CHI Saint Joseph Flaget Memorial Hospital
Listed in its price file as “Flaget Healthcare, INC”.
CHI Saint Joseph Flaget Memorial Hospital in Bardstown, KY publishes cash prices for 293 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 169 of 293 procedures and above it for 119. By typical cash price it ranks #27 of 59 Kentucky hospitals and #7 of 12 hospitals in the Louisville, KY area, cheapest first. Click a procedure to compare it with other hospitals nearby.
4305 NEW SHEPHERDSVILLE RD, Bardstown, KY 40004 Collected Sep 27, 2026 Source price file (502) 350-5000
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 180025 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE MIN 3 VIEWS | $383.13 | $903.00 | $65.18–$821.73 | 9% above | 58% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE MIN 3 VIEWS | $383.13 | $903.00 | $659.19–$821.73 | — | 58% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ARTERIAL(ABI W DOPPLER)ONLY | $511.26 | $1,205.00 | $123.43–$1,096.55 | 1% below | 58% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ARTERIAL(ABI W DOPPLER)ONLY | $511.26 | $1,205.00 | $879.65–$1,096.55 | — | 58% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS SINGLE CONTRAST | $451.86 | $1,065.00 | $170.47–$969.15 | 7% above | 58% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS SINGLE CONTRAST | $451.86 | $1,065.00 | $777.45–$969.15 | — | 58% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE &/OR JNT IMG WHOLE BDY | $2,159.60 | $5,090.00 | $384.78–$4,631.90 | 34% above | 58% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE &/OR JNT IMG WHOLE BDY | $2,159.60 | $5,090.00 | $3,715.70–$4,631.90 | — | 58% |
| Breast ultrasound, complete, one breast CPT 76641 HC U/S BREAST UNI | $455.26 | $1,073.00 | $101.83–$976.43 | 17% above | 58% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST BIL COMPLETE | $568.97 | $1,341.00 | $101.83–$1,220.31 | 46% above | 58% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC U/S BREAST UNI | $455.26 | $1,073.00 | $783.29–$976.43 | — | 58% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST BIL COMPLETE | $568.97 | $1,341.00 | $978.93–$1,220.31 | — | 58% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC U/S BREAST LMTD | $455.26 | $1,073.00 | $84.31–$976.43 | 39% above | 58% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC U/S BREAST LMTD | $455.26 | $1,073.00 | $783.29–$976.43 | — | 58% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST | $734.86 | $1,732.00 | $170.47–$1,923.00 | 51% below | 58% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST | $734.86 | $1,732.00 | $1,264.36–$1,576.12 | — | 58% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD&PEL WO CONTRAST | $1,638.15 | $3,861.00 | $231.47–$3,513.51 | 21% below | 58% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD&PEL WO CONTRAST | $1,638.15 | $3,861.00 | $2,818.53–$3,513.51 | — | 58% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD&PEL W CONTRAST | $1,780.71 | $4,197.00 | $341.98–$3,819.27 | 28% below | 58% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD&PEL W CONTRAST | $1,780.71 | $4,197.00 | $3,063.81–$3,819.27 | — | 58% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD&PEL WOW CONTRAST | $2,332.70 | $5,498.00 | $341.98–$5,003.18 | 15% below | 58% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD&PEL WOW CONTRAST | $2,332.70 | $5,498.00 | $4,013.54–$5,003.18 | — | 58% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST | $831.60 | $1,960.00 | $170.47–$1,923.00 | 36% below | 58% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST | $831.60 | $1,960.00 | $1,430.80–$1,783.60 | — | 58% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST | $840.08 | $1,980.00 | $101.83–$1,923.00 | 31% below | 58% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST | $840.08 | $1,980.00 | $1,445.40–$1,801.80 | — | 58% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTR | $1,266.48 | $2,985.00 | $101.83–$2,716.35 | 10% above | 58% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTR | $1,266.48 | $2,985.00 | $2,179.05–$2,716.35 | — | 58% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN | $967.37 | $2,280.00 | $101.83–$2,074.80 | 16% below | 58% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN | $967.37 | $2,280.00 | $1,664.40–$2,074.80 | — | 58% |
| CT scan of the head with contrast CPT 70460 HC CT BRAIN CONTRAST | $725.53 | $1,710.00 | $170.47–$1,923.00 | 45% below | 58% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT BRAIN CONTRAST | $725.53 | $1,710.00 | $1,248.30–$1,556.10 | — | 58% |
| CT scan of the head without and with contrast CPT 70470 HC CT BRAIN WOW CONTRAST | $1,267.33 | $2,987.00 | $170.47–$2,718.17 | 15% below | 58% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT BRAIN WOW CONTRAST | $1,267.33 | $2,987.00 | $2,180.51–$2,718.17 | — | 58% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR WO CONTR | $1,280.06 | $3,017.00 | $101.83–$2,745.47 | 8% below | 58% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR WO CONTR | $1,280.06 | $3,017.00 | $2,202.41–$2,745.47 | — | 58% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL WO CONTR | $1,269.03 | $2,991.00 | $101.83–$2,721.81 | 7% below | 58% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL WO CONTR | $1,269.03 | $2,991.00 | $2,183.43–$2,721.81 | — | 58% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $972.88 | $2,293.00 | $170.47–$2,086.63 | 29% below | 58% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $972.88 | $2,293.00 | $1,673.89–$2,086.63 | — | 58% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC CAROTID DOPPLER BIL | $931.73 | $2,196.00 | $231.47–$1,998.36 | 8% below | 58% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC CAROTID DOPPLER BIL | $931.73 | $2,196.00 | $1,603.08–$1,998.36 | — | 58% |
| Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS | $303.79 | $716.00 | $67.12–$651.56 | 20% above | 58% |
| Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS | $303.79 | $716.00 | $522.68–$651.56 | — | 58% |
| Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW | $246.94 | $582.00 | $49.87–$529.62 | 32% above | 58% |
| Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW | $246.94 | $582.00 | $424.86–$529.62 | — | 58% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC U/S RETROPERITONEAL COMP | $1,193.08 | $2,812.00 | $101.83–$2,558.92 | 69% above | 58% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC U/S RETROPERITONEAL COMP | $1,193.08 | $2,812.00 | $2,052.76–$2,558.92 | — | 58% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR BONE DENSITY STUDY | $316.52 | $746.00 | $88.62–$678.86 | 6% below | 58% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA W/O LVA (STANDARD) | $471.81 | $1,112.00 | $88.62–$1,011.92 | 40% above | 58% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR BONE DENSITY STUDY | $316.52 | $746.00 | $544.58–$678.86 | — | 58% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA W/O LVA (STANDARD) | $471.81 | $1,112.00 | $811.76–$1,011.92 | — | 58% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA PERIPHERAL WRIST | $459.08 | $1,082.00 | $48.87–$984.62 | 76% above | 58% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA PERIPHERAL WRIST | $459.08 | $1,082.00 | $789.86–$984.62 | — | 58% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST | $961.00 | $2,265.00 | $101.83–$2,061.15 | 11% below | 58% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST | $961.00 | $2,265.00 | $1,653.45–$2,061.15 | — | 58% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST | $961.00 | $2,265.00 | $170.47–$2,061.15 | 28% below | 58% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST | $961.00 | $2,265.00 | $1,653.45–$2,061.15 | — | 58% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL & CAD | $190.51 | $449.00 | $79.21–$408.59 | 37% below | 58% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL & CAD | $190.51 | $449.00 | $327.77–$408.59 | — | 58% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI & CAD | $159.96 | $377.00 | $66.51–$343.07 | 31% below | 58% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI & CAD | $159.96 | $377.00 | $275.21–$343.07 | — | 58% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC VENOUS DOPPLER EXT BIL | $840.93 | $1,982.00 | $231.47–$1,803.62 | 13% below | 58% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VENOUS DOPPLER EXT BIL | $840.93 | $1,982.00 | $1,446.86–$1,803.62 | — | 58% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2D ECHO W/DOPPLER COMP | $877.42 | $2,068.00 | $364.80–$1,881.88 | 49% below | 58% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2D ECHO W/DOPPLER COMP | $877.42 | $2,068.00 | $1,509.64–$1,881.88 | — | 58% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY IMG | $1,292.79 | $3,047.00 | $384.78–$2,772.77 | 9% above | 58% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY IMG | $1,292.79 | $3,047.00 | $2,224.31–$2,772.77 | — | 58% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP TESTING | $308.03 | $726.00 | $128.07–$683.00 | 29% below | 58% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC HOME SLEEP TESTING | $308.03 | $726.00 | $529.98–$660.66 | — | 58% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W/CPAP | $2,730.25 | $6,435.00 | $974.23–$5,855.85 | 20% below | 58% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W/CPAP | $2,730.25 | $6,435.00 | $4,697.55–$5,855.85 | — | 58% |
| Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS | $324.16 | $764.00 | $75.36–$695.24 | 8% below | 58% |
| Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS | $324.16 | $764.00 | $557.72–$695.24 | — | 58% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC U/S ABDOMINAL LTD | $656.79 | $1,548.00 | $101.83–$1,408.68 | 11% above | 58% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC U/S ABDOMINAL LTD | $656.79 | $1,548.00 | $1,130.04–$1,408.68 | — | 58% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING ANNUAL FOLLOWUP | $961.00 | $2,265.00 | $101.83–$2,061.15 | 78% above | 58% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREENING ANNUAL FOLLOWUP | $961.00 | $2,265.00 | $1,653.45–$2,061.15 | — | 58% |
