Hospital Little Rock-North Little Rock-Conway, AR

St Vincent Infirmary Medical Center

St Vincent Infirmary Medical Center in Little Rock, AR publishes cash prices for 285 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 220 of 284 procedures and above it for 49. By typical cash price it ranks #8 of 28 Arkansas hospitals and #2 of 6 hospitals in the Little Rock, AR area, cheapest first. Click a procedure to compare it with other hospitals nearby.

Two St Vincent Circle, Little Rock, AR 72205 Collected Sep 27, 2026 Source price file (501) 552-3000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 040007 · 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	$136.00	$530.00	$18.00–$291.50	8% below	74%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 CR ANKLE MIN 3 VWS	$136.00	$530.00	—	—	74%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI-ANKLE-BRACHIAL INDEX	$153.96	$600.00	$61.97–$478.00	26% below	74%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ABI-ANKLE-BRACHIAL INDEX	$153.96	$600.00	—	—	74%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CR ESOPHAGRAM	$148.06	$577.00	$36.00–$401.74	36% below	74%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CR ESOPHAGRAM	$148.06	$577.00	—	—	74%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$640.48	$2,496.00	$59.00–$919.66	5% above	74%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY	$640.48	$2,496.00	—	—	74%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE	$88.28	$344.00	$63.40–$245.18	41% below	74%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE	$88.28	$344.00	—	—	74%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED	$88.28	$344.00	$48.50–$182.03	39% below	74%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED	$88.28	$344.00	—	—	74%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$692.57	$2,699.00	$169.25–$2,117.84	36% below	74%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$692.57	$2,699.00	—	—	74%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY W 3D	$292.53	$1,140.00	$174.94–$2,117.84	58% below	74%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARY W 3D	$292.53	$1,140.00	—	—	74%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CORONARY CALCIUM SCORE WO	$58.51	$228.00	$54.87–$2,117.84	at median	74%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CORONARY CALCIUM SCORE WO	$58.51	$228.00	—	—	74%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO	$1,496.50	$5,832.00	$108.30–$2,117.84	1% above	74%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS WO	$1,496.50	$5,832.00	—	—	74%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W	$1,542.68	$6,012.00	$206.27–$2,117.84	at median	74%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W	$1,542.68	$6,012.00	—	—	74%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS WO W	$1,712.30	$6,673.00	$272.95–$2,117.84	13% below	74%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS WO W	$1,712.30	$6,673.00	—	—	74%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W	$847.04	$3,301.00	$169.25–$2,117.84	25% below	74%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W	$847.04	$3,301.00	—	—	74%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO	$796.23	$3,103.00	$101.10–$2,117.84	10% below	74%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO	$796.23	$3,103.00	—	—	74%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX FACIAL SINUS LTD	$767.50	$2,991.00	$101.10–$2,117.84	2% below	74%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX FACIAL SINUS WO	$767.50	$2,991.00	$101.10–$2,117.84	2% below	74%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX FACIAL SINUS LTD	$767.50	$2,991.00	—	—	74%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX FACIAL SINUS WO	$767.50	$2,991.00	—	—	74%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO	$732.60	$2,855.00	$101.10–$2,117.84	14% below	74%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO	$732.60	$2,855.00	—	—	74%
CT scan of the head with contrast CPT 70460 CT HEAD W	$798.54	$3,112.00	$169.25–$2,117.84	9% below	74%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W	$798.54	$3,112.00	—	—	74%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO W	$1,011.01	$3,940.00	$169.25–$2,117.84	3% below	74%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO W	$1,011.01	$3,940.00	—	—	74%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO	$727.21	$2,834.00	$101.10–$2,117.84	22% below	74%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO	$727.21	$2,834.00	—	—	74%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO	$705.91	$2,751.00	$101.10–$2,117.84	24% below	74%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO	$705.91	$2,751.00	—	—	74%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$644.07	$2,510.00	$169.25–$2,117.84	39% below	74%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W	$644.07	$2,510.00	—	—	74%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DOPPLER	$342.82	$1,336.00	$158.90–$734.80	6% below	74%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DOPPLER	$342.82	$1,336.00	—	—	74%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VWS	$128.30	$500.00	$21.87–$275.00	10% below	74%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VWS	$128.30	$500.00	—	—	74%
Chest X-ray, single view CPT 71045 CR CHEST DECUBITUS	$74.68	$291.00	$11.86–$182.03	31% below	74%
Chest X-ray, single view CPT 71045 CR CHEST 1 VW	$116.50	$454.00	$11.86–$249.70	8% above	74%
Chest X-ray, single view inpatient CPT 71045 CR CHEST DECUBITUS	$74.68	$291.00	—	—	74%
Chest X-ray, single view inpatient CPT 71045 CR CHEST 1 VW	$116.50	$454.00	—	—	74%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMP	$222.22	$866.00	$44.00–$377.57	21% below	74%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL COMP	$222.22	$866.00	—	—	74%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 LC DUAL ENERGY DEXA MORE SITES	$109.57	$427.00	$89.59–$352.03	44% below	74%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 LC DUAL ENERGY DEXA MORE SITES	$109.57	$427.00	—	—	74%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED FAE SGL 1ST GEST	$204.26	$796.00	$119.38–$517.79	18% below	74%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DETAILED FAE SGL 1ST GEST	$204.26	$796.00	—	—	74%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO	$601.99	$2,346.00	$101.10–$2,117.84	22% below	74%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO	$601.99	$2,346.00	—	—	74%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W	$734.14	$2,861.00	$169.25–$2,117.84	28% below	74%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W	$734.14	$2,861.00	—	—	74%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US ARTERIAL DOP DIGIT PRESSURE	$305.36	$1,190.00	$165.71–$654.50	9% below	74%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US ARTERIAL DOP DIGIT PRESSURE	$305.36	$1,190.00	—	—	74%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VL VEINS UE DUPLEX BILAT	$387.47	$1,510.00	$95.34–$830.50	—	74%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VL VEINS UE DUPLEX BILAT	$387.47	$1,510.00	—	—	74%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE	$587.11	$2,288.00	$477.58–$1,258.40	47% below	74%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE W BUBBLE	$612.77	$2,388.00	$477.58–$1,313.40	44% below	74%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE	$587.11	$2,288.00	—	—	74%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE W BUBBLE	$612.77	$2,388.00	—	—	74%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM BILIARY TRACT IMAGING	$602.25	$2,347.00	$312.39–$1,220.44	3% below	74%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM BILIARY TRACT IMAGING	$602.25	$2,347.00	—	—	74%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY (RT)	$153.71	$599.00	$148.75–$1,379.00	48% below	74%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY (RT)	$153.71	$599.00	—	—	74%
Knee X-ray, 3 views CPT 73562 CR KNEE MIN 3 VWS	$119.32	$465.00	$35.00–$255.75	22% below	74%
Knee X-ray, 3 views inpatient CPT 73562 CR KNEE MIN 3 VWS	$119.32	$465.00	—	—	74%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD REAL TM W/IMG DOC LIMTD	$251.47	$980.00	$20.00–$377.57	5% below	74%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD REAL TM W/IMG DOC LIMTD	$251.47	$980.00	—	—	74%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 INITIAL LUNG CT SCREENING	$73.39	$286.00	$78.83–$2,117.84	52% below	74%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 INITIAL LUNG CT SCREENING	$73.39	$286.00	—	—	74%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LE JOINT WO	$1,044.62	$4,071.00	$223.73–$2,827.78	at median	74%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LE JOINT WO	$1,044.62	$4,071.00	—	—	74%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JOINT WO W	$1,284.80	$5,007.00	$339.54–$2,827.78	2% below	74%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JOINT WO W	$1,284.80	$5,007.00	—	—	74%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO	$1,203.97	$4,692.00	$223.73–$2,827.78	at median	74%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO	$1,203.97	$4,692.00	—	—	74%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO W	$1,252.21	$4,880.00	$339.54–$2,827.78	1% below	74%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO W	$1,252.21	$4,880.00	—	—	74%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO	$1,484.44	$5,785.00	$223.73–$2,827.78	19% above	74%
MRI of the brain, no contrast dye CPT 70551 MRI SELLA WO	$1,484.44	$5,785.00	$223.73–$2,827.78	19% above	74%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO	$1,484.44	$5,785.00	—	—	74%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI SELLA WO	$1,484.44	$5,785.00	—	—	74%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO W	$1,810.32	$7,055.00	$339.54–$2,827.78	5% above	74%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WO W	$1,810.32	$7,055.00	$339.54–$2,827.78	5% above	74%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WO W	$1,810.32	$7,055.00	—	—	74%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO W	$1,810.32	$7,055.00	—	—	74%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO	$1,022.04	$3,983.00	$223.73–$2,827.78	10% below	74%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO	$1,022.04	$3,983.00	—	—	74%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR WO W	$1,400.01	$5,456.00	$339.54–$2,827.78	12% below	74%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR WO W	$1,400.01	$5,456.00	—	—	74%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO	$1,022.04	$3,983.00	$223.73–$2,827.78	at median	74%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO	$1,022.04	$3,983.00	—	—	74%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL WO W	$1,442.10	$5,620.00	$339.54–$2,827.78	12% below	74%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL WO W	$1,442.10	$5,620.00	—	—	74%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO	$1,052.58	$4,102.00	$223.73–$2,827.78	9% below	74%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO	$1,052.58	$4,102.00	—	—	74%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO W	$1,252.73	$4,882.00	$339.54–$2,827.78	1% below	74%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO W	$1,252.73	$4,882.00	—	—	74%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO	$939.67	$3,662.00	$223.73–$2,827.78	at median	74%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO	$939.67	$3,662.00	—	—	74%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UE JOINT WO	$1,046.68	$4,079.00	$223.73–$2,827.78	at median	74%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UE JOINT WO	$1,046.68	$4,079.00	—	—	74%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERF TRD R/S	$1,984.55	$7,734.00	$266.71–$2,938.37	1% above	74%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERF TRD R/S	$1,984.55	$7,734.00	—	—	74%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT SKULL BASE TO MIDTHIGH	$1,700.49	$6,627.00	$1,385.49–$4,328.00	27% below	74%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL BASE TO MIDTHIGH	$1,700.49	$6,627.00	—	—	74%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LTD	$80.58	$314.00	$24.00–$246.80	42% below	74%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON-OB LTD	$80.58	$314.00	—	—	74%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB COMP	$297.66	$1,160.00	$40.00–$377.57	18% below	74%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON-OB COMP	$297.66	$1,160.00	—	—	74%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 2 OR 3 TRI SGL 1ST GEST	$169.36	$660.00	$56.00–$377.57	40% below	74%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 2 OR 3 TRI SGL 1ST GEST	$169.36	$660.00	—	—	74%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIM SNGL GEST	$96.23	$375.00	$42.75–$375.00	66% below	74%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIM SNGL GEST	$96.23	$375.00	—	—	74%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1 OR MORE FETUSES	$109.32	$426.00	$26.00–$246.81	34% below	74%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED 1 OR MORE FETUSES	$109.32	$426.00	—	—	74%
