Hospital

St Anthony's Hospital Association

St Anthony's Hospital Association in Morrilton, AR publishes cash prices for 253 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 228 of 252 procedures and above it for 20. By typical cash price it ranks #5 of 28 Arkansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

4 Hospital Drive, Morrilton, AR 72110 Collected Sep 27, 2026 Source price file (501) 977-2300

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 041324 · 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	$117.42	$461.00	$37.42–$396.46	20% below	75%
Ankle X-ray, complete, 3 or more views CPT 73610 XRAY ANKLE MINIMUM 3 VIEWS	$124.30	$488.00	$37.42–$419.68	16% below	75%
Ankle X-ray, complete, 3 or more views CPT 73610 MX ANKLE- 3 VIEW	$128.12	$503.00	$37.42–$432.58	13% below	75%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 CR ANKLE MIN 3 VWS	$117.42	$461.00	—	—	75%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XRAY ANKLE MINIMUM 3 VIEWS	$124.30	$488.00	—	—	75%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 MX ANKLE- 3 VIEW	$128.12	$503.00	—	—	75%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE BRACHIAL INDICES (ABI) BIL	$104.94	$412.00	$61.97–$478.00	50% below	75%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 MU ART DOP LOW EXT W/O SG	$145.95	$573.00	$61.97–$492.78	30% below	75%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE BRACHIAL INDICES (ABI) BIL	$104.94	$412.00	—	—	75%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 MU ART DOP LOW EXT W/O SG	$145.95	$573.00	—	—	75%
Barium swallow (esophagus X-ray with contrast) CPT 74220 MX BARIUM SWALLOW	$139.58	$548.00	$81.72–$471.28	40% below	75%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CR ESOPHAGRAM	$154.35	$606.00	$81.72–$521.16	33% below	75%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 MX BARIUM SWALLOW	$139.58	$548.00	—	—	75%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CR ESOPHAGRAM	$154.35	$606.00	—	—	75%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE	$87.62	$344.00	$96.32–$295.84	41% below	75%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE	$87.62	$344.00	—	—	75%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED	$87.62	$344.00	$63.39–$295.84	39% below	75%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED	$87.62	$344.00	—	—	75%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 MCT ANGIO CHEST WO/W CONT.	$687.44	$2,699.00	$174.94–$2,321.14	37% below	75%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 MCT ANGIO CHEST WO/W CONT.	$687.44	$2,699.00	—	—	75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY W 3D	$290.36	$1,140.00	$174.94–$1,056.00	58% below	75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARY W 3D	$290.36	$1,140.00	—	—	75%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CORONARY CALCIUM SCORE WO	$58.08	$228.00	$63.84–$1,002.00	at median	75%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CORONARY CALCIUM SCORE WO	$58.08	$228.00	—	—	75%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 MCT ABDOMEN&PELVIS WO CONTRAST	$1,485.42	$5,832.00	$223.73–$5,015.52	at median	75%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 MCT ABDOMEN&PELVIS WO CONTRAST	$1,485.42	$5,832.00	—	—	75%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W	$1,531.26	$6,012.00	$366.59–$5,170.32	1% below	75%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W	$1,531.26	$6,012.00	—	—	75%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS WO W	$1,699.62	$6,673.00	$366.59–$5,738.78	14% below	75%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS WO W	$1,699.62	$6,673.00	—	—	75%
CT scan of the abdomen with contrast CPT 74160 MCT ABDOMEN WITH CONTRAST	$840.77	$3,301.00	$174.94–$2,838.86	26% below	75%
CT scan of the abdomen with contrast inpatient CPT 74160 MCT ABDOMEN WITH CONTRAST	$840.77	$3,301.00	—	—	75%
CT scan of the abdomen without contrast CPT 74150 MCT ABDOMEN W/O CONTRAST	$790.34	$3,103.00	$107.60–$2,668.58	11% below	75%
CT scan of the abdomen without contrast inpatient CPT 74150 MCT ABDOMEN W/O CONTRAST	$790.34	$3,103.00	—	—	75%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX FACIAL SINUS LTD	$761.81	$2,991.00	$107.60–$2,572.26	3% below	75%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX FACIAL SINUS LTD	$761.81	$2,991.00	—	—	75%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO	$727.17	$2,855.00	$107.60–$2,455.30	15% below	75%
CT scan of the head or brain, no contrast dye CPT 70450 MCT HEAD W/O CONTRAST	$727.17	$2,855.00	$107.60–$2,455.30	15% below	75%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO	$727.17	$2,855.00	—	—	75%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 MCT HEAD W/O CONTRAST	$727.17	$2,855.00	—	—	75%
CT scan of the head with contrast CPT 70460 CT HEAD W	$792.63	$3,112.00	$174.94–$2,676.32	10% below	75%
CT scan of the head with contrast CPT 70460 MCT HEAD WITH CONTRAST	$792.63	$3,112.00	$174.94–$2,676.32	10% below	75%
CT scan of the head with contrast inpatient CPT 70460 MCT HEAD WITH CONTRAST	$792.63	$3,112.00	—	—	75%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W	$792.63	$3,112.00	—	—	75%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO W	$1,003.52	$3,940.00	$174.94–$3,388.40	4% below	75%
CT scan of the head without and with contrast CPT 70470 MCT HEAD W&W/O CONTRAST	$1,003.52	$3,940.00	$174.94–$3,388.40	4% below	75%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO W	$1,003.52	$3,940.00	—	—	75%
CT scan of the head without and with contrast inpatient CPT 70470 MCT HEAD W&W/O CONTRAST	$1,003.52	$3,940.00	—	—	75%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO	$721.82	$2,834.00	$107.60–$2,437.24	23% below	75%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 MCT LUMBAR SP W/O CONTRAST	$721.82	$2,834.00	$107.60–$2,437.24	23% below	75%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO	$721.82	$2,834.00	—	—	75%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 MCT LUMBAR SP W/O CONTRAST	$721.82	$2,834.00	—	—	75%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 MCT CERVICAL SP W/O CONTRAST	$700.68	$2,751.00	$107.60–$2,365.86	25% below	75%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO	$700.68	$2,751.00	$107.60–$2,365.86	25% below	75%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO	$700.68	$2,751.00	—	—	75%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 MCT CERVICAL SP W/O CONTRAST	$700.68	$2,751.00	—	—	75%
CT scan of the pelvis, with contrast dye CPT 72193 MCT PELVIS WITH CONTRAST	$464.58	$1,824.00	$174.94–$1,568.64	56% below	75%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$639.30	$2,510.00	$174.94–$2,158.60	39% below	75%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 MCT PELVIS WITH CONTRAST	$464.58	$1,824.00	—	—	75%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W	$639.30	$2,510.00	—	—	75%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 MU DUPLEX DOPPLER CAROTID	$323.22	$1,269.00	$158.90–$1,091.34	11% below	75%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 MCM CAROTID DUPLEX COMP BIL	$340.28	$1,336.00	$158.90–$1,148.96	6% below	75%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 MU DUPLEX DOPPLER CAROTID	$323.22	$1,269.00	—	—	75%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 MCM CAROTID DUPLEX COMP BIL	$340.28	$1,336.00	—	—	75%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VWS	$106.47	$418.00	$49.64–$359.48	26% below	75%
Chest X-ray, 2 views CPT 71046 MX CHEST PA & LATERAL	$121.50	$477.00	$49.64–$410.22	15% below	75%
Chest X-ray, 2 views CPT 71046 X-RAY CHEST 2 VIEWS	$122.52	$481.00	$49.64–$413.66	14% below	75%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VWS	$106.47	$418.00	—	—	75%
Chest X-ray, 2 views inpatient CPT 71046 MX CHEST PA & LATERAL	$121.50	$477.00	—	—	75%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY CHEST 2 VIEWS	$122.52	$481.00	—	—	75%
Chest X-ray, single view CPT 71045 CR CHEST SPEC VW (INHALE/EXHALE)	$74.12	$291.00	$26.92–$250.26	31% below	75%
Chest X-ray, single view CPT 71045 CR CHEST DECUBITUS	$91.44	$359.00	$26.92–$308.74	15% below	75%
Chest X-ray, single view CPT 71045 CR CHEST 1 VW	$96.03	$377.00	$26.92–$324.22	11% below	75%
Chest X-ray, single view CPT 71045 MX CHEST AP/PA 1 VIEW ONLY	$110.04	$432.00	$26.92–$371.52	2% above	75%
Chest X-ray, single view CPT 71045 X-RAY CHEST 1 VIEW	$111.05	$436.00	$26.92–$374.96	3% above	75%
Chest X-ray, single view inpatient CPT 71045 CR CHEST SPEC VW (INHALE/EXHALE)	$74.12	$291.00	—	—	75%
Chest X-ray, single view inpatient CPT 71045 CR CHEST DECUBITUS	$91.44	$359.00	—	—	75%
Chest X-ray, single view inpatient CPT 71045 CR CHEST 1 VW	$96.03	$377.00	—	—	75%
Chest X-ray, single view inpatient CPT 71045 MX CHEST AP/PA 1 VIEW ONLY	$110.04	$432.00	—	—	75%
Chest X-ray, single view inpatient CPT 71045 X-RAY CHEST 1 VIEW	$111.05	$436.00	—	—	75%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 MU RETROPERITONEAL LIMITED	$187.46	$736.00	$99.88–$632.96	33% below	75%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 MU AORTA	$209.62	$823.00	$99.88–$707.78	25% below	75%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 MU RETROPERITONEAL LIMITED	$187.46	$736.00	—	—	75%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 MU AORTA	$209.62	$823.00	—	—	75%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 MCM BONE DENSITY DEXA	$83.04	$326.00	$89.59–$352.03	58% below	75%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 MX DEXA(L/HIP) BONE DENSITY	$99.59	$391.00	$89.59–$352.03	50% below	75%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MCM BONE DENSITY DEXA	$83.04	$326.00	—	—	75%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MX DEXA(L/HIP) BONE DENSITY	$99.59	$391.00	—	—	75%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 MX DEXA(RADI/WRIST) BONE DENSITY	$51.20	$201.00	$29.87–$182.03	29% below	75%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 MX DEXA(RADI/WRIST) BONE DENSITY	$51.20	$201.00	—	—	75%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED FAE SGL 1ST GEST	$202.75	$796.00	$119.38–$684.56	19% below	75%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DETAILED FAE SGL 1ST GEST	$202.75	$796.00	—	—	75%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 MCT LUNG/CHEST W/O CONTRAST	$597.53	$2,346.00	$107.60–$2,017.56	23% below	75%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO	$597.53	$2,346.00	$107.60–$2,017.56	23% below	75%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 MCT LUNG/CHEST W/O CONTRAST	$597.53	$2,346.00	—	—	75%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO	$597.53	$2,346.00	—	—	75%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 MCT LUNG/CHEST WITH CONTRAST	$728.70	$2,861.00	$174.94–$2,460.46	29% below	75%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 MCT LUNG/CHEST WITH CONTRAST	$728.70	$2,861.00	—	—	75%
Diagnostic mammogram, both breasts both sides CPT 77066 MY DIG DX BILATERAL W CAD	$187.72	$737.00	$111.86–$633.82	—	75%
Diagnostic mammogram, both breasts CPT 77066 MBR DIGITAL MAMMOGRAM DIAG BIL	$178.55	$701.00	$111.86–$602.86	14% below	75%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MY DIG DX BILATERAL W CAD	$187.72	$737.00	—	—	75%
Diagnostic mammogram, both breasts inpatient CPT 77066 MBR DIGITAL MAMMOGRAM DIAG BIL	$178.55	$701.00	—	—	75%
Diagnostic mammogram, one breast CPT 77065 MBR DIGITAL MAMMOGRAM DIAG UNIL	$127.86	$502.00	$87.72–$431.72	15% below	75%
Diagnostic mammogram, one breast one side CPT 77065 MY DIGITAL DX UNILATERAL W CAD	$150.28	$590.00	$87.72–$507.40	at median	75%
