARTCLR CRTLG | $2,767.61 | $11,070.42 | $367.98–$11,316.00 | 8% below | 75% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 43644 - LAPS GSTR RSTCV PX W-BYP ROUX-EN-Y LIMB LESS THAN 150 CM | $12,194.52 | $48,778.08 | $10,818.00–$24,728.50 | — | 75% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970 - LAPAROSCOPIC APPENDECTOMY | $5,132.75 | $20,531.01 | $449.76–$12,219.40 | 3% below | 75% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 58570 - LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM-LESS THAN | $7,076.27 | $28,305.09 | $449.76–$21,485.40 | 30% below | 75% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 58571 - LAPS TOTAL HYSTERECT 250 GM-LESS THAN W-RMVL TUBE-OVARY | $6,826.17 | $27,304.69 | $449.76–$21,485.40 | 4% below | 75% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650 - LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA | $6,163.61 | $24,654.44 | $449.76–$12,219.40 | 33% above | 75% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651 - LAPS SURG RPR RECURRENT INGUINAL HERNIA | $7,092.92 | $28,371.67 | $449.76–$12,219.40 | 35% above | 75% |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 43774 - LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE AND PORT | $4,890.18 | $19,560.72 | $3,622.52–$11,541.00 | 32% below | 75% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661 - LAPAROSCOPY W-RMVL ADNEXAL STRUCTURES | $4,236.98 | $16,947.91 | $449.76–$12,219.40 | 3% above | 75% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 43775 - LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY | $6,448.20 | $25,792.78 | $10,743.00–$15,693.40 | 23% below | 75% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 - POST-CATARACT LASER SURGERY | $1,044.68 | $4,178.72 | $309.75–$3,487.00 | 32% above | 75% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 - REPAIR INTERMEDIATE S-A-T-E 2.5 CM-LESS THAN | $1,144.18 | $4,576.72 | $367.98–$10,533.00 | 255% above | 75% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 - NJX DX-THER SBST INTRLMNR LMBR-SAC W-IMG GDN | $601.88 | $2,407.51 | $309.75–$10,533.00 | 1% below | 75% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 - NJX DX-THER SBST INTRLMNR LMBR-SAC W-O IMG GDN | $608.40 | $2,433.60 | $367.98–$3,487.00 | at median | 75% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 - NJX AAAND-STRD TFRML EPI LUMBAR-SACRAL 1 LEVEL | $522.29 | $2,089.15 | $309.75–$10,533.00 | 42% below | 75% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 63030 - LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR | $5,559.92 | $22,239.66 | $367.98–$16,082.00 | at median | 75% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 22633 - ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR | $1,648.07 | $6,592.26 | $449.76–$54,844.20 | 14% above | 75% |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 22630 - ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR | $1,816.79 | $7,267.16 | $449.76–$54,844.20 | 13% above | 75% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 63047 - LAM FACETECTOMY AND FORAMOTOMY 1 VRT SGM LUMBAR | $4,927.41 | $19,709.62 | $367.98–$16,082.00 | 1% above | 75% |
| Lumbar spinal fusion (posterior), one level CPT 22612 22612 - ARTHRODESIS POSTERIOR-PSTLAT TQ 1NTRSPC LUMBAR | $1,752.31 | $7,009.24 | $6,256.00–$35,521.60 | 9% above | 75% |
| Lumpectomy (partial mastectomy) CPT 19301 19301 - MASTECTOMY PARTIAL | $3,947.86 | $15,791.45 | $396.48–$7,914.01 | 120% above | 75% |
| Mastectomy (total removal of the breast) CPT 19303 19303 - MASTECTOMY SIMPLE COMPLETE | $3,466.96 | $13,867.85 | $396.48–$13,421.30 | at median | 75% |
| Miscarriage treatment with D&C, first trimester CPT 59820 59820 - TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $2,211.94 | $8,847.75 | $396.48–$11,316.00 | 6% above | 75% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.5 CM-LESS THAN | $2,736.63 | $10,946.52 | $309.75–$3,487.00 | 523% above | 75% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 - EXC B9 LESION MRGN XCP SK TG F-E-E-N-L-M 0.5CM-LESS THAN | $1,725.04 | $6,900.14 | $396.48–$10,533.00 | 398% above | 75% |
