Hospital New Orleans-Metairie, LA

East Jefferson General Hospital

East Jefferson General Hospital in Metairie, LA publishes cash prices for 472 common procedures listed here, from its own machine-readable price file updated Jul 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Louisiana median for 297 of 471 procedures and above it for 131. By typical cash price it ranks #19 of 63 Louisiana hospitals and #6 of 14 hospitals in the New Orleans, LA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

4200 Houma Blvd, Metairie, LA 70006 Collected Sep 22, 2026 Source price file Check a bill from this hospital (504) 988-5263

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 190176 · CMS hospital register NPI 1497792527

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

East Jefferson General Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named East Jefferson General Hospital in Metairie, LA:

Sep 12, 2024 Corrective action plan requested
Jan 7, 2025 Case closed
Mar 23, 2026 Met requirements

Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Scan Abdomen Before and After Contrast	$1,087.10	$7,765.00	$1,553.00–$823.09	10% above	86%
Abdominal X-ray, 2 views CPT 74019 X-Ray of Abdomen 2 Views	$184.80	$1,320.00	$107.76–$95.39	6% above	86%
Ankle X-ray, complete, 3 or more views CPT 73610 X-Ray of Ankle Minimum of 3 Views	$134.68	$962.00	$101.97–$962.00	19% above	86%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound Study of Arteries of Both Arms and Legs	$281.68	$2,012.00	$113.32–$985.88	71% above	86%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Scan of Arm	$780.92	$5,578.00	$1,115.60–$95.39	24% above	86%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-Ray of Esophagus	$256.62	$1,833.00	$122.94–$898.17	20% above	86%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or Joint Imaging Whole Body	$549.78	$3,927.00	$1,060.29–$981.75	at median	86%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound of One Breast	$167.30	$1,195.00	$100.26–$95.39	at median	86%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound of One Breast	$167.30	$1,195.00	$100.26–$95.10	at median	86%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Scan of Abdominal and Pelvic Blood Vessels With Contrast	$465.08	$3,322.00	$1,627.78–$996.60	48% below	86%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Venogrm Abd&Plvis Cntrst Mtl W/WO Cntst Img	$467.18	$3,337.00	$1,001.10–$934.36	48% below	86%
CT angiography (CTA) of the head CPT 70496 CT Scan of Blood Vessel of Head With Contrast	$263.48	$1,882.00	$1,253.22–$922.18	60% below	86%
CT angiography (CTA) of the neck CPT 70498 CT Scan of Neck Blood Vessels With Contrast	$263.48	$1,882.00	$1,253.22–$922.18	61% below	86%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Scan of Blood Vessels in Chest With Contrast	$201.60	$1,440.00	$120.82–$958.90	75% below	86%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Scan of Heart With Evaluation of Blood Vessel Calcium	$39.76	$284.00	$116.11–$85.20	52% below	86%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Scan of Abdomen and Pelvis	$1,714.72	$12,248.00	$1,027.61–$8,155.94	55% above	86%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan of Abdomen and Pelvis With Contrast	$1,838.62	$13,133.00	$1,101.86–$877.91	67% above	86%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Scan of Abdomen and Pelvis Before and After Contrast	$2,063.74	$14,741.00	$1,236.77–$9,816.03	45% above	86%
CT scan of the abdomen with contrast CPT 74160 CT Scan Abdomen With Contrast	$971.88	$6,942.00	$1,388.40–$735.85	17% above	86%
CT scan of the abdomen without contrast CPT 74150 CT Scan Abdomen	$898.80	$6,420.00	$1,284.00–$95.39	21% above	86%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Scan of Face	$665.00	$4,750.00	$1,135.25–$992.75	7% above	86%
CT scan of the head or brain, no contrast dye CPT 70450 CT Scan Head or Brain	$655.76	$4,684.00	$1,119.48–$978.96	at median	86%
CT scan of the head with contrast CPT 70460 CT Scan Head or Brain With Contrast	$797.02	$5,693.00	$1,138.60–$603.46	11% above	86%
CT scan of the head without and with contrast CPT 70470 CT Scan Head or Brain Before and After Contrast	$914.20	$6,530.00	$1,306.00–$692.18	2% above	86%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Scan of Lower Spine	$824.18	$5,887.00	$1,177.40–$95.39	10% above	86%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Scan of Upper Spine	$811.72	$5,798.00	$1,159.60–$95.39	15% above	86%
CT scan of the pelvis, with contrast dye CPT 72193 CT Scan Pelvis With Contrast	$866.88	$6,192.00	$1,238.40–$656.35	8% above	86%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound Scanning of Blood Flow on Both Sides of Head and Neck	$467.04	$3,336.00	$1,000.80–$934.08	at median	86%
Chest CT scan without and with contrast CPT 71270 CT Scan Thorax Diagnostic WO & W/Contrast & Further Sessions	$1,127.70	$8,055.00	$156.50–$853.83	10% above	86%
Chest X-ray, 2 views CPT 71046 X-Ray of Chest 2 Views Front and Side	$144.62	$1,033.00	$1,033.00–$98.24	15% above	86%
Chest X-ray, single view CPT 71045 X-Ray of Chest 1 View Front	$122.50	$875.00	$116.11–$92.75	19% above	86%
Collarbone (clavicle) X-ray, complete CPT 73000 X-Ray of Collar Bone	$117.18	$837.00	$116.11–$93.69	3% above	86%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Behind Abdominal Cavity	$296.94	$2,121.00	$1,039.29–$95.39	8% above	86%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density Measurement Using Dedicated X-Ray Machine	$92.82	$663.00	$110.16–$95.39	36% below	86%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density Measurement Using Dedicated X-Ray Machine	$58.66	$419.00	$100.14–$91.42	26% below	86%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Abdominal Ultrasound of Pregnant Uterus Single or First Fetus	$265.44	$1,896.00	$1,262.55–$929.04	at median	86%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Scan Thorax Diagnostic W/O Contrast	$779.66	$5,569.00	$1,113.80–$95.39	16% above	86%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Scan Thorax Diagnostic W/Contrast	$987.70	$7,055.00	$1,411.00–$747.83	17% above	86%
Diagnostic mammogram, both breasts CPT 77066 Mammography of Both Breasts	$137.34	$981.00	$101.46–$981.00	7% below	86%
Diagnostic mammogram, one breast CPT 77065 Mammography of One Breast	$121.80	$870.00	$118.72–$97.78	at median	86%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound Study of Arteries and Arterial Grafts of Both Legs	$453.88	$3,242.00	$1,588.58–$972.60	at median	86%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound Scan Veins Both Arms/Legs W/Assess Compression & Funct Maneuvers	$417.76	$2,984.00	$1,462.16–$895.20	at median	86%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound Exam Heart Including Color Blood Flow Rate Direct & Valve Funct W/Contrast	$601.44	$4,296.00	$1,026.74–$897.86	16% below	86%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound Exam Heart Including Color Blood Flow Rate Direct & Valve Funct W/O Contrast	$601.44	$4,296.00	$1,026.74–$983.15	16% below	86%
Elbow X-ray, 2 views CPT 73070 X-Ray of Elbow 2 Views	$130.48	$932.00	$116.11–$98.79	15% above	86%
Elbow X-ray, complete, 3 or more views CPT 73080 X-Ray of Elbow Minimum of 3 Views	$144.06	$1,029.00	$1,029.00–$94.77	10% above	86%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Scan of Cranial Cavity	$607.18	$4,337.00	$1,036.54–$95.39	at median	86%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-Ray of Bones of Face Minimum of 3 Views	$181.30	$1,295.00	$108.65–$93.75	23% above	86%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-Ray of Forearm 2 Views	$126.84	$906.00	$116.11–$96.04	13% above	86%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Imaging of Liver and Bile Duct System	$377.58	$2,697.00	$1,321.53–$862.93	34% below	86%
Hand X-ray, 2 views CPT 73120 X-Ray of Hand 2 Views	$105.42	$753.00	$140.23–$95.39	at median	86%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-Ray of Heel Minimum of 2 Views	$109.06	$779.00	$116.11–$83.36	at median	86%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Unattended Sleep Study W/Recording Heart Rate Oxygen Resp Airflow & Effort	$129.64	$926.00	$120.38–$98.16	41% below	86%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography >=6 Yrs Staging >=4 Add Parameters W/Cpap/Bipap Att/Tech	$712.74	$5,091.00	$1,018.20–$974.94	49% below	86%
Knee X-ray, 3 views CPT 73562 X-Ray of Knee 3 Views	$158.48	$1,132.00	$1,132.00–$94.97	17% above	86%
Knee X-ray, complete, 4 or more views CPT 73564 X-Ray of Knee 4 or More Views	$180.18	$1,287.00	$107.98–$95.39	23% above	86%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Scan Leg	$788.48	$5,632.00	$1,126.40–$95.39	32% above	86%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound of Abdomen	$317.66	$2,269.00	$107.20–$95.39	27% above	86%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound of Arm or Leg	$173.74	$1,241.00	$104.12–$95.39	at median	86%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Low Dose Lung Cancer Screen Cst W/O Contrast	$43.96	$314.00	$104.36–$95.39	70% below	86%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-Ray of Lower Leg 2 Views	$133.56	$954.00	$101.12–$954.00	16% above	86%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Scan of Head Blood Vessels	$1,080.24	$7,716.00	$1,003.08–$817.90	29% above	86%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral	$711.76	$5,084.00	$1,016.80–$714.73	—	86%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Scan of Leg Joint	$1,084.02	$7,743.00	$1,006.59–$820.76	25% above	86%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Scan of Leg Joint Before and After Contrast	$1,355.20	$9,680.00	$1,026.08–$9,680.00	9% above	86%
MRI of the abdomen without contrast CPT 74181 MRI Scan of Abdomen	$1,080.24	$7,716.00	$1,003.08–$817.90	20% above	86%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Scan of Abdomen Before and After Contrast	$1,355.20	$9,680.00	$1,026.08–$9,680.00	8% above	86%
MRI of the brain, no contrast dye CPT 70551 MRI Scan Brain	$1,128.68	$8,062.00	$1,612.40–$854.57	15% above	86%
MRI of the brain, with and without contrast dye CPT 70553 MRI Scan of Brain Before and After Contrast	$1,446.20	$10,330.00	$10,330.00–$877.91	11% above	86%
MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal	$1,263.50	$9,025.00	$1,805.00–$956.65	22% above	86%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Scan of Lower Spinal Canal Before and After Contrast	$1,394.40	$9,960.00	$1,055.76–$9,960.00	2% above	86%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Scan of Middle Spinal Canal	$1,263.50	$9,025.00	$1,805.00–$956.65	45% above	86%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Scan of Upper Spinal Canal Before and After Contrast	$1,799.56	$12,854.00	$1,078.45–$877.91	34% above	86%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Scan of Upper Spinal Canal	$1,259.72	$8,998.00	$1,799.60–$953.79	35% above	86%
MRI of the pelvis without and with contrast CPT 72197 MRI Scan of Pelvis Before and After Contrast	$1,671.60	$11,940.00	$1,001.77–$877.91	63% above	86%
MRI of the pelvis, no contrast dye CPT 72195 MRI Scan of Pelvis	$1,386.56	$9,904.00	$1,049.82–$9,904.00	71% above	86%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Scan of Arm Joint	$1,080.24	$7,716.00	$1,003.08–$817.90	36% above	86%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-Ray of Upper Spine 4 or 5 Views	$203.56	$1,454.00	$117.25–$968.22	1% above	86%
Neck soft tissue CT scan with contrast CPT 70491 CT Scan of Neck With Contrast	$831.18	$5,937.00	$1,187.40–$629.32	22% above	86%
Neck soft tissue CT scan without contrast CPT 70490 CT Scan of Neck	$772.38	$5,517.00	$1,103.40–$95.39	16% above	86%
Neck soft tissue X-ray CPT 70360 X-Ray of Soft Tissue of Neck	$124.18	$887.00	$116.11–$94.02	9% above	86%
OCT scan of the retina (optical coherence tomography) CPT 92134 Diagnostic Imaging of Retina	$61.04	$436.00	$101.42–$91.12	at median	86%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Nuclear Medicine Study With CT Imaging Skull Base to Mid-Thigh	$1,947.68	$13,912.00	$1,167.22–$9,264.00	at median	86%
Pelvic CT scan without contrast CPT 72192 CT Scan Pelvis	$816.20	$5,830.00	$1,166.00–$95.39	25% above	86%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound of Pelvis	$127.54	$911.00	$116.16–$96.57	17% below	86%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound of Pelvis	$344.82	$2,463.00	$1,206.87–$95.39	25% above	86%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdominal Ultrasound of Pregnant Uterus Single or 1st Fetus	$173.74	$1,241.00	$104.12–$95.39	25% below	86%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Abdominal Ultrasound of Pregnant Uterus Single or 1st Fetus	$135.38	$967.00	$102.50–$967.00	35% below	86%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound of Pregnant Uterus 1 or More Fetus(Es)	$135.38	$967.00	$102.50–$967.00	12% below	86%
Rib X-ray, one side, 2 views CPT 71100 X-Ray of Ribs of One Side of Body 2 Views	$174.30	$1,245.00	$104.46–$83.16	31% above	86%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-Ray of Ribs on One Side of Body Including the Chest Minimum of 3 Views	$89.74	$641.00	$117.25–$95.39	36% below	86%
Screening mammogram, both breasts CPT 77067 Mammography of Both Breasts	$70.14	$501.00	$100.20–$83.85	47% below	86%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-Ray of Shoulder Minimum of 2 Views	$174.30	$1,245.00	$100.52–$83.16	37% above	86%
Sinus X-ray, complete, 3 or more views CPT 70220 X-Ray of Paranasal Sinus Complete Minimum of 3 Views	$218.12	$1,558.00	$1,037.47–$83.16	42% above	86%
Skull X-ray, fewer than 4 views CPT 70250 X-Ray of Skull Less Than 4 Views	$187.18	$1,337.00	$104.28–$95.39	59% above	86%
Sleep study in a lab (polysomnography) CPT 95810 Sleep Monitoring of Patient (6 Years or Older) in Sleep Lab	$712.74	$5,091.00	$1,018.20–$930.18	47% below	86%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ultrasound Exam & Cont Monit Heart Perf During Rest Exerc/Drug-Induc Stress W/Contrast	$229.04	$1,636.00	$1,055.99–$801.64	61% below	86%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for Evaluation of Swallowing Function	$243.18	$1,737.00	$1,156.67–$851.13	2% above	86%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-Ray of Femur Minimum 2 Views	$141.54	$1,011.00	$1,011.00–$88.16	25% above	86%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Scan of Middle Spine	$862.40	$6,160.00	$1,232.00–$95.39	18% above	86%
Toe X-ray, 2 or more views CPT 73660 X-Ray of Toes Minimum of 2 Views	$136.64	$976.00	$103.46–$976.00	27% above	86%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Pelvis Through Vagina	$158.06	$1,129.00	$1,129.00–$95.39	19% below	86%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal Ultrasound of Pregnant Uterus	$135.38	$967.00	$102.36–$967.00	20% below	86%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of Abdomen	$296.66	$2,119.00	$1,038.31–$95.39	at median	86%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound of Scrotum	$173.74	$1,241.00	$104.12–$95.39	18% below	86%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound of Head and Neck	$296.66	$2,119.00	$1,038.31–$95.39	18% above	86%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-Ray of Upper Digestive Tract	$313.04	$2,236.00	$1,095.64–$670.80	28% above	86%
Upper arm X-ray (humerus), 2 views CPT 73060 X-Ray of Upper Arm Minimum of 2 Views	$170.94	$1,221.00	$102.44–$93.69	50% above	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound Scan Veins 1 Arm/Leg/Ltd W/Assess Compression & Funct Maneuvers	$337.12	$2,408.00	$1,179.92–$95.39	34% above	86%
Wrist X-ray, 2 views CPT 73100 X-Ray of Wrist 2 Views	$109.06	$779.00	$116.11–$98.37	3% above	86%
Wrist X-ray, complete, 3 or more views CPT 73110 X-Ray of Wrist Minimum of 3 Views	$132.44	$946.00	$100.28–$946.00	17% above	86%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-Ray of Hip With Pelvis 2-3 Views	$142.24	$1,016.00	$1,016.00–$88.16	14% above	86%
X-ray of the abdomen, 1 view CPT 74018 X-Ray of Abdomen Single View	$120.96	$864.00	$116.11–$91.58	at median	86%
