Hospital Little Rock-North Little Rock-Conway, AR

St. Vincent Infirmary Medical Center

St. Vincent Infirmary Medical Center in Sherwood, AR publishes cash prices for 254 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arkansas median for 217 of 249 procedures and above it for 28. By typical cash price it ranks #7 of 28 Arkansas hospitals and #1 of 6 hospitals in the Little Rock, AR area, cheapest first. Click a procedure to compare it with other hospitals nearby.

2215 Wildwood Avenue, Sherwood, AR 72120 Collected Sep 27, 2026 Source price file (501) 552-7100

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 040137 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 CR ANKLE MIN 3 VWS	$134.73	$530.00	$37.42–$291.50	9% below	75%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 CR ANKLE MIN 3 VWS	$134.73	$530.00	—	—	75%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CR ESOPHAGRAM	$146.68	$577.00	$81.72–$401.74	37% below	75%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CR ESOPHAGRAM	$146.68	$577.00	—	—	75%
Bone scan, whole body (nuclear medicine) CPT 78306 SN BONE SCAN - WHOLE BODY	$634.49	$2,496.00	$133.93–$919.66	4% above	75%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 SN BONE SCAN - WHOLE BODY	$634.49	$2,496.00	—	—	75%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE	$87.45	$344.00	$97.53–$245.18	41% below	75%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE	$87.45	$344.00	—	—	75%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED	$87.45	$344.00	$63.39–$182.03	39% below	75%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED	$87.45	$344.00	—	—	75%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$686.09	$2,699.00	$163.27–$2,117.84	37% below	75%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$686.09	$2,699.00	—	—	75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY W 3D	$289.79	$1,140.00	$174.94–$2,117.84	58% below	75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARY W 3D	$289.79	$1,140.00	—	—	75%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CORONARY CALCIUM SCORE WO	$57.96	$228.00	$76.62–$2,117.84	1% below	75%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CORONARY CALCIUM SCORE WO	$57.96	$228.00	—	—	75%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO	$1,482.50	$5,832.00	$221.69–$2,117.84	at median	75%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS WO	$1,482.50	$5,832.00	—	—	75%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W	$1,528.26	$6,012.00	$327.54–$2,117.84	1% below	75%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W	$1,528.26	$6,012.00	—	—	75%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS WO W	$1,696.28	$6,673.00	$327.54–$2,117.84	14% below	75%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS WO W	$1,696.28	$6,673.00	—	—	75%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W	$839.12	$3,301.00	$163.27–$2,117.84	26% below	75%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W	$839.12	$3,301.00	—	—	75%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO	$788.79	$3,103.00	$97.53–$2,117.84	11% below	75%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO	$788.79	$3,103.00	—	—	75%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX FACIAL SINUS LTD	$760.32	$2,991.00	$97.53–$2,117.84	3% below	75%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX FACIAL SINUS WO	$760.32	$2,991.00	$97.53–$2,117.84	3% below	75%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX FACIAL SINUS LTD	$760.32	$2,991.00	—	—	75%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX FACIAL SINUS WO	$760.32	$2,991.00	—	—	75%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO	$725.75	$2,855.00	$97.53–$2,117.84	15% below	75%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO	$725.75	$2,855.00	—	—	75%
CT scan of the head with contrast CPT 70460 CT HEAD W	$791.08	$3,112.00	$163.27–$2,117.84	10% below	75%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W	$791.08	$3,112.00	—	—	75%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO W	$1,001.55	$3,940.00	$163.27–$2,117.84	4% below	75%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO W	$1,001.55	$3,940.00	—	—	75%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO	$720.41	$2,834.00	$97.53–$2,117.84	23% below	75%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO	$720.41	$2,834.00	—	—	75%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO	$699.31	$2,751.00	$97.53–$2,117.84	25% below	75%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO	$699.31	$2,751.00	—	—	75%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$638.05	$2,510.00	$163.27–$2,117.84	39% below	75%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W	$638.05	$2,510.00	—	—	75%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US VL CAROTID DUPLEX BILAT	$339.62	$1,336.00	$158.90–$734.80	—	75%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US VL CAROTID DUPLEX BILAT	$339.62	$1,336.00	—	—	75%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VWS	$127.10	$500.00	$49.38–$275.00	11% below	75%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VWS	$127.10	$500.00	—	—	75%
Chest X-ray, single view CPT 71045 CR CHEST DECUBITUS	$73.98	$291.00	$26.92–$182.03	31% below	75%
Chest X-ray, single view CPT 71045 CR CHEST 1 VW	$115.41	$454.00	$26.92–$249.70	7% above	75%
Chest X-ray, single view inpatient CPT 71045 CR CHEST DECUBITUS	$73.98	$291.00	—	—	75%
Chest X-ray, single view inpatient CPT 71045 CR CHEST 1 VW	$115.41	$454.00	—	—	75%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMP	$220.14	$866.00	$97.53–$377.57	22% below	75%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL COMP	$220.14	$866.00	—	—	75%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD SPINE HIP	$127.61	$502.00	$89.59–$352.03	35% below	75%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD SPINE HIP	$127.61	$502.00	—	—	75%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD WRIST HEEL	$33.31	$131.00	$29.87–$182.03	54% below	75%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD WRIST HEEL	$33.31	$131.00	—	—	75%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED FAE SGL 1ST GEST	$202.35	$796.00	$119.38–$517.79	19% below	75%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DETAILED FAE SGL 1ST GEST	$202.35	$796.00	—	—	75%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO	$596.36	$2,346.00	$97.53–$2,117.84	23% below	75%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO	$596.36	$2,346.00	—	—	75%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W	$727.27	$2,861.00	$163.27–$2,117.84	29% below	75%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W	$727.27	$2,861.00	—	—	75%
Diagnostic mammogram, both breasts both sides CPT 77066 MY DIG DX BILATERAL W CAD	$187.35	$737.00	$111.86–$383.24	—	75%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MY DIG DX BILATERAL W CAD	$187.35	$737.00	—	—	75%
Diagnostic mammogram, one breast one side CPT 77065 MY DIGITAL DX UNILATERAL W CAD	$149.98	$590.00	$87.72–$306.80	at median	75%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MY DIGITAL DX UNILATERAL W CAD	$149.98	$590.00	—	—	75%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US VL ART LE DUPLEX BILAT	$302.50	$1,190.00	$165.71–$654.50	—	75%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US VL ART LE DUPLEX BILAT	$302.50	$1,190.00	—	—	75%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VL VEINS UE DUPLEX BILAT	$383.85	$1,510.00	$95.34–$830.50	—	75%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VL VEINS UE DUPLEX BILAT	$383.85	$1,510.00	—	—	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE	$581.61	$2,288.00	$477.58–$1,258.40	47% below	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE W BUBBLE	$607.03	$2,388.00	$477.58–$1,313.40	45% below	75%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE	$581.61	$2,288.00	—	—	75%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE W BUBBLE	$607.03	$2,388.00	—	—	75%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 SN BILIARY TRACT IMAGING	$596.61	$2,347.00	$353.41–$1,220.44	4% below	75%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 SN BILIARY TRACT IMAGING	$596.61	$2,347.00	—	—	75%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTND&RESP EFFRT	$152.27	$599.00	$143.50–$1,379.00	48% below	75%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTND&RESP EFFRT	$152.27	$599.00	—	—	75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG SLEEP STAGING WITH CPAP	$1,305.07	$5,134.00	$466.19–$2,351.88	55% below	75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG SLEEP STAGING WITH CPAP	$1,305.07	$5,134.00	—	—	75%
Knee X-ray, 3 views CPT 73562 CR KNEE MIN 3 VWS	$118.21	$465.00	$41.19–$255.75	23% below	75%
Knee X-ray, 3 views inpatient CPT 73562 CR KNEE MIN 3 VWS	$118.21	$465.00	—	—	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD REAL TM W/IMG DOC LIMTD	$249.12	$980.00	$45.40–$377.57	6% below	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD REAL TM W/IMG DOC LIMTD	$249.12	$980.00	—	—	75%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 INITIAL LUNG CT SCREENING	$72.71	$286.00	$78.83–$2,117.84	52% below	75%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 INITIAL LUNG CT SCREENING	$72.71	$286.00	—	—	75%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LE JOINT WO	$1,034.85	$4,071.00	$221.69–$2,827.78	1% below	75%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LE JOINT WO	$1,034.85	$4,071.00	—	—	75%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JOINT WO W	$1,272.78	$5,007.00	$327.54–$2,827.78	2% below	75%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JOINT WO W	$1,272.78	$5,007.00	—	—	75%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO	$1,192.71	$4,692.00	$221.69–$2,827.78	1% below	75%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO	$1,192.71	$4,692.00	—	—	75%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/W	$1,240.50	$4,880.00	$327.54–$2,827.78	2% below	75%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO/W	$1,240.50	$4,880.00	—	—	75%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO	$1,470.55	$5,785.00	$221.69–$2,827.78	18% above	75%
