SelfPayRates
Hospital Fayetteville, TN

Lincoln Medical Center

Listed in its price file as “HH Health System Lincoln Inc”.

Lincoln Medical Center in Fayetteville, TN publishes cash prices for 219 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 119 of 216 procedures and below it for 94. By typical cash price it ranks #43 of 76 Tennessee hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

106 Medical Center Blvd, Fayetteville, TN, 37334 Collected Sep 27, 2026 Source price file (931) 438-1100

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 440102 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs TennesseeOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US SEGMANTAL PRESSURE s/p TREADMILL STR $46.93 $99.00 $69.30–$121.84 80% below 53%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI (only) $293.88 $620.00 $118.30–$449.00 26% above 53%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX-ABI $293.88 $620.00 $118.30–$449.00 26% above 53%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US SEGMANTAL PRESSURE s/p TREADMILL STR $46.93 $99.00 $69.30–$121.84 — 53%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE BRACHIAL INDEX-ABI $293.88 $620.00 $118.30–$449.00 — 53%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI (only) $293.88 $620.00 $118.30–$449.00 — 53%
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW $237.47 $501.00 $82.27–$269.00 14% above 53%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW $237.47 $501.00 $82.27–$269.00 — 53%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WB $695.36 $1,467.00 $298.09–$667.05 11% above 53%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WB $695.36 $1,467.00 $298.09–$667.05 — 53%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE UNILATERAL $195.29 $412.00 $81.88–$269.00 13% above 53%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE UNILATERAL $195.29 $412.00 $81.88–$269.00 — 53%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED $100.49 $212.00 $62.64–$212.00 39% below 53%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED $100.49 $212.00 $62.64–$212.00 — 53%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT THORAX PE PROTOCOL $1,232.35 $2,599.89 $155.96–$977.00 21% above 53%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WO/W CONTRAST $1,235.72 $2,607.00 $155.96–$977.00 22% above 53%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT THORAX PE PROTOCOL $1,232.35 $2,599.89 $155.96–$977.00 — 53%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WO/W CONTRAST $1,235.72 $2,607.00 $155.96–$977.00 — 53%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING $65.41 $138.00 $77.38–$138.00 34% below 53%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING $65.41 $138.00 $77.38–$138.00 — 53%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO IV AND PO $1,929.65 $4,071.00 $212.15–$977.00 37% above 53%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO ONLY $1,929.65 $4,071.00 $212.15–$977.00 37% above 53%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT STONE PROT ABD/PEL WO $1,929.65 $4,071.00 $212.15–$977.00 37% above 53%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS W/ PO ONLY $1,929.65 $4,071.00 $212.15–$977.00 37% above 53%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT STONE PROT ABD/PEL WO $1,929.65 $4,071.00 $212.15–$977.00 — 53%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO ONLY $1,929.65 $4,071.00 $212.15–$977.00 — 53%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS W/ PO ONLY $1,929.65 $4,071.00 $212.15–$977.00 — 53%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS WO IV AND PO $1,929.65 $4,071.00 $212.15–$977.00 — 53%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/ ONLY $2,169.02 $4,576.00 $310.19–$977.00 20% above 53%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/ IV ONLY $2,169.02 $4,576.00 $310.19–$977.00 20% above 53%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/ IV AND PO $2,169.02 $4,576.00 $310.19–$977.00 20% above 53%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/ ONLY $2,169.02 $4,576.00 $310.19–$977.00 — 53%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/ IV AND PO $2,169.02 $4,576.00 $310.19–$977.00 — 53%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/ IV ONLY $2,169.02 $4,576.00 $310.19–$977.00 — 53%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS WO FOLLOWED BY W/ $2,300.32 $4,853.00 $310.19–$977.00 15% above 53%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS WO FOLLOWED BY W/ $2,300.32 $4,853.00 $310.19–$977.00 — 53%
CT scan of the abdomen with contrast CPT 74160 CT COMP ABDOMEN W/ $965.06 $2,036.00 $155.96–$977.00 10% above 53%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH IV CONTRAST $1,136.65 $2,398.00 $155.96–$977.00 30% above 53%
CT scan of the abdomen with contrast inpatient CPT 74160 CT COMP ABDOMEN W/ $965.06 $2,036.00 $155.96–$977.00 — 53%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH IV CONTRAST $1,136.65 $2,398.00 $155.96–$977.00 — 53%
CT scan of the abdomen without contrast CPT 74150 CT COMP ABDOMEN W/O $822.39 $1,735.00 $92.95–$977.00 6% above 53%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO IV CONTRAST $914.46 $1,929.25 $92.95–$977.00 18% above 53%
CT scan of the abdomen without contrast inpatient CPT 74150 CT COMP ABDOMEN W/O $822.39 $1,735.00 $92.95–$977.00 — 53%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO IV CONTRAST $914.46 $1,929.25 $92.95–$977.00 — 53%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT TMJ $699.62 $1,476.00 $92.95–$977.00 20% above 53%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST $822.39 $1,735.00 $92.95–$977.00 41% above 53%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT TMJ $699.62 $1,476.00 $92.95–$977.00 — 53%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST $822.39 $1,735.00 $92.95–$977.00 — 53%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD STROKE PROTOCOL $822.39 $1,735.00 $92.95–$977.00 20% above 53%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO $822.39 $1,735.00 $92.95–$977.00 20% above 53%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO $822.39 $1,735.00 $92.95–$977.00 — 53%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD STROKE PROTOCOL $822.39 $1,735.00 $92.95–$977.00 — 53%
CT scan of the head with contrast CPT 70460 CT HEAD W/ $1,023.37 $2,159.00 $155.96–$977.00 16% above 53%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ $1,023.37 $2,159.00 $155.96–$977.00 — 53%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO $1,137.13 $2,399.00 $155.96–$977.00 4% above 53%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO $1,137.13 $2,399.00 $155.96–$977.00 — 53%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE WO $904.87 $1,909.00 $92.95–$977.00 21% above 53%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE WO $904.87 $1,909.00 $92.95–$977.00 — 53%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE WO $914.46 $1,929.25 $92.95–$977.00 17% above 53%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE WO $914.46 $1,929.25 $92.95–$977.00 — 53%
CT scan of the pelvis, with contrast dye CPT 72193 CT COMP PELVIS WITH $965.06 $2,036.00 $155.96–$977.00 15% above 53%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ $1,024.79 $2,162.00 $155.96–$977.00 22% above 53%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT COMP PELVIS WITH $965.06 $2,036.00 $155.96–$977.00 — 53%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ $1,024.79 $2,162.00 $155.96–$977.00 — 53%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DUPLEX $511.45 $1,079.00 $212.15–$755.30 35% below 53%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID DUPLEX $511.45 $1,079.00 $212.15–$755.30 — 53%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS $154.52 $326.00 $26.13–$269.00 41% above 53%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS $154.52 $326.00 $26.13–$269.00 — 53%
Chest X-ray, single view CPT 71045 71010 COMPONENT $55.93 $118.00 $19.07–$118.00 42% below 53%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW $118.97 $251.00 $19.07–$251.00 23% above 53%
Chest X-ray, single view inpatient CPT 71045 71010 COMPONENT $55.93 $118.00 $19.07–$118.00 — 53%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW $118.97 $251.00 $19.07–$251.00 — 53%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL RETROPERITONEAL $187.23 $395.00 $88.57–$269.00 30% below 53%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL RETROPERITONEAL $187.23 $395.00 $88.57–$269.00 — 53%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB COMPLETE $414.28 $874.00 $96.63–$269.00 5% above 53%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB COMPLETE $414.28 $874.00 $96.63–$269.00 — 53%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT COMP THORAX WO $684.93 $1,445.00 $92.95–$977.00 at median 53%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO $884.01 $1,865.00 $92.95–$977.00 29% above 53%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT COMP THORAX WO $684.93 $1,445.00 $92.95–$977.00 — 53%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WO $884.01 $1,865.00 $92.95–$977.00 — 53%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT COMP THORAX W/ $965.06 $2,036.00 $155.96–$977.00 16% above 53%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/ IV CONTRAST $1,133.69 $2,391.75 $155.96–$977.00 36% above 53%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT COMP THORAX W/ $965.06 $2,036.00 $155.96–$977.00 — 53%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/ IV CONTRAST $1,133.69 $2,391.75 $155.96–$977.00 — 53%
Diagnostic mammogram, both breasts both sides CPT 77066 MM MAMMO-BILATERAL DIGITAL DIAG $226.10 $477.00 $98.24–$296.80 — 53%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM MAMMO-BILATERAL DIGITAL DIAG $226.10 $477.00 $98.24–$296.80 — 53%
Diagnostic mammogram, one breast one side CPT 77065 MM MAMMO-UNILATERAL DIGITAL DIAG $180.59 $381.00 $76.65–$243.00 26% above 53%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM MAMMO-UNILATERAL DIGITAL DIAG $180.59 $381.00 $76.65–$243.00 — 53%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOWER EXT BILATERAL $398.16 $840.00 $212.15–$588.00 — 53%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL LOWER EXT BILATERAL $398.16 $840.00 $212.15–$588.00 — 53%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS BILATERAL $420.44 $887.00 $212.15–$620.90 — 53%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS BILATERAL $420.44 $887.00 $212.15–$620.90 — 53%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO (use this one) $1,099.21 $2,319.00 $243.00–$1,623.30 at median 53%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO (use this one) $1,099.21 $2,319.00 $243.00–$1,623.30 — 53%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILARY SYST IMAGING INCL GALLBL $681.14 $1,437.00 $336.79–$753.01 6% above 53%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILARY SYST IMAGING INCL GALLBL $681.14 $1,437.00 $336.79–$753.01 — 53%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP TESTING $355.50 $750.00 $106.08–$528.00 36% above 53%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 DO NOT USE* HST $361.66 $763.00 $106.08–$528.00 39% above 53%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP TESTING $355.50 $750.00 $106.08–$528.00 — 53%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 DO NOT USE* HST $361.66 $763.00 $106.08–$528.00 — 53%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGING W/CPAP $1,949.56 $4,113.00 $763.53–$1,346.00 34% above 53%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STAGING W/CPAP $1,949.56 $4,113.00 $763.53–$1,346.00 — 53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN - SOFT TISSUE $295.78 $624.00 $71.67–$269.00 18% above 53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIMITED ABDOMEN $295.78 $624.00 $71.67–$269.00 18% above 53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER (LIMITED ABDOMEN) $295.78 $624.00 $71.67–$269.00 18% above 53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN - SOFT TISSUE $295.78 $624.00 $71.67–$269.00 — 53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER (LIMITED ABDOMEN) $295.78 $624.00 $71.67–$269.00 — 53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIMITED ABDOMEN $295.78 $624.00 $71.67–$269.00 — 53%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX WO LDCT PROTOCOL $684.93 $1,445.00 $92.95–$977.00 282% above 53%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX WO LDCT PROTOCOL $684.93 $1,445.00 $92.95–$977.00 — 53%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO $1,287.86 $2,717.00 $212.15–$1,695.00 39% above 53%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO $1,287.86 $2,717.00 $212.15–$1,695.00 — 53%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO $1,894.10 $3,996.00 $310.19–$1,695.00 52% above 53%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRA ABDOMEN W/WO $1,894.10 $3,996.00 $310.19–$1,695.00 52% above 53%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRA ABDOMEN W/WO $1,894.10 $3,996.00 $310.19–$1,695.00 — 53%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO $1,894.10 $3,996.00 $310.19–$1,695.00 — 53%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST $1,335.26 $2,817.00 $212.15–$1,695.00 36% above 53%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST $1,335.26 $2,817.00 $212.15–$1,695.00 — 53%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO FOLLOWED BY W/ $2,057.16 $4,340.00 $310.19–$1,695.00 45% above 53%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO FOLLOWED BY W/ $2,057.16 $4,340.00 $310.19–$1,695.00 — 53%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONTRAST $1,363.22 $2,876.00 $212.15–$1,695.00 40% above 53%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE W/O CONTRAST $1,363.22 $2,876.00 $212.15–$1,695.00 — 53%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/WO CONTRAST $1,841.96 $3,886.00 $310.19–$1,695.00 37% above 53%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE W/WO CONTRAST $1,841.96 $3,886.00 $310.19–$1,695.00 — 53%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONTRAST $1,398.00 $2,949.36 $212.15–$1,695.00 43% above 53%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE W/O CONTRAST $1,398.00 $2,949.36 $212.15–$1,695.00 — 53%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE WO FOLLOWED BY W/ $1,938.19 $4,089.00 $310.19–$1,695.00 46% above 53%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE WO FOLLOWED BY W/ $1,938.19 $4,089.00 $310.19–$1,695.00 — 53%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONTRAST $1,363.22 $2,876.00 $212.15–$1,695.00 40% above 53%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE W/O CONTRAST $1,363.22 $2,876.00 $212.15–$1,695.00 — 53%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO $1,827.27 $3,855.00 $310.19–$1,695.00 47% above 53%
MRI of the pelvis without and with contrast CPT 72197 MRI HIP W/WO $1,827.27 $3,855.00 $310.19–$1,695.00 47% above 53%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO $1,827.27 $3,855.00 $310.19–$1,695.00 — 53%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI HIP W/WO $1,827.27 $3,855.00 $310.19–$1,695.00 — 53%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O $1,335.26 $2,817.00 $212.15–$1,695.00 62% above 53%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O $1,335.26 $2,817.00 $212.15–$1,695.00 — 53%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM 2 DAY STRESS $988.76 $2,086.00 $458.72–$1,185.64 47% below 53%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM OP REST/STRESS $2,109.77 $4,451.00 $458.72–$1,185.64 12% above 53%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARD REST/STRESS COMPLETE $2,109.77 $4,451.00 $458.72–$1,185.64 12% above 53%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM OP REST/STRESS CHEMICAL $2,109.77 $4,451.00 $458.72–$1,185.64 12% above 53%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM 2 DAY STRESS $988.76 $2,086.00 $458.72–$1,185.64 — 53%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM OP REST/STRESS CHEMICAL $2,109.77 $4,451.00 $458.72–$1,185.64 — 53%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARD REST/STRESS COMPLETE $2,109.77 $4,451.00 $458.72–$1,185.64 — 53%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM OP REST/STRESS $2,109.77 $4,451.00 $458.72–$1,185.64 — 53%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED $185.81 $392.00 $27.70–$269.00 16% above 53%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED $185.81 $392.00 $27.70–$269.00 — 53%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC-OR EXTENDED $393.89 $831.00 $87.77–$269.00 45% above 53%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC $415.22 $876.00 $87.77–$269.00 52% above 53%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC-OR EXTENDED $393.89 $831.00 $87.77–$269.00 — 53%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC $415.22 $876.00 $87.77–$269.00 — 53%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 WKS $346.97 $732.00 $92.95–$269.00 30% above 53%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 WKS $346.97 $732.00 $92.95–$269.00 — 53%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WKS $297.41 $627.44 $84.64–$269.00 31% above 53%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 WKS $297.41 $627.44 $84.64–$269.00 — 53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US FETAL OR/DR/ER $140.78 $297.00 $60.29–$269.00 7% below 53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED $191.02 $403.00 $60.29–$269.00 26% above 53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US FETAL OR/DR/ER $140.78 $297.00 $60.29–$269.00 — 53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED $191.02 $403.00 $60.29–$269.00 — 53%
Screening mammogram, both breasts CPT 77067 MM MAMMO SCREENING DIGITAL $168.27 $355.00 $81.10–$245.20 118% above 53%
Screening mammogram, both breasts inpatient CPT 77067 MM MAMMO SCREENING DIGITAL $168.27 $355.00 $81.10–$245.20 — 53%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STAGING W/4 OR MORE PARAMETERS OF $1,723.94 $3,637.00 $763.53–$1,346.00 29% above 53%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STAGING W/4 OR MORE PARAMETERS OF $1,723.94 $3,637.00 $763.53–$1,346.00 — 53%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US STRESS ECHO $579.70 $1,223.00 $243.00–$856.10 29% above 53%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 US STRESS ECHO $579.70 $1,223.00 $243.00–$856.10 — 53%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW $240.32 $507.00 $123.51–$269.00 18% above 53%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MODIFIED BARIUM SWALLOW $240.32 $507.00 $123.51–$269.00 — 53%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $291.04 $614.00 $92.95–$269.00 9% above 53%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $291.04 $614.00 $92.95–$269.00 — 53%
Transvaginal ultrasound during pregnancy CPT 76817 US EARLY OB TV $268.28 $566.00 $68.54–$269.00 28% above 53%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US EARLY OB TV $268.28 $566.00 $68.54–$269.00 — 53%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE $385.36 $813.00 $92.95–$269.00 20% above 53%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE $385.36 $813.00 $92.95–$269.00 — 53%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR $289.61 $611.00 $85.03–$269.00 10% above 53%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR $289.61 $611.00 $85.03–$269.00 — 53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US ECHO SOFT TISSUE NECK $120.40 $254.00 $92.95–$254.00 50% below 53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/PAROTID $294.83 $622.00 $92.95–$269.00 23% above 53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE/HEAD/NECK $294.83 $622.00 $92.95–$269.00 23% above 53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US ECHO SOFT TISSUE NECK $120.40 $254.00 $92.95–$254.00 — 53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE/HEAD/NECK $294.83 $622.00 $92.95–$269.00 — 53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID/PAROTID $294.83 $622.00 $92.95–$269.00 — 53%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SERIES (NO CRYSTALS) $300.99 $635.00 $99.56–$269.00 22% above 53%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SERIES (NO CRYSTALS) $300.99 $635.00 $99.56–$269.00 — 53%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UNILATERAL (RT OR LT) $393.89 $831.00 $92.95–$581.70 30% above 53%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UNILATERAL (RT OR LT) $393.89 $831.00 $92.95–$581.70 — 53%
X-ray of the abdomen, 1 view CPT 74018 74000 COMPONENT $55.93 $118.00 $23.78–$118.00 44% below 53%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW (KUB) $136.51 $288.00 $23.78–$269.00 37% above 53%
X-ray of the abdomen, 1 view inpatient CPT 74018 74000 COMPONENT $55.93 $118.00 $23.78–$118.00 — 53%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW (KUB) $136.51 $288.00 $23.78–$269.00 — 53%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2 OR 3V (AP AND LATERAL ONLY) $181.97 $383.90 $32.80–$269.00 29% above 53%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L-SPINE 2 OR 3V (AP AND LATERAL ONLY) $181.97 $383.90 $32.80–$269.00 — 53%
X-ray of the lower back, 4 or more views CPT 72110 L-SPINE MIN 4V $265.91 $561.00 $43.41–$269.00 26% above 53%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L-SPINE MIN 4V $265.91 $561.00 $43.41–$269.00 — 53%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3V $152.33 $321.38 $33.60–$269.00 56% above 53%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3V $152.33 $321.38 $33.60–$269.00 — 53%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2 OR 3V $154.05 $325.00 $32.41–$269.00 21% above 53%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 2 OR 3V $154.05 $325.00 $32.41–$269.00 — 53%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS INFANT MIN 2V $85.79 $181.00 $21.81–$181.00 29% below 53%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2V $141.25 $298.00 $21.81–$269.00 17% above 53%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS INFANT MIN 2V $85.79 $181.00 $21.81–$181.00 — 53%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2V $141.25 $298.00 $21.81–$269.00 — 53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX MIN 2V $162.98 $343.85 $26.91–$269.00 30% above 53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM $162.98 $343.85 $26.91–$269.00 30% above 53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX MIN 2V $162.98 $343.85 $26.91–$269.00 — 53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM $162.98 $343.85 $26.91–$269.00 — 53%

Lab tests

ProcedureCash price List priceInsurers payvs TennesseeOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 COMP/ALT $24.65 $52.00 $5.19–$16.14 12% below 53%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT - (SGPT) $24.65 $52.00 $5.19–$16.14 12% below 53%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT - (SGPT) $24.65 $52.00 $5.19–$16.14 — 53%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 COMP/ALT $24.65 $52.00 $5.19–$16.14 — 53%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST - SGOT $8.53 $18.00 $5.08–$15.76 71% below 53%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST - (SGOT) $24.65 $52.00 $5.08–$15.76 15% below 53%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST - SGOT $8.53 $18.00 $5.08–$15.76 — 53%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST - (SGOT) $24.65 $52.00 $5.08–$15.76 — 53%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEP PROFILE $147.89 $312.00 $46.68–$145.03 at median 53%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEP PROFILE $147.89 $312.00 $46.68–$145.03 — 53%
