Marshall Medical Centers
Listed in its price file as “HH Health System - Marshall LLC - Marshall Medical Centers South Campus”.
Marshall Medical Centers in Boaz, AL publishes cash prices for 381 common procedures listed here, from its own machine-readable price file updated Apr 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Alabama median for 303 of 380 procedures and below it for 41. By typical cash price it ranks #42 of 53 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
2505 US HIGHWAY 431, BOAZ, AL 35957 Collected Sep 27, 2026 Source price file Check a bill from this hospital (256) 593-8310
Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 010005 · CMS hospital register NPI 1407313760
The price file shows no self-pay discount
For 1472 of the 1472 prices listed here, the cash price in Marshall Medical Centers's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Marshall Medical Centers is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST | $2,288.00 | $2,288.00 | $151.17–$1,784.64 | 67% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD WO CNTRST FLWD CNTRST | $2,288.00 | $2,288.00 | $151.17–$1,784.64 | — | — |
| Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS | $162.80 | $162.80 | $40.70–$162.80 | 19% below | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 RADEX ABDOMEN 2 VIEWS | $162.80 | $162.80 | $40.70–$162.80 | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR-ANKLE,LEFT* | $298.10 | $298.10 | $74.53–$232.52 | 42% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR-ANKLE,RT | $298.10 | $298.10 | $74.53–$232.52 | 42% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR-ANKLE,RT | $298.10 | $298.10 | $74.53–$232.52 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR-ANKLE,LEFT* | $298.10 | $298.10 | $74.53–$232.52 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-SEGMENTAL DOPPLER SINGLE LE | $214.50 | $214.50 | $53.63–$233.29 | 6% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-ABI ONLY | $538.00 | $538.00 | $114.67–$419.64 | 135% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $538.00 | $538.00 | $114.67–$538.00 | 135% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-SEGMENTAL DOPPLER SINGLE LE | $214.50 | $214.50 | $53.63–$233.29 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $538.00 | $538.00 | $114.67–$538.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-ABI ONLY | $538.00 | $538.00 | $114.67–$419.64 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTREMITY RIGHT W/O C | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 60% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTREMITY LEFT W/O CO | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 60% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXTREMITY LEFT W/O CO | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXTREMITY RIGHT W/O C | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $414.70 | $414.70 | $103.68–$323.47 | 50% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $414.70 | $414.70 | $103.68–$323.47 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM-WHOLE BODY BONE SCAN LTD | $1,035.10 | $1,035.10 | $258.78–$1,035.10 | 1% below | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-WHOLE BODY BONE SCAN LTD | $1,035.10 | $1,035.10 | $258.78–$1,035.10 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 US-BREAST(S) | $408.10 | $408.10 | $90.10–$318.32 | 58% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BC-US-BREAST,COMPLETE,UNI,LT | $367.00 | $367.00 | $90.10–$286.26 | 42% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BC-US-BREAST,COMPLETE,UNI,RT | $367.00 | $367.00 | $90.10–$286.26 | 42% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST(S) | $408.10 | $408.10 | $90.10–$318.32 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 BC-US-BREAST,COMPLETE,UNI,LT | $367.00 | $367.00 | $90.10–$286.26 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 BC-US-BREAST,COMPLETE,UNI,RT | $367.00 | $367.00 | $90.10–$286.26 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST,LIMITED | $408.10 | $408.10 | $75.00–$318.32 | 69% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BC-US-BREAST,LIMITED,UNI,RT | $367.00 | $367.00 | $75.00–$286.26 | 52% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BC-US-BREAST,LIMITED,UNI,LT | $367.00 | $367.00 | $75.00–$286.26 | 52% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST,LIMITED | $408.10 | $408.10 | $75.00–$318.32 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BC-US-BREAST,LIMITED,UNI,LT | $367.00 | $367.00 | $75.00–$286.26 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BC-US-BREAST,LIMITED,UNI,RT | $367.00 | $367.00 | $75.00–$286.26 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT-CTA ABDOMEN & PELVIS | $2,288.00 | $2,288.00 | $157.00–$1,784.64 | 3% below | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT-CTA ABDOMEN & PELVIS | $2,288.00 | $2,288.00 | $157.00–$1,784.64 | — | — |
| CT angiography (CTA) of the head CPT 70496 CT-ANGIO HEAD W/WO CONTRAST | $2,011.90 | $2,011.90 | $151.17–$1,569.28 | 30% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT-ANGIO HEAD W/WO CONTRAST | $2,011.90 | $2,011.90 | $151.17–$1,569.28 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CT-ANGIO NECK W/WO CONTRAST | $2,114.20 | $2,114.20 | $151.17–$1,649.08 | 53% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT-ANGIO NECK W/WO CONTRAST | $2,114.20 | $2,114.20 | $151.17–$1,649.08 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT-ANGIO CHEST W/WO CONTRAST | $2,356.20 | $2,356.20 | $151.17–$1,837.84 | 74% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT-ANGIO CHEST W/WO CONTRAST | $2,356.20 | $2,356.20 | $151.17–$1,837.84 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-ANGIO HEART W/3D IMAGE | $1,938.50 | $1,938.50 | $157.00–$1,512.03 | 31% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 THC-CT-ANGIO HEART W/3D IMAGE | $1,938.50 | $1,938.50 | $300.68–$1,512.03 | 31% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT-ANGIO HEART W/3D IMAGE | $1,938.50 | $1,938.50 | $157.00–$1,512.03 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 THC-CT-ANGIO HEART W/3D IMAGE | $1,938.50 | $1,938.50 | $300.68–$1,512.03 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $235.00 | $235.00 | $75.00–$246.02 | 25% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 THC-CT HEART W/O CONTRAST | $235.00 | $235.00 | $58.75–$246.02 | 25% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST | $235.00 | $235.00 | $75.00–$246.02 | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 THC-CT HEART W/O CONTRAST | $235.00 | $235.00 | $58.75–$246.02 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD & PELVIS; WO CONTRAST | $1,526.80 | $1,526.80 | $157.00–$1,190.90 | 24% below | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD & PELVIS; WO CONTRAST | $1,526.80 | $1,526.80 | $157.00–$1,190.90 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $2,046.00 | $2,046.00 | $157.00–$1,595.88 | 9% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST | $2,046.00 | $2,046.00 | $157.00–$1,595.88 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD & PELVIS; WO IN REGION | $2,288.00 | $2,288.00 | $157.00–$1,784.64 | 10% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD & PELVIS; WO IN REGION | $2,288.00 | $2,288.00 | $157.00–$1,784.64 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT-ABDOMINAL W/CONTRAST | $2,046.00 | $2,046.00 | $151.17–$1,595.88 | 53% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMINAL W/CONTRAST | $2,046.00 | $2,046.00 | $151.17–$1,595.88 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT-ABDOMINAL W/O CONTRAST | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 38% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT-URINARY TRACT STONE, ABD | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 38% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMINAL W/O CONTRAST | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-URINARY TRACT STONE, ABD | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $1,644.50 | $1,644.50 | $90.10–$1,282.71 | 41% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE | $1,644.50 | $1,644.50 | $90.10–$1,282.71 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD W/O CONTRAST | $1,703.90 | $1,703.90 | $90.10–$1,329.04 | 56% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD W/O CONTRAST | $1,703.90 | $1,703.90 | $90.10–$1,329.04 | — | — |
| CT scan of the head with contrast CPT 70460 CT-HEAD W/CONTRAST | $1,831.50 | $1,831.50 | $151.17–$1,428.57 | 65% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W/CONTRAST | $1,831.50 | $1,831.50 | $151.17–$1,428.57 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $1,964.60 | $1,964.60 | $151.17–$1,532.39 | 18% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $1,964.60 | $1,964.60 | $151.17–$1,532.39 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMBAR SPINE W/O CONTRAST | $2,046.00 | $2,046.00 | $90.10–$1,595.88 | 64% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMBAR SPINE W/O CONTRAST | $2,046.00 | $2,046.00 | $90.10–$1,595.88 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $2,356.20 | $2,356.20 | $90.10–$1,837.84 | 80% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE W/O DYE | $2,356.20 | $2,356.20 | $90.10–$1,837.84 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W/CONTRAST | $1,703.90 | $1,703.90 | $151.17–$1,329.04 | 30% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W/CONTRAST | $1,703.90 | $1,703.90 | $151.17–$1,329.04 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $509.30 | $509.30 | $127.33–$509.30 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $509.30 | $509.30 | $127.33–$509.30 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT-CHEST W/WO CONTRAST | $1,948.10 | $1,948.10 | $151.17–$1,519.52 | 24% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST W/WO CONTRAST | $1,948.10 | $1,948.10 | $151.17–$1,519.52 | — | — |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $353.10 | $353.10 | $75.00–$275.42 | 85% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $353.10 | $353.10 | $75.00–$275.42 | — | — |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $245.30 | $245.30 | $61.33–$191.33 | 72% above | — |
| Chest X-ray, single view CPT 71045 OR-XR-OPERATIVE CHEST SUP/AP | $382.20 | $382.20 | $75.00–$298.12 | 167% above | — |
| Chest X-ray, single view one side CPT 71045 X-RAY EXAM CHEST 1 VIEW | $245.30 | $245.30 | $61.33–$191.33 | 72% above | — |
| Chest X-ray, single view one side CPT 71045 X-RAY EXAM CHEST 1 VIEW | $245.30 | $245.30 | $61.33–$191.33 | 72% above | — |
| Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW | $245.30 | $245.30 | $61.33–$191.33 | — | — |
| Chest X-ray, single view inpatient CPT 71045 OR-XR-OPERATIVE CHEST SUP/AP | $382.20 | $382.20 | $75.00–$298.12 | — | — |
| Chest X-ray, single view inpatient one side CPT 71045 X-RAY EXAM CHEST 1 VIEW | $245.30 | $245.30 | $61.33–$191.33 | — | — |
| Chest X-ray, single view inpatient one side CPT 71045 X-RAY EXAM CHEST 1 VIEW | $245.30 | $245.30 | $61.33–$191.33 | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR-CLAVICLE,RT* | $298.10 | $298.10 | $74.53–$232.52 | 90% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR-CLAVICLE,LT* | $298.10 | $298.10 | $74.53–$232.52 | 90% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 OR-XR-CLAVICLE,RT | $306.00 | $306.00 | $75.00–$238.68 | 95% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 OR-XR-CLAVICLE,LT | $306.00 | $306.00 | $75.00–$238.68 | 95% above | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR-CLAVICLE,LT* | $298.10 | $298.10 | $74.53–$232.52 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR-CLAVICLE,RT* | $298.10 | $298.10 | $74.53–$232.52 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 OR-XR-CLAVICLE,RT | $306.00 | $306.00 | $75.00–$238.68 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 OR-XR-CLAVICLE,LT | $306.00 | $306.00 | $75.00–$238.68 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-RETROPERITONEAL SONO. | $462.00 | $462.00 | $90.10–$360.36 | 19% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-RETROPERITONEAL SONO. | $462.00 | $462.00 | $90.10–$360.36 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BC-PEDS DEXA SCAN (AXIAL) | $539.00 | $539.00 | $90.10–$420.42 | 92% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BC-BONE DENSITOMETRY | $556.50 | $556.50 | $90.10–$434.07 | 98% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BC-PEDS DEXA SCAN (AXIAL) | $539.00 | $539.00 | $90.10–$420.42 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BC-BONE DENSITOMETRY | $556.50 | $556.50 | $90.10–$434.07 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BC-BONE DENSITY(PIXIAL)APPENDI | $280.50 | $280.50 | $70.13–$218.79 | 191% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BC-PEDS DEXA SCAN (PERIPHERAL) | $304.50 | $304.50 | $75.00–$237.51 | 216% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BC-BONE DENSITY(PIXIAL)APPENDI | $280.50 | $280.50 | $70.13–$218.79 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BC-PEDS DEXA SCAN (PERIPHERAL) | $304.50 | $304.50 | $75.00–$237.51 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 MFM-US DETAILED SNGL FETUS | $346.00 | $346.00 | $86.50–$346.00 | at median | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 MFM-US DETAILED SNGL FETUS | $346.00 | $346.00 | $86.50–$346.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 38% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CTHC-CHEST W/O CONTRAST | $2,185.50 | $2,185.50 | $90.10–$1,704.69 | 97% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX C- | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CTHC-CHEST W/O CONTRAST | $2,185.50 | $2,185.50 | $90.10–$1,704.69 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST W/CONTRAST | $1,703.90 | $1,703.90 | $151.17–$1,329.04 | 25% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST W/CONTRAST | $1,703.90 | $1,703.90 | $151.17–$1,329.04 | — | — |
| Diagnostic mammogram, both breasts CPT 77066 BC-DIG MAMMOGRAM, BIL, DIAG | $234.30 | $234.30 | $58.58–$200.00 | at median | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 BC-DIG MAMMOGRAM, BIL, DIAG | $234.30 | $234.30 | $58.58–$200.00 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 BC-DIG MAMMOGRAM, UNILAT, DIAG | $209.00 | $209.00 | $52.25–$200.00 | at median | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 BC-DIG MAMMOGRAM, UNILAT, DIAG | $209.00 | $209.00 | $52.25–$200.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $949.00 | $949.00 | $205.64–$740.22 | 225% above | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 LOWER EXTREMITY STUDY | $949.00 | $949.00 | $205.64–$740.22 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $891.00 | $891.00 | $205.64–$728.00 | 49% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY | $891.00 | $891.00 | $205.64–$728.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO-CARD U/S COMP W/CONTRAST | $1,685.00 | $1,685.00 | $421.25–$1,314.30 | 60% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,895.00 | $1,895.00 | $470.93–$1,478.10 | 80% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO-CARD U/S COMP W/CONTRAST | $1,685.00 | $1,685.00 | $421.25–$1,314.30 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE | $1,895.00 | $1,895.00 | $470.93–$1,478.10 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW, AP & LATERAL, RT | $277.20 | $277.20 | $69.30–$216.22 | 89% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW, AP/LATERAL, LEFT | $277.20 | $277.20 | $69.30–$216.22 | 89% above | — |
| Elbow X-ray, 2 views one side CPT 73070 OR-XR-ELBOW, AP & LAT,LT | $338.40 | $338.40 | $75.00–$263.95 | 131% above | — |
| Elbow X-ray, 2 views one side CPT 73070 OR-XR-ELBOW, AP & LAT,RT | $338.40 | $338.40 | $75.00–$263.95 | 131% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR-ELBOW, AP & LATERAL, RT | $277.20 | $277.20 | $69.30–$216.22 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR-ELBOW, AP/LATERAL, LEFT | $277.20 | $277.20 | $69.30–$216.22 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 OR-XR-ELBOW, AP & LAT,RT | $338.40 | $338.40 | $75.00–$263.95 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 OR-XR-ELBOW, AP & LAT,LT | $338.40 | $338.40 | $75.00–$263.95 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR-ELBOW, RT | $279.40 | $279.40 | $69.85–$217.93 | 73% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR-ELBOW, LEFT* | $279.40 | $279.40 | $69.85–$217.93 | 73% above | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR-ELBOW, RT | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR-ELBOW, LEFT* | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT/SELLA/ETC W/O CONTRAS | $1,644.50 | $1,644.50 | $90.10–$1,282.71 | 63% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT/SELLA/ETC W/O CONTRAS | $1,644.50 | $1,644.50 | $90.10–$1,282.71 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR-FACIAL BONES, COMPLETE | $429.00 | $429.00 | $90.10–$334.62 | 81% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR-FACIAL BONES, COMPLETE | $429.00 | $429.00 | $90.10–$334.62 | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR-FOREARM, LEFT* | $279.40 | $279.40 | $69.85–$217.93 | 74% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR-FOREARM, RT | $279.40 | $279.40 | $69.85–$217.93 | 74% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 OR-XR-FOREARM,RT | $318.60 | $318.60 | $75.00–$248.51 | 99% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 OR-XR-FOREARM,LT | $318.60 | $318.60 | $75.00–$248.51 | 99% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR-FOREARM, LEFT* | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR-FOREARM, RT | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 OR-XR-FOREARM,LT | $318.60 | $318.60 | $75.00–$248.51 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 OR-XR-FOREARM,RT | $318.60 | $318.60 | $75.00–$248.51 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-BILIARY PATENCY HIDA | $1,127.50 | $1,127.50 | $281.88–$1,127.50 | 16% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-BILIARY PATENCY HIDA | $1,127.50 | $1,127.50 | $281.88–$1,127.50 | — | — |
| Hand X-ray, 2 views CPT 73120 XR-HANDS BIL PA 1 VIEW | $185.00 | $185.00 | $46.25–$180.21 | 26% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR-RIGHT HAND AP/OBLIQUE VIEWS | $185.00 | $185.00 | $46.25–$180.21 | 26% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR-LEFT HAND AP/OBLIQUE VIEWS | $185.00 | $185.00 | $46.25–$180.21 | 26% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR-HAND,SINGLE VIEW,RIGHT | $185.00 | $185.00 | $46.25–$180.21 | 26% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR-HAND,SINGLE VIEW, LEFT | $185.00 | $185.00 | $46.25–$180.21 | 26% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 XR-HANDS BIL PA 1 VIEW | $185.00 | $185.00 | $46.25–$180.21 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-RIGHT HAND AP/OBLIQUE VIEWS | $185.00 | $185.00 | $46.25–$180.21 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-HAND,SINGLE VIEW, LEFT | $185.00 | $185.00 | $46.25–$180.21 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-LEFT HAND AP/OBLIQUE VIEWS | $185.00 | $185.00 | $46.25–$180.21 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-HAND,SINGLE VIEW,RIGHT | $185.00 | $185.00 | $46.25–$180.21 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-HEEL, LEFT* | $279.40 | $279.40 | $69.85–$217.93 | 91% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-HEEL, RT* | $279.40 | $279.40 | $69.85–$217.93 | 91% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OR-XR-HEEL,LT | $389.40 | $389.40 | $75.00–$303.73 | 166% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OR-XR-HEEL,RT | $389.40 | $389.40 | $75.00–$303.73 | 166% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR-HEEL, RT* | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR-HEEL, LEFT* | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OR-XR-HEEL,LT | $389.40 | $389.40 | $75.00–$303.73 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OR-XR-HEEL,RT | $389.40 | $389.40 | $75.00–$303.73 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED & RESP | $336.00 | $336.00 | $84.00–$336.00 | 2% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SL-UNATTENDED SLEEP STUDY(HOME | $511.50 | $511.50 | $127.88–$398.97 | 55% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED & RESP | $336.00 | $336.00 | $84.00–$336.00 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SL-UNATTENDED SLEEP STUDY(HOME | $511.50 | $511.50 | $127.88–$398.97 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SL-NOCT POLYSOMNOGRAM CPAP/BIP | $2,805.00 | $2,805.00 | $388.00–$2,187.90 | at median | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SL-NOCT POLYSOMNOGRAM CPAP/BIP | $2,805.00 | $2,805.00 | $388.00–$2,187.90 | — | — |