MRI of the brain, no contrast dye CPT 70551 MRI SELLA WO	$1,470.55	$5,785.00	$221.69–$2,827.78	18% above	75%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO	$1,470.55	$5,785.00	—	—	75%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI SELLA WO	$1,470.55	$5,785.00	—	—	75%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WO W	$1,793.39	$7,055.00	$327.54–$2,827.78	4% above	75%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO W	$1,793.39	$7,055.00	$327.54–$2,827.78	4% above	75%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO W	$1,793.39	$7,055.00	—	—	75%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WO W	$1,793.39	$7,055.00	—	—	75%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO	$1,012.48	$3,983.00	$221.69–$2,827.78	11% below	75%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO	$1,012.48	$3,983.00	—	—	75%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W/WO	$1,386.92	$5,456.00	$327.54–$2,827.78	13% below	75%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR W/WO	$1,386.92	$5,456.00	—	—	75%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO	$1,012.48	$3,983.00	$221.69–$2,827.78	1% below	75%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO	$1,012.48	$3,983.00	—	—	75%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W/WO	$1,428.61	$5,620.00	$327.54–$2,827.78	13% below	75%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL W/WO	$1,428.61	$5,620.00	—	—	75%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO	$1,042.73	$4,102.00	$221.69–$2,827.78	9% below	75%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO	$1,042.73	$4,102.00	—	—	75%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO W	$1,241.01	$4,882.00	$327.54–$2,827.78	2% below	75%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO W	$1,241.01	$4,882.00	—	—	75%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO	$930.89	$3,662.00	$221.69–$2,827.78	1% below	75%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO	$930.89	$3,662.00	—	—	75%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UE JOINT WO	$1,036.89	$4,079.00	$221.69–$2,827.78	1% below	75%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UE JOINT WO	$1,036.89	$4,079.00	—	—	75%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 SN MYOCARDIAL PERF - TRD R/S	$1,965.99	$7,734.00	$523.29–$2,938.37	at median	75%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 SN MYOCARDIAL PERF - TRD R/S	$1,965.99	$7,734.00	—	—	75%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT SKULL BASE TO MIDTHIGH	$1,684.59	$6,627.00	$1,337.73–$4,328.00	28% below	75%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL BASE TO MIDTHIGH	$1,684.59	$6,627.00	—	—	75%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LTD	$79.82	$314.00	$54.48–$246.80	42% below	75%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON-OB LTD	$79.82	$314.00	—	—	75%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB COMP	$294.88	$1,160.00	$90.80–$377.57	19% below	75%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON-OB COMP	$294.88	$1,160.00	—	—	75%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 2 OR 3 TRI SGL 1ST GEST	$167.78	$660.00	$97.53–$377.57	41% below	75%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 2 OR 3 TRI SGL 1ST GEST	$167.78	$660.00	—	—	75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIM SNGL GEST	$95.33	$375.00	$97.04–$375.00	67% below	75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIM SNGL GEST	$95.33	$375.00	—	—	75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1 OR MORE FETUSES	$108.29	$426.00	$59.02–$246.81	34% below	75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED 1 OR MORE FETUSES	$108.29	$426.00	—	—	75%
Screening mammogram, both breasts both sides CPT 77067 MY DIG SCREEN BILATERAL W CAD	$122.28	$481.00	$92.75–$250.12	—	75%
Screening mammogram, both breasts inpatient both sides CPT 77067 MY DIG SCREEN BILATERAL W CAD	$122.28	$481.00	—	—	75%
Shoulder X-ray, complete, 2 or more views CPT 73030 CR SHOULDER COMP MIN 2 VWS	$116.43	$458.00	$33.02–$251.90	16% below	75%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 CR SHOULDER COMP MIN 2 VWS	$116.43	$458.00	—	—	75%
Sleep study in a lab (polysomnography) CPT 95810 PSG W/SLEEP STAGING W/4-ADDL	$1,213.81	$4,775.00	$276.94–$2,351.88	42% below	75%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG W/SLEEP STAGING W/4-ADDL	$1,213.81	$4,775.00	—	—	75%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CR SWALLOWING FUNCT W VIDEO	$133.46	$525.00	$65.83–$401.74	38% below	75%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CR SWALLOWING FUNCT W VIDEO	$133.46	$525.00	—	—	75%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL PELVIS	$201.08	$791.00	$97.53–$377.57	40% below	75%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL PELVIS	$201.08	$791.00	—	—	75%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$152.78	$601.00	$97.53–$246.81	55% below	75%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$152.78	$601.00	—	—	75%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$366.31	$1,441.00	$97.53–$377.57	19% below	75%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$366.31	$1,441.00	—	—	75%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$197.52	$777.00	$70.37–$377.57	44% below	75%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS	$197.52	$777.00	—	—	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SFT TIS HD/NCK REAL TIME IMG	$152.78	$601.00	$97.53–$246.80	60% below	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SFT TIS HD/NCK REAL TIME IMG	$152.78	$601.00	—	—	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UGI WO KUB	$138.80	$546.00	$68.10–$401.74	42% below	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UGI W SMALL BOWEL WO AIR	$266.66	$1,049.00	$68.10–$576.95	11% above	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UGI WO KUB	$138.80	$546.00	—	—	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UGI W SMALL BOWEL WO AIR	$266.66	$1,049.00	—	—	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VL VEINS UE DUPLEX LTD	$195.74	$770.00	$97.53–$573.72	47% below	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VL VEINS UE DUPLEX LTD	$195.74	$770.00	—	—	75%
Wrist X-ray, complete, 3 or more views CPT 73110 CR WRIST 3 VWS	$119.48	$470.00	$43.07–$258.50	17% below	75%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CR WRIST 3 VWS	$119.48	$470.00	—	—	75%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 CR HIP UNI COMP 2 VWS	$119.48	$470.00	$63.20–$258.50	7% below	75%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 CR HIP UNI COMP 2 VWS	$119.48	$470.00	—	—	75%
X-ray of the abdomen, 1 view CPT 74018 CR ABDOMEN 1 VW PORT	$99.40	$391.00	$44.06–$215.05	32% below	75%
X-ray of the abdomen, 1 view inpatient CPT 74018 CR ABDOMEN 1 VW PORT	$99.40	$391.00	—	—	75%
X-ray of the ankle, 2 views CPT 73600 CR ANKLE 2 VWS	$94.31	$371.00	$31.76–$204.05	16% below	75%
X-ray of the ankle, 2 views inpatient CPT 73600 CR ANKLE 2 VWS	$94.31	$371.00	—	—	75%
X-ray of the finger(s), 2 or more views CPT 73140 CR FINGERS MIN 2 VWS	$61.52	$242.00	$36.32–$182.03	43% below	75%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 CR FINGERS MIN 2 VWS	$61.52	$242.00	—	—	75%
X-ray of the foot, 2 views CPT 73620 CR FOOT 2 VWS	$84.91	$334.00	$30.50–$183.70	21% below	75%
X-ray of the foot, 2 views inpatient CPT 73620 CR FOOT 2 VWS	$84.91	$334.00	—	—	75%
X-ray of the foot, complete, 3 or more views CPT 73630 CR FOOT COMP MIN 3 VWS	$134.73	$530.00	$36.79–$291.50	5% below	75%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 CR FOOT COMP MIN 3 VWS	$134.73	$530.00	—	—	75%
X-ray of the hand, 3 or more views CPT 73130 CR HAND MIN 3 VWS	$124.56	$490.00	$37.42–$269.50	32% below	75%
X-ray of the hand, 3 or more views inpatient CPT 73130 CR HAND MIN 3 VWS	$124.56	$490.00	—	—	75%
X-ray of the knee, 1 or 2 views CPT 73560 CR KNEE 1 OR 2 VWS	$100.41	$395.00	$33.02–$217.25	14% below	75%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 CR KNEE 1 OR 2 VWS	$100.41	$395.00	—	—	75%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR SPINE LUMBAR 2 OR 3 VWS	$118.72	$467.00	$45.59–$256.85	38% below	75%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR SPINE LUMBAR 2 OR 3 VWS	$118.72	$467.00	—	—	75%
X-ray of the lower back, 4 or more views CPT 72110 CR SPINE LUMBAR MIN 4 VWS	$174.39	$686.00	$63.19–$377.30	39% below	75%
X-ray of the lower back, 4 or more views inpatient CPT 72110 CR SPINE LUMBAR MIN 4 VWS	$174.39	$686.00	—	—	75%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CR SPINE THORC FLEXION EXTENSION	$112.36	$442.00	$36.79–$245.18	44% below	75%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CR SPINE THORC FLEXION EXTENSION	$112.36	$442.00	—	—	75%
X-ray of the nasal bones, 3 or more views CPT 70160 CR NASAL BONES MIN 3 VWS	$104.23	$410.00	$38.67–$225.50	3% below	75%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CR NASAL BONES MIN 3 VWS	$104.23	$410.00	—	—	75%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR SPINE CERVICAL 2 OR 3 VWS	$119.48	$470.00	$42.44–$258.50	at median	75%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR SPINE CERVICAL 2 OR 3 VWS	$119.48	$470.00	—	—	75%