Allergy blood test, specific IgE, per allergen CPT 86003 COMP/ALLERGEN SPECIFIC IgE $4.74 $10.00 $5.12–$10.00 56% below 53%
Allergy blood test, specific IgE, per allergen CPT 86003 COMP/ALLERGEN SPECIFIC IGE $5.21 $11.00 $5.12–$11.00 51% below 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WASP,YELLOW $14.69 $31.00 $5.12–$15.89 37% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN YELLOW YACKET $14.69 $31.00 $5.12–$15.89 37% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WASP,PAPER $14.69 $31.00 $5.12–$15.89 37% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BUMBLE BEE $14.69 $31.00 $5.12–$15.89 37% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HORNET,WHITE FACE $14.69 $31.00 $5.12–$15.89 37% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HONEY BEE $14.69 $31.00 $5.12–$15.89 37% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HORNET,YELLOW $14.69 $31.00 $5.12–$15.89 37% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG, WHOLE $15.17 $32.00 $5.12–$15.89 41% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 COMP/ALLERGEN RASPBERRY $17.06 $36.00 $5.12–$15.89 59% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 COMP/ALLERGEN STRAWBERRY $17.06 $36.00 $5.12–$15.89 59% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE $17.06 $36.00 $5.12–$15.89 59% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 COMP/ALLERGEN BLUEBERRY $17.06 $36.00 $5.12–$15.89 59% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK $17.06 $36.00 $5.12–$15.89 59% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN $17.06 $36.00 $5.12–$15.89 59% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE $17.06 $36.00 $5.12–$15.89 59% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK $17.06 $36.00 $5.12–$15.89 59% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 COMP/ALLERGEN SPECIFIC IGE;QUANT;EACH $17.06 $36.00 $5.12–$15.89 59% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT $17.06 $36.00 $5.12–$15.89 59% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ALLERGY TEST $18.49 $39.00 $5.12–$15.89 72% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PINE NUT $18.96 $40.00 $5.12–$15.89 77% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CAT HAIR/DANDER $18.96 $40.00 $5.12–$15.89 77% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SESAME SEED $18.96 $40.00 $5.12–$15.89 77% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CODFISH $18.96 $40.00 $5.12–$15.89 77% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CLAM $18.96 $40.00 $5.12–$15.89 77% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TOMATO $18.96 $40.00 $5.12–$15.89 77% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SHRIMP $18.96 $40.00 $5.12–$15.89 77% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SCALLOP $18.96 $40.00 $5.12–$15.89 77% above 53%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GREEN PEA $18.96 $40.00 $5.12–$15.89 77% above 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMP/ALLERGEN SPECIFIC IgE $4.74 $10.00 $5.12–$10.00 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMP/ALLERGEN SPECIFIC IGE $5.21 $11.00 $5.12–$11.00 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HONEY BEE $14.69 $31.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HORNET,WHITE FACE $14.69 $31.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WASP,YELLOW $14.69 $31.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WASP,PAPER $14.69 $31.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HORNET,YELLOW $14.69 $31.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN YELLOW YACKET $14.69 $31.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BUMBLE BEE $14.69 $31.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG, WHOLE $15.17 $32.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMP/ALLERGEN RASPBERRY $17.06 $36.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE $17.06 $36.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMP/ALLERGEN STRAWBERRY $17.06 $36.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK $17.06 $36.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMP/ALLERGEN SPECIFIC IGE;QUANT;EACH $17.06 $36.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT $17.06 $36.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK $17.06 $36.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMP/ALLERGEN BLUEBERRY $17.06 $36.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE $17.06 $36.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN $17.06 $36.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX ALLERGY TEST $18.49 $39.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GREEN PEA $18.96 $40.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TOMATO $18.96 $40.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CLAM $18.96 $40.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SHRIMP $18.96 $40.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PINE NUT $18.96 $40.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CAT HAIR/DANDER $18.96 $40.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SCALLOP $18.96 $40.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CODFISH $18.96 $40.00 $5.12–$15.89 — 53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SESAME SEED $18.96 $40.00 $5.12–$15.89 — 53%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RHEUMATOID ARTHRITIS (RA) FACTOR REF LAB $11.85 $25.00 $12.69–$25.00 67% below 53%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 COMP/CCP ANTIBODY $17.06 $36.00 $12.69–$36.00 52% below 53%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLICCITRULLINATED PEPTIDE,IGAIGG,ELISA $44.56 $94.00 $12.69–$39.43 25% above 53%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RHEUMATOID ARTHRITIS (RA) FACTOR REF LAB $11.85 $25.00 $12.69–$25.00 — 53%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 COMP/CCP ANTIBODY $17.06 $36.00 $12.69–$36.00 — 53%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLICCITRULLINATED PEPTIDE,IGAIGG,ELISA $44.56 $94.00 $12.69–$39.43 — 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ENDPOINT COMPLETE SCREEN COMPONENT $37.45 $79.00 $11.85–$36.80 10% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ZZ TEST CBC $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ZZ TEST BETA HCG $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ZZ TEST COVID 19 $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ZZ TEST COVID HOSPITAL $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ZZ TEST INFLUENZA AND COVID $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ZZ TEST COVID AB $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ZZ TEST ABORH TYPE $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ZZ TEST CULTURE URINE $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ZZ TEST PAP THIN PREP $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ZZ TEST SURGICAL PATH $47.40 $100.00 $11.85–$36.80 39% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/ REFLEX TO MULTIPLE TESTS $66.36 $140.00 $11.85–$36.80 94% above 53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 METHYL HISTAMINE, URINE $123.71 $261.00 $11.85–$36.80 262% above 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA ENDPOINT COMPLETE SCREEN COMPONENT $37.45 $79.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ZZ TEST CBC $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ZZ TEST COVID AB $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ZZ TEST PAP THIN PREP $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ZZ TEST INFLUENZA AND COVID $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ZZ TEST BETA HCG $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ZZ TEST COVID HOSPITAL $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ZZ TEST SURGICAL PATH $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ZZ TEST ABORH TYPE $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ZZ TEST CULTURE URINE $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ZZ TEST COVID 19 $47.40 $100.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/ REFLEX TO MULTIPLE TESTS $66.36 $140.00 $11.85–$36.80 — 53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 METHYL HISTAMINE, URINE $123.71 $261.00 $11.85–$36.80 — 53%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP $53.56 $113.00 $38.47–$107.57 42% below 53%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO BNP $112.81 $238.00 $38.47–$107.57 23% above 53%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP $53.56 $113.00 $38.47–$107.57 — 53%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PRO BNP $112.81 $238.00 $38.47–$107.57 — 53%
Basic metabolic panel (blood test) CPT 80048 BMP $65.58 $138.36 $8.29–$25.76 12% below 53%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP $65.58 $138.36 $8.29–$25.76 — 53%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH,GROSS/MICRO EXAM,LEVEL IV $94.80 $200.00 $32.68–$75.27 26% above 53%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH,GROSS/MICRO EXAM,LEVEL IV $94.80 $200.00 $32.68–$75.27 — 53%
Blood culture for bacteria CPT 87040 CULTURE BLOOD REF $45.50 $96.00 $10.11–$31.43 22% below 53%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $88.16 $186.00 $10.11–$31.43 51% above 53%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD REF $45.50 $96.00 $10.11–$31.43 — 53%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $88.16 $186.00 $10.11–$31.43 — 53%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 RHC-VENIPUNCTURE $2.84 $6.00 $2.70–$6.00 68% below 53%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $10.43 $22.00 $2.70–$15.40 18% above 53%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ONLY SDS $10.43 $22.00 $2.70–$15.40 18% above 53%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 RHC-VENIPUNCTURE $2.84 $6.00 $2.70–$6.00 — 53%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ONLY SDS $10.43 $22.00 $2.70–$15.40 — 53%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $10.43 $22.00 $2.70–$15.40 — 53%
Blood glucose (sugar) test CPT 82947 GLUCOSE (COMP) $7.11 $15.00 $3.85–$11.97 70% below 53%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT UR COMPON $16.12 $34.00 $3.85–$11.97 31% below 53%
Blood glucose (sugar) test CPT 82947 GLUCOSE $23.80 $50.21 $3.85–$11.97 2% above 53%
Blood glucose (sugar) test CPT 82947 GLUCOSE QID 7/11/4/8 $27.49 $58.00 $3.85–$11.97 17% above 53%
Blood glucose (sugar) test CPT 82947 GLUCOSE FAST $27.49 $58.00 $3.85–$11.97 17% above 53%
Blood glucose (sugar) test CPT 82947 GLUCOSE 7 AM $27.49 $58.00 $3.85–$11.97 17% above 53%
Blood glucose (sugar) test CPT 82947 GLUCOSE 8 PM $27.49 $58.00 $3.85–$11.97 17% above 53%
Blood glucose (sugar) test CPT 82947 GLUCOSE 11 AM $27.49 $58.00 $3.85–$11.97 17% above 53%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (COMP) $7.11 $15.00 $3.85–$11.97 — 53%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT UR COMPON $16.12 $34.00 $3.85–$11.97 — 53%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $23.80 $50.21 $3.85–$11.97 — 53%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 11 AM $27.49 $58.00 $3.85–$11.97 — 53%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 8 PM $27.49 $58.00 $3.85–$11.97 — 53%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FAST $27.49 $58.00 $3.85–$11.97 — 53%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 7 AM $27.49 $58.00 $3.85–$11.97 — 53%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QID 7/11/4/8 $27.49 $58.00 $3.85–$11.97 — 53%
