Bennett County Hospital & Nursing Home
Bennett County Hospital & Nursing Home in Martin, SD publishes cash prices for 187 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the South Dakota median for 146 of 185 procedures and below it for 35. By typical cash price it ranks #20 of 20 South Dakota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
102 Major Allen St, Martin, SD, 57551 Collected Sep 27, 2026 Source price file (605) 685-6622
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 431314 · CMS hospital register
The price file shows no self-pay discount
For 512 of the 512 prices listed here, the cash price in Bennett County Hospital & Nursing Home's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE UNILATERAL | $956.90 | $956.90 | — | 70% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE UNILATERAL | $956.90 | $956.90 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST - LIMITED | $731.62 | $731.62 | — | 30% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST - LIMITED | $731.62 | $731.62 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CTA CHEST | $3,557.97 | $3,557.97 | — | 30% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CTA CHEST | $3,557.97 | $3,557.97 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CONTRAST | $4,150.00 | $4,150.00 | — | 9% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS RENAL PROTOCOL | $4,150.00 | $4,150.00 | — | 9% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CONTRAST | $4,150.00 | $4,150.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS RENAL PROTOCOL | $4,150.00 | $4,150.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CONTRAST | $4,890.40 | $4,890.40 | — | 4% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CONTRAST | $4,890.40 | $4,890.40 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS W AND WO CONTRAST | $5,076.00 | $5,076.00 | — | 2% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS W AND WO CONTRAST | $5,076.00 | $5,076.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $1,545.25 | $1,545.25 | — | 49% below | — |
| CT scan of the abdomen with contrast CPT 74160 CT UPPER ABDOMEN W CONTRAST | $2,856.97 | $2,856.97 | — | 6% below | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST | $1,545.25 | $1,545.25 | — | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT UPPER ABDOMEN W CONTRAST | $2,856.97 | $2,856.97 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST | $1,120.23 | $1,120.23 | — | 43% below | — |
| CT scan of the abdomen without contrast CPT 74150 CT UPPER ABDOMEN WO CONTRAST | $2,345.18 | $2,345.18 | — | 19% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST | $1,120.23 | $1,120.23 | — | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT UPPER ABDOMEN WO CONTRAST | $2,345.18 | $2,345.18 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT DENTASCAN IMPLANTS | $2,102.00 | $2,102.00 | — | 8% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO CONTRAST | $2,102.00 | $2,102.00 | — | 8% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONTRAST | $2,102.00 | $2,102.00 | — | 8% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES WO CONTRAST | $2,102.00 | $2,102.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO CONTRAST | $2,102.00 | $2,102.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT DENTASCAN IMPLANTS | $2,102.00 | $2,102.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $2,133.39 | $2,133.39 | — | 8% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $2,133.39 | $2,133.39 | — | — | — |
| CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST | $1,830.50 | $1,830.50 | — | 20% below | — |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST | $1,830.50 | $1,830.50 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CONTRAST | $2,228.72 | $2,228.72 | — | 21% below | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CONTRAST | $2,228.72 | $2,228.72 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONTRAST | $2,435.00 | $2,435.00 | — | 2% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CONTRAST | $2,435.00 | $2,435.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CONTRAST | $2,685.00 | $2,685.00 | — | 19% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CONTRAST | $2,685.00 | $2,685.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $2,105.26 | $2,105.26 | — | 6% below | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $2,105.26 | $2,105.26 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILATERAL | $2,211.18 | $2,211.18 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DUPLEX BILATERAL | $2,211.18 | $2,211.18 | — | — | — |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $376.00 | $376.00 | — | at median | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS | $376.00 | $376.00 | — | — | — |
| Chest X-ray, single view CPT 71045 XR CHEST W/ APICAL LORDOTIC | $295.00 | $295.00 | — | 4% below | — |
| Chest X-ray, single view CPT 71045 XR PORTABLE CHEST | $295.00 | $295.00 | — | 4% below | — |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $295.00 | $295.00 | — | 4% below | — |