X-ray of the pelvis, 1 or 2 views CPT 72170 CR PELVIS 1 OR 2 VWS	$87.20	$343.00	$28.62–$245.18	44% below	75%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR PELVIS 1 OR 2 VWS	$87.20	$343.00	—	—	75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CR SACRUM COCCYX MIN 2 VWS	$103.46	$407.00	$33.64–$223.85	16% below	75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CR SACRUM COCCYX MIN 2 VWS	$103.46	$407.00	—	—	75%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 CHR HEP ECHOSENS ALT	$13.99	$55.00	$4.00–$30.25	48% below	75%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$23.90	$94.00	$4.00–$51.70	10% below	75%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 FATTY LIVER DS ECHOSENS ALT	$25.17	$99.00	$4.00–$54.45	6% below	75%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CHR HEP ECHOSENS ALT	$13.99	$55.00	—	—	75%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$23.90	$94.00	—	—	75%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FATTY LIVER DS ECHOSENS ALT	$25.17	$99.00	—	—	75%
AST (aspartate aminotransferase) enzyme test CPT 84450 CHR HEP ECHOSENS AST	$13.99	$55.00	$3.91–$30.25	54% below	75%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$23.65	$93.00	$3.91–$51.15	23% below	75%
AST (aspartate aminotransferase) enzyme test CPT 84450 FATTY LIVER DS ECHOSENS AST	$25.17	$99.00	$3.91–$54.45	18% below	75%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$25.93	$102.00	$3.91–$56.10	15% below	75%
AST (aspartate aminotransferase) enzyme test CPT 84450 OTCICU	$40.93	$161.00	$3.91–$88.55	34% above	75%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CHR HEP ECHOSENS AST	$13.99	$55.00	—	—	75%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$23.65	$93.00	—	—	75%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FATTY LIVER DS ECHOSENS AST	$25.17	$99.00	—	—	75%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$25.93	$102.00	—	—	75%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 OTCICU	$40.93	$161.00	—	—	75%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL SVI	$194.98	$767.00	$35.91–$421.85	8% below	75%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL SVI	$194.98	$767.00	—	—	75%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD 35 BEEF IGE	$2.80	$11.00	$3.93–$16.93	83% below	75%
Allergy blood test, specific IgE, per allergen CPT 86003 RDPSC CAT DANDER	$4.07	$16.00	$3.93–$16.93	75% below	75%
Allergy blood test, specific IgE, per allergen CPT 86003 RDPSC JOHNSON GRASS	$4.33	$17.00	$3.93–$17.00	74% below	75%
Allergy blood test, specific IgE, per allergen CPT 86003 #LATEX IGE	$20.85	$82.00	$3.93–$45.10	27% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 #ALLERGENS FOOD	$23.65	$93.00	$3.93–$51.15	44% above	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD 35 BEEF IGE	$2.80	$11.00	—	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RDPSC CAT DANDER	$4.07	$16.00	—	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RDPSC JOHNSON GRASS	$4.33	$17.00	—	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 #LATEX IGE	$20.85	$82.00	—	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 #ALLERGENS FOOD	$23.65	$93.00	—	—	75%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP-CYCLIC CITRULLINATED PEPTIDE	$61.01	$240.00	$9.77–$132.00	1% below	75%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP-CYCLIC CITRULLINATED PEPTIDE	$61.01	$240.00	—	—	75%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SREEN WITH CONFIRMATION	$38.13	$150.00	$9.12–$82.50	23% below	75%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SREEN WITH CONFIRMATION	$38.13	$150.00	—	—	75%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-SHERWOOD ONLY	$103.72	$408.00	$29.60–$224.40	26% above	75%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$108.04	$425.00	$29.60–$233.75	31% above	75%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP-SHERWOOD ONLY	$103.72	$408.00	—	—	75%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$108.04	$425.00	—	—	75%
Basic metabolic panel (blood test) CPT 80048 SVDOPS BMP	$36.86	$145.00	$6.38–$79.75	67% below	75%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$36.86	$145.00	$6.38–$79.75	67% below	75%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$36.86	$145.00	—	—	75%
Basic metabolic panel (blood test) inpatient CPT 80048 SVDOPS BMP	$36.86	$145.00	—	—	75%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGST LEVL 4	$97.62	$384.00	$21.30–$211.20	9% below	75%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGST LEVL 4	$97.62	$384.00	—	—	75%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$46.52	$183.00	$7.78–$100.65	31% below	75%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$46.52	$183.00	—	—	75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE *	$8.90	$35.00	$2.15–$9.54	25% below	75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$9.66	$38.00	$2.15–$9.54	19% below	75%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE *	$8.90	$35.00	—	—	75%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$9.66	$38.00	—	—	75%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$11.70	$46.00	$2.96–$25.30	60% below	75%
Blood glucose (sugar) test CPT 82947 GLUCOSE (FASTING)	$18.31	$72.00	$2.96–$39.60	37% below	75%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM	$18.31	$72.00	$2.96–$39.60	37% below	75%
Blood glucose (sugar) test CPT 82947 FATTY LIVER DS ECHOSENS GLUCOSE	$25.17	$99.00	$2.96–$54.45	13% below	75%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$11.70	$46.00	—	—	75%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM	$18.31	$72.00	—	—	75%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (FASTING)	$18.31	$72.00	—	—	75%
Blood glucose (sugar) test inpatient CPT 82947 FATTY LIVER DS ECHOSENS GLUCOSE	$25.17	$99.00	—	—	75%
Blood lead test CPT 83655 BLOOD LEAD ARUP	$6.87	$27.00	$9.13–$39.23	81% below	75%
Blood lead test CPT 83655 HVY MTL 4 PANEL UR LEAD ARUP	$9.41	$37.00	$9.13–$39.23	74% below	75%
Blood lead test CPT 83655 LEAD BLOOD	$36.86	$145.00	$9.13–$79.75	2% above	75%
Blood lead test CPT 83655 #LEAD URINE	$40.68	$160.00	$9.13–$88.00	13% above	75%
Blood lead test inpatient CPT 83655 BLOOD LEAD ARUP	$6.87	$27.00	—	—	75%
Blood lead test inpatient CPT 83655 HVY MTL 4 PANEL UR LEAD ARUP	$9.41	$37.00	—	—	75%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$36.86	$145.00	—	—	75%
Blood lead test inpatient CPT 83655 #LEAD URINE	$40.68	$160.00	—	—	75%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM	$34.32	$135.00	$5.67–$74.25	9% below	75%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM	$34.32	$135.00	—	—	75%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE IUFD-ABO	$115.67	$455.00	$2.25–$250.25	98% above	75%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE IUFD-ABO	$115.67	$455.00	—	—	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP-SF	$14.49	$57.00	$3.91–$31.35	64% below	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$23.39	$92.00	$3.91–$50.60	42% below	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 IBD-CRP	$25.93	$102.00	$3.91–$56.10	35% below	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP-SF	$14.49	$57.00	—	—	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$23.39	$92.00	—	—	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 IBD-CRP	$25.93	$102.00	—	—	75%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY PCR	$107.28	$422.00	$28.11–$232.10	at median	75%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF BY PCR	$107.28	$422.00	—	—	75%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$68.38	$269.00	$15.69–$147.95	at median	75%
CA-125 blood test (ovarian cancer marker) CPT 86304 SN CA 125	$74.99	$295.00	$15.69–$162.25	9% above	75%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$68.38	$269.00	—	—	75%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 SN CA 125	$74.99	$295.00	—	—	75%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 AR IN-HOUSE PCR	$57.71	$227.00	$38.69–$116.47	56% below	75%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 AR.IN-HOUSE PCR	$63.30	$249.00	$38.69–$116.47	52% below	75%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 AR IN-HOUSE PCR	$57.71	$227.00	—	—	75%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 AR.IN-HOUSE PCR	$63.30	$249.00	—	—	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA AMP	$71.94	$283.00	$26.46–$184.89	4% below	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA-AMPLIFICATION	$107.28	$422.00	$26.46–$232.10	44% above	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFICATION	$111.60	$439.00	$26.46–$241.45	49% above	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA AMP	$71.94	$283.00	—	—	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA-AMPLIFICATION	$107.28	$422.00	—	—	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLIFICATION	$111.60	$439.00	—	—	75%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$47.54	$187.00	$10.09–$102.85	42% below	75%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$47.54	$187.00	—	—	75%
Complete blood count (CBC) with differential CPT 85025 CBC-MAN DIFF	$31.02	$122.00	$5.86–$67.10	36% below	75%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC-MAN DIFF	$31.02	$122.00	—	—	75%
Complete blood count (CBC), no differential CPT 85027 CBC & PLATELET CNT (NO DIFFRN.	$26.70	$105.00	$4.88–$57.75	12% below	75%
Complete blood count (CBC), no differential CPT 85027 CBCNRBCWMD	$32.29	$127.00	$4.88–$69.85	7% above	75%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC & PLATELET CNT (NO DIFFRN.	$26.70	$105.00	—	—	75%
Complete blood count (CBC), no differential inpatient CPT 85027 CBCNRBCWMD	$32.29	$127.00	—	—	75%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$39.66	$156.00	$7.96–$85.80	69% below	75%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$39.66	$156.00	—	—	75%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTATATIVE	$40.68	$160.00	$7.68–$88.00	35% below	75%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTATATIVE	$40.68	$160.00	—	—	75%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$73.47	$289.00	$16.76–$158.95	5% above	75%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$73.47	$289.00	—	—	75%
