Bennett County Hospital & Nursing Home
Bennett County Hospital & Nursing Home in Martin, SD publishes cash prices for 255 common procedures listed here, from its own machine-readable price file updated Jan 3, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the South Dakota median for 189 of 252 procedures and below it for 57. By typical cash price it ranks #23 of 24 South Dakota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
102 Major Allen St, Martin, SD, 57551 Collected Sep 27, 2026 Source price file Check a bill from this hospital (605) 685-6622
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 431314 · CMS hospital register
The price file shows no self-pay discount
For 755 of the 755 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. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Bennett County Hospital & Nursing Home is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W AND WO CONTRAST | $1,754.27 | $1,754.27 | — | 45% below | — |
| Abdominal CT scan without and with contrast CPT 74170 CT UPPER ABDOMEN W AND WO CONTRAST | $3,308.78 | $3,308.78 | — | 3% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W AND WO CONTRAST | $1,754.27 | $1,754.27 | — | — | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT UPPER ABDOMEN W AND WO CONTRAST | $3,308.78 | $3,308.78 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS | $421.00 | $421.00 | — | 6% below | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEWS | $421.00 | $421.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS RIGHT,Right Side | $395.00 | $395.00 | — | 35% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS LEFT,Left Side | $395.00 | $395.00 | — | 35% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 VIEWS LEFT,Left Side | $395.00 | $395.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 VIEWS RIGHT,Right Side | $395.00 | $395.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY WO CONTRAST LEFT,Left Side | $1,629.47 | $1,629.47 | — | 21% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY WO CONTRAST RT,Right Side | $1,629.47 | $1,629.47 | — | 21% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY WO CONTRAST LEFT,Left Side | $1,629.47 | $1,629.47 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY WO CONTRAST RT,Right Side | $1,629.47 | $1,629.47 | — | — | — |
| 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 (CTA) of the abdomen and pelvis CPT 74174 CT CTA ABDOMEN PELVIS | $5,290.00 | $5,290.00 | — | 31% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT CTA ABDOMEN PELVIS | $5,290.00 | $5,290.00 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 CT CTA C.O.W CIRCLE OF WILLIS | $3,275.28 | $3,275.28 | — | 12% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT CTA C.O.W CIRCLE OF WILLIS | $3,275.28 | $3,275.28 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 CT CTA CAROTID | $3,230.93 | $3,230.93 | — | 10% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT CTA CAROTID | $3,230.93 | $3,230.93 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CTA CHEST | $3,557.97 | $3,557.97 | — | 23% 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 RENAL PROTOCOL | $4,150.00 | $4,150.00 | — | 9% above | — |
| 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 inpatient CPT 74176 CT ABDOMEN PELVIS RENAL PROTOCOL | $4,150.00 | $4,150.00 | — | — | — |
| 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, 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 | — | 47% below | — |
| CT scan of the abdomen with contrast CPT 74160 CT UPPER ABDOMEN W CONTRAST | $2,856.97 | $2,856.97 | — | 1% 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 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 CPT 70486 CT DENTASCAN IMPLANTS | $2,102.00 | $2,102.00 | — | 8% above | — |
| 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 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 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 | — | 18% 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 CT scan without and with contrast CPT 71270 CT CHEST WITH AND WO CONTRAST | $2,886.65 | $2,886.65 | — | 1% below | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST WITH AND WO CONTRAST | $2,886.65 | $2,886.65 | — | — | — |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $376.00 | $376.00 | — | 2% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS | $376.00 | $376.00 | — | — | — |
| Chest X-ray, single view CPT 71045 XR PORTABLE CHEST | $295.00 | $295.00 | — | at median | — |
| Chest X-ray, single view CPT 71045 XR CHEST WITH OBLIQUE | $295.00 | $295.00 | — | at median | — |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $295.00 | $295.00 | — | at median | — |
| Chest X-ray, single view CPT 71045 XR CHEST W/ APICAL LORDOTIC | $295.00 | $295.00 | — | at median | — |
| 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 PORTABLE CHEST | $295.00 | $295.00 | — | — | — |
