SelfPayRates
Hospital Hot Springs, AR

CHI St. Vincent Hospital Hot Springs

CHI St. Vincent Hospital Hot Springs in Hot Springs, AR publishes cash prices for 251 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Arkansas median for 245 of 245 procedures. By typical cash price it ranks #27 of 28 Arkansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

300 Werner Street, Hot Springs, AR 71913 Collected Sep 27, 2026 Source price file (501) 622-1000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 040026 · CMS hospital register

The price file shows no self-pay discount

For 544 of the 544 prices listed here, the cash price in CHI St. Vincent Hospital Hot Springs's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

ProcedureCash price List priceInsurers payvs ArkansasOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HCHG ART NON INVAS EXTR BI SNGL LEVEL $497.00 $497.00 $61.97–$434.51 — —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HCHG ART NON INVAS EXTR BI SNGL LEVEL $497.00 $497.00 $397.60 — —
Barium swallow (esophagus X-ray with contrast) CPT 74220 HCHG XR ESOPHAGUS/BARIUM SWALLOW $558.00 $558.00 $81.72–$446.40 141% above —
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HCHG XR ESOPHAGUS/BARIUM SWALLOW $558.00 $558.00 $418.50–$446.40 — —
Bone scan, whole body (nuclear medicine) CPT 78306 HCHG NM BONE AND OR JNT IMAG WHOL BODY $2,301.00 $2,301.00 $133.93–$1,840.80 276% above —
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HCHG NM BONE AND OR JNT IMAG WHOL BODY $2,301.00 $2,301.00 $1,725.75–$1,840.80 — —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HCHG CTA CHEST W AND/OR WO CONT $2,530.00 $2,530.00 $169.25–$2,024.00 132% above —
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HCHG CTA CHEST W AND/OR WO CONT $2,530.00 $2,530.00 $1,897.50–$2,024.00 — —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HCHG CTA HEART W CONTR W 3D $1,536.00 $1,536.00 $174.94–$1,228.80 123% above —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HCHG CTA HEART W CONTR W 3D $1,536.00 $1,536.00 $1,152.00–$1,228.80 — —
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HCHG CT HEART WO CONT EVAL CORON CALC $728.00 $728.00 $76.62–$962.00 1149% above —
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HCHG CT HEART WO CONT EVAL CORON CALC $728.00 $728.00 $546.00–$582.40 — —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HCHG CT ABD PELVIS WITHOUT CONTRAST $5,129.00 $5,129.00 $223.73–$4,103.20 246% above —
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HCHG CT ABD PELVIS WITHOUT CONTRAST $5,129.00 $5,129.00 $3,846.75–$4,103.20 — —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG CT ABD PELVIS WITH CONTRAST $5,763.00 $5,763.00 $339.54–$4,610.40 274% above —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG CT ABD PELVIS WITH CONTRAST $5,763.00 $5,763.00 $4,322.25–$4,610.40 — —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HCHG CT ABD PELVIS WO CONT THEN W CONT $6,397.00 $6,397.00 $339.54–$5,117.60 226% above —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HCHG CT ABD PELVIS WO CONT THEN W CONT $6,397.00 $6,397.00 $4,797.75–$5,117.60 — —
CT scan of the abdomen with contrast CPT 74160 HCHG CT ABDOMEN W CONT $2,717.00 $2,717.00 $169.25–$2,173.60 139% above —
CT scan of the abdomen with contrast inpatient CPT 74160 HCHG CT ABDOMEN W CONT $2,717.00 $2,717.00 $2,037.75–$2,173.60 — —
CT scan of the abdomen without contrast CPT 74150 HCHG CT ABDOMEN WO CONT $2,311.00 $2,311.00 $101.10–$1,848.80 160% above —
CT scan of the abdomen without contrast inpatient CPT 74150 HCHG CT ABDOMEN WO CONT $2,311.00 $2,311.00 $1,733.25–$1,848.80 — —
CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT MAXILLOFACIAL AREA WO CONT $2,372.00 $2,372.00 $101.10–$1,897.60 202% above —
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT MAXILLOFACIAL AREA WO CONT $2,372.00 $2,372.00 $1,779.00–$1,897.60 — —
CT scan of the head or brain, no contrast dye CPT 70450 HCHG CT HEAD/BRAIN WO CONT $2,581.00 $2,581.00 $101.10–$2,064.80 203% above —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG CT HEAD/BRAIN WO CONT $2,581.00 $2,581.00 $1,935.75–$2,064.80 — —
CT scan of the head with contrast CPT 70460 HCHG CT HEAD/BRAIN W CONT $3,639.00 $3,639.00 $169.25–$2,911.20 314% above —
CT scan of the head with contrast inpatient CPT 70460 HCHG CT HEAD/BRAIN W CONT $3,639.00 $3,639.00 $2,729.25–$2,911.20 — —
CT scan of the head without and with contrast CPT 70470 HCHG CT HEAD/BRAIN W/WO CONT $4,284.00 $4,284.00 $169.25–$3,427.20 309% above —
CT scan of the head without and with contrast inpatient CPT 70470 HCHG CT HEAD/BRAIN W/WO CONT $4,284.00 $4,284.00 $3,213.00–$3,427.20 — —
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HCHG CT LUMBAR SPINE WO CONT $2,570.00 $2,570.00 $101.10–$2,056.00 176% above —
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HCHG CT LUMBAR SPINE WO CONT $2,570.00 $2,570.00 $1,927.50–$2,056.00 — —
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HCHG CT CERVICAL SPINE WO CONT $2,541.00 $2,541.00 $101.10–$2,032.80 173% above —
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HCHG CT CERVICAL SPINE WO CONT $2,541.00 $2,541.00 $1,905.75–$2,032.80 — —
CT scan of the pelvis, with contrast dye CPT 72193 HCHG CT PELVIS W CONT $3,552.00 $3,552.00 $169.25–$2,841.60 237% above —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG CT PELVIS W CONT $3,552.00 $3,552.00 $2,664.00–$2,841.60 — —
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HCHG CAROTID DUPLEX SCAN BILAT $1,110.00 $1,110.00 $158.90–$888.00 — —
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HCHG CAROTID DUPLEX SCAN BILAT $1,110.00 $1,110.00 $888.00 — —
Chest X-ray, 2 views CPT 71046 HCHG XR CHEST 2 VIEWS $559.00 $559.00 $49.38–$447.20 291% above —
Chest X-ray, 2 views inpatient CPT 71046 HCHG XR CHEST 2 VIEWS $559.00 $559.00 $419.25–$447.20 — —
Chest X-ray, single view CPT 71045 HCHG XR CHEST 1 VIEW $430.00 $430.00 $26.92–$344.00 299% above —
Chest X-ray, single view inpatient CPT 71045 HCHG XR CHEST 1 VIEW $430.00 $430.00 $322.50–$344.00 — —
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG US RETROPERITONEUM COMPLETE $738.00 $738.00 $99.88–$590.40 163% above —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HCHG US RETROPERITONEUM COMPLETE $738.00 $738.00 $553.50–$590.40 — —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HCHG XR DXA BONE DENSITY AXIAL $515.00 $515.00 $101.10–$412.00 161% above —
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HCHG XR DXA BONE DENSITY AXIAL $515.00 $515.00 $386.25–$412.00 — —
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG CT CHEST DIAG WO CONT $2,333.00 $2,333.00 $101.10–$1,866.40 201% above —
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG CT CHEST DIAG WO CONT $2,333.00 $2,333.00 $1,749.75–$1,866.40 — —
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HCHG CT CHEST DIAG W CONT $2,952.00 $2,952.00 $169.25–$2,361.60 188% above —
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HCHG CT CHEST DIAG W CONT $2,952.00 $2,952.00 $2,214.00–$2,361.60 — —
Diagnostic mammogram, both breasts both sides CPT 77066 HCHG MAMM DIAGNOSTIC BILAT W CAD $556.00 $556.00 $111.86–$444.80 — —
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG MAMM DIAGNOSTIC BILAT W CAD $556.00 $556.00 $417.00–$444.80 — —
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HCHG ART LWR EXTR DUPLEX GRAFT COMP BI $876.00 $876.00 $165.71–$700.80 — —
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HCHG ART LWR EXTR DUPLEX GRAFT COMP BI $876.00 $876.00 $700.80 — —
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG VENOUS DUPLEX UPPER EXT COMP BI $1,283.00 $1,283.00 $95.34–$1,026.40 — —
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG VENOUS DUPLEX UPPER EXT COMP BI $1,283.00 $1,283.00 $1,026.40 — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG ECHO 2D W/M-MODE & DOPP COMP $2,390.00 $2,390.00 $364.00–$1,912.00 117% above —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG ECHO 2D W/M-MODE & DOPP COMP $2,390.00 $2,390.00 $1,912.00 — —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HCHG NM HEPATOBILIARY SYSTEM $1,734.00 $1,734.00 $353.41–$1,387.20 180% above —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HCHG NM HEPATOBILIARY SYSTEM $1,734.00 $1,734.00 $1,300.50–$1,387.20 — —