Shoulder X-ray, complete, 2 or more views CPT 73030 CR SHOULDER COMP MIN 2 VWS	$117.53	$458.00	$20.00–$251.90	15% below	74%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 CR SHOULDER COMP MIN 2 VWS	$117.53	$458.00	—	—	74%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CR SWALLOWING FUNCT W VIDEO	$134.72	$525.00	$29.00–$401.74	37% below	74%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CR SWALLOWING FUNCT W VIDEO	$134.72	$525.00	—	—	74%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL PELVIS	$202.98	$791.00	$68.00–$377.57	40% below	74%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL PELVIS	$202.98	$791.00	—	—	74%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$154.22	$601.00	$58.50–$246.81	55% below	74%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$154.22	$601.00	—	—	74%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$369.77	$1,441.00	$56.00–$377.57	19% below	74%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE	$369.77	$1,441.00	—	—	74%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$199.38	$777.00	$31.00–$377.57	43% below	74%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS	$199.38	$777.00	—	—	74%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SFT TIS HD/NCK REAL TIME IMG	$154.22	$601.00	$54.00–$246.80	60% below	74%
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	$154.22	$601.00	—	—	74%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UGI WO KUB	$140.11	$546.00	$30.00–$401.74	42% below	74%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UGI W SMALL BOWEL WO AIR	$269.18	$1,049.00	$30.00–$576.95	12% above	74%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UGI WO KUB	$140.11	$546.00	—	—	74%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UGI W SMALL BOWEL WO AIR	$269.18	$1,049.00	—	—	74%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VL VEINS UE DUPLEX LTD	$197.59	$770.00	$101.10–$573.72	46% below	74%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VL VEINS UE DUPLEX LTD	$197.59	$770.00	—	—	74%
Wrist X-ray, complete, 3 or more views CPT 73110 CR WRIST 3 VWS	$120.61	$470.00	$23.00–$258.50	16% below	74%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CR WRIST 3 VWS	$120.61	$470.00	—	—	74%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 CR HIP UNI COMP 2 VWS	$120.61	$470.00	$27.84–$258.50	6% below	74%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 CR HIP UNI COMP 2 VWS	$120.61	$470.00	—	—	74%
X-ray of the abdomen, 1 view CPT 74018 CR ABDOMEN 1 VW PORT	$100.34	$391.00	$20.26–$215.05	31% below	74%
X-ray of the abdomen, 1 view inpatient CPT 74018 CR ABDOMEN 1 VW PORT	$100.34	$391.00	—	—	74%
X-ray of the ankle, 2 views CPT 73600 CR ANKLE 2 VWS	$95.20	$371.00	$30.00–$204.05	15% below	74%
X-ray of the ankle, 2 views inpatient CPT 73600 CR ANKLE 2 VWS	$95.20	$371.00	—	—	74%
X-ray of the finger(s), 2 or more views one side CPT 73140 CR THUMB LT	$62.10	$242.00	$16.00–$182.03	42% below	74%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR THUMB LT	$62.10	$242.00	—	—	74%
X-ray of the foot, 2 views CPT 73620 CR FOOT 2 VWS	$85.71	$334.00	$23.00–$183.70	20% below	74%
X-ray of the foot, 2 views inpatient CPT 73620 CR FOOT 2 VWS	$85.71	$334.00	—	—	74%
X-ray of the foot, complete, 3 or more views CPT 73630 CR FOOT COMP MIN 3 VWS	$136.00	$530.00	$28.00–$291.50	4% below	74%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 CR FOOT COMP MIN 3 VWS	$136.00	$530.00	—	—	74%
X-ray of the hand, 3 or more views CPT 73130 CR HAND MIN 3 VWS	$125.74	$490.00	$25.00–$269.50	31% below	74%
X-ray of the hand, 3 or more views inpatient CPT 73130 CR HAND MIN 3 VWS	$125.74	$490.00	—	—	74%
X-ray of the knee, 1 or 2 views CPT 73560 CR KNEE 1 OR 2 VWS	$101.36	$395.00	$25.00–$217.25	13% below	74%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 CR KNEE 1 OR 2 VWS	$101.36	$395.00	—	—	74%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR SPINE LUMBAR 2 OR 3 VWS	$119.84	$467.00	$28.00–$256.85	37% below	74%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR SPINE LUMBAR 2 OR 3 VWS	$119.84	$467.00	—	—	74%
X-ray of the lower back, 4 or more views CPT 72110 CR SPINE LUMBAR MIN 4 VWS	$176.03	$686.00	$40.00–$377.30	39% below	74%
X-ray of the lower back, 4 or more views inpatient CPT 72110 CR SPINE LUMBAR MIN 4 VWS	$176.03	$686.00	—	—	74%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CR SPINE THORC FLEXION EXTENSION	$113.42	$442.00	$24.00–$245.18	44% below	74%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CR SPINE THORC FLEXION EXTENSION	$113.42	$442.00	—	—	74%
X-ray of the nasal bones, 3 or more views CPT 70160 CR NASAL BONES MIN 3 VWS	$105.21	$410.00	$23.00–$225.50	2% below	74%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CR NASAL BONES MIN 3 VWS	$105.21	$410.00	—	—	74%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR SPINE CERVICAL 2 OR 3 VWS	$120.61	$470.00	$28.00–$258.50	at median	74%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR SPINE CERVICAL 2 OR 3 VWS	$120.61	$470.00	—	—	74%
X-ray of the pelvis, 1 or 2 views CPT 72170 CR PELVIS 1 OR 2 VWS	$88.02	$343.00	$21.00–$245.18	43% below	74%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR PELVIS 1 OR 2 VWS	$88.02	$343.00	—	—	74%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CR SACRUM COCCYX MIN 2 VWS	$104.44	$407.00	$17.00–$223.85	15% below	74%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CR SACRUM COCCYX MIN 2 VWS	$104.44	$407.00	—	—	74%

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	$14.12	$55.00	$4.00–$30.25	47% below	74%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$24.13	$94.00	$4.00–$51.70	9% below	74%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 FATTY LIVER DS ECHOSENS ALT	$25.41	$99.00	$4.00–$54.45	5% below	74%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CHR HEP ECHOSENS ALT	$14.12	$55.00	—	—	74%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$24.13	$94.00	—	—	74%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FATTY LIVER DS ECHOSENS ALT	$25.41	$99.00	—	—	74%
AST (aspartate aminotransferase) enzyme test CPT 84450 CHR HEP ECHOSENS AST	$14.12	$55.00	$3.91–$30.25	54% below	74%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$23.87	$93.00	$3.91–$51.15	22% below	74%
AST (aspartate aminotransferase) enzyme test CPT 84450 FATTY LIVER DS ECHOSENS AST	$25.41	$99.00	$3.91–$54.45	17% below	74%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CHR HEP ECHOSENS AST	$14.12	$55.00	—	—	74%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$23.87	$93.00	—	—	74%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FATTY LIVER DS ECHOSENS AST	$25.41	$99.00	—	—	74%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL SVI	$187.32	$730.00	$35.91–$401.50	12% below	74%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL SVI	$187.32	$730.00	—	—	74%
Allergy blood test, specific IgE, per allergen CPT 86003 RDPSC D PTERONYSSINUS	$2.83	$11.00	$3.93–$16.93	83% below	74%
Allergy blood test, specific IgE, per allergen CPT 86003 RDPSC CAT DANDER	$4.11	$16.00	$3.93–$16.93	75% below	74%
Allergy blood test, specific IgE, per allergen CPT 86003 RDPSC JOHNSON GRASS	$4.37	$17.00	$3.93–$17.00	73% below	74%
Allergy blood test, specific IgE, per allergen CPT 86003 #LATEXIGE	$21.05	$82.00	$3.93–$45.10	28% above	74%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RDPSC D PTERONYSSINUS	$2.83	$11.00	—	—	74%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RDPSC CAT DANDER	$4.11	$16.00	—	—	74%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RDPSC JOHNSON GRASS	$4.37	$17.00	—	—	74%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 #LATEXIGE	$21.05	$82.00	—	—	74%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP-CYCLIC CITRULLINATED PEPTIDE	$61.59	$240.00	$9.77–$132.00	at median	74%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 #CYCLIC CITRULLINATED PEPTIDE ABS	$67.49	$263.00	$9.77–$144.65	10% above	74%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP-CYCLIC CITRULLINATED PEPTIDE	$61.59	$240.00	—	—	74%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 #CYCLIC CITRULLINATED PEPTIDE ABS	$67.49	$263.00	—	—	74%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SREEN WITH CONFIRMATION	$38.49	$150.00	$9.12–$82.50	23% below	74%
Antinuclear antibody (ANA) blood test, screen CPT 86038 #ANTINUCLEAR ANTIBODY	$40.03	$156.00	$9.12–$85.80	20% below	74%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SREEN WITH CONFIRMATION	$38.49	$150.00	—	—	74%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 #ANTINUCLEAR ANTIBODY	$40.03	$156.00	—	—	74%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-SHERWOOD ONLY	$104.70	$408.00	$29.60–$224.40	27% above	74%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP-SHERWOOD ONLY	$104.70	$408.00	—	—	74%
Basic metabolic panel (blood test) CPT 80048 SVDOPS BMP	$37.21	$145.00	$6.38–$79.75	67% below	74%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$37.21	$145.00	$6.38–$79.75	67% below	74%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$37.21	$145.00	—	—	74%
Basic metabolic panel (blood test) inpatient CPT 80048 SVDOPS BMP	$37.21	$145.00	—	—	74%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGST LEVL 4	$98.54	$384.00	$21.30–$211.20	8% below	74%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGST LEVL 4	$98.54	$384.00	—	—	74%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$46.96	$183.00	$7.78–$100.65	30% below	74%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$46.96	$183.00	—	—	74%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LC LAB DRAW FEE	$5.65	$22.00	$2.15–$9.54	53% below	74%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE *	$8.99	$35.00	$2.15–$9.54	25% below	74%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HOLDING--VENIPUNC FOR LAB ONLY	$9.76	$38.00	$2.15–$9.54	18% below	74%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$9.76	$38.00	$2.15–$86.26	18% below	74%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LC LAB DRAW FEE	$5.65	$22.00	—	—	74%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE *	$8.99	$35.00	—	—	74%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$9.76	$38.00	—	—	74%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HOLDING--VENIPUNC FOR LAB ONLY	$9.76	$38.00	—	—	74%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$11.81	$46.00	$2.96–$25.30	59% below	74%
Blood glucose (sugar) test CPT 82947 GLUCOSE (FASTING)	$18.48	$72.00	$2.96–$39.60	36% below	74%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM	$18.48	$72.00	$2.96–$39.60	36% below	74%
Blood glucose (sugar) test CPT 82947 FATTY LIVER DS ECHOSENS GLUCOSE	$25.41	$99.00	$2.96–$54.45	13% below	74%
Blood glucose (sugar) test CPT 82947 LC BLOOD GLUCOSE	$36.44	$142.00	$2.96–$78.10	25% above	74%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$11.81	$46.00	—	—	74%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM	$18.48	$72.00	—	—	74%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (FASTING)	$18.48	$72.00	—	—	74%
Blood glucose (sugar) test inpatient CPT 82947 FATTY LIVER DS ECHOSENS GLUCOSE	$25.41	$99.00	—	—	74%
Blood glucose (sugar) test inpatient CPT 82947 LC BLOOD GLUCOSE	$36.44	$142.00	—	—	74%
Blood lead test CPT 83655 BLOOD LEAD ARUP	$6.93	$27.00	$9.13–$39.23	81% below	74%
Blood lead test CPT 83655 HVY MTL 4 PANEL UR LEAD ARUP	$9.50	$37.00	$9.13–$39.23	74% below	74%
Blood lead test CPT 83655 LEAD BLOOD	$37.21	$145.00	$9.13–$79.75	3% above	74%
