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 289 common procedures listed here, from its own machine-readable price file updated Mar 23, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 252 of 288 procedures and below it for 35. By typical cash price it ranks #50 of 67 Louisiana hospitals and #7 of 7 hospitals in the Lafayette, LA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

810 South Broadway Street, Church Point, LA, 70525 Collected Sep 27, 2026 Source price file Check a bill from this hospital (337) 684-5435

Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 191319 · CMS hospital register NPI 1376540153

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Acadia St Landry is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W & WO IV CONTRAST	$742.50	$990.00	$275.00–$650.00	27% below	25%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W & WO IV CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Abdominal X-ray, 2 views CPT 74019 ABD KUB AND LAT DECUB	$235.69	$314.25	—	35% above	25%
Abdominal X-ray, 2 views CPT 74019 ABD FLAT/ERECT	$235.69	$314.25	—	35% above	25%
Abdominal X-ray, 2 views inpatient CPT 74019 ABD KUB AND LAT DECUB	$235.69	$314.25	—	—	25%
Abdominal X-ray, 2 views inpatient CPT 74019 ABD FLAT/ERECT	$235.69	$314.25	—	—	25%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP MIN 3 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	56% above	25%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP MIN 3 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	56% above	25%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP MIN 3 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP MIN 3 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX	$456.41	$608.55	$125.00	160% 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%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT WITHOUT C	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT RT FOREARM WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT LT ELBOW WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT LT HUMERUS WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT LT SHOULDER WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT LT WRIST WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT LT FOREARM WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT LT HAND WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT RT SHOULDER WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT RT HUMERUS WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT RT ELBOW WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT RT WRIST WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT RT HAND WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	14% above	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXT WITHOUT C	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT LT ELBOW WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT LT FOREARM WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT RT SHOULDER WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT RT HUMERUS WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT LT WRIST WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT RT ELBOW WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT LT HAND WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT RT FOREARM WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT LT SHOULDER WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT RT WRIST WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT RT HAND WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT LT HUMERUS WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$393.89	$525.18	—	83% 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 LT COMPLETE	$392.81	$523.75	$125.00	134% above	25%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE	$392.81	$523.75	$125.00	134% above	25%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT COMPLETE	$392.81	$523.75	$125.00	—	25%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT 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	94% above	25%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LIMITED	$324.68	$432.90	$125.00	94% above	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%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST RT 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	13% 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	13% above	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, 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, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W ORAL CONTRAST	$1,418.25	$1,891.00	$275.00–$650.00	10% above	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	10% above	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	10% above	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, 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 W ORAL 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	2% 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	14% below	25%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH IV CONTRAST	$742.50	$990.00	$275.00–$650.00	14% below	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 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 without contrast CPT 74150 CT ABDOMEN WITH ORAL CONTRAST ONLY	$742.50	$990.00	$275.00–$650.00	3% below	25%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	3% below	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 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 face and sinuses, no contrast dye CPT 70486 CT SINUSES WITHOUT CONTRAST	$675.00	$900.00	$275.00–$650.00	8% above	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	8% 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	8% above	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 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 MANDIBLE W/O CONTRA	$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	36% 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	19% 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	1% 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	8% 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	11% 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 CT scan without and with contrast CPT 71270 CT CHEST WITH&WO CONTR	$750.75	$1,001.00	$275.00–$650.00	29% below	25%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST WITH&WO CONTR	$750.75	$1,001.00	$275.00–$650.00	—	25%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS API LORD	$194.81	$259.74	—	47% above	25%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS EPA & OB	$194.81	$259.74	—	47% above	25%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS EPA & LA	$194.81	$259.74	—	47% above	25%
Chest X-ray, 2 views CPT 71046 CHEST INSPIRATION AND EXPIRATION	$194.81	$259.74	—	47% above	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 & OB	$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	—	76% above	25%