X-ray of the ankle, 2 views CPT 73600 X-Ray of Ankle 2 Views	$120.54	$861.00	$116.11–$94.64	15% above	86%
X-ray of the finger(s), 2 or more views CPT 73140 X-Ray of Fingers Minimum of 2 Views	$102.76	$734.00	$109.24–$83.16	at median	86%
X-ray of the foot, 2 views CPT 73620 X-Ray of Foot 2 Views	$109.06	$779.00	$116.11–$83.16	3% above	86%
X-ray of the foot, complete, 3 or more views CPT 73630 X-Ray of Foot Minimum of 3 Views	$123.90	$885.00	$116.11–$99.45	4% above	86%
X-ray of the hand, 3 or more views CPT 73130 X-Ray of Hand Minimum of 3 Views	$126.84	$906.00	$106.97–$96.04	6% above	86%
X-ray of the knee, 1 or 2 views CPT 73560 X-Ray of Knee 1 or 2 Views	$115.50	$825.00	$116.11–$99.32	3% above	86%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray of Lower and Sacral Spine 2 or 3 Views	$170.94	$1,221.00	$102.44–$95.39	13% above	86%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of Lower and Sacral Spine Minimum of 4 Views	$323.96	$2,314.00	$1,133.86–$95.39	52% above	86%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray of Middle Spine 3 Views	$197.54	$1,411.00	$118.38–$96.10	32% above	86%
X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray of Bones of Nose Minimum of 3 Views	$127.96	$914.00	$110.69–$96.88	15% above	86%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-Ray of Spine of Neck 2 or 3 Views	$143.64	$1,026.00	$1,026.00–$86.08	at median	86%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray of Pelvis 1 or 2 Views	$191.52	$1,368.00	$114.78–$95.39	46% above	86%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray of Pelvis Minimum of 2 Views	$177.66	$1,269.00	$106.47–$94.77	29% above	86%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 Ej Ref Lab Adrenocorticotrophic Hormone	$19.18	$137.00	$122.04–$91.23	82% below	86%
ACTH blood test CPT 82024 Labcorp Adrenocorticotropic Hormone Acth	$19.18	$137.00	$122.04–$91.23	82% below	86%
ACTH blood test CPT 82024 Acth Stim Studies	$19.18	$137.00	$122.04–$91.23	82% below	86%
ACTH blood test CPT 82024 Acth Level	$19.18	$137.00	$122.04–$91.23	82% below	86%
ACTH blood test CPT 82024 Adrenocorticotropic Hormone (Acth) Level	$51.38	$367.00	$102.76–$99.09	52% below	86%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver Enzyme (Sgpt) Level	$12.04	$86.00	$10.60–$9.77	38% below	86%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Arup Alt	$12.04	$86.00	$10.60–$9.77	38% below	86%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt Alt	$33.46	$239.00	$10.60–$9.77	73% above	86%
AST (aspartate aminotransferase) enzyme test CPT 84450 Arup Ast/Sgot	$11.48	$82.00	$10.36–$9.55	40% below	86%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver Enzyme (Sgot) Level	$41.16	$294.00	$10.36–$9.55	114% above	86%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Ej Ref Lab Acute Hepatitis Panel	$46.76	$334.00	$100.20–$97.24	60% below	86%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$46.76	$334.00	$100.20–$97.24	60% below	86%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Omega Acute Hepatitis Panel	$100.38	$717.00	$109.51–$97.24	14% below	86%
Albumin blood test CPT 82040 Arup Albumin Serum Plasma Whole Bld	$11.48	$82.00	$10.11–$9.90	21% below	86%
Albumin blood test CPT 82040 Mayo Albumin Serum	$11.48	$82.00	$10.11–$9.90	21% below	86%
Albumin blood test CPT 82040 Labcorp Albumin Serum Plasma/Whole Blood	$40.46	$289.00	$10.11–$9.90	179% above	86%
Albumin blood test CPT 82040 Albumin Serum Plasma Whole Bld	$40.46	$289.00	$10.11–$9.90	179% above	86%
Aldosterone blood test CPT 82088 Labcorp Assay of Aldosterone	$20.30	$145.00	$128.77–$96.56	79% below	86%
Aldosterone blood test CPT 82088 Ej Ref Lab Aldosterone	$20.30	$145.00	$128.77–$96.56	79% below	86%
Aldosterone blood test CPT 82088 Arup Aldosterone	$20.30	$145.00	$128.77–$96.56	79% below	86%
Aldosterone blood test CPT 82088 Aldosterone Hormone Level	$76.30	$545.00	$109.00–$93.69	20% below	86%
Aldosterone blood test CPT 82088 Labcorp Aldosterone Lcms Serum 004374	$76.30	$545.00	$109.00–$93.69	20% below	86%
Aldosterone blood test CPT 82088 Aldosterone Urine	$76.30	$545.00	$109.00–$93.69	20% below	86%
Alkaline phosphatase (ALP) blood test CPT 84075 Arup Alkaline Phosphatase	$9.52	$68.00	$10.36–$9.55	50% below	86%
Alkaline phosphatase (ALP) blood test CPT 84075 Labcorp Alkaline Phosphatase	$9.52	$68.00	$10.36–$9.55	50% below	86%
Alkaline phosphatase (ALP) blood test CPT 84075 Ej Ref Lab Assay Alkaline Phosphatase	$63.00	$450.00	$10.36–$94.05	229% above	86%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (Enzyme) Level	$63.00	$450.00	$10.36–$94.05	229% above	86%
Allergy blood test, specific IgE, per allergen CPT 86003 Arup Allergen Ige Quant or Semi	$3.36	$24.00	$10.44–$9.62	68% below	86%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Ea(Rast)	$3.36	$24.00	$10.44–$9.62	68% below	86%
Allergy blood test, specific IgE, per allergen CPT 86003 Labcorp Allergens W/Total Ige Area 6 602633	$3.36	$24.00	$10.44–$9.62	68% below	86%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of Antibody (Ige) to Allergic Substance	$3.36	$24.00	$10.44–$9.62	68% below	86%
Allergy blood test, specific IgE, per allergen CPT 86003 Labcorp Allergens (8) Grasses 605703	$3.36	$24.00	$10.44–$9.62	68% below	86%
Allergy blood test, specific IgE, per allergen CPT 86003 Labcorp Allergen	$3.36	$24.00	$10.44–$9.62	68% below	86%
Alpha-fetoprotein (AFP) blood test CPT 82105 Labcorp Alpha Fetoprotein Tumor Marker	$24.22	$173.00	$115.20–$84.77	54% below	86%
Alpha-fetoprotein (AFP) blood test CPT 82105 Labcorp Afp Serum Tumor Marker 002253	$24.22	$173.00	$115.20–$84.77	54% below	86%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker	$24.22	$173.00	$115.20–$84.77	54% below	86%
Alpha-fetoprotein (AFP) blood test CPT 82105 Arup Alpha Fetroprotein Materna	$50.40	$360.00	$100.80–$97.20	4% below	86%
Alpha-fetoprotein (AFP) blood test CPT 82105 Ej Ref Lab Afp Serum	$50.40	$360.00	$100.80–$97.20	4% below	86%
Alpha-fetoprotein (AFP) blood test CPT 82105 Omega-Alpha Fetoprotein Tum Mrkr	$50.40	$360.00	$100.80–$97.20	4% below	86%
Alpha-fetoprotein (AFP) blood test CPT 82105 Ej Ref Lab Alpha-Fetoprotein Tumor Marker	$117.18	$837.00	$16.69–$88.72	124% above	86%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein (Afp) Level Serum	$117.18	$837.00	$16.69–$88.72	124% above	86%
Alpha-fetoprotein (AFP) blood test CPT 82105 Ej Ref Lab Maternal Alpha Fetoprotein	$117.18	$837.00	$16.69–$88.72	124% above	86%
Ammonia blood test CPT 82140 HC Assay of Ammonia	$27.30	$195.00	$129.85–$95.55	45% below	86%
Ammonia blood test CPT 82140 Ammonia Level	$123.90	$885.00	$14.57–$93.81	150% above	86%
Ammonia blood test CPT 82140 Labcorp Assay of Ammonia	$123.90	$885.00	$14.57–$93.81	150% above	86%
Amylase blood test CPT 82150 Labcorp Amylase Isoenzymes	$20.02	$143.00	$11.95–$95.22	10% below	86%
Amylase blood test CPT 82150 Amylase Urine	$20.02	$143.00	$11.95–$95.22	10% below	86%
Amylase blood test CPT 82150 Labcorp Amylase Urine	$20.02	$143.00	$11.95–$95.22	10% below	86%
Amylase blood test CPT 82150 Joli Diag. Pancreatic Enzyme Anal Amylase	$20.02	$143.00	$11.95–$95.22	10% below	86%
Amylase blood test CPT 82150 Amylase (Enzyme) Level	$110.74	$791.00	$11.95–$9.72	397% above	86%
Amylase blood test CPT 82150 Ej Ref Lab Pancreatic Isoenzyme	$110.74	$791.00	$11.95–$9.72	397% above	86%
Amylase blood test CPT 82150 Amylase Serum	$110.74	$791.00	$11.95–$9.72	397% above	86%
Amylase blood test CPT 82150 Ej Ref Lab Amylase (Enzyme) Level	$110.74	$791.00	$11.95–$9.72	397% above	86%
Amylase blood test CPT 82150 Amylase Iso Pancreatic	$110.74	$791.00	$11.95–$9.72	397% above	86%
Amylase blood test CPT 82150 Amylase Isoenzymes	$110.74	$791.00	$11.95–$9.72	397% above	86%
Amylase blood test CPT 82150 Amylase Body Fluid	$110.74	$791.00	$11.95–$9.72	397% above	86%
Amylase blood test CPT 82150 Amylase Level Urine	$110.74	$791.00	$11.95–$9.72	397% above	86%
Amylase blood test CPT 82150 Amylase Body Fluid	$110.74	$791.00	$11.95–$9.72	397% above	86%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ej Ref Lab Cyclic Cit. Peptide (CCP) Igg	$10.64	$76.00	$12.95–$8.06	76% below	86%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Omega-CCP Igg	$10.64	$76.00	$12.95–$8.06	76% below	86%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibody	$10.64	$76.00	$12.95–$8.06	76% below	86%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Labcorp Cyclic Citrul Peptide (CCP) Antibody	$37.24	$266.00	$12.95–$79.80	17% below	86%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of Antibody for Rheumatoid Arthritis Assessment	$37.24	$266.00	$12.95–$79.80	17% below	86%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Arup Cyclic Citrullinated Peptide Test	$37.24	$266.00	$12.95–$79.80	17% below	86%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana-Fluid Screen	$5.74	$41.00	$10.25–$9.80	87% below	86%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Profile	$5.74	$41.00	$10.25–$9.80	87% below	86%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ej Ref Lab Antinuclear Antibody	$5.74	$41.00	$10.25–$9.80	87% below	86%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Omega-Anti Nuc Ab Scrn W/Refl	$5.74	$41.00	$10.25–$9.80	87% below	86%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Serum Screen	$5.74	$41.00	$10.25–$9.80	87% below	86%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Labcorp Antinuclear Antibody Screen	$28.14	$201.00	$12.09–$98.49	35% below	86%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Omega-Pro Bnp Nt	$24.50	$175.00	$116.53–$90.26	61% below	86%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 POCT Bnp Natriuretic Peptide	$24.50	$175.00	$116.53–$90.26	61% below	86%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide (Heart and Blood Vessel Protein) Level	$35.56	$254.00	$124.06–$90.26	43% below	86%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Probrain Nat Peptide Nt	$35.56	$254.00	$124.06–$90.26	43% below	86%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp (B-Type Natriuretic Peptide)	$104.44	$746.00	$124.06–$90.26	67% above	86%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide	$104.44	$746.00	$124.06–$90.26	67% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Othr Specimn Aerobic	$18.62	$133.00	$10.58–$88.56	36% below	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Burn Cult-Swab Aerobic	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Rectal	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Body Fluid	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Burn Cult-Biop	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Decubitus Culture	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Nasopharynx	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Eye	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Bronchial	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Tracheal	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Misc	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Labcorp Cul Bact Xcpt Urine Blood/Stool Aerobic Isol	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bordetella Pertussis	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$131.74	$941.00	$10.58–$99.75	353% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Cult	$132.02	$943.00	$10.58–$99.96	354% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Genital	$132.02	$943.00	$10.58–$99.96	354% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture	$132.02	$943.00	$10.58–$99.96	354% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Wound Aerobic	$132.02	$943.00	$10.58–$99.96	354% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture	$132.02	$943.00	$10.58–$99.96	354% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Throat	$132.02	$943.00	$10.58–$99.96	354% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture	$132.02	$943.00	$10.58–$99.96	354% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial Culture	$132.02	$943.00	$10.58–$99.96	354% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult Bact Tissue Aerobic	$132.02	$943.00	$10.58–$99.96	354% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF Cult	$132.02	$943.00	$10.58–$99.96	354% above	86%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ej Ref Lab Aerobic/Anaerobic Culture	$132.02	$943.00	$10.58–$99.96	354% above	86%
Basic metabolic panel (blood test) CPT 80048 HC Metabolic Panel Total Ca	$19.18	$137.00	$10.39–$91.23	42% below	86%
Basic metabolic panel (blood test) CPT 80048 Blood Test Basic Group of Blood Chemicals	$176.68	$1,262.00	$10.39–$840.37	431% above	86%
Bilirubin blood test, total CPT 82247 Baylor Genetics Lab Bilirubin Total	$8.12	$58.00	$10.04–$9.26	51% below	86%
Bilirubin blood test, total CPT 82247 Arup-Bilirubin	$24.78	$177.00	$10.04–$9.26	50% above	86%
Bilirubin blood test, total CPT 82247 Labcorp Bilirubin Total	$24.78	$177.00	$10.04–$9.26	50% above	86%
Bilirubin blood test, total CPT 82247 Bilirubin Level	$24.78	$177.00	$10.04–$9.26	50% above	86%
Bilirubin blood test, total CPT 82247 Bilirubin Fld	$24.78	$177.00	$10.04–$9.26	50% above	86%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Arup Kidney Biopsy Level IV Exam	$28.56	$204.00	$100.99–$99.96	65% below	86%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Prostate Needle Biopsy Any Method	$28.56	$204.00	$135.84–$99.96	65% below	86%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Ej Ref Lab G&M Level IV; 2 Slides Blocks	$28.56	$204.00	$100.99–$99.96	65% below	86%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Examination of Tissue Using a Microscope Intermediate Complexity	$28.56	$204.00	$100.99–$99.96	65% below	86%
Blood culture for bacteria CPT 87040 Blood Culture	$14.70	$105.00	$10.32–$69.92	67% below	86%
Blood culture for bacteria CPT 87040 Blood Culture Adults/Peds	$120.68	$862.00	$10.32–$91.37	168% above	86%
Blood culture for bacteria CPT 87040 Cult Bact Blood	$120.68	$862.00	$10.32–$91.37	168% above	86%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Draw Venipuncture	$8.26	$59.00	$11.80–$9.09	at median	86%
Blood glucose (sugar) test CPT 82947 Baylor Genetics Lab Assay Glucose Blood Quant Xcpt Reagent Strip	$9.80	$70.00	$12.42–$9.04	30% below	86%
Blood glucose (sugar) test CPT 82947 Mng Glucose CSF (Nc10)	$9.80	$70.00	$12.42–$9.04	30% below	86%
Blood glucose (sugar) test CPT 82947 Ej Ref Lab Assay Glucose Blood Quant	$22.82	$163.00	$108.54–$9.04	63% above	86%
Blood glucose (sugar) test CPT 82947 Resp Glucose	$46.06	$329.00	$12.42–$98.70	229% above	86%
Blood glucose (sugar) test CPT 82947 POCT Glucose	$46.06	$329.00	$12.42–$98.70	229% above	86%
Blood glucose (sugar) test CPT 82947 Glucose - 1 HR OB Challenge	$46.06	$329.00	$12.42–$98.70	229% above	86%
Blood glucose (sugar) test CPT 82947 Ej Ref Lab Glucose Serum	$46.06	$329.00	$12.42–$98.70	229% above	86%
Blood glucose (sugar) test CPT 82947 Glucose - 2hr Pp	$46.06	$329.00	$12.42–$98.70	229% above	86%
Blood glucose (sugar) test CPT 82947 Glucose-Serum	$46.06	$329.00	$12.42–$98.70	229% above	86%
Blood glucose (sugar) test CPT 82947 Ej Ref Lab Wbp Glu	$46.06	$329.00	$12.42–$98.70	229% above	86%
Blood glucose (sugar) test CPT 82947 Ej Ref Lab Glucose Tolerance Fasting	$46.06	$329.00	$12.42–$98.70	229% above	86%
Blood glucose (sugar) test CPT 82947 Blood Glucose (Sugar) Level	$46.06	$329.00	$12.42–$98.70	229% above	86%
Blood lead test CPT 83655 Lead Blood	$10.22	$73.00	$12.11–$73.00	64% below	86%
Blood lead test CPT 83655 Ej Ref Lab Lead Level	$10.22	$73.00	$12.11–$73.00	64% below	86%
Blood lead test CPT 83655 Lead Capillary	$10.22	$73.00	$12.11–$73.00	64% below	86%
Blood lead test CPT 83655 Arup Lead Whole Blood	$10.22	$73.00	$12.11–$73.00	64% below	86%
Blood lead test CPT 83655 Arup Lead Urine	$10.22	$73.00	$12.11–$73.00	64% below	86%
Blood lead test CPT 83655 Lead Level	$23.10	$165.00	$109.87–$80.85	18% below	86%
Blood lead test CPT 83655 Labcorp Lead Blood	$23.10	$165.00	$109.87–$80.85	18% below	86%
Blood lead test CPT 83655 Labcorp Lead Whole Blood	$23.10	$165.00	$109.87–$80.85	18% below	86%
Blood lead test CPT 83655 Labcorp Lead Urine	$23.10	$165.00	$109.87–$80.85	18% below	86%
Blood lead test CPT 83655 NonIntefaced Lead Urine	$23.10	$165.00	$109.87–$80.85	18% below	86%