Diagnostic mammogram, one breast inpatient CPT 77065 MBR DIGITAL MAMMOGRAM DIAG UNIL	$127.86	$502.00	—	—	75%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MY DIGITAL DX UNILATERAL W CAD	$150.28	$590.00	—	—	75%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US VL ART LE DUPLEX BILAT	$303.10	$1,190.00	$165.71–$1,023.40	—	75%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX SCAN LOWER ARTER COMP BILA	$121.24	$476.00	$133.28–$478.00	64% below	75%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US VL ART LE DUPLEX BILAT	$303.10	$1,190.00	—	—	75%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX SCAN LOWER ARTER COMP BILA	$121.24	$476.00	—	—	75%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 MU BILAT VENOUS LE-VENOUS UE	$157.66	$619.00	$95.34–$532.34	—	75%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VL VEIN MAPPING LE BILAT	$384.60	$1,510.00	$95.34–$1,298.60	—	75%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 MU BILAT VENOUS LE-VENOUS UE	$157.66	$619.00	—	—	75%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VL VEIN MAPPING LE BILAT	$384.60	$1,510.00	—	—	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W/COLOR MAPPING/DOPPLER	$470.44	$1,847.00	$477.58–$1,588.42	57% below	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE	$582.76	$2,288.00	$477.58–$1,967.68	47% below	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE W BUBBLE	$608.23	$2,388.00	$477.58–$2,053.68	45% below	75%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO W/COLOR MAPPING/DOPPLER	$470.44	$1,847.00	—	—	75%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE	$582.76	$2,288.00	—	—	75%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE W BUBBLE	$608.23	$2,388.00	—	—	75%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTND&RESP EFFRT	$152.57	$599.00	$152.73–$1,379.00	48% below	75%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTND&RESP EFFRT	$152.57	$599.00	—	—	75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG SLEEP STAGING WITH CPAP	$1,307.63	$5,134.00	$466.19–$4,415.24	55% below	75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG SLEEP STAGING WITH CPAP	$1,307.63	$5,134.00	—	—	75%
Knee X-ray, 3 views CPT 73562 MX KNEE 3 VIEWS	$64.70	$254.00	$41.19–$218.44	58% below	75%
Knee X-ray, 3 views CPT 73562 CR KNEE MIN 3 VWS	$118.44	$465.00	$41.19–$399.90	23% below	75%
Knee X-ray, 3 views inpatient CPT 73562 MX KNEE 3 VIEWS	$64.70	$254.00	—	—	75%
Knee X-ray, 3 views inpatient CPT 73562 CR KNEE MIN 3 VWS	$118.44	$465.00	—	—	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OFABDOMEN	$51.45	$202.00	$45.40–$245.18	81% below	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 MU RENAL	$161.48	$634.00	$45.40–$545.24	39% below	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 MU LIVER	$216.50	$850.00	$45.40–$731.00	18% below	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 MU GALLBLADDER	$234.84	$922.00	$45.40–$792.92	11% below	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD REAL TM W/IMG DOC LIMTD	$249.61	$980.00	$45.40–$842.80	5% below	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OFABDOMEN	$51.45	$202.00	—	—	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 MU RENAL	$161.48	$634.00	—	—	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 MU LIVER	$216.50	$850.00	—	—	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 MU GALLBLADDER	$234.84	$922.00	—	—	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD REAL TM W/IMG DOC LIMTD	$249.61	$980.00	—	—	75%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 INITIAL LUNG CT SCREENING	$72.85	$286.00	$78.83–$1,002.00	52% below	75%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 INITIAL LUNG CT SCREENING	$72.85	$286.00	—	—	75%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MM MRI HIP WO CONTRAST	$984.93	$3,867.00	$223.73–$3,325.62	6% below	75%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MM MRI KNEE WO CONTRAST	$1,005.56	$3,948.00	$223.73–$3,395.28	4% below	75%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LE JOINT WO	$1,036.89	$4,071.00	$223.73–$3,501.06	1% below	75%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MM MRI HIP WO CONTRAST	$984.93	$3,867.00	—	—	75%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MM MRI KNEE WO CONTRAST	$1,005.56	$3,948.00	—	—	75%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LE JOINT WO	$1,036.89	$4,071.00	—	—	75%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MM MRI KNEE WO/W CONTR	$1,244.21	$4,885.00	$366.59–$4,201.10	5% below	75%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JOINT WO W	$1,275.29	$5,007.00	$366.59–$4,306.02	2% below	75%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MM MRI KNEE WO/W CONTR	$1,244.21	$4,885.00	—	—	75%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JOINT WO W	$1,275.29	$5,007.00	—	—	75%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO	$1,195.06	$4,692.00	$223.73–$4,035.12	1% below	75%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO	$1,195.06	$4,692.00	—	—	75%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO W	$1,242.94	$4,880.00	$366.59–$4,196.80	2% below	75%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO W	$1,242.94	$4,880.00	—	—	75%
MRI of the brain, no contrast dye CPT 70551 MRI SELLA WO	$1,473.44	$5,785.00	$223.73–$4,975.10	18% above	75%
MRI of the brain, no contrast dye CPT 70551 MM MRI BRAIN W/O CONTRAST	$1,473.44	$5,785.00	$223.73–$4,975.10	18% above	75%
MRI of the brain, no contrast dye inpatient CPT 70551 MM MRI BRAIN W/O CONTRAST	$1,473.44	$5,785.00	—	—	75%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI SELLA WO	$1,473.44	$5,785.00	—	—	75%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO W	$1,796.91	$7,055.00	$366.59–$6,067.30	4% above	75%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WO W	$1,796.91	$7,055.00	$366.59–$6,067.30	4% above	75%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WO W	$1,796.91	$7,055.00	—	—	75%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO W	$1,796.91	$7,055.00	—	—	75%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO	$1,014.48	$3,983.00	$223.73–$3,425.38	11% below	75%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO	$1,014.48	$3,983.00	—	—	75%
MRI of the lower back, without and then with contrast dye CPT 72158 MM MRI LUMBAR SP WWO CONT	$1,318.59	$5,177.00	$366.59–$4,452.22	17% below	75%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W/WO	$1,389.90	$5,457.00	$366.59–$4,693.02	12% below	75%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MM MRI LUMBAR SP WWO CONT	$1,318.59	$5,177.00	—	—	75%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR W/WO	$1,389.90	$5,457.00	—	—	75%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MM MRI THORACIC SP W/O CONT	$963.79	$3,784.00	$223.73–$3,254.24	6% below	75%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MM MRI THORACIC SP W/O CONT	$963.79	$3,784.00	—	—	75%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MM MRI CERVICAL SP W&W/O CONT	$1,431.42	$5,620.00	$366.59–$4,833.20	12% below	75%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MM MRI CERVICAL SP W&W/O CONT	$1,431.42	$5,620.00	—	—	75%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO	$1,044.78	$4,102.00	$223.73–$3,527.72	9% below	75%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO	$1,044.78	$4,102.00	—	—	75%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO W	$1,243.45	$4,882.00	$366.59–$4,198.52	2% below	75%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO W	$1,243.45	$4,882.00	—	—	75%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO	$932.72	$3,662.00	$223.73–$3,149.32	at median	75%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO	$932.72	$3,662.00	—	—	75%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MM MRI SHOULDER WO CONTRAST	$986.97	$3,875.00	$223.73–$3,332.50	6% below	75%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UE JOINT WO	$1,038.93	$4,079.00	$223.73–$3,507.94	1% below	75%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MM MRI SHOULDER WO CONTRAST	$986.97	$3,875.00	—	—	75%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UE JOINT WO	$1,038.93	$4,079.00	—	—	75%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LTD	$79.98	$314.00	$54.48–$270.04	42% below	75%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON-OB LTD	$79.98	$314.00	—	—	75%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB COMP	$233.56	$917.00	$90.80–$788.62	36% below	75%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 MU PELVIC	$280.68	$1,102.00	$90.80–$947.72	23% below	75%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON-OB COMP	$233.56	$917.00	—	—	75%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 MU PELVIC	$280.68	$1,102.00	—	—	75%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 MU OB MOLAR	$135.51	$532.00	$107.60–$457.52	52% below	75%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 MU OB COMPLETE	$160.47	$630.00	$107.60–$541.80	44% below	75%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 2 OR 3 TRI SGL 1ST GEST	$168.11	$660.00	$107.60–$567.60	41% below	75%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 MU OB MOLAR	$135.51	$532.00	—	—	75%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 MU OB COMPLETE	$160.47	$630.00	—	—	75%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 2 OR 3 TRI SGL 1ST GEST	$168.11	$660.00	—	—	75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 MU OB LESS THAN 14 WEEKS	$90.68	$356.00	$97.04–$306.16	68% below	75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIM SNGL GEST	$95.52	$375.00	$97.04–$322.50	67% below	75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRI SGL GEST	$106.98	$420.00	$97.04–$361.20	63% below	75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 MU OB LESS THAN 14 WEEKS	$90.68	$356.00	—	—	75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIM SNGL GEST	$95.52	$375.00	—	—	75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRI SGL GEST	$106.98	$420.00	—	—	75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 MU OB FETAL VIABILITY	$102.65	$403.00	$59.02–$346.58	38% below	75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 MU OB FETAL AGE	$107.23	$421.00	$59.02–$362.06	35% below	75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1 OR MORE FETUSES	$108.51	$426.00	$59.02–$366.36	34% below	75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 MU OB FETAL VIABILITY	$102.65	$403.00	—	—	75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 MU OB FETAL AGE	$107.23	$421.00	—	—	75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED 1 OR MORE FETUSES	$108.51	$426.00	—	—	75%
Screening mammogram, both breasts both sides CPT 77067 MY DIG SCREEN BILATERAL W CAD	$122.52	$481.00	$76.95–$413.66	—	75%
Screening mammogram, both breasts CPT 77067 MBR MAMMOGRAPHY-BREASTCARE	$51.45	$202.00	$76.95–$224.37	62% below	75%
Screening mammogram, both breasts CPT 77067 MX IMPLANT SCREENING STUDY	$52.73	$207.00	$76.95–$224.37	61% below	75%
Screening mammogram, both breasts CPT 77067 MBR DIGITAL MAMMOGRAM SCRN BIL	$93.23	$366.00	$76.95–$314.76	31% below	75%
Screening mammogram, both breasts inpatient both sides CPT 77067 MY DIG SCREEN BILATERAL W CAD	$122.52	$481.00	—	—	75%
Screening mammogram, both breasts inpatient CPT 77067 MBR MAMMOGRAPHY-BREASTCARE	$51.45	$202.00	—	—	75%
Screening mammogram, both breasts inpatient CPT 77067 MX IMPLANT SCREENING STUDY	$52.73	$207.00	—	—	75%
Screening mammogram, both breasts inpatient CPT 77067 MBR DIGITAL MAMMOGRAM SCRN BIL	$93.23	$366.00	—	—	75%
Shoulder X-ray, complete, 2 or more views CPT 73030 MX SHOULDER-ROTATED (3 VIEWS)	$109.78	$431.00	$33.02–$370.66	21% below	75%
Shoulder X-ray, complete, 2 or more views CPT 73030 CR SHOULDER COMP MIN 2 VWS	$116.66	$458.00	$33.02–$393.88	16% below	75%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 MX SHOULDER - LEFT (2) VIEWS	$64.19	$252.00	$33.02–$216.72	54% below	75%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 MX SHOULDER - LEFT (3) VIEWS	$110.80	$435.00	$33.02–$374.10	20% below	75%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 MX SHOULDER-ROTATED (3 VIEWS)	$109.78	$431.00	—	—	75%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 CR SHOULDER COMP MIN 2 VWS	$116.66	$458.00	—	—	75%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 MX SHOULDER - LEFT (2) VIEWS	$64.19	$252.00	—	—	75%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 MX SHOULDER - LEFT (3) VIEWS	$110.80	$435.00	—	—	75%
