Shepherd Center
Shepherd Center in Northwest Atlanta, GA publishes cash prices for 283 common procedures listed here, from its own machine-readable price file updated Aug 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Georgia median for 152 of 280 procedures and below it for 128. By typical cash price it ranks #54 of 96 Georgia hospitals and #17 of 37 hospitals in the Atlanta, GA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
2020 Peachtree Road Northwest Atlanta, GA 30309 Collected Sep 22, 2026 Source price file Check a bill from this hospital
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W&WO CNTRST | $2,280.50 | $4,561.00 | $1,368.30–$4,104.90 | 21% above | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W&WO CNTRST | $2,280.50 | $4,561.00 | $2,234.89–$3,876.85 | — | 50% |
| Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2V | $345.00 | $690.00 | $207.00–$621.00 | 28% above | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2V | $345.00 | $690.00 | $338.10–$586.50 | — | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE >=3V COMPLT | $206.00 | $412.00 | $123.60–$370.80 | 24% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE >=3V COMPLT | $206.00 | $412.00 | $201.88–$350.20 | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPR EXT WO CNTRST | $1,581.00 | $3,162.00 | $948.60–$2,845.80 | 49% above | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPR EXT WO CNTRST | $1,581.00 | $3,162.00 | $1,549.38–$2,687.70 | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD&PELVIS WO/W CNTRST | $5,376.00 | $10,752.00 | $3,225.60–$9,676.80 | 137% above | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD&PELVIS WO/W CNTRST | $5,376.00 | $10,752.00 | $5,268.48–$9,139.20 | — | 50% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO CNTRST | $2,276.50 | $4,553.00 | $1,365.90–$4,097.70 | 44% above | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W/WO CNTRST | $2,276.50 | $4,553.00 | $2,230.97–$3,870.05 | — | 50% |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W/WO CNTRST | $2,276.50 | $4,553.00 | $1,365.90–$4,097.70 | 35% above | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W/WO CNTRST | $2,276.50 | $4,553.00 | $2,230.97–$3,870.05 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/WO CNTRST | $2,280.50 | $4,561.00 | $1,368.30–$4,104.90 | 54% above | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/WO CNTRST | $2,280.50 | $4,561.00 | $2,234.89–$3,876.85 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD&PELVIS WO CNTRST | $3,461.50 | $6,923.00 | $2,076.90–$6,230.70 | 65% above | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD&PELVIS WO CNTRST | $3,461.50 | $6,923.00 | $3,392.27–$5,884.55 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD&PELVIS W CNTRST | $3,782.50 | $7,565.00 | $2,269.50–$6,808.50 | 56% above | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD&PELVIS W CNTRST | $3,782.50 | $7,565.00 | $3,706.85–$6,430.25 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD&PELVIS 1+ REGIONS | $3,782.50 | $7,565.00 | $2,269.50–$6,808.50 | 29% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD&PELVIS 1+ REGIONS | $3,782.50 | $7,565.00 | $3,706.85–$6,430.25 | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CNTRST | $2,210.50 | $4,421.00 | $1,326.30–$3,978.90 | 31% above | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CNTRST | $2,210.50 | $4,421.00 | $2,166.29–$3,757.85 | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CNTRST | $1,999.00 | $3,998.00 | $1,199.40–$3,598.20 | 58% above | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CNTRST | $1,999.00 | $3,998.00 | $1,959.02–$3,398.30 | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXFAC WO CNTRST | $1,943.50 | $3,887.00 | $1,166.10–$3,498.30 | 89% above | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXFAC WO CNTRST | $1,943.50 | $3,887.00 | $1,904.63–$3,303.95 | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CNTRST | $1,770.50 | $3,541.00 | $1,062.30–$3,186.90 | 50% above | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CNTRST | $1,770.50 | $3,541.00 | $1,735.09–$3,009.85 | — | 50% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W CNTRST | $2,339.50 | $4,679.00 | $1,403.70–$4,211.10 | 64% above | 50% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W CNTRST | $2,339.50 | $4,679.00 | $2,292.71–$3,977.15 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W/WO CNTRST | $2,501.00 | $5,002.00 | $1,500.60–$4,501.80 | 36% above | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W/WO CNTRST | $2,501.00 | $5,002.00 | $2,450.98–$4,251.70 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CNTRST | $1,947.00 | $3,894.00 | $1,168.20–$3,504.60 | 51% above | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CNTRST | $1,947.00 | $3,894.00 | $1,908.06–$3,309.90 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERV SPINE WO CNTRST | $1,892.00 | $3,784.00 | $1,135.20–$3,405.60 | 57% above | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERV SPINE WO CNTRST | $1,892.00 | $3,784.00 | $1,854.16–$3,216.40 | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CNTRST | $2,281.50 | $4,563.00 | $1,368.90–$4,106.70 | 42% above | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CNTRST | $2,281.50 | $4,563.00 | $2,235.87–$3,878.55 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUP SCAN EXTCR ARTY BI | $644.50 | $1,289.00 | $386.70–$1,160.10 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUP SCAN EXTCR ARTY BI | $644.50 | $1,289.00 | $631.61–$1,095.65 | — | 50% |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX W/WO CNTRST DX | $2,291.00 | $4,582.00 | $1,374.60–$4,123.80 | 36% above | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W/WO CNTRST DX | $2,291.00 | $4,582.00 | $2,245.18–$3,894.70 | — | 50% |
| Chest X-ray, 2 views CPT 71046 HC XR CHEST 2V | $242.00 | $484.00 | $145.20–$435.60 | 7% above | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2V | $242.00 | $484.00 | $237.16–$411.40 | — | 50% |
| Chest X-ray, single view CPT 71045 HC XR CHEST 1V | $215.50 | $431.00 | $129.30–$387.90 | 28% above | 50% |
| Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1V | $215.50 | $431.00 | $211.19–$366.35 | — | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLT | $189.50 | $379.00 | $113.70–$341.10 | 21% below | 50% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLT | $189.50 | $379.00 | $185.71–$322.15 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $555.50 | $1,111.00 | $333.30–$999.90 | 11% above | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $555.50 | $1,111.00 | $544.39–$944.35 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CNTRST DX | $1,693.00 | $3,386.00 | $1,015.80–$3,047.40 | 69% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CNTRST DX | $1,693.00 | $3,386.00 | $1,659.14–$2,878.10 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CNTRST DX | $2,291.00 | $4,582.00 | $1,374.60–$4,123.80 | 48% above | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CNTRST DX | $2,291.00 | $4,582.00 | $2,245.18–$3,894.70 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP SCAN EXT VEIN BI | $710.50 | $1,421.00 | $426.30–$1,278.90 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUP SCAN EXT VEIN BI | $710.50 | $1,421.00 | $696.29–$1,207.85 | — | 50% |
| Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2V | $206.00 | $412.00 | $123.60–$370.80 | 7% above | 50% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2V | $206.00 | $412.00 | $201.88–$350.20 | — | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLT>=3V | $242.00 | $484.00 | $145.20–$435.60 | 7% below | 50% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLT>=3V | $242.00 | $484.00 | $237.16–$411.40 | — | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA WO CNTRST | $1,915.00 | $3,830.00 | $1,149.00–$3,447.00 | 78% above | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA WO CNTRST | $1,915.00 | $3,830.00 | $1,876.70–$3,255.50 | — | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BN>=3V | $280.50 | $561.00 | $168.30–$504.90 | 9% below | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BN>=3V | $280.50 | $561.00 | $274.89–$476.85 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2V | $153.50 | $307.00 | $92.10–$276.30 | 30% below | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2V | $153.50 | $307.00 | $150.43–$260.95 | — | 50% |