Blood lead test CPT 83655 Labcorp Lead	$23.10	$165.00	$109.87–$80.85	18% below	86%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (Reproductive Hormone) Analysis	$58.24	$416.00	$104.00–$99.42	86% above	86%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ej Ref Lab Cord Abo/Rh Interp	$43.12	$308.00	$113.32–$92.40	6% below	86%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group Typing (Abo)	$51.66	$369.00	$103.32–$99.63	13% above	86%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ej Ref Lab Blood Typing Abo	$51.66	$369.00	$103.32–$99.63	13% above	86%
Blood urea nitrogen (BUN) test CPT 84520 POCT Bun	$7.42	$53.00	$10.60–$9.08	54% below	86%
Blood urea nitrogen (BUN) test CPT 84520 Arup Bun Serum	$7.42	$53.00	$10.60–$9.08	54% below	86%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Fluid	$7.42	$53.00	$10.60–$9.08	54% below	86%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Level to Assess Kidney Function	$21.98	$157.00	$104.55–$9.08	38% above	86%
Blood urea nitrogen (BUN) test CPT 84520 Bun Serum	$21.98	$157.00	$104.55–$9.08	38% above	86%
C-peptide blood test CPT 84681 Ej Ref Lab C-Peptide	$12.46	$89.00	$17.80–$9.43	78% below	86%
C-peptide blood test CPT 84681 C-Peptide	$38.92	$278.00	$136.22–$83.40	30% below	86%
C-peptide blood test CPT 84681 C-Peptide (Protein) Level	$38.92	$278.00	$136.22–$83.40	30% below	86%
C-peptide blood test CPT 84681 Labcorp C-Peptide	$38.92	$278.00	$136.22–$83.40	30% below	86%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Labcorp C-Reactive Protein	$24.50	$175.00	$10.36–$9.55	6% above	86%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Ibd Crp Sendout	$24.50	$175.00	$10.36–$9.55	6% above	86%
C. difficile toxin gene test (stool PCR) CPT 87493 Labcorp Inf Agent Det Nucleic Acid Clostridium Amp Probe	$34.02	$243.00	$117.77–$85.69	50% below	86%
C. difficile toxin gene test (stool PCR) CPT 87493 Amp Probe Detect Inf Agt Nuc Acid	$34.02	$243.00	$117.77–$85.69	50% below	86%
C. difficile toxin gene test (stool PCR) CPT 87493 Arup C Difficile by Pcr	$34.02	$243.00	$117.77–$85.69	50% below	86%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection Test for Clostridium Difficile	$34.02	$243.00	$117.77–$85.69	50% below	86%
CA 19-9 blood test (tumor marker) CPT 86301 Ej Ref Lab Ca 19-9	$16.80	$120.00	$12.72–$79.91	66% below	86%
CA 19-9 blood test (tumor marker) CPT 86301 Arup-Cancer Ag 19-9 Body Fluid	$16.80	$120.00	$12.72–$79.91	66% below	86%
CA 19-9 blood test (tumor marker) CPT 86301 Ca-19-9	$16.80	$120.00	$12.72–$79.91	66% below	86%
CA 19-9 blood test (tumor marker) CPT 86301 Cancer Ag 19-9 Body Fluid	$16.80	$120.00	$12.72–$79.91	66% below	86%
CA 19-9 blood test (tumor marker) CPT 86301 Omega-Cancer Ag Ca 19-9	$16.80	$120.00	$12.72–$79.91	66% below	86%
CA 19-9 blood test (tumor marker) CPT 86301 Labcorp Ca 19 9	$40.88	$292.00	$143.08–$87.60	16% below	86%
CA 19-9 blood test (tumor marker) CPT 86301 Mayo Ca 19-19 Pancreatic Cyst Fluid	$140.56	$1,004.00	$1,004.00–$668.56	188% above	86%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125	$14.70	$105.00	$105.00–$69.92	72% below	86%
CA-125 blood test (ovarian cancer marker) CPT 86304 Omega-Cancer Antigen 125	$14.70	$105.00	$105.00–$69.92	72% below	86%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 Body Fluid	$14.70	$105.00	$105.00–$69.92	72% below	86%
CA-125 blood test (ovarian cancer marker) CPT 86304 Labcorp Ca 125	$40.88	$292.00	$143.08–$87.60	21% below	86%
Calcium blood test, total CPT 82310 Calcium Serum	$33.04	$236.00	$10.32–$9.51	75% above	86%
Calcium blood test, total CPT 82310 Ej Ref Lab Calcium Random Urine	$33.04	$236.00	$10.32–$9.51	75% above	86%
Calcium blood test, total CPT 82310 Calcium Level	$33.04	$236.00	$10.32–$9.51	75% above	86%
Calcium blood test, total CPT 82310 Calcium Total Body Fluid	$33.04	$236.00	$10.32–$9.51	75% above	86%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (Cea) Protein Level	$41.72	$298.00	$146.02–$89.40	29% below	86%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea Carcinoembryonic Antigen	$81.20	$580.00	$116.00–$61.48	38% above	86%
Carcinoembryonic antigen (CEA) test CPT 82378 Ej Ref Lab Carcinoembryonic Antigen (Cea) Protein Level	$81.20	$580.00	$116.00–$61.48	38% above	86%
Carcinoembryonic antigen (CEA) test CPT 82378 Labcorp Carcinoembryonic Antigen (Cea) Protein Level	$81.20	$580.00	$116.00–$61.48	38% above	86%
Carcinoembryonic antigen (CEA) test CPT 82378 Labcorp Cea Carcinoembryonic Antig	$81.20	$580.00	$116.00–$61.48	38% above	86%
Chickenpox (varicella) immunity blood test CPT 86787 Analysis for Antibody to Varicella-Zoster Virus (Chicken Pox)	$6.58	$47.00	$11.23–$9.82	82% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 Ej Ref Lab Varicella-Zoster Virus Antibody (Igm)	$6.58	$47.00	$11.23–$9.82	82% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 Ej Ref Lab Varicella Zoster Antibody Igg	$6.58	$47.00	$11.23–$9.82	82% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Antibody Igm	$10.64	$76.00	$12.88–$8.06	72% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 Omega-Var Zos Igg	$10.64	$76.00	$12.88–$8.06	72% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 Labcorp Varicella Zoster Antibody Qnt (Chickenpox)	$10.64	$76.00	$12.88–$8.06	72% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Igm CSF	$10.64	$76.00	$12.88–$8.06	72% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 Labcorp Varicella Zoster Antibody Igg	$22.12	$158.00	$105.21–$77.42	41% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Igg CSF	$22.12	$158.00	$105.21–$77.42	41% below	86%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IgG	$22.12	$158.00	$105.21–$77.42	41% below	86%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Amplified Detection	$24.64	$176.00	$110.88–$86.24	58% below	86%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Labcorp Chlamydia CT Ng Trich Vaginals by Nna 183160	$24.64	$176.00	$110.88–$86.24	58% below	86%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection Test for Chlamydia	$24.64	$176.00	$110.88–$86.24	58% below	86%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Labcorp Gc Chlamydia Naa Sendout	$24.64	$176.00	$110.88–$86.24	58% below	86%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Labcorp Neisseria Gonorrhoeae Naa Sendout	$24.64	$176.00	$110.88–$86.24	58% below	86%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ej Ref Lab Chlamydia Trachomatis Amplified Dna	$97.44	$696.00	$110.88–$80.68	67% above	86%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Labcorp Lipid Panel	$69.02	$493.00	$103.04–$98.60	40% above	86%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood Test Lipids (Cholesterol and Triglycerides)	$69.02	$493.00	$103.04–$98.60	40% above	86%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Cell Count Automated Test	$14.28	$102.00	$10.81–$9.55	46% below	86%
Complete blood count (CBC), no differential CPT 85027 Labcorp Complete Cbc Automated	$59.36	$424.00	$101.34–$9.71	113% above	86%
Complete blood count (CBC), no differential CPT 85027 Complete Blood Cell Count Automated Test	$59.36	$424.00	$101.34–$9.71	113% above	86%
Comprehensive metabolic panel (blood test) CPT 80053 Tulane Comprehensive Metabolic Panel Sendout	$205.10	$1,465.00	$10.56–$975.54	176% above	86%
Comprehensive metabolic panel (blood test) CPT 80053 Blood Test Comprehensive Group of Blood Chemicals	$205.10	$1,465.00	$10.56–$975.54	176% above	86%
Cortisol blood test, total CPT 82533 Ej Ref Lab Cortisol 8am Post Dexamethasone	$15.40	$110.00	$11.66–$73.25	60% below	86%
Cortisol blood test, total CPT 82533 Arup-Cortisol Saliva	$15.40	$110.00	$11.66–$73.25	60% below	86%
Cortisol blood test, total CPT 82533 Cortisol Pm	$15.40	$110.00	$11.66–$73.25	60% below	86%
Cortisol blood test, total CPT 82533 Cortisol Total	$15.40	$110.00	$11.66–$73.25	60% below	86%
Cortisol blood test, total CPT 82533 Ej Ref Lab GI Cortrosyn Stimulation Test	$15.40	$110.00	$11.66–$73.25	60% below	86%
Cortisol blood test, total CPT 82533 Cortisol Total Serum	$15.40	$110.00	$11.66–$73.25	60% below	86%
Cortisol blood test, total CPT 82533 Labcorp Cortisol Am	$32.06	$229.00	$112.21–$68.70	16% below	86%
Cortisol blood test, total CPT 82533 Labcorp Cortisol Pm	$32.06	$229.00	$112.21–$68.70	16% below	86%
Cortisol blood test, total CPT 82533 Baylor Genetics Lab Cortisol Total	$32.06	$229.00	$112.21–$68.70	16% below	86%
Cortisol blood test, total CPT 82533 Cortisol (Hormone) Measurement	$32.06	$229.00	$112.21–$68.70	16% below	86%
Cortisol blood test, total CPT 82533 Labcorp Cortisol Lc/Ms	$32.06	$229.00	$112.21–$68.70	16% below	86%
Creatine kinase (CK) blood test, total CPT 82550 Labcorp Creatine Kinase (Cpk)	$13.02	$93.00	$12.00–$93.00	41% below	86%
Creatine kinase (CK) blood test, total CPT 82550 Ej Ref Lab Assay of CK (Cpk)	$52.22	$373.00	$100.71–$93.25	135% above	86%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (Cardiac Enzyme) Level	$52.22	$373.00	$100.71–$93.25	135% above	86%
Creatinine blood test CPT 82565 Baylor Genetics Lab Assay Creatinine Blood	$12.18	$87.00	$10.24–$9.44	30% below	86%
Creatinine blood test CPT 82565 Ej Ref Lab Creatinine & Gfr Panel	$39.48	$282.00	$10.24–$9.44	126% above	86%
Creatinine blood test CPT 82565 Creatinine; Blood	$39.48	$282.00	$10.24–$9.44	126% above	86%
Creatinine blood test CPT 82565 Creatinine W Glomerl Filt Rate	$39.48	$282.00	$10.24–$9.44	126% above	86%
Creatinine blood test CPT 82565 POCT Creatinine Blood	$39.48	$282.00	$10.24–$9.44	126% above	86%
Creatinine blood test CPT 82565 Blood Creatinine Level	$39.48	$282.00	$10.24–$9.44	126% above	86%
Cytomegalovirus (CMV) antibody test CPT 86644 Labcorp Cytomegalovirus Ab Igg	$10.22	$73.00	$14.39–$73.00	72% below	86%
Cytomegalovirus (CMV) antibody test CPT 86644 Omega-Cmv Igg	$10.22	$73.00	$14.39–$73.00	72% below	86%
Cytomegalovirus (CMV) antibody test CPT 86644 Antib Cytomegalovirus	$10.22	$73.00	$14.39–$73.00	72% below	86%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Ab Igg	$10.22	$73.00	$14.39–$73.00	72% below	86%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Antibody	$10.22	$73.00	$14.39–$73.00	72% below	86%
Cytomegalovirus (CMV) antibody test CPT 86644 Arup-Cmv Antibody Igg	$10.22	$73.00	$14.39–$73.00	72% below	86%
Cytomegalovirus (CMV) antibody test CPT 86644 Torch Cytomegalovirus Ab	$17.64	$126.00	$126.00–$83.90	52% below	86%
Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for Antibody to Cytomegalovirus (Cmv) Igg	$17.64	$126.00	$126.00–$83.90	52% below	86%
Cytomegalovirus (CMV) antibody test CPT 86644 Labcorp Cmv Ab	$78.26	$559.00	$111.80–$59.25	112% above	86%
Cytomegalovirus (CMV) antibody test CPT 86644 Ej Ref Lab Cytomegalovirus Antibody Igg	$78.26	$559.00	$111.80–$59.25	112% above	86%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation Function Measurement	$92.96	$664.00	$10.18–$70.38	90% above	86%
DHEA sulfate (DHEA-S) blood test CPT 82627 Ej Ref Lab Dhea Sulfate	$14.00	$100.00	$10.60–$70.25	76% below	86%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea Sulfate Test	$14.00	$100.00	$10.60–$70.25	76% below	86%
DHEA sulfate (DHEA-S) blood test CPT 82627 Thiopurine Methyltransferase	$14.00	$100.00	$10.60–$70.25	76% below	86%
DHEA sulfate (DHEA-S) blood test CPT 82627 Labcorp Dhea-S	$29.68	$212.00	$103.88–$70.25	48% below	86%
DHEA sulfate (DHEA-S) blood test CPT 82627 Arup Dhea-Sulfate Dhea	$29.68	$212.00	$103.88–$70.25	48% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Labcorp Drug Screen 10 W/ Conf Wb 700886	$26.04	$186.00	$114.57–$93.21	9% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine	$28.28	$202.00	$114.57–$98.98	1% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Salicylate-Serum	$28.28	$202.00	$114.57–$98.98	1% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Barbiturates	$28.28	$202.00	$114.57–$98.98	1% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Acetaminophen-Tylenol)	$28.28	$202.00	$114.57–$98.98	1% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Presumptive Drug Screen	$28.28	$202.00	$114.57–$98.98	1% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ej Ref Lab Drug Test Prsmv Chem Anlyzr	$28.28	$202.00	$114.57–$98.98	1% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Scrn Qual Single Class	$28.28	$202.00	$114.57–$98.98	1% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ejgh Ohs Blood Alcohol Test	$28.28	$202.00	$114.57–$98.98	1% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Ethanol	$28.28	$202.00	$114.57–$98.98	1% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup Ghb Screen Urine	$50.68	$362.00	$101.36–$97.74	77% above	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Labcorp Drug Test Presumptive	$50.68	$362.00	$101.36–$97.74	77% above	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NMS DRUG SCREEN-URINE TOXICOLOGY (x3)	$50.68	$362.00	$101.36–$97.74	77% above	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Wjmc Industrial Med Non-Dot Presumptive Drug Screen	$50.68	$362.00	$101.36–$97.74	77% above	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Wjmc Industrial Med Dot Presumptive Drug Screen	$50.68	$362.00	$101.36–$97.74	77% above	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup Urine Drug Screen	$50.68	$362.00	$101.36–$97.74	77% above	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup Drug Test Presumptive Instrument	$50.68	$362.00	$101.36–$97.74	77% above	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Arup-Buprenorphine Urine Screen	$50.68	$362.00	$101.36–$97.74	77% above	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Labcorp Sedative Hypnotic Panel UR 701085	$190.12	$1,358.00	$114.57–$93.21	565% above	86%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 POCT Electrolytes	$16.10	$115.00	$10.44–$8.61	56% below	86%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood Test Panel for Electrolytes	$128.66	$919.00	$10.44–$97.41	248% above	86%
Epstein-Barr virus (EBV) antibody test CPT 86665 Labcorp Ebv Ab Vca Igg	$108.50	$775.00	$155.00–$82.15	112% above	86%
Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis for Antibody to Epstein-Barr Virus (Mononucleosis Virus)	$108.50	$775.00	$155.00–$82.15	112% above	86%
Epstein-Barr virus (EBV) antibody test CPT 86665 Labcorp Ebv Ab Vca Igm	$108.50	$775.00	$155.00–$82.15	112% above	86%
Estradiol blood test CPT 82670 Arup Estradiol Ultrasensitive; Total	$55.30	$395.00	$106.65–$98.75	3% below	86%
Estradiol blood test CPT 82670 Labcorp Estradiol; Total	$55.30	$395.00	$106.65–$98.75	3% below	86%
Estradiol blood test CPT 82670 Assay of Estradiol; Total	$79.24	$566.00	$113.20–$88.29	39% above	86%
Estradiol blood test CPT 82670 Omega-Estradiol Adult Prem Female; Total	$79.24	$566.00	$113.20–$88.29	39% above	86%
Estradiol blood test CPT 82670 Arup-Estradiol by Tms; Total	$79.24	$566.00	$113.20–$88.29	39% above	86%
Estradiol blood test CPT 82670 Ej Ref Lab Estradiol Level	$79.24	$566.00	$113.20–$88.29	39% above	86%
FSH (follicle-stimulating hormone) test CPT 83001 Labcorp Fsh	$46.34	$331.00	$162.19–$99.30	18% below	86%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin Follicle Stimulating (Reproductive Hormone) Level	$46.34	$331.00	$162.19–$99.30	18% below	86%
FSH (follicle-stimulating hormone) test CPT 83001 Ej Ref Lab Follicle Stimulating Hormone Level	$53.20	$380.00	$102.60–$95.00	5% below	86%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh-Bioassay Urine	$53.20	$380.00	$102.60–$95.00	5% below	86%
FSH (follicle-stimulating hormone) test CPT 83001 Omega-Follicle Stim Hormone	$53.20	$380.00	$102.60–$95.00	5% below	86%
FSH (follicle-stimulating hormone) test CPT 83001 Arup Fsh Serum	$53.20	$380.00	$102.60–$95.00	5% below	86%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool Calprotectin (Protein) Level	$16.38	$117.00	$117.00–$77.91	84% below	86%
Fecal calprotectin (stool inflammation test) CPT 83993 Ej Ref Lab Calprotectin Stool	$17.22	$123.00	$123.00–$81.91	83% below	86%
Fecal calprotectin (stool inflammation test) CPT 83993 Assay of Calprotectin Fecal	$17.22	$123.00	$123.00–$81.91	83% below	86%
Ferritin blood test (iron stores) CPT 82728 Labcorp Ferritin	$27.86	$199.00	$13.63–$97.51	39% below	86%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin	$27.86	$199.00	$13.63–$97.51	39% below	86%