| Chest X-ray, single view CPT 71045 XR CHEST WITH OBLIQUE | $295.00 | $295.00 | — | 4% below | — |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $295.00 | $295.00 | — | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR PORTABLE CHEST | $295.00 | $295.00 | — | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST W/ APICAL LORDOTIC | $295.00 | $295.00 | — | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST WITH OBLIQUE | $295.00 | $295.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL - COMPLETE | $1,033.19 | $1,033.19 | — | 15% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL - COMPLETE | $1,033.19 | $1,033.19 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST | $2,403.05 | $2,403.05 | — | 16% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST | $2,403.05 | $2,403.05 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST | $2,732.35 | $2,732.35 | — | 2% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST | $2,732.35 | $2,732.35 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIES LOWER EXT BILATERAL | $3,007.22 | $3,007.22 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIES LOWER EXT BILATERAL | $3,007.22 | $3,007.22 | — | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS EXTREMITIES - COMPLETE | $2,211.18 | $2,211.18 | — | 77% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS EXTREMITIES - COMPLETE | $2,211.18 | $2,211.18 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US CARDIAC ECHO COMPLETE W/COLOR | $2,453.00 | $2,453.00 | — | 2% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US CARDIAC ECHO COMPLETE W/COLOR | $2,453.00 | $2,453.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED | $836.27 | $836.27 | — | 2% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED | $836.27 | $836.27 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LUNG CANCER LOW DOSE WO CONTRAS | $2,147.00 | $2,147.00 | — | 144% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LUNG CANCER LOW DOSE WO CONTRAS | $2,147.00 | $2,147.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC - LIMITED/FOLLOW-UP | $457.50 | $457.50 | — | 7% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC - LIMITED/FOLLOW-UP | $457.50 | $457.50 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC - COMPLETE | $1,020.00 | $1,020.00 | — | 2% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC - COMPLETE | $1,020.00 | $1,020.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB-COMPLETE >14 WEEKS | $1,239.59 | $1,239.59 | — | 56% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB-COMPLETE >14 WEEKS | $1,239.59 | $1,239.59 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB-COMPLETE <14 WEEKS | $984.96 | $984.96 | — | 36% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB-COMPLETE <14 WEEKS | $984.96 | $984.96 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB-PREGNANCY LIMITED | $698.10 | $698.10 | — | 29% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB-PREGNANCY LIMITED | $698.10 | $698.10 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL PELVIS | $1,182.00 | $1,182.00 | — | 70% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US ENDOVAGINAL PELVIS | $1,182.00 | $1,182.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB-PREGNANCY TRANSVAGINAL | $798.65 | $798.65 | — | 30% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB-PREGNANCY TRANSVAGINAL | $798.65 | $798.65 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,111.04 | $1,111.04 | — | 3% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $1,111.04 | $1,111.04 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $476.99 | $476.99 | — | 48% below | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR | $476.99 | $476.99 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $1,191.42 | $1,191.42 | — | 45% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID | $1,191.42 | $1,191.42 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS EXTREMITIES - LIMITED | $1,336.00 | $1,336.00 | — | 37% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS EXTREMITIES - LIMITED | $1,336.00 | $1,336.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR INFANT PELVIS & HIPS 2 VIEWS | $370.00 | $370.00 | — | 20% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR INFANT PELVIS & HIPS 2 VIEWS | $370.00 | $370.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $333.00 | $333.00 | — | 2% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR PORTABLE ABDOMEN | $333.00 | $333.00 | — | 2% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR PORTABLE ABDOMEN | $333.00 | $333.00 | — | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW | $333.00 | $333.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2-3 VIEWS | $461.14 | $461.14 | — | 8% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL 2-3 VIEWS | $461.14 | $461.14 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL COMPLETE | $496.00 | $496.00 | — | 15% below | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL COMPLETE | $496.00 | $496.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS | $362.00 | $362.00 | — | at median | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VIEWS | $362.00 | $362.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3 VIEW | $305.67 | $305.67 | — | 3% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3 VIEW | $305.67 | $305.67 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2-3 VIEWS | $379.24 | $379.24 | — | 2% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2-3 VIEWS | $379.24 | $379.24 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS AP | $322.06 | $322.06 | — | 2% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS AP | $322.06 | $322.06 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX 2 + VIEWS | $282.69 | $282.69 | — | 7% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX 2 + VIEWS | $282.69 | $282.69 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (ALANINE SGPT) | $76.00 | $76.00 | — | 4% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (ALANINE SGPT) | $76.00 | $76.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $87.00 | $87.00 | — | 20% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $87.00 | $87.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN | $72.00 | $72.00 | — | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ALLERGEN | $72.00 | $72.00 | — | 109% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN | $72.00 | $72.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX ALLERGEN | $72.00 | $72.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $179.67 | $179.67 | — | 53% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $179.67 | $179.67 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODIES | $179.00 | $179.00 | — | 121% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODIES | $179.00 | $179.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO BNP | $257.25 | $257.25 | — | 36% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEP | $318.00 | $318.00 | — | 68% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PRO BNP | $257.25 | $257.25 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEP | $318.00 | $318.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC PANEL | $178.00 | $178.00 | — | 24% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC PANEL | $178.00 | $178.00 | — | — | — |