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG SLEEP STUDY UNATTENDED $549.00 $549.00 $148.75–$608.00 86% above —
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HCHG SLEEP STUDY UNATTENDED $549.00 $549.00 $439.20 — —
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG POLYSOM ATTENDED W CPAP 6/> YRS $5,062.00 $5,062.00 $466.19–$4,049.60 76% above —
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG POLYSOM ATTENDED W CPAP 6/> YRS $5,062.00 $5,062.00 $4,049.60 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG US ABDOMEN LIMITED $878.00 $878.00 $45.40–$702.40 232% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG US ABDOMEN LIMITED $878.00 $878.00 $658.50–$702.40 — —
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HCHG CT THORAX LUNG CANCER SCREEN $2,392.00 $2,392.00 $78.83–$1,913.60 1474% above —
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HCHG CT THORAX LUNG CANCER SCREEN $2,392.00 $2,392.00 $1,794.00–$1,913.60 — —
MRI of the abdomen without contrast CPT 74181 HCHG MRI ABDOMEN WO CONT $2,160.00 $2,160.00 $223.73–$1,728.00 79% above —
MRI of the abdomen without contrast inpatient CPT 74181 HCHG MRI ABDOMEN WO CONT $2,160.00 $2,160.00 $1,620.00–$1,728.00 — —
MRI of the abdomen, without and then with contrast dye CPT 74183 HCHG MRI ABDOMEN W/WO CONT $3,789.00 $3,789.00 $339.54–$3,031.20 199% above —
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HCHG MRI ABDOMEN W/WO CONT $3,789.00 $3,789.00 $2,841.75–$3,031.20 — —
MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN WO CONT $3,050.00 $3,050.00 $223.73–$2,440.00 144% above —
MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN WO CONT $3,050.00 $3,050.00 $2,287.50–$2,440.00 — —
MRI of the brain, with and without contrast dye CPT 70553 HCHG MRI BRAIN W/WO CONT $4,999.00 $4,999.00 $339.54–$3,999.20 189% above —
MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG MRI BRAIN W/WO CONT $4,999.00 $4,999.00 $3,749.25–$3,999.20 — —
MRI of the lower back, no contrast dye CPT 72148 HCHG MRI LUMBAR SPINE WO CONT $3,879.00 $3,879.00 $223.73–$3,103.20 241% above —
MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG MRI LUMBAR SPINE WO CONT $3,879.00 $3,879.00 $2,909.25–$3,103.20 — —
MRI of the lower back, without and then with contrast dye CPT 72158 HCHG MRI LUMBAR SPINE W/WO CONT $6,555.00 $6,555.00 $339.54–$5,244.00 313% above —
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG MRI LUMBAR SPINE W/WO CONT $6,555.00 $6,555.00 $4,916.25–$5,244.00 — —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG MRI THORACIC SPINE WO CONT $3,450.00 $3,450.00 $223.73–$2,760.00 238% above —
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG MRI THORACIC SPINE WO CONT $3,450.00 $3,450.00 $2,587.50–$2,760.00 — —
MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG MRI CERVICAL SPINE W/WO CONT $6,297.00 $6,297.00 $339.54–$5,037.60 285% above —
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG MRI CERVICAL SPINE W/WO CONT $6,297.00 $6,297.00 $4,722.75–$5,037.60 — —
MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG MRI CERVICAL SPINE WO CONT $3,726.00 $3,726.00 $223.73–$2,980.80 224% above —
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG MRI CERVICAL SPINE WO CONT $3,726.00 $3,726.00 $2,794.50–$2,980.80 — —
MRI of the pelvis without and with contrast CPT 72197 HCHG MRI PELVIS W/WO CONT $3,597.00 $3,597.00 $339.54–$2,877.60 185% above —
MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG MRI PELVIS W/WO CONT $3,597.00 $3,597.00 $2,697.75–$2,877.60 — —
MRI of the pelvis, no contrast dye CPT 72195 HCHG MRI PELVIS WO CONT $2,446.00 $2,446.00 $223.73–$1,956.80 161% above —
MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG MRI PELVIS WO CONT $2,446.00 $2,446.00 $1,834.50–$1,956.80 — —
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HCHG MYCRD PERF W WALL MOT&EJEC FRT MULT $5,766.00 $5,766.00 $605.43–$4,612.80 193% above —
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HCHG MYCRD PERF W WALL MOT&EJEC FRT MULT $5,766.00 $5,766.00 $4,324.50–$4,612.80 — —
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HCHG NM PET IMAG W CT SKL BASE MID THG $7,228.00 $7,228.00 $1,385.49–$5,782.40 209% above —
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HCHG NM PET IMAG W CT SKL BASE MID THG $7,228.00 $7,228.00 $5,421.00–$5,782.40 — —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG US PELVIC NON OB LIMITED F/U $1,128.00 $1,128.00 $54.48–$902.40 713% above —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG US PELVIC NON OB LIMITED F/U $1,128.00 $1,128.00 $846.00–$902.40 — —
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG US PELVIC NON OB COMPLETE $1,128.00 $1,128.00 $90.80–$902.40 211% above —
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HCHG US PELVIC NON OB COMPLETE $1,128.00 $1,128.00 $846.00–$902.40 — —
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG US PREG UTER 14 WKS OR> $506.00 $506.00 $101.10–$404.80 78% above —
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG US PREG UTER 14 WKS OR> $506.00 $506.00 $379.50–$404.80 — —
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HCHG US PREG UTER <14 WEEKS GEST $436.00 $436.00 $97.04–$377.56 52% above —
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HCHG US PREG UTER <14 WEEKS GEST $436.00 $436.00 $327.00–$348.80 — —
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG US PREG UTER LTD 1 OR MORE FETUS $505.00 $505.00 $59.02–$404.00 206% above —
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG US PREG UTER LTD 1 OR MORE FETUS $505.00 $505.00 $378.75–$404.00 — —
Screening mammogram, both breasts both sides CPT 77067 HCHG MAMM SCRN BILATERAL W CAD $308.00 $308.00 $92.75–$246.40 — —
Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG MAMM SCRN BILATERAL W CAD $308.00 $308.00 $231.00–$246.40 — —
Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSOM ATTENDED >3 CHN 6/> YRS $4,859.00 $4,859.00 $276.94–$3,887.20 131% above —
Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSOM ATTENDED >3 CHN 6/> YRS $4,859.00 $4,859.00 $3,887.20 — —
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HCHG ECHO STRESS W CONT ECG MONITOR $2,677.00 $2,677.00 $364.00–$2,141.60 378% above —
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HCHG ECHO STRESS W CONT ECG MONITOR $2,677.00 $2,677.00 $2,141.60 — —
Swallow study (modified barium swallow, video X-ray) CPT 74230 HCHG XR SWALLOWING FUNCTION W VIDEO $485.00 $485.00 $65.83–$401.74 127% above —
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HCHG XR SWALLOWING FUNCTION W VIDEO $485.00 $485.00 $363.75–$388.00 — —
Transvaginal pelvic ultrasound CPT 76830 HCHG US TRANSVAGINAL NON OB $840.00 $840.00 $101.10–$672.00 150% above —
Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US TRANSVAGINAL NON OB $840.00 $840.00 $630.00–$672.00 — —
Transvaginal ultrasound during pregnancy CPT 76817 HCHG US PREG UTER TRANSVAGINAL $574.00 $574.00 $101.10–$459.20 67% above —
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HCHG US PREG UTER TRANSVAGINAL $574.00 $574.00 $430.50–$459.20 — —
Ultrasound of the abdomen, complete CPT 76700 HCHG US ABDOMEN COMPLETE $1,185.00 $1,185.00 $101.10–$948.00 161% above —
Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG US ABDOMEN COMPLETE $1,185.00 $1,185.00 $888.75–$948.00 — —
Ultrasound of the scrotum and testicles CPT 76870 HCHG US SCROTUM AND CONTENTS $752.00 $752.00 $70.37–$601.60 114% above —
Ultrasound of the scrotum and testicles inpatient CPT 76870 HCHG US SCROTUM AND CONTENTS $752.00 $752.00 $564.00–$601.60 — —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG US HEAD/NECK SOFT TISSUE $678.00 $678.00 $101.10–$542.40 76% above —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HCHG US HEAD/NECK SOFT TISSUE $678.00 $678.00 $508.50–$542.40 — —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HCHG XR UPPER GI SINGLE CONTRAST $635.00 $635.00 $68.10–$508.00 165% above —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HCHG XR UPPER GI SINGLE CONTRAST $635.00 $635.00 $476.25–$508.00 — —
X-ray of the abdomen, 1 view CPT 74018 HCHG XR ABDOMEN 1 VIEW $370.00 $370.00 $44.06–$296.00 154% above —
X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG XR ABDOMEN 1 VIEW $370.00 $370.00 $277.50–$296.00 — —