Blood lead test CPT 83655 LEAD 24 HR URINE $26.07 $55.00 $11.87–$36.85 29% below 53%
Blood lead test CPT 83655 LEAD,PEDIATRIC ONLY $34.60 $73.00 $11.87–$36.85 6% below 53%
Blood lead test CPT 83655 HEAVY METAL BLD COMPONENT $34.60 $73.00 $11.87–$36.85 6% below 53%
Blood lead test CPT 83655 LEAD $34.60 $73.00 $11.87–$36.85 6% below 53%
Blood lead test CPT 83655 LEAD, ADULT ONLY $34.60 $73.00 $11.87–$36.85 6% below 53%
Blood lead test CPT 83655 HEAVY METAL UR COMPONENT $71.57 $151.00 $11.87–$36.85 95% above 53%
Blood lead test inpatient CPT 83655 LEAD 24 HR URINE $26.07 $55.00 $11.87–$36.85 — 53%
Blood lead test inpatient CPT 83655 LEAD,PEDIATRIC ONLY $34.60 $73.00 $11.87–$36.85 — 53%
Blood lead test inpatient CPT 83655 HEAVY METAL BLD COMPONENT $34.60 $73.00 $11.87–$36.85 — 53%
Blood lead test inpatient CPT 83655 LEAD $34.60 $73.00 $11.87–$36.85 — 53%
Blood lead test inpatient CPT 83655 LEAD, ADULT ONLY $34.60 $73.00 $11.87–$36.85 — 53%
Blood lead test inpatient CPT 83655 HEAVY METAL UR COMPONENT $71.57 $151.00 $11.87–$36.85 — 53%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUAL $81.05 $171.00 $7.37–$22.91 47% above 53%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM QUAL $81.05 $171.00 $7.37–$22.91 — 53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD BLD WORKUP COMPONENT $9.95 $21.00 $3.25–$121.84 79% below 53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE $12.32 $26.00 $3.25–$121.84 74% below 53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 COMP/BLOOD TYPING ABO $27.97 $59.00 $3.25–$121.84 41% below 53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/ RH/ ANTIBODY SCREEN $27.97 $59.00 $3.25–$121.84 41% below 53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO & RH TYPE $27.97 $59.00 $3.25–$121.84 41% below 53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF ABO TYPE $27.97 $59.00 $3.25–$121.84 41% below 53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RH IMMUNE GLOB WORKUP COM $27.97 $59.00 $3.25–$121.84 41% below 53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC BLOOD TYPE & RH $51.67 $109.00 $3.25–$121.84 10% above 53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CORD BLD WORKUP COMPONENT $9.95 $21.00 $3.25–$121.84 — 53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE $12.32 $26.00 $3.25–$121.84 — 53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/ RH/ ANTIBODY SCREEN $27.97 $59.00 $3.25–$121.84 — 53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 COMP/BLOOD TYPING ABO $27.97 $59.00 $3.25–$121.84 — 53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RH IMMUNE GLOB WORKUP COM $27.97 $59.00 $3.25–$121.84 — 53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO & RH TYPE $27.97 $59.00 $3.25–$121.84 — 53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 REF ABO TYPE $27.97 $59.00 $3.25–$121.84 — 53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC BLOOD TYPE & RH $51.67 $109.00 $3.25–$121.84 — 53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 COMP/CRP $6.64 $14.00 $5.08–$14.00 69% below 53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP C-REACTIVE PROTEIN $13.27 $28.00 $5.08–$15.76 38% below 53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (RCRP) $37.92 $80.00 $5.08–$15.76 78% above 53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP, MALLIPEDDI SEND OUT TEST ONLY $37.92 $80.00 $5.08–$15.76 78% above 53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 COMP/CRP $6.64 $14.00 $5.08–$14.00 — 53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP C-REACTIVE PROTEIN $13.27 $28.00 $5.08–$15.76 — 53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (RCRP) $37.92 $80.00 $5.08–$15.76 — 53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP, MALLIPEDDI SEND OUT TEST ONLY $37.92 $80.00 $5.08–$15.76 — 53%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN GENE, NAA $91.34 $192.70 $36.52–$106.83 11% above 53%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN GENE, NAA $91.34 $192.70 $36.52–$106.83 — 53%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9 $69.20 $146.00 $20.39–$63.38 5% above 53%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19 9 $69.20 $146.00 $20.39–$63.38 — 53%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $72.05 $152.00 $20.39–$63.38 3% above 53%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $72.05 $152.00 $20.39–$63.38 — 53%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2-Liat $63.20 $133.33 $46.18–$133.33 23% above 53%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2-Liat $63.20 $133.33 $46.18–$133.33 — 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 COMP/CHLAMYDIA TRACHOMATIS AMPLIFIED PRO $41.24 $87.00 $34.39–$87.00 30% below 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 COMP/CHLAMYDIA $41.24 $87.00 $34.39–$87.00 30% below 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH.,CONJUNCTIVAL EYE $45.03 $95.00 $34.39–$95.00 24% below 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 COMP/CHLAMYDIA DNA PROBE $81.05 $171.00 $34.39–$106.83 37% above 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PCR $81.05 $171.00 $34.39–$106.83 37% above 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 COMP/CHLAMYDIA TRACHOMATIS AMPLIFIED PRO $41.24 $87.00 $34.39–$87.00 — 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 COMP/CHLAMYDIA $41.24 $87.00 $34.39–$87.00 — 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH.,CONJUNCTIVAL EYE $45.03 $95.00 $34.39–$95.00 — 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PCR $81.05 $171.00 $34.39–$106.83 — 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 COMP/CHLAMYDIA DNA PROBE $81.05 $171.00 $34.39–$106.83 — 53%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 COMP/LIPID PANEL $12.80 $27.00 $13.12–$27.00 69% below 53%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $54.04 $114.00 $13.12–$40.77 32% above 53%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 COMP/LIPID PANEL $12.80 $27.00 $13.12–$27.00 — 53%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $54.04 $114.00 $13.12–$40.77 — 53%
Complete blood count (CBC) with differential CPT 85025 DO NOT USE $29.39 $62.00 $7.61–$23.65 27% below 53%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF $43.13 $91.00 $7.61–$23.65 7% above 53%
Complete blood count (CBC) with differential inpatient CPT 85025 DO NOT USE $29.39 $62.00 $7.61–$23.65 — 53%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF $43.13 $91.00 $7.61–$23.65 — 53%
Complete blood count (CBC), no differential CPT 85027 ERD-CBC $5.21 $11.00 $6.34–$11.00 79% below 53%
Complete blood count (CBC), no differential CPT 85027 CBC $20.86 $44.00 $6.34–$19.67 15% below 53%
Complete blood count (CBC), no differential CPT 85027 CBC (HEMOGRAM) $41.24 $87.00 $6.34–$19.67 68% above 53%
Complete blood count (CBC), no differential inpatient CPT 85027 ERD-CBC $5.21 $11.00 $6.34–$11.00 — 53%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC $20.86 $44.00 $6.34–$19.67 — 53%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC (HEMOGRAM) $41.24 $87.00 $6.34–$19.67 — 53%
Comprehensive metabolic panel (blood test) CPT 80053 CMP $97.64 $206.00 $10.35–$32.17 at median 53%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP $97.64 $206.00 $10.35–$32.17 — 53%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER $73.18 $154.39 $9.98–$30.99 41% above 53%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER $73.18 $154.39 $9.98–$30.99 — 53%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE $71.10 $150.00 $21.79–$67.71 1% below 53%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE $71.10 $150.00 $21.79–$67.71 — 53%
Estradiol blood test CPT 82670 ESTRADIOL $63.25 $133.43 $27.38–$85.05 26% below 53%
Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE LC/MS $63.25 $133.43 $27.38–$85.05 26% below 53%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SENSITIVE LC/MS $63.25 $133.43 $27.38–$85.05 — 53%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $63.25 $133.43 $27.38–$85.05 — 53%
FSH (follicle-stimulating hormone) test CPT 83001 FSH $63.99 $135.00 $18.21–$56.58 3% above 53%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH $63.99 $135.00 $18.21–$56.58 — 53%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN $141.18 $297.84 $19.24–$59.76 40% above 53%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN $141.18 $297.84 $19.24–$59.76 — 53%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $48.35 $102.00 $13.36–$41.51 7% above 53%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $48.35 $102.00 $13.36–$41.51 — 53%
Folate (folic acid) blood test CPT 82746 VIT B12/FOLATE COMPONENT $39.82 $84.00 $14.41–$44.77 19% below 53%
Folate (folic acid) blood test CPT 82746 FOLATE $47.87 $101.00 $14.41–$44.77 3% below 53%
Folate (folic acid) blood test inpatient CPT 82746 VIT B12/FOLATE COMPONENT $39.82 $84.00 $14.41–$44.77 — 53%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE $47.87 $101.00 $14.41–$44.77 — 53%
Free T3 thyroid hormone test CPT 84481 T3 FREE $50.24 $106.00 $16.60–$51.57 11% below 53%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE $50.24 $106.00 $16.60–$51.57 — 53%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROID SURVEY COMPONENT $16.12 $34.00 $8.84–$27.45 52% below 53%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE $36.50 $77.00 $8.84–$27.45 9% above 53%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROID SURVEY COMPONENT $16.12 $34.00 $8.84–$27.45 — 53%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE $36.50 $77.00 $8.84–$27.45 — 53%
Free testosterone test CPT 84402 TESTOSTERONE, FREE/DIRECT $52.14 $110.00 $24.96–$77.54 13% below 53%
Free testosterone test CPT 84402 COMP/TESTOSTERONE, FREE $54.51 $115.00 $24.96–$77.54 9% below 53%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE/DIRECT $52.14 $110.00 $24.96–$77.54 — 53%
Free testosterone test inpatient CPT 84402 COMP/TESTOSTERONE, FREE $54.51 $115.00 $24.96–$77.54 — 53%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR POST GLUCOLA $27.02 $57.00 $4.66–$14.44 11% below 53%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR POST GLUCOLA $27.02 $57.00 $4.66–$14.44 — 53%
Glucose tolerance test, 3 samples CPT 82951 COMP/GTT 3 SPECIMENS $65.41 $138.00 $12.61–$39.18 57% above 53%
Glucose tolerance test, 3 samples inpatient CPT 82951 COMP/GTT 3 SPECIMENS $65.41 $138.00 $12.61–$39.18 — 53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 COMP/GC NAA $41.24 $87.00 $34.39–$87.00 32% below 53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 COMP/N GONORRHOEAE AMP PROBE $41.24 $87.00 $34.39–$87.00 32% below 53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 COMP/N.GONORRHEAE DNA PROBE $76.31 $161.00 $34.39–$106.83 26% above 53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 COMP/GC NAA $41.24 $87.00 $34.39–$87.00 — 53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 COMP/N GONORRHOEAE AMP PROBE $41.24 $87.00 $34.39–$87.00 — 53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 COMP/N.GONORRHEAE DNA PROBE $76.31 $161.00 $34.39–$106.83 — 53%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODIES, IGM $58.78 $124.00 $16.51–$46.17 22% above 53%
H. pylori antibody blood test CPT 86677 COMP/VIRAL ANTIBODY, H PYLORI $58.78 $124.00 $16.51–$46.17 22% above 53%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIBODIES, IGM $58.78 $124.00 $16.51–$46.17 — 53%