Ferritin blood test (iron stores) CPT 82728 Ferritin (Blood Protein) Level	$66.36	$474.00	$113.29–$99.07	44% above	86%
Fibrinogen blood test CPT 85384 HC Fibrinogen Activity	$15.40	$110.00	$10.42–$9.72	49% below	86%
Fibrinogen blood test CPT 85384 Fibrinogen (Factor 1) Activity Measurement	$89.18	$637.00	$10.42–$9.72	195% above	86%
Folate (folic acid) blood test CPT 82746 Labcorp Folic Acid	$31.78	$227.00	$111.23–$68.10	19% below	86%
Folate (folic acid) blood test CPT 82746 Baylor Genetics Lab Assay Folic Acid Serum	$31.78	$227.00	$111.23–$68.10	19% below	86%
Folate (folic acid) blood test CPT 82746 Folic Acid Level	$89.74	$641.00	$128.20–$67.95	128% above	86%
Free T3 thyroid hormone test CPT 84481 Omega-Triiodothyronine Free T3	$12.04	$86.00	$12.02–$9.12	72% below	86%
Free T3 thyroid hormone test CPT 84481 Ej Ref Lab Triiodothyronine Free	$12.04	$86.00	$12.02–$9.12	72% below	86%
Free T3 thyroid hormone test CPT 84481 Thyroid Hormone T3 Measurement	$12.04	$86.00	$12.02–$9.12	72% below	86%
Free T3 thyroid hormone test CPT 84481 Labcorp T3 Free	$12.04	$86.00	$12.02–$9.12	72% below	86%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (Thyroid Chemical) Measurement	$77.84	$556.00	$11.07–$9.02	123% above	86%
Free testosterone test CPT 84402 Ej Ref Lab Testosterone Free	$41.16	$294.00	$144.06–$88.20	33% below	86%
Free testosterone test CPT 84402 Labcorp Testosterone Free	$49.42	$353.00	$105.90–$98.84	19% below	86%
Free testosterone test CPT 84402 Testosterone Free	$49.42	$353.00	$105.90–$98.84	19% below	86%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Labcorp Ggt (Glutamyltransferase Gamma)	$14.14	$101.00	$10.71–$8.84	43% below	86%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Arup Ggt	$14.14	$101.00	$10.71–$8.84	43% below	86%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt (Glutamyltransferase Gamma)	$51.38	$367.00	$10.73–$99.09	107% above	86%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$192.92	$1,378.00	$112.56–$917.61	at median	86%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood Glucose (Sugar) Level After Receiving Dose of Glucose	$12.04	$86.00	$10.92–$9.70	26% below	86%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Ej Ref Lab Glucose Gestl 1 Hr Post W/ Glucola	$33.88	$242.00	$10.92–$9.70	109% above	86%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Ej Ref Lab Glucose 2 Hr Post 75 Gms	$33.88	$242.00	$10.92–$9.70	109% above	86%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Ej Ref Lab Glucose 1 Hr Post 75 Gms	$33.88	$242.00	$10.92–$9.70	109% above	86%
Glucose tolerance test, 3 samples CPT 82951 Ej Ref Lab Glucose Tolerance Test (Gtt) 2 Hrs Gms	$44.94	$321.00	$12.87–$96.30	1% above	86%
Glucose tolerance test, 3 samples CPT 82951 Blood Glucose (Sugar) Tolerance Test	$44.94	$321.00	$12.87–$96.30	1% above	86%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Specimens	$44.94	$321.00	$12.87–$96.30	1% above	86%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance Test	$44.94	$321.00	$12.87–$96.30	1% above	86%
Glucose tolerance test, 3 samples CPT 82951 Ej Ref Lab Gestatl Glu 3 Hr 100 Gms	$44.94	$321.00	$12.87–$96.30	1% above	86%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Ej Ref Lab N Gonorrhoeae Amplified Dna	$16.38	$117.00	$110.88–$80.68	72% below	86%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Ej Ref Lab Neisseria Gonorrhoeae Amplified Dna	$16.38	$117.00	$110.88–$80.68	72% below	86%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Omega-N Gonnorhea Dna Probe	$22.82	$163.00	$108.54–$80.68	61% below	86%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Labcorp Neisseria Gonorrhoeae Nna 188086	$22.82	$163.00	$108.54–$80.68	61% below	86%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc Amplified Detection	$22.82	$163.00	$108.54–$80.68	61% below	86%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection Test for Neisseria Gonorrhoeae (Gonorrhoeae Bacteria)	$22.82	$163.00	$108.54–$80.68	61% below	86%
H. pylori antibody blood test CPT 86677 Analysis for Antibody to Helicobacter Pylori (Gastrointestinal Bacteria)	$112.14	$801.00	$14.15–$84.91	146% above	86%
H. pylori stool antigen test CPT 87338 Ej Ref Lab Helicobacter Pylori Stool Antigen	$33.74	$241.00	$118.09–$72.30	45% below	86%
H. pylori stool antigen test CPT 87338 Labcorp Iaad Ia Hpylori Stool	$33.74	$241.00	$118.09–$72.30	45% below	86%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori Antigen Infectious Agent Tech Stool	$43.96	$314.00	$14.38–$94.20	29% below	86%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv 1 Quantification Nucleic Acid Probe	$172.20	$1,230.00	$104.48–$85.10	at median	86%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Labcorp Hiv1 Qnt Pcr	$172.20	$1,230.00	$104.48–$85.10	at median	86%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Arup Hiv-1 Quantification Nucleic Acid Probe	$172.20	$1,230.00	$104.48–$85.10	at median	86%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Ej Ref Lab Hiv 1 Rna Quantitative Pcr Ultra	$272.86	$1,949.00	$104.48–$955.01	58% above	86%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1 and 2 Combo by Wb	$14.56	$104.00	$104.00–$69.25	51% below	86%
HIV-1 and HIV-2 antibody test CPT 86703 Arup Hiv1-2 W/Rflx Hiv 1 Western Blot	$14.56	$104.00	$104.00–$69.25	51% below	86%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for Antibody to Hiv-1 and Hiv-2 Virus	$20.86	$149.00	$12.87–$99.22	30% below	86%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv Rapid 1 and 2 Combo	$27.30	$195.00	$12.87–$95.55	8% below	86%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W Hiv1/2 Ab Immunoassay Technique	$25.34	$181.00	$120.53–$88.69	47% below	86%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Omega-Hiv 1 2 Ab P24ag	$25.34	$181.00	$120.53–$88.69	47% below	86%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Labcorp Hiv 1 Ag W/Hiv 1 2 Ab Immunoassay Technique	$25.34	$181.00	$120.53–$88.69	47% below	86%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Arup-Hiv Combo Ag/Ab	$25.34	$181.00	$120.53–$88.69	47% below	86%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Omega-Hiv Ag/Ab	$25.34	$181.00	$120.53–$88.69	47% below	86%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection Test for Hiv-1 and Hiv-2	$25.34	$181.00	$120.53–$88.69	47% below	86%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ab 1&2 Grant Charge	$130.90	$935.00	$14.16–$99.11	172% above	86%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Ej Ref Lab Hiv 1 & 2 Ag Ab 4th Gen	$130.90	$935.00	$14.16–$99.11	172% above	86%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Ej Ref Lab Hpv Dna High Risk Pooled Result	$41.02	$293.00	$110.88–$87.90	23% below	86%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Ej Ref Lab High Risk Hpv Pooled Result	$41.02	$293.00	$110.88–$87.90	23% below	86%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection Test for Human Papillomavirus (Hpv)	$41.02	$293.00	$110.88–$87.90	23% below	86%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c Level	$49.42	$353.00	$105.90–$98.84	51% above	86%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Arup-Hemoglobin A1c	$49.42	$353.00	$105.90–$98.84	51% above	86%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Labcorp Hemoglobin Glycosylated A1c	$49.42	$353.00	$105.90–$98.84	51% above	86%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Ej Ref Lab Hemoglobin Glycosylated A1c	$64.96	$464.00	$11.92–$96.98	98% above	86%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$64.96	$464.00	$11.92–$96.98	98% above	86%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 POCT Hemoglobin A1c	$64.96	$464.00	$11.92–$96.98	98% above	86%
Hemoglobin blood test CPT 85018 HC Hemoglobin	$5.74	$41.00	$10.25–$9.80	45% below	86%
Hemoglobin blood test CPT 85018 Resp Hemoglobin	$5.74	$41.00	$10.25–$9.80	45% below	86%
Hemoglobin blood test CPT 85018 POCT Hemoglobin	$7.84	$56.00	$11.20–$7.49	25% below	86%
Hemoglobin blood test CPT 85018 Hemoglobin Body Fluid	$7.84	$56.00	$11.20–$7.49	25% below	86%
Hemoglobin blood test CPT 85018 Hemoglobin Measurement	$29.12	$208.00	$101.92–$7.49	180% above	86%
Hemoglobin blood test CPT 85018 Ej Ref Lab Hemoglobin	$29.12	$208.00	$101.92–$7.49	180% above	86%
Hepatitis B core antibody test (total) CPT 86704 Labcorp Hepatitis B Core Antibody Total	$25.34	$181.00	$12.05–$88.69	12% below	86%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody Total	$51.10	$365.00	$102.20–$98.55	77% above	86%
Hepatitis B core antibody test (total) CPT 86704 Ej Ref Lab Hepatitis B Core Antibody	$51.10	$365.00	$102.20–$98.55	77% above	86%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Measurement	$11.06	$79.00	$10.74–$8.37	61% below	86%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Labcorp Hep B Surface Ab	$48.72	$348.00	$10.74–$97.44	70% above	86%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Omega Hepatitis B Surface Antigen	$6.44	$46.00	$10.33–$9.61	82% below	86%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection Test for Hepatitis B Surface Antigen	$25.90	$185.00	$10.33–$90.65	29% below	86%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Ej Ref Lab Hepatitis B Surface Antigen	$49.28	$352.00	$10.33–$98.56	34% above	86%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag	$49.28	$352.00	$10.33–$98.56	34% above	86%
Hepatitis C antibody blood test (screening) CPT 86803 Ej Ref Lab Hepatitis C Ab Test	$11.90	$85.00	$14.27–$9.01	74% below	86%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Measurement	$11.90	$85.00	$14.27–$9.01	74% below	86%
Hepatitis C antibody blood test (screening) CPT 86803 Arup Hepatitis C Ab	$28.42	$203.00	$135.18–$99.47	39% below	86%
Hepatitis C antibody blood test (screening) CPT 86803 Labcorp Hepatitis C Ab	$28.42	$203.00	$135.18–$99.47	39% below	86%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Ab Grant Charge	$28.42	$203.00	$135.18–$99.47	39% below	86%
Hepatitis C antibody blood test (screening) CPT 86803 Omega Hepatitis C Ab	$28.42	$203.00	$135.18–$99.47	39% below	86%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Quantative Nucleic Acid Probe	$98.14	$701.00	$135.37–$98.49	16% below	86%
Hepatitis C viral load (HCV RNA) test CPT 87522 Ej Ref Lab Hcv Rna Quant Real Time Pcr	$344.12	$2,458.00	$1,204.42–$98.49	193% above	86%
Hepatitis C viral load (HCV RNA) test CPT 87522 Labcorp Iadna Hepatitis C Quant & Reverse Transcription	$344.12	$2,458.00	$1,204.42–$98.49	193% above	86%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 Ab	$12.88	$92.00	$13.19–$92.00	51% below	86%
Herpes blood test, HSV-1 antibody CPT 86695 Labcorp Hsv 1 Ab Igg	$81.62	$583.00	$116.60–$61.80	212% above	86%
Herpes blood test, HSV-1 antibody CPT 86695 Ej Ref Lab Herpes Simplex Type 1 Test	$81.62	$583.00	$116.60–$61.80	212% above	86%
Herpes blood test, HSV-2 antibody CPT 86696 Labcorp Hsv 2 Ab Igg	$8.54	$61.00	$12.20–$61.15	81% below	86%
Herpes blood test, HSV-2 antibody CPT 86696 Labcorp Herpes Simplex Type 2 Antibody	$39.62	$283.00	$138.67–$84.90	10% below	86%
Herpes blood test, HSV-2 antibody CPT 86696 Ej Ref Lab Herpes Simplex Type 2 Test	$39.62	$283.00	$138.67–$84.90	10% below	86%
High-sensitivity CRP (hs-CRP) test CPT 86141 Labcorp C-Reactive Protein High Sensitivity	$24.50	$175.00	$116.53–$85.75	43% below	86%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-Reactive Protein for Detection of Infection or Inflammation	$60.76	$434.00	$103.73–$90.71	40% above	86%
Homocysteine blood test CPT 83090 Labcorp Homocystein	$34.02	$243.00	$119.07–$72.90	40% below	86%
Homocysteine blood test CPT 83090 Homocysteine	$34.02	$243.00	$119.07–$72.90	40% below	86%
Homocysteine blood test CPT 83090 Ej Ref Lab Homocysteine	$46.76	$334.00	$100.20–$93.52	18% below	86%
Insulin blood test CPT 83525 Insulin Fasting Test	$10.22	$73.00	$11.43–$73.00	69% below	86%
Insulin blood test CPT 83525 Ej Ref Lab Cardio Iq Insulin	$10.22	$73.00	$11.43–$73.00	69% below	86%
Insulin blood test CPT 83525 Labcorp Assay of Insulin Total	$10.22	$73.00	$11.43–$73.00	69% below	86%
Insulin blood test CPT 83525 Ej Ref Lab Insulin Level	$10.22	$73.00	$11.43–$73.00	69% below	86%
Insulin blood test CPT 83525 Insulin Random Test	$15.12	$108.00	$108.00–$71.92	54% below	86%
Insulin blood test CPT 83525 Labcorp Insulin Fasting	$15.12	$108.00	$108.00–$71.92	54% below	86%
Insulin blood test CPT 83525 Arup Insulin Fasting	$15.12	$108.00	$108.00–$71.92	54% below	86%
Insulin blood test CPT 83525 Insulin Measurement	$15.12	$108.00	$108.00–$71.92	54% below	86%
Iron blood test (serum iron) CPT 83540 Arup Iron	$10.64	$76.00	$11.93–$9.71	51% below	86%
Iron blood test (serum iron) CPT 83540 Omega-Iron	$32.48	$232.00	$11.93–$9.71	50% above	86%
Iron blood test (serum iron) CPT 83540 Iron Liver Tissue	$32.48	$232.00	$11.93–$9.71	50% above	86%
Iron blood test (serum iron) CPT 83540 Iron Serum	$32.48	$232.00	$11.93–$9.71	50% above	86%
Iron blood test (serum iron) CPT 83540 Labcorp Iron	$32.48	$232.00	$11.93–$9.71	50% above	86%
Iron blood test (serum iron) CPT 83540 Iron 24hr Urine	$32.48	$232.00	$11.93–$9.71	50% above	86%
Iron-binding capacity (TIBC) test CPT 83550 Labcorp Iron Binding Capacity	$65.10	$465.00	$10.74–$97.19	102% above	86%
Iron-binding capacity (TIBC) test CPT 83550 Arup Iron Binding Capacity	$65.10	$465.00	$10.74–$97.19	102% above	86%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$65.10	$465.00	$10.74–$97.19	102% above	86%
Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel	$121.24	$866.00	$10.67–$91.80	122% above	86%
LH (luteinizing hormone) test CPT 83002 Labcorp Luteinizing Hormone	$41.58	$297.00	$145.53–$89.10	23% below	86%
LH (luteinizing hormone) test CPT 83002 Gonadotropin Luteinizing (Reproductive Hormone) Level	$41.58	$297.00	$145.53–$89.10	23% below	86%
LH (luteinizing hormone) test CPT 83002 Arup Lutenizing Hormone	$51.38	$367.00	$102.76–$99.09	5% below	86%
LH (luteinizing hormone) test CPT 83002 Omega-Luteinizing Hormone	$51.38	$367.00	$102.76–$99.09	5% below	86%
LH (luteinizing hormone) test CPT 83002 Ej Ref Lab Luteinizing Hormone	$51.38	$367.00	$102.76–$99.09	5% below	86%
Lactate (lactic acid) blood test CPT 83605 Hayward Gen Organic Acids UR (Lactic Acid)	$20.02	$143.00	$11.57–$95.22	28% below	86%
Lactate (lactic acid) blood test CPT 83605 Mng Lab Lactate (CSF)	$20.02	$143.00	$11.57–$95.22	28% below	86%
Lactate (lactic acid) blood test CPT 83605 Baylor Genetics Lab Assay Lactic/Lactate Acid	$20.02	$143.00	$11.57–$95.22	28% below	86%
Lactate (lactic acid) blood test CPT 83605 Lactate CSF	$20.02	$143.00	$11.57–$95.22	28% below	86%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Levelpoct	$78.12	$558.00	$11.57–$59.15	180% above	86%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid CSF	$78.12	$558.00	$11.57–$59.15	180% above	86%
Lactate (lactic acid) blood test CPT 83605 Resp Lactic Acid	$78.12	$558.00	$11.57–$59.15	180% above	86%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid	$78.12	$558.00	$11.57–$59.15	180% above	86%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Body Fluid	$78.12	$558.00	$11.57–$59.15	180% above	86%
Lactate (lactic acid) blood test CPT 83605 Arup-Lactic Acid Body Fluid	$78.12	$558.00	$11.57–$59.15	180% above	86%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Level	$78.12	$558.00	$11.57–$59.15	180% above	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 Arup Ld Blood	$13.02	$93.00	$11.14–$93.00	37% below	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 Labcorp Lactate Dehydrogenase (Ldh)	$13.02	$93.00	$11.14–$93.00	37% below	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 Labcorp Ld Blood	$13.02	$93.00	$11.14–$93.00	37% below	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 Arup Ldh	$13.02	$93.00	$11.14–$93.00	37% below	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ej Ref Lab Lactate (Ld) (Ldh) Enzyme	$48.30	$345.00	$103.50–$96.60	132% above	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh CSF	$48.30	$345.00	$103.50–$96.60	132% above	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh-Blood	$48.30	$345.00	$103.50–$96.60	132% above	86%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase (Enzyme) Level (Ldh)	$48.30	$345.00	$103.50–$96.60	132% above	86%