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG XR SPINE LUMBAR 2 OR 3 VIEWS $458.00 $458.00 $63.56–$366.40 139% above —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG XR SPINE LUMBAR 2 OR 3 VIEWS $458.00 $458.00 $343.50–$366.40 — —
X-ray of the lower back, 4 or more views CPT 72110 HCHG XR SPINE LUMBAR MIN 4 VIEWS $581.00 $581.00 $90.80–$464.80 102% above —
X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG XR SPINE LUMBAR MIN 4 VIEWS $581.00 $581.00 $435.75–$464.80 — —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG XR SPINE THORACIC 2 VIEWS $431.00 $431.00 $54.48–$344.80 113% above —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG XR SPINE THORACIC 2 VIEWS $431.00 $431.00 $323.25–$344.80 — —
X-ray of the nasal bones, 3 or more views CPT 70160 HCHG XR NASAL BONES COMP MIN 3 VIEWS $428.00 $428.00 $52.21–$342.40 299% above —
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG XR NASAL BONES COMP MIN 3 VIEWS $428.00 $428.00 $321.00–$342.40 — —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG XR SPINE CERVICAL 3 VIEWS OR LESS $458.00 $458.00 $63.39–$366.40 282% above —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG XR SPINE CERVICAL 3 VIEWS OR LESS $458.00 $458.00 $343.50–$366.40 — —
X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG XR PELVIS 1 OR 2 VIEWS $380.00 $380.00 $47.67–$304.00 145% above —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HCHG XR PELVIS 1 OR 2 VIEWS $380.00 $380.00 $285.00–$304.00 — —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG XR SACRUM AND COCCYX MIN 2 VIEWS $318.00 $318.00 $38.59–$254.40 159% above —
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HCHG XR SACRUM AND COCCYX MIN 2 VIEWS $318.00 $318.00 $238.50–$254.40 — —

Lab tests

ProcedureCash price List priceInsurers payvs ArkansasOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 CHG ALT SGPT $87.00 $87.00 $4.00–$69.60 226% above —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CHG ALT SGPT $87.00 $87.00 $65.25–$69.60 — —
AST (aspartate aminotransferase) enzyme test CPT 84450 CHG AST SGOT $72.00 $72.00 $3.91–$57.60 136% above —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CHG AST SGOT $72.00 $72.00 $54.00–$57.60 — —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 CHG HEPATITIS PANEL ACUTE $768.00 $768.00 $35.91–$614.40 261% above —
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 CHG HEPATITIS PANEL ACUTE $768.00 $768.00 $576.00–$614.40 — —
Allergy blood test, specific IgE, per allergen CPT 86003 CHG GALACTOSE ALPHA 13-GALACTOSE IGE $20.00 $20.00 $3.93–$20.00 22% above —
Allergy blood test, specific IgE, per allergen CPT 86003 CHG ALLERGEN SPECIFIC IGE CRUDE EXTRACT EA $85.00 $85.00 $3.93–$68.00 417% above —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHG GALACTOSE ALPHA 13-GALACTOSE IGE $20.00 $20.00 $15.00–$16.00 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHG ALLERGEN SPECIFIC IGE CRUDE EXTRACT EA $85.00 $85.00 $63.75–$68.00 — —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CHG CYCLIC CITRULLINATED PEPTIDE ANTIBODY $175.00 $175.00 $9.77–$140.00 184% above —
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CHG CYCLIC CITRULLINATED PEPTIDE ANTIBODY $175.00 $175.00 $131.25–$140.00 — —
Antinuclear antibody (ANA) blood test, screen CPT 86038 CHG ANA SCREEN $164.00 $164.00 $9.12–$131.20 229% above —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CHG ANA SCREEN $164.00 $164.00 $123.00–$131.20 — —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CHG BRAIN NATRIURETIC PEPTIDE $400.00 $400.00 $29.60–$320.00 385% above —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CHG BRAIN NATRIURETIC PEPTIDE $400.00 $400.00 $300.00–$320.00 — —
Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PNL CALCIUM TOTAL $145.00 $145.00 $6.38–$116.00 30% above —
Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PNL CALCIUM TOTAL $145.00 $145.00 $108.75–$116.00 — —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CHG BONE MARROW BIOPSY INTERP NP $389.00 $389.00 $21.30–$311.20 263% above —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CHG BONE MARROW BIOPSY INTERP NP $389.00 $389.00 $311.20 — —
Blood culture for bacteria CPT 87040 CHG CULTURE BLOOD BACTERIAL $222.00 $222.00 $7.78–$177.60 232% above —
Blood culture for bacteria inpatient CPT 87040 CHG CULTURE BLOOD BACTERIAL $222.00 $222.00 $166.50–$177.60 — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CHG VENIPUNCTURE $48.00 $48.00 $2.15–$38.40 299% above —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CHG VENIPUNCTURE $48.00 $48.00 $36.00–$38.40 — —
Blood glucose (sugar) test CPT 82947 CHG GLUCOSE QUANT BLOOD $73.00 $73.00 $2.96–$58.40 151% above —
Blood glucose (sugar) test inpatient CPT 82947 CHG GLUCOSE QUANT BLOOD $73.00 $73.00 $54.75–$58.40 — —
Blood lead test CPT 83655 CHG LEAD BLOOD $148.00 $148.00 $9.13–$118.40 310% above —
Blood lead test inpatient CPT 83655 CHG LEAD BLOOD $148.00 $148.00 $111.00–$118.40 — —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHG HCG QUAL PREGNANCY SCREEN $135.00 $135.00 $5.67–$227.00 258% above —
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHG HCG QUAL PREGNANCY SCREEN $135.00 $135.00 $101.25–$108.00 — —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CHG ABO BLOOD TYPING $498.00 $498.00 $2.25–$398.40 751% above —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CHG ABO BLOOD TYPING $498.00 $498.00 $373.50–$398.40 — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CHG C REACTIVE PROTEIN $111.00 $111.00 $3.91–$88.80 178% above —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CHG C REACTIVE PROTEIN $111.00 $111.00 $83.25–$88.80 — —
C. difficile toxin gene test (stool PCR) CPT 87493 CHG CLOSTRIDIUM DIFFICILE AMP PROBE $464.00 $464.00 $28.11–$371.20 332% above —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CHG CLOSTRIDIUM DIFFICILE AMP PROBE $464.00 $464.00 $348.00–$371.20 — —
CA 19-9 blood test (tumor marker) CPT 86301 CHG CA 19 9 $245.00 $245.00 $15.69–$196.00 194% above —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CHG CA 19 9 $245.00 $245.00 $183.75–$196.00 — —
CA-125 blood test (ovarian cancer marker) CPT 86304 CHG CA 125 $273.00 $273.00 $15.69–$218.40 298% above —
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CHG CA 125 $273.00 $273.00 $204.75–$218.40 — —
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 CHG COVID-19 RT-PCR $255.00 $255.00 $38.69–$204.00 92% above —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 CHG COVID-19 RT-PCR $255.00 $255.00 $191.25–$204.00 — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHG CHLAMYDIA TRACHOMATIS URINE AMPL PROBE $379.00 $379.00 $26.46–$303.20 407% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHG CHLAMYDIA TRACHOMATIS URINE AMPL PROBE $379.00 $379.00 $284.25–$303.20 — —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL $217.00 $217.00 $10.09–$173.60 163% above —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL $217.00 $217.00 $162.75–$173.60 — —
Complete blood count (CBC) with differential CPT 85025 CHG CBC W AUTO DIFF $117.00 $117.00 $5.86–$227.00 140% above —
Complete blood count (CBC) with differential inpatient CPT 85025 CHG CBC W AUTO DIFF $117.00 $117.00 $87.75–$93.60 — —
Complete blood count (CBC), no differential CPT 85027 CHG CBC AUTOMATED WO DIFF $120.00 $120.00 $4.88–$227.00 297% above —
Complete blood count (CBC), no differential inpatient CPT 85027 CHG CBC AUTOMATED WO DIFF $120.00 $120.00 $90.00–$96.00 — —
Comprehensive metabolic panel (blood test) CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL $180.00 $180.00 $7.96–$144.00 41% above —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL $180.00 $180.00 $135.00–$144.00 — —
D-dimer blood test (blood clot marker) CPT 85379 CHG D DIMER QUANTITATIVE $155.00 $155.00 $7.68–$124.00 149% above —
D-dimer blood test (blood clot marker) inpatient CPT 85379 CHG D DIMER QUANTITATIVE $155.00 $155.00 $116.25–$124.00 — —
DHEA sulfate (DHEA-S) blood test CPT 82627 CHG DHEA SULFATE $247.00 $247.00 $16.76–$197.60 253% above —
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 CHG DHEA SULFATE $247.00 $247.00 $185.25–$197.60 — —
Estradiol blood test CPT 82670 CHG ESTRADIOL TOTAL $376.00 $376.00 $21.07–$300.80 261% above —
Estradiol blood test inpatient CPT 82670 CHG ESTRADIOL TOTAL $376.00 $376.00 $282.00–$300.80 — —