| 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 CHEST WITH OBLIQUE | $295.00 | $295.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE 2 VIEWS RIGHT,Right Side | $243.80 | $243.80 | — | 3% below | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE 2 VIEWS LEFT,Left Side | $243.80 | $243.80 | — | 3% below | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE 2 VIEWS LEFT,Left Side | $243.80 | $243.80 | — | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE 2 VIEWS RIGHT,Right Side | $243.80 | $243.80 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL - COMPLETE | $1,033.19 | $1,033.19 | — | 17% 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 | — | 15% 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 | — | — | — |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LEFT,Left Side | $252.07 | $252.07 | — | 7% below | — |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RIGHT,Right Side | $252.07 | $252.07 | — | 7% below | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS LEFT,Left Side | $252.07 | $252.07 | — | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS RIGHT,Right Side | $252.07 | $252.07 | — | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ VIEWS RIGHT,Right Side | $334.00 | $334.00 | — | 1% below | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ VIEW LEFT,Left Side | $334.00 | $334.00 | — | 1% below | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMP 3+ VIEWS RIGHT,Right Side | $334.00 | $334.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMP 3+ VIEW LEFT,Left Side | $334.00 | $334.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT MAST/TEMP/IAC W/O CONTRAST | $2,471.19 | $2,471.19 | — | 18% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT MAST/TEMP/IAC W/O CONTRAST | $2,471.19 | $2,471.19 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMP 4 VIEWS | $345.90 | $345.90 | — | 5% below | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES COMP 4 VIEWS | $345.90 | $345.90 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LEFT,Left Side | $227.82 | $227.82 | — | 26% below | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RIGHT,Right Side | $227.82 | $227.82 | — | 26% below | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS LEFT,Left Side | $227.82 | $227.82 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS RIGHT,Right Side | $227.82 | $227.82 | — | — | — |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RIGHT,Right Side | $147.43 | $147.43 | — | 45% below | — |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LEFT,Left Side | $147.43 | $147.43 | — | 45% below | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS RIGHT,Right Side | $147.43 | $147.43 | — | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LEFT,Left Side | $147.43 | $147.43 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 VIEWS LEFT,Left Side | $213.13 | $213.13 | — | 2% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 VIEWS RIGHT,Right Side | $213.13 | $213.13 | — | 2% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2 VIEWS LEFT,Left Side | $213.13 | $213.13 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2 VIEWS RIGHT,Right Side | $213.13 | $213.13 | — | — | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT,Right Side | $409.00 | $409.00 | — | 23% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT,Left Side | $409.00 | $409.00 | — | 23% above | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RIGHT,Right Side | $409.00 | $409.00 | — | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LEFT,Left Side | $409.00 | $409.00 | — | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP 4 VIEWS LEFT,Left Side | $404.00 | $404.00 | — | 15% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP 4 VIEWS RIGHT,Right Side | $404.00 | $404.00 | — | 15% above | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMP 4 VIEWS LEFT,Left Side | $404.00 | $404.00 | — | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMP 4 VIEWS RIGHT,Right Side | $404.00 | $404.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY WO CONTRAST LEFT FX,Left Side | $2,453.00 | $2,453.00 | — | 21% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM WO CONTRAST RIGHT FX,Right Side | $2,453.00 | $2,453.00 | — | 21% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY WO CONTRAST LEFT FX,Left Side | $2,453.00 | $2,453.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM WO CONTRAST RIGHT FX,Right Side | $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 | — | 1% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED | $836.27 | $836.27 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITIES/AXILLARY - LIMITED | $393.00 | $393.00 | — | 35% below | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITIES/AXILLARY - LIMITED | $393.00 | $393.00 | — | — | — |
| 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 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA 2 VIEWS LEFT,Left Side | $332.00 | $332.00 | — | 1% below | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA 2 VIEWS RIGHT,Right Side | $332.00 | $332.00 | — | 1% below | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA 2 VIEWS LEFT,Left Side | $332.00 | $332.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA 2 VIEWS RIGHT,Right Side | $332.00 | $332.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4-5 VIEWS | $423.75 | $423.75 | — | 20% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL 4-5 VIEWS | $423.75 | $423.75 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CONTRAST | $2,089.00 | $2,089.00 | — | 17% below | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CONTRAST | $2,089.00 | $2,089.00 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO CONTRAST | $1,910.90 | $1,910.90 | — | 6% below | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO CONTRAST | $1,910.90 | $1,910.90 | — | — | — |
| Neck soft tissue X-ray CPT 70360 XR SOFT TISSUE LATERAL NECK | $231.99 | $231.99 | — | 27% below | — |
| Neck soft tissue X-ray inpatient CPT 70360 XR SOFT TISSUE LATERAL NECK | $231.99 | $231.99 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONTRAST | $2,588.45 | $2,588.45 | — | 34% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONTRAST | $2,588.45 | $2,588.45 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC - LIMITED/FOLLOW-UP | $457.50 | $457.50 | — | at median | — |