| Blood culture for bacteria CPT 87040 CULTURE (BLOOD) | $203.51 | $203.51 | — | 12% above | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE (BLOOD) | $203.51 | $203.51 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD ALCOHOL | $37.00 | $37.00 | — | 45% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING FEE | $41.50 | $41.50 | — | 62% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD ALCOHOL | $37.00 | $37.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRAWING FEE | $41.50 | $41.50 | — | — | — |
| Blood glucose (sugar) test CPT 82947 1 HR GLUCOSE TOLERANCE | $79.13 | $79.13 | — | 35% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $79.13 | $79.13 | — | 35% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 1 HR GLUCOSE TOLERANCE | $79.13 | $79.13 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $79.13 | $79.13 | — | — | — |
| Blood lead test CPT 83655 LEAD CAPILLARY | $81.59 | $81.59 | — | 82% above | — |
| Blood lead test CPT 83655 LEAD VENUS | $81.59 | $81.59 | — | 82% above | — |
| Blood lead test CPT 83655 ASSAY OF LEAD | $82.69 | $82.69 | — | 84% above | — |
| Blood lead test inpatient CPT 83655 LEAD CAPILLARY | $81.59 | $81.59 | — | — | — |
| Blood lead test inpatient CPT 83655 LEAD VENUS | $81.59 | $81.59 | — | — | — |
| Blood lead test inpatient CPT 83655 ASSAY OF LEAD | $82.69 | $82.69 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM PREGNANCY | $54.87 | $54.87 | — | 53% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM PREGNANCY | $54.87 | $54.87 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE (AB0) | $75.00 | $75.00 | — | 47% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO & RH | $75.00 | $75.00 | — | 47% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO DISCREPANCY | $75.00 | $75.00 | — | 47% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE (AB0) | $75.00 | $75.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO & RH | $75.00 | $75.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO DISCREPANCY | $75.00 | $75.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $114.38 | $114.38 | — | 37% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP | $114.38 | $114.38 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY NAAT | $303.00 | $303.00 | — | 43% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF BY NAAT | $303.00 | $303.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $209.00 | $209.00 | — | 106% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $209.00 | $209.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 | $354.00 | $354.00 | — | 117% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 | $354.00 | $354.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID STATE | $147.00 | $147.00 | — | 18% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID TESTING PCR IN HOUSE | $147.24 | $147.24 | — | 18% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR SANFORD | $181.10 | $181.10 | — | 45% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID STATE | $147.00 | $147.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID TESTING PCR IN HOUSE | $147.24 | $147.24 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID PCR SANFORD | $181.10 | $181.10 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA | $194.30 | $194.30 | — | 70% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA | $194.30 | $194.30 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 VAGINAL PATHOGEN PANEL | $174.00 | $174.00 | — | 64% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $174.00 | $174.00 | — | 64% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $174.00 | $174.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 VAGINAL PATHOGEN PANEL | $174.00 | $174.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 *CBC AUTOMATED DIF | $130.00 | $130.00 | — | 20% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 *CBC AUTOMATED DIF | $130.00 | $130.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 *CBC W/O DIFF | $89.00 | $89.00 | — | 4% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 *CBC W/O DIFF | $89.00 | $89.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE PANEL | $229.00 | $229.00 | — | 40% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE PANEL | $229.00 | $229.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $203.51 | $203.51 | — | 45% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $203.51 | $203.51 | — | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL, TOTAL | $254.63 | $254.63 | — | 64% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL, TOTAL | $254.63 | $254.63 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLICLE STIMULATING HORMONE | $196.85 | $196.85 | — | 81% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLICLE STIMULATING HORMONE | $196.85 | $196.85 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN | $335.01 | $335.01 | — | 36% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN | $335.01 | $335.01 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $151.73 | $151.73 | — | 25% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $151.73 | $151.73 | — | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE, SERUM | $214.39 | $214.39 | — | 108% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE, SERUM | $214.39 | $214.39 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $247.91 | $247.91 | — | 50% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $247.91 | $247.91 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 DONT USE DUPLICATE FREE T4 | $122.59 | $122.59 | — | 37% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $159.52 | $159.52 | — | 79% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 DONT USE DUPLICATE FREE T4 | $122.59 | $122.59 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $159.52 | $159.52 | — | — | — |