FSH (follicle-stimulating hormone) test CPT 83001 CHG FSH FOLLICLE STIMULATING HORMONE $251.00 $251.00 $14.01–$200.80 248% above —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 CHG FSH FOLLICLE STIMULATING HORMONE $251.00 $251.00 $188.25–$200.80 — —
Fecal calprotectin (stool inflammation test) CPT 83993 CHG CALPROTECTIN FECAL $327.00 $327.00 $14.80–$261.60 148% above —
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CHG CALPROTECTIN FECAL $327.00 $327.00 $245.25–$261.60 — —
Ferritin blood test (iron stores) CPT 82728 CHG FERRITIN $178.00 $178.00 $10.28–$142.40 160% above —
Ferritin blood test (iron stores) inpatient CPT 82728 CHG FERRITIN $178.00 $178.00 $133.50–$142.40 — —
Folate (folic acid) blood test CPT 82746 CHG FOLIC ACID SERUM $190.00 $190.00 $11.09–$152.00 200% above —
Folate (folic acid) blood test inpatient CPT 82746 CHG FOLIC ACID SERUM $190.00 $190.00 $142.50–$152.00 — —
Free T3 thyroid hormone test CPT 84481 CHG T3 FREE $230.00 $230.00 $12.77–$184.00 261% above —
Free T3 thyroid hormone test inpatient CPT 84481 CHG T3 FREE $230.00 $230.00 $172.50–$184.00 — —
Free T4 (free thyroxine) thyroid blood test CPT 84439 CHG T4 THYROXINE FREE $130.00 $130.00 $6.80–$104.00 170% above —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CHG T4 THYROXINE FREE $130.00 $130.00 $97.50–$104.00 — —
Free testosterone test CPT 84402 CHG TESTOSTERONE FREE $263.00 $263.00 $19.21–$210.40 213% above —
Free testosterone test inpatient CPT 84402 CHG TESTOSTERONE FREE $263.00 $263.00 $197.25–$210.40 — —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE $62.00 $62.00 $3.58–$49.60 80% above —
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE $62.00 $62.00 $46.50–$49.60 — —
Glucose tolerance test, 3 samples CPT 82951 CHG GLUCOSE TOL TEST 3 SPECIMEN $133.00 $133.00 $9.71–$106.40 106% above —
Glucose tolerance test, 3 samples inpatient CPT 82951 CHG GLUCOSE TOL TEST 3 SPECIMEN $133.00 $133.00 $99.75–$106.40 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHG NEISSERIA GONORRHOEAE URINE AMPL PROBE $379.00 $379.00 $26.46–$303.20 394% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHG NEISSERIA GONORRHOEAE URINE AMPL PROBE $379.00 $379.00 $284.25–$303.20 — —
H. pylori antibody blood test CPT 86677 CHG HELICOBACTER PYLORI ANTIBODY $186.00 $186.00 $12.70–$148.80 167% above —
H. pylori antibody blood test inpatient CPT 86677 CHG HELICOBACTER PYLORI ANTIBODY $186.00 $186.00 $139.50–$148.80 — —
H. pylori stool antigen test CPT 87338 CHG HELICOBACTER PYLORI STOOL EIA $76.00 $76.00 $10.85–$172.52 7% above —
H. pylori stool antigen test inpatient CPT 87338 CHG HELICOBACTER PYLORI STOOL EIA $76.00 $76.00 $57.00–$60.80 — —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 CHG HIV 1 QUANTIFICATION $966.00 $966.00 $64.17–$772.80 330% above —
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 CHG HIV 1 QUANTIFICATION $966.00 $966.00 $724.50–$772.80 — —
HIV-1 and HIV-2 antibody test CPT 86703 CHG HIV 1-2 RAPID SCREEN $175.00 $175.00 $10.34–$227.00 137% above —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 CHG HIV 1-2 RAPID SCREEN $175.00 $175.00 $131.25–$140.00 — —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 CHG HIV-1 AG W HIV-1 & 2 AB IA $325.00 $325.00 $18.15–$260.00 305% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 CHG HIV-1 AG W HIV-1 & 2 AB IA $325.00 $325.00 $243.75–$260.00 — —
HPV test for high-risk types, one combined (pooled) result CPT 87624 CHG HUMAN PAPILLOMAVIRUS AMPL PROBE HIGH RISK $450.00 $450.00 $26.46–$360.00 330% above —
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CHG HUMAN PAPILLOMAVIRUS AMPL PROBE HIGH RISK $450.00 $450.00 $337.50–$360.00 — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHG HEMOGLOBIN A1C GLYCATED $179.00 $179.00 $7.32–$143.20 358% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHG HEMOGLOBIN A1C GLYCATED $179.00 $179.00 $134.25–$143.20 — —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 CHG HEPATITIS B SURFACE AB $174.00 $174.00 $8.10–$227.00 179% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 CHG HEPATITIS B SURFACE AB $174.00 $174.00 $130.50–$139.20 — —
Hepatitis B surface antigen (HBsAg) test CPT 87340 CHG HEPATITIS B SURFACE ANTIGEN EIA $157.00 $157.00 $7.78–$227.00 277% above —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CHG HEPATITIS B SURFACE ANTIGEN EIA $157.00 $157.00 $117.75–$125.60 — —
Hepatitis C antibody blood test (screening) CPT 86803 CHG HEPATITIS C ANTIBODY $212.00 $212.00 $10.76–$169.60 313% above —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 CHG HEPATITIS C ANTIBODY $212.00 $212.00 $159.00–$169.60 — —
Hepatitis C viral load (HCV RNA) test CPT 87522 CHG HEPATITIS C VIRUS QUANTIFICATION $558.00 $558.00 $32.31–$446.40 325% above —
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 CHG HEPATITIS C VIRUS QUANTIFICATION $558.00 $558.00 $418.50–$446.40 — —
Herpes blood test, HSV-1 antibody CPT 86695 CHG HERPES SIMPLEX AB TYPE 1 $127.00 $127.00 $9.94–$227.00 144% above —
Herpes blood test, HSV-1 antibody inpatient CPT 86695 CHG HERPES SIMPLEX AB TYPE 1 $127.00 $127.00 $95.25–$101.60 — —
Herpes blood test, HSV-2 antibody CPT 86696 CHG HERPES SIMPLEX AB TYPE 2 $262.00 $262.00 $14.59–$227.00 353% above —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 CHG HERPES SIMPLEX AB TYPE 2 $262.00 $262.00 $196.50–$209.60 — —
High-sensitivity CRP (hs-CRP) test CPT 86141 CHG C REACTIVE PROTEIN CSF $171.00 $171.00 $9.77–$136.80 230% above —
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CHG C REACTIVE PROTEIN CSF $171.00 $171.00 $128.25–$136.80 — —
Homocysteine blood test CPT 83090 CHG HOMOCYSTEINE $214.00 $214.00 $13.51–$171.20 124% above —
Homocysteine blood test inpatient CPT 83090 CHG HOMOCYSTEINE $214.00 $214.00 $160.50–$171.20 — —
Insulin blood test CPT 83525 CHG INSULIN TOTAL $152.00 $152.00 $8.62–$121.60 230% above —
Insulin blood test inpatient CPT 83525 CHG INSULIN TOTAL $152.00 $152.00 $114.00–$121.60 — —
Iron blood test (serum iron) CPT 83540 CHG IRON SERUM $121.00 $121.00 $4.88–$96.80 294% above —
Iron blood test (serum iron) inpatient CPT 83540 CHG IRON SERUM $121.00 $121.00 $90.75–$96.80 — —
Iron-binding capacity (TIBC) test CPT 83550 CHG IRON BINDING CAPACITY $117.00 $117.00 $6.59–$93.60 311% above —
Iron-binding capacity (TIBC) test inpatient CPT 83550 CHG IRON BINDING CAPACITY $117.00 $117.00 $87.75–$93.60 — —
Kidney function blood test panel CPT 80069 CHG RENAL FUNCTION PANEL $142.00 $142.00 $6.54–$113.60 74% above —
Kidney function blood test panel inpatient CPT 80069 CHG RENAL FUNCTION PANEL $142.00 $142.00 $106.50–$113.60 — —
LH (luteinizing hormone) test CPT 83002 CHG LH LUTEINIZING HORMONE $219.00 $219.00 $13.97–$175.20 230% above —
LH (luteinizing hormone) test inpatient CPT 83002 CHG LH LUTEINIZING HORMONE $219.00 $219.00 $164.25–$175.20 — —
Lipase blood test (pancreas enzyme) CPT 83690 CHG LIPASE $128.00 $128.00 $5.20–$102.40 321% above —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 CHG LIPASE $128.00 $128.00 $96.00–$102.40 — —
Liver function blood test panel CPT 80076 CHG HEPATIC FUNCTION PANEL $139.00 $139.00 $6.16–$111.20 56% above —
Liver function blood test panel inpatient CPT 80076 CHG HEPATIC FUNCTION PANEL $139.00 $139.00 $104.25–$111.20 — —
Lyme disease antibody test CPT 86618 CHG LYME DISEASE ANTIBODY IGG $220.00 $220.00 $12.84–$176.00 186% above —
Lyme disease antibody test inpatient CPT 86618 CHG LYME DISEASE ANTIBODY IGG $220.00 $220.00 $165.00–$176.00 — —
Magnesium blood test CPT 83735 CHG MAGNESIUM $124.00 $124.00 $5.06–$99.20 288% above —
Magnesium blood test inpatient CPT 83735 CHG MAGNESIUM $124.00 $124.00 $93.00–$99.20 — —
Measles (rubeola) antibody test CPT 86765 CHG RUBEOLA ANTIBODY IGG $133.00 $133.00 $9.71–$106.40 188% above —
Measles (rubeola) antibody test inpatient CPT 86765 CHG RUBEOLA ANTIBODY IGG $133.00 $133.00 $99.75–$106.40 — —
Mono test (heterophile antibody, Monospot) CPT 86308 CHG MONOTEST HETEROPHILE AB SCREEN $74.00 $74.00 $3.91–$59.20 143% above —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 CHG MONOTEST HETEROPHILE AB SCREEN $74.00 $74.00 $55.50–$59.20 — —
PSA (prostate-specific antigen) blood test, free CPT 84154 CHG PSA FREE $223.00 $223.00 $13.86–$178.40 303% above —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CHG PSA FREE $223.00 $223.00 $167.25–$178.40 — —