| 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 | — | 3% 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 | — | 56% 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 | — | 40% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB-PREGNANCY LIMITED | $698.10 | $698.10 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILATERAL 2 VIEWS RIGHT,Right Side | $308.00 | $308.00 | — | 8% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILATERAL 2 VIEWS LEFT,Left Side | $308.00 | $308.00 | — | 8% below | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNILATERAL 2 VIEWS RIGHT,Right Side | $308.00 | $308.00 | — | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNILATERAL 2 VIEWS LEFT,Left Side | $308.00 | $308.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS 2 VIEWS UNILATERAL W/ PA CHEST | $523.71 | $523.71 | — | 11% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS 2 VIEWS UNILATERAL W/ PA CHEST | $523.71 | $523.71 | — | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2+ VIEWS LEFT,Left Side | $368.00 | $368.00 | — | 7% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2+ VIEWS RIGHT,Right Side | $368.00 | $368.00 | — | 7% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2+ VIEWS RIGHT,Right Side | $368.00 | $368.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2+ VIEWS LEFT,Left Side | $368.00 | $368.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES LTD 3 VIEWS | $327.03 | $327.03 | — | 20% below | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES LTD 3 VIEWS | $327.03 | $327.03 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 1-3 VIEWS | $357.37 | $357.37 | — | 14% below | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL 1-3 VIEWS | $357.37 | $357.37 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS LEFT,Left Side | $354.00 | $354.00 | — | 12% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS RIGHT,Right Side | $354.00 | $354.00 | — | 12% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 VIEWS RIGHT,Right Side | $354.00 | $354.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 VIEWS LEFT,Left Side | $354.00 | $354.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC WO CONTRAST | $2,705.00 | $2,705.00 | — | 19% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC WO CONTRAST | $2,705.00 | $2,705.00 | — | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOES 3 VIEWS LEFT,Left Side | $285.59 | $285.59 | — | 15% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOES 3 VIEWS RIGHT,Right Side | $285.59 | $285.59 | — | 15% above | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 3 VIEWS RIGHT,Right Side | $285.59 | $285.59 | — | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 3 VIEWS LEFT,Left Side | $285.59 | $285.59 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL PELVIS | $1,182.00 | $1,182.00 | — | 104% 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 | — | 31% 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 | — | at median | — |
| 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 | — | 42% 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 | — | 48% 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 | — | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 VIEWS RIGHT,Right Side | $303.00 | $303.00 | — | 3% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 VIEWS LEFT,Left Side | $303.00 | $303.00 | — | 3% above | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2 VIEWS RIGHT,Right Side | $303.00 | $303.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2 VIEWS LEFT,Left Side | $303.00 | $303.00 | — | — | — |
| 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 | — | — | — |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RIGHT,Right Side | $151.54 | $151.54 | — | 37% below | — |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LEFT,Left Side | $151.54 | $151.54 | — | 37% below | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS LEFT,Left Side | $151.54 | $151.54 | — | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS RIGHT,Right Side | $151.54 | $151.54 | — | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + VIEWS LEFT,Left Side | $352.56 | $352.56 | — | 18% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + VIEWS RIGHT,Right Side | $353.00 | $353.00 | — | 18% above | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 + VIEWS LEFT,Left Side | $352.56 | $352.56 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 + VIEWS RIGHT,Right Side | $353.00 | $353.00 | — | — | — |
| 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 one side CPT 73502 XR HIP 2 VIEWS LEFT,Left Side | $370.00 | $370.00 | — | 20% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2 VIEWS RIGHT,Right Side | $370.00 | $370.00 | — | 20% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILATERAL RIGHT 2-3 VIEWS,Right Side | $400.13 | $400.13 | — | 30% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILATERAL LEFT W/PELVIS 2-3 VIEW,Left Side | $400.13 | $400.13 | — | 30% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILATERAL LEFT 2-3 VIEWS,Left Side | $400.13 | $400.13 | — | 30% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILATERAL RIGHT W/PELVIS 2-3 VIE,Right Side | $400.13 | $400.13 | — | 30% 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 one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2 VIEWS LEFT,Left Side | $370.00 | $370.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2 VIEWS RIGHT,Right Side | $370.00 | $370.