Baptist Medical Center East
Listed in its price file as “Health Care Authority for Baptist Health An Affiliate of Uabhs”.
Baptist Medical Center East in Montgomery, AL publishes cash prices for 183 common procedures listed here, from its own machine-readable price file updated Dec 30, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Alabama median for 118 of 178 procedures and above it for 48. By typical cash price it ranks #21 of 53 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
400 Taylor Road, Montgomery, AL, 36117 Collected Sep 27, 2026 Source price file Check a bill from this hospital (334) 244-8330
Acute care hospital Government-owned hospital Emergency department CMS star rating 4 of 5 CCN 010149 · CMS hospital register NPI 1104917780
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Baptist Medical Center East is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 F-CT ABDOMINAL W/ + W/O CONTRAST | $1,371.72 | $2,286.20 | $672.00–$1,191.71 | at median | 40% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMINAL W/ + W/O CONTRAST | $1,371.72 | $2,286.20 | $672.00–$1,191.71 | at median | 40% |
| Abdominal X-ray, 2 views CPT 74019 DX ABDOMEN ACUTE SER 2 VIEWS | $247.20 | $412.00 | $185.40–$394.70 | 23% above | 40% |
| Abdominal X-ray, 2 views CPT 74019 F-DX ABDOMEN ACUTE SER 2 VIEWS | $247.20 | $412.00 | $185.40–$394.70 | 23% above | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 DX ANKLE COMPLETE RIGHT | $183.99 | $306.65 | $137.99–$293.77 | 12% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 F-DX ANKLE COMPLETE LEFT | $183.99 | $306.65 | $137.99–$293.77 | 12% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 F-DX ANKLE COMPLETE RIGHT | $183.99 | $306.65 | $137.99–$293.77 | 12% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 DX ANKLE COMPLETE LEFT | $183.99 | $306.65 | $137.99–$293.77 | 12% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ARTERIAL DUPLEX W/ABI'S | $272.31 | $453.85 | $204.23–$434.79 | 19% above | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 F-US ARTERIAL DUPLEX W/ABI'S | $272.31 | $453.85 | $204.23–$434.79 | 19% above | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 F-CT UPPER EXTREMITY W/O RIGHT | $657.93 | $1,096.55 | $672.00–$1,191.71 | 31% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 F-CT UPPER EXTREMITY W/O LEFT | $657.93 | $1,096.55 | $672.00–$1,191.71 | 31% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O RIGHT | $657.93 | $1,096.55 | $672.00–$1,191.71 | 31% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O LEFT | $657.93 | $1,096.55 | $672.00–$1,191.71 | 31% below | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 F-DX ESOPHOGRAM | $276.42 | $460.70 | $207.32–$441.35 | at median | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 DX ESOPHOGRAM | $276.42 | $460.70 | $207.32–$441.35 | at median | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY | $843.21 | $1,405.35 | $632.41–$1,346.33 | 20% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LEFT | $261.69 | $436.15 | $196.27–$417.83 | 1% above | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RIGHT | $261.69 | $436.15 | $196.27–$417.83 | 1% above | 40% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 F-US BREAST LIMITED BILATERAL | $261.69 | $436.15 | $196.27–$417.83 | — | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 F-US BREAST LIMITED RT | $261.69 | $436.15 | $196.27–$417.83 | 9% above | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 F-US BREAST LIMITED LT | $261.69 | $436.15 | $196.27–$417.83 | 9% above | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 F-CT ANGIO ABD & PELVIS WO/W CON | $3,304.80 | $5,508.00 | $672.00–$1,191.71 | 40% above | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD & PELVIS WO/W CON | $3,304.80 | $5,508.00 | $672.00–$1,191.71 | 40% above | 40% |
| CT angiography (CTA) of the head CPT 70496 F-CT ANGIO BRAIN W/ + W/O | $1,652.61 | $2,754.35 | $672.00–$1,191.71 | 7% above | 40% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO BRAIN W/ + W/O | $1,652.61 | $2,754.35 | $672.00–$1,191.71 | 7% above | 40% |
| CT angiography (CTA) of the neck CPT 70498 F-CT ANGIO NECK W/O + W/ | $1,652.61 | $2,754.35 | $672.00–$1,191.71 | 19% above | 40% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK W/O + W/ | $1,652.61 | $2,754.35 | $672.00–$1,191.71 | 19% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 F-CT ANGIO CHEST W/O + W/ | $1,652.61 | $2,754.35 | $672.00–$1,191.71 | 22% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/O + W/ | $1,652.61 | $2,754.35 | $672.00–$1,191.71 | 22% above | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 F-CTA HEART WO WITH CAL SCORING | $397.80 | $663.00 | $672.00–$1,191.71 | 111% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 F-CT ABD/PELVIS WITHOUT CONTRAST | $2,085.00 | $3,475.00 | $672.00–$1,191.71 | 3% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WITHOUT CONTRAST | $2,085.00 | $3,475.00 | $672.00–$1,191.71 | 3% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS WITH CONTRAST | $2,329.62 | $3,882.70 | $672.00–$1,191.71 | 4% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 F-CT ABD/PELVIS WITH CONTRAST | $2,329.62 | $3,882.70 | $672.00–$1,191.71 | 4% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD W/WO AND PELVIS W/CONTRAST | $2,436.03 | $4,060.05 | $672.00–$1,191.71 | 4% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 F-CT ABD W/WO AND PELVIS W/CONTR | $2,436.03 | $4,060.05 | $672.00–$1,191.71 | 4% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM W&W/O CONT | $2,648.13 | $4,413.55 | $672.00–$1,191.71 | 4% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 F-CT ABD/PELVIS W/WO CONTRAST | $2,648.13 | $4,413.55 | $672.00–$1,191.71 | 4% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 F-CT UROGRAM W&W/O CONT | $2,648.13 | $4,413.55 | $672.00–$1,191.71 | 4% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTRAST | $2,648.13 | $4,413.55 | $672.00–$1,191.71 | 4% above | 40% |
| CT scan of the abdomen with contrast CPT 74160 F-CT ABDOMINAL W/ CONTRAST | $1,265.31 | $2,108.85 | $672.00–$1,191.71 | 6% below | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMINAL W/ CONTRAST | $1,265.31 | $2,108.85 | $672.00–$1,191.71 | 6% below | 40% |
