Regional West Medical Center
Regional West Medical Center in Scottsbluff, NE publishes cash prices for 278 common procedures listed here, from its own machine-readable price file updated Mar 17, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Nebraska median for 214 of 273 procedures and below it for 57. By typical cash price it ranks #1 of 34 Nebraska hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
4021 Ave B, Scottsbluff, NE 69361 Collected Sep 27, 2026 Source price file (308) 635-3711
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 280061 · CMS hospital register
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 Regional West Medical Center in Scottsbluff, NE:
- Mar 17, 2023 Warning notice
- Jul 6, 2023 Case closed
- Apr 4, 2024 Met requirements
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. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HB RADIANT-ANKLE MIN 3 VWS | $351.18 | $585.30 | $90.37–$544.33 | 50% above | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HB RADIANT-ANKLE MIN 3 VWS | $351.18 | $585.30 | $438.98–$544.33 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HB RADIANT-ESOPHAGOGRAM | $731.40 | $1,219.00 | $182.14–$1,133.67 | 57% above | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB RADIANT-ESOPHAGOGRAM | $731.40 | $1,219.00 | $914.25–$1,133.67 | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB RADIANT-BONE/JOINT SCAN WHOLE BODY | $1,818.60 | $3,031.00 | $415.12–$2,818.83 | 10% above | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB RADIANT-BONE/JOINT SCAN WHOLE BODY | $1,818.60 | $3,031.00 | $2,273.25–$2,818.83 | — | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 HB RADIANT-BREAST US UNILATERAL W IMAGE DOC +/- AXILLA COMPLETE | $670.92 | $1,118.20 | $108.56–$1,039.93 | 54% above | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HB RADIANT-BREAST US UNILATERAL W IMAGE DOC +/- AXILLA COMPLETE | $670.92 | $1,118.20 | $838.65–$1,039.93 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB RADIANT-CT ANGIO CHEST W/O W/ CTRST NONCORONARY | $2,982.00 | $4,970.00 | $182.14–$4,622.10 | 3% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB RADIANT-CT ANGIO CHEST W/O W/ CTRST NONCORONARY | $2,982.00 | $4,970.00 | $3,727.50–$4,622.10 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB RADIANT-CCTA W/WO CNTRST W CALIUM | $2,221.80 | $3,703.00 | $362.27–$3,443.79 | 124% above | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB RADIANT-CCTA W/WO CNTRST W CALIUM | $2,221.80 | $3,703.00 | $2,777.25–$3,443.79 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB RADIANT-CT CALCIUM SCORING ULTRA FAST | $382.38 | $637.30 | $90.37–$2,388.00 | 206% above | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HB RADIANT-CT CALCIUM SCORING ULTRA FAST | $382.38 | $637.30 | $477.98–$592.69 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB RADIANT-CT ABDOMEN AND PELVIS W/O CONTRAST | $3,753.60 | $6,256.00 | $247.76–$5,818.08 | 33% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB RADIANT-CT ABDOMEN AND PELVIS W/O CONTRAST | $3,753.60 | $6,256.00 | $4,692.00–$5,818.08 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB RADIANT-CT ABDOMEN AND PELVIS W CONTRAST | $4,703.40 | $7,839.00 | $362.27–$7,290.27 | 26% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB RADIANT-CT ABDOMEN AND PELVIS W CONTRAST | $4,703.40 | $7,839.00 | $5,879.25–$7,290.27 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB RADIANT-CT ABDOMEN AND PELVIS W/O W CONTRAST | $4,983.60 | $8,306.00 | $362.27–$7,724.58 | 19% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB RADIANT-CT ABDOMEN AND PELVIS W/O W CONTRAST | $4,983.60 | $8,306.00 | $6,229.50–$7,724.58 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 HB RADIANT-CT ABDOMEN WITH CONTRAST | $2,600.40 | $4,334.00 | $182.14–$4,030.62 | 15% above | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HB RADIANT-CT ABDOMEN WITH CONTRAST | $2,600.40 | $4,334.00 | $3,250.50–$4,030.62 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 HB RADIANT-CT ABDOMEN - NON CONTRAST | $2,290.20 | $3,817.00 | $108.56–$3,549.81 | 26% above | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HB RADIANT-CT ABDOMEN - NON CONTRAST | $2,290.20 | $3,817.00 | $2,862.75–$3,549.81 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HB RADIANT-CT MAXLOFCE AREA W/O CONTRAST | $1,857.60 | $3,096.00 | $108.56–$2,879.28 | 21% above | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB RADIANT-CT MAXLOFCE AREA W/O CONTRAST | $1,857.60 | $3,096.00 | $2,322.00–$2,879.28 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB RADIANT-CT HEAD/BRAIN W/O CONTRAST | $1,833.00 | $3,055.00 | $108.56–$2,841.15 | 14% above | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB RADIANT-CT HEAD/BRAIN W/O CONTRAST | $1,833.00 | $3,055.00 | $2,291.25–$2,841.15 | — | 40% |
| CT scan of the head with contrast CPT 70460 HB RADIANT-CT HEAD/BRAIN W/CONTRAST | $2,067.60 | $3,446.00 | $182.14–$3,204.78 | 4% above | 40% |
| CT scan of the head with contrast inpatient CPT 70460 HB RADIANT-CT HEAD/BRAIN W/CONTRAST | $2,067.60 | $3,446.00 | $2,584.50–$3,204.78 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 HB RADIANT-CT BRAIN W & WO CONTRAST | $2,471.40 | $4,119.00 | $182.14–$3,830.67 | 16% above | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 HB RADIANT-CT BRAIN W & WO CONTRAST | $2,471.40 | $4,119.00 | $3,089.25–$3,830.67 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB RADIANT-CT L-SPINE - NON CONTRAST | $2,272.20 | $3,787.00 | $108.56–$3,521.91 | 20% above | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB RADIANT-CT L-SPINE - NON CONTRAST | $2,272.20 | $3,787.00 | $2,840.25–$3,521.91 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB RADIANT-CT C-SPINE W/O CONTRAST | $2,209.20 | $3,682.00 | $108.56–$3,424.26 | 15% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB RADIANT-CT C-SPINE W/O CONTRAST | $2,209.20 | $3,682.00 | $2,761.50–$3,424.26 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB RADIANT-CT PELVIS WITH CONTRAST | $2,403.00 | $4,005.00 | $182.14–$3,724.65 | 6% above | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB RADIANT-CT PELVIS WITH CONTRAST | $2,403.00 | $4,005.00 | $3,003.75–$3,724.65 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB RADIANT DUPLEX CAROTID ARTERIES BILATERAL | $1,200.30 | $2,000.50 | $247.76–$1,860.47 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HB RADIANT DUPLEX CAROTID ARTERIES BILATERAL | $1,200.30 | $2,000.50 | $1,500.38–$1,860.47 | — | 40% |
| Chest X-ray, 2 views CPT 71046 HB RADIANT-RADIOLOGIC EXAM CHEST 2 VIEWS | $306.00 | $510.00 | $90.37–$474.30 | 23% above | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 HB RADIANT-RADIOLOGIC EXAM CHEST 2 VIEWS | $306.00 | $510.00 | $382.50–$474.30 | — | 40% |
| Chest X-ray, single view CPT 71045 HB RADIANT-RADIOLOGIC EXAM CHEST SINGLE VIEW | $192.00 | $320.00 | $90.37–$297.60 | at median | 40% |
| Chest X-ray, single view inpatient CPT 71045 HB RADIANT-RADIOLOGIC EXAM CHEST SINGLE VIEW | $192.00 | $320.00 | $240.00–$297.60 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB RADIANT-US RETROPERITONEAL COMPLETE | $858.36 | $1,430.60 | $108.56–$1,330.46 | 13% above | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HB RADIANT-US RETROPERITONEAL COMPLETE | $858.36 | $1,430.60 | $1,072.95–$1,330.46 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB RADIANT DEXA SCAN SPINE HIP | $510.54 | $850.90 | $108.56–$791.34 | 36% above | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB RADIANT DEXA SCAN SPINE HIP | $510.54 | $850.90 | $638.18–$791.34 | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB RADIANT-BONE DXA FOREARM =>1 SITE | $178.76 | $297.92 | $90.37–$277.07 | 4% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB RADIANT-BONE DXA FOREARM =>1 SITE | $178.76 | $297.92 | $223.44–$277.07 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB RADIANT-CT CHEST - NON CONTRAST | $2,116.80 | $3,528.00 | $108.56–$3,281.04 | 12% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB RADIANT-CT CHEST - NON CONTRAST | $2,116.80 | $3,528.00 | $2,646.00–$3,281.04 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB RADIANT-CT CHEST WITH CONTRAST | $2,371.80 | $3,953.00 | $182.14–$3,676.29 | 3% above | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB RADIANT-CT CHEST WITH CONTRAST | $2,371.80 | $3,953.00 | $2,964.75–$3,676.29 | — | 40% |
| Diagnostic mammogram, one breast CPT 77065 HB RADIANT-DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $335.40 | $559.00 | $115.32–$519.87 | 67% above | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HB RADIANT-DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $335.40 | $559.00 | $419.25–$519.87 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB RADIANT-DUPLEX LOWER EXTREM ARTERIES BILAT | $1,050.24 | $1,750.40 | $247.76–$1,627.87 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HB RADIANT-DUPLEX LOWER EXTREM ARTERIES BILAT | $1,050.24 | $1,750.40 | $1,312.80–$1,627.87 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB RADIANT CCL-COMP BILAT VENOUS DUPLEX STUDY | $1,190.70 | $1,984.50 | $247.76–$1,845.59 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB RADIANT-COMP BILAT VENOUS DUPLEX STUDY | $1,348.80 | $2,248.00 | $247.76–$2,090.64 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HB RADIANT CCL-COMP BILAT VENOUS DUPLEX STUDY | $1,190.70 | $1,984.50 | $1,488.38–$1,845.59 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HB RADIANT-COMP BILAT VENOUS DUPLEX STUDY | $1,348.80 | $2,248.00 | $1,686.00–$2,090.64 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB RADIANT CCL ECHO TTE 2-D +/-M MODE CMPLT W DOPPLER | $2,182.98 | $3,638.30 | $567.39–$3,383.62 | 9% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB RADIANT CCL-ECHO TTE 2-D +/-M MODE CMPLT W DOP PEDS | $2,182.98 | $3,638.30 | $567.39–$3,383.62 | 9% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO TTE 2-D +/-M MODE CMPLT W DOPPLER | $2,182.98 | $3,638.30 | $567.39–$3,383.62 | 9% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB RADIANT CCL ECHO TTE 2-D +/-M MODE CMPLT W DOPPLER | $2,182.98 | $3,638.30 | $2,728.73–$3,383.62 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB ECHO TTE 2-D +/-M MODE CMPLT W DOPPLER | $2,182.98 | $3,638.30 | $2,728.73–$3,383.62 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB RADIANT CCL-ECHO TTE 2-D +/-M MODE CMPLT W DOP PEDS | $2,182.98 | $3,638.30 | $2,728.73–$3,383.62 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB RADIANT-HEPATOBILIARY IMAGE W W/O GALLBLADDER | $2,028.90 | $3,381.50 | $415.12–$3,144.80 | 40% above | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB RADIANT-HEPATOBILIARY IMAGE W W/O GALLBLADDER | $2,028.90 | $3,381.50 | $2,536.13–$3,144.80 | — | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP | $469.38 | $782.30 | $224.21–$727.54 | 26% above | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HB SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP | $469.38 | $782.30 | $586.73–$727.54 | — | 40% |