PSA (prostate-specific antigen) blood test, total CPT 84153 CHG PSA TOTAL DIAGNOSTIC $237.00 $237.00 $13.86–$189.60 256% above —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG PSA TOTAL DIAGNOSTIC $237.00 $237.00 $177.75–$189.60 — —
Pap test (liquid-based, automated screening with review) CPT 88175 CHG PAP SMEAR AUTO SCRN MAN RESCRN $226.00 $226.00 $20.07–$180.80 435% above —
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CHG PAP SMEAR AUTO SCRN MAN RESCRN $226.00 $226.00 $180.80 — —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CHG PAP SMEAR MANUAL SCREEN $195.00 $195.00 $15.28–$156.00 284% above —
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CHG PAP SMEAR MANUAL SCREEN $195.00 $195.00 $156.00 — —
Parathyroid hormone (PTH) blood test CPT 83970 CHG PTH INTACT $486.00 $486.00 $31.12–$388.80 207% above —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 CHG PTH INTACT $486.00 $486.00 $364.50–$388.80 — —
Partial thromboplastin time (PTT) clotting test CPT 85730 CHG PTT PARTIAL THROMBOPLASTIN TIME $92.00 $92.00 $4.54–$73.60 164% above —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHG PTT PARTIAL THROMBOPLASTIN TIME $92.00 $92.00 $69.00–$73.60 — —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 CHG FETAL CHROMOSOMAL ANEUPOIDY 13 18 21 BLOOD $1,885.00 $1,885.00 $572.32–$2,237.77 41% above —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 CHG FETAL CHROMOSOMAL ANEUPOIDY 13 18 21 BLOOD $1,885.00 $1,885.00 $1,508.00 — —
Progesterone blood test CPT 84144 CHG PROGESTERONE $281.00 $281.00 $15.73–$224.80 367% above —
Progesterone blood test inpatient CPT 84144 CHG PROGESTERONE $281.00 $281.00 $210.75–$224.80 — —
Prolactin blood test CPT 84146 CHG PROLACTIN $281.00 $281.00 $14.62–$224.80 304% above —
Prolactin blood test inpatient CPT 84146 CHG PROLACTIN $281.00 $281.00 $210.75–$224.80 — —
Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME $60.00 $60.00 $3.24–$48.00 115% above —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME $60.00 $60.00 $45.00–$48.00 — —
Rapid flu test (influenza antigen) CPT 87804 CHG POC INFLUENZA RAPID SCREEN OIA $137.00 $137.00 $11.76–$109.60 170% above —
Rapid flu test (influenza antigen) inpatient CPT 87804 CHG POC INFLUENZA RAPID SCREEN OIA $137.00 $137.00 $102.75–$109.60 — —
Rapid strep A antigen test from a throat swab, read visually CPT 87880 CHG RAPID STREP DIR OPTICAL OBSERV $102.00 $102.00 $11.76–$81.60 192% above —
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CHG RAPID STREP DIR OPTICAL OBSERV $102.00 $102.00 $76.50–$81.60 — —
Rheumatoid factor (RF) test CPT 86431 CHG RHEUMATOID FACTOR QUANTITATIVE $110.00 $110.00 $4.28–$88.00 202% above —
Rheumatoid factor (RF) test inpatient CPT 86431 CHG RHEUMATOID FACTOR QUANTITATIVE $110.00 $110.00 $82.50–$88.00 — —
Rubella antibody test (immunity check) CPT 86762 CHG ANTIBODY RUBELLA $171.00 $171.00 $10.85–$136.80 293% above —
Rubella antibody test (immunity check) inpatient CPT 86762 CHG ANTIBODY RUBELLA $171.00 $171.00 $128.25–$136.80 — —
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 CHG SEDIMENTATION RATE AUTOMATED $34.00 $34.00 $2.04–$27.20 34% above —
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 CHG SEDIMENTATION RATE AUTOMATED $34.00 $34.00 $25.50–$27.20 — —
Semen analysis: volume, sperm count, motility and morphology CPT 89320 CHG SEMEN ANALYSIS COMPLETE $155.00 $155.00 $9.28–$124.00 25% above —
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 CHG SEMEN ANALYSIS COMPLETE $155.00 $155.00 $116.25–$124.00 — —
Stool ova and parasites exam CPT 87177 CHG OVA AND PARASITES $99.00 $99.00 $6.72–$79.20 147% above —
Stool ova and parasites exam inpatient CPT 87177 CHG OVA AND PARASITES $99.00 $99.00 $74.25–$79.20 — —
Stool test for hidden blood (guaiac FOBT) CPT 82270 CHG OCCULT BLD SCREEN FECES QUAL 1 TO 3 DET $32.00 $32.00 $3.19–$25.60 42% above —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CHG OCCULT BLD SCREEN FECES QUAL 1 TO 3 DET $32.00 $32.00 $24.00–$25.60 — —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 CHG OCCULT BLOOD FECES IMMUNO QUAL 1-3 DET $204.00 $204.00 $12.01–$163.20 297% above —
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CHG OCCULT BLOOD FECES IMMUNO QUAL 1-3 DET $204.00 $204.00 $153.00–$163.20 — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CHG RPR QUALITATIVE $77.00 $77.00 $3.22–$61.60 348% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CHG RPR QUALITATIVE $77.00 $77.00 $57.75–$61.60 — —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 CHG QUANTIFERON R TB GOLD $833.00 $833.00 $46.74–$666.40 917% above —
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 CHG QUANTIFERON R TB GOLD $833.00 $833.00 $624.75–$666.40 — —
Testosterone blood test, total (not free testosterone) CPT 84403 CHG TESTOSTERONE TOTAL $297.00 $297.00 $19.46–$237.60 275% above —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CHG TESTOSTERONE TOTAL $297.00 $297.00 $222.75–$237.60 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 CHG LIVER KIDNEY MICROSOMAL AB EACH $197.00 $197.00 $10.97–$157.60 389% above —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 CHG LIVER KIDNEY MICROSOMAL AB EACH $197.00 $197.00 $147.75–$157.60 — —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG TSH THYROID STIMULATING HORMONE $294.00 $294.00 $12.67–$235.20 386% above —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG TSH THYROID STIMULATING HORMONE $294.00 $294.00 $220.50–$235.20 — —
Trichomonas test (NAAT) CPT 87661 CHG TRICHOMONAL VAGINALIS AMP PROBE $389.00 $389.00 $26.46–$311.20 398% above —
Trichomonas test (NAAT) inpatient CPT 87661 CHG TRICHOMONAL VAGINALIS AMP PROBE $389.00 $389.00 $291.75–$311.20 — —
Uric acid blood test CPT 84550 CHG URIC ACID BLOOD $83.00 $83.00 $3.41–$66.40 132% above —
Uric acid blood test inpatient CPT 84550 CHG URIC ACID BLOOD $83.00 $83.00 $62.25–$66.40 — —
Urinalysis with microscope exam, automated CPT 81001 CHG URINALYSIS AUTOMATED W MICRO $53.00 $53.00 $2.39–$120.31 80% above —
Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URINALYSIS AUTOMATED W MICRO $53.00 $53.00 $39.75–$42.40 — —
Urinalysis with microscope exam, manual CPT 81000 CHG URINALYSIS NON AUTOMATED W MICRO $35.00 $35.00 $3.03–$79.45 39% above —
Urinalysis with microscope exam, manual inpatient CPT 81000 CHG URINALYSIS NON AUTOMATED W MICRO $35.00 $35.00 $26.25–$28.00 — —
Urinalysis without microscope exam, automated CPT 81003 CHG SPECIFIC GRAVITY URINE AUTOMATED $42.00 $42.00 $1.69–$95.34 108% above —
Urinalysis without microscope exam, automated inpatient CPT 81003 CHG SPECIFIC GRAVITY URINE AUTOMATED $42.00 $42.00 $31.50–$33.60 — —
Urinalysis without microscope exam, manual CPT 81002 CHG POC URINALYSIS NON-AUTO $34.00 $34.00 $2.51–$77.18 88% above —
Urinalysis without microscope exam, manual inpatient CPT 81002 CHG POC URINALYSIS NON-AUTO $34.00 $34.00 $25.50–$27.20 — —
Urine culture for bacteria, with colony count CPT 87086 CHG CULTURE URINE BACTERIAL QUANT CNT $113.00 $113.00 $6.09–$90.40 153% above —
Urine culture for bacteria, with colony count inpatient CPT 87086 CHG CULTURE URINE BACTERIAL QUANT CNT $113.00 $113.00 $84.75–$90.40 — —
Urine pregnancy test, read by color change CPT 81025 CHG POC URINE PREGNANCY TEST $113.00 $113.00 $6.20–$227.00 89% above —
Urine pregnancy test, read by color change inpatient CPT 81025 CHG POC URINE PREGNANCY TEST $113.00 $113.00 $84.75–$90.40 — —
Vitamin B12 (cobalamin) blood test CPT 82607 CHG VITAMIN B12 $216.00 $216.00 $11.37–$172.80 298% above —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CHG VITAMIN B12 $216.00 $216.00 $162.00–$172.80 — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CHG VITAMIN D 25 HYDROXY $399.00 $399.00 $22.32–$319.20 418% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CHG VITAMIN D 25 HYDROXY $399.00 $399.00 $299.25–$319.20 — —
Zinc blood test CPT 84630 CHG ZINC BLOOD $150.00 $150.00 $8.58–$227.00 241% above —
Zinc blood test inpatient CPT 84630 CHG ZINC BLOOD $150.00 $150.00 $112.50–$120.00 — —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHG *HCG-MATERNAL SCREEN $172.00 $172.00 $11.34–$227.00 384% above —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHG *HCG-MATERNAL SCREEN $172.00 $172.00 $129.00–$137.60 — —