| Hand X-ray, 2 views CPT 73120 HC XR HAND 2V | $153.50 | $307.00 | $92.10–$276.30 | 28% below | 50% |
| Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2V | $153.50 | $307.00 | $150.43–$260.95 | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS >=2V | $182.50 | $365.00 | $109.50–$328.50 | 11% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS >=2V | $182.50 | $365.00 | $178.85–$310.25 | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC PSG W CPAP/BIPAP | $4,061.00 | $8,122.00 | $2,436.60–$7,309.80 | 63% above | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC PSG W CPAP/BIPAP | $4,061.00 | $8,122.00 | $3,979.78–$6,903.70 | — | 50% |
| Knee X-ray, 3 views CPT 73562 HC XR KNEE 3V | $242.00 | $484.00 | $145.20–$435.60 | 1% above | 50% |
| Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3V | $242.00 | $484.00 | $237.16–$411.40 | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LWR EXT WO CNTRST | $1,581.00 | $3,162.00 | $948.60–$2,845.80 | 53% above | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LWR EXT WO CNTRST | $1,581.00 | $3,162.00 | $1,549.38–$2,687.70 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABD LTD | $595.50 | $1,191.00 | $357.30–$1,071.90 | 22% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABD LTD | $595.50 | $1,191.00 | $583.59–$1,012.35 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXT LTD | $502.50 | $1,005.00 | $301.50–$904.50 | 17% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXT LTD | $502.50 | $1,005.00 | $492.45–$854.25 | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCR C- | $108.50 | $217.00 | $65.10–$195.30 | 57% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCR C- | $108.50 | $217.00 | $106.33–$184.45 | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA&FIBULA 2V | $174.00 | $348.00 | $104.40–$313.20 | 27% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA&FIBULA 2V | $174.00 | $348.00 | $170.52–$295.80 | — | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CNTRST | $1,961.00 | $3,922.00 | $1,176.60–$3,529.80 | 27% above | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CNTRST | $1,961.00 | $3,922.00 | $1,921.78–$3,333.70 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LWR EXT JNT WO CNTRST | $1,961.00 | $3,922.00 | $1,176.60–$3,529.80 | 29% above | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LWR EXT JNT WO CNTRST | $1,961.00 | $3,922.00 | $1,921.78–$3,333.70 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LWR EXT JNT W&WO CNTRST | $2,373.00 | $4,746.00 | $1,423.80–$4,271.40 | 5% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LWR EXT JNT W&WO CNTRST | $2,373.00 | $4,746.00 | $2,325.54–$4,034.10 | — | 50% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CNTRST | $2,580.00 | $5,160.00 | $1,548.00–$4,644.00 | 40% above | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CNTRST | $2,580.00 | $5,160.00 | $2,528.40–$4,386.00 | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W&WO CNTRST | $2,991.00 | $5,982.00 | $1,794.60–$5,383.80 | 41% above | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W&WO CNTRST | $2,991.00 | $5,982.00 | $2,931.18–$5,084.70 | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CNTRST | $2,269.50 | $4,539.00 | $1,361.70–$4,085.10 | 51% above | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CNTRST | $2,269.50 | $4,539.00 | $2,224.11–$3,858.15 | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CNTRST | $2,889.00 | $5,778.00 | $1,733.40–$5,200.20 | 21% above | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CNTRST | $2,889.00 | $5,778.00 | $2,831.22–$4,911.30 | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMB SPINE WO CNTRST | $2,269.50 | $4,539.00 | $1,361.70–$4,085.10 | 32% above | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMB SPINE WO CNTRST | $2,269.50 | $4,539.00 | $2,224.11–$3,858.15 | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMB SPINE W/WO CNTRST | $2,889.00 | $5,778.00 | $1,733.40–$5,200.20 | 22% above | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMB SPINE W/WO CNTRST | $2,889.00 | $5,778.00 | $2,831.22–$4,911.30 | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORAC SPINE WO CNTRST | $2,269.50 | $4,539.00 | $1,361.70–$4,085.10 | 29% above | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORAC SPINE WO CNTRST | $2,269.50 | $4,539.00 | $2,224.11–$3,858.15 | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERV SPINE W/WO CNTRST | $2,889.00 | $5,778.00 | $1,733.40–$5,200.20 | 21% above | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERV SPINE W/WO CNTRST | $2,889.00 | $5,778.00 | $2,831.22–$4,911.30 | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERV SPINE WO CNTRST | $2,269.50 | $4,539.00 | $1,361.70–$4,085.10 | 29% above | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERV SPINE WO CNTRST | $2,269.50 | $4,539.00 | $2,224.11–$3,858.15 | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W&WO CNTRST | $2,991.00 | $5,982.00 | $1,794.60–$5,383.80 | 41% above | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W&WO CNTRST | $2,991.00 | $5,982.00 | $2,931.18–$5,084.70 | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CNTRST | $2,579.00 | $5,158.00 | $1,547.40–$4,642.20 | 51% above | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CNTRST | $2,579.00 | $5,158.00 | $2,527.42–$4,384.30 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPR EXT JNT WO CNTRST | $1,961.00 | $3,922.00 | $1,176.60–$3,529.80 | 27% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPR EXT JNT WO CNTRST | $1,961.00 | $3,922.00 | $1,921.78–$3,333.70 | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERV>=4V | $323.00 | $646.00 | $193.80–$581.40 | 23% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERV>=4V | $323.00 | $646.00 | $316.54–$549.10 | — | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK/SOFT TISS W CNTRST | $2,236.00 | $4,472.00 | $1,341.60–$4,024.80 | 46% above | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK/SOFT TISS W CNTRST | $2,236.00 | $4,472.00 | $2,191.28–$3,801.20 | — | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK/SOFT TISS WO CNTRST | $1,863.00 | $3,726.00 | $1,117.80–$3,353.40 | 89% above | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NECK/SOFT TISS WO CNTRST | $1,863.00 | $3,726.00 | $1,825.74–$3,167.10 | — | 50% |
| Neck soft tissue X-ray CPT 70360 HC XR NECK/SOFT TISS | $215.50 | $431.00 | $129.30–$387.90 | 7% above | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK/SOFT TISS | $215.50 | $431.00 | $211.19–$366.35 | — | 50% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 HC OPTHALMIC SCAN RETINA UNI/BI | $69.00 | $138.00 | $41.40–$124.20 | — | 50% |
| OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 HC OPTHALMIC SCAN RETINA UNI/BI | $69.00 | $138.00 | $67.62–$117.30 | — | 50% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CNTRST | $1,937.50 | $3,875.00 | $1,162.50–$3,487.50 | 52% above | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CNTRST | $1,937.50 | $3,875.00 | $1,898.75–$3,293.75 | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIB UNI>=3V INCL PA CHST | $291.00 | $582.00 | $174.60–$523.80 | 3% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIB UNI>=3V INCL PA CHST | $291.00 | $582.00 | $285.18–$494.70 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLT>=2V | $206.00 | $412.00 | $123.60–$370.80 | 5% below | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLT>=2V | $206.00 | $412.00 | $201.88–$350.20 | — | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUS>=3V | $322.50 | $645.00 | $193.50–$580.50 | 4% below | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUS>=3V | $322.50 | $645.00 | $316.05–$548.25 | — | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL<4V | $302.50 | $605.00 | $181.50–$544.50 | 42% above | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL<4V | $302.50 | $605.00 | $296.45–$514.25 | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC PSG >4 PARAM | $3,327.50 | $6,655.00 | $1,996.50–$5,989.50 | 53% above | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC PSG >4 PARAM | $3,327.50 | $6,655.00 | $3,260.95–$5,656.75 | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR SWALLOWING STUDY W VIDEO | $422.50 | $845.00 | $253.50–$760.50 | 30% above | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR SWALLOWING STUDY W VIDEO | $422.50 | $845.00 | $414.05–$718.25 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR 2V> | $230.00 | $460.00 | $138.00–$414.00 | 2% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR 2V> | $230.00 | $460.00 | $225.40–$391.00 | — | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORAC SPINE WO CNTRST | $1,898.00 | $3,796.00 | $1,138.80–$3,416.40 | 47% above | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORAC SPINE WO CNTRST | $1,898.00 | $3,796.00 | $1,860.04–$3,226.60 | — | 50% |
| Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S)>=2V | $153.50 | $307.00 | $92.10–$276.30 | 15% below | 50% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S)>=2V | $153.50 | $307.00 | $150.43–$260.95 | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABD COMPLETE | $675.00 | $1,350.00 | $405.00–$1,215.00 | 8% below | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABD COMPLETE | $675.00 | $1,350.00 | $661.50–$1,147.50 | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM | $469.50 | $939.00 | $281.70–$845.10 | 22% below | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM | $469.50 | $939.00 | $460.11–$798.15 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD&NECK SOFT TISS | $522.50 | $1,045.00 | $313.50–$940.50 | 14% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD&NECK SOFT TISS | $522.50 | $1,045.00 | $512.05–$888.25 | — | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS>=2V | $206.00 | $412.00 | $123.60–$370.80 | 12% below | 50% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS>=2V | $206.00 | $412.00 | $201.88–$350.20 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUP SCAN EXT VEIN UNI | $452.50 | $905.00 | $271.50–$814.50 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUP SCAN EXT VEIN UNI | $452.50 | $905.00 | $443.45–$769.25 | — | 50% |
| Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2V | $161.00 | $322.00 | $96.60–$289.80 | 15% below | 50% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2V | $161.00 | $322.00 | $157.78–$273.70 | — | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST>=3V COMPLT | $153.50 | $307.00 | $92.10–$276.30 | 35% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST>=3V COMPLT | $153.50 | $307.00 | $150.43–$260.95 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIP UNI W PELVIS 2-3V | $275.00 | $550.00 | $165.00–$495.00 | 45% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIP UNI W PELVIS 2-3V | $275.00 | $550.00 | $269.50–$467.50 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1V | $229.50 | $459.00 | $137.70–$413.10 | 7% above | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1V | $229.50 | $459.00 | $224.91–$390.15 | — | 50% |
| X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2V | $215.50 | $431.00 | $129.30–$387.90 | 2% above | 50% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2V | $215.50 | $431.00 | $211.19–$366.35 | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S)>=2V | $189.50 | $379.00 | $113.70–$341.10 | 4% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S)>=2V | $189.50 | $379.00 | $185.71–$322.15 | — | 50% |
| X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2V | $161.00 | $322.00 | $96.60–$289.80 | 13% below | 50% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2V | $161.00 | $322.00 | $157.78–$273.70 | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT >=3V COMPLT | $153.50 | $307.00 | $92.10–$276.30 | 41% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT >=3V COMPLT | $153.50 | $307.00 | $150.43–$260.95 | — | 50% |
| X-ray of the hand, 3 or more views CPT 73130 HC XR HAND>=3V | $161.00 | $322.00 | $96.60–$289.80 | 24% below | 50% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND>=3V | $161.00 | $322.00 | $157.78–$273.70 | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2V | $206.00 | $412.00 | $123.60–$370.80 | 4% above | 50% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2V | $206.00 | $412.00 | $201.88–$350.20 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBOSACRAL 2-3V | $296.50 | $593.00 | $177.90–$533.70 | 13% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBOSACRAL 2-3V | $296.50 | $593.00 | $290.57–$504.05 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBOSACRAL >=4V | $406.00 | $812.00 | $243.60–$730.80 | 13% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBOSACRAL >=4V | $406.00 | $812.00 | $397.88–$690.20 | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORAC 2V | $259.50 | $519.00 | $155.70–$467.10 | 3% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORAC 2V | $259.50 | $519.00 | $254.31–$441.15 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BN>=3V | $215.00 | $430.00 | $129.00–$387.00 | 9% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BN>=3V | $215.00 | $430.00 | $210.70–$365.50 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERV 2-3V | $314.00 | $628.00 | $188.40–$565.20 | 10% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERV 2-3V | $314.00 | $628.00 | $307.72–$533.80 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2V | $188.50 | $377.00 | $113.10–$339.30 | 9% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2V | $188.50 | $377.00 | $184.73–$320.45 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM COCCYX>=2V | $215.50 | $431.00 | $129.30–$387.90 | 18% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM COCCYX>=2V | $215.50 | $431.00 | $211.19–$366.35 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ACTH | $333.00 | $666.00 | $199.80–$599.40 | 94% above | 50% |
| ACTH blood test inpatient CPT 82024 HC ACTH | $333.00 | $666.00 | $326.34–$566.10 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO | $22.50 | $45.00 | $13.50–$40.50 | 30% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO | $22.50 | $45.00 | $22.05–$38.25 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO | $22.50 | $45.00 | $13.50–$40.50 | 28% below | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO | $22.50 | $45.00 | $22.05–$38.25 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $410.50 | $821.00 | $246.30–$738.90 | 47% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $410.50 | $821.00 | $402.29–$697.85 | — | 50% |
| Albumin blood test CPT 82040 HC ALBUMIN | $23.00 | $46.00 | $13.80–$41.40 | 36% below | 50% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $179.50 | $359.00 | $107.70–$323.10 | 10% above | 50% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE | $179.50 | $359.00 | $175.91–$305.15 | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOSPHATASE | $23.00 | $46.00 | $13.80–$41.40 | 48% below | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOSPHATASE | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM | $114.00 | $228.00 | $68.40–$205.20 | 30% above | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM | $114.00 | $228.00 | $111.72–$193.80 | — | 50% |
| Ammonia blood test CPT 82140 HC AMMONIA | $56.00 | $112.00 | $33.60–$100.80 | 36% below | 50% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA | $56.00 | $112.00 | $54.88–$95.20 | — | 50% |