| Free testosterone test CPT 84402 ASSAY OF TESTOSTERONE FREE | $89.30 | $89.30 | — | 49% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $222.96 | $222.96 | — | 272% above | — |
| Free testosterone test inpatient CPT 84402 ASSAY OF TESTOSTERONE FREE | $89.30 | $89.30 | — | — | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $222.96 | $222.96 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE GTT | $134.00 | $134.00 | — | 18% below | — |
| Glucose tolerance test, 3 samples CPT 82951 2 HR GLUCOSE TOLERANCE | $134.00 | $134.00 | — | 18% below | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE GTT | $134.00 | $134.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 2 HR GLUCOSE TOLERANCE | $134.00 | $134.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA (CLBH) | $196.88 | $196.88 | — | 128% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA | $274.71 | $274.71 | — | 218% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA (CLBH) | $196.88 | $196.88 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA | $274.71 | $274.71 | — | — | — |
| H. pylori antibody blood test CPT 86677 H PYLORI ANTIGEN, FECAL | $183.49 | $183.49 | — | 52% above | — |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIGEN, FECAL | $183.49 | $183.49 | — | — | — |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL | $268.34 | $268.34 | — | 44% above | — |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL | $268.34 | $268.34 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QUANT | $603.07 | $603.07 | — | 54% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA QUANT | $603.07 | $603.07 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 DO NOT USE - GLYCATED HEMOGLOBIN A1 | $100.00 | $100.00 | — | 27% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $107.19 | $107.19 | — | 36% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 DO NOT USE - GLYCATED HEMOGLOBIN A1 | $100.00 | $100.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $107.19 | $107.19 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $139.43 | $139.43 | — | 27% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $139.43 | $139.43 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $88.39 | $88.39 | — | 25% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $88.39 | $88.39 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY W/ REFLEX | $219.00 | $219.00 | — | 62% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C RNA QUANT | $229.00 | $229.00 | — | 69% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY W/ REFLEX | $219.00 | $219.00 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C RNA QUANT | $229.00 | $229.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT, PCR | $254.63 | $254.63 | — | 30% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANTITATIVE | $283.05 | $283.05 | — | 44% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT, PCR | $254.63 | $254.63 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANTITATIVE | $283.05 | $283.05 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY HERPES SMPLEX TYPE 1 | $126.79 | $126.79 | — | 44% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX ABY TITER TYPE 1 | $132.72 | $132.72 | — | 51% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY HERPES SMPLEX TYPE 1 | $126.79 | $126.79 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX ABY TITER TYPE 1 | $132.72 | $132.72 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY HERPES SMPLX TYPE 2 | $137.81 | $137.81 | — | 49% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX ABY TITER TYPE 2 | $172.95 | $172.95 | — | 87% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY HERPES SMPLX TYPE 2 | $137.81 | $137.81 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX ABY TITER TYPE 2 | $172.95 | $172.95 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HS | $79.18 | $79.18 | — | 25% below | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HS | $79.18 | $79.18 | — | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $217.00 | $217.00 | — | 126% above | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $217.00 | $217.00 | — | — | — |
| Insulin blood test CPT 83525 INSULIN LEVEL | $174.23 | $174.23 | — | 99% above | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL | $174.23 | $174.23 | — | — | — |
| Iron blood test (serum iron) CPT 83540 IRON | $76.00 | $76.00 | — | 4% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $76.00 | $76.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $93.00 | $93.00 | — | 8% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING | $93.00 | $93.00 | — | — | — |
| Kidney function blood test panel CPT 80069 RENAL PANEL | $194.00 | $194.00 | — | 39% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL | $194.00 | $194.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE | $196.85 | $196.85 | — | 12% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE | $196.85 | $196.85 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $144.47 | $144.47 | — | 20% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $144.47 | $144.47 | — | — | — |
| Liver function blood test panel CPT 80076 HEPATIC PANEL | $230.00 | $230.00 | — | 65% above | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL | $230.00 | $230.00 | — | — | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY REFLEX TO CONFIRMA | $191.76 | $191.76 | — | 84% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY REFLEX TO CONFIRMA | $191.76 | $191.76 | — | — | — |