| Nail removal (partial or complete), one nail CPT 11730 11730 - AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1 | $467.11 | $1,868.43 | $188.51–$806.00 | 117% above | 75% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 - INJECTION AAAND-STRD GREATER OCCIPITAL NERVE | $752.14 | $3,008.57 | $288.41–$10,533.00 | 108% above | 75% |
| Pacemaker implant (dual chamber) CPT 33208 33208 - INS NEW-RPLCMT PRM PM W-TRANSV ELTRD ATRIALANDVENT | $5,044.80 | $20,179.19 | $367.98–$21,125.90 | 40% below | 75% |
| Paracentesis with imaging guidance CPT 49083 49083 - ABDOM PARACENTESIS DX-THER W-IMAGING GUIDANCE | $690.89 | $2,763.55 | $309.75–$3,487.00 | 1% above | 75% |
| Partial knee replacement (one compartment) CPT 27446 27446 - ARTHRP KNEE CONDYLEANDPLATEAU MEDIAL-LAT CMPRT | $4,854.42 | $19,417.66 | $367.98–$25,950.00 | 18% below | 75% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 - EXCISION NAILANDNAIL MATRIX PRTL-COMPL PERM RMVL | $1,468.53 | $5,874.10 | $309.75–$10,533.00 | 227% above | 75% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 - LAPS SURG PRST8ECT RPBIC RAD W-NERVE SPARING | $5,194.76 | $20,779.02 | $449.76–$21,485.40 | 30% below | 75% |
| Removal of a breast lump, open surgery CPT 19120 19120 - EXC CYST-ABERRANT BREAST TISSUE OPEN 1-GREATER THAN LESION | $4,142.52 | $16,570.08 | $396.48–$7,914.01 | 92% above | 75% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $213.72 | $854.88 | $309.75–$3,487.00 | 20% below | 75% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 60220 - TOTAL THYROID LOBECTOMY UNI W-WO ISTHMUSECTOMY | $5,331.27 | $21,325.06 | $449.76–$12,219.40 | 17% below | 75% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 G0121 - COLON CA SCRN NOT HI RSK IND | $650.06 | $2,600.25 | $873.77–$3,487.00 | 1% above | 75% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105 - COLORECTAL SCRN; HI RISK IND | $645.32 | $2,581.28 | $873.77–$3,487.00 | at median | 75% |
| Septoplasty to straighten the nasal septum CPT 30520 30520 - SEPTOPLASTY-SUBMUCOUS RESECJ W-WO CARTILAGE GRF | $2,185.73 | $8,742.91 | $449.76–$11,316.00 | 10% below | 75% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 50590 - LITHOTRIPSY XTRCORP SHOCK WAVE | $3,079.73 | $12,318.92 | $1,930.36–$10,818.00 | at median | 75% |
| Short arm splint (forearm and hand) CPT 29125 29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $201.50 | $806.00 | $125.01–$806.00 | 30% above | 75% |
| Short leg splint (calf to foot) CPT 29515 29515 - APPLICATION SHORT LEG SPLINT CALF TO FOOT | $215.54 | $862.16 | $152.68–$806.00 | 38% above | 75% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 - SURGICAL ARTHROSCOPY SHO W-CORACOACRM LIGM RLS | $2,006.74 | $8,026.97 | $698.00–$4,769.00 | 8% above | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 - SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS THAN | $208.57 | $834.29 | $188.51–$806.00 | 2% above | 75% |
| Skin biopsy, punch, one lesion CPT 11104 11104 - PUNCH BIOPSY SKIN SINGLE LESION | $1,468.66 | $5,874.62 | $309.75–$10,533.00 | 522% above | 75% |
| Skin tag removal, up to 15 tags CPT 11200 11200 - RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TOANDINC 15 | $2,162.23 | $8,648.92 | $188.51–$10,533.00 | 1196% above | 75% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 - DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $515.82 | $2,063.28 | $309.75–$10,533.00 | 14% below | 75% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 - SMPL REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.6-7.5CM | $215.54 | $862.16 | $188.51–$806.00 | at median | 75% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 - SIMPLE REPAIR F-E-E-N-L-M 2.5CM-LESS THAN | $202.54 | $810.16 | $188.51–$806.00 | at median | 75% |