| MRI of both breasts, without and then with contrast dye CPT 77049 HC MRI BREAST BIL WOW CON W/CAD | $370.83 | $874.00 | $154.18–$2,567.00 | 26% below | 58% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HC MRI BREAST BIL WOW CON W/CAD | $370.83 | $874.00 | $638.02–$795.34 | — | 58% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR LOWER EXTREM JNT WO CONT | $1,461.65 | $3,445.00 | $231.47–$3,134.95 | 9% below | 58% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR LOWER EXTREM JNT WO CONT | $1,461.65 | $3,445.00 | $2,514.85–$3,134.95 | — | 58% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR LOWER EXTREM JNT WOW CON | $2,090.01 | $4,926.00 | $341.98–$4,482.66 | 9% below | 58% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR LOWER EXTREM JNT WOW CON | $2,090.01 | $4,926.00 | $3,595.98–$4,482.66 | — | 58% |
| MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN | $1,566.87 | $3,693.00 | $231.47–$3,360.63 | 5% below | 58% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABDOMEN | $1,566.87 | $3,693.00 | $2,695.89–$3,360.63 | — | 58% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABD WOW CONTRAST | $2,089.16 | $4,924.00 | $341.98–$4,480.84 | 8% below | 58% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABD WOW CONTRAST | $2,089.16 | $4,924.00 | $3,594.52–$4,480.84 | — | 58% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN W/O CONTRAST | $1,557.54 | $3,671.00 | $231.47–$3,340.61 | 5% below | 58% |
| MRI of the brain, no contrast dye CPT 70551 HC MRIG LIMITED BRAIN | $1,686.95 | $3,976.00 | $231.47–$3,618.16 | 3% above | 58% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN W/O CONTRAST | $1,557.54 | $3,671.00 | $2,679.83–$3,340.61 | — | 58% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRIG LIMITED BRAIN | $1,686.95 | $3,976.00 | $2,902.48–$3,618.16 | — | 58% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN WOW CONTRAST | $2,162.99 | $5,098.00 | $341.98–$4,639.18 | at median | 58% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN WOW CONTRAST | $2,162.99 | $5,098.00 | $3,721.54–$4,639.18 | — | 58% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRIG LIMITED LUMBAR | $1,333.52 | $3,143.00 | $231.47–$2,860.13 | 18% below | 58% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR | $1,339.88 | $3,158.00 | $231.47–$2,873.78 | 17% below | 58% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRIG LIMITED LUMBAR | $1,333.52 | $3,143.00 | $2,294.39–$2,860.13 | — | 58% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR | $1,339.88 | $3,158.00 | $2,305.34–$2,873.78 | — | 58% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MR SPINE LUMBAR WOW CONTR | $1,902.48 | $4,484.00 | $341.98–$4,080.44 | 16% below | 58% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR SPINE LUMBAR WOW CONTR | $1,902.48 | $4,484.00 | $3,273.32–$4,080.44 | — | 58% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SPINE THORACIC | $1,263.09 | $2,977.00 | $231.47–$2,709.07 | 28% below | 58% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR SPINE THORACIC | $1,263.09 | $2,977.00 | $2,173.21–$2,709.07 | — | 58% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SPINE CERVL WOW CONTR | $2,090.01 | $4,926.00 | $341.98–$4,482.66 | 8% below | 58% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR SPINE CERVL WOW CONTR | $2,090.01 | $4,926.00 | $3,595.98–$4,482.66 | — | 58% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICAL | $1,461.65 | $3,445.00 | $231.47–$3,134.95 | 8% below | 58% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SPINE CERVICAL | $1,461.65 | $3,445.00 | $2,514.85–$3,134.95 | — | 58% |
| MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS WOW CONTRAST | $1,804.05 | $4,252.00 | $341.98–$3,869.32 | 19% below | 58% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS WOW CONTRAST | $1,804.05 | $4,252.00 | $3,103.96–$3,869.32 | — | 58% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS | $1,262.67 | $2,976.00 | $231.47–$2,708.16 | 26% below | 58% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS | $1,262.67 | $2,976.00 | $2,172.48–$2,708.16 | — | 58% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR UPPER EXTREM JNT WO CONT | $1,262.24 | $2,975.00 | $231.47–$2,707.25 | 21% below | 58% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR UPPER EXTREM JNT WO CONT | $1,262.24 | $2,975.00 | $2,171.75–$2,707.25 | — | 58% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARD IMG MULT SPEC | $3,766.77 | $8,878.00 | $1,175.97–$8,078.98 | 3% above | 58% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARD IMG MULT SPEC | $3,766.77 | $8,878.00 | $6,480.94–$8,078.98 | — | 58% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMG SKULL BASE TO MID-THG W/CT | $3,753.62 | $8,847.00 | $1,396.72–$8,050.77 | 9% below | 58% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMG SKULL BASE TO MID-THG W/CT | $3,753.62 | $8,847.00 | $6,458.31–$8,050.77 | — | 58% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC U/S PELVIC LTD | $609.27 | $1,436.00 | $67.22–$1,306.76 | 52% above | 58% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC U/S PELVIC LTD | $609.27 | $1,436.00 | $1,048.28–$1,306.76 | — | 58% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC U/S PELVIC | $622.00 | $1,466.00 | $101.83–$1,334.06 | 6% below | 58% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC U/S PELVIC | $622.00 | $1,466.00 | $1,070.18–$1,334.06 | — | 58% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC U/S OB>=14 WKS-1 FETUS | $748.86 | $1,765.00 | $101.83–$1,606.15 | 74% above | 58% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC U/S OB>=14 WKS-1 FETUS | $748.86 | $1,765.00 | $1,288.45–$1,606.15 | — | 58% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC U/S OB <14 WKS-1 FETUS | $383.98 | $905.00 | $101.83–$823.55 | 26% below | 58% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC U/S OB <14 WKS-1 FETUS | $383.98 | $905.00 | $660.65–$823.55 | — | 58% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC U/S OB US QUICK LTD | $195.60 | $461.00 | $81.33–$419.51 | 60% below | 58% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC U/S OB US QUICK LTD | $195.60 | $461.00 | $336.53–$419.51 | — | 58% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCRN BIL & CAD | $103.53 | $244.00 | $43.05–$285.39 | 42% below | 58% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCRN DIGITAL BIL IMP | $133.65 | $315.00 | $55.57–$286.65 | 25% below | 58% |
| Screening mammogram, both breasts CPT 77067 HC DIG SCREEN MAMMO UNI | $177.78 | $419.00 | $73.92–$381.29 | at median | 58% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCRN BIL & CAD | $103.53 | $244.00 | $178.12–$222.04 | — | 58% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCRN DIGITAL BIL IMP | $133.65 | $315.00 | $229.95–$286.65 | — | 58% |
| Screening mammogram, both breasts inpatient CPT 77067 HC DIG SCREEN MAMMO UNI | $177.78 | $419.00 | $305.87–$381.29 | — | 58% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HC SHOULDER BILATERAL - 2 VIEW | $501.08 | $1,181.00 | $56.00–$1,074.71 | — | 58% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $476.90 | $1,124.00 | $56.00–$1,022.84 | 36% above | 58% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER 2 VIEW UNILATERAL | $276.64 | $652.00 | $56.00–$593.32 | 21% below | 58% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 HC SHOULDER BILATERAL - 2 VIEW | $501.08 | $1,181.00 | $862.13–$1,074.71 | — | 58% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $476.90 | $1,124.00 | $820.52–$1,022.84 | — | 58% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER 2 VIEW UNILATERAL | $276.64 | $652.00 | $475.96–$593.32 | — | 58% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY | $2,539.33 | $5,985.00 | $974.23–$5,446.35 | 23% below | 58% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY | $2,539.33 | $5,985.00 | $4,369.05–$5,446.35 | — | 58% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR ESOPH SWALLOW FUNC W/VID | $615.64 | $1,451.00 | $170.47–$1,320.41 | 33% above | 58% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR ESOPH SWALLOW FUNC W/VID | $615.64 | $1,451.00 | $1,059.23–$1,320.41 | — | 58% |
| Transvaginal pelvic ultrasound CPT 76830 HC U/SENDO VAG (EV) | $707.28 | $1,667.00 | $101.83–$1,516.97 | 21% above | 58% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/SENDO VAG (EV) | $707.28 | $1,667.00 | $1,216.91–$1,516.97 | — | 58% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC U/S PREGNANCY TRANSVAGINAL | $543.08 | $1,280.00 | $101.83–$1,164.80 | 26% above | 58% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC U/S PREGNANCY TRANSVAGINAL | $543.08 | $1,280.00 | $934.40–$1,164.80 | — | 58% |
| Ultrasound of the abdomen, complete CPT 76700 HC U/S ABDOMINAL COMP | $1,188.84 | $2,802.00 | $101.83–$2,549.82 | 46% above | 58% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC U/S ABDOMINAL COMP | $1,188.84 | $2,802.00 | $2,045.46–$2,549.82 | — | 58% |
| Ultrasound of the scrotum and testicles CPT 76870 HC U/STESTICULAR(SCROTUM) | $638.12 | $1,504.00 | $101.83–$1,368.64 | 11% above | 58% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC U/STESTICULAR(SCROTUM) | $638.12 | $1,504.00 | $1,097.92–$1,368.64 | — | 58% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC U/S HEAD & NECK-SFT TISSUE | $631.34 | $1,488.00 | $101.83–$1,354.08 | 13% above | 58% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC U/S HEAD & NECK-SFT TISSUE | $631.34 | $1,488.00 | $1,086.24–$1,354.08 | — | 58% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC WATER SOLUBLE GI SM BOWEL | $437.86 | $1,032.00 | $170.47–$939.12 | 2% above | 58% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC WATER SOLUBLE GI SM BOWEL | $437.86 | $1,032.00 | $753.36–$939.12 | — | 58% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC VENOUS DOPPLER EXT UNI | $449.74 | $1,060.00 | $101.83–$964.60 | 24% below | 58% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC VENOUS DOPPLER EXT UNI | $449.74 | $1,060.00 | $773.80–$964.60 | — | 58% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC XR WRIST 3VW/MORE UNILAT | $377.62 | $890.00 | $76.40–$809.90 | 15% above | 58% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC XR WRIST 3VW/MORE UNILAT | $377.62 | $890.00 | $649.70–$809.90 | — | 58% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIP UNI 2-3 VWS | $342.82 | $808.00 | $84.31–$735.28 | 45% above | 58% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP 2 VIEW W/ PELVIS UNILATERAL | $205.78 | $485.00 | $84.31–$441.35 | 13% below | 58% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIP UNI 2-3 VWS | $342.82 | $808.00 | $589.84–$735.28 | — | 58% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP 2 VIEW W/ PELVIS UNILATERAL | $205.78 | $485.00 | $354.05–$441.35 | — | 58% |