Lipase blood test (pancreas enzyme) CPT 83690 Joli Diag. Pancreatic Enzyme Anal Lipase	$20.02	$143.00	$10.27–$95.22	20% below	86%
Lipase blood test (pancreas enzyme) CPT 83690 Labcorp Lipase	$20.02	$143.00	$10.27–$95.22	20% below	86%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid	$20.02	$143.00	$10.27–$95.22	20% below	86%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Serum	$80.08	$572.00	$10.27–$8.46	220% above	86%
Liver function blood test panel CPT 80076 Liver Function Blood Test Panel	$160.02	$1,143.00	$10.03–$8.17	213% above	86%
Lyme disease antibody test CPT 86618 Ej Ref Lab Lyme Disease Antibody	$11.48	$82.00	$16.40–$82.00	77% below	86%
Lyme disease antibody test CPT 86618 Labcorp Lyme Disease Antibody	$11.48	$82.00	$16.40–$82.00	77% below	86%
Magnesium blood test CPT 83735 HC Assay of Magnesium	$12.60	$90.00	$10.05–$90.00	43% below	86%
Magnesium blood test CPT 83735 Magnesium RBC	$12.60	$90.00	$10.05–$90.00	43% below	86%
Magnesium blood test CPT 83735 Labcorp Magnesium Urine	$12.60	$90.00	$10.05–$90.00	43% below	86%
Magnesium blood test CPT 83735 Omega-Magnesium Urine	$64.68	$462.00	$10.05–$96.56	193% above	86%
Magnesium blood test CPT 83735 Magnesium Serum	$64.68	$462.00	$10.05–$96.56	193% above	86%
Magnesium blood test CPT 83735 Magnesium Fecal	$64.68	$462.00	$10.05–$96.56	193% above	86%
Magnesium blood test CPT 83735 Magnesium Urine	$64.68	$462.00	$10.05–$96.56	193% above	86%
Magnesium blood test CPT 83735 Labcorp Magnesium Blood	$64.68	$462.00	$10.05–$96.56	193% above	86%
Magnesium blood test CPT 83735 Ej Ref Lab Magnesium RBC	$64.68	$462.00	$10.05–$96.56	193% above	86%
Measles (rubeola) antibody test CPT 86765 Omega-Measles Rubeola Ab Igg	$11.62	$83.00	$12.88–$83.00	62% below	86%
Measles (rubeola) antibody test CPT 86765 Rubeloa Ab Igg	$11.62	$83.00	$12.88–$83.00	62% below	86%
Measles (rubeola) antibody test CPT 86765 Rubeola Antibody Igg	$11.62	$83.00	$12.88–$83.00	62% below	86%
Measles (rubeola) antibody test CPT 86765 Ej Ref Lab Rubeola Igg Eia	$11.62	$83.00	$12.88–$83.00	62% below	86%
Measles (rubeola) antibody test CPT 86765 Rubelola Ab	$11.62	$83.00	$12.88–$83.00	62% below	86%
Measles (rubeola) antibody test CPT 86765 Labcorp Measles (Rubeola) Antibodies Igm 160178	$16.52	$118.00	$118.00–$78.58	47% below	86%
Measles (rubeola) antibody test CPT 86765 Labcorp Rubeola Ab Igg	$25.62	$183.00	$12.88–$89.67	17% below	86%
Measles (rubeola) antibody test CPT 86765 Rubeloa Ab Igm	$25.62	$183.00	$12.88–$89.67	17% below	86%
Mono test (heterophile antibody, Monospot) CPT 86308 Arup Heterophile Ab Screen (Infectious Mono)	$8.68	$62.00	$10.36–$9.55	62% below	86%
Mono test (heterophile antibody, Monospot) CPT 86308 Labcorp Heterophile Antibodies Screen	$50.12	$358.00	$10.36–$96.66	117% above	86%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening Test for Mononucleosis (Mono)	$50.12	$358.00	$10.36–$96.66	117% above	86%
Mumps immunity blood test CPT 86735 Mumps Abs Igg & Igm	$11.62	$83.00	$13.05–$83.00	62% below	86%
Mumps immunity blood test CPT 86735 Mumps Ab Igm	$11.62	$83.00	$13.05–$83.00	62% below	86%
Mumps immunity blood test CPT 86735 Analysis for Antibody to Mumps Virus	$13.72	$98.00	$10.39–$98.00	55% below	86%
Mumps immunity blood test CPT 86735 Ej Ref Lab Mumps Antibody	$13.72	$98.00	$10.39–$98.00	55% below	86%
Mumps immunity blood test CPT 86735 Labcorp Mumps Antibody Igm	$25.76	$184.00	$122.53–$90.16	15% below	86%
Mumps immunity blood test CPT 86735 Labcorp Mumps Antibody Igg	$25.76	$184.00	$122.53–$90.16	15% below	86%
Mumps immunity blood test CPT 86735 Arup-Mumps Ab Igg	$25.76	$184.00	$122.53–$90.16	15% below	86%
Obstetric blood test panel CPT 80055 Ej Ref Lab Prenatal Panel	$45.50	$325.00	$109.92–$97.60	44% below	86%
Obstetric blood test panel CPT 80055 Obstetric Blood Test Panel	$45.50	$325.00	$109.92–$97.60	44% below	86%
PSA (prostate-specific antigen) blood test, free CPT 84154 Ej Ref Lab Assay of Psa Free	$24.22	$173.00	$115.20–$84.77	50% below	86%
PSA (prostate-specific antigen) blood test, free CPT 84154 Labcorp Assay of Prostate Specific Antigen Free	$24.22	$173.00	$115.20–$84.77	50% below	86%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free	$24.22	$173.00	$115.20–$84.77	50% below	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 Labcorp Psa Screen	$36.40	$260.00	$127.40–$78.00	18% below	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 Labcorp Psa Total	$36.40	$260.00	$127.40–$78.00	18% below	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Psa Total Screening	$70.84	$506.00	$101.20–$58.11	59% above	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Spec Antigen (Psa) Total	$70.84	$506.00	$101.20–$58.11	59% above	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 Ej Ref Lab Psa Post Prostatectomy (Ultrasensitive)	$70.84	$506.00	$101.20–$58.11	59% above	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 Ej Ref Lab Assay of Psa Total	$70.84	$506.00	$101.20–$58.11	59% above	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultra Sensitive	$70.84	$506.00	$101.20–$58.11	59% above	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa (Prostate Specific Antigen) Measurement	$70.84	$506.00	$101.20–$58.11	59% above	86%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Test	$48.72	$348.00	$104.40–$97.44	13% above	86%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Test (Pap Smear)	$19.88	$142.00	$142.00–$94.56	31% below	86%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Ej Ref Lab Thin Prep Normal/Gyn	$43.40	$310.00	$15.87–$93.00	50% above	86%
Parathyroid hormone (PTH) blood test CPT 83970 Pth N-Terminal	$17.36	$124.00	$124.00–$94.91	81% below	86%
Parathyroid hormone (PTH) blood test CPT 83970 Parathy Hormone	$17.36	$124.00	$124.00–$94.91	81% below	86%
Parathyroid hormone (PTH) blood test CPT 83970 Pth Io Baseline	$17.36	$124.00	$124.00–$94.91	81% below	86%
Parathyroid hormone (PTH) blood test CPT 83970 Pth C-Terminal	$17.36	$124.00	$124.00–$94.91	81% below	86%
Parathyroid hormone (PTH) blood test CPT 83970 Labcorp Pth Intact	$17.36	$124.00	$124.00–$94.91	81% below	86%
Parathyroid hormone (PTH) blood test CPT 83970 Pth Io 10 Min Post Ex	$17.36	$124.00	$124.00–$94.91	81% below	86%
Parathyroid hormone (PTH) blood test CPT 83970 Intact Parathyroid	$37.80	$270.00	$130.44–$94.91	59% below	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 Labcorp Ptt-La Mix	$13.44	$96.00	$10.18–$96.00	35% below	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 Arup Partial Prothrombin Time La	$13.44	$96.00	$10.18–$96.00	35% below	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 Cia Ptt	$50.26	$359.00	$100.52–$96.93	142% above	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 Arup Partial Thromboplastin	$50.26	$359.00	$100.52–$96.93	142% above	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Prothrombin Time	$63.98	$457.00	$109.22–$95.51	208% above	86%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ej Ref Lab Ptt-La Screen	$63.98	$457.00	$109.22–$95.51	208% above	86%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Phosphorus	$8.96	$64.00	$10.90–$9.68	45% below	86%
Phosphorus (phosphate) blood test CPT 84100 Phosphate Level	$53.90	$385.00	$10.90–$96.25	230% above	86%
Potassium blood test CPT 84132 POCT Potassium	$46.20	$330.00	$10.94–$99.00	173% above	86%
Potassium blood test CPT 84132 Resp Potassium	$46.20	$330.00	$10.94–$99.00	173% above	86%
Potassium blood test CPT 84132 Assay of Serum Potassium	$46.20	$330.00	$10.94–$99.00	173% above	86%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Labcorp Maternit21 Plus Core 451934	$168.56	$1,204.00	$1,130.98–$801.74	60% below	86%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Test for Detecting Genes Associated With Fetal Disease	$248.36	$1,774.00	$1,130.98–$869.26	41% below	86%
Progesterone blood test CPT 84144 Labcorp Progesterone	$38.92	$278.00	$136.22–$83.40	30% below	86%
Progesterone blood test CPT 84144 Arup Progesterone	$74.90	$535.00	$107.00–$65.92	35% above	86%
Progesterone blood test CPT 84144 Omega-Progesterone	$74.90	$535.00	$107.00–$65.92	35% above	86%
Progesterone blood test CPT 84144 Progesterone (Reproductive Hormone) Level	$74.90	$535.00	$107.00–$65.92	35% above	86%
Prolactin blood test CPT 84146 Labcorp Prolactin	$40.60	$290.00	$142.10–$87.00	37% below	86%
Prolactin blood test CPT 84146 Prolactin (Milk Producing Hormone) Level	$40.60	$290.00	$142.10–$87.00	37% below	86%
Prolactin blood test CPT 84146 Prolactin-Prolactin	$70.70	$505.00	$101.00–$61.24	9% above	86%
Prolactin blood test CPT 84146 Omega-Prolactin	$70.70	$505.00	$101.00–$61.24	9% above	86%
Prolactin blood test CPT 84146 Ej Ref Lab Prolactin Level	$70.70	$505.00	$101.00–$61.24	9% above	86%
Prothrombin time (PT/INR) clotting test CPT 85610 Pt/Inr	$7.42	$53.00	$10.60–$9.86	49% below	86%
Prothrombin time (PT/INR) clotting test CPT 85610 Cia Pt	$25.34	$181.00	$120.53–$9.86	75% above	86%
Prothrombin time (PT/INR) clotting test CPT 85610 Arup Prothrombin Time	$25.48	$182.00	$121.19–$9.86	76% above	86%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood Test Clotting Time	$54.04	$386.00	$104.22–$96.50	274% above	86%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$54.04	$386.00	$104.22–$96.50	274% above	86%
Rapid flu test (influenza antigen) CPT 87804 Ej Ref Lab Rapid Influenza Virus Screen	$7.98	$57.00	$11.40–$6.04	65% below	86%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Assay W/Optic	$14.00	$100.00	$10.60–$66.59	38% below	86%
Rapid flu test (influenza antigen) CPT 87804 Influenza a Assay W/Optic	$14.00	$100.00	$10.60–$66.59	38% below	86%
Rapid flu test (influenza antigen) CPT 87804 Sofia Influenza a+B	$19.04	$136.00	$136.00–$90.56	16% below	86%
Rapid flu test (influenza antigen) CPT 87804 Detection Test for Influenza Virus	$19.04	$136.00	$136.00–$90.56	16% below	86%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Sofia Strep A	$8.82	$63.00	$12.60–$63.00	64% below	86%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Test (Streptococcus Group A)	$27.58	$197.00	$131.18–$96.53	13% above	86%
Renin blood test CPT 84244 Ej Ref Lab Renin Activity Plasma	$14.28	$102.00	$10.81–$69.49	76% below	86%
Renin blood test CPT 84244 Labcorp Renin	$28.00	$200.00	$133.18–$98.00	53% below	86%
Renin blood test CPT 84244 Renin (Kidney Enzyme) Level	$28.00	$200.00	$133.18–$98.00	53% below	86%
Rh blood typing CPT 86901 Ej Ref Lab Bill Blood Typing Rh - Cdm 41093428	$21.42	$153.00	$101.88–$9.45	1% above	86%
Rh blood typing CPT 86901 Blood Typing for Rh (D) Antigen	$21.42	$153.00	$101.88–$9.45	1% above	86%
Rheumatoid factor (RF) test CPT 86431 Ej Ref Lab Rheumatoid Factor	$8.82	$63.00	$10.45–$8.51	62% below	86%
Rheumatoid factor (RF) test CPT 86431 Labcorp Rheumatoid Factor Quant	$14.28	$102.00	$10.45–$8.51	38% below	86%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Level	$14.28	$102.00	$10.45–$8.51	38% below	86%
Rubella antibody test (immunity check) CPT 86762 Labcorp Rubella Antibody Igg	$28.28	$202.00	$134.51–$98.98	15% below	86%
Rubella antibody test (immunity check) CPT 86762 Torch Rubella Ab	$28.28	$202.00	$134.51–$98.98	15% below	86%
Rubella antibody test (immunity check) CPT 86762 Labcorp Rubella Antibody Igm	$28.28	$202.00	$134.51–$98.98	15% below	86%
Rubella antibody test (immunity check) CPT 86762 Ej Ref Lab Rubella Immune Screen	$80.08	$572.00	$114.40–$60.63	139% above	86%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab	$80.08	$572.00	$114.40–$60.63	139% above	86%
Rubella antibody test (immunity check) CPT 86762 Ej Ref Lab Rubella Igm	$80.08	$572.00	$114.40–$60.63	139% above	86%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody Igg	$80.08	$572.00	$114.40–$60.63	139% above	86%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red Blood Cell Sedimentation Rate to Detect Inflammation	$48.02	$343.00	$102.90–$96.04	162% above	86%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Evaluation Volume Sperm Count Motility and Analysis	$58.38	$417.00	$104.25–$99.66	123% above	86%
Sodium blood test CPT 84295 POCT Sodium	$54.32	$388.00	$104.76–$97.00	218% above	86%
Sodium blood test CPT 84295 Assay of Serum Sodium	$54.32	$388.00	$104.76–$97.00	218% above	86%
Sodium blood test CPT 84295 Resp Sodium	$54.32	$388.00	$104.76–$97.00	218% above	86%
Stool ova and parasites exam CPT 87177 Ova & Parasites	$18.76	$134.00	$10.93–$89.23	38% below	86%
Stool ova and parasites exam CPT 87177 Smear for Parasites	$79.10	$565.00	$10.93–$8.90	162% above	86%
Stool ova and parasites exam CPT 87177 Labcorp Ova and Parasite Fecal	$79.10	$565.00	$10.93–$8.90	162% above	86%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool Analysis for Blood to Screen for Colon Tumors	$6.72	$48.00	$10.03–$9.60	50% below	86%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool Analysis for Blood	$8.26	$59.00	$11.80–$6.25	66% below	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM AB IgG BY ELISA	$23.10	$165.00	$109.87–$80.85	14% below	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 Labcorp Treponema Pallidum Fta Abs	$23.10	$165.00	$109.87–$80.85	14% below	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 Arup-Treponema Pallidum Antibody	$23.10	$165.00	$109.87–$80.85	14% below	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 Labcorp Treponema Pallidum Antibody	$23.10	$165.00	$109.87–$80.85	14% below	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ej Ref Lab Fluorescent Treponema Ab	$58.10	$415.00	$103.75–$99.19	117% above	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ej Ref Lab Fta Igm - Neonatal Only	$58.10	$415.00	$103.75–$99.19	117% above	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 Fta/Abs	$58.10	$415.00	$103.75–$99.19	117% above	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 Mha-Tp	$58.10	$415.00	$103.75–$99.19	117% above	86%
Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for Antibody Treponema Pallidum	$58.10	$415.00	$103.75–$99.19	117% above	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Treponemal Antibody Qual	$5.74	$41.00	$10.25–$9.82	55% below	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Arup Vdrl CSF Sendout	$5.74	$41.00	$10.25–$9.82	55% below	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Treponemal Antibody; Qualitativ	$5.74	$41.00	$10.25–$9.82	55% below	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Labcorp Vdrl CSF	$5.74	$41.00	$10.25–$9.82	55% below	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl CSF	$5.74	$41.00	$10.25–$9.82	55% below	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Omega-Rpr	$11.06	$79.00	$13.49–$9.82	14% below	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Ej Ref Lab Syphilis Confirmatory Profile	$40.04	$286.00	$13.49–$9.82	211% above	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Labcorp Rpr	$40.04	$286.00	$13.49–$9.82	211% above	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Trep Qual Rpr	$40.04	$286.00	$13.49–$9.82	211% above	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr W/Rflx	$40.04	$286.00	$13.49–$9.82	211% above	86%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Ej Ref Lab Vdrl CSF	$40.04	$286.00	$13.49–$9.82	211% above	86%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis Test	$54.04	$386.00	$104.22–$96.50	54% below	86%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Labcorp Quantiferon-TB Gold Plus (Tuberculosis Antigen Resp) 182879	$54.04	$386.00	$104.22–$96.50	54% below	86%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Otb-Tuberculosis Antigen Response Gamma Interferon	$54.04	$386.00	$104.22–$96.50	54% below	86%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (Hormone) Level	$50.68	$362.00	$101.36–$97.74	15% below	86%
Testosterone blood test, total (not free testosterone) CPT 84403 Labcorp Testosterone	$50.68	$362.00	$101.36–$97.74	15% below	86%
Testosterone blood test, total (not free testosterone) CPT 84403 Arup-Testosterone Ms/Ms	$76.86	$549.00	$109.80–$81.56	29% above	86%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone-Total	$76.86	$549.00	$109.80–$81.56	29% above	86%
Testosterone blood test, total (not free testosterone) CPT 84403 Arup Testosterone Total	$76.86	$549.00	$109.80–$81.56	29% above	86%