Chest X-ray, single view CPT 71045 CHEST SPEC LAT DECU	$194.81	$259.74	—	76% 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%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE LEFT,LEFT SIDE	$194.81	$259.74	—	66% above	25%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE RIGHT,RIGHT SIDE	$194.81	$259.74	—	66% above	25%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE RIGHT,RIGHT SIDE	$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	36% 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	—	62% 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	11% 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	13% 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	12% 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	—	103% 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%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	49% above	25%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	49% above	25%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP MIN 3 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	47% above	25%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP MIN 3 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	47% above	25%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMP MIN 3 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMP MIN 3 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Eye socket (orbit) CT scan without contrast CPT 70480 CT MASTOIDSORBITSELL W/O	$675.00	$900.00	$275.00–$650.00	11% above	25%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT W/O CONTRAST	$787.50	$1,050.00	$275.00–$650.00	30% above	25%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT MASTOIDSORBITSELL W/O	$675.00	$900.00	$275.00–$650.00	—	25%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT W/O CONTRAST	$787.50	$1,050.00	$275.00–$650.00	—	25%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL COMP MIN 3 VIEW	$235.69	$314.25	—	50% above	25%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL COMP MIN 3 VIEW	$235.69	$314.25	—	—	25%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	69% above	25%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	69% above	25%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RIGHT,RIGHT SIDE	$235.69	$314.25	—	124% above	25%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LEFT,LEFT SIDE	$235.69	$314.25	—	124% above	25%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RIGHT,RIGHT SIDE	$235.69	$314.25	—	—	25%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LEFT,LEFT SIDE	$235.69	$314.25	—	—	25%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS MIN.2 V LEFT,LEFT SIDE	$194.81	$259.74	—	77% above	25%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS MIN 2 V RIGHT,RIGHT SIDE	$194.81	$259.74	—	77% above	25%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS MIN.2 V LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS MIN 2 V RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	42% above	25%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	42% above	25%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMP 4 OR MORE VI LEFT,LEFT SIDE	$235.69	$314.25	—	49% above	25%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMP 4 OR MORE VI RIGHT,RIGHT SIDE	$235.69	$314.25	—	49% above	25%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMP 4 OR MORE VI LEFT,LEFT SIDE	$235.69	$314.25	—	—	25%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMP 4 OR MORE VI RIGHT,RIGHT SIDE	$235.69	$314.25	—	—	25%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXT WITHOUT C	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT RT TIB/FIB WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LT KNEE WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT RT HIP WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LT ANKLE WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT RT FEMUR WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT RT FOOT WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LT FEMUR WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LT HIP WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT RT KNEE WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LT FOOT WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT RT ANKLE WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LT TIB/FIB WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	22% above	25%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXT WITHOUT C	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT RT HIP WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LT HIP WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LT FEMUR WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LT KNEE WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LT TIB/FIB WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LT ANKLE WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LT FOOT WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT RT KNEE WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT RT FEMUR WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT RT FOOT WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT RT ANKLE WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT RT TIB/FIB WITHOUT CONTRAST	$742.50	$990.00	$275.00–$650.00	—	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	51% 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	51% 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	51% above	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	51% above	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 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 SOFT TISSUE VASCULAR	$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 ultrasound of an arm or leg (non-vascular) CPT 76882 US SOFT TISSUE GROIN	$392.81	$523.75	$125.00	126% above	25%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE ARM RIGHT,RIGHT SIDE	$392.81	$523.75	$125.00	126% above	25%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE - LEG RIGHT,RIGHT SIDE	$392.81	$523.75	$125.00	126% above	25%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE ARM LEFT,LEFT SIDE	$392.81	$523.75	$125.00	126% above	25%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE - LEG LEFT,LEFT SIDE	$392.81	$523.75	$125.00	126% above	25%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US SOFT TISSUE GROIN	$392.81	$523.75	$125.00	—	25%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US SOFT TISSUE - LEG RIGHT,RIGHT SIDE	$392.81	$523.75	$125.00	—	25%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US SOFT TISSUE - LEG LEFT,LEFT SIDE	$392.81	$523.75	$125.00	—	25%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US SOFT TISSUE ARM LEFT,LEFT SIDE	$392.81	$523.75	$125.00	—	25%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US SOFT TISSUE ARM RIGHT,RIGHT SIDE	$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	164% 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%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA & FIBULA 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	62% above	25%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA & FIBULA 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	62% above	25%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA & FIBULA 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA & FIBULA 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN W/O CONTRAST	$975.00	$1,300.00	$750.00	16% above	25%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN W/O CONTRAST	$975.00	$1,300.00	$750.00	—	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	29% 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	38% 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	29% 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	29% 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	9% above	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	15% above	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	5% 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	15% above	25%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD WITHOUT CONTR	$1,215.00	$1,620.00	$750.00	16% 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	12% 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	6% 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	66% 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	2% 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	29% 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	5% 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	11% above	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	28% 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	19% above	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	14% above	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	31% 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	58% 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	58% 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	