| Knee X-ray, 3 views one side CPT 73562 XR-KNEE RIGHT(3 VIEWS OR LESS) | $309.10 | $309.10 | $75.00–$241.10 | 78% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR-KNEE LEFT(3 VIEWS OR LESS) | $309.10 | $309.10 | $75.00–$241.10 | 78% above | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR-KNEE RIGHT(3 VIEWS OR LESS) | $309.10 | $309.10 | $75.00–$241.10 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR-KNEE LEFT(3 VIEWS OR LESS) | $309.10 | $309.10 | $75.00–$241.10 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $323.40 | $323.40 | $80.85–$252.25 | 44% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $323.40 | $323.40 | $80.85–$252.25 | 44% above | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $323.40 | $323.40 | $80.85–$252.25 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $323.40 | $323.40 | $80.85–$252.25 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 72% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXTREMITY W/O CONT RT | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 72% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXTREMITY W/O CONT LT | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 72% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O DYE | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER EXTREMITY W/O CONT LT | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER EXTREMITY W/O CONT RT | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $335.50 | $335.50 | $83.88–$261.69 | 8% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN | $335.50 | $335.50 | $83.88–$261.69 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ED-POCUS-MUSCUSKEL/SOFT TISSUE | $200.00 | $200.00 | $50.00–$233.29 | at median | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXTREMITY W/IMAGE; LIMITED | $306.00 | $306.00 | $76.50–$238.68 | 53% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $1,217.00 | $1,217.00 | $90.10–$949.26 | 508% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ED-POCUS-MUSCUSKEL/SOFT TISSUE | $200.00 | $200.00 | $50.00–$233.29 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXTREMITY W/IMAGE; LIMITED | $306.00 | $306.00 | $76.50–$238.68 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $1,217.00 | $1,217.00 | $90.10–$949.26 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-SCREENING CT LUNG CANCER | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 605% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-SCREENING CT LUNG CANCER | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR-TIBIA/FIBULA,LT* | $355.30 | $355.30 | $75.00–$277.13 | 81% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR-TIBIA/FIBULA,RT | $355.30 | $355.30 | $75.00–$277.13 | 81% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 OR-XR-TIBIA/FIBULA,LT | $566.40 | $566.40 | $75.00–$441.79 | 189% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 OR-XR-TIBIA/FIBULA,RT | $566.40 | $566.40 | $75.00–$441.79 | 189% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR-TIBIA/FIBULA,RT | $355.30 | $355.30 | $75.00–$277.13 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR-TIBIA/FIBULA,LT* | $355.30 | $355.30 | $75.00–$277.13 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 OR-XR-TIBIA/FIBULA,LT | $566.40 | $566.40 | $75.00–$441.79 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 OR-XR-TIBIA/FIBULA,RT | $566.40 | $566.40 | $75.00–$441.79 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MR-VENOUS BRAIN W/O CONTR | $2,164.80 | $2,164.80 | $205.64–$1,688.54 | 37% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MR-ANGIO HEAD W/O CONTR | $2,164.80 | $2,164.80 | $205.64–$1,688.54 | 37% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR-VENOUS BRAIN W/O CONTR | $2,164.80 | $2,164.80 | $205.64–$1,688.54 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR-ANGIO HEAD W/O CONTR | $2,164.80 | $2,164.80 | $205.64–$1,688.54 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 M-MRI-BREAST W/WO CONTR BILATE | $4,982.00 | $4,982.00 | $345.00–$3,885.96 | 114% above | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI-BREAST W/WO CONT BIL W/CAD | $4,982.00 | $4,982.00 | $345.00–$3,885.96 | 114% above | — |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI-BREAST W/WO CONT BIL W/CAD | $4,982.00 | $4,982.00 | $345.00–$3,885.96 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 M-MRI-BREAST W/WO CONTR BILATE | $4,982.00 | $4,982.00 | $345.00–$3,885.96 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 14% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 14% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | 27% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | 27% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | — | — |
| MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN W/O CONTR | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 34% above | — |
| MRI of the abdomen without contrast CPT 74181 MR-PERSPECTUM LIVER MULTISCAN | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 34% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MR-PERSPECTUM LIVER MULTISCAN | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN W/O CONTR | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN W/WO CONTR | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | 27% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN W/WO CONTRAST | $4,747.00 | $4,747.00 | $300.68–$3,702.66 | 146% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN W/WO CONTR | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN W/WO CONTRAST | $4,747.00 | $4,747.00 | $300.68–$3,702.66 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MR-BRAIN W/O CONTR | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 9% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN W/O CONTR | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN W/WO CONTR | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | 6% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $4,819.00 | $4,819.00 | $300.68–$3,758.82 | 108% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN W/WO CONTR | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE | $4,819.00 | $4,819.00 | $300.68–$3,758.82 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MR-LUMBAR SPINE W/O CONTR | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 20% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMBAR SPINE W/O CONTR | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMBAR SPINE W/WO CONTR | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | 4% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMBAR SPINE W/WO CONTR | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-T/SPINE W/O CONTR | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 23% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-T/SPINE W/O CONTR | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-C/SPINE W/WO CONTR | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | 11% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-C/SPINE W/WO CONTR | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 22% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI NECK SPINE W/O DYE | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS W/WO CONTR | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | 18% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS W/WO CONTR | $2,461.80 | $2,461.80 | $300.68–$1,920.20 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS W/O CONTR | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 25% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS W/O CONTR | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 27% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | 27% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $1,864.50 | $1,864.50 | $205.64–$1,454.31 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR-C-SPINE WITH OBLIQUES | $413.60 | $413.60 | $90.10–$322.61 | 54% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR-C-SPINE WITH OBLIQUES | $413.60 | $413.60 | $90.10–$322.61 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT-NECK W/CONTRAST | $2,046.00 | $2,046.00 | $151.17–$1,595.88 | 62% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK W/CONTRAST | $2,046.00 | $2,046.00 | $151.17–$1,595.88 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT-NECK W/O CONTRAST | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 57% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK W/O CONTRAST | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK | $215.60 | $215.60 | $53.90–$168.17 | 32% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 X-RAY EXAM OF NECK | $215.60 | $215.60 | $53.90–$168.17 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,134.00 | $2,134.00 | $533.50–$2,134.00 | 2% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,134.00 | $2,134.00 | $533.50–$2,134.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $4,917.00 | $4,917.00 | $1,232.40–$4,175.09 | 59% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IMAGE W/CT SKULL-THIGH | $4,917.00 | $4,917.00 | $1,232.40–$4,175.09 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT-PELVIS W/O CONTRAST | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 41% above | — |
| Pelvic CT scan without contrast CPT 72192 CT-URINARY TRACT STONE, PELVIS | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | 41% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS W/O CONTRAST | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT-URINARY TRACT STONE, PELVIS | $1,526.80 | $1,526.80 | $90.10–$1,190.90 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ED-POCUS-BLADDER LIMITED | $200.00 | $200.00 | $50.00–$233.29 | 3% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIC, LTD/FOLLOW UP | $246.40 | $246.40 | $61.60–$233.29 | 27% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-GYN-PELVIC;LIMITED | $457.50 | $457.50 | $90.10–$356.85 | 135% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ED-POCUS-BLADDER LIMITED | $200.00 | $200.00 | $50.00–$233.29 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIC, LTD/FOLLOW UP | $246.40 | $246.40 | $61.60–$233.29 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-GYN-PELVIC;LIMITED | $457.50 | $457.50 | $90.10–$356.85 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIC SONOGRAM (NONOB) | $509.30 | $509.30 | $90.10–$397.25 | 16% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-GYN-PELVIC;COMPLETE | $591.50 | $591.50 | $90.10–$461.37 | 35% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIC SONOGRAM (NONOB) | $509.30 | $509.30 | $90.10–$397.25 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-GYN-PELVIC;COMPLETE | $591.50 | $591.50 | $90.10–$461.37 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-OB SONOGRAM COMP 14WKS OR > | $509.30 | $509.30 | $90.10–$397.25 | 33% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 MFM-US FETUS 14 WKS OR GREATER | $696.00 | $696.00 | $90.10–$542.88 | 82% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-OB SONOGRAM COMP 14WKS OR > | $509.30 | $509.30 | $90.10–$397.25 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 MFM-US FETUS 14 WKS OR GREATER | $696.00 | $696.00 | $90.10–$542.88 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-OB SONOGRAM 1ST TRIMESTER | $507.10 | $507.10 | $90.10–$395.54 | 70% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 MFM-US FETUS LESS THAN 14 WEEK | $649.00 | $649.00 | $90.10–$506.22 | 117% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-OB SONOGRAM 1ST TRIMESTER | $507.10 | $507.10 | $90.10–$395.54 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 MFM-US FETUS LESS THAN 14 WEEK | $649.00 | $649.00 | $90.10–$506.22 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ED-POCUS-PREGNANT TRANSABD LTD | $200.00 | $200.00 | $50.00–$214.38 | 18% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $386.50 | $386.50 | $90.10–$301.47 | 58% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ED-POCUS-PREGNANT TRANSABD LTD | $200.00 | $200.00 | $50.00–$214.38 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S) | $386.50 | $386.50 | $90.10–$301.47 | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR-RIBS, RIGHT (2 VIEWS) | $381.70 | $381.70 | $75.00–$297.73 | 84% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR-RIBS, LEFT (2 VIEWS) | $381.70 | $381.70 | $75.00–$297.73 | 84% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR-RIBS, RIGHT (2 VIEWS) | $381.70 | $381.70 | $75.00–$297.73 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR-RIBS, LEFT (2 VIEWS) | $381.70 | $381.70 | $75.00–$297.73 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR-RIBS, RIGHT W/PA CHEST | $411.40 | $411.40 | $90.10–$320.89 | 82% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR-RIBS, LEFT W/PA CHEST | $411.40 | $411.40 | $90.10–$320.89 | 82% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR-RIBS, LEFT W/PA CHEST | $411.40 | $411.40 | $90.10–$320.89 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR-RIBS, RIGHT W/PA CHEST | $411.40 | $411.40 | $90.10–$320.89 | — | — |
| Screening mammogram, both breasts CPT 77067 BC-DIG MAMMOGRAM, BIL, SCREEN | $210.10 | $210.10 | $52.53–$200.00 | at median | — |
| Screening mammogram, both breasts inpatient CPT 77067 BC-DIG MAMMOGRAM, BIL, SCREEN | $210.10 | $210.10 | $52.53–$200.00 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR-SHOULDER,LT* | $355.30 | $355.30 | $75.00–$277.13 | 78% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR-SHOULDER,RT* | $355.30 | $355.30 | $75.00–$277.13 | 78% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 OR-XR-SHOULDER,LT | $486.00 | $486.00 | $75.00–$379.08 | 144% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 OR-XR-SHOULDER,RT | $486.00 | $486.00 | $75.00–$379.08 | 144% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR-SHOULDER,RT* | $355.30 | $355.30 | $75.00–$277.13 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR-SHOULDER,LT* | $355.30 | $355.30 | $75.00–$277.13 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 OR-XR-SHOULDER,RT | $486.00 | $486.00 | $75.00–$379.08 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 OR-XR-SHOULDER,LT | $486.00 | $486.00 | $75.00–$379.08 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR-SINUSES PARANASAL | $356.40 | $356.40 | $75.00–$277.99 | 66% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR-SINUSES PARANASAL | $356.40 | $356.40 | $75.00–$277.99 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL | $429.00 | $429.00 | $90.10–$334.62 | 135% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 OR-SKULL, <4 VIEWS | $464.40 | $464.40 | $90.10–$362.23 | 154% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 X-RAY EXAM OF SKULL | $429.00 | $429.00 | $90.10–$334.62 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 OR-SKULL, <4 VIEWS | $464.40 | $464.40 | $90.10–$362.23 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 SL-NOCTURNAL POLYSOMNOGRAM | $2,613.60 | $2,613.60 | $388.00–$2,038.61 | at median | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SL-NOCTURNAL POLYSOMNOGRAM | $2,613.60 | $2,613.60 | $388.00–$2,038.61 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO-STRESS TTE COMPLETE | $872.50 | $872.50 | $218.13–$978.65 | at median | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO-TTE W OR W/O CONTRAST CON | $1,292.00 | $1,292.00 | $323.00–$1,007.76 | 48% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO-STRESS TTE COMPLETE | $872.50 | $872.50 | $218.13–$978.65 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO-TTE W OR W/O CONTRAST CON | $1,292.00 | $1,292.00 | $323.00–$1,007.76 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR-BAR SWALLOW FUNC VIDEO TAPE | $883.00 | $883.00 | $151.17–$688.74 | 151% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR-BAR SWALLOW FUNC VIDEO TAPE | $883.00 | $883.00 | $151.17–$688.74 | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY EXAM OF FEMUR 2/> | $335.50 | $335.50 | $75.00–$261.69 | 79% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY EXAM OF FEMUR 2/> | $335.50 | $335.50 | $75.00–$261.69 | 79% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-RAY EXAM OF FEMUR 2/> | $335.50 | $335.50 | $75.00–$261.69 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-RAY EXAM OF FEMUR 2/> | $335.50 | $335.50 | $75.00–$261.69 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THORACIC SPINE W/O CONTRAST | $2,046.00 | $2,046.00 | $90.10–$1,595.88 | 74% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THORACIC SPINE W/O CONTRAST | $2,046.00 | $2,046.00 | $90.10–$1,595.88 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL SONO | $509.30 | $509.30 | $90.10–$397.25 | 51% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US-GYN-TRANSVAGINAL(GYN) | $759.00 | $759.00 | $90.10–$592.02 | 125% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL SONO | $509.30 | $509.30 | $90.10–$397.25 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US-GYN-TRANSVAGINAL(GYN) | $759.00 | $759.00 | $90.10–$592.02 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US-TRANSVAGINAL-OB | $541.20 | $541.20 | $90.10–$422.14 | 101% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $871.50 | $871.50 | $90.10–$679.77 | 224% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-TRANSVAGINAL-OB | $541.20 | $541.20 | $90.10–$422.14 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC | $871.50 | $871.50 | $90.10–$679.77 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US-ABDOMINAL SONOGRAM COMPLETE | $509.30 | $509.30 | $90.10–$397.25 | 9% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMINAL SONOGRAM COMPLETE | $509.30 | $509.30 | $90.10–$397.25 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US-SCROTAL SONO | $368.50 | $368.50 | $90.10–$287.43 | at median | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTAL SONO | $368.50 | $368.50 | $90.10–$287.43 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $408.10 | $408.10 | $90.10–$318.32 | 25% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK | $408.10 | $408.10 | $90.10–$318.32 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR-GASTROINTESTINAL SERIES | $382.80 | $382.80 | $95.70–$302.34 | 14% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR-BARIATRIC GI SERIES | $580.80 | $580.80 | $145.20–$453.02 | 73% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR-GASTROINTESTINAL SERIES | $382.80 | $382.80 | $95.70–$302.34 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR-BARIATRIC GI SERIES | $580.80 | $580.80 | $145.20–$453.02 | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY EXAM OF HUMERUS | $355.30 | $355.30 | $75.00–$277.13 | 95% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY EXAM OF HUMERUS | $355.30 | $355.30 | $75.00–$277.13 | 95% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 OR-XR-HUMERUS,RT | $436.80 | $436.80 | $75.00–$340.70 | 139% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 OR-XR-HUMERUS,LT | $436.80 | $436.80 | $75.00–$340.70 | 139% above | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY EXAM OF HUMERUS | $355.30 | $355.30 | $75.00–$277.13 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY EXAM OF HUMERUS | $355.30 | $355.30 | $75.00–$277.13 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 OR-XR-HUMERUS,LT | $436.80 | $436.80 | $75.00–$340.70 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 OR-XR-HUMERUS,RT | $436.80 | $436.80 | $75.00–$340.70 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $1,442.00 | $1,442.00 | $90.10–$1,124.76 | 399% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY | $1,442.00 | $1,442.00 | $90.10–$1,124.76 | — | — |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY EXAM OF WRIST | $277.20 | $277.20 | $69.30–$216.22 | 113% above | — |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY EXAM OF WRIST | $321.50 | $321.50 | $75.00–$250.77 | 147% above | — |
| Wrist X-ray, 2 views one side CPT 73100 OR-XR-WRIST,AP AND LATERAL,LT | $385.80 | $385.80 | $75.00–$300.92 | 197% above | — |