| CT scan of the abdomen without contrast CPT 74150 F-CT ABDOMINAL W/O CONTRAST | $1,107.93 | $1,846.55 | $672.00–$1,191.71 | at median | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMINAL W/O CONTRAST | $1,107.93 | $1,846.55 | $672.00–$1,191.71 | at median | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $1,071.54 | $1,785.90 | $672.00–$1,191.71 | 8% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 F-CT MAXILLOFACIAL W/O CONTRAST | $1,071.54 | $1,785.90 | $672.00–$1,191.71 | 8% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST | $1,071.54 | $1,785.90 | $672.00–$1,191.71 | 8% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 F-CT SINUS W/O CONTRAST | $1,071.54 | $1,785.90 | $672.00–$1,191.71 | 8% below | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 F-CT BRAIN W/O CONTRAST | $980.46 | $1,634.10 | $672.00–$1,191.71 | 10% below | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONTRAST | $980.46 | $1,634.10 | $672.00–$1,191.71 | 10% below | 40% |
| CT scan of the head with contrast CPT 70460 F-CT BRAIN W/ CONTRAST | $980.46 | $1,634.10 | $672.00–$1,191.71 | 12% below | 40% |
| CT scan of the head with contrast CPT 70460 CT BRAIN W/ CONTRAST | $980.46 | $1,634.10 | $672.00–$1,191.71 | 12% below | 40% |
| CT scan of the head without and with contrast CPT 70470 CT BRAIN W/ + W/O CONTRAST | $1,316.76 | $2,194.60 | $672.00–$1,191.71 | 21% below | 40% |
| CT scan of the head without and with contrast CPT 70470 F-CT BRAIN W/ + W/O CONTRAST | $1,316.76 | $2,194.60 | $672.00–$1,191.71 | 21% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $1,182.78 | $1,971.30 | $672.00–$1,191.71 | 5% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 F-CT LUMBAR SPINE W/O CONTRAST | $1,182.78 | $1,971.30 | $672.00–$1,191.71 | 5% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $982.77 | $1,637.95 | $672.00–$1,191.71 | 25% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 F-CT CERVICAL SPINE W/O CONTRAST | $982.77 | $1,637.95 | $672.00–$1,191.71 | 25% below | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 F-CT PELVIS W/ CONTRAST | $1,064.31 | $1,773.85 | $672.00–$1,191.71 | 19% below | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST | $1,064.31 | $1,773.85 | $672.00–$1,191.71 | 19% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILATERAL | $792.24 | $1,320.40 | $594.18–$1,264.94 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 F-US CAROTID DUPLEX BILATERAL | $792.24 | $1,320.40 | $594.18–$1,264.94 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 F-CT CHEST W/WO IV CONTRAST | $1,546.86 | $2,578.10 | $672.00–$1,191.71 | 1% below | 40% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO IV CONTRAST | $1,546.86 | $2,578.10 | $672.00–$1,191.71 | 1% below | 40% |
| Chest X-ray, 2 views both sides CPT 71046 DX CHEST DECUBITUS BILATERAL | $292.80 | $488.00 | $219.60–$467.50 | — | 40% |
| Chest X-ray, 2 views CPT 71046 DX CHEST 2 VIEW | $170.40 | $284.00 | $127.80–$272.07 | 11% below | 40% |
| Chest X-ray, 2 views CPT 71046 F-DX CHEST 2 VIEW | $170.40 | $284.00 | $127.80–$272.07 | 11% below | 40% |
| Chest X-ray, single view CPT 71045 DX CHEST 1 VIEW | $146.40 | $244.00 | $109.80–$233.75 | 2% above | 40% |
| Chest X-ray, single view CPT 71045 DX CHEST EXPIRATION VIEW | $146.40 | $244.00 | $109.80–$233.75 | 2% above | 40% |
| Chest X-ray, single view CPT 71045 F-DX CHEST 1 VIEW | $146.40 | $244.00 | $109.80–$233.75 | 2% above | 40% |
| Chest X-ray, single view one side CPT 71045 DX CHEST DECUBITUS RIGHT | $146.40 | $244.00 | $109.80–$233.75 | 2% above | 40% |
| Chest X-ray, single view one side CPT 71045 DX CHEST DECUBITUS LEFT | $146.40 | $244.00 | $109.80–$233.75 | 2% above | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 DX CLAVICLE LEFT | $157.02 | $261.70 | $117.77–$250.71 | at median | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 DX CLAVICLE RIGHT | $157.02 | $261.70 | $117.77–$250.71 | at median | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 F-DX CLAVICLE LEFT | $157.02 | $261.70 | $117.77–$250.71 | at median | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 F-DX CLAVICLE RIGHT | $157.02 | $261.70 | $117.77–$250.71 | at median | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 F-US RENAL BILATERAL | $398.79 | $664.65 | $299.09–$636.73 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL BILATERAL | $398.79 | $664.65 | $299.09–$636.73 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 F-DX BONE DEXA AXIAL SKELETON | $212.16 | $353.60 | $159.12–$338.75 | 24% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DX BONE DEXA AXIAL SKELETON | $212.16 | $353.60 | $159.12–$338.75 | 24% below | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DX BONE DEXA PERIPHERAL FRCTURE | $105.60 | $176.00 | $79.20–$168.61 | 10% above | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 TM-OB US DETAILED SNGL FETUS | $453.15 | $755.25 | $339.86–$723.53 | 31% above | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL DETAIL SURV SNGL GEST | $453.15 | $755.25 | $339.86–$723.53 | 31% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 F-CT CHEST W/O CONTRAST | $1,015.41 | $1,692.35 | $672.00–$1,191.71 | 8% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $1,015.41 | $1,692.35 | $672.00–$1,191.71 | 8% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 F-CT CHEST W/ CONTRAST | $1,163.49 | $1,939.15 | $672.00–$1,191.71 | 15% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST | $1,163.49 | $1,939.15 | $672.00–$1,191.71 | 15% below | 40% |
| Diagnostic mammogram, both breasts CPT 77066 F-MA MAMMO DIGITAL DIAG,BIL W/CAD | $131.40 | $219.00 | $98.55–$209.80 | 44% below | 40% |
| Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIGITAL DIAG,BIL W/CAD | $131.40 | $219.00 | $98.55–$209.80 | 44% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MA MAMMO DIGITAL DIAG,RT W/CAD | $108.60 | $181.00 | $81.45–$173.40 | 48% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 F-MA MAMMO DIGITAL DIAG,LT W/CAD | $108.60 | $181.00 | $81.45–$173.40 | 48% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 F-MA MAMMO DIGITAL DIAG,RT W/CAD | $108.60 | $181.00 | $81.45–$173.40 | 48% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MA MAMMO DIGITAL DIAG,LT W/CAD | $108.60 | $181.00 | $81.45–$173.40 | 48% below | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 F-US ARTERIAL LOWER EXT BILAT | $206.40 | $344.00 | $154.80–$329.55 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOWER EXT BILAT | $594.18 | $990.30 | $445.64–$948.71 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER BILAT EXTREMITY | $764.58 | $1,274.30 | $573.44–$1,220.78 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 F-US VEN DOPPLER BILAT EXTREMITY | $764.58 | $1,274.30 | $573.44–$1,220.78 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TT ECHO 2D W/ SPEC DOPPL-COMPLETE | $709.20 | $1,182.00 | $531.90–$1,132.36 | 33% below | 40% |
| Elbow X-ray, 2 views one side CPT 73070 DX ELBOW AP & LAT RIGHT | $122.31 | $203.85 | $91.73–$195.29 | 17% below | 40% |
| Elbow X-ray, 2 views one side CPT 73070 F-DX ELBOW AP & LAT RIGHT | $122.31 | $203.85 | $91.73–$195.29 | 17% below | 40% |
