Hospital Corbin, KY

Saint Joseph London

Listed in its price file as “Saint Joseph Health System, INC”.

Saint Joseph London in London, KY publishes cash prices for 298 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 243 of 296 procedures and above it for 46. By typical cash price it ranks #12 of 59 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1001 SAINT JOSEPH LANE, London, KY 40741 Collected Sep 27, 2026 Source price file (606) 330-6000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 180011 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE 3 VIEWS	$260.49	$730.00	$65.18–$664.30	26% below	64%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE 3 VIEWS	$260.49	$730.00	$664.30	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ARTERIAL(ABI W DOPPLER)ONLY	$198.76	$557.00	$79.54–$506.87	62% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ARTERIAL(ABI W DOPPLER)ONLY	$198.76	$557.00	$506.87	—	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS SINGLE CONTRAST	$387.17	$1,085.00	$154.94–$987.35	8% below	64%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS SINGLE CONTRAST	$387.17	$1,085.00	$987.35	—	64%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE &/OR JNT IMG WHOLE BDY	$1,348.84	$3,780.00	$364.03–$3,439.80	16% below	64%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE &/OR JNT IMG WHOLE BDY	$1,348.84	$3,780.00	$3,439.80	—	64%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST BIL COMPLETE	$598.77	$1,678.00	$96.34–$1,526.98	53% above	64%
Breast ultrasound, complete, one breast CPT 76641 HC U/S BREAST UNI	$658.72	$1,846.00	$96.34–$1,679.86	69% above	64%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST BIL COMPLETE	$598.77	$1,678.00	$1,526.98	—	64%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC U/S BREAST UNI	$658.72	$1,846.00	$1,679.86	—	64%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC U/S BREAST LMTD	$191.27	$536.00	$76.55–$733.00	41% below	64%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST BIL LIMITED	$658.72	$1,846.00	$79.77–$1,679.86	101% above	64%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC U/S BREAST LMTD	$191.27	$536.00	$487.76	—	64%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST BIL LIMITED	$658.72	$1,846.00	$1,679.86	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST	$1,165.79	$3,267.00	$161.27–$2,972.97	22% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST	$1,165.79	$3,267.00	$2,972.97	—	64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CORONARY W/CAL EVAL	$147.02	$412.00	$58.84–$1,532.00	89% below	64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CORONARY W/CAL EVAL	$147.02	$412.00	$374.92	—	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD&PEL WO CONTRAST	$2,476.09	$6,939.00	$218.98–$6,314.49	20% above	64%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD&PEL WO CONTRAST	$2,476.09	$6,939.00	$6,314.49	—	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD&PEL W CONTRAST	$2,552.45	$7,153.00	$323.53–$6,509.23	3% above	64%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD&PEL W CONTRAST	$2,552.45	$7,153.00	$6,509.23	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD&PEL WOW CONTRAST	$3,037.74	$8,513.00	$323.53–$7,746.83	11% above	64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD&PEL WOW CONTRAST	$3,037.74	$8,513.00	$7,746.83	—	64%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$1,176.85	$3,298.00	$161.27–$3,001.18	9% below	64%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$1,176.85	$3,298.00	$3,001.18	—	64%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$1,608.26	$4,507.00	$96.34–$4,101.37	33% above	64%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$1,608.26	$4,507.00	$4,101.37	—	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTR	$1,038.75	$2,911.00	$96.34–$2,649.01	10% below	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTR	$1,038.75	$2,911.00	$2,649.01	—	64%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN	$1,231.80	$3,452.00	$96.34–$3,141.32	7% above	64%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN	$1,231.80	$3,452.00	$3,141.32	—	64%
CT scan of the head with contrast CPT 70460 HC CT BRAIN CONTRAST	$1,256.42	$3,521.00	$161.27–$3,204.11	4% below	64%
CT scan of the head with contrast inpatient CPT 70460 HC CT BRAIN CONTRAST	$1,256.42	$3,521.00	$3,204.11	—	64%
CT scan of the head without and with contrast CPT 70470 HC CT BRAIN WOW CONTRAST	$1,367.40	$3,832.00	$161.27–$3,487.12	8% below	64%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT BRAIN WOW CONTRAST	$1,367.40	$3,832.00	$3,487.12	—	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR WO CONTR	$1,421.28	$3,983.00	$96.34–$3,624.53	3% above	64%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR WO CONTR	$1,421.28	$3,983.00	$3,624.53	—	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL WO CONTR	$1,359.90	$3,811.00	$96.34–$3,468.01	at median	64%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL WO CONTR	$1,359.90	$3,811.00	$3,468.01	—	64%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$1,059.45	$2,969.00	$161.27–$2,701.79	22% below	64%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$1,059.45	$2,969.00	$2,701.79	—	64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC CAROTID DOPPLER BIL	$1,600.05	$4,484.00	$218.98–$4,080.44	58% above	64%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC CAROTID DOPPLER BIL	$1,600.05	$4,484.00	$4,080.44	—	64%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$214.11	$600.00	$67.12–$546.00	16% below	64%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$214.11	$600.00	$546.00	—	64%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$149.88	$420.00	$49.87–$382.20	20% below	64%
Chest X-ray, single view one side CPT 71045 HC CHEST DECUBITUS UNILATERAL	$128.82	$361.00	$49.87–$328.51	31% below	64%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$149.88	$420.00	$382.20	—	64%
Chest X-ray, single view inpatient one side CPT 71045 HC CHEST DECUBITUS UNILATERAL	$128.82	$361.00	$328.51	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC U/S RETROPERITONEAL COMP	$1,773.48	$4,970.00	$96.34–$4,522.70	151% above	64%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC U/S RETROPERITONEAL COMP	$1,773.48	$4,970.00	$4,522.70	—	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR BONE DENSITY STUDY	$296.18	$830.00	$88.62–$755.30	12% below	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA W/O LVA (STANDARD)	$509.21	$1,427.00	$88.62–$1,298.57	51% above	64%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR BONE DENSITY STUDY	$296.18	$830.00	$755.30	—	64%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA W/O LVA (STANDARD)	$509.21	$1,427.00	$1,298.57	—	64%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA PERIPHERAL WRIST	$372.90	$1,045.00	$48.87–$950.95	43% above	64%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA PERIPHERAL WRIST	$372.90	$1,045.00	$950.95	—	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST	$1,050.17	$2,943.00	$96.34–$2,678.13	3% below	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST	$1,050.17	$2,943.00	$2,678.13	—	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST	$1,193.26	$3,344.00	$161.27–$3,043.04	10% below	64%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST	$1,193.26	$3,344.00	$3,043.04	—	64%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL & CAD	$291.90	$818.00	$116.82–$744.38	4% below	64%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL & CAD	$291.90	$818.00	$744.38	—	64%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI & CAD	$122.76	$344.00	$49.13–$313.04	47% below	64%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI & CAD	$122.76	$344.00	$313.04	—	64%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC ARTERIAL DOPPLER LEGS BIL	$795.75	$2,230.00	$218.98–$2,029.30	31% below	64%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC ARTERIAL DOPPLER LEGS BIL	$795.75	$2,230.00	$2,029.30	—	64%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC VENOUS DOPPLER EXT BIL	$957.75	$2,684.00	$218.98–$2,442.44	1% below	64%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VENOUS DOPPLER EXT BIL	$957.75	$2,684.00	$2,442.44	—	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2D ECHO W/DOPPLER COMP	$1,334.93	$3,741.00	$496.72–$3,404.31	22% below	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO W/DOPPLER COMP WO CON	$1,934.41	$5,421.00	$496.72–$4,933.11	13% above	64%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2D ECHO W/DOPPLER COMP	$1,334.93	$3,741.00	$3,404.31	—	64%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2D ECHO W/DOPPLER COMP WO CON	$1,934.41	$5,421.00	$4,933.11	—	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY IMG	$652.30	$1,828.00	$261.04–$1,663.48	45% below	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY IMG	$652.30	$1,828.00	$1,663.48	—	64%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP TESTING	$322.94	$905.00	$129.24–$823.55	26% below	64%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC HOME SLEEP TESTING	$322.94	$905.00	$823.55	—	64%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W/CPAP	$2,002.56	$5,612.00	$801.40–$5,106.92	42% below	64%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W/CPAP	$2,002.56	$5,612.00	$5,106.92	—	64%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$315.09	$883.00	$75.36–$803.53	11% below	64%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$315.09	$883.00	$803.53	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC U/S ABDOMINAL LTD	$841.78	$2,359.00	$96.34–$2,146.69	42% above	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC U/S ABDOMINAL LTD	$841.78	$2,359.00	$2,146.69	—	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING ANNUAL FOLLOWUP	$1,050.17	$2,943.00	$96.34–$2,678.13	94% above	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREENING ANNUAL FOLLOWUP	$1,050.17	$2,943.00	$2,678.13	—	64%
