SelfPayRates
Hospital Lafayette, LA

Acadia St Landry

Listed in its price file as “Acadia St Landry Hospital Service District”.

Acadia St Landry in Church Point, LA publishes cash prices for 226 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 151 of 225 procedures and below it for 73. By typical cash price it ranks #21 of 28 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

810 South Broadway Street, Church Point, LA, 70525 Collected Sep 27, 2026 Source price file (337) 684-5435

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 191319 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs LouisianaOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX $456.41 $608.55 $125.00 137% above 25%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE BRACHIAL INDEX $456.41 $608.55 $125.00 — 25%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM $393.89 $525.18 — 66% above 25%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM $393.89 $525.18 — — 25%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE $392.81 $523.75 $125.00 127% above 25%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLETE $392.81 $523.75 $125.00 127% above 25%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT COMPLETE $392.81 $523.75 $125.00 — 25%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT COMPLETE $392.81 $523.75 $125.00 — 25%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RT Limited $324.68 $432.90 $125.00 82% above 25%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LIMITED $324.68 $432.90 $125.00 82% above 25%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST RT Limited $324.68 $432.90 $125.00 — 25%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LT LIMITED $324.68 $432.90 $125.00 — 25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST $1,275.00 $1,700.00 $275.00–$650.00 2% above 25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT RENAL STONE PROTOCOL $1,275.00 $1,700.00 $275.00–$650.00 2% above 25%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT RENAL STONE PROTOCOL $1,275.00 $1,700.00 $275.00–$650.00 — 25%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST $1,275.00 $1,700.00 $275.00–$650.00 — 25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS WITH IV CONTRAST $1,418.25 $1,891.00 $275.00–$650.00 13% below 25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W ORAL CONTRAST $1,418.25 $1,891.00 $275.00–$650.00 13% below 25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS WITH ORAL AND IV CONTRAST $1,418.25 $1,891.00 $275.00–$650.00 13% below 25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W ORAL CONTRAST $1,418.25 $1,891.00 $275.00–$650.00 — 25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS WITH ORAL AND IV CONTRAST $1,418.25 $1,891.00 $275.00–$650.00 — 25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS WITH IV CONTRAST $1,418.25 $1,891.00 $275.00–$650.00 — 25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W-W/O IV CONTRAST $1,425.75 $1,901.00 $275.00–$650.00 16% below 25%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W-W/O IV CONTRAST $1,425.75 $1,901.00 $275.00–$650.00 — 25%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH ORAL AND IV CONTRAST $742.50 $990.00 $275.00–$650.00 18% below 25%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH IV CONTRAST $742.50 $990.00 $275.00–$650.00 18% below 25%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH ORAL AND IV CONTRAST $742.50 $990.00 $275.00–$650.00 — 25%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH IV CONTRAST $742.50 $990.00 $275.00–$650.00 — 25%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WITHOUT CONTRAST $742.50 $990.00 $275.00–$650.00 13% below 25%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WITH ORAL CONTRAST ONLY $742.50 $990.00 $275.00–$650.00 13% below 25%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WITH ORAL CONTRAST ONLY $742.50 $990.00 $275.00–$650.00 — 25%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WITHOUT CONTRAST $742.50 $990.00 $275.00–$650.00 — 25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MANDIBLE W/O CONTRA $675.00 $900.00 $275.00–$650.00 2% above 25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WITHOUT CONTRAST $675.00 $900.00 $275.00–$650.00 2% above 25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WITHOUT CONTRAST $675.00 $900.00 $275.00–$650.00 2% above 25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MANDIBLE W/O CONTRA $675.00 $900.00 $275.00–$650.00 — 25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WITHOUT CONTRAST $675.00 $900.00 $275.00–$650.00 — 25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES WITHOUT CONTRAST $675.00 $900.00 $275.00–$650.00 — 25%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WITHOUT $825.00 $1,100.00 $275.00–$650.00 26% above 25%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WITHOUT $825.00 $1,100.00 $275.00–$650.00 — 25%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN WITH CON $975.75 $1,301.00 $275.00–$650.00 22% above 25%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN WITH CON $975.75 $1,301.00 $275.00–$650.00 — 25%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WITH&WO $1,088.25 $1,451.00 $275.00–$650.00 15% above 25%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN WITH&WO $1,088.25 $1,451.00 $275.00–$650.00 — 25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SP WITHOUT C $750.00 $1,000.00 $275.00–$650.00 6% below 25%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SP WITHOUT C $750.00 $1,000.00 $275.00–$650.00 — 25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SP WITHOUT $675.00 $900.00 $275.00–$650.00 14% below 25%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SP WITHOUT $675.00 $900.00 $275.00–$650.00 — 25%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAS $742.50 $990.00 $275.00–$650.00 10% below 25%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAS $742.50 $990.00 $275.00–$650.00 — 25%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID COMP BIL $875.51 $1,167.35 — 87% above 25%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS API LORD $194.81 $259.74 — 42% above 25%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS EPA & LA $194.81 $259.74 — 42% above 25%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS EPA & OB $194.81 $259.74 — 42% above 25%
Chest X-ray, 2 views CPT 71046 CHEST INSPIRATION AND EXPIRATION $194.81 $259.74 — 42% above 25%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS EPA & OB $194.81 $259.74 — — 25%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS API LORD $194.81 $259.74 — — 25%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS EPA & LA $194.81 $259.74 — — 25%
Chest X-ray, 2 views inpatient CPT 71046 CHEST INSPIRATION AND EXPIRATION $194.81 $259.74 — — 25%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW $194.81 $259.74 — 74% above 25%
Chest X-ray, single view CPT 71045 CHEST SPEC LAT DECU $194.81 $259.74 — 74% above 25%
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW $194.81 $259.74 — — 25%
Chest X-ray, single view inpatient CPT 71045 CHEST SPEC LAT DECU $194.81 $259.74 — — 25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROP.RENAL - COM $392.81 $523.75 $125.00 32% above 25%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROP.RENAL - COM $392.81 $523.75 $125.00 — 25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY(HIPPELVI $235.69 $314.25 — 41% above 25%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY(HIPPELVI $235.69 $314.25 — — 25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WITHOUT CONTR $675.00 $900.00 $275.00–$650.00 13% below 25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WITHOUT CONTR $675.00 $900.00 $275.00–$650.00 — 25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST $742.50 $990.00 $275.00–$650.00 22% below 25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST PE PROTOCOL $750.75 $1,001.00 $275.00–$650.00 21% below 25%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH CONTRAST $742.50 $990.00 $275.00–$650.00 — 25%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST PE PROTOCOL $750.75 $1,001.00 $275.00–$650.00 — 25%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LEG STUDY BILAT $875.51 $1,167.35 — — 25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LOWER EXTREMITY BILATERAL $875.51 $1,167.35 — — 25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS UPPER EXTREMITY BILATERAL $875.51 $1,167.35 $125.00 — 25%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VEN.LOW/UPPER EX.B $875.51 $1,167.35 — 110% above 25%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS UPPER EXTREMITY BILATERAL $875.51 $1,167.35 $125.00 — 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE VASCULAR $392.81 $523.75 $125.00 32% above 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE LOWER BACK $392.81 $523.75 $125.00 32% above 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABDOME $392.81 $523.75 $125.00 32% above 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED $392.81 $523.75 $125.00 32% above 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE LOWER BACK $392.81 $523.75 $125.00 — 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED $392.81 $523.75 $125.00 — 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE ABDOME $392.81 $523.75 $125.00 — 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE VASCULAR $392.81 $523.75 $125.00 — 25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST FOR LUNG CANCER SCREENING $392.81 $523.75 $275.00–$650.00 268% above 25%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST FOR LUNG CANCER SCREENING $392.81 $523.75 $275.00–$650.00 — 25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI(JOINT) LOW EXT W/O $1,117.50 $1,490.00 $750.00 3% above 25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI FOOT JOINTS W/O CO $1,200.00 $1,600.00 $750.00 11% above 25%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LEFT KNEE W/O CONTRAST $1,117.50 $1,490.00 $750.00 3% above 25%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RT KNEE W/O CONTRAST $1,117.50 $1,490.00 $750.00 3% above 25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI(JOINT) LOW EXT W/O $1,117.50 $1,490.00 $750.00 — 25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI FOOT JOINTS W/O CO $1,200.00 $1,600.00 $750.00 — 25%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT KNEE W/O CONTRAST $1,117.50 $1,490.00 $750.00 — 25%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LEFT KNEE W/O CONTRAST $1,117.50 $1,490.00 $750.00 — 25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI(JOINT)LOW EXT W/-W $1,350.00 $1,800.00 $750.00 at median 25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI(JOINT)LOW EXT W/-W $1,350.00 $1,800.00 $750.00 — 25%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRA $1,050.00 $1,400.00 $750.00 3% below 25%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRA $1,050.00 $1,400.00 $750.00 — 25%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&W/O CONT $1,200.75 $1,601.00 $750.00 11% below 25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W&W/O CONT $1,200.75 $1,601.00 $750.00 — 25%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST $1,200.00 $1,600.00 $750.00 6% above 25%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD WITHOUT CONTR $1,215.00 $1,620.00 $750.00 8% above 25%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST $1,200.00 $1,600.00 $750.00 — 25%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD WITHOUT CONTR $1,215.00 $1,620.00 $750.00 — 25%
MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W & W/O CONTR $1,215.00 $1,620.00 $750.00 16% below 25%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & W/O CONT $1,463.25 $1,951.00 $750.00 1% above 25%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD W & W/O CONTR $1,215.00 $1,620.00 $750.00 — 25%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & W/O CONT $1,463.25 $1,951.00 $750.00 — 25%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/O CONTRAS $1,716.00 $2,288.00 $750.00 36% above 25%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR W/O CONTRAS $1,716.00 $2,288.00 $750.00 — 25%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W-W/O CONTR $1,350.75 $1,801.00 $750.00 3% below 25%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W-W/O CONTR $1,350.75 $1,801.00 $750.00 — 25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W/O CONTR $1,238.25 $1,651.00 $750.00 3% above 25%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC W/O CONTR $1,238.25 $1,651.00 $750.00 — 25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W & W/O C $1,313.25 $1,751.00 $750.00 21% below 25%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W & W/O C $1,313.25 $1,751.00 $750.00 — 25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O CONTR $1,050.00 $1,400.00 $750.00 15% below 25%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL W/O CONTR $1,050.00 $1,400.00 $750.00 — 25%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & W/O CON $1,313.25 $1,751.00 $750.00 3% above 25%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & W/O CON $1,313.25 $1,751.00 $750.00 — 25%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAS $975.00 $1,300.00 $750.00 14% below 25%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAS $975.00 $1,300.00 $750.00 — 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI FINGER JOINT W/O C $975.00 $1,300.00 $750.00 10% below 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI(JOINT)UPPER EXT. W/O CONTRAST $1,117.50 $1,490.00 $750.00 3% above 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI ELBOW W/O CONTRAST $1,350.00 $1,800.00 $750.00 25% above 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RT ELBOW W/O CONTRAST $1,350.00 $1,800.00 $750.00 25% above 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LT ELBOW W/O CONTRAST $1,350.00 $1,800.00 $750.00 25% above 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI FINGER JOINT W/O C $975.00 $1,300.00 $750.00 — 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI(JOINT)UPPER EXT. W/O CONTRAST $1,117.50 $1,490.00 $750.00 — 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI ELBOW W/O CONTRAST $1,350.00 $1,800.00 $750.00 — 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT ELBOW W/O CONTRAST $1,350.00 $1,800.00 $750.00 — 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LT ELBOW W/O CONTRAST $1,350.00 $1,800.00 $750.00 — 25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC-LIMIT.OR FO $392.81 $523.75 $125.00 121% above 25%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC-LIMIT.OR FO $392.81 $523.75 $125.00 — 25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC/GROIN/BLADD $392.81 $523.75 $125.00 36% above 25%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC/GROIN/BLADD $392.81 $523.75 $125.00 — 25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT UTERUS $392.81 $523.75 $125.00 42% above 25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANT UTERUS $392.81 $523.75 $125.00 — 25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP.MIN.2 VI RIGHT $194.81 $259.74 — 48% above 25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP.MIN.2 VI LEFT $194.81 $259.74 — 48% above 25%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP.MIN.2 VI RIGHT $194.81 $259.74 — — 25%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP.MIN.2 VI LEFT $194.81 $259.74 — — 25%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $392.81 $523.75 $125.00 94% above 25%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $392.81 $523.75 $125.00 — 25%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB $392.81 $523.75 $125.00 129% above 25%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL OB $392.81 $523.75 $125.00 — 25%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE $392.81 $523.75 $125.00 17% above 25%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE $392.81 $523.75 $125.00 — 25%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR $392.81 $523.75 $125.00 73% above 25%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR $392.81 $523.75 $125.00 — 25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US S.T.HEADNECK & TH $392.81 $523.75 $125.00 37% above 25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US S.T.HEADNECK & TH $392.81 $523.75 $125.00 — 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS RIGHT UPPER EXTREMITY $495.00 $660.00 $125.00 47% above 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS RIGHT LOWER EXTREMITY $495.00 $660.00 — 47% above 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LEFT LOWER EXTREMITY $495.00 $660.00 — 47% above 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LEFT UPPER EXTREMITY $495.00 $660.00 — 47% above 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS RIGHT UPPER EXTREMITY $495.00 $660.00 $125.00 — 25%
X-ray of the abdomen, 1 view CPT 74018 LATERAL DECUBITUS ABD. $194.81 $259.74 — 72% above 25%
X-ray of the abdomen, 1 view CPT 74018 ABD A/P SINGLE KUB $194.81 $259.74 — 72% above 25%
X-ray of the abdomen, 1 view inpatient CPT 74018 LATERAL DECUBITUS ABD. $194.81 $259.74 — — 25%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABD A/P SINGLE KUB $194.81 $259.74 — — 25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBOSACRAL 2 OR 3 VIE $235.69 $314.25 — 56% above 25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBOSACRAL 2 OR 3 VIE $235.69 $314.25 — — 25%
X-ray of the lower back, 4 or more views CPT 72110 LUMBOSACRAL MIN.4 VIEW $235.69 $314.25 — 2% above 25%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBOSACRAL MIN.4 VIEW $235.69 $314.25 — — 25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS $235.69 $314.25 — 33% above 25%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS $235.69 $314.25 — — 25%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP. MIN $194.81 $259.74 — 61% above 25%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP. MIN $194.81 $259.74 — — 25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 $194.81 $259.74 — 36% above 25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2 OR 3 $194.81 $259.74 — — 25%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS $235.69 $314.25 — 63% above 25%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS $235.69 $314.25 — — 25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX-MIN.2 $194.81 $259.74 — 38% above 25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX-MIN.2 $194.81 $259.74 — — 25%

Lab tests

ProcedureCash price List priceInsurers payvs LouisianaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LABCORP ALT $37.50 $50.00 — 21% above 25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT $37.50 $50.00 — 21% above 25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT $37.50 $50.00 — — 25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LABCORP ALT $37.50 $50.00 — — 25%