Testosterone blood test, total (not free testosterone) CPT 84403 Ej Ref Lab Testosterone Level	$76.86	$549.00	$109.80–$81.56	29% above	86%
Testosterone blood test, total (not free testosterone) CPT 84403 Ej Ref Lab Testosterone Total Female Pediatric	$76.86	$549.00	$109.80–$81.56	29% above	86%
Testosterone blood test, total (not free testosterone) CPT 84403 Ej Ref Lab Testosterone Total	$76.86	$549.00	$109.80–$81.56	29% above	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 Ej Ref Lab Liver Kidney Microsomal (Lkm-1) Ab (Igg)	$13.72	$98.00	$10.39–$98.00	63% below	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab	$13.72	$98.00	$10.39–$98.00	63% below	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 Ej Ref Lab Thyroid Microsomal Antibody	$13.72	$98.00	$10.39–$98.00	63% below	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 Arup Thyroid Peroxidase Tpo Ab	$13.86	$99.00	$10.49–$99.00	63% below	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 Arup Liver Kidney Microsome Ab	$13.86	$99.00	$10.49–$99.00	63% below	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Thyroid Antibody	$13.86	$99.00	$10.49–$99.00	63% below	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 Labcorp-Thyroid Peroxidase Tpo Ab	$28.28	$202.00	$134.51–$98.98	25% below	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 Labcorp Liver Kidney Microsome Ab	$28.28	$202.00	$134.51–$98.98	25% below	86%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies (Autoantibody) Measurement	$28.28	$202.00	$134.51–$98.98	25% below	86%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Arup Tsh	$33.04	$236.00	$115.64–$70.80	18% below	86%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood Test Thyroid Stimulating Hormone (Tsh)	$104.30	$745.00	$149.00–$78.97	159% above	86%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Labcorp Assay of Thyroid Stimulating Hormone Tsh	$104.30	$745.00	$149.00–$78.97	159% above	86%
Total IgE blood test CPT 82785 Labcorp Ige Gammaglobulin	$34.86	$249.00	$122.01–$74.70	9% below	86%
Total IgE blood test CPT 82785 Arup Immunoglobulin E	$80.50	$575.00	$115.00–$60.95	109% above	86%
Total IgE blood test CPT 82785 Ej Ref Lab Immunoglobulin E	$80.50	$575.00	$115.00–$60.95	109% above	86%
Total IgE blood test CPT 82785 Ige (Immune System Protein) Level	$80.50	$575.00	$115.00–$60.95	109% above	86%
Total IgE blood test CPT 82785 Gammaglobulin Ige	$80.50	$575.00	$115.00–$60.95	109% above	86%
Total cholesterol blood test CPT 82465 Baylor Genetics Lab Assay Cholesterol Blood Total	$4.90	$35.00	$10.00–$9.80	67% below	86%
Total cholesterol blood test CPT 82465 Cholesterol Level	$21.56	$154.00	$10.00–$8.88	44% above	86%
Total thyroxine (T4) blood test CPT 84436 Labcorp T4 Total	$11.48	$82.00	$10.24–$82.00	51% below	86%
Total thyroxine (T4) blood test CPT 84436 Arup T4 Total	$11.48	$82.00	$10.24–$82.00	51% below	86%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (Thyroid Chemical) Measurement	$41.16	$294.00	$10.24–$88.20	76% above	86%
Total triiodothyronine (T3) blood test CPT 84480 Omega-Triiodothyronine Total T3	$63.00	$450.00	$107.55–$94.05	42% above	86%
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine Total	$63.00	$450.00	$107.55–$94.05	42% above	86%
Total triiodothyronine (T3) blood test CPT 84480 Thyroid Hormone T3 Measurement	$63.00	$450.00	$107.55–$94.05	42% above	86%
Total triiodothyronine (T3) blood test CPT 84480 Labcorp T3 Total	$63.00	$450.00	$107.55–$94.05	42% above	86%
Transferrin blood test CPT 84466 Transferrin (Iron Binding Protein) Level	$10.50	$75.00	$12.76–$75.00	74% below	86%
Transferrin blood test CPT 84466 Ej Ref Lab Transferrin	$10.50	$75.00	$12.76–$75.00	74% below	86%
Transferrin blood test CPT 84466 Labcorp Transferrin	$25.34	$181.00	$12.76–$88.69	37% below	86%
Trichomonas test (NAAT) CPT 87661 Omega T Vaginalis Pcr	$10.50	$75.00	$110.88–$75.00	80% below	86%
Trichomonas test (NAAT) CPT 87661 Ej Ref Lab Trichomonas Vaginalis Amplif	$16.24	$116.00	$110.88–$80.68	69% below	86%
Trichomonas test (NAAT) CPT 87661 Ej Ref Lab Sureswab Trichomonas Vaginalis Rna Ql	$16.24	$116.00	$110.88–$80.68	69% below	86%
Trichomonas test (NAAT) CPT 87661 Detection Test for Trichomonas Vaginalis (Genital Parasite)	$51.38	$367.00	$102.76–$99.09	2% below	86%
Trichomonas test (NAAT) CPT 87661 Arup T Vaginalis by Pcr	$51.38	$367.00	$102.76–$99.09	2% below	86%
Trichomonas test (NAAT) CPT 87661 Labcorp Trichomonas Vaginalis by Nna 188052	$51.38	$367.00	$102.76–$99.09	2% below	86%
Triglycerides blood test CPT 84478 Arup-Triglycerides Fluid	$48.30	$345.00	$10.58–$96.60	103% above	86%
Triglycerides blood test CPT 84478 Labcorp Assay of Triglycerides	$48.30	$345.00	$10.58–$96.60	103% above	86%
Triglycerides blood test CPT 84478 Triglycerides Fluid	$48.30	$345.00	$10.58–$96.60	103% above	86%
Triglycerides blood test CPT 84478 Triglycerides Level	$48.30	$345.00	$10.58–$96.60	103% above	86%
Triglycerides blood test CPT 84478 Ej Ref Lab Triglyceride	$48.30	$345.00	$10.58–$96.60	103% above	86%
Troponin test, quantitative CPT 84484 POCT Troponin Quan	$19.32	$138.00	$12.08–$91.89	49% below	86%
Troponin test, quantitative CPT 84484 Arup-Troponin T	$19.32	$138.00	$12.08–$91.89	49% below	86%
Troponin test, quantitative CPT 84484 Troponin (Protein) Analysis	$122.92	$878.00	$12.08–$93.07	223% above	86%
Troponin test, quantitative CPT 84484 Troponin Quan	$122.92	$878.00	$12.08–$93.07	223% above	86%
Uric acid blood test CPT 84550 Baylor Genetics Lab Assay Uric Acid Blood	$10.78	$77.00	$10.39–$9.23	35% below	86%
Uric acid blood test CPT 84550 Uric Acid Level Blood	$52.92	$378.00	$10.39–$94.50	218% above	86%
Urinalysis with microscope exam, automated CPT 81001 Manual Urinalysis Test With Examination Using Microscope	$54.74	$391.00	$10.02–$97.75	131% above	86%
Urinalysis with microscope exam, manual CPT 81000 Ej Ref Lab OB ED Urine Dip Stick	$5.74	$41.00	$10.25–$9.80	22% below	86%
Urinalysis with microscope exam, manual CPT 81000 Manual Urinalysis Test With Examination Using Microscope	$9.38	$67.00	$12.70–$9.24	27% above	86%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto	$4.48	$32.00	$15.68–$9.60	48% below	86%
Urinalysis without microscope exam, automated CPT 81003 Automated Urinalysis Test	$36.68	$262.00	$128.38–$78.60	323% above	86%
Urinalysis without microscope exam, automated CPT 81003 Sp Gravity-Urine	$36.68	$262.00	$128.38–$78.60	323% above	86%
Urinalysis without microscope exam, automated CPT 81003 Bile-Urine	$36.68	$262.00	$128.38–$78.60	323% above	86%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto POCT	$36.68	$262.00	$128.38–$78.60	323% above	86%
Urinalysis without microscope exam, automated CPT 81003 Arup-Specific Gravity Fluid	$36.68	$262.00	$128.38–$78.60	323% above	86%
Urinalysis without microscope exam, automated CPT 81003 Ph-Urine	$36.68	$262.00	$128.38–$78.60	323% above	86%
Urinalysis without microscope exam, automated CPT 81003 Ketones-Urine	$36.68	$262.00	$128.38–$78.60	323% above	86%
Urinalysis without microscope exam, automated CPT 81003 Sp Grav - 24 Hr Urine	$36.68	$262.00	$128.38–$78.60	323% above	86%
Urinalysis without microscope exam, manual CPT 81002 Ej Ref Lab 4w-Urine Dipstick	$7.42	$53.00	$10.60–$8.00	8% above	86%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Micro	$7.42	$53.00	$10.60–$8.00	8% above	86%
Urinalysis without microscope exam, manual CPT 81002 Ictotest Bilirubin Conf Urine	$7.42	$53.00	$10.60–$8.00	8% above	86%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Manual Test	$7.42	$53.00	$10.60–$8.00	8% above	86%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto Specific Gr	$7.42	$53.00	$10.60–$8.00	8% above	86%
Urinalysis without microscope exam, manual CPT 81002 Reducing Substances Urine	$7.42	$53.00	$10.60–$8.00	8% above	86%
Urinalysis without microscope exam, manual CPT 81002 Ej Ref Lab L&D Urine Dipstick	$45.64	$326.00	$11.00–$97.80	561% above	86%
Urine culture for bacteria, with colony count CPT 87086 Bacterial Colony Count Urine	$87.78	$627.00	$12.02–$9.91	139% above	86%
Urine culture for bacteria, with colony count CPT 87086 Ej Ref Lab Urine Culture/Colony Count	$87.78	$627.00	$12.02–$9.91	139% above	86%
Urine microalbumin (albumin) test CPT 82043 Labcorp Microalbumin Urine Quantitative	$14.42	$103.00	$10.66–$8.67	26% below	86%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Random	$31.78	$227.00	$10.66–$8.67	63% above	86%
Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 Hrs	$31.78	$227.00	$10.66–$8.67	63% above	86%
Urine microalbumin (albumin) test CPT 82043 Ej Ref Lab 24 Hr Urine Microalbumin	$31.78	$227.00	$10.66–$8.67	63% above	86%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$17.78	$127.00	$12.83–$84.57	11% below	86%
Urine pregnancy test, read by color change CPT 81025 POCT Pregnancy Test Urine	$20.72	$148.00	$12.83–$98.55	4% above	86%
Vitamin B12 (cobalamin) blood test CPT 82607 Labcorp Vitamin B12	$30.66	$219.00	$107.31–$65.70	23% below	86%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12) Level	$81.06	$579.00	$115.80–$61.37	103% above	86%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Omega-Vitamin D 25 Hydroxy	$12.46	$89.00	$17.80–$93.54	84% below	86%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Ej Ref Lab Vitamin D (25-Hydroxy) Level	$12.46	$89.00	$17.80–$93.54	84% below	86%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D (Calciferol)	$12.46	$89.00	$17.80–$93.54	84% below	86%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy (Calcifediol	$12.46	$89.00	$17.80–$93.54	84% below	86%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Labcorp Vitamin D-3 25-Oh	$39.34	$281.00	$137.69–$93.54	49% below	86%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Arup 25-Hydroxyvitamin D2&D3 by Tandem Mass	$39.34	$281.00	$137.69–$93.54	49% below	86%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Ej Ref Lab Vitamin D 1 25-Dihydroxy	$21.42	$153.00	$101.88–$88.52	79% below	86%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Labcorp Vitamin D (1 25 Hydroxy)	$39.20	$280.00	$121.66–$88.52	62% below	86%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D (1 25 Dihydroxy)	$39.20	$280.00	$121.66–$88.52	62% below	86%
Zinc blood test CPT 84630 Ej Ref Lab Zinc Level	$11.76	$84.00	$11.39–$84.00	65% below	86%
Zinc blood test CPT 84630 Zinc Level	$20.16	$144.00	$11.39–$95.89	40% below	86%
Zinc blood test CPT 84630 Labcorp Zinc	$20.16	$144.00	$11.39–$95.89	40% below	86%
Zinc blood test CPT 84630 Labcorp Zinc Urine	$20.16	$144.00	$11.39–$95.89	40% below	86%
Zinc blood test CPT 84630 Arup Zinc Urine	$20.16	$144.00	$11.39–$95.89	40% below	86%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Labcorp Hcg Quantitative Tumor Marker	$35.98	$257.00	$125.93–$77.10	29% below	86%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Labcorp Beta Hcg Quantitative 501676	$35.98	$257.00	$125.93–$77.10	29% below	86%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Arup-Maternal Hcg	$112.98	$807.00	$15.05–$85.54	122% above	86%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin Chorionic Quantitative Hcg	$112.98	$807.00	$15.05–$85.54	122% above	86%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Tumor Marker Quant	$112.98	$807.00	$15.05–$85.54	122% above	86%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin Chorionic (Reproductive Hormone) Level	$112.98	$807.00	$15.05–$85.54	122% above	86%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Ej Ref Lab Hcg Tumor Marker	$112.98	$807.00	$15.05–$85.54	122% above	86%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Appendectomy, open surgery CPT 44950 Removal of Appendix	$1,569.54	$11,211.00	$11,211.00–$7,465.40	8% below	86%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Dilation of Nasal Sinus Using an Endoscope	$1,804.18	$12,887.00	$12,887.00–$8,581.45	32% below	86%
Botox injections for chronic migraine CPT 64615 Inject Chemical for Destruction of Facial & Neck Nerve Muscles	$123.20	$880.00	$176.00–$93.28	23% below	86%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Treatment of Broken Ankle	$98.00	$700.00	$140.00–$809.00	46% below	86%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Treatment of Broken Foot Bone	$160.86	$1,149.00	$1,149.00–$96.40	17% below	86%
Cardiac catheterization with coronary angiogram one side CPT 93458 Insert Catheter Left Heart Imaging Blood Vessels/Grafts & Left Lower Heart	$4,701.48	$33,582.00	$10,074.60–$9,402.96	at median	86%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External Shock to Heart to Regulate Heart Beat	$398.44	$2,846.00	$1,095.18–$989.07	32% below	86%
Catheter ablation for atrial fibrillation CPT 93656 Evaluation & Insert Catheters Rec Pacing & Treatment Abnormal Heart Rhythm	$14,110.18	$100,787.00	$10,078.70–$8,456.03	at median	86%
Cervical biopsy CPT 57500 Biopsy of Cervix or Excision of Local Growths	$169.40	$1,210.00	$1,148.20–$805.74	66% below	86%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal of Foreskin Patient Older Than 28 Days of Age	$539.56	$3,854.00	$1,040.58–$963.50	65% below	86%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of Foreskin of Using Clamp or Device	$558.46	$3,989.00	$1,077.03–$997.25	53% below	86%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Treatment of Broken Forearm Bones	$98.00	$700.00	$140.00–$809.00	61% below	86%
Colonoscopy with endoscopic ultrasound CPT 45391 Ultrasound Examination of Lower Large Bowel Using an Endoscope	$332.78	$2,377.00	$1,036.53–$713.10	45% below	86%
Colonoscopy with polyp removal CPT 45385 Removal of Polyps or Growths of Large Bowel Using an Endoscope	$963.06	$6,879.00	$1,036.53–$729.17	17% above	86%
Colonoscopy with tissue sample CPT 45380 Biopsy of Large Bowel Using an Endoscope	$907.76	$6,484.00	$1,036.53–$687.30	7% above	86%
Colonoscopy, diagnostic CPT 45378 Colorectal Cancer Screening High Risk	$914.76	$6,534.00	$1,202.23–$817.84	19% above	86%
Colonoscopy, diagnostic CPT 45378 Diagnostic Exam of Large Bowel Using a Flexible Endoscope	$914.76	$6,534.00	$1,202.23–$817.84	19% above	86%
Colonoscopy, diagnostic CPT 45378 Diag Colonoscopy W/Spec Collection	$914.76	$6,534.00	$1,202.23–$817.84	19% above	86%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec if Pfrmd-Barium	$914.76	$6,534.00	$1,202.23–$817.84	19% above	86%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy of Cervix Using an Endoscope	$1,294.30	$9,245.00	$1,849.00–$979.97	10% below	86%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy and Scraping of the Cervix Using an Endoscope	$87.64	$626.00	$125.20–$809.00	66% below	86%
Coronary stent placement, one artery CPT 92928 Catheter Insert Bare Metal Stent(S) in Major Coronary Artery or Branch	$3,800.30	$27,145.00	$10,172.94–$9,997.49	52% below	86%
Coronary stent placement, one artery CPT 92928 Catheter Insert Stents in Major Coronary Artery or Branch	$9,246.44	$66,046.00	$10,172.94–$9,997.49	16% above	86%
Cystoscopy with ureteral stent placement CPT 52332 Insertion of Stent in Urinary Duct (Ureter) Using an Endoscope	$494.48	$3,532.00	$1,059.60–$988.96	75% below	86%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic Exam of the Bladder and Bladder Canal (Urethra) Using Endoscope	$231.28	$1,652.00	$1,026.07–$892.13	64% below	86%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C for Diagnosis and/or Therapy (Non-Obstetrical)	$921.90	$6,585.00	$1,317.00–$698.01	54% below	86%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of Skin Growth	$97.30	$695.00	$103.68–$809.00	at median	86%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Incision of Eardrum With Insertion of Eardrum Tube Under General Anesthesia	$634.06	$4,529.00	$1,082.43–$946.56	57% below	86%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Incision of Eardrum With Insert Eardrum Tube Under Local Anesth	$228.76	$1,634.00	$1,015.55–$913.00	54% below	86%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of Impacted Ear Wax by Washing	$157.08	$1,122.00	$101.42–$94.14	124% above	86%