H. pylori antibody blood test inpatient CPT 86677 COMP/VIRAL ANTIBODY, H PYLORI $58.78 $124.00 $16.51–$46.17 — 53%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL ANTIGEN $61.15 $129.00 $14.09–$43.79 3% above 53%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL ANTIGEN $61.15 $129.00 $14.09–$43.79 — 53%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 PCR $156.89 $331.00 $83.40–$259.07 5% above 53%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA VIRAL PCR $221.83 $468.00 $83.40–$259.07 49% above 53%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 PCR $156.89 $331.00 $83.40–$259.07 — 53%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA VIRAL PCR $221.83 $468.00 $83.40–$259.07 — 53%
HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODIES 1&2 $49.53 $104.50 $13.44–$41.73 60% above 53%
HIV-1 and HIV-2 antibody test CPT 86703 EXPOSURE WORKUP - INHOUSE HIV $49.53 $104.50 $13.44–$41.73 60% above 53%
HIV-1 and HIV-2 antibody test CPT 86703 COMP/ANTIBODY HIV 1 & HIV 2 $88.16 $186.00 $13.44–$41.73 186% above 53%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV ANTIBODIES 1&2 $49.53 $104.50 $13.44–$41.73 — 53%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 EXPOSURE WORKUP - INHOUSE HIV $49.53 $104.50 $13.44–$41.73 — 53%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 COMP/ANTIBODY HIV 1 & HIV 2 $88.16 $186.00 $13.44–$41.73 — 53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $23.70 $50.00 $9.52–$29.56 44% below 53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HA1c with eAG $36.97 $78.00 $9.52–$29.56 12% below 53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $23.70 $50.00 $9.52–$29.56 — 53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HA1c with eAG $36.97 $78.00 $9.52–$29.56 — 53%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB AB-LAB $39.34 $83.00 $10.53–$32.69 21% below 53%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B PROFILE COMPONENT $39.82 $84.00 $10.53–$32.69 20% below 53%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY $58.78 $124.00 $10.53–$32.69 19% above 53%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 COMP/HBcAB,IgM $58.78 $124.00 $10.53–$32.69 19% above 53%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB AB-LAB $39.34 $83.00 $10.53–$32.69 — 53%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B PROFILE COMPONENT $39.82 $84.00 $10.53–$32.69 — 53%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 COMP/HBcAB,IgM $58.78 $124.00 $10.53–$32.69 — 53%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY $58.78 $124.00 $10.53–$32.69 — 53%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B PROFILE COMPONENT $25.12 $53.00 $10.12–$31.46 11% below 53%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG (HAA)-LAB $29.86 $63.00 $10.12–$31.46 6% above 53%
Hepatitis B surface antigen (HBsAg) test CPT 87340 COMP/HBSAG $32.23 $68.00 $10.12–$31.46 14% above 53%
Hepatitis B surface antigen (HBsAg) test CPT 87340 COMP/ANTIGEN DETECTION EIA,HBsAG $32.23 $68.00 $10.12–$31.46 14% above 53%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B PROFILE COMPONENT $25.12 $53.00 $10.12–$31.46 — 53%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG (HAA)-LAB $29.86 $63.00 $10.12–$31.46 — 53%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 COMP/HBSAG $32.23 $68.00 $10.12–$31.46 — 53%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 COMP/ANTIGEN DETECTION EIA,HBsAG $32.23 $68.00 $10.12–$31.46 — 53%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY $53.09 $112.00 $13.98–$43.43 21% above 53%
Hepatitis C antibody blood test (screening) CPT 86803 COMP/HEPATITIS C ANTIBODY $88.16 $186.00 $13.98–$43.43 100% above 53%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab RFX TO QUANT PCR $88.16 $186.00 $13.98–$43.43 100% above 53%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab RFX to QUAL NAA $88.16 $186.00 $13.98–$43.43 100% above 53%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY $53.09 $112.00 $13.98–$43.43 — 53%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab RFX to QUAL NAA $88.16 $186.00 $13.98–$43.43 — 53%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 COMP/HEPATITIS C ANTIBODY $88.16 $186.00 $13.98–$43.43 — 53%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab RFX TO QUANT PCR $88.16 $186.00 $13.98–$43.43 — 53%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT/PCR $63.52 $134.00 $41.98–$130.42 51% below 53%
Hepatitis C viral load (HCV RNA) test CPT 87522 COMP/HEP C QUANT $156.42 $330.00 $41.98–$130.42 20% above 53%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANT/PCR $63.52 $134.00 $41.98–$130.42 — 53%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 COMP/HEP C QUANT $156.42 $330.00 $41.98–$130.42 — 53%
Herpes blood test, HSV-1 antibody CPT 86695 COMP/ANTIBODY;HERPES SIMPLEX,TYPE 1 $35.55 $75.00 $12.93–$40.14 7% above 53%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGG $55.46 $117.00 $12.93–$40.14 66% above 53%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 COMP/ANTIBODY;HERPES SIMPLEX,TYPE 1 $35.55 $75.00 $12.93–$40.14 — 53%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGG $55.46 $117.00 $12.93–$40.14 — 53%
Herpes blood test, HSV-2 antibody CPT 86696 COMP/ANTIBODY;HERPES SIMPLEX,TYPE 2 $47.40 $100.00 $18.96–$58.94 10% above 53%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 COMP/ANTIBODY;HERPES SIMPLEX,TYPE 2 $47.40 $100.00 $18.96–$58.94 — 53%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN, HIGH SENSI $26.51 $55.93 $12.69–$39.43 33% below 53%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN, HIGH SENSI $26.51 $55.93 $12.69–$39.43 — 53%
Homocysteine blood test CPT 83090 COMP/HOMOCYSTEINE TOTAL $61.62 $130.00 $17.56–$51.35 20% above 53%
Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL $61.62 $130.00 $17.56–$51.35 20% above 53%
Homocysteine blood test inpatient CPT 83090 COMP/HOMOCYSTEINE TOTAL $61.62 $130.00 $17.56–$51.35 — 53%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE TOTAL $61.62 $130.00 $17.56–$51.35 — 53%
Insulin blood test CPT 83525 INSULIN LEVEL $28.91 $61.00 $11.20–$34.80 27% below 53%
Insulin blood test CPT 83525 COMP/INSULIN TOTAL $28.91 $61.00 $11.20–$34.80 27% below 53%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL $28.91 $61.00 $11.20–$34.80 — 53%
Insulin blood test inpatient CPT 83525 COMP/INSULIN TOTAL $28.91 $61.00 $11.20–$34.80 — 53%
Iron blood test (serum iron) CPT 83540 IRON TOTAL $18.01 $38.00 $6.34–$19.70 45% below 53%
Iron blood test (serum iron) CPT 83540 IRON $26.37 $55.63 $6.34–$19.70 20% below 53%
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL $18.01 $38.00 $6.34–$19.70 — 53%
Iron blood test (serum iron) inpatient CPT 83540 IRON $26.37 $55.63 $6.34–$19.70 — 53%
Iron-binding capacity (TIBC) test CPT 83550 IRON/TIBC $18.01 $38.00 $8.57–$26.61 59% below 53%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY,TOTAL $28.91 $61.00 $8.57–$26.61 34% below 53%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY-LAB $38.39 $81.00 $8.57–$26.61 13% below 53%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON/TIBC $18.01 $38.00 $8.57–$26.61 — 53%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY,TOTAL $28.91 $61.00 $8.57–$26.61 — 53%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY-LAB $38.39 $81.00 $8.57–$26.61 — 53%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $50.72 $107.00 $8.51–$26.44 27% below 53%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $50.72 $107.00 $8.51–$26.44 — 53%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $72.05 $152.00 $18.15–$56.36 16% above 53%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE $72.05 $152.00 $18.15–$56.36 — 53%
Lipase blood test (pancreas enzyme) CPT 83690 DO NOT ORDER LIPASE $13.27 $28.00 $6.75–$20.96 62% below 53%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $56.88 $120.00 $6.75–$20.96 62% above 53%
Lipase blood test (pancreas enzyme) CPT 83690 DO NOT USE* LIPASE $56.88 $120.00 $6.75–$20.96 62% above 53%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 DO NOT ORDER LIPASE $13.27 $28.00 $6.75–$20.96 — 53%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $56.88 $120.00 $6.75–$20.96 — 53%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 DO NOT USE* LIPASE $56.88 $120.00 $6.75–$20.96 — 53%
Liver function blood test panel CPT 80076 LIVER PANEL (HEPATIC) $56.88 $120.00 $8.01–$24.88 31% below 53%
Liver function blood test panel CPT 80076 ENHANCED LIVER FIBROSIS $125.27 $264.29 $8.01–$24.88 51% above 53%
Liver function blood test panel inpatient CPT 80076 LIVER PANEL (HEPATIC) $56.88 $120.00 $8.01–$24.88 — 53%
Liver function blood test panel inpatient CPT 80076 ENHANCED LIVER FIBROSIS $125.27 $264.29 $8.01–$24.88 — 53%
Lyme disease antibody test CPT 86618 COMP/IMMUNOGLOBULIN SUBCLASS EA $9.95 $21.00 $16.69–$21.00 76% below 53%
Lyme disease antibody test CPT 86618 LYME DISEASE IGG & IGM $29.39 $62.00 $16.69–$51.84 29% below 53%
Lyme disease antibody test CPT 86618 COMP/ANTIBODY PARVOVIRUS $50.72 $107.00 $16.69–$51.84 23% above 53%
Lyme disease antibody test CPT 86618 COMP/BORRELIA $50.72 $107.00 $16.69–$51.84 23% above 53%
Lyme disease antibody test CPT 86618 COMP/GENOTYPE BY NUCLEIC ACID/HCV $50.72 $107.00 $16.69–$51.84 23% above 53%
Lyme disease antibody test CPT 86618 COMP/BORRELIA (LYME) BERRGDORFERI $50.72 $107.00 $16.69–$51.84 23% above 53%
Lyme disease antibody test inpatient CPT 86618 COMP/IMMUNOGLOBULIN SUBCLASS EA $9.95 $21.00 $16.69–$21.00 — 53%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE IGG & IGM $29.39 $62.00 $16.69–$51.84 — 53%
Lyme disease antibody test inpatient CPT 86618 COMP/BORRELIA $50.72 $107.00 $16.69–$51.84 — 53%
Lyme disease antibody test inpatient CPT 86618 COMP/BORRELIA (LYME) BERRGDORFERI $50.72 $107.00 $16.69–$51.84 — 53%
Lyme disease antibody test inpatient CPT 86618 COMP/ANTIBODY PARVOVIRUS $50.72 $107.00 $16.69–$51.84 — 53%
Lyme disease antibody test inpatient CPT 86618 COMP/GENOTYPE BY NUCLEIC ACID/HCV $50.72 $107.00 $16.69–$51.84 — 53%
Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE $21.33 $45.00 $6.57–$20.39 8% above 53%
Magnesium blood test CPT 83735 MAGNESIUM, 24H URINE $35.55 $75.00 $6.57–$20.39 80% above 53%
Magnesium blood test CPT 83735 MAGNESIUM, RANDOM URINE $37.92 $80.00 $6.57–$20.39 92% above 53%
Magnesium blood test CPT 83735 MAGNESIUM, RBC $37.92 $80.00 $6.57–$20.39 92% above 53%
Magnesium blood test CPT 83735 MAGNESIUM $37.92 $80.00 $6.57–$20.39 92% above 53%
Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HR URINE $21.33 $45.00 $6.57–$20.39 — 53%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, 24H URINE $35.55 $75.00 $6.57–$20.39 — 53%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RANDOM URINE $37.92 $80.00 $6.57–$20.39 — 53%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $37.92 $80.00 $6.57–$20.39 — 53%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC $37.92 $80.00 $6.57–$20.39 — 53%
Measles (rubeola) antibody test CPT 86765 COMP/ANTIBODY;RUBEOLA $33.65 $71.00 $12.62–$39.21 15% below 53%
Measles (rubeola) antibody test CPT 86765 RUBEOLA, IgG $33.65 $71.00 $12.62–$39.21 15% below 53%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA, IgG $33.65 $71.00 $12.62–$39.21 — 53%
Measles (rubeola) antibody test inpatient CPT 86765 COMP/ANTIBODY;RUBEOLA $33.65 $71.00 $12.62–$39.21 — 53%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $48.35 $102.00 $46.85–$102.00 33% below 53%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL $48.35 $102.00 $46.85–$102.00 — 53%
PSA (prostate-specific antigen) blood test, free CPT 84154 COMP/PROSTATIC SPECIFIC ANTIGEN,FREE $47.40 $100.00 $18.02–$56.01 3% above 53%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 COMP/PROSTATIC SPECIFIC ANTIGEN,FREE $47.40 $100.00 $18.02–$56.01 — 53%