| Magnesium blood test CPT 83735 RBC Mg | $37.28 | $37.28 | — | 49% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM/SUPERSATURATION PROFILE | $98.00 | $98.00 | — | 35% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $201.02 | $201.02 | — | 176% above | — |
| Magnesium blood test inpatient CPT 83735 RBC Mg | $37.28 | $37.28 | — | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM/SUPERSATURATION PROFILE | $98.00 | $98.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $201.02 | $201.02 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES IgM | $148.69 | $148.69 | — | 88% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IgM | $148.69 | $148.69 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST | $101.82 | $101.82 | — | 55% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST | $101.82 | $101.82 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $191.76 | $191.76 | — | 23% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 FREE & TOTAL PSA | $193.67 | $193.67 | — | 24% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $191.76 | $191.76 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 FREE & TOTAL PSA | $193.67 | $193.67 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT | $289.41 | $289.41 | — | 31% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $299.00 | $299.00 | — | 35% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, INTACT | $289.41 | $289.41 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $299.00 | $299.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAST T | $105.99 | $105.99 | — | 18% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAST T | $105.99 | $105.99 | — | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $210.28 | $210.28 | — | 37% above | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $210.28 | $210.28 | — | — | — |
| Prolactin blood test CPT 84146 PROLACTIN | $168.78 | $168.78 | — | 31% above | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $168.78 | $168.78 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT-COAGU CHECK | $72.00 | $72.00 | — | 128% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME OR PT | $79.13 | $79.13 | — | 150% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-COAGU CHECK | $72.00 | $72.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME OR PT | $79.13 | $79.13 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN RAPID URINE-SANFORD | $211.00 | $211.00 | — | 226% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PAIN MANAGEMENT PANEL | $211.00 | $211.00 | — | 226% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EMPLOYEE DRUG SCREEN | $211.00 | $211.00 | — | 226% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN (ER) | $211.00 | $211.00 | — | 226% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 PAIN MANAGEMENT PANEL | $211.00 | $211.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN RAPID URINE-SANFORD | $211.00 | $211.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUG SCREEN (ER) | $211.00 | $211.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 EMPLOYEE DRUG SCREEN | $211.00 | $211.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 DO NOT USE - INFLUENZA | $179.81 | $179.81 | — | 146% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 DO NOT USE - INFLUENZA | $179.81 | $179.81 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN DO NOT USE | $119.35 | $119.35 | — | 58% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN DO NOT USE | $119.35 | $119.35 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $104.65 | $104.65 | — | 21% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $120.00 | $120.00 | — | 39% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $104.65 | $104.65 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $120.00 | $120.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IgM | $107.19 | $107.19 | — | 52% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IgM | $107.19 | $107.19 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR AUTOMATED | $76.00 | $76.00 | — | 19% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR AUTOMATED | $76.00 | $76.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $162.07 | $162.07 | — | 86% above | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $162.07 | $162.07 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD #1 | $44.34 | $44.34 | — | 7% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN | $44.34 | $44.34 | — | 7% below | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN | $44.34 | $44.34 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD #1 | $44.34 | $44.34 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS SEROLOGY TITER | $29.77 | $29.77 | — | 49% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SYPHILIS SEROLOGY | $74.96 | $74.96 | — | 27% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS SEROLOGY TITER | $29.77 | $29.77 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR SYPHILIS SEROLOGY | $74.96 | $74.96 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD | $307.00 | $307.00 | — | 11% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD | $307.00 | $307.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE RANDOM FEMALE | $221.00 | $221.00 | — | 114% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE, AM DRAWS | $221.00 | $221.00 | — | 114% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE RANDOM FEMALE | $221.00 | $221.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE, AM DRAWS | $221.00 | $221.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODIES | $180.95 | $180.95 | — | 51% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODIES | $180.95 | $180.95 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ULTRA SENSITIVE TSH | $193.03 | $193.03 | — | 77% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HO | $193.03 | $193.03 | — | 77% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HO | $193.03 | $193.03 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ULTRA SENSITIVE TSH | $193.03 | $193.03 | — | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $79.00 | $79.00 | — | 19% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $79.00 | $79.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 *URINE AUTO W/MICRO | $82.00 | $82.00 | — | 42% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 *URINE AUTO W/MICRO | $82.00 | $82.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 *URINALYSIS MICROSCOPE | $49.00 | $49.00 | — | 24% above | — |