| TURP (transurethral resection of the prostate) CPT 52601 52601 - TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE | $2,915.54 | $11,662.16 | $449.76–$11,316.00 | 9% below | 75% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 - TANGENTIAL BIOPSY SKIN SINGLE LESION | $886.08 | $3,544.32 | $285.41–$3,487.00 | 311% above | 75% |
| Thoracentesis with imaging guidance CPT 32555 32555 - THORACENTESIS NEEDLE-CATH PLEURA W-IMAGING | $1,089.89 | $4,359.57 | $309.75–$10,533.00 | 13% above | 75% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 42821 - TONSILLECTOMY AND ADENOIDECTOMY AGE 12-GREATER THAN | $2,832.89 | $11,331.54 | $449.76–$11,316.00 | 5% above | 75% |
| Tonsil and adenoid removal, child under 12 CPT 42820 42820 - TONSILLECTOMY AND ADENOIDECTOMY LESS THAN AGE 12 | $2,154.62 | $8,618.46 | $449.76–$11,965.40 | 17% below | 75% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826 - TONSILLECTOMY PRIMARY-SECONDARY AGE 12-GREATER THAN | $2,948.43 | $11,793.72 | $449.76–$11,316.00 | 21% above | 75% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 42825 - TONSILLECTOMY PRIMARY-SECONDARY LESS THAN AGE 12 | $2,464.41 | $9,857.64 | $449.76–$11,965.40 | 17% below | 75% |
| Total hip replacement CPT 27130 27130 - ARTHRP ACETBLR-PROX FEM PROSTC AGRFT-ALGRFT | $8,538.66 | $34,154.64 | $396.48–$25,950.00 | 5% above | 75% |
| Total knee replacement CPT 27447 27447 - ARTHRP KNE CONDYLEANDPLATU MEDIALANDLAT COMPARTMENTS | $5,778.68 | $23,114.71 | $396.48–$25,950.00 | 6% above | 75% |
| Total shoulder replacement CPT 23472 23472 - ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $4,569.30 | $18,277.19 | $449.76–$35,440.00 | at median | 75% |
| Total thyroid removal (thyroidectomy) CPT 60240 60240 - THYROIDECTOMY TOTAL-COMPLETE | $6,088.72 | $24,354.86 | $396.48–$12,219.40 | 41% below | 75% |
| Trigger finger release surgery CPT 26055 26055 - TENDON SHEATH INCISION | $2,385.09 | $9,540.37 | $309.75–$3,487.00 | 80% above | 75% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 - INJECTION SINGLE-MLT TRIGGER POINT 1-2 MUSCLES | $500.76 | $2,003.04 | $288.41–$3,487.00 | 175% above | 75% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 58670 - LAPAROSCOPY FULGURATION OVIDUCTS | $2,941.67 | $11,766.67 | $449.76–$12,219.40 | 26% above | 75% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 - BX BREAST W-DEVICE 1ST LESION ULTRASOUND GUID | $2,632.24 | $10,528.96 | $309.75–$3,487.00 | 128% above | 75% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 - EGD BALLOON DILATION ESOPHAGUS LESS THAN 30 MM DIAM | $798.35 | $3,193.41 | $449.76–$3,878.56 | 20% below | 75% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 - EGD TRANSORAL BIOPSY SINGLE-MULTIPLE | $1,194.32 | $4,777.29 | $367.98–$3,487.00 | 2% above | 75% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 43236 - ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $732.47 | $2,929.86 | $309.75–$3,487.00 | 9% below | 75% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 - EGD REMOVAL TUMOR POLYP-OTHER LESION SNARE TECH | $696.63 | $2,786.52 | $309.75–$3,878.56 | 12% below | 75% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 43248 - EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $1,466.60 | $5,866.41 | $309.75–$3,487.00 | 179% above | 75% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $846.98 | $3,387.91 | $309.75–$10,533.00 | 3% above | 75% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 43240 - EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST | $2,467.14 | $9,868.56 | $309.75–$12,270.70 | 119% above | 75% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 52353 - CYSTO W-URETEROSCOPY W-LITHOTRIPSY | $2,613.16 | $10,452.62 | $449.76–$11,316.00 | at median | 75% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 52356 - CYSTO-URETERO W-LITHOTRIPSY ANDINDWELL STENT INSRT | $2,946.52 | $11,786.07 | $449.76–$11,316.00 | 14% below | 75% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 55250 - VASECTOMY UNI-BI SPX W-POSTOP SEMEN EXAMS | $2,678.47 | $10,713.87 | $367.98–$4,225.17 | — | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM-LESS THAN | $2,481.85 | $9,927.40 | $309.75–$3,487.00 | 418% above | 75% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607 - OPTX DSTL RDL X-ARTIC FX-EPIPHYSL SEPARATION | $5,094.17 | $20,376.68 | $367.98–$14,666.50 | 68% above | 75% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 36430 - TRANSFUSION BLOOD-BLOOD COMPONENTS | $470.34 | $1,881.35 | $309.75–$10,533.00 | at median | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 - PRESSURIZED-NONPRESSURIZED INHALATION TREATMENT | $78.52 | $314.08 | $7.43–$442.60 | at median | 75% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1-1ST SBST-DRUG | $320.06 | $1,280.24 | $310.35–$667.62 | 12% above | 75% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - CRITICAL CARE ILL-INJURED PATIENT INIT 30-74 MIN | $1,183.00 | $4,732.00 | $776.12–$2,907.00 | 9% above | 75% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 - ELECTROENCEPHALOGRAM W-REC AWAKEANDDROWSY | $326.56 | $1,306.24 | $30.98–$436.44 | at median | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 - ECG ROUTINE ECG W-LEAST 12 LDS TRCG ONLY W-O IANDR | $32.50 | $129.99 | $21.06–$119.24 | 59% below | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS-QHP | $455.00 | $1,820.00 | $79.23–$1,196.00 | 151% above | 75% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | $656.50 | $2,626.00 | $144.27–$1,600.00 | 145% above | 75% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - EMERGENCY DEPARTMENT VISIT LOW MDM | $786.49 | $3,145.96 | $256.48–$1,745.00 | 57% above | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - EMERGENCY DEPARTMENT VISIT MODERATE MDM | $864.48 | $3,457.91 | $392.05–$2,021.00 | 47% above | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - EMERGENCY DEPARTMENT VISIT HIGH MDM | $1,052.63 | $4,210.51 | $559.55–$2,721.00 | at median | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 - CV STRS TST XERSAND-RX CONT ECG TRCG ONLY W-O IANDR | $176.80 | $707.20 | $75.58–$436.44 | 50% below | 75% |
| Group psychotherapy session CPT 90853 90853 - GROUP PSYCHOTHERAPY | $104.78 | $419.12 | $95.45–$205.34 | at median | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $119.86 | $479.42 | $199.85–$429.93 | 6% below | 75% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV INFUSION THERAPY-PROPHYLAXIS -DX 1ST TO 1 HR | $134.67 | $538.67 | $112.23–$429.93 | 12% below | 75% |
| IV push of a medicine, first drug CPT 96374 96374 - THER PROPH-DX NJX IV PUSH SINGLE-1ST SBST-DRUG | $105.81 | $423.24 | $199.85–$429.93 | 12% below | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - THERAPEUTIC PROPHYLACTIC-DX INJECTION SUBQ-IM | $47.06 | $188.23 | $67.65–$145.53 | at median | 75% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 - NERVE CONDUCTION STUDIES 7-8 STUDIES | $230.62 | $922.48 | $88.60–$754.23 | 9% above | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 - THER PX 1-GREATER THAN AREAS EACH 15 MIN NEUROMUSC REEDUCA | $40.56 | $162.24 | $30.36–$66.29 | 6% below | 75% |
| New patient office visit, about 30 minutes CPT 99203 99203 - OFFICE-OUTPATIENT NEW LOW MDM 30 MINUTES | $99.84 | $399.36 | $104.63–$107.43 | at median | 75% |
| New patient office visit, about 45 minutes CPT 99204 99204 - OFFICE-OUTPATIENT NEW MODERATE MDM 45 MINUTES | $148.72 | $594.88 | $179.00–$183.78 | at median | 75% |
| New patient office visit, about 60 minutes CPT 99205 99205 - OFFICE-OUTPATIENT NEW HIGH MDM 60 MINUTES | $151.06 | $604.24 | $14.87–$240.14 | 2% below | 75% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 - OFFICE-OUTPATIENT NEW SF MDM 15 MINUTES | $81.12 | $324.48 | $69.75–$71.61 | at median | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 - MEDICAL NUTRITION ASSMTANDIVNTJ INDIV EACH 15 MI | $26.26 | $105.04 | $33.94–$74.11 | 27% below | 75% |