| X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW | $383.98 | $905.00 | $61.38–$823.55 | 44% above | 58% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW | $383.98 | $905.00 | $660.65–$823.55 | — | 58% |
| X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS | $344.95 | $813.00 | $61.09–$739.83 | 30% above | 58% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS | $344.95 | $813.00 | $593.49–$739.83 | — | 58% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS MIN 2 VIEW | $332.22 | $783.00 | $70.27–$712.53 | 38% above | 58% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS MIN 2 VIEW | $332.22 | $783.00 | $571.59–$712.53 | — | 58% |
| X-ray of the foot, 2 views both sides CPT 73620 HC FOOT 2 VWS BILAT | $279.61 | $659.00 | $51.91–$599.69 | — | 58% |
| X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS | $344.95 | $813.00 | $51.91–$739.83 | 15% above | 58% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 HC FOOT 2 VWS BILAT | $279.61 | $659.00 | $481.07–$599.69 | — | 58% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS | $344.95 | $813.00 | $593.49–$739.83 | — | 58% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS | $383.13 | $903.00 | $59.05–$821.73 | 14% above | 58% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS | $383.13 | $903.00 | $659.19–$821.73 | — | 58% |
| X-ray of the hand, 3 or more views CPT 73130 HC XR HAND 3 VIEWS | $383.13 | $903.00 | $63.14–$821.73 | 5% above | 58% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND 3 VIEWS | $383.13 | $903.00 | $659.19–$821.73 | — | 58% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 HC KNEE BILATERAL | $271.12 | $639.00 | $64.15–$581.49 | — | 58% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEWS | $330.94 | $780.00 | $64.15–$709.80 | 18% above | 58% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 HC KNEE BILATERAL | $271.12 | $639.00 | $466.47–$581.49 | — | 58% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VIEWS | $330.94 | $780.00 | $569.40–$709.80 | — | 58% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBAR 2- 3 VIEWS | $327.97 | $773.00 | $68.23–$703.43 | 8% below | 58% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR- 2 OR 3 VIEWS | $574.06 | $1,353.00 | $68.23–$1,231.23 | 62% above | 58% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBAR 2- 3 VIEWS | $327.97 | $773.00 | $564.29–$703.43 | — | 58% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR- 2 OR 3 VIEWS | $574.06 | $1,353.00 | $987.69–$1,231.23 | — | 58% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBAR 4-5 VIEW | $633.03 | $1,492.00 | $94.71–$1,357.72 | 21% above | 58% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBAR 4-5 VIEW | $633.03 | $1,492.00 | $1,089.16–$1,357.72 | — | 58% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VIEWS | $341.13 | $804.00 | $65.18–$731.64 | 13% above | 58% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VIEWS | $341.13 | $804.00 | $586.92–$731.64 | — | 58% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES 3+VWS | $299.55 | $706.00 | $68.23–$642.46 | 1% below | 58% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES 3+VWS | $299.55 | $706.00 | $515.38–$642.46 | — | 58% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINECERVICAL 3/- VIEWS | $470.96 | $1,110.00 | $62.13–$1,010.10 | 39% above | 58% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINECERVICAL 3/- VIEWS | $470.96 | $1,110.00 | $810.30–$1,010.10 | — | 58% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2VIEW | $414.53 | $977.00 | $66.19–$889.07 | 66% above | 58% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2VIEW | $414.53 | $977.00 | $713.21–$889.07 | — | 58% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM&COCCYX 2VW/MORE | $377.62 | $890.00 | $54.96–$809.90 | 28% above | 58% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM&COCCYX 2VW/MORE | $377.62 | $890.00 | $649.70–$809.90 | — | 58% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC LAB SGPT (ALT) | $68.31 | $161.00 | $4.50–$146.51 | 3% above | 58% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC LAB SGPT (ALT) | $68.31 | $161.00 | $117.53–$146.51 | — | 58% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC LAB SGOT (AST) | $71.71 | $169.00 | $4.40–$153.79 | 8% above | 58% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC LAB SGOT (AST) | $71.71 | $169.00 | $123.37–$153.79 | — | 58% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC LAB ACUTE HEPATITIS PANEL | $201.54 | $475.00 | $40.48–$432.25 | 35% below | 58% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC LAB ACUTE HEPATITIS PANEL | $201.54 | $475.00 | $346.75–$432.25 | — | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RYE (F5) IGE | $5.94 | $14.00 | $4.43–$23.22 | 52% below | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F215-IGE LETTUCE | $5.94 | $14.00 | $4.43–$23.22 | 52% below | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LOBSTER | $7.22 | $17.00 | $4.43–$23.22 | 42% below | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T041-IGE HICKORY | $7.64 | $18.00 | $4.43–$23.22 | 38% below | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CRAB (F23) IGE | $8.49 | $20.00 | $4.43–$23.22 | 32% below | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ORANGE | $8.49 | $20.00 | $4.43–$23.22 | 32% below | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EGGS WHOLE | $8.91 | $21.00 | $4.43–$23.22 | 28% below | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALTERNARIA TENUIS | $8.91 | $21.00 | $4.43–$23.22 | 28% below | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ADULT FOOD PROFILE | $11.04 | $26.00 | $4.43–$23.66 | 11% below | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WHEY | $11.46 | $27.00 | $4.43–$24.57 | 8% below | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ELM TREE | $12.73 | $30.00 | $4.43–$27.30 | 3% above | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BANANA | $41.58 | $98.00 | $4.43–$89.18 | 235% above | 58% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CLAM | $1,084.89 | $2,557.00 | $4.43–$2,326.87 | 8649% above | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F215-IGE LETTUCE | $5.94 | $14.00 | $10.22–$12.74 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RYE (F5) IGE | $5.94 | $14.00 | $10.22–$12.74 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LOBSTER | $7.22 | $17.00 | $12.41–$15.47 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T041-IGE HICKORY | $7.64 | $18.00 | $13.14–$16.38 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CRAB (F23) IGE | $8.49 | $20.00 | $14.60–$18.20 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ORANGE | $8.49 | $20.00 | $14.60–$18.20 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EGGS WHOLE | $8.91 | $21.00 | $15.33–$19.11 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALTERNARIA TENUIS | $8.91 | $21.00 | $15.33–$19.11 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ADULT FOOD PROFILE | $11.04 | $26.00 | $18.98–$23.66 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WHEY | $11.46 | $27.00 | $19.71–$24.57 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ELM TREE | $12.73 | $30.00 | $21.90–$27.30 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BANANA | $41.58 | $98.00 | $71.54–$89.18 | — | 58% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CLAM | $1,084.89 | $2,557.00 | $1,866.61–$2,326.87 | — | 58% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC LAB CYCLIC CITRULINATD PEP IGG | $112.02 | $264.00 | $11.00–$240.24 | 28% above | 58% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC LAB CYCLIC CITRULINATD PEP IGG | $112.02 | $264.00 | $192.72–$240.24 | — | 58% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC LAB ANA | $61.95 | $146.00 | $10.27–$132.86 | 25% below | 58% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC LAB ANA | $61.95 | $146.00 | $106.58–$132.86 | — | 58% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC LAB NATRIURETIC PEPTDE | $258.82 | $610.00 | $28.85–$555.10 | 31% above | 58% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC LAB NATRIURETIC PEPTDE | $258.82 | $610.00 | $445.30–$555.10 | — | 58% |
| Basic metabolic panel (blood test) CPT 80048 HC LAB BASIC METABOLIC PANEL | $134.93 | $318.00 | $5.69–$289.38 | 26% above | 58% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC LAB BASIC METABOLIC PANEL | $134.93 | $318.00 | $232.14–$289.38 | — | 58% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LAB SURG/PATH-LEVEL IV | $158.69 | $374.00 | $36.44–$340.34 | 11% below | 58% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LAB SURG/PATH-LEVEL IV | $158.69 | $374.00 | $273.02–$340.34 | — | 58% |
| Blood culture for bacteria CPT 87040 HC LAB CULT-BLOOD | $100.14 | $236.00 | $8.77–$214.76 | 22% below | 58% |
| Blood culture for bacteria inpatient CPT 87040 HC LAB CULT-BLOOD | $100.14 | $236.00 | $172.28–$214.76 | — | 58% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $22.07 | $52.00 | $5.00–$47.32 | 26% above | 58% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $22.07 | $52.00 | $37.96–$47.32 | — | 58% |
| Blood glucose (sugar) test CPT 82947 HC LAB GLUCOMETER | $5.10 | $12.00 | $3.34–$17.48 | 92% below | 58% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD | $68.31 | $161.00 | $3.34–$146.51 | 12% above | 58% |
| Blood glucose (sugar) test inpatient CPT 82947 HC LAB GLUCOMETER | $5.10 | $12.00 | $8.76–$10.92 | — | 58% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE BLOOD | $68.31 | $161.00 | $117.53–$146.51 | — | 58% |
| Blood lead test CPT 83655 HC LAB LEAD WB | $23.34 | $55.00 | $10.29–$53.86 | 74% below | 58% |