Estradiol blood test CPT 82670 ESTRADIOL (E2)	$96.86	$381.00	$21.07–$209.55	7% below	75%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2)	$96.86	$381.00	—	—	75%
FSH (follicle-stimulating hormone) test CPT 83001 FOLICLE STIMULATING HORMONE(FSH)	$56.95	$224.00	$14.01–$123.20	21% below	75%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE(FSH)	$59.23	$233.00	$14.01–$128.15	18% below	75%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLICLE STIMULATING HORMONE(FSH)	$56.95	$224.00	—	—	75%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE(FSH)	$59.23	$233.00	—	—	75%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$30.51	$120.00	$14.80–$66.00	77% below	75%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$30.51	$120.00	—	—	75%
Ferritin blood test (iron stores) CPT 82728 FATTY LIVER DS ECHOSENS FERRITIN	$23.90	$94.00	$10.28–$71.78	65% below	75%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$41.44	$163.00	$10.28–$89.65	39% below	75%
Ferritin blood test (iron stores) inpatient CPT 82728 FATTY LIVER DS ECHOSENS FERRITIN	$23.90	$94.00	—	—	75%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$41.44	$163.00	—	—	75%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$54.40	$214.00	$11.09–$117.70	14% below	75%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$54.40	$214.00	—	—	75%
Free T3 thyroid hormone test CPT 84481 FREE T3 SVI	$52.12	$205.00	$12.77–$112.75	18% below	75%
Free T3 thyroid hormone test CPT 84481 FREE T3 BY DIALYSIS AND LCMSMS	$90.50	$356.00	$12.77–$195.80	42% above	75%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 SVI	$52.12	$205.00	—	—	75%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 BY DIALYSIS AND LCMSMS	$90.50	$356.00	—	—	75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS AND LCMSMS	$16.78	$66.00	$6.80–$47.50	65% below	75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$34.32	$135.00	$6.80–$74.25	29% below	75%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY DIALYSIS AND LCMSMS	$16.78	$66.00	—	—	75%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$34.32	$135.00	—	—	75%
Free testosterone test CPT 84402 TESTOSTERONE FREE ARUP	$19.07	$75.00	$19.21–$82.54	77% below	75%
Free testosterone test CPT 84402 #TESTOSTERONE FREE	$84.40	$332.00	$19.21–$182.60	1% above	75%
Free testosterone test CPT 84402 TESTOSTERONE FREE LC-MS/MS	$84.40	$332.00	$19.21–$182.60	1% above	75%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE ARUP	$19.07	$75.00	—	—	75%
Free testosterone test inpatient CPT 84402 #TESTOSTERONE FREE	$84.40	$332.00	—	—	75%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE LC-MS/MS	$84.40	$332.00	—	—	75%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$225.99	$889.00	$23.56–$488.95	56% above	75%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$225.99	$889.00	—	—	75%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP	$16.02	$63.00	$3.58–$34.65	53% below	75%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR PP	$16.02	$63.00	—	—	75%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE - 3HR	$42.20	$166.00	$9.71–$91.30	35% below	75%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 2 HR GESTATIONAL	$42.20	$166.00	$9.71–$91.30	35% below	75%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE 2 HR GESTATIONAL	$42.20	$166.00	—	—	75%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE - 3HR	$42.20	$166.00	—	—	75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA DNA AMP	$71.94	$283.00	$26.46–$184.89	6% below	75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA-AMPLIFICATION	$107.28	$422.00	$26.46–$232.10	40% above	75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA DNA AMP	$71.94	$283.00	—	—	75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA-AMPLIFICATION	$107.28	$422.00	—	—	75%
H. pylori antibody blood test CPT 86677 H. PYLORI AB IGA	$7.63	$30.00	$12.70–$47.03	89% below	75%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG	$73.47	$289.00	$12.70–$158.95	5% above	75%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI AB IGA	$7.63	$30.00	—	—	75%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGG	$73.47	$289.00	—	—	75%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN FECES	$13.99	$55.00	$10.85–$36.46	80% below	75%
H. pylori stool antigen test CPT 87338 #H PYLORI STOOL	$18.56	$73.00	$10.85–$40.15	74% below	75%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN FECES	$13.99	$55.00	—	—	75%
H. pylori stool antigen test inpatient CPT 87338 #H PYLORI STOOL	$18.56	$73.00	—	—	75%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 #HIVI RNA BY PCR ULTRASENSITIVE	$54.91	$216.00	$64.17–$275.83	76% below	75%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1-RNA BY PCR	$378.00	$1,487.00	$64.17–$817.85	68% above	75%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 #HIV1-RNA BY PCR	$415.88	$1,636.00	$64.17–$899.80	85% above	75%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 #HIVI RNA BY PCR ULTRASENSITIVE	$54.91	$216.00	—	—	75%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1-RNA BY PCR	$378.00	$1,487.00	—	—	75%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 #HIV1-RNA BY PCR	$415.88	$1,636.00	—	—	75%
HIV-1 and HIV-2 antibody test CPT 86703 HIV1/HIV2 ANTIBODY	$46.27	$182.00	$10.34–$100.10	37% below	75%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV1/HIV2 ANTIBODY	$46.27	$182.00	—	—	75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB-SHERWOOD ONLY	$36.36	$143.00	$7.32–$78.65	7% below	75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HGB-SHERWOOD ONLY	$36.36	$143.00	—	—	75%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$41.69	$164.00	$8.10–$90.20	33% below	75%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$41.69	$164.00	—	—	75%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$40.42	$159.00	$7.78–$87.45	3% below	75%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$40.42	$159.00	—	—	75%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C	$50.84	$200.00	$10.76–$110.00	1% below	75%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C	$50.84	$200.00	—	—	75%
Hepatitis C viral load (HCV RNA) test CPT 87522 #HEPATITIS C QUANTIFICATION	$35.59	$140.00	$32.31–$140.00	73% below	75%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR-HCV RNA QUANT	$190.65	$750.00	$32.31–$412.50	45% above	75%
Hepatitis C viral load (HCV RNA) test CPT 87522 #HEP C PCR - HCV RNA QUANT	$209.97	$826.00	$32.31–$454.30	60% above	75%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCVGTY	$1,142.63	$4,495.00	$32.31–$2,472.25	770% above	75%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR QUANT NON-GRAPH	$34.32	$135.00	$32.31–$138.86	74% below	75%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 #HEPATITIS C QUANTIFICATION	$35.59	$140.00	—	—	75%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR-HCV RNA QUANT	$190.65	$750.00	—	—	75%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 #HEP C PCR - HCV RNA QUANT	$209.97	$826.00	—	—	75%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCVGTY	$1,142.63	$4,495.00	—	—	75%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR QUANT NON-GRAPH	$34.32	$135.00	—	—	75%
Herpes blood test, HSV-1 antibody CPT 86695 #HERPES SIMPLEX TYPE 1 IGG	$10.17	$40.00	$9.94–$40.00	80% below	75%
Herpes blood test, HSV-1 antibody CPT 86695 HSV2 IGM AB	$38.90	$153.00	$9.94–$84.15	25% below	75%
Herpes blood test, HSV-1 antibody CPT 86695 #HSV2 IGM AB	$42.71	$168.00	$9.94–$92.40	18% below	75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 #HERPES SIMPLEX TYPE 1 IGG	$10.17	$40.00	—	—	75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV2 IGM AB	$38.90	$153.00	—	—	75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 #HSV2 IGM AB	$42.71	$168.00	—	—	75%
Herpes blood test, HSV-2 antibody CPT 86696 #HERPES SIMPLEX TYPE 2 IGG	$10.17	$40.00	$14.59–$48.99	82% below	75%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2 GLYCOPROT G AB IGG	$10.43	$41.00	$14.59–$48.99	82% below	75%
Herpes blood test, HSV-2 antibody CPT 86696 #HSV 2 IGG SUPPLEMENTAL REFLEX	$25.68	$101.00	$14.59–$101.00	56% below	75%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2.IGG	$79.06	$311.00	$14.59–$171.05	37% above	75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 #HERPES SIMPLEX TYPE 2 IGG	$10.17	$40.00	—	—	75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2 GLYCOPROT G AB IGG	$10.43	$41.00	—	—	75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 #HSV 2 IGG SUPPLEMENTAL REFLEX	$25.68	$101.00	—	—	75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2.IGG	$79.06	$311.00	—	—	75%
High-sensitivity CRP (hs-CRP) test CPT 86141 HS-CRP	$15.26	$60.00	$9.77–$40.61	71% below	75%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-HIGH SENSITIVE	$42.46	$167.00	$9.77–$91.85	18% below	75%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-HIGHSENS	$44.24	$174.00	$9.77–$95.70	15% below	75%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HS-CRP	$15.26	$60.00	—	—	75%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN-HIGH SENSITIVE	$42.46	$167.00	—	—	75%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN-HIGHSENS	$44.24	$174.00	—	—	75%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$51.86	$204.00	$13.51–$112.20	46% below	75%
Homocysteine blood test CPT 83090 HOMOCYSTEINE(SVI)	$51.86	$204.00	$13.51–$112.20	46% below	75%
Homocysteine blood test CPT 83090 #HOMOCYSTEINE	$54.15	$213.00	$13.51–$117.15	43% below	75%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$51.86	$204.00	—	—	75%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE(SVI)	$51.86	$204.00	—	—	75%