| Occupational therapy evaluation, low complexity CPT 97165 97165 - OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $61.36 | $245.44 | $93.50–$204.17 | 42% below | 75% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163 - PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $122.97 | $491.87 | $91.20–$245.02 | 14% below | 75% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 97161 - PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $65.26 | $261.04 | $91.20–$199.14 | 38% below | 75% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162 - PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $92.30 | $369.19 | $91.20–$199.14 | 27% below | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 - MANUAL THERAPY TQS 1-GREATER THAN REGIONS EACH 15 MINUTES | $39.26 | $157.04 | $25.72–$56.16 | 6% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 - THERAPEUTIC PX 1-GREATER THAN AREAS EACH 15 MIN EXERCISES | $65.00 | $260.00 | $26.96–$58.89 | at median | 75% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 - TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $31.20 | $124.80 | $35.20–$75.72 | 5% below | 75% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 - OFFICE-OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $99.32 | $397.28 | $105.40–$108.22 | at median | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 - OFFICE-OUTPATIENT ESTABLISHED MOD MDM 30 MIN | $133.12 | $532.48 | $153.58–$157.68 | 6% above | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 - OFFICE-OUTPATIENT ESTABLISHED SF MDM 10 MIN | $73.25 | $292.98 | $63.21–$64.90 | 16% above | 75% |
| Speech and language evaluation CPT 92523 92523 - EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $113.36 | $453.44 | $61.26–$464.02 | 33% below | 75% |
| Speech therapy session, individual CPT 92507 92507 - TX SPEECH LANG VOICE COMMJAND-AUD PROC DO INDIV | $105.56 | $422.24 | $26.96–$155.95 | 14% below | 75% |
| Spirometry (breathing test) CPT 94010 94010 - SPMTRY W-VC EXPIRATORY FLO W-WO MXML VOL VNTJ | $155.74 | $622.96 | $29.74–$436.44 | at median | 75% |
| Spirometry before and after a bronchodilator CPT 94060 94060 - BRNCDILAT RSPSE SPMTRY PREANDPOST-BRNCDILAT ADMN | $155.48 | $621.92 | $48.32–$754.23 | 36% below | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 - THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $65.26 | $261.04 | $26.96–$70.05 | 4% above | 75% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 - PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $56.16 | $224.64 | $125.01–$268.93 | 44% below | 75% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 - IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE | $14.30 | $57.18 | $19.14–$28.69 | 52% below | 75% |
| Hepatitis A vaccine, adult dose CPT 90632 90632 - HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE | $33.54 | $134.16 | $73.54–$117.23 | 62% below | 75% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 - HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE | $29.12 | $116.48 | $70.25–$101.10 | 75% below | 75% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 90648 - HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE | $9.30 | $37.18 | $13.54–$19.14 | 77% below | 75% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 90619 - MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE | $94.73 | $378.93 | $177.11–$247.95 | 59% below | 75% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 90620 - MENB-4C RECOMBNT PRTN AND OUTER MEMB VESIC VACC IM | $129.81 | $519.22 | $226.87–$331.99 | 69% below | 75% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 - PCV20 VACCINE FOR INTRAMUSCULAR USE | $155.12 | $620.46 | $312.90–$418.95 | 79% below | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 - TDAP VACCINE 7 YRS-GREATER THAN IM | $31.12 | $124.48 | $35.68–$68.25 | 57% below | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 - IM ADM PRQ ID SUBQ-IM NJXS 1 VACCINE | $24.60 | $98.39 | $16.28–$145.53 | at median | 75% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 - IM ADM PRQ ID SUBQ-IM NJXS EA VACCINE | $21.84 | $87.36 | $16.28 | 7% above | 75% |