Sleep study in a lab (polysomnography) CPT 95810 PSG W/SLEEP STAGING W/4-ADDL	$1,216.20	$4,775.00	$276.94–$4,106.50	42% below	75%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG W/SLEEP STAGING W/4-ADDL	$1,216.20	$4,775.00	—	—	75%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MX MODIFIED BA SW/THERAPIST	$127.10	$499.00	$65.83–$429.14	41% below	75%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CR SWALLOWING FUNCT W VIDEO	$133.72	$525.00	$65.83–$451.50	37% below	75%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MX MODIFIED BA SW/THERAPIST	$127.10	$499.00	—	—	75%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CR SWALLOWING FUNCT W VIDEO	$133.72	$525.00	—	—	75%
Transvaginal pelvic ultrasound CPT 76830 MU ENDO VAG	$191.28	$751.00	$107.60–$645.86	43% below	75%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL PELVIS	$199.44	$783.00	$107.60–$673.38	41% below	75%
Transvaginal pelvic ultrasound inpatient CPT 76830 MU ENDO VAG	$191.28	$751.00	—	—	75%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL PELVIS	$199.44	$783.00	—	—	75%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$153.08	$601.00	$106.56–$516.86	55% below	75%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$153.08	$601.00	—	—	75%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$344.87	$1,354.00	$107.60–$1,164.44	24% below	75%
Ultrasound of the abdomen, complete CPT 76700 MU ABDOMINAL GENERAL	$348.69	$1,369.00	$107.60–$1,177.34	23% below	75%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$367.03	$1,441.00	$107.60–$1,239.26	19% below	75%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$344.87	$1,354.00	—	—	75%
Ultrasound of the abdomen, complete inpatient CPT 76700 MU ABDOMINAL GENERAL	$348.69	$1,369.00	—	—	75%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE	$367.03	$1,441.00	—	—	75%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$176.26	$692.00	$70.37–$595.12	50% below	75%
Ultrasound of the scrotum and testicles CPT 76870 MU GENITALIA	$188.23	$739.00	$70.37–$635.54	47% below	75%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS	$176.26	$692.00	—	—	75%
Ultrasound of the scrotum and testicles inpatient CPT 76870 MU GENITALIA	$188.23	$739.00	—	—	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS W/IMG DOCUMENTATION	$59.60	$234.00	$65.52–$245.18	85% below	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 MU THYROID	$145.44	$571.00	$107.60–$491.06	62% below	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SFT TIS HD/NCK REAL TIME IMG	$153.08	$601.00	$107.60–$516.86	60% below	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS W/IMG DOCUMENTATION	$59.60	$234.00	—	—	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 MU THYROID	$145.44	$571.00	—	—	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SFT TIS HD/NCK REAL TIME IMG	$153.08	$601.00	—	—	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 MX UPPER GI SINGLE CONTRAST	$133.72	$525.00	$68.10–$451.50	44% below	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UGI WO KUB	$173.71	$682.00	$68.10–$586.52	28% below	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UGI W SMALL BOWEL WO AIR	$267.19	$1,049.00	$68.10–$902.14	11% above	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 MX UPPER GI SINGLE CONTRAST	$133.72	$525.00	—	—	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UGI WO KUB	$173.71	$682.00	—	—	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UGI W SMALL BOWEL WO AIR	$267.19	$1,049.00	—	—	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEXSCAN OF EXT VEINS INCLD	$81.00	$318.00	$89.04–$273.48	78% below	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 MU VENOUS DOPPLER UPPER EXT	$188.48	$740.00	$101.45–$636.40	49% below	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VL VEIN MAPPING LE	$196.12	$770.00	$101.45–$662.20	47% below	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEXSCAN OF EXT VEINS INCLD	$81.00	$318.00	—	—	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 MU VENOUS DOPPLER UPPER EXT	$188.48	$740.00	—	—	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VL VEIN MAPPING LE	$196.12	$770.00	—	—	75%
Wrist X-ray, complete, 3 or more views CPT 73110 MCM XRAY OF WRIST MINIMUM 3 VWS	$114.87	$451.00	$43.07–$387.86	20% below	75%
Wrist X-ray, complete, 3 or more views CPT 73110 CR WRIST 3 VWS	$117.17	$460.00	$43.07–$395.60	19% below	75%
Wrist X-ray, complete, 3 or more views one side CPT 73110 MX WRIST - LEFT (3) VIEWS	$113.60	$446.00	$43.07–$383.56	21% below	75%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 MCM XRAY OF WRIST MINIMUM 3 VWS	$114.87	$451.00	—	—	75%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CR WRIST 3 VWS	$117.17	$460.00	—	—	75%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 MX WRIST - LEFT (3) VIEWS	$113.60	$446.00	—	—	75%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 MCM X-RAY EXAM HIP UNI 2 VIEWS	$114.87	$451.00	$63.20–$387.86	10% below	75%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 CR HIP UNI COMP 2 VWS	$119.71	$470.00	$63.20–$404.20	7% below	75%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 MCM X-RAY EXAM HIP UNI 2 VIEWS	$114.87	$451.00	—	—	75%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 CR HIP UNI COMP 2 VWS	$119.71	$470.00	—	—	75%
X-ray of the abdomen, 1 view CPT 74018 MX ABDOMEN 1 VIEW	$56.80	$223.00	$45.99–$191.78	61% below	75%
X-ray of the abdomen, 1 view CPT 74018 MCM XRAY OF ABDOMEN	$90.68	$356.00	$45.99–$306.16	38% below	75%
X-ray of the abdomen, 1 view CPT 74018 MX CHOLANGIOGRAM-ORAL SCOUT	$94.75	$372.00	$45.99–$319.92	35% below	75%
X-ray of the abdomen, 1 view CPT 74018 CR ABDOMEN 1 VW PORT	$99.59	$391.00	$45.99–$336.26	32% below	75%
X-ray of the abdomen, 1 view inpatient CPT 74018 MX ABDOMEN 1 VIEW	$56.80	$223.00	—	—	75%
X-ray of the abdomen, 1 view inpatient CPT 74018 MCM XRAY OF ABDOMEN	$90.68	$356.00	—	—	75%
X-ray of the abdomen, 1 view inpatient CPT 74018 MX CHOLANGIOGRAM-ORAL SCOUT	$94.75	$372.00	—	—	75%
X-ray of the abdomen, 1 view inpatient CPT 74018 CR ABDOMEN 1 VW PORT	$99.59	$391.00	—	—	75%
X-ray of the ankle, 2 views CPT 73600 CR ANKLE 2 VWS	$83.80	$329.00	$31.76–$282.94	26% below	75%
X-ray of the ankle, 2 views CPT 73600 X-RAY ANKLE 2 VIEWS	$86.60	$340.00	$31.76–$292.40	23% below	75%
X-ray of the ankle, 2 views CPT 73600 MX ANKLE -2 VIEWS	$90.42	$355.00	$31.76–$305.30	20% below	75%
X-ray of the ankle, 2 views inpatient CPT 73600 CR ANKLE 2 VWS	$83.80	$329.00	—	—	75%
X-ray of the ankle, 2 views inpatient CPT 73600 X-RAY ANKLE 2 VIEWS	$86.60	$340.00	—	—	75%
X-ray of the ankle, 2 views inpatient CPT 73600 MX ANKLE -2 VIEWS	$90.42	$355.00	—	—	75%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY FINGERS MIN 2 VIEWS	$54.26	$213.00	$36.32–$183.18	49% below	75%
X-ray of the finger(s), 2 or more views CPT 73140 MX FINGER	$58.59	$230.00	$36.32–$197.80	45% below	75%
X-ray of the finger(s), 2 or more views CPT 73140 CR FINGERS MIN 2 VWS	$101.63	$399.00	$36.32–$343.14	5% below	75%
X-ray of the finger(s), 2 or more views one side CPT 73140 CR THUMB LT	$61.64	$242.00	$36.32–$208.12	42% below	75%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY FINGERS MIN 2 VIEWS	$54.26	$213.00	—	—	75%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 MX FINGER	$58.59	$230.00	—	—	75%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 CR FINGERS MIN 2 VWS	$101.63	$399.00	—	—	75%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR THUMB LT	$61.64	$242.00	—	—	75%
X-ray of the foot, 2 views CPT 73620 CR FOOT 2 VWS	$76.92	$302.00	$30.50–$259.72	28% below	75%
X-ray of the foot, 2 views CPT 73620 MCM XRAY OF FOOT	$78.20	$307.00	$30.50–$264.02	27% below	75%
X-ray of the foot, 2 views CPT 73620 MX FOOT 2 VIEWS	$81.00	$318.00	$30.50–$273.48	24% below	75%
X-ray of the foot, 2 views inpatient CPT 73620 CR FOOT 2 VWS	$76.92	$302.00	—	—	75%
X-ray of the foot, 2 views inpatient CPT 73620 MCM XRAY OF FOOT	$78.20	$307.00	—	—	75%
X-ray of the foot, 2 views inpatient CPT 73620 MX FOOT 2 VIEWS	$81.00	$318.00	—	—	75%
X-ray of the foot, complete, 3 or more views CPT 73630 CR FOOT COMP MIN 3 VWS	$122.77	$482.00	$36.79–$414.52	14% below	75%
X-ray of the foot, complete, 3 or more views CPT 73630 XRAY FOOT MINIMUM 3 VIEWS	$124.30	$488.00	$36.79–$419.68	13% below	75%
X-ray of the foot, complete, 3 or more views CPT 73630 MX FOOT 3 VIEWS	$128.12	$503.00	$36.79–$432.58	10% below	75%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 CR FOOT COMP MIN 3 VWS	$122.77	$482.00	—	—	75%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XRAY FOOT MINIMUM 3 VIEWS	$124.30	$488.00	—	—	75%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 MX FOOT 3 VIEWS	$128.12	$503.00	—	—	75%
X-ray of the hand, 3 or more views CPT 73130 MX HAND 3 VIEWS	$61.13	$240.00	$37.42–$206.40	66% below	75%
X-ray of the hand, 3 or more views CPT 73130 MCM XRAY OF HAND MINUMUM 3 VIEWS	$119.71	$470.00	$37.42–$404.20	34% below	75%
X-ray of the hand, 3 or more views CPT 73130 CR HAND MIN 3 VWS	$124.81	$490.00	$37.42–$421.40	31% below	75%
X-ray of the hand, 3 or more views inpatient CPT 73130 MX HAND 3 VIEWS	$61.13	$240.00	—	—	75%
X-ray of the hand, 3 or more views inpatient CPT 73130 MCM XRAY OF HAND MINUMUM 3 VIEWS	$119.71	$470.00	—	—	75%
X-ray of the hand, 3 or more views inpatient CPT 73130 CR HAND MIN 3 VWS	$124.81	$490.00	—	—	75%
X-ray of the knee, 1 or 2 views CPT 73560 CR KNEE 1 OR 2 VWS	$84.06	$330.00	$33.02–$283.80	28% below	75%
X-ray of the knee, 1 or 2 views CPT 73560 MX KNEE 2 VIEWS	$95.01	$373.00	$33.02–$320.78	19% below	75%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY KNEE AP&LAT	$96.28	$378.00	$33.02–$325.08	17% below	75%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 CR KNEE 1 OR 2 VWS	$84.06	$330.00	—	—	75%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 MX KNEE 2 VIEWS	$95.01	$373.00	—	—	75%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-RAY KNEE AP&LAT	$96.28	$378.00	—	—	75%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 MX LUMBAR SP - 2 - 3 VIEWS	$114.37	$449.00	$45.59–$386.14	40% below	75%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY LUMBOSACRAL SPINE	$115.38	$453.00	$45.59–$389.58	40% below	75%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR SPINE LUMB FLEXION EXTENSION	$118.95	$467.00	$45.59–$401.62	38% below	75%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR SPINE LUMBAR 2 OR 3 VWS	$122.77	$482.00	$45.59–$414.52	36% below	75%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 MX LUMBAR SP - 2 - 3 VIEWS	$114.37	$449.00	—	—	75%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY LUMBOSACRAL SPINE	$115.38	$453.00	—	—	75%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR SPINE LUMB FLEXION EXTENSION	$118.95	$467.00	—	—	75%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR SPINE LUMBAR 2 OR 3 VWS	$122.77	$482.00	—	—	75%
X-ray of the lower back, 4 or more views CPT 72110 MX LUMBAR SP - 5 VIEWS	$166.58	$654.00	$63.19–$562.44	42% below	75%
X-ray of the lower back, 4 or more views CPT 72110 CR SPINE LUMBAR MIN 4 VWS	$179.82	$706.00	$63.19–$607.16	37% below	75%
X-ray of the lower back, 4 or more views inpatient CPT 72110 MX LUMBAR SP - 5 VIEWS	$166.58	$654.00	—	—	75%
X-ray of the lower back, 4 or more views inpatient CPT 72110 CR SPINE LUMBAR MIN 4 VWS	$179.82	$706.00	—	—	75%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 MX DORSAL SPINE 2	$68.77	$270.00	$36.79–$245.18	66% below	75%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CR SPINE THORC FLEXION EXTENSION	$112.58	$442.00	$36.79–$380.12	44% below	75%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 MX DORSAL SPINE 2	$68.77	$270.00	—	—	75%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CR SPINE THORC FLEXION EXTENSION	$112.58	$442.00	—	—	75%
X-ray of the nasal bones, 3 or more views CPT 70160 CR NASAL BONES MIN 3 VWS	$79.47	$312.00	$38.67–$268.32	26% below	75%