Homocysteine blood test inpatient CPT 83090 #HOMOCYSTEINE	$54.15	$213.00	—	—	75%
Insulin blood test CPT 83525 INSULIN TOTAL	$6.61	$26.00	$8.62–$37.09	86% below	75%
Insulin blood test CPT 83525 PRO/INS RATIO INSULIN ARUP	$13.99	$55.00	$8.62–$55.00	70% below	75%
Insulin blood test CPT 83525 INSULIN (SVI)	$34.32	$135.00	$8.62–$74.25	25% below	75%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$6.61	$26.00	—	—	75%
Insulin blood test inpatient CPT 83525 PRO/INS RATIO INSULIN ARUP	$13.99	$55.00	—	—	75%
Insulin blood test inpatient CPT 83525 INSULIN (SVI)	$34.32	$135.00	—	—	75%
Iron blood test (serum iron) CPT 83540 IRON	$26.95	$106.00	$4.88–$58.30	12% below	75%
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE	$27.46	$108.00	$4.88–$59.40	11% below	75%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$26.95	$106.00	—	—	75%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE	$27.46	$108.00	—	—	75%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING	$26.44	$104.00	$6.59–$57.20	7% below	75%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING	$26.44	$104.00	—	—	75%
Kidney function blood test panel CPT 80069 RENAL PROFILE	$32.80	$129.00	$6.54–$70.95	60% below	75%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE	$32.80	$129.00	—	—	75%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE(LH)	$56.95	$224.00	$13.97–$123.20	14% below	75%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH)	$59.23	$233.00	$13.97–$128.15	11% below	75%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE(LH)	$56.95	$224.00	—	—	75%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH)	$59.23	$233.00	—	—	75%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BF	$6.11	$24.00	$5.20–$24.00	80% below	75%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PERITONEAL FLUID	$13.22	$52.00	$5.20–$36.29	57% below	75%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$23.39	$92.00	$5.20–$50.60	23% below	75%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$25.93	$102.00	$5.20–$56.10	15% below	75%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BF	$6.11	$24.00	—	—	75%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PERITONEAL FLUID	$13.22	$52.00	—	—	75%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID	$23.39	$92.00	—	—	75%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$25.93	$102.00	—	—	75%
Liver function blood test panel CPT 80076 HEPATIC PROFILE	$32.54	$128.00	$6.16–$70.40	63% below	75%
Liver function blood test panel inpatient CPT 80076 HEPATIC PROFILE	$32.54	$128.00	—	—	75%
Lyme disease antibody test CPT 86618 LYME ANTIBODY W/ RFX ARUP	$37.12	$146.00	$12.84–$89.72	52% below	75%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$52.37	$206.00	$12.84–$113.30	32% below	75%
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODY W/ RFX ARUP	$37.12	$146.00	—	—	75%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$52.37	$206.00	—	—	75%
Magnesium blood test CPT 83735 MAGNESIUM	$28.48	$112.00	$5.06–$61.60	11% below	75%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$28.48	$112.00	—	—	75%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGG	$41.95	$165.00	$9.71–$90.75	9% below	75%
Measles (rubeola) antibody test CPT 86765 #RUBEOLA ANTIBODY IGG	$46.27	$182.00	$9.71–$100.10	at median	75%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY IGG	$41.95	$165.00	—	—	75%
Measles (rubeola) antibody test inpatient CPT 86765 #RUBEOLA ANTIBODY IGG	$46.27	$182.00	—	—	75%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN	$19.32	$76.00	$3.91–$41.80	37% below	75%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCREEN	$19.32	$76.00	—	—	75%
PSA (prostate-specific antigen) blood test, free CPT 84154 #PSA FREE	$52.12	$205.00	$13.86–$112.75	6% below	75%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 #PSA FREE	$52.12	$205.00	—	—	75%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA SENSITIVE	$13.48	$53.00	$13.86–$59.63	80% below	75%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL	$56.18	$221.00	$13.86–$121.55	16% below	75%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA SENSITIVE	$13.48	$53.00	—	—	75%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL	$56.18	$221.00	—	—	75%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR-THIN PREP-APA	$50.34	$198.00	$15.28–$108.90	1% below	75%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR-THIN PREP-APA	$50.34	$198.00	—	—	75%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-RELATED PROTEIN	$126.34	$497.00	$31.12–$273.35	20% below	75%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT (SVI)	$126.34	$497.00	$31.12–$273.35	20% below	75%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT (SVI)	$126.34	$497.00	—	—	75%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-RELATED PROTEIN	$126.34	$497.00	—	—	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ACT-PTT ARUP	$5.85	$23.00	$4.54–$23.00	83% below	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$13.22	$52.00	$4.54–$31.65	62% below	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT BILL ONLY ARUP	$15.26	$60.00	$4.54–$33.00	56% below	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 SVDOPS PTT	$23.39	$92.00	$4.54–$50.60	33% below	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTLP-APTT PATIENT	$25.93	$102.00	$4.54–$56.10	26% below	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ACT-PTT ARUP	$5.85	$23.00	—	—	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME	$13.22	$52.00	—	—	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT BILL ONLY ARUP	$15.26	$60.00	—	—	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SVDOPS PTT	$23.39	$92.00	—	—	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTLP-APTT PATIENT	$25.93	$102.00	—	—	75%
Progesterone blood test CPT 84144 #PROGESTERONE	$19.83	$78.00	$15.73–$78.00	67% below	75%
Progesterone blood test CPT 84144 PROGESTERONE	$68.38	$269.00	$15.73–$147.95	14% above	75%
Progesterone blood test inpatient CPT 84144 #PROGESTERONE	$19.83	$78.00	—	—	75%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$68.38	$269.00	—	—	75%
Prolactin blood test CPT 84146 PROLACTIN	$59.23	$233.00	$14.62–$128.15	15% below	75%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$59.23	$233.00	—	—	75%
Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ACT-PT ARUP	$5.60	$22.00	$3.24–$20.71	79% below	75%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$8.90	$35.00	$3.24–$20.71	67% below	75%
Prothrombin time (PT/INR) clotting test CPT 85610 ISTAT PT/INR	$15.51	$61.00	$3.24–$33.55	43% below	75%
Prothrombin time (PT/INR) clotting test CPT 85610 ACTLP-PROTIME PATIENT	$17.29	$68.00	$3.24–$37.40	36% below	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LUPUS ACT-PT ARUP	$5.60	$22.00	—	—	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$8.90	$35.00	—	—	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ISTAT PT/INR	$15.51	$61.00	—	—	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ACTLP-PROTIME PATIENT	$17.29	$68.00	—	—	75%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG CLASS - 12 DRUGS	$13.99	$55.00	$9.50–$33.96	40% below	75%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 UDS - SVN MANUAL	$37.63	$148.00	$9.50–$81.40	62% above	75%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG CLASS 7 DRUGS	$37.63	$148.00	$9.50–$81.40	62% above	75%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 UDS - SVN	$144.64	$569.00	$9.50–$312.95	522% above	75%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG CLASS - 12 DRUGS	$13.99	$55.00	—	—	75%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG CLASS 7 DRUGS	$37.63	$148.00	—	—	75%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 UDS - SVN MANUAL	$37.63	$148.00	—	—	75%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 UDS - SVN	$144.64	$569.00	—	—	75%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A	$36.36	$143.00	$11.76–$78.65	28% below	75%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A	$36.36	$143.00	—	—	75%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR BODY FLUID	$6.61	$26.00	$4.28–$26.00	82% below	75%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR BODY FLUID	$6.61	$26.00	—	—	75%
Rubella antibody test (immunity check) CPT 86762 RUBELLA-IGG	$5.85	$23.00	$10.85–$46.65	87% below	75%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB ELISA	$47.29	$186.00	$10.85–$102.30	9% above	75%
Rubella antibody test (immunity check) CPT 86762 #RUBELLA ANTIBODIES IGG	$52.12	$205.00	$10.85–$112.75	20% above	75%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA-IGG	$5.85	$23.00	—	—	75%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM AB ELISA	$47.29	$186.00	—	—	75%
Rubella antibody test (immunity check) inpatient CPT 86762 #RUBELLA ANTIBODIES IGG	$52.12	$205.00	—	—	75%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS	$39.91	$157.00	$9.28–$86.35	68% below	75%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS	$39.91	$157.00	—	—	75%
Stool ova and parasites exam CPT 87177 O&P FECAL WET-MOUNT ARUP	$11.19	$44.00	$6.72–$44.00	72% below	75%
Stool ova and parasites exam CPT 87177 OVA PARASITES AND AMOEBA	$35.59	$140.00	$6.72–$77.00	11% below	75%
Stool ova and parasites exam inpatient CPT 87177 O&P FECAL WET-MOUNT ARUP	$11.19	$44.00	—	—	75%