Blood lead test CPT 83655 #LEAD URINE	$41.06	$160.00	$9.13–$88.00	14% above	74%
Blood lead test inpatient CPT 83655 BLOOD LEAD ARUP	$6.93	$27.00	—	—	74%
Blood lead test inpatient CPT 83655 HVY MTL 4 PANEL UR LEAD ARUP	$9.50	$37.00	—	—	74%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$37.21	$145.00	—	—	74%
Blood lead test inpatient CPT 83655 #LEAD URINE	$41.06	$160.00	—	—	74%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM	$34.65	$135.00	$5.67–$74.25	8% below	74%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM	$34.65	$135.00	—	—	74%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE IUFD-ABO	$116.76	$455.00	$2.25–$250.25	100% above	74%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE IUFD-ABO	$116.76	$455.00	—	—	74%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP-SF	$23.61	$92.00	$3.91–$50.60	41% below	74%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$23.61	$92.00	$3.91–$50.60	41% below	74%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 IBD-CRP	$26.18	$102.00	$3.91–$56.10	35% below	74%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$23.61	$92.00	—	—	74%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP-SF	$23.61	$92.00	—	—	74%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 IBD-CRP	$26.18	$102.00	—	—	74%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY PCR	$108.29	$422.00	$28.11–$232.10	1% above	74%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF BY PCR	$108.29	$422.00	—	—	74%
CA 19-9 blood test (tumor marker) CPT 86301 NM CA 19-9	$109.06	$425.00	$15.69–$233.75	31% above	74%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 NM CA 19-9	$109.06	$425.00	—	—	74%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$69.03	$269.00	$15.69–$147.95	1% above	74%
CA-125 blood test (ovarian cancer marker) CPT 86304 NM CA 125	$75.70	$295.00	$15.69–$162.25	10% above	74%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$69.03	$269.00	—	—	74%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 NM CA 125	$75.70	$295.00	—	—	74%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 AR IN-HOUSE PCR	$58.25	$227.00	$38.69–$116.47	56% below	74%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 AR IN-HOUSE PCR	$58.25	$227.00	—	—	74%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA AMP	$72.62	$283.00	$26.46–$184.89	3% below	74%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA-AMPLIFICATION	$108.29	$422.00	$26.46–$232.10	45% above	74%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 #CHLAMYDIA-APA	$112.65	$439.00	$26.46–$241.45	51% above	74%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA AMP	$72.62	$283.00	—	—	74%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA-AMPLIFICATION	$108.29	$422.00	—	—	74%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 #CHLAMYDIA-APA	$112.65	$439.00	—	—	74%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$47.99	$187.00	$10.09–$102.85	42% below	74%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$47.99	$187.00	—	—	74%
Complete blood count (CBC) with differential CPT 85025 CBC-MAN DIFF	$31.31	$122.00	$5.86–$67.10	36% below	74%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC-MAN DIFF	$31.31	$122.00	—	—	74%
Complete blood count (CBC), no differential CPT 85027 CBC & PLATELET CNT (NO DIFFRN.	$26.95	$105.00	$4.88–$57.75	11% below	74%
Complete blood count (CBC), no differential CPT 85027 CBCNRBCWMD	$32.59	$127.00	$4.88–$69.85	8% above	74%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC & PLATELET CNT (NO DIFFRN.	$26.95	$105.00	—	—	74%
Complete blood count (CBC), no differential inpatient CPT 85027 CBCNRBCWMD	$32.59	$127.00	—	—	74%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$40.03	$156.00	$7.96–$85.80	69% below	74%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$40.03	$156.00	—	—	74%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTATATIVE	$41.06	$160.00	$7.68–$88.00	34% below	74%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTATATIVE	$41.06	$160.00	—	—	74%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$74.16	$289.00	$16.76–$158.95	6% above	74%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$74.16	$289.00	—	—	74%
Estradiol blood test CPT 82670 ESTRADIOL (E2)	$97.77	$381.00	$21.07–$209.55	6% below	74%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2)	$97.77	$381.00	—	—	74%
FSH (follicle-stimulating hormone) test CPT 83001 FOLICLE STIMULATING HORMONE(FSH)	$57.48	$224.00	$14.01–$123.20	20% below	74%
FSH (follicle-stimulating hormone) test CPT 83001 #FOLLICLE STIMULATING HRMN (CD)	$59.79	$233.00	$14.01–$128.15	17% below	74%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLICLE STIMULATING HORMONE(FSH)	$57.48	$224.00	—	—	74%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 #FOLLICLE STIMULATING HRMN (CD)	$59.79	$233.00	—	—	74%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$30.80	$120.00	$14.80–$66.00	77% below	74%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$30.80	$120.00	—	—	74%
Ferritin blood test (iron stores) CPT 82728 FATTY LIVER DS ECHOSENS FERRITIN	$24.13	$94.00	$10.28–$71.78	65% below	74%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$41.83	$163.00	$10.28–$89.65	39% below	74%
Ferritin blood test (iron stores) inpatient CPT 82728 FATTY LIVER DS ECHOSENS FERRITIN	$24.13	$94.00	—	—	74%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$41.83	$163.00	—	—	74%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$54.92	$214.00	$11.09–$117.70	13% below	74%
Folate (folic acid) blood test CPT 82746 #PAML FOLATE	$60.31	$235.00	$11.09–$129.25	5% below	74%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$54.92	$214.00	—	—	74%
Folate (folic acid) blood test inpatient CPT 82746 #PAML FOLATE	$60.31	$235.00	—	—	74%
Free T3 thyroid hormone test CPT 84481 FREE T3 SVI	$52.61	$205.00	$12.77–$112.75	17% below	74%
Free T3 thyroid hormone test CPT 84481 #T3 (TRIIODOTHYRONINE) FREE	$55.17	$215.00	$12.77–$118.25	13% below	74%
Free T3 thyroid hormone test CPT 84481 FREE T3 BY DIALYSIS AND LCMSMS	$91.35	$356.00	$12.77–$195.80	43% above	74%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 SVI	$52.61	$205.00	—	—	74%
Free T3 thyroid hormone test inpatient CPT 84481 #T3 (TRIIODOTHYRONINE) FREE	$55.17	$215.00	—	—	74%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 BY DIALYSIS AND LCMSMS	$91.35	$356.00	—	—	74%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS AND LCMSMS	$16.94	$66.00	$6.80–$47.50	65% below	74%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$34.65	$135.00	$6.80–$74.25	28% below	74%
Free T4 (free thyroxine) thyroid blood test CPT 84439 #THYROXINEFREE	$37.98	$148.00	$6.80–$81.40	21% below	74%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY DIALYSIS AND LCMSMS	$16.94	$66.00	—	—	74%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$34.65	$135.00	—	—	74%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 #THYROXINEFREE	$37.98	$148.00	—	—	74%
Free testosterone test CPT 84402 TESTOSTERONE FREE ARUP	$19.25	$75.00	$19.21–$82.54	77% below	74%
Free testosterone test CPT 84402 #TESTOSTERONE FREE	$85.20	$332.00	$19.21–$182.60	2% above	74%
Free testosterone test CPT 84402 TESTOSTERONE FREE LC-MS/MS	$85.20	$332.00	$19.21–$182.60	2% above	74%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE ARUP	$19.25	$75.00	—	—	74%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE LC-MS/MS	$85.20	$332.00	—	—	74%
Free testosterone test inpatient CPT 84402 #TESTOSTERONE FREE	$85.20	$332.00	—	—	74%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$228.12	$889.00	$23.56–$488.95	57% above	74%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$228.12	$889.00	—	—	74%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP	$16.17	$63.00	$3.58–$34.65	53% below	74%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR PP	$16.17	$63.00	—	—	74%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE - 3HR	$42.60	$166.00	$9.71–$91.30	34% below	74%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 2 HR GESTATIONAL	$42.60	$166.00	$9.71–$91.30	34% below	74%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE - 3HR	$42.60	$166.00	—	—	74%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE 2 HR GESTATIONAL	$42.60	$166.00	—	—	74%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA DNA AMP	$72.62	$283.00	$26.46–$184.89	5% below	74%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA-AMPLIFICATION	$108.29	$422.00	$26.46–$232.10	41% above	74%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 #GC-APA	$112.65	$439.00	$26.46–$241.45	47% above	74%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA DNA AMP	$72.62	$283.00	—	—	74%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA-AMPLIFICATION	$108.29	$422.00	—	—	74%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 #GC-APA	$112.65	$439.00	—	—	74%
H. pylori antibody blood test CPT 86677 H. PYLORI AB IGA	$7.70	$30.00	$12.70–$47.03	89% below	74%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG	$74.16	$289.00	$12.70–$158.95	6% above	74%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI AB IGA	$7.70	$30.00	—	—	74%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGG	$74.16	$289.00	—	—	74%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN FECES	$14.12	$55.00	$10.85–$36.46	80% below	74%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL	$18.74	$73.00	$10.85–$40.15	74% below	74%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN FECES	$14.12	$55.00	—	—	74%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL	$18.74	$73.00	—	—	74%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 #HIVI RNA BY PCR ULTRASENSITIVE	$55.43	$216.00	$64.17–$275.83	75% below	74%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1-RNA BY PCR	$381.57	$1,487.00	$64.17–$817.85	70% above	74%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 #HIV1-RNA BY PCR	$419.80	$1,636.00	$64.17–$899.80	87% above	74%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 #HIVI RNA BY PCR ULTRASENSITIVE	$55.43	$216.00	—	—	74%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1-RNA BY PCR	$381.57	$1,487.00	—	—	74%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 #HIV1-RNA BY PCR	$419.80	$1,636.00	—	—	74%
HIV-1 and HIV-2 antibody test CPT 86703 HIV1/HIV2 ANTIBODY	$46.71	$182.00	$10.34–$100.10	37% below	74%
HIV-1 and HIV-2 antibody test CPT 86703 #PAML HIV 1&2	$51.58	$201.00	$10.34–$110.55	30% below	74%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV1/HIV2 ANTIBODY	$46.71	$182.00	—	—	74%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 #PAML HIV 1&2	$51.58	$201.00	—	—	74%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LC HGB A1-C	$19.51	$76.00	$7.32–$51.16	50% below	74%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB-SHERWOOD ONLY	$36.70	$143.00	$7.32–$78.65	6% below	74%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LC HGB A1-C	$19.51	$76.00	—	—	74%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HGB-SHERWOOD ONLY	$36.70	$143.00	—	—	74%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$42.09	$164.00	$8.10–$90.20	33% below	74%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$42.09	$164.00	—	—	74%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$40.80	$159.00	$7.78–$87.45	2% below	74%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$40.80	$159.00	—	—	74%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C	$51.32	$200.00	$10.76–$110.00	at median	74%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C	$51.32	$200.00	—	—	74%
Hepatitis C viral load (HCV RNA) test CPT 87522 #HEPATITIS CQUANTIFICATION	$35.93	$140.00	$32.31–$140.00	73% below	74%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR-HCV RNA QUANT	$192.45	$750.00	$32.31–$412.50	47% above	74%
Hepatitis C viral load (HCV RNA) test CPT 87522 #HEP C PCR-HCV RNA QUANT	$211.96	$826.00	$32.31–$454.30	61% above	74%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCVGTY	$1,153.42	$4,495.00	$32.31–$2,472.25	778% above	74%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR QUANT NON-GRAPH	$34.65	$135.00	$32.31–$138.86	74% below	74%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 #HEPATITIS CQUANTIFICATION	$35.93	$140.00	—	—	74%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR-HCV RNA QUANT	$192.45	$750.00	—	—	74%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 #HEP C PCR-HCV RNA QUANT	$211.96	$826.00	—	—	74%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCVGTY	$1,153.42	$4,495.00	—	—	74%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR QUANT NON-GRAPH	$34.65	$135.00	—	—	74%