| Urinalysis without microscope exam, automated CPT 81003 *URINALYSIS W/O MICO (D | $49.00 | $49.00 | — | 24% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 *URINALYSIS MICROSCOPE | $49.00 | $49.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 *URINALYSIS W/O MICO (D | $49.00 | $49.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $104.00 | $104.00 | — | 1% above | — |
| Urine culture for bacteria, with colony count CPT 87086 COLONY COUNT | $125.00 | $125.00 | — | 21% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $104.00 | $104.00 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 COLONY COUNT | $125.00 | $125.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY | $169.00 | $169.00 | — | 107% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY | $169.00 | $169.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN K | $115.00 | $115.00 | — | 1% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $173.78 | $173.78 | — | 50% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 | $219.84 | $219.84 | — | 90% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 FOLATE | $340.46 | $340.46 | — | 195% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN K | $115.00 | $115.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $173.78 | $173.78 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12 | $219.84 | $219.84 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 FOLATE | $340.46 | $340.46 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH TOTAL | $324.19 | $324.19 | — | 111% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CANCER ANTIGEN 27.29 | $324.19 | $324.19 | — | 111% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2 & D3 | $324.19 | $324.19 | — | 111% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH TOTAL | $324.19 | $324.19 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXYVITAMIN D2 & D3 | $324.19 | $324.19 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CANCER ANTIGEN 27.29 | $324.19 | $324.19 | — | — | — |
| Zinc blood test CPT 84630 ZINC SERUM | $134.64 | $134.64 | — | 393% above | — |
| Zinc blood test inpatient CPT 84630 ZINC SERUM | $134.64 | $134.64 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER | $90.17 | $90.17 | — | 32% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $144.88 | $144.88 | — | 9% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 DO NOT USE - HCG BETA QUAN SERUM | $160.50 | $160.50 | — | 20% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER | $90.17 | $90.17 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG BETA QUANTITATIVE | $144.88 | $144.88 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 DO NOT USE - HCG BETA QUAN SERUM | $160.50 | $160.50 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ER - CARDIOVERSION | $810.75 | $810.75 | — | 45% below | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ER - CARDIOVERSION | $810.75 | $810.75 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED DISTAL RADIAL F | $1,379.00 | $1,379.00 | — | 131% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED DISTAL RADIAL F | $1,379.00 | $1,379.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE CERUMEN BY IRRIGATION | $60.64 | $60.64 | — | 64% below | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE CERUMEN BY IRRIGATION | $60.64 | $60.64 | — | — | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE CERUMEN | $188.58 | $188.58 | — | 1% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE CERUMEN | $188.58 | $188.58 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE OF ABSCESS | $385.43 | $385.43 | — | 16% below | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE OF ABSCESS | $385.43 | $385.43 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION/INJECT MAJO | $302.49 | $302.49 | — | 56% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATION/INJECT MAJO | $302.49 | $302.49 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION/INJECT MEDIUM JOINT | $234.59 | $234.59 | — | 52% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATION/INJECT MEDIUM JOINT | $234.59 | $234.59 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERM S T N <2.5 CM | $682.48 | $682.48 | — | 1% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERM S T N <2.5 CM | $682.48 | $682.48 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE | $296.12 | $296.12 | — | 10% below | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE | $296.12 | $296.12 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W IMAGING GUIDANC | $1,358.30 | $1,358.30 | — | 31% below | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W IMAGING GUIDANC | $1,358.30 | $1,358.30 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL OF FOREIGN BODY, SIMP | $534.77 | $534.77 | — | 15% below | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL OF FOREIGN BODY, SIMP | $534.77 | $534.77 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT | $304.05 | $304.05 | — | at median | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT | $304.05 | $304.05 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT | $299.00 | $299.00 | — | 7% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT | $299.00 | $299.