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILATERAL RIGHT W/PELVIS 2-3 VIE,Right Side | $400.13 | $400.13 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILATERAL LEFT 2-3 VIEWS,Left Side | $400.13 | $400.13 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILATERAL RIGHT 2-3 VIEWS,Right Side | $400.13 | $400.13 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILATERAL LEFT W/PELVIS 2-3 VIEW,Left Side | $400.13 | $400.13 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 XR PORTABLE ABDOMEN | $333.00 | $333.00 | — | 5% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $333.00 | $333.00 | — | 5% 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 ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEW RIGHT,Right Side | $254.00 | $254.00 | — | 9% below | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LEFT,Left Side | $254.00 | $254.00 | — | 9% below | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LEFT,Left Side | $254.00 | $254.00 | — | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEW RIGHT,Right Side | $254.00 | $254.00 | — | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS 3 VIEWS RIGHT,Right Side | $322.93 | $322.93 | — | 36% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS 3 VIEWS LEFT,Left Side | $322.93 | $322.93 | — | 36% above | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS 3 VIEWS LEFT,Left Side | $322.93 | $322.93 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS 3 VIEWS RIGHT,Right Side | $322.93 | $322.93 | — | — | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RIGHT,Right Side | $347.00 | $347.00 | — | 24% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LEFT,Left Side | $347.00 | $347.00 | — | 24% above | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RIGHT,Right Side | $347.00 | $347.00 | — | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LEFT,Left Side | $347.00 | $347.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 VIEWS RIGHT,Right Side | $356.00 | $356.00 | — | 23% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 VIEWS LEFT,Left Side | $356.00 | $356.00 | — | 23% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 VIEWS LEFT,Left Side | $356.00 | $356.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 VIEWS RIGHT,Right Side | $356.00 | $356.00 | — | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS RIGHT,Right Side | $351.00 | $351.00 | — | 17% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS LEFT,Left Side | $351.00 | $351.00 | — | 17% above | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS LEFT,Left Side | $351.00 | $351.00 | — | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS RIGHT,Right Side | $351.00 | $351.00 | — | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 2 VIEWS LEFT,Left Side | $326.00 | $326.00 | — | 17% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 2 VIEWS RIGHT,Right Side | $326.00 | $326.00 | — | 17% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 2 VIEWS RIGHT,Right Side | $326.00 | $326.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 2 VIEWS LEFT,Left Side | $326.00 | $326.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2-3 VIEWS | $461.14 | $461.14 | — | 15% 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 | — | 2% below | — |
| 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 | — | 12% 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 |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $340.75 | $340.75 | — | 95% above | — |
| ACTH blood test inpatient CPT 82024 ACTH | $340.75 | $340.75 | — | — | — |
| 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 | — | 17% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $87.00 | $87.00 | — | — | — |
| Albumin blood test CPT 82040 ALBUMIN | $49.43 | $49.43 | — | 20% below | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $49.43 | $49.43 | — | — | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM | $227.82 | $227.82 | — | 111% above | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $246.98 | $246.98 | — | 129% above | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, SERUM | $227.82 | $227.82 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $246.98 | $246.98 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY OF PHOSPHATASE ALKALINE | $40.52 | $40.52 | — | 44% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $53.60 | $53.60 | — | 26% below | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY OF PHOSPHATASE ALKALINE | $40.52 | $40.52 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $53.60 | $53.60 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ALLERGEN | $72.00 | $72.00 | — | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN | $72.00 | $72.00 | — | 109% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX ALLERGEN | $72.00 | $72.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN | $72.00 | $72.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER | $229.10 | $229.10 | — | 71% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER | $229.10 | $229.10 | — | — | — |
| Ammonia blood test CPT 82140 AMMONIA/SUPERSATURATION PROFILE | $196.00 | $196.00 | — | 16% above | — |
| Ammonia blood test CPT 82140 AMMONIA | $217.92 | $217.92 | — | 29% above | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA/SUPERSATURATION PROFILE | $196.00 | $196.00 | — | — | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $217.92 | $217.92 | — | — | — |
| Amylase blood test CPT 82150 AMYLASE | $114.00 | $114.00 | — | 13% above | — |