| Knee X-ray, 3 views CPT 73562 HB RADIANT-KNEE 3 VWS | $382.98 | $638.30 | $90.37–$593.62 | 12% above | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 HB RADIANT-KNEE 3 VWS | $382.98 | $638.30 | $478.73–$593.62 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US OF ABDOMEN LIMITED | $523.20 | $872.00 | $108.56–$810.96 | 1% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB RADIANT-ABDOMEN LIMITED US | $625.80 | $1,043.00 | $108.56–$969.99 | 21% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US OF ABDOMEN LIMITED | $523.20 | $872.00 | $654.00–$810.96 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB RADIANT-ABDOMEN LIMITED US | $625.80 | $1,043.00 | $782.25–$969.99 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB RADIANT-COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $618.00 | $1,030.00 | $108.56–$2,388.00 | 76% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HB RADIANT-COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $618.00 | $1,030.00 | $772.50–$957.90 | — | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HB MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | $2,893.38 | $4,822.30 | $316.38–$4,484.74 | — | 40% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HB MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | $2,893.38 | $4,822.30 | $3,616.73–$4,484.74 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB RADIANT-MRI ANY JT LOW EXTREM; W/O CONT | $2,043.00 | $3,405.00 | $247.76–$3,166.65 | 17% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB RADIANT-MRI ANY JT LOW EXTREM; W/O CONT | $2,043.00 | $3,405.00 | $2,553.75–$3,166.65 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB RADIANT-MRI ANY JT LW EXTREM W/O&W/CONT | $2,866.80 | $4,778.00 | $362.27–$4,443.54 | 15% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB RADIANT-MRI ANY JT LW EXTREM W/O&W/CONT | $2,866.80 | $4,778.00 | $3,583.50–$4,443.54 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 HB RADIANT-MR ABDOMEN W/O CONTRAST | $2,610.60 | $4,351.00 | $247.76–$4,046.43 | 4% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 HB RADIANT-MR ABDOMEN W/O CONTRAST | $2,610.60 | $4,351.00 | $3,263.25–$4,046.43 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HB RADIANT-MR ABDOMEN W + W/O CONTRAST | $3,779.40 | $6,299.00 | $362.27–$5,858.07 | 3% above | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB RADIANT-MR ABDOMEN W + W/O CONTRAST | $3,779.40 | $6,299.00 | $4,724.25–$5,858.07 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 HB RADIANT-MR IMAG BRAIN; W/O CONT | $3,090.00 | $5,150.00 | $247.76–$4,789.50 | 29% above | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB RADIANT-MR IMAG BRAIN; W/O CONT | $3,090.00 | $5,150.00 | $3,862.50–$4,789.50 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HB RADIANT-MRI BRAIN W/O&W CONT | $3,924.00 | $6,540.00 | $362.27–$6,082.20 | 5% above | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB RADIANT-MRI BRAIN W/O&W CONT | $3,924.00 | $6,540.00 | $4,905.00–$6,082.20 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HB RADIANT-MR L-SPINE WITHOUT CONTRAST | $3,128.40 | $5,214.00 | $247.76–$4,849.02 | 6% above | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB RADIANT-MR L-SPINE WITHOUT CONTRAST | $3,128.40 | $5,214.00 | $3,910.50–$4,849.02 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HB RADIANT-MR L-SPINE WITH/WITHOUT CONTRAST | $4,009.20 | $6,682.00 | $362.27–$6,214.26 | 7% above | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB RADIANT-MR L-SPINE WITH/WITHOUT CONTRAST | $4,009.20 | $6,682.00 | $5,011.50–$6,214.26 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB RADIANT-MR T-SPINE WITHOUT CONTRAST | $3,143.40 | $5,239.00 | $247.76–$4,872.27 | 8% above | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB RADIANT-MR T-SPINE WITHOUT CONTRAST | $3,143.40 | $5,239.00 | $3,929.25–$4,872.27 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HB RADIANT-MR C-SPINE WITH/WITHOUT CONTRAST | $3,828.60 | $6,381.00 | $362.27–$5,934.33 | 3% above | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HB RADIANT-MR C-SPINE WITH/WITHOUT CONTRAST | $3,828.60 | $6,381.00 | $4,785.75–$5,934.33 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HB RADIANT-MR C-SPINE WITHOUT CONTRAST | $2,940.00 | $4,900.00 | $247.76–$4,557.00 | 3% below | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB RADIANT-MR C-SPINE WITHOUT CONTRAST | $2,940.00 | $4,900.00 | $3,675.00–$4,557.00 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 HB RADIANT-MR PELVIS W + W/O CONTRAST | $4,395.00 | $7,325.00 | $362.27–$6,812.25 | 41% above | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HB RADIANT-MR PELVIS W + W/O CONTRAST | $4,395.00 | $7,325.00 | $5,493.75–$6,812.25 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 HB RADIANT-MR PELVIS W/O CONTRAST | $3,263.40 | $5,439.00 | $247.76–$5,058.27 | 38% above | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HB RADIANT-MR PELVIS W/O CONTRAST | $3,263.40 | $5,439.00 | $4,079.25–$5,058.27 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB RADIANT-HRT MUSCLE IMAGE SPECT-MULTIPLE | $4,763.76 | $7,939.60 | $1,344.36–$7,383.83 | 30% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HB RADIANT-HRT MUSCLE IMAGE SPECT-MULTIPLE | $4,763.76 | $7,939.60 | $5,954.70–$7,383.83 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB RADIANT PET/CT TUMOR IMAGE SKUL-THIGH | $5,989.80 | $9,983.00 | $1,484.85–$9,284.19 | 11% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB RADIANT PET/CT TUMOR IMAGE SKUL-THIGH | $5,989.80 | $9,983.00 | $7,487.25–$9,284.19 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB RADIANT-US PELVIC LIMITED (NON OB) | $466.80 | $778.00 | $108.56–$723.54 | 53% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIS LIMITED (NON OB) | $510.44 | $850.72 | $108.56–$791.17 | 68% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB RADIANT-US PELVIC LIMITED (NON OB) | $466.80 | $778.00 | $583.50–$723.54 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US PELVIS LIMITED (NON OB) | $510.44 | $850.72 | $638.04–$791.17 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB RADIANT-US PELVIC COMPLETE (NON OB) | $820.68 | $1,367.80 | $108.56–$1,272.05 | 11% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB RADIANT-US PELVIC COMPLETE (NON OB) | $820.68 | $1,367.80 | $1,025.85–$1,272.05 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB RADIANT-US PREG 2ND TRI TRANS ABD SINGLE GEST | $687.54 | $1,145.90 | $108.56–$1,065.69 | 2% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB RADIANT-US PREG 2ND TRI TRANS ABD SINGLE GEST | $687.54 | $1,145.90 | $859.43–$1,065.69 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB RADIANT-US PREG 1ST TRI TRANS ABD SINGLE GEST | $564.12 | $940.20 | $108.56–$874.39 | 5% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB RADIANT-US PREG 1ST TRI TRANS ABD SINGLE GEST | $564.12 | $940.20 | $705.15–$874.39 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US OB LIMITED ONE OR MORE FETUS-O/P | $502.80 | $838.00 | $108.56–$779.34 | 49% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB RADIANT-US OB LIMITED ONE OR MORE FETUS | $514.86 | $858.10 | $108.56–$798.03 | 53% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US OB LIMITED ONE OR MORE FETUS-O/P | $502.80 | $838.00 | $628.50–$779.34 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB RADIANT-US OB LIMITED ONE OR MORE FETUS | $514.86 | $858.10 | $643.58–$798.03 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HB RADIANT-UNILATERAL SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $295.80 | $493.00 | $117.53–$458.49 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HB RADIANT-UNILATERAL SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $295.80 | $493.00 | $369.75–$458.49 | — | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HB SLEEP STUDY | $3,052.17 | $5,086.95 | $891.71–$4,730.86 | 2% below | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB SLEEP STUDY | $3,052.17 | $5,086.95 | $3,815.21–$4,730.86 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HB RADIANT-SWALLOW FUNCTION W CINE/VIDEO XRAY | $610.20 | $1,017.00 | $182.14–$945.81 | 22% above | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB RADIANT-SWALLOW FUNCTION W CINE/VIDEO XRAY | $610.20 | $1,017.00 | $762.75–$945.81 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HB RADIANT-US TRANSVAGINAL NON OB | $688.08 | $1,146.80 | $108.56–$1,066.52 | 29% above | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB RADIANT-US TRANSVAGINAL NON OB | $688.08 | $1,146.80 | $860.10–$1,066.52 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 HB RADIANT-US OB TRANSVAGINAL | $519.60 | $866.00 | $108.56–$805.38 | 12% above | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB RADIANT-US OB TRANSVAGINAL | $519.60 | $866.00 | $649.50–$805.38 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HB RADIANT-ABDOMEN COMPLETE US | $883.20 | $1,472.00 | $108.56–$1,368.96 | 10% above | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB RADIANT-ABDOMEN COMPLETE US | $883.20 | $1,472.00 | $1,104.00–$1,368.96 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 HB RADIANT-TESTICULAR US | $666.00 | $1,110.00 | $108.56–$1,032.30 | 10% above | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HB RADIANT-TESTICULAR US | $666.00 | $1,110.00 | $832.50–$1,032.30 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB RADIANT-NECK / THYROID US | $667.74 | $1,112.90 | $108.56–$1,035.00 | 17% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB RADIANT-NECK / THYROID US | $667.74 | $1,112.90 | $834.68–$1,035.00 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB RADIANT-UGI SINGLE W/O KUB | $702.00 | $1,170.00 | $182.14–$1,088.10 | 49% above | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB RADIANT-UGI SINGLE W/O KUB | $702.00 | $1,170.00 | $877.50–$1,088.10 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HB LIMITED VENOUS DUPLEX | $255.22 | $425.36 | $108.56–$395.58 | 74% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB RADIANT-DUPLEX EXTREMITY VEINS UNILAT LTD | $898.80 | $1,498.00 | $108.56–$1,393.14 | 9% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HB LIMITED VENOUS DUPLEX | $255.22 | $425.36 | $319.02–$395.58 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB RADIANT-DUPLEX EXTREMITY VEINS UNILAT LTD | $898.80 | $1,498.00 | $1,123.50–$1,393.14 | — | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HB RADIANT-WRIST MIN 3 VIEWS | $364.62 | $607.70 | $90.37–$565.16 | 17% above | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HB RADIANT-WRIST MIN 3 VIEWS | $364.62 | $607.70 | $455.78–$565.16 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB RADIANT-RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $315.60 | $526.00 | $90.37–$489.18 | 104% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HB RADIANT-RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $315.60 | $526.00 | $394.50–$489.18 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 HB RADIANT-RADIOLOGIC EXAM ABDOMEN 1 VIEW | $307.92 | $513.20 | $90.37–$477.28 | 37% above | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HB RADIANT-RADIOLOGIC EXAM ABDOMEN 1 VIEW | $307.92 | $513.20 | $384.90–$477.28 | — | 40% |
| X-ray of the ankle, 2 views CPT 73600 HB RADIANT-ANKLE 2 VIEWS | $314.64 | $524.40 | $90.37–$487.69 | 70% above | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HB RADIANT-ANKLE 2 VIEWS | $314.64 | $524.40 | $393.30–$487.69 | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 HB RADIANT-FINGER(S) MIN. 2 VWS | $271.62 | $452.70 | $90.37–$421.01 | 58% above | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HB RADIANT-FINGER(S) MIN. 2 VWS | $271.62 | $452.70 | $339.53–$421.01 | — | 40% |