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMPLE S T N <2.5 CM | $602.09 | $602.09 | — | 31% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SIMPLE S T N <2.5 CM | $602.09 | $602.09 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SIMPLE S T N 2.6-7.5 CM | $727.50 | $727.50 | — | 43% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SIMPLE S T N 2.6-7.5 CM | $727.50 | $727.50 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SIMPLE F E N <2.5 CM | $727.50 | $727.50 | — | 54% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR SIMPLE F E N <2.5 CM | $727.50 | $727.50 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 SINGLE OR MULTIPLE TRIGGER POINT 1-2 | $273.48 | $273.48 | — | 55% below | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SINGLE OR MULTIPLE TRIGGER POINT 1-2 | $273.48 | $273.48 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN PARTI | $356.00 | $356.00 | — | 61% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN& SUBC | $401.06 | $401.06 | — | 56% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN PARTI | $356.00 | $356.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN& SUBC | $401.06 | $401.06 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $1,177.00 | $1,177.00 | — | 22% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BB TRANSFUSION BLOOD/BLOO | $1,297.36 | $1,297.36 | — | 34% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $1,177.00 | $1,177.00 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB TRANSFUSION BLOOD/BLOO | $1,297.36 | $1,297.36 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Airway Inhalation Treatment | $254.00 | $254.00 | — | 16% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Airway Inhalation Treatment | $254.00 | $254.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE PHY FIRST 30 - 74 MINUTES | $1,905.86 | $1,905.86 | — | 53% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30 - 74 MINUTES | $1,905.86 | $1,905.86 | — | 53% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE PHY FIRST 30 - 74 MINUTES | $1,905.86 | $1,905.86 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 30 - 74 MINUTES | $1,905.86 | $1,905.86 | — | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG/12 LEADS/INTERP AN | $175.50 | $175.50 | — | 330% above | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG/12 LEADS/INTERP AN | $175.50 | $175.50 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $293.00 | $293.00 | — | 21% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $293.00 | $293.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 0-15 | $261.63 | $261.63 | — | 67% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER PHY LEVEL 1 | $263.25 | $263.25 | — | 68% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 0-15 | $261.63 | $261.63 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER PHY LEVEL 1 | $263.25 | $263.25 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER PHY LEVEL 2 | $346.83 | $346.83 | — | at median | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 16-35 | $434.00 | $434.00 | — | 25% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER PHY LEVEL 2 | $346.83 | $346.83 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 16-35 | $434.00 | $434.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER PHY LEVEL 3 | $549.64 | $549.64 | — | 23% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 36-64 | $644.51 | $644.51 | — | 44% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER PHY LEVEL 3 | $549.64 | $549.64 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 36-64 | $644.51 | $644.51 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER PHY LEVEL 4 | $846.41 | $846.41 | — | at median | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 65-105 | $962.34 | $962.34 | — | 14% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER PHY LEVEL 4 | $846.41 | $846.41 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 65-105 | $962.34 | $962.34 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER PHY LEVEL 5 | $1,200.35 | $1,200.35 | — | at median | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 106-299 | $1,411.00 | $1,411.00 | — | 18% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER PHY LEVEL 5 | $1,200.35 | $1,200.35 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 106-299 | $1,411.00 | $1,411.00 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/ PATIENT PRESENT | $845.00 | $845.00 | — | 175% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY W/ PATIENT PRESENT | $845.00 | $845.00 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/O PT PRESENT | $805.00 | $805.00 | — | 162% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/O PT PRESENT | $805.00 | $805.00 | — | — | — |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $735.00 | $735.00 | — | 289% above | — |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $735.00 | $735.00 | — | — | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 RT HOLTER MONITORING W SUPERIMPOSITION | $556.12 | $556.12 | — | 147% above | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 RT HOLTER MONITORING W SUPERIMPOSITION | $556.12 | $556.12 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION THERAPY UP TO 1 HR | $278.52 | $278.52 | — | 36% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION THERAPY TREATMENT | $332.24 | $332.24 | — | 23% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION THERAPY ER | $388.00 | $388.00 | — | 10% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB IV INFUSION HYDRA I | $388.00 | $388.00 | — | 10% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION THERAPY UP TO 1 HR | $278.52 | $278.52 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION THERAPY TREATMENT | $332.24 | $332.24 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB IV INFUSION HYDRA I | $388.00 | $388.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION THERAPY ER | $388.00 | $388.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 OB IV DRUG ADMIN/INF H | $381.27 | $381.27 | — | 14% below | — |
| IV infusion of a medicine, first hour CPT 96365 ER INITIAL IV DRUG INFUSION | $381.27 | $381.27 | — | 14% below | — |