MRI of both breasts, without and then with contrast dye CPT 77049 HC MRI BREAST BIL WOW CON W/CAD	$338.28	$948.00	$135.38–$2,026.00	33% below	64%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HC MRI BREAST BIL WOW CON W/CAD	$338.28	$948.00	$862.68	—	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR LOWER EXTREM JNT WO CONT	$771.48	$2,162.00	$218.98–$2,026.00	52% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRIG LOWER EXTREM JOINT LIM	$1,234.66	$3,460.00	$218.98–$3,148.60	23% below	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR LOWER EXTREM JNT WO CONT	$771.48	$2,162.00	$1,967.42	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRIG LOWER EXTREM JOINT LIM	$1,234.66	$3,460.00	$3,148.60	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JOINT W&WO CONT UNI	$1,319.58	$3,698.00	$323.53–$3,365.18	42% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXT JOINT W&WO CONT UNI	$1,319.58	$3,698.00	$3,365.18	—	64%
MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN	$984.16	$2,758.00	$218.98–$2,509.78	40% below	64%
MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABDOMEN	$984.16	$2,758.00	$2,509.78	—	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABD WOW CONTRAST	$1,447.33	$4,056.00	$323.53–$3,690.96	36% below	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABD WOW CONTRAST	$1,447.33	$4,056.00	$3,690.96	—	64%
MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN W/O CONTRAST	$1,354.91	$3,797.00	$218.98–$3,455.27	18% below	64%
MRI of the brain, no contrast dye CPT 70551 HC MRIG LIMITED BRAIN	$1,354.91	$3,797.00	$218.98–$3,455.27	18% below	64%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN W/O CONTRAST	$1,354.91	$3,797.00	$3,455.27	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRIG LIMITED BRAIN	$1,354.91	$3,797.00	$3,455.27	—	64%
MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN WOW CONTRAST	$1,314.23	$3,683.00	$323.53–$3,351.53	39% below	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN WOW CONTRAST	$1,314.23	$3,683.00	$3,351.53	—	64%
MRI of the lower back, no contrast dye CPT 72148 HC MRIG LIMITED LUMBAR	$1,112.26	$3,117.00	$218.98–$2,836.47	31% below	64%
MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR	$1,345.99	$3,772.00	$218.98–$3,432.52	17% below	64%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRIG LIMITED LUMBAR	$1,112.26	$3,117.00	$2,836.47	—	64%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR	$1,345.99	$3,772.00	$3,432.52	—	64%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MR SPINE LUMBAR WOW CONTR	$1,453.75	$4,074.00	$323.53–$3,707.34	36% below	64%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR SPINE LUMBAR WOW CONTR	$1,453.75	$4,074.00	$3,707.34	—	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SPINE THORACIC	$1,131.53	$3,171.00	$218.98–$2,885.61	36% below	64%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR SPINE THORACIC	$1,131.53	$3,171.00	$2,885.61	—	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SPINE CERVL WOW CONTR	$1,670.35	$4,681.00	$323.53–$4,259.71	27% below	64%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR SPINE CERVL WOW CONTR	$1,670.35	$4,681.00	$4,259.71	—	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICAL	$1,160.08	$3,251.00	$218.98–$2,958.41	27% below	64%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SPINE CERVICAL	$1,160.08	$3,251.00	$2,958.41	—	64%
MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS WOW CONTRAST	$1,227.52	$3,440.00	$323.53–$3,130.40	45% below	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS WOW CONTRAST	$1,227.52	$3,440.00	$3,130.40	—	64%
MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS	$1,136.88	$3,186.00	$218.98–$2,899.26	33% below	64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS	$1,136.88	$3,186.00	$2,899.26	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR UPPER EXTREM JNT WO CONT	$1,128.68	$3,163.00	$218.98–$2,878.33	30% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR UPPER EXTREM JNT WO CONT	$1,128.68	$3,163.00	$2,878.33	—	64%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARD IMG MULT SPEC	$2,271.62	$6,366.00	$909.07–$5,793.06	38% below	64%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARD IMG MULT SPEC	$2,271.62	$6,366.00	$5,793.06	—	64%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMG SKULL BASE TO MID-THG W/CT	$2,123.89	$5,952.00	$849.95–$5,416.32	49% below	64%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMG SKULL BASE TO MID-THG W/CT	$2,123.89	$5,952.00	$5,416.32	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC U/S PELVIC LTD	$497.43	$1,394.00	$67.22–$1,268.54	24% above	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC U/S PELVIC LTD	$497.43	$1,394.00	$1,268.54	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC U/S PELVIC	$720.46	$2,019.00	$96.34–$1,837.29	9% above	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC U/S PELVIC	$720.46	$2,019.00	$1,837.29	—	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC U/S OB>=14 WKS-1 FETUS	$807.17	$2,262.00	$96.34–$2,058.42	87% above	64%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC U/S OB>=14 WKS-1 FETUS	$807.17	$2,262.00	$2,058.42	—	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC U/S OB <14 WKS-1 FETUS	$602.34	$1,688.00	$96.34–$1,536.08	16% above	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC U/S OB <14 WKS-1 FETUS	$602.34	$1,688.00	$1,536.08	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC U/S OB US QUICK LTD	$523.48	$1,467.00	$96.34–$1,334.97	7% above	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC U/S OB US QUICK LTD	$523.48	$1,467.00	$1,334.97	—	64%
Screening mammogram, both breasts CPT 77067 HC DIG SCREEN MAMMO UNI	$93.14	$261.00	$37.28–$307.00	48% below	64%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCRN DIGITAL BIL IMP	$103.84	$291.00	$41.56–$307.00	42% below	64%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCRN BIL & CAD	$211.61	$593.00	$84.69–$539.63	19% above	64%
Screening mammogram, both breasts inpatient CPT 77067 HC DIG SCREEN MAMMO UNI	$93.14	$261.00	$237.51	—	64%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCRN DIGITAL BIL IMP	$103.84	$291.00	$264.81	—	64%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCRN BIL & CAD	$211.61	$593.00	$539.63	—	64%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HC SHOULDER BILATERAL - 2 VIEW	$364.69	$1,022.00	$56.00–$930.02	—	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$235.16	$659.00	$56.00–$599.69	33% below	64%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER 2 VIEW UNILATERAL	$220.89	$619.00	$56.00–$563.29	37% below	64%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 HC SHOULDER BILATERAL - 2 VIEW	$364.69	$1,022.00	$930.02	—	64%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$235.16	$659.00	$599.69	—	64%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER 2 VIEW UNILATERAL	$220.89	$619.00	$563.29	—	64%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY	$1,982.58	$5,556.00	$793.40–$5,055.96	40% below	64%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY	$1,982.58	$5,556.00	$5,055.96	—	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR ESOPH SWALLOW FUNC W/VID	$333.29	$934.00	$133.38–$849.94	28% below	64%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR ESOPH SWALLOW FUNC W/VID	$333.29	$934.00	$849.94	—	64%
Transvaginal pelvic ultrasound CPT 76830 HC U/SENDO VAG (EV)	$550.60	$1,543.00	$96.34–$1,404.13	5% below	64%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/SENDO VAG (EV)	$550.60	$1,543.00	$1,404.13	—	64%
Transvaginal ultrasound during pregnancy CPT 76817 HC U/S PREGNANCY TRANSVAGINAL	$428.92	$1,202.00	$96.34–$1,093.82	1% below	64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC U/S PREGNANCY TRANSVAGINAL	$428.92	$1,202.00	$1,093.82	—	64%
Ultrasound of the abdomen, complete CPT 76700 HC U/S ABDOMINAL COMP	$1,018.77	$2,855.00	$96.34–$2,598.05	25% above	64%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC U/S ABDOMINAL COMP	$1,018.77	$2,855.00	$2,598.05	—	64%