PSA (prostate-specific antigen) blood test, total CPT 84153 CONTRACT PSA $12.80 $27.00 $18.02–$27.00 77% below 53%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC $61.62 $130.00 $18.02–$56.01 9% above 53%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CONTRACT PSA $12.80 $27.00 $18.02–$27.00 — 53%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC $61.62 $130.00 $18.02–$56.01 — 53%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE $122.29 $258.00 $40.45–$125.66 6% above 53%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE $122.29 $258.00 $40.45–$125.66 — 53%
Partial thromboplastin time (PTT) clotting test CPT 85730 THRONBIME TIME $15.17 $32.00 $5.89–$18.28 32% below 53%
Partial thromboplastin time (PTT) clotting test CPT 85730 COMP/APTT $47.40 $100.00 $5.89–$18.28 114% above 53%
Partial thromboplastin time (PTT) clotting test CPT 85730 COMP/PTT;PLASMA/ WHOLE BLOOD $47.40 $100.00 $5.89–$18.28 114% above 53%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $47.40 $100.00 $5.89–$18.28 114% above 53%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS TYPE ANTICO-COMP $47.87 $101.00 $5.89–$18.28 116% above 53%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THRONBIME TIME $15.17 $32.00 $5.89–$18.28 — 53%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $47.40 $100.00 $5.89–$18.28 — 53%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 COMP/PTT;PLASMA/ WHOLE BLOOD $47.40 $100.00 $5.89–$18.28 — 53%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 COMP/APTT $47.40 $100.00 $5.89–$18.28 — 53%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS TYPE ANTICO-COMP $47.87 $101.00 $5.89–$18.28 — 53%
Progesterone blood test CPT 84144 PROGESTERONE $38.16 $80.50 $20.44–$63.51 40% below 53%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $38.16 $80.50 $20.44–$63.51 — 53%
Prolactin blood test CPT 84146 PROLACTIN $82.48 $174.00 $18.99–$58.99 at median 53%
Prolactin blood test inpatient CPT 84146 PROLACTIN $82.48 $174.00 $18.99–$58.99 — 53%
Prothrombin time (PT/INR) clotting test CPT 85610 COMP/PROTHROMBIN TIME $25.60 $54.00 $4.20–$11.97 30% above 53%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR $27.97 $59.00 $4.20–$11.97 42% above 53%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 COMP/PROTHROMBIN TIME $25.60 $54.00 $4.20–$11.97 — 53%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR $27.97 $59.00 $4.20–$11.97 — 53%
Rapid flu test (influenza antigen) CPT 87804 COMP/INF AGENT DET-INFLUENZA $44.08 $93.00 $14.69–$45.35 48% above 53%
Rapid flu test (influenza antigen) CPT 87804 DO NOT ORDER INFLUENZA A&B ANTIGEN $64.94 $137.00 $14.69–$45.35 119% above 53%
Rapid flu test (influenza antigen) inpatient CPT 87804 COMP/INF AGENT DET-INFLUENZA $44.08 $93.00 $14.69–$45.35 — 53%
Rapid flu test (influenza antigen) inpatient CPT 87804 DO NOT ORDER INFLUENZA A&B ANTIGEN $64.94 $137.00 $14.69–$45.35 — 53%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP ID $50.75 $107.07 $14.69–$45.29 45% above 53%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP ID $50.75 $107.07 $14.69–$45.29 — 53%
Rheumatoid factor (RF) test CPT 86431 COMP/RA QUANT $7.58 $16.00 $5.56–$16.00 74% below 53%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS (RA) FACTOR REF LAB $11.85 $25.00 $5.56–$17.26 60% below 53%
Rheumatoid factor (RF) test CPT 86431 ANA ENDPOINT COMPLETE SCREEN COMPONENT $37.45 $79.00 $5.56–$17.26 27% above 53%
Rheumatoid factor (RF) test inpatient CPT 86431 COMP/RA QUANT $7.58 $16.00 $5.56–$16.00 — 53%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID ARTHRITIS (RA) FACTOR REF LAB $11.85 $25.00 $5.56–$17.26 — 53%
Rheumatoid factor (RF) test inpatient CPT 86431 ANA ENDPOINT COMPLETE SCREEN COMPONENT $37.45 $79.00 $5.56–$17.26 — 53%
Rubella antibody test (immunity check) CPT 86762 COMP/ANTIBODY RUBELLA $12.80 $27.00 $14.10–$27.00 60% below 53%
Rubella antibody test (immunity check) CPT 86762 RUBELLA, IgM $14.22 $30.00 $14.10–$30.00 55% below 53%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGG $39.82 $84.00 $14.10–$43.81 25% above 53%
Rubella antibody test (immunity check) CPT 86762 COMP/ANTIBODY;RUBELLA $39.82 $84.00 $14.10–$43.81 25% above 53%
Rubella antibody test (immunity check) CPT 86762 COMP/AB;RUBELLA $39.82 $84.00 $14.10–$43.81 25% above 53%
Rubella antibody test (immunity check) inpatient CPT 86762 COMP/ANTIBODY RUBELLA $12.80 $27.00 $14.10–$27.00 — 53%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA, IgM $14.22 $30.00 $14.10–$30.00 — 53%
Rubella antibody test (immunity check) inpatient CPT 86762 COMP/ANTIBODY;RUBELLA $39.82 $84.00 $14.10–$43.81 — 53%
Rubella antibody test (immunity check) inpatient CPT 86762 COMP/AB;RUBELLA $39.82 $84.00 $14.10–$43.81 — 53%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IGG $39.82 $84.00 $14.10–$43.81 — 53%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS-LAB $62.09 $131.00 $12.06–$36.69 1% below 53%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS-LAB $62.09 $131.00 $12.06–$36.69 — 53%
Stool ova and parasites exam CPT 87177 OVA & PARASITES $38.77 $81.80 $8.72–$27.10 29% above 53%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES $38.77 $81.80 $8.72–$27.10 — 53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 COMP/SYPHILIS TEST;QUAL $25.60 $54.00 $4.18–$13.02 at median 53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF ONLY $34.60 $73.00 $4.18–$13.02 35% above 53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR $41.92 $88.43 $4.18–$13.02 63% above 53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CHLAMYDIA TRACH.,CONJUNCTIVAL EYE $45.03 $95.00 $4.18–$13.02 75% above 53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 COMP/SYPHILIS, QUANT. $88.16 $186.00 $4.18–$13.02 243% above 53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 COMP/SYPHILIS TEST;QUAL $25.60 $54.00 $4.18–$13.02 — 53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF ONLY $34.60 $73.00 $4.18–$13.02 — 53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR $41.92 $88.43 $4.18–$13.02 — 53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CHLAMYDIA TRACH.,CONJUNCTIVAL EYE $45.03 $95.00 $4.18–$13.02 — 53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 COMP/SYPHILIS, QUANT. $88.16 $186.00 $4.18–$13.02 — 53%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS $49.77 $105.00 $60.74–$105.00 58% below 53%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS $49.77 $105.00 $60.74–$105.00 — 53%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE $71.97 $151.83 $25.29–$78.58 at median 53%
Testosterone blood test, total (not free testosterone) CPT 84403 COMP/TESTOSTERONE, TOTAL $71.97 $151.83 $25.29–$78.58 at median 53%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 COMP/TESTOSTERONE, TOTAL $71.97 $151.83 $25.29–$78.58 — 53%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE $71.97 $151.83 $25.29–$78.58 — 53%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL ANTIBODIES $44.98 $94.89 $14.26–$44.31 10% above 53%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB $45.50 $96.00 $14.26–$44.31 12% above 53%
Thyroid peroxidase (TPO) antibody test CPT 86376 COMP/THYROID PEROXIDASE (TPO) AB $45.50 $96.00 $14.26–$44.31 12% above 53%
Thyroid peroxidase (TPO) antibody test CPT 86376 DO NO USE* ANTI-THYROID $66.36 $140.00 $14.26–$44.31 63% above 53%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL ANTIBODIES $44.98 $94.89 $14.26–$44.31 — 53%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 COMP/THYROID PEROXIDASE (TPO) AB $45.50 $96.00 $14.26–$44.31 — 53%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) AB $45.50 $96.00 $14.26–$44.31 — 53%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 DO NO USE* ANTI-THYROID $66.36 $140.00 $14.26–$44.31 — 53%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THIRD-GEN TSH $14.22 $30.00 $16.46–$30.00 72% below 53%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID SURVEY COMPONENT $27.97 $59.00 $16.46–$51.16 45% below 53%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ULTRA SENS TSH $54.04 $114.00 $16.46–$51.16 6% above 53%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 COMP/TSH $54.04 $114.00 $16.46–$51.16 6% above 53%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $54.04 $114.00 $16.46–$51.16 6% above 53%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THIRD-GEN TSH $14.22 $30.00 $16.46–$30.00 — 53%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID SURVEY COMPONENT $27.97 $59.00 $16.46–$51.16 — 53%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 COMP/TSH $54.04 $114.00 $16.46–$51.16 — 53%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $54.04 $114.00 $16.46–$51.16 — 53%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ULTRA SENS TSH $54.04 $114.00 $16.46–$51.16 — 53%
Trichomonas test (NAAT) CPT 87661 COMP/TRICHOMONAS NAA $41.24 $87.00 $34.39–$87.00 34% below 53%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, NAA $41.24 $87.00 $34.39–$87.00 34% below 53%
Trichomonas test (NAAT) CPT 87661 COMP/TRICHOMONAS AMPLIFIED PROBE $41.24 $87.00 $34.39–$87.00 34% below 53%
Trichomonas test (NAAT) inpatient CPT 87661 COMP/TRICHOMONAS NAA $41.24 $87.00 $34.39–$87.00 — 53%
Trichomonas test (NAAT) inpatient CPT 87661 COMP/TRICHOMONAS AMPLIFIED PROBE $41.24 $87.00 $34.39–$87.00 — 53%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS, NAA $41.24 $87.00 $34.39–$87.00 — 53%
Uric acid blood test CPT 84550 URIC ACID $28.44 $60.00 $4.43–$13.75 3% below 53%
Uric acid blood test inpatient CPT 84550 URIC ACID $28.44 $60.00 $4.43–$13.75 — 53%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPIC $13.75 $29.00 $3.11–$9.64 51% below 53%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS $31.76 $67.00 $3.11–$9.64 12% above 53%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPIC $13.75 $29.00 $3.11–$9.64 — 53%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS $31.76 $67.00 $3.11–$9.64 — 53%
Urinalysis without microscope exam, automated CPT 81003 SP GRAVITY URINE $11.85 $25.00 $2.20–$6.82 10% above 53%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK ONLY $21.80 $46.00 $2.20–$6.82 102% above 53%
Urinalysis without microscope exam, automated CPT 81003 URINE,DIPSTICK ONLY $21.80 $46.00 $2.20–$6.82 102% above 53%
Urinalysis without microscope exam, automated inpatient CPT 81003 SP GRAVITY URINE $11.85 $25.00 $2.20–$6.82 — 53%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE,DIPSTICK ONLY $21.80 $46.00 $2.20–$6.82 — 53%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIPSTICK ONLY $21.80 $46.00 $2.20–$6.82 — 53%
Urinalysis without microscope exam, manual CPT 81002 GLUCOSE URINE $9.48 $20.00 $3.13–$9.54 14% above 53%
Urinalysis without microscope exam, manual CPT 81002 BILIRUBIN URINE $11.85 $25.00 $3.13–$9.54 43% above 53%
Urinalysis without microscope exam, manual CPT 81002 PROTEIN URINE DIPSTICK $11.85 $25.00 $3.13–$9.54 43% above 53%
Urinalysis without microscope exam, manual CPT 81002 KETONES URINE $13.27 $28.00 $3.13–$9.54 60% above 53%
Urinalysis without microscope exam, manual CPT 81002 PH URINE $21.80 $46.00 $3.13–$9.54 162% above 53%
Urinalysis without microscope exam, manual inpatient CPT 81002 GLUCOSE URINE $9.48 $20.00 $3.13–$9.54 — 53%
Urinalysis without microscope exam, manual inpatient CPT 81002 PROTEIN URINE DIPSTICK $11.85 $25.00 $3.13–$9.54 — 53%
Urinalysis without microscope exam, manual inpatient CPT 81002 BILIRUBIN URINE $11.85 $25.00 $3.13–$9.54 — 53%
Urinalysis without microscope exam, manual inpatient CPT 81002 KETONES URINE $13.27 $28.00 $3.13–$9.54 — 53%
Urinalysis without microscope exam, manual inpatient CPT 81002 PH URINE $21.80 $46.00 $3.13–$9.54 — 53%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE $45.50 $96.00 $7.91–$24.58 24% above 53%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE $45.50 $96.00 $7.91–$24.58 — 53%