| IV infusion of a medicine, first hour CPT 96365 INITIAL INTRAVENOUS INFUSION FOR THERAPY | $396.00 | $396.00 | — | 11% below | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 OB IV DRUG ADMIN/INF H | $381.27 | $381.27 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 ER INITIAL IV DRUG INFUSION | $381.27 | $381.27 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INITIAL INTRAVENOUS INFUSION FOR THERAPY | $396.00 | $396.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB INJECTION SQ/IM | $112.00 | $112.00 | — | 20% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ/IM TXT OP | $130.06 | $130.06 | — | 40% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJECTION SQ/IM | $186.32 | $186.32 | — | 100% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 TREATMENT ROOM INJECTION SQ/IM | $191.47 | $191.47 | — | 106% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB INJECTION SQ/IM | $112.00 | $112.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ/IM TXT OP | $130.06 | $130.06 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER INJECTION SQ/IM | $186.32 | $186.32 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TREATMENT ROOM INJECTION SQ/IM | $191.47 | $191.47 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 CARDIAC REHAB INITIAL | $439.44 | $439.44 | — | 31% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 CARDIAC REHAB INITIAL | $439.44 | $439.44 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 TREATMENT ROOM | $225.28 | $225.28 | — | 29% above | — |
| Psychotherapy session, 30 minutes CPT 90832 16-37 MINS INDIVIDUAL PSYCHOTHERAPY | $610.00 | $610.00 | — | 101% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 16-37 MINS INDIVIDUAL PSYCHOTHERAPY | $610.00 | $610.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 38-52 MINS INDIVIDUAL PSYCHOTHERAPY | $755.00 | $755.00 | — | 127% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 38-52 MINS INDIVIDUAL PSYCHOTHERAPY | $755.00 | $755.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 53-67 MINS INDIVIDUAL PSYCHOTHERAPY | $770.00 | $770.00 | — | 109% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 53-67 MINS INDIVIDUAL PSYCHOTHERAPY | $770.00 | $770.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 RT Smoking Cessation 3-10 Minutes | $42.78 | $42.78 | — | 20% below | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RT Smoking Cessation 3-10 Minutes | $42.78 | $42.78 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUT PATIENT E/M LEVEL 3 | $168.78 | $168.78 | — | 13% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUT PATIENT E/M LEVEL 4 | $246.34 | $246.34 | — | 8% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUT PATIENT E/M LEVEL 2 | $133.71 | $133.71 | — | 7% above | — |
| Spirometry (breathing test) CPT 94010 RT Breathing Capacity Test | $341.73 | $341.73 | — | 7% above | — |
| Spirometry (breathing test) inpatient CPT 94010 RT Breathing Capacity Test | $341.73 | $341.73 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 RT Evaluation of Wheezing | $712.81 | $712.81 | — | 23% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RT Evaluation of Wheezing | $712.81 | $712.81 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC | $296.00 | $296.00 | — | 22% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC | $296.00 | $296.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA (FLULAVAL TRIV.) VACCINE | $162.07 | $162.07 | — | 492% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA (FLULAVAL TRIV.) VACCINE | $162.07 | $162.07 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC (FLUZONE HIGH DOSE) 65+ | $162.07 | $162.07 | — | 155% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC (FLUZONE HIGH DOSE) 65+ | $162.07 | $162.07 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 (PREVNAR 20) VACCINE | $614.04 | $614.04 | — | 94% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 (PREVNAR 20) VACCINE | $614.04 | $614.04 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL(PNEUMOVAX 23) VACCINE VIAL | $461.37 | $461.37 | — | 226% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL(PNEUMOVAX 23) VACCINE VIAL | $461.37 | $461.37 | — | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE HUMAN(IMOVAX)VIAL | $1,398.82 | $1,398.82 | — | 172% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE CHICK (RABAVERT) INJ | $1,462.00 | $1,462.00 | — | 185% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE HUMAN(IMOVAX)VIAL | $1,398.82 | $1,398.82 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE CHICK (RABAVERT) INJ | $1,462.00 | $1,462.00 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPHTHERIA TOXOID VIAL | $182.21 | $182.21 | — | 145% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPHTHERIA TOXOID VIAL | $182.21 | $182.21 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (BOOSTRIX) INJ | $297.40 | $297.40 | — | 249% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (ADACEL) VIAL | $327.66 | $327.66 | — | 284% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap (BOOSTRIX) INJ | $297.40 | $297.40 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap (ADACEL) VIAL | $327.66 | $327.66 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER IMMUNIZATION ADMIN - ADULT | $82.00 | $82.00 | — | 27% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 L&D IMMUNIZATION ADMIN | $82.00 | $82.00 | — | 27% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ER IMMUNIZATION ADMIN - ADULT | $82.00 | $82.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 L&D IMMUNIZATION ADMIN | $82.00 | $82.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER EACH ADD'L IMMUNIZATION ADMIN - ADULT | $153.00 | $153.00 | — | 110% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 L&D IMMUNIZATION ADMIN EA ADDL | $153.00 | $153.00 | — | 110% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ER EACH ADD'L IMMUNIZATION ADMIN - ADULT | $153.00 | $153.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 L&D IMMUNIZATION ADMIN EA ADDL | $153.00 | $153.00 | — | — | — |