Herpes blood test, HSV-1 antibody CPT 86695 #HERPES SIMPLEX TYPE 1 IGG	$10.27	$40.00	$9.94–$40.00	80% below	74%
Herpes blood test, HSV-1 antibody CPT 86695 HSV2 IGM AB	$39.26	$153.00	$9.94–$84.15	24% below	74%
Herpes blood test, HSV-1 antibody CPT 86695 #HSV2 IGM AB	$43.11	$168.00	$9.94–$92.40	17% below	74%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 #HERPES SIMPLEX TYPE 1 IGG	$10.27	$40.00	—	—	74%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV2 IGM AB	$39.26	$153.00	—	—	74%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 #HSV2 IGM AB	$43.11	$168.00	—	—	74%
Herpes blood test, HSV-2 antibody CPT 86696 #HERPES SIMPLEX TYPE 2 IGG	$10.27	$40.00	$14.59–$48.99	82% below	74%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2 GLYCOPROT G AB IGG	$10.53	$41.00	$14.59–$48.99	82% below	74%
Herpes blood test, HSV-2 antibody CPT 86696 #HSV 2 IGG SUPPLEMENTAL REFLEX	$25.92	$101.00	$14.59–$101.00	55% below	74%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2.IGG	$79.81	$311.00	$14.59–$171.05	38% above	74%
Herpes blood test, HSV-2 antibody CPT 86696 #HERPES SIMPLEX TYPE 2 IGM	$88.02	$343.00	$14.59–$188.65	52% above	74%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 #HERPES SIMPLEX TYPE 2 IGG	$10.27	$40.00	—	—	74%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2 GLYCOPROT G AB IGG	$10.53	$41.00	—	—	74%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 #HSV 2 IGG SUPPLEMENTAL REFLEX	$25.92	$101.00	—	—	74%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2.IGG	$79.81	$311.00	—	—	74%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 #HERPES SIMPLEX TYPE 2 IGM	$88.02	$343.00	—	—	74%
High-sensitivity CRP (hs-CRP) test CPT 86141 HS-CRP	$15.40	$60.00	$9.77–$40.61	70% below	74%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-HIGH SENSITIVE	$42.86	$167.00	$9.77–$91.85	17% below	74%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HS-CRP	$15.40	$60.00	—	—	74%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN-HIGH SENSITIVE	$42.86	$167.00	—	—	74%
Homocysteine blood test CPT 83090 HOMOCYSTEINE(SVI)	$52.35	$204.00	$13.51–$112.20	45% below	74%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$52.35	$204.00	$13.51–$112.20	45% below	74%
Homocysteine blood test CPT 83090 #HOMOCYSTEINE	$54.66	$213.00	$13.51–$117.15	43% below	74%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE(SVI)	$52.35	$204.00	—	—	74%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$52.35	$204.00	—	—	74%
Homocysteine blood test inpatient CPT 83090 #HOMOCYSTEINE	$54.66	$213.00	—	—	74%
Insulin blood test CPT 83525 INSULIN TOTAL	$6.68	$26.00	$8.62–$37.09	85% below	74%
Insulin blood test CPT 83525 PRO/INS RATIO INSULIN ARUP	$14.12	$55.00	$8.62–$55.00	69% below	74%
Insulin blood test CPT 83525 INSULIN (SVI)	$34.65	$135.00	$8.62–$74.25	25% below	74%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$6.68	$26.00	—	—	74%
Insulin blood test inpatient CPT 83525 PRO/INS RATIO INSULIN ARUP	$14.12	$55.00	—	—	74%
Insulin blood test inpatient CPT 83525 INSULIN (SVI)	$34.65	$135.00	—	—	74%
Iron blood test (serum iron) CPT 83540 IRON	$27.20	$106.00	$4.88–$58.30	11% below	74%
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE	$27.72	$108.00	$4.88–$59.40	10% below	74%
Iron blood test (serum iron) CPT 83540 #IRON LIVER TISSSUE	$30.54	$119.00	$4.88–$65.45	1% below	74%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$27.20	$106.00	—	—	74%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE	$27.72	$108.00	—	—	74%
Iron blood test (serum iron) inpatient CPT 83540 #IRON LIVER TISSSUE	$30.54	$119.00	—	—	74%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING	$26.69	$104.00	$6.59–$57.20	6% below	74%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING	$26.69	$104.00	—	—	74%
Kidney function blood test panel CPT 80069 RENAL PROFILE	$33.11	$129.00	$6.54–$70.95	59% below	74%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE	$33.11	$129.00	—	—	74%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE(LH)	$57.48	$224.00	$13.97–$123.20	13% below	74%
LH (luteinizing hormone) test CPT 83002 #LUTEINIZING HORMONE(CNTR DG	$59.79	$233.00	$13.97–$128.15	10% below	74%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE(LH)	$57.48	$224.00	—	—	74%
LH (luteinizing hormone) test inpatient CPT 83002 #LUTEINIZING HORMONE(CNTR DG	$59.79	$233.00	—	—	74%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BF	$6.16	$24.00	$5.20–$24.00	80% below	74%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PERITONEAL FLUID	$13.35	$52.00	$5.20–$36.29	56% below	74%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$26.18	$102.00	$5.20–$56.10	14% below	74%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BF	$6.16	$24.00	—	—	74%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PERITONEAL FLUID	$13.35	$52.00	—	—	74%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$26.18	$102.00	—	—	74%
Liver function blood test panel CPT 80076 HEPATIC PROFILE	$32.85	$128.00	$6.16–$70.40	63% below	74%
Liver function blood test panel inpatient CPT 80076 HEPATIC PROFILE	$32.85	$128.00	—	—	74%
Lyme disease antibody test CPT 86618 LYME ANTIBODY W/ RFX ARUP	$37.47	$146.00	$12.84–$89.72	51% below	74%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$52.86	$206.00	$12.84–$113.30	31% below	74%
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODY W/ RFX ARUP	$37.47	$146.00	—	—	74%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$52.86	$206.00	—	—	74%
Magnesium blood test CPT 83735 MAGNESIUM	$28.74	$112.00	$5.06–$61.60	10% below	74%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$28.74	$112.00	—	—	74%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGG	$42.34	$165.00	$9.71–$90.75	8% below	74%
Measles (rubeola) antibody test CPT 86765 #RUBEOLA ANTIBODY IGG	$46.71	$182.00	$9.71–$100.10	1% above	74%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY IGG	$42.34	$165.00	—	—	74%
Measles (rubeola) antibody test inpatient CPT 86765 #RUBEOLA ANTIBODY IGG	$46.71	$182.00	—	—	74%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN	$19.51	$76.00	$3.91–$41.80	36% below	74%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCREEN	$19.51	$76.00	—	—	74%
PSA (prostate-specific antigen) blood test, free CPT 84154 #PSA FREE	$52.61	$205.00	$13.86–$112.75	5% below	74%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 #PSA FREE	$52.61	$205.00	—	—	74%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA SENSITIVE	$13.60	$53.00	$13.86–$59.63	80% below	74%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL	$56.71	$221.00	$13.86–$121.55	15% below	74%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA SENSITIVE	$13.60	$53.00	—	—	74%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL	$56.71	$221.00	—	—	74%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 #PAP SMEAR-THIN PREP-APA	$50.81	$198.00	$15.28–$108.90	at median	74%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 #PAP SMEAR-THIN PREP-APA	$50.81	$198.00	—	—	74%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT (SVI)	$127.54	$497.00	$31.12–$273.35	19% below	74%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-RELATED PROTEIN	$127.54	$497.00	$31.12–$273.35	19% below	74%
Parathyroid hormone (PTH) blood test CPT 83970 #PTH(PARATHYROID HORMONE)INTAC	$132.67	$517.00	$31.12–$284.35	16% below	74%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-RELATED PROTEIN	$127.54	$497.00	—	—	74%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT (SVI)	$127.54	$497.00	—	—	74%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 #PTH(PARATHYROID HORMONE)INTAC	$132.67	$517.00	—	—	74%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ACT-PTT ARUP	$5.91	$23.00	$4.54–$23.00	83% below	74%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$13.35	$52.00	$4.54–$31.65	62% below	74%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT BILL ONLY ARUP	$15.40	$60.00	$4.54–$33.00	56% below	74%
Partial thromboplastin time (PTT) clotting test CPT 85730 SVDOPS PTT	$23.61	$92.00	$4.54–$50.60	32% below	74%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTLP-APTT PATIENT	$26.18	$102.00	$4.54–$56.10	25% below	74%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ACT-PTT ARUP	$5.91	$23.00	—	—	74%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME	$13.35	$52.00	—	—	74%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT BILL ONLY ARUP	$15.40	$60.00	—	—	74%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SVDOPS PTT	$23.61	$92.00	—	—	74%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTLP-APTT PATIENT	$26.18	$102.00	—	—	74%
Progesterone blood test CPT 84144 #PROGESTERONE	$20.02	$78.00	$15.73–$78.00	67% below	74%
Progesterone blood test CPT 84144 PROGESTERONE	$69.03	$269.00	$15.73–$147.95	15% above	74%
Progesterone blood test inpatient CPT 84144 #PROGESTERONE	$20.02	$78.00	—	—	74%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$69.03	$269.00	—	—	74%
Prolactin blood test CPT 84146 PROLACTIN	$59.79	$233.00	$14.62–$128.15	14% below	74%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$59.79	$233.00	—	—	74%
Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ACT-PT ARUP	$5.65	$22.00	$3.24–$20.71	79% below	74%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$8.99	$35.00	$3.24–$20.71	67% below	74%
Prothrombin time (PT/INR) clotting test CPT 85610 ISTAT PT/INR	$15.66	$61.00	$3.24–$33.55	42% below	74%
Prothrombin time (PT/INR) clotting test CPT 85610 ACTLP-PROTIME PATIENT	$17.45	$68.00	$3.24–$37.40	36% below	74%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LUPUS ACT-PT ARUP	$5.65	$22.00	—	—	74%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$8.99	$35.00	—	—	74%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ISTAT PT/INR	$15.66	$61.00	—	—	74%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ACTLP-PROTIME PATIENT	$17.45	$68.00	—	—	74%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG CLASS - 12 DRUGS	$14.12	$55.00	$9.50–$33.96	39% below	74%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 #ALCOHOL URINE	$37.98	$148.00	$9.50–$81.40	63% above	74%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG CLASS - 12 DRUGS	$14.12	$55.00	—	—	74%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 #ALCOHOL URINE	$37.98	$148.00	—	—	74%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A	$36.70	$143.00	$11.76–$78.65	28% below	74%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A	$36.70	$143.00	—	—	74%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR BODY FLUID	$6.68	$26.00	$4.28–$26.00	82% below	74%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR BODY FLUID	$6.68	$26.00	—	—	74%
Rubella antibody test (immunity check) CPT 86762 RUBELLA-IGG	$5.91	$23.00	$10.85–$46.65	86% below	74%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB ELISA	$47.73	$186.00	$10.85–$102.30	10% above	74%
Rubella antibody test (immunity check) CPT 86762 #RUBELLA IGM AB ELISA	$52.61	$205.00	$10.85–$112.75	21% above	74%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA-IGG	$5.91	$23.00	—	—	74%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM AB ELISA	$47.73	$186.00	—	—	74%
Rubella antibody test (immunity check) inpatient CPT 86762 #RUBELLA IGM AB ELISA	$52.61	$205.00	—	—	74%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS	$40.29	$157.00	$9.28–$86.35	68% below	74%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS	$40.29	$157.00	—	—	74%
Stool ova and parasites exam CPT 87177 O&P FECAL WET-MOUNT ARUP	$11.30	$44.00	$6.72–$44.00	72% below	74%
Stool ova and parasites exam CPT 87177 OVA PARASITES AND AMOEBA	$35.93	$140.00	$6.72–$77.00	10% below	74%
Stool ova and parasites exam inpatient CPT 87177 O&P FECAL WET-MOUNT ARUP	$11.30	$44.00	—	—	74%
Stool ova and parasites exam inpatient CPT 87177 OVA PARASITES AND AMOEBA	$35.93	$140.00	—	—	74%