Earwax removal with instruments, one ear CPT 69210 Removal of Impact Ear Wax One Ear	$157.08	$1,122.00	$101.42–$94.14	155% above	86%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of Uterine Lining	$84.14	$601.00	$120.20–$809.00	46% below	86%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of Substand Into Spinal Canal of Upper or Middle Back Using Imaging Guidance	$679.00	$4,850.00	$1,013.65–$970.00	9% below	86%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection of Drug Into Eye	$140.84	$1,006.00	$1,006.00–$913.00	52% below	86%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injections of Lower or Sacral Spine Facet Joint Using Imaging Guidance	$466.06	$3,329.00	$1,173.98–$998.70	31% below	86%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic Examination of Large Bowel Using an Endoscope	$225.82	$1,613.00	$1,074.10–$817.84	55% below	86%
Gallbladder removal, laparoscopic CPT 47562 Removal of Gallbladder Using an Endoscope	$1,294.02	$9,243.00	$1,848.60–$979.76	56% below	86%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Removal of Gallbladder With X-Ray Study of Bile Ducts Using Endoscope	$1,294.02	$9,243.00	$1,848.60–$979.76	63% below	86%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal of Hemorrhoid by Rubber Banding	$391.58	$2,797.00	$1,202.23–$839.10	15% below	86%
Hemorrhoidectomy (internal and external), one area CPT 46255 Removal of Internal and External Hemorrhoids	$683.62	$4,883.00	$1,020.55–$976.60	60% below	86%
Hysteroscopy with endometrial ablation CPT 58563 Examination of Uterus With Destruction of Uterine Lining Using an Endoscope	$2,175.32	$15,538.00	$10,346.75–$7,613.62	23% below	86%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy and/or Removal of Polyp of the Uterus Using an Endoscope	$613.48	$4,382.00	$1,047.30–$915.84	69% below	86%
IUD insertion (the device itself billed separately) CPT 58300 Placement of Intra-Uterine Device (Iud) for Pregnancy Prevention	$37.38	$267.00	$130.83–$809.00	77% below	86%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of Abscess Simple	$258.30	$1,845.00	$1,228.59–$913.00	28% above	86%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injections of Tendon Sheath Ligament or Muscle Membrane	$114.94	$821.00	$164.20–$87.03	47% below	86%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or Injection of Large Joint or Joint Capsule	$258.30	$1,845.00	$1,228.59–$913.00	at median	86%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of Drug Delivery Implant Into Tissue	$50.12	$358.00	$100.24–$96.66	42% below	86%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or Injection of Medium Joint or Joint Capsule	$258.30	$1,845.00	$1,228.59–$913.00	4% above	86%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or Injection of Small Joint or Joint Capsule	$258.30	$1,845.00	$1,228.59–$913.00	at median	86%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of Appendix Using an Endoscope	$1,160.88	$8,292.00	$1,658.40–$878.95	75% below	86%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Repair of Muscle at Esophagus and Stomach Using an Endoscope	$4,393.62	$31,383.00	$15,377.67–$9,414.90	18% below	86%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Abdominal Removal of Uterus W/Removal of Tubes/Ovaries Using Endoscope	$4,393.62	$31,383.00	$15,377.67–$9,414.90	16% below	86%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of Recurring Cataract in Lens Capsule Using Laser	$241.64	$1,726.00	$1,034.89–$934.62	47% below	86%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Wound (2.5 Cm or Less) of the Scalp Underarms Trunk Arms and/or Legs	$494.48	$3,532.00	$1,059.60–$988.96	53% above	86%
Left heart catheterization, diagnostic one side CPT 93452 Insertion of Catheter Into Left Heart for Diagnosis	$2,886.66	$20,619.00	$10,103.31–$9,102.00	11% below	86%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of Substance Into Spinal Canal of Lower Back or Sacrum Using Imaging Guidance	$679.00	$4,850.00	$1,013.65–$970.00	4% below	86%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of Substance Into Spinal Canal of Lower Back or Sacrum W/O Guidance	$289.80	$2,070.00	$1,014.30–$784.85	26% below	86%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(S) Anes/Steroid Anes Agent(S)/Steroid Transforamen Lumbar/Sacral W/Img Guide 1 Level	$346.22	$2,473.00	$1,173.98–$798.63	35% below	86%
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of First Trimester Missed Abortion	$662.48	$4,732.00	$1,130.95–$988.99	62% below	86%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Removal and Microscopic Exam Growth of the Head Neck Hands Feet or Genitals	$150.78	$1,077.00	$1,014.66–$916.35	52% below	86%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of Growth (0.5 Centimeters or Less) of the Trunk Arms or Legs	$177.10	$1,265.00	$1,124.67–$940.41	53% below	86%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal Growth (0.5 Cm or Less) of the Face Ear Eyelid Nose Lip or Mouth	$307.02	$2,193.00	$1,074.57–$940.41	19% below	86%
Nail removal (partial or complete), one nail CPT 11730 Separation of Nail Plate From Nail Bed	$258.30	$1,845.00	$102.94–$913.00	82% above	86%
Occipital nerve block (injection for headaches) CPT 64405 Injection of Anesthetic Agent Greater Occipital Nerve	$258.30	$1,845.00	$103.28–$913.00	at median	86%
Pacemaker implant (dual chamber) CPT 33208 Insert New/Replacement Permanent Pacemkr W/Upper & Lower Chamber Electrodes	$13,689.06	$97,779.00	$10,364.57–$988.60	31% above	86%
Paracentesis with imaging guidance CPT 49083 Drainage of Fluid From Abdominal Cavity Using Imaging Guidance	$238.98	$1,707.00	$1,136.69–$841.03	55% below	86%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of Nail	$258.30	$1,845.00	$1,228.59–$913.00	35% below	86%
Prostate biopsy CPT 55700 Biopsy of Prostate Gland	$762.30	$5,445.00	$1,089.00–$577.17	at median	86%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Lap Prostatectomy Radical W/Nerve Spare Incl Robotic	$4,816.70	$34,405.00	$10,321.50–$9,633.40	23% below	86%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction Lower or Sacral Spinal Facet Joint Nerve Using Imaging Guidance	$850.64	$6,076.00	$1,215.20–$644.06	16% below	86%
Removal of a breast lump, open surgery CPT 19120 Removal of 1 or More Breast Growth Open Procedure	$494.48	$3,532.00	$1,059.60–$988.96	65% below	86%
Removal of a foreign object under the skin, simple CPT 10120 Removal of Foreign Body From Tissue Accessed Beneath the Skin	$494.48	$3,532.00	$1,059.60–$988.96	96% above	86%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy Cancer Screening	$473.20	$3,380.00	$1,014.00–$946.40	27% below	86%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colonoscopy Cancer Screening High Risk	$473.20	$3,380.00	$1,014.00–$946.40	24% below	86%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Shock Wave Crushing of Kidney Stones	$2,866.78	$20,477.00	$10,033.73–$8,770.00	21% below	86%
Short arm cast (elbow to hand) CPT 29075 Application of Cast Elbow to Finger (Short Arm)	$169.40	$1,210.00	$101.52–$913.00	3% below	86%
Short arm splint (forearm and hand) CPT 29125 Application of Non-Moveable Short Arm Splint (Forearm to Hand)	$157.08	$1,122.00	$1,122.00–$94.14	28% above	86%
Short leg cast (below the knee) CPT 29405 Application of Short Leg Cast (Below Knee to Toes)	$181.16	$1,294.00	$108.57–$913.00	13% below	86%
Short leg splint (calf to foot) CPT 29515 Application of Short Leg Splint (Calf to Foot)	$157.08	$1,122.00	$1,122.00–$96.72	3% above	86%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Wound (2.5 Cm or Less) of Scalp Neck Underarm Trunk Arm and/or Legs	$258.30	$1,845.00	$1,228.59–$913.00	32% above	86%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion	$88.20	$630.00	$126.00–$89.60	67% below	86%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal of Malignant Growth (0.5 Cm or Less) of the Trunk Arms or Legs	$307.02	$2,193.00	$1,074.57–$657.90	36% below	86%
Skin tag removal, up to 15 tags CPT 11200 Removal of Up to and Including 15 Skin Tags	$94.50	$675.00	$135.00–$809.00	28% below	86%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Tap for Diagnosis	$494.48	$3,532.00	$1,059.60–$988.96	14% above	86%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Wound (2.6 to 7.5 Cm) of Scalp Neck Underarm Genital Trunk Arm Legs	$258.30	$1,845.00	$114.40–$913.00	38% above	86%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Wound (2.5 Cm or Less) of Face Ear Eyelid Nose Lips Mucous Membranes	$258.30	$1,845.00	$108.52–$913.00	41% above	86%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion	$88.20	$630.00	$126.00–$809.00	48% below	86%
Thoracentesis with imaging guidance CPT 32555 Removal of Fluid From Chest Cavity With Imaging Guidance	$646.80	$4,620.00	$1,104.18–$965.58	1% above	86%
Tonsil and adenoid removal, child under 12 CPT 42820 Removal of Tonsils and Adenoid Glands Patient Younger Than Age 12	$2,750.16	$19,644.00	$13,080.94–$9,625.56	4% below	86%
Trigger point injections, 1 or 2 muscles CPT 20552 Injections of Trigger Points in 1 or 2 Muscles	$104.72	$748.00	$149.60–$809.00	29% below	86%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of Breast Accessed Through the Skin With Ultrasound Guidance	$421.68	$3,012.00	$1,424.35–$903.60	55% below	86%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon Dilation of Esophagus Using an Endoscope	$824.88	$5,892.00	$1,178.40–$624.55	at median	86%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy the Esophagus Stomach and/or Upper Small Bowel Using an Endoscope	$653.94	$4,671.00	$1,116.37–$976.24	13% below	86%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Injections Esophagus Stomach and/or Upper Small Bowel Using an Endoscope	$508.76	$3,634.00	$1,017.52–$981.18	15% below	86%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of Polyps or Growths of Esophagus Stomach and/or Upper Small Bowel	$824.88	$5,892.00	$1,178.40–$624.55	at median	86%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion of Guide Wire With Dilation of Esophagus Using an Endoscope	$661.08	$4,722.00	$1,128.56–$986.90	at median	86%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic Exam of Esophagus Stomach/Upper Small Bowel Using Endoscope	$1,193.36	$8,524.00	$1,236.31–$903.54	51% above	86%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Drainage of Cyst of the Esophagus Stomach and/or Upper Small Bowel	$1,666.00	$11,900.00	$11,900.00–$7,956.46	at median	86%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Crushing of Stone in Urinary Duct (Ureter) Using an Endoscope	$1,039.36	$7,424.00	$1,484.80–$786.94	74% below	86%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy & Indwell Stent Insrt	$2,199.40	$15,710.00	$10,461.29–$7,697.90	45% below	86%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of Sperm Duct	$684.18	$4,887.00	$1,021.38–$977.40	44% below	86%
Vein ablation, radiofrequency, first vein CPT 36475 Destruction of Insufficient Vein of Arm or Leg Accessed Through the Skin	$1,342.18	$9,587.00	$1,016.22–$9,587.00	37% below	86%
Wart removal, up to 14 warts CPT 17110 Destruction of Up to 14 Skin Growths	$97.30	$695.00	$130.22–$73.67	28% below	86%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of Skin and Tissue First 20 Sq Cm or Less	$462.14	$3,301.00	$116.20–$990.30	18% above	86%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of Blood or Blood Products	$475.30	$3,395.00	$1,018.50–$950.60	at median	86%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Respiratory Inhaled Pressure/Nonpressure Treatm Reliev Airw Obstr/Sput Spec	$70.56	$504.00	$100.80–$65.52	15% below	86%
Chemotherapy IV infusion, first hour CPT 96413 Infusion of Chemotherapy Into a Vein Up to 1 Hour	$230.44	$1,646.00	$1,096.07–$806.54	19% below	86%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye and Medical Exam for Diagnosis & Treatment New Patient 1 or More Visits	$44.66	$319.00	$113.29–$95.70	28% below	86%
Comprehensive eye exam, returning patient CPT 92014 Eye & Medical Exam Diagnosis & Treatment Estab Patient 1 or More Visits	$35.14	$251.00	$113.29–$75.30	43% below	86%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Air and Bone Conduction Assessment of Hearing Loss and Speech Recognition	$68.88	$492.00	$102.83–$98.40	32% below	86%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care First 30-74 Minute	$344.54	$2,461.00	$1,000.00–$755.85	58% below	86%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement and Recording of Brain Wave (Eeg) Activity Awake and Drowsy	$306.88	$2,192.00	$1,074.08–$657.60	at median	86%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine Ekg Using at Least 12 Leads Including Interpretation and Report	$9.66	$69.00	$101.42–$8.97	76% below	86%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine Electrocardiogram (Ekg) With Tracing Using at Least 12 Leads	$29.12	$208.00	$101.42–$79.39	62% below	86%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Visit Lvl 1	$42.98	$307.00	$1,000.00–$92.10	65% below	86%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC L&D Triage Level I	$51.38	$367.00	$1,000.00–$99.09	58% below	86%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Visit Lvl 2	$86.10	$615.00	$1,000.00–$80.96	48% below	86%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC L&D Triage Level II	$87.64	$626.00	$1,000.00–$80.96	47% below	86%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Visit Lvl 3	$151.06	$1,079.00	$1,000.00–$90.53	43% below	86%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC L&D Triage Level III	$152.46	$1,089.00	$1,000.00–$91.37	42% below	86%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Visit Lvl 4	$182.42	$1,303.00	$1,000.00–$867.67	56% below	86%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC L&D Triage Level IV	$220.64	$1,576.00	$1,000.00–$808.80	47% below	86%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC L&D Triage Level V	$215.04	$1,536.00	$1,000.00–$930.17	59% below	86%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Visit Lvl 5	$215.04	$1,536.00	$1,000.00–$930.17	59% below	86%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or Drug-Induced Heart and Blood Vessel Stress Test	$351.12	$2,508.00	$1,228.92–$752.40	4% above	86%
Eye exam, returning patient, intermediate CPT 92012 Eye and Medical Examination for Diagnosis & Treatment Established Patient	$24.08	$172.00	$113.29–$93.82	62% below	86%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy Including Patient 50 Minutes	$60.48	$432.00	$102.06–$90.29	46% below	86%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy 50 Minutes	$59.78	$427.00	$102.05–$97.90	53% below	86%
Group psychotherapy session CPT 90853 Group Psychotherapy	$23.94	$171.00	$113.87–$97.30	75% below	86%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Heart Rhythm Tracing of 48-Hour Ekg	$68.74	$491.00	$102.62–$98.20	at median	86%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Infusion Into a Vein 31 Minutes to 1 Hour	$52.50	$375.00	$101.25–$93.75	63% below	86%
IV infusion of a medicine, first hour CPT 96365 Infusion Into a Vein for Therapy Prevention or Diagnosis Up to 1 Hour	$93.24	$666.00	$109.72–$86.58	51% below	86%
IV infusion of a medicine, first hour CPT 96365 IV Inf Admin Remdesivir (Veklury) 1mg Antiviral Therapy Initial Up to 1 Hr	$93.24	$666.00	$105.00–$86.58	51% below	86%
IV push of a medicine, first drug CPT 96374 Injection Drug or Substance Into a Vein for Therapy Diagnosis or Prevention	$35.00	$250.00	$122.50–$75.00	64% below	86%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Beneath Skin or Into Muscle for Therapy Diagnosis or Prevention	$24.50	$175.00	$111.49–$95.13	54% below	86%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation	$32.48	$232.00	$113.68–$69.60	70% below	86%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Transmission Studies 7-8 Studies	$77.70	$555.00	$111.00–$72.15	42% below	86%
Neuromuscular re-education, 15 minutes CPT 97112 Therapeutic Procedure Re-Educate Brain-to-Nerve-to-Muscle Funct Ea 15 Mins	$37.10	$265.00	$10.96–$99.64	4% below	86%
New patient office visit, about 30 minutes CPT 99203 Hosp Outpt Clinic Visit New Low/Minor/Ltd	$35.14	$251.00	$113.29–$75.30	52% below	86%
New patient office visit, about 45 minutes CPT 99204 Hosp Outpt Clinic Visit New Mod/Chronic/Stbl	$44.66	$319.00	$113.29–$95.70	51% below	86%