| Amylase blood test inpatient CPT 82150 AMYLASE | $114.00 | $114.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $179.67 | $179.67 | — | 25% 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 | — | 146% 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 | — | 21% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEP | $318.00 | $318.00 | — | 49% 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 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY | $104.00 | $104.00 | — | 22% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 JOINT FLUID CULTURE | $114.00 | $114.00 | — | 34% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LOWER REPIRATORY CULTURE BACTERIAL | $289.54 | $289.54 | — | 239% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 UPPER RESPIRATORY CULTURE | $297.41 | $297.41 | — | 249% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTHER | $316.21 | $316.21 | — | 271% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIAL OTHER | $316.21 | $316.21 | — | 271% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $316.21 | $316.21 | — | 271% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE RESPIRATORY | $104.00 | $104.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 JOINT FLUID CULTURE | $114.00 | $114.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LOWER REPIRATORY CULTURE BACTERIAL | $289.54 | $289.54 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 UPPER RESPIRATORY CULTURE | $297.41 | $297.41 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM | $316.21 | $316.21 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIAL OTHER | $316.21 | $316.21 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTHER | $316.21 | $316.21 | — | — | — |
| 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 | — | — | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN NEONATAL | $31.50 | $31.50 | — | 62% below | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $52.32 | $52.32 | — | 37% below | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN NEONATAL | $31.50 | $31.50 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $52.32 | $52.32 | — | — | — |
| Blood culture for bacteria CPT 87040 CULTURE (BLOOD) | $203.51 | $203.51 | — | 24% 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 | — | 33% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING FEE | $41.50 | $41.50 | — | 49% 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 GLUCOSE | $79.13 | $79.13 | — | 34% above | — |
| Blood glucose (sugar) test CPT 82947 1 HR GLUCOSE TOLERANCE | $79.13 | $79.13 | — | 34% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $79.13 | $79.13 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 1 HR GLUCOSE TOLERANCE | $79.13 | $79.13 | — | — | — |
| Blood lead test CPT 83655 LEAD CAPILLARY | $81.59 | $81.59 | — | 47% above | — |
| Blood lead test CPT 83655 LEAD VENUS | $81.59 | $81.59 | — | 47% above | — |
| Blood lead test CPT 83655 ASSAY OF LEAD | $82.69 | $82.69 | — | 49% above | — |
| Blood lead test inpatient CPT 83655 LEAD VENUS | $81.59 | $81.59 | — | — | — |
| Blood lead test inpatient CPT 83655 LEAD CAPILLARY | $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 ABO DISCREPANCY | $75.00 | $75.00 | — | 34% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO & RH | $75.00 | $75.00 | — | 34% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE (AB0) | $75.00 | $75.00 | — | 34% 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 DISCREPANCY | $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 urea nitrogen (BUN) test CPT 84520 UREA (BUN) | $68.30 | $68.30 | — | 9% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA (BUN) | $68.30 | $68.30 | — | — | — |
| 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 | — | 46% 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 | — | 80% 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 | — | 89% 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 | — | — | — |
| Calcium blood test, total CPT 82310 CALCIUM | $58.00 | $58.00 | — | 23% below | — |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $58.00 | $58.00 | — | 23% below | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $58.00 | $58.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL | $58.00 | $58.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $270.60 | $270.60 | — | 62% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $270.60 | $270.60 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER SCREEN | $158.26 | $158.26 | — | 191% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGG | $159.87 | $159.87 | — | 194% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER SCREEN | $158.26 | $158.26 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGG | $159.87 | $159.87 | — | — | — |
| 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 LIPID PANEL | $174.00 | $174.00 | — | 61% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 VAGINAL PATHOGEN PANEL | $174.00 | $174.00 | — | 61% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 VAGINAL PATHOGEN PANEL | $174.00 | $174.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $174.00 | $174.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 *CBC AUTOMATED DIF | $130.00 | $130.00 | — | 21% 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 | — | — | — |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL PM | $100.00 | $100.00 | — | 9% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL AM | $100.00 | $100.00 | — | 9% above | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL PM | $100.00 | $100.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL AM | $100.00 | $100.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CPK | $92.00 | $92.00 | — | 21% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK | $92.00 | $92.00 | — | — | — |
| Creatinine blood test CPT 82565 CREATININE | $69.00 | $69.00 | — | 2% above | — |
| Creatinine blood test inpatient CPT 82565 CREATININE | $69.00 | $69.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG EIA | $179.67 | $179.67 | — | 155% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IgG EIA | $179.67 | $179.67 | — | — | — |