Surgery and procedures

ProcedureCash price List priceInsurers payvs ArkansasOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HCHG BX BREAST STEREOTACTIC PERCUTANEOUS $5,939.00 $5,939.00 $567.50–$4,751.20 339% above —
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HCHG BX BREAST STEREOTACTIC PERCUTANEOUS $5,939.00 $5,939.00 $4,751.20 — —
Cardiac catheterization with coronary angiogram one side CPT 93458 HCHG LT HEART ARTERY/VENTRICLE ANGIO $12,400.00 $12,400.00 $376.00–$9,920.00 174% above —
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HCHG LT HEART ARTERY/VENTRICLE ANGIO $12,400.00 $12,400.00 $9,920.00 — —
Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG CARDIOVERSION ELECTIVE EXT $1,614.00 $1,614.00 $172.52–$6,955.00 250% above —
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG CARDIOVERSION ELECTIVE EXT $1,614.00 $1,614.00 $1,291.20 — —
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HCHG CIRCUMCISION CLAMP OTH DEV W BLOCK $3,220.00 $3,220.00 $567.50–$2,900.54 429% above —
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HCHG CIRCUMCISION CLAMP OTH DEV W BLOCK $3,220.00 $3,220.00 $2,576.00 — —
Colonoscopy, diagnostic CPT 45378 HCHG GI COLONOSCOPY $2,613.00 $2,613.00 $567.50–$3,148.00 287% above —
Colonoscopy, diagnostic inpatient CPT 45378 HCHG GI COLONOSCOPY $2,613.00 $2,613.00 $2,090.40 — —
Cystoscopy with ureteral stent placement CPT 52332 HCHG CYSTOSCOPY INSERT URETERAL STENT $6,295.00 $6,295.00 $824.01–$5,036.00 45% above —
Cystoscopy with ureteral stent placement inpatient CPT 52332 HCHG CYSTOSCOPY INSERT URETERAL STENT $6,295.00 $6,295.00 $5,036.00 — —
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HCHG CYSTOURETHROSCOPY $2,007.00 $2,007.00 $567.50–$2,332.00 26% above —
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HCHG CYSTOURETHROSCOPY $2,007.00 $2,007.00 $1,605.60 — —
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG INJECT INTERLAMINAR CERV OR THORACIC W IMAG $1,913.00 $1,913.00 $567.50–$2,332.00 166% above —
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG INJECT INTERLAMINAR CERV OR THORACIC W IMAG $1,913.00 $1,913.00 $1,530.40 — —
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJ PARAVERT F JNT L/S 1ST LEV $1,054.00 $1,054.00 $567.50–$2,332.00 32% above —
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG INJ PARAVERT F JNT L/S 1ST LEV $1,054.00 $1,054.00 $843.20 — —
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HCHG GI SIGMOIDISCOPE FLEXIBLE $1,242.00 $1,242.00 $567.50–$2,332.00 203% above —
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HCHG GI SIGMOIDISCOPE FLEXIBLE $1,242.00 $1,242.00 $993.60 — —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HCHG INJ HYSTEROSALPINGOGRAM $605.00 $605.00 $484.00–$6,955.00 45% above —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HCHG INJ HYSTEROSALPINGOGRAM $605.00 $605.00 $484.00 — —
Incision and drainage of a simple or single skin abscess CPT 10060 HCHG I/D ABSCESS SIMPLE $677.00 $677.00 $181.00–$6,955.00 261% above —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HCHG I/D ABSCESS SIMPLE $677.00 $677.00 $541.60 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG ASP/INJ MAJOR JT WO US GUID $1,058.00 $1,058.00 $276.53–$2,332.00 512% above —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG ASP/INJ MAJOR JT WO US GUID $1,058.00 $1,058.00 $846.40 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG ASP/INJ INTERMED JT WO US GUID $656.00 $656.00 $276.53–$2,332.00 285% above —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG ASP/INJ INTERMED JT WO US GUID $656.00 $656.00 $524.80 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG ASP/INJ SMALL JT WO US GUID $508.00 $508.00 $276.53–$6,955.00 318% above —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG ASP/INJ SMALL JT WO US GUID $508.00 $508.00 $406.40 — —
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HCHG LASER YAG TREATMENT $1,528.00 $1,528.00 $521.58–$3,148.00 84% above —
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HCHG LASER YAG TREATMENT $1,528.00 $1,528.00 $1,222.40 — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HCHG INT REP SC/AX/TR/EXT 2.5/< $840.00 $840.00 $181.00–$6,955.00 161% above —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HCHG INT REP SC/AX/TR/EXT 2.5/< $840.00 $840.00 $672.00 — —
Left heart catheterization, diagnostic one side CPT 93452 HCHG LT HEART CATH INCLUDING INJ LT VENTRICULOGRAPHY S/I $9,774.00 $9,774.00 $305.66–$8,591.00 138% above —
Left heart catheterization, diagnostic inpatient one side CPT 93452 HCHG LT HEART CATH INCLUDING INJ LT VENTRICULOGRAPHY S/I $9,774.00 $9,774.00 $7,819.20 — —
Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJECT INTERLAMINAR LUMBAR OR SACRAL W IMAG $1,913.00 $1,913.00 $567.50–$2,332.00 166% above —
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG INJECT INTERLAMINAR LUMBAR OR SACRAL W IMAG $1,913.00 $1,913.00 $1,530.40 — —
Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ DX/TX EPID/SUBARACR LMBR/SAC WO IMAG $1,339.00 $1,339.00 $674.19–$6,955.00 101% above —
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG INJ DX/TX EPID/SUBARACR LMBR/SAC WO IMAG $1,339.00 $1,339.00 $1,071.20 — —
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJ TRANSFORMINAL EPI/LUMB/SACRAL SNGL LEVEL $1,422.00 $1,422.00 $567.50–$2,332.00 89% above —
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJ TRANSFORMINAL EPI/LUMB/SACRAL SNGL LEVEL $1,422.00 $1,422.00 $1,137.60 — —
Nail removal (partial or complete), one nail CPT 11730 HCHG AVULSION NAIL PLATE SINGLE $250.00 $250.00 $181.00–$6,955.00 79% above —
Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG AVULSION NAIL PLATE SINGLE $250.00 $250.00 $200.00 — —
Occipital nerve block (injection for headaches) CPT 64405 HCHG INJ ANES GTR OCCIPTAL NERVE $881.00 $881.00 $276.53–$2,332.00 425% above —
Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG INJ ANES GTR OCCIPTAL NERVE $881.00 $881.00 $704.80 — —
Pacemaker implant (dual chamber) CPT 33208 HCHG INS NEW OR REPL PERM PACEMAKER A AND V $12,331.00 $12,331.00 $674.19–$14,818.14 32% above —
Pacemaker implant (dual chamber) inpatient CPT 33208 HCHG INS NEW OR REPL PERM PACEMAKER A AND V $12,331.00 $12,331.00 $9,864.80 — —
Paracentesis with imaging guidance CPT 49083 HCHG ABD PARACENTESIS WITH IMAG GUIDANCE $2,679.00 $2,679.00 $567.50–$3,148.00 344% above —
Paracentesis with imaging guidance inpatient CPT 49083 HCHG ABD PARACENTESIS WITH IMAG GUIDANCE $2,679.00 $2,679.00 $2,143.20 — —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HCHG EXC NAIL/MATRIX PERM REM $1,222.00 $1,222.00 $379.42–$3,671.00 249% above —
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HCHG EXC NAIL/MATRIX PERM REM $1,222.00 $1,222.00 $977.60 — —
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HCHG DESTRUCT NEU FACET W IMAG GUID L/S SNGL $2,082.00 $2,082.00 $674.19–$3,148.00 28% above —
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HCHG DESTRUCT NEU FACET W IMAG GUID L/S SNGL $2,082.00 $2,082.00 $1,665.60 — —
Removal of a foreign object under the skin, simple CPT 10120 HCHG RFB SUBQ TISSUE SIMPLE $535.00 $535.00 $181.00–$6,955.00 128% above —
Removal of a foreign object under the skin, simple inpatient CPT 10120 HCHG RFB SUBQ TISSUE SIMPLE $535.00 $535.00 $428.00 — —
Short arm splint (forearm and hand) CPT 29125 HCHG APPL SPLINT SHORT ARM STATIC $369.00 $369.00 $118.09–$6,955.00 222% above —
Short arm splint (forearm and hand) inpatient CPT 29125 HCHG APPL SPLINT SHORT ARM STATIC $369.00 $369.00 $295.20 — —
Short leg splint (calf to foot) CPT 29515 HCHG APPLICATION OF SHORT LEG SPLINT $378.00 $378.00 $148.24–$6,955.00 198% above —
Short leg splint (calf to foot) inpatient CPT 29515 HCHG APPLICATION OF SHORT LEG SPLINT $378.00 $378.00 $302.40 — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HCHG SIMP REP S/NK/TR/EXT 2.5/< $528.00 $528.00 $181.00–$6,955.00 122% above —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HCHG SIMP REP S/NK/TR/EXT 2.5/< $528.00 $528.00 $422.40 — —
Skin biopsy, punch, one lesion CPT 11104 HCHG PUNCH BX SKIN SINGLE LESION $674.00 $674.00 $181.00–$6,955.00 257% above —
Skin biopsy, punch, one lesion inpatient CPT 11104 HCHG PUNCH BX SKIN SINGLE LESION $674.00 $674.00 $539.20 — —