| X-ray of the foot, 2 views CPT 73620 HB RADIANT-FOOT 2 VIEWS | $299.34 | $498.90 | $90.37–$463.98 | 54% above | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 HB RADIANT-FOOT 2 VIEWS | $299.34 | $498.90 | $374.18–$463.98 | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HB RADIANT-FOOT MIN 3 VWS | $350.40 | $584.00 | $90.37–$543.12 | 48% above | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HB RADIANT-FOOT MIN 3 VWS | $350.40 | $584.00 | $438.00–$543.12 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 HB RADIANT-HAND 3 VIEWS OR MORE | $362.46 | $604.10 | $90.37–$561.81 | 8% above | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HB RADIANT-HAND 3 VIEWS OR MORE | $362.46 | $604.10 | $453.08–$561.81 | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 HB RADIANT-KNEE 1 OR 2 VWS | $320.70 | $534.50 | $90.37–$497.09 | 19% above | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HB RADIANT-KNEE 1 OR 2 VWS | $320.70 | $534.50 | $400.88–$497.09 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB RADIANT-L-SPINE 2 OR 3 VIEWS | $416.04 | $693.40 | $108.56–$644.86 | 27% above | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB RADIANT-L-SPINE 2 OR 3 VIEWS | $416.04 | $693.40 | $520.05–$644.86 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HB RADIANT-L-SPINE MIN 4 VIEWS | $566.82 | $944.70 | $108.56–$878.57 | 38% above | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB RADIANT-L-SPINE MIN 4 VIEWS | $566.82 | $944.70 | $708.53–$878.57 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB RADIANT-T-SPINE 2 VIEWS | $362.40 | $604.00 | $108.56–$561.72 | 34% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB RADIANT-T-SPINE 2 VIEWS | $362.40 | $604.00 | $453.00–$561.72 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HB RADIANT-NASAL BONES COMPLETE | $333.72 | $556.20 | $90.37–$517.27 | 27% above | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB RADIANT-NASAL BONES COMPLETE | $333.72 | $556.20 | $417.15–$517.27 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB RADIANT-C-SPINE 3 OR LESS VIEWS | $347.76 | $579.60 | $90.37–$539.03 | 34% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HB RADIANT-C-SPINE 3 OR LESS VIEWS | $347.76 | $579.60 | $434.70–$539.03 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HB RADIANT-PELVIS 1 OR 2 VIEWS | $299.28 | $498.80 | $108.56–$463.88 | 32% above | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB RADIANT-PELVIS 1 OR 2 VIEWS | $299.28 | $498.80 | $374.10–$463.88 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB RADIANT-SACRUM AND COCCYX 2+VWS | $346.68 | $577.80 | $90.37–$537.35 | 35% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB RADIANT-SACRUM AND COCCYX 2+VWS | $346.68 | $577.80 | $433.35–$537.35 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALT(SGPT) | $61.20 | $102.00 | $5.30–$94.86 | 3% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB POCT ALT(SGPT) | $64.80 | $108.00 | $5.30–$100.44 | 9% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB ALT(SGPT) | $61.20 | $102.00 | $76.50–$94.86 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB POCT ALT(SGPT) | $64.80 | $108.00 | $81.00–$100.44 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB AST(SGOT) | $62.40 | $104.00 | $5.18–$96.72 | 32% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB LIVER FIBROSIS AST | $62.40 | $104.00 | $5.18–$96.72 | 32% above | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB AST(SGOT) | $62.40 | $104.00 | $78.00–$96.72 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB LIVER FIBROSIS AST | $62.40 | $104.00 | $78.00–$96.72 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB ACUTE HEPATITIS PANEL | $345.60 | $576.00 | $47.63–$535.68 | 10% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB ACUTE HEPATITIS PANEL | $345.60 | $576.00 | $432.00–$535.68 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN SPECIFIC IGE, EACH | $48.00 | $80.00 | $5.22–$74.40 | 14% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN SPECIFIC IGE, EACH | $48.00 | $80.00 | $60.00–$74.40 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CYCLIC CITRULLINATED PEPTIDE AB | $97.02 | $161.70 | $12.95–$150.38 | 18% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CYCLIC CITRULLINATED PEPTIDE | $175.80 | $293.00 | $12.95–$272.49 | 115% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB CYCLIC CITRULLINATED PEPTIDE AB | $97.02 | $161.70 | $121.28–$150.38 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB CYCLIC CITRULLINATED PEPTIDE | $175.80 | $293.00 | $219.75–$272.49 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANA | $141.00 | $235.00 | $12.09–$218.55 | 218% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANTI-NUCLEAR ANTIBODIES | $343.20 | $572.00 | $12.09–$531.96 | 674% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANA | $141.00 | $235.00 | $176.25–$218.55 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANTI-NUCLEAR ANTIBODIES | $343.20 | $572.00 | $429.00–$531.96 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB NATRIURETIC PEPTIDE | $385.80 | $643.00 | $39.26–$597.99 | 104% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB PRO BRAIN NATRIUETIC PEPTIDE NT | $579.60 | $966.00 | $39.26–$898.38 | 206% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB NT-PROBNP | $579.60 | $966.00 | $39.26–$898.38 | 206% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB NATRIURETIC PEPTIDE | $385.80 | $643.00 | $482.25–$597.99 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB NT-PROBNP | $579.60 | $966.00 | $724.50–$898.38 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB PRO BRAIN NATRIUETIC PEPTIDE NT | $579.60 | $966.00 | $724.50–$898.38 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 HB BASIC METABOLIC PANEL | $132.60 | $221.00 | $8.46–$205.53 | 1% above | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB BASIC METABOLIC PANEL | $132.60 | $221.00 | $165.75–$205.53 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SURGICAL PATH LEVEL IV | $249.00 | $415.00 | $54.11–$385.95 | 30% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB SURGICAL PATH LEVEL IV | $249.00 | $415.00 | $311.25–$385.95 | — | 40% |
| Blood culture for bacteria CPT 87040 HB CULTURE BLOOD BANK PRODUCTS | $234.60 | $391.00 | $10.32–$363.63 | 30% above | 40% |
| Blood culture for bacteria CPT 87040 HB CULT BACT BLOOD | $234.60 | $391.00 | $10.32–$363.63 | 30% above | 40% |
| Blood culture for bacteria inpatient CPT 87040 HB CULTURE BLOOD BANK PRODUCTS | $234.60 | $391.00 | $293.25–$363.63 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 HB CULT BACT BLOOD | $234.60 | $391.00 | $293.25–$363.63 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB VENIPUNCTURE | $33.12 | $55.20 | $3.00–$51.34 | 60% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB DRAWING CHARGE | $34.20 | $57.00 | $3.00–$53.01 | 65% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB VENIPUNCTURE | $33.12 | $55.20 | $41.40–$51.34 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB DRAWING CHARGE | $34.20 | $57.00 | $42.75–$53.01 | — | 40% |
| Blood glucose (sugar) test CPT 82947 HB POCT GLUCOSE | $13.80 | $23.00 | $3.93–$21.39 | 67% below | 40% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE WHOLE BLOOD IN OR | $15.00 | $25.00 | $3.93–$23.25 | 64% below | 40% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE | $57.00 | $95.00 | $3.93–$88.35 | 37% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HB POCT GLUCOSE | $13.80 | $23.00 | $17.25–$21.39 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE WHOLE BLOOD IN OR | $15.00 | $25.00 | $18.75–$23.25 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE | $57.00 | $95.00 | $71.25–$88.35 | — | 40% |
| Blood lead test CPT 83655 HB LEAD WHOLE BLOOD OR URINE | $37.29 | $62.15 | $12.11–$57.80 | 38% below | 40% |
| Blood lead test inpatient CPT 83655 HB LEAD WHOLE BLOOD OR URINE | $37.29 | $62.15 | $46.61–$57.80 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB HCG QUAL/PREG TEST | $147.60 | $246.00 | $7.52–$228.78 | 38% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB HCG QUAL/PREG TEST | $147.60 | $246.00 | $184.50–$228.78 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB C-BLOOD TYPING ABO | $58.80 | $98.00 | $3.32–$207.23 | 13% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB ABO TYPE | $125.40 | $209.00 | $3.32–$207.23 | 140% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB C-BLOOD TYPING ABO | $58.80 | $98.00 | $73.50–$91.14 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB ABO TYPE | $125.40 | $209.00 | $156.75–$194.37 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB CRP SENDOUT | $30.66 | $51.10 | $5.18–$47.52 | 67% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN | $108.60 | $181.00 | $5.18–$168.33 | 16% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB CRP SENDOUT | $30.66 | $51.10 | $38.33–$47.52 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN | $108.60 | $181.00 | $135.75–$168.33 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HB C DIFF TOXIN GENE-AMPLIFIED PROBE | $108.24 | $180.40 | $37.27–$167.77 | 34% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HB CLOSTRIDIUM DIFFICILE | $133.80 | $223.00 | $37.27–$207.39 | 19% below | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB C DIFF TOXIN GENE-AMPLIFIED PROBE | $108.24 | $180.40 | $135.30–$167.77 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB CLOSTRIDIUM DIFFICILE | $133.80 | $223.00 | $167.25–$207.39 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 HB CANCER ANTIGEN 19-9 | $31.68 | $52.80 | $20.81–$49.10 | 72% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 HB CA 19-9 | $31.68 | $52.80 | $20.81–$49.10 | 72% below | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CA 19-9 | $31.68 | $52.80 | $39.60–$49.10 | — | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CANCER ANTIGEN 19-9 | $31.68 | $52.80 | $39.60–$49.10 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB CA 125 | $177.00 | $295.00 | $20.81–$274.35 | 61% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB CA-125 | $177.00 | $295.00 | $20.81–$274.35 | 61% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CA-125 | $177.00 | $295.00 | $221.25–$274.35 | — | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CA 125 | $177.00 | $295.00 | $221.25–$274.35 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB C. TRACHOMATIS AMP PROBE | $159.66 | $266.10 | $35.09–$247.47 | 46% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB C. TRACHOMATIS AMP PROBE | $159.66 | $266.10 | $199.58–$247.47 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL | $132.00 | $220.00 | $13.39–$204.60 | 34% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPOPROTEIN LIPID PANEL | $132.00 | $220.00 | $13.39–$204.60 | 34% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL | $132.00 | $220.00 | $165.00–$204.60 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPOPROTEIN LIPID PANEL | $132.00 | $220.00 | $165.00–$204.60 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 HB CBC WITH AUTO DIFF | $101.40 | $169.00 | $7.77–$157.17 | 22% above | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC WITH AUTO DIFF | $101.40 | $169.00 | $126.75–$157.17 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 HB CBC WITHOUT AUTO DIFF | $83.40 | $139.00 | $6.47–$129.27 | 20% above | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB CBC WITHOUT AUTO DIFF | $83.40 | $139.00 | $104.25–$129.27 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB COMP METABOLIC PANEL | $165.60 | $276.00 | $10.56–$256.68 | 14% above | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMP METABOLIC PANEL | $165.60 | $276.00 | $207.00–$256.68 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HB D-DIMER QUANT | $129.00 | $215.00 | $10.18–$199.95 | 3% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HB D-DIMER QNT SENDOUT | $294.03 | $490.05 | $10.18–$455.75 | 120% above | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HB D-DIMER QUANT | $129.00 | $215.00 | $161.25–$199.95 | — | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HB D-DIMER QNT SENDOUT | $294.03 | $490.05 | $367.54–$455.75 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HB DHEA-SULFATE | $33.00 | $55.00 | $22.23–$51.15 | 77% below | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HB ZZ-DHEA SULFATE | $265.80 | $443.00 | $22.23–$411.99 | 87% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB DHEA-SULFATE | $33.00 | $55.00 | $41.25–$51.15 | — | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB ZZ-DHEA SULFATE | $265.80 | $443.00 | $332.25–$411.99 | — | 40% |