| Blood lead test inpatient CPT 83655 HC LAB LEAD WB | $23.34 | $55.00 | $40.15–$50.05 | — | 58% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC LAB HCG QUALITATIVE | $102.68 | $242.00 | $6.38–$220.22 | 10% above | 58% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC LAB HCG QUALITATIVE | $102.68 | $242.00 | $176.66–$220.22 | — | 58% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC LAB BLOOD TYPING ABO SEROLOGIC | $33.95 | $80.00 | $2.54–$246.86 | 38% below | 58% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC LAB BLOOD TYPING ABO SEROLOGIC | $33.95 | $80.00 | $58.40–$72.80 | — | 58% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC LAB CRP (C-REACTPROTEIN) | $71.28 | $168.00 | $3.25–$152.88 | 8% above | 58% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC LAB CRP (C-REACTPROTEIN) | $71.28 | $168.00 | $122.64–$152.88 | — | 58% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC LAB C DIFFICILE TOXIN PCR | $73.41 | $173.00 | $29.83–$157.43 | 29% below | 58% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC LAB C DIFFICILE TOXIN PCR | $73.41 | $173.00 | $126.29–$157.43 | — | 58% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC LAB CARBOHYDRATE ANTI 19-9 | $97.17 | $229.00 | $17.69–$208.39 | 38% below | 58% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC LAB CARBOHYDRATE ANTI 19-9 | $97.17 | $229.00 | $167.17–$208.39 | — | 58% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC LAB CANCER ANTIGEN 125 | $112.86 | $266.00 | $17.69–$242.06 | 34% below | 58% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC LAB CANCER ANTIGEN 125 | $112.86 | $266.00 | $194.18–$242.06 | — | 58% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $64.07 | $151.00 | $20.52–$137.41 | 32% below | 58% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $64.07 | $151.00 | $110.23–$137.41 | — | 58% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC LAB C. TRACHOMATIS RNA | $88.26 | $208.00 | $29.83–$189.28 | 26% below | 58% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC LAB C. TRACHOMATIS RNA | $88.26 | $208.00 | $151.84–$189.28 | — | 58% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LAB LIPID PANEL | $115.83 | $273.00 | $9.68–$248.43 | 19% below | 58% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LAB LIPID PANEL | $115.83 | $273.00 | $199.29–$248.43 | — | 58% |
| Complete blood count (CBC) with differential CPT 85025 HC LAB CBC W/AUTO DIFF | $86.56 | $204.00 | $6.61–$185.64 | 33% above | 58% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC LAB CBC W/AUTO DIFF | $86.56 | $204.00 | $148.92–$185.64 | — | 58% |
| Complete blood count (CBC), no differential CPT 85027 HC LAB CBC (W/PLT&HEMOGRAM) | $86.13 | $203.00 | $5.50–$184.73 | 37% above | 58% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC LAB CBC (W/PLT&HEMOGRAM) | $86.13 | $203.00 | $148.19–$184.73 | — | 58% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC LAB COMP METABOLIC PANEL | $158.26 | $373.00 | $7.15–$339.43 | 9% above | 58% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC LAB COMP METABOLIC PANEL | $158.26 | $373.00 | $272.29–$339.43 | — | 58% |
| D-dimer blood test (blood clot marker) CPT 85379 HC LAB D-DIMER | $88.26 | $208.00 | $8.65–$189.28 | 18% below | 58% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC LAB D-DIMER | $88.26 | $208.00 | $151.84–$189.28 | — | 58% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC LAB DHEA SULFATE | $10.61 | $25.00 | $18.89–$98.91 | 93% below | 58% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC LAB DHEA SULFATE | $10.61 | $25.00 | $18.25–$22.75 | — | 58% |
| Estradiol blood test CPT 82670 HC LAB ESTRADIOL ULTRASENSITIVE | $58.56 | $138.00 | $23.75–$125.58 | 62% below | 58% |
| Estradiol blood test CPT 82670 HC LAB ESTRADIOL (E2) | $124.74 | $294.00 | $23.75–$267.54 | 19% below | 58% |
| Estradiol blood test inpatient CPT 82670 HC LAB ESTRADIOL ULTRASENSITIVE | $58.56 | $138.00 | $100.74–$125.58 | — | 58% |
| Estradiol blood test inpatient CPT 82670 HC LAB ESTRADIOL (E2) | $124.74 | $294.00 | $214.62–$267.54 | — | 58% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC LAB FOLLICLE STIM HORMONE | $27.58 | $65.00 | $15.79–$82.66 | 89% below | 58% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC LAB FOLLICLE STIM HORMONE | $27.58 | $65.00 | $47.45–$59.15 | — | 58% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL | $59.83 | $141.00 | $16.68–$128.31 | 76% below | 58% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL | $59.83 | $141.00 | $102.93–$128.31 | — | 58% |
| Ferritin blood test (iron stores) CPT 82728 HC LAB FERRITIN | $53.89 | $127.00 | $11.58–$115.57 | 64% below | 58% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC LAB FERRITIN | $53.89 | $127.00 | $92.71–$115.57 | — | 58% |
| Folate (folic acid) blood test CPT 82746 HC LAB FOLATESERUM | $57.28 | $135.00 | $12.49–$122.85 | 59% below | 58% |
| Folate (folic acid) blood test inpatient CPT 82746 HC LAB FOLATESERUM | $57.28 | $135.00 | $98.55–$122.85 | — | 58% |
| Free T3 thyroid hormone test CPT 84481 HC LAB T3 FREE | $83.59 | $197.00 | $14.40–$179.27 | 59% below | 58% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC LAB T3 FREE | $83.59 | $197.00 | $143.81–$179.27 | — | 58% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC LAB FREE T4 | $95.89 | $226.00 | $7.66–$205.66 | at median | 58% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC LAB FREE T4 | $95.89 | $226.00 | $164.98–$205.66 | — | 58% |
| Free testosterone test CPT 84402 HC LAB TESTOSTERONE FREE | $123.05 | $290.00 | $21.64–$263.90 | 51% above | 58% |
| Free testosterone test inpatient CPT 84402 HC LAB TESTOSTERONE FREE | $123.05 | $290.00 | $211.70–$263.90 | — | 58% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $137.47 | $324.00 | $10.26–$294.84 | 51% below | 58% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $137.47 | $324.00 | $236.52–$294.84 | — | 58% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC LAB GLUCOSE PST GLUCOSE DSE | $65.77 | $155.00 | $4.04–$141.05 | 17% above | 58% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC LAB GLUCOSE PST GLUCOSE DSE | $65.77 | $155.00 | $113.15–$141.05 | — | 58% |
| Glucose tolerance test, 3 samples CPT 82951 HC LAB GLUCOSE TT FIRST 3 SPECS | $202.81 | $478.00 | $10.94–$434.98 | 33% above | 58% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LAB GLUCOSE TT FIRST 3 SPECS | $202.81 | $478.00 | $348.94–$434.98 | — | 58% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC LAB N. GONORRHOEAE RNA | $83.59 | $197.00 | $29.83–$179.27 | 26% below | 58% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC LAB N. GONORRHOEAE RNA | $83.59 | $197.00 | $143.81–$179.27 | — | 58% |
| H. pylori antibody blood test CPT 86677 HC LAB H.PYLORI ANTIBODIES | $110.74 | $261.00 | $12.34–$237.51 | 3% below | 58% |
| H. pylori antibody blood test inpatient CPT 86677 HC LAB H.PYLORI ANTIBODIES | $110.74 | $261.00 | $190.53–$237.51 | — | 58% |
| H. pylori stool antigen test CPT 87338 HC H. PYLORI STOOL ANTIGEN | $277.48 | $654.00 | $12.22–$595.14 | 55% above | 58% |
| H. pylori stool antigen test inpatient CPT 87338 HC H. PYLORI STOOL ANTIGEN | $277.48 | $654.00 | $477.42–$595.14 | — | 58% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC LAB HIV-1 RNA | $252.45 | $595.00 | $72.31–$541.45 | 3% below | 58% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC LAB HIV-1 RNA | $252.45 | $595.00 | $434.35–$541.45 | — | 58% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC LAB HIV-1/HIV-2 AB SNGL RES | $58.56 | $138.00 | $11.66–$125.58 | 33% below | 58% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC LAB HIV-1/HIV-2 AB SNGL RES | $58.56 | $138.00 | $100.74–$125.58 | — | 58% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC LAB HIV-1 AG W/HIV-1&2 AB | $43.71 | $103.00 | $20.47–$107.10 | 58% below | 58% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC LAB HIV-1 AG W/HIV-1&2 AB | $43.71 | $103.00 | $75.19–$93.73 | — | 58% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC LAB HEMOGLOBIN A1C | $94.62 | $223.00 | $8.25–$202.93 | 29% above | 58% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC LAB HEMOGLOBIN A1C | $94.62 | $223.00 | $162.79–$202.93 | — | 58% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC LAB HEP BS AB (ANTI-HBS) | $173.54 | $409.00 | $9.13–$372.19 | 52% above | 58% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC LAB HEP BS AB (ANTI-HBS) | $173.54 | $409.00 | $298.57–$372.19 | — | 58% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC LAB HEP BS AG (HBSAG) | $97.17 | $229.00 | $8.78–$208.39 | 5% below | 58% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC LAB HEP BS AG (HBSAG) | $97.17 | $229.00 | $167.17–$208.39 | — | 58% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC LAB HEP C AB (ANTI-HCV) DONOR | $119.65 | $282.00 | $12.13–$256.62 | 9% below | 58% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC LAB HEP C AB (ANTI-HCV) DONOR | $119.65 | $282.00 | $205.86–$256.62 | — | 58% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC LAB HEP C PCR-QUANT | $212.15 | $500.00 | $36.40–$455.00 | 22% below | 58% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC LAB HEP C PCR-QUANT | $212.15 | $500.00 | $365.00–$455.00 | — | 58% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC LAB HERPES SIMPL TYPE I | $13.58 | $32.00 | $11.21–$58.66 | 81% below | 58% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC LAB HERPES SIMPL TYPE I | $13.58 | $32.00 | $23.36–$29.12 | — | 58% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC LAB HERPES SIMPL TYPE 2 | $13.58 | $32.00 | $16.45–$86.09 | 83% below | 58% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC LAB HERPES SIMPL TYPE 2 | $13.58 | $32.00 | $23.36–$29.12 | — | 58% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC LAB C-REACTIVE PROTEIN HS | $20.37 | $48.00 | $11.00–$57.59 | 79% below | 58% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC LAB C-REACTIVE PROTEIN HS | $20.37 | $48.00 | $35.04–$43.68 | — | 58% |
| Homocysteine blood test CPT 83090 HC LAB HOMOCYSTEINE | $184.57 | $435.00 | $14.33–$395.85 | 11% above | 58% |
| Homocysteine blood test inpatient CPT 83090 HC LAB HOMOCYSTEINE | $184.57 | $435.00 | $317.55–$395.85 | — | 58% |
| Insulin blood test CPT 83525 HC LAB INSULIN | $59.40 | $140.00 | $9.71–$127.40 | 46% below | 58% |
| Insulin blood test inpatient CPT 83525 HC LAB INSULIN | $59.40 | $140.00 | $102.20–$127.40 | — | 58% |
| Iron blood test (serum iron) CPT 83540 HC LAB LIVER TISSUE FOR IRON | $51.77 | $122.00 | $5.51–$111.02 | 28% below | 58% |
| Iron blood test (serum iron) CPT 83540 HC LAB IRON SERUM | $51.77 | $122.00 | $5.51–$111.02 | 28% below | 58% |
| Iron blood test (serum iron) inpatient CPT 83540 HC LAB LIVER TISSUE FOR IRON | $51.77 | $122.00 | $89.06–$111.02 | — | 58% |
| Iron blood test (serum iron) inpatient CPT 83540 HC LAB IRON SERUM | $51.77 | $122.00 | $89.06–$111.02 | — | 58% |
| Iron-binding capacity (TIBC) test CPT 83550 HC LAB TOTAL IRON BIND CAP | $77.65 | $183.00 | $7.43–$166.53 | 22% below | 58% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC LAB TOTAL IRON BIND CAP | $77.65 | $183.00 | $133.59–$166.53 | — | 58% |