| Wrist X-ray, 2 views one side CPT 73100 OR-XR-WRIST,AP AND LATERAL,RT | $385.80 | $385.80 | $75.00–$300.92 | 197% above | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 X-RAY EXAM OF WRIST | $277.20 | $277.20 | $69.30–$216.22 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 X-RAY EXAM OF WRIST | $321.50 | $321.50 | $75.00–$250.77 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 OR-XR-WRIST,AP AND LATERAL,RT | $385.80 | $385.80 | $75.00–$300.92 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 OR-XR-WRIST,AP AND LATERAL,LT | $385.80 | $385.80 | $75.00–$300.92 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST,LT* | $279.40 | $279.40 | $69.85–$217.93 | 45% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST,RT | $279.40 | $279.40 | $69.85–$217.93 | 45% above | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR-WRIST,RT | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR-WRIST,LT* | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 OR-XR-PELVIS,MIN 2V,CHILD | $331.20 | $331.20 | $75.00–$258.34 | 84% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR-HIP,UNILAT,RIGHT,2-3 VIEWS | $323.40 | $323.40 | $75.00–$252.25 | 80% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR-HIP,UNILATAL,LEFT, 2-3 VIEW | $323.40 | $323.40 | $75.00–$252.25 | 80% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR-PELVIS W/ RIGHT HIP | $713.00 | $713.00 | $75.00–$556.14 | 296% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR-PELVIS W/ LEFT HIP | $713.00 | $713.00 | $75.00–$556.14 | 296% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 OR-XR-PELVIS,MIN 2V,CHILD | $331.20 | $331.20 | $75.00–$258.34 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR-HIP,UNILAT,RIGHT,2-3 VIEWS | $323.40 | $323.40 | $75.00–$252.25 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR-HIP,UNILATAL,LEFT, 2-3 VIEW | $323.40 | $323.40 | $75.00–$252.25 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR-PELVIS W/ LEFT HIP | $713.00 | $713.00 | $75.00–$556.14 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR-PELVIS W/ RIGHT HIP | $713.00 | $713.00 | $75.00–$556.14 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-ABD, LATERAL | $366.00 | $366.00 | $75.00–$285.48 | 152% above | — |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $406.50 | $406.50 | $75.00–$317.07 | 180% above | — |
| X-ray of the abdomen, 1 view CPT 74018 OR-XR-OPERATIVE ABDOMEN | $487.80 | $487.80 | $75.00–$380.48 | 236% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-PEDIATRIC CHEST & ABD,1 VIE | $724.50 | $724.50 | $75.00–$565.11 | 400% above | — |
| X-ray of the abdomen, 1 view one side CPT 74018 XR-ABD, DECUB, RIGHT | $406.50 | $406.50 | $75.00–$317.07 | 180% above | — |
| X-ray of the abdomen, 1 view one side CPT 74018 XR-ABD, DECUB, LEFT | $406.50 | $406.50 | $75.00–$317.07 | 180% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-ABD, LATERAL | $366.00 | $366.00 | $75.00–$285.48 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RADEX ABDOMEN 1 VIEW | $406.50 | $406.50 | $75.00–$317.07 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 OR-XR-OPERATIVE ABDOMEN | $487.80 | $487.80 | $75.00–$380.48 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-PEDIATRIC CHEST & ABD,1 VIE | $724.50 | $724.50 | $75.00–$565.11 | — | — |
| X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR-ABD, DECUB, RIGHT | $406.50 | $406.50 | $75.00–$317.07 | — | — |
| X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR-ABD, DECUB, LEFT | $406.50 | $406.50 | $75.00–$317.07 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE, AP/LAT, LEFT | $284.90 | $284.90 | $71.23–$222.22 | 106% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE, AP/LAT, RIGHT | $284.90 | $284.90 | $71.23–$222.22 | 106% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 OR-XR-ANKLE, AP & LAT,RIGHT | $432.60 | $432.60 | $75.00–$337.43 | 213% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 OR-XR-ANKLE, AP & LAT,LEFT | $432.60 | $432.60 | $75.00–$337.43 | 213% above | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR-ANKLE, AP/LAT, LEFT | $284.90 | $284.90 | $71.23–$222.22 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR-ANKLE, AP/LAT, RIGHT | $284.90 | $284.90 | $71.23–$222.22 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 OR-XR-ANKLE, AP & LAT,RIGHT | $432.60 | $432.60 | $75.00–$337.43 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 OR-XR-ANKLE, AP & LAT,LEFT | $432.60 | $432.60 | $75.00–$337.43 | — | — |
| X-ray of the foot, 2 views CPT 73620 XR-FEET BIL AP 1 VIEW | $115.50 | $115.50 | $28.88–$120.74 | 9% below | — |
| X-ray of the foot, 2 views one side CPT 73620 XR-FOOT, 2 VIEWS, RIGHT | $115.50 | $115.50 | $28.88–$120.74 | 9% below | — |
| X-ray of the foot, 2 views one side CPT 73620 XR-FOOT, 2 VIEWS, LEFT | $115.50 | $115.50 | $28.88–$120.74 | 9% below | — |
| X-ray of the foot, 2 views inpatient CPT 73620 XR-FEET BIL AP 1 VIEW | $115.50 | $115.50 | $28.88–$120.74 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR-FOOT, 2 VIEWS, RIGHT | $115.50 | $115.50 | $28.88–$120.74 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR-FOOT, 2 VIEWS, LEFT | $115.50 | $115.50 | $28.88–$120.74 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR-FOOT, LEFT* | $279.40 | $279.40 | $69.85–$217.93 | 55% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR-FOOT, RT | $279.40 | $279.40 | $69.85–$217.93 | 55% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 OR-XR-FOOT,LT | $436.80 | $436.80 | $75.00–$340.70 | 143% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 OR-XR-FOOT,RT | $436.80 | $436.80 | $75.00–$340.70 | 143% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR-FOOT, RT | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR-FOOT, LEFT* | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 OR-XR-FOOT,RT | $436.80 | $436.80 | $75.00–$340.70 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 OR-XR-FOOT,LT | $436.80 | $436.80 | $75.00–$340.70 | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR-HAND, RT | $279.40 | $279.40 | $69.85–$217.93 | 40% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR-HAND, LEFT* | $279.40 | $279.40 | $69.85–$217.93 | 40% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 OR-XR-HAND,RT | $421.20 | $421.20 | $75.00–$328.54 | 110% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 OR-XR-HAND,LT | $421.20 | $421.20 | $75.00–$328.54 | 110% above | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR-HAND, RT | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR-HAND, LEFT* | $279.40 | $279.40 | $69.85–$217.93 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 OR-XR-HAND,RT | $421.20 | $421.20 | $75.00–$328.54 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 OR-XR-HAND,LT | $421.20 | $421.20 | $75.00–$328.54 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $293.70 | $293.70 | $73.43–$229.09 | 101% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $293.70 | $293.70 | $73.43–$229.09 | 101% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $293.70 | $293.70 | $73.43–$229.09 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $293.70 | $293.70 | $73.43–$229.09 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $419.10 | $419.10 | $90.10–$326.90 | 108% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 OR-XR-OPERATIVE L/SPINE 2/3 VI | $477.60 | $477.60 | $90.10–$372.53 | 137% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $419.10 | $419.10 | $90.10–$326.90 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 OR-XR-OPERATIVE L/SPINE 2/3 VI | $477.60 | $477.60 | $90.10–$372.53 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $455.40 | $455.40 | $90.10–$355.21 | 58% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $455.40 | $455.40 | $90.10–$355.21 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $625.50 | $625.50 | $90.10–$487.89 | 219% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 OR-XR-OPERATIVE T/SPINE,2 VIEW | $750.60 | $750.60 | $90.10–$585.47 | 283% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $625.50 | $625.50 | $90.10–$487.89 | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 OR-XR-OPERATIVE T/SPINE,2 VIEW | $750.60 | $750.60 | $90.10–$585.47 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR-NASAL BONES | $322.30 | $322.30 | $75.00–$251.39 | 85% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR-NASAL BONES | $322.30 | $322.30 | $75.00–$251.39 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $388.30 | $388.30 | $75.00–$302.87 | 94% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 OR-XR-C-SPINE AP/LAT | $436.80 | $436.80 | $75.00–$340.70 | 119% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $388.30 | $388.30 | $75.00–$302.87 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 OR-XR-C-SPINE AP/LAT | $436.80 | $436.80 | $75.00–$340.70 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $293.70 | $293.70 | $73.43–$229.09 | 80% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 OR-XR-PELVIS-AP | $513.00 | $513.00 | $90.10–$400.14 | 214% above | — |
| X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR-PELVIS OBLIQUE, RIGHT | $293.70 | $293.70 | $73.43–$229.09 | 80% above | — |
| X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR-PELVIS OBLIQUE, LEFT | $293.70 | $293.70 | $73.43–$229.09 | 80% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY EXAM OF PELVIS | $293.70 | $293.70 | $73.43–$229.09 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 OR-XR-PELVIS-AP | $513.00 | $513.00 | $90.10–$400.14 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR-PELVIS OBLIQUE, RIGHT | $293.70 | $293.70 | $73.43–$229.09 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR-PELVIS OBLIQUE, LEFT | $293.70 | $293.70 | $73.43–$229.09 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-COCCYX, 2 VIEWS | $233.20 | $233.20 | $58.30–$181.90 | 17% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-SACRUM | $348.70 | $348.70 | $75.00–$271.99 | 74% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-SACRUM & COCCYX | $349.00 | $349.00 | $75.00–$272.22 | 75% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-COCCYX, 2 VIEWS | $233.20 | $233.20 | $58.30–$181.90 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-SACRUM | $348.70 | $348.70 | $75.00–$271.99 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-SACRUM & COCCYX | $349.00 | $349.00 | $75.00–$272.22 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 LAB-ACTH LEVEL | $332.50 | $332.50 | $28.97–$259.35 | 148% above | — |
| ACTH blood test inpatient CPT 82024 LAB-ACTH LEVEL | $332.50 | $332.50 | $28.97–$259.35 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB-SGPT (ALT) | $129.50 | $129.50 | $3.98–$101.01 | 372% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB-SGPT (ALT) | $129.50 | $129.50 | $3.98–$101.01 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LAB-SGOT (AST) | $129.50 | $129.50 | $3.89–$101.01 | 280% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB-SGOT (AST) | $129.50 | $129.50 | $3.89–$101.01 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 LAB-HEPATITIS PROFILE | $936.50 | $936.50 | $17.52–$730.47 | 323% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 LAB-HEPATITIS PROFILE | $936.50 | $936.50 | $17.52–$730.47 | — | — |
| Albumin blood test CPT 82040 LAB-SFIGM-ALBUMIN,S | $43.46 | $43.46 | $3.71–$33.90 | 67% above | — |
| Albumin blood test CPT 82040 LAB-CSF IGG IND, ALBUMIN,SERUM | $45.67 | $45.67 | $3.71–$35.62 | 75% above | — |
| Albumin blood test CPT 82040 LAB-ALBUMIN, SERUM, PLASMA OR | $178.50 | $178.50 | $3.71–$139.23 | 584% above | — |
| Albumin blood test CPT 82040 LAB-NSAIM-NEUROSYPHILIS IGG, A | $185.10 | $185.10 | $3.71–$144.38 | 609% above | — |
| Albumin blood test inpatient CPT 82040 LAB-SFIGM-ALBUMIN,S | $43.46 | $43.46 | $3.71–$33.90 | — | — |
| Albumin blood test inpatient CPT 82040 LAB-CSF IGG IND, ALBUMIN,SERUM | $45.67 | $45.67 | $3.71–$35.62 | — | — |
| Albumin blood test inpatient CPT 82040 LAB-ALBUMIN, SERUM, PLASMA OR | $178.50 | $178.50 | $3.71–$139.23 | — | — |
| Albumin blood test inpatient CPT 82040 LAB-NSAIM-NEUROSYPHILIS IGG, A | $185.10 | $185.10 | $3.71–$144.38 | — | — |
| Aldosterone blood test CPT 82088 LAB-ALDOSTERONE, BLOOD | $162.78 | $162.78 | $30.56–$126.97 | 25% above | — |
| Aldosterone blood test CPT 82088 LAB-ALDOSTERONE 24 HR | $432.30 | $432.30 | $30.56–$337.19 | 232% above | — |
| Aldosterone blood test inpatient CPT 82088 LAB-ALDOSTERONE, BLOOD | $162.78 | $162.78 | $30.56–$126.97 | — | — |
| Aldosterone blood test inpatient CPT 82088 LAB-ALDOSTERONE 24 HR | $432.30 | $432.30 | $30.56–$337.19 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE | $56.91 | $56.91 | $3.89–$44.39 | 119% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 LAB-ALK PHOS | $109.50 | $109.50 | $3.89–$85.41 | 321% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY ALKALINE PHOSPHATASE | $56.91 | $56.91 | $3.89–$44.39 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB-ALK PHOS | $109.50 | $109.50 | $3.89–$85.41 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-RPINEM-PINE NUT, IGE | $39.30 | $39.30 | $3.92–$30.65 | 159% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $39.30 | $39.30 | $3.92–$30.65 | 159% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-FSTABI-STACHYBOTRYS CHAR/A | $56.06 | $56.06 | $3.92–$43.73 | 269% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-RAST-SINGLE | $67.50 | $67.50 | $3.92–$52.65 | 344% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-ALPHA GAL ALLERGEN SPECIFI | $187.00 | $187.00 | $3.92–$145.86 | 1130% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-ALLERGEN SPEC IGE PANEL EA | $255.00 | $255.00 | $3.92–$198.90 | 1578% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-FBBLEM-BASS BLACK IGE | $348.69 | $348.69 | $3.92–$271.98 | 2194% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-ALGAL-GALACTOSE-ALPHA-1,3. | $432.30 | $432.30 | $3.92–$337.19 | 2744% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-TILAPIA, IGE | $440.00 | $440.00 | $3.92–$343.20 | 2795% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-RPINEM-PINE NUT, IGE | $39.30 | $39.30 | $3.92–$30.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $39.30 | $39.30 | $3.92–$30.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-FSTABI-STACHYBOTRYS CHAR/A | $56.06 | $56.06 | $3.92–$43.73 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-RAST-SINGLE | $67.50 | $67.50 | $3.92–$52.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-ALPHA GAL ALLERGEN SPECIFI | $187.00 | $187.00 | $3.92–$145.86 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-ALLERGEN SPEC IGE PANEL EA | $255.00 | $255.00 | $3.92–$198.90 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-FBBLEM-BASS BLACK IGE | $348.69 | $348.69 | $3.92–$271.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-ALGAL-GALACTOSE-ALPHA-1,3. | $432.30 | $432.30 | $3.92–$337.19 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-TILAPIA, IGE | $440.00 | $440.00 | $3.92–$343.20 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 LAB-AFP, MATERNAL | $110.04 | $110.04 | $12.58–$85.83 | 50% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 LAB-AFP, TUMOR MARKER | $126.00 | $126.00 | $12.58–$98.28 | 72% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LAB-AFP, MATERNAL | $110.04 | $110.04 | $12.58–$85.83 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LAB-AFP, TUMOR MARKER | $126.00 | $126.00 | $12.58–$98.28 | — | — |
| Ammonia blood test CPT 82140 LAB-AMMONIA | $125.50 | $125.50 | $10.93–$97.89 | 67% above | — |
| Ammonia blood test inpatient CPT 82140 LAB-AMMONIA | $125.50 | $125.50 | $10.93–$97.89 | — | — |
| Amylase blood test CPT 82150 AMYLASE ISOENZYMES AMISO | $46.20 | $46.20 | $4.86–$36.04 | 5% above | — |
| Amylase blood test CPT 82150 LAB-AMYLASE, URINE TIMED | $130.50 | $130.50 | $4.86–$101.79 | 197% above | — |
| Amylase blood test CPT 82150 LAB-AMYLASE, SERUM | $154.50 | $154.50 | $4.86–$120.51 | 251% above | — |
| Amylase blood test CPT 82150 LAB-AMYLASE, FLUID | $156.50 | $156.50 | $4.86–$122.07 | 256% above | — |
| Amylase blood test CPT 82150 LAB-HK-AMYLASE, BF | $163.00 | $163.00 | $4.86–$127.14 | 270% above | — |
| Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES AMISO | $46.20 | $46.20 | $4.86–$36.04 | — | — |
| Amylase blood test inpatient CPT 82150 LAB-AMYLASE, URINE TIMED | $130.50 | $130.50 | $4.86–$101.79 | — | — |
| Amylase blood test inpatient CPT 82150 LAB-AMYLASE, SERUM | $154.50 | $154.50 | $4.86–$120.51 | — | — |
| Amylase blood test inpatient CPT 82150 LAB-AMYLASE, FLUID | $156.50 | $156.50 | $4.86–$122.07 | — | — |
| Amylase blood test inpatient CPT 82150 LAB-HK-AMYLASE, BF | $163.00 | $163.00 | $4.86–$127.14 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB-CONNECT TISS DZ, CCP | $113.81 | $113.81 | $9.71–$88.77 | 99% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB-CYCLIC CITRULLINA PEPTD,AB | $141.48 | $141.48 | $9.71–$110.35 | 147% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB-CONNECT TISS DZ, CCP | $113.81 | $113.81 | $9.71–$88.77 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB-CYCLIC CITRULLINA PEPTD,AB | $141.48 | $141.48 | $9.71–$110.35 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LUPUS COLLAGEN PANEL-ANA | $32.00 | $32.00 | $8.00–$24.96 | 25% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCLERODERMA PROFILE 052373 | $42.00 | $42.00 | $9.07–$32.76 | 2% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LAB-CONNECT TISSUE DZ, ANA | $106.27 | $106.27 | $9.07–$82.89 | 149% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LUPUS COLLAGEN PANEL-ANA | $32.00 | $32.00 | $8.00–$24.96 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SCLERODERMA PROFILE 052373 | $42.00 | $42.00 | $9.07–$32.76 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LAB-CONNECT TISSUE DZ, ANA | $106.27 | $106.27 | $9.07–$82.89 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LAB-B NATRIURETIC PEPTIDE | $239.50 | $239.50 | $29.45–$186.81 | 130% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LAB-B NATRIURETIC PEPTIDE | $239.50 | $239.50 | $29.45–$186.81 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $112.50 | $112.50 | $6.47–$87.75 | 132% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB-AEROBIC CULT (EXCEPT URINE | $149.50 | $149.50 | $6.47–$116.61 | 208% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB-LEGIONELLA CULTURE, ISO & | $224.00 | $224.00 | $6.47–$174.72 | 362% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $112.50 | $112.50 | $6.47–$87.75 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB-AEROBIC CULT (EXCEPT URINE | $149.50 | $149.50 | $6.47–$116.61 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB-LEGIONELLA CULTURE, ISO & | $224.00 | $224.00 | $6.47–$174.72 | — | — |
| Basic metabolic panel (blood test) CPT 80048 LAB-BASIC METABOLIC PANEL | $170.50 | $170.50 | $6.35–$132.99 | 184% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 LAB-BASIC METABOLIC PANEL | $170.50 | $170.50 | $6.35–$132.99 | — | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $390.00 | $390.00 | $3.77–$304.20 | 1502% above | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $390.00 | $390.00 | $3.77–$304.20 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $214.50 | $214.50 | $33.68–$167.31 | 28% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB-VP RENAL BIOPSY, HC GROSS/ | $275.10 | $275.10 | $33.68–$214.58 | 64% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB-VP RENAL BIOPSY, SURG PATH | $801.72 | $801.72 | $33.68–$625.34 | 377% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB-MUSM,MUSCLE BX SURG LVL 4 | $1,147.00 | $1,147.00 | $33.68–$894.66 | 583% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST | $214.50 | $214.50 | $33.68–$167.31 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB-VP RENAL BIOPSY, HC GROSS/ | $275.10 | $275.10 | $33.68–$214.58 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB-VP RENAL BIOPSY, SURG PATH | $801.72 | $801.72 | $33.68–$625.34 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB-MUSM,MUSCLE BX SURG LVL 4 | $1,147.00 | $1,147.00 | $33.68–$894.66 | — | — |
| Blood culture for bacteria CPT 87040 LAB-BLOOD CULTURE, AEROBIC | $287.00 | $287.00 | $7.74–$223.86 | 250% above | — |
| Blood culture for bacteria inpatient CPT 87040 LAB-BLOOD CULTURE, AEROBIC | $287.00 | $287.00 | $7.74–$223.86 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $13.20 | $13.20 | $4.92–$13.20 | 83% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 RO-ROUTINE VENIPUNCTURE | $18.00 | $18.00 | $4.92–$18.00 | 150% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $13.20 | $13.20 | $4.92–$13.20 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 RO-ROUTINE VENIPUNCTURE | $18.00 | $18.00 | $4.92–$18.00 | — | — |
| Blood glucose (sugar) test CPT 82947 FASTING BLOOD SUGAR | $31.90 | $31.90 | $2.95–$24.88 | 22% above | — |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $69.50 | $69.50 | $2.95–$54.21 | 166% above | — |