AST (aspartate aminotransferase) enzyme test CPT 84450 LABCORP AST $23.31 $31.08 — 29% below 25%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST $26.25 $35.00 — 20% below 25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LABCORP AST $23.31 $31.08 — — 25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST $26.25 $35.00 — — 25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL $214.34 $285.78 — 85% above 25%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL $214.34 $285.78 — — 25%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF, IGE $9.78 $13.04 — 3% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK, IGE $9.78 $13.04 — 3% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 W013-IGE COCKLEBUR $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 WORMWOOD, ALLERGEN $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F023-IGE CRAB $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F290-IGE OYSTER $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ONION, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F320-IgE CRAYFISH FRESHWATER $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 KOCHIA, ALLERGEN $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F024-IGE SHRIMP $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F049-IGE APPLE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 W009-IGE PLANTAIN, ENGLISH $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 PHOMA BETAE, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F201-IGE PECAN NUT $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 T218-IGE OAK, LIVE/VIRGINIA $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F009-IGE RICE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 T014-IGE COTTONWOOD $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 T002-IGE ALDER, GREY $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 G010-IGE JOHNSON GRASS $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F025-IGE TOMATO $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 G017-IGE BAHIA GRASS $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F245-IGE EGG,WHOLE, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALERNARIA ALTERNATA, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 W00I-IGE RAGWEED, SHORT, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS NIGER, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 D PTERONYSSINUS, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 D. PTERONYSSINUS, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, AMERICAN, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 T001-IGE MAPLE/BOX ELDER $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 GERMAN COCKROACH, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN ELM, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSHELDER, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLIUM HERBARUM, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 W018-IGE SHEEP SORREL $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 EPIOCCUM PURPUR, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 W0010-IGE LAMB'S QUARTERS $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN CHARGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 W046-IGE FENNEL, DOG $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCOLI, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED, GIANT $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 SETOMELANOMMA ROSTRAT, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F245-IGE EGG, WHOLE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F004-IGE WHEAT $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F020-IGE ALMOND $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IGE MILK $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F008-IGE CORN $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 T011-IgE MAPLE LEAF SYCAMORE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASCARIS $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 W023-IGE DOCKWEED, YELLOW $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 W014-IGE PINE, WHITE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 W014-IGE PIGWEED, COMMON $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 T022-IGE PECAN, HICKORY $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDI PULLULANS, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 T210-IgE PRIVET, COMMON $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 BIPOLARIS, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 T044-IGE HACKBERRY $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 T015-IGE ASH, WHITE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE OAK, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON SILVER BIRCH, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM CHRYSOGEN, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IGE SOYBEAN $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY PECAN, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 E089-IGE TURKEY FEATHERS $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 E085-IGE CHICKEN FEATHERS $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 E070-IGE GOOSE FEATHERS $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON PIGWEED, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 E003-IGE HORSE DANDER $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 E004-IGE COW DANDER $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 I006-IGE COCKROACH, GERMAN $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 COD, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 M001-IGE PENICILLIUM CHRYSOGEN $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 M002-IGE CLADOSPORIUM HERBARUM $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 M009-IGE FUSARIUM PROLIFEERATUM $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 M016-IGE CURVULARIA LUNATA $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR, MOUNTAIN, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE/CACAO, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 M202-IGE ACREMONIUM KILIENSE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 F013-IGE PEANUT $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM, IGE $23.49 $31.32 — 133% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE, IGE $27.00 $36.00 — 168% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS, IGE $27.00 $36.00 — 168% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHRIMP $27.00 $36.00 — 168% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS $30.75 $41.00 — 206% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLIS NIGER $30.75 $41.00 — 206% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 T012-IGE WILLOW $54.94 $73.25 — 446% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 PERCH, IGE $66.64 $88.85 — 562% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - CHEMICAL $79.13 $105.50 — 687% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST- DRUG $101.63 $135.50 — 910% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, PROFILE FOOD $108.00 $144.00 — 974% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLIS FLAVUS LABCORP $109.50 $146.00 — 988% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, MOLD $112.50 $150.00 — 1018% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHELLFISH FOOD $182.63 $243.50 — 1715% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGY PROFILE $182.63 $243.50 — 1715% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-SEAFOOD/SHELLFISH $236.63 $315.50 — 2252% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - BOTANICAL/ALLER $264.75 $353.00 — 2532% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST -BASIC FOOD $264.75 $353.00 — 2532% above 25%
Allergy blood test, specific IgE, per allergen one side CPT 86003 FREE K+L LT CHAINS, QN, UR $94.46 $125.94 — 839% above 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK, IGE $9.78 $13.04 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF, IGE $9.78 $13.04 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F245-IGE EGG, WHOLE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGEN CHARGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIPOLARIS, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F049-IGE APPLE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASCARIS $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUREOBASIDI PULLULANS, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STEMPHYLIUM HERBARUM, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPIOCCUM PURPUR, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SETOMELANOMMA ROSTRAT, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR RACEMOSUS, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PHOMA BETAE, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F009-IGE RICE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F025-IGE TOMATO $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IGE SOYBEAN $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E089-IGE TURKEY FEATHERS $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E085-IGE CHICKEN FEATHERS $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E070-IGE GOOSE FEATHERS $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E003-IGE HORSE DANDER $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E004-IGE COW DANDER $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I006-IGE COCKROACH, GERMAN $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M001-IGE PENICILLIUM CHRYSOGEN $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M002-IGE CLADOSPORIUM HERBARUM $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M009-IGE FUSARIUM PROLIFEERATUM $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M016-IGE CURVULARIA LUNATA $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M202-IGE ACREMONIUM KILIENSE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013-IGE PEANUT $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IGE WHEAT $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IGE MILK $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F008-IGE CORN $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T011-IgE MAPLE LEAF SYCAMORE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W023-IGE DOCKWEED, YELLOW $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W014-IGE PINE, WHITE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W014-IGE PIGWEED, COMMON $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T022-IGE PECAN, HICKORY $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T210-IgE PRIVET, COMMON $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T044-IGE HACKBERRY $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T015-IGE ASH, WHITE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W018-IGE SHEEP SORREL $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W0010-IGE LAMB'S QUARTERS $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W046-IGE FENNEL, DOG $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W013-IGE COCKLEBUR $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F023-IGE CRAB $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F290-IGE OYSTER $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F320-IgE CRAYFISH FRESHWATER $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F024-IGE SHRIMP $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W009-IGE PLANTAIN, ENGLISH $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F201-IGE PECAN NUT $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T218-IGE OAK, LIVE/VIRGINIA $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T014-IGE COTTONWOOD $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T002-IGE