| 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 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE | $538.47 | $538.47 | — | 258% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE | $538.47 | $538.47 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $124.74 | $124.74 | — | 18% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $124.74 | $124.74 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EVB IgM | $94.82 | $94.82 | — | 38% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IgG | $94.82 | $94.82 | — | 38% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR IgG & IgM ANTIBODY | $343.63 | $343.63 | — | 399% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EVB IgM | $94.82 | $94.82 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IgG | $94.82 | $94.82 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR IgG & IgM ANTIBODY | $343.63 | $343.63 | — | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL, TOTAL | $254.63 | $254.63 | — | 73% 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 | — | 41% 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 | — | 24% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $151.73 | $151.73 | — | — | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $113.91 | $113.91 | — | at median | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $113.91 | $113.91 | — | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE, SERUM | $214.39 | $214.39 | — | 91% 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 | — | 29% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $159.52 | $159.52 | — | 68% 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 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $40.23 | $40.23 | — | 42% below | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $40.23 | $40.23 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 2 HR GLUCOSE TOLERANCE | $134.00 | $134.00 | — | 7% below | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE GTT | $134.00 | $134.00 | — | 7% 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 | — | 31% 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 | — | 42% 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 | — | 46% 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 | — | 23% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $107.19 | $107.19 | — | 32% 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 | — | — | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $53.00 | $53.00 | — | 13% above | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $53.00 | $53.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY TOTAL | $53.60 | $53.60 | — | 40% below | — |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE REFLEX TO IgM | $86.00 | $86.00 | — | 4% below | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY TOTAL | $53.60 | $53.60 | — | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE REFLEX TO IgM | $86.00 | $86.00 | — | — | — |
| 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 | — | 5% 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 | — | 77% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C RNA QUANT | $229.00 | $229.00 | — | 85% 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 | — | at median | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANTITATIVE | $283.05 | $283.05 | — | 11% 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 | — | 46% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX ABY TITER TYPE 2 | $172.95 | $172.95 | — | 83% 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 | — | 23% 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 | — | 64% 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 | — | 13% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE | $196.85 | $196.85 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $158.26 | $158.26 | — | 52% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $158.26 | $158.26 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH TOTAL | $100.00 | $100.00 | — | 37% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 TITIN ABY | $536.04 | $536.04 | — | 636% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH TOTAL | $100.00 | $100.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 TITIN ABY | $536.04 | $536.04 | — | — | — |
| 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 | — | 71% 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 | — | 46% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM/SUPERSATURATION PROFILE | $98.00 | $98.00 | — | 42% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $201.02 | $201.02 | — | 192% 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 | — | 48% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST | $101.82 | $101.82 | — | — | — |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY, IgM | $148.69 | $148.69 | — | 19% above | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY, IgM | $148.69 | $148.69 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $191.76 | $191.76 | — | 44% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 FREE & TOTAL PSA | $193.67 | $193.67 | — | 46% 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 | — | 33% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $299.00 | $299.00 | — | 37% 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 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM | $73.00 | $73.00 | — | 25% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM | $73.00 | $73.00 | — | — | — |
| Potassium blood test CPT 84132 POTASSIUM (BLOOD) | $58.00 | $58.00 | — | at median | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM (BLOOD) | $58.00 | $58.00 | — | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $210.28 | $210.28 | — | 46% above | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $210.28 | $210.28 | — | — | — |
