Hospital Scottsboro, AL

Highlands Medical Center

Highlands Medical Center in Scottsboro, AL publishes cash prices for 397 common procedures listed here, from its own machine-readable price file updated May 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Alabama median for 222 of 393 procedures and above it for 158. By typical cash price it ranks #27 of 53 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

380 Woods Cove Rd,Scottsboro,AL,35768 Collected Oct 4, 2026 Source price file Check a bill from this hospital (256) 259-4444

Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 010061 · CMS hospital register NPI 1699444976

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Highlands Medical Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

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 2 actions for a hospital named Highlands Medical Center in Scottsboro, AL:

Oct 31, 2024 Corrective action plan requested
Jan 23, 2025 Case closed

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.

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 Alabama	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST	$1,333.50	$1,905.00	$157.00–$207.53	3% below	30%
Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$2,452.80	$3,504.00	$157.00–$207.52	79% above	30%
Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS	$170.80	$244.00	$17.93–$101.92	15% below	30%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$134.40	$192.00	$20.01–$84.84	36% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$134.40	$192.00	$82.37–$84.84	36% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$134.40	$192.00	$82.37–$84.84	36% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$168.70	$241.00	$66.74–$129.72	26% below	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$947.10	$1,353.00	$98.95–$157.00	at median	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$947.10	$1,353.00	$98.95–$157.00	at median	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS	$352.80	$504.00	$22.68–$171.00	28% above	30%
Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY	$543.20	$776.00	$107.18–$581.00	48% below	30%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$312.20	$446.00	$98.95–$101.92	21% above	30%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$312.20	$446.00	$98.95–$101.92	21% above	30%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$137.20	$196.00	$82.37–$84.84	43% below	30%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$137.20	$196.00	$82.37–$84.84	43% below	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST	$996.10	$1,423.00	$157.00–$416.21	58% below	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST	$1,836.10	$2,623.00	$157.00–$416.21	22% below	30%
CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST	$1,449.70	$2,071.00	$157.00–$258.06	6% below	30%
CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST	$1,260.70	$1,801.00	$157.00–$258.06	9% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$1,324.40	$1,892.00	$157.00–$314.42	2% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST	$2,164.40	$3,092.00	$157.00–$314.42	60% above	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$1,155.00	$1,650.00	$126.84–$282.31	43% below	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$1,884.40	$2,692.00	$157.00–$412.77	16% below	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$2,926.00	$4,180.00	$157.00–$412.77	31% above	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$1,015.89	$1,451.27	$157.00–$412.78	60% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST	$3,440.50	$4,915.00	$157.00–$412.78	35% above	30%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$1,246.70	$1,781.00	$140.03–$207.52	7% below	30%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST	$2,288.30	$3,269.00	$140.03–$207.52	71% above	30%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST	$965.30	$1,379.00	$98.95–$157.00	13% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$1,034.60	$1,478.00	$88.07–$157.00	11% below	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$777.70	$1,111.00	$98.95–$157.00	29% below	30%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST	$877.80	$1,254.00	$143.48–$207.52	21% below	30%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,150.80	$1,644.00	$152.95–$207.52	31% below	30%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST	$2,204.30	$3,149.00	$152.95–$207.52	32% above	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$1,239.00	$1,770.00	$98.95–$157.00	1% below	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST	$1,292.90	$1,847.00	$98.95–$157.00	1% below	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$947.10	$1,353.00	$80.06–$207.52	28% below	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST	$2,012.50	$2,875.00	$80.06–$207.52	54% above	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW	$328.30	$469.00	$133.48–$232.63	24% below	30%
Chest CT scan without and with contrast CPT 71270 CT SCAN OF CHEST BEFORE AND AFTER CONTRAST	$1,158.50	$1,655.00	$157.00–$250.93	26% below	30%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$144.90	$207.00	$16.14–$84.84	24% below	30%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$210.00	$300.00	$16.14–$84.84	10% above	30%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$119.70	$171.00	$8.74–$84.84	16% below	30%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE	$105.00	$150.00	$16.16–$84.84	33% below	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$105.00	$150.00	$27.00–$84.84	33% below	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$105.00	$150.00	$27.00–$84.84	33% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY	$380.10	$543.00	$56.35–$101.92	2% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$777.70	$1,111.00	$98.95–$202.46	30% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$1,057.70	$1,511.00	$157.00–$209.85	22% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$2,111.20	$3,016.00	$157.00–$209.85	55% above	30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS	$308.00	$440.00	$105.30–$232.63	6% above	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$328.30	$469.00	$94.92–$232.63	45% below	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$793.10	$1,133.00	$181.08–$532.73	25% below	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION	$876.40	$1,252.00	$181.08–$532.73	17% below	30%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$105.00	$150.00	$27.00–$84.84	28% below	30%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$105.00	$150.00	$27.00–$84.84	28% below	30%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW	$143.50	$205.00	$21.61–$84.84	11% below	30%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$439.60	$628.00	$21.61–$84.84	172% above	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$143.50	$205.00	$31.00–$84.84	11% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$143.50	$205.00	$31.00–$84.84	11% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST	$1,150.80	$1,644.00	$98.95–$157.00	14% above	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS	$155.40	$222.00	$22.24–$101.92	34% below	30%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM	$140.70	$201.00	$18.20–$84.84	12% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$140.70	$201.00	$25.00–$84.84	12% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$140.70	$201.00	$25.00–$84.84	12% below	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM	$420.70	$601.00	$267.02–$581.00	57% below	30%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$179.20	$256.00	$26.00–$101.92	22% above	30%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$179.20	$256.00	$26.00–$101.92	22% above	30%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL	$143.50	$205.00	$20.01–$84.84	2% below	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$143.50	$205.00	$26.00–$84.84	2% below	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$143.50	$205.00	$26.00–$84.84	2% below	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT	$293.30	$419.00	$204.38–$210.51	11% below	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER)	$2,674.00	$3,820.00	$379.68–$837.23	5% below	30%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$187.60	$268.00	$35.60–$84.84	8% above	30%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$187.60	$268.00	$82.37–$84.84	8% above	30%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$187.60	$268.00	$82.37–$84.84	8% above	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$208.60	$298.00	$98.95–$101.92	7% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$208.60	$298.00	$98.95–$101.92	7% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$637.70	$911.00	$98.95–$157.00	28% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$637.70	$911.00	$98.95–$157.00	28% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN	$289.10	$413.00	$50.03–$101.92	20% below	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$158.20	$226.00	$9.66–$101.92	21% below	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$158.20	$226.00	$98.95–$101.92	21% below	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$158.20	$226.00	$98.95–$101.92	21% below	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING	$193.20	$276.00	$80.16–$157.00	11% below	30%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG	$135.10	$193.00	$19.56–$84.84	31% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$135.10	$193.00	$26.00–$84.84	31% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$135.10	$193.00	$26.00–$84.84	31% below	30%
MR angiography (MRA) of the head without contrast CPT 70544 MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST	$1,425.90	$2,037.00	$225.85–$401.93	10% below	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$1,302.70	$1,861.00	$225.85–$345.00	20% below	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$1,302.70	$1,861.00	$225.85–$345.00	20% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$1,627.50	$2,325.00	$330.22–$412.78	16% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$1,627.50	$2,325.00	$330.22–$412.78	16% below	30%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST	$1,578.50	$2,255.00	$225.85–$345.00	14% above	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$1,730.40	$2,472.00	$330.22–$880.98	10% below	30%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST	$1,200.50	$1,715.00	$225.85–$345.00	30% below	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$1,911.00	$2,730.00	$330.22–$697.08	17% below	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$2,104.03	$3,005.75	$330.22–$697.08	9% below	30%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$1,316.70	$1,881.00	$225.85–$345.00	16% below	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST	$2,010.40	$2,872.00	$330.22–$698.56	15% below	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST	$1,302.70	$1,861.00	$225.85–$345.00	14% below	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$1,730.40	$2,472.00	$330.22–$706.85	22% below	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST	$1,964.73	$2,806.75	$330.22–$706.85	11% below	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST	$1,395.10	$1,993.00	$225.85–$345.00	8% below	30%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST	$2,174.90	$3,107.00	$330.22–$880.98	4% above	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$1,425.90	$2,037.00	$225.85–$397.48	4% below	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST	$1,618.93	$2,312.75	$225.85–$397.48	9% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$1,302.70	$1,861.00	$225.85–$345.00	12% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$1,302.70	$1,861.00	$225.85–$345.00	12% below	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS	$186.20	$266.00	$24.90–$101.92	31% below	30%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,192.10	$1,703.00	$157.00–$207.53	6% below	30%
Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST	$2,231.43	$3,187.75	$157.00–$207.52	76% above	30%
Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST	$787.50	$1,125.00	$98.95–$235.83	19% below	30%
Neck soft tissue X-ray CPT 70360 X-RAY OF SOFT TISSUE OF NECK	$84.70	$121.00	$14.52–$84.84	48% below	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$2,232.30	$3,189.00	$340.82–$1,531.81	7% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT	$2,543.63	$3,633.75	$340.82–$1,531.81	22% above	30%
Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST	$726.60	$1,038.00	$61.64–$157.00	33% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS	$115.50	$165.00	$47.45–$101.92	41% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$407.40	$582.00	$71.19–$101.92	7% below	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS	$333.90	$477.00	$37.82–$101.92	13% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS	$302.40	$432.00	$35.59–$101.92	1% above	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS	$324.80	$464.00	$37.08–$101.92	33% above	30%
Rib X-ray, one side, 2 views CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$148.40	$212.00	$14.40–$84.84	28% below	30%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$148.40	$212.00	$82.37–$84.84	28% below	30%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$148.40	$212.00	$82.37–$84.84	28% below	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$226.10	$323.00	$98.95–$101.92	at median	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$226.10	$323.00	$98.95–$101.92	at median	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST	$226.10	$323.00	$27.57–$101.92	at median	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$113.40	$162.00	$18.40–$84.84	43% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$113.40	$162.00	$39.00–$84.84	43% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$113.40	$162.00	$39.00–$84.84	43% below	30%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY OF PARANASAL SINUS; MINIMUM OF 3 VIEWS	$194.60	$278.00	$22.41–$84.84	9% below	30%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL; 1-3 VIEWS	$148.40	$212.00	$22.41–$101.92	19% below	30%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER)	$2,435.30	$3,479.00	$369.30–$837.23	7% below	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION	$297.50	$425.00	$23.21–$171.00	15% below	30%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$119.70	$171.00	$18.66–$84.84	36% below	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$119.70	$171.00	$32.00–$84.84	36% below	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$119.70	$171.00	$32.00–$84.84	36% below	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST	$996.10	$1,423.00	$98.95–$216.66	15% below	30%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S)	$167.30	$239.00	$15.21–$84.84	21% above	30%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$167.30	$239.00	$82.37–$84.84	21% above	30%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$167.30	$239.00	$82.37–$84.84	21% above	30%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$346.50	$495.00	$42.61–$101.92	3% above	30%
Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS	$232.40	$332.00	$51.70–$101.92	14% below	30%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$326.20	$466.00	$96.40–$101.92	30% below	30%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$240.10	$343.00	$21.41–$101.92	35% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$259.70	$371.00	$28.47–$101.92	21% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE	$519.40	$742.00	$28.47–$101.92	59% above	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT	$276.50	$395.00	$32.02–$171.00	17% below	30%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS	$125.30	$179.00	$21.85–$84.84	31% below	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$105.00	$150.00	$26.00–$84.84	42% below	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$105.00	$150.00	$26.00–$84.84	42% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$282.80	$404.00	$98.95–$101.92	2% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$282.80	$404.00	$98.95–$101.92	2% below	30%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$140.70	$201.00	$82.37–$84.84	8% above	30%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$140.70	$201.00	$82.37–$84.84	8% above	30%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$160.30	$229.00	$20.01–$84.84	17% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$160.30	$229.00	$36.00–$84.84	17% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$160.30	$229.00	$36.00–$84.84	17% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$172.90	$247.00	$24.54–$84.84	4% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$172.90	$247.00	$51.00–$84.84	4% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$172.90	$247.00	$51.00–$84.84	4% below	30%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW	$151.90	$217.00	$14.97–$84.84	5% above	30%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$109.90	$157.00	$40.00–$84.84	21% below	30%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$109.90	$157.00	$40.00–$84.84	21% below	30%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$119.70	$171.00	$16.39–$84.84	18% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$119.70	$171.00	$82.37–$84.84	18% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$119.70	$171.00	$82.37–$84.84	18% below	30%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$144.90	$207.00	$25.00–$84.84	14% above	30%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$144.90	$207.00	$25.00–$84.84	14% above	30%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$165.90	$237.00	$20.01–$84.84	8% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$165.90	$237.00	$82.37–$84.84	8% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$165.90	$237.00	$82.37–$84.84	8% below	30%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$199.50	$285.00	$16.83–$84.84	at median	30%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$199.50	$285.00	$82.37–$84.84	at median	30%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$199.50	$285.00	$82.37–$84.84	at median	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$167.30	$239.00	$39.00–$84.84	15% above	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$167.30	$239.00	$39.00–$84.84	15% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS	$224.70	$321.00	$26.31–$101.92	11% above	30%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$245.70	$351.00	$30.02–$101.92	15% below	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS	$159.60	$228.00	$25.79–$101.92	19% below	30%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS	$121.80	$174.00	$20.01–$84.84	30% below	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$98.00	$140.00	$21.63–$84.84	51% below	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$99.40	$142.00	$20.31–$101.92	39% below	30%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$99.40	$142.00	$98.95–$101.92	39% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS	$108.50	$155.00	$13.27–$84.84	46% below	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL	$207.90	$297.00	$38.62–$46.71	55% above	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL	$22.40	$32.00	$5.30–$9.75	18% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL	$22.40	$32.00	$5.18–$8.87	34% below	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$228.90	$327.00	$47.63–$62.40	3% above	30%
Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL	$23.10	$33.00	$4.95–$8.00	11% below	30%
Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL	$191.10	$273.00	$40.75–$62.36	47% above	30%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE	$21.70	$31.00	$5.18–$8.87	17% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH	$31.50	$45.00	$5.22–$10.15	107% above	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM	$67.20	$96.00	$16.77–$29.05	8% below	30%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$75.60	$108.00	$14.57–$22.68	at median	30%
Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL	$31.50	$45.00	$6.48–$10.65	28% below	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$28.00	$40.00	$12.95–$19.27	51% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER	$72.80	$104.00	$12.09–$22.20	70% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$193.90	$277.00	$39.26–$48.93	86% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC	$44.10	$63.00	$8.62–$15.99	9% below	30%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$26.60	$38.00	$8.46–$16.28	56% below	30%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$38.50	$55.00	$8.46–$16.28	36% below	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$22.40	$32.00	$5.02–$7.00	8% below	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL	$34.30	$49.00	$5.02–$7.00	41% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$394.10	$563.00	$16.95–$50.81	135% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY	$788.20	$1,126.00	$16.95–$50.81	369% above	30%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$53.90	$77.00	$10.32–$13.35	34% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$11.90	$17.00	$2.96–$9.62	65% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$47.60	$68.00	$2.96–$9.62	561% above	30%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL	$22.40	$32.00	$3.93–$6.14	14% below	30%
Blood lead test CPT 83655 LEAD LEVEL	$62.30	$89.00	$12.11–$22.20	51% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS	$44.10	$63.00	$7.52–$8.90	2% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$28.00	$40.00	$4.34–$129.72	57% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$84.00	$120.00	$4.34–$129.72	29% above	30%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE	$22.40	$32.00	$3.95–$7.66	20% below	30%