Stool test for hidden blood (guaiac FOBT) CPT 82270 LC HEMOCCULT	$3.08	$12.00	$3.19–$12.00	86% below	74%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$11.04	$43.00	$3.19–$23.65	51% below	74%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 LC HEMOCCULT	$3.08	$12.00	—	—	74%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$11.04	$43.00	—	—	74%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$3.60	$14.00	$3.22–$14.00	79% below	74%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 #VDRL CSF OR OTHER CONTR DIA	$4.62	$18.00	$3.22–$18.00	73% below	74%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF OR OTHER CONTR DIA	$15.91	$62.00	$3.22–$34.10	8% below	74%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$3.60	$14.00	—	—	74%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 #VDRL CSF OR OTHER CONTR DIA	$4.62	$18.00	—	—	74%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF OR OTHER CONTR DIA	$15.91	$62.00	—	—	74%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD 4 TUBE	$23.10	$90.00	$46.74–$203.12	72% below	74%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD 1 TUBE	$26.95	$105.00	$46.74–$203.12	67% below	74%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD 4 TUBE	$23.10	$90.00	—	—	74%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD 1 TUBE	$26.95	$105.00	—	—	74%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL ARUP	$19.25	$75.00	$19.46–$83.69	76% below	74%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (SVI)	$79.81	$311.00	$19.46–$171.05	1% above	74%
Testosterone blood test, total (not free testosterone) CPT 84403 #TESTOSTERONE TOTAL	$83.14	$324.00	$19.46–$178.20	5% above	74%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL ARUP	$19.25	$75.00	—	—	74%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL (SVI)	$79.81	$311.00	—	—	74%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 #TESTOSTERONE TOTAL	$83.14	$324.00	—	—	74%
Thyroid peroxidase (TPO) antibody test CPT 86376 #LIVER-KIDNEY-MICROSOME AUTOABS	$10.78	$42.00	$10.97–$47.17	73% below	74%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES	$44.91	$175.00	$10.97–$96.25	11% above	74%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHYROID ANTIBODIES ORDERS	$44.91	$175.00	$10.97–$96.25	11% above	74%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY(THY-KID-LVR)	$49.53	$193.00	$10.97–$106.15	23% above	74%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 #LIVER-KIDNEY-MICROSOME AUTOABS	$10.78	$42.00	—	—	74%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTITHYROID ANTIBODIES ORDERS	$44.91	$175.00	—	—	74%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES	$44.91	$175.00	—	—	74%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY(THY-KID-LVR)	$49.53	$193.00	—	—	74%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$65.69	$256.00	$12.67–$140.80	9% above	74%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 #THYROID SCREEN NB SCRN	$72.37	$282.00	$12.67–$155.10	20% above	74%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$65.69	$256.00	—	—	74%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 #THYROID SCREEN NB SCRN	$72.37	$282.00	—	—	74%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS BY NAA	$33.11	$129.00	$26.46–$108.66	58% below	74%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS BY NAA	$33.11	$129.00	—	—	74%
Uric acid blood test CPT 84550 URIC ACID	$20.28	$79.00	$3.41–$43.45	43% below	74%
Uric acid blood test inpatient CPT 84550 URIC ACID	$20.28	$79.00	—	—	74%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS SHERWOOD ER	$13.35	$52.00	$2.39–$28.60	55% below	74%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS SHERWOOD ER	$13.35	$52.00	—	—	74%
Urinalysis with microscope exam, manual CPT 81000 CLINITEST	$11.81	$46.00	$3.03–$25.30	53% below	74%
Urinalysis with microscope exam, manual inpatient CPT 81000 CLINITEST	$11.81	$46.00	—	—	74%
Urinalysis without microscope exam, automated CPT 81003 SVDOPS UA	$10.27	$40.00	$1.69–$22.00	46% below	74%
Urinalysis without microscope exam, automated inpatient CPT 81003 SVDOPS UA	$10.27	$40.00	—	—	74%
Urinalysis without microscope exam, manual CPT 81002 UA PROTEIN	$10.01	$39.00	$2.51–$21.45	39% below	74%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$10.01	$39.00	$2.51–$21.45	39% below	74%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK	$10.01	$39.00	—	—	74%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA PROTEIN	$10.01	$39.00	—	—	74%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$26.69	$104.00	$6.09–$57.20	40% below	74%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$26.69	$104.00	—	—	74%
Urine pregnancy test, read by color change CPT 81025 HCG U POCT	$12.83	$50.00	$6.20–$33.31	76% below	74%
Urine pregnancy test, read by color change CPT 81025 SVDOPS HCG URINE	$24.64	$96.00	$6.20–$52.80	53% below	74%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG U POCT	$12.83	$50.00	—	—	74%
Urine pregnancy test, read by color change inpatient CPT 81025 SVDOPS HCG URINE	$24.64	$96.00	—	—	74%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$56.97	$222.00	$11.37–$122.10	5% above	74%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$56.97	$222.00	—	—	74%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY D2 AND D3	$15.40	$60.00	$22.32–$95.95	80% below	74%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$102.39	$399.00	$22.32–$219.45	33% above	74%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 #VITAMIN D 25-HYDROXYSERUM	$112.65	$439.00	$22.32–$241.45	46% above	74%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 NM VITAMIN D 25 HYDROXY	$118.55	$462.00	$22.32–$254.10	54% above	74%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY D2 AND D3	$15.40	$60.00	—	—	74%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$102.39	$399.00	—	—	74%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 #VITAMIN D 25-HYDROXYSERUM	$112.65	$439.00	—	—	74%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 NM VITAMIN D 25 HYDROXY	$118.55	$462.00	—	—	74%
Zinc blood test CPT 84630 ZINC	$38.24	$149.00	$8.58–$81.95	13% below	74%
Zinc blood test inpatient CPT 84630 ZINC	$38.24	$149.00	—	—	74%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QNT BLOOD TUMOR	$12.32	$48.00	$11.34–$42.57	65% below	74%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QNT CSF TUMOR	$13.60	$53.00	$11.34–$42.57	62% below	74%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HUMAN CHORIONIC GONADOTROPIN QN	$34.90	$136.00	$11.34–$74.80	2% below	74%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 #HCG FREE ALPHA-SUBUNIT AND HCG T	$38.24	$149.00	$11.34–$81.95	8% above	74%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG QNT BLOOD TUMOR	$12.32	$48.00	—	—	74%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG QNT CSF TUMOR	$13.60	$53.00	—	—	74%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HUMAN CHORIONIC GONADOTROPIN QN	$34.90	$136.00	—	—	74%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 #HCG FREE ALPHA-SUBUNIT AND HCG T	$38.24	$149.00	—	—	74%

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	$207.08	$807.00	$210.54–$2,332.00	44% below	74%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786-TREATMENT OF ANKLE FRACTURE	$207.08	$807.00	—	—	74%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470-TREAT METATARSAL FRACTURE	$207.08	$807.00	$181.00–$2,332.00	52% below	74%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470-TREAT METATARSAL FRACTURE	$207.08	$807.00	—	—	74%
Cardiac catheterization with coronary angiogram CPT 93458 CP CORONARIES W LHC/LV	$3,301.42	$12,866.00	$376.00–$7,417.00	27% below	74%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CP CORONARIES W LHC/LV	$3,301.42	$12,866.00	—	—	74%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ICU CARDIOVERSION	$444.69	$1,733.00	$172.52–$6,955.00	2% below	74%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$463.17	$1,805.00	$172.52–$6,955.00	2% above	74%
Cardioversion, elective (restoring heart rhythm) CPT 92960 MP CARDIOVERSION-CCL	$463.17	$1,805.00	$172.52–$7,417.00	2% above	74%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CCU CARDIOVERSION 3HRS	$463.17	$1,805.00	$172.52–$6,955.00	2% above	74%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ICU CARDIOVERSION	$444.69	$1,733.00	—	—	74%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 MP CARDIOVERSION-CCL	$463.17	$1,805.00	—	—	74%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CCU CARDIOVERSION 3HRS	$463.17	$1,805.00	—	—	74%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$463.17	$1,805.00	—	—	74%
Catheter ablation for atrial fibrillation CPT 93656 ABLATION OF A-FIB W TRANS	$8,043.90	$31,348.00	$1,205.26–$34,225.77	59% below	74%
Catheter ablation for atrial fibrillation inpatient CPT 93656 ABLATION OF A-FIB W TRANS	$8,043.90	$31,348.00	—	—	74%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-TREAT FRACTURE RADIUS/ULNA	$207.08	$807.00	$181.00–$6,955.00	38% below	74%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600-TREAT FRACTURE RADIUS/ULNA	$207.08	$807.00	—	—	74%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH SINGLE/MULT BX	$846.27	$3,298.00	$567.50–$3,148.00	2% above	74%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH SINGLE/MULT BX	$846.27	$3,298.00	—	—	74%
Coronary stent placement, one artery CPT 92928 STENT	$4,773.79	$18,604.00	$726.40–$15,821.57	45% below	74%
Coronary stent placement, one artery inpatient CPT 92928 STENT	$4,773.79	$18,604.00	—	—	74%
Cystoscopy with ureteral stent placement CPT 52332 CYSTO W/INSERT URETERAL STENT	$2,213.18	$8,625.00	$824.01–$4,811.76	49% below	74%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTO W/INSERT URETERAL STENT	$2,213.18	$8,625.00	—	—	74%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION & CURETTAGE	$1,271.20	$4,954.00	$726.40–$4,435.86	18% below	74%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION & CURETTAGE	$1,271.20	$4,954.00	—	—	74%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$51.07	$199.00	$56.47–$6,955.00	1% above	74%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$51.07	$199.00	—	—	74%
Earwax removal with instruments, one ear CPT 69210 GHS REMOVE IMPACTED CERUMEN	$56.20	$219.00	$56.47–$6,955.00	6% below	74%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$61.85	$241.00	$56.47–$6,955.00	3% above	74%
Earwax removal with instruments, one ear CPT 69210 69210-REMOVE IMPACTED EAR WAX	$70.57	$275.00	$56.47–$6,955.00	18% above	74%
Earwax removal with instruments, one ear inpatient CPT 69210 GHS REMOVE IMPACTED CERUMEN	$56.20	$219.00	—	—	74%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN	$61.85	$241.00	—	—	74%
Earwax removal with instruments, one ear inpatient CPT 69210 69210-REMOVE IMPACTED EAR WAX	$70.57	$275.00	—	—	74%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CT EPIDURAL CERV/THOR W GD	$563.50	$2,196.00	$567.50–$2,332.00	22% below	74%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 L XA EPIDURAL CERV/THORA W GUIDE	$587.11	$2,288.00	$567.50–$2,332.00	18% below	74%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CT EPIDURAL CERV/THOR W GD	$563.50	$2,196.00	—	—	74%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 L XA EPIDURAL CERV/THORA W GUIDE	$587.11	$2,288.00	—	—	74%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64475-INJ NERVE LUMB OR SACRAL	$341.80	$1,332.00	$567.50–$2,332.00	57% below	74%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L XA FACET INJ L/S 1ST LEVEL	$644.84	$2,513.00	$567.50–$2,332.00	19% below	74%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64475-INJ NERVE LUMB OR SACRAL	$341.80	$1,332.00	—	—	74%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L XA FACET INJ L/S 1ST LEVEL	$644.84	$2,513.00	—	—	74%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEXIBLE SIGMOIDOSCOPY	$576.59	$2,247.00	$567.50–$2,332.00	41% above	74%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEXIBLE SIGMOIDOSCOPY	$576.59	$2,247.00	—	—	74%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$3,558.02	$13,866.00	$824.01–$10,024.00	45% below	74%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$3,558.02	$13,866.00	—	—	74%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLECYSTECTOMY W/CHOLANGIO	$3,779.98	$14,731.00	$824.01–$10,024.00	40% above	74%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP CHOLECYSTECTOMY W/CHOLANGIO	$3,779.98	$14,731.00	—	—	74%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 L CR CATH INTRO CONT SIS HSG BO	$177.83	$693.00	$598.00–$6,955.00	57% below	74%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 L CR CATH INTRO CONT SIS HSG BO	$177.83	$693.00	—	—	74%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS	$187.07	$729.00	$181.00–$6,955.00	at median	74%