| Kidney function blood test panel CPT 80069 HC RENAL PROFILE | $80.62 | $190.00 | $5.69–$172.90 | 23% below | 58% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE | $80.62 | $190.00 | $138.70–$172.90 | — | 58% |
| LH (luteinizing hormone) test CPT 83002 HC LAB LUTENIZING HORMONE | $18.67 | $44.00 | $15.74–$82.36 | 91% below | 58% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LAB LUTENIZING HORMONE | $18.67 | $44.00 | $32.12–$40.04 | — | 58% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LAB LIPASE | $106.92 | $252.00 | $5.86–$229.32 | 27% above | 58% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LAB LIPASE | $106.92 | $252.00 | $183.96–$229.32 | — | 58% |
| Liver function blood test panel CPT 80076 HC LAB HEPATIC FUNCTION PANEL | $103.53 | $244.00 | $5.69–$222.04 | 15% below | 58% |
| Liver function blood test panel inpatient CPT 80076 HC LAB HEPATIC FUNCTION PANEL | $103.53 | $244.00 | $178.12–$222.04 | — | 58% |
| Lyme disease antibody test CPT 86618 HC LAB LYME DISEASE AB TOTAL | $96.74 | $228.00 | $14.47–$207.48 | 48% above | 58% |
| Lyme disease antibody test inpatient CPT 86618 HC LAB LYME DISEASE AB TOTAL | $96.74 | $228.00 | $166.44–$207.48 | — | 58% |
| Magnesium blood test CPT 83735 HC LAB MAGNESIUM STOOL | $64.50 | $152.00 | $5.69–$138.32 | 17% above | 58% |
| Magnesium blood test CPT 83735 HC LAB MAGNESIUM | $64.50 | $152.00 | $5.69–$138.32 | 17% above | 58% |
| Magnesium blood test inpatient CPT 83735 HC LAB MAGNESIUM | $64.50 | $152.00 | $110.96–$138.32 | — | 58% |
| Magnesium blood test inpatient CPT 83735 HC LAB MAGNESIUM STOOL | $64.50 | $152.00 | $110.96–$138.32 | — | 58% |
| Measles (rubeola) antibody test CPT 86765 HC LAB RUBEOLA ANTIBODIES IGM | $31.40 | $74.00 | $10.95–$67.34 | 42% below | 58% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC LAB RUBEOLA ANTIBODIES IGM | $31.40 | $74.00 | $54.02–$67.34 | — | 58% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC LAB INFECT MONO SCREEN | $99.29 | $234.00 | $4.40–$212.94 | 58% above | 58% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC LAB INFECT MONO SCREEN | $99.29 | $234.00 | $170.82–$212.94 | — | 58% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC LAB PSA FREE | $33.52 | $79.00 | $15.64–$81.81 | 72% below | 58% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC LAB PSA FREE | $33.52 | $79.00 | $57.67–$71.89 | — | 58% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC LAB PROSTATIC SPECIFIC ANTIGEN | $55.59 | $131.00 | $15.64–$119.21 | 63% below | 58% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC LAB PROSTATIC SPECIFIC ANTIGEN | $55.59 | $131.00 | $95.63–$119.21 | — | 58% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC LAB PTH (INTRAOPERATIVE) HIXSON | $151.47 | $357.00 | $35.08–$324.87 | 36% below | 58% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC LAB PTH (INTRAOPERATIVE) HIXSON | $151.47 | $357.00 | $260.61–$324.87 | — | 58% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LAB PTT | $80.62 | $190.00 | $5.10–$172.90 | 6% below | 58% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LAB PTT | $80.62 | $190.00 | $138.70–$172.90 | — | 58% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS | $904.57 | $2,132.00 | $759.05–$2,601.72 | 30% below | 58% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS | $904.57 | $2,132.00 | $1,556.36–$1,940.12 | — | 58% |
| Progesterone blood test CPT 84144 HC LAB PROGESTERONE | $10.61 | $25.00 | $17.73–$92.81 | 94% below | 58% |
| Progesterone blood test inpatient CPT 84144 HC LAB PROGESTERONE | $10.61 | $25.00 | $18.25–$22.75 | — | 58% |
| Prolactin blood test CPT 84146 HC LAB PROLACTIN | $128.99 | $304.00 | $16.47–$276.64 | 19% below | 58% |
| Prolactin blood test inpatient CPT 84146 HC LAB PROLACTIN | $128.99 | $304.00 | $221.92–$276.64 | — | 58% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC LAB PT | $66.19 | $156.00 | $3.34–$141.96 | 26% above | 58% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LAB PT | $66.19 | $156.00 | $113.88–$141.96 | — | 58% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $11.88 | $28.00 | $6.43–$48.51 | 69% below | 58% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC LAB DRUG SCREEN LATERAL FLOW | $67.89 | $160.00 | $6.43–$145.60 | 76% above | 58% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $11.88 | $28.00 | $20.44–$25.48 | — | 58% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC LAB DRUG SCREEN LATERAL FLOW | $67.89 | $160.00 | $116.80–$145.60 | — | 58% |
| Rapid flu test (influenza antigen) CPT 87804 HC LAB INFLUENZA IA W/DO | $87.41 | $206.00 | $9.73–$187.46 | 78% above | 58% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC LAB INFLUENZA IA W/DO | $87.41 | $206.00 | $150.38–$187.46 | — | 58% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC LAB RAPID STREP A AG | $86.56 | $204.00 | $9.73–$185.64 | 36% above | 58% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC LAB RAPID STREP A AG | $86.56 | $204.00 | $148.92–$185.64 | — | 58% |
| Rheumatoid factor (RF) test CPT 86431 HC LAB RHEUMATOID ARTH TTR | $91.23 | $215.00 | $4.82–$195.65 | 74% above | 58% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC LAB RHEUMATOID ARTH TTR | $91.23 | $215.00 | $156.95–$195.65 | — | 58% |
| Rubella antibody test (immunity check) CPT 86762 HC LAB RUBELLA ANTIBODIES IGM | $34.37 | $81.00 | $12.23–$73.71 | 65% below | 58% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC LAB RUBELLA ANTIBODIES IGM | $34.37 | $81.00 | $59.13–$73.71 | — | 58% |
| Stool ova and parasites exam CPT 87177 HC LAB OVA-PARASITE EXAM | $15.28 | $36.00 | $7.42–$38.81 | 84% below | 58% |
| Stool ova and parasites exam inpatient CPT 87177 HC LAB OVA-PARASITE EXAM | $15.28 | $36.00 | $26.28–$32.76 | — | 58% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD GUAIAC | $95.47 | $225.00 | $2.77–$204.75 | 256% above | 58% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD GUAIAC | $95.47 | $225.00 | $164.25–$204.75 | — | 58% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD IFOBT | $26.31 | $62.00 | $13.52–$70.75 | 46% below | 58% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD IFOBT | $26.31 | $62.00 | $45.26–$56.42 | — | 58% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC LAB SYPHILIS TEST NONTRP QL | $56.43 | $133.00 | $3.63–$121.03 | 18% above | 58% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC LAB SYPHILIS TEST NONTRP QL | $56.43 | $133.00 | $97.09–$121.03 | — | 58% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC LAB QUANTIFERON-TB | $157.41 | $371.00 | $52.67–$337.61 | 1% above | 58% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC LAB QUANTIFERON-TB | $157.41 | $371.00 | $270.83–$337.61 | — | 58% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC LAB TESTOSTERONE TOTAL BY LC MS/M | $210.87 | $497.00 | $21.94–$452.27 | 90% above | 58% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC LAB TESTOSTERONE TOTAL BY LC MS/M | $210.87 | $497.00 | $362.81–$452.27 | — | 58% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC LAB LC-1 (LIVER CYTOSOL PROT 1) | $70.44 | $166.00 | $12.37–$151.06 | 24% below | 58% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LAB LC-1 (LIVER CYTOSOL PROT 1) | $70.44 | $166.00 | $121.18–$151.06 | — | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC LAB TSH | $65.34 | $154.00 | $14.28–$140.14 | 50% below | 58% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC LAB TSH | $65.34 | $154.00 | $112.42–$140.14 | — | 58% |
| Trichomonas test (NAAT) CPT 87661 TRICHAMONAS VAG BY NAA | $55.59 | $131.00 | $35.09–$156.11 | 27% below | 58% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHAMONAS VAG BY NAA | $55.59 | $131.00 | $95.63–$119.21 | — | 58% |
| Uric acid blood test CPT 84550 HC LAB URIC ACID | $67.47 | $159.00 | $3.84–$144.69 | 18% above | 58% |
| Uric acid blood test inpatient CPT 84550 HC LAB URIC ACID | $67.47 | $159.00 | $116.07–$144.69 | — | 58% |
| Urinalysis with microscope exam, automated CPT 81001 HC LAB AUTO URINALYS W/ MICRO | $71.28 | $168.00 | $2.69–$152.88 | 29% above | 58% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC LAB AUTO URINALYS W/ MICRO | $71.28 | $168.00 | $122.64–$152.88 | — | 58% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS NON AUTOMATED (BO) | $11.46 | $27.00 | $2.69–$24.57 | 45% below | 58% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS NON AUTOMATED (BO) | $11.46 | $27.00 | $19.71–$24.57 | — | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC LAB AUTO URINALYS WO MICRO | $34.37 | $81.00 | $1.91–$73.71 | 28% above | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC LAB AUTO URINALYS WO MICRO | $34.37 | $81.00 | $59.13–$73.71 | — | 58% |
| Urinalysis without microscope exam, manual CPT 81002 HC LAB N-AUTO URINALYS OT POC | $53.46 | $126.00 | $2.05–$114.66 | 212% above | 58% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC LAB N-AUTO URINALYS OT POC | $53.46 | $126.00 | $91.98–$114.66 | — | 58% |
| Urine culture for bacteria, with colony count CPT 87086 HC LAB CULT-URINE | $55.16 | $130.00 | $6.86–$118.30 | 45% below | 58% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC LAB CULT-URINE | $55.16 | $130.00 | $94.90–$118.30 | — | 58% |
| Urine pregnancy test, read by color change CPT 81025 HC LAB PREG URINE VIS CLR | $32.25 | $76.00 | $1.02–$69.16 | 49% below | 58% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC LAB PREG URINE VIS CLR | $32.25 | $76.00 | $55.48–$69.16 | — | 58% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC LAB ASSAY VITAMIN B-12 | $105.65 | $249.00 | $12.81–$226.59 | 14% above | 58% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC LAB ASSAY VITAMIN B-12 | $105.65 | $249.00 | $181.77–$226.59 | — | 58% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC LAB VITAMIN D 25-OH | $156.14 | $368.00 | $23.22–$334.88 | 15% above | 58% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC LAB VITAMIN D 25-OH | $156.14 | $368.00 | $268.64–$334.88 | — | 58% |
| Zinc blood test CPT 84630 HC LAB ZINC RBC | $89.95 | $212.00 | $9.67–$192.92 | 24% below | 58% |