| Blood glucose (sugar) test CPT 82947 LAB-HK-GLOCOSE, BF | $116.00 | $116.00 | $2.95–$90.48 | 344% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 FASTING BLOOD SUGAR | $31.90 | $31.90 | $2.95–$24.88 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $69.50 | $69.50 | $2.95–$54.21 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 LAB-HK-GLOCOSE, BF | $116.00 | $116.00 | $2.95–$90.48 | — | — |
| Blood lead test CPT 83655 LEAD AND ZPP 038170 | $35.20 | $35.20 | $8.80–$27.46 | 15% below | — |
| Blood lead test CPT 83655 LAB-LEAD LEVEL, BLOOD | $62.88 | $62.88 | $9.08–$49.05 | 53% above | — |
| Blood lead test CPT 83655 LAB-HMU24M-HEAVY METALS SCREEN | $63.27 | $63.27 | $9.08–$49.35 | 53% above | — |
| Blood lead test CPT 83655 LAB-HMBLDM, HEAVY METAL, LEAD | $70.00 | $70.00 | $9.08–$54.60 | 70% above | — |
| Blood lead test CPT 83655 HEAVY METALS (URINE) HMU24 | $72.60 | $72.60 | $9.08–$56.63 | 76% above | — |
| Blood lead test CPT 83655 LEAD URINE PBU | $118.80 | $118.80 | $9.08–$92.66 | 188% above | — |
| Blood lead test CPT 83655 LAB-LEAD LEVEL, URINE | $242.80 | $242.80 | $9.08–$189.38 | 489% above | — |
| Blood lead test inpatient CPT 83655 LEAD AND ZPP 038170 | $35.20 | $35.20 | $8.80–$27.46 | — | — |
| Blood lead test inpatient CPT 83655 LAB-LEAD LEVEL, BLOOD | $62.88 | $62.88 | $9.08–$49.05 | — | — |
| Blood lead test inpatient CPT 83655 LAB-HMU24M-HEAVY METALS SCREEN | $63.27 | $63.27 | $9.08–$49.35 | — | — |
| Blood lead test inpatient CPT 83655 LAB-HMBLDM, HEAVY METAL, LEAD | $70.00 | $70.00 | $9.08–$54.60 | — | — |
| Blood lead test inpatient CPT 83655 HEAVY METALS (URINE) HMU24 | $72.60 | $72.60 | $9.08–$56.63 | — | — |
| Blood lead test inpatient CPT 83655 LEAD URINE PBU | $118.80 | $118.80 | $9.08–$92.66 | — | — |
| Blood lead test inpatient CPT 83655 LAB-LEAD LEVEL, URINE | $242.80 | $242.80 | $9.08–$189.38 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LAB-HCG, QUALITATIVE, SERUM | $128.50 | $128.50 | $5.64–$100.23 | 184% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LAB-HCG, QUALITATIVE, SERUM | $128.50 | $128.50 | $5.64–$100.23 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-PNP ABO | $18.00 | $18.00 | $2.99–$118.11 | 72% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-ABO RECHECK | $29.50 | $29.50 | $2.99–$118.11 | 55% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-ABO | $89.50 | $89.50 | $2.99–$118.11 | 37% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 PLATELET RANDOM PROCESSING | $282.70 | $282.70 | $9.07–$243.00 | 333% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB-PNP ABO | $18.00 | $18.00 | $2.99–$118.11 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB-ABO RECHECK | $29.50 | $29.50 | $2.99–$118.11 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB-ABO | $89.50 | $89.50 | $2.99–$118.11 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 PLATELET RANDOM PROCESSING | $282.70 | $282.70 | $9.07–$243.00 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN | $64.00 | $64.00 | $2.96–$49.92 | 128% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 ASSAY OF UREA NITROGEN | $64.00 | $64.00 | $2.96–$49.92 | — | — |
| C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE | $118.50 | $118.50 | $15.61–$92.43 | 66% above | — |
| C-peptide blood test inpatient CPT 84681 ASSAY OF C-PEPTIDE | $118.50 | $118.50 | $15.61–$92.43 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $104.50 | $104.50 | $3.89–$81.51 | 137% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB-IBD SGI, CRP | $154.06 | $154.06 | $3.89–$120.17 | 250% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $104.50 | $104.50 | $3.89–$81.51 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB-IBD SGI, CRP | $154.06 | $154.06 | $3.89–$120.17 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 LAB-C.DIFFICILE,TOXIN GENE,AMP | $292.50 | $292.50 | $27.95–$228.15 | 198% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LAB-C.DIFFICILE,TOXIN GENE,AMP | $292.50 | $292.50 | $27.95–$228.15 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 LAB-CA 19-9 | $122.50 | $122.50 | $15.61–$95.55 | 19% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 LAB-CA 19-9 | $122.50 | $122.50 | $15.61–$95.55 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 LAB-CA 125 | $153.50 | $153.50 | $15.61–$119.73 | 79% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 LAB-CA 125 | $153.50 | $153.50 | $15.61–$119.73 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-KACOV2-KAILOS ASSURE SENTI | $55.00 | $55.00 | $27.50–$57.98 | 6% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $102.62 | $102.62 | $38.48–$102.62 | 75% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-COVD19-SAR-COV-2, DIATHERI | $786.00 | $786.00 | $38.48–$613.08 | 1239% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-COVIDM-SARS-COV-2-RNA DETE | $943.20 | $943.20 | $38.48–$735.70 | 1507% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-KACOV2-KAILOS ASSURE SENTI | $55.00 | $55.00 | $27.50–$57.98 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $102.62 | $102.62 | $38.48–$102.62 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-COVD19-SAR-COV-2, DIATHERI | $786.00 | $786.00 | $38.48–$613.08 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-COVIDM-SARS-COV-2-RNA DETE | $943.20 | $943.20 | $38.48–$735.70 | — | — |
| Calcium blood test, total CPT 82310 LAB-CALCIUM | $106.00 | $106.00 | $3.87–$82.68 | 288% above | — |
| Calcium blood test, total inpatient CPT 82310 LAB-CALCIUM | $106.00 | $106.00 | $3.87–$82.68 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID CEAPC | $139.70 | $139.70 | $14.22–$108.97 | 77% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 LAB-CEA | $348.00 | $348.00 | $14.22–$271.44 | 340% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA BODY FLUID CEAPC | $139.70 | $139.70 | $14.22–$108.97 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB-CEA | $348.00 | $348.00 | $14.22–$271.44 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 LAB-VARICELLA ZOSTER SCREEN | $89.50 | $89.50 | $9.66–$69.81 | 50% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY | $98.25 | $98.25 | $9.66–$76.64 | 65% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB-VARICELLA ZOSTER SCREEN | $89.50 | $89.50 | $9.66–$69.81 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY | $98.25 | $98.25 | $9.66–$76.64 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB-STD, C.TRACHOM BY PCRDIAT | $98.25 | $98.25 | $24.56–$76.64 | 40% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB-CTNGVT,CHLAMYDIA TRACH DIA | $196.50 | $196.50 | $26.32–$153.27 | 181% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB-CHLAMYDIA TRACHOMATIS,AMPL | $293.50 | $293.50 | $26.32–$228.93 | 319% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB-STD, C.TRACHOM BY PCRDIAT | $98.25 | $98.25 | $24.56–$76.64 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB-CTNGVT,CHLAMYDIA TRACH DIA | $196.50 | $196.50 | $26.32–$153.27 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB-CHLAMYDIA TRACHOMATIS,AMPL | $293.50 | $293.50 | $26.32–$228.93 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB-LIPID PROFILE | $270.00 | $270.00 | $10.04–$210.60 | 417% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB-LIPID PROFILE | $270.00 | $270.00 | $10.04–$210.60 | — | — |
| Complete blood count (CBC) with differential CPT 85025 LAB-PNP CBC WITH DIFF | $20.00 | $20.00 | $5.00–$15.60 | 44% below | — |
| Complete blood count (CBC) with differential CPT 85025 LAB-CBC & DIFF, AUTOMATED | $154.50 | $154.50 | $5.83–$120.51 | 333% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB-PNP CBC WITH DIFF | $20.00 | $20.00 | $5.00–$15.60 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB-CBC & DIFF, AUTOMATED | $154.50 | $154.50 | $5.83–$120.51 | — | — |
| Complete blood count (CBC), no differential CPT 85027 LAB-BLOOD COUNT, CBC AUTOMATED | $95.50 | $95.50 | $4.85–$74.49 | 183% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 LAB-BLOOD COUNT, CBC AUTOMATED | $95.50 | $95.50 | $4.85–$74.49 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 LAB-COMP METABOLIC PANEL | $224.00 | $224.00 | $7.92–$174.72 | 176% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB-COMP METABOLIC PANEL | $224.00 | $224.00 | $7.92–$174.72 | — | — |
| Cortisol blood test, total CPT 82533 SALIVARY CORTISOL SALCT | $99.00 | $99.00 | $12.23–$77.22 | 50% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL/ACTH STIMULATING PANE | $110.00 | $110.00 | $12.23–$85.80 | 67% above | — |
| Cortisol blood test, total CPT 82533 LAB-CORTISOL, TOTAL | $182.50 | $182.50 | $12.23–$142.35 | 177% above | — |
| Cortisol blood test, total CPT 82533 LAB-SALCTM-CORTISOL, SALIVIA | $314.40 | $314.40 | $12.23–$245.23 | 376% above | — |
| Cortisol blood test, total inpatient CPT 82533 SALIVARY CORTISOL SALCT | $99.00 | $99.00 | $12.23–$77.22 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL/ACTH STIMULATING PANE | $110.00 | $110.00 | $12.23–$85.80 | — | — |
| Cortisol blood test, total inpatient CPT 82533 LAB-CORTISOL, TOTAL | $182.50 | $182.50 | $12.23–$142.35 | — | — |
| Cortisol blood test, total inpatient CPT 82533 LAB-SALCTM-CORTISOL, SALIVIA | $314.40 | $314.40 | $12.23–$245.23 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CPK-TOTAL - MMCN | $37.00 | $37.00 | $4.88–$28.86 | 14% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 LAB-CPK | $152.00 | $152.00 | $4.88–$118.56 | 368% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK-TOTAL - MMCN | $37.00 | $37.00 | $4.88–$28.86 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB-CPK | $152.00 | $152.00 | $4.88–$118.56 | — | — |
| Creatinine blood test CPT 82565 POC-CREATININE | $48.00 | $48.00 | $3.84–$37.44 | 66% above | — |
| Creatinine blood test CPT 82565 LAB-CREATININE, SERUM | $79.00 | $79.00 | $3.84–$61.62 | 172% above | — |
| Creatinine blood test inpatient CPT 82565 POC-CREATININE | $48.00 | $48.00 | $3.84–$37.44 | — | — |
| Creatinine blood test inpatient CPT 82565 LAB-CREATININE, SERUM | $79.00 | $79.00 | $3.84–$61.62 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 LAB-CMV, IGG | $83.00 | $83.00 | $10.79–$64.74 | 27% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 LAB-TORCH, CMV AB, IGG | $138.50 | $138.50 | $10.79–$108.03 | 113% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB-CMV, IGG | $83.00 | $83.00 | $10.79–$64.74 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB-TORCH, CMV AB, IGG | $138.50 | $138.50 | $10.79–$108.03 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 REFERRED DIC PROFILE DIC/ICF | $41.80 | $41.80 | $7.64–$32.60 | 31% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 LAB-FIBRIN DEGR PROD, D-DIMER | $151.50 | $151.50 | $7.64–$118.17 | 150% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 LAB-AATHRM-D-DIMER, B | $218.58 | $218.58 | $7.64–$170.49 | 261% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 REFERRED DIC PROFILE DIC/ICF | $41.80 | $41.80 | $7.64–$32.60 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB-FIBRIN DEGR PROD, D-DIMER | $151.50 | $151.50 | $7.64–$118.17 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB-AATHRM-D-DIMER, B | $218.58 | $218.58 | $7.64–$170.49 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 LAB-DHEA-S TO MAYO | $174.65 | $174.65 | $16.67–$136.23 | 99% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 LAB-DHEA SULFATE SERUM | $176.50 | $176.50 | $16.67–$137.67 | 101% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 LAB-DHEA-S TO MAYO | $174.65 | $174.65 | $16.67–$136.23 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 LAB-DHEA SULFATE SERUM | $176.50 | $176.50 | $16.67–$137.67 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN (10 DRUG), SERUM, | $46.00 | $46.00 | $11.50–$47.38 | 43% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE (URINE) NICOU | $57.20 | $57.20 | $14.30–$58.92 | 29% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DS UR 5+HYDRO MT ACCT 789253 | $66.00 | $66.00 | $16.50–$66.00 | 18% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN 761160 | $70.00 | $70.00 | $17.50–$70.00 | 13% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUGS OF ABUSE 5 SCRN, MEC | $117.90 | $117.90 | $29.48–$117.90 | 47% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL SCREEN URINE FENR | $134.00 | $134.00 | $33.50–$124.28 | 67% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TETRAHYDROCANNABINOL THC SCRN, | $165.00 | $165.00 | $41.25–$128.70 | 105% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMBO 2 DRUG | $250.80 | $250.80 | $46.61–$195.62 | 212% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUG OF ABUSE SCREEN,URINE | $324.00 | $324.00 | $46.61–$252.72 | 303% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-ETHYLENE GLYCOL | $353.70 | $353.70 | $46.61–$275.89 | 340% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMBO 3 DRUG | $376.20 | $376.20 | $46.61–$293.44 | 368% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUGS OF ABUSE 4 SCRN, MEC | $393.00 | $393.00 | $46.61–$306.54 | 389% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE AND METABOLITE, | $488.40 | $488.40 | $46.61–$380.95 | 508% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMBO 4 DRUG | $501.60 | $501.60 | $46.61–$391.25 | 525% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUG,TEST,PRESUM,SVT,GC/MS | $530.00 | $530.00 | $46.61–$413.40 | 560% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMBO 5 DRUG | $627.00 | $627.00 | $46.61–$489.06 | 681% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMBO 6 DRUG | $752.40 | $752.40 | $46.61–$586.87 | 837% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMBO 7 DRUG | $877.80 | $877.80 | $46.61–$684.68 | 993% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN (10 DRUG), SERUM, | $46.00 | $46.00 | $11.50–$47.38 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE (URINE) NICOU | $57.20 | $57.20 | $14.30–$58.92 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DS UR 5+HYDRO MT ACCT 789253 | $66.00 | $66.00 | $16.50–$66.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SCREEN 761160 | $70.00 | $70.00 | $17.50–$70.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUGS OF ABUSE 5 SCRN, MEC | $117.90 | $117.90 | $29.48–$117.90 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL SCREEN URINE FENR | $134.00 | $134.00 | $33.50–$124.28 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TETRAHYDROCANNABINOL THC SCRN, | $165.00 | $165.00 | $41.25–$128.70 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMBO 2 DRUG | $250.80 | $250.80 | $46.61–$195.62 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUG OF ABUSE SCREEN,URINE | $324.00 | $324.00 | $46.61–$252.72 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-ETHYLENE GLYCOL | $353.70 | $353.70 | $46.61–$275.89 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMBO 3 DRUG | $376.20 | $376.20 | $46.61–$293.44 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUGS OF ABUSE 4 SCRN, MEC | $393.00 | $393.00 | $46.61–$306.54 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE AND METABOLITE, | $488.40 | $488.40 | $46.61–$380.95 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMBO 4 DRUG | $501.60 | $501.60 | $46.61–$391.25 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUG,TEST,PRESUM,SVT,GC/MS | $530.00 | $530.00 | $46.61–$413.40 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMBO 5 DRUG | $627.00 | $627.00 | $46.61–$489.06 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMBO 6 DRUG | $752.40 | $752.40 | $46.61–$586.87 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMBO 7 DRUG | $877.80 | $877.80 | $46.61–$684.68 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LAB-ELECTROLYTE PANEL | $153.50 | $153.50 | $5.26–$119.73 | 212% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LAB-ELECTROLYTE PANEL | $153.50 | $153.50 | $5.26–$119.73 | — | — |
| Estradiol blood test CPT 82670 LAB-ESTRADIOL,SERUM TO MAYO | $157.20 | $157.20 | $20.96–$122.62 | 57% above | — |
| Estradiol blood test CPT 82670 LAB-ESTRADIOL BLD | $193.00 | $193.00 | $20.96–$150.54 | 93% above | — |
| Estradiol blood test CPT 82670 LAB-FFES-FREE ESTRADIOL W SHBG | $536.76 | $536.76 | $20.96–$418.67 | 436% above | — |
| Estradiol blood test inpatient CPT 82670 LAB-ESTRADIOL,SERUM TO MAYO | $157.20 | $157.20 | $20.96–$122.62 | — | — |
| Estradiol blood test inpatient CPT 82670 LAB-ESTRADIOL BLD | $193.00 | $193.00 | $20.96–$150.54 | — | — |
| Estradiol blood test inpatient CPT 82670 LAB-FFES-FREE ESTRADIOL W SHBG | $536.76 | $536.76 | $20.96–$418.67 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 LAB-FSH LEVEL | $109.00 | $109.00 | $13.94–$85.02 | 26% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 LAB-FSHM, FSH TO MAYO, SERUM | $1,499.22 | $1,499.22 | $13.94–$1,169.39 | 1631% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB-FSH LEVEL | $109.00 | $109.00 | $13.94–$85.02 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB-FSHM, FSH TO MAYO, SERUM | $1,499.22 | $1,499.22 | $13.94–$1,169.39 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 LAB-CALPRO-CALPROTECTIN, FECAL | $903.90 | $903.90 | $14.72–$705.04 | 364% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 LAB-CALPROTECTIN, FECES | $1,179.00 | $1,179.00 | $14.72–$919.62 | 506% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LAB-CALPRO-CALPROTECTIN, FECAL | $903.90 | $903.90 | $14.72–$705.04 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LAB-CALPROTECTIN, FECES | $1,179.00 | $1,179.00 | $14.72–$919.62 | — | — |
| Ferritin blood test (iron stores) CPT 82728 LAB-FERRITIN | $223.50 | $223.50 | $10.22–$174.33 | 298% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 LAB-FERRITIN | $223.50 | $223.50 | $10.22–$174.33 | — | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY 001610 | $55.00 | $55.00 | $7.29–$42.90 | 19% above | — |
| Fibrinogen blood test CPT 85384 LAB-TEG,FIBRINOGEN,K ANGLE | $90.00 | $90.00 | $7.29–$70.20 | 95% above | — |
| Fibrinogen blood test CPT 85384 LAB-FIBRINOGEN LEVEL | $199.50 | $199.50 | $7.29–$155.61 | 332% above | — |
| Fibrinogen blood test CPT 85384 LAB-AATHRM-FIBRINOGEN | $208.68 | $208.68 | $7.29–$162.77 | 352% above | — |
| Fibrinogen blood test CPT 85384 LAB-POCVET-POC VISCOELASTIC PA | $225.90 | $225.90 | $7.29–$176.20 | 390% above | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY 001610 | $55.00 | $55.00 | $7.29–$42.90 | — | — |
| Fibrinogen blood test inpatient CPT 85384 LAB-TEG,FIBRINOGEN,K ANGLE | $90.00 | $90.00 | $7.29–$70.20 | — | — |
| Fibrinogen blood test inpatient CPT 85384 LAB-FIBRINOGEN LEVEL | $199.50 | $199.50 | $7.29–$155.61 | — | — |
| Fibrinogen blood test inpatient CPT 85384 LAB-AATHRM-FIBRINOGEN | $208.68 | $208.68 | $7.29–$162.77 | — | — |
| Fibrinogen blood test inpatient CPT 85384 LAB-POCVET-POC VISCOELASTIC PA | $225.90 | $225.90 | $7.29–$176.20 | — | — |
| Folate (folic acid) blood test CPT 82746 LAB-FOLATE | $176.00 | $176.00 | $11.03–$137.28 | 186% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 LAB-FOLATE | $176.00 | $176.00 | $11.03–$137.28 | — | — |
| Free T3 thyroid hormone test CPT 84481 LAB-T-3 FREE | $183.00 | $183.00 | $12.71–$142.74 | 166% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 LAB-T-3 FREE | $183.00 | $183.00 | $12.71–$142.74 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB-THYROXIN (T-4) FREE | $140.50 | $140.50 | $6.77–$109.59 | 130% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIALYSIS FRT4D | $192.00 | $192.00 | $6.77–$149.76 | 215% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB-F4 FREE, BY DIALYSIS | $204.36 | $204.36 | $6.77–$159.40 | 235% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB-THYROXIN (T-4) FREE | $140.50 | $140.50 | $6.77–$109.59 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIALYSIS FRT4D | $192.00 | $192.00 | $6.77–$149.76 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB-F4 FREE, BY DIALYSIS | $204.36 | $204.36 | $6.77–$159.40 | — | — |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $74.20 | $74.20 | $18.55–$57.88 | at median | — |
| Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE | $74.20 | $74.20 | $18.55–$57.88 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB-GGT | $154.50 | $154.50 | $5.40–$120.51 | 370% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB-GGT | $154.50 | $154.50 | $5.40–$120.51 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 LAB-GEN HEALTH PANEL | $232.00 | $232.00 | $17.52–$180.96 | 112% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 LAB-GEN HEALTH PANEL | $232.00 | $232.00 | $17.52–$180.96 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LAB-GLUCOSE CHALLENGE | $62.50 | $62.50 | $3.56–$48.75 | 55% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LAB-GLUCOSE CHALLENGE | $62.50 | $62.50 | $3.56–$48.75 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE TEST 046300 | $40.00 | $40.00 | $9.65–$31.20 | 34% below | — |