Incision and drainage of a simple or single skin abscess CPT 10060 10060-DRAINAGE OF SKIN ABSCESS	$215.04	$838.00	$181.00–$6,955.00	15% above	74%
Incision and drainage of a simple or single skin abscess CPT 10060 CVSD I&D ABSCESS SIMPLE	$215.04	$838.00	$181.00–$6,955.00	15% above	74%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS	$187.07	$729.00	—	—	74%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 CVSD I&D ABSCESS SIMPLE	$215.04	$838.00	—	—	74%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060-DRAINAGE OF SKIN ABSCESS	$215.04	$838.00	—	—	74%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 TRIGGER PT INJ SCAPULA	$182.96	$713.00	$276.53–$6,955.00	105% above	74%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 TRIGGER PT INJ SCAPULA	$182.96	$713.00	—	—	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 2NW ASPIRATION MAJOR JOINT	$186.55	$727.00	$276.53–$2,332.00	8% above	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 LC ARTHROCENTESIS ASPIRATION/INJ	$189.38	$738.00	$276.53–$2,332.00	10% above	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CR INJ MAJOR JOINT	$195.02	$760.00	$276.53–$2,332.00	13% above	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 4NE DRAIN/INJ JOINT/BURSA W/O US	$284.06	$1,107.00	$276.53–$2,332.00	64% above	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-DRAIN/INJECT JOINT/BURSA	$284.06	$1,107.00	$276.53–$2,332.00	64% above	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 2NW ASPIRATION MAJOR JOINT	$186.55	$727.00	—	—	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 LC ARTHROCENTESIS ASPIRATION/INJ	$189.38	$738.00	—	—	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CR INJ MAJOR JOINT	$195.02	$760.00	—	—	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610-DRAIN/INJECT JOINT/BURSA	$284.06	$1,107.00	—	—	74%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 4NE DRAIN/INJ JOINT/BURSA W/O US	$284.06	$1,107.00	—	—	74%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 DRAIN/INJECT JOINT/BURSA	$177.83	$693.00	$276.53–$2,332.00	22% above	74%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-DRAIN/INJECT JOINT/BURSA	$177.83	$693.00	$276.53–$2,332.00	22% above	74%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CR INJ INTERMEDIATE JOINT	$195.02	$760.00	$276.53–$2,332.00	33% above	74%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605-DRAIN/INJECT JOINT/BURSA	$177.83	$693.00	—	—	74%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 DRAIN/INJECT JOINT/BURSA	$177.83	$693.00	—	—	74%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CR INJ INTERMEDIATE JOINT	$195.02	$760.00	—	—	74%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CR VAGINOGRAM / PERINEOGRAM	$85.97	$335.00	$276.53–$6,955.00	29% below	74%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CR INJ SMALL JOINT	$195.02	$760.00	$276.53–$6,955.00	60% above	74%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASP/INJ SM JT WO US GD	$215.29	$839.00	$276.53–$6,955.00	77% above	74%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CR VAGINOGRAM / PERINEOGRAM	$85.97	$335.00	—	—	74%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CR INJ SMALL JOINT	$195.02	$760.00	—	—	74%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENT ASP/INJ SM JT WO US GD	$215.29	$839.00	—	—	74%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY	$3,558.02	$13,866.00	$824.01–$10,024.00	at median	74%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPIC APPENDECTOMY	$3,558.02	$13,866.00	—	—	74%
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)	$284.57	$1,109.00	$181.00–$6,955.00	12% below	74%
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)	$284.57	$1,109.00	—	—	74%
Left heart catheterization, diagnostic CPT 93452 CP LHC/LV IMAGING S&I	$3,708.39	$14,452.00	$305.66–$7,417.00	10% below	74%
Left heart catheterization, diagnostic inpatient CPT 93452 CP LHC/LV IMAGING S&I	$3,708.39	$14,452.00	—	—	74%
Lower-back epidural injection, with imaging guidance CPT 62323 CR FLUORO GD LP CISTERNOGRAM	$463.68	$1,807.00	$567.50–$2,332.00	36% below	74%
Lower-back epidural injection, with imaging guidance CPT 62323 CT EPIDURAL LUMBAR W GD	$563.50	$2,196.00	$567.50–$2,332.00	22% below	74%
Lower-back epidural injection, with imaging guidance CPT 62323 L XA EPIDURAL LUMBAR/SAC W GUIDE	$587.11	$2,288.00	$567.50–$2,332.00	18% below	74%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CR FLUORO GD LP CISTERNOGRAM	$463.68	$1,807.00	—	—	74%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CT EPIDURAL LUMBAR W GD	$563.50	$2,196.00	—	—	74%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 L XA EPIDURAL LUMBAR/SAC W GUIDE	$587.11	$2,288.00	—	—	74%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX/TX EPI/SUBAR LS SPINE	$540.15	$2,105.00	$674.19–$6,955.00	19% below	74%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DX/TX EPI/SUBAR LS SPINE	$540.15	$2,105.00	—	—	74%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 L XA NRB L/S SINGLE W FLUORO	$523.21	$2,039.00	$567.50–$2,332.00	31% below	74%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 L CT NRB L/S SINGLE	$570.17	$2,222.00	$567.50–$2,332.00	24% below	74%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 L XA NRB L/S SINGLE W FLUORO	$523.21	$2,039.00	—	—	74%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 L CT NRB L/S SINGLE	$570.17	$2,222.00	—	—	74%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400-REMOVAL OF SKIN LESION	$297.40	$1,159.00	$567.50–$6,955.00	1% above	74%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400-REMOVAL OF SKIN LESION	$297.40	$1,159.00	—	—	74%
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	$347.95	$1,356.00	$660.03–$6,955.00	46% above	74%
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	$347.95	$1,356.00	—	—	74%
Nail removal (partial or complete), one nail CPT 11730 11730-REMOVAL OF NAIL PLATE	$78.27	$305.00	$181.00–$6,955.00	44% below	74%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730-REMOVAL OF NAIL PLATE	$78.27	$305.00	—	—	74%
Occipital nerve block (injection for headaches) CPT 64405 64405-INJECTION FOR NERVE BLOCK	$159.35	$621.00	$276.53–$2,332.00	5% below	74%
Occipital nerve block (injection for headaches) CPT 64405 L XA NRB GREATER OCCIPITAL	$196.56	$766.00	$276.53–$2,332.00	17% above	74%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405-INJECTION FOR NERVE BLOCK	$159.35	$621.00	—	—	74%
Occipital nerve block (injection for headaches) inpatient CPT 64405 L XA NRB GREATER OCCIPITAL	$196.56	$766.00	—	—	74%
Paracentesis with imaging guidance CPT 49083 ICU PARACENTESIS W/US GUIDANCE	$590.44	$2,301.00	$567.50–$3,148.00	2% below	74%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS W GD	$621.49	$2,422.00	$567.50–$3,148.00	3% above	74%
Paracentesis with imaging guidance CPT 49083 XA PARACENTESIS	$621.49	$2,422.00	$567.50–$3,148.00	3% above	74%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE GUID	$689.75	$2,688.00	$567.50–$3,148.00	14% above	74%
Paracentesis with imaging guidance CPT 49083 CT PARACENTESIS INITIAL	$727.21	$2,834.00	$567.50–$3,148.00	21% above	74%
Paracentesis with imaging guidance inpatient CPT 49083 ICU PARACENTESIS W/US GUIDANCE	$590.44	$2,301.00	—	—	74%
Paracentesis with imaging guidance inpatient CPT 49083 XA PARACENTESIS	$621.49	$2,422.00	—	—	74%
Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS W GD	$621.49	$2,422.00	—	—	74%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGE GUID	$689.75	$2,688.00	—	—	74%
Paracentesis with imaging guidance inpatient CPT 49083 CT PARACENTESIS INITIAL	$727.21	$2,834.00	—	—	74%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-REMOVAL OF NAIL BED	$332.56	$1,296.00	$379.42–$3,671.00	3% below	74%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL AND MATRIX	$422.37	$1,646.00	$379.42–$3,671.00	24% above	74%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750-REMOVAL OF NAIL BED	$332.56	$1,296.00	—	—	74%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL AND MATRIX	$422.37	$1,646.00	—	—	74%
Prostate biopsy CPT 55700 TR DIG PROSTATE NEEDLE BIOPSY	$1,414.13	$5,511.00	$567.50–$3,148.00	7% below	74%
Prostate biopsy inpatient CPT 55700 TR DIG PROSTATE NEEDLE BIOPSY	$1,414.13	$5,511.00	—	—	74%
Removal of a foreign object under the skin, simple CPT 10120 10120-REMOVE FOREIGN BODY	$199.90	$779.00	$181.00–$6,955.00	15% below	74%
Removal of a foreign object under the skin, simple CPT 10120 FB REMOVAL SUBQ SIMPLE 10120	$199.90	$779.00	$181.00–$6,955.00	15% below	74%
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120-REMOVE FOREIGN BODY	$199.90	$779.00	—	—	74%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB REMOVAL SUBQ SIMPLE 10120	$199.90	$779.00	—	—	74%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$2,213.18	$8,625.00	$3,259.72–$9,626.51	23% below	74%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 FRAGMENTING OF KIDNEY STONE	$2,213.18	$8,625.00	—	—	74%
Short arm cast (elbow to hand) CPT 29075 29075-APPLICATION OF FOREARM CAST	$85.97	$335.00	$181.00–$6,955.00	13% below	74%
Short arm cast (elbow to hand) inpatient CPT 29075 29075-APPLICATION OF FOREARM CAST	$85.97	$335.00	—	—	74%
Short arm splint (forearm and hand) CPT 29125 29125-APPLY FOREARM SPLINT	$114.71	$447.00	$118.09–$6,955.00	1% above	74%
Short arm splint (forearm and hand) inpatient CPT 29125 29125-APPLY FOREARM SPLINT	$114.71	$447.00	—	—	74%
Short leg cast (below the knee) CPT 29405 29405-APPLY SHORT LEG CAST	$85.97	$335.00	$181.00–$6,955.00	5% below	74%
Short leg cast (below the knee) inpatient CPT 29405 29405-APPLY SHORT LEG CAST	$85.97	$335.00	—	—	74%
Short leg splint (calf to foot) CPT 29515 29515-APPLICATION LOWER LEG SPLIN	$127.28	$496.00	$148.24–$6,955.00	at median	74%
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT APPLICATION	$127.28	$496.00	$148.24–$6,955.00	at median	74%
Short leg splint (calf to foot) inpatient CPT 29515 29515-APPLICATION LOWER LEG SPLIN	$127.28	$496.00	—	—	74%
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT APPLICATION	$127.28	$496.00	—	—	74%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826-SHOULDER ARTHROSCOPY/SURGER	$3,224.95	$12,568.00	$115.77–$3,671.00	at median	74%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826-SHOULDER ARTHROSCOPY/SURGER	$3,224.95	$12,568.00	—	—	74%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-REPAIR OF SUPERFICIAL WOUND	$162.95	$635.00	$181.00–$6,955.00	32% below	74%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 2.5CM< SIMPLE REPAIR OF WOUND	$213.50	$832.00	$181.00–$6,955.00	10% below	74%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001-REPAIR OF SUPERFICIAL WOUND	$162.95	$635.00	—	—	74%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 2.5CM< SIMPLE REPAIR OF WOUND	$213.50	$832.00	—	—	74%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$139.60	$544.00	$181.00–$6,955.00	26% below	74%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SINGLE LESION	$237.36	$925.00	$181.00–$6,955.00	26% above	74%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$139.60	$544.00	—	—	74%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SINGLE LESION	$237.36	$925.00	—	—	74%
Skin tag removal, up to 15 tags CPT 11200 11200-REMOVAL OF SKIN TAGS	$95.46	$372.00	$181.00–$6,955.00	33% below	74%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS MULTIPLE	$130.10	$507.00	$181.00–$6,955.00	8% below	74%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200-REMOVAL OF SKIN TAGS	$95.46	$372.00	—	—	74%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS MULTIPLE	$130.10	$507.00	—	—	74%
Spinal tap (lumbar puncture), diagnostic CPT 62270 CVS LUMBAR PUNCTURE DIAGNOSTIC	$246.60	$961.00	$567.50–$2,332.00	35% below	74%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270-SPINAL FLUID TAPDIAGNOSTIC	$260.71	$1,016.00	$567.50–$2,332.00	32% below	74%
Spinal tap (lumbar puncture), diagnostic CPT 62270 2NW LUMBAR PUNCTURE DIAGNOSTIC	$260.71	$1,016.00	$567.50–$2,332.00	32% below	74%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SSD LUMBAR PUNCTURE DIAGNOSTIC	$335.12	$1,306.00	$567.50–$2,332.00	12% below	74%