| Elbow X-ray, 2 views one side CPT 73070 F-DX ELBOW AP & LAT LEFT | $122.31 | $203.85 | $91.73–$195.29 | 17% below | 40% |
| Elbow X-ray, 2 views one side CPT 73070 DX ELBOW AP & LAT LEFT | $122.31 | $203.85 | $91.73–$195.29 | 17% below | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 F-DX ELBOW COMPLETE LEFT | $161.79 | $269.65 | $121.34–$258.32 | at median | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 DX ELBOW COMPLETE RIGHT | $161.79 | $269.65 | $121.34–$258.32 | at median | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 F-DX ELBOW COMPLETE RIGHT | $161.79 | $269.65 | $121.34–$258.32 | at median | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 DX ELBOW COMPLETE LEFT | $161.79 | $269.65 | $121.34–$258.32 | at median | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC'S W/O CONTRAST | $1,017.18 | $1,695.30 | $672.00–$1,191.71 | 1% above | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 F-CT ORBITS W/O CONTRAST | $1,017.18 | $1,695.30 | $672.00–$1,191.71 | 1% above | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 F-CT IAC'S W/O CONTRAST | $1,017.18 | $1,695.30 | $672.00–$1,191.71 | 1% above | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONTRAST | $1,017.18 | $1,695.30 | $672.00–$1,191.71 | 1% above | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 F-DX FACIAL BONES COMPLETE | $244.50 | $407.50 | $183.38–$390.39 | 3% above | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 DX FACIAL BONES COMPLETE | $244.50 | $407.50 | $183.38–$390.39 | 3% above | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 F-DX FOREARM RIGHT | $160.47 | $267.45 | $120.35–$256.22 | at median | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 DX FOREARM LEFT | $160.47 | $267.45 | $120.35–$256.22 | at median | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 DX FOREARM RIGHT | $160.47 | $267.45 | $120.35–$256.22 | at median | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 F-DX FOREARM LEFT | $160.47 | $267.45 | $120.35–$256.22 | at median | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY(HIDA)SCAN WO CCK | $685.38 | $1,142.30 | $514.04–$1,094.32 | 29% below | 40% |
| Hand X-ray, 2 views one side CPT 73120 F-DX HAND AP & LAT RT | $132.66 | $221.10 | $99.50–$211.81 | 10% below | 40% |
| Hand X-ray, 2 views one side CPT 73120 DX HAND AP & LAT LEFT | $132.66 | $221.10 | $99.50–$211.81 | 10% below | 40% |
| Hand X-ray, 2 views one side CPT 73120 F-DX HAND AP & LAT LT | $132.66 | $221.10 | $99.50–$211.81 | 10% below | 40% |
| Hand X-ray, 2 views one side CPT 73120 DX HAND AP & LAT RIGHT | $132.66 | $221.10 | $99.50–$211.81 | 10% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 F-DX CALCANEUS LEFT 2 VIEWS | $145.80 | $243.00 | $109.35–$232.79 | 1% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 DX CALCANEUS LEFT 2 VIEWS | $145.80 | $243.00 | $109.35–$232.79 | 1% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 DX CALCANEUS RIGHT 2 VIEWS | $145.80 | $243.00 | $109.35–$232.79 | 1% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 F-DX CALCANEUS RIGHT 2 VIEWS | $145.80 | $243.00 | $109.35–$232.79 | 1% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V RT | $49.80 | $83.00 | $37.35–$79.51 | 71% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V LT | $49.80 | $83.00 | $37.35–$79.51 | 71% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 F-XR KNEE 3V RT | $49.80 | $83.00 | $37.35–$79.51 | 71% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 F-XR KNEE 3V LT | $49.80 | $83.00 | $37.35–$79.51 | 71% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 DX KNEE COMPLETE LEFT | $193.77 | $322.95 | $145.33–$309.39 | 14% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 F-DX KNEE COMPLETE RIGHT | $193.77 | $322.95 | $145.33–$309.39 | 14% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 F-DX KNEE COMPLETE LEFT | $193.77 | $322.95 | $145.33–$309.39 | 14% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 DX KNEE COMPLETE W/ ADDTL RIGHT | $193.77 | $322.95 | $145.33–$309.39 | 14% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 DX KNEE COMPLETE WITH ADDTL LEFT | $193.77 | $322.95 | $145.33–$309.39 | 14% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 DX KNEE COMPLETE RIGHT | $193.77 | $322.95 | $145.33–$309.39 | 14% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 F-DX KNEE COMPLETE W/ ADDTL RIGHT | $193.77 | $322.95 | $145.33–$309.39 | 14% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 F-DX KNEE COMPLETE WITH ADDTL LT | $193.77 | $322.95 | $145.33–$309.39 | 14% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 F-CT LOWER EXTREMITY W/O LT | $906.45 | $1,510.75 | $672.00–$1,191.71 | 2% above | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O RIGHT | $906.45 | $1,510.75 | $672.00–$1,191.71 | 2% above | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O LEFT | $906.45 | $1,510.75 | $672.00–$1,191.71 | 2% above | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 F-CT LOWER EXTREMITY W/O RT | $906.45 | $1,510.75 | $672.00–$1,191.71 | 2% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 F-US INFANT DUODENUM | $363.99 | $606.65 | $272.99–$581.17 | at median | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED/RLQ | $363.99 | $606.65 | $272.99–$581.17 | at median | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL RUQ (LVR,GB,PANC) | $363.99 | $606.65 | $272.99–$581.17 | at median | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US INFANT DUODENUM | $363.99 | $606.65 | $272.99–$581.17 | at median | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 F-US ABDOMINAL LIMITED/RLQ | $363.99 | $606.65 | $272.99–$581.17 | at median | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 F-US ABDOMINAL RUQ (LVR,GB,PANC) | $363.99 | $606.65 | $272.99–$581.17 | at median | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 F-US ABD RUQ (LVR,GB,PANC) | $363.99 | $606.65 | $272.99–$581.17 | at median | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 MA-US EXAM,AXILLA | $116.03 | $193.39 | $87.03–$185.27 | 42% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 F-US-EXTREMITY NONVASC-LTD BIL | $171.60 | $286.00 | $128.70–$273.99 | 14% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 F-US-EXTREMITY NONVASC-LTD RT | $85.80 | $143.00 | $64.35–$136.99 | 57% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US-EXTREMITY NONVASC-LTD RT | $85.80 | $143.00 | $64.35–$136.99 | 57% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 F-US-EXTREMITY NONVASC-LTD LT | $85.80 | $143.00 | $64.35–$136.99 | 57% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US-EXTREMITY NONVASC-LTD LT | $85.80 | $143.00 | $64.35–$136.99 | 57% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 