| Glucose tolerance test, 3 samples CPT 82951 LAB-GLUCOSE TOLERANCE TEST,3 | $245.50 | $245.50 | $9.65–$191.49 | 302% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE TEST 046300 | $40.00 | $40.00 | $9.65–$31.20 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 LAB-GLUCOSE TOLERANCE TEST,3 | $245.50 | $245.50 | $9.65–$191.49 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-STD,N.GONORR BY PCR DIAT | $98.25 | $98.25 | $24.56–$76.64 | 40% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-CTNGVT, NEISS GONOR TO DIA | $196.50 | $196.50 | $26.32–$153.27 | 181% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-NEISSERIA GONORRHOEAE,AMPL | $293.50 | $293.50 | $26.32–$228.93 | 319% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-STD,N.GONORR BY PCR DIAT | $98.25 | $98.25 | $24.56–$76.64 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-CTNGVT, NEISS GONOR TO DIA | $196.50 | $196.50 | $26.32–$153.27 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-NEISSERIA GONORRHOEAE,AMPL | $293.50 | $293.50 | $26.32–$228.93 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 ULTRASENSITIVE 550420 | $146.00 | $146.00 | $36.50–$146.00 | 37% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LAB-HIV RNA BY PCR, QUANTITATI | $712.50 | $712.50 | $57.98–$555.75 | 208% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 ULTRASENSITIVE 550420 | $146.00 | $146.00 | $36.50–$146.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LAB-HIV RNA BY PCR, QUANTITATI | $712.50 | $712.50 | $57.98–$555.75 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 083824 | $85.00 | $85.00 | $10.28–$66.30 | 185% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 083824 | $85.00 | $85.00 | $10.28–$66.30 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB-HEMOGLOBIN A-1-C (MAYO) | $70.74 | $70.74 | $7.28–$55.18 | 136% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $115.00 | $115.00 | $7.28–$89.70 | 283% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB-HEMOGLOBIN A-1-C (MAYO) | $70.74 | $70.74 | $7.28–$55.18 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $115.00 | $115.00 | $7.28–$89.70 | — | — |
| Hemoglobin blood test CPT 85018 LAB-BLOOD COUNT, HEMOGLOBIN | $46.50 | $46.50 | $1.78–$36.27 | 166% above | — |
| Hemoglobin blood test inpatient CPT 85018 LAB-BLOOD COUNT, HEMOGLOBIN | $46.50 | $46.50 | $1.78–$36.27 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 LAB-HBC TOTAL AB TO MAYO | $117.90 | $117.90 | $9.04–$91.96 | 97% above | — |
| Hepatitis B core antibody test (total) CPT 86704 LAB-CORABM-HBC TOTAL AB W REF | $117.90 | $117.90 | $9.04–$91.96 | 97% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 LAB-HBC TOTAL AB TO MAYO | $117.90 | $117.90 | $9.04–$91.96 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 LAB-CORABM-HBC TOTAL AB W REF | $117.90 | $117.90 | $9.04–$91.96 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 LAB-HBSAB | $182.50 | $182.50 | $8.06–$142.35 | 251% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 LAB-HBSAB | $182.50 | $182.50 | $8.06–$142.35 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG CONFIRMATION HBSAG | $25.83 | $25.83 | $6.46–$20.66 | 28% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB-PNP HBSAG | $45.00 | $45.00 | $7.75–$35.10 | 25% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB-CHSBPM-CHRONIC HEP B MONTO | $121.44 | $121.44 | $7.75–$94.72 | 238% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB-HBSAG | $154.50 | $154.50 | $7.75–$120.51 | 330% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG CONFIRMATION HBSAG | $25.83 | $25.83 | $6.46–$20.66 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB-PNP HBSAG | $45.00 | $45.00 | $7.75–$35.10 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB-CHSBPM-CHRONIC HEP B MONTO | $121.44 | $121.44 | $7.75–$94.72 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB-HBSAG | $154.50 | $154.50 | $7.75–$120.51 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 LAB-HEPATITIS C ANTIBODY | $187.00 | $187.00 | $10.70–$145.86 | 159% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV/REF TO QUANT HHA1506 | $797.50 | $797.50 | $10.70–$622.05 | 1006% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 LAB-HEPATITIS C ANTIBODY | $187.00 | $187.00 | $10.70–$145.86 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV/REF TO QUANT HHA1506 | $797.50 | $797.50 | $10.70–$622.05 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 LAB-HEPATITIS C, QUANTIFICATIO | $719.50 | $719.50 | $32.13–$561.21 | 270% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB-HEPATITIS C, QUANTIFICATIO | $719.50 | $719.50 | $32.13–$561.21 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 LAB-HSVG-HERPES SIMPLEX, TYPE | $60.28 | $60.28 | $9.89–$47.02 | 2% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 LAB-TORCH, HSV, I, IGG | $138.50 | $138.50 | $9.89–$108.03 | 135% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB-HSVG-HERPES SIMPLEX, TYPE | $60.28 | $60.28 | $9.89–$47.02 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB-TORCH, HSV, I, IGG | $138.50 | $138.50 | $9.89–$108.03 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB-HSVG-HERPES SIMPLEX, TYPE | $88.43 | $88.43 | $14.51–$68.98 | 40% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB-TORCH, HSVAB, II, IGG | $138.50 | $138.50 | $14.51–$108.03 | 120% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB-HSVG-HERPES SIMPLEX, TYPE | $88.43 | $88.43 | $14.51–$68.98 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB-TORCH, HSVAB, II, IGG | $138.50 | $138.50 | $14.51–$108.03 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 LAB-CRMP1M-HS CRP | $91.65 | $91.65 | $9.71–$71.49 | 72% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $134.00 | $134.00 | $9.71–$104.52 | 151% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB-CRMP1M-HS CRP | $91.65 | $91.65 | $9.71–$71.49 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS | $134.00 | $134.00 | $9.71–$104.52 | — | — |
| Homocysteine blood test CPT 83090 LAB-HOMOCYSTEINE | $218.50 | $218.50 | $13.44–$170.43 | 78% above | — |
| Homocysteine blood test inpatient CPT 83090 LAB-HOMOCYSTEINE | $218.50 | $218.50 | $13.44–$170.43 | — | — |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $109.50 | $109.50 | $8.57–$85.41 | 58% above | — |
| Insulin blood test CPT 83525 LAB-INSFTM-INSULIN, FREE, SERU | $121.59 | $121.59 | $8.57–$94.84 | 75% above | — |
| Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN | $109.50 | $109.50 | $8.57–$85.41 | — | — |
| Insulin blood test inpatient CPT 83525 LAB-INSFTM-INSULIN, FREE, SERU | $121.59 | $121.59 | $8.57–$94.84 | — | — |
| Iron blood test (serum iron) CPT 83540 LAB-IRON SERUM | $114.00 | $114.00 | $4.85–$88.92 | 301% above | — |
| Iron blood test (serum iron) CPT 83540 LAB-LIVER BIOPSY/TOTAL IRON | $330.12 | $330.12 | $4.85–$257.49 | 1060% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 LAB-IRON SERUM | $114.00 | $114.00 | $4.85–$88.92 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 LAB-LIVER BIOPSY/TOTAL IRON | $330.12 | $330.12 | $4.85–$257.49 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 LAB-TIBC* | $132.00 | $132.00 | $6.56–$102.96 | 213% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 LAB-TIBC* | $132.00 | $132.00 | $6.56–$102.96 | — | — |
| Kidney function blood test panel CPT 80069 LAB-RENAL FUNCTION PANEL | $208.00 | $208.00 | $6.51–$162.24 | 148% above | — |
| Kidney function blood test panel inpatient CPT 80069 LAB-RENAL FUNCTION PANEL | $208.00 | $208.00 | $6.51–$162.24 | — | — |
| LH (luteinizing hormone) test CPT 83002 LAB-LH, BLOOD | $113.50 | $113.50 | $13.89–$88.53 | 21% above | — |
| LH (luteinizing hormone) test CPT 83002 LAB-LHPEDM, LH*PEDIATRIC, S | $1,524.37 | $1,524.37 | $13.89–$1,189.01 | 1525% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LAB-LH, BLOOD | $113.50 | $113.50 | $13.89–$88.53 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LAB-LHPEDM, LH*PEDIATRIC, S | $1,524.37 | $1,524.37 | $13.89–$1,189.01 | — | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID CSF | $94.60 | $94.60 | $8.68–$73.79 | 62% above | — |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID | $143.50 | $143.50 | $8.68–$111.93 | 145% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID CSF | $94.60 | $94.60 | $8.68–$73.79 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID | $143.50 | $143.50 | $8.68–$111.93 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-LDH, BODY FLUID | $78.60 | $78.60 | $4.53–$61.31 | 213% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-LDH, SERUM | $109.00 | $109.00 | $4.53–$85.02 | 335% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-HK-LDH, BF | $141.00 | $141.00 | $4.53–$109.98 | 462% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-HK-LDH, CSF | $145.00 | $145.00 | $4.53–$113.10 | 478% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-LDH, FLUIDS | $165.50 | $165.50 | $4.53–$129.09 | 560% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-LDH, BODY FLUID | $78.60 | $78.60 | $4.53–$61.31 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-LDH, SERUM | $109.00 | $109.00 | $4.53–$85.02 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-HK-LDH, BF | $141.00 | $141.00 | $4.53–$109.98 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-HK-LDH, CSF | $145.00 | $145.00 | $4.53–$113.10 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-LDH, FLUIDS | $165.50 | $165.50 | $4.53–$129.09 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 BODY FLUID LIPASE, LPSBF | $61.60 | $61.60 | $5.17–$48.05 | 24% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LAB-LIPASE | $136.00 | $136.00 | $5.17–$106.08 | 174% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 BODY FLUID LIPASE, LPSBF | $61.60 | $61.60 | $5.17–$48.05 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB-LIPASE | $136.00 | $136.00 | $5.17–$106.08 | — | — |
| Liver function blood test panel CPT 80076 LAB-HEPATIC FUNCTION PANEL | $165.00 | $165.00 | $6.13–$128.70 | 108% above | — |
| Liver function blood test panel inpatient CPT 80076 LAB-HEPATIC FUNCTION PANEL | $165.00 | $165.00 | $6.13–$128.70 | — | — |
| Lyme disease antibody test CPT 86618 LYMES DISEASE TOTAL AND IGM EI | $85.80 | $85.80 | $12.77–$66.92 | 17% above | — |
| Lyme disease antibody test CPT 86618 LYMES DISEASE WESTERN BLOT 258 | $129.80 | $129.80 | $12.77–$101.24 | 77% above | — |
| Lyme disease antibody test CPT 86618 LYME IGM RESPONSE 258004 | $179.30 | $179.30 | $12.77–$139.85 | 144% above | — |
| Lyme disease antibody test CPT 86618 LAB-TICKSM LYME DIS SEROLOGY,S | $296.00 | $296.00 | $12.77–$230.88 | 303% above | — |
| Lyme disease antibody test CPT 86618 LAB-LYME DISEASE SEROLOGY | $325.15 | $325.15 | $12.77–$253.62 | 343% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYMES DISEASE TOTAL AND IGM EI | $85.80 | $85.80 | $12.77–$66.92 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYMES DISEASE WESTERN BLOT 258 | $129.80 | $129.80 | $12.77–$101.24 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME IGM RESPONSE 258004 | $179.30 | $179.30 | $12.77–$139.85 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LAB-TICKSM LYME DIS SEROLOGY,S | $296.00 | $296.00 | $12.77–$230.88 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LAB-LYME DISEASE SEROLOGY | $325.15 | $325.15 | $12.77–$253.62 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HR, MAGU | $44.00 | $44.00 | $5.03–$34.32 | 96% above | — |
| Magnesium blood test CPT 83735 RBC MAGNESIUM 080283 | $100.00 | $100.00 | $5.03–$78.00 | 344% above | — |
| Magnesium blood test CPT 83735 LAB-MAGNESIUM, FECES | $106.11 | $106.11 | $5.03–$82.77 | 372% above | — |
| Magnesium blood test CPT 83735 LAB-MAGNESIUM | $131.00 | $131.00 | $5.03–$102.18 | 482% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24 HR, MAGU | $44.00 | $44.00 | $5.03–$34.32 | — | — |
| Magnesium blood test inpatient CPT 83735 RBC MAGNESIUM 080283 | $100.00 | $100.00 | $5.03–$78.00 | — | — |
| Magnesium blood test inpatient CPT 83735 LAB-MAGNESIUM, FECES | $106.11 | $106.11 | $5.03–$82.77 | — | — |
| Magnesium blood test inpatient CPT 83735 LAB-MAGNESIUM | $131.00 | $131.00 | $5.03–$102.18 | — | — |
| Measles (rubeola) antibody test CPT 86765 LAB-RUBEOLA IGG SCREEN | $82.50 | $82.50 | $9.66–$64.35 | 87% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $98.25 | $98.25 | $9.66–$76.64 | 123% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBELLA IGM ROM | $116.60 | $116.60 | $9.66–$90.95 | 165% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 LAB-RUBEOLA IGG SCREEN | $82.50 | $82.50 | $9.66–$64.35 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY | $98.25 | $98.25 | $9.66–$76.64 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBELLA IGM ROM | $116.60 | $116.60 | $9.66–$90.95 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 LAB-MONO SLIDE TEST | $114.50 | $114.50 | $3.89–$89.31 | 153% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LAB-MONO SLIDE TEST | $114.50 | $114.50 | $3.89–$89.31 | — | — |
| Mumps immunity blood test CPT 86735 LAB-MUMPS IGG | $81.00 | $81.00 | $9.79–$63.18 | 84% above | — |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $98.25 | $98.25 | $9.79–$76.64 | 123% above | — |
| Mumps immunity blood test inpatient CPT 86735 LAB-MUMPS IGG | $81.00 | $81.00 | $9.79–$63.18 | — | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY | $98.25 | $98.25 | $9.79–$76.64 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA-TOTAL AND FREE - MMCN | $85.00 | $85.00 | $13.79–$66.30 | 30% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 LAB-FREE PSA | $146.00 | $146.00 | $13.79–$113.88 | 123% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA-TOTAL AND FREE - MMCN | $85.00 | $85.00 | $13.79–$66.30 | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB-FREE PSA | $146.00 | $146.00 | $13.79–$113.88 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA REFLEX TO FREE | $92.40 | $92.40 | $13.79–$72.07 | 13% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LAB-PSA, TOTAL | $138.00 | $138.00 | $13.79–$107.64 | 69% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSTIVE PSAU | $176.00 | $176.00 | $13.79–$137.28 | 116% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA REFLEX TO FREE | $92.40 | $92.40 | $13.79–$72.07 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB-PSA, TOTAL | $138.00 | $138.00 | $13.79–$107.64 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSTIVE PSAU | $176.00 | $176.00 | $13.79–$137.28 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LAB-THINPREP WITH HPV CO-TEST | $223.00 | $223.00 | $15.20–$173.94 | 441% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $223.22 | $223.22 | $15.20–$174.11 | 441% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LAB-THINPREP WITH HPV CO-TEST | $223.00 | $223.00 | $15.20–$173.94 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER | $223.22 | $223.22 | $15.20–$174.11 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $987.00 | $987.00 | $30.96–$769.86 | 628% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE | $987.00 | $987.00 | $30.96–$769.86 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB-ALUPPM-THROPLASTIN TIME, P | $66.34 | $66.34 | $4.51–$51.75 | 57% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB-ACTIVATED PTT | $159.50 | $159.50 | $4.51–$124.41 | 278% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB-ALUPPM-THROPLASTIN TIME, P | $66.34 | $66.34 | $4.51–$51.75 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB-ACTIVATED PTT | $159.50 | $159.50 | $4.51–$124.41 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 LAB-PHOSPHORUS INORGANIC | $88.00 | $88.00 | $3.56–$68.64 | 261% above | — |
| Phosphorus (phosphate) blood test CPT 84100 LAB-PHOSPHORUS, FECES | $106.11 | $106.11 | $3.56–$82.77 | 336% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 LAB-PHOSPHORUS INORGANIC | $88.00 | $88.00 | $3.56–$68.64 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 LAB-PHOSPHORUS, FECES | $106.11 | $106.11 | $3.56–$82.77 | — | — |
| Potassium blood test CPT 84132 POC-POTASSIUM | $44.50 | $44.50 | $3.57–$34.71 | 62% above | — |
| Potassium blood test CPT 84132 LAB-POTASSIUM,SERUM,PLASMA OR | $66.50 | $66.50 | $3.57–$51.87 | 141% above | — |
| Potassium blood test inpatient CPT 84132 POC-POTASSIUM | $44.50 | $44.50 | $3.57–$34.71 | — | — |
| Potassium blood test inpatient CPT 84132 LAB-POTASSIUM,SERUM,PLASMA OR | $66.50 | $66.50 | $3.57–$51.87 | — | — |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $111.50 | $111.50 | $15.65–$86.97 | 13% above | — |
| Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE | $111.50 | $111.50 | $15.65–$86.97 | — | — |
| Prolactin blood test CPT 84146 MACROPROLACTIN MCRPL | $107.80 | $107.80 | $14.54–$84.08 | 4% above | — |
| Prolactin blood test CPT 84146 LAB-PROLACTIN LEVEL | $113.50 | $113.50 | $14.54–$88.53 | 10% above | — |
| Prolactin blood test inpatient CPT 84146 MACROPROLACTIN MCRPL | $107.80 | $107.80 | $14.54–$84.08 | — | — |
| Prolactin blood test inpatient CPT 84146 LAB-PROLACTIN LEVEL | $113.50 | $113.50 | $14.54–$88.53 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-ALUPPM-PROTHROMBIN TIME | $47.40 | $47.40 | $3.22–$36.97 | 106% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $64.50 | $64.50 | $3.22–$50.31 | 180% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-AATHRM-PROT TIME, B | $92.11 | $92.11 | $3.22–$71.85 | 300% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-PROTHROMBIN TIME W/INR | $128.50 | $128.50 | $3.22–$100.23 | 458% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-ALUPPM-PROTHROMBIN TIME | $47.40 | $47.40 | $3.22–$36.97 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $64.50 | $64.50 | $3.22–$50.31 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-AATHRM-PROT TIME, B | $92.11 | $92.11 | $3.22–$71.85 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-PROTHROMBIN TIME W/INR | $128.50 | $128.50 | $3.22–$100.23 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 LAB-UDRUG, DRUG SCREEN, URINE | $47.16 | $47.16 | $9.45–$36.78 | at median | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 LAB-UDRUG, DRUG SCREEN, URINE | $47.16 | $47.16 | $9.45–$36.78 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 LAB-INFLUENZA A (CLIENT) | $14.86 | $14.86 | $3.72–$15.31 | 48% below | — |
| Rapid flu test (influenza antigen) CPT 87804 POC-INFLUENZA, A OR B, EACH | $99.00 | $99.00 | $12.41–$77.22 | 244% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 LAB-INFLUENZA A (CLIENT) | $14.86 | $14.86 | $3.72–$15.31 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 POC-INFLUENZA, A OR B, EACH | $99.00 | $99.00 | $12.41–$77.22 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $99.00 | $99.00 | $12.40–$77.22 | 129% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC | $99.00 | $99.00 | $12.40–$77.22 | — | — |
| Renin blood test CPT 84244 LAB-RENIN | $110.04 | $110.04 | $16.49–$85.83 | 24% above | — |
| Renin blood test inpatient CPT 84244 LAB-RENIN | $110.04 | $110.04 | $16.49–$85.83 | — | — |
| Rh blood typing CPT 86901 LAB-PNP RH | $18.00 | $18.00 | $2.99–$33.16 | 27% below | — |
| Rh blood typing CPT 86901 LAB-RH | $86.00 | $86.00 | $2.99–$67.08 | 247% above | — |
| Rh blood typing CPT 86901 LAB-RH RECHECK | $139.00 | $139.00 | $2.99–$108.42 | 460% above | — |
| Rh blood typing inpatient CPT 86901 LAB-PNP RH | $18.00 | $18.00 | $2.99–$33.16 | — | — |
| Rh blood typing inpatient CPT 86901 LAB-RH | $86.00 | $86.00 | $2.99–$67.08 | — | — |
| Rh blood typing inpatient CPT 86901 LAB-RH RECHECK | $139.00 | $139.00 | $2.99–$108.42 | — | — |
| Rheumatoid factor (RF) test CPT 86431 LAB-RHEUMATOID FACTOR, QUAN | $120.00 | $120.00 | $4.25–$93.60 | 167% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 LAB-RHEUMATOID FACTOR, QUAN | $120.00 | $120.00 | $4.25–$93.60 | — | — |
| Rubella antibody test (immunity check) CPT 86762 LAB-PNP RUBELLA ANTIBODY | $38.00 | $38.00 | $9.50–$29.64 | at median | — |
| Rubella antibody test (immunity check) CPT 86762 LAB-TORCH, RUBELLA IGG | $82.22 | $82.22 | $10.79–$64.13 | 116% above | — |