| Zinc blood test inpatient CPT 84630 HC LAB ZINC RBC | $89.95 | $212.00 | $154.76–$192.92 | — | 58% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC LAB HCG QUANTITATIVE | $130.26 | $307.00 | $12.80–$279.37 | 21% below | 58% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC LAB HCG QUANTITATIVE | $130.26 | $307.00 | $224.11–$279.37 | — | 58% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $398.40 | $939.00 | $165.64–$854.49 | 31% below | 58% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $398.40 | $939.00 | $685.47–$854.49 | — | 58% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC | $2,628.43 | $6,195.00 | $1,092.80–$5,637.45 | 21% above | 58% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STRTCTC | $2,628.43 | $6,195.00 | $4,522.35–$5,637.45 | — | 58% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX LAT MALLE WO MNP | $20,071.46 | $47,307.00 | $229.70–$43,049.37 | 7712% above | 58% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX LAT MALLE WO MNP | $20,071.46 | $47,307.00 | $34,534.11–$43,049.37 | — | 58% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL TX MTRSAL WO MNP | $379.31 | $894.00 | $157.71–$813.54 | 44% above | 58% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CL TX MTRSAL WO MNP | $379.31 | $894.00 | $652.62–$813.54 | — | 58% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSIONEXTERNAL | $551.99 | $1,301.00 | $229.50–$1,253.24 | 41% below | 58% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSIONEXTERNAL | $551.99 | $1,301.00 | $949.73–$1,183.91 | — | 58% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION NEWBORN | $1,375.52 | $3,242.00 | $571.89–$3,923.22 | 135% above | 58% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION NEWBORN | $1,375.52 | $3,242.00 | $2,366.66–$2,950.22 | — | 58% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TX COLLES FX W/O MNP | $546.48 | $1,288.00 | $227.21–$1,172.08 | 90% above | 58% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TX COLLES FX W/O MNP | $546.48 | $1,288.00 | $940.24–$1,172.08 | — | 58% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/LESION REMOVAL | $1,093.38 | $2,577.00 | $454.59–$3,092.00 | 9% below | 58% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/LESION REMOVAL | $1,093.38 | $2,577.00 | $1,881.21–$2,345.07 | — | 58% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY AND BIOPSY | $1,631.37 | $3,845.00 | $678.26–$3,498.95 | at median | 58% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY AND BIOPSY | $1,631.37 | $3,845.00 | $2,806.85–$3,498.95 | — | 58% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY | $462.90 | $1,091.00 | $192.46–$1,278.32 | 50% below | 58% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY | $462.90 | $1,091.00 | $796.43–$992.81 | — | 58% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUC BENIGN/PREMALFIRST LESION | $140.44 | $331.00 | $58.39–$380.54 | at median | 58% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUC BENIGN/PREMALFIRST LESION | $140.44 | $331.00 | $241.63–$301.21 | — | 58% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNI | $61.95 | $146.00 | $25.76–$132.86 | 44% below | 58% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNI | $61.95 | $146.00 | $106.58–$132.86 | — | 58% |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN | $90.38 | $213.00 | $37.58–$193.83 | 40% below | 58% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN | $90.38 | $213.00 | $155.49–$193.83 | — | 58% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC CYSTOPLASTY ON BLADDER | $224.87 | $530.00 | $93.50–$482.30 | 2% above | 58% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC CYSTOPLASTY ON BLADDER | $224.87 | $530.00 | $386.90–$482.30 | — | 58% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC CERV/THORACIC EPIDUR W/FLURO | $897.36 | $2,115.00 | $373.09–$1,924.65 | 14% below | 58% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC CERV/THORACIC EPIDUR W/FLURO | $897.36 | $2,115.00 | $1,543.95–$1,924.65 | — | 58% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ FACET LUMBAR | $1,358.13 | $3,201.00 | $564.66–$2,912.91 | 9% above | 58% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ FACET LUMBAR | $1,358.13 | $3,201.00 | $2,336.73–$2,912.91 | — | 58% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC LAPCHOLECYSTECTOMY/GRAPH | $589.33 | $1,389.00 | $245.02–$11,173.74 | 71% below | 58% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC LAPCHOLECYSTECTOMY/GRAPH | $589.33 | $1,389.00 | $1,013.97–$1,263.99 | — | 58% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORR INTBY LIGATION | $902.45 | $2,127.00 | $375.21–$1,935.57 | at median | 58% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORR INTBY LIGATION | $902.45 | $2,127.00 | $1,552.71–$1,935.57 | — | 58% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ SIS/HYSTEROGRAPHY | $271.54 | $640.00 | $112.90–$582.40 | 17% below | 58% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ SIS/HYSTEROGRAPHY | $271.54 | $640.00 | $467.20–$582.40 | — | 58% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC SIMPL OR SGL | $541.81 | $1,277.00 | $190.27–$1,162.07 | 83% above | 58% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC SIMPL OR SGL | $541.81 | $1,277.00 | $932.21–$1,162.07 | — | 58% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHTH/LIG SGL | $373.80 | $881.00 | $155.41–$801.71 | 17% below | 58% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHTH/LIG SGL | $373.80 | $881.00 | $643.13–$801.71 | — | 58% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIRATION/INJECTION MAJOR JOINT | $414.10 | $976.00 | $172.17–$888.16 | 12% below | 58% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIR/INJ JOINT MAJOR | $445.08 | $1,049.00 | $185.05–$954.59 | 5% below | 58% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIRATION/INJECTION MAJOR JOINT | $414.10 | $976.00 | $712.48–$888.16 | — | 58% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIR/INJ JOINT MAJOR | $445.08 | $1,049.00 | $765.77–$954.59 | — | 58% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ASPIR/INJ JOINT INTERM | $106.92 | $252.00 | $44.46–$565.34 | 73% below | 58% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ASPIR/INJ JOINT INTERM | $106.92 | $252.00 | $183.96–$229.32 | — | 58% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ASPIR/INJ JOINT SMALL | $414.10 | $976.00 | $172.17–$888.16 | 11% above | 58% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ASPIR/INJ JOINT SMALL | $414.10 | $976.00 | $712.48–$888.16 | — | 58% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC LAP ING HERNIA REPAIR INIT | $1,070.47 | $2,523.00 | $445.06–$11,173.74 | 62% below | 58% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC LAP ING HERNIA REPAIR INIT | $1,070.47 | $2,523.00 | $1,841.79–$2,295.93 | — | 58% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 HC GASTROPLASTY ENDOSCOPIC | $2,004.73 | $4,725.00 | $833.49–$4,299.75 | 3% above | 58% |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 HC GASTROPLASTY ENDOSCOPIC | $2,004.73 | $4,725.00 | $3,449.25–$4,299.75 | — | 58% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INT SCLP 2.5CM /< | $554.12 | $1,306.00 | $230.38–$1,188.46 | 84% above | 58% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INT SCLP 2.5CM /< | $554.12 | $1,306.00 | $953.38–$1,188.46 | — | 58% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR W IMAGING | $1,180.35 | $2,782.00 | $490.75–$2,531.62 | 3% above | 58% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR W IMAGING | $1,180.35 | $2,782.00 | $2,030.86–$2,531.62 | — | 58% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ SINGLE LUMBAR SACRAL | $413.25 | $974.00 | $171.82–$1,705.04 | 53% below | 58% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ SINGLE LUMBAR SACRAL | $413.25 | $974.00 | $711.02–$886.34 | — | 58% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ(S) FORAMEN LUMB/SAC | $1,431.53 | $3,374.00 | $595.18–$3,070.34 | 21% above | 58% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ(S) FORAMEN LUMB/SAC | $1,431.53 | $3,374.00 | $2,463.02–$3,070.34 | — | 58% |
| Lumpectomy (partial mastectomy) CPT 19301 HC MASTECTOMY PARTIAL | $3,468.50 | $8,175.00 | $1,442.07–$7,439.25 | 209% above | 58% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 HC MASTECTOMY PARTIAL | $3,468.50 | $8,175.00 | $5,967.75–$7,439.25 | — | 58% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC TX OF MISSED ABORTION 1ST TRIM SURGICAL | $739.53 | $1,743.00 | $307.47–$6,089.30 | 85% below | 58% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC TX OF MISSED ABORTION 1ST TRIM SURGICAL | $739.53 | $1,743.00 | $1,272.39–$1,586.13 | — | 58% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT B9+MARG 0.5CM/< | $628.79 | $1,482.00 | $261.43–$1,348.62 | 69% above | 58% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TR-EXT B9+MARG 0.5CM/< | $628.79 | $1,482.00 | $1,081.86–$1,348.62 | — | 58% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION OF SGL NAIL PLATE | $150.62 | $355.00 | $62.63–$380.54 | 42% below | 58% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION OF SGL NAIL PLATE | $150.62 | $355.00 | $259.15–$323.05 | — | 58% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECT ANESH AGENT OCC NERVE | $484.96 | $1,143.00 | $201.63–$1,040.13 | 13% below | 58% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT ANESH AGENT OCC NERVE | $484.96 | $1,143.00 | $834.39–$1,040.13 | — | 58% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING | $892.69 | $2,104.00 | $371.15–$1,914.64 | 22% below | 58% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING | $892.69 | $2,104.00 | $1,535.92–$1,914.64 | — | 58% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $536.30 | $1,264.00 | $222.97–$1,150.24 | 7% above | 58% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED | $536.30 | $1,264.00 | $922.72–$1,150.24 | — | 58% |
| Prostate biopsy CPT 55700 BIOPSY PROSTATE NEEDLE | $1,835.87 | $4,327.00 | $763.29–$3,937.57 | 14% below | 58% |
| Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NEEDLE | $1,835.87 | $4,327.00 | $3,158.71–$3,937.57 | — | 58% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $1,485.84 | $3,502.00 | $617.76–$3,739.86 | 36% below | 58% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $1,485.84 | $3,502.00 | $2,556.46–$3,186.82 | — | 58% |
| Removal of a foreign object under the skin, simple CPT 10120 HC INC&REMV FOREIGN BODY SMPL | $370.83 | $874.00 | $154.18–$795.34 | 13% below | 58% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INC&REMV FOREIGN BODY SMPL | $370.83 | $874.00 | $638.02–$795.34 | — | 58% |