| Amylase blood test CPT 82150 HC AMYLASE | $67.00 | $134.00 | $40.20–$120.60 | 13% below | 50% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $67.00 | $134.00 | $65.66–$113.90 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPT AB | $68.50 | $137.00 | $41.10–$123.30 | 27% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPT AB | $68.50 | $137.00 | $67.13–$116.45 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA) | $84.00 | $168.00 | $50.40–$151.20 | 8% below | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA) | $84.00 | $168.00 | $82.32–$142.80 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $128.00 | $256.00 | $76.80–$230.40 | 6% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $128.00 | $256.00 | $125.44–$217.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT AEROBIC OTHER PRES ID | $35.50 | $71.00 | $21.30–$63.90 | 54% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF | $37.00 | $74.00 | $22.20–$66.60 | 52% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE SPUTUM | $74.50 | $149.00 | $44.70–$134.10 | 4% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT AEROB PRESUMP ID WOUND | $89.00 | $178.00 | $53.40–$160.20 | 15% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE GENITAL | $105.00 | $210.00 | $63.00–$189.00 | 36% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT AERO PRESUMP ID DRAINAGE | $114.00 | $228.00 | $68.40–$205.20 | 47% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BRONCHIAL | $114.00 | $228.00 | $68.40–$205.20 | 47% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT AEROB PRESUMP ID CATH TIP | $114.50 | $229.00 | $68.70–$206.10 | 48% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT AEROB PRESUMP ID TISSUE | $114.50 | $229.00 | $68.70–$206.10 | 48% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT AEROBIC PRESUMP ID BF | $114.50 | $229.00 | $68.70–$206.10 | 48% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE RESPIRATORY | $126.00 | $252.00 | $75.60–$226.80 | 63% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULT AEROBIC OTHER PRES ID | $35.50 | $71.00 | $34.79–$60.35 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CSF | $37.00 | $74.00 | $36.26–$62.90 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE SPUTUM | $74.50 | $149.00 | $73.01–$126.65 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULT AEROB PRESUMP ID WOUND | $89.00 | $178.00 | $87.22–$151.30 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE GENITAL | $105.00 | $210.00 | $102.90–$178.50 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULT AERO PRESUMP ID DRAINAGE | $114.00 | $228.00 | $111.72–$193.80 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BRONCHIAL | $114.00 | $228.00 | $111.72–$193.80 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULT AEROB PRESUMP ID CATH TIP | $114.50 | $229.00 | $112.21–$194.65 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULT AEROB PRESUMP ID TISSUE | $114.50 | $229.00 | $112.21–$194.65 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULT AEROBIC PRESUMP ID BF | $114.50 | $229.00 | $112.21–$194.65 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE RESPIRATORY | $126.00 | $252.00 | $123.48–$214.20 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL (BMP) | $102.00 | $204.00 | $61.20–$183.60 | 15% below | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL (BMP) | $102.00 | $204.00 | $99.96–$173.40 | — | 50% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $23.00 | $46.00 | $13.80–$41.40 | 46% below | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC CYTOLOGY CELL BLOCK | $68.50 | $137.00 | $41.10–$123.30 | 19% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH GROSS MICRO LEVEL 4 | $767.00 | $1,534.00 | $460.20–$1,380.60 | 812% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC CYTOLOGY CELL BLOCK | $68.50 | $137.00 | $67.13–$116.45 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH GROSS MICRO LEVEL 4 | $767.00 | $1,534.00 | $751.66–$1,303.90 | — | 50% |
| Blood culture for bacteria CPT 87040 HC CULT BLOOD ISOL W PRES ID | $164.50 | $329.00 | $98.70–$296.10 | 9% above | 50% |
| Blood culture for bacteria inpatient CPT 87040 HC CULT BLOOD ISOL W PRES ID | $164.50 | $329.00 | $161.21–$279.65 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $20.00 | $40.00 | $12.00–$36.00 | 49% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $20.00 | $40.00 | $19.60–$34.00 | — | 50% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLD QUANT | $23.00 | $46.00 | $13.80–$41.40 | 37% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BLD QUANT | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Blood lead test CPT 83655 HC LEAD | $23.00 | $46.00 | $13.80–$41.40 | 66% below | 50% |
| Blood lead test inpatient CPT 83655 HC LEAD | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY TEST SERUM | $73.00 | $146.00 | $43.80–$131.40 | 26% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC PREGNANCY TEST SERUM | $73.00 | $146.00 | $71.54–$124.10 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $74.50 | $149.00 | $44.70–$134.10 | 35% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO | $74.50 | $149.00 | $73.01–$126.65 | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HC BUN | $23.00 | $46.00 | $13.80–$41.40 | 29% below | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| C-peptide blood test CPT 84681 HC C-PEPTIDE | $110.00 | $220.00 | $66.00–$198.00 | 6% above | 50% |
| C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE | $110.00 | $220.00 | $107.80–$187.00 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $112.00 | $224.00 | $67.20–$201.60 | 28% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $112.00 | $224.00 | $109.76–$190.40 | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE TOXIN AMP PROBE | $132.00 | $264.00 | $79.20–$237.60 | 49% above | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFFICILE TOXIN AMP PROBE | $132.00 | $264.00 | $129.36–$224.40 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSY TUMOR CA 19-9 | $35.50 | $71.00 | $21.30–$63.90 | 63% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSY TUMOR CA 19-9 | $35.50 | $71.00 | $34.79–$60.35 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSY TUMOR CA 125 | $36.00 | $72.00 | $21.60–$64.80 | 74% below | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSY TUMOR CA 125 | $36.00 | $72.00 | $35.28–$61.20 | — | 50% |
| Calcium blood test, total CPT 82310 HC CA TOTAL | $23.00 | $46.00 | $13.80–$41.40 | 22% below | 50% |
| Calcium blood test, total inpatient CPT 82310 HC CA TOTAL | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA | $141.00 | $282.00 | $84.60–$253.80 | 42% above | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA | $141.00 | $282.00 | $138.18–$239.70 | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER AB | $69.00 | $138.00 | $41.40–$124.20 | 5% below | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER AB | $69.00 | $138.00 | $67.62–$117.30 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH DNA AMPL PRB | $48.50 | $97.00 | $29.10–$87.30 | 39% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH DNA AMPL PRB | $48.50 | $97.00 | $47.53–$82.45 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC BERKELEY LIPID PROFILE | $97.00 | $194.00 | $58.20–$174.60 | 28% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $98.00 | $196.00 | $58.80–$176.40 | 29% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC BERKELEY LIPID PROFILE | $97.00 | $194.00 | $95.06–$164.90 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $98.00 | $196.00 | $96.04–$166.60 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF | $83.50 | $167.00 | $50.10–$150.30 | 35% above | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF | $83.50 | $167.00 | $81.83–$141.95 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AUTO WO DIFF | $62.50 | $125.00 | $37.50–$112.50 | 11% above | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTO WO DIFF | $62.50 | $125.00 | $61.25–$106.25 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPR METABOLIC PANEL (CMP) | $162.50 | $325.00 | $97.50–$292.50 | 14% above | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPR METABOLIC PANEL (CMP) | $162.50 | $325.00 | $159.25–$276.25 | — | 50% |