C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL	$119.00	$170.00	$17.33–$21.43	67% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$46.90	$67.00	$2.93–$7.00	7% above	30%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE	$119.00	$170.00	$34.11–$38.39	21% above	30%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9	$98.00	$140.00	$20.76–$21.43	4% below	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125	$105.00	$150.00	$7.41–$21.43	22% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$80.50	$115.00	$51.31–$57.57	37% above	30%
Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL	$21.70	$31.00	$5.16–$7.99	21% below	30%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL	$81.90	$117.00	$18.96–$35.53	4% above	30%
Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX)	$76.30	$109.00	$12.88–$24.46	28% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE	$123.90	$177.00	$35.09–$43.88	77% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$91.70	$131.00	$13.39–$23.03	76% above	30%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$32.90	$47.00	$7.77–$14.20	8% below	30%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$44.80	$64.00	$7.77–$14.20	25% above	30%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$21.70	$31.00	$6.00–$7.09	36% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$46.20	$66.00	$10.56–$17.57	43% below	30%
Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL	$78.40	$112.00	$16.30–$25.32	19% above	30%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL	$26.60	$38.00	$6.51–$12.67	18% below	30%
Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL	$22.40	$32.00	$5.12–$8.87	23% below	30%
Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV)	$98.70	$141.00	$14.39–$28.01	52% above	30%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE	$74.90	$107.00	$10.18–$14.82	24% above	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$80.50	$115.00	$22.23–$43.27	8% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$168.00	$240.00	$62.14–$73.75	109% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS	$191.80	$274.00	$62.14–$73.75	139% above	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$26.60	$38.00	$7.01–$12.42	46% below	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID	$105.00	$150.00	$18.14–$31.88	113% above	30%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE)	$170.80	$244.00	$27.94–$40.04	71% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$95.20	$136.00	$18.58–$32.00	10% above	30%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL	$194.60	$278.00	$19.63–$28.46	at median	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$65.80	$94.00	$13.63–$14.80	17% above	30%
Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT	$37.10	$53.00	$9.72–$14.80	20% below	30%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$65.80	$94.00	$14.70–$19.09	7% above	30%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$70.70	$101.00	$16.94–$22.66	3% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$102.20	$146.00	$9.02–$13.32	68% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$133.70	$191.00	$9.02–$13.32	119% above	30%
Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE	$171.50	$245.00	$25.47–$49.57	131% above	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL	$32.90	$47.00	$7.20–$9.75	at median	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$79.10	$113.00	$72.27	28% below	30%
Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS	$124.60	$178.00	$12.87–$13.32	104% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE	$123.90	$177.00	$35.09–$43.88	77% above	30%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$70.00	$100.00	$16.85–$28.23	74% above	30%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL	$98.70	$141.00	$14.38–$21.17	49% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$245.00	$350.00	$41.13–$87.65	6% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES	$54.78	$78.26	$24.08–$33.41	10% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$66.50	$95.00	$24.08–$33.41	10% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$45.50	$65.00	$9.71–$30.00	52% above	30%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN	$17.50	$25.00	$2.37–$4.58	at median	30%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$65.80	$94.00	$12.05–$16.92	10% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$63.00	$90.00	$10.74–$19.21	21% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT	$74.90	$107.00	$10.74–$19.21	44% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$48.30	$69.00	$10.33–$20.09	34% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT	$72.10	$103.00	$14.27–$24.87	at median	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION	$207.20	$296.00	$42.84–$62.29	7% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$129.50	$185.00	$13.19–$25.66	120% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$83.30	$119.00	$19.35–$28.17	32% above	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY	$28.00	$40.00	$12.95–$19.27	48% below	30%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL	$143.50	$205.00	$17.92–$23.72	17% above	30%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL	$53.90	$77.00	$11.43–$13.35	22% below	30%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$29.40	$42.00	$6.47–$10.20	3% above	30%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$41.30	$59.00	$6.47–$10.20	45% above	30%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL	$39.90	$57.00	$8.68–$11.73	52% below	30%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL	$93.80	$134.00	$18.52–$31.76	at median	30%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL	$64.40	$92.00	$11.57–$14.80	10% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL	$23.80	$34.00	$6.04–$8.87	5% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$31.50	$45.00	$6.89–$10.67	37% below	30%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$40.60	$58.00	$8.17–$11.04	49% below	30%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA)	$137.90	$197.00	$17.03–$22.24	88% above	30%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$33.60	$48.00	$6.70–$11.54	49% above	30%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS)	$72.80	$104.00	$12.88–$25.07	65% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$21.00	$30.00	$5.18–$10.06	54% below	30%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO)	$44.10	$63.00	$5.18–$10.06	3% below	30%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$62.30	$89.00	$13.05–$25.37	42% above	30%
Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS	$74.20	$106.00	$13.05–$25.37	69% above	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE	$87.50	$125.00	$18.39–$24.87	34% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$112.00	$160.00	$18.39–$29.66	37% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$117.60	$168.00	$26.61–$37.08	260% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$72.80	$104.00	$20.26–$36.29	77% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$168.70	$241.00	$16.00–$80.35	24% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$21.00	$30.00	$3.85–$8.00	50% below	30%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL	$22.40	$32.00	$4.74–$6.20	8% below	30%
Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL	$22.40	$32.00	$4.76–$8.87	19% below	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY	$1,846.08	$2,637.25	$701.36–$781.82	84% above	30%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL	$119.00	$170.00	$20.86–$22.22	21% above	30%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL	$119.00	$170.00	$19.38–$35.98	15% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$16.10	$23.00	$4.29–$7.62	30% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$58.10	$83.00	$12.60–$13.82	23% above	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$18.20	$26.00	$16.53–$21.17	58% below	30%
Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL	$98.70	$141.00	$21.99–$37.33	12% above	30%
Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN	$28.00	$40.00	$4.30–$36.42	13% above	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$37.80	$54.00	$5.67–$7.41	16% below	30%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS)	$56.00	$80.00	$14.39–$28.92	47% above	30%
Sodium blood test CPT 84295 BLOOD SODIUM LEVEL	$22.40	$32.00	$4.81–$8.87	5% below	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$9.10	$13.00	$4.00–$5.13	37% below	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY	$61.60	$88.00	$15.92–$23.72	12% above	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$32.20	$46.00	$13.24–$25.66	15% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST	$25.20	$36.00	$4.27–$8.00	3% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON	$69.30	$99.00	$61.98–$90.46	40% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL	$137.90	$197.00	$25.81–$45.33	94% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT	$70.00	$100.00	$14.55–$22.36	59% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$95.90	$137.00	$16.80–$24.54	71% above	30%
Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL	$70.00	$100.00	$16.46–$22.20	42% above	30%
Total cholesterol blood test CPT 82465 CHOLESTEROL LEVEL	$22.40	$32.00	$4.35–$8.46	27% below	30%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL	$31.50	$45.00	$5.31–$50.00	35% below	30%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$72.80	$104.00	$14.18–$24.87	52% above	30%
Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL	$84.70	$121.00	$14.18–$24.87	77% above	30%
Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL	$65.80	$94.00	$12.76–$24.84	19% above	30%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE	$80.50	$115.00	$28.42–$36.14	15% above	30%
Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL	$25.20	$36.00	$5.74–$11.19	20% below	30%
Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE	$94.50	$135.00	$12.47–$14.82	35% above	30%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$22.40	$32.00	$4.52–$8.87	25% below	30%
Urinalysis with microscope exam, manual CPT 81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; NON-AUTOMATED	$23.80	$34.00	$4.00–$6.14	1% below	30%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$9.10	$13.00	$2.25–$4.34	55% below	30%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$21.70	$31.00	$3.48–$4.98	84% above	30%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE	$24.50	$35.00	$8.07–$16.30	50% below	30%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL	$52.50	$75.00	$5.78–$6.67	28% above	30%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$56.00	$80.00	$4.87–$8.87	47% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$81.90	$117.00	$15.08–$24.87	54% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$91.00	$130.00	$11.85–$30.49	4% below	30%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$207.20	$296.00	$38.50–$74.67	54% above	30%
Zinc blood test CPT 84630 ZINC LEVEL	$80.50	$115.00	$11.39–$23.10	74% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$84.70	$121.00	$15.05–$17.19	51% above	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS)	$2,209.47	$3,156.39	$440.80–$10,925.00	57% below	30%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$20,633.30	$29,476.14	$6,480.00–$13,250.00	18% above	30%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$4,506.38	$6,437.68	$6,868.35–$12,120.00	57% below	30%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$6,363.08	$9,090.12	$6,868.35–$12,120.00	40% below	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$427.70	$611.00	$625.61–$644.38	46% below	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT	$466.20	$666.00	$350.00–$644.38	42% below	30%
Carpal tunnel release, open surgery CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$5,292.83	$7,561.19	$383.49–$15,125.00	18% above	30%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$4,470.03	$6,385.76	$1,848.35–$15,125.00	at median	30%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$5,427.65	$7,753.79	$1,848.35–$15,125.00	21% above	30%
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$1,519.00	$2,170.00	$2,184.46–$12,120.00	36% below	30%
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$1,617.00	$2,310.00	$2,184.46–$12,120.00	32% below	30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$2,548.00	$3,640.00	$383.49–$5,250.00	26% below	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$397.60	$568.00	$1,121.62–$4,093.00	—	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 REMOVAL OF FORESKIN USING CLAMP OR DEVICE	$693.00	$990.00	$1,121.62–$4,093.00	—	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION	$201.60	$288.00	$150.00–$350.00	29% below	30%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$4,235.53	$6,050.75	$383.49–$3,333.00	80% above	30%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,439.15	$3,484.50	$383.49–$3,333.00	11% above	30%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$9,448.43	$13,497.76	$383.49–$3,333.00	369% above	30%
Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$5,100.16	$7,285.94	$2,184.46–$12,120.00	70% above	30%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$4,541.78	$6,488.26	$440.80–$8,800.00	10% above	30%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$3,956.40	$5,652.00	$3,333.00–$8,800.00	4% below	30%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$5,056.52	$7,223.60	$3,333.00–$8,800.00	23% above	30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$3,072.06	$4,388.66	$286.51–$5,250.00	86% above	30%