| Rubella antibody test (immunity check) CPT 86762 LAB-RUBELLA ANTIBODY | $127.50 | $127.50 | $10.79–$99.45 | 236% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 LAB-PNP RUBELLA ANTIBODY | $38.00 | $38.00 | $9.50–$29.64 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 LAB-TORCH, RUBELLA IGG | $82.22 | $82.22 | $10.79–$64.13 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 LAB-RUBELLA ANTIBODY | $127.50 | $127.50 | $10.79–$99.45 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 LAB-SED RATE,AUTOMATED | $120.00 | $120.00 | $2.03–$93.60 | 408% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 LAB-SED RATE,AUTOMATED | $120.00 | $120.00 | $2.03–$93.60 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 LAB-SEMEN ANALYSIS | $171.50 | $171.50 | $9.23–$133.77 | 97% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 LAB-SEMEN ANALYSIS | $171.50 | $171.50 | $9.23–$133.77 | — | — |
| Sodium blood test CPT 84295 POC-NA | $44.50 | $44.50 | $3.61–$34.71 | 88% above | — |
| Sodium blood test CPT 84295 LAB-SODIUM | $71.50 | $71.50 | $3.61–$55.77 | 202% above | — |
| Sodium blood test inpatient CPT 84295 POC-NA | $44.50 | $44.50 | $3.61–$34.71 | — | — |
| Sodium blood test inpatient CPT 84295 LAB-SODIUM | $71.50 | $71.50 | $3.61–$55.77 | — | — |
| Stool ova and parasites exam CPT 87177 LAB-O & P DIRECT* | $100.50 | $100.50 | $6.68–$78.39 | 122% above | — |
| Stool ova and parasites exam inpatient CPT 87177 LAB-O & P DIRECT* | $100.50 | $100.50 | $6.68–$78.39 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 SP-HEMOCULT | $10.00 | $10.00 | $2.50–$10.33 | 31% below | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SP-HEMOCULT | $10.00 | $10.00 | $2.50–$10.33 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB-OCCULT BLOOD BY IMMUNOASSA | $91.50 | $91.50 | $11.94–$71.37 | 66% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 POC-BLOOD OCCULT FECAL QUAL | $125.00 | $125.00 | $11.94–$97.50 | 127% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB-FOBTM-OCCULT BLD, QL, IMM, | $417.60 | $417.60 | $11.94–$325.73 | 659% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB-OCCULT BLOOD BY IMMUNOASSA | $91.50 | $91.50 | $11.94–$71.37 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 POC-BLOOD OCCULT FECAL QUAL | $125.00 | $125.00 | $11.94–$97.50 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB-FOBTM-OCCULT BLD, QL, IMM, | $417.60 | $417.60 | $11.94–$325.73 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB-PNP SYPHILIS IGG/M | $38.00 | $38.00 | $9.50–$29.64 | at median | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB-NSAIPM-NEUROSYPHILIS IGG A | $78.60 | $78.60 | $9.93–$61.31 | 107% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB-SYPHILIS AB IBG&IGM W/REFL | $135.50 | $135.50 | $9.93–$105.69 | 257% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB-SYPHILIS AB BY TP-PA | $294.83 | $294.83 | $9.93–$229.97 | 676% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB-PNP SYPHILIS IGG/M | $38.00 | $38.00 | $9.50–$29.64 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB-NSAIPM-NEUROSYPHILIS IGG A | $78.60 | $78.60 | $9.93–$61.31 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB-SYPHILIS AB IBG&IGM W/REFL | $135.50 | $135.50 | $9.93–$105.69 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB-SYPHILIS AB BY TP-PA | $294.83 | $294.83 | $9.93–$229.97 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB-VDRLM, VDRL CSF | $79.00 | $79.00 | $3.20–$61.62 | 204% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB-VDRL-CSF | $113.00 | $113.00 | $3.20–$88.14 | 335% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB-RPR TITER | $120.00 | $120.00 | $3.20–$93.60 | 362% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB-VDRLM, VDRL CSF | $79.00 | $79.00 | $3.20–$61.62 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB-VDRL-CSF | $113.00 | $113.00 | $3.20–$88.14 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB-RPR TITER | $120.00 | $120.00 | $3.20–$93.60 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 LAB-QUANTIFERON TB | $343.48 | $343.48 | $46.49–$267.91 | 200% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 LAB-QUANTIFERON TB | $343.48 | $343.48 | $46.49–$267.91 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $75.14 | $75.14 | $18.79–$58.61 | 6% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 LAB-TESTOSTERONE TOTAL | $111.50 | $111.50 | $19.36–$86.97 | 57% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL WOMEN 07000 | $185.00 | $185.00 | $19.36–$144.30 | 161% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $75.14 | $75.14 | $18.79–$58.61 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB-TESTOSTERONE TOTAL | $111.50 | $111.50 | $19.36–$86.97 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL WOMEN 07000 | $185.00 | $185.00 | $19.36–$144.30 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-LIVER KIDNEY AB | $171.00 | $171.00 | $10.91–$133.38 | 289% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-THYRO PEROXIDASE AB | $194.00 | $194.00 | $10.91–$151.32 | 341% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-CU INDEX, MICROSOMAL AB | $202.95 | $202.95 | $10.91–$158.30 | 361% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL (LC1) 831680 | $303.60 | $303.60 | $10.91–$236.81 | 590% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-LIVER KIDNEY AB | $171.00 | $171.00 | $10.91–$133.38 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-THYRO PEROXIDASE AB | $194.00 | $194.00 | $10.91–$151.32 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-CU INDEX, MICROSOMAL AB | $202.95 | $202.95 | $10.91–$158.30 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL (LC1) 831680 | $303.60 | $303.60 | $10.91–$236.81 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE 330015 | $103.40 | $103.40 | $12.60–$80.65 | 84% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB-TSH | $140.50 | $140.50 | $12.60–$109.59 | 151% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB-CU INDEX, TSH | $234.46 | $234.46 | $12.60–$182.88 | 318% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE PROFILE 330015 | $103.40 | $103.40 | $12.60–$80.65 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB-TSH | $140.50 | $140.50 | $12.60–$109.59 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB-CU INDEX, TSH | $234.46 | $234.46 | $12.60–$182.88 | — | — |
| Total IgE blood test CPT 82785 LAB-IGE | $71.00 | $71.00 | $12.35–$55.38 | 44% above | — |
| Total IgE blood test CPT 82785 ALLERGEN PRO W/TOTL IGE RSP-AR | $82.50 | $82.50 | $12.35–$64.35 | 67% above | — |
| Total IgE blood test CPT 82785 LAB-PR943M IGE, S | $94.50 | $94.50 | $12.35–$73.71 | 91% above | — |
| Total IgE blood test CPT 82785 LAB-RESP PROF REG 6, IGE | $94.50 | $94.50 | $12.35–$73.71 | 91% above | — |
| Total IgE blood test inpatient CPT 82785 LAB-IGE | $71.00 | $71.00 | $12.35–$55.38 | — | — |
| Total IgE blood test inpatient CPT 82785 ALLERGEN PRO W/TOTL IGE RSP-AR | $82.50 | $82.50 | $12.35–$64.35 | — | — |
| Total IgE blood test inpatient CPT 82785 LAB-RESP PROF REG 6, IGE | $94.50 | $94.50 | $12.35–$73.71 | — | — |
| Total IgE blood test inpatient CPT 82785 LAB-PR943M IGE, S | $94.50 | $94.50 | $12.35–$73.71 | — | — |
| Total cholesterol blood test CPT 82465 LAB-CRMP1M-CHOLESTEROL | $30.73 | $30.73 | $3.26–$23.97 | at median | — |
| Total cholesterol blood test CPT 82465 LAB-LIPID PANEL, MML, CHOLESTE | $49.83 | $49.83 | $3.26–$38.87 | 62% above | — |
| Total cholesterol blood test CPT 82465 LAB-CHOLESTEROL | $80.00 | $80.00 | $3.26–$62.40 | 160% above | — |
| Total cholesterol blood test inpatient CPT 82465 LAB-CRMP1M-CHOLESTEROL | $30.73 | $30.73 | $3.26–$23.97 | — | — |
| Total cholesterol blood test inpatient CPT 82465 LAB-LIPID PANEL, MML, CHOLESTE | $49.83 | $49.83 | $3.26–$38.87 | — | — |
| Total cholesterol blood test inpatient CPT 82465 LAB-CHOLESTEROL | $80.00 | $80.00 | $3.26–$62.40 | — | — |
| Total thyroxine (T4) blood test CPT 84436 LAB-THYROXIN (T-4) | $94.50 | $94.50 | $5.15–$73.71 | 96% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 LAB-THYROXIN (T-4) | $94.50 | $94.50 | $5.15–$73.71 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 LAB-T3 (TOTAL) | $114.50 | $114.50 | $10.64–$89.31 | 139% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 LAB-T3 (TOTAL) | $114.50 | $114.50 | $10.64–$89.31 | — | — |
| Transferrin blood test CPT 84466 LAB-TRANSFERRIN LEVEL | $235.50 | $235.50 | $9.57–$183.69 | 327% above | — |
| Transferrin blood test inpatient CPT 84466 LAB-TRANSFERRIN LEVEL | $235.50 | $235.50 | $9.57–$183.69 | — | — |
| Trichomonas test (NAAT) CPT 87661 LAB-CTNGVT, TRICH VAGINAL DIAT | $196.50 | $196.50 | $26.32–$153.27 | 181% above | — |
| Trichomonas test (NAAT) CPT 87661 LAB-HPVP,HPV BY PCR TO DIATHER | $235.80 | $235.80 | $26.32–$183.92 | 237% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $239.50 | $239.50 | $26.32–$186.81 | 242% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 LAB-CTNGVT, TRICH VAGINAL DIAT | $196.50 | $196.50 | $26.32–$153.27 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 LAB-HPVP,HPV BY PCR TO DIATHER | $235.80 | $235.80 | $26.32–$183.92 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $239.50 | $239.50 | $26.32–$186.81 | — | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE BODY FLUID TGLBF | $10.50 | $10.50 | $2.63–$10.50 | 67% below | — |
| Triglycerides blood test CPT 84478 LAB-CRMP1M-TRIGLYCERIDES | $40.64 | $40.64 | $4.31–$31.70 | 29% above | — |
| Triglycerides blood test CPT 84478 LAB-LIPID PANEL, MML,TRIGLYCER | $65.87 | $65.87 | $4.31–$51.38 | 109% above | — |
| Triglycerides blood test CPT 84478 LAB-TRIGLYCERIDES | $109.00 | $109.00 | $4.31–$85.02 | 246% above | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE BODY FLUID TGLBF | $10.50 | $10.50 | $2.63–$10.50 | — | — |
| Triglycerides blood test inpatient CPT 84478 LAB-CRMP1M-TRIGLYCERIDES | $40.64 | $40.64 | $4.31–$31.70 | — | — |
| Triglycerides blood test inpatient CPT 84478 LAB-LIPID PANEL, MML,TRIGLYCER | $65.87 | $65.87 | $4.31–$51.38 | — | — |
| Triglycerides blood test inpatient CPT 84478 LAB-TRIGLYCERIDES | $109.00 | $109.00 | $4.31–$85.02 | — | — |
| Troponin test, quantitative CPT 84484 LAB-TROPONIN QUANT ULTRASEN | $187.50 | $187.50 | $9.35–$146.25 | 168% above | — |
| Troponin test, quantitative CPT 84484 LAB-TROPONIN I, HIGH SENSITIVI | $9,502.35 | $9,502.35 | $9.35–$7,411.83 | 13475% above | — |
| Troponin test, quantitative inpatient CPT 84484 LAB-TROPONIN QUANT ULTRASEN | $187.50 | $187.50 | $9.35–$146.25 | — | — |
| Troponin test, quantitative inpatient CPT 84484 LAB-TROPONIN I, HIGH SENSITIVI | $9,502.35 | $9,502.35 | $9.35–$7,411.83 | — | — |
| Uric acid blood test CPT 84550 LAB-URIC ACID | $111.50 | $111.50 | $3.39–$86.97 | 275% above | — |
| Uric acid blood test inpatient CPT 84550 LAB-URIC ACID | $111.50 | $111.50 | $3.39–$86.97 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URINE W/MICROSCOPIC | $27.50 | $27.50 | $2.38–$21.45 | 8% below | — |
| Urinalysis with microscope exam, automated CPT 81001 LAB-URINALYSIS, ROUTINE | $32.00 | $32.00 | $2.38–$24.96 | 7% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE W/MICROSCOPIC | $27.50 | $27.50 | $2.38–$21.45 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 LAB-URINALYSIS, ROUTINE | $32.00 | $32.00 | $2.38–$24.96 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 LAB-URINALYSYS , DIPSTICK-UADI | $103.00 | $103.00 | $3.02–$80.34 | 329% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 LAB-URINALYSYS , DIPSTICK-UADI | $103.00 | $103.00 | $3.02–$80.34 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 LAB-KETONES, URINE | $103.00 | $103.00 | $1.69–$80.34 | 406% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $103.00 | $103.00 | $1.69–$80.34 | 406% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LAB-KETONES, URINE | $103.00 | $103.00 | $1.69–$80.34 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE | $103.00 | $103.00 | $1.69–$80.34 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $7.00 | $7.00 | $1.75–$6.96 | 41% below | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $7.00 | $7.00 | $1.75–$6.96 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 LAB-URINE CULTURE | $153.00 | $153.00 | $6.05–$119.34 | 212% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 LAB-URINE CULTURE | $153.00 | $153.00 | $6.05–$119.34 | — | — |
| Urine microalbumin (albumin) test CPT 82043 LAB-ALBRM-ALBUMIN, RANDOM, URI | $58.01 | $58.01 | $4.34–$45.25 | 42% above | — |
| Urine microalbumin (albumin) test CPT 82043 LAB-MICROALBUMIN | $111.50 | $111.50 | $4.34–$86.97 | 172% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 LAB-ALBRM-ALBUMIN, RANDOM, URI | $58.01 | $58.01 | $4.34–$45.25 | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 LAB-MICROALBUMIN | $111.50 | $111.50 | $4.34–$86.97 | — | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $132.00 | $132.00 | $5.80–$102.96 | 246% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $132.00 | $132.00 | $5.80–$102.96 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 LAB-VITAMIN B12 | $176.00 | $176.00 | $11.31–$137.28 | 231% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LAB-VITAMIN B12 | $176.00 | $176.00 | $11.31–$137.28 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB-VITAMIN D, 25 HYDRXY | $181.00 | $181.00 | $22.20–$141.18 | 91% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB-2425DM-25HDN:24,25 DIH, VI | $609.79 | $609.79 | $22.20–$475.64 | 545% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB-VITAMIN D, 25 HYDRXY | $181.00 | $181.00 | $22.20–$141.18 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB-2425DM-25HDN:24,25 DIH, VI | $609.79 | $609.79 | $22.20–$475.64 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 LAB-VITAMIN D; DIHYDROXY,INCLU | $212.00 | $212.00 | $28.88–$165.36 | 58% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 LAB-VITAMIN D; DIHYDROXY,INCLU | $212.00 | $212.00 | $28.88–$165.36 | — | — |
| Zinc blood test CPT 84630 LAB-ZNSM-ZINC, SERUM | $94.32 | $94.32 | $8.54–$73.57 | 104% above | — |
| Zinc blood test inpatient CPT 84630 LAB-ZNSM-ZINC, SERUM | $94.32 | $94.32 | $8.54–$73.57 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB-BHCGM-BETA-HUMAN CH,GON, Q | $143.92 | $143.92 | $11.29–$112.26 | 156% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB-HCG TITER | $247.00 | $247.00 | $11.29–$192.66 | 340% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB-BHCGM-BETA-HUMAN CH,GON, Q | $143.92 | $143.92 | $11.29–$112.26 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB-HCG TITER | $247.00 | $247.00 | $11.29–$192.66 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 RO-BX BREAST 1ST LESION STRTCT | $2,582.50 | $2,582.50 | $172.00–$2,950.81 | 47% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 RO-BX BREAST 1ST LESION STRTCT | $2,582.50 | $2,582.50 | $172.00–$2,950.81 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 CLHC-CORNS W/LV | $6,679.50 | $6,679.50 | $2,671.80–$6,679.50 | 8% above | — |
| Cardiac catheterization with coronary angiogram CPT 93458 CL-P-CORNS W/LV | $7,498.84 | $7,498.84 | $2,794.06–$6,782.00 | 21% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CLHC-CORNS W/LV | $6,679.50 | $6,679.50 | $2,671.80–$6,679.50 | — | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CL-P-CORNS W/LV | $7,498.84 | $7,498.84 | $2,794.06–$6,782.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED-CARDIOVERSION | $346.50 | $346.50 | $86.63–$1,362.54 | 57% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CCL-P-CARDIOVERSION, ELECTIVE | $862.40 | $862.40 | $215.60–$1,362.54 | 8% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,060.00 | $1,060.00 | $265.00–$1,362.54 | 33% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED-CARDIOVERSION | $346.50 | $346.50 | $86.63–$1,362.54 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CCL-P-CARDIOVERSION, ELECTIVE | $862.40 | $862.40 | $215.60–$1,362.54 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,060.00 | $1,060.00 | $265.00–$1,362.54 | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 EP-P-COM EP SDY W/AF FIB ABLAT | $28,588.50 | $28,588.50 | $354.00–$34,467.63 | 14% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-P-COM EP SDY W/AF FIB ABLAT | $28,588.50 | $28,588.50 | $354.00–$34,467.63 | — | — |
| Cervical biopsy CPT 57500 TVGO-BIOPSY OF CERVIX | $2,368.00 | $2,368.00 | $793.81–$2,368.00 | at median | — |
| Cervical biopsy inpatient CPT 57500 TVGO-BIOPSY OF CERVIX | $2,368.00 | $2,368.00 | $793.81–$2,368.00 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 NURS-CIRCUMCSN W/O PLBELL(>28 | $3,442.00 | $3,442.00 | $1,704.00–$4,140.81 | at median | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 NURS-CIRCUMCSN W/O PLBELL(>28 | $3,442.00 | $3,442.00 | $1,704.00–$4,140.81 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $3,442.00 | $3,442.00 | $1,220.00–$4,140.81 | 20% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $3,442.00 | $3,442.00 | $1,220.00–$4,140.81 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $896.50 | $896.50 | $600.97–$4,140.81 | 5% below | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE | $896.50 | $896.50 | $600.97–$4,140.81 | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 TVGO-BX/CURETT CERVIX W/SCOPE | $837.00 | $837.00 | $262.63–$965.41 | at median | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 TVGO-BX/CURETT CERVIX W/SCOPE | $837.00 | $837.00 | $262.63–$965.41 | — | — |
| Coronary stent placement, one artery CPT 92928 CL-P-REVAS(STENT+PTCA) 1VSL,LM | $16,428.96 | $16,428.96 | $354.00–$18,137.54 | 39% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 CL-P-REVAS(STENT+PTCA) 1VSL,LM | $16,428.96 | $16,428.96 | $354.00–$18,137.54 | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 XR-CYSTO W/URETERAL STENT | $4,117.50 | $4,117.50 | $1,704.00–$4,117.50 | at median | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 XR-CYSTO W/URETERAL STENT | $4,117.50 | $4,117.50 | $1,704.00–$4,117.50 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HWC-REMOVAL IMP CERUMEN IRRIG | $99.00 | $99.00 | $50.84–$99.00 | at median | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HWC-REMOVAL IMP CERUMEN IRRIG | $99.00 | $99.00 | $50.84–$99.00 | — | — |