Ultrasound of the scrotum and testicles CPT 76870 HC U/STESTICULAR(SCROTUM)	$592.35	$1,660.00	$96.34–$1,510.60	3% above	64%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC U/STESTICULAR(SCROTUM)	$592.35	$1,660.00	$1,510.60	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC U/S HEAD & NECK-SFT TISSUE	$462.11	$1,295.00	$96.34–$1,178.45	18% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC U/S HEAD & NECK-SFT TISSUE	$462.11	$1,295.00	$1,178.45	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC WATER SOLUBLE GI SM BOWEL	$158.08	$443.00	$63.27–$403.13	63% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC WATER SOLUBLE GI SM BOWEL	$158.08	$443.00	$403.13	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC VENOUS DOPPLER EXT UNI	$469.60	$1,316.00	$96.34–$1,197.56	20% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC VENOUS DOPPLER EXT UNI	$469.60	$1,316.00	$1,197.56	—	64%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC XR WRIST 3VW/MORE UNILAT	$282.26	$791.00	$76.40–$719.81	14% below	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC XR WRIST 3VW/MORE UNILAT	$282.26	$791.00	$719.81	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIP UNI 2-3 VWS	$158.44	$444.00	$63.41–$404.04	33% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP 2 VIEW W/ PELVIS UNILATERAL	$174.50	$489.00	$69.83–$444.99	26% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP 2 VIEW UNILATERAL	$282.26	$791.00	$79.77–$719.81	19% above	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIP UNI 2-3 VWS	$158.44	$444.00	$404.04	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP 2 VIEW W/ PELVIS UNILATERAL	$174.50	$489.00	$444.99	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP 2 VIEW UNILATERAL	$282.26	$791.00	$719.81	—	64%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$282.26	$791.00	$61.38–$719.81	6% above	64%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$282.26	$791.00	$719.81	—	64%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$219.10	$614.00	$61.09–$558.74	17% below	64%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$219.10	$614.00	$558.74	—	64%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS MIN 2 VIEW	$237.30	$665.00	$70.27–$605.15	1% below	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS MIN 2 VIEW	$237.30	$665.00	$605.15	—	64%
X-ray of the foot, 2 views both sides CPT 73620 HC FOOT 2 VWS BILAT	$273.70	$767.00	$51.91–$697.97	—	64%
X-ray of the foot, 2 views inpatient both sides CPT 73620 HC FOOT 2 VWS BILAT	$273.70	$767.00	$697.97	—	64%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS	$321.87	$902.00	$59.05–$820.82	4% below	64%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS	$321.87	$902.00	$820.82	—	64%
X-ray of the hand, 3 or more views both sides CPT 73130 HC HAND BILATERAL	$210.18	$589.00	$63.14–$535.99	—	64%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HC HAND BILATERAL	$210.18	$589.00	$535.99	—	64%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$286.19	$802.00	$64.15–$729.82	2% above	64%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$286.19	$802.00	$729.82	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBAR 2- 3 VIEWS	$290.11	$813.00	$68.23–$739.83	18% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2- 3 VIEWS	$330.79	$927.00	$68.23–$843.57	7% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBAR 2- 3 VIEWS	$290.11	$813.00	$739.83	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2- 3 VIEWS	$330.79	$927.00	$843.57	—	64%
X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBAR 4-5 VIEW	$539.54	$1,512.00	$94.71–$1,375.92	3% above	64%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBAR 4-5 VIEW	$539.54	$1,512.00	$1,375.92	—	64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$253.71	$711.00	$65.18–$647.01	16% below	64%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$253.71	$711.00	$647.01	—	64%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES 3+VWS	$310.09	$869.00	$68.23–$790.79	2% above	64%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES 3+VWS	$310.09	$869.00	$790.79	—	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINECERVICAL 3/- VIEWS	$224.81	$630.00	$62.13–$573.30	34% below	64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINECERVICAL 3/- VIEWS	$224.81	$630.00	$573.30	—	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2VIEW	$196.26	$550.00	$66.19–$500.50	22% below	64%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2VIEW	$196.26	$550.00	$500.50	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM&COCCYX 2VW/MORE	$241.23	$676.00	$54.96–$615.16	18% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM&COCCYX 2VW/MORE	$241.23	$676.00	$615.16	—	64%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC LAB SGPT (ALT)	$52.10	$146.00	$4.50–$132.86	22% below	64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC LAB SGPT (ALT)	$52.10	$146.00	$132.86	—	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC LAB SGOT (AST)	$52.10	$146.00	$4.40–$132.86	22% below	64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC LAB SGOT (AST)	$52.10	$146.00	$132.86	—	64%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC LAB ACUTE HEPATITIS PANEL	$169.50	$475.00	$40.48–$432.25	45% below	64%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC LAB ACUTE HEPATITIS PANEL	$169.50	$475.00	$432.25	—	64%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ADULT FOOD PROFILE	$9.28	$26.00	$4.43–$23.66	25% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ORANGE	$9.64	$27.00	$4.43–$24.57	22% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MAPLE LEAF SYCAMORE TREE IGE	$9.64	$27.00	$4.43–$24.57	22% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 F083-IGE CHICKEN	$10.35	$29.00	$4.43–$26.39	17% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SHRIMP	$10.71	$30.00	$4.43–$27.30	14% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CRAB (F23) IGE	$10.71	$30.00	$4.43–$27.30	14% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LAB ALLG SPEC IGE CRUDE XTRC EA	$16.78	$47.00	$4.43–$42.77	35% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 HC D. FARINAE (MITE) IGE	$45.32	$127.00	$4.43–$115.57	265% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PEDIATRIC FOODS/INHALANTS PROFILE	$51.39	$144.00	$4.43–$131.04	314% above	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ADULT FOOD PROFILE	$9.28	$26.00	$23.66	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MAPLE LEAF SYCAMORE TREE IGE	$9.64	$27.00	$24.57	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ORANGE	$9.64	$27.00	$24.57	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F083-IGE CHICKEN	$10.35	$29.00	$26.39	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SHRIMP	$10.71	$30.00	$27.30	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CRAB (F23) IGE	$10.71	$30.00	$27.30	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LAB ALLG SPEC IGE CRUDE XTRC EA	$16.78	$47.00	$42.77	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC D. FARINAE (MITE) IGE	$45.32	$127.00	$115.57	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEDIATRIC FOODS/INHALANTS PROFILE	$51.39	$144.00	$131.04	—	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC LAB CYCLIC CITRULINATD PEP IGG	$44.25	$124.00	$11.00–$112.84	50% below	64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC LAB CYCLIC CITRULINATD PEP IGG	$44.25	$124.00	$112.84	—	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC LAB ANA	$46.39	$130.00	$10.27–$118.30	44% below	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC LAB ANA	$46.39	$130.00	$118.30	—	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC LAB NATRIURETIC PEPTDE	$115.26	$323.00	$28.85–$293.93	42% below	64%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC LAB NATRIURETIC PEPTDE	$115.26	$323.00	$293.93	—	64%
Basic metabolic panel (blood test) CPT 80048 HC LAB BASIC METABOLIC PANEL	$93.14	$261.00	$5.69–$237.51	13% below	64%
Basic metabolic panel (blood test) inpatient CPT 80048 HC LAB BASIC METABOLIC PANEL	$93.14	$261.00	$237.51	—	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LAB SURG/PATH-LEVEL IV	$149.88	$420.00	$36.44–$382.20	16% below	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LAB SURG/PATH-LEVEL IV	$149.88	$420.00	$382.20	—	64%
Blood culture for bacteria CPT 87040 HC LAB CULT-BLOOD	$63.88	$179.00	$8.77–$162.89	50% below	64%
Blood culture for bacteria inpatient CPT 87040 HC LAB CULT-BLOOD	$63.88	$179.00	$162.89	—	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$17.49	$49.00	$5.00–$44.59	at median	64%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$17.49	$49.00	$44.59	—	64%
Blood glucose (sugar) test CPT 82947 HC LAB GLUCOMETER	$3.93	$11.00	$3.34–$17.48	94% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$38.90	$109.00	$3.34–$99.19	36% below	64%
Blood glucose (sugar) test inpatient CPT 82947 HC LAB GLUCOMETER	$3.93	$11.00	$10.01	—	64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$38.90	$109.00	$99.19	—	64%
Blood lead test CPT 83655 HC LAB LEAD WB	$51.39	$144.00	$10.29–$131.04	43% below	64%
Blood lead test inpatient CPT 83655 HC LAB LEAD WB	$51.39	$144.00	$131.04	—	64%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC LAB HCG QUALITATIVE	$50.32	$141.00	$6.38–$128.31	46% below	64%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC LAB HCG QUALITATIVE	$50.32	$141.00	$128.31	—	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC LAB BLOOD TYPING ABO SEROLOGIC	$31.41	$88.00	$2.54–$233.54	43% below	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC LAB BLOOD TYPING ABO SEROLOGIC	$31.41	$88.00	$80.08	—	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC LAB C-REACTIVE PROTEIN	$44.25	$124.00	$3.25–$112.84	33% below	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC LAB C-REACTIVE PROTEIN	$44.25	$124.00	$112.84	—	64%