Stool ova and parasites exam inpatient CPT 87177 OVA PARASITES AND AMOEBA	$35.59	$140.00	—	—	75%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$10.94	$43.00	$3.19–$23.65	52% below	75%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$10.94	$43.00	—	—	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$3.56	$14.00	$3.22–$14.00	79% below	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 #VDRL CSF OR OTHER CONTR DIA	$4.58	$18.00	$3.22–$18.00	73% below	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF OR OTHER CONTR DIA	$15.77	$62.00	$3.22–$34.10	8% below	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$3.56	$14.00	—	—	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 #VDRL CSF OR OTHER CONTR DIA	$4.58	$18.00	—	—	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF OR OTHER CONTR DIA	$15.77	$62.00	—	—	75%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD 4 TUBE	$22.88	$90.00	$46.74–$203.12	72% below	75%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD 1 TUBE	$26.70	$105.00	$46.74–$203.12	67% below	75%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD 4 TUBE	$22.88	$90.00	—	—	75%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD 1 TUBE	$26.70	$105.00	—	—	75%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL ARUP	$19.07	$75.00	$19.46–$83.69	76% below	75%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (SVI)	$79.06	$311.00	$19.46–$171.05	at median	75%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL ARUP	$19.07	$75.00	—	—	75%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL (SVI)	$79.06	$311.00	—	—	75%
Thyroid peroxidase (TPO) antibody test CPT 86376 #LIVER-KIDNEY-MICROSOME AUTOABS	$10.68	$42.00	$10.97–$47.17	73% below	75%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHYROID ANTIBODIES ORDERS	$44.49	$175.00	$10.97–$96.25	10% above	75%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES	$44.49	$175.00	$10.97–$96.25	10% above	75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 #LIVER-KIDNEY-MICROSOME AUTOABS	$10.68	$42.00	—	—	75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES	$44.49	$175.00	—	—	75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTITHYROID ANTIBODIES ORDERS	$44.49	$175.00	—	—	75%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$65.08	$256.00	$12.67–$140.80	8% above	75%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$65.08	$256.00	—	—	75%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS BY NAA	$32.80	$129.00	$26.46–$108.66	58% below	75%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS BY NAA	$32.80	$129.00	—	—	75%
Uric acid blood test CPT 84550 URIC ACID	$20.09	$79.00	$3.41–$43.45	44% below	75%
Uric acid blood test inpatient CPT 84550 URIC ACID	$20.09	$79.00	—	—	75%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS SHERWOOD ER	$13.22	$52.00	$2.39–$28.60	55% below	75%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS SHERWOOD ER	$13.22	$52.00	—	—	75%
Urinalysis with microscope exam, manual CPT 81000 CLINITEST	$11.70	$46.00	$3.03–$25.30	54% below	75%
Urinalysis with microscope exam, manual inpatient CPT 81000 CLINITEST	$11.70	$46.00	—	—	75%
Urinalysis without microscope exam, automated CPT 81003 SVDOPS UA	$10.17	$40.00	$1.69–$22.00	47% below	75%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MACROSCOPIC	$11.44	$45.00	$1.69–$24.75	40% below	75%
Urinalysis without microscope exam, automated inpatient CPT 81003 SVDOPS UA	$10.17	$40.00	—	—	75%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS MACROSCOPIC	$11.44	$45.00	—	—	75%
Urinalysis without microscope exam, manual CPT 81002 UA PROTEIN	$9.92	$39.00	$2.51–$21.45	40% below	75%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$9.92	$39.00	$2.51–$21.45	40% below	75%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA PROTEIN	$9.92	$39.00	—	—	75%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK	$9.92	$39.00	—	—	75%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$26.44	$104.00	$6.09–$57.20	41% below	75%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$26.44	$104.00	—	—	75%
Urine pregnancy test, read by color change CPT 81025 HCG U POCT	$12.71	$50.00	$6.20–$33.31	76% below	75%
Urine pregnancy test, read by color change CPT 81025 SVDOPS HCG URINE	$24.41	$96.00	$6.20–$52.80	53% below	75%
Urine pregnancy test, read by color change CPT 81025 PREGNCY TEST URNE (ANCILILARY)	$26.95	$106.00	$6.20–$58.30	49% below	75%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG U POCT	$12.71	$50.00	—	—	75%
Urine pregnancy test, read by color change inpatient CPT 81025 SVDOPS HCG URINE	$24.41	$96.00	—	—	75%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNCY TEST URNE (ANCILILARY)	$26.95	$106.00	—	—	75%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$56.44	$222.00	$11.37–$122.10	4% above	75%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$56.44	$222.00	—	—	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY D2 AND D3	$15.26	$60.00	$22.32–$95.95	80% below	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$101.43	$399.00	$22.32–$219.45	32% above	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 #VITAMIN D 25-HRDROXY SERUM	$111.60	$439.00	$22.32–$241.45	45% above	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 SN VITAMIN D 25 HYDROXY	$117.45	$462.00	$22.32–$254.10	53% above	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY D2 AND D3	$15.26	$60.00	—	—	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$101.43	$399.00	—	—	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 #VITAMIN D 25-HRDROXY SERUM	$111.60	$439.00	—	—	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 SN VITAMIN D 25 HYDROXY	$117.45	$462.00	—	—	75%
Zinc blood test CPT 84630 ZINC	$37.88	$149.00	$8.58–$81.95	14% below	75%
Zinc blood test inpatient CPT 84630 ZINC	$37.88	$149.00	—	—	75%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QNT BLOOD TUMOR	$12.21	$48.00	$11.34–$42.57	66% below	75%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QNT CSF TUMOR	$13.48	$53.00	$11.34–$42.57	62% below	75%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HUMAN CHORIONIC GONADOTROPIN QN	$34.58	$136.00	$11.34–$74.80	3% below	75%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG QNT BLOOD TUMOR	$12.21	$48.00	—	—	75%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG QNT CSF TUMOR	$13.48	$53.00	—	—	75%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HUMAN CHORIONIC GONADOTROPIN QN	$34.58	$136.00	—	—	75%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786-TREATMENT OF ANKLE FRACTURE	$205.14	$807.00	$210.54–$1,540.23	45% below	75%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786-TREATMENT OF ANKLE FRACTURE	$205.14	$807.00	—	—	75%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470-TREAT METATARSAL FRACTURE	$205.14	$807.00	$181.00–$1,540.23	52% below	75%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470-TREAT METATARSAL FRACTURE	$205.14	$807.00	—	—	75%
Cardiac catheterization with coronary angiogram CPT 93458 CP CORONARIES W LHC/LV	$3,270.54	$12,866.00	$376.00–$7,417.00	28% below	75%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CP CORONARIES W LHC/LV	$3,270.54	$12,866.00	—	—	75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ICU CARDIOVERSION 3HRS	$261.58	$1,029.00	$172.52–$2,477.00	42% below	75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 MP CARDIOVERSION-CCL	$458.84	$1,805.00	$172.52–$2,477.00	1% above	75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$458.84	$1,805.00	$172.52–$2,477.00	1% above	75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ICU CARDIOVERSION 3HRS	$261.58	$1,029.00	—	—	75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$458.84	$1,805.00	—	—	75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 MP CARDIOVERSION-CCL	$458.84	$1,805.00	—	—	75%
Catheter ablation for atrial fibrillation CPT 93656 ABLATION OF A-FIB W TRANS	$7,968.67	$31,348.00	$1,205.26–$34,225.77	59% below	75%
Catheter ablation for atrial fibrillation inpatient CPT 93656 ABLATION OF A-FIB W TRANS	$7,968.67	$31,348.00	—	—	75%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-TREAT FRACTURE RADIUS/ULNA	$205.14	$807.00	$181.00–$1,540.23	39% below	75%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600-TREAT FRACTURE RADIUS/ULNA	$205.14	$807.00	—	—	75%
Coronary stent placement, one artery CPT 92928 STENT	$4,729.14	$18,604.00	$726.40–$15,821.57	45% below	75%
Coronary stent placement, one artery inpatient CPT 92928 STENT	$4,729.14	$18,604.00	—	—	75%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION & CURETTAGE	$1,259.31	$4,954.00	$726.40–$4,435.86	19% below	75%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION & CURETTAGE	$1,259.31	$4,954.00	—	—	75%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$50.59	$199.00	$54.48–$2,456.00	at median	75%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$50.59	$199.00	—	—	75%
Earwax removal with instruments, one ear CPT 69210 69210-REMOVE IMPACTED EAR WAX	$69.91	$275.00	$54.48–$1,540.23	17% above	75%
Earwax removal with instruments, one ear inpatient CPT 69210 69210-REMOVE IMPACTED EAR WAX	$69.91	$275.00	—	—	75%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 3A BIOPSY OF UTERUS LINING	$128.38	$505.00	$181.00–$1,540.23	26% below	75%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 3A BIOPSY OF UTERUS LINING	$128.38	$505.00	—	—	75%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CT EPIDURAL CERV/THOR W GD	$558.23	$2,196.00	$567.50–$1,574.00	22% below	75%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 L XA EPIDURAL CERV/THORA W GUIDE	$581.61	$2,288.00	$567.50–$1,574.00	19% below	75%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CT EPIDURAL CERV/THOR W GD	$558.23	$2,196.00	—	—	75%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 L XA EPIDURAL CERV/THORA W GUIDE	$581.61	$2,288.00	—	—	75%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64475-INJ NERVE LUMB OR SACRAL	$338.60	$1,332.00	$567.50–$1,574.00	58% below	75%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L CT FACET INJ L/S 1ST LEVEL	$638.81	$2,513.00	$567.50–$1,574.00	20% below	75%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64475-INJ NERVE LUMB OR SACRAL	$338.60	$1,332.00	—	—	75%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L CT FACET INJ L/S 1ST LEVEL	$638.81	$2,513.00	—	—	75%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEXIBLE SIGMOIDOSCOPY	$642.88	$2,529.00	$567.50–$1,804.00	57% above	75%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEXIBLE SIGMOIDOSCOPY	$642.88	$2,529.00	—	—	75%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 L CR CATH INTRO CONT SIS HSG BO	$176.17	$693.00	$598.00–$2,699.00	58% below	75%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 US CATH INTRO CONTRAST SIS HSG	$176.17	$693.00	$598.00–$2,699.00	58% below	75%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 US CATH INTRO CONTRAST SIS HSG	$176.17	$693.00	—	—	75%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 L CR CATH INTRO CONT SIS HSG BO	$176.17	$693.00	—	—	75%