DX TIBIA-FIBULA LEFT | $196.14 | $326.90 | $147.11–$313.17 | at median | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 DX TIBIA-FIBULA RIGHT | $196.14 | $326.90 | $147.11–$313.17 | at median | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 F-DX TIBIA-FIBULA RIGHT | $196.14 | $326.90 | $147.11–$313.17 | at median | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 F-DX TIBIA-FIBULA LEFT | $196.14 | $326.90 | $147.11–$313.17 | at median | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MR BRAIN MRA W/O CONTRAST | $1,797.96 | $2,996.60 | $1,008.00–$1,777.00 | 14% above | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 F-MR BRAIN MRA W/O CONTRAST | $1,797.96 | $2,996.60 | $1,008.00–$1,777.00 | 14% above | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MR BRAIN MRV W/O CONTRAST | $1,797.96 | $2,996.60 | $1,008.00–$1,777.00 | 14% above | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W/WO CONT-W/CAD BILAT | $938.40 | $1,564.00 | $1,008.00–$1,777.00 | — | 40% |
| MRI of both breasts, without and then with contrast dye CPT 77049 F-MRI BREAST W/WO CONT-W/CAD BILA | $938.40 | $1,564.00 | $1,008.00–$1,777.00 | 60% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JOINT LOWER EXTR MRI LEFT W/O | $1,711.47 | $2,852.45 | $1,008.00–$1,777.00 | 5% above | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 F-MR JOINT LOWER EXTR MRI LT W/O | $1,711.47 | $2,852.45 | $1,008.00–$1,777.00 | 5% above | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JOINT LOWER EXTR MRI RIGHT W/O | $1,711.47 | $2,852.45 | $1,008.00–$1,777.00 | 5% above | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 F-MR JOINT LOWER EXTR MRI RT W/O | $1,711.47 | $2,852.45 | $1,008.00–$1,777.00 | 5% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 F-MR JNT LOWR EXTR MRI LT W/O+W/ | $1,711.47 | $2,852.45 | $1,008.00–$1,777.00 | 12% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR JOINT LOWER EXTR MRI LT W/O+W/ | $1,711.47 | $2,852.45 | $1,008.00–$1,777.00 | 12% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR JOINT LOWER EXTR MRI RT W/O+W/ | $1,711.47 | $2,852.45 | $1,008.00–$1,777.00 | 12% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 F-MR JNT LOWR EXTR MRI RT W/O+W/ | $1,711.47 | $2,852.45 | $1,008.00–$1,777.00 | 12% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN MRI W/O | $1,563.00 | $2,605.00 | $1,008.00–$1,777.00 | 12% above | 40% |
| MRI of the abdomen without contrast CPT 74181 F-MR MRCP | $1,563.00 | $2,605.00 | $1,008.00–$1,777.00 | 12% above | 40% |
| MRI of the abdomen without contrast CPT 74181 F-MR ABDOMEN MRI W/O | $1,563.00 | $2,605.00 | $1,008.00–$1,777.00 | 12% above | 40% |
| MRI of the abdomen without contrast CPT 74181 MR MRCP | $1,563.00 | $2,605.00 | $1,008.00–$1,777.00 | 12% above | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 F-MR ABDOMEN MRI W/O + W/ | $2,149.29 | $3,582.15 | $1,008.00–$1,777.00 | 11% above | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN MRI W/O + W/ | $2,149.29 | $3,582.15 | $1,008.00–$1,777.00 | 11% above | 40% |
| MRI of the brain, no contrast dye CPT 70551 F-MR IAC(S) MRI W/O | $1,726.20 | $2,877.00 | $1,008.00–$1,777.00 | 1% above | 40% |
| MRI of the brain, no contrast dye CPT 70551 F-MR PITUITARY W/O CONTRAST | $1,726.20 | $2,877.00 | $1,008.00–$1,777.00 | 1% above | 40% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN MRI W/O CONTRAST | $1,726.20 | $2,877.00 | $1,008.00–$1,777.00 | 1% above | 40% |
| MRI of the brain, no contrast dye CPT 70551 MR IAC(S) MRI W/O | $1,726.20 | $2,877.00 | $1,008.00–$1,777.00 | 1% above | 40% |
| MRI of the brain, no contrast dye CPT 70551 MR PITUITARY W/O CONTRAST | $1,726.20 | $2,877.00 | $1,008.00–$1,777.00 | 1% above | 40% |
| MRI of the brain, no contrast dye CPT 70551 F-MR BRAIN MRI W/O CONTRAST | $1,726.20 | $2,877.00 | $1,008.00–$1,777.00 | 1% above | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 F-MR IAC(S) MRI W/O + W/ | $504.60 | $841.00 | $1,008.00–$1,777.00 | 78% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MR IAC(S) MRI W/O + W/ | $504.60 | $841.00 | $1,008.00–$1,777.00 | 78% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 F-MR BRAIN MRI W/ + W/O CONTRAST | $2,149.29 | $3,582.15 | $1,008.00–$1,777.00 | 7% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MR PITUITARY W & W/O CONTRAST | $2,149.29 | $3,582.15 | $1,008.00–$1,777.00 | 7% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN MRI W/ + W/O CONTRAST | $2,149.29 | $3,582.15 | $1,008.00–$1,777.00 | 7% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 F-MR PITUITARY W & W/O CONTRAST | $2,149.29 | $3,582.15 | $1,008.00–$1,777.00 | 7% below | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR SPINE MRI W/O CONTRAST | $1,558.77 | $2,597.95 | $1,008.00–$1,777.00 | at median | 40% |
| MRI of the lower back, no contrast dye CPT 72148 F-MR LUMB-SPINE MRI W/O CONTRAST | $1,558.77 | $2,597.95 | $1,008.00–$1,777.00 | at median | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 F-MR LUMBAR SPINE MRI W/O + W/ | $2,149.29 | $3,582.15 | $1,008.00–$1,777.00 | 9% below | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR LUMBAR SPINE MRI W/O + W/ | $2,149.29 | $3,582.15 | $1,008.00–$1,777.00 | 9% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR THORACIC SPINE MRI W/O CONTRA | $1,542.36 | $2,570.60 | $1,008.00–$1,777.00 | 2% above | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 F-MR THOR-SPINE MRI W/O CONTRA | $1,542.36 | $2,570.60 | $1,008.00–$1,777.00 | 2% above | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR CERVICAL SPINE MRI W/+W/O CONT | $1,937.07 | $3,228.45 | $1,008.00–$1,777.00 | 13% below | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 F-MR C-SPINE MRI W/+W/O CONT | $1,937.07 | $3,228.45 | $1,008.00–$1,777.00 | 13% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR CERVICAL SPINE MRI W/O CONTRAS | $1,202.07 | $2,003.45 | $1,008.00–$1,777.00 | 21% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 F-MR C-SPINE MRI W/O CONTRAS | $1,202.07 | $2,003.45 | $1,008.00–$1,777.00 | 21% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS MRI W/ + W/O CONTRAST | $1,618.11 | $2,696.85 | $1,008.00–$1,777.00 | 22% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 F-MR PELVIS MRI W/ + W/O CONTRAST | $1,618.11 | $2,696.85 | $1,008.00–$1,777.00 | 22% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 F-MR PELVIS MRI W/O CONTRAST | $1,404.12 | $2,340.20 | $1,008.00–$1,777.00 | 6% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS MRI W/O CONTRAST | $1,404.12 | $2,340.20 | $1,008.00–$1,777.00 | 6% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 F-MR JOINT UPPER EXTR MRI LT W/O | $1,404.12 | $2,340.20 | $1,008.00–$1,777.00 | 5% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JOINT UPPER EXTR MRI LEFT W/O | $1,404.12 | $2,340.20 | $1,008.00–$1,777.00 | 5% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JOINT UPPER EXTR MRI RIGHT W/O | $1,404.12 | $2,340.20 | $1,008.00–$1,777.00 | 5% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 F-MR JOINT UPPER EXTR MRI RT W/O | $1,404.12 | $2,340.20 | $1,008.00–$1,777.00 | 5% below | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 F-CT NECK SOFT TISSUE W/ CON | $944.43 | $1,574.05 | $672.00–$1,191.71 | 25% below | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W/ CONTRAST | $944.43 | $1,574.05 | $672.00–$1,191.71 | 25% below | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE W/O CONT | $944.43 | $1,574.05 | $672.00–$1,191.71 | 3% below | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 F-CT NECK SOFT TISSUE W/O CONT | $944.43 | $1,574.05 | $672.00–$1,191.71 | 3% below | 40% |