| Cortisol blood test, total CPT 82533 HC CORTISOL BLOOD TOTAL | $112.00 | $224.00 | $67.20–$201.60 | 9% above | 50% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL BLOOD TOTAL | $112.00 | $224.00 | $109.76–$190.40 | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL | $51.50 | $103.00 | $30.90–$92.70 | at median | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE TOTAL | $51.50 | $103.00 | $50.47–$87.55 | — | 50% |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $23.00 | $46.00 | $13.80–$41.40 | 11% above | 50% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) AB | $53.00 | $106.00 | $31.80–$95.40 | 45% below | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS (CMV) AB | $53.00 | $106.00 | $51.94–$90.10 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANT | $107.50 | $215.00 | $64.50–$193.50 | 11% above | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANT | $107.50 | $215.00 | $105.35–$182.75 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE | $36.00 | $72.00 | $21.60–$64.80 | 63% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE | $36.00 | $72.00 | $35.28–$61.20 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $262.50 | $525.00 | $157.50–$472.50 | 105% above | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $262.50 | $525.00 | $257.25–$446.25 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $72.50 | $145.00 | $43.50–$130.50 | 19% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $72.50 | $145.00 | $71.05–$123.25 | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR VIRAL CAPSID AB | $24.50 | $49.00 | $14.70–$44.10 | 66% below | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR VIRAL CAPSID AB | $24.50 | $49.00 | $24.01–$41.65 | — | 50% |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $162.00 | $324.00 | $97.20–$291.60 | 35% above | 50% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL | $162.00 | $324.00 | $158.76–$275.40 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH (FOLLICLE STIM HORMONE) | $96.50 | $193.00 | $57.90–$173.70 | 24% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH (FOLLICLE STIM HORMONE) | $96.50 | $193.00 | $94.57–$164.05 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN | $411.50 | $823.00 | $246.90–$740.70 | 86% above | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN | $411.50 | $823.00 | $403.27–$699.55 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $105.00 | $210.00 | $63.00–$189.00 | 40% above | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $105.00 | $210.00 | $102.90–$178.50 | — | 50% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $40.00 | $80.00 | $24.00–$72.00 | 55% below | 50% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY | $40.00 | $80.00 | $39.20–$68.00 | — | 50% |
| Folate (folic acid) blood test CPT 82746 HC FOLATE | $104.00 | $208.00 | $62.40–$187.20 | 20% above | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE | $104.00 | $208.00 | $101.92–$176.80 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 HC T3 FREE | $198.00 | $396.00 | $118.80–$356.40 | 104% above | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE | $198.00 | $396.00 | $194.04–$336.60 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE | $112.50 | $225.00 | $67.50–$202.50 | 49% above | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE | $112.50 | $225.00 | $110.25–$191.25 | — | 50% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $114.50 | $229.00 | $68.70–$206.10 | 29% below | 50% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $114.50 | $229.00 | $112.21–$194.65 | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GLUTAMYL TRANSFERASE | $22.00 | $44.00 | $13.20–$39.60 | 53% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GLUTAMYL TRANSFERASE | $22.00 | $44.00 | $21.56–$37.40 | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 HC GTT 3 SPECIMENS | $82.50 | $165.00 | $49.50–$148.50 | 11% above | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GTT 3 SPECIMENS | $82.50 | $165.00 | $80.85–$140.25 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORR DNA AMPL | $48.50 | $97.00 | $29.10–$87.30 | 41% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORR DNA AMPL | $48.50 | $97.00 | $47.53–$82.45 | — | 50% |
| H. pylori antibody blood test CPT 86677 HC H PYLORI AB | $109.00 | $218.00 | $65.40–$196.20 | 15% below | 50% |
| H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI AB | $109.00 | $218.00 | $106.82–$185.30 | — | 50% |
| H. pylori stool antigen test CPT 87338 HC H PYLORI STOOL AG EIA | $120.50 | $241.00 | $72.30–$216.90 | 4% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HC H PYLORI STOOL AG EIA | $120.50 | $241.00 | $118.09–$204.85 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC NUCLEIC ACID REV TRANS QN HIV | $349.00 | $698.00 | $209.40–$628.20 | 2% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC NUCLEIC ACID REV TRANS QN HIV | $349.00 | $698.00 | $342.02–$593.30 | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1 HIV 2 SNGL AB | $114.50 | $229.00 | $68.70–$206.10 | 4% above | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1 HIV 2 SNGL AB | $114.50 | $229.00 | $112.21–$194.65 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $42.50 | $85.00 | $25.50–$76.50 | 61% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $42.50 | $85.00 | $41.65–$72.25 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C | $72.50 | $145.00 | $43.50–$130.50 | 35% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C | $72.50 | $145.00 | $71.05–$123.25 | — | 50% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $36.00 | $72.00 | $21.60–$64.80 | 56% above | 50% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $36.00 | $72.00 | $35.28–$61.20 | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB TOTAL | $76.00 | $152.00 | $45.60–$136.80 | 16% below | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB TOTAL | $76.00 | $152.00 | $74.48–$129.20 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURF AB | $84.00 | $168.00 | $50.40–$151.20 | 9% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURF AB | $84.00 | $168.00 | $82.32–$142.80 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA | $89.00 | $178.00 | $53.40–$160.20 | 37% above | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG EIA | $89.00 | $178.00 | $87.22–$151.30 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB | $124.50 | $249.00 | $74.70–$224.10 | 3% above | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB | $124.50 | $249.00 | $122.01–$211.65 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEP C QUANT | $339.00 | $678.00 | $203.40–$610.20 | 23% above | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEP C QUANT | $339.00 | $678.00 | $332.22–$576.30 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 AB | $22.00 | $44.00 | $13.20–$39.60 | 67% below | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 AB | $22.00 | $44.00 | $21.56–$37.40 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 AB | $55.50 | $111.00 | $33.30–$99.90 | 11% below | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 AB | $55.50 | $111.00 | $54.39–$94.35 | — | 50% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE | $172.00 | $344.00 | $103.20–$309.60 | 26% above | 50% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE | $172.00 | $344.00 | $168.56–$292.40 | — | 50% |
| Insulin blood test CPT 83525 HC INSULIN TOTAL | $89.50 | $179.00 | $53.70–$161.10 | 22% above | 50% |
| Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL | $89.50 | $179.00 | $87.71–$152.15 | — | 50% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $51.50 | $103.00 | $30.90–$92.70 | 2% above | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $51.50 | $103.00 | $50.47–$87.55 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY (TIBC) | $65.00 | $130.00 | $39.00–$117.00 | 14% above | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY (TIBC) | $65.00 | $130.00 | $63.70–$110.50 | — | 50% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $143.50 | $287.00 | $86.10–$258.30 | 65% above | 50% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $143.50 | $287.00 | $140.63–$243.95 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 HC LH (LUTENIZING HORMONE) | $96.50 | $193.00 | $57.90–$173.70 | 37% above | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH (LUTENIZING HORMONE) | $96.50 | $193.00 | $94.57–$164.05 | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $84.00 | $168.00 | $50.40–$151.20 | 15% below | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $84.00 | $168.00 | $82.32–$142.80 | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE | $23.00 | $46.00 | $13.80–$41.40 | 54% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH BODY FLUID | $64.50 | $129.00 | $38.70–$116.10 | 30% above | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH BODY FLUID | $64.50 | $129.00 | $63.21–$109.65 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $67.00 | $134.00 | $40.20–$120.60 | 30% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $67.00 | $134.00 | $65.66–$113.90 | — | 50% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $137.00 | $274.00 | $82.20–$246.60 | 29% above | 50% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $137.00 | $274.00 | $134.26–$232.90 | — | 50% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE AB | $98.00 | $196.00 | $58.80–$176.40 | 5% below | 50% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE AB | $98.00 | $196.00 | $96.04–$166.60 | — | 50% |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $67.00 | $134.00 | $40.20–$120.60 | 49% above | 50% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $67.00 | $134.00 | $65.66–$113.90 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB | $204.50 | $409.00 | $122.70–$368.10 | 157% above | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB | $204.50 | $409.00 | $200.41–$347.65 | — | 50% |