| Septoplasty to straighten the nasal septum CPT 30520 HC REPAIR OF NASAL SEPTUM | $1,126.47 | $2,655.00 | $468.35–$6,211.00 | 35% below | 58% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 HC REPAIR OF NASAL SEPTUM | $1,126.47 | $2,655.00 | $1,938.15–$2,416.05 | — | 58% |
| Short arm cast (elbow to hand) CPT 29075 HC APPL SHORT ARM CAST | $182.87 | $431.00 | $76.03–$508.62 | 16% above | 58% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPL SHORT ARM CAST | $182.87 | $431.00 | $314.63–$392.21 | — | 58% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY ARM SHORT SPLINT | $235.48 | $555.00 | $97.91–$505.05 | 25% above | 58% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT FOREARM-HAND | $299.12 | $705.00 | $123.43–$641.55 | 59% above | 58% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY ARM SHORT SPLINT | $235.48 | $555.00 | $405.15–$505.05 | — | 58% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT FOREARM-HAND | $299.12 | $705.00 | $514.65–$641.55 | — | 58% |
| Short leg cast (below the knee) CPT 29405 HC APPLY LEG SHORT CAST | $204.93 | $483.00 | $85.21–$508.62 | 10% above | 58% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLY LEG SHORT CAST | $204.93 | $483.00 | $352.59–$439.53 | — | 58% |
| Short leg splint (calf to foot) CPT 29515 HC APPLY LEG SHORT SPLINT | $508.72 | $1,199.00 | $151.10–$1,091.09 | 135% above | 58% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LEG SHORT SPLINT | $508.72 | $1,199.00 | $875.27–$1,091.09 | — | 58% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SIMSCLP 2.5CM/< | $471.38 | $1,111.00 | $190.27–$1,011.01 | 70% above | 58% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SIMSCLP 2.5CM/< | $471.38 | $1,111.00 | $811.03–$1,011.01 | — | 58% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $206.63 | $487.00 | $85.91–$765.16 | 19% below | 58% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $206.63 | $487.00 | $355.51–$443.17 | — | 58% |
| Skin tag removal, up to 15 tags CPT 11200 HC REM SKIN TAGS <=15 LESIONS | $206.21 | $486.00 | $85.74–$442.26 | 43% above | 58% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REM SKIN TAGS <=15 LESIONS | $206.21 | $486.00 | $354.78–$442.26 | — | 58% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAG | $626.67 | $1,477.00 | $260.55–$1,344.07 | 23% below | 58% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAG | $626.67 | $1,477.00 | $1,078.21–$1,344.07 | — | 58% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR SIM SCLP 2.6-7.5CM | $452.71 | $1,067.00 | $188.22–$970.97 | 50% above | 58% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR SIM SCLP 2.6-7.5CM | $452.71 | $1,067.00 | $778.91–$970.97 | — | 58% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR SIM FACE 2.5CM/< | $409.86 | $966.00 | $170.41–$879.06 | 42% above | 58% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR SIM FACE 2.5CM/< | $409.86 | $966.00 | $705.18–$879.06 | — | 58% |
| Thoracentesis with imaging guidance CPT 32555 HC U/S THORACENTESIS GUID | $406.47 | $958.00 | $169.00–$1,184.06 | 69% below | 58% |
| Thoracentesis with imaging guidance CPT 32555 HC CT THORACENTESIS GUID | $557.09 | $1,313.00 | $231.62–$1,243.00 | 57% below | 58% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING | $870.21 | $2,051.00 | $361.80–$1,866.41 | 33% below | 58% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC U/S THORACENTESIS GUID | $406.47 | $958.00 | $699.34–$871.78 | — | 58% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC CT THORACENTESIS GUID | $557.09 | $1,313.00 | $958.49–$1,194.83 | — | 58% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING | $870.21 | $2,051.00 | $1,497.23–$1,866.41 | — | 58% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIG POINT 1-2 MUSCL | $606.73 | $1,430.00 | $252.26–$1,301.30 | 3% above | 58% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIG POINT 1-2 MUSCL | $606.73 | $1,430.00 | $1,043.90–$1,301.30 | — | 58% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG | $748.44 | $1,764.00 | $311.17–$3,103.02 | 64% below | 58% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG | $748.44 | $1,764.00 | $1,287.72–$1,605.24 | — | 58% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD WITH BIOPSY | $1,272.85 | $3,000.00 | $529.20–$3,092.00 | 9% below | 58% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD WITH BIOPSY | $1,272.85 | $3,000.00 | $2,190.00–$2,730.00 | — | 58% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $1,272.85 | $3,000.00 | $529.20–$3,092.00 | 22% above | 58% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $1,272.85 | $3,000.00 | $2,190.00–$2,730.00 | — | 58% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO LITHO/LASER STENT INS | $4,916.15 | $11,587.00 | $2,043.95–$10,544.17 | 13% below | 58% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO LITHO/LASER STENT INS | $4,916.15 | $11,587.00 | $8,458.51–$10,544.17 | — | 58% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SQ TISS IST 20SQCM/< | $544.78 | $1,284.00 | $226.50–$1,168.44 | 8% above | 58% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SQ TISS IST 20SQCM/< | $544.78 | $1,284.00 | $937.32–$1,168.44 | — | 58% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD PRODUCT ADMINISTRATION | $520.60 | $1,227.00 | $216.45–$1,116.57 | 14% below | 58% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD PRODUCT ADMINISTRATION | $520.60 | $1,227.00 | $895.71–$1,116.57 | — | 58% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX INIT EA DAY | $49.22 | $116.00 | $20.47–$389.52 | 68% below | 58% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX EA DAY SUBQ TX | $54.31 | $128.00 | $22.58–$389.52 | 65% below | 58% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX INIT EA DAY | $49.22 | $116.00 | $84.68–$105.56 | — | 58% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX EA DAY SUBQ TX | $54.31 | $128.00 | $93.44–$116.48 | — | 58% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INIT 1HR | $342.40 | $807.00 | $142.36–$734.37 | 32% below | 58% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INIT 1HR | $342.40 | $807.00 | $589.11–$734.37 | — | 58% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE | $2,078.13 | $4,898.00 | $806.87–$4,457.18 | 5% above | 58% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE | $2,078.13 | $4,898.00 | $3,575.54–$4,457.18 | — | 58% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY | $286.39 | $675.00 | $119.07–$614.25 | 62% below | 58% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY | $286.39 | $675.00 | $492.75–$614.25 | — | 58% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG-12 LEAD TRACING ONLY | $232.09 | $547.00 | $56.88–$497.77 | 20% above | 58% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG-12 LEAD TRACING ONLY | $232.09 | $547.00 | $399.31–$497.77 | — | 58% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 | $199.42 | $470.00 | $82.91–$427.70 | 39% above | 58% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1 | $199.42 | $470.00 | $343.10–$427.70 | — | 58% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2 | $398.83 | $940.00 | $151.64–$855.40 | 38% above | 58% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2 | $398.83 | $940.00 | $686.20–$855.40 | — | 58% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3 | $573.21 | $1,351.00 | $238.32–$1,229.41 | 36% above | 58% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3 | $573.21 | $1,351.00 | $986.23–$1,229.41 | — | 58% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4 | $822.26 | $1,938.00 | $341.87–$1,763.58 | 28% below | 58% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4 | $822.26 | $1,938.00 | $1,414.74–$1,763.58 | — | 58% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5 | $1,245.69 | $2,936.00 | $517.92–$2,671.76 | 6% above | 58% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5 | $1,245.69 | $2,936.00 | $2,143.28–$2,671.76 | — | 58% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST | $876.99 | $2,067.00 | $298.19–$1,880.97 | 11% above | 58% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST | $876.99 | $2,067.00 | $1,508.91–$1,880.97 | — | 58% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRA INIT 31-60M | $636.00 | $1,499.00 | $201.75–$1,364.09 | 120% above | 58% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRA INIT 31-60M | $636.00 | $1,499.00 | $1,094.27–$1,364.09 | — | 58% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF TX PROP DX INITIAL | $450.17 | $1,061.00 | $187.17–$965.51 | 25% above | 58% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF TX PROP DX INITIAL | $450.17 | $1,061.00 | $774.53–$965.51 | — | 58% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION COSYNTROPIN INTRAMUSCULAR | $78.50 | $185.00 | $32.64–$168.35 | 18% below | 58% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ IM/SQ | $84.86 | $200.00 | $35.28–$182.00 | 11% below | 58% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION COSYNTROPIN INTRAMUSCULAR | $78.50 | $185.00 | $135.05–$168.35 | — | 58% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ IM/SQ | $84.86 | $200.00 | $146.00–$182.00 | — | 58% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC EDUC 15 MIN | $72.13 | $170.00 | $29.99–$154.70 | 35% below | 58% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC EDUC 15 MIN | $95.04 | $224.00 | $39.52–$203.84 | 14% below | 58% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC EDUC 15 MIN | $72.13 | $170.00 | $124.10–$154.70 | — | 58% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC EDUC 15 MIN | $95.04 | $224.00 | $163.52–$203.84 | — | 58% |
| New patient office visit, about 30 minutes CPT 99203 HC CLINIC VISIT LEVEL 3 NEW | $230.81 | $544.00 | $95.97–$495.04 | 78% above | 58% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC CLINIC VISIT LEVEL 3 NEW | $230.81 | $544.00 | $397.12–$495.04 | — | 58% |
| New patient office visit, about 45 minutes CPT 99204 HC CLINIC VISIT LEVEL 4 NEW | $218.51 | $515.00 | $90.85–$468.65 | 7% above | 58% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC CLINIC VISIT LEVEL 4 NEW | $218.51 | $515.00 | $375.95–$468.65 | — | 58% |