58% 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%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE MIN.4 V	$235.69	$314.25	—	16% above	25%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE MIN.4 V	$235.69	$314.25	—	—	25%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK WITH CONTRAST	$675.00	$900.00	$275.00–$650.00	2% below	25%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK WITH CONTRAST	$675.00	$900.00	$275.00–$650.00	—	25%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK WITHOUT CONTRA	$675.00	$900.00	$275.00–$650.00	at median	25%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK WITHOUT CONTRA	$675.00	$900.00	$275.00–$650.00	—	25%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$194.81	$259.74	—	57% above	25%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$194.81	$259.74	—	—	25%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WITHOUT CONT	$600.00	$800.00	$275.00–$650.00	13% below	25%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WITHOUT CONT	$600.00	$800.00	$275.00–$650.00	—	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC-LIMIT.OR FO	$392.81	$523.75	$125.00	135% 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	40% 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	54% above	25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANT UTERUS	$392.81	$523.75	$125.00	—	25%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIE	$194.81	$259.74	—	38% above	25%
Rib X-ray, one side, 2 views one side CPT 71100 RIB DETAIL UNILAT 4 VI RIGHT,RIGHT SIDE	$194.81	$259.74	—	38% above	25%
Rib X-ray, one side, 2 views one side CPT 71100 RIB DETAIL UNILAT 4 VI LEFT,LEFT SIDE	$194.81	$259.74	—	38% above	25%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIB DETAIL UNILAT 4 VI RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIB DETAIL UNILAT 4 VI LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIE	$194.81	$259.74	—	—	25%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS W A/P CHEST MIN.3	$235.69	$314.25	—	59% above	25%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS W A/P CHEST MIN.3	$235.69	$314.25	—	—	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 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 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%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMPLETE MINIMUM 3 VIEWS	$194.81	$259.74	—	19% above	25%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS COMPLETE MINIMUM 3 VIEWS	$194.81	$259.74	—	—	25%
Skull X-ray, fewer than 4 views CPT 70250 SKULL 3 VIEWS	$235.69	$314.25	—	78% above	25%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 3 VIEWS	$235.69	$314.25	—	—	25%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	63% above	25%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	63% above	25%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SP WITHOUT	$863.25	$1,151.00	$275.00–$650.00	14% above	25%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SP WITHOUT	$863.25	$1,151.00	$275.00–$650.00	—	25%
Toe X-ray, 2 or more views CPT 73660 TOE MIN.2 VIEWS	$194.81	$259.74	—	73% above	25%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE MIN.2 VIEWS	$194.81	$259.74	—	—	25%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$392.81	$523.75	$125.00	84% 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	117% 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	30% 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	82% 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	56% 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%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN.2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	52% above	25%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN.2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	52% above	25%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN.2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN.2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	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	—	92% 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	—	92% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOW/UPPER E RIGHT,RIGHT SIDE	$495.00	$660.00	—	92% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOW/UPPER E LEFT,LEFT SIDE	$495.00	$660.00	—	92% 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	—	92% above	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	92% 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%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	79% above	25%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	79% above	25%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3 VIEW LEFT,LEFT SIDE	$194.81	$259.74	—	63% above	25%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3 VIEW RIGHT,RIGHT SIDE	$194.81	$259.74	—	63% above	25%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP MIN 3 VIEW LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP MIN 3 VIEW RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP MIN 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	54% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP MIN.2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	54% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP MIN.2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP MIN 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
X-ray of the abdomen, 1 view CPT 74018 LATERAL DECUBITUS ABD.	$194.81	$259.74	—	61% above	25%
X-ray of the abdomen, 1 view CPT 74018 ABD A/P SINGLE KUB	$194.81	$259.74	—	61% 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 ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	80% above	25%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	80% above	25%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	81% above	25%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	81% above	25%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMP MIN 3 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	57% above	25%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMP MIN 3 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	57% above	25%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMP MIN 3 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMP MIN 3 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	54% above	25%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	54% above	25%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	—	25%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	71% above	25%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS LEFT,LEFT SIDE	$194.81	$259.74	—	71% above	25%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS RIGHT,RIGHT SIDE	$194.81	$259.74	—	—	25%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS LEFT,LEFT SIDE	$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	—	55% 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	—	9% 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	—	53% 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	—	66% 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	—	79% 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	—	39% 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

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 ACTH	$173.79	$231.72	—	60% above	25%
ACTH blood test inpatient CPT 82024 ACTH	$173.79	$231.72	—	—	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$37.50	$50.00	—	87% above	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LABCORP ALT	$37.50	$50.00	—	87% 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	—	19% above	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$26.25	$35.00	—	34% above	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	—	93% above	25%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL	$214.34	$285.78	—	—	25%
Albumin blood test CPT 82040 LABCORP ALB	$22.28	$29.70	—	43% above	25%
Albumin blood test CPT 82040 ALBUMIN	$26