| Mumps immunity blood test CPT 86735 HC MUMPS AB | $204.00 | $408.00 | $122.40–$367.20 | 270% above | 50% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB | $204.00 | $408.00 | $199.92–$346.80 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $26.00 | $52.00 | $15.60–$46.80 | 68% below | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $26.00 | $52.00 | $25.48–$44.20 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL | $26.00 | $52.00 | $15.60–$46.80 | 74% below | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL | $26.00 | $52.00 | $25.48–$44.20 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PTH) | $59.00 | $118.00 | $35.40–$106.20 | 61% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PTH) | $59.00 | $118.00 | $57.82–$100.30 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $69.50 | $139.00 | $41.70–$125.10 | 42% above | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $69.50 | $139.00 | $68.11–$118.15 | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $23.00 | $46.00 | $13.80–$41.40 | 34% below | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM | $22.50 | $45.00 | $13.50–$40.50 | 33% below | 50% |
| Potassium blood test CPT 84132 HC POTASSIUM BODY FLUID | $22.50 | $45.00 | $13.50–$40.50 | 33% below | 50% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM BODY FLUID | $22.50 | $45.00 | $22.05–$38.25 | — | 50% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM | $22.50 | $45.00 | $22.05–$38.25 | — | 50% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $114.00 | $228.00 | $68.40–$205.20 | 19% above | 50% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $114.00 | $228.00 | $111.72–$193.80 | — | 50% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $129.00 | $258.00 | $77.40–$232.20 | 9% above | 50% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $129.00 | $258.00 | $126.42–$219.30 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTIME | $78.50 | $157.00 | $47.10–$141.30 | 101% above | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTIME | $78.50 | $157.00 | $76.93–$133.45 | — | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA W DIR OPTIC OBV | $117.00 | $234.00 | $70.20–$210.60 | 60% above | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA W DIR OPTIC OBV | $117.00 | $234.00 | $114.66–$198.90 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A W DIR OPTIC OBV | $76.00 | $152.00 | $45.60–$136.80 | 5% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A W DIR OPTIC OBV | $76.00 | $152.00 | $74.48–$129.20 | — | 50% |
| Renin blood test CPT 84244 HC RENIN | $130.00 | $260.00 | $78.00–$234.00 | 24% above | 50% |
| Renin blood test inpatient CPT 84244 HC RENIN | $130.00 | $260.00 | $127.40–$221.00 | — | 50% |
| Rh blood typing CPT 86901 HC BLOOD TYPING RH(D) | $74.50 | $149.00 | $44.70–$134.10 | 60% above | 50% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH(D) | $74.50 | $149.00 | $73.01–$126.65 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $18.00 | $36.00 | $10.80–$32.40 | 76% below | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT | $18.00 | $36.00 | $17.64–$30.60 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB | $61.00 | $122.00 | $36.60–$109.80 | 12% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB | $61.00 | $122.00 | $59.78–$103.70 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE AUTO | $54.00 | $108.00 | $32.40–$97.20 | 63% above | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE AUTO | $54.00 | $108.00 | $52.92–$91.80 | — | 50% |
| Sodium blood test CPT 84295 HC SODIUM SERUM | $23.00 | $46.00 | $13.80–$41.40 | 29% below | 50% |
| Sodium blood test inpatient CPT 84295 HC SODIUM SERUM | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLD FECES SCREENING | $38.50 | $77.00 | $23.10–$69.30 | 2% above | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLD FECES SCREENING | $38.50 | $77.00 | $37.73–$65.45 | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB | $75.00 | $150.00 | $45.00–$135.00 | 12% above | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB | $75.00 | $150.00 | $73.50–$127.50 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST QUAL | $62.50 | $125.00 | $37.50–$112.50 | 47% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST QUAL | $62.50 | $125.00 | $61.25–$106.25 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMMUNITY MEASURE | $177.00 | $354.00 | $106.20–$318.60 | 7% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL IMMUNITY MEASURE | $177.00 | $354.00 | $173.46–$300.90 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $148.00 | $296.00 | $88.80–$266.40 | 13% above | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $148.00 | $296.00 | $145.04–$251.60 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB EA | $39.50 | $79.00 | $23.70–$71.10 | 57% below | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB EA | $39.50 | $79.00 | $38.71–$67.15 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $125.00 | $250.00 | $75.00–$225.00 | 42% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $125.00 | $250.00 | $122.50–$212.50 | — | 50% |
| Total IgE blood test CPT 82785 HC GAMMAGLOBULIN IGE | $92.50 | $185.00 | $55.50–$166.50 | 22% above | 50% |
| Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN IGE | $92.50 | $185.00 | $90.65–$157.25 | — | 50% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $22.00 | $44.00 | $13.20–$39.60 | 24% below | 50% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL | $22.00 | $44.00 | $21.56–$37.40 | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 TOTAL | $23.00 | $46.00 | $13.80–$41.40 | 55% below | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 TOTAL | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL | $24.50 | $49.00 | $14.70–$44.10 | 71% below | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL | $24.50 | $49.00 | $24.01–$41.65 | — | 50% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $128.00 | $256.00 | $76.80–$230.40 | 45% above | 50% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $128.00 | $256.00 | $125.44–$217.60 | — | 50% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $30.50 | $61.00 | $18.30–$54.90 | 23% below | 50% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $30.50 | $61.00 | $29.89–$51.85 | — | 50% |
| Troponin test, quantitative CPT 84484 HC TROPONIN QUANT | $84.00 | $168.00 | $50.40–$151.20 | 33% below | 50% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANT | $84.00 | $168.00 | $82.32–$142.80 | — | 50% |
| Uric acid blood test CPT 84550 HC URIC ACID BLOOD | $23.00 | $46.00 | $13.80–$41.40 | 55% below | 50% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD | $23.00 | $46.00 | $22.54–$39.10 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W MICRO | $56.00 | $112.00 | $33.60–$100.80 | 9% below | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W MICRO | $56.00 | $112.00 | $54.88–$95.20 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO WO MICRO | $56.00 | $112.00 | $33.60–$100.80 | 55% above | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO WO MICRO | $56.00 | $112.00 | $54.88–$95.20 | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NON-AUTO WO MICRO | $56.00 | $112.00 | $33.60–$100.80 | 52% above | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NON-AUTO WO MICRO | $56.00 | $112.00 | $54.88–$95.20 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULT/COLONY COUNT QUANT URINE | $92.00 | $184.00 | $55.20–$165.60 | 7% above | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULT/COLONY COUNT QUANT URINE | $92.00 | $184.00 | $90.16–$156.40 | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE | $41.00 | $82.00 | $24.60–$73.80 | 27% below | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE | $41.00 | $82.00 | $40.18–$69.70 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE | $71.50 | $143.00 | $42.90–$128.70 | 9% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE | $71.50 | $143.00 | $70.07–$121.55 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 | $98.00 | $196.00 | $58.80–$176.40 | 21% above | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $98.00 | $196.00 | $96.04–$166.60 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $255.00 | $510.00 | $153.00–$459.00 | 173% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY | $255.00 | $510.00 | $249.90–$433.50 | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DIHYDROXY | $323.00 | $646.00 | $193.80–$581.40 | 140% above | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25 DIHYDROXY | $323.00 | $646.00 | $316.54–$549.10 | — | 50% |