X-ray of the nasal bones, 3 or more views CPT 70160 MX NASAL BONE - 3 VIEWS	$99.34	$390.00	$38.67–$335.40	7% below	75%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CR NASAL BONES MIN 3 VWS	$79.47	$312.00	—	—	75%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 MX NASAL BONE - 3 VIEWS	$99.34	$390.00	—	—	75%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 MX CERVICAL SPINE 2/3 VIEWS	$113.60	$446.00	$42.44–$383.56	5% below	75%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY CERVICAL SPINE	$114.87	$451.00	$42.44–$387.86	4% below	75%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR SPINE CERVICAL 2 OR 3 VWS	$118.44	$465.00	$42.44–$399.90	1% below	75%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR SPINE CERV FLEXION EXTENSION	$119.71	$470.00	$42.44–$404.20	at median	75%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 MX CERVICAL SPINE 2/3 VIEWS	$113.60	$446.00	—	—	75%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY CERVICAL SPINE	$114.87	$451.00	—	—	75%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR SPINE CERVICAL 2 OR 3 VWS	$118.44	$465.00	—	—	75%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR SPINE CERV FLEXION EXTENSION	$119.71	$470.00	—	—	75%
X-ray of the pelvis, 1 or 2 views CPT 72170 CR PELVIS 1 OR 2 VWS	$72.59	$285.00	$28.62–$245.18	53% below	75%
X-ray of the pelvis, 1 or 2 views CPT 72170 MX PELVIS AP	$83.04	$326.00	$28.62–$280.36	47% below	75%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$87.37	$343.00	$28.62–$294.98	44% below	75%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR PELVIS 1 OR 2 VWS	$72.59	$285.00	—	—	75%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 MX PELVIS AP	$83.04	$326.00	—	—	75%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY EXAM OF PELVIS	$87.37	$343.00	—	—	75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 MX COCCYX - 2	$98.57	$387.00	$33.64–$332.82	20% below	75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CR SACRUM COCCYX MIN 2 VWS	$111.05	$436.00	$33.64–$374.96	10% below	75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 MX COCCYX - 2	$98.57	$387.00	—	—	75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CR SACRUM COCCYX MIN 2 VWS	$111.05	$436.00	—	—	75%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$6.37	$25.00	$4.00–$21.50	76% below	75%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 CHR HEP ECHOSENS ALT	$12.99	$51.00	$4.00–$43.86	51% below	75%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 FATTY LIVER DS ECHOSENS ALT	$23.44	$92.00	$4.00–$79.12	12% below	75%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$6.37	$25.00	—	—	75%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CHR HEP ECHOSENS ALT	$12.99	$51.00	—	—	75%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FATTY LIVER DS ECHOSENS ALT	$23.44	$92.00	—	—	75%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$6.63	$26.00	$3.91–$22.36	78% below	75%
AST (aspartate aminotransferase) enzyme test CPT 84450 CHR HEP ECHOSENS AST	$12.99	$51.00	$3.91–$43.86	57% below	75%
AST (aspartate aminotransferase) enzyme test CPT 84450 FATTY LIVER DS ECHOSENS AST	$23.44	$92.00	$3.91–$79.12	23% below	75%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$6.63	$26.00	—	—	75%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CHR HEP ECHOSENS AST	$12.99	$51.00	—	—	75%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FATTY LIVER DS ECHOSENS AST	$23.44	$92.00	—	—	75%
Allergy blood test, specific IgE, per allergen CPT 86003 RDPSC CAT DANDER	$3.32	$13.00	$3.93–$16.93	80% below	74%
Allergy blood test, specific IgE, per allergen CPT 86003 RDPSC JOHNSON GRASS	$3.57	$14.00	$3.93–$16.93	78% below	75%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE (LATEX IGE)	$4.59	$18.00	$3.93–$16.93	72% below	75%
Allergy blood test, specific IgE, per allergen CPT 86003 GRASS TEST #2 (CODE 81707)	$12.99	$51.00	$3.93–$43.86	21% below	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RDPSC CAT DANDER	$3.32	$13.00	—	—	74%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RDPSC JOHNSON GRASS	$3.57	$14.00	—	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE (LATEX IGE)	$4.59	$18.00	—	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRASS TEST #2 (CODE 81707)	$12.99	$51.00	—	—	75%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PRPTIDE AB	$15.29	$60.00	$9.77–$51.60	75% below	75%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PRPTIDE AB	$15.29	$60.00	—	—	75%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH CONFIRMATION	$10.45	$41.00	$9.12–$39.18	79% below	75%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$20.13	$79.00	$9.12–$67.94	60% below	75%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH CONFIRMATION	$10.45	$41.00	—	—	75%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$20.13	$79.00	—	—	75%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$30.31	$119.00	$29.60–$107.67	63% below	75%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP	$30.31	$119.00	—	—	75%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$38.21	$150.00	$6.38–$129.00	66% below	75%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$38.21	$150.00	—	—	75%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGST LEVL 4	$34.13	$134.00	$21.30–$227.00	68% below	75%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGST LEVL 4	$34.13	$134.00	—	—	75%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$12.99	$51.00	$7.78–$43.86	81% below	75%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$12.99	$51.00	—	—	75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$5.61	$22.00	$2.15–$18.92	53% below	75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE - ER	$6.12	$24.00	$2.15–$20.64	49% below	75%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$5.61	$22.00	—	—	75%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE - ER	$6.12	$24.00	—	—	75%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD QUANT	$3.83	$15.00	$2.96–$12.90	87% below	74%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM	$5.10	$20.00	$2.96–$17.20	82% below	75%
Blood glucose (sugar) test CPT 82947 ISTAT GLUCOSE	$5.86	$23.00	$2.96–$19.78	80% below	75%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$9.43	$37.00	$2.96–$31.82	68% below	75%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$15.29	$60.00	$2.96–$51.60	47% below	75%
Blood glucose (sugar) test CPT 82947 FATTY LIVER DS ECHOSENS GLUCOSE	$23.44	$92.00	$2.96–$79.12	19% below	75%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD QUANT	$3.83	$15.00	—	—	74%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM	$5.10	$20.00	—	—	75%
Blood glucose (sugar) test inpatient CPT 82947 ISTAT GLUCOSE	$5.86	$23.00	—	—	75%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$9.43	$37.00	—	—	75%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$15.29	$60.00	—	—	75%
Blood glucose (sugar) test inpatient CPT 82947 FATTY LIVER DS ECHOSENS GLUCOSE	$23.44	$92.00	—	—	75%
Blood lead test CPT 83655 BLOOD LEAD ARUP	$6.37	$25.00	$9.13–$39.23	82% below	75%
Blood lead test CPT 83655 BLOOD LEAD	$6.88	$27.00	$9.13–$39.23	81% below	75%
Blood lead test CPT 83655 HVY MTL 4 PANEL UR LEAD ARUP	$8.66	$34.00	$9.13–$39.23	76% below	75%
Blood lead test inpatient CPT 83655 BLOOD LEAD ARUP	$6.37	$25.00	—	—	75%
Blood lead test inpatient CPT 83655 BLOOD LEAD	$6.88	$27.00	—	—	75%
Blood lead test inpatient CPT 83655 HVY MTL 4 PANEL UR LEAD ARUP	$8.66	$34.00	—	—	75%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST SERUM (QUAL)	$9.68	$38.00	$5.67–$86.26	74% below	75%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST SERUM (QUAL)	$9.68	$38.00	—	—	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP-SF	$11.98	$47.00	$3.91–$40.42	70% below	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 IBD-CRP	$13.76	$54.00	$3.91–$46.44	66% below	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$21.40	$84.00	$3.91–$72.24	46% below	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP-SF	$11.98	$47.00	—	—	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 IBD-CRP	$13.76	$54.00	—	—	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$21.40	$84.00	—	—	75%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY PCR	$107.49	$422.00	$28.11–$362.92	at median	75%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF BY PCR	$107.49	$422.00	—	—	75%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 AR IN-HOUSE PCR	$59.86	$235.00	$38.69–$202.10	55% below	75%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 AR IN-HOUSE PCR	$59.86	$235.00	—	—	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT (APTIMA)	$24.71	$97.00	$26.46–$113.77	67% below	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA	$31.33	$123.00	$26.46–$113.77	58% below	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT (APTIMA)	$24.71	$97.00	—	—	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA	$31.33	$123.00	—	—	75%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$14.27	$56.00	$10.09–$48.16	83% below	75%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$14.27	$56.00	—	—	75%
Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF	$6.88	$27.00	$5.86–$61.29	86% below	75%
Complete blood count (CBC) with differential CPT 85025 CBC (AUTOMATED) W/ DIFF	$9.43	$37.00	$5.86–$83.99	81% below	75%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ AUTO DIFF	$6.88	$27.00	—	—	75%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC (AUTOMATED) W/ DIFF	$9.43	$37.00	—	—	75%
Complete blood count (CBC), no differential CPT 85027 CBC	$5.61	$22.00	$4.88–$49.94	81% below	75%
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED NO DIFF	$8.16	$32.00	$4.88–$72.64	73% below	75%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$5.61	$22.00	—	—	75%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED NO DIFF	$8.16	$32.00	—	—	75%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$38.21	$150.00	$7.96–$129.00	70% below	75%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$38.21	$150.00	—	—	75%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANT	$62.41	$245.00	$7.68–$210.70	at median	75%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTATIVE	$70.30	$276.00	$7.68–$237.36	13% above	75%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANT	$62.41	$245.00	—	—	75%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTATIVE	$70.30	$276.00	—	—	75%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$45.34	$178.00	$14.01–$153.08	37% below	75%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$45.34	$178.00	—	—	75%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$30.57	$120.00	$14.80–$103.20	77% below	75%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$30.57	$120.00	—	—	75%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$12.23	$48.00	$10.28–$44.17	82% below	75%
Ferritin blood test (iron stores) CPT 82728 FATTY LIVER DS ECHOSENS FERRITIN	$23.95	$94.00	$10.28–$80.84	65% below	75%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$12.23	$48.00	—	—	75%
Ferritin blood test (iron stores) inpatient CPT 82728 FATTY LIVER DS ECHOSENS FERRITIN	$23.95	$94.00	—	—	75%
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID)	$17.07	$67.00	$11.09–$57.62	73% below	75%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID)	$17.07	$67.00	—	—	75%
Free T3 thyroid hormone test CPT 84481 FREE T3	$15.54	$61.00	$12.77–$54.91	76% below	75%
Free T3 thyroid hormone test CPT 84481 FREE T3 BY DIALYSIS AND LCMSMS	$90.68	$356.00	$12.77–$306.16	42% above	75%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$15.54	$61.00	—	—	75%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 BY DIALYSIS AND LCMSMS	$90.68	$356.00	—	—	75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$11.47	$45.00	$6.80–$38.70	76% below	75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THRYOXIN FREE	$11.47	$45.00	$6.80–$38.70	76% below	75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS AND LCMSMS	$16.82	$66.00	$6.80–$56.76	65% below	75%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$11.47	$45.00	—	—	75%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THRYOXIN FREE	$11.47	$45.00	—	—	75%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY DIALYSIS AND LCMSMS	$16.82	$66.00	—	—	75%