Incision and drainage of a simple or single skin abscess CPT 10060 10060-DRAINAGE OF SKIN ABSCESS	$213.02	$838.00	$181.00–$1,540.23	14% above	75%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060-DRAINAGE OF SKIN ABSCESS	$213.02	$838.00	—	—	75%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 TRIGGER PT INJ SCAPULA	$181.25	$713.00	$270.73–$1,540.23	103% above	75%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 TRIGGER PT INJ SCAPULA	$181.25	$713.00	—	—	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CR INJ MAJOR JOINT	$193.20	$760.00	$270.73–$1,540.23	12% above	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-DRAIN/INJECT JOINT/BURSA	$281.40	$1,107.00	$270.73–$1,540.23	63% above	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CR INJ MAJOR JOINT	$193.20	$760.00	—	—	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610-DRAIN/INJECT JOINT/BURSA	$281.40	$1,107.00	—	—	75%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-DRAIN/INJECT JOINT/BURSA	$176.17	$693.00	$270.73–$1,540.23	20% above	75%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CR INJ INTERMEDIATE JOINT	$193.20	$760.00	$270.73–$1,540.23	32% above	75%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605-DRAIN/INJECT JOINT/BURSA	$176.17	$693.00	—	—	75%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CR INJ INTERMEDIATE JOINT	$193.20	$760.00	—	—	75%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CR VAGINOGRAM / PERINEOGRAM	$85.16	$335.00	$270.73–$1,540.23	30% below	75%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CR INJ SMALL JOINT	$193.20	$760.00	$270.73–$1,540.23	59% above	75%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS INJECTION OF TOE	$213.28	$839.00	$270.73–$1,540.23	75% above	75%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CR VAGINOGRAM / PERINEOGRAM	$85.16	$335.00	—	—	75%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CR INJ SMALL JOINT	$193.20	$760.00	—	—	75%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS INJECTION OF TOE	$213.28	$839.00	—	—	75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-LAYER CLOSURE OF WOUND(S)	$281.91	$1,109.00	$181.00–$1,540.23	13% below	75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031-LAYER CLOSURE OF WOUND(S)	$281.91	$1,109.00	—	—	75%
Left heart catheterization, diagnostic CPT 93452 CP LHC/LV IMAGING S&I	$3,511.52	$13,814.00	$305.66–$7,417.00	15% below	75%
Left heart catheterization, diagnostic inpatient CPT 93452 CP LHC/LV IMAGING S&I	$3,511.52	$13,814.00	—	—	75%
Lower-back epidural injection, with imaging guidance CPT 62323 CR FLUORO GD LP CISTERNOGRAM	$459.34	$1,807.00	$567.50–$1,574.00	36% below	75%
Lower-back epidural injection, with imaging guidance CPT 62323 CT EPIDURAL LUMBAR W GD	$558.23	$2,196.00	$567.50–$1,574.00	22% below	75%
Lower-back epidural injection, with imaging guidance CPT 62323 L XA EPIDURAL LUMBAR/SAC W GUIDE	$581.61	$2,288.00	$567.50–$1,574.00	19% below	75%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CR FLUORO GD LP CISTERNOGRAM	$459.34	$1,807.00	—	—	75%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CT EPIDURAL LUMBAR W GD	$558.23	$2,196.00	—	—	75%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 L XA EPIDURAL LUMBAR/SAC W GUIDE	$581.61	$2,288.00	—	—	75%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL PLACEMENT LUMB-SACRAL.	$511.71	$2,013.00	$674.19–$1,574.00	23% below	75%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EPIDURAL PLACEMENT LUMB-SACRAL.	$511.71	$2,013.00	—	—	75%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 L XA NRB L/S SINGLE W FLUORO	$518.32	$2,039.00	$567.50–$1,574.00	31% below	75%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 L CT NRB L/S SINGLE	$564.84	$2,222.00	$567.50–$1,574.00	25% below	75%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 L XA NRB L/S SINGLE W FLUORO	$518.32	$2,039.00	—	—	75%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 L CT NRB L/S SINGLE	$564.84	$2,222.00	—	—	75%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400-REMOVAL OF SKIN LESION	$294.62	$1,159.00	$567.50–$1,574.00	at median	75%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400-REMOVAL OF SKIN LESION	$294.62	$1,159.00	—	—	75%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440-REMOVAL OF SKIN LESION	$344.70	$1,356.00	$645.29–$1,759.00	45% above	75%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440-REMOVAL OF SKIN LESION	$344.70	$1,356.00	—	—	75%
Nail removal (partial or complete), one nail CPT 11730 11730-REMOVAL OF NAIL PLATE	$77.54	$305.00	$181.00–$1,540.23	45% below	75%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730-REMOVAL OF NAIL PLATE	$77.54	$305.00	—	—	75%
Occipital nerve block (injection for headaches) CPT 64405 64405-INJECTION FOR NERVE BLOCK	$157.86	$621.00	$270.73–$1,540.23	6% below	75%
Occipital nerve block (injection for headaches) CPT 64405 L XA NRB GREATER OCCIPITAL	$194.72	$766.00	$270.73–$1,540.23	16% above	75%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405-INJECTION FOR NERVE BLOCK	$157.86	$621.00	—	—	75%
Occipital nerve block (injection for headaches) inpatient CPT 64405 L XA NRB GREATER OCCIPITAL	$194.72	$766.00	—	—	75%
Pacemaker implant (dual chamber) CPT 33208 33208 INSERT PPM DUAL LEADS	$3,277.66	$12,894.00	$674.19–$14,600.50	65% below	75%
Pacemaker implant (dual chamber) inpatient CPT 33208 33208 INSERT PPM DUAL LEADS	$3,277.66	$12,894.00	—	—	75%
Paracentesis with imaging guidance CPT 49083 XA PARACENTESIS	$615.68	$2,422.00	$567.50–$2,421.00	2% above	75%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE GUID	$683.29	$2,688.00	$567.50–$2,421.00	13% above	75%
Paracentesis with imaging guidance CPT 49083 CT PARACENTESIS INITIAL	$720.41	$2,834.00	$567.50–$2,421.00	19% above	75%
Paracentesis with imaging guidance inpatient CPT 49083 XA PARACENTESIS	$615.68	$2,422.00	—	—	75%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGE GUID	$683.29	$2,688.00	—	—	75%
Paracentesis with imaging guidance inpatient CPT 49083 CT PARACENTESIS INITIAL	$720.41	$2,834.00	—	—	75%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-REMOVAL OF NAIL BED	$329.45	$1,296.00	$366.42–$1,540.23	3% below	75%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750-REMOVAL OF NAIL BED	$329.45	$1,296.00	—	—	75%
Removal of a foreign object under the skin, simple CPT 10120 10120-REMOVE FOREIGN BODY	$198.03	$779.00	$181.00–$1,540.23	16% below	75%
Removal of a foreign object under the skin, simple CPT 10120 FB REMOVAL SUBQ SIMPLE 10120	$198.03	$779.00	$181.00–$1,540.23	16% below	75%
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120-REMOVE FOREIGN BODY	$198.03	$779.00	—	—	75%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB REMOVAL SUBQ SIMPLE 10120	$198.03	$779.00	—	—	75%
Short arm cast (elbow to hand) CPT 29075 29075-APPLICATION OF FOREARM CAST	$85.16	$335.00	$181.00–$2,477.00	14% below	75%
Short arm cast (elbow to hand) inpatient CPT 29075 29075-APPLICATION OF FOREARM CAST	$85.16	$335.00	—	—	75%
Short arm splint (forearm and hand) CPT 29125 29125-APPLY FOREARM SPLINT	$113.63	$447.00	$118.09–$2,477.00	at median	75%
Short arm splint (forearm and hand) inpatient CPT 29125 29125-APPLY FOREARM SPLINT	$113.63	$447.00	—	—	75%
Short leg cast (below the knee) CPT 29405 29405-APPLY SHORT LEG CAST	$85.16	$335.00	$181.00–$2,477.00	6% below	75%
Short leg cast (below the knee) inpatient CPT 29405 29405-APPLY SHORT LEG CAST	$85.16	$335.00	—	—	75%
Short leg splint (calf to foot) CPT 29515 29515-APPLICATION LOWER LEG SPLIN	$126.09	$496.00	$144.72–$2,477.00	1% below	75%
Short leg splint (calf to foot) inpatient CPT 29515 29515-APPLICATION LOWER LEG SPLIN	$126.09	$496.00	—	—	75%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826-SHOULDER ARTHROSCOPY/SURGER	$3,194.79	$12,568.00	$115.77–$2,358.51	1% below	75%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826-SHOULDER ARTHROSCOPY/SURGER	$3,194.79	$12,568.00	—	—	75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-REPAIR SUPERFICIAL WOUND(S)	$161.42	$635.00	$181.00–$1,540.23	32% below	75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURE OF TRUNK	$161.42	$635.00	$181.00–$1,540.23	32% below	75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUTURE OF TRUNK	$161.42	$635.00	—	—	75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001-REPAIR SUPERFICIAL WOUND(S)	$161.42	$635.00	—	—	75%