Urine pregnancy test, read by color change CPT 81025 HCG URINE QUAL $46.93 $99.00 $7.75–$23.59 19% above 53%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG URINE QUAL $46.93 $99.00 $7.75–$23.59 — 53%
Vitamin B12 (cobalamin) blood test CPT 82607 VIT B12/FOLATE COMPONENT $42.19 $89.00 $14.78–$45.90 16% below 53%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $47.40 $100.00 $14.78–$45.90 6% below 53%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VIT B12/FOLATE COMPONENT $42.19 $89.00 $14.78–$45.90 — 53%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $47.40 $100.00 $14.78–$45.90 — 53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY $71.10 $150.00 $29.01–$90.12 2% below 53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HTT HUNTINGDON DISEASE $97.41 $205.50 $29.01–$90.12 35% above 53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D PAN-COMPONENT $230.36 $486.00 $29.01–$90.12 219% above 53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY $71.10 $150.00 $29.01–$90.12 — 53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HTT HUNTINGDON DISEASE $97.41 $205.50 $29.01–$90.12 — 53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D PAN-COMPONENT $230.36 $486.00 $29.01–$90.12 — 53%
Zinc blood test CPT 84630 ZINC, PLASMA OR SERUM $31.28 $66.00 $11.16–$34.66 9% below 53%
Zinc blood test inpatient CPT 84630 ZINC, PLASMA OR SERUM $31.28 $66.00 $11.16–$34.66 — 53%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 COMP/GONADOTROPIN,CHORIONIC(HCG)QUANT. $90.06 $190.00 $14.75–$45.84 64% above 53%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT $90.06 $190.00 $14.75–$45.84 64% above 53%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER $90.06 $190.00 $14.75–$45.84 64% above 53%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 COMP/GONADOTROPIN,CHORIONIC(HCG)QUANT. $90.06 $190.00 $14.75–$45.84 — 53%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER $90.06 $190.00 $14.75–$45.84 — 53%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT $90.06 $190.00 $14.75–$45.84 — 53%

Surgery and procedures

ProcedureCash price List priceInsurers payvs TennesseeOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $464.99 $981.00 $587.67–$686.70 10% below 53%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION $464.99 $981.00 $587.67–$686.70 — 53%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 DISTAL RADIUS FX $276.34 $583.00 $219.31–$528.00 17% above 53%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 DISTAL RADIUS FX $276.34 $583.00 $219.31–$528.00 — 53%
Earwax removal by irrigation (rinsing), one ear CPT 69209 CERUMEN REMOVAL - LAVAGE $182.96 $386.00 $52.45–$386.00 304% above 53%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CERUMEN REMOVAL - LAVAGE $182.96 $386.00 $52.45–$386.00 — 53%
Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL $182.96 $386.00 $52.45–$386.00 155% above 53%
Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REMOVAL $182.96 $386.00 $52.45–$386.00 — 53%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 NERVE BLOCK W US $276.34 $583.00 $528.00–$810.00 59% below 53%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 NERVE BLOCK W US $276.34 $583.00 $528.00–$810.00 — 53%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJECTION PROCEDURE CODE #3 $495.33 $1,045.00 $112.00–$1,045.00 222% above 53%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJECTION PROCEDURE CODE #3 $495.33 $1,045.00 $112.00–$1,045.00 — 53%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D - SIMPLE $223.73 $472.00 $178.39–$472.00 39% above 53%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D - SIMPLE $223.73 $472.00 $178.39–$472.00 — 53%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT ASP/INJ $187.16 $394.85 $272.92–$394.85 39% below 53%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $223.73 $472.00 $272.92–$472.00 28% below 53%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT ASP/INJ $187.16 $394.85 $272.92–$394.85 — 53%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $223.73 $472.00 $272.92–$472.00 — 53%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $223.73 $472.00 $361.44–$472.00 18% above 53%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $223.73 $472.00 $361.44–$472.00 — 53%
Removal of a foreign object under the skin, simple CPT 10120 SOFT TISSUE FB REMOVAL SQ - SIMPLE $223.73 $472.00 $361.44–$472.00 7% below 53%
Removal of a foreign object under the skin, simple inpatient CPT 10120 SOFT TISSUE FB REMOVAL SQ - SIMPLE $223.73 $472.00 $361.44–$472.00 — 53%
Short arm cast (elbow to hand) CPT 29075 CAST SHORT ARM $223.73 $472.00 $248.68–$472.00 72% above 53%
Short arm cast (elbow to hand) inpatient CPT 29075 CAST SHORT ARM $223.73 $472.00 $248.68–$472.00 — 53%
Short arm splint (forearm and hand) CPT 29125 APPL. SPLINT - SHORT ARM $98.59 $208.00 $118.30–$208.00 1% above 53%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL. SPLINT - SHORT ARM $98.59 $208.00 $118.30–$208.00 — 53%
Short leg cast (below the knee) CPT 29405 PT APPLICATION OF SHORT LEG CAST $59.25 $125.00 $79.00–$125.00 41% below 53%
Short leg cast (below the knee) CPT 29405 CAST - SHORT LEG $223.73 $472.00 $248.68–$472.00 125% above 53%
Short leg cast (below the knee) inpatient CPT 29405 PT APPLICATION OF SHORT LEG CAST $59.25 $125.00 $79.00–$125.00 — 53%
Short leg cast (below the knee) inpatient CPT 29405 CAST - SHORT LEG $223.73 $472.00 $248.68–$472.00 — 53%
Short leg splint (calf to foot) CPT 29515 SPLINT - ANKLE $98.59 $208.00 $144.48–$208.00 4% above 53%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT - ANKLE $98.59 $208.00 $144.48–$208.00 — 53%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK $182.96 $386.00 $178.39–$386.00 10% below 53%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK $182.96 $386.00 $178.39–$386.00 — 53%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE $276.34 $583.00 $528.00–$646.45 24% below 53%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE $276.34 $583.00 $528.00–$646.45 — 53%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2. $223.73 $472.00 $178.39–$472.00 2% below 53%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2. $223.73 $472.00 $178.39–$472.00 — 53%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs TennesseeOff list
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN OF BLOOD\COMPONENT OB $388.68 $820.00 $87.11–$574.00 4% above 53%
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN OF BLOOD\COMPONENT $388.68 $820.00 $87.11–$574.00 4% above 53%
Blood transfusion (giving blood or blood components) CPT 36430 ADMINISTRATION BLOOD/UNIT $388.68 $820.00 $87.11–$574.00 4% above 53%
Blood transfusion (giving blood or blood components) CPT 36430 GIVE AUTOLOGOUS RBC'S (USE PROTOCOL) $388.68 $820.00 $87.11–$574.00 4% above 53%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN OF BLOOD\COMPONENT OB $388.68 $820.00 $87.11–$574.00 — 53%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 GIVE AUTOLOGOUS RBC'S (USE PROTOCOL) $388.68 $820.00 $87.11–$574.00 — 53%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMINISTRATION BLOOD/UNIT $388.68 $820.00 $87.11–$574.00 — 53%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN OF BLOOD\COMPONENT $388.68 $820.00 $87.11–$574.00 — 53%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI (4TH MED) $18.96 $40.00 $16.35–$200.54 81% below 53%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI (SECOND MED) $23.70 $50.00 $16.35–$200.54 76% below 53%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INITIAL $49.77 $105.00 $16.35–$200.54 49% below 53%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI (FIRST MED) $49.77 $105.00 $16.35–$200.54 49% below 53%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI (4TH MED) $18.96 $40.00 $16.35–$200.54 — 53%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI (SECOND MED) $23.70 $50.00 $16.35–$200.54 — 53%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI (FIRST MED) $49.77 $105.00 $16.35–$200.54 — 53%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL INITIAL $49.77 $105.00 $16.35–$200.54 — 53%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR $221.32 $466.92 $170.45–$466.92 8% below 53%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR $221.32 $466.92 $170.45–$466.92 — 53%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MIN $1,083.00 $2,284.81 $734.44–$1,901.00 6% above 53%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 MIN $1,083.00 $2,284.81 $734.44–$1,901.00 — 53%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY $304.30 $641.99 $191.98–$641.99 2% above 53%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY $304.30 $641.99 $191.98–$641.99 — 53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG COOP SUITE $84.85 $179.00 $12.89–$179.00 21% below 53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG $103.81 $219.00 $12.89–$219.00 3% below 53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG COOP SUITE $84.85 $179.00 $12.89–$179.00 — 53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG $103.81 $219.00 $12.89–$219.00 — 53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 (BASIC) $86.27 $182.00 $74.97–$182.00 37% below 53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 (BASIC) $86.27 $182.00 $74.97–$182.00 — 53%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL II (BRIEF) $141.25 $298.00 $136.52–$298.00 32% below 53%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL II (BRIEF) $141.25 $298.00 $136.52–$298.00 — 53%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL III (LIMITED) $271.13 $572.00 $242.72–$572.00 28% below 53%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL III (LIMITED) $271.13 $572.00 $242.72–$572.00 — 53%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL IV-INTERMEDIATE $486.15 $1,025.63 $371.00–$1,025.63 23% below 53%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL IV-INTERMEDIATE $486.15 $1,025.63 $371.00–$1,025.63 — 53%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL V $646.06 $1,363.00 $529.50–$1,363.00 30% below 53%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL V $646.06 $1,363.00 $529.50–$1,363.00 — 53%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESS ONLY $352.18 $743.00 $77.69–$520.10 4% above 53%
Exercise stress test, tracing only, the hospital charge CPT 93017 COOP TREADMILL STRESS-BASE $404.32 $853.00 $77.69–$597.10 19% above 53%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL STRESS ONLY $352.18 $743.00 $77.69–$520.10 — 53%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 COOP TREADMILL STRESS-BASE $404.32 $853.00 $77.69–$597.10 — 53%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W\PATIENT PRESENT $150.90 $318.35 $157.82–$222.84 85% above 53%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY W\PATIENT PRESENT $150.90 $318.35 $157.82–$222.84 — 53%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W\O PATIENT $150.90 $318.35 $157.82–$222.84 96% above 53%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY W\O PATIENT $150.90 $318.35 $157.82–$222.84 — 53%
Group psychotherapy session CPT 90853 GROUP ISSUES LCSW/LPC $64.46 $136.00 $90.33–$95.20 30% above 53%
Group psychotherapy session CPT 90853 GROUP COPING SKILL LCSW/L $67.14 $141.65 $90.33–$99.16 35% above 53%
Group psychotherapy session CPT 90853 PROCESS GROUP, DAILY $67.14 $141.65 $90.33–$99.16 35% above 53%
Group psychotherapy session CPT 90853 OUTPATIENT BEHAVIORAL HEALTH SERV-3 HR $182.02 $384.00 $90.33–$268.80 267% above 53%
Group psychotherapy session inpatient CPT 90853 GROUP ISSUES LCSW/LPC $64.46 $136.00 $90.33–$95.20 — 53%
Group psychotherapy session inpatient CPT 90853 GROUP COPING SKILL LCSW/L $67.14 $141.65 $90.33–$99.16 — 53%
Group psychotherapy session inpatient CPT 90853 PROCESS GROUP, DAILY $67.14 $141.65 $90.33–$99.16 — 53%