Free testosterone test CPT 84402 TESTOSTERONE FREE ARUP	$19.11	$75.00	$19.21–$82.54	77% below	75%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$22.16	$87.00	$19.21–$82.54	74% below	75%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE ARUP	$19.11	$75.00	—	—	75%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$22.16	$87.00	—	—	75%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH CARE PANEL	$65.97	$259.00	$23.56–$222.74	55% below	75%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH CARE PANEL	$65.97	$259.00	—	—	75%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR	$4.33	$17.00	$3.58–$15.39	87% below	75%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE - 2 HR PP	$4.33	$17.00	$3.58–$15.39	87% below	75%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR GESTATIONAL	$9.94	$39.00	$3.58–$33.54	71% below	75%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HR	$4.33	$17.00	—	—	75%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE - 2 HR PP	$4.33	$17.00	—	—	75%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR GESTATIONAL	$9.94	$39.00	—	—	75%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 HR	$11.21	$44.00	$9.71–$41.75	83% below	75%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 HR	$11.21	$44.00	—	—	75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CG (APTIMA)	$24.71	$97.00	$26.46–$113.77	68% below	75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA AMPLIFICATION	$31.33	$123.00	$26.46–$113.77	59% below	75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CG (APTIMA)	$24.71	$97.00	—	—	75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA AMPLIFICATION	$31.33	$123.00	—	—	75%
H. pylori antibody blood test CPT 86677 H PYLORI	$16.82	$66.00	$12.70–$56.76	76% below	75%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI	$16.82	$66.00	—	—	75%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN FECES	$12.99	$51.00	$10.85–$115.77	82% below	75%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN FECES	$12.99	$51.00	—	—	75%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 ULTRA SENS RNA BY PCR	$45.85	$180.00	$64.17–$275.83	80% below	75%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 ULTRA SENS RNA BY PCR	$45.85	$180.00	—	—	75%
HIV-1 and HIV-2 antibody test CPT 86703 HIV	$14.52	$57.00	$10.34–$129.39	80% below	75%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV	$14.52	$57.00	—	—	75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C	$11.72	$46.00	$7.32–$39.56	70% below	75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C	$11.72	$46.00	—	—	75%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$11.47	$45.00	$8.10–$102.15	82% below	75%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$11.47	$45.00	—	—	75%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$11.47	$45.00	$7.78–$102.15	72% below	75%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$11.47	$45.00	—	—	75%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C	$14.52	$57.00	$10.76–$49.02	72% below	75%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C	$14.52	$57.00	—	—	75%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL LOAD (QUANT)	$29.80	$117.00	$32.31–$138.86	77% below	75%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$49.93	$196.00	$32.31–$168.56	62% below	75%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR QUANT NON-GRAPH	$28.53	$112.00	$32.31–$138.86	78% below	75%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL LOAD (QUANT)	$29.80	$117.00	—	—	75%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$49.93	$196.00	—	—	75%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR QUANT NON-GRAPH	$28.53	$112.00	—	—	75%
Herpes blood test, HSV-1 antibody CPT 86695 #HERPES SIMPLEX TYPE 1 IGG	$9.17	$36.00	$9.94–$81.72	82% below	75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 #HERPES SIMPLEX TYPE 1 IGG	$9.17	$36.00	—	—	75%
Herpes blood test, HSV-2 antibody CPT 86696 #HERPES SIMPLEX TYPE 2 IGG	$9.17	$36.00	$14.59–$81.72	84% below	75%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2 GLYCOPROT G AB IGG	$10.45	$41.00	$14.59–$93.07	82% below	75%
Herpes blood test, HSV-2 antibody CPT 86696 #HSV 2 IGG SUPPLEMENTAL REFLEX	$23.44	$92.00	$14.59–$208.84	59% below	75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 #HERPES SIMPLEX TYPE 2 IGG	$9.17	$36.00	—	—	75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2 GLYCOPROT G AB IGG	$10.45	$41.00	—	—	75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 #HSV 2 IGG SUPPLEMENTAL REFLEX	$23.44	$92.00	—	—	75%
High-sensitivity CRP (hs-CRP) test CPT 86141 CREACTIVE PROTEIN HIGH SENS	$11.72	$46.00	$9.77–$40.61	77% below	75%
High-sensitivity CRP (hs-CRP) test CPT 86141 HS-CRP	$14.78	$58.00	$9.77–$49.88	71% below	75%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CREACTIVE PROTEIN HIGH SENS	$11.72	$46.00	—	—	75%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HS-CRP	$14.78	$58.00	—	—	75%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$15.29	$60.00	$13.51–$54.68	84% below	75%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$15.29	$60.00	—	—	75%
Insulin blood test CPT 83525 INSULIN LEVEL	$9.17	$36.00	$8.62–$37.09	80% below	75%
Insulin blood test CPT 83525 PRO/INS RATIO INSULIN ARUP	$14.01	$55.00	$8.62–$47.30	70% below	75%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL	$9.17	$36.00	—	—	75%
Insulin blood test inpatient CPT 83525 PRO/INS RATIO INSULIN ARUP	$14.01	$55.00	—	—	75%
Iron blood test (serum iron) CPT 83540 IRON TOTAL SERUM	$19.36	$76.00	$4.88–$65.36	37% below	75%
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL SERUM	$19.36	$76.00	—	—	75%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$8.16	$32.00	$6.59–$28.33	71% below	75%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$8.16	$32.00	—	—	75%
LH (luteinizing hormone) test CPT 83002 LH (LUTEINIZING HORMONE)	$58.33	$229.00	$13.97–$196.94	12% below	75%
LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTEINIZING HORMONE)	$58.33	$229.00	—	—	75%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BF	$6.12	$24.00	$5.20–$22.34	80% below	75%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$8.66	$34.00	$5.20–$29.24	72% below	75%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BF	$6.12	$24.00	—	—	75%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$8.66	$34.00	—	—	75%
Liver function blood test panel CPT 80076 HEPATIC PROFILE	$20.89	$82.00	$6.16–$70.52	77% below	75%
Liver function blood test panel inpatient CPT 80076 HEPATIC PROFILE	$20.89	$82.00	—	—	75%
Lyme disease antibody test CPT 86618 LYME ANTIBODY	$37.19	$146.00	$12.84–$125.56	52% below	75%
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODY	$37.19	$146.00	—	—	75%
Magnesium blood test CPT 83735 MAGNESIUM SERUM	$11.98	$47.00	$5.06–$40.42	63% below	75%
Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM	$11.98	$47.00	—	—	75%
Measles (rubeola) antibody test CPT 86765 RUBEOLA TITER AB IGG	$39.74	$156.00	$9.71–$134.16	14% below	75%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA TITER AB IGG	$39.74	$156.00	—	—	75%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$14.78	$58.00	$13.86–$59.63	73% below	75%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$14.78	$58.00	—	—	75%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA SENSITIVE	$13.50	$53.00	$13.86–$59.63	80% below	75%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$15.54	$61.00	$13.86–$59.63	77% below	75%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA SENSITIVE	$13.50	$53.00	—	—	75%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$15.54	$61.00	—	—	75%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT	$36.94	$145.00	$31.12–$133.79	77% below	75%
Parathyroid hormone (PTH) blood test CPT 83970 PTH I	$45.60	$179.00	$31.12–$153.94	71% below	75%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT	$36.94	$145.00	—	—	75%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH I	$45.60	$179.00	—	—	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ACT-PTT ARUP	$5.10	$20.00	$4.54–$19.48	85% below	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (APTT)	$6.63	$26.00	$4.54–$22.36	81% below	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$11.47	$45.00	$4.54–$38.70	67% below	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT BILL ONLY ARUP	$14.01	$55.00	$4.54–$47.30	60% below	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTLP-APTT PATIENT	$22.42	$88.00	$4.54–$75.68	36% below	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ACT-PTT ARUP	$5.10	$20.00	—	—	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (APTT)	$6.63	$26.00	—	—	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME	$11.47	$45.00	—	—	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT BILL ONLY ARUP	$14.01	$55.00	—	—	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTLP-APTT PATIENT	$22.42	$88.00	—	—	75%
Progesterone blood test CPT 84144 PROGESTRONES	$18.34	$72.00	$15.73–$67.62	69% below	75%
Progesterone blood test inpatient CPT 84144 PROGESTRONES	$18.34	$72.00	—	—	75%
Prolactin blood test CPT 84146 PROLACTIN	$38.97	$153.00	$14.62–$131.58	44% below	75%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$38.97	$153.00	—	—	75%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$4.08	$16.00	$3.24–$13.76	85% below	75%
Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ACT-PT ARUP	$5.10	$20.00	$3.24–$17.20	81% below	75%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$7.65	$30.00	$3.24–$25.80	72% below	75%
Prothrombin time (PT/INR) clotting test CPT 85610 ACTLP-PROTIME PATIENT	$15.03	$59.00	$3.24–$50.74	45% below	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME	$4.08	$16.00	—	—	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LUPUS ACT-PT ARUP	$5.10	$20.00	—	—	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$7.65	$30.00	—	—	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ACTLP-PROTIME PATIENT	$15.03	$59.00	—	—	75%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$12.49	$49.00	$9.50–$42.14	46% below	75%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 UDS - SVM	$35.15	$138.00	$9.50–$118.68	51% above	75%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN (URINE)	$46.11	$181.00	$9.50–$155.66	98% above	75%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN-URINE	$59.60	$234.00	$9.50–$201.24	156% above	75%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$12.49	$49.00	—	—	75%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 UDS - SVM	$35.15	$138.00	—	—	75%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN (URINE)	$46.11	$181.00	—	—	75%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN-URINE	$59.60	$234.00	—	—	75%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA	$9.17	$36.00	$11.76–$30.96	82% below	75%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A ANTIGEN	$20.38	$80.00	$11.76–$68.80	60% below	75%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA	$9.17	$36.00	—	—	75%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A ANTIGEN	$20.38	$80.00	—	—	75%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A	$9.17	$36.00	$11.76–$30.96	74% below	75%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A	$9.17	$36.00	—	—	75%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR BODY FLUID	$6.12	$24.00	$4.28–$20.64	83% below	75%
Rheumatoid factor (RF) test CPT 86431 RA	$10.45	$41.00	$4.28–$35.26	71% below	75%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR BODY FLUID	$6.12	$24.00	—	—	75%
Rheumatoid factor (RF) test inpatient CPT 86431 RA	$10.45	$41.00	—	—	75%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB	$6.88	$27.00	$10.85–$46.65	84% below	75%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG	$25.47	$100.00	$10.85–$86.00	42% below	75%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM AB	$6.88	$27.00	—	—	75%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGG	$25.47	$100.00	—	—	75%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$7.65	$30.00	$6.72–$28.85	81% below	75%
Stool ova and parasites exam CPT 87177 O&P FECAL WET-MOUNT ARUP	$9.17	$36.00	$6.72–$30.96	77% below	75%
Stool ova and parasites exam CPT 87177 OVA & PARASITE	$14.78	$58.00	$6.72–$49.88	63% below	75%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$7.65	$30.00	—	—	75%