Skin tag removal, up to 15 tags CPT 11200 HCHG REM SKIN TAGS UP TO 15 LESIONS $350.00 $350.00 $181.00–$6,955.00 127% above —
Skin tag removal, up to 15 tags inpatient CPT 11200 HCHG REM SKIN TAGS UP TO 15 LESIONS $350.00 $350.00 $280.00 — —
Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG PUNCTURE SPINAL/LUMBAR DX $1,218.00 $1,218.00 $567.50–$2,332.00 220% above —
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG PUNCTURE SPINAL/LUMBAR DX $1,218.00 $1,218.00 $974.40 — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HCHG SIMP REP S/NK/TR/EXT 2.6 TO 7.5CM $528.00 $528.00 $181.00–$6,955.00 61% above —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HCHG SIMP REP S/NK/TR/EXT 2.6 TO 7.5CM $528.00 $528.00 $422.40 — —
Thoracentesis with imaging guidance CPT 32555 HCHG THORACENTESIS PLEURAL SPACE W GUIDANCE $1,283.00 $1,283.00 $567.50–$2,332.00 71% above —
Thoracentesis with imaging guidance inpatient CPT 32555 HCHG THORACENTESIS PLEURAL SPACE W GUIDANCE $1,283.00 $1,283.00 $1,026.40 — —
Trigger point injections, 1 or 2 muscles CPT 20552 HCHG INJ TRIGGER PT 1 OR 2 MUSC $508.00 $508.00 $111.52–$6,955.00 235% above —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG INJ TRIGGER PT 1 OR 2 MUSC $508.00 $508.00 $406.40 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HCHG BX BREAST ULTRASOUND PERCUTANEOUS $5,300.00 $5,300.00 $567.50–$4,240.00 426% above —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HCHG BX BREAST ULTRASOUND PERCUTANEOUS $5,300.00 $5,300.00 $4,240.00 — —
Upper endoscopy (EGD), diagnostic CPT 43235 HCHG GI UPPER ENDOSCOPY COMPLEX $2,471.00 $2,471.00 $567.50–$2,332.00 263% above —
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG GI UPPER ENDOSCOPY COMPLEX $2,471.00 $2,471.00 $1,976.80 — —
Vein ablation, radiofrequency, first vein CPT 36475 HCHG ENDOVENOUS RF 1ST VEIN $19,410.00 $19,410.00 $674.19–$15,528.00 347% above —
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HCHG ENDOVENOUS RF 1ST VEIN $19,410.00 $19,410.00 $15,528.00 — —
Wart removal, up to 14 warts CPT 17110 HCHG DESTRUCT FLAT WART UP TO 14 LESION $261.00 $261.00 $116.00–$6,955.00 69% above —
Wart removal, up to 14 warts inpatient CPT 17110 HCHG DESTRUCT FLAT WART UP TO 14 LESION $261.00 $261.00 $208.80 — —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG DEBRID SUBQ 1ST 20SQCM OR LESS $1,477.00 $1,477.00 $379.42–$3,148.00 464% above —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG DEBRID SUBQ 1ST 20SQCM OR LESS $1,477.00 $1,477.00 $1,181.60 — —

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs ArkansasOff list
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD / PRODUCTS TRANSFUSION PER HOUR $1,390.00 $1,390.00 $414.70–$2,332.00 228% above —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD / PRODUCTS TRANSFUSION PER HOUR $1,390.00 $1,390.00 $1,112.00 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AIRWAY OBSTRUCTION SPUTUM INDUCT $223.00 $223.00 $13.62–$287.98 186% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AIRWAY OBSTRUCTION SPUTUM INDUCT $223.00 $223.00 $178.40 — —
Chemotherapy IV infusion, first hour CPT 96413 HCHG CHEMO IV INFUSION SGL/INIT<1HR $945.00 $945.00 $253.72–$756.00 275% above —
Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG CHEMO IV INFUSION SGL/INIT<1HR $945.00 $945.00 $708.75–$756.00 — —
Critical care, first 30 to 74 minutes CPT 99291 HCHG CRITICAL CARE FIRST 30 - 74 MIN $3,564.00 $3,564.00 $115.77–$2,851.20 437% above —
Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG CRITICAL CARE FIRST 30 - 74 MIN $3,564.00 $3,564.00 $2,851.20 — —
EEG (brain wave test), awake and drowsy, routine CPT 95816 HCHG EEG W AWAKE AND DROWSY RECORD $1,333.00 $1,333.00 $56.75–$1,066.40 286% above —
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HCHG EEG W AWAKE AND DROWSY RECORD $1,333.00 $1,333.00 $1,066.40 — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG 12 LEAD TRACING ONLY $276.00 $276.00 $38.59–$442.00 162% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG 12 LEAD TRACING ONLY $276.00 $276.00 $220.80 — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG NON EMERGENCY MEDICAID LEVEL 1 $619.00 $619.00 $27.24–$754.00 470% above —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG ED VISIT CARE LEVEL 1 $619.00 $619.00 $83.71–$754.00 470% above —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG NON EMERGENCY MEDICAID LEVEL 1 $619.00 $619.00 $495.20 — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG ED VISIT CARE LEVEL 1 $619.00 $619.00 $495.20 — —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG ED VISIT CARE LEVEL 2 $917.00 $917.00 $115.77–$1,310.00 499% above —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG NON EMERGENCY MEDICAID LEVEL 2 $917.00 $917.00 $27.24–$1,310.00 499% above —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG ED VISIT CARE LEVEL 2 $917.00 $917.00 $733.60 — —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG NON EMERGENCY MEDICAID LEVEL 2 $917.00 $917.00 $733.60 — —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG NON EMERGENT MEDICAID LEVEL 3 $1,557.00 $1,557.00 $27.24–$1,310.00 464% above —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG ED VISIT CARE LEVEL 3 $1,557.00 $1,557.00 $115.77–$1,310.00 464% above —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG NON EMERGENT MEDICAID LEVEL 3 $1,557.00 $1,557.00 $1,245.60 — —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG ED VISIT CARE LEVEL 3 $1,557.00 $1,557.00 $1,245.60 — —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG NON EMERGENCY MEDICAID LEVEL 4 $2,133.00 $2,133.00 $27.24–$1,972.00 373% above —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG ED VISIT CARE LEVEL 4 $2,133.00 $2,133.00 $115.77–$1,972.00 373% above —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG NON EMERGENCY MEDICAID LEVEL 4 $2,133.00 $2,133.00 $1,706.40 — —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG ED VISIT CARE LEVEL 4 $2,133.00 $2,133.00 $1,706.40 — —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG ED VISIT CARE LEVEL 5 $2,623.00 $2,623.00 $115.77–$2,116.00 272% above —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG NON EMERGENCY MEDICAID LEVEL 5 $2,623.00 $2,623.00 $27.24–$2,116.00 272% above —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG ED VISIT CARE LEVEL 5 $2,623.00 $2,623.00 $2,098.40 — —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG NON EMERGENCY MEDICAID LEVEL 5 $2,623.00 $2,623.00 $2,098.40 — —
Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG CARDIAC STRESS TEST TRACING ONLY $754.00 $754.00 $138.47–$917.00 97% above —
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG CARDIAC STRESS TEST TRACING ONLY $754.00 $754.00 $603.20 — —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG IV INFUSION HYDRATION INIT UP TO 1HR $595.00 $595.00 $196.08–$476.00 233% above —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG IV INFUSION HYDRATION INIT UP TO 1HR $595.00 $595.00 $476.00 — —
IV infusion of a medicine, first hour CPT 96365 HCHG IV INFUSIONTXPROPHDX INIT UP TO 1 HR $744.00 $744.00 $196.08–$595.20 302% above —
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG IV INFUSIONTXPROPHDX INIT UP TO 1 HR $744.00 $744.00 $595.20 — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJECTION SQ/IM $204.00 $204.00 $64.04–$163.20 167% above —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJECTION SQ/IM $204.00 $204.00 $163.20 — —
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HCHG NERVE CONDUCT STUDIES 7-8 STUDIES $1,480.00 $1,480.00 $80.00–$1,184.00 587% above —
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HCHG NERVE CONDUCT STUDIES 7-8 STUDIES $1,480.00 $1,480.00 $1,184.00 — —
New patient office visit, about 30 minutes CPT 99203 HCHG OP VISIT LEVEL III NEW PT PF $320.00 $320.00 $73.58–$256.00 297% above —
New patient office visit, about 30 minutes CPT 99203 HCHG OP VISIT LEVEL III NEW PATIENT $381.00 $381.00 $73.58–$965.00 373% above —
New patient office visit, about 30 minutes inpatient CPT 99203 HCHG OP VISIT LEVEL III NEW PT PF $320.00 $320.00 $256.00 — —
New patient office visit, about 30 minutes inpatient CPT 99203 HCHG OP VISIT LEVEL III NEW PATIENT $381.00 $381.00 $304.80 — —
New patient office visit, about 45 minutes CPT 99204 HCHG OP VISIT LEVEL IV NEW PT PF $413.00 $413.00 $100.00–$330.40 305% above —