| Prolactin blood test CPT 84146 PROLACTIN | $168.78 | $168.78 | — | 22% 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 | — | 94% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME OR PT | $79.13 | $79.13 | — | 113% 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 URINE DRUG SCREEN (ER) | $211.00 | $211.00 | — | 261% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN RAPID URINE-SANFORD | $211.00 | $211.00 | — | 261% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PAIN MANAGEMENT PANEL | $211.00 | $211.00 | — | 261% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EMPLOYEE DRUG SCREEN | $211.00 | $211.00 | — | 261% 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 | — | 126% 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 | — | — | — |
| Renin blood test CPT 84244 RENIN ACTIVITY, PLASMA | $233.27 | $233.27 | — | 174% above | — |
| Renin blood test CPT 84244 RENIN | $278.52 | $278.52 | — | 228% above | — |
| Renin blood test inpatient CPT 84244 RENIN ACTIVITY, PLASMA | $233.27 | $233.27 | — | — | — |
| Renin blood test inpatient CPT 84244 RENIN | $278.52 | $278.52 | — | — | — |
| Rh blood typing CPT 86901 RH (D) | $73.00 | $73.00 | — | 72% above | — |
| Rh blood typing inpatient CPT 86901 RH (D) | $73.00 | $73.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $104.65 | $104.65 | — | 27% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $120.00 | $120.00 | — | 46% 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 | — | 9% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR AUTOMATED | $76.00 | $76.00 | — | — | — |
| Sodium blood test CPT 84295 SODIUM (BLOOD) | $67.00 | $67.00 | — | 15% above | — |
| Sodium blood test inpatient CPT 84295 SODIUM (BLOOD) | $67.00 | $67.00 | — | — | — |
| 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 SCREEN | $44.34 | $44.34 | — | 13% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD #1 | $44.34 | $44.34 | — | 13% below | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD #1 | $44.34 | $44.34 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN | $44.34 | $44.34 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS TPPA | $88.20 | $88.20 | — | 28% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS ABY, IgG, IgM | $112.29 | $112.29 | — | 63% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $116.22 | $116.22 | — | 69% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS TPPA | $88.20 | $88.20 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS ABY, IgG, IgM | $112.29 | $112.29 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS | $116.22 | $116.22 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS SEROLOGY TITER | $29.77 | $29.77 | — | 50% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SYPHILIS SEROLOGY | $74.96 | $74.96 | — | 25% 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 | — | 10% 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 TOTAL TESTOSTERONE, AM DRAWS | $221.00 | $221.00 | — | 69% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE RANDOM FEMALE | $221.00 | $221.00 | — | 69% 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 | — | 40% 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 ULTRA SENSITIVE TSH | $193.03 | $193.03 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HO | $193.03 | $193.03 | — | — | — |
| Total IgE blood test CPT 82785 IgE TOTAL | $152.86 | $152.86 | — | 80% above | — |
| Total IgE blood test inpatient CPT 82785 IgE TOTAL | $152.86 | $152.86 | — | — | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $52.32 | $52.32 | — | at median | — |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $52.32 | $52.32 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $44.10 | $44.10 | — | 24% below | — |
| Total thyroxine (T4) blood test CPT 84436 DO NOT USE - FREE T4 | $66.05 | $66.05 | — | 13% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL | $44.10 | $44.10 | — | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 DO NOT USE - FREE T4 | $66.05 | $66.05 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $149.97 | $149.97 | — | 21% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $149.97 | $149.97 | — | — | — |
| Transferrin blood test CPT 84466 TRANSFERRIN SATURATION | $136.36 | $136.36 | — | 23% above | — |
| Transferrin blood test CPT 84466 TRANSFERRIN | $154.14 | $154.14 | — | 39% above | — |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN SATURATION | $136.36 | $136.36 | — | — | — |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $154.14 | $154.14 | — | — | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $109.75 | $109.75 | — | 58% above | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $109.75 | $109.75 | — | — | — |
| Troponin test, quantitative CPT 84484 TROPONIN | $234.00 | $234.00 | — | 57% above | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN | $234.00 | $234.00 | — | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $79.00 | $79.00 | — | 35% 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 W/O MICO (D | $49.00 | $49.00 | — | 24% above | — |
| Urinalysis without microscope exam, automated CPT 81003 *URINALYSIS MICROSCOPE | $49.00 | $49.00 | — | 24% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 *URINALYSIS W/O MICO (D | $49.00 | $49.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 *URINALYSIS MICROSCOPE | $49.00 | $49.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $104.00 | $104.00 | — | 28% above | — |
| Urine culture for bacteria, with colony count CPT 87086 COLONY COUNT | $125.00 | $125.00 | — | 54% 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 microalbumin (albumin) test CPT 82043 ACYLCARNITINES QUANTITATIVE PLASMA | $121.00 | $121.00 | — | 10% above | — |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN, 24 HR URINE | $128.63 | $128.63 | — | 17% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 ACYLCARNITINES QUANTITATIVE PLASMA | $121.00 | $121.00 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN, 24 HR URINE | $128.63 | $128.63 | — | — | — |