Group psychotherapy session inpatient CPT 90853 OUTPATIENT BEHAVIORAL HEALTH SERV-3 HR $182.02 $384.00 $90.33–$268.80 — 53%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF THER HYDRATION 1ST HR-SDS $153.24 $323.30 $98.00–$226.31 42% above 53%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF THER HYDRATION 1ST HR -OB $153.24 $323.30 $98.00–$226.31 42% above 53%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF THER HYDRATION 1ST HR-OBSERV $153.24 $323.30 $98.00–$226.31 42% above 53%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF THER HYDRATION 1ST HR $153.24 $323.30 $98.00–$226.31 42% above 53%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF THER HYDRATION 1ST HR -OB $153.24 $323.30 $98.00–$226.31 — 53%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF THER HYDRATION 1ST HR-SDS $153.24 $323.30 $98.00–$226.31 — 53%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF THER HYDRATION 1ST HR-OBSERV $153.24 $323.30 $98.00–$226.31 — 53%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF THER HYDRATION 1ST HR $153.24 $323.30 $98.00–$226.31 — 53%
IV infusion of a medicine, first hour CPT 96365 IV DRUG INF 1ST HR $192.07 $405.22 $98.00–$283.65 29% above 53%
IV infusion of a medicine, first hour inpatient CPT 96365 IV DRUG INF 1ST HR $192.07 $405.22 $98.00–$283.65 — 53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM FEE $50.72 $107.00 $64.01–$107.00 9% below 53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM FEE-OB $50.72 $107.00 $64.01–$107.00 9% below 53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUB-Q OR IM INJECTION $50.72 $107.00 $64.01–$107.00 9% below 53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN OB INJ $50.72 $107.00 $64.01–$107.00 9% below 53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INTRAVENOUS INJECTION IM ANTIBIOTIC $50.72 $107.00 $64.01–$107.00 9% below 53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION $50.72 $107.00 $64.01–$107.00 9% below 53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM-OBSERV $50.72 $107.00 $64.01–$107.00 9% below 53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM FEE-SDS $50.72 $107.00 $64.01–$107.00 9% below 53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM FEE-RR $50.72 $107.00 $64.01–$107.00 9% below 53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM FEE-OB $50.72 $107.00 $64.01–$107.00 — 53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN OB INJ $50.72 $107.00 $64.01–$107.00 — 53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUB-Q OR IM INJECTION $50.72 $107.00 $64.01–$107.00 — 53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM FEE $50.72 $107.00 $64.01–$107.00 — 53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INTRAVENOUS INJECTION IM ANTIBIOTIC $50.72 $107.00 $64.01–$107.00 — 53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION $50.72 $107.00 $64.01–$107.00 — 53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM-OBSERV $50.72 $107.00 $64.01–$107.00 — 53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM FEE-SDS $50.72 $107.00 $64.01–$107.00 — 53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM FEE-RR $50.72 $107.00 $64.01–$107.00 — 53%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH EVAL $130.46 $275.23 $157.82–$269.00 8% above 53%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL $134.39 $283.53 $157.82–$198.47 11% above 53%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH EVAL $130.46 $275.23 $157.82–$269.00 — 53%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL $134.39 $283.53 $157.82–$198.47 — 53%
Neuromuscular re-education, 15 minutes CPT 97112 PT BALANCE/COORD/15 MIN $34.13 $72.00 $29.71–$72.00 27% below 53%
Neuromuscular re-education, 15 minutes CPT 97112 PT SENSORY RE-ED/15 MIN $34.13 $72.00 $29.71–$72.00 27% below 53%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT BALANCE/COORD/15 MIN $34.13 $72.00 $29.71–$72.00 — 53%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT SENSORY RE-ED/15 MIN $34.13 $72.00 $29.71–$72.00 — 53%
New patient office visit, about 30 minutes CPT 99203 OP CLINIC INTERNEDIATE EXAM $118.50 $250.00 $175.00 39% above 53%
New patient office visit, about 30 minutes CPT 99203 OP LEVEL 3 $118.50 $250.00 $175.00 39% above 53%
New patient office visit, about 30 minutes inpatient CPT 99203 OP CLINIC INTERNEDIATE EXAM $118.50 $250.00 $175.00 — 53%
New patient office visit, about 30 minutes inpatient CPT 99203 OP LEVEL 3 $118.50 $250.00 $175.00 — 53%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHC-LIMITED EXAM - NEW PAT $28.91 $61.00 $42.70 54% below 53%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP LEVEL 2 $90.53 $191.00 $133.70 44% above 53%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 RHC-LIMITED EXAM - NEW PAT $28.91 $61.00 $42.70 — 53%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OP LEVEL 2 $90.53 $191.00 $133.70 — 53%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIETARY INSTRUCTION $26.54 $56.00 $39.20–$56.00 at median 53%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DIETARY INSTRUCTION $26.54 $56.00 $39.20–$56.00 — 53%
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 20-30 W\O EVAL MGMT $94.53 $199.43 $139.60–$162.55 112% above 53%
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY 20-30 W\O EVAL MGMT $94.53 $199.43 $139.60–$162.55 — 53%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45-50 W\O EVAL MGNT $130.46 $275.23 $157.82–$192.66 131% above 53%
Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL THERAPY 45-50 W\O EVAL MGNT $130.46 $275.23 $157.82–$192.66 — 53%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC INTERMEDIATE EXAM EST $26.07 $55.00 $38.50 58% below 53%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RHC INTERMEDIATE EXAM EST $26.07 $55.00 $38.50 — 53%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC EXTENDED EXAM EST PAT $36.97 $78.00 $54.60 51% below 53%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RHC EXTENDED EXAM EST PAT $36.97 $78.00 $54.60 — 53%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHC LIMITED EXAM EST PAT $21.80 $46.00 $32.20 61% below 53%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RHC LIMITED EXAM EST PAT $21.80 $46.00 $32.20 — 53%
Speech therapy session, individual CPT 92507 DELETE* ST HEARING EVAL $52.61 $111.00 $58.96–$111.00 61% below 53%
Speech therapy session, individual inpatient CPT 92507 DELETE* ST HEARING EVAL $52.61 $111.00 $58.96–$111.00 — 53%
Spirometry (breathing test) CPT 94010 PEAK FLOW $64.46 $136.00 $39.88–$197.74 41% below 53%
Spirometry (breathing test) CPT 94010 INCENTIVE SPIROMETRY SUB $123.71 $261.00 $39.88–$197.74 13% above 53%
Spirometry (breathing test) CPT 94010 INCENTIVE SPIROMETRY INITIAL $123.71 $261.00 $39.88–$197.74 13% above 53%
Spirometry (breathing test) CPT 94010 PFT - WITHOUT BRONCHODILATOR $256.43 $541.00 $39.88–$378.70 135% above 53%
Spirometry (breathing test) inpatient CPT 94010 PEAK FLOW $64.46 $136.00 $39.88–$197.74 — 53%
Spirometry (breathing test) inpatient CPT 94010 INCENTIVE SPIROMETRY INITIAL $123.71 $261.00 $39.88–$197.74 — 53%
Spirometry (breathing test) inpatient CPT 94010 INCENTIVE SPIROMETRY SUB $123.71 $261.00 $39.88–$197.74 — 53%
Spirometry (breathing test) inpatient CPT 94010 PFT - WITHOUT BRONCHODILATOR $256.43 $541.00 $39.88–$378.70 — 53%
Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCT STUDY W/B $264.02 $557.00 $59.97–$389.90 8% above 53%
Spirometry before and after a bronchodilator inpatient CPT 94060 PULMONARY FUNCT STUDY W/B $264.02 $557.00 $59.97–$389.90 — 53%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC $89.11 $188.00 $118.30–$188.00 18% above 53%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC $89.11 $188.00 $118.30–$188.00 — 53%

Vaccines

ProcedureCash price List priceInsurers payvs TennesseeOff list
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza VACCINE 0.5 ML HIGH DOSE $100.96 $213.00 $149.10 18% above 53%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza VACCINE 0.5 ML HIGH DOSE $100.96 $213.00 $149.10 — 53%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE $33.18 $70.00 $49.00 71% below 53%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MENVEO VACCINE $103.33 $218.00 $152.60 9% below 53%
MMR vaccine (measles, mumps and rubella), live CPT 90707 VARIVAX VACCINE FROZEN $144.10 $304.00 $212.80 27% above 53%
MMR vaccine (measles, mumps and rubella), live CPT 90707 BEXSERO VACCINE $164.00 $346.00 $242.20 44% above 53%
MMR vaccine (measles, mumps and rubella), live CPT 90707 BEYFORTUS 50 MG/0.5 ML VACCINE $455.51 $961.00 $672.70 300% above 53%
MMR vaccine (measles, mumps and rubella), live CPT 90707 BEYFORTUS 100 MG/ML VACCINE $455.51 $961.00 $672.70 300% above 53%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE $33.18 $70.00 $49.00 — 53%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MENVEO VACCINE $103.33 $218.00 $152.60 — 53%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VARIVAX VACCINE FROZEN $144.10 $304.00 $212.80 — 53%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 BEXSERO VACCINE $164.00 $346.00 $242.20 — 53%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 BEYFORTUS 100 MG/ML VACCINE $455.51 $961.00 $672.70 — 53%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 BEYFORTUS 50 MG/0.5 ML VACCINE $455.51 $961.00 $672.70 — 53%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE $140.78 $297.00 $207.90 27% below 53%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VACCINE $140.78 $297.00 $207.90 — 53%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent VACCINE 0.5 ML $308.57 $651.00 $455.70 at median 53%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent VACCINE 0.5 ML $308.57 $651.00 $455.70 — 53%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-valent VACCINE 0.5 ML $122.77 $259.00 $181.30 13% below 53%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-valent VACCINE 0.5 ML $122.77 $259.00 $181.30 — 53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap vaccine $86.74 $183.00 $128.10 3% above 53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (Tdap) VACCINE $102.35 $215.92 $151.14 22% above 53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap vaccine $86.74 $183.00 $128.10 — 53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (Tdap) VACCINE $102.35 $215.92 $151.14 — 53%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE\TOXOIDS-OB $43.61 $92.00 $44.01–$92.00 32% above 53%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE\TOXOIDS-SDS $43.61 $92.00 $44.01–$92.00 32% above 53%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLU VAC-OBSERV $43.61 $92.00 $44.01–$92.00 32% above 53%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION $43.61 $92.00 $44.01–$92.00 32% above 53%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE\TOXOIDS $43.61 $92.00 $44.01–$92.00 32% above 53%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE\TOXOIDS-SDS $43.61 $92.00 $44.01–$92.00 — 53%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION $43.61 $92.00 $44.01–$92.00 — 53%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE\TOXOIDS $43.61 $92.00 $44.01–$92.00 — 53%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLU VAC-OBSERV $43.61 $92.00 $44.01–$92.00 — 53%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE\TOXOIDS-OB $43.61 $92.00 $44.01–$92.00 — 53%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN VACCINE\TOXOIDS-2 OR MORE $38.87 $82.00 $31.39–$82.00 26% above 53%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN VACCINE\TOXOIDS-2 OR MORE $38.87 $82.00 $31.39–$82.00 — 53%

Source file: https://hh.health/wp-content/uploads/882472117_hh-health-system-lincoln-inc_standardcharges.csv