| Estradiol blood test CPT 82670 HB ESTRADIOL SENDOUT | $81.33 | $135.55 | $27.94–$126.06 | 28% below | 40% |
| Estradiol blood test CPT 82670 HB ESTRADIOL | $231.00 | $385.00 | $27.94–$358.05 | 105% above | 40% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL SENDOUT | $81.33 | $135.55 | $101.66–$126.06 | — | 40% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL | $231.00 | $385.00 | $288.75–$358.05 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 HB FSH | $139.20 | $232.00 | $18.58–$215.76 | 24% above | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB FSH | $139.20 | $232.00 | $174.00–$215.76 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HB CALPROTECTIN FECAL | $153.45 | $255.75 | $19.63–$237.85 | 56% below | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB CALPROTECTIN FECAL | $153.45 | $255.75 | $191.81–$237.85 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 HB FERRITIN SENDOUT | $37.05 | $61.75 | $13.63–$57.43 | 64% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 HB FERRITIN | $108.60 | $181.00 | $13.63–$168.33 | 6% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HB FERRITIN SENDOUT | $37.05 | $61.75 | $46.31–$57.43 | — | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HB FERRITIN | $108.60 | $181.00 | $135.75–$168.33 | — | 40% |
| Folate (folic acid) blood test CPT 82746 HB FOLATE (W/B12/FOLATE PANE | $33.93 | $56.55 | $14.70–$52.59 | 68% below | 40% |
| Folate (folic acid) blood test CPT 82746 HB FOLATE SERUM | $135.00 | $225.00 | $14.70–$209.25 | 28% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 HB FOLATE (W/B12/FOLATE PANE | $33.93 | $56.55 | $42.41–$52.59 | — | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 HB FOLATE SERUM | $135.00 | $225.00 | $168.75–$209.25 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 HB T3 FREE | $119.40 | $199.00 | $16.94–$185.07 | 8% below | 40% |
| Free T3 thyroid hormone test CPT 84481 HB FREE T3 | $119.40 | $199.00 | $16.94–$185.07 | 8% below | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HB T3 FREE | $119.40 | $199.00 | $149.25–$185.07 | — | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HB FREE T3 | $119.40 | $199.00 | $149.25–$185.07 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB T4 FREE BY DIALYSIS | $208.20 | $347.00 | $9.02–$322.71 | 184% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB FREE T4 | $208.20 | $347.00 | $9.02–$322.71 | 184% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB T4 FREE BY DIALYSIS | $208.20 | $347.00 | $260.25–$322.71 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB FREE T4 | $208.20 | $347.00 | $260.25–$322.71 | — | 40% |
| Free testosterone test CPT 84402 HB TESTOSTERONE FREE | $132.60 | $221.00 | $25.47–$205.53 | 28% above | 40% |
| Free testosterone test inpatient CPT 84402 HB TESTOSTERONE FREE | $132.60 | $221.00 | $165.75–$205.53 | — | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HB GENERAL HEALTH PANEL | $399.00 | $665.00 | $43.62–$618.45 | 48% above | 40% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HB GENERAL HEALTH PANEL | $399.00 | $665.00 | $498.75–$618.45 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE POST GLUCOSE DOSE | $58.80 | $98.00 | $4.75–$91.14 | 20% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB GLUCOSE POST GLUCOSE DOSE | $58.80 | $98.00 | $73.50–$91.14 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HB GLUCOSE TOLERANCE 3 SPECIMENS | $88.62 | $147.70 | $12.87–$137.36 | 24% below | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HB GLUCOSE TOLERANCE 3 SPECIMENS | $88.62 | $147.70 | $110.78–$137.36 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB REFLEX N. GONORRHOEAE SENDOUT | $50.16 | $83.60 | $35.09–$77.75 | 47% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB N. GONORRHOEAE AMP PROBE | $53.40 | $89.00 | $35.09–$82.77 | 43% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB N. GONORRHOEAE SENDOUT | $53.40 | $89.00 | $35.09–$82.77 | 43% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB REFLEX N. GONORRHOEAE SENDOUT | $50.16 | $83.60 | $62.70–$77.75 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB N. GONORRHOEAE AMP PROBE | $53.40 | $89.00 | $66.75–$82.77 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB N. GONORRHOEAE SENDOUT | $53.40 | $89.00 | $66.75–$82.77 | — | 40% |
| H. pylori stool antigen test CPT 87338 HB H.PYLORI FECAL ANTIGEN | $100.20 | $167.00 | $14.38–$155.31 | 14% below | 40% |
| H. pylori stool antigen test CPT 87338 HB H. PYLORI ANTIGEN STOOL | $100.20 | $167.00 | $14.38–$155.31 | 14% below | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HB H. PYLORI ANTIGEN STOOL | $100.20 | $167.00 | $125.25–$155.31 | — | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HB H.PYLORI FECAL ANTIGEN | $100.20 | $167.00 | $125.25–$155.31 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV-1 RNA QUANTIFICATION | $99.00 | $165.00 | $85.10–$153.45 | 83% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV-1 RNA QUANTIFICATION | $99.00 | $165.00 | $123.75–$153.45 | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB HIV-1/2 | $99.60 | $166.00 | $13.71–$154.38 | 124% above | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB HIV-1/2 | $99.60 | $166.00 | $124.50–$154.38 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV P24 AG/AB SENDOUT | $35.58 | $59.30 | $24.08–$55.15 | 51% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV AG/AB SOURCE | $69.60 | $116.00 | $24.08–$107.88 | 4% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB HIV P24 AG/AB SENDOUT | $35.58 | $59.30 | $44.48–$55.15 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB HIV AG/AB SOURCE | $69.60 | $116.00 | $87.00–$107.88 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HPV, HIGH RISK SCREENING | $67.20 | $112.00 | $35.09–$104.16 | 26% below | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HPV, HIGH RISK SCREENING | $67.20 | $112.00 | $84.00–$104.16 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB GLYCATED HEMOGLOBIN | $29.46 | $49.10 | $9.71–$45.66 | 55% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HEMOGLOBIN AIC | $83.40 | $139.00 | $9.71–$129.27 | 27% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB GLYCATED HEMOGLOBIN | $29.46 | $49.10 | $36.83–$45.66 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HEMOGLOBIN AIC | $83.40 | $139.00 | $104.25–$129.27 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEPATITIS B SURFACE AB | $127.20 | $212.00 | $10.74–$197.16 | 45% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEP B SURFACE AB TITER | $127.20 | $212.00 | $10.74–$197.16 | 45% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEP B SURFACE AB TITER | $127.20 | $212.00 | $159.00–$197.16 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEPATITIS B SURFACE AB | $127.20 | $212.00 | $159.00–$197.16 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HBS AG | $97.80 | $163.00 | $10.33–$151.59 | 12% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEP B SURFACE AG | $97.80 | $163.00 | $10.33–$151.59 | 12% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEP B SURFACE AG | $97.80 | $163.00 | $122.25–$151.59 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HBS AG | $97.80 | $163.00 | $122.25–$151.59 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEP C VIRUS AB | $58.53 | $97.55 | $14.27–$90.72 | 32% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEP C AB | $149.40 | $249.00 | $14.27–$231.57 | 73% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEP C VIRUS AB | $58.53 | $97.55 | $73.16–$90.72 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEP C AB | $149.40 | $249.00 | $186.75–$231.57 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEP C RNA QUANT SOURCE | $105.60 | $176.00 | $42.84–$163.68 | 68% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB ZZ-HEP C ULTRAQUANT/REFLEX SUB | $164.40 | $274.00 | $42.84–$254.82 | 50% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEPATITIS C RNA PCR QUANTITATIVE | $164.40 | $274.00 | $42.84–$254.82 | 50% below | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HEP C RNA QUANT SOURCE | $105.60 | $176.00 | $132.00–$163.68 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HEPATITIS C RNA PCR QUANTITATIVE | $164.40 | $274.00 | $205.50–$254.82 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB ZZ-HEP C ULTRAQUANT/REFLEX SUB | $164.40 | $274.00 | $205.50–$254.82 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HB HERPES SIMPLEX VIRUS1 IGG | $67.80 | $113.00 | $13.19–$105.09 | 31% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HB HSV TYPE 1 ANTIBODY | $67.80 | $113.00 | $13.19–$105.09 | 31% below | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB HSV TYPE 1 ANTIBODY | $67.80 | $113.00 | $84.75–$105.09 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB HERPES SIMPLEX VIRUS1 IGG | $67.80 | $113.00 | $84.75–$105.09 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HB HERPES SIMPLEX VIRUS2 IGG | $64.80 | $108.00 | $19.35–$100.44 | 39% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HB HSV TYPE 2 ANTIBODY | $64.80 | $108.00 | $19.35–$100.44 | 39% below | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB HERPES SIMPLEX VIRUS2 IGG | $64.80 | $108.00 | $81.00–$100.44 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB HSV TYPE 2 ANTIBODY | $64.80 | $108.00 | $81.00–$100.44 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HB HSCRP SENDOUT | $35.58 | $59.30 | $12.95–$55.15 | 55% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HB C-REACTIVE PROT HIGH SENS | $154.80 | $258.00 | $12.95–$239.94 | 94% above | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB HSCRP SENDOUT | $35.58 | $59.30 | $44.48–$55.15 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB C-REACTIVE PROT HIGH SENS | $154.80 | $258.00 | $193.50–$239.94 | — | 40% |
| Homocysteine blood test CPT 83090 HB HOMOCYSTEINE, TOTAL | $39.60 | $66.00 | $17.92–$61.38 | 72% below | 40% |
| Homocysteine blood test CPT 83090 HB HOMOCYSTEINE CARDIAC RISK | $109.14 | $181.90 | $17.92–$169.17 | 22% below | 40% |
| Homocysteine blood test inpatient CPT 83090 HB HOMOCYSTEINE, TOTAL | $39.60 | $66.00 | $49.50–$61.38 | — | 40% |
| Homocysteine blood test inpatient CPT 83090 HB HOMOCYSTEINE CARDIAC RISK | $109.14 | $181.90 | $136.43–$169.17 | — | 40% |
| Insulin blood test CPT 83525 HB INSULIN, BLOOD | $39.36 | $65.60 | $11.43–$61.01 | 62% below | 40% |
| Insulin blood test CPT 83525 HB INSULIN | $92.40 | $154.00 | $11.43–$143.22 | 12% below | 40% |
| Insulin blood test inpatient CPT 83525 HB INSULIN, BLOOD | $39.36 | $65.60 | $49.20–$61.01 | — | 40% |
| Insulin blood test inpatient CPT 83525 HB INSULIN | $92.40 | $154.00 | $115.50–$143.22 | — | 40% |
| Iron blood test (serum iron) CPT 83540 HB IRON | $75.60 | $126.00 | $6.47–$117.18 | 20% above | 40% |
| Iron blood test (serum iron) CPT 83540 HB IRON TISSUE | $250.80 | $418.00 | $6.47–$388.74 | 298% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON | $75.60 | $126.00 | $94.50–$117.18 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON TISSUE | $250.80 | $418.00 | $313.50–$388.74 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 HB TOTAL IRON BINDING CAP | $90.60 | $151.00 | $8.74–$140.43 | 40% above | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HB TOTAL IRON BINDING CAP | $90.60 | $151.00 | $113.25–$140.43 | — | 40% |
| Kidney function blood test panel CPT 80069 HB RENAL FUNCTION PANEL | $180.60 | $301.00 | $8.68–$279.93 | 38% above | 40% |
| Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTION PANEL | $180.60 | $301.00 | $225.75–$279.93 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 HB LH (LUTEINIZING H) | $180.00 | $300.00 | $18.52–$279.00 | 45% above | 40% |
| LH (luteinizing hormone) test CPT 83002 HB LUTEINIZING HORMONE | $180.00 | $300.00 | $18.52–$279.00 | 45% above | 40% |