Stool ova and parasites exam inpatient CPT 87177 O&P FECAL WET-MOUNT ARUP	$9.17	$36.00	—	—	75%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE	$14.78	$58.00	—	—	75%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 MCM BLOOD OCCULT FECAL HEMOGL -	$12.23	$48.00	$12.01–$50.44	76% below	75%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HEMOCCULT ICT	$24.97	$98.00	$12.01–$84.28	51% below	75%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 MCM BLOOD OCCULT FECAL HEMOGL -	$12.23	$48.00	—	—	75%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HEMOCCULT ICT	$24.97	$98.00	—	—	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$3.57	$14.00	$3.22–$13.39	79% below	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF - VDRL	$4.59	$18.00	$3.22–$15.48	73% below	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$3.57	$14.00	—	—	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF - VDRL	$4.59	$18.00	—	—	75%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD 4 TUBE	$22.93	$90.00	$46.74–$203.12	72% below	75%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD 1 TUBE	$26.75	$105.00	$46.74–$203.12	67% below	75%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD 4 TUBE	$22.93	$90.00	—	—	75%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD 1 TUBE	$26.75	$105.00	—	—	75%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL ARUP	$19.11	$75.00	$19.46–$83.69	76% below	75%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (SVM)	$50.69	$199.00	$19.46–$171.14	36% below	75%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL ARUP	$19.11	$75.00	—	—	75%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL (SVM)	$50.69	$199.00	—	—	75%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME AUTOABS	$10.70	$42.00	$10.97–$47.17	73% below	75%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$12.49	$49.00	$10.97–$47.17	69% below	75%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$87.62	$344.00	$10.97–$295.84	117% above	75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME AUTOABS	$10.70	$42.00	—	—	75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$12.49	$49.00	—	—	75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$87.62	$344.00	—	—	75%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$18.34	$72.00	$12.67–$61.92	70% below	75%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID SCREEN NB SCRN	$20.38	$80.00	$12.67–$68.80	66% below	75%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$18.34	$72.00	—	—	75%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID SCREEN NB SCRN	$20.38	$80.00	—	—	75%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS (APTIMA)	$25.98	$102.00	$26.46–$108.66	67% below	75%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS BY NAA	$30.57	$120.00	$26.46–$108.66	61% below	75%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS (APTIMA)	$25.98	$102.00	—	—	75%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS BY NAA	$30.57	$120.00	—	—	75%
Uric acid blood test CPT 84550 URIC ACID SERUM	$13.76	$54.00	$3.41–$46.44	61% below	75%
Uric acid blood test inpatient CPT 84550 URIC ACID SERUM	$13.76	$54.00	—	—	75%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/REFLEX MICROSCOPIC	$4.59	$18.00	$2.39–$40.86	84% below	75%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/REFLEX MICROSCOPIC	$4.59	$18.00	—	—	75%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NON-AUTOMATED W/MICRO	$2.30	$9.00	$3.03–$20.43	91% below	74%
Urinalysis with microscope exam, manual CPT 81000 CLINITEST	$12.23	$48.00	$3.03–$108.96	52% below	75%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NON-AUTOMATED W/MICRO	$2.30	$9.00	—	—	74%
Urinalysis with microscope exam, manual inpatient CPT 81000 CLINITEST	$12.23	$48.00	—	—	75%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK	$8.41	$33.00	$1.69–$74.91	56% below	75%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIPSTICK	$8.41	$33.00	—	—	75%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$2.30	$9.00	$2.51–$20.43	86% below	74%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY	$4.59	$18.00	$2.51–$40.86	72% below	75%
Urinalysis without microscope exam, manual CPT 81002 ACETONE URINALYSIS	$5.35	$21.00	$2.51–$47.67	67% below	75%
Urinalysis without microscope exam, manual CPT 81002 SUGAR URINALYSIS	$17.58	$69.00	$2.51–$156.63	7% above	75%
Urinalysis without microscope exam, manual CPT 81002 MCM URINE DIPSTICK W/O MICRO	$21.91	$86.00	$2.51–$195.22	33% above	75%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK	$2.30	$9.00	—	—	74%
Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY	$4.59	$18.00	—	—	75%
Urinalysis without microscope exam, manual inpatient CPT 81002 ACETONE URINALYSIS	$5.35	$21.00	—	—	75%
Urinalysis without microscope exam, manual inpatient CPT 81002 SUGAR URINALYSIS	$17.58	$69.00	—	—	75%
Urinalysis without microscope exam, manual inpatient CPT 81002 MCM URINE DIPSTICK W/O MICRO	$21.91	$86.00	—	—	75%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE W/ COLONY COUNT	$7.90	$31.00	$6.09–$26.66	82% below	75%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE W/ COLONY COUNT	$7.90	$31.00	—	—	75%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE	$6.12	$24.00	$6.20–$54.48	88% below	75%
Urine pregnancy test, read by color change CPT 81025 PREG TEST QUAL (URINE)	$7.14	$28.00	$6.20–$63.56	86% below	75%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY URINE	$6.12	$24.00	—	—	75%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST QUAL (URINE)	$7.14	$28.00	—	—	75%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$17.58	$69.00	$11.37–$59.34	68% below	75%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$17.58	$69.00	—	—	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROXY D2 D3	$15.29	$60.00	$22.32–$95.95	80% below	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 (OH) VITAMIN D (SERUM)	$31.59	$124.00	$22.32–$106.64	59% below	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$57.57	$226.00	$22.32–$194.36	25% below	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25 HYDROXY D2 D3	$15.29	$60.00	—	—	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 (OH) VITAMIN D (SERUM)	$31.59	$124.00	—	—	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$57.57	$226.00	—	—	75%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREG TEST SERUM (QUANT)	$10.19	$40.00	$11.34–$90.80	71% below	75%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QNT BLOOD TUMOR	$10.70	$42.00	$11.34–$95.34	70% below	75%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QNT CSF TUMOR	$11.72	$46.00	$11.34–$104.42	67% below	75%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 PREG TEST SERUM (QUANT)	$10.19	$40.00	—	—	75%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG QNT BLOOD TUMOR	$10.70	$42.00	—	—	75%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG QNT CSF TUMOR	$11.72	$46.00	—	—	75%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE OP	$459.74	$1,805.00	$172.52–$2,477.00	2% above	75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$459.74	$1,805.00	$172.52–$2,477.00	2% above	75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE OP	$459.74	$1,805.00	—	—	75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$459.74	$1,805.00	—	—	75%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 MCM TREAT FX RADIUS/ULNA	$205.55	$807.00	$181.00–$1,313.00	39% below	75%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 MCM TREAT FX RADIUS/ULNA	$205.55	$807.00	—	—	75%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION & CURETTAGE	$1,261.79	$4,954.00	$726.40–$4,435.86	19% below	75%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION & CURETTAGE	$1,261.79	$4,954.00	—	—	75%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION ANY METHOD-1 LESN	$35.66	$140.00	$39.20–$1,313.00	64% below	75%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION ANY METHOD-1 LESN	$35.66	$140.00	—	—	75%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$50.69	$199.00	$55.72–$1,313.00	at median	75%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$50.69	$199.00	—	—	75%
Earwax removal with instruments, one ear CPT 69210 MCM REM IMPACTD EAR WAX W/INSTR	$58.08	$228.00	$58.46–$1,313.00	3% below	75%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN.	$70.05	$275.00	$58.46–$1,313.00	17% above	75%
Earwax removal with instruments, one ear inpatient CPT 69210 MCM REM IMPACTD EAR WAX W/INSTR	$58.08	$228.00	—	—	75%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN.	$70.05	$275.00	—	—	75%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L CT FACET INJ L/S 1ST LEVEL	$640.07	$2,513.00	$567.50–$2,161.18	20% below	75%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L CT FACET INJ L/S 1ST LEVEL	$640.07	$2,513.00	—	—	75%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 L CR CATH INTRO CONT SIS HSG BO	$176.51	$693.00	$194.04–$2,699.00	58% below	75%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 L CR CATH INTRO CONT SIS HSG BO	$176.51	$693.00	—	—	75%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$51.20	$201.00	$56.28–$1,313.00	73% below	75%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE	$213.44	$838.00	$181.00–$1,313.00	14% above	75%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D DRNGE SKIN ABSCESS SIMPLE	$213.44	$838.00	$181.00–$1,313.00	14% above	75%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS	$51.20	$201.00	—	—	75%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABCESS SIMPLE	$213.44	$838.00	—	—	75%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D DRNGE SKIN ABSCESS SIMPLE	$213.44	$838.00	—	—	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CR INJ MAJOR JOINT	$193.58	$760.00	$212.80–$1,409.00	12% above	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION OF MAJOR JOINT/BURSA	$281.96	$1,107.00	$276.53–$1,409.00	63% above	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MCM DRAIN/INJECT JOINT/BURSA	$284.76	$1,118.00	$276.53–$1,409.00	65% above	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CR INJ MAJOR JOINT	$193.58	$760.00	—	—	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION OF MAJOR JOINT/BURSA	$281.96	$1,107.00	—	—	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MCM DRAIN/INJECT JOINT/BURSA	$284.76	$1,118.00	—	—	75%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS JOINT OR BURSA	$176.51	$693.00	$194.04–$1,409.00	21% above	75%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CR INJ INTERMEDIATE JOINT	$193.58	$760.00	$212.80–$1,409.00	32% above	75%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS JOINT OR BURSA	$176.51	$693.00	—	—	75%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CR INJ INTERMEDIATE JOINT	$193.58	$760.00	—	—	75%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CR VAGINOGRAM / PERINEOGRAM	$85.33	$335.00	$93.80–$1,409.00	30% below	75%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CR INJ SMALL JOINT	$193.58	$760.00	$212.80–$1,409.00	59% above	75%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CR VAGINOGRAM / PERINEOGRAM	$85.33	$335.00	—	—	75%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CR INJ SMALL JOINT	$193.58	$760.00	—	—	75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$164.03	$644.00	$180.32–$1,313.00	49% below	75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE <2.5CM SCALP	$282.47	$1,109.00	$181.00–$1,313.00	12% below	75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$164.03	$644.00	—	—	75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE <2.5CM SCALP	$282.47	$1,109.00	—	—	75%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 L CT NRB L/S SINGLE	$565.95	$2,222.00	$567.50–$1,910.92	25% below	75%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 L CT NRB L/S SINGLE	$565.95	$2,222.00	—	—	75%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BNGN LESN TRNK/EXTR <=0.5CM	$295.20	$1,159.00	$324.52–$1,574.00	at median	75%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BNGN LESN TRNK/EXTR <=0.5CM	$295.20	$1,159.00	—	—	75%
Nail removal (partial or complete), one nail CPT 11730 REM OF NAIL PLATE PARTIAL OR SIN	$57.57	$226.00	$63.28–$1,313.00	59% below	75%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATESIMPLE	$77.69	$305.00	$85.40–$1,313.00	44% below	75%