C. difficile toxin gene test (stool PCR) CPT 87493 HC LAB C DIFFICILE TOXIN PCR	$110.98	$311.00	$29.83–$283.01	7% above	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC LAB C DIFFICILE TOXIN PCR	$110.98	$311.00	$283.01	—	64%
CA 19-9 blood test (tumor marker) CPT 86301 HC LAB CARBOHYDRATE ANTI 19-9	$40.33	$113.00	$17.69–$102.83	74% below	64%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC LAB CARBOHYDRATE ANTI 19-9	$40.33	$113.00	$102.83	—	64%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC LAB CANCER ANTIGEN 125	$103.84	$291.00	$17.69–$264.81	40% below	64%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC LAB CANCER ANTIGEN 125	$103.84	$291.00	$264.81	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$47.82	$134.00	$20.52–$121.94	49% below	64%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$47.82	$134.00	$121.94	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC LAB C. TRACHOMATIS RNA	$31.05	$87.00	$29.83–$156.11	74% below	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC LAB C. TRACHOMATIS RNA	$31.05	$87.00	$79.17	—	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LAB LIPID PANEL	$56.03	$157.00	$9.68–$142.87	61% below	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LAB LIPID PANEL	$56.03	$157.00	$142.87	—	64%
Complete blood count (CBC) with differential CPT 85025 HC LAB CBC W/AUTO DIFF	$61.74	$173.00	$6.61–$157.43	5% below	64%
Complete blood count (CBC) with differential inpatient CPT 85025 HC LAB CBC W/AUTO DIFF	$61.74	$173.00	$157.43	—	64%
Complete blood count (CBC), no differential CPT 85027 HC LAB CBC (W/PLT&HEMOGRAM)	$47.46	$133.00	$5.50–$121.03	25% below	64%
Complete blood count (CBC), no differential inpatient CPT 85027 HC LAB CBC (W/PLT&HEMOGRAM)	$47.46	$133.00	$121.03	—	64%
Comprehensive metabolic panel (blood test) CPT 80053 HC LAB COMP METABOLIC PANEL	$145.24	$407.00	$7.15–$370.37	at median	64%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC LAB COMP METABOLIC PANEL	$145.24	$407.00	$370.37	—	64%
D-dimer blood test (blood clot marker) CPT 85379 HC LAB D-DIMER	$108.13	$303.00	$8.65–$275.73	1% above	64%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC LAB D-DIMER	$108.13	$303.00	$275.73	—	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC LAB DHEA SULFATE	$92.78	$260.00	$18.89–$236.60	41% below	64%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC LAB DHEA SULFATE	$92.78	$260.00	$236.60	—	64%
Estradiol blood test CPT 82670 HC LAB ESTRADIOL (E2)	$94.92	$266.00	$23.75–$242.06	38% below	64%
Estradiol blood test CPT 82670 HC LAB ESTRADIOL ULTRASENSITIVE	$94.92	$266.00	$23.75–$242.06	38% below	64%
Estradiol blood test inpatient CPT 82670 HC LAB ESTRADIOL (E2)	$94.92	$266.00	$242.06	—	64%
Estradiol blood test inpatient CPT 82670 HC LAB ESTRADIOL ULTRASENSITIVE	$94.92	$266.00	$242.06	—	64%
FSH (follicle-stimulating hormone) test CPT 83001 HC LAB FOLLICLE STIM HORMONE	$57.10	$160.00	$15.79–$145.60	77% below	64%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC LAB FOLLICLE STIM HORMONE	$57.10	$160.00	$145.60	—	64%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL	$63.88	$179.00	$16.68–$162.89	74% below	64%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL	$63.88	$179.00	$162.89	—	64%
Ferritin blood test (iron stores) CPT 82728 HC LAB FERRITIN	$51.03	$143.00	$11.58–$130.13	66% below	64%
Ferritin blood test (iron stores) inpatient CPT 82728 HC LAB FERRITIN	$51.03	$143.00	$130.13	—	64%
Folate (folic acid) blood test CPT 82746 HC LAB FOLATESERUM	$59.95	$168.00	$12.49–$152.88	57% below	64%
Folate (folic acid) blood test inpatient CPT 82746 HC LAB FOLATESERUM	$59.95	$168.00	$152.88	—	64%
Free T3 thyroid hormone test CPT 84481 HC LAB T3 FREE	$141.31	$396.00	$14.40–$360.36	30% below	64%
Free T3 thyroid hormone test inpatient CPT 84481 HC LAB T3 FREE	$141.31	$396.00	$360.36	—	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC LAB FREE T4	$65.66	$184.00	$7.66–$167.44	31% below	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC LAB FREE T4	$65.66	$184.00	$167.44	—	64%
Free testosterone test CPT 84402 HC LAB TESTOSTERONE FREE	$172.00	$482.00	$21.64–$438.62	112% above	64%
Free testosterone test inpatient CPT 84402 HC LAB TESTOSTERONE FREE	$172.00	$482.00	$438.62	—	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC LAB GLUCOSE PST GLUCOSE DSE	$30.34	$85.00	$4.04–$77.35	46% below	64%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC LAB GLUCOSE PST GLUCOSE DSE	$30.34	$85.00	$77.35	—	64%
Glucose tolerance test, 3 samples CPT 82951 HC LAB GLUCOSE TT FIRST 3 SPECS	$151.30	$424.00	$10.94–$385.84	1% below	64%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC LAB GLUCOSE TT FIRST 3 SPECS	$151.30	$424.00	$385.84	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC LAB N. GONORRHOEAE RNA	$31.05	$87.00	$29.83–$156.11	73% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC LAB N. GONORRHOEAE RNA	$31.05	$87.00	$79.17	—	64%
H. pylori antibody blood test CPT 86677 HC LAB H.PYLORI ANTIBODIES	$28.19	$79.00	$12.34–$71.89	75% below	64%
H. pylori antibody blood test inpatient CPT 86677 HC LAB H.PYLORI ANTIBODIES	$28.19	$79.00	$71.89	—	64%
H. pylori stool antigen test CPT 87338 HC H. PYLORI STOOL ANTIGEN	$154.51	$433.00	$12.22–$394.03	14% below	64%
H. pylori stool antigen test inpatient CPT 87338 HC H. PYLORI STOOL ANTIGEN	$154.51	$433.00	$394.03	—	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC LAB HIV-1 RNA	$176.64	$495.00	$72.31–$450.45	32% below	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC LAB HIV-1 RNA	$176.64	$495.00	$450.45	—	64%
HIV-1 and HIV-2 antibody test CPT 86703 HC LAB HIV-1/HIV-2 AB SNGL RES	$27.12	$76.00	$11.66–$69.16	69% below	64%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC LAB HIV-1/HIV-2 AB SNGL RES	$27.12	$76.00	$69.16	—	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC LAB HIV-1 AG W/HIV-1&2 AB	$22.84	$64.00	$20.47–$107.10	78% below	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC LAB HIV-1 AG W/HIV-1&2 AB	$22.84	$64.00	$58.24	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC LAB HEMOGLOBIN A1C	$67.45	$189.00	$8.25–$171.99	8% below	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC LAB HEMOGLOBIN A1C	$67.45	$189.00	$171.99	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC LAB HEP BS AB (ANTI-HBS)	$11.42	$32.00	$9.13–$47.76	90% below	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC LAB HEP BS AB (ANTI-HBS)	$11.42	$32.00	$29.12	—	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC LAB HEP BS AG (HBSAG)	$67.80	$190.00	$8.78–$172.90	33% below	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC LAB HEP BS AG (HBSAG)	$67.80	$190.00	$172.90	—	64%
Hepatitis C antibody blood test (screening) CPT 86803 HC LAB HEP C AB (ANTI-HCV) DONOR	$108.84	$305.00	$12.13–$277.55	17% below	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC LAB HEP C AB (ANTI-HCV) DONOR	$108.84	$305.00	$277.55	—	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC LAB HEP C PCR-QUANT	$88.50	$248.00	$36.40–$225.68	68% below	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC LAB HEP C PCR-QUANT	$88.50	$248.00	$225.68	—	64%
Herpes blood test, HSV-1 antibody CPT 86695 HC LAB HERPES SIMPL TYPE I	$44.25	$124.00	$11.21–$112.84	37% below	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC LAB HERPES SIMPL TYPE I	$44.25	$124.00	$112.84	—	64%
Herpes blood test, HSV-2 antibody CPT 86696 HC LAB HERPES SIMPL TYPE 2	$36.76	$103.00	$16.45–$93.73	54% below	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC LAB HERPES SIMPL TYPE 2	$36.76	$103.00	$93.73	—	64%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC LAB C-REACTIVE PROTEIN HS	$44.61	$125.00	$11.00–$113.75	54% below	64%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC LAB C-REACTIVE PROTEIN HS	$44.61	$125.00	$113.75	—	64%
Homocysteine blood test CPT 83090 HC LAB HOMOCYSTEINE	$51.75	$145.00	$14.33–$131.95	69% below	64%
Homocysteine blood test inpatient CPT 83090 HC LAB HOMOCYSTEINE	$51.75	$145.00	$131.95	—	64%
Insulin blood test CPT 83525 HC LAB INSULIN	$46.39	$130.00	$9.71–$118.30	58% below	64%
Insulin blood test inpatient CPT 83525 HC LAB INSULIN	$46.39	$130.00	$118.30	—	64%
Iron blood test (serum iron) CPT 83540 HC LAB LIVER TISSUE FOR IRON	$43.90	$123.00	$5.51–$111.93	39% below	64%
Iron blood test (serum iron) CPT 83540 HC LAB IRON SERUM	$43.90	$123.00	$5.51–$111.93	39% below	64%
Iron blood test (serum iron) inpatient CPT 83540 HC LAB IRON SERUM	$43.90	$123.00	$111.93	—	64%
Iron blood test (serum iron) inpatient CPT 83540 HC LAB LIVER TISSUE FOR IRON	$43.90	$123.00	$111.93	—	64%
Iron-binding capacity (TIBC) test CPT 83550 HC LAB TOTAL IRON BIND CAP	$33.55	$94.00	$7.43–$85.54	66% below	64%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC LAB TOTAL IRON BIND CAP	$33.55	$94.00	$85.54	—	64%
Kidney function blood test panel CPT 80069 HC RENAL PROFILE	$71.37	$200.00	$5.69–$182.00	31% below	64%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE	$71.37	$200.00	$182.00	—	64%
LH (luteinizing hormone) test CPT 83002 HC LAB LUTENIZING HORMONE	$69.94	$196.00	$15.74–$178.36	66% below	64%