Skin tag removal, up to 15 tags CPT 11200 11200-REMOVAL OF SKIN TAGS	$94.57	$372.00	$181.00–$1,540.23	33% below	75%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200-REMOVAL OF SKIN TAGS	$94.57	$372.00	—	—	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S4E-BLADDER SCAN	$244.29	$961.00	$567.50–$1,574.00	36% below	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 3B LUMBAR PUNCTURE DIAGNOSTIC	$258.27	$1,016.00	$567.50–$1,574.00	32% below	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270-SPINAL FLUID TAP DIAGNOSTIC	$258.27	$1,016.00	$567.50–$1,574.00	32% below	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 L XA LUMBAR PUNCTURE DX	$461.12	$1,814.00	$567.50–$1,574.00	21% above	75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S4E-BLADDER SCAN	$244.29	$961.00	—	—	75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 3B LUMBAR PUNCTURE DIAGNOSTIC	$258.27	$1,016.00	—	—	75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270-SPINAL FLUID TAP DIAGNOSTIC	$258.27	$1,016.00	—	—	75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 L XA LUMBAR PUNCTURE DX	$461.12	$1,814.00	—	—	75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-REPAIR SUPERFICIAL WOUND(S)	$161.42	$635.00	$181.00–$2,477.00	51% below	75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002-REPAIR SUPERFICIAL WOUND(S)	$161.42	$635.00	—	—	75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SIMPLE FACE/MM =2.5CM	$164.47	$647.00	$181.00–$2,477.00	at median	75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR SIMPLE FACE/MM =2.5CM	$164.47	$647.00	—	—	75%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING GUIDANCE	$371.14	$1,460.00	$567.03–$1,574.00	51% below	75%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING GUIDANCE	$371.14	$1,460.00	—	—	75%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJ SINGLE/MULT TRIGGER PT	$179.72	$707.00	$111.52–$1,540.23	19% above	75%
Trigger point injections, 1 or 2 muscles CPT 20552 L XA TRIGGER POINT 1 OR 2	$183.28	$721.00	$111.52–$1,540.23	21% above	75%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJ SINGLE/MULT TRIGGER PT	$179.72	$707.00	—	—	75%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 L XA TRIGGER POINT 1 OR 2	$183.28	$721.00	—	—	75%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BREAST NDL CORE	$997.99	$3,926.00	$567.50–$2,421.00	1% below	75%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BX BREAST NDL CORE	$997.99	$3,926.00	—	—	75%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD FLEX TRANSORAL W/BX SNGL/MULT	$687.87	$2,706.00	$674.19–$2,421.00	at median	75%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD FLEX TRANSORAL W/BX SNGL/MULT	$687.87	$2,706.00	—	—	75%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBZ TIS 1ST 20 SQ CM	$477.14	$1,877.00	$366.42–$2,069.79	82% above	75%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBZ TIS 1ST 20 SQ CM	$477.14	$1,877.00	—	—	75%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607-TREAT FRACTUR RADUS/ULNA	$2,713.08	$10,673.00	$674.19–$9,966.44	at median	75%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 25607-TREAT FRACTUR RADUS/ULNA	$2,713.08	$10,673.00	—	—	75%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$331.23	$1,303.00	$400.96–$1,540.23	22% below	75%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$720.41	$2,834.00	$400.96–$1,540.23	70% above	75%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$331.23	$1,303.00	—	—	75%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$720.41	$2,834.00	—	—	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT WITH PEP/FLUTTER	$57.20	$225.00	$13.62–$283.76	27% below	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 UPDRAFT WITH PEP/FLUTTER	$57.20	$225.00	—	—	75%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF UP TO 1 HR INITIAL	$240.73	$947.00	$253.72–$806.00	5% below	75%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF UP TO 1 HR INITIAL	$240.73	$947.00	—	—	75%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30-74 MIN	$1,077.05	$4,237.00	$115.77–$2,880.00	62% above	75%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 30-74 MIN	$1,077.05	$4,237.00	—	—	75%
EEG (brain wave test), awake and drowsy, routine CPT 95816 TILT TABLE MONITORING	$473.58	$1,863.00	$56.75–$625.00	37% above	75%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 TILT TABLE MONITORING	$473.58	$1,863.00	—	—	75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM	$67.88	$267.00	$38.59–$266.00	35% below	75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM	$67.88	$267.00	—	—	75%
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY	$307.33	$1,209.00	$227.00–$776.23	at median	75%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY	$307.33	$1,209.00	—	—	75%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1	$189.38	$745.00	$80.75–$962.66	74% above	75%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1	$189.38	$745.00	—	—	75%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2	$262.09	$1,031.00	$115.77–$962.66	71% above	75%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2	$262.09	$1,031.00	—	—	75%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3	$451.46	$1,776.00	$115.77–$1,209.00	63% above	75%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3	$451.46	$1,776.00	—	—	75%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4	$560.52	$2,205.00	$115.77–$1,810.00	24% above	75%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4	$560.52	$2,205.00	—	—	75%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5	$728.03	$2,864.00	$115.77–$2,221.00	4% above	75%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5	$728.03	$2,864.00	—	—	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST - 12 LEAD	$257.26	$1,012.00	$138.47–$1,221.00	33% below	75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST - 12 LEAD	$257.26	$1,012.00	—	—	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 S RA HYDRATN INITL 31MIN TO 1 HR	$74.74	$294.00	$193.23–$430.00	58% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 S4E INFUSN HYDRTN INITL 31MN-1HR	$144.39	$568.00	$193.23–$430.00	19% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 3B INFUSN HYDRTN INITL 31MN-1HR	$151.76	$597.00	$193.23–$430.00	15% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 S RA HYDRATN INITL 31MIN TO 1 HR	$74.74	$294.00	—	—	75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 S4E INFUSN HYDRTN INITL 31MN-1HR	$144.39	$568.00	—	—	75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 3B INFUSN HYDRTN INITL 31MN-1HR	$151.76	$597.00	—	—	75%
IV infusion of a medicine, first hour CPT 96365 RECLAST INFUSION THERAPY	$161.42	$635.00	$193.23–$492.57	13% below	75%
IV infusion of a medicine, first hour CPT 96365 S4E INFUSN PROPHY TX INITIAL HR	$180.49	$710.00	$193.23–$492.57	3% below	75%
IV infusion of a medicine, first hour inpatient CPT 96365 RECLAST INFUSION THERAPY	$161.42	$635.00	—	—	75%
IV infusion of a medicine, first hour inpatient CPT 96365 S4E INFUSN PROPHY TX INITIAL HR	$180.49	$710.00	—	—	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 S4E INJECTN PROPHY TX SUBCU/IM	$47.03	$185.00	$64.04–$430.00	38% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 3B INJECTN PROPHY TX SUBCU/IM	$50.59	$199.00	$64.04–$430.00	34% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SUBCU	$50.59	$199.00	$64.04–$155.94	34% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBCU/IM	$50.59	$199.00	$64.04–$962.66	34% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 S RA INJ THER/PROPH/DX SUBC/IM	$57.71	$227.00	$64.04–$430.00	25% below	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 S4E INJECTN PROPHY TX SUBCU/IM	$47.03	$185.00	—	—	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM OR SUBCU	$50.59	$199.00	—	—	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 3B INJECTN PROPHY TX SUBCU/IM	$50.59	$199.00	—	—	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBCU/IM	$50.59	$199.00	—	—	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 S RA INJ THER/PROPH/DX SUBC/IM	$57.71	$227.00	—	—	75%
Spirometry (breathing test) CPT 94010 SIMPLE SPIROMETRY STUDY	$98.13	$386.00	$54.48–$218.27	52% below	75%
Spirometry (breathing test) inpatient CPT 94010 SIMPLE SPIROMETRY STUDY	$98.13	$386.00	—	—	75%
Spirometry before and after a bronchodilator CPT 94060 SIMPLE SPIRO W/BRONCHODIL STUDY	$157.61	$620.00	$88.53–$434.44	42% below	75%
Spirometry before and after a bronchodilator inpatient CPT 94060 SIMPLE SPIRO W/BRONCHODIL STUDY	$157.61	$620.00	—	—	75%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 ECT-SEIZURE	$153.54	$604.00	$244.00–$434.44	1% below	75%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 ECT-SEIZURE	$153.54	$604.00	—	—	75%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB	$183.79	$723.00	$90.71–$235.00	37% above	75%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEB	$183.79	$723.00	—	—	75%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG 2023-2024	$224.16	$881.82	$105.82–$440.91	at median	75%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCV2 VAC 30MCG 2023-2024	$224.16	$881.82	$440.91	—	75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 S4E IMMUNIZATN ADMIN 1 VACCINE	$37.12	$146.00	$61.00–$227.00	54% above	75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 3B IMMUNIZATION ADMIN 1 VACCINE	$39.15	$154.00	$61.00–$227.00	63% above	75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN-ONE	$53.39	$210.00	$61.00–$227.00	122% above	75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 S4E IMMUNIZATN ADMIN 1 VACCINE	$37.12	$146.00	—	—	75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 3B IMMUNIZATION ADMIN 1 VACCINE	$39.15	$154.00	—	—	75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN-ONE	$53.39	$210.00	—	—	75%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 S4E IMMUNIZATN ADMIN EA ADDNL	$14.24	$56.00	$61.00–$127.12	3% below	75%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 3B IMMUNIZATION ADMIN EA ADDN	$14.49	$57.00	$61.00–$129.39	2% below	75%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 S4E IMMUNIZATN ADMIN EA ADDNL	$14.24	$56.00	—	—	75%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 3B IMMUNIZATION ADMIN EA ADDN	$14.49	$57.00	—	—	75%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/chisv/soar/finance/price-transparency/710236917-1629011002_st-vincent-infirmary-medical-center_standardcharges.json