| Neck soft tissue X-ray CPT 70360 F-DX NECK/SOFT TISSUE | $145.53 | $242.55 | $109.15–$232.36 | 11% below | 40% |
| Neck soft tissue X-ray CPT 70360 DX NECK/SOFT TISSUE | $145.53 | $242.55 | $109.15–$232.36 | 11% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC REST AND/OR STRESS-MUL | $814.95 | $1,358.25 | $611.21–$1,301.20 | 61% below | 40% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $977.07 | $1,628.45 | $672.00–$1,191.71 | 10% below | 40% |
| Pelvic CT scan without contrast CPT 72192 F-CT PELVIS W/O CONTRAST | $977.07 | $1,628.45 | $672.00–$1,191.71 | 10% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 F-US BLADDER VOLUME | $438.42 | $730.70 | $328.82–$700.01 | 125% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 F-US PELVIS LIMITED/FOLLOWUP | $438.42 | $730.70 | $328.82–$700.01 | 125% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER VOLUME | $438.42 | $730.70 | $328.82–$700.01 | 125% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED/FOLLOWUP | $438.42 | $730.70 | $328.82–$700.01 | 125% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 F-US PELVIS COMPLETE | $438.42 | $730.70 | $328.82–$700.01 | at median | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE | $438.42 | $730.70 | $328.82–$700.01 | at median | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB | $438.42 | $730.70 | $328.82–$700.01 | at median | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 F-US OB TRANSABD >14WKS SGL GEST | $440.37 | $733.95 | $330.28–$703.12 | 15% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 TM-OB US >/= 14 WKS SNGL FETUS | $440.37 | $733.95 | $330.28–$703.12 | 15% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB TRANSABD >14WKS SGL GEST | $440.37 | $733.95 | $330.28–$703.12 | 15% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 TM-OB US < 14 WKS SINGLE FETUS | $440.37 | $733.95 | $330.28–$703.12 | 47% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 F-US OB TRANSABD <14WKS SGL GEST | $440.37 | $733.95 | $330.28–$703.12 | 47% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB TRANSABD <14WKS SGL GEST | $440.37 | $733.95 | $330.28–$703.12 | 47% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 BEDSIDE U/S BY OB MD | $122.85 | $204.75 | $92.14–$196.15 | 50% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB TRANSABD LIMITED | $122.85 | $204.75 | $92.14–$196.15 | 50% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 F-US OB TRANSABD LIMITED | $122.85 | $204.75 | $92.14–$196.15 | 50% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 TM-OB US LIMITED FETUS(S) | $122.85 | $204.75 | $92.14–$196.15 | 50% below | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 F-DX RIBS LEFT LIMITED | $207.39 | $345.65 | $155.54–$331.13 | at median | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 DX RIBS RIGHT LIMITED | $207.39 | $345.65 | $155.54–$331.13 | at median | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 DX RIBS LEFT LIMITED | $207.39 | $345.65 | $155.54–$331.13 | at median | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 F-DX RIBS RIGHT LIMITED | $207.39 | $345.65 | $155.54–$331.13 | at median | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 DX RIBS RIGHT WITH PA CHEST | $230.82 | $384.70 | $173.12–$368.54 | 2% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 F-DX RIBS LEFT WITH PA CHEST | $230.82 | $384.70 | $173.12–$368.54 | 2% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 DX RIBS LEFT WITH PA CHEST | $230.82 | $384.70 | $173.12–$368.54 | 2% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 F-DX RIBS RIGHT WITH PA CHEST | $230.82 | $384.70 | $173.12–$368.54 | 2% above | 40% |
| Screening mammogram, both breasts both sides CPT 77067 F-MA MAMMO DIG SCREEN,BILAT W/CAD | $131.40 | $219.00 | $98.55–$209.80 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MA MAMMO DIG SCREEN,BILAT W/CAD | $131.40 | $219.00 | $98.55–$209.80 | — | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 F-DX SHOULDER COMPLETE LEFT | $177.84 | $296.40 | $133.38–$283.95 | 11% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 DX SHOULDER COMPLETE RIGHT | $177.84 | $296.40 | $133.38–$283.95 | 11% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 F-DX SHOULDER COMPLETE RIGHT | $177.84 | $296.40 | $133.38–$283.95 | 11% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 DX SHOULDER COMPLETE LEFT | $177.84 | $296.40 | $133.38–$283.95 | 11% below | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 DX SINUSES COMPLETE | $291.60 | $486.00 | $218.70–$465.59 | 36% above | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 F-DX SINUSES COMPLETE | $291.60 | $486.00 | $218.70–$465.59 | 36% above | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 F-DX SKULL LIMITED | $164.01 | $273.35 | $123.01–$261.87 | 10% below | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 DX SKULL LIMITED | $164.01 | $273.35 | $123.01–$261.87 | 10% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 TT ECHO 2D STRESS W/EKG MONTRNG | $360.00 | $600.00 | $270.00–$574.80 | 59% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 F-DX-FEMUR COMP LT MIN 2V | $180.09 | $300.15 | $135.07–$287.54 | 4% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 DX-FEMUR COMP RT MIN 2V | $180.09 | $300.15 | $135.07–$287.54 | 4% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 DX-FEMUR COMP LT MIN 2V | $180.09 | $300.15 | $135.07–$287.54 | 4% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 F-DX-FEMUR COMP RT MIN 2V | $180.09 | $300.15 | $135.07–$287.54 | 4% below | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CONTRAST | $1,161.87 | $1,936.45 | $672.00–$1,191.71 | 1% below | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 F-CT THORACIC SPINE W/O CONTRAST | $1,161.87 | $1,936.45 | $672.00–$1,191.71 | 1% below | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 DX TOE(S) LEFT | $138.06 | $230.10 | $103.55–$220.44 | at median | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 F-DX TOE(S) RIGHT | $138.06 | $230.10 | $103.55–$220.44 | at median | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 F-DX TOE(S) LEFT | $138.06 | $230.10 | $103.55–$220.44 | at median | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 DX TOE(S) RIGHT | $138.06 | $230.10 | $103.55–$220.44 | at median | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US PELVIS TRANSVAGINAL | $414.63 | $691.05 | $310.97–$662.03 | 23% above | 40% |