ALDER, GREY $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G010-IGE JOHNSON GRASS $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G017-IGE BAHIA GRASS $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F245-IGE EGG,WHOLE, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALERNARIA ALTERNATA, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS NIGER, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F020-IGE ALMOND $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D PTERONYSSINUS, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH, AMERICAN, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH MARSHELDER, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMERICAN ELM, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GERMAN COCKROACH, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T001-IGE MAPLE/BOX ELDER $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE MULBERRY, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KOCHIA, ALLERGEN $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WORMWOOD, ALLERGEN $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED, GIANT $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HALIBUT, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCOLI, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHOCOLATE/CACAO, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR, MOUNTAIN, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COD, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON PIGWEED, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON SILVER BIRCH, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE OAK, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. PTERONYSSINUS, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W00I-IGE RAGWEED, SHORT, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D FARINAE, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HICKORY PECAN, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM CHRYSOGEN, IGE $23.49 $31.32 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SHRIMP $27.00 $36.00 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS, IGE $27.00 $36.00 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINAE, IGE $27.00 $36.00 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS $30.75 $41.00 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLIS NIGER $30.75 $41.00 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T012-IGE WILLOW $54.94 $73.25 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERCH, IGE $66.64 $88.85 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - CHEMICAL $79.13 $105.50 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST- DRUG $101.63 $135.50 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, PROFILE FOOD $108.00 $144.00 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLIS FLAVUS LABCORP $109.50 $146.00 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE, MOLD $112.50 $150.00 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SHELLFISH FOOD $182.63 $243.50 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK ALLERGY PROFILE $182.63 $243.50 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-SEAFOOD/SHELLFISH $236.63 $315.50 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST -BASIC FOOD $264.75 $353.00 — — 25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - BOTANICAL/ALLER $264.75 $353.00 — — 25%
Allergy blood test, specific IgE, per allergen inpatient one side CPT 86003 FREE K+L LT CHAINS, QN, UR $94.46 $125.94 — — 25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IGG/IGA $58.28 $77.70 — 22% above 25%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES IGG/IGA $58.28 $77.70 — — 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX $54.41 $72.54 — 4% above 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB, IFA $54.41 $72.54 — 4% above 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA $54.41 $72.54 — 4% above 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIB-ANA $84.75 $113.00 — 62% above 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CONNECTIVE TISSUE DISEASE (CTD) CASCADE $90.00 $120.00 — 72% above 25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX $54.41 $72.54 — — 25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA $54.41 $72.54 — — 25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB, IFA $54.41 $72.54 — — 25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIB-ANA $84.75 $113.00 — — 25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CONNECTIVE TISSUE DISEASE (CTD) CASCADE $90.00 $120.00 — — 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP $176.67 $235.56 — 125% above 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LAB CORP PRO BNP $176.67 $235.56 — 125% above 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-LABCORP $247.88 $330.50 — 215% above 25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LAB CORP PRO BNP $176.67 $235.56 — — 25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP $176.67 $235.56 — — 25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP-LABCORP $247.88 $330.50 — — 25%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $38.07 $50.76 — 38% below 25%
Basic metabolic panel (blood test) CPT 80048 LABCORP BMP $38.07 $50.76 — 38% below 25%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $38.07 $50.76 — — 25%
Basic metabolic panel (blood test) inpatient CPT 80048 LABCORP BMP $38.07 $50.76 — — 25%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $46.44 $61.92 — 36% below 25%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $46.44 $61.92 — — 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING FEE $39.74 $52.98 — 365% above 25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRAWING FEE $39.74 $52.98 — — 25%
Blood glucose (sugar) test CPT 82947 GLUCOSE $17.69 $23.58 — 2% above 25%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $17.69 $23.58 — — 25%
Blood lead test CPT 83655 LEAD, BLOOD (ADULT) $54.50 $72.66 — 75% above 25%
Blood lead test CPT 83655 LEAD, URINE $54.50 $72.66 — 75% above 25%
Blood lead test CPT 83655 LEAD, BLOOD (PEDIATRIC) $54.50 $72.66 — 75% above 25%
Blood lead test inpatient CPT 83655 LEAD, BLOOD (PEDIATRIC) $54.50 $72.66 — — 25%
Blood lead test inpatient CPT 83655 LEAD, BLOOD (ADULT) $54.50 $72.66 — — 25%
Blood lead test inpatient CPT 83655 LEAD, URINE $54.50 $72.66 — — 25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST $10.13 $13.50 — 82% below 25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY SERUM TEST $45.00 $60.00 — 18% below 25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY SERUM TEST $45.00 $60.00 — — 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB CHARGE BB ABO/RH $547.70 $730.26 — 1060% above 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE $547.70 $730.26 — 1060% above 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB CHARGE ABO TYPE $547.70 $730.26 — 1060% above 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CHARGE TYPE AND ANTIBODY SCREEN $547.70 $730.26 — 1060% above 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CHARGE LIFESHARE ABO TYPE $547.70 $730.26 — 1060% above 25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB CHARGE BB ABO/RH $547.70 $730.26 — — 25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CHARGE LIFESHARE ABO TYPE $547.70 $730.26 — — 25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CHARGE TYPE AND ANTIBODY SCREEN $547.70 $730.26 — — 25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB CHARGE ABO TYPE $547.70 $730.26 — — 25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPE $547.70 $730.26 — — 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN LABCORP $23.31 $31.08 — 31% below 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP CQUANTIATIVE $23.31 $31.08 — 31% below 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP CQUANTIATIVE $23.31 $31.08 — — 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN LABCORP $23.31 $31.08 — — 25%
C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFF TOXIN GENE NAA(PCR) $281.63 $375.50 — 309% above 25%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C-DIFF TOXIN GENE NAA(PCR) $281.63 $375.50 — — 25%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 $112.50 $150.00 — 131% above 25%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 $112.50 $150.00 — — 25%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $93.65 $124.86 — 40% above 25%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $93.65 $124.86 — — 25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMIATIS $157.91 $210.54 — 182% above 25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMIATIS $157.91 $210.54 — — 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $60.26 $80.34 — 15% below 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LABCORP LIPID PANEL $60.26 $80.34 — 15% below 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LABCORP LIPID PANEL $60.26 $80.34 — — 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $60.26 $80.34 — — 25%
Complete blood count (CBC) with differential CPT 85025 CHARGE FOR CBC AUTO DIFF $34.97 $46.62 — 8% below 25%
Complete blood count (CBC) with differential CPT 85025 LABCORP CBC $34.97 $46.62 — 8% below 25%
Complete blood count (CBC) with differential inpatient CPT 85025 CHARGE FOR CBC AUTO DIFF $34.97 $46.62 — — 25%
Complete blood count (CBC) with differential inpatient CPT 85025 LABCORP CBC $34.97 $46.62 — — 25%
Complete blood count (CBC), no differential CPT 85027 CHARGE CBC W/O DIFF $29.12 $38.82 — 34% below 25%
Complete blood count (CBC), no differential inpatient CPT 85027 CHARGE CBC W/O DIFF $29.12 $38.82 — — 25%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $47.52 $63.36 — 58% below 25%
Comprehensive metabolic panel (blood test) CPT 80053 LABCORP CMP $47.52 $63.36 — 58% below 25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LABCORP CMP $47.52 $63.36 — — 25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $47.52 $63.36 — — 25%