Spinal tap (lumbar puncture), diagnostic CPT 62270 L XA LUMBAR PUNCTURE DX	$465.48	$1,814.00	$567.50–$2,332.00	22% above	74%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 CVS LUMBAR PUNCTURE DIAGNOSTIC	$246.60	$961.00	—	—	74%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 2NW LUMBAR PUNCTURE DIAGNOSTIC	$260.71	$1,016.00	—	—	74%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270-SPINAL FLUID TAPDIAGNOSTIC	$260.71	$1,016.00	—	—	74%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SSD LUMBAR PUNCTURE DIAGNOSTIC	$335.12	$1,306.00	—	—	74%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 L XA LUMBAR PUNCTURE DX	$465.48	$1,814.00	—	—	74%
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 OF SUPERFICIAL WOUND	$162.95	$635.00	$181.00–$6,955.00	50% below	74%
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 OF SUPERFICIAL WOUND	$162.95	$635.00	—	—	74%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SIMPLE FACE/MM = 2.5CM	$166.03	$647.00	$181.00–$6,955.00	1% above	74%
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	$166.03	$647.00	—	—	74%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SNGL LESION	$139.60	$544.00	$181.00–$6,955.00	12% below	74%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX SKIN SNGL LESION	$139.60	$544.00	—	—	74%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS	$356.42	$1,389.00	$567.50–$2,332.00	52% below	74%
Thoracentesis with imaging guidance CPT 32555 CVS THORACENTESIS	$374.64	$1,460.00	$567.50–$2,332.00	50% below	74%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS	$356.42	$1,389.00	—	—	74%
Thoracentesis with imaging guidance inpatient CPT 32555 CVS THORACENTESIS	$374.64	$1,460.00	—	—	74%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJ SINGLE/MULT TRIGGER PT	$181.42	$707.00	$111.52–$6,955.00	20% above	74%
Trigger point injections, 1 or 2 muscles CPT 20552 L XA TRIGGER POINT 1 OR 2	$193.99	$756.00	$111.52–$6,955.00	28% above	74%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJ SINGLE/MULT TRIGGER PT	$181.42	$707.00	—	—	74%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 L XA TRIGGER POINT 1 OR 2	$193.99	$756.00	—	—	74%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BREAST NDL CORE	$1,007.42	$3,926.00	$567.50–$3,148.00	at median	74%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BX BREAST NDL CORE	$1,007.42	$3,926.00	—	—	74%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD FLEX TRANSORAL W/BX SNGL/MULT	$694.36	$2,706.00	$674.19–$3,148.00	1% above	74%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD FLEX TRANSORAL W/BX SNGL/MULT	$694.36	$2,706.00	—	—	74%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD	$629.19	$2,452.00	$567.50–$2,421.00	8% below	74%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD	$629.19	$2,452.00	—	—	74%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$3,175.17	$12,374.00	$824.01–$7,926.00	63% below	74%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$3,175.17	$12,374.00	—	—	74%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT-SKIN/SUBCU	$408.00	$1,590.00	$379.42–$3,148.00	56% above	74%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TIS 1ST 20 SQ CM	$481.64	$1,877.00	$379.42–$3,148.00	84% above	74%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT-SKIN/SUBCU	$408.00	$1,590.00	—	—	74%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TIS 1ST 20 SQ CM	$481.64	$1,877.00	—	—	74%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607-TREAT FRACTUR RADUS/ULNA	$2,738.70	$10,673.00	$674.19–$9,966.44	1% above	74%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 25607-TREAT FRACTUR RADUS/ULNA	$2,738.70	$10,673.00	—	—	74%

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	$334.35	$1,303.00	$414.70–$2,332.00	21% below	74%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$727.21	$2,834.00	$414.70–$2,332.00	72% above	74%
Blood transfusion (giving blood or blood components) CPT 36430 CVSD BLOOD ADMINISTRATION	$799.83	$3,117.00	$414.70–$2,332.00	89% above	74%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$334.35	$1,303.00	—	—	74%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$727.21	$2,834.00	—	—	74%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CVSD BLOOD ADMINISTRATION	$799.83	$3,117.00	—	—	74%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT	$39.26	$153.00	$13.62–$283.76	50% below	74%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL MED VENT	$55.43	$216.00	$13.62–$283.76	29% below	74%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT WITH PEP/FLUTTER	$57.74	$225.00	$13.62–$283.76	26% below	74%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TREATMENT	$39.26	$153.00	—	—	74%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL MED VENT	$55.43	$216.00	—	—	74%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 UPDRAFT WITH PEP/FLUTTER	$57.74	$225.00	—	—	74%
Chemotherapy IV infusion, first hour CPT 96413 4NW CHEMO INF UP TO 1 HR INITIAL	$243.01	$947.00	$253.72–$806.00	4% below	74%
Chemotherapy IV infusion, first hour inpatient CPT 96413 4NW CHEMO INF UP TO 1 HR INITIAL	$243.01	$947.00	—	—	74%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30-74 MIN	$1,087.22	$4,237.00	$115.77–$2,880.00	64% above	74%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 30-74 MIN	$1,087.22	$4,237.00	—	—	74%
EEG (brain wave test), awake and drowsy, routine CPT 95816 AWAKE ROUTINE EEG < 40 MINUTES	$189.89	$740.00	$56.75–$625.00	45% below	74%
EEG (brain wave test), awake and drowsy, routine CPT 95816 TILT TABLE MONITORING	$478.05	$1,863.00	$56.75–$625.00	38% above	74%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 AWAKE ROUTINE EEG < 40 MINUTES	$189.89	$740.00	—	—	74%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 TILT TABLE MONITORING	$478.05	$1,863.00	—	—	74%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM	$24.90	$97.00	$38.59–$266.00	76% below	74%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 LC EKG TRACING ONLY	$34.90	$136.00	$38.59–$266.00	67% below	74%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM	$24.90	$97.00	—	—	74%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 LC EKG TRACING ONLY	$34.90	$136.00	—	—	74%
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY	$310.23	$1,209.00	$227.00–$776.23	1% above	74%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY	$310.23	$1,209.00	—	—	74%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1	$191.17	$745.00	$83.71–$962.66	76% above	74%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1	$191.17	$745.00	—	—	74%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2	$264.56	$1,031.00	$115.77–$1,310.00	73% above	74%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2	$264.56	$1,031.00	—	—	74%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3	$455.73	$1,776.00	$115.77–$1,310.00	65% above	74%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3	$455.73	$1,776.00	—	—	74%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4	$565.81	$2,205.00	$115.77–$1,810.00	26% above	74%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4	$565.81	$2,205.00	—	—	74%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5	$734.91	$2,864.00	$115.77–$2,221.00	5% above	74%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5	$734.91	$2,864.00	—	—	74%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$146.01	$569.00	$138.47–$1,221.00	62% below	74%
Exercise stress test, tracing only, the hospital charge CPT 93017 PET CT CARDIO STR TEST TRACE	$201.69	$786.00	$138.47–$1,221.00	47% below	74%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST - 12 LEAD	$236.08	$920.00	$138.47–$1,221.00	38% below	74%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIOVASC STR TEST TRACE	$259.68	$1,012.00	$138.47–$1,221.00	32% below	74%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST	$146.01	$569.00	—	—	74%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PET CT CARDIO STR TEST TRACE	$201.69	$786.00	—	—	74%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST - 12 LEAD	$236.08	$920.00	—	—	74%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIOVASC STR TEST TRACE	$259.68	$1,012.00	—	—	74%
Family therapy with the patient, 50 minutes CPT 90847 4150 8E-BH FAMILY THERAPY W/ PT	$151.66	$591.00	$138.31–$394.44	4% below	74%
Family therapy with the patient, 50 minutes CPT 90847 MULTI-FAMILY GROUP(OP)	$159.87	$623.00	$138.31–$394.44	1% above	74%
Family therapy with the patient, 50 minutes CPT 90847 3B-SBH-FAMILY THERAPY W/PT	$159.87	$623.00	$138.31–$394.44	1% above	74%
Family therapy with the patient, 50 minutes inpatient CPT 90847 4150 8E-BH FAMILY THERAPY W/ PT	$151.66	$591.00	—	—	74%
Family therapy with the patient, 50 minutes inpatient CPT 90847 MULTI-FAMILY GROUP(OP)	$159.87	$623.00	—	—	74%
Family therapy with the patient, 50 minutes inpatient CPT 90847 3B-SBH-FAMILY THERAPY W/PT	$159.87	$623.00	—	—	74%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PT(OP)	$159.87	$623.00	$138.31–$394.44	at median	74%
Family therapy without the patient, 50 minutes CPT 90846 LC FAMILY PSYCHOTHERAPY W/O PT	$210.42	$820.00	$138.31–$394.44	32% above	74%
Family therapy without the patient, 50 minutes CPT 90846 GEROPSYCH FAM THER W/O PT	$256.09	$998.00	$138.31–$394.44	61% above	74%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY W/O PT(OP)	$159.87	$623.00	—	—	74%
Family therapy without the patient, 50 minutes inpatient CPT 90846 LC FAMILY PSYCHOTHERAPY W/O PT	$210.42	$820.00	—	—	74%
Family therapy without the patient, 50 minutes inpatient CPT 90846 GEROPSYCH FAM THER W/O PT	$256.09	$998.00	—	—	74%
Group psychotherapy session CPT 90853 INTERACTIVE GROUP(OP)	$123.43	$481.00	$72.00–$326.94	9% above	74%
Group psychotherapy session CPT 90853 3B-SBH-12 STEP GROUP	$123.69	$482.00	$72.00–$326.94	9% above	74%
Group psychotherapy session CPT 90853 3B-GROUP THERAPY	$130.10	$507.00	$72.00–$326.94	15% above	74%
Group psychotherapy session inpatient CPT 90853 INTERACTIVE GROUP(OP)	$123.43	$481.00	—	—	74%
Group psychotherapy session inpatient CPT 90853 3B-SBH-12 STEP GROUP	$123.69	$482.00	—	—	74%
Group psychotherapy session inpatient CPT 90853 3B-GROUP THERAPY	$130.10	$507.00	—	—	74%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 L RA HYDRATN INITL 31MIN TO 1 HR	$80.32	$313.00	$196.08–$430.00	55% below	74%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 SSD INFUSN HYDRTN INITL 31MN-1HR	$121.63	$474.00	$196.08–$430.00	32% below	74%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 5E INFUSN HYDRTN INITL 31MN-1HR.	$145.75	$568.00	$196.08–$430.00	18% below	74%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 2NW INFUSN HYDRTN INITL 31MN-1HR	$153.20	$597.00	$196.08–$430.00	14% below	74%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 L RA HYDRATN INITL 31MIN TO 1 HR	$80.32	$313.00	—	—	74%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 SSD INFUSN HYDRTN INITL 31MN-1HR	$121.63	$474.00	—	—	74%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 5E INFUSN HYDRTN INITL 31MN-1HR.	$145.75	$568.00	—	—	74%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 2NW INFUSN HYDRTN INITL 31MN-1HR	$153.20	$597.00	—	—	74%
IV infusion of a medicine, first hour CPT 96365 LC INTRAVENOUS INFUSION THERAPY	$75.45	$294.00	$196.08–$430.00	59% below	74%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY 1ST HOUR	$172.44	$672.00	$196.08–$492.57	7% below	74%
IV infusion of a medicine, first hour CPT 96365 5E INFUSN PROPHY TX INITIAL HR.	$182.19	$710.00	$196.08–$492.57	2% below	74%
IV infusion of a medicine, first hour CPT 96365 CVSD IRON INFUSION 1ST HOUR	$191.94	$748.00	$196.08–$492.57	4% above	74%
IV infusion of a medicine, first hour CPT 96365 SSD INFUSN PROPHY TX INITIAL HR	$201.69	$786.00	$196.08–$492.57	9% above	74%
IV infusion of a medicine, first hour inpatient CPT 96365 LC INTRAVENOUS INFUSION THERAPY	$75.45	$294.00	—	—	74%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY 1ST HOUR	$172.44	$672.00	—	—	74%
IV infusion of a medicine, first hour inpatient CPT 96365 5E INFUSN PROPHY TX INITIAL HR.	$182.19	$710.00	—	—	74%
IV infusion of a medicine, first hour inpatient CPT 96365 CVSD IRON INFUSION 1ST HOUR	$191.94	$748.00	—	—	74%