| Transvaginal pelvic ultrasound CPT 76830 TM-US PELVIC TRANSVAGINAL | $414.63 | $691.05 | $310.97–$662.03 | 23% above | 40% |
| Transvaginal pelvic ultrasound CPT 76830 F-US PELVIS TRANSVAGINAL | $414.63 | $691.05 | $310.97–$662.03 | 23% above | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 F-US OB TRANSVAGINAL | $414.63 | $691.05 | $310.97–$662.03 | 54% above | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 TM-TRANSVAGINAL US OBSTETRIC | $414.63 | $691.05 | $310.97–$662.03 | 54% above | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $414.63 | $691.05 | $310.97–$662.03 | 54% above | 40% |
| Ultrasound of the abdomen, complete CPT 76700 F-US ABDOMEN COMPLETE | $487.98 | $813.30 | $365.99–$779.14 | 4% above | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $487.98 | $813.30 | $365.99–$779.14 | 4% above | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM/TESTICULAR | $399.27 | $665.45 | $299.45–$637.50 | 8% above | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 F-US SCROTUM/TESTICULAR | $399.27 | $665.45 | $299.45–$637.50 | 8% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 F-US THYROID/SOFT TISSUE NECK | $460.68 | $767.80 | $345.51–$735.55 | 41% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/SOFT TISSUE NECK | $460.68 | $767.80 | $345.51–$735.55 | 41% above | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 F-DX UPPER GI SERIES | $284.01 | $473.35 | $213.01–$453.47 | 15% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 DX UPPER GI SERIES | $284.01 | $473.35 | $213.01–$453.47 | 15% below | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 F-DX HUMERUS LEFT | $163.08 | $271.80 | $122.31–$260.38 | 11% below | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 F-DX HUMERUS RIGHT | $163.08 | $271.80 | $122.31–$260.38 | 11% below | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 DX HUMERUS RIGHT | $163.08 | $271.80 | $122.31–$260.38 | 11% below | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 DX HUMERUS LEFT | $163.08 | $271.80 | $122.31–$260.38 | 11% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 F-US VENOUS DOPPLER LT EXTREMITY | $535.11 | $891.85 | $401.33–$854.39 | 85% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 F-US VENOUS DOPPLER RT EXTREMITY | $535.11 | $891.85 | $401.33–$854.39 | 85% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER RIGHT EXTREMITY | $535.11 | $891.85 | $401.33–$854.39 | 85% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER LEFT EXTREMITY | $535.11 | $891.85 | $401.33–$854.39 | 85% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER LEFT EXTREMITY | $573.44 | $955.73 | $430.08–$915.59 | 98% above | 40% |
| Wrist X-ray, 2 views one side CPT 73100 F-DX WRIST LIMITED LEFT | $104.01 | $173.35 | $78.01–$166.07 | 20% below | 40% |
| Wrist X-ray, 2 views one side CPT 73100 F-DX WRIST LIMITED RT | $104.01 | $173.35 | $78.01–$166.07 | 20% below | 40% |
| Wrist X-ray, 2 views one side CPT 73100 DX WRIST LIMITED RIGHT | $104.01 | $173.35 | $78.01–$166.07 | 20% below | 40% |
| Wrist X-ray, 2 views one side CPT 73100 DX WRIST LIMITED LEFT | $104.01 | $173.35 | $78.01–$166.07 | 20% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 F-DX WRIST COMPLETE RIGHT | $166.17 | $276.95 | $124.63–$265.32 | 14% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 F-DX WRIST COMPLETE LEFT | $166.17 | $276.95 | $124.63–$265.32 | 14% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 DX WRIST COMPLETE RIGHT | $166.17 | $276.95 | $124.63–$265.32 | 14% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 DX WRIST COMPLETE LEFT | $166.17 | $276.95 | $124.63–$265.32 | 14% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 DX-HIP INCLUDES PELVIS-LT, 2-3V | $204.84 | $341.40 | $153.63–$327.06 | 14% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 F-DX-HIP INCLUDES PELVIS-RT, 2-3V | $204.84 | $341.40 | $153.63–$327.06 | 14% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 F-DX-HIP INCLUDES PELVIS-LT, 2-3V | $204.84 | $341.40 | $153.63–$327.06 | 14% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 DX-HIP INCLUDES PELVIS-RT, 2-3V | $204.84 | $341.40 | $153.63–$327.06 | 14% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 DX ABDOMEN (KUB) | $169.62 | $282.70 | $127.22–$270.83 | 17% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 F-DX ABDOMEN (KUB) | $169.62 | $282.70 | $127.22–$270.83 | 17% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 DX ABDOMEN LATERAL ONLY | $169.62 | $282.70 | $127.22–$270.83 | 17% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 DX ABDOMEN LATERAL DECUB | $169.62 | $282.70 | $127.22–$270.83 | 17% above | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 DX ANKLE LIMITED LEFT | $90.24 | $150.40 | $67.68–$144.08 | 35% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 F-DX ANKLE LIMITED RT | $90.24 | $150.40 | $67.68–$144.08 | 35% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 F-DX ANKLE LIMITED LT | $90.24 | $150.40 | $67.68–$144.08 | 35% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 DX ANKLE LIMITED RIGHT | $90.24 | $150.40 | $67.68–$144.08 | 35% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 F-DX FINGER(S) RIGHT | $170.10 | $283.50 | $127.58–$271.59 | 16% above | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 F-DX FINGER(S) LEFT | $170.10 | $283.50 | $127.58–$271.59 | 16% above | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 DX FINGER(S) RIGHT | $170.10 | $283.50 | $127.58–$271.59 | 16% above | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 DX FINGER(S) LEFT | $170.10 | $283.50 | $127.58–$271.59 | 16% above | 40% |
| X-ray of the foot, 2 views one side CPT 73620 DX FOOT AP & LAT LEFT | $101.79 | $169.65 | $76.34–$162.52 | 20% below | 40% |