D-dimer blood test (blood clot marker) CPT 85379 LABCORP DDIMER $45.81 $61.08 — 36% below 25%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER(INHOUSE TEST) $187.50 $250.00 — 160% above 25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 LABCORP DDIMER $45.81 $61.08 — — 25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER(INHOUSE TEST) $187.50 $250.00 — — 25%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS $100.04 $133.38 — 61% above 25%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS $100.04 $133.38 — — 25%
Estradiol blood test CPT 82670 ESTRADIOL $125.73 $167.64 — 60% above 25%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $125.73 $167.64 — — 25%
FSH (follicle-stimulating hormone) test CPT 83001 FSH $83.61 $111.48 — 32% above 25%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH $83.61 $111.48 — — 25%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL $369.38 $492.50 — 180% above 25%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL $369.38 $492.50 — — 25%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $61.34 $81.78 — 11% above 25%
Ferritin blood test (iron stores) CPT 82728 SMITH ANTIBODY $112.50 $150.00 — 104% above 25%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $61.34 $81.78 — — 25%
Ferritin blood test (iron stores) inpatient CPT 82728 SMITH ANTIBODY $112.50 $150.00 — — 25%
Folate (folic acid) blood test CPT 82746 FOLATE $74.25 $99.00 — 58% above 25%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE $74.25 $99.00 — — 25%
Free T3 thyroid hormone test CPT 84481 T3 FREE $87.59 $116.78 — 59% above 25%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE $87.59 $116.78 — — 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LABCORP FREE T4 $40.59 $54.12 — 30% below 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 $40.59 $54.12 — 30% below 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4 FREE EQUILIBRIUM/A $123.00 $164.00 — 113% above 25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LABCORP FREE T4 $40.59 $54.12 — — 25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 $40.59 $54.12 — — 25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T-4 FREE EQUILIBRIUM/A $123.00 $164.00 — — 25%
Free testosterone test CPT 84402 TESTOSTERONE FREE $114.62 $152.82 — 57% above 25%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE $114.62 $152.82 — — 25%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $97.50 $130.00 — 49% below 25%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $97.50 $130.00 — — 25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT 1 HOUR $21.38 $28.50 — 33% above 25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GCT - 1HR GLUCOSE $21.38 $28.50 — 33% above 25%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GCT - 1HR GLUCOSE $21.38 $28.50 — — 25%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GTT 1 HOUR $21.38 $28.50 — — 25%
Glucose tolerance test, 3 samples CPT 82951 GTT 2 H0UR $57.92 $77.22 — 25% above 25%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 2 H0UR $57.92 $77.22 — — 25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE $157.91 $210.54 — 199% above 25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE $157.91 $210.54 — — 25%
H. pylori antibody blood test CPT 86677 IGM ANTIBODIES $75.83 $101.10 — 2% below 25%
H. pylori antibody blood test CPT 86677 IGA ANTIBODIES $75.83 $101.10 — 2% below 25%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IG $75.83 $101.10 — 2% below 25%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG $107.25 $143.00 — 39% above 25%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGM $107.25 $143.00 — 39% above 25%
H. pylori antibody blood test inpatient CPT 86677 IGA ANTIBODIES $75.83 $101.10 — — 25%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IG $75.83 $101.10 — — 25%
H. pylori antibody blood test inpatient CPT 86677 IGM ANTIBODIES $75.83 $101.10 — — 25%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGM $107.25 $143.00 — — 25%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGG $107.25 $143.00 — — 25%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL ANTIGEN $285.56 $380.75 — 333% above 25%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL ANTIGEN $285.56 $380.75 — — 25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD $382.95 $510.60 — 100% above 25%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD $382.95 $510.60 — — 25%
HIV-1 and HIV-2 antibody test CPT 86703 RAPID HIV $61.70 $82.26 — 21% above 25%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 RAPID HIV $61.70 $82.26 — — 25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 & HIV 2 4TH GENERATION $108.36 $144.48 — 119% above 25%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 & HIV 2 4TH GENERATION $108.36 $144.48 — — 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGBA1C WITH eAG $43.70 $58.26 — 12% below 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $43.70 $58.26 — 12% below 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LABCORP HGB A1C $43.70 $58.26 — 12% below 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $43.70 $58.26 — — 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGBA1C WITH eAG $43.70 $58.26 — — 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LABCORP HGB A1C $43.70 $58.26 — — 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIB $48.33 $64.44 — 20% above 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB $48.33 $64.44 — 20% above 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB $48.33 $64.44 — 20% above 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF ANTIB $48.33 $64.44 — — 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF AB $48.33 $64.44 — — 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB $48.33 $64.44 — — 25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG $46.49 $61.98 — 7% above 25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIG $46.49 $61.98 — 7% above 25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF ANTIG $46.49 $61.98 — — 25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG $46.49 $61.98 — — 25%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $64.22 $85.62 — 26% above 25%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB REFLEX TO PCR $64.22 $85.62 — 26% above 25%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB $64.22 $85.62 — 26% above 25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $64.22 $85.62 — — 25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB $64.22 $85.62 — — 25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB REFLEX TO PCR $64.22 $85.62 — — 25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANTA SURE $225.00 $300.00 — 35% above 25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C-TITRE $243.75 $325.00 — 47% above 25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV, QN, RNA, PCR W/ REFLEX TO GENOTYPE $266.96 $355.95 — 61% above 25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QL, QN REFLEX GENOSURE $868.88 $1,158.50 — 423% above 25%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, QUANT (NON-GRAPH) $236.63 $315.50 — 42% above 25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANTA SURE $225.00 $300.00 — — 25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C-TITRE $243.75 $325.00 — — 25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV, QN, RNA, PCR W/ REFLEX TO GENOTYPE $266.96 $355.95 — — 25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QL, QN REFLEX GENOSURE $868.88 $1,158.50 — — 25%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, QUANT (NON-GRAPH) $236.63 $315.50 — — 25%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1-SPECIFIC AB, IGG $59.36 $79.14 — 64% above 25%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1-SPECIFIC AB, IGG $59.36 $79.14 — — 25%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2-SPECIFIC AB, IGG $87.08 $116.10 — 94% above 25%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX WB $338.25 $451.00 — 652% above 25%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2-SPECIFIC AB, IGG $87.08 $116.10 — — 25%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX WB $338.25 $451.00 — — 25%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HS LABCORP $187.50 $250.00 — 321% above 25%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HS LABCORP $187.50 $250.00 — — 25%
Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA $80.64 $107.52 — 41% above 25%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE PLASMA $80.64 $107.52 — — 25%
Insulin blood test CPT 83525 INSULIN LEVEL $51.44 $68.58 — 22% above 25%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL $51.44 $68.58 — — 25%
Iron blood test (serum iron) CPT 83540 IRON SERUM $29.12 $38.82 — 16% below 25%
Iron blood test (serum iron) CPT 83540 IRON $29.12 $38.82 — 16% below 25%
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM $29.12 $38.82 — — 25%
Iron blood test (serum iron) inpatient CPT 83540 IRON $29.12 $38.82 — — 25%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPAC (TI $39.33 $52.44 — 11% below 25%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPAC (TI $39.33 $52.44 — — 25%
Kidney function blood test panel CPT 80069 RENAL PANEL $39.06 $52.08 — 52% below 25%
Kidney function blood test panel CPT 80069 LABCORP RENAL PANEL $39.06 $52.08 — 52% below 25%
Kidney function blood test panel inpatient CPT 80069 LABCORP RENAL PANEL $39.06 $52.08 — — 25%
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL $39.06 $52.08 — — 25%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $83.34 $111.12 — 37% above 25%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE $83.34 $111.12 — — 25%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM $31.01 $41.34 — 26% below 25%
Lipase blood test (pancreas enzyme) CPT 83690 LABCORP LIPASE $33.75 $45.00 — 20% below 25%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM $31.01 $41.34 — — 25%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LABCORP LIPASE $33.75 $45.00 — — 25%
Liver function blood test panel CPT 80076 LABCORP LIVER PANEL $37.50 $50.00 — 56% below 25%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION $37.50 $50.00 — 56% below 25%
Liver function blood test panel inpatient CPT 80076 LABCORP LIVER PANEL $37.50 $50.00 — — 25%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION $37.50 $50.00 — — 25%