| Zinc blood test CPT 84630 HC ZINC | $31.00 | $62.00 | $18.60–$55.80 | 53% below | 50% |
| Zinc blood test inpatient CPT 84630 HC ZINC | $31.00 | $62.00 | $30.38–$52.70 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANT | $112.00 | $224.00 | $67.20–$201.60 | 6% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QUANT | $112.00 | $224.00 | $109.76–$190.40 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC CHEMDNR NRV MUSCLE FACIAL TRIG | $499.50 | $999.00 | $299.70–$899.10 | 43% below | 50% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMDNR NRV MUSCLE FACIAL TRIG | $499.50 | $999.00 | $489.51–$849.15 | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY | $457.50 | $915.00 | $274.50–$823.50 | 72% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY | $457.50 | $915.00 | $448.35–$777.75 | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ CERV/THORAC SNGL W IMG | $1,174.50 | $2,349.00 | $704.70–$2,114.10 | 21% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ CERV/THORAC SNGL W IMG | $1,174.50 | $2,349.00 | $1,151.01–$1,996.65 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVRT JT L/S 1 LVL | $1,299.00 | $2,598.00 | $779.40–$2,338.20 | 40% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVRT JT L/S 1 LVL | $1,299.00 | $2,598.00 | $1,273.02–$2,208.30 | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC SMPL/SNGL | $249.50 | $499.00 | $149.70–$449.10 | 59% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC SMPL/SNGL | $249.50 | $499.00 | $244.51–$424.15 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SNGL TNDN/SHTH/LGMNT | $745.00 | $1,490.00 | $447.00–$1,341.00 | 37% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SNGL TNDN/SHTH/LGMNT | $745.00 | $1,490.00 | $730.10–$1,266.50 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHCS ASP/INJ MJR JT | $413.50 | $827.00 | $248.10–$744.30 | 54% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHCS ASP/INJ MJR JT | $413.50 | $827.00 | $405.23–$702.95 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHCS ASP/INJ INT JT | $413.50 | $827.00 | $248.10–$744.30 | 45% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHCS ASP/INJ INT JT | $413.50 | $827.00 | $405.23–$702.95 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHCS ASP/INJ SM JT | $413.50 | $827.00 | $248.10–$744.30 | 17% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHCS ASP/INJ SM JT | $413.50 | $827.00 | $405.23–$702.95 | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMB/SAC SNGL W IMG | $1,104.00 | $2,208.00 | $662.40–$1,987.20 | 18% below | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMB/SAC SNGL W IMG | $1,104.00 | $2,208.00 | $1,081.92–$1,876.80 | — | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ LUMB/SAC SNGL WO IMG | $690.50 | $1,381.00 | $414.30–$1,242.90 | 58% below | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ LUMB/SAC SNGL WO IMG | $690.50 | $1,381.00 | $676.69–$1,173.85 | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ ANES FORAMEN EPI LUMB SNGL | $911.50 | $1,823.00 | $546.90–$1,640.70 | 42% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ ANES FORAMEN EPI LUMB SNGL | $911.50 | $1,823.00 | $893.27–$1,549.55 | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANES OCCIPITAL | $496.00 | $992.00 | $297.60–$892.80 | 43% below | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANES OCCIPITAL | $496.00 | $992.00 | $486.08–$843.20 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCSN NAIL BED PARTIAL/COMPLT | $284.00 | $568.00 | $170.40–$511.20 | 70% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCSN NAIL BED PARTIAL/COMPLT | $284.00 | $568.00 | $278.32–$482.80 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DEST LUMB/SAC FACET JNT | $1,479.50 | $2,959.00 | $887.70–$2,663.10 | 29% below | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DEST LUMB/SAC FACET JNT | $1,479.50 | $2,959.00 | $1,449.91–$2,515.15 | — | 50% |
| Short arm cast (elbow to hand) CPT 29075 HC APP CAST SHORT ELBOW-FGR | $330.50 | $661.00 | $198.30–$594.90 | 63% below | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APP CAST SHORT ELBOW-FGR | $330.50 | $661.00 | $323.89–$561.85 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 HC APP SPLINT SHORT ARM STATIC | $467.50 | $935.00 | $280.50–$841.50 | 22% above | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APP SPLINT SHORT ARM STATIC | $467.50 | $935.00 | $458.15–$794.75 | — | 50% |
| Short leg cast (below the knee) CPT 29405 HC APP CAST KNEE-TOE | $371.50 | $743.00 | $222.90–$668.70 | 17% above | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APP CAST KNEE-TOE | $371.50 | $743.00 | $364.07–$631.55 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 HC APP SPLINT SHORT LEG | $322.50 | $645.00 | $193.50–$580.50 | 16% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APP SPLINT SHORT LEG | $322.50 | $645.00 | $316.05–$548.25 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PUNC LUMB DX | $262.50 | $525.00 | $157.50–$472.50 | 79% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC PUNC LUMB DX | $262.50 | $525.00 | $257.25–$446.25 | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LES | $157.00 | $314.00 | $94.20–$282.60 | 72% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SINGLE LES | $157.00 | $314.00 | $153.86–$266.90 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER PNT<=2 MSCL | $745.00 | $1,490.00 | $447.00–$1,341.00 | 38% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER PNT<=2 MSCL | $745.00 | $1,490.00 | $730.10–$1,266.50 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DBRD SKIN & SQ TISS<=20SCM | $563.50 | $1,127.00 | $338.10–$1,014.30 | 48% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DBRD SKIN & SQ TISS<=20SCM | $563.50 | $1,127.00 | $552.23–$957.95 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC TX INHAL AERO SPUTUM | $304.00 | $608.00 | $182.40–$547.20 | 61% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC TX INHAL AERO SPUTUM RPEAT | $304.00 | $608.00 | $182.40–$547.20 | 61% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC TX INHAL AERO SPUTUM | $304.00 | $608.00 | $297.92–$516.80 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC TX INHAL AERO SPUTUM RPEAT | $304.00 | $608.00 | $297.92–$516.80 | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INF 1ST HR | $420.00 | $840.00 | $252.00–$756.00 | 6% below | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INF 1ST HR | $420.00 | $840.00 | $411.60–$714.00 | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG INCL AWAKE & DROWSY | $580.00 | $1,160.00 | $348.00–$1,044.00 | 2% below | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG INCL AWAKE & DROWSY | $580.00 | $1,160.00 | $568.40–$986.00 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD TRACE ONLY | $215.50 | $431.00 | $129.30–$387.90 | 13% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD TRACE ONLY | $215.50 | $431.00 | $211.19–$366.35 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF THER INIT 1ST HR | $252.00 | $504.00 | $151.20–$453.60 | 14% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF THER INIT 1ST HR | $252.00 | $504.00 | $246.96–$428.40 | — | 50% |