| X-ray of the foot, 2 views one side CPT 73620 DX FOOT AP & LAT RIGHT | $101.79 | $169.65 | $76.34–$162.52 | 20% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 F-DX FOOT COMPLETE LEFT | $172.26 | $287.10 | $129.20–$275.04 | 4% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 DX FOOT COMPLETE LEFT | $172.26 | $287.10 | $129.20–$275.04 | 4% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 DX FOOT COMPLETE RIGHT | $172.26 | $287.10 | $129.20–$275.04 | 4% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 F-DX FOOT COMPLETE RIGHT | $172.26 | $287.10 | $129.20–$275.04 | 4% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 DX HAND COMPLETE RIGHT | $170.10 | $283.50 | $127.58–$271.59 | 15% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 DX HAND COMPLETE LEFT | $170.10 | $283.50 | $127.58–$271.59 | 15% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 F-DX HAND COMPLETE LEFT | $170.10 | $283.50 | $127.58–$271.59 | 15% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 F-DX HAND COMPLETE RIGHT | $170.10 | $283.50 | $127.58–$271.59 | 15% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 DX PATELLA LEFT 2 VIEWS | $131.16 | $218.60 | $98.37–$209.42 | 10% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 DX KNEE AP & LAT LEFT | $131.16 | $218.60 | $98.37–$209.42 | 10% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 F-DX PATELLA RIGHT 2 VIEWS | $131.16 | $218.60 | $98.37–$209.42 | 10% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 F-DX KNEE AP & LAT LEFT | $131.16 | $218.60 | $98.37–$209.42 | 10% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 DX PATELLA RIGHT 2 VIEWS | $131.16 | $218.60 | $98.37–$209.42 | 10% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 DX KNEE AP & LAT RIGHT | $131.16 | $218.60 | $98.37–$209.42 | 10% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 DX LUMBAR SPINE AP AND LAT | $175.05 | $291.75 | $131.29–$279.50 | 13% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 F-DX LUMBAR SPINE AP AND LAT | $175.05 | $291.75 | $131.29–$279.50 | 13% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 DX LUMBAR SPINE COMPLETE | $329.76 | $549.60 | $247.32–$526.52 | 15% above | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 F-DX LUMBAR SPINE COMPLETE | $329.76 | $549.60 | $247.32–$526.52 | 15% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 DX THORACIC SPINE AP AND LAT | $199.53 | $332.55 | $149.65–$318.58 | 2% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 F-DX THORACIC SPINE AP AND LAT | $199.53 | $332.55 | $149.65–$318.58 | 2% above | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 DX NASAL BONE | $172.77 | $287.95 | $129.58–$275.86 | 1% below | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 F-DX NASAL BONE | $172.77 | $287.95 | $129.58–$275.86 | 1% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 DX CERVICAL SPINE AP AND LAT | $180.36 | $300.60 | $135.27–$287.97 | 10% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 F-DX CERVICAL SPINE AP AND LAT | $180.36 | $300.60 | $135.27–$287.97 | 10% below | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 F-DX PELVIS AP 1 VIEW | $163.32 | $272.20 | $122.49–$260.77 | at median | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 DX PELVIS AP 1 VIEW | $163.32 | $272.20 | $122.49–$260.77 | at median | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 F-DX SACRUM/COCCYX, 2 VIEWS | $177.99 | $296.65 | $133.49–$284.19 | 11% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 DX COCCYX | $177.99 | $296.65 | $133.49–$284.19 | 11% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 F-DX COCCYX | $177.99 | $296.65 | $133.49–$284.19 | 11% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 DX SACRUM/COCCYX, 2 VIEWS | $177.99 | $296.65 | $133.49–$284.19 | 11% below | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $7.20 | $12.00 | $7.95–$8.17 | 74% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $7.20 | $12.00 | $7.77–$7.99 | 79% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $16.20 | $27.00 | $18.14–$18.63 | 62% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (B-TYPE NATRIURETIC PEPTIDE) | $47.40 | $79.00 | $58.89–$60.50 | 54% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC | $11.40 | $19.00 | $12.69–$13.04 | 81% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE-CHARGE ONLY | $3.60 | $6.00 | $2.70–$5.75 | 50% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $5.40 | $9.00 | $5.90–$6.06 | 79% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST,QUAL SERUM | $9.00 | $15.00 | $11.28–$11.59 | 80% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $7.20 | $12.00 | $7.77–$7.99 | 84% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $18.00 | $30.00 | $20.09–$20.64 | 66% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF | $10.80 | $18.00 | $11.66–$11.98 | 70% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF | $9.00 | $15.00 | $9.71–$9.97 | 73% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $14.40 | $24.00 | $15.84–$16.27 | 82% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK | $9.00 | $15.00 | $9.77–$10.04 | 72% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 DI-DIMER (ADVANCED) | $13.80 | $23.00 | $15.27–$15.69 | 77% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $18.60 | $31.00 | $20.45–$21.00 | 67% below | 40% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) | $19.80 | $33.00 | $22.05–$22.66 | 68% below | 40% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $22.80 | $38.00 | $25.41–$26.10 | 67% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $12.60 | $21.00 | $13.53–$13.90 | 79% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (GLYCOHEMOGLOBI | $13.20 | $22.00 | $14.57–$14.97 | 56% below | 40% |
| Iron blood test (serum iron) CPT 83540 *IRON | $9.00 | $15.00 | $9.71–$9.97 | 68% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 *TIBC | $12.00 | $20.00 | $13.11–$13.47 | 72% below | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $11.40 | $19.00 | $12.26–$12.60 | 86% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $9.00 | $15.00 | $10.05–$10.33 | 60% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $24.60 | $41.00 | $27.59–$28.34 | 70% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $55.20 | $92.00 | $61.92–$63.61 | 59% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $8.40 | $14.00 | $9.02–$9.26 | 80% below | 40% |
| Potassium blood test CPT 84132 POTASSIUM | $6.60 | $11.00 | $7.14–$7.33 | 76% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $3.15 | $5.25 | $5.25–$6.75 | 78% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL | $34.80 | $58.00 | $38.72–$39.77 | 51% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL (TPO) | $19.80 | $33.00 | $21.83–$22.42 | 55% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRASENS | $22.80 | $38.00 | $25.20–$25.89 | 59% below | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE | $9.60 | $16.00 | $10.31–$10.59 | 80% below | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $19.20 | $32.00 | $21.27–$21.86 | 60% below | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $17.40 | $29.00 | $19.14–$19.66 | 68% below | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN-I | $15.00 | $25.00 | $18.71–$19.22 | 79% below | 40% |