Lyme disease antibody test CPT 86618 LYME IGG/IGM AB $76.64 $102.18 — 51% above 25%
Lyme disease antibody test inpatient CPT 86618 LYME IGG/IGM AB $76.64 $102.18 — — 25%
Magnesium blood test CPT 83735 MAGNESIUM $30.15 $40.20 — 10% above 25%
Magnesium blood test CPT 83735 MAGNESIUMRBC SERUM $30.15 $40.20 — 10% above 25%
Magnesium blood test CPT 83735 MAGNESUIM 24 HR URINE $30.15 $40.20 — 10% above 25%
Magnesium blood test CPT 83735 LABCORP MAGNESIUM $33.75 $45.00 — 23% above 25%
Magnesium blood test CPT 83735 MAGNESIUM, RBC $97.13 $129.50 — 255% above 25%
Magnesium blood test inpatient CPT 83735 MAGNESIUMRBC SERUM $30.15 $40.20 — — 25%
Magnesium blood test inpatient CPT 83735 MAGNESUIM 24 HR URINE $30.15 $40.20 — — 25%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $30.15 $40.20 — — 25%
Magnesium blood test inpatient CPT 83735 LABCORP MAGNESIUM $33.75 $45.00 — — 25%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC $97.13 $129.50 — — 25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES, IGG $57.96 $77.28 — 55% above 25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES, IGM $57.96 $77.28 — 55% above 25%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES, IGG $57.96 $77.28 — — 25%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES, IGM $57.96 $77.28 — — 25%
Mono test (heterophile antibody, Monospot) CPT 86308 LABCORP MONO SCREENING $48.00 $64.00 — 31% above 25%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREENING $48.00 $64.00 — 31% above 25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LABCORP MONO SCREENING $48.00 $64.00 — — 25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREENING $48.00 $64.00 — — 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFC AG FREE $82.76 $110.34 — 43% above 25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFC AG FREE $82.76 $110.34 — — 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN $82.76 $110.34 — 46% above 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE:TOTAL RATIO (SERIAL MONITOR) $82.76 $110.34 — 46% above 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECI ANTIGEN $82.76 $110.34 — 46% above 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 LABCORP PSA $82.76 $110.34 — 46% above 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECI ANTIGEN $82.76 $110.34 — — 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA FREE:TOTAL RATIO (SERIAL MONITOR) $82.76 $110.34 — — 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN $82.76 $110.34 — — 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LABCORP PSA $82.76 $110.34 — — 25%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE INTACT $185.76 $247.68 — 70% above 25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE INTACT $185.76 $247.68 — — 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 LABCORP PTT $41.25 $55.00 — 25% above 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $41.25 $55.00 — 25% above 25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LABCORP PTT $41.25 $55.00 — — 25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $41.25 $55.00 — — 25%
Progesterone blood test CPT 84144 PROGESTERONE $93.87 $125.16 — 31% above 25%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $93.87 $125.16 — — 25%
Prolactin blood test CPT 84146 PROLACTIN LAPCORP $87.21 $116.28 — 14% above 25%
Prolactin blood test CPT 84146 ANTI-MULLERIAN HORMONE (AMH) $96.00 $128.00 — 25% above 25%
Prolactin blood test inpatient CPT 84146 PROLACTIN LAPCORP $87.21 $116.28 — — 25%
Prolactin blood test inpatient CPT 84146 ANTI-MULLERIAN HORMONE (AMH) $96.00 $128.00 — — 25%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME $25.50 $34.00 — 23% above 25%
Prothrombin time (PT/INR) clotting test CPT 85610 LABCORP PT $28.50 $38.00 — 38% above 25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME $25.50 $34.00 — — 25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LABCORP PT $28.50 $38.00 — — 25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN $74.39 $99.18 — 170% above 25%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP SCREEN $74.39 $99.18 — — 25%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE (GRP) $25.52 $34.02 — 7% below 25%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LABCORP $25.52 $34.02 — 7% below 25%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE (GRP) $25.52 $34.02 — — 25%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR LABCORP $25.52 $34.02 — — 25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN IGG $64.76 $86.34 — 70% above 25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGM $64.76 $86.34 — 70% above 25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGG $64.76 $86.34 — 70% above 25%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN IGG $64.76 $86.34 — — 25%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA, IGG $64.76 $86.34 — — 25%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA, IGM $64.76 $86.34 — — 25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 LABCORP SED RATE $27.75 $37.00 — 11% below 25%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 LABCORP SED RATE $27.75 $37.00 — — 25%
Stool ova and parasites exam CPT 87177 OVA & PARASTIES, STOOL $40.05 $53.40 — 9% above 25%
Stool ova and parasites exam CPT 87177 OVA & PARASTIES, URINE $40.05 $53.40 — 9% above 25%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASTIES, STOOL $40.05 $53.40 — — 25%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASTIES, URINE $40.05 $53.40 — — 25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 GUAIAC SCREENING TEST $19.71 $26.28 — 1% below 25%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 GUAIAC SCREENING TEST $19.71 $26.28 — — 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR-QUANTIATIVE $23.06 $30.75 — 16% above 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM $23.06 $30.75 — 16% above 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR-QUALITATIVE $23.06 $30.75 — 16% above 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, RFX QUAN RPR/CONFIRM TP $23.06 $30.75 — 16% above 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, RFX QUAN RPR/CONFIRM TP $23.06 $30.75 — — 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR-QUALITATIVE $23.06 $30.75 — — 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR-QUANTIATIVE $23.06 $30.75 — — 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM $23.06 $30.75 — — 25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB $278.91 $371.88 — 142% above 25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 PRE-EMPLOYMENT QUANTIFERON GOLD TB $278.91 $371.88 — 142% above 25%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 PRE-EMPLOYMENT QUANTIFERON GOLD TB $278.91 $371.88 — — 25%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD TB $278.91 $371.88 — — 25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE $116.15 $154.86 — 68% above 25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE $116.15 $154.86 — — 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIMICROSOMAL $65.48 $87.30 — 47% above 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB $65.48 $87.30 — 47% above 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB $65.48 $87.30 — 47% above 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDOASE $65.48 $87.30 — 47% above 25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL AB $65.48 $87.30 — — 25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIMICROSOMAL $65.48 $87.30 — — 25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXIDOASE $65.48 $87.30 — — 25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB $65.48 $87.30 — — 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LABCORP TSH $75.60 $100.80 — 58% above 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $75.60 $100.80 — 58% above 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LABCORP $75.60 $100.80 — 58% above 25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $75.60 $100.80 — — 25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LABCORP TSH $75.60 $100.80 — — 25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LABCORP $75.60 $100.80 — — 25%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS BY NAA $192.26 $256.34 — 227% above 25%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS BY NAA $192.26 $256.34 — — 25%
Uric acid blood test CPT 84550 URIC ACID $26.25 $35.00 — 1% below 25%
Uric acid blood test CPT 84550 LABCORP URIC ACID $37.50 $50.00 — 42% above 25%
Uric acid blood test inpatient CPT 84550 URIC ACID $26.25 $35.00 — — 25%
Uric acid blood test inpatient CPT 84550 LABCORP URIC ACID $37.50 $50.00 — — 25%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS MICRO $18.75 $25.00 — 61% below 25%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/ MICRO $18.75 $25.00 — 61% below 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS MICRO $18.75 $25.00 — — 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/ MICRO $18.75 $25.00 — — 25%
Urinalysis without microscope exam, automated CPT 81003 URINE(24 HR)HEMOGLOBIN $15.00 $20.00 — 52% above 25%
Urinalysis without microscope exam, automated CPT 81003 UA AND CULTURE IF INDICATED $18.75 $25.00 — 89% above 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE(24 HR)HEMOGLOBIN $15.00 $20.00 — — 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AND CULTURE IF INDICATED $18.75 $25.00 — — 25%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIP STICK $15.66 $20.88 — 111% above 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIP STICK $15.66 $20.88 — — 25%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE $36.32 $48.42 — 32% below 25%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE $37.50 $50.00 — 30% below 25%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE $36.32 $48.42 — — 25%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE $37.50 $50.00 — — 25%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE TEST $38.75 $51.66 — 80% above 25%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY URINE TEST $38.75 $51.66 — — 25%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $67.86 $90.48 — 24% above 25%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $67.86 $90.48 — — 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH $133.20 $177.60 — 29% above 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 3 $133.20 $177.60 — 29% above 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH $133.20 $177.60 — — 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 3 $133.20 $177.60 — — 25%