| New patient office visit, about 60 minutes CPT 99205 HC CLINIC VISIT LEVEL 5 NEW | $336.88 | $794.00 | $140.07–$722.54 | 44% above | 58% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC CLINIC VISIT LEVEL 5 NEW | $336.88 | $794.00 | $579.62–$722.54 | — | 58% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC VISIT LEVEL 2 NEW | $187.96 | $443.00 | $78.15–$403.13 | 93% above | 58% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC CLINIC VISIT LEVEL 2 NEW | $187.96 | $443.00 | $323.39–$403.13 | — | 58% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INITIAL EACH 15M | $31.40 | $74.00 | $13.06–$67.34 | at median | 58% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INITIAL EACH 15M | $31.40 | $74.00 | $54.02–$67.34 | — | 58% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $183.29 | $432.00 | $76.21–$393.12 | 10% below | 58% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $183.29 | $432.00 | $315.36–$393.12 | — | 58% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX | $230.39 | $543.00 | $95.79–$494.13 | 12% below | 58% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX | $230.39 | $543.00 | $396.39–$494.13 | — | 58% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $230.39 | $543.00 | $95.79–$494.13 | 15% above | 58% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $230.39 | $543.00 | $396.39–$494.13 | — | 58% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX | $230.39 | $543.00 | $95.79–$494.13 | 14% below | 58% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX | $230.39 | $543.00 | $396.39–$494.13 | — | 58% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THRPY 15 MIN | $64.07 | $151.00 | $26.64–$137.41 | 33% below | 58% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THRPY 15 MIN | $72.13 | $170.00 | $29.99–$154.70 | 25% below | 58% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THRPY 15 MIN | $64.07 | $151.00 | $110.23–$137.41 | — | 58% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THRPY 15 MIN | $72.13 | $170.00 | $124.10–$154.70 | — | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EXERCISE 15 MIN | $63.65 | $150.00 | $26.46–$136.50 | 36% below | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THER EXERCISE 15 MIN | $71.71 | $169.00 | $29.82–$153.79 | 28% below | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER EXERCISE 15 MIN | $63.65 | $150.00 | $109.50–$136.50 | — | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THER EXERCISE 15 MIN | $71.71 | $169.00 | $123.37–$153.79 | — | 58% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $28.43 | $67.00 | $11.82–$60.97 | 12% below | 58% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $28.43 | $67.00 | $48.91–$60.97 | — | 58% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC CLINIC VISIT LEVEL 5 EST | $199.84 | $471.00 | $83.09–$428.61 | 19% above | 58% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC CLINIC VISIT LEVEL 5 EST | $199.84 | $471.00 | $343.83–$428.61 | — | 58% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC VISIT LEVEL 3 EST | $158.26 | $373.00 | $65.80–$339.43 | 82% above | 58% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC CLINIC VISIT LEVEL 3 EST | $158.26 | $373.00 | $272.29–$339.43 | — | 58% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CLINIC VISIT LEVEL 4 EST | $175.23 | $413.00 | $72.86–$375.83 | 46% above | 58% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC CLINIC VISIT LEVEL 4 EST | $175.23 | $413.00 | $301.49–$375.83 | — | 58% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC CLINIC VISIT LEVEL 2 EST | $122.62 | $289.00 | $50.98–$262.99 | 72% above | 58% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC CLINIC VISIT LEVEL 2 EST | $122.62 | $289.00 | $210.97–$262.99 | — | 58% |
| Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN | $124.74 | $294.00 | $51.87–$267.54 | 63% below | 58% |
| Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN | $124.74 | $294.00 | $214.62–$267.54 | — | 58% |
| Speech therapy session, individual CPT 92507 HC SPEECH-LANGUAGE TREATMENT | $104.38 | $246.00 | $43.40–$223.86 | 45% below | 58% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH-LANGUAGE TREATMENT | $104.38 | $246.00 | $179.58–$223.86 | — | 58% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY W/O BRONCH | $109.47 | $258.00 | $45.52–$299.64 | 63% below | 58% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY W/O BRONCH | $109.47 | $258.00 | $188.34–$234.78 | — | 58% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/BRONCHODILATOR | $73.41 | $173.00 | $30.52–$596.38 | 84% below | 58% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY W/BRONCHODILATOR | $73.41 | $173.00 | $126.29–$157.43 | — | 58% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT FUNCTIONAL ACTIV 15 MIN | $72.13 | $170.00 | $29.99–$154.70 | 24% below | 58% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT FUNCTIONAL ACTIV 15 MIN | $86.13 | $203.00 | $35.81–$184.73 | 9% below | 58% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT FUNCTIONAL ACTIV 15 MIN | $72.13 | $170.00 | $124.10–$154.70 | — | 58% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT FUNCTIONAL ACTIV 15 MIN | $86.13 | $203.00 | $148.19–$184.73 | — | 58% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $165.90 | $391.00 | $68.98–$355.81 | 5% above | 58% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $165.90 | $391.00 | $285.43–$355.81 | — | 58% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $55.51 | $130.82 | $23.08–$130.82 | 58% below | 58% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $55.51 | $130.82 | $95.50–$119.05 | — | 58% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION | $25.54 | $60.19 | $10.62–$60.19 | 77% below | 58% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $26.01 | $61.29 | $10.82–$61.29 | 77% below | 58% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $122.17 | $287.93 | $50.80–$262.02 | 9% above | 58% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION | $25.54 | $60.19 | $43.94–$54.78 | — | 58% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $26.01 | $61.29 | $44.75–$55.78 | — | 58% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $122.17 | $287.93 | $210.19–$262.02 | — | 58% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP | $52.51 | $123.76 | $21.84–$211.14 | 67% below | 58% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $75.79 | $178.61 | $31.51–$211.14 | 53% below | 58% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $88.40 | $208.33 | $36.75–$211.14 | 45% below | 58% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP | $52.51 | $123.76 | $28.58–$112.63 | — | 58% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $75.79 | $178.61 | $41.25–$162.54 | — | 58% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $88.40 | $208.33 | $48.11–$189.59 | — | 58% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $150.91 | $355.68 | $62.75–$323.67 | 11% below | 58% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $150.91 | $355.68 | $259.65–$323.67 | — | 58% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT | $181.83 | $428.54 | $75.60–$389.98 | 32% below | 58% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $235.25 | $554.46 | $97.81–$504.56 | 13% below | 58% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT | $181.83 | $428.54 | $312.84–$389.98 | — | 58% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $235.25 | $554.46 | $404.76–$504.56 | — | 58% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $272.02 | $641.12 | $113.10–$583.42 | 60% below | 58% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $272.02 | $641.12 | $468.02–$583.42 | — | 58% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $380.47 | $896.73 | $158.19–$816.03 | 33% below | 58% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $380.47 | $896.73 | $654.62–$816.03 | — | 58% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $40.98 | $96.58 | $17.04–$400.41 | 84% below | 58% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $181.13 | $426.89 | $75.31–$400.41 | 29% below | 58% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $40.98 | $96.58 | $22.31–$87.89 | — | 58% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $181.13 | $426.89 | $98.57–$388.47 | — | 58% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $513.27 | $1,209.72 | $213.40–$1,100.85 | 23% below | 58% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $513.27 | $1,209.72 | $883.10–$1,100.85 | — | 58% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT | $258.95 | $610.32 | $107.67–$555.40 | 9% below | 58% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT | $258.95 | $610.32 | $445.54–$555.40 | — | 58% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $55.90 | $131.75 | $23.25–$119.90 | 12% below | 58% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $72.37 | $170.55 | $30.09–$155.21 | 14% above | 58% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $55.90 | $131.75 | $96.18–$119.90 | — | 58% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $72.37 | $170.55 | $124.51–$155.21 | — | 58% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACELL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $76.77 | $180.92 | $31.92–$164.64 | 28% below | 58% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $88.39 | $208.32 | $36.75–$189.58 | 17% below | 58% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACELL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $76.77 | $180.92 | $132.08–$164.64 | — | 58% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $88.39 | $208.32 | $152.08–$189.58 | — | 58% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC HEP B CFV ONLY ADMIN FEE | $10.61 | $25.00 | $4.41–$136.30 | 86% below | 58% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCINE | $13.58 | $32.00 | $5.65–$136.30 | 82% below | 58% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INTRANSAL H1N1 | $22.07 | $52.00 | $9.18–$136.30 | 70% below | 58% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC FLU ONLY ADMIN FEE | $45.83 | $108.00 | $19.06–$136.30 | 38% below | 58% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC HEP B CFV ONLY ADMIN FEE | $10.61 | $25.00 | $18.25–$22.75 | — | 58% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCINE | $13.58 | $32.00 | $23.36–$29.12 | — | 58% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INTRANSAL H1N1 | $22.07 | $52.00 | $37.96–$47.32 | — | 58% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC FLU ONLY ADMIN FEE | $45.83 | $108.00 | $78.84–$98.28 | — | 58% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN VACCINE ADDL | $34.80 | $82.00 | $14.47–$74.62 | 13% below | 58% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN VACCINE ADDL | $34.80 | $82.00 | $59.86–$74.62 | — | 58% |