LH (luteinizing hormone) test inpatient CPT 83002 HC LAB LUTENIZING HORMONE	$69.94	$196.00	$178.36	—	64%
Lipase blood test (pancreas enzyme) CPT 83690 HC LAB LIPASE	$72.09	$202.00	$5.86–$183.82	14% below	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LAB LIPASE	$72.09	$202.00	$183.82	—	64%
Liver function blood test panel CPT 80076 HC LAB HEPATIC FUNCTION PANEL	$91.35	$256.00	$5.69–$232.96	25% below	64%
Liver function blood test panel inpatient CPT 80076 HC LAB HEPATIC FUNCTION PANEL	$91.35	$256.00	$232.96	—	64%
Lyme disease antibody test CPT 86618 HC LAB LYME DISEASE AB TOTAL	$120.26	$337.00	$14.47–$306.67	84% above	64%
Lyme disease antibody test inpatient CPT 86618 HC LAB LYME DISEASE AB TOTAL	$120.26	$337.00	$306.67	—	64%
Magnesium blood test CPT 83735 HC LAB MAGNESIUM	$53.17	$149.00	$5.69–$135.59	4% below	64%
Magnesium blood test CPT 83735 HC LAB MAGNESIUM STOOL	$53.17	$149.00	$5.69–$135.59	4% below	64%
Magnesium blood test inpatient CPT 83735 HC LAB MAGNESIUM	$53.17	$149.00	$135.59	—	64%
Magnesium blood test inpatient CPT 83735 HC LAB MAGNESIUM STOOL	$53.17	$149.00	$135.59	—	64%
Measles (rubeola) antibody test CPT 86765 HC LAB RUBEOLA ANTIBODIES IGM	$40.68	$114.00	$10.95–$103.74	25% below	64%
Measles (rubeola) antibody test inpatient CPT 86765 HC LAB RUBEOLA ANTIBODIES IGM	$40.68	$114.00	$103.74	—	64%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL	$43.18	$121.00	$47.81–$212.66	85% below	64%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL	$43.18	$121.00	$110.11	—	64%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC LAB PSA FREE	$61.38	$172.00	$15.64–$156.52	48% below	64%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC LAB PSA FREE	$61.38	$172.00	$156.52	—	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC LAB PROSTATIC SPECIFIC ANTIGEN	$95.64	$268.00	$15.64–$243.88	36% below	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC LAB PROSTATIC SPECIFIC ANTIGEN	$95.64	$268.00	$243.88	—	64%
Parathyroid hormone (PTH) blood test CPT 83970 HC LAB PTH (INTRAOPERATIVE) HIXSON	$152.37	$427.00	$35.08–$388.57	36% below	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC LAB PTH (INTRAOPERATIVE) HIXSON	$152.37	$427.00	$388.57	—	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LAB PTT	$57.10	$160.00	$5.10–$145.60	33% below	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LAB PTT	$57.10	$160.00	$145.60	—	64%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS	$314.73	$882.00	$759.05–$2,601.72	76% below	64%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS	$314.73	$882.00	$802.62	—	64%
Progesterone blood test CPT 84144 HC LAB PROGESTERONE	$53.89	$151.00	$17.73–$137.41	69% below	64%
Progesterone blood test inpatient CPT 84144 HC LAB PROGESTERONE	$53.89	$151.00	$137.41	—	64%
Prolactin blood test CPT 84146 HC LAB PROLACTIN	$64.59	$181.00	$16.47–$164.71	59% below	64%
Prolactin blood test inpatient CPT 84146 HC LAB PROLACTIN	$64.59	$181.00	$164.71	—	64%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LAB PT	$54.96	$154.00	$3.34–$140.14	5% above	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LAB PT	$54.96	$154.00	$140.14	—	64%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC LAB DRUG SCREEN LATERAL FLOW	$66.73	$187.00	$6.43–$170.17	73% above	64%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC LAB DRUG SCREEN LATERAL FLOW	$66.73	$187.00	$170.17	—	64%
Rapid flu test (influenza antigen) CPT 87804 HC LAB INFLUENZA IA W/DO	$26.77	$75.00	$9.73–$68.25	46% below	64%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC LAB INFLUENZA IA W/DO	$26.77	$75.00	$68.25	—	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC LAB RAPID STREP A AG	$22.84	$64.00	$9.73–$58.24	64% below	64%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC LAB RAPID STREP A AG	$22.84	$64.00	$58.24	—	64%
Rheumatoid factor (RF) test CPT 86431 HC LAB RHEUMATOID ARTH TTR	$32.83	$92.00	$4.82–$83.72	37% below	64%
Rheumatoid factor (RF) test inpatient CPT 86431 HC LAB RHEUMATOID ARTH TTR	$32.83	$92.00	$83.72	—	64%
Rubella antibody test (immunity check) CPT 86762 HC LAB RUBELLA ANTIBODIES IGM	$37.47	$105.00	$12.23–$95.55	62% below	64%
Rubella antibody test (immunity check) inpatient CPT 86762 HC LAB RUBELLA ANTIBODIES IGM	$37.47	$105.00	$95.55	—	64%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC LAB SEDIMENTATION RATE (SED)	$34.62	$97.00	$2.30–$88.27	14% below	64%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC LAB SEDIMENTATION RATE (SED)	$34.62	$97.00	$88.27	—	64%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSISVOLUME COUNT MOTILITY DIFF	$11.07	$31.00	$10.24–$53.60	93% below	64%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSISVOLUME COUNT MOTILITY DIFF	$11.07	$31.00	$28.21	—	64%
Stool ova and parasites exam CPT 87177 HC LAB OVA-PARASITE EXAM	$58.17	$163.00	$7.42–$148.33	38% below	64%
Stool ova and parasites exam inpatient CPT 87177 HC LAB OVA-PARASITE EXAM	$58.17	$163.00	$148.33	—	64%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD GUAIAC	$14.99	$42.00	$2.77–$38.22	44% below	64%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD GUAIAC	$14.99	$42.00	$38.22	—	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD IFOBT	$14.64	$41.00	$13.52–$70.75	70% below	64%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD IFOBT	$14.64	$41.00	$37.31	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC LAB SYPHILIS TEST NONTRP QL	$22.84	$64.00	$3.63–$58.24	52% below	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC LAB SYPHILIS TEST NONTRP QL	$22.84	$64.00	$58.24	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC LAB QUANTIFERON-TB	$125.61	$352.00	$52.67–$320.32	19% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC LAB QUANTIFERON-TB	$125.61	$352.00	$320.32	—	64%
Testosterone blood test, total (not free testosterone) CPT 84403 HC LAB TESTOSTERONE TOTAL BY LC MS/M	$88.50	$248.00	$21.94–$225.68	20% below	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC LAB TESTOSTERONE TOTAL BY LC MS/M	$88.50	$248.00	$225.68	—	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LAB LC-1 (LIVER CYTOSOL PROT 1)	$67.09	$188.00	$12.37–$171.08	27% below	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LAB LC-1 (LIVER CYTOSOL PROT 1)	$67.09	$188.00	$171.08	—	64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC LAB TSH	$54.96	$154.00	$14.28–$140.14	58% below	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC LAB TSH	$54.96	$154.00	$140.14	—	64%
Trichomonas test (NAAT) CPT 87661 TRICHAMONAS VAG BY NAA	$39.61	$111.00	$35.09–$156.11	48% below	64%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHAMONAS VAG BY NAA	$39.61	$111.00	$101.01	—	64%
Uric acid blood test CPT 84550 HC LAB URIC ACID	$46.75	$131.00	$3.84–$119.21	18% below	64%
Uric acid blood test inpatient CPT 84550 HC LAB URIC ACID	$46.75	$131.00	$119.21	—	64%
Urinalysis with microscope exam, automated CPT 81001 HC LAB AUTO URINALYS W/ MICRO	$33.19	$93.00	$2.69–$84.63	40% below	64%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC LAB AUTO URINALYS W/ MICRO	$33.19	$93.00	$84.63	—	64%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS NON AUTOMATED (BO)	$11.07	$31.00	$2.69–$28.21	47% below	64%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS NON AUTOMATED (BO)	$11.07	$31.00	$28.21	—	64%
Urinalysis without microscope exam, automated CPT 81003 HC LAB AUTO URINALYS WO MICRO	$21.06	$59.00	$1.91–$53.69	22% below	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC LAB AUTO URINALYS WO MICRO	$21.06	$59.00	$53.69	—	64%
Urinalysis without microscope exam, manual CPT 81002 HC LAB N-AUTO URINALYS OT POC	$17.13	$48.00	$2.05–$43.68	at median	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC LAB N-AUTO URINALYS OT POC	$17.13	$48.00	$43.68	—	64%
Urine culture for bacteria, with colony count CPT 87086 HC LAB CULT-URINE	$51.03	$143.00	$6.86–$130.13	49% below	64%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC LAB CULT-URINE	$51.03	$143.00	$130.13	—	64%
Urine pregnancy test, read by color change CPT 81025 HC LAB PREG URINE VIS CLR	$95.64	$268.00	$1.02–$243.88	50% above	64%
Urine pregnancy test, read by color change inpatient CPT 81025 HC LAB PREG URINE VIS CLR	$95.64	$268.00	$243.88	—	64%
Vitamin B12 (cobalamin) blood test CPT 82607 HC LAB ASSAY VITAMIN B-12	$71.73	$201.00	$12.81–$182.91	23% below	64%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC LAB ASSAY VITAMIN B-12	$71.73	$201.00	$182.91	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC LAB VITAMIN D 25-OH	$67.80	$190.00	$23.22–$172.90	50% below	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC LAB VITAMIN D 25-OH	$67.80	$190.00	$172.90	—	64%
Zinc blood test CPT 84630 HC LAB ZINC RBC	$59.95	$168.00	$9.67–$152.88	49% below	64%
Zinc blood test inpatient CPT 84630 HC LAB ZINC RBC	$59.95	$168.00	$152.88	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC LAB HCG QUANTITATIVE	$63.88	$179.00	$12.80–$162.89	61% below	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC LAB HCG QUANTITATIVE	$63.88	$179.00	$162.89	—	64%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC	$641.95	$1,799.00	$256.90–$2,935.62	70% below	64%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STRTCTC	$641.95	$1,799.00	$1,637.09	—	64%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX LAT MALLE WO MNP	$520.98	$1,460.00	$208.49–$2,163.00	103% above	64%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX LAT MALLE WO MNP	$520.98	$1,460.00	$1,328.60	—	64%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL TX MTRSAL WO MNP	$397.16	$1,113.00	$158.94–$1,012.83	51% above	64%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CL TX MTRSAL WO MNP	$397.16	$1,113.00	$1,012.83	—	64%