| LH (luteinizing hormone) test CPT 83002 HB LH ESOTERIX | $180.00 | $300.00 | $18.52–$279.00 | 45% above | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HB LUTEINIZING HORMONE | $180.00 | $300.00 | $225.00–$279.00 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HB LH (LUTEINIZING H) | $180.00 | $300.00 | $225.00–$279.00 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HB LH ESOTERIX | $180.00 | $300.00 | $225.00–$279.00 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE | $152.40 | $254.00 | $6.89–$236.22 | 63% above | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE | $152.40 | $254.00 | $190.50–$236.22 | — | 40% |
| Liver function blood test panel CPT 80076 HB HEPATIC FUNCTION PANEL A | $123.00 | $205.00 | $8.17–$190.65 | 2% above | 40% |
| Liver function blood test panel inpatient CPT 80076 HB HEPATIC FUNCTION PANEL A | $123.00 | $205.00 | $153.75–$190.65 | — | 40% |
| Lyme disease antibody test CPT 86618 HB BORELLIA BURGDORFERI AB | $110.88 | $184.80 | $17.03–$171.86 | 13% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 HB BORELLIA BURGDORFERI AB | $110.88 | $184.80 | $138.60–$171.86 | — | 40% |
| Magnesium blood test CPT 83735 HB MAGNESIUM RBC | $33.00 | $55.00 | $6.70–$51.15 | 48% below | 40% |
| Magnesium blood test CPT 83735 HB MAGNESIUM URINE | $82.20 | $137.00 | $6.70–$127.41 | 30% above | 40% |
| Magnesium blood test CPT 83735 HB MAGNESIUM | $82.20 | $137.00 | $6.70–$127.41 | 30% above | 40% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM RBC | $33.00 | $55.00 | $41.25–$51.15 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM URINE | $82.20 | $137.00 | $102.75–$127.41 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM | $82.20 | $137.00 | $102.75–$127.41 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 HB RUBEOLA IGG OR IGM | $114.00 | $190.00 | $12.88–$176.70 | 48% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HB RUBEOLA IGG OR IGM | $114.00 | $190.00 | $142.50–$176.70 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HB HETEROPHILE AB SCREEN | $90.60 | $151.00 | $5.18–$140.43 | 67% above | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB HETEROPHILE AB SCREEN | $90.60 | $151.00 | $113.25–$140.43 | — | 40% |
| Obstetric blood test panel CPT 80055 HB OBSTETRIC PANEL | $198.00 | $330.00 | $47.81–$306.90 | 10% above | 40% |
| Obstetric blood test panel inpatient CPT 80055 HB OBSTETRIC PANEL | $198.00 | $330.00 | $247.50–$306.90 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB L-PSA FREE | $39.36 | $65.60 | $18.39–$61.01 | 69% below | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB PSA FREE | $90.60 | $151.00 | $18.39–$140.43 | 29% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB L-PSA FREE | $39.36 | $65.60 | $49.20–$61.01 | — | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB PSA FREE | $90.60 | $151.00 | $113.25–$140.43 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA TOTAL DX | $117.00 | $195.00 | $18.39–$181.35 | 25% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PROSTATE HEALTH INDEX SENDOUT | $148.80 | $248.00 | $18.39–$230.64 | 60% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB L-PSA TOTAL | $151.20 | $252.00 | $18.39–$234.36 | 62% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA TOTAL DX | $117.00 | $195.00 | $146.25–$181.35 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PROSTATE HEALTH INDEX SENDOUT | $148.80 | $248.00 | $186.00–$230.64 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB L-PSA TOTAL | $151.20 | $252.00 | $189.00–$234.36 | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HB CYTOPATH CERV/VAG RESCREEN INTERPRET | $155.40 | $259.00 | $26.61–$240.87 | 102% above | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HB CYTOPATH CERV/VAG RESCREEN INTERPRET | $155.40 | $259.00 | $194.25–$240.87 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB PAP SMEAR - DX THIN LAYER | $106.80 | $178.00 | $20.26–$165.54 | 122% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB PAP SMEAR - DX THIN LAYER | $106.80 | $178.00 | $133.50–$165.54 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB PTH INTACT SENDOUT | $32.76 | $54.60 | $41.28–$61.92 | 84% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB PTH | $117.00 | $195.00 | $41.28–$181.35 | 45% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB INTRAOPERATIVE PTH | $117.00 | $195.00 | $41.28–$181.35 | 45% below | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PTH INTACT SENDOUT | $32.76 | $54.60 | $40.95–$50.78 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB INTRAOPERATIVE PTH | $117.00 | $195.00 | $146.25–$181.35 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PTH | $117.00 | $195.00 | $146.25–$181.35 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB C-VWP APII | $88.80 | $148.00 | $6.01–$137.64 | 32% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT ACTIVATED | $93.00 | $155.00 | $6.01–$144.15 | 38% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT DOAC | $110.13 | $183.55 | $6.01–$170.70 | 64% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB THROMBOPLASTIN TIME, PARTIAL SENDOUT | $142.20 | $237.00 | $6.01–$220.41 | 112% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB SCT UNDILUTED DOAC | $142.20 | $237.00 | $6.01–$220.41 | 112% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB C-VWP APII | $88.80 | $148.00 | $111.00–$137.64 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT ACTIVATED | $93.00 | $155.00 | $116.25–$144.15 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT DOAC | $110.13 | $183.55 | $137.66–$170.70 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB THROMBOPLASTIN TIME, PARTIAL SENDOUT | $142.20 | $237.00 | $177.75–$220.41 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB SCT UNDILUTED DOAC | $142.20 | $237.00 | $177.75–$220.41 | — | 40% |
| Progesterone blood test CPT 84144 HB PROGESTERONE SENDOUT | $30.90 | $51.50 | $20.86–$47.90 | 71% below | 40% |
| Progesterone blood test CPT 84144 HB PROGESTERONE | $141.60 | $236.00 | $20.86–$219.48 | 32% above | 40% |
| Progesterone blood test inpatient CPT 84144 HB PROGESTERONE SENDOUT | $30.90 | $51.50 | $38.63–$47.90 | — | 40% |
| Progesterone blood test inpatient CPT 84144 HB PROGESTERONE | $141.60 | $236.00 | $177.00–$219.48 | — | 40% |
| Prolactin blood test CPT 84146 HB PROLACTIN | $187.20 | $312.00 | $19.38–$290.16 | 117% above | 40% |
| Prolactin blood test inpatient CPT 84146 HB PROLACTIN | $187.20 | $312.00 | $234.00–$290.16 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME DOAC | $73.80 | $123.00 | $4.29–$114.39 | 64% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME INR | $73.80 | $123.00 | $4.29–$114.39 | 64% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB POCT PROTHROMBIN TIME | $73.80 | $123.00 | $4.29–$114.39 | 64% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME SENDOUT | $294.03 | $490.05 | $4.29–$455.75 | 553% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME INR | $73.80 | $123.00 | $92.25–$114.39 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB POCT PROTHROMBIN TIME | $73.80 | $123.00 | $92.25–$114.39 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME DOAC | $73.80 | $123.00 | $92.25–$114.39 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME SENDOUT | $294.03 | $490.05 | $367.54–$455.75 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB DRUGS OF ABUSE SCREEN, URINE | $130.80 | $218.00 | $12.60–$202.74 | 51% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HB DRUGS OF ABUSE SCREEN, URINE | $130.80 | $218.00 | $163.50–$202.74 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB BETA STREP SCREEN | $93.60 | $156.00 | $16.53–$145.08 | 92% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB BETA STREP SCREEN | $93.60 | $156.00 | $117.00–$145.08 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACTOR,QUANT | $75.00 | $125.00 | $5.67–$116.25 | 67% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 HB RA FACTOR, QUANT | $75.00 | $125.00 | $5.67–$116.25 | 67% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACTOR - SENDOUT | $97.02 | $161.70 | $5.67–$150.38 | 116% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACTOR ISOTYPES | $116.04 | $193.40 | $5.67–$179.86 | 158% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACTOR,QUANT | $75.00 | $125.00 | $93.75–$116.25 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RA FACTOR, QUANT | $75.00 | $125.00 | $93.75–$116.25 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACTOR - SENDOUT | $97.02 | $161.70 | $121.28–$150.38 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACTOR ISOTYPES | $116.04 | $193.40 | $145.05–$179.86 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA IGG OR IGM | $109.80 | $183.00 | $14.39–$170.19 | 46% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA ANTIBODY | $109.80 | $183.00 | $14.39–$170.19 | 46% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA ANTIBODY | $109.80 | $183.00 | $137.25–$170.19 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA IGG OR IGM | $109.80 | $183.00 | $137.25–$170.19 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SEDIMENTATION RATE, AUTOMATED | $57.00 | $95.00 | $2.70–$88.35 | 27% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB SEDIMENTATION RATE, AUTOMATED | $57.00 | $95.00 | $71.25–$88.35 | — | 40% |
| Stool ova and parasites exam CPT 87177 HB OVA AND PARASITE EXAM | $37.95 | $63.25 | $8.90–$58.82 | 41% below | 40% |
| Stool ova and parasites exam CPT 87177 HB O & P DIRECT CONC ID | $66.00 | $110.00 | $8.90–$102.30 | 2% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 HB OVA AND PARASITE EXAM | $37.95 | $63.25 | $47.44–$58.82 | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 HB O & P DIRECT CONC ID | $66.00 | $110.00 | $82.50–$102.30 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HB OCCULT BLOOD X3 SPECIMEN CARD | $46.80 | $78.00 | $4.38–$72.54 | 139% above | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB OCCULT BLOOD X3 SPECIMEN CARD | $46.80 | $78.00 | $58.50–$72.54 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB OCCULT BLOOD, IMMUNOCHEMICAL | $66.00 | $110.00 | $15.92–$102.30 | 77% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB BLOOD OCCULT FECAL HGB IMMUNOASSAY | $277.80 | $463.00 | $15.92–$430.59 | 643% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB OCCULT BLOOD, IMMUNOCHEMICAL | $66.00 | $110.00 | $82.50–$102.30 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB BLOOD OCCULT FECAL HGB IMMUNOASSAY | $277.80 | $463.00 | $347.25–$430.59 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR SERUM OR VDRL CSF QUALITATIVE | $58.80 | $98.00 | $4.27–$91.14 | 54% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR | $90.60 | $151.00 | $4.27–$140.43 | 137% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR SERUM OR VDRL CSF QUALITATIVE | $58.80 | $98.00 | $73.50–$91.14 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR | $90.60 | $151.00 | $113.25–$140.43 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB QUANTFERON GOLD (QFG) | $79.20 | $132.00 | $61.98–$122.76 | 61% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB QUANTIFERON TB GOLD | $158.40 | $264.00 | $61.98–$245.52 | 21% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB QUANTFERON GOLD (QFG) | $79.20 | $132.00 | $99.00–$122.76 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB QUANTIFERON TB GOLD | $158.40 | $264.00 | $198.00–$245.52 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TOTAL TESTOSTERONE - SENDOUT | $30.78 | $51.30 | $25.81–$47.71 | 65% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE BLOOD | $48.60 | $81.00 | $25.81–$75.33 | 44% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE BY LCMS | $85.20 | $142.00 | $25.81–$132.06 | 2% below | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TOTAL TESTOSTERONE - SENDOUT | $30.78 | $51.30 | $38.48–$47.71 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE BLOOD | $48.60 | $81.00 | $60.75–$75.33 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE BY LCMS | $85.20 | $142.00 | $106.50–$132.06 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB ANTI-LIVER KIDNEY MICROSOME | $42.90 | $71.50 | $14.55–$66.50 | 30% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB THYROID PEROXIDASE AUTOABS | $55.20 | $92.00 | $14.55–$85.56 | 10% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB MICROSOMAL ANTIBODIES | $124.20 | $207.00 | $14.55–$192.51 | 102% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB ANTI-LIVER KIDNEY MICROSOME | $42.90 | $71.50 | $53.63–$66.50 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB THYROID PEROXIDASE AUTOABS | $55.20 | $92.00 | $69.00–$85.56 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB MICROSOMAL ANTIBODIES | $124.20 | $207.00 | $155.25–$192.51 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH NBS SENDOUT | $45.69 | $76.15 | $16.80–$70.82 | 54% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH HORMONE ULTRASENSITIVE | $131.40 | $219.00 | $16.80–$203.67 | 34% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB TSH NBS SENDOUT | $45.69 | $76.15 | $57.11–$70.82 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB TSH HORMONE ULTRASENSITIVE | $131.40 | $219.00 | $164.25–$203.67 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS AMP PROBE | $106.80 | $178.00 | $35.09–$165.54 | 9% above | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS AMP PROBE | $106.80 | $178.00 | $133.50–$165.54 | — | 40% |