| Earwax removal with instruments, one ear CPT 69210 HWC-REMOVAL IMP CERUMEN INSTRU | $99.00 | $99.00 | $50.84–$99.00 | at median | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HWC-REMOVAL IMP CERUMEN INSTRU | $99.00 | $99.00 | $50.84–$99.00 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 TVGO-BIOPSY OF UTERUS LINING | $553.00 | $553.00 | $74.00–$965.41 | 54% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 TVGO-BIOPSY OF UTERUS LINING | $553.00 | $553.00 | $74.00–$965.41 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,811.00 | $1,811.00 | $762.28–$1,811.00 | 69% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 XR-SP-INJ FACET;LUMBAR/SACRAL, | $1,811.00 | $1,811.00 | $762.28–$1,811.00 | 69% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 XR-SP-INJ FACET;LUMBAR/SACRAL, | $1,811.00 | $1,811.00 | $762.28–$1,811.00 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,811.00 | $1,811.00 | $762.28–$1,811.00 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR-HYSTERO INJECTION | $178.20 | $178.20 | $139.00–$638.74 | 15% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 US-HYSTERO INJECTION | $612.50 | $612.50 | $477.75–$638.74 | 194% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR-HYSTERO INJECTION | $178.20 | $178.20 | $139.00–$638.74 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 US-HYSTERO INJECTION | $612.50 | $612.50 | $477.75–$638.74 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HWC-I&D ABCESS SIMPLE/SINGLE | $345.47 | $345.47 | $74.00–$345.47 | 23% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $801.00 | $801.00 | $74.00–$801.00 | 186% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HWC-I&D ABCESS SIMPLE/SINGLE | $345.47 | $345.47 | $74.00–$345.47 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $801.00 | $801.00 | $74.00–$801.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 XR-ANGIO-TENDON SHEATH INJ,SGL | $411.00 | $411.00 | $264.55–$507.28 | at median | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT | $411.00 | $411.00 | $264.55–$507.28 | at median | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 MRC INJ TENDON SHTH/LIG RT | $813.00 | $813.00 | $264.55–$813.00 | 98% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 MRC INJ TENDON SHTH/LIG LT | $813.00 | $813.00 | $264.55–$813.00 | 98% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 XR-ANGIO-TENDON SHEATH INJ,SGL | $411.00 | $411.00 | $264.55–$507.28 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT | $411.00 | $411.00 | $264.55–$507.28 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 MRC INJ TENDON SHTH/LIG RT | $813.00 | $813.00 | $264.55–$813.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 MRC INJ TENDON SHTH/LIG LT | $813.00 | $813.00 | $264.55–$813.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $304.70 | $304.70 | $237.67–$507.28 | 21% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MRC DRN/INJ MAJ JT W/O US RT | $813.00 | $813.00 | $264.55–$813.00 | 111% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MRC DRN/INJ MAJ JT W/O US LT | $813.00 | $813.00 | $264.55–$813.00 | 111% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $304.70 | $304.70 | $237.67–$507.28 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MRC DRN/INJ MAJ JT W/O US LT | $813.00 | $813.00 | $264.55–$813.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MRC DRN/INJ MAJ JT W/O US RT | $813.00 | $813.00 | $264.55–$813.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 XR-INJ PROC WRIST, ELBOW OR AN | $411.00 | $411.00 | $264.55–$507.28 | 29% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 MRC DRN/INJ INT JT W/O US RT | $813.00 | $813.00 | $264.55–$813.00 | 155% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 MRC DRN/INJ INT JT W/O US LT | $813.00 | $813.00 | $264.55–$813.00 | 155% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 XR-INJ PROC WRIST, ELBOW OR AN | $411.00 | $411.00 | $264.55–$507.28 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 MRC DRN/INJ INT JT W/O US RT | $813.00 | $813.00 | $264.55–$813.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 MRC DRN/INJ INT JT W/O US LT | $813.00 | $813.00 | $264.55–$813.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 XR-JOINT INJ/ASPIR FINGER OR T | $411.00 | $411.00 | $264.55–$507.28 | 7% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 XR-ANGIO-JT INJ/ASPIR FINGER O | $411.00 | $411.00 | $264.55–$507.28 | 7% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 MRC DRN/INJ SML JT W/O US LT | $813.00 | $813.00 | $264.55–$813.00 | 111% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 MRC DRN/INJ SML JT W/O US RT | $813.00 | $813.00 | $264.55–$813.00 | 111% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 XR-ANGIO-JT INJ/ASPIR FINGER O | $411.00 | $411.00 | $264.55–$507.28 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 XR-JOINT INJ/ASPIR FINGER OR T | $411.00 | $411.00 | $264.55–$507.28 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 MRC DRN/INJ SML JT W/O US RT | $813.00 | $813.00 | $264.55–$813.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 MRC DRN/INJ SML JT W/O US LT | $813.00 | $813.00 | $264.55–$813.00 | — | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 TVGO-LAPAROSCOPY REMOVE ADNEXA | $16,050.00 | $16,050.00 | $2,919.00–$15,125.00 | 55% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 TVGO-LAPAROSCOPY REMOVE ADNEXA | $16,050.00 | $16,050.00 | $2,919.00–$15,125.00 | — | — |
| Left heart catheterization, diagnostic CPT 93452 CL-P-LV ONLY | $4,678.50 | $4,678.50 | $1,871.40–$4,964.82 | at median | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 CL-P-LV ONLY | $4,678.50 | $4,678.50 | $1,871.40–$4,964.82 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 XR-SP-INJ LUMBAR/SACRAL,NERVE | $2,995.50 | $2,995.50 | $608.36–$2,995.50 | 116% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 XR-INJECT CISTERNOGRAM LUMBAR | $2,995.50 | $2,995.50 | $608.36–$2,995.50 | 116% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR-SP-INJ LUMBAR/SACRAL,NERVE | $2,995.50 | $2,995.50 | $608.36–$2,995.50 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR-INJECT CISTERNOGRAM LUMBAR | $2,995.50 | $2,995.50 | $608.36–$2,995.50 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 XR-CISTERNOGRAM INJ W/O FLUORO | $1,127.00 | $1,127.00 | $762.28–$1,804.04 | at median | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 XR-CISTERNOGRAM INJ W/O FLUORO | $1,127.00 | $1,127.00 | $762.28–$1,804.04 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR-SP-INJ LUMBAR/SACRAL-TRANSF | $1,225.50 | $1,225.50 | $762.28–$1,804.04 | at median | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR-SP-INJ LUMBAR/SACRAL-TRANSF | $1,225.50 | $1,225.50 | $762.28–$1,804.04 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 CT-EXCISED BENIGN LESION < 5CM | $882.50 | $882.50 | $610.30–$939.70 | at median | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 CT-EXCISED BENIGN LESION < 5CM | $882.50 | $882.50 | $610.30–$939.70 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HWC-AVULSION OF NAIL PLTE 1 | $213.17 | $213.17 | $74.00–$213.17 | 5% below | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HWC-AVULSION OF NAIL PLTE 1 | $213.17 | $213.17 | $74.00–$213.17 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $3,386.00 | $3,386.00 | $2,641.08–$17,503.21 | 73% below | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT HEART PM ATRIAL & VENT | $3,386.00 | $3,386.00 | $2,641.08–$17,503.21 | — | — |
| Paracentesis with imaging guidance CPT 49083 US-ABD PARACENTESIS W/IMAG GUI | $1,113.20 | $1,113.20 | $781.69–$1,558.65 | 23% above | — |
| Paracentesis with imaging guidance CPT 49083 CT-ABD PARACENTESIS W/IMAG GUI | $1,481.70 | $1,481.70 | $781.69–$1,558.65 | 64% above | — |
| Paracentesis with imaging guidance CPT 49083 ANGIO-ABD PARACENTESIS W/IMAG | $1,654.00 | $1,654.00 | $781.69–$1,654.00 | 83% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACENTESIS W/IMAG GUI | $1,113.20 | $1,113.20 | $781.69–$1,558.65 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 CT-ABD PARACENTESIS W/IMAG GUI | $1,481.70 | $1,481.70 | $781.69–$1,558.65 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ANGIO-ABD PARACENTESIS W/IMAG | $1,654.00 | $1,654.00 | $781.69–$1,654.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HWC-EXCISION OF NAIL AND MATRI | $576.00 | $576.00 | $350.36–$939.70 | 2% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HWC-EXCISION OF NAIL AND MATRI | $576.00 | $576.00 | $350.36–$939.70 | — | — |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $2,765.00 | $2,765.00 | $1,704.00–$3,215.86 | at median | — |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE | $2,765.00 | $2,765.00 | $1,704.00–$3,215.86 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 XR-FOREIGN BODY REM SQ TISSUE | $516.50 | $516.50 | $74.00–$516.50 | at median | — |
| Removal of a foreign object under the skin, simple CPT 10120 HWC-I&REMOVE FOREIGN BDY SQ SI | $576.00 | $576.00 | $74.00–$576.00 | 12% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 XR-FOREIGN BODY REM SQ TISSUE | $516.50 | $516.50 | $74.00–$516.50 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HWC-I&REMOVE FOREIGN BDY SQ SI | $576.00 | $576.00 | $74.00–$576.00 | — | — |
| Short arm splint (forearm and hand) CPT 29125 PPT-AP, SHT ARM SPLI | $456.50 | $456.50 | $73.00–$356.07 | 165% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 PPT-AP, SHT ARM SPLI | $456.50 | $456.50 | $73.00–$356.07 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 XR-SIMPLE REPAIR SUPERFICIAL W | $329.50 | $329.50 | $74.00–$394.23 | 48% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 XR-SIMPLE REPAIR SUPERFICIAL W | $329.50 | $329.50 | $74.00–$394.23 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 RO-PUNCH BX SKIN SINGLE LESION | $315.00 | $315.00 | $126.00–$939.70 | 13% below | — |
| Skin biopsy, punch, one lesion CPT 11104 CT-PUNCH BIOPSY OF SKIN | $315.00 | $315.00 | $74.00–$939.70 | 13% below | — |
| Skin biopsy, punch, one lesion CPT 11104 HWC-PUNCH BX SINGLE | $1,026.00 | $1,026.00 | $74.00–$1,026.00 | 183% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $1,100.00 | $1,100.00 | $74.00–$939.70 | 204% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 CT-PUNCH BIOPSY OF SKIN | $315.00 | $315.00 | $74.00–$939.70 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 RO-PUNCH BX SKIN SINGLE LESION | $315.00 | $315.00 | $126.00–$939.70 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HWC-PUNCH BX SINGLE | $1,026.00 | $1,026.00 | $74.00–$1,026.00 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $1,100.00 | $1,100.00 | $74.00–$939.70 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $1,721.50 | $1,721.50 | $608.36–$1,804.04 | 155% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR | $1,721.50 | $1,721.50 | $608.36–$1,804.04 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HWC-TANGENTIAL BX SINGLE | $315.00 | $315.00 | $74.00–$939.70 | 2% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HWC-TANGENTIAL BX SINGLE | $315.00 | $315.00 | $74.00–$939.70 | — | — |
| Thoracentesis with imaging guidance CPT 32555 US-THORACENTESIS | $1,113.20 | $1,113.20 | $540.64–$2,009.09 | 10% above | — |
| Thoracentesis with imaging guidance CPT 32555 CT-THORACENTESIS | $2,345.00 | $2,345.00 | $540.64–$2,345.00 | 132% above | — |
| Thoracentesis with imaging guidance CPT 32555 XR-THORACENTESIS | $2,345.00 | $2,345.00 | $540.64–$2,345.00 | 132% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACENTESIS | $1,113.20 | $1,113.20 | $540.64–$2,009.09 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 XR-THORACENTESIS | $2,345.00 | $2,345.00 | $540.64–$2,345.00 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT-THORACENTESIS | $2,345.00 | $2,345.00 | $540.64–$2,345.00 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 MRC INJ TRIGGER PT 1-2 MUSC | $353.00 | $353.00 | $141.20–$507.28 | 11% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 XR-ANGIO-TRIG PT INJECT,1-2 MU | $411.00 | $411.00 | $264.55–$507.28 | 29% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $411.00 | $411.00 | $264.55–$507.28 | 29% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 MRC INJ TRIGGER PT 1-2 MUSC | $353.00 | $353.00 | $141.20–$507.28 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $411.00 | $411.00 | $264.55–$507.28 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 XR-ANGIO-TRIG PT INJECT,1-2 MU | $411.00 | $411.00 | $264.55–$507.28 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 RO-BX BREAST 1ST LESION US IMA | $2,430.00 | $2,430.00 | $172.00–$2,950.81 | at median | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US-GUIDED BREAST BX | $2,640.00 | $2,640.00 | $1,423.43–$2,950.81 | 9% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 RO-BX BREAST 1ST LESION US IMA | $2,430.00 | $2,430.00 | $172.00–$2,950.81 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US-GUIDED BREAST BX | $2,640.00 | $2,640.00 | $1,423.43–$2,950.81 | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $5,743.50 | $5,743.50 | $2,427.00–$5,743.50 | 19% above | — |
| Vein ablation, radiofrequency, first vein CPT 36475 VCHC-ENDOVENOUS RF ABLATION 1S | $11,195.03 | $11,195.03 | $2,427.00–$11,195.03 | 131% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN | $5,743.50 | $5,743.50 | $2,427.00–$5,743.50 | — | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 VCHC-ENDOVENOUS RF ABLATION 1S | $11,195.03 | $11,195.03 | $2,427.00–$11,195.03 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 RO-DEB SUBQ TISSUE 1ST 20 SQ C | $634.50 | $634.50 | $172.00–$792.87 | 10% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HWC-DEBRIDE,SQ 20CM OR LESS | $1,501.50 | $1,501.50 | $350.36–$1,501.50 | 161% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 RO-DEB SUBQ TISSUE 1ST 20 SQ C | $634.50 | $634.50 | $172.00–$792.87 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HWC-DEBRIDE,SQ 20CM OR LESS | $1,501.50 | $1,501.50 | $350.36–$1,501.50 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $678.50 | $678.50 | $169.63–$970.83 | 81% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPNT | $678.50 | $678.50 | $169.63–$970.83 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-MDI INITIAL EVAL/ DEMO | $47.30 | $47.30 | $18.92–$194.39 | 57% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-SPUTUM INDUCTION | $61.60 | $61.60 | $24.64–$194.39 | 44% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $88.00 | $88.00 | $35.20–$194.39 | 20% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-MDI INITIAL EVAL/ DEMO | $47.30 | $47.30 | $18.92–$194.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-SPUTUM INDUCTION | $61.60 | $61.60 | $24.64–$194.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $88.00 | $88.00 | $35.20–$194.39 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 OPSVC-CHEMO INFUS, 1ST HR, INI | $545.60 | $545.60 | $218.24–$638.99 | 22% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 NURS-CHEMO INFUS,1ST HR,INITIA | $615.00 | $615.00 | $243.00–$638.99 | 37% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 OPSVC-CHEMO INFUS, 1ST HR, INI | $545.60 | $545.60 | $218.24–$638.99 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 NURS-CHEMO INFUS,1ST HR,INITIA | $615.00 | $615.00 | $243.00–$638.99 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 PPTA-COMPREHENSIVE AUDIOMETRY | $505.50 | $505.50 | $73.00–$394.29 | 216% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 PPTA-COMPREHENSIVE AUDIOMETRY | $505.50 | $505.50 | $73.00–$394.29 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 ED-CRITICAL CARE | $658.90 | $658.90 | $263.56–$733.27 | 40% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 M-ER-CRITICAL CARE | $1,497.50 | $1,497.50 | $599.00–$1,423.83 | 37% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED-CRITICAL CARE | $658.90 | $658.90 | $263.56–$733.27 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 M-ER-CRITICAL CARE | $1,497.50 | $1,497.50 | $599.00–$1,423.83 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG-EEG AWAKE AND DROWSY | $1,101.10 | $1,101.10 | $186.09–$858.86 | 80% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG-EEG AWAKE AND DROWSY | $1,101.10 | $1,101.10 | $186.09–$858.86 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $202.50 | $202.50 | $50.63–$202.50 | 83% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NIC-ELECTROCARDIOGRAM | $211.20 | $211.20 | $50.84–$211.20 | 91% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING | $202.50 | $202.50 | $50.63–$202.50 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NIC-ELECTROCARDIOGRAM | $211.20 | $211.20 | $50.84–$211.20 | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 OR-ECT | $977.00 | $977.00 | $244.25–$1,029.31 | at median | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 OR-ECT | $977.00 | $977.00 | $244.25–$1,029.31 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-MINOR | $143.00 | $143.00 | $72.67–$143.00 | at median | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $203.00 | $203.00 | $72.67–$203.00 | 42% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED-MINOR | $143.00 | $143.00 | $72.67–$143.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $203.00 | $203.00 | $72.67–$203.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED-LIMITED | $143.00 | $143.00 | $111.54–$143.00 | 38% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $375.00 | $375.00 | $132.33–$375.00 | 64% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED-LIMITED | $143.00 | $143.00 | $111.54–$143.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT SF MDM | $375.00 | $375.00 | $132.33–$375.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED-MODERATE | $214.50 | $214.50 | $167.31–$242.32 | 39% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $660.00 | $660.00 | $235.27–$660.00 | 88% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED-MODERATE | $214.50 | $214.50 | $167.31–$242.32 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $660.00 | $660.00 | $235.27–$660.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,029.00 | $1,029.00 | $359.62–$1,029.00 | 84% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,029.00 | $1,029.00 | $359.62–$1,029.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $1,479.00 | $1,479.00 | $513.26–$1,479.00 | 83% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT HI MDM | $1,479.00 | $1,479.00 | $513.26–$1,479.00 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NC-REGULAR STRESS TEST | $608.30 | $608.30 | $152.08–$608.30 | at median | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY | $986.00 | $986.00 | $186.09–$769.08 | 62% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NC-REGULAR STRESS TEST | $608.30 | $608.30 | $152.08–$608.30 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST TRACING ONLY | $986.00 | $986.00 | $186.09–$769.08 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 PSY-FAMILY THERAPY | $234.00 | $234.00 | $48.00–$318.23 | 35% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PSY-FAMILY THERAPY | $234.00 | $234.00 | $48.00–$318.23 | — | — |
| Group psychotherapy session CPT 90853 PSY-SKILLS GROUP THERAPY | $128.50 | $128.50 | $32.13–$451.45 | at median | — |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $128.50 | $128.50 | $32.13–$451.45 | at median | — |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $128.50 | $128.50 | $32.13–$451.45 | — | — |
| Group psychotherapy session inpatient CPT 90853 PSY-SKILLS GROUP THERAPY | $128.50 | $128.50 | $32.13–$451.45 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-HYDRAT INFUS 1ST HR, INIT | $397.10 | $397.10 | $99.28–$638.99 | 71% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $397.10 | $397.10 | $99.28–$638.99 | 71% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED-HYDRAT INFUS 1ST HR, INIT | $397.10 | $397.10 | $99.28–$638.99 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT | $397.10 | $397.10 | $99.28–$638.99 | — | — |
| IV infusion of a medicine, first hour CPT 96365 ED-THERAP INFUS,1ST HR,INIT | $397.10 | $397.10 | $99.28–$638.99 | 41% above | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $400.00 | $400.00 | $100.00–$638.99 | 42% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV THER, INIT UP TO 1 HR | $580.00 | $580.00 | $145.00–$638.99 | 106% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 ED-THERAP INFUS,1ST HR,INIT | $397.10 | $397.10 | $99.28–$638.99 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT | $400.00 | $400.00 | $100.00–$638.99 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THER, INIT UP TO 1 HR | $580.00 | $580.00 | $145.00–$638.99 | — | — |
| IV push of a medicine, first drug CPT 96374 XR-INJECTION, IV, INITIAL | $130.90 | $130.90 | $32.73–$188.82 | 9% below | — |
| IV push of a medicine, first drug CPT 96374 ED-INJECTION, IV, INITIAL | $174.90 | $174.90 | $43.73–$188.82 | 21% above | — |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $375.00 | $375.00 | $93.14–$366.64 | 160% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 XR-INJECTION, IV, INITIAL | $130.90 | $130.90 | $32.73–$188.82 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 ED-INJECTION, IV, INITIAL | $174.90 | $174.90 | $43.73–$188.82 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $375.00 | $375.00 | $93.14–$366.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED-INJECTION,SC/IM | $86.90 | $86.90 | $21.73–$93.14 | 33% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $147.50 | $147.50 | $36.88–$146.00 | 125% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC OR DX INJ SQ OR IM | $196.00 | $196.00 | $49.00–$196.00 | 199% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED-INJECTION,SC/IM | $86.90 | $86.90 | $21.73–$93.14 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM | $147.50 | $147.50 | $36.88–$146.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC OR DX INJ SQ OR IM | $196.00 | $196.00 | $49.00–$196.00 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 EEG-NERVE CONDUCTION STUDY;7-8 | $1,446.00 | $1,446.00 | $243.00–$1,127.88 | 29% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 EEG-NERVE CONDUCTION STUDY;7-8 | $1,446.00 | $1,446.00 | $243.00–$1,127.88 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $126.00 | $126.00 | $30.63–$126.00 | 43% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PTM-NEUROMUSCULAR ED,EA 15MIN | $151.50 | $151.50 | $30.63–$150.00 | 72% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PTM-NEUROMUSCULAR ED,EA 15 MIN | $151.50 | $151.50 | $30.63–$150.00 | 72% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION | $126.00 | $126.00 | $30.63–$126.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTM-NEUROMUSCULAR ED,EA 15 MIN | $151.50 | $151.50 | $30.63–$150.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTM-NEUROMUSCULAR ED,EA 15MIN | $151.50 | $151.50 | $30.63–$150.00 | — | — |
| New patient office visit, about 30 minutes CPT 99203 MRC O/P NEW LEVEL 3 | $223.00 | $223.00 | $89.20–$172.00 | 16% above | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $250.00 | $250.00 | $100.00–$172.00 | 30% above | — |