Cystoscopy, diagnostic look inside the bladder and urethra one side CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$5,661.12	$8,087.31	$660.02–$5,250.00	242% above	30%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS	$6,337.11	$9,053.02	$383.49–$7,725.00	2% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$270.20	$386.00	$150.00–$2,100.00	14% above	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$1,798.01	$2,568.59	$286.51–$6,480.00	53% below	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$3,934.18	$5,620.26	$1,468.65–$6,480.00	2% above	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$175.00	$250.00	$55.84–$150.00	76% above	30%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$98.00	$140.00	$51.00–$286.51	1% below	30%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE	$1,279.60	$1,828.00	$6,480.00–$10,925.00	90% below	30%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE	$2,142.32	$3,060.45	$6,480.00–$10,925.00	84% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$1,080.80	$1,544.00	$286.51–$2,588.00	9% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$2,421.13	$3,458.75	$286.51–$2,588.00	105% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance one side CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$3,755.28	$5,364.68	$668.15–$2,588.00	218% above	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,400.70	$2,001.00	$286.51–$2,588.00	30% above	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$3,766.20	$5,380.28	$286.51–$2,588.00	251% above	30%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$2,840.55	$4,057.93	$837.20–$2,588.00	164% above	30%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$3,030.08	$4,328.68	$837.20–$2,588.00	182% above	30%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE	$21,470.05	$30,671.50	$542.16–$6,311.61	66% above	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$10,303.90	$14,719.86	$286.51–$3,490.68	10% above	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$1,239.70	$1,771.00	$286.51–$6,500.00	8% above	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,399.38	$3,427.68	$286.51–$6,500.00	109% above	30%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$14,000.00	$20,000.00	$440.80–$15,125.00	65% above	30%
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 AN ENDOSCOPE	$15,693.99	$22,419.98	$440.80–$15,125.00	68% above	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP	$7,983.89	$11,405.55	$440.80–$8,800.00	18% above	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$436.10	$623.00	$47.74–$286.51	109% above	30%
Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE	$4,100.60	$5,858.00	$542.16–$12,120.00	52% below	30%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$7,353.56	$10,505.09	$440.80–$12,120.00	6% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$3,501.27	$5,001.81	$150.00–$286.51	1151% above	30%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$5,306.56	$7,580.80	$3,389.01–$10,925.00	42% above	30%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$5,880.00	$8,400.00	$3,389.01–$10,925.00	57% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$445.20	$636.00	$290.55–$2,588.00	8% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$1,117.41	$1,596.30	$286.51–$2,588.00	190% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$558.71	$798.15	$290.55–$2,588.00	45% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$975.21	$1,393.15	$290.55–$2,588.00	153% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$445.20	$636.00	$286.51–$2,588.00	40% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$445.20	$636.00	$290.55–$2,588.00	16% above	30%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$445.20	$636.00	$290.55–$2,588.00	16% above	30%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$10,043.49	$14,347.84	$3,097.10–$12,120.00	39% above	30%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE	$11,288.38	$16,126.25	$3,097.10–$12,120.00	27% above	30%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE	$11,643.28	$16,633.25	$3,097.10–$12,120.00	31% above	30%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$9,341.85	$13,345.50	$3,097.10–$12,120.00	5% above	30%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$10,927.00	$15,610.00	$3,097.10–$12,120.00	23% above	30%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$17,077.17	$24,395.96	$542.16–$15,125.00	15% above	30%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$9,550.10	$13,643.00	$5,722.37–$15,125.00	at median	30%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$10,682.00	$15,260.00	$5,722.37–$15,125.00	12% above	30%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$12,318.64	$17,598.06	$5,722.37–$15,125.00	3% above	30%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$10,368.68	$14,812.40	$618.24–$15,125.00	at median	30%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$6,511.22	$9,301.74	$5,722.37–$15,125.00	37% below	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$2,471.54	$3,530.77	$150.00–$2,100.00	583% above	30%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,080.80	$1,544.00	$286.51–$3,350.00	22% below	30%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$3,527.49	$5,039.27	$286.51–$3,350.00	154% above	30%
Lower-back epidural injection, with imaging guidance one side CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$3,242.00	$4,631.43	$668.15–$3,350.00	133% above	30%
Lower-back epidural injection, with imaging guidance one side CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$3,454.94	$4,935.63	$668.15–$3,350.00	149% above	30%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$971.60	$1,388.00	$286.51–$3,350.00	14% below	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$1,400.70	$2,001.00	$286.51–$2,588.00	14% above	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$4,079.04	$5,827.20	$286.51–$2,588.00	233% above	30%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,682.72	$2,403.88	$837.20–$2,588.00	37% above	30%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$3,499.55	$4,999.35	$837.20–$2,588.00	186% above	30%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL REMOVAL OF BREAST	$5,437.73	$7,768.19	$440.80–$9,950.00	34% below	30%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$7,025.85	$10,036.93	$3,706.14–$9,950.00	14% below	30%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$11,051.71	$15,788.16	$3,706.14–$9,950.00	35% above	30%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER	$4,284.83	$6,121.19	$383.49–$11,193.00	2% below	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$968.10	$1,383.00	$286.51–$2,588.00	10% above	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$9,978.67	$14,255.24	$286.51–$2,588.00	1031% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$968.10	$1,383.00	$286.51–$2,588.00	2% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$4,103.15	$5,861.64	$286.51–$2,588.00	331% above	30%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$380.80	$544.00	$150.00–$286.51	70% above	30%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE	$399.70	$571.00	$286.51–$2,588.00	24% below	30%
Occipital nerve block (injection for headaches) one side CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE	$927.07	$1,324.38	$290.55–$2,588.00	77% above	30%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$701.40	$1,002.00	$440.80–$6,500.00	22% below	30%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE	$1,316.53	$1,880.75	$440.80–$6,500.00	46% above	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$556.50	$795.00	$286.51–$2,588.00	2% below	30%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND	$3,691.54	$5,273.63	$383.49–$3,333.00	34% above	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$2,986.90	$4,267.00	$286.51–$11,193.00	74% above	30%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$2,164.13	$3,091.61	$1,848.35–$11,193.00	26% above	30%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$4,273.08	$6,104.40	$3,706.14–$8,800.00	7% above	30%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$7,418.64	$10,598.06	$3,706.14–$8,800.00	85% above	30%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$3,156.36	$4,509.09	$150.00–$396.33	511% above	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$3,220.48	$4,600.68	$880.26–$3,333.00	127% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK	$3,932.38	$5,617.68	$880.26–$3,333.00	183% above	30%
Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE	$5,720.56	$8,172.23	$542.16–$10,925.00	at median	30%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$4,071.90	$5,817.00	$949.36–$14,000.00	55% below	30%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$22,370.56	$31,957.94	$949.36–$14,000.00	147% above	30%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$3,868.47	$5,526.39	$1,329.00–$14,000.00	57% below	30%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$3,994.75	$5,706.78	$1,329.00–$14,000.00	56% below	30%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$220.50	$315.00	$54.44–$350.00	13% below	30%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$93.80	$134.00	$54.44–$350.00	46% below	30%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$93.80	$134.00	$125.94–$350.00	46% below	30%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$105.00	$150.00	$125.94–$350.00	39% below	30%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$180.60	$258.00	$54.44–$350.00	25% below	30%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$93.80	$134.00	$54.44–$350.00	44% below	30%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$93.80	$134.00	$150.00–$350.00	44% below	30%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$93.80	$134.00	$150.00–$350.00	44% below	30%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE	$3,467.89	$4,954.13	$3,097.10–$12,120.00	53% below	30%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE	$4,671.27	$6,673.24	$3,097.10–$12,120.00	36% below	30%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$2,846.03	$4,065.75	$135.42–$12,120.00	56% below	30%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$6,174.00	$8,820.00	$135.42–$12,120.00	5% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$220.50	$315.00	$150.00–$2,100.00	1% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$256.90	$367.00	$150.00–$2,100.00	16% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$220.50	$315.00	$150.00–$2,100.00	1% below	30%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH	$1,300.33	$1,857.62	$150.00–$396.33	259% above	30%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$5,306.55	$7,580.79	$150.00–$286.51	1690% above	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST	$1,003.10	$1,433.00	$286.51–$2,588.00	49% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$220.50	$315.00	$150.00–$2,100.00	4% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$866.60	$1,238.00	$150.00–$2,100.00	276% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$261.80	$374.00	$150.00–$2,100.00	14% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$220.50	$315.00	$150.00–$2,100.00	1% below	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$270.20	$386.00	$150.00–$2,100.00	22% above	30%
TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE	$11,937.78	$17,053.97	$542.16–$9,950.00	14% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$270.20	$386.00	$150.00–$396.33	13% below	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH	$2,132.79	$3,046.84	$150.00–$396.33	587% above	30%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$668.50	$955.00	$383.49–$2,588.00	34% below	30%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$668.50	$955.00	$593.77–$2,588.00	34% below	30%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)	$6,521.10	$9,315.85	$542.16–$11,193.00	14% above	30%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$2,478.74	$3,541.05	$542.16–$10,925.00	55% below	30%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS)	$4,215.73	$6,022.47	$542.16–$10,925.00	at median	30%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$21,642.44	$30,917.77	$12,152.41–$23,250.00	at median	30%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$23,639.97	$33,771.38	$12,152.41–$23,250.00	9% above	30%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$13,186.13	$18,837.33	$16,596.58–$17,094.48	41% below	30%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$34,953.21	$49,933.15	$16,596.58–$17,094.48	58% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$1,101.95	$1,574.21	$290.55–$2,588.00	247% above	30%
Trigger point injections, 1 or 2 muscles one side CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$445.20	$636.00	$290.55–$2,588.00	40% above	30%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 DESTRUCTION OF FALLOPIAN TUBES USING AN ENDOSCOPE	$7,132.50	$10,189.28	$440.80–$15,125.00	2% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,463.70	$2,091.00	$286.51–$6,480.00	40% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$2,071.30	$2,959.00	$286.51–$6,480.00	15% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$1,463.70	$2,091.00	$1,563.31–$6,480.00	40% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$1,463.70	$2,091.00	$1,563.31–$6,480.00	40% below	30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM	$2,223.54	$3,176.48	$286.51–$6,500.00	16% below	30%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$4,346.08	$6,208.68	$383.49–$6,500.00	120% above	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$1,521.70	$2,173.85	$383.49–$8,800.00	39% below	30%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,864.51	$2,663.59	$286.51–$6,500.00	5% above	30%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$2,256.10	$3,223.00	$5,075.19–$14,100.00	61% below	30%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$18,079.14	$25,827.34	$5,075.19–$14,100.00	210% above	30%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$4,952.41	$7,074.87	$1,329.00–$5,227.45	41% below	30%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$6,943.07	$9,918.67	$1,329.00–$5,227.45	17% below	30%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT	$6,643.20	$9,490.28	$286.51–$3,333.00	33% above	30%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS	$4,508.00	$6,440.00	$150.00–$2,100.00	1210% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$545.83	$779.75	$286.51–$7,725.00	5% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$3,759.06	$5,370.08	$286.51–$7,725.00	553% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$529.73	$756.75	$384.79–$7,725.00	8% below	30%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$9,935.27	$14,193.24	$6,868.35–$12,120.00	5% above	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$357.70	$511.00	$191.32–$2,588.00	5% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$1,419.51	$2,027.87	$191.32–$2,588.00	278% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$76.30	$109.00	$1,121.62–$4,093.00	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$254.80	