New patient office visit, about 45 minutes CPT 99204 HCHG OP VISIT LEVEL IV NEW PT $454.00 $454.00 $125.88–$965.00 345% above —
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG OP VISIT LEVEL IV NEW PT PF $413.00 $413.00 $330.40 — —
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG OP VISIT LEVEL IV NEW PT $454.00 $454.00 $363.20 — —
New patient office visit, about 60 minutes CPT 99205 HCHG OP VISIT LEVEL V NEW PT PF $476.00 $476.00 $164.48–$380.80 149% above —
New patient office visit, about 60 minutes CPT 99205 HCHG OP VISIT LEVEL V NEW PATIENT $608.00 $608.00 $164.48–$965.00 218% above —
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG OP VISIT LEVEL V NEW PT PF $476.00 $476.00 $380.80 — —
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG OP VISIT LEVEL V NEW PATIENT $608.00 $608.00 $486.40 — —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG OP VISIT LEVEL II NEW PT $252.00 $252.00 $49.05–$965.00 323% above —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG OP VISIT LEVEL II NEW PT PF $270.00 $270.00 $49.05–$227.00 353% above —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG OP VISIT LEVEL II NEW PT $252.00 $252.00 $201.60 — —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG OP VISIT LEVEL II NEW PT PF $270.00 $270.00 $216.00 — —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG MED NUTRITION THERAPY EA 15M $142.00 $142.00 $31.78–$183.00 261% above —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG MED NUTRITION THERAPY EA 15M $142.00 $142.00 $113.60 — —
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG MANUAL THER 1 OR > REG EA 15M $168.00 $168.00 $27.97–$154.00 164% above —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG MANUAL THER 1 OR > REG EA 15M $168.00 $168.00 $134.40 — —
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HCHG SMOKING CESS > 3MIN UP TO 10 MIN $53.00 $53.00 $28.17–$183.00 48% above —
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HCHG SMOKING CESS > 3MIN UP TO 10 MIN $53.00 $53.00 $42.40 — —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG OP VISIT LEVEL V EST PT PF $380.00 $380.00 $100.00–$304.00 196% above —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG OP VISIT LEVEL V EST PT $550.00 $550.00 $145.47–$965.00 328% above —
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG OP VISIT LEVEL V EST PT PF $380.00 $380.00 $304.00 — —
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG OP VISIT LEVEL V EST PT $550.00 $550.00 $440.00 — —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG OP VISIT LEVEL III EST PT $252.00 $252.00 $74.12–$965.00 199% above —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG OP VISIT LEVEL III EST PT PF $257.00 $257.00 $74.12–$227.00 205% above —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG L&D LEVEL II 0-6 HRS $569.00 $569.00 $29.06–$1,100.00 574% above —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG L&D LEVEL II 6-12 HRS $1,173.00 $1,173.00 $29.06–$1,100.00 1290% above —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG L&D LEVEL II 12-18 HRS $1,783.00 $1,783.00 $29.06–$1,426.40 2014% above —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG L&D LEVEL II 18-24 HRS $2,409.00 $2,409.00 $29.06–$1,927.20 2756% above —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG OP VISIT LEVEL III EST PT $252.00 $252.00 $201.60 — —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG OP VISIT LEVEL III EST PT PF $257.00 $257.00 $205.60 — —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG L&D LEVEL II 0-6 HRS $569.00 $569.00 $455.20 — —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG L&D LEVEL II 6-12 HRS $1,173.00 $1,173.00 $938.40 — —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG L&D LEVEL II 12-18 HRS $1,783.00 $1,783.00 $1,426.40 — —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG L&D LEVEL II 18-24 HRS $2,409.00 $2,409.00 $1,927.20 — —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG OP VISIT LEVEL IV EST PT PF $332.00 $332.00 $100.00–$265.60 241% above —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG OP VISIT LEVEL IV EST PT $391.00 $391.00 $108.00–$965.00 301% above —
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG OP VISIT LEVEL IV EST PT PF $332.00 $332.00 $265.60 — —
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG OP VISIT LEVEL IV EST PT $391.00 $391.00 $312.80 — —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG OP VISIT LEVEL II EST PT $129.00 $129.00 $44.45–$965.00 105% above —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG OP VISIT LEVEL II EST PT PF $229.00 $229.00 $44.45–$227.00 264% above —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG L&D LEVEL I 0-6 HOURS $523.00 $523.00 $29.06–$1,100.00 732% above —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG L&D LEVEL I 6-12 HRS $974.00 $974.00 $29.06–$1,100.00 1449% above —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG OP VISIT LEVEL II EST PT $129.00 $129.00 $103.20 — —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG OP VISIT LEVEL II EST PT PF $229.00 $229.00 $183.20 — —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG L&D LEVEL I 0-6 HOURS $523.00 $523.00 $418.40 — —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG L&D LEVEL I 6-12 HRS $974.00 $974.00 $779.20 — —
Spirometry (breathing test) CPT 94010 HCHG SPIROMETRY W/WO MAX VOLUNTARY VNT $382.00 $382.00 $54.48–$305.60 88% above —
Spirometry (breathing test) inpatient CPT 94010 HCHG SPIROMETRY W/WO MAX VOLUNTARY VNT $382.00 $382.00 $305.60 — —
Spirometry before and after a bronchodilator CPT 94060 HCHG BRONCHODIAL PRE AND POST W MVV $819.00 $819.00 $88.53–$655.20 203% above —
Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG BRONCHODIAL PRE AND POST W MVV $819.00 $819.00 $655.20 — —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHG THERAPEUTIC PHLEBOTOMY $738.00 $738.00 $70.00–$590.40 448% above —
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHG THERAPEUTIC PHLEBOTOMY $738.00 $738.00 $590.40 — —

Vaccines

ProcedureCash price List priceInsurers payvs ArkansasOff list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $84.25 $84.25 $13.48–$191.25 128% above —
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $84.25 $84.25 $13.48–$67.40 — —
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT $407.50 $407.50 $77.43–$326.00 182% above —
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT $407.50 $407.50 $326.00 — —
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCO CYW-135 VACC 1 OF 2(PF) 5 MCG X3/0.5 ML(FINAL) IM SOLUTION $442.50 $442.50 $84.08–$354.00 82% above —
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) $675.50 $675.50 $128.35–$540.40 178% above —
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCO CYW-135 VACC 1 OF 2(PF) 5 MCG X3/0.5 ML(FINAL) IM SOLUTION $442.50 $442.50 $354.00 — —
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) $675.50 $675.50 $540.40 — —
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE $1,018.25 $1,018.25 $193.47–$814.60 71% above —
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE $1,018.25 $1,018.25 $814.60 — —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $1,216.25 $1,216.25 $231.09–$973.00 32% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $1,216.25 $1,216.25 $973.00 — —
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP $1,521.25 $1,521.25 $227.00–$1,217.00 61% above —
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP $1,521.25 $1,521.25 $1,217.00 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE $208.00 $208.00 $39.52–$227.00 113% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE $208.00 $208.00 $166.40 — —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG ADMIN HEPATITIS B VACCINE $185.00 $185.00 $64.04–$227.00 669% above —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG ADMIN HEPATITIS B VACCINE $185.00 $185.00 $148.00 — —
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG IMM ADMIN VAC/TOXOID EA ADDL $93.00 $93.00 $67.00–$211.11 531% above —
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG IMM ADMIN VAC/TOXOID EA ADDL $93.00 $93.00 $74.40 — —

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/chisv/soar/finance/price-transparency/710236913-1689628232_chi-st-vincent-hospital-hot-springs_standardcharges.json