Cardiac catheterization with coronary angiogram CPT 93458 HC L HRT ART/VENTR ANGIO	$9,015.81	$25,266.00	$2,913.81–$22,992.06	35% below	64%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L HRT ART/VENTR ANGIO	$9,015.81	$25,266.00	$22,992.06	—	64%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSIONEXTERNAL	$1,232.51	$3,454.00	$493.24–$3,143.14	32% above	64%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSIONEXTERNAL	$1,232.51	$3,454.00	$3,143.14	—	64%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION NEWBORN	$1,889.09	$5,294.00	$755.99–$4,817.54	223% above	64%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION NEWBORN	$1,889.09	$5,294.00	$4,817.54	—	64%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TX COLLES FX W/O MNP	$657.30	$1,842.00	$217.31–$1,676.22	128% above	64%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TX COLLES FX W/O MNP	$657.30	$1,842.00	$1,676.22	—	64%
Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/LESION REMOVAL	$766.13	$2,147.00	$306.60–$2,356.00	36% below	64%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/LESION REMOVAL	$766.13	$2,147.00	$1,953.77	—	64%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY AND BIOPSY	$1,143.31	$3,204.00	$457.54–$2,915.64	30% below	64%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY AND BIOPSY	$1,143.31	$3,204.00	$2,915.64	—	64%
Coronary stent placement, one artery CPT 92928 HC PRQ CARD STNT W/ANGIO 1 VSL	$5,438.53	$15,241.00	$2,176.42–$24,379.00	76% below	64%
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STNT W/ANGIO 1 VSL	$5,438.53	$15,241.00	$13,869.31	—	64%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTO W/INSERT URETERAL STENT	$497.43	$1,394.00	$199.07–$6,248.98	83% below	64%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTO W/INSERT URETERAL STENT	$497.43	$1,394.00	$1,268.54	—	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY	$796.10	$2,231.00	$318.59–$2,163.00	15% below	64%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY	$796.10	$2,231.00	$2,030.21	—	64%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNI	$73.87	$207.00	$29.56–$188.37	33% below	64%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNI	$73.87	$207.00	$188.37	—	64%
Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN	$98.13	$275.00	$39.27–$2,163.00	35% below	64%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN	$98.13	$275.00	$250.25	—	64%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC CERV/THORACIC EPIDUR W/FLURO	$591.99	$1,659.00	$236.91–$2,163.00	44% below	64%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC CERV/THORACIC EPIDUR W/FLURO	$591.99	$1,659.00	$1,509.69	—	64%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC LAPCHOLECYSTECTOMY/GRAPH	$486.37	$1,363.00	$194.64–$10,570.92	76% below	64%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC LAPCHOLECYSTECTOMY/GRAPH	$486.37	$1,363.00	$1,240.33	—	64%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORR INTBY LIGATION	$744.72	$2,087.00	$298.03–$2,163.00	17% below	64%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORR INTBY LIGATION	$744.72	$2,087.00	$1,899.17	—	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ SIS/HYSTEROGRAPHY	$328.65	$921.00	$131.52–$838.11	at median	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ SIS/HYSTEROGRAPHY	$328.65	$921.00	$838.11	—	64%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC SIMPL OR SGL	$163.08	$457.00	$65.26–$2,163.00	45% below	64%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC SIMPL OR SGL	$163.08	$457.00	$415.87	—	64%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHTH/LIG SGL	$314.73	$882.00	$125.95–$802.62	30% below	64%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHTH/LIG SGL	$314.73	$882.00	$802.62	—	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIR/INJ JOINT MAJOR	$196.26	$550.00	$78.54–$2,163.00	58% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIRATION/INJECTION MAJOR JOINT	$196.26	$550.00	$78.54–$2,163.00	58% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIR/INJ JOINT MAJOR	$196.26	$550.00	$500.50	—	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIRATION/INJECTION MAJOR JOINT	$196.26	$550.00	$500.50	—	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ASPIR/INJ JOINT INTERM	$194.12	$544.00	$77.69–$534.84	51% below	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ASPIR/INJ JOINT INTERM	$194.12	$544.00	$495.04	—	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ASPIR/INJ JOINT SMALL	$215.89	$605.00	$86.40–$550.55	42% below	64%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ASPIR/INJ JOINT SMALL	$215.89	$605.00	$550.55	—	64%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 HC GASTROPLASTY ENDOSCOPIC	$1,653.94	$4,635.00	$661.88–$4,217.85	15% below	64%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 HC GASTROPLASTY ENDOSCOPIC	$1,653.94	$4,635.00	$4,217.85	—	64%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INT SCLP 2.5CM /<	$181.99	$510.00	$72.83–$723.88	40% below	64%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INT SCLP 2.5CM /<	$181.99	$510.00	$464.10	—	64%
Left heart catheterization, diagnostic one side CPT 93452 HC LT HRT CATH W/VENTRCLGRP	$4,891.86	$13,709.00	$1,957.65–$12,475.19	29% below	64%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LT HRT CATH W/VENTRCLGRP	$4,891.86	$13,709.00	$12,475.19	—	64%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ SINGLE LUMBAR SACRAL	$486.37	$1,363.00	$194.64–$2,163.00	44% below	64%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ SINGLE LUMBAR SACRAL	$486.37	$1,363.00	$1,240.33	—	64%
Lumbar spinal fusion (posterior), one level CPT 22612 HC SPINAL FUSION	$1,925.85	$5,397.00	$770.70–$33,319.82	46% below	64%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 HC SPINAL FUSION	$1,925.85	$5,397.00	$4,911.27	—	64%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT B9+MARG 0.5CM/<	$301.89	$846.00	$120.81–$2,163.00	19% below	64%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TR-EXT B9+MARG 0.5CM/<	$301.89	$846.00	$769.86	—	64%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION OF SGL NAIL PLATE	$134.89	$378.00	$53.98–$2,163.00	48% below	64%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION OF SGL NAIL PLATE	$134.89	$378.00	$343.98	—	64%
Pacemaker implant (dual chamber) CPT 33208 HC INSERT PM W/ATRL&VENT LEAD	$5,655.13	$15,848.00	$2,263.10–$18,961.50	70% below	64%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERT PM W/ATRL&VENT LEAD	$5,655.13	$15,848.00	$14,421.68	—	64%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING	$660.86	$1,852.00	$264.47–$2,163.00	42% below	64%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING	$660.86	$1,852.00	$1,685.32	—	64%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$505.28	$1,416.00	$202.21–$2,163.00	1% above	64%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$505.28	$1,416.00	$1,288.56	—	64%
Prostate biopsy CPT 55700 BIOPSY PROSTATE NEEDLE	$1,544.03	$4,327.00	$617.90–$3,937.57	27% below	64%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NEEDLE	$1,544.03	$4,327.00	$3,937.57	—	64%
Removal of a foreign object under the skin, simple CPT 10120 HC INC&REMV FOREIGN BODY SMPL	$221.60	$621.00	$88.68–$2,163.00	48% below	64%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INC&REMV FOREIGN BODY SMPL	$221.60	$621.00	$565.11	—	64%
Short arm cast (elbow to hand) CPT 29075 HC APPL SHORT ARM CAST	$161.65	$453.00	$64.69–$481.18	3% above	64%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPL SHORT ARM CAST	$161.65	$453.00	$412.23	—	64%
Short arm splint (forearm and hand) CPT 29125 HC APPLY ARM SHORT SPLINT	$179.85	$504.00	$71.98–$458.64	4% below	64%
Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT FOREARM-HAND	$250.15	$701.00	$100.11–$637.91	33% above	64%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY ARM SHORT SPLINT	$179.85	$504.00	$458.64	—	64%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT FOREARM-HAND	$250.15	$701.00	$637.91	—	64%
Short leg cast (below the knee) CPT 29405 HC APPLY LEG SHORT CAST	$185.56	$520.00	$74.26–$481.18	at median	64%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLY LEG SHORT CAST	$185.56	$520.00	$473.20	—	64%