| Uric acid blood test CPT 84550 HB URIC ACID | $52.80 | $88.00 | $4.52–$81.84 | 4% above | 40% |
| Uric acid blood test inpatient CPT 84550 HB URIC ACID | $52.80 | $88.00 | $66.00–$81.84 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HB URINALYSIS AUTO W/MICRO | $70.80 | $118.00 | $3.17–$109.74 | 55% above | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB URINALYSIS AUTO W/MICRO | $70.80 | $118.00 | $88.50–$109.74 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS CHEM AUTO | $46.80 | $78.00 | $2.25–$72.54 | 95% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS AUTO W/O MICROSCOPY | $46.80 | $78.00 | $2.25–$72.54 | 95% above | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS AUTO W/O MICROSCOPY | $46.80 | $78.00 | $58.50–$72.54 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS CHEM AUTO | $46.80 | $78.00 | $58.50–$72.54 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 HB CULT BACT URINE | $100.80 | $168.00 | $8.07–$156.24 | 49% above | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HB CULT BACT URINE | $100.80 | $168.00 | $126.00–$156.24 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 HB URINE PREGNANCY, QUAL | $101.40 | $169.00 | $8.61–$157.17 | 78% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HB URINE PREGNANCY, QUAL | $101.40 | $169.00 | $126.75–$157.17 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B12 SENDOUT | $32.07 | $53.45 | $15.08–$49.71 | 72% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B-12 | $154.80 | $258.00 | $15.08–$239.94 | 37% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B12 SENDOUT | $32.07 | $53.45 | $40.09–$49.71 | — | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B-12 | $154.80 | $258.00 | $193.50–$239.94 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB 25 HYDROXYVITAMIN D | $212.40 | $354.00 | $29.60–$329.22 | 62% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB VITAMIN D (25 HYDROXY) | $212.40 | $354.00 | $29.60–$329.22 | 62% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB 25 HYDROXYVITAMIN D | $212.40 | $354.00 | $265.50–$329.22 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB VITAMIN D (25 HYDROXY) | $212.40 | $354.00 | $265.50–$329.22 | — | 40% |
| Zinc blood test CPT 84630 HB ZINC | $32.10 | $53.50 | $11.39–$49.76 | 10% below | 40% |
| Zinc blood test inpatient CPT 84630 HB ZINC | $32.10 | $53.50 | $40.13–$49.76 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB BHCG QNT SENOUT | $168.60 | $281.00 | $15.05–$261.33 | 90% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG QUANT/BETA SUBUNIT | $181.80 | $303.00 | $15.05–$281.79 | 105% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB BHCG QNT SENOUT | $168.60 | $281.00 | $210.75–$261.33 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG QUANT/BETA SUBUNIT | $181.80 | $303.00 | $227.25–$281.79 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB RADIANT-PERQ BX BREAST 1ST LESION STEREO +/- DEVICE/IMAGE | $3,942.60 | $6,571.00 | $246.00–$6,111.03 | 74% above | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HB RADIANT-PERQ BX BREAST 1ST LESION STEREO +/- DEVICE/IMAGE | $3,942.60 | $6,571.00 | $4,928.25–$6,111.03 | — | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HB CLOSED TREAT FX-DISTAL FIB W/O MANIP | $346.20 | $577.00 | $256.14–$536.61 | 13% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HB CLOSED TREAT FX-DISTAL FIB W/O MANIP | $346.20 | $577.00 | $432.75–$536.61 | — | 40% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HB LEFT HEART CATH W COR ANGIO W LV INJ S/I | $13,491.00 | $22,485.00 | $3,366.40–$20,911.05 | 5% above | 40% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HB LEFT HEART CATH W COR ANGIO W LV INJ S/I | $13,491.00 | $22,485.00 | $16,863.75–$20,911.05 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION | $1,457.40 | $2,429.00 | $686.32–$2,258.97 | 18% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HB RADIANT CCL-CARDIOVERSION | $1,487.40 | $2,479.00 | $686.32–$2,305.47 | 20% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HB EP-CARDIOVERSION | $1,487.40 | $2,479.00 | $686.32–$2,305.47 | 20% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB CARDIOVERSION | $1,457.40 | $2,429.00 | $1,821.75–$2,258.97 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB RADIANT CCL-CARDIOVERSION | $1,487.40 | $2,479.00 | $1,859.25–$2,305.47 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB EP-CARDIOVERSION | $1,487.40 | $2,479.00 | $1,859.25–$2,305.47 | — | 40% |
| Carpal tunnel release, open surgery CPT 64721 HB REVISE MEDIAN N/CARPAL TUNNEL SURG | $2,929.16 | $4,881.93 | $2,027.70–$4,540.19 | 146% above | 40% |
| Carpal tunnel release, open surgery inpatient CPT 64721 HB REVISE MEDIAN N/CARPAL TUNNEL SURG | $2,929.16 | $4,881.93 | $3,661.45–$4,540.19 | — | 40% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HB CIRC SURG EXCISE NOT NB 29 DAY OR OLDER | $3,072.77 | $5,121.28 | $2,170.64–$4,762.79 | 432% above | 40% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HB CIRC SURG EXCISE NOT NB 29 DAY OR OLDER | $3,072.77 | $5,121.28 | $3,840.96–$4,762.79 | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB CIRC W/DEVICE ANY AGE W/REGNL BLOCK | $142.80 | $238.00 | $190.40–$3,255.96 | 67% below | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HB CIRC W/DEVICE ANY AGE W/REGNL BLOCK | $142.80 | $238.00 | $178.50–$221.34 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB CLSD TX FX RADIAL/ULNA W/O MANIP | $437.40 | $729.00 | $256.14–$677.97 | 15% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HB CLSD TX FX RADIAL/ULNA W/O MANIP | $437.40 | $729.00 | $546.75–$677.97 | — | 40% |
| Colonoscopy with tissue sample CPT 45380 HB GI-COLONOSCOPY WITH BIOPSY | $2,361.16 | $3,935.26 | $1,242.59–$3,659.79 | 125% above | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 HB GI-COLONOSCOPY WITH BIOPSY | $2,361.16 | $3,935.26 | $2,951.45–$3,659.79 | — | 40% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HB D&C NON-OBSTETRICAL DIAG OR TX | $4,769.30 | $7,948.83 | $3,361.41–$7,392.41 | 684% above | 40% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HB D&C NON-OBSTETRICAL DIAG OR TX | $4,769.30 | $7,948.83 | $5,961.62–$7,392.41 | — | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 HB BMT TYMPANOSTOMY W/ TUBE GENERAL ANESTHESIA UNILATERAL | $2,221.92 | $3,703.20 | $1,611.16–$3,443.98 | 290% above | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient one side CPT 69436 HB BMT TYMPANOSTOMY W/ TUBE GENERAL ANESTHESIA UNILATERAL | $2,221.92 | $3,703.20 | $2,777.40–$3,443.98 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HB REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $282.60 | $471.00 | $61.26–$438.03 | 506% above | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HB REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $282.60 | $471.00 | $353.25–$438.03 | — | 40% |
| Earwax removal with instruments, one ear one side CPT 69210 HB REMOVE CERUMEN IMPACTED REQ INSTR-UNILATERAL | $441.60 | $736.00 | $61.26–$684.48 | 497% above | 40% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HB REMOVE CERUMEN IMPACTED REQ INSTR-UNILATERAL | $441.60 | $736.00 | $552.00–$684.48 | — | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB RADIANT-NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $2,573.40 | $4,289.00 | $732.98–$3,988.77 | 143% above | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HB RADIANT-NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $2,573.40 | $4,289.00 | $3,216.75–$3,988.77 | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB RADIANT INJ PV FCT JT/NRV L/S W IMAGE SNGL | $2,546.52 | $4,244.20 | $918.43–$3,947.11 | 99% above | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HB RADIANT INJ PV FCT JT/NRV L/S W IMAGE SNGL | $2,546.52 | $4,244.20 | $3,183.15–$3,947.11 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HB GI-FLEX SIGMOID DIAGNOSTIC +/- SPECIMEN COLLECTION | $2,188.11 | $3,646.84 | $965.66–$3,391.56 | 456% above | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HB GI-FLEX SIGMOID DIAGNOSTIC +/- SPECIMEN COLLECTION | $2,188.11 | $3,646.84 | $2,735.13–$3,391.56 | — | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HB CHOLECYSTECTOMY LAPAROSCOPIC W/ GRAMS | $11,350.48 | $18,917.46 | $6,277.64–$17,593.24 | 615% above | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HB CHOLECYSTECTOMY LAPAROSCOPIC W/ GRAMS | $11,350.48 | $18,917.46 | $14,188.10–$17,593.24 | — | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB RADIANT-HYSTEROSALPINGOGRAM INJECTION | $409.14 | $681.90 | $218.24–$634.17 | 3% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HB RADIANT-HYSTEROSALPINGOGRAM INJECTION | $409.14 | $681.90 | $511.43–$634.17 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HB I&D ABSCESS SIMPLE/SINGLE | $626.40 | $1,044.00 | $208.34–$970.92 | 142% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB I&D ABSCESS SIMPLE/SINGLE | $626.40 | $1,044.00 | $783.00–$970.92 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB RADIANT-INJECTN/ASPRTN JOINT/BURSA MAJOR W/O US GUIDE | $553.80 | $923.00 | $318.74–$858.39 | 190% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB INJECTN/ASPRTN JOINT/BURSA MAJOR W/O US GUIDE | $553.80 | $923.00 | $318.74–$858.39 | 190% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB INJECTN/ASPRTN JOINT/BURSA MAJOR W/O US GUIDE | $553.80 | $923.00 | $692.25–$858.39 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB RADIANT-INJECTN/ASPRTN JOINT/BURSA MAJOR W/O US GUIDE | $553.80 | $923.00 | $692.25–$858.39 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB MP ASPIRATION AND/OR INJ INTERM W/O US GUIDE | $508.20 | $847.00 | $318.74–$787.71 | 149% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB RADIANT-ASPIRATION AND/OR INJ INTERM W/O US GUIDE | $508.20 | $847.00 | $318.74–$787.71 | 149% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB RADIANT-ASPIRATION AND/OR INJ INTERM W/O US GUIDE | $508.20 | $847.00 | $635.25–$787.71 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB MP ASPIRATION AND/OR INJ INTERM W/O US GUIDE | $508.20 | $847.00 | $635.25–$787.71 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB RADIANT-ASPIRATION AND/OR INJ SMALL JOINT W/O US GUIDE | $646.44 | $1,077.40 | $318.74–$1,001.98 | 342% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB MP INJECTN/ASPRTN JOINT/BURSA SMALL W/O US GUIDE | $708.46 | $1,180.76 | $318.74–$1,098.11 | 384% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB RADIANT-ASPIRATION AND/OR INJ SMALL JOINT W/O US GUIDE | $646.44 | $1,077.40 | $808.05–$1,001.98 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB MP INJECTN/ASPRTN JOINT/BURSA SMALL W/O US GUIDE | $708.46 | $1,180.76 | $885.57–$1,098.11 | — | 40% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HB APPENDECTOMY LAPAROSCOPICALLY | $799.95 | $1,333.25 | $1,066.60–$9,416.46 | 50% below | 40% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HB APPENDECTOMY LAPAROSCOPICALLY | $799.95 | $1,333.25 | $999.94–$1,239.92 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs one side CPT 12031 HB LAYER CLOS WND S/A/T/E EQ LT 2.5 CM | $599.30 | $998.83 | $422.12–$928.91 | 45% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient one side CPT 12031 HB LAYER CLOS WND S/A/T/E EQ LT 2.5 CM | $599.30 | $998.83 | $749.12–$928.91 | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB RADIANT-NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG | $2,573.40 | $4,289.00 | $732.98–$3,988.77 | 143% above | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB RADIANT-NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG | $2,573.40 | $4,289.00 | $3,216.75–$3,988.77 | — | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB RADIANT INJ TRANSFOR EPI LUM/SCRL SNGL | $2,944.62 | $4,907.70 | $918.43–$4,564.16 | 157% above | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB RADIANT INJ TRANSFOR EPI LUM/SCRL SNGL | $2,944.62 | $4,907.70 | $3,680.78–$4,564.16 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HB AVULSION NAIL PLATE SIMPLE/SINGLE | $298.05 | $496.75 | $208.34–$461.98 | 12% above | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HB AVULSION NAIL PLATE SIMPLE/SINGLE | $298.05 | $496.75 | $372.56–$461.98 | — | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 HB INJECT NERV BLCK,GREAT OCCIPTL | $1,646.40 | $2,744.00 | $318.74–$2,551.92 | 298% above | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HB INJECT NERV BLCK,GREAT OCCIPTL | $1,646.40 | $2,744.00 | $2,058.00–$2,551.92 | — | 40% |
| Pacemaker implant (dual chamber) CPT 33208 HB RADIANT CCL-INSERT/REPLACE PERM A/V PM W LEAD | $14,276.40 | $23,794.00 | $10,853.29–$22,128.42 | 28% above | 40% |
| Pacemaker implant (dual chamber) CPT 33208 HB INSERT/REPLACE PERM A/V PM W LEAD | $14,276.40 | $23,794.00 | $10,853.29–$22,128.42 | 28% above | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HB RADIANT CCL-INSERT/REPLACE PERM A/V PM W LEAD | $14,276.40 | $23,794.00 | $17,845.50–$22,128.42 | — | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HB INSERT/REPLACE PERM A/V PM W LEAD | $14,276.40 | $23,794.00 | $17,845.50–$22,128.42 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 HB RADIANT-ABD PARACENTESIS W IMAGE | $1,442.40 | $2,404.00 | $941.81–$2,235.72 | 97% above | 40% |
| Paracentesis with imaging guidance CPT 49083 HB ABD PARACENTESIS W IMAGE | $1,442.40 | $2,404.00 | $941.81–$2,235.72 | 97% above | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HB ABD PARACENTESIS W IMAGE | $1,442.40 | $2,404.00 | $1,803.00–$2,235.72 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HB RADIANT-ABD PARACENTESIS W IMAGE | $1,442.40 | $2,404.00 | $1,803.00–$2,235.72 | — | 40% |
| Prostate biopsy CPT 55700 HB BIOPSY PROSTATE-NEEDLE/PUNCH | $1,612.69 | $2,687.81 | $1,612.69–$2,499.66 | 50% above | 40% |
| Prostate biopsy inpatient CPT 55700 HB BIOPSY PROSTATE-NEEDLE/PUNCH | $1,612.69 | $2,687.81 | $2,015.86–$2,499.66 | — | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB RADIANT-DEST L/S FACET JNT SINGLE LEVEL W CT | $5,961.54 | $9,935.90 | $2,027.70–$9,240.39 | 218% above | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HB RADIANT-DEST L/S FACET JNT SINGLE LEVEL W CT | $5,961.54 | $9,935.90 | $7,451.93–$9,240.39 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HB INCISION W/FB REMOVAL SIMPLE | $1,701.60 | $2,836.00 | $422.12–$2,637.48 | 396% above | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HB INCISION W/FB REMOVAL SIMPLE | $1,701.60 | $2,836.00 | $2,127.00–$2,637.48 | — | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HB OPTIME GI-SCREEN COLONOSCOPY NONHIGH RISK | $1,306.22 | $2,177.03 | $965.66–$2,024.64 | 81% above | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HB OPTIME GI-SCREEN COLONOSCOPY NONHIGH RISK | $1,306.22 | $2,177.03 | $1,632.77–$2,024.64 | — | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HB OR LITHOTRIPSY | $14,697.06 | $24,495.10 | $3,660.32–$22,780.44 | 466% above | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HB OR LITHOTRIPSY | $14,697.06 | $24,495.10 | $18,371.33–$22,780.44 | — | 40% |
| Short arm cast (elbow to hand) CPT 29075 HB APPLY CAST-SHORT ARM (ELBOW TO FINGER) | $528.30 | $880.50 | $290.43–$818.87 | 174% above | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB APPLY CAST-SHORT ARM (ELBOW TO FINGER) | $528.30 | $880.50 | $660.38–$818.87 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 HB APPLY SHORT ARM SPLINT STATIC | $279.00 | $465.00 | $138.16–$432.45 | 84% above | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HB APPLY SHORT ARM SPLINT STATIC | $279.00 | $465.00 | $348.75–$432.45 | — | 40% |
| Short leg cast (below the knee) CPT 29405 HB SHORT LEG CAST APPLICATION | $297.96 | $496.60 | $290.43–$461.84 | 63% above | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 HB SHORT LEG CAST APPLICATION | $297.96 | $496.60 | $372.45–$461.84 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 HB APPLY SPLINT-SHORT LEG (CALF TO FOOT) | $307.20 | $512.00 | $168.74–$476.16 | 97% above | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB APPLY SPLINT-SHORT LEG (CALF TO FOOT) | $307.20 | $512.00 | $384.00–$476.16 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 HB SIMPLE LAC REP S N A G T E EQ LT 2.5 CM | $408.00 | $680.00 | $208.34–$632.40 | 96% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient one side CPT 12001 HB SIMPLE LAC REP S N A G T E EQ LT 2.5 CM | $408.00 | $680.00 | $510.00–$632.40 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB LUMBAR PUNCTURE | $994.80 | $1,658.00 | $732.98–$1,541.94 | 168% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB RADIANT-LUMBAR PUNCTURE | $994.80 | $1,658.00 | $732.98–$1,541.94 | 168% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB RADIANT-LUMBAR PUNCTURE | $994.80 | $1,658.00 | $1,243.50–$1,541.94 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB LUMBAR PUNCTURE | $994.80 | $1,658.00 | $1,243.50–$1,541.94 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB SIMPLE LAC REP S N A G T E 2.6-7.5 CM | $419.40 | $699.00 | $208.34–$650.07 | 79% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB SIMPLE LAC REP S N A G T E 2.6-7.5 CM | $419.40 | $699.00 | $524.25–$650.07 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 HB SIMPLE REPAIR FACE EQ LT 2.5 CM | $404.40 | $674.00 | $208.34–$626.82 | 77% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient one side CPT 12011 HB SIMPLE REPAIR FACE EQ LT 2.5 CM | $404.40 | $674.00 | $505.50–$626.82 | — | 40% |
| TURP (transurethral resection of the prostate) CPT 52601 HB TRURL ELECTROSURG RESCJ PRST8 CTRL BLD COMPL | $7,625.43 | $12,709.05 | $5,567.66–$11,819.42 | 303% above | 40% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 HB TRURL ELECTROSURG RESCJ PRST8 CTRL BLD COMPL | $7,625.43 | $12,709.05 | $9,531.79–$11,819.42 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 HB RADIANT-THORACENTESIS NEEDLE/CATH PLEURA W/IMAGE | $1,600.80 | $2,668.00 | $651.39–$2,481.24 | 139% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 HB THORACENTESIS NEEDLE/CATH PLEURA W IMAGE | $1,600.80 | $2,668.00 | $651.39–$2,481.24 | 139% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HB RADIANT-THORACENTESIS NEEDLE/CATH PLEURA W/IMAGE | $1,600.80 | $2,668.00 | $2,001.00–$2,481.24 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HB THORACENTESIS NEEDLE/CATH PLEURA W IMAGE | $1,600.80 | $2,668.00 | $2,001.00–$2,481.24 | — | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 HB TONSILLECTOMY & ADENOIDECTOMY UNDER AGE 12 | $8,873.49 | $14,789.15 | $6,147.12–$13,753.91 | 1391% above | 40% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HB TONSILLECTOMY & ADENOIDECTOMY UNDER AGE 12 | $8,873.49 | $14,789.15 | $11,091.86–$13,753.91 | — | 40% |
| Total hip replacement CPT 27130 HB ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $19,300.23 | $32,167.05 | $13,331.61–$29,915.36 | 367% above | 40% |
| Total hip replacement inpatient CPT 27130 HB ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $19,300.23 | $32,167.05 | $24,125.29–$29,915.36 | — | 40% |
| Total shoulder replacement CPT 23472 HB ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $27,585.08 | $45,975.13 | $18,207.01–$42,756.87 | 531% above | 40% |
| Total shoulder replacement inpatient CPT 23472 HB ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $27,585.08 | $45,975.13 | $34,481.35–$42,756.87 | — | 40% |
| Trigger finger release surgery CPT 26055 HB INCISE FINGER TENDON SHEATH | $2,400.62 | $4,001.03 | $1,669.73–$3,720.96 | 100% above | 40% |
| Trigger finger release surgery inpatient CPT 26055 HB INCISE FINGER TENDON SHEATH | $2,400.62 | $4,001.03 | $3,000.77–$3,720.96 | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HB MP TRIGGER POINTS INJ 1-2 MUSCLE GROUPS | $462.60 | $771.00 | $318.74–$717.03 | 233% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HB RADIANT-TRIGGER POINTS INJ 1-2 MUSL GRPS | $472.20 | $787.00 | $318.74–$731.91 | 240% above | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HB MP TRIGGER POINTS INJ 1-2 MUSCLE GROUPS | $462.60 | $771.00 | $578.25–$717.03 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HB RADIANT-TRIGGER POINTS INJ 1-2 MUSL GRPS | $472.20 | $787.00 | $590.25–$731.91 | — | 40% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HB LAP TUBAL LIGATION W/ FULGURATION OF OVIDUCTS BIL | $8,751.54 | $14,585.90 | $6,277.64–$13,564.89 | 868% above | 40% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 HB LAP TUBAL LIGATION W/ FULGURATION OF OVIDUCTS BIL | $8,751.54 | $14,585.90 | $10,939.43–$13,564.89 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB RADIANT-PERQ BX BREAST 1ST LESION US +/- DEVICE/IMAGE | $2,465.40 | $4,109.00 | $1,715.01–$3,821.37 | 35% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HB RADIANT-PERQ BX BREAST 1ST LESION US +/- DEVICE/IMAGE | $2,465.40 | $4,109.00 | $3,081.75–$3,821.37 | — | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HB GI-FLEX EGD W/ BIOPSY | $2,072.86 | $3,454.76 | $941.81–$3,212.93 | 60% above | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HB GI-FLEX EGD W/ BIOPSY | $2,072.86 | $3,454.76 | $2,591.07–$3,212.93 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEBRIDE SUBQ TISSUE 1ST 20 SQ CM OR LESS | $599.30 | $998.83 | $422.12–$928.91 | 93% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB DEBRIDE SUBQ TISSUE 1ST 20 SQ CM OR LESS | $599.30 | $998.83 | $749.12–$928.91 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HB BLOOD TRANSFUSION SERVICE | $801.60 | $1,336.00 | $458.11–$1,242.48 | 15% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLOOD TRANSFUSION SERVICE | $801.60 | $1,336.00 | $1,002.00–$1,242.48 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB INHALATION TREATMENT | $222.00 | $370.00 | $227.38–$344.10 | 118% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB INHALATION TREATMENT | $222.00 | $370.00 | $277.50–$344.10 | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO TX-IV INFUSN UP TO 1 HR SNGL/INIT DRUG | $416.40 | $694.00 | $342.99–$645.42 | 15% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HB CHEMO TX-IV INFUSN UP TO 1 HR SNGL/INIT DRUG | $416.40 | $694.00 | $520.50–$645.42 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HB E&M CRITICAL CARE ILL /INJURED FIRST 30-74 MINUTES | $3,172.80 | $5,288.00 | $857.74–$4,917.84 | 411% above | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HB E&M CRITICAL CARE ILL /INJURED FIRST 30-74 MINUTES | $3,172.80 | $5,288.00 | $3,966.00–$4,917.84 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HB EEG W/REC AWAKE & DROWSY | $1,077.60 | $1,796.00 | $224.21–$1,670.28 | 63% above | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB EEG W/REC AWAKE & DROWSY | $1,077.60 | $1,796.00 | $1,347.00–$1,670.28 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB EKG TRACING ONLY NO I&R | $262.20 | $437.00 | $61.26–$406.41 | 31% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB RADIANT CCL-EKG | $262.20 | $437.00 | $61.26–$406.41 | 31% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB RADIANT CCL-EKG | $262.20 | $437.00 | $327.75–$406.41 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB EKG TRACING ONLY NO I&R | $262.20 | $437.00 | $327.75–$406.41 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB EMERG-LEVEL 1 | $229.20 | $382.00 | $87.56–$842.00 | 99% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB EMERG-LEVEL 1 | $229.20 | $382.00 | $286.50–$355.26 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB EMERG-LEVEL 2 | $426.60 | $711.00 | $159.44–$1,125.00 | 141% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB EMERG-LEVEL 2 | $426.60 | $711.00 | $533.25–$661.23 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB EMERG-LEVEL 3 | $816.60 | $1,361.00 | $283.46–$2,107.00 | 239% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB EMERG-LEVEL 3 | $816.60 | $1,361.00 | $1,020.75–$1,265.73 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB EMERG LEVEL 4 | $1,092.00 | $1,820.00 | $433.28–$2,809.00 | 162% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB EMERG LEVEL 4 | $1,092.00 | $1,820.00 | $1,365.00–$1,692.60 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB EMERG-LEVEL 5 | $1,734.00 | $2,890.00 | $618.40–$3,163.00 | 196% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB EMERG-LEVEL 5 | $1,734.00 | $2,890.00 | $2,167.50–$2,687.70 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB TREADMILL EVAL W/O INTERP & REPORT | $1,043.40 | $1,739.00 | $224.21–$1,617.27 | 1% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB RADIANT CCL TREADMILL EVAL W/O INTERP & REPORT | $1,043.40 | $1,739.00 | $224.21–$1,617.27 | 1% below | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB TREADMILL EVAL W/O INTERP & REPORT | $1,043.40 | $1,739.00 | $1,304.25–$1,617.27 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB RADIANT CCL TREADMILL EVAL W/O INTERP & REPORT | $1,043.40 | $1,739.00 | $1,304.25–$1,617.27 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV HYDRATE INFUSE INITIAL 31 MIN TO 1 HR | $393.60 | $656.00 | $220.87–$610.08 | 19% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB IV HYDRATE INFUSE INITIAL 31 MIN TO 1 HR | $393.60 | $656.00 | $492.00–$610.08 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 HB IV INFUSE NONCHEMO UP TO 1 HR INITIAL | $436.80 | $728.00 | $220.87–$677.04 | 39% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HB IV INFUSE NONCHEMO UP TO 1 HR INITIAL | $436.80 | $728.00 | $546.00–$677.04 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB INJECT SUBQ/IM | $127.80 | $213.00 | $74.76–$198.09 | 28% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB INJECT SUBQ/IM | $127.80 | $213.00 | $159.75–$198.09 | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB NERVE CONDUCTION STUDIES 7-8 STUDIES | $411.00 | $685.00 | $387.48–$637.05 | 42% below | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB OR-NERVE CONDUCTION STUDIES 7-8 STUDIES | $1,838.45 | $3,064.08 | $387.48–$2,849.59 | 161% above | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HB NERVE CONDUCTION STUDIES 7-8 STUDIES | $411.00 | $685.00 | $513.75–$637.05 | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HB OR-NERVE CONDUCTION STUDIES 7-8 STUDIES | $1,838.45 | $3,064.08 | $2,298.06–$2,849.59 | — | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB PT-NEUROMUSCULAR RE-ED 15 MIN | $91.20 | $152.00 | $31.32–$211.00 | 19% above | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB OT-NEUROMUSCULAR RE-ED 15 MIN | $91.20 | $152.00 | $31.32–$201.00 | 19% above | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB PT-NEUROMUSCULAR RE-ED 15 MIN | $91.20 | $152.00 | $114.00–$141.36 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB OT-NEUROMUSCULAR RE-ED 15 MIN | $91.20 | $152.00 | $114.00–$141.36 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI | $47.40 | $79.00 | $35.09–$73.47 | 5% above | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI | $47.40 | $79.00 | $59.25–$73.47 | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 HB OCCUPATIONAL THERAPY EVAL LOW COMPLEX | $163.80 | $273.00 | $96.57–$253.89 | 1% above | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OCCUPATIONAL THERAPY EVAL LOW COMPLEX | $163.80 | $273.00 | $204.75–$253.89 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PHYSICAL THERAPY EVALUATION HIGH COMPLEX | $223.20 | $372.00 | $94.11–$345.96 | 32% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PHYSICAL THERAPY EVALUATION HIGH COMPLEX | $223.20 | $372.00 | $279.00–$345.96 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PHYSICAL THERAPY EVALUATION LOW COMPLEX | $134.40 | $224.00 | $94.11–$211.00 | 4% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PHYSICAL THERAPY EVALUATION LOW COMPLEX | $134.40 | $224.00 | $168.00–$208.32 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PHYSICAL THERAPY EVALUATION MOD COMPLEX | $174.00 | $290.00 | $94.11–$269.70 | 3% above | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PHYSICAL THERAPY EVALUATION MOD COMPLEX | $174.00 | $290.00 | $217.50–$269.70 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB OT-MANUAL THERA ONE/MORE REG 15 MIN | $97.80 | $163.00 | $26.51–$201.00 | 14% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB PT MANUAL THERA ONE/MORE REG 15 MIN | $99.60 | $166.00 | $26.51–$211.00 | 16% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB OT-MANUAL THERA ONE/MORE REG 15 MIN | $97.80 | $163.00 | $122.25–$151.59 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB PT MANUAL THERA ONE/MORE REG 15 MIN | $99.60 | $166.00 | $124.50–$154.38 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB PT-THERAPEUTIC EXERCISES 15 MIN | $95.40 | $159.00 | $27.80–$211.00 | 19% above | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB OT-THERAPEUTIC EXERCISES 15 MIN | $95.40 | $159.00 | $27.80–$201.00 | 19% above | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB PT-THERAPEUTIC EXERCISES 15 MIN | $95.40 | $159.00 | $119.25–$147.87 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB OT-THERAPEUTIC EXERCISES 15 MIN | $95.40 | $159.00 | $119.25–$147.87 | — | 40% |
| Speech and language evaluation CPT 92523 HB ST-SPEECH SOUND PROD W LANG COMPREHENSION | $295.20 | $492.00 | $211.00–$457.56 | 6% above | 40% |
| Speech and language evaluation inpatient CPT 92523 HB ST-SPEECH SOUND PROD W LANG COMPREHENSION | $295.20 | $492.00 | $369.00–$457.56 | — | 40% |
| Speech therapy session, individual CPT 92507 HB ST-SPEECH THERAPY | $226.80 | $378.00 | $73.45–$351.54 | 9% above | 40% |
| Speech therapy session, individual inpatient CPT 92507 HB ST-SPEECH THERAPY | $226.80 | $378.00 | $283.50–$351.54 | — | 40% |
| Spirometry (breathing test) CPT 94010 HB SPIROMETRY W/O BRNCHDILATR-PUL | $291.00 | $485.00 | $224.21–$451.05 | 28% above | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY W/O BRNCHDILATR-PUL | $291.00 | $485.00 | $363.75–$451.05 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 HB SPIRO PRE/POST BRNCHDILATR RESP-PUL | $540.60 | $901.00 | $387.48–$837.93 | 24% above | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HB SPIRO PRE/POST BRNCHDILATR RESP-PUL | $540.60 | $901.00 | $675.75–$837.93 | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB OT-THERA/FUNCTION ACTIVITIES 15 MIN | $97.80 | $163.00 | $33.32–$201.00 | 20% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB PT-THERA/FUNCTION ACTIVITIES 15 MIN | $97.80 | $163.00 | $33.32–$211.00 | 20% above | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB PT-THERA/FUNCTION ACTIVITIES 15 MIN | $97.80 | $163.00 | $122.25–$151.59 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB OT-THERA/FUNCTION ACTIVITIES 15 MIN | $97.80 | $163.00 | $122.25–$151.59 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB THERAPEUTIC PHLEBOTOMY | $194.40 | $324.00 | $138.16–$301.32 | 1% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HB THERAPEUTIC PHLEBOTOMY | $194.40 | $324.00 | $243.00–$301.32 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $348.93 | $581.55 | $98.00–$540.84 | 76% above | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $348.93 | $581.55 | $436.16–$540.84 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $58.95 | $98.25 | $15.71–$91.37 | 85% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $58.95 | $98.25 | $73.69–$91.37 | — | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $67.92 | $113.19 | $58.61–$105.27 | at median | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $67.92 | $113.19 | $84.89–$105.27 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $77.84 | $129.72 | $59.98–$120.64 | 31% below | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $77.84 | $129.72 | $97.29–$120.64 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $299.99 | $499.98 | $114.19–$464.98 | 65% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $299.99 | $499.98 | $374.99–$464.98 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $183.55 | $305.91 | $183.55–$284.50 | 42% below | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $183.55 | $305.91 | $229.43–$284.50 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $221.32 | $368.86 | $295.09–$491.77 | 55% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $221.32 | $368.86 | $276.65–$343.04 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $223.40 | $372.33 | $101.82–$346.27 | 16% above | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $223.40 | $372.33 | $279.25–$346.27 | — | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $242.14 | $403.56 | $242.14–$375.31 | 36% below | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $242.14 | $403.56 | $302.67–$375.31 | — | 40% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT | $560.96 | $934.92 | $560.95–$869.48 | 46% above | 40% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT | $560.96 | $934.92 | $701.19–$869.48 | — | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $789.74 | $1,316.23 | $310.15–$1,224.09 | 43% above | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $789.74 | $1,316.23 | $987.17–$1,224.09 | — | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $377.59 | $629.31 | $377.59–$585.26 | 38% above | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $377.59 | $629.31 | $471.98–$585.26 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $58.95 | $98.25 | $24.98–$91.37 | 29% above | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $58.95 | $98.25 | $73.69–$91.37 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $89.71 | $149.51 | $36.85–$139.04 | 25% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $89.71 | $149.51 | $112.13–$139.04 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB ADMN IMMUNIZATION INJECT EA ADD'L | $80.70 | $134.50 | $15.00–$125.09 | 94% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB ADMN IMMUNIZATION INJECT EA ADD'L | $80.70 | $134.50 | $100.88–$125.09 | — | 40% |