New patient office visit, about 60 minutes CPT 99205 Hosp Outpt Clinic Visit New Extensive	$64.68	$462.00	$113.29–$92.40	40% below	86%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hosp Outpt Clinic Visit New Stratfwd	$27.02	$193.00	$113.29–$94.57	55% below	86%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Therapy Assessment and Intervention Each 15 Minutes	$9.66	$69.00	$13.80–$8.97	69% below	86%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation of Occupational Therapy Typically 30 Minutes	$43.54	$311.00	$116.94–$97.58	62% below	86%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation of Physical Therapy Typically 45 Minutes	$43.54	$311.00	$116.94–$95.16	66% below	86%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation of Physical Therapy Typically 20 Minutes	$43.54	$311.00	$116.94–$95.16	60% below	86%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation of Physical Therapy Typically 30 Minutes	$43.54	$311.00	$116.94–$95.16	64% below	86%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual (Physical) Therapy Techniques to 1 or More Regions Each 15 Minutes	$44.10	$315.00	$118.44–$94.50	14% above	86%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Dev Strength Endur Rng of Mtn & Flexblty Ea 15 Mins	$37.94	$271.00	$10.96–$81.30	at median	86%
Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Preventive Med Est Patient 18-39 Yrs	$81.62	$583.00	$116.60–$89.84	18% below	86%
Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Evaluation With Medical Services	$32.48	$232.00	$113.68–$69.60	72% below	86%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for Crisis First 60 Minutes	$43.12	$308.00	$129.81–$92.40	54% below	86%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy 30 Minutes	$32.48	$232.00	$113.68–$69.60	62% below	86%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45 Minutes	$44.94	$321.00	$141.24–$96.30	59% below	86%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Minutes	$44.94	$321.00	$134.02–$96.30	59% below	86%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking & Tobacco Use Intermediate Counsel > Than 3 Minute Up to 10 Minute	$12.60	$90.00	$11.70–$90.00	33% below	86%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hosp Outpt Clinic Visit Estab Extensive 40-54 Min	$44.66	$319.00	$113.29–$95.70	38% below	86%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hosp Outpt Clinic Visit Estab Low/Minor/Ltd	$27.02	$193.00	$113.29–$94.57	52% below	86%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hosp Outpt Clinic Visit Estab Mod/Chronic/Stbl	$35.14	$251.00	$113.29–$75.30	47% below	86%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hosp Outpt Clinic Visit Estab Stratfwd Min	$27.02	$193.00	$113.29–$94.57	48% below	86%
Speech and language evaluation CPT 92523 Evaluation Speech Sound Production W/Eval Language Comprehen & Expression	$115.36	$824.00	$107.12–$87.34	38% below	86%
Speech therapy session, individual CPT 92507 Treatment Speech Language Voice Comm/Hearing Processing Disorder	$81.20	$580.00	$108.93–$75.40	2% below	86%
Spirometry (breathing test) CPT 94010 Measurement and Graphic Recording of Total and Timed Exhaled Air Capacity	$70.42	$503.00	$100.60–$65.39	44% below	86%
Spirometry before and after a bronchodilator CPT 94060 Measurement & Graphic Rec Amount&Speed Breathed Air Before/Follow Med Admin	$116.20	$830.00	$107.90–$87.98	44% below	86%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Repet Tms Tx Initial W/Map/Motr Threshld/Del&M	$134.68	$962.00	$101.97–$962.00	at median	86%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities to Improve Function Each 15 Minutes	$35.28	$252.00	$123.48–$94.75	10% below	86%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Removal of Whole Blood to Correct Blood Level Imbalance	$46.48	$332.00	$113.32–$99.60	54% below	86%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Exercise or Drug-Induced Heart and Blood Vessel Stress Test	$297.64	$2,126.00	$102.15–$637.80	at median	86%
Visual field test, extended CPT 92083 Measurement of Field of Vision During Daylight Conditions	$43.12	$308.00	$113.32–$92.40	2% below	86%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Iiv Adjuvanted Vaccine for Im Use	$51.24	$366.00	$102.48–$98.82	49% below	86%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Covid-19 (Moderna) Sarscov2 Vac 50 Mcg/0.5ml Im	$53.76	$384.00	$103.68–$96.00	45% below	86%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Covid-19 (Pfizer) Sarscv2 Vac 30mcg Trs-Suc Im	$45.92	$328.00	$131.10–$98.40	49% below	86%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Vaccine for Varicella (Chicken Pox) Injection Beneath Skin	$82.88	$592.00	$118.40–$76.96	59% below	86%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1 350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$548.75	$548.75	$109.75–$71.34	169% above	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Vaccine for Diphtheria Tetanus Toxoids Pertussis & Polio Age 4-6 Yrs	$69.86	$499.00	$104.29–$99.80	at median	86%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH PERTUS(ACELL) TET POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE	$181.75	$181.75	$121.03–$89.06	160% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Vaccine for Diphtheria Tetanus Toxoids Pertussis & Polio Age <7yrs	$10.36	$74.00	$14.80–$9.62	71% below	86%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH PERTUS(ACEL) TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$182.00	$182.00	$121.19–$89.18	414% above	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Vaccine for Diphtheria Tetanus Toxoids Pertussis Hepatitis B & Polio	$54.04	$386.00	$101.94–$96.50	44% below	86%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$292.25	$292.25	$101.94–$93.35	204% above	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Ipv/Hib Vaccine for Im Use (Pentacel)	$74.90	$535.00	$107.00–$69.55	at median	86%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT	$724.00	$724.00	$120.33–$94.12	867% above	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Dtap-Ipv-Hib-Hepb Vaccine for Im Use (Vaxelis)	$45.08	$322.00	$146.85–$96.60	45% below	86%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIP PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG	$468.00	$468.00	$111.85–$97.81	476% above	—
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Vaccine for Influenza Administered Into Muscle Preservative Free	$13.02	$93.00	$12.09–$93.00	37% below	86%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2024(65YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE	$219.75	$219.75	$107.68–$65.93	968% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vaccine Trivalent Split Virus Preservative-Free 0.5 Ml Dosage	$7.42	$53.00	$10.60–$6.89	75% below	86%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Vaccine for Human Papilloma Virus (3 Dose) Injection Into Muscle	$123.34	$881.00	$114.53–$93.39	51% below	86%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE 9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$922.50	$922.50	$119.93–$97.79	263% above	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Vaccine for Hepatitis a and Hepatitis B Injection Into Muscle Adult	$42.42	$303.00	$115.29–$90.90	54% below	86%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE	$378.00	$378.00	$102.06–$94.50	308% above	—
Hepatitis A vaccine, adult dose CPT 90632 Vaccine for Hepatitis a Injection Into Muscle Adult Dosage	$48.02	$343.00	$102.90–$96.04	45% below	86%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$116.25	$116.25	$116.25–$78.08	32% above	—
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$243.75	$243.75	$119.44–$78.08	177% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Vaccine for Hepatitis a Injection Into Muscle Pediatric	$36.40	$260.00	$127.40–$78.00	10% below	86%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE	$116.25	$116.25	$116.25–$9.75	187% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$35.42	$253.00	$123.97–$77.42	50% below	86%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$208.25	$208.25	$102.04–$77.42	196% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$208.25	$208.25	$102.04–$77.42	196% above	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb Vaccine Adult 2/4 Dose Schedule for Im Use	$24.78	$177.00	$117.86–$88.50	82% below	86%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$443.00	$443.00	$105.88–$92.59	221% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Vaccine for Hepatitis B (3 Dose) for Injection Into Muscle Pediatric	$17.92	$128.00	$10.74–$85.24	54% below	86%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$83.50	$83.50	$10.86–$83.50	114% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$85.00	$85.00	$11.05–$9.01	118% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Vaccine for Hemophilus Influenza B (3 Dose) Injection Into Muscle	$21.28	$152.00	$101.22–$74.48	24% below	86%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Vaccine for Hemophilus Influenza B (4 Dose) Injection Into Muscle	$59.36	$424.00	$101.34–$88.62	164% above	86%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$77.00	$77.00	$10.01–$8.16	242% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Vaccine for Influenza for Injection Into Muscle	$26.46	$189.00	$125.86–$94.50	59% below	86%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Vaccine for Measles Mumps and Rubella Injection Beneath Skin	$48.44	$346.00	$103.80–$99.11	33% below	86%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA VACCINE LIVE(PF)1 000-12 500TCID50/0.5 ML SUBCUT	$284.50	$284.50	$139.41–$99.11	292% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Vaccine for Meningococcus for Administration Into Muscle	$86.94	$621.00	$124.20–$80.73	45% below	86%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A C Y W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION	$953.00	$953.00	$101.02–$953.00	507% above	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal Conjugate Vaccine (Menacwy-Tt) for Im Use (Menquadfi)	$40.32	$288.00	$141.12–$86.40	52% below	86%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VAC A C Y W-135 CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$515.75	$515.75	$103.15–$67.05	516% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal Recombinant Protein and Outer Membrane Vesicle Vaccine	$69.72	$498.00	$104.08–$99.60	66% below	86%
Meningococcal B vaccine (Trumenba) CPT 90621 Vaccine for Meningococcus for Injection Into Muscle	$243.18	$1,737.00	$1,156.67–$868.50	at median	86%
Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$1,152.25	$1,152.25	$1,152.25–$767.28	374% above	—
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP	$1,636.25	$1,636.25	$0.01–$818.13	at median	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal Vaccine for Injection Into Muscle	$122.92	$878.00	$114.14–$93.07	42% below	86%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Inj Pcv20 Vaccine (Prevnar 20) for Intramuscular Use	$83.86	$599.00	$119.80–$77.87	73% below	86%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$809.00	$809.00	$105.17–$85.75	161% above	—
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Inj Pcv21 Pneumococcal Congugate Vacc Im	$120.40	$860.00	$111.80–$91.16	at median	86%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Vaccine for Pneumococcal Polysaccharide >2yrs	$60.76	$434.00	$103.73–$90.71	55% below	86%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$351.25	$351.25	$105.38–$98.35	160% above	—
Polio vaccine, inactivated (IPV) CPT 90713 Vaccine for Polio Injection Beneath the Skin or Into Muscle	$22.26	$159.00	$105.88–$77.91	46% below	86%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$134.00	$134.00	$11.24–$89.23	224% above	—
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Mab Nirsevimab-Alip 1 Ml Neonatate-24 Mo (Beyortus)	$207.90	$1,485.00	$124.59–$988.86	15% below	86%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$1,575.00	$1,575.00	$1,048.79–$787.50	543% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Mab Nirsevimab-Alip 0.5 Ml Neonatate-24 Mo (Beyortus)	$415.80	$2,970.00	$1,455.30–$891.00	17% below	86%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$3,149.75	$3,149.75	$1,543.38–$944.93	530% above	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Respiratory Syncytial Virus Vaccine Pref Subunit Bivalent for Intramuscular Use	$123.90	$885.00	$115.05–$93.81	33% below	86%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION	$885.00	$885.00	$115.05–$93.81	381% above	—
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv Vacc Pref Recombinant Adj Im Use Age 60+	$58.80	$420.00	$100.38–$87.78	26% below	86%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION KIT	$882.00	$882.00	$114.66–$93.49	1008% above	—
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 ADJUVANT AS01E (PF) COMPONENT (VIAL 1 OF 2) INTRAMUSCULAR SUSPENSION	$882.00	$882.00	$114.66–$93.49	1008% above	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$1,353.50	$1,353.50	$113.56–$901.30	94% above	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Vaccine for Rotavirus (2 Dose Schedule) for Oral Administration	$32.06	$229.00	$112.21–$68.70	at median	86%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Vaccine for Rotavirus (3 Dose Schedule) for Oral Administration	$45.22	$323.00	$106.10–$96.90	50% below	86%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE PENTAVALENT 2 ML ORAL SOLUTION	$296.25	$296.25	$106.10–$92.18	230% above	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Vaccine for Shingles for Injection Into Muscle	$72.10	$515.00	$103.00–$66.95	53% below	86%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT	$593.75	$593.75	$118.75–$77.19	289% above	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION	$593.75	$593.75	$118.75–$77.19	289% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Vaccine for Tetanus and Diphtheria Toxoids Injection Into Muscle >7 Yrs	$9.52	$68.00	$13.60–$8.84	79% below	86%
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	$84.00	$84.00	$10.92–$84.00	89% above	—
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	$120.25	$120.25	$10.09–$80.07	170% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Vaccine for Tetanus Diphtheria Toxoids Acellular Pertussis >7yrs	$33.60	$240.00	$117.60–$72.00	47% below	86%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE (BOOSTRIX/ADACEL)- WRAPPED	$141.25	$141.25	$14.97–$94.06	121% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPTH PERTUS (ACEL) TETANUS (PF) 2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML (WRAPPED)	$146.50	$146.50	$146.50–$97.55	129% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$146.50	$146.50	$146.50–$97.55	129% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$296.00	$296.00	$145.04–$88.80	363% above	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$439.75	$439.75	$105.10–$91.91	30% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Inj Vacc Admn Smallpox&Monkeypox 0.5ml Subq	$6.30	$45.00	$10.76–$95.13	84% below	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Hepatitis B Vaccination	$6.30	$45.00	$10.76–$93.85	84% below	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Pneumococcal Vaccination	$6.30	$45.00	$10.76–$93.85	84% below	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Flu Virus Vaccination	$6.30	$45.00	$10.76–$93.85	84% below	86%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of 1 Vaccine	$6.30	$45.00	$10.76–$95.13	84% below	86%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of Influenza Virus Vaccine Subsequent	$6.30	$45.00	$10.76–$9.41	76% below	86%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Administration of Pneumococcal Vaccine Subsequent	$6.30	$45.00	$10.76–$9.41	76% below	86%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of Vaccine	$6.30	$45.00	$10.76–$9.41	76% below	86%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Administration of Hepatitis B Vaccine Subsequent	$6.30	$45.00	$10.76–$9.41	76% below	86%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://lcmchealthfiles.blob.core.windows.net/mrf/East%20Jefferson%20General%20Hospital-PricingTransparency-2026-07-01%2009_31_23.csv