Short leg splint (calf to foot) CPT 29515 HC APPLY LEG SHORT SPLINT	$187.34	$525.00	$74.97–$477.75	13% below	64%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LEG SHORT SPLINT	$187.34	$525.00	$477.75	—	64%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SIMSCLP 2.5CM/<	$289.40	$811.00	$115.82–$738.01	5% above	64%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SIMSCLP 2.5CM/<	$289.40	$811.00	$738.01	—	64%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$173.78	$487.00	$69.55–$723.88	32% below	64%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$173.78	$487.00	$443.17	—	64%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAG	$299.03	$838.00	$119.67–$2,163.00	63% below	64%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAG	$299.03	$838.00	$762.58	—	64%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR SIM SCLP 2.6-7.5CM	$353.27	$990.00	$141.38–$900.90	17% above	64%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR SIM SCLP 2.6-7.5CM	$353.27	$990.00	$900.90	—	64%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR SIM FACE 2.5CM/<	$344.71	$966.00	$137.95–$879.06	19% above	64%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR SIM FACE 2.5CM/<	$344.71	$966.00	$879.06	—	64%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SINGLE	$317.59	$890.00	$127.10–$809.90	24% above	64%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SINGLE	$317.59	$890.00	$809.90	—	64%
Thoracentesis with imaging guidance CPT 32555 HC U/S THORACENTESIS GUID	$478.52	$1,341.00	$191.50–$2,163.00	63% below	64%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING	$536.33	$1,503.00	$214.63–$2,163.00	59% below	64%
Thoracentesis with imaging guidance CPT 32555 HC CT THORACENTESIS GUID	$595.92	$1,670.00	$238.48–$2,163.00	54% below	64%
Thoracentesis with imaging guidance inpatient CPT 32555 HC U/S THORACENTESIS GUID	$478.52	$1,341.00	$1,220.31	—	64%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING	$536.33	$1,503.00	$1,367.73	—	64%
Thoracentesis with imaging guidance inpatient CPT 32555 HC CT THORACENTESIS GUID	$595.92	$1,670.00	$1,519.70	—	64%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIG POINT 1-2 MUSCL	$175.57	$492.00	$70.26–$534.84	70% below	64%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIG POINT 1-2 MUSCL	$175.57	$492.00	$447.72	—	64%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$571.66	$1,602.00	$228.77–$2,935.62	72% below	64%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$571.66	$1,602.00	$1,457.82	—	64%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD WITH BIOPSY	$892.09	$2,500.00	$357.00–$2,356.00	36% below	64%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD WITH BIOPSY	$892.09	$2,500.00	$2,275.00	—	64%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH	$892.09	$2,500.00	$357.00–$2,275.00	14% below	64%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH	$892.09	$2,500.00	$2,275.00	—	64%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14	$95.28	$267.00	$38.13–$2,163.00	18% below	64%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14	$95.28	$267.00	$242.97	—	64%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SQ TISS IST 20SQCM/<	$420.71	$1,179.00	$168.37–$2,356.00	17% below	64%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SQ TISS IST 20SQCM/<	$420.71	$1,179.00	$1,072.89	—	64%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD PRODUCT ADMINISTRATION	$525.62	$1,473.00	$210.35–$1,340.43	13% below	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD PRODUCT ADMINISTRATION	$525.62	$1,473.00	$1,340.43	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX EA DAY SUBQ TX	$45.68	$128.00	$18.28–$368.52	71% below	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION SUBQ TX	$47.46	$133.00	$19.00–$368.52	69% below	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX INIT EA DAY	$94.21	$264.00	$37.70–$368.52	39% below	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION INIT TX	$98.85	$277.00	$39.56–$368.52	36% below	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX EA DAY SUBQ TX	$45.68	$128.00	$116.48	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION SUBQ TX	$47.46	$133.00	$121.03	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX INIT EA DAY	$94.21	$264.00	$240.24	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION INIT TX	$98.85	$277.00	$252.07	—	64%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INIT 1HR	$290.11	$813.00	$116.10–$739.83	42% below	64%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INIT 1HR	$290.11	$813.00	$739.83	—	64%
Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE	$1,288.89	$3,612.00	$515.80–$3,286.92	35% below	64%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE	$1,288.89	$3,612.00	$3,286.92	—	64%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY	$223.03	$625.00	$89.25–$568.75	71% below	64%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY	$223.03	$625.00	$568.75	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG-12 LEAD TRACING ONLY	$193.05	$541.00	$53.81–$492.31	at median	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG-12 LEAD TRACING ONLY	$193.05	$541.00	$492.31	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1	$106.70	$299.00	$42.70–$278.00	26% below	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1	$106.70	$299.00	$272.09	—	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2	$292.61	$820.00	$117.10–$746.20	1% above	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2	$292.61	$820.00	$746.20	—	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3	$593.78	$1,664.00	$237.62–$1,514.24	40% above	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3	$593.78	$1,664.00	$1,514.24	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4	$885.67	$2,482.00	$354.43–$2,258.62	22% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4	$885.67	$2,482.00	$2,258.62	—	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5	$1,319.94	$3,699.00	$528.22–$3,366.09	12% above	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5	$1,319.94	$3,699.00	$3,366.09	—	64%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST	$792.18	$2,220.00	$282.10–$2,163.00	at median	64%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST	$792.18	$2,220.00	$2,020.20	—	64%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PAT PRESENT 50 MINS	$60.67	$170.00	$24.28–$291.10	83% below	64%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PAT PRESENT 50 MINS	$60.67	$170.00	$154.70	—	64%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$60.67	$170.00	$24.28–$291.10	80% below	64%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$60.67	$170.00	$154.70	—	64%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 45-50 MIN	$33.90	$95.00	$13.57–$167.60	82% below	64%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 45-50 MIN	$33.90	$95.00	$86.45	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRA INIT 31-60M	$218.75	$613.00	$87.54–$557.83	24% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRA INIT 31-60M	$218.75	$613.00	$557.83	—	64%
IV infusion of a medicine, first hour CPT 96365 HC IV INF TX PROP DX INITIAL	$204.83	$574.00	$81.97–$522.34	43% below	64%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF TX PROP DX INITIAL	$204.83	$574.00	$522.34	—	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ IM/SQ	$49.96	$140.00	$20.00–$128.94	48% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION COSYNTROPIN INTRAMUSCULAR	$67.45	$189.00	$26.99–$171.99	30% below	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ IM/SQ	$49.96	$140.00	$127.40	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION COSYNTROPIN INTRAMUSCULAR	$67.45	$189.00	$171.99	—	64%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION	$60.67	$170.00	$24.28–$291.10	75% below	64%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION	$60.67	$170.00	$154.70	—	64%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC EDUC 15 MIN	$84.93	$238.00	$33.99–$216.58	23% below	64%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC EDUC 15 MIN	$84.93	$238.00	$33.99–$216.58	23% below	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC EDUC 15 MIN	$84.93	$238.00	$216.58	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC EDUC 15 MIN	$84.93	$238.00	$216.58	—	64%
New patient office visit, about 30 minutes CPT 99203 HC CLINIC VISIT LEVEL 3 NEW	$94.92	$266.00	$37.99–$242.06	27% below	64%
New patient office visit, about 30 minutes inpatient CPT 99203 HC CLINIC VISIT LEVEL 3 NEW	$94.92	$266.00	$242.06	—	64%
New patient office visit, about 45 minutes CPT 99204 HC CLINIC VISIT LEVEL 4 NEW	$129.89	$364.00	$51.98–$331.24	36% below	64%
New patient office visit, about 45 minutes inpatient CPT 99204 HC CLINIC VISIT LEVEL 4 NEW	$129.89	$364.00	$331.24	—	64%
New patient office visit, about 60 minutes CPT 99205 HC CLINIC VISIT LEVEL 5 NEW	$208.40	$584.00	$83.40–$531.44	11% below	64%