| Uric acid blood test CPT 84550 URIC ACID | $6.60 | $11.00 | $6.78–$6.97 | 78% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 AMB-URINALYSIS, DIPSTICK (AUTO) | $27.60 | $46.00 | $3.38–$3.47 | 36% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 | $20.40 | $34.00 | $22.62–$23.24 | 62% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXY VITAMIN D (D3) | $39.60 | $66.00 | $44.40–$45.61 | 58% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG,QUANT | $20.40 | $34.00 | $22.58–$23.20 | 64% below | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 F-MAJOR JOINT ASP/INJ (PIC) | $209.11 | $348.52 | $156.83–$333.88 | 46% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT/BURSA INJECTION/ASP | $209.11 | $348.52 | $271.51–$1,821.04 | 46% below | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSN 1 HR/1ST DRUG | $204.45 | $340.75 | $153.34–$326.44 | 54% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 E/R CRITICAL CARE 1ST 30-74 MIN | $496.20 | $827.00 | $470.00–$2,788.00 | 55% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-ROUTINE | $104.07 | $173.45 | $78.05–$166.17 | 6% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R LEVEL I VISIT | $86.40 | $144.00 | $80.99–$480.58 | 40% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R LEVEL II VISIT | $112.80 | $188.00 | $145.66–$480.58 | 51% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R LEVEL III VISIT | $183.60 | $306.00 | $254.68–$507.00 | 48% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R LEVEL IV VISIT | $256.80 | $428.00 | $391.66–$1,457.00 | 54% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R LEVEL V VISIT | $372.00 | $620.00 | $470.00–$1,457.00 | 54% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EC GXT REG (TREADMILL) | $389.88 | $649.80 | $292.41–$622.51 | 36% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION FOR HYDRATION FRST HR | $191.37 | $318.95 | $143.53–$305.55 | 18% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 OP INFUSION THERAPY (IV) 1ST HOUR | $114.00 | $190.00 | $85.50–$182.02 | 60% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY (IV) 1ST HOUR | $191.37 | $318.95 | $143.53–$305.55 | 32% below | 40% |
| IV push of a medicine, first drug CPT 96374 INJECTION(THERAPEUTIC), IV | $114.00 | $190.00 | $85.50–$182.02 | 21% below | 40% |
| IV push of a medicine, first drug CPT 96374 OP INJECTION THERAPEUTIC IV PUSH | $114.00 | $190.00 | $85.50–$182.02 | 21% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJECTION THERAPEUTIC,SC/IM EA | $53.52 | $89.20 | $40.14–$85.45 | 18% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION(THERAPEUTIC), SC/IM | $53.52 | $89.20 | $40.14–$85.45 | 18% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RETRAINING EA 15 MI | $69.69 | $116.15 | $43.34 | 21% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 BARIATRIC NUTRITION COUNSEL EA15M | $12.00 | $20.00 | $9.00–$19.16 | 77% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION COUNSEL-INITIAL EA 15MI | $15.72 | $26.20 | $11.79–$25.10 | 70% below | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Vaccine (Fluad 65yrs-up PFS Tri 2025-20265) 0.5mL Syringe | $432.42 | $720.70 | $324.32–$690.43 | 28% above | 40% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Vaccine (Fluad 65yrs-up PFS Tri 2025-20265) 0.5mL Syringe | $432.42 | $720.70 | $324.32–$690.43 | 28% above | 40% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Influenza Vaccine (Fluad 65yrs-up PFS Tri 2025-20265) 0.5mL Syringe | $432.42 | $720.70 | $324.32–$690.43 | — | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dip-Acell-Per-Tet (Infanrix) Vaccine 0.5mL | $326.28 | $543.80 | $244.71–$520.96 | 196% above | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dip-Acell-Per-Tet (Infanrix) Vaccine 0.5mL | $326.28 | $543.80 | $244.71–$520.96 | 196% above | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dip-Acell-Per-Tet (Infanrix) Vaccine 0.5mL | $326.28 | $543.80 | $244.71–$520.96 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vaccine (Afluria PF Tri 3yrs-up 2024-2025) 0.5mL Syringe | $265.92 | $443.20 | $199.44–$424.59 | 386% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vaccine (Afluria PF Tri 3yrs-up 2024-2025) 0.5mL Syringe | $265.92 | $443.20 | $199.44–$424.59 | 386% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Vaccine (Afluria PF Tri 3yrs-up 2024-2025) 0.5mL Syringe | $265.92 | $443.20 | $199.44–$424.59 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine ADULT 20mcg/ml INJ 1ml | $380.82 | $634.70 | $285.62–$608.04 | 153% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine ADULT 20mcg/ml INJ 1ml | $380.82 | $634.70 | $285.62–$608.04 | 153% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B vaccine ADULT 20mcg/ml INJ 1ml | $380.82 | $634.70 | $285.62–$608.04 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-valent Vaccine (Prevnar-20) IM INJ 0.5mL | $2,060.70 | $3,434.50 | $1,545.53–$3,290.25 | 153% above | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-valent Vaccine (Prevnar-20) IM INJ 0.5mL | $2,060.70 | $3,434.50 | $1,545.53–$3,290.25 | 153% above | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20-valent Vaccine (Prevnar-20) IM INJ 0.5mL | $2,060.70 | $3,434.50 | $1,545.53–$3,290.25 | — | 40% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine (IPOL) 0.5ml Syringe | $411.23 | $685.39 | $308.43–$656.60 | 204% above | 40% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine (IPOL) 0.5ml Syringe | $411.23 | $685.39 | $308.43–$656.60 | 204% above | 40% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus Vaccine (IPOL) 0.5ml Syringe | $411.23 | $685.39 | $308.43–$656.60 | — | 40% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine purified chick embryo cell Pwd 2.5 units/1ml INJ | $1,647.72 | $2,746.20 | $1,235.79–$2,630.86 | 145% above | 40% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine purified chick embryo cell Pwd 2.5 units/1ml INJ | $1,647.72 | $2,746.20 | $1,235.79–$2,630.86 | 145% above | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine purified chick embryo cell Pwd 2.5 units/1ml INJ | $1,647.72 | $2,746.20 | $1,235.79–$2,630.86 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION | $53.52 | $89.20 | $40.14–$85.45 | 10% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMINISTRATION, ADDL | $36.96 | $61.60 | $27.72–$59.01 | 25% below | 40% |
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://baptistfirst.pt.panaceainc.com/MRFDownload/baptistfirst/bmc-east