$364.00	$1,121.62–$4,093.00	—	30%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$1,089.96	$1,557.09	$350.00–$1,224.00	at median	30%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES	$1,500.86	$2,144.09	$350.00–$1,224.00	38% above	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$591.50	$845.00	$57.84–$359.00	3% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$93.80	$134.00	$19.27–$57.52	15% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$375.20	$536.00	$19.27–$57.52	240% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY	$142.10	$203.00	$56.88–$450.00	1% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY	$811.87	$1,159.82	$56.88–$595.00	255% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$347.90	$497.00	$56.88–$904.00	1% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$661.50	$945.00	$56.88–$904.00	89% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$541.80	$774.00	$104.24–$1,500.00	3% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$800.80	$1,144.00	$104.24–$1,500.00	43% above	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$1,385.26	$1,978.94	$350.00–$1,500.00	72% above	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$208.60	$298.00	$37.04–$210.51	66% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG)	$219.10	$313.00	$37.04–$210.51	64% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES	$207.90	$297.00	$201.34–$207.38	11% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$240.10	$343.00	$201.34–$207.38	3% above	30%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$260.40	$372.00	$201.34–$207.38	8% below	30%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$834.40	$1,192.00	$201.34–$207.38	196% above	30%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$163.80	$234.00	$201.34–$207.38	14% above	30%
IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN	$667.53	$953.61	$201.34–$207.38	364% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$95.20	$136.00	$68.15–$70.19	45% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$190.40	$272.00	$68.15–$350.00	191% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION; EACH 15 MINUTES	$67.90	$97.00	$29.66–$142.00	23% below	30%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN	$25.20	$36.00	$67.57–$164.00	87% below	30%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES	$202.30	$289.00	$67.57–$164.00	5% above	30%
New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN	$42.70	$61.00	$110.67–$168.00	83% below	30%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES	$202.30	$289.00	$110.67–$168.00	21% below	30%
New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN	$202.30	$289.00	$151.18–$233.00	42% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN	$202.30	$289.00	$39.11–$164.00	58% above	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$51.80	$74.00	$25.20–$25.96	at median	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$114.10	$163.00	$71.74–$142.00	35% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 THERAPY PROCEDURE USING MANUAL TECHNIQUE; EACH 15 MINUTES	$75.60	$108.00	$25.95–$142.00	32% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES	$254.80	$364.00	$22.24–$142.00	310% above	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$33.60	$48.00	$35.47–$36.53	7% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$40.60	$58.00	$119.41–$164.00	81% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN	$192.50	$275.00	$54.77–$164.00	32% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$202.30	$289.00	$54.77–$164.00	39% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN	$192.50	$275.00	$80.51–$164.00	at median	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$202.30	$289.00	$80.51–$164.00	5% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN	$17.50	$25.00	$29.49–$164.00	82% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES	$202.30	$289.00	$29.49–$164.00	109% above	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30	$202.30	$289.00	$164.00	58% above	30%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40	$202.30	$289.00	$164.00	26% above	30%
Speech and language evaluation CPT 92523 EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION	$268.80	$384.00	$142.00–$220.50	39% below	30%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$134.40	$192.00	$71.96–$142.00	24% above	30%
Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH; LANGUAGE; VOICE; COMMUNICATION; AND/OR HEARING PROCESSING DISORDER	$163.80	$234.00	$71.96–$142.00	51% above	30%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME	$161.00	$230.00	$17.79–$210.51	7% below	30%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$319.20	$456.00	$26.69–$363.81	1% above	30%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION	$422.10	$603.00	$26.69–$363.81	34% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$60.90	$87.00	$16.61–$142.00	at median	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES	$182.70	$261.00	$16.61–$142.00	199% above	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$81.20	$116.00	$66.74–$129.72	27% below	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM	$190.40	$272.00	$66.74–$129.72	71% above	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM	$109.90	$157.00	—	49% below	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B Pediatric-Adolescent PFS	$150.50	$215.00	$72.14	at median	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$150.50	$215.00	$72.14	at median	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE SC	$98.70	$141.00	$1,121.62–$4,093.00	—	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II	$98.70	$141.00	$1,121.62–$4,093.00	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM	$396.20	$566.00	$286.78	51% below	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM	$131.60	$188.00	$126.45	32% below	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23	$198.10	$283.00	$126.45	3% above	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus PFS	$715.55	$1,022.22	—	80% below	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM	$715.55	$1,022.22	—	80% below	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$308.70	$441.00	$315.22–$324.68	54% below	30%
Rabies vaccine, one dose CPT 90675 RabAvert	$604.52	$863.60	$315.22–$324.68	10% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$62.30	$89.00	—	12% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac PFS	$73.75	$105.35	—	32% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM	$60.90	$87.00	—	54% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix PFS	$85.13	$121.62	—	36% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix	$85.13	$121.62	—	36% below	30%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE IM	$207.20	$296.00	$1,121.62–$4,093.00	—	30%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhim Vi PFS	$207.20	$296.00	$1,121.62–$4,093.00	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$47.60	$68.00	$68.15–$70.19	20% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$46.20	$66.00	—	7% below	30%

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://hh.health/wp-content/uploads/872027148_Highlands-Medical-Center_standardcharges.csv