Zinc blood test CPT 84630 ZINC SERUM $51.26 $68.34 — 24% above 25%
Zinc blood test inpatient CPT 84630 ZINC SERUM $51.26 $68.34 — — 25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC $67.73 $90.30 — 1% below 25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LABCORP BETA HCG QUANT LABCORP $75.00 $100.00 — 10% above 25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE $75.00 $100.00 — 10% above 25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHRONIC $125.63 $167.50 — 84% above 25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIONIC $67.73 $90.30 — — 25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LABCORP BETA HCG QUANT LABCORP $75.00 $100.00 — — 25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANTITATIVE $75.00 $100.00 — — 25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHRONIC $125.63 $167.50 — — 25%

Surgery and procedures

ProcedureCash price List priceInsurers payvs LouisianaOff list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TX DISTAL FIBULAR FX W $519.08 $692.10 $200.00 224% above 25%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TX METATARSAL FX W/O M $367.73 $490.30 $200.00 105% above 25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC $402.77 $537.02 $200.00 25% below 25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX DISTAL RADIAL FX W/ $583.82 $778.43 $200.00 243% above 25%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY $1,237.50 $1,650.00 — 36% above 25%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPS $2,529.81 $3,373.08 — 179% above 25%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY $1,237.50 $1,650.00 — — 25%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPS $2,529.81 $3,373.08 — — 25%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY WITHOUT BIOPSY $1,237.50 $1,650.00 — 35% above 25%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY $1,959.32 $2,612.43 — 114% above 25%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY WITHOUT BIOPSY $1,237.50 $1,650.00 — — 25%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY $1,959.32 $2,612.43 — — 25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION 1ST PREMALIGNANT LESION $450.00 $600.00 $250.00 362% above 25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION 1ST PREMALIGNANT LESION $450.00 $600.00 $250.00 — 25%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF CERUMEN $112.50 $150.00 $200.00 86% above 25%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY WITHOUT BIOPSY $750.00 $1,000.00 — 73% above 25%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY WITHOUT BIOPSY $750.00 $1,000.00 — — 25%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS $219.00 $292.00 $200.00 19% above 25%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESSES, SIMPLE OR SINGLE $715.31 $953.75 — 289% above 25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESSES, SIMPLE OR SINGLE $715.31 $953.75 — — 25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION MAJOR JOINT $189.32 $252.43 $200.00 27% below 25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION OF FLUID-WR $189.32 $252.43 $200.00 26% below 25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION SMALL JOINT $189.32 $252.43 $200.00 17% below 25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES 0.5/LESS T $443.20 $590.93 $200.00 112% above 25%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE $134.99 $179.98 $200.00 10% below 25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC OF NAIL PERM $256.50 $342.00 $200.00 1% below 25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision of nail and nail matrix (partia $322.40 $429.87 $250.00 25% above 25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL $1,424.70 $1,899.60 — 452% above 25%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL $1,424.70 $1,899.60 — — 25%
Removal of a breast lump, open surgery CPT 19120 EXC OF CYST OR OTHER $2,154.25 $2,872.33 $200.00 100% above 25%
Removal of a foreign object under the skin, simple CPT 10120 REM FB FOREARM $240.27 $320.36 $200.00 2% below 25%
Removal of a foreign object under the skin, simple CPT 10120 I&D REMOVAL FOREIGN BO $240.27 $320.36 $200.00 2% below 25%
Removal of a foreign object under the skin, simple CPT 10120 REM FB LEG $240.27 $320.36 $200.00 2% below 25%
Short arm cast (elbow to hand) CPT 29075 APPL SHORT ARM CAST $178.50 $238.00 $200.00 5% above 25%
Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW TO FI $180.22 $240.29 $200.00 6% above 25%
Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLIN $141.75 $189.00 $200.00 25% above 25%
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST $180.22 $240.29 $200.00 15% below 25%
Short leg splint (calf to foot) CPT 29515 APPL SHORT LEG SPLINT $147.00 $196.00 $200.00 9% above 25%
Short leg splint (calf to foot) CPT 29515 PT APPLICATION-SHORT LEG $337.79 $450.39 $65.00–$150.00 151% above 25%
Short leg splint (calf to foot) inpatient CPT 29515 PT APPLICATION-SHORT LEG $337.79 $450.39 $65.00–$150.00 — 25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR SMP 2.5 OR LESS SC $165.00 $220.00 $200.00 10% below 25%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY, SINGLE LESION PHYS FEE $244.53 $326.04 $250.00 31% above 25%
Skin biopsy, punch, one lesion CPT 11104 PUNCH SINGLE LESION BIOPSY $1,424.70 $1,899.60 — 666% above 25%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH SINGLE LESION BIOPSY $1,424.70 $1,899.60 — — 25%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MALIGNANT LESION 0.5<CM $2,820.00 $3,760.00 $250.00 512% above 25%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION MALIGNANT LESION 0.5<CM $2,820.00 $3,760.00 $250.00 — 25%
Skin tag removal, up to 15 tags CPT 11200 EXCISION SKIN TAG $360.75 $481.00 $200.00 171% above 25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SMP 2.6 TO 7.5 SCL $154.50 $206.00 $200.00 15% below 25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR SMP 2.5 OR LESS FA $165.00 $220.00 $200.00 10% below 25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential(shave)SKIN BIOPSY,SINGLE LESI $67.28 $89.71 $250.00 48% below 25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY, SKIN, ONE LESION $715.31 $953.75 — 457% above 25%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BIOPSY, SKIN, ONE LESION $715.31 $953.75 — — 25%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTIO $187.50 $250.00 $200.00 41% above 25%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ OF STEROID $189.32 $252.43 $200.00 42% above 25%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY $1,200.00 $1,600.00 — 49% above 25%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITHOUT BIOPSY $1,200.00 $1,600.00 — 49% above 25%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITH BIOPSY $1,200.00 $1,600.00 — — 25%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITHOUT BIOPSY $1,200.00 $1,600.00 — — 25%
Wart removal, up to 14 warts CPT 17110 CRYO WART UP TO 14 $134.99 $179.98 $200.00 1% below 25%
Wart removal, up to 14 warts CPT 17110 Destruction of benign lesions, up to 14 $224.51 $299.34 $250.00 65% above 25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN $240.27 $320.36 $200.00 35% below 25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 EXCISIONAL DEBRIDEMENT PHY FEE $257.85 $343.80 — 31% below 25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT,SKIN& SQ TISSUE 20SQCM $943.50 $1,258.00 $250.00 154% above 25%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT,SKIN& SQ TISSUE 20SQCM $943.50 $1,258.00 $250.00 — 25%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs LouisianaOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION (2 U $337.50 $450.00 $200.00 28% below 25%
Blood transfusion (giving blood or blood components) CPT 36430 BB BLOOD ADMINISTRATION $1,240.83 $1,654.44 — 163% above 25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB BLOOD ADMINISTRATION $1,240.83 $1,654.44 — — 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL 2ND NEB TREATMENT MED $457.25 $609.66 — 387% above 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL 4TH NEB TREATMENT MED $457.25 $609.66 — 387% above 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL SUBSEQUENT NEB TREATMENT $457.25 $609.66 — 387% above 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INCENT SPIR TREATMENT $457.25 $609.66 $150.00 387% above 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL 3RD NEB TREATMENT MED $457.25 $609.66 — 387% above 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL SUBSEQUENT NEB TREATMENT $457.25 $609.66 — — 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL 4TH NEB TREATMENT MED $457.25 $609.66 — — 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL 3RD NEB TREATMENT MED $457.25 $609.66 — — 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL 2ND NEB TREATMENT MED $457.25 $609.66 — — 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INCENT SPIR TREATMENT $457.25 $609.66 $150.00 — 25%