| New patient office visit, about 30 minutes CPT 99203 HWC-CLINIC VISIT LEVEL 3, NEW | $330.35 | $330.35 | $132.14–$172.00 | 72% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 MRC O/P NEW LEVEL 3 | $223.00 | $223.00 | $89.20–$172.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30 MIN | $250.00 | $250.00 | $100.00–$172.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HWC-CLINIC VISIT LEVEL 3, NEW | $330.35 | $330.35 | $132.14–$172.00 | — | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $297.00 | $297.00 | $118.80–$172.00 | 17% above | — |
| New patient office visit, about 45 minutes CPT 99204 MRC O/P NEW LEVEL 4 | $363.00 | $363.00 | $145.20–$172.00 | 43% above | — |
| New patient office visit, about 45 minutes CPT 99204 HWC-CLINIC VISIT LEVEL 4, NEW | $453.34 | $453.34 | $172.00–$204.00 | 78% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN | $297.00 | $297.00 | $118.80–$172.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 MRC O/P NEW LEVEL 4 | $363.00 | $363.00 | $145.20–$172.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HWC-CLINIC VISIT LEVEL 4, NEW | $453.34 | $453.34 | $172.00–$204.00 | — | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $376.00 | $376.00 | $150.40–$172.00 | 8% above | — |
| New patient office visit, about 60 minutes CPT 99205 MRC O/P NEW LEVEL 5 | $493.00 | $493.00 | $172.00–$221.85 | 42% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN | $376.00 | $376.00 | $150.40–$172.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 MRC O/P NEW LEVEL 5 | $493.00 | $493.00 | $172.00–$221.85 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $192.50 | $192.50 | $77.00–$172.00 | 50% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HWC-CLINIC VISIT LEVEL 2, NEW | $250.67 | $250.67 | $100.27–$172.00 | 96% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN | $192.50 | $192.50 | $77.00–$172.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HWC-CLINIC VISIT LEVEL 2, NEW | $250.67 | $250.67 | $100.27–$172.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $63.00 | $63.00 | $15.75–$414.52 | 22% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 SJ-MED NUTRITION THERAPY INITI | $88.26 | $88.26 | $22.07–$414.52 | 70% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION INDIV IN | $63.00 | $63.00 | $15.75–$414.52 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 SJ-MED NUTRITION THERAPY INITI | $88.26 | $88.26 | $22.07–$414.52 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $278.00 | $278.00 | $73.00–$389.44 | 25% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 PPT-EVAL PLAN LOW COMPLEX(OT) | $347.63 | $347.63 | $73.00–$389.44 | 56% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $278.00 | $278.00 | $73.00–$389.44 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 PPT-EVAL PLAN LOW COMPLEX(OT) | $347.63 | $347.63 | $73.00–$389.44 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $556.50 | $556.50 | $73.00–$504.76 | 177% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PPT-EVAL PLAN,HIGH COMPLEXITY | $579.38 | $579.38 | $73.00–$504.76 | 189% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $556.50 | $556.50 | $73.00–$504.76 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PPT-EVAL PLAN,HIGH COMPLEXITY | $579.38 | $579.38 | $73.00–$504.76 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $278.00 | $278.00 | $73.00–$504.76 | 58% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PPT-EVAL PLAN, LOW COMPLEXITY | $347.63 | $347.63 | $73.00–$504.76 | 98% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $278.00 | $278.00 | $73.00–$504.76 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PPT-EVAL PLAN, LOW COMPLEXITY | $347.63 | $347.63 | $73.00–$504.76 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $417.00 | $417.00 | $73.00–$504.76 | 95% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PPT-EVAL PLAN,MODERATE COMPLEX | $463.50 | $463.50 | $73.00–$504.76 | 116% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $417.00 | $417.00 | $73.00–$504.76 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PPT-EVAL PLAN,MODERATE COMPLEX | $463.50 | $463.50 | $73.00–$504.76 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PPT-MANUAL THERAPY/MOB/MLD/TRA | $121.50 | $121.50 | $25.95–$121.50 | 8% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTM-MAN THER/MOB/MLD/TR, EA 15 | $146.00 | $146.00 | $25.95–$146.00 | 30% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PPT-MANUAL THERAPY/MOB/MLD/TRA | $121.50 | $121.50 | $25.95–$121.50 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTM-MAN THER/MOB/MLD/TR, EA 15 | $146.00 | $146.00 | $25.95–$146.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $114.50 | $114.50 | $27.20–$114.50 | 84% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PPT-THERAPEUTIC EXER (15 MIN) | $114.50 | $114.50 | $27.20–$114.50 | 84% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PPT-THERA EX W/BIOFEEDBACK(15M | $114.50 | $114.50 | $27.20–$114.50 | 84% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PPT-THERAPEUTIC EXER (15 MIN) | $114.50 | $114.50 | $27.20–$114.50 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PPT-THERA EX W/BIOFEEDBACK(15M | $114.50 | $114.50 | $27.20–$114.50 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES | $114.50 | $114.50 | $27.20–$114.50 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 PSY-INDIVIDUAL THERAPY 30 MINS | $218.00 | $218.00 | $54.50–$255.59 | 102% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSY-INDIVIDUAL THERAPY 30 MINS | $218.00 | $218.00 | $54.50–$255.59 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 PSY-INDIVIDUAL THERAPY 45 MINS | $327.00 | $327.00 | $81.75–$308.28 | 118% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSY-INDIVIDUAL THERAPY 45 MINS | $327.00 | $327.00 | $81.75–$308.28 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 PSY-INDIVIDUAL THERAPY 60 MINS | $436.00 | $436.00 | $109.00–$340.08 | 126% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSY-INDIVIDUAL THERAPY 60 MINS | $436.00 | $436.00 | $109.00–$340.08 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CESSATION 3-5 MINS | $49.00 | $49.00 | $12.25–$50.79 | 36% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 CCD-SMOK/TOBACCO COUNSEL 3-10M | $177.00 | $177.00 | $32.29–$177.00 | 390% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE CESSATION 3-5 MINS | $49.00 | $49.00 | $12.25–$50.79 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 CCD-SMOK/TOBACCO COUNSEL 3-10M | $177.00 | $177.00 | $32.29–$177.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $376.00 | $376.00 | $150.40–$172.00 | 74% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 MRC O/P ESTABLISHED LEVEL 5 | $392.00 | $392.00 | $156.80–$176.40 | 82% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40 MIN | $376.00 | $376.00 | $150.40–$172.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MRC O/P ESTABLISHED LEVEL 5 | $392.00 | $392.00 | $156.80–$176.40 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 MRC O/P ESTABLISHED LEVEL 3 | $180.00 | $180.00 | $72.00–$172.00 | 23% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $250.00 | $250.00 | $100.00–$172.00 | 71% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HWC-CLINIC VISIT LEVEL 3, EST | $300.00 | $300.00 | $120.00–$172.00 | 105% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 MRC O/P ESTABLISHED LEVEL 3 | $180.00 | $180.00 | $72.00–$172.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20 MIN | $250.00 | $250.00 | $100.00–$172.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HWC-CLINIC VISIT LEVEL 3, EST | $300.00 | $300.00 | $120.00–$172.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MRC O/P ESTABLISHED LEVEL 4 | $265.00 | $265.00 | $106.00–$172.00 | 38% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $297.00 | $297.00 | $118.80–$172.00 | 55% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HWC-CLINIC VISIT LEVEL 4, EST | $331.00 | $331.00 | $132.40–$172.00 | 72% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PC-CLINIC VISIT LEVEL 4, ESTAB | $356.50 | $356.50 | $142.60–$172.00 | 86% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MRC O/P ESTABLISHED LEVEL 4 | $265.00 | $265.00 | $106.00–$172.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30 MIN | $297.00 | $297.00 | $118.80–$172.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HWC-CLINIC VISIT LEVEL 4, EST | $331.00 | $331.00 | $132.40–$172.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PC-CLINIC VISIT LEVEL 4, ESTAB | $356.50 | $356.50 | $142.60–$172.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MRC O/P ESTABLISHED LEVEL 2 | $97.00 | $97.00 | $38.80–$97.00 | at median | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $192.50 | $192.50 | $77.00–$172.00 | 98% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PC-CLINIC VISIT LEVEL 2, ESTAB | $231.00 | $231.00 | $92.40–$172.00 | 138% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MED ONC LEVEL II ESTABLISHED | $285.00 | $285.00 | $114.00–$222.30 | 194% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HWC-CLINIC VISIT LEVEL 2, EST | $285.00 | $285.00 | $114.00–$172.00 | 194% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MRC O/P ESTABLISHED LEVEL 2 | $97.00 | $97.00 | $38.80–$97.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN | $192.50 | $192.50 | $77.00–$172.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PC-CLINIC VISIT LEVEL 2, ESTAB | $231.00 | $231.00 | $92.40–$172.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MED ONC LEVEL II ESTABLISHED | $285.00 | $285.00 | $114.00–$222.30 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HWC-CLINIC VISIT LEVEL 2, EST | $285.00 | $285.00 | $114.00–$172.00 | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OPSVC-OFF/OP CNSLT NEW/EST LOW | $355.00 | $355.00 | $142.00–$172.00 | 177% above | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OPSVC-OFF/OP CNSLT NEW/EST LOW | $355.00 | $355.00 | $142.00–$172.00 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OPSVC-OFF/OP CNSLT NEW/EST MOD | $355.00 | $355.00 | $142.00–$172.00 | 121% above | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OPSVC-OFF/OP CNSLT NEW/EST MOD | $355.00 | $355.00 | $142.00–$172.00 | — | — |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $443.00 | $443.00 | $73.00–$487.24 | at median | — |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN | $443.00 | $443.00 | $73.00–$487.24 | — | — |
| Speech therapy session, individual CPT 92507 ST-SPEECH THERAPY (UTC15) | $108.50 | $108.50 | $43.40–$487.24 | at median | — |
| Speech therapy session, individual CPT 92507 ST-SPEECH THERAPY (UTC/30) | $244.50 | $244.50 | $71.96–$487.24 | 125% above | — |
| Speech therapy session, individual CPT 92507 ST-SPEECH THERAPY (UTC/60) | $414.00 | $414.00 | $71.96–$487.24 | 282% above | — |
| Speech therapy session, individual inpatient CPT 92507 ST-SPEECH THERAPY (UTC15) | $108.50 | $108.50 | $43.40–$487.24 | — | — |
| Speech therapy session, individual inpatient CPT 92507 ST-SPEECH THERAPY (UTC/30) | $244.50 | $244.50 | $71.96–$487.24 | — | — |
| Speech therapy session, individual inpatient CPT 92507 ST-SPEECH THERAPY (UTC/60) | $414.00 | $414.00 | $71.96–$487.24 | — | — |
| Spirometry (breathing test) CPT 94010 RT-BASIC SPIRO W/O DILATOR | $245.30 | $245.30 | $61.33–$245.30 | 42% above | — |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $493.50 | $493.50 | $109.77–$384.93 | 186% above | — |
| Spirometry (breathing test) inpatient CPT 94010 RT-BASIC SPIRO W/O DILATOR | $245.30 | $245.30 | $61.33–$245.30 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST | $493.50 | $493.50 | $109.77–$384.93 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 RT-BASIC SPIRO W/DILATORS | $469.70 | $469.70 | $117.43–$469.70 | 49% above | — |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $852.50 | $852.50 | $213.13–$664.95 | 171% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RT-BASIC SPIRO W/DILATORS | $469.70 | $469.70 | $117.43–$469.70 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING | $852.50 | $852.50 | $213.13–$664.95 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PPT-THERAP ACTIVITIES 15 MINS | $119.00 | $119.00 | $32.42–$119.00 | 94% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $143.50 | $143.50 | $32.42–$143.50 | 134% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTM-THERAP ACTIVITIES, 15 MIN | $295.00 | $295.00 | $32.42–$230.10 | 382% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PPT-THERAP ACTIVITIES 15 MINS | $119.00 | $119.00 | $32.42–$119.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES | $143.50 | $143.50 | $32.42–$143.50 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTM-THERAP ACTIVITIES, 15 MIN | $295.00 | $295.00 | $32.42–$230.10 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $124.30 | $124.30 | $31.08–$124.30 | 12% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $332.50 | $332.50 | $83.13–$259.35 | 198% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $124.30 | $124.30 | $31.08–$124.30 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $332.50 | $332.50 | $83.13–$259.35 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACCINE 2024-2025 | $842.70 | $842.70 | $57.09–$657.31 | at median | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY 2023-24 12Y+ VACCINE | $845.30 | $845.30 | $57.09–$659.33 | at median | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACCINE 2024-2025 | $842.70 | $842.70 | $57.09–$657.31 | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COMIRNATY 2023-24 12Y+ VACCINE | $845.30 | $845.30 | $57.09–$659.33 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE | $687.38 | $687.38 | $158.10–$536.16 | 40% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE | $687.38 | $687.38 | $158.10–$536.16 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 TRIPLE ANTIGEN INJ 0.5ML | $154.88 | $154.88 | $35.62–$120.81 | 40% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 TRIPLE ANTIGEN INJ 0.5ML | $154.88 | $154.88 | $35.62–$120.81 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX 0.5ML SD VIAL | $373.09 | $373.09 | $57.09–$291.01 | 13% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PEDIARIX 0.5ML SD VIAL | $373.09 | $373.09 | $57.09–$291.01 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX VACCINE 0.5 ML 2024-25 | $114.55 | $114.55 | $26.35–$89.35 | 109% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX VACCINE 0.5 ML 2024-25 | $114.55 | $114.55 | $26.35–$89.35 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 VACCINE, 0.5 ML | $1,610.26 | $1,610.26 | $231.40–$1,256.00 | 25% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 VACCINE, 0.5 ML | $1,610.26 | $1,610.26 | $231.40–$1,256.00 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1ML SYR | $377.12 | $377.12 | $57.09–$294.15 | 76% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITS A (VAQTA) 50U/0.5ML | $395.40 | $395.40 | $57.09–$308.41 | 85% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1ML SYR | $377.12 | $377.12 | $57.09–$294.15 | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITS A (VAQTA) 50U/0.5ML | $395.40 | $395.40 | $57.09–$308.41 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITS A (VAQTA) 25U/0.5ML | $176.17 | $176.17 | $40.52–$137.41 | 47% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX PED .5ML VIAL | $221.80 | $221.80 | $51.01–$173.00 | 85% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITS A (VAQTA) 25U/0.5ML | $176.17 | $176.17 | $40.52–$137.41 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX PED .5ML VIAL | $221.80 | $221.80 | $51.01–$173.00 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20MCG/1ML SYR(ADULT) | $220.37 | $220.37 | $50.69–$171.89 | 46% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20MCG/1ML SYR(ADULT) | $220.37 | $220.37 | $50.69–$171.89 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX HB 5 MCG/0.5 ML SYR | $95.16 | $95.16 | $21.89–$74.22 | 26% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 RECOMBIVAX HB 5 MCG/0.5 ML SYR | $95.16 | $95.16 | $21.89–$74.22 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACINE | $329.51 | $329.51 | $57.09–$257.02 | 107% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACINE | $329.51 | $329.51 | $57.09–$257.02 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA 4MCG/0.5ML VACCINE VI | $651.83 | $651.83 | $149.92–$508.43 | 93% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO 0.5ML VACCINE KIT | $701.76 | $701.76 | $161.40–$547.37 | 108% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA 4MCG/0.5ML VACCINE VI | $651.83 | $651.83 | $149.92–$508.43 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO 0.5ML VACCINE KIT | $701.76 | $701.76 | $161.40–$547.37 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 0.5 ML SYRINGE | $1,133.73 | $1,133.73 | $231.40–$884.31 | 70% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO 0.5 ML SYRINGE | $1,133.73 | $1,133.73 | $231.40–$884.31 | — | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 TRUMENBA 0.5 ML SYRINGE | $859.13 | $859.13 | $197.60–$670.12 | 23% above | — |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 TRUMENBA 0.5 ML SYRINGE | $859.13 | $859.13 | $197.60–$670.12 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMO CONJ VACCINE, 13 VALENT | $1,051.74 | $1,051.74 | $231.40–$820.36 | 111% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMO CONJ VACCINE, 13 VALENT | $1,051.74 | $1,051.74 | $231.40–$820.36 | — | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 VAXNEUVANCE VACCINE | $916.93 | $916.93 | $210.89–$715.21 | 35% above | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 VAXNEUVANCE VACCINE | $916.93 | $916.93 | $210.89–$715.21 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 VACCINE | $1,056.56 | $1,056.56 | $231.40–$824.12 | 30% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 VACCINE | $1,056.56 | $1,056.56 | $231.40–$824.12 | — | — |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ | $1,151.81 | $1,151.81 | $231.40–$898.41 | 195% above | — |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ | $1,151.81 | $1,151.81 | $231.40–$898.41 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX | $520.95 | $520.95 | $57.09–$406.34 | 170% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX | $520.95 | $520.95 | $57.09–$406.34 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIO VACCINE INJ SYRINGE | $185.68 | $185.68 | $46.42–$144.83 | 37% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO VACCINE INJ SYRINGE | $185.68 | $185.68 | $46.42–$144.83 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS 100 MCG/ML SYR | $3,619.54 | $3,619.54 | $832.49–$2,823.24 | at median | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 BEYFORTUS 100 MCG/ML SYR | $3,619.54 | $3,619.54 | $832.49–$2,823.24 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 50 MCG/0.5 ML SYR | $3,619.54 | $3,619.54 | $832.49–$2,823.24 | at median | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS 50 MCG/0.5 ML SYR | $3,619.54 | $3,619.54 | $832.49–$2,823.24 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO 120MCG IM INJ 0.5ML | $1,811.56 | $1,811.56 | $57.09–$1,413.02 | at median | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ABRYSVO 120MCG IM INJ 0.5ML | $1,811.56 | $1,811.56 | $57.09–$1,413.02 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACC RECOMB ADJ 0.5ML V | $962.18 | $962.18 | $221.30–$750.50 | 49% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACC RECOMB ADJ 0.5ML V | $962.18 | $962.18 | $221.30–$750.50 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET.TOX./DIPTH 0.5ML | $17.18 | $17.18 | $3.95–$57.09 | 69% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET.TOX./DIPTH 0.5ML | $17.18 | $17.18 | $3.95–$57.09 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET/DIPH/ACEL PERTUS>7 0.5ML | $294.12 | $294.12 | $57.09–$229.41 | 122% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET/DIPH/ACEL PERTUS>7 0.5ML | $294.12 | $294.12 | $57.09–$229.41 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $98.00 | $98.00 | $24.50–$98.00 | 64% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN | $98.00 | $98.00 | $24.50–$98.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $107.00 | $107.00 | $26.75–$83.46 | 116% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJECT, VACCINE ADMIN EA ADD | $127.00 | $127.00 | $31.75–$99.06 | 156% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD | $107.00 | $107.00 | $26.75–$83.46 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INJECT, VACCINE ADMIN EA ADD | $127.00 | $127.00 | $31.75–$99.06 | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://mmcenters.com/83-1651180_Marshall-Medical-Center-South_standardcharges.csv