Nail removal (partial or complete), one nail inpatient CPT 11730 REM OF NAIL PLATE PARTIAL OR SIN	$57.57	$226.00	—	—	75%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATESIMPLE	$77.69	$305.00	—	—	75%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE GUID	$616.89	$2,422.00	$567.50–$2,421.00	2% above	75%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS W GD	$616.89	$2,422.00	$567.50–$2,421.00	2% above	75%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$616.89	$2,422.00	$567.50–$2,421.00	2% above	75%
Paracentesis with imaging guidance CPT 49083 CT PARACENTESIS INITIAL	$721.82	$2,834.00	$567.50–$2,437.24	20% above	75%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$616.89	$2,422.00	—	—	75%
Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS W GD	$616.89	$2,422.00	—	—	75%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGE GUID	$616.89	$2,422.00	—	—	75%
Paracentesis with imaging guidance inpatient CPT 49083 CT PARACENTESIS INITIAL	$721.82	$2,834.00	—	—	75%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL PARTIAL/COMPLETE	$330.10	$1,296.00	$362.88–$1,409.00	3% below	75%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL PARTIAL/COMPLETE	$330.10	$1,296.00	—	—	75%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$99.34	$390.00	$109.20–$1,313.00	58% below	75%
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REMOVAL OF FB SUBCUT TIS	$198.42	$779.00	$181.00–$1,313.00	15% below	75%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY	$99.34	$390.00	—	—	75%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REMOVAL OF FB SUBCUT TIS	$198.42	$779.00	—	—	75%
Short arm cast (elbow to hand) CPT 29075 CAST- ELBOW TO FINGER SHORT ARM	$194.09	$762.00	$181.00–$2,477.00	97% above	75%
Short arm cast (elbow to hand) inpatient CPT 29075 CAST- ELBOW TO FINGER SHORT ARM	$194.09	$762.00	—	—	75%
Short arm splint (forearm and hand) CPT 29125 APPL. SHORT ARM SPLINT	$113.86	$447.00	$118.09–$2,477.00	at median	75%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL. SHORT ARM SPLINT	$113.86	$447.00	—	—	75%
Short leg splint (calf to foot) CPT 29515 APPL. SHORT LEG SPLINT	$126.34	$496.00	$138.88–$2,477.00	at median	75%
Short leg splint (calf to foot) inpatient CPT 29515 APPL. SHORT LEG SPLINT	$126.34	$496.00	—	—	75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC REPAIR SCALP NECK <2.5CM	$161.74	$635.00	$177.80–$1,313.00	32% below	75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC REPAIR SCALP NECK <2.5CM	$161.74	$635.00	—	—	75%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$138.56	$544.00	$152.32–$1,313.00	27% below	75%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$138.56	$544.00	—	—	75%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$46.62	$183.00	$51.24–$1,313.00	67% below	75%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS	$46.62	$183.00	—	—	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 MX SPINAL PUNCTURE LUMBAR DIAG	$147.73	$580.00	$162.40–$1,574.00	61% below	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 WEST WING DX LUMBAR PUNCTURE	$231.02	$907.00	$253.96–$1,574.00	39% below	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$258.78	$1,016.00	$284.48–$1,574.00	32% below	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 A-WING OP LUMBAR PUNCTURE DIAG	$258.78	$1,016.00	$284.48–$1,574.00	32% below	75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 MX SPINAL PUNCTURE LUMBAR DIAG	$147.73	$580.00	—	—	75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 WEST WING DX LUMBAR PUNCTURE	$231.02	$907.00	—	—	75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 A-WING OP LUMBAR PUNCTURE DIAG	$258.78	$1,016.00	—	—	75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$258.78	$1,016.00	—	—	75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUNDS	$101.88	$400.00	$112.00–$2,477.00	69% below	75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC REPAIR SCALP NECK 2.6-7.5CM	$161.74	$635.00	$177.80–$2,477.00	51% below	75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SUPERFICIAL WOUNDS	$101.88	$400.00	—	—	75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC REPAIR SCALP NECK 2.6-7.5CM	$161.74	$635.00	—	—	75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SIMPLE FACE/MM = 2.5CM	$164.80	$647.00	$181.00–$2,477.00	at median	75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR SIMPLE FACE/MM = 2.5CM	$164.80	$647.00	—	—	75%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGE GUIDE	$371.87	$1,460.00	$408.80–$1,574.00	50% below	75%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING GUIDANCE	$371.87	$1,460.00	$408.80–$1,574.00	50% below	75%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS OR ASP W IMG	$453.37	$1,780.00	$498.40–$1,574.00	40% below	75%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING GUIDANCE	$371.87	$1,460.00	—	—	75%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGE GUIDE	$371.87	$1,460.00	—	—	75%
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS OR ASP W IMG	$453.37	$1,780.00	—	—	75%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTIONS TRIGGER POINT MUSCLE	$180.08	$707.00	$197.96–$1,409.00	19% above	75%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTIONS TRIGGER POINT MUSCLE	$180.08	$707.00	—	—	75%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 MY NDL LOC BREAST INIT	$289.34	$1,136.00	$318.08–$2,421.00	71% below	75%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BREAST NDL CORE	$999.96	$3,926.00	$567.50–$3,376.36	1% below	75%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 MY NDL LOC BREAST INIT	$289.34	$1,136.00	—	—	75%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BX BREAST NDL CORE	$999.96	$3,926.00	—	—	75%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD FLEX TRANSORAL W/BX SNGL/MULT	$656.37	$2,577.00	$674.19–$2,421.00	5% below	75%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD FLEX TRANSORAL W/BX SNGL/MULT	$656.37	$2,577.00	—	—	75%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESIONS UP TO 14	$57.82	$227.00	$63.56–$1,313.00	62% below	75%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESIONS UP TO 14	$57.82	$227.00	—	—	75%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISSUE 1ST 20 SQ CM	$478.08	$1,877.00	$379.42–$1,799.00	83% above	75%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT-SKIN TO SUBCUTANEOUS	$478.08	$1,877.00	$379.42–$1,799.00	83% above	75%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT-SKIN TO SUBCUTANEOUS	$478.08	$1,877.00	—	—	75%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISSUE 1ST 20 SQ CM	$478.08	$1,877.00	—	—	75%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$295.97	$1,162.00	$325.36–$1,409.00	30% below	75%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD INFUSION THERAPY/VISIT	$331.88	$1,303.00	$364.84–$1,409.00	22% below	75%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$295.97	$1,162.00	—	—	75%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD INFUSION THERAPY/VISIT	$331.88	$1,303.00	—	—	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TRTMNT	$54.51	$214.00	$13.62–$283.76	30% below	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL MED VENT	$55.02	$216.00	$13.62–$283.76	29% below	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT WITH PEP/FLUTTER	$57.31	$225.00	$13.62–$283.76	27% below	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TRTMNT	$54.51	$214.00	—	—	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL MED VENT	$55.02	$216.00	—	—	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 UPDRAFT WITH PEP/FLUTTER	$57.31	$225.00	—	—	75%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30-74 MIN	$1,079.17	$4,237.00	$115.77–$3,643.82	63% above	75%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 30-74 MIN	$1,079.17	$4,237.00	—	—	75%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG	$58.84	$231.00	$64.68–$266.00	174% above	75%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG	$58.84	$231.00	—	—	75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$61.90	$243.00	$38.59–$266.00	41% below	75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$61.90	$243.00	—	—	75%
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY	$307.94	$1,209.00	$227.00–$1,039.74	at median	75%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY	$307.94	$1,209.00	—	—	75%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER 1 VISIT	$36.68	$144.00	$40.32–$827.00	66% below	75%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 CATEGORY 1 CARE.	$189.76	$745.00	$115.77–$827.00	75% above	75%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER 1 VISIT	$36.68	$144.00	—	—	75%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 CATEGORY 1 CARE.	$189.76	$745.00	—	—	75%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER 2 VISIT	$43.81	$172.00	$48.16–$827.00	71% below	75%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 CATEGORY 2 CARE.	$262.60	$1,031.00	$115.77–$886.66	72% above	75%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER 2 VISIT	$43.81	$172.00	—	—	75%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 CATEGORY 2 CARE.	$262.60	$1,031.00	—	—	75%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER 3 VISIT	$58.59	$230.00	$64.40–$1,209.00	79% below	75%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CATEGORY 3 CARE.	$452.35	$1,776.00	$115.77–$1,527.36	64% above	75%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER 3 VISIT	$58.59	$230.00	—	—	75%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 CATEGORY 3 CARE.	$452.35	$1,776.00	—	—	75%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CATEGORY 4 CARE.	$561.62	$2,205.00	$115.77–$1,896.30	25% above	75%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CATEGORY 4 CARE.	$561.62	$2,205.00	—	—	75%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CATEGORY 5 CARE.	$729.47	$2,864.00	$115.77–$2,463.04	4% above	75%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CATEGORY 5 CARE.	$729.47	$2,864.00	—	—	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 MEC STRESS TEST (TECHNICAL)	$245.03	$962.00	$138.47–$1,221.00	36% below	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 MEC CARDIOLYTE STRESS TEST	$257.76	$1,012.00	$138.47–$1,221.00	33% below	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 MEC CARDIOLYTE STRESS	$342.83	$1,346.00	$138.47–$1,221.00	11% below	75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 MEC STRESS TEST (TECHNICAL)	$245.03	$962.00	—	—	75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 MEC CARDIOLYTE STRESS TEST	$257.76	$1,012.00	—	—	75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 MEC CARDIOLYTE STRESS	$342.83	$1,346.00	—	—	75%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHER WITH PT PRESENT	$158.68	$623.00	$138.31–$535.78	at median	75%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHER WITH PT PRESENT	$158.68	$623.00	—	—	75%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHER W/O PT PRESENT	$158.68	$623.00	$138.31–$535.78	at median	75%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY WITHOUT PATIENT THERAPY	$254.20	$998.00	$138.31–$858.28	60% above	75%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHER W/O PT PRESENT	$158.68	$623.00	—	—	75%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY WITHOUT PATIENT THERAPY	$254.20	$998.00	—	—	75%
Group psychotherapy session CPT 90853 INTENSIVE OP GROUP SESSION (2)	$103.16	$405.00	$72.00–$348.30	9% below	75%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$113.60	$446.00	$72.00–$383.56	at median	75%
Group psychotherapy session CPT 90853 INTENSIVE OP GRP SESSION 3HR	$154.86	$608.00	$72.00–$522.88	37% above	75%
Group psychotherapy session inpatient CPT 90853 INTENSIVE OP GROUP SESSION (2)	$103.16	$405.00	—	—	75%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY	$113.60	$446.00	—	—	75%
Group psychotherapy session inpatient CPT 90853 INTENSIVE OP GRP SESSION 3HR	$154.86	$608.00	—	—	75%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ECG MONITOR REPORT 48 HRS EXT	$46.11	$181.00	$50.68–$624.00	71% below	75%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 ECG MONITOR REPORT 48 HRS EXT	$46.11	$181.00	—	—	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ICU OP INIT HYDRATN INF 31MIN-1HR	$144.67	$568.00	$159.04–$488.48	19% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 90760 INF THPY 1ST HR HYDRTE ONLY	$152.06	$597.00	$115.77–$827.00	15% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 A-WING OP INIT HYDRTN INF31MN-1HR	$152.06	$597.00	$167.16–$513.42	15% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ICU OP INIT HYDRATN INF 31MIN-1HR	$144.67	$568.00	—	—	75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 A-WING OP INIT HYDRTN INF31MN-1HR	$152.06	$597.00	—	—	75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 90760 INF THPY 1ST HR HYDRTE ONLY	$152.06	$597.00	—	—	75%