IV infusion of a medicine, first hour inpatient CPT 96365 SSD INFUSN PROPHY TX INITIAL HR	$201.69	$786.00	—	—	74%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 LC INJ- ANTIBIOTIC INJECTION	$29.26	$114.00	$64.04–$114.00	62% below	74%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SSD INJECTN PROPHY TX SUBCU/IM	$43.88	$171.00	$64.04–$430.00	43% below	74%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION	$47.48	$185.00	$64.04–$155.94	38% below	74%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 5E INJECTN PROPHY TX SUBCU/IM.	$48.50	$189.00	$64.04–$430.00	37% below	74%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHF - IM INJECTION	$51.07	$199.00	$64.04–$155.94	33% below	74%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBCU/IM	$51.07	$199.00	$64.04–$962.66	33% below	74%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2NW INJECTN PROPHY TX SUBCU/IM	$51.07	$199.00	$64.04–$430.00	33% below	74%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 L RA INJ THER/PROP/DX/SUBC/IM	$58.25	$227.00	$64.04–$430.00	24% below	74%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 LC INJ- ANTIBIOTIC INJECTION	$29.26	$114.00	—	—	74%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SSD INJECTN PROPHY TX SUBCU/IM	$43.88	$171.00	—	—	74%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION	$47.48	$185.00	—	—	74%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 5E INJECTN PROPHY TX SUBCU/IM.	$48.50	$189.00	—	—	74%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 2NW INJECTN PROPHY TX SUBCU/IM	$51.07	$199.00	—	—	74%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBCU/IM	$51.07	$199.00	—	—	74%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHF - IM INJECTION	$51.07	$199.00	—	—	74%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 L RA INJ THER/PROP/DX/SUBC/IM	$58.25	$227.00	—	—	74%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 3B-SBH-PSYCHOSOCIAL ASSESSMENT	$181.68	$708.00	$138.31–$244.00	23% above	74%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 3B-SBH-PSYCHOSOCIAL ASSESSMENT	$181.68	$708.00	—	—	74%
New patient office visit, about 30 minutes CPT 99203 LEVEL III-MOD COMPLEXITY (NEW PT)	$70.31	$274.00	$73.58	13% below	74%
New patient office visit, about 30 minutes inpatient CPT 99203 LEVEL III-MOD COMPLEXITY (NEW PT)	$70.31	$274.00	—	—	74%
New patient office visit, about 45 minutes CPT 99204 COMPREHENSIVE/MOD COMPLX NEW PT	$103.93	$405.00	$125.88	2% above	74%
New patient office visit, about 45 minutes inpatient CPT 99204 COMPREHENSIVE/MOD COMPLX NEW PT	$103.93	$405.00	—	—	74%
New patient office visit, about 60 minutes CPT 99205 COMPREHENSIVE/HIGH COMPL NEW PT	$132.41	$516.00	$164.48–$227.00	31% below	74%
New patient office visit, about 60 minutes inpatient CPT 99205 COMPREHENSIVE/HIGH COMPL NEW PT	$132.41	$516.00	—	—	74%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL II-MODERATE (NEW PATIENT)	$61.33	$239.00	$49.05	3% above	74%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LEVEL II-MODERATE (NEW PATIENT)	$61.33	$239.00	—	—	74%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIETARY CONSULT	$18.48	$72.00	$31.78–$225.00	53% below	74%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DIETARY CONSULT	$18.48	$72.00	—	—	74%
Psychotherapy session, 30 minutes CPT 90832 GEROPSYCH IND THERAPY 20-30MIN	$49.79	$194.00	$112.08–$224.17	50% below	74%
Psychotherapy session, 30 minutes CPT 90832 4150 8E-BH INDIV THER 20-30 MIN	$51.84	$202.00	$112.08–$224.17	48% below	74%
Psychotherapy session, 30 minutes CPT 90832 3B-SBH-INDIVIDUAL THER 20-30MIN	$54.66	$213.00	$112.08–$224.17	45% below	74%
Psychotherapy session, 30 minutes CPT 90832 INDIV PSYCH 30MINS(OP)	$92.89	$362.00	$112.08–$224.17	7% below	74%
Psychotherapy session, 30 minutes inpatient CPT 90832 GEROPSYCH IND THERAPY 20-30MIN	$49.79	$194.00	—	—	74%
Psychotherapy session, 30 minutes inpatient CPT 90832 4150 8E-BH INDIV THER 20-30 MIN	$51.84	$202.00	—	—	74%
Psychotherapy session, 30 minutes inpatient CPT 90832 3B-SBH-INDIVIDUAL THER 20-30MIN	$54.66	$213.00	—	—	74%
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIV PSYCH 30MINS(OP)	$92.89	$362.00	—	—	74%
Psychotherapy session, 45 minutes CPT 90834 GEROPSYCH INDIV THERAPY 45-50 MIN	$98.54	$384.00	$138.31–$224.17	20% below	74%
Psychotherapy session, 45 minutes CPT 90834 INDIV PSYCH 45MINS(OP)	$102.64	$400.00	$138.31–$224.17	17% below	74%
Psychotherapy session, 45 minutes CPT 90834 4150 8E-BH INDIV THER 45-50 MIN	$102.90	$401.00	$138.31–$224.17	16% below	74%
Psychotherapy session, 45 minutes CPT 90834 3B-SBH-INDIVIDUAL THER 45-50MIN	$108.29	$422.00	$138.31–$224.17	12% below	74%
Psychotherapy session, 45 minutes inpatient CPT 90834 GEROPSYCH INDIV THERAPY 45-50 MIN	$98.54	$384.00	—	—	74%
Psychotherapy session, 45 minutes inpatient CPT 90834 INDIV PSYCH 45MINS(OP)	$102.64	$400.00	—	—	74%
Psychotherapy session, 45 minutes inpatient CPT 90834 4150 8E-BH INDIV THER 45-50 MIN	$102.90	$401.00	—	—	74%
Psychotherapy session, 45 minutes inpatient CPT 90834 3B-SBH-INDIVIDUAL THER 45-50MIN	$108.29	$422.00	—	—	74%
Psychotherapy session, 60 minutes CPT 90837 INDIV PSYCH 60MINS(OP)	$112.40	$438.00	$138.31–$224.51	4% below	74%
Psychotherapy session, 60 minutes inpatient CPT 90837 INDIV PSYCH 60MINS(OP)	$112.40	$438.00	—	—	74%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION COUNSELING	$22.59	$88.00	$28.17–$225.00	37% below	74%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION COUNSELING	$22.59	$88.00	—	—	74%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LC EST - HIGH COMPLEXITY	$105.21	$410.00	$145.47	18% below	74%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 COMPREHENSIVE ESTABLISHED PT	$109.57	$427.00	$145.47	15% below	74%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LC EST - HIGH COMPLEXITY	$105.21	$410.00	—	—	74%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 COMPREHENSIVE ESTABLISHED PT	$109.57	$427.00	—	—	74%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 MODERATE COMPLEX (ESTABLISHED PT)	$71.08	$277.00	$74.12	16% below	74%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LC ANCILLARY - LOW	$72.37	$282.00	$74.12	14% below	74%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 MODERATE COMPLEX (ESTABLISHED PT)	$71.08	$277.00	—	—	74%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LC ANCILLARY - LOW	$72.37	$282.00	—	—	74%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN	$43.37	$169.00	$108.00	56% below	74%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 DETAILED ESTABLISHED PT	$78.01	$304.00	$108.00	20% below	74%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LC ANCILLARY - MODERATE	$105.21	$410.00	$108.00	8% above	74%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30 MIN	$43.37	$169.00	—	—	74%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 DETAILED ESTABLISHED PT	$78.01	$304.00	—	—	74%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LC ANCILLARY - MODERATE	$105.21	$410.00	—	—	74%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LC ANCILLARY - MINOR	$62.87	$245.00	$44.45	at median	74%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MODERATE (ESTABLISHED PATIENT)	$64.41	$251.00	$44.45	2% above	74%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LC ANCILLARY - MINOR	$62.87	$245.00	—	—	74%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MODERATE (ESTABLISHED PATIENT)	$64.41	$251.00	—	—	74%
Specialist consultation, low complexity or 30+ minutes CPT 99243 LC CONSULT- LOW COMPLEXITY	$78.27	$305.00	—	12% below	74%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 LC CONSULT- LOW COMPLEXITY	$78.27	$305.00	—	—	74%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 LC CONSULT - MODERATE COMPLEXITY	$113.68	$443.00	—	10% below	74%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 LC CONSULT - MODERATE COMPLEXITY	$113.68	$443.00	—	—	74%
Spirometry (breathing test) CPT 94010 SIMPLE SPIROMETRY STUDY	$99.05	$386.00	$54.48–$218.27	51% below	74%
Spirometry (breathing test) inpatient CPT 94010 SIMPLE SPIROMETRY STUDY	$99.05	$386.00	—	—	74%
Spirometry before and after a bronchodilator CPT 94060 SIMPLE SPIRO W/BRONCHODIL STUDY	$159.10	$620.00	$88.53–$434.44	41% below	74%
Spirometry before and after a bronchodilator inpatient CPT 94060 SIMPLE SPIRO W/BRONCHODIL STUDY	$159.10	$620.00	—	—	74%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 ECT-SEIZURE	$154.99	$604.00	$244.00–$434.44	at median	74%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 ECT-SEIZURE	$154.99	$604.00	—	—	74%
Therapeutic activities (functional training), 15 minutes CPT 97530 ST FUNCTION TRNG	$48.25	$188.00	$37.57–$227.00	29% below	74%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ST FUNCTION TRNG	$48.25	$188.00	—	—	74%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY SERVICES-NLB	$175.26	$683.00	$90.71–$235.00	30% above	74%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB	$185.53	$723.00	$90.71–$235.00	38% above	74%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 3NW THERAPEUTIC PHLEBOTOMY	$203.75	$794.00	$90.71–$235.00	51% above	74%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY SERVICES-NLB	$175.26	$683.00	—	—	74%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEB	$185.53	$723.00	—	—	74%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 3NW THERAPEUTIC PHLEBOTOMY	$203.75	$794.00	—	—	74%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM 2024-25	$138.10	$538.18	$75.35–$269.09	103% above	74%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 IIV ADJUVANT VACCINE IM 2024-25	$138.10	$538.18	$107.64–$269.09	—	74%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$36.97	$144.07	$20.17–$227.00	at median	74%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$36.97	$144.07	$28.82–$72.04	—	74%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT 1ML	$110.93	$432.27	$60.52–$227.00	at median	74%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT 1ML	$110.93	$432.27	$86.46–$216.14	—	74%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL OLIG DIP CONJUGVACC	$263.77	$1,027.92	$143.91–$513.96	9% above	74%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL OLIG DIP CONJUGVACC	$263.77	$1,027.92	$513.96	—	74%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC-BEXSERO	$420.50	$1,638.72	$227.00–$819.36	30% below	74%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC-BEXSERO	$420.50	$1,638.72	$819.36	—	74%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20	$76.98	$300.00	$42.00–$150.00	92% below	74%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20	$76.98	$300.00	$150.00	—	74%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET-DIPHTH-ACEL PERTUS 0.5ML INJ	$78.58	$306.22	$42.88–$227.00	19% below	74%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET-DIPHTH-ACEL PERTUS 0.5ML INJ	$78.58	$306.22	$153.11	—	74%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE	$37.47	$146.00	$61.00–$227.00	56% above	74%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 2NW IMMUNIZATN ADMIN 1 VACCINE	$39.52	$154.00	$61.00–$227.00	64% above	74%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SSD IMMUNIZATION ADMIN 1 VACCINE	$49.27	$192.00	$61.00–$227.00	105% above	74%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN-ONE	$53.89	$210.00	$61.00–$227.00	124% above	74%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION OF VACCINE	$37.47	$146.00	—	—	74%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 2NW IMMUNIZATN ADMIN 1 VACCINE	$39.52	$154.00	—	—	74%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SSD IMMUNIZATION ADMIN 1 VACCINE	$49.27	$192.00	—	—	74%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN-ONE	$53.89	$210.00	—	—	74%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 2NW IMMUNIZATION ADMIN EA ADDN	$14.63	$57.00	$61.00–$129.39	1% below	74%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 SSD IMMUNIZATION ADMIN EA ADDN	$18.48	$72.00	$61.00–$163.44	25% above	74%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 2NW IMMUNIZATION ADMIN EA ADDN	$14.63	$57.00	—	—	74%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 SSD IMMUNIZATION ADMIN EA ADDN	$18.48	$72.00	—	—	74%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/chisv/soar/finance/price-transparency/710236917-1780684431_st-vincent-infirmary-medical-center_standardcharges.json