Critical care, first 30 to 74 minutes CPT 99291 ER PHYS CRITICAL - 30- $383.05 $510.73 $200.00 49% below 25%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74 $2,536.44 $3,381.92 $200.00 238% above 25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE / DROWSY $438.75 $585.00 — 42% above 25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ELECTROENCEPHALOGRAPHIC EXAM $1,121.48 $1,495.30 — 262% above 25%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE / DROWSY $438.75 $585.00 — — 25%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 ELECTROENCEPHALOGRAPHIC EXAM $1,121.48 $1,495.30 — — 25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG 12 LEAD INTERPRETATION AND REPORT ER $75.00 $100.00 — at median 25%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG 12 LEAD INTERPRETATION AND REPORT ER $75.00 $100.00 — — 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (AMA) $131.13 $174.84 — 59% above 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ROUTINE $131.13 $174.84 — 59% above 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ROUTINE $131.13 $174.84 — — 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG (AMA) $131.13 $174.84 — — 25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PHYSICIAN EMERGENCY ROOM LEVEL- $30.00 $40.00 — 49% below 25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER PHYS MINOR $53.34 $71.12 $200.00 9% below 25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LEVEL- $253.77 $338.36 $200.00 334% above 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER PHYS LOW TO MODERAT $75.71 $100.95 $60.00–$200.00 48% below 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PHYSICIAN EMERGENCY ROOM LEVEL 2 $75.75 $101.00 $60.00 48% below 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER HOLDING-1-8 HRS $467.49 $623.32 $200.00 218% above 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM (NO CHR $467.49 $623.32 $60.00–$250.00 218% above 25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM (NO CHR $467.49 $623.32 $60.00–$250.00 — 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER PHYS MODERATE $128.99 $171.98 $100.00–$200.00 44% below 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PHYSICIAN EMERGENCY ROOM LEVEL 3 $129.00 $172.00 $100.00 44% below 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER HOLDING-9-18 HRS $815.55 $1,087.40 $200.00 253% above 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER PHYS HIGH SEVERITY $219.59 $292.78 $150.00–$200.00 42% below 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PHYSICIAN EMERGENCY ROOM LEVEL 4 $219.75 $293.00 $150.00 42% below 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER FEE EXTENDED OBSERV $275.69 $367.58 $150.00–$200.00 27% below 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER HOLDING-19-28 HRS $1,266.00 $1,688.00 $200.00 234% above 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER PHYS HI SEVERITY LI $318.29 $424.38 $200.00 39% below 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PHYSICIAN EMERGENCY ROOM LEVEL 5 $318.75 $425.00 — 39% below 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER HOLDING-29 & MORE H $1,835.97 $2,447.96 $200.00 254% above 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CPR $1,835.97 $2,447.96 $200.00 254% above 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEVEL 5 $1,835.97 $2,447.96 $200.00 254% above 25%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST/TELEHEALT $300.00 $400.00 — 15% below 25%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE STRESS TEST $672.89 $897.18 — 92% above 25%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST/TELEHEALT $300.00 $400.00 — — 25%
Family therapy with the patient, 50 minutes CPT 90847 CONJOINT THER. GROUP $341.80 $455.73 — 159% above 25%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PA $341.80 $455.73 — 159% above 25%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W $341.80 $455.73 — 166% above 25%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY (I $191.09 $254.79 — 194% above 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Administration of Injection IOP $28.50 $38.00 — 45% below 25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC EVALUATION $272.74 $363.65 — 162% above 25%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC EVALUATION $272.74 $363.65 — — 25%
New patient office visit, about 30 minutes CPT 99203 New patient MDM 30-44 min $79.36 $105.81 $250.00 44% above 25%
New patient office visit, about 45 minutes CPT 99204 New patient MDM 45-59 min $119.51 $159.35 $250.00 33% above 25%
New patient office visit, about 45 minutes CPT 99204 W/C NEW PATIENT/TX ROOM 60 MINUTES $557.14 $742.85 $250.00 519% above 25%
New patient office visit, about 45 minutes inpatient CPT 99204 W/C NEW PATIENT/TX ROOM 60 MINUTES $557.14 $742.85 $250.00 — 25%
New patient office visit, about 60 minutes CPT 99205 New patient MDM 60-74 min $158.10 $210.80 $250.00 14% above 25%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT-MOD TO HIG $325.01 $433.35 — 135% above 25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient MDM 15-29 min $50.49 $67.32 $250.00 26% above 25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial asses $67.50 $90.00 $65.00–$150.00 134% above 25%
Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL MED SCREEN(18- $60.13 $80.17 — 59% below 25%
Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC MED SCREEN(18 $52.27 $69.69 — 36% below 25%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45- $341.80 $455.73 — 164% above 25%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THER 45-50 $341.80 $455.73 — 164% above 25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established PT MDM 40-54 min $128.39 $171.19 $250.00 47% above 25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WOUND CARE EST .PT./TX ROOM $407.14 $542.85 $250.00 367% above 25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 W/C ET. PT/TX ROOM 45 MINUTES $482.14 $642.85 $250.00 454% above 25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 W/C EST. PT/TX ROOM 60 MINUTES $557.14 $742.85 $250.00 540% above 25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 W/C EST PT./TX ROOM 40 MINUTES $631.50 $842.00 $250.00 625% above 25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WOUND CARE EST .PT./TX ROOM $407.14 $542.85 $250.00 — 25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 W/C ET. PT/TX ROOM 45 MINUTES $482.14 $642.85 $250.00 — 25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 W/C EST. PT/TX ROOM 60 MINUTES $557.14 $742.85 $250.00 — 25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 W/C EST PT./TX ROOM 40 MINUTES $631.50 $842.00 $250.00 — 25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established PT MDM 20-29 min $64.67 $86.22 $250.00 85% above 25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 W/C EST PATIENT/TX ROOM 15 MINUTES $332.14 $442.85 $250.00 849% above 25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 W/C EST PATIENT/TX ROOM 15 MINUTES $332.14 $442.85 $250.00 — 25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established PT MDM 30-39 min $91.28 $121.71 $250.00 43% above 25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WOUND CARE EAST.PT./TX ROOM 30 MINUTES $407.14 $542.85 $250.00 539% above 25%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WOUND CARE EAST.PT./TX ROOM 30 MINUTES $407.14 $542.85 $250.00 — 25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established PT MDM 10-19 min $39.63 $52.84 — 37% above 25%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION $334.87 $446.49 — 136% above 25%
Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION $334.87 $446.49 — — 25%
Spirometry before and after a bronchodilator CPT 94060 PEAK FLOW SUBSEQUENT $193.02 $257.36 — 39% below 25%
Spirometry before and after a bronchodilator CPT 94060 PEAK FLOW INITIAL $193.02 $257.36 $150.00 39% below 25%
Spirometry before and after a bronchodilator inpatient CPT 94060 PEAK FLOW INITIAL $193.02 $257.36 $150.00 — 25%
Spirometry before and after a bronchodilator inpatient CPT 94060 PEAK FLOW SUBSEQUENT $193.02 $257.36 — — 25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAP $365.13 $486.84 — 256% above 25%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAP $365.13 $486.84 — — 25%

Vaccines

ProcedureCash price List priceInsurers payvs LouisianaOff list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE $230.62 $307.49 — 72% above 25%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE $230.62 $307.49 — — 25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE 0.5ML INJ (2025/2026) $37.50 $50.00 — 62% above 25%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE 0.5ML INJ (2025/2026) $37.50 $50.00 — — 25%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 IM VACCINE $57.96 $77.28 — 53% below 25%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 IM VACCINE $57.96 $77.28 — — 25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULTVACC(Engerix)20MCG $108.98 $145.31 — 151% above 25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULTVACC(Engerix)20MCG $108.98 $145.31 — — 25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR-II VACCINE $128.92 $171.89 — 76% above 25%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR-II VACCINE $128.92 $171.89 — — 25%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL GROUPS A,C,Y,& W-135 $256.85 $342.47 — 195% above 25%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL GROUPS A,C,Y,& W-135 $256.85 $342.47 — — 25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 VACCINE $546.80 $729.07 — 258% above 25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR-20 VACCINE $546.80 $729.07 — — 25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL/COMMUNITY $22.50 $30.00 — 63% below 25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VACCINE $164.90 $219.86 — 171% above 25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL/COMMUNITY $22.50 $30.00 — — 25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 VACCINE $164.90 $219.86 — — 25%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX Intramuscular 0.5ML $545.77 $727.69 — 627% above 25%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX Intramuscular 0.5ML $545.77 $727.69 — — 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS,DIPTH,PERTUS (ADACEL) 0.5mL Tdap $98.52 $131.36 — 112% above 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP $98.52 $131.36 — 112% above 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS,DIPTH,PERTUS (ADACEL) 0.5mL Tdap $98.52 $131.36 — — 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP $98.52 $131.36 — — 25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADM-TREATMENT $201.36 $268.48 $250.00 400% above 25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CARDIOLIPIN IGG AB $302.04 $402.72 — 650% above 25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CARDIOLIPIN IGG AB $302.04 $402.72 — — 25%

Source file: https://www.aslh.org/wp-content/uploads/2026/03/720643190_acadia-st-landry-hospital-service-district_standardcharges.csv