New patient office visit, about 60 minutes inpatient CPT 99205 HC CLINIC VISIT LEVEL 5 NEW	$208.40	$584.00	$531.44	—	64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC VISIT LEVEL 2 NEW	$81.36	$228.00	$32.56–$207.48	16% below	64%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC CLINIC VISIT LEVEL 2 NEW	$81.36	$228.00	$207.48	—	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INITIAL EACH 15M	$346.14	$970.00	$33.32–$882.70	1002% above	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INITIAL EACH 15M	$346.14	$970.00	$882.70	—	64%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN	$173.07	$485.00	$69.26–$441.35	15% below	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN	$173.07	$485.00	$441.35	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX	$148.81	$417.00	$59.55–$379.47	43% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX	$148.81	$417.00	$379.47	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN	$113.84	$319.00	$45.56–$290.29	43% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN	$113.84	$319.00	$290.29	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX	$140.24	$393.00	$56.13–$357.63	48% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX	$140.24	$393.00	$357.63	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THRPY 15 MIN	$60.31	$169.00	$24.14–$206.00	37% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THRPY 15 MIN	$105.99	$297.00	$42.42–$270.27	10% above	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THRPY 15 MIN	$60.31	$169.00	$153.79	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THRPY 15 MIN	$105.99	$297.00	$270.27	—	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THER EXERCISE 15 MIN	$97.42	$273.00	$38.99–$248.43	2% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EXERCISE 15 MIN	$97.42	$273.00	$38.99–$248.43	2% below	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER EXERCISE 15 MIN	$97.42	$273.00	$248.43	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THER EXERCISE 15 MIN	$97.42	$273.00	$248.43	—	64%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$60.67	$170.00	$24.28–$291.10	76% below	64%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$60.67	$170.00	$154.70	—	64%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30 MIN W PAT	$60.67	$170.00	$24.28–$291.10	62% below	64%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 30 MIN W PAT	$60.67	$170.00	$154.70	—	64%
Psychotherapy session, 45 minutes CPT 90834 HC PSYTX PT & FAMILY 45 MIN	$60.67	$170.00	$24.28–$291.10	69% below	64%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX PT & FAMILY 45 MIN	$60.67	$170.00	$154.70	—	64%
Psychotherapy session, 60 minutes CPT 90837 HC PSYTX PT & FAMILY 60 MIN	$60.67	$170.00	$24.28–$291.10	77% below	64%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX PT & FAMILY 60 MIN	$60.67	$170.00	$154.70	—	64%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$31.05	$87.00	$12.43–$79.17	4% below	64%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$31.05	$87.00	$79.17	—	64%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC CLINIC VISIT LEVEL 5 EST	$168.43	$472.00	$67.41–$429.52	at median	64%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC CLINIC VISIT LEVEL 5 EST	$168.43	$472.00	$429.52	—	64%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC VISIT LEVEL 3 EST	$76.37	$214.00	$30.56–$194.74	12% below	64%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC CLINIC VISIT LEVEL 3 EST	$76.37	$214.00	$194.74	—	64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CLINIC VISIT LEVEL 4 EST	$104.20	$292.00	$41.70–$265.72	13% below	64%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC CLINIC VISIT LEVEL 4 EST	$104.20	$292.00	$265.72	—	64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC CLINIC VISIT LEVEL 2 EST	$71.37	$200.00	$28.56–$182.00	at median	64%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC CLINIC VISIT LEVEL 2 EST	$71.37	$200.00	$182.00	—	64%
Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN	$154.16	$432.00	$61.69–$393.12	55% below	64%
Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN	$154.16	$432.00	$393.12	—	64%
Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH 15 MIN	$82.79	$232.00	$33.13–$211.12	57% below	64%
Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH 15 MIN	$82.79	$232.00	$211.12	—	64%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY W/O BRONCH	$164.15	$460.00	$65.69–$418.60	44% below	64%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY W/O BRONCH	$164.15	$460.00	$418.60	—	64%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/BRONCHODILATOR	$436.06	$1,222.00	$174.51–$1,112.02	5% below	64%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY W/BRONCHODILATOR	$436.06	$1,222.00	$1,112.02	—	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT FUNCTIONAL ACTIV 15 MIN	$48.53	$136.00	$19.43–$206.00	49% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT FUNCTIONAL ACTIV 15 MIN	$48.53	$136.00	$19.43–$206.00	49% below	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT FUNCTIONAL ACTIV 15 MIN	$48.53	$136.00	$123.76	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT FUNCTIONAL ACTIV 15 MIN	$48.53	$136.00	$123.76	—	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$117.76	$330.00	$47.13–$300.30	25% below	64%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$117.76	$330.00	$300.30	—	64%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$46.69	$130.82	$18.69–$209.69	65% below	64%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$46.69	$130.82	$119.05	—	64%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$21.88	$61.29	$8.76–$94.99	81% below	64%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$22.22	$62.26	$8.90–$94.99	80% below	64%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$102.75	$287.93	$41.12–$262.02	9% below	64%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$21.88	$61.29	$55.78	—	64%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$22.22	$62.26	$56.66	—	64%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$102.75	$287.93	$262.02	—	64%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$44.17	$123.76	$17.68–$211.14	73% below	64%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE	$63.74	$178.61	$25.51–$211.14	60% below	64%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$74.34	$208.33	$29.75–$211.14	54% below	64%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$44.17	$123.76	$28.58–$112.63	—	64%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE	$63.74	$178.61	$41.25–$162.54	—	64%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$74.34	$208.33	$48.11–$189.59	—	64%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT	$126.92	$355.68	$50.80–$323.67	25% below	64%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT	$126.92	$355.68	$323.67	—	64%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT	$152.92	$428.54	$61.20–$389.98	43% below	64%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$197.86	$554.46	$79.18–$504.56	26% below	64%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT	$152.92	$428.54	$389.98	—	64%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$197.86	$554.46	$504.56	—	64%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$228.78	$641.12	$91.56–$583.42	66% below	64%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$228.78	$641.12	$583.42	—	64%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$319.99	$896.73	$128.06–$816.03	44% below	64%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$319.99	$896.73	$816.03	—	64%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$34.47	$96.58	$13.80–$400.41	86% below	64%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$152.33	$426.89	$60.96–$400.41	40% below	64%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$34.47	$96.58	$22.31–$87.89	—	64%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$152.33	$426.89	$98.57–$388.47	—	64%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$411.88	$1,154.24	$164.83–$1,050.36	38% below	64%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$411.88	$1,154.24	$1,050.36	—	64%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT	$217.79	$610.32	$87.16–$555.40	24% below	64%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT	$217.79	$610.32	$555.40	—	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$47.02	$131.75	$18.82–$119.90	26% below	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$60.86	$170.55	$24.36–$155.21	4% below	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$47.02	$131.75	$119.90	—	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$60.86	$170.55	$155.21	—	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACELL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP	$64.56	$180.92	$25.84–$164.64	40% below	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$74.34	$208.32	$29.75–$189.58	30% below	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACELL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP	$64.56	$180.92	$164.64	—	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$74.34	$208.32	$189.58	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC HEP B CFV ONLY ADMIN FEE	$8.93	$25.00	$3.57–$128.94	88% below	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC FLU ONLY ADMIN FEE	$39.26	$110.00	$15.71–$128.94	47% below	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCINE	$39.61	$111.00	$15.86–$128.94	47% below	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC HEP B CFV ONLY ADMIN FEE	$8.93	$25.00	$22.75	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC FLU ONLY ADMIN FEE	$39.26	$110.00	$100.10	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCINE	$39.61	$111.00	$101.01	—	64%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN VACCINE ADDL	$35.33	$99.00	$14.14–$90.09	12% below	64%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN VACCINE ADDL	$35.33	$99.00	$90.09	—	64%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/chisj/soky/finance/price-transparency/611334601-1992701429_saint-joseph-health-system-inc_standardcharges.json