IV infusion of a medicine, first hour CPT 96365 INFSN THPY PROPHYLAXIS INT TO 1HR	$171.16	$672.00	$188.16–$577.92	8% below	75%
IV infusion of a medicine, first hour CPT 96365 ICU INFUSION W/ TRANSFUSN 1ST HR	$181.35	$712.00	$196.08–$612.32	2% below	75%
IV infusion of a medicine, first hour CPT 96365 A-WING INFUSN W/ TRANSFSN 1ST HR	$190.52	$748.00	$196.08–$643.28	3% above	75%
IV infusion of a medicine, first hour inpatient CPT 96365 INFSN THPY PROPHYLAXIS INT TO 1HR	$171.16	$672.00	—	—	75%
IV infusion of a medicine, first hour inpatient CPT 96365 ICU INFUSION W/ TRANSFUSN 1ST HR	$181.35	$712.00	—	—	75%
IV infusion of a medicine, first hour inpatient CPT 96365 A-WING INFUSN W/ TRANSFSN 1ST HR	$190.52	$748.00	—	—	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MCM INJECTION ADMIN SUBQ-IM	$41.01	$161.00	$45.08–$430.00	46% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION	$45.85	$180.00	$50.40–$430.00	40% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 A-WING INJECTION IM OR SUBCU	$50.69	$199.00	$55.72–$430.00	34% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ANTIBIOTIC IM	$50.69	$199.00	$55.72–$235.00	34% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBCU/IM	$50.69	$199.00	$55.72–$827.00	34% below	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MCM INJECTION ADMIN SUBQ-IM	$41.01	$161.00	—	—	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION	$45.85	$180.00	—	—	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION ANTIBIOTIC IM	$50.69	$199.00	—	—	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 A-WING INJECTION IM OR SUBCU	$50.69	$199.00	—	—	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBCU/IM	$50.69	$199.00	—	—	75%
New patient office visit, about 30 minutes CPT 99203 MCM OFFICE VISIT NEW LOW	$63.93	$251.00	$73.58–$215.86	21% below	75%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT NEW INTMED	$69.79	$274.00	$73.58–$235.64	13% below	75%
New patient office visit, about 30 minutes inpatient CPT 99203 MCM OFFICE VISIT NEW LOW	$63.93	$251.00	—	—	75%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPT VISIT NEW INTMED	$69.79	$274.00	—	—	75%
New patient office visit, about 45 minutes CPT 99204 MCM OFFICE VISIT NEW MODERATE	$93.99	$369.00	$125.88–$317.34	8% below	75%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT NEW EXT	$103.16	$405.00	$125.88–$348.30	1% above	75%
New patient office visit, about 45 minutes inpatient CPT 99204 MCM OFFICE VISIT NEW MODERATE	$93.99	$369.00	—	—	75%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPT VISIT NEW EXT	$103.16	$405.00	—	—	75%
New patient office visit, about 60 minutes CPT 99205 MCM OFFICE VISIT NEW HIGH	$119.97	$471.00	$129.17–$405.06	37% below	75%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT NEW COMP	$131.43	$516.00	$129.17–$443.76	31% below	75%
New patient office visit, about 60 minutes inpatient CPT 99205 MCM OFFICE VISIT NEW HIGH	$119.97	$471.00	—	—	75%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPT VISIT NEW COMP	$131.43	$516.00	—	—	75%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 MCM OFFICE VISIT NEW STRAIGHT	$54.51	$214.00	$49.05–$184.04	9% below	75%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPT VISIT NEW LMTD	$60.88	$239.00	$49.05–$205.54	2% above	75%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 MCM OFFICE VISIT NEW STRAIGHT	$54.51	$214.00	—	—	75%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPT VISIT NEW LMTD	$60.88	$239.00	—	—	75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION CONSULT/STANDARD IP	$15.80	$62.00	$24.88–$225.00	60% below	75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION CONSULT/STANDARD IP	$15.80	$62.00	—	—	75%
Preventive checkup, new patient aged 18–39 CPT 99385 MCM PREV MED INITIAL 18-39 YRS	$64.44	$253.00	$129.17–$217.58	34% below	75%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 MCM PREV MED INITIAL 18-39 YRS	$64.44	$253.00	—	—	75%
Preventive checkup, new patient aged 40–64 CPT 99386 MCM PREV MED INITIAL 40-64 YRS	$70.81	$278.00	$129.17–$239.08	35% below	75%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 MCM PREV MED INITIAL 40-64 YRS	$70.81	$278.00	—	—	75%
Preventive checkup, new patient aged 65 or older CPT 99387 MCM PREV MED INITIAL 65+ YRS	$77.18	$303.00	$129.17–$260.58	19% below	75%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 MCM PREV MED INITIAL 65+ YRS	$77.18	$303.00	—	—	75%
Preventive checkup, returning patient aged 18–39 CPT 99395 MCM PREV VISIT EST 18-39 YRS	$51.71	$203.00	$129.17–$174.58	43% below	75%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 MCM PREV VISIT EST 18-39 YRS	$51.71	$203.00	—	—	75%
Preventive checkup, returning patient aged 40–64 CPT 99396 MCM PREV VISIT EST 40-64 YRS	$57.06	$224.00	$129.17–$192.64	40% below	75%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 MCM PREV VISIT EST 40-64 YRS	$57.06	$224.00	—	—	75%
Preventive checkup, returning patient aged 65 or older CPT 99397 MCM PREV VISIT EST 65+ YRS	$63.17	$248.00	$129.17–$213.28	38% below	75%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 MCM PREV VISIT EST 65+ YRS	$63.17	$248.00	—	—	75%
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL PSYCHOTHERAPY 16-37MIN	$97.05	$381.00	$106.68–$327.66	3% below	75%
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL PSYCHOTHERAPY 16-37MIN	$97.05	$381.00	—	—	75%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL PSYCHOTHERAPY 38-52MIN	$107.49	$422.00	$118.16–$362.92	13% below	75%
Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL PSYCHOTHERAPY 38-52MIN	$107.49	$422.00	—	—	75%
Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL PSYCHOTHERAPY 53-67MIN	$117.17	$460.00	$128.80–$395.60	at median	75%
Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL PSYCHOTHERAPY 53-67MIN	$117.17	$460.00	—	—	75%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MINS	$8.66	$34.00	$9.52–$225.00	76% below	75%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION COUNSELING	$40.76	$160.00	$28.17–$225.00	14% above	75%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MINS	$8.66	$34.00	—	—	75%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION COUNSELING	$40.76	$160.00	—	—	75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 MCM OFFICE VISIT EST HIGH	$95.77	$376.00	$129.17–$323.36	25% below	75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPT VISIT EST COMP	$105.20	$413.00	$129.17–$355.18	18% below	75%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MCM OFFICE VISIT EST HIGH	$95.77	$376.00	—	—	75%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPT VISIT EST COMP	$105.20	$413.00	—	—	75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 MCM OFFICE VISIT EST LOW	$63.93	$251.00	$74.12–$215.86	24% below	75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPT VISIT EST INTMED	$70.56	$277.00	$74.12–$238.22	16% below	75%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 MCM OFFICE VISIT EST LOW	$63.93	$251.00	—	—	75%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPT VISIT EST INTMED	$70.56	$277.00	—	—	75%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MCM OFFICE VISIT EST MODERATE	$71.07	$279.00	$108.00–$239.94	27% below	75%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPT VISIT EST EXT	$77.43	$304.00	$108.00–$261.44	21% below	75%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MCM OFFICE VISIT EST MODERATE	$71.07	$279.00	—	—	75%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPT VISIT EST EXT	$77.43	$304.00	—	—	75%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MCM OFFICE VISIT EST STRAIGHT	$58.08	$228.00	$44.45–$196.08	8% below	75%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPT VISIT EST LMTD	$63.93	$251.00	$44.45–$215.86	2% above	75%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MCM OFFICE VISIT EST STRAIGHT	$58.08	$228.00	—	—	75%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPT VISIT EST LMTD	$63.93	$251.00	—	—	75%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT INTERMEDIATE	$52.47	$206.00	$129.17–$177.16	41% below	75%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MCM OFFICE CONSULT LOW COMPLX	$70.30	$276.00	$129.17–$237.36	21% below	75%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT DETAILED	$129.65	$509.00	$129.17–$437.74	45% above	75%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT INTERMEDIATE	$52.47	$206.00	—	—	75%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 MCM OFFICE CONSULT LOW COMPLX	$70.30	$276.00	—	—	75%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT DETAILED	$129.65	$509.00	—	—	75%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT EXTENDED	$82.78	$325.00	$129.17–$279.50	35% below	75%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OUTPT/ER CONSULTATION	$97.56	$383.00	$129.17–$329.38	23% below	75%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 MCM OFFICE CONSULT MODERATE	$103.16	$405.00	$129.17–$348.30	19% below	75%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT COMPREHENSIVE	$188.48	$740.00	$129.17–$636.40	49% above	75%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT EXTENDED	$82.78	$325.00	—	—	75%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OUTPT/ER CONSULTATION	$97.56	$383.00	—	—	75%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 MCM OFFICE CONSULT MODERATE	$103.16	$405.00	—	—	75%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT COMPREHENSIVE	$188.48	$740.00	—	—	75%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION	$98.32	$386.00	$54.48–$331.96	52% below	75%
Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION	$98.32	$386.00	—	—	75%
Spirometry before and after a bronchodilator CPT 94060 PFT PRE/POST EVAL	$157.92	$620.00	$88.53–$533.20	42% below	75%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE/POST EVAL	$157.92	$620.00	—	—	75%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 ECT-SEIZURE	$153.84	$604.00	$169.12–$519.44	1% below	75%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 ECT-SEIZURE	$153.84	$604.00	—	—	75%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$30.57	$120.00	$33.60–$235.00	77% below	75%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$30.57	$120.00	—	—	75%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM	$480.41	$1,886.17	$528.13–$1,622.11	48% below	75%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE IM	$480.41	$1,886.17	$943.09	—	75%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACC 0.5 ML INJ	$135.48	$531.91	$118.73–$457.45	14% below	75%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACC 0.5 ML INJ	$135.48	$531.91	$118.73–$265.96	—	75%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE (RABAVERT)2.5UNIT	$612.60	$2,405.17	$227.00–$2,068.45	35% below	75%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE (RABAVERT)2.5UNIT	$612.60	$2,405.17	$1,202.59	—	75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 A-WING OP IMMUN ADMIN 1 VACCINE	$39.23	$154.00	$43.12–$227.00	63% above	75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN-ONE	$53.49	$210.00	$58.80–$227.00	122% above	75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 A-WING OP IMMUN ADMIN 1 VACCINE	$39.23	$154.00	—	—	75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN-ONE	$53.49	$210.00	—	—	75%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 A-WING OP IMMUN ADMIN EA ADDN	$14.52	$57.00	$15.96–$129.39	1% below	75%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 A-WING OP IMMUN ADMIN EA ADDN	$14.52	$57.00	—	—	75%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/chisv/soar/finance/price-transparency/710245507-1891778049_st-anthonys-hospital-association_standardcharges.json