| IV push of a medicine, first drug CPT 96374 HC IV PUSH INIT DRUG | $170.50 | $341.00 | $102.30–$306.90 | 18% below | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH INIT DRUG | $170.50 | $341.00 | $167.09–$289.85 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ THER SQ/IM | $36.50 | $73.00 | $21.90–$65.70 | 63% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ THER SQ/IM | $36.50 | $73.00 | $35.77–$62.05 | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NRV CONDCT 7-8 STUDIES | $483.50 | $967.00 | $290.10–$870.30 | 66% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NRV CONDCT 7-8 STUDIES | $483.50 | $967.00 | $473.83–$821.95 | — | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW EVAL VISIT LEVEL 3 | $150.00 | $300.00 | $90.00–$270.00 | 4% below | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW EVAL VISIT LEVEL 3 | $150.00 | $300.00 | $147.00–$255.00 | — | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW EVAL VISIT LEVEL 4 | $317.00 | $634.00 | $190.20–$570.60 | 59% above | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW EVAL VISIT LEVEL 4 | $317.00 | $634.00 | $310.66–$538.90 | — | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW EVAL VISIT LEVEL 5 | $342.50 | $685.00 | $205.50–$616.50 | 43% above | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW EVAL VISIT LEVEL 5 | $342.50 | $685.00 | $335.65–$582.25 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW EVAL VISIT LEVEL 2 | $116.50 | $233.00 | $69.90–$209.70 | 15% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW EVAL VISIT LEVEL 2 | $116.50 | $233.00 | $114.17–$198.05 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INIT INDV EA 15MIN | $57.50 | $115.00 | $34.50–$103.50 | 59% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INIT INDV EA 15MIN | $57.50 | $115.00 | $56.35–$97.75 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC EXERCISE SPEC THERAP EXRCSE 15MIN | $43.50 | $87.00 | $26.10–$78.30 | 43% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC EXERCISE SPEC THERAP EXRCSE 15MIN | $43.50 | $87.00 | $42.63–$73.95 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST EVAL VISIT LEVEL 5 | $314.00 | $628.00 | $188.40–$565.20 | 48% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC EST EVAL VISIT LEVEL 5 | $314.00 | $628.00 | $307.72–$533.80 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST EVAL VISIT LEVEL 3 | $130.00 | $260.00 | $78.00–$234.00 | 14% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC EST EVAL VISIT LEVEL 3 | $130.00 | $260.00 | $127.40–$221.00 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EST EVAL VISIT LEVEL 4 | $275.50 | $551.00 | $165.30–$495.90 | 59% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC EST EVAL VISIT LEVEL 4 | $275.50 | $551.00 | $269.99–$468.35 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC EST EVAL VISIT LEVEL 2 | $102.00 | $204.00 | $61.20–$183.60 | 19% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC EST EVAL VISIT LEVEL 2 | $102.00 | $204.00 | $99.96–$173.40 | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODIL RESPONSIVENESS | $321.50 | $643.00 | $192.90–$578.70 | 23% below | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODIL RESPONSIVENESS | $321.50 | $643.00 | $315.07–$546.55 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC EXERCISE SPEC THERAP ACTIVITIES 15MIN | $43.50 | $87.00 | $26.10–$78.30 | 40% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC EXERCISE SPEC THERAP ACTIVITIES 15MIN | $43.50 | $87.00 | $42.63–$73.95 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $987.50 | $1,975.00 | $592.50–$1,777.50 | 452% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $987.50 | $1,975.00 | $967.75–$1,678.75 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2024(18YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $363.00 | $726.00 | $217.80–$653.40 | 307% above | 50% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $426.50 | $853.00 | $255.90–$767.70 | 378% above | 50% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2024(18YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $363.00 | $726.00 | $355.74–$617.10 | — | 50% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $426.50 | $853.00 | $417.97–$725.05 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $102.00 | $204.00 | $61.20–$183.60 | 144% above | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $102.00 | $204.00 | $99.96–$173.40 | — | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $113.50 | $227.00 | $68.10–$204.30 | 67% above | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $113.50 | $227.00 | $111.23–$192.95 | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $79.00 | $158.00 | $47.40–$142.20 | 111% above | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $79.00 | $158.00 | $77.42–$134.30 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2019-20(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $243.50 | $487.00 | $146.10–$438.30 | 120% above | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE QS2020-21(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $265.00 | $530.00 | $159.00–$477.00 | 140% above | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE QS2023-24(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $319.00 | $638.00 | $191.40–$574.20 | 188% above | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $363.00 | $726.00 | $217.80–$653.40 | 228% above | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2019-20(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $243.50 | $487.00 | $238.63–$413.95 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE QS2020-21(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $265.00 | $530.00 | $259.70–$450.50 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE QS2023-24(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $319.00 | $638.00 | $312.62–$542.30 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $363.00 | $726.00 | $355.74–$617.10 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $349.50 | $699.00 | $209.70–$629.10 | 94% above | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $349.50 | $699.00 | $342.51–$594.15 | — | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $820.00 | $1,640.00 | $492.00–$1,476.00 | 80% above | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $820.00 | $1,640.00 | $803.60–$1,394.00 | — | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $625.50 | $1,251.00 | $375.30–$1,125.90 | 42% above | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $625.50 | $1,251.00 | $612.99–$1,063.35 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,072.00 | $2,144.00 | $643.20–$1,929.60 | 92% above | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,072.00 | $2,144.00 | $1,050.56–$1,822.40 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $468.00 | $936.00 | $280.80–$842.40 | 54% above | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $580.00 | $1,160.00 | $348.00–$1,044.00 | 91% above | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $468.00 | $936.00 | $458.64–$795.60 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $580.00 | $1,160.00 | $568.40–$986.00 | — | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $1,147.50 | $2,295.00 | $688.50–$2,065.50 | 527% above | 50% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $1,147.50 | $2,295.00 | $1,124.55–$1,950.75 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $162.00 | $324.00 | $97.20–$291.60 | 17% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $162.00 | $324.00 | $158.76–$275.40 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $196.50 | $393.00 | $117.90–$353.70 | 101% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS VAC(PF) 2 LF-(5-3-5MCG)-5 LF/0.5ML IM SUPERORDERABLE | $217.50 | $435.00 | $130.50–$391.50 | 122% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $196.50 | $393.00 | $192.57–$334.05 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS VAC(PF) 2 LF-(5-3-5MCG)-5 LF/0.5ML IM SUPERORDERABLE | $217.50 | $435.00 | $213.15–$369.75 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACC SNGL | $20.00 | $40.00 | $12.00–$36.00 | 59% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACC SNGL | $20.00 | $40.00 | $19.60–$34.00 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN VACC ADD | $20.00 | $40.00 | $12.00–$36.00 | 49% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN VACC ADD | $20.00 | $40.00 | $19.60–$34.00 | — | 50% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://shepherd.org/wp-content/uploads/51-0141601_shepherd-center_standardcharges-csv.zip