| 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 | — | 194% 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 CANCER ANTIGEN 27.29 | $324.19 | $324.19 | — | 110% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH TOTAL | $324.19 | $324.19 | — | 110% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2 & D3 | $324.19 | $324.19 | — | 110% 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 CANCER ANTIGEN 27.29 | $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, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1, 25 DIHYDROXY | $414.14 | $414.14 | — | 213% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1.25 DI(OH) | $414.14 | $414.14 | — | 213% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1.25 DI(OH) | $414.14 | $414.14 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1, 25 DIHYDROXY | $414.14 | $414.14 | — | — | — |
| Zinc blood test CPT 84630 ZINC SERUM | $134.64 | $134.64 | — | 224% 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 | — | 33% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $144.88 | $144.88 | — | 7% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 DO NOT USE - HCG BETA QUAN SERUM | $160.50 | $160.50 | — | 19% 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 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE | $296.12 | $296.12 | — | 3% below | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE | $296.12 | $296.12 | — | — | — |
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 | — | 17% 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 FIRST 30 - 74 MINUTES | $1,905.86 | $1,905.86 | — | 23% below | — |
| 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 | — | 113% 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 | — | 5% below | — |
| 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 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 16-35 | $434.00 | $434.00 | — | 1% below | — |
| 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 LEVEL 3 36-64 | $644.51 | $644.51 | — | 8% below | — |
| 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 LEVEL 4 65-105 | $962.34 | $962.34 | — | 12% below | — |
| 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 LEVEL 5 106-299 | $1,411.00 | $1,411.00 | — | 12% below | — |
| 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 | — | — | — |
| 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 ER INITIAL IV DRUG INFUSION | $381.27 | $381.27 | — | — | — |
| 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 INITIAL INTRAVENOUS INFUSION FOR THERAPY | $396.00 | $396.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 OB IV PUSH SING OR INI | $422.12 | $422.12 | — | 21% above | — |
| IV push of a medicine, first drug CPT 96374 ER IV PUSH INITIAL DRUG | $422.12 | $422.12 | — | 21% above | — |
| IV push of a medicine, first drug CPT 96374 TREATMENT ROOM INITIAL IV PUSH | $422.12 | $422.12 | — | 21% above | — |
| IV push of a medicine, first drug CPT 96374 US CCK IV PUSH | $755.87 | $755.87 | — | 116% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 OB IV PUSH SING OR INI | $422.12 | $422.12 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 TREATMENT ROOM INITIAL IV PUSH | $422.12 | $422.12 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 ER IV PUSH INITIAL DRUG | $422.12 | $422.12 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 US CCK IV PUSH | $755.87 | $755.87 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB INJECTION SQ/IM | $112.00 | $112.00 | — | 26% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ/IM TXT OP | $130.06 | $130.06 | — | 46% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJECTION SQ/IM | $186.32 | $186.32 | — | 109% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 TREATMENT ROOM INJECTION SQ/IM | $191.47 | $191.47 | — | 115% 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 | — | 71% 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 | — | 55% 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 | — | 156% 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 | — | at median | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RT Smoking Cessation 3-10 Minutes | $42.78 | $42.78 | — | — | — |
| 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 | — | 30% 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 | — | 423% 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 | — | 121% 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, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13 (PREVNAR 13) VACCINE | $995.79 | $995.79 | — | 268% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13 (PREVNAR 13) VACCINE | $995.79 | $995.79 | — | — | — |
| 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 | — | 170% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE CHICK (RABAVERT) INJ | $1,462.00 | $1,462.00 | — | 182% 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 | — | 180% 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 L&D IMMUNIZATION ADMIN | $82.00 | $82.00 | — | 58% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER IMMUNIZATION ADMIN - ADULT | $82.00 | $82.00 | — | 58% 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 L&D IMMUNIZATION ADMIN EA ADDL | $153.00 | $153.00 | — | 205% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER EACH ADD'L IMMUNIZATION ADMIN - ADULT | $153.00 | $153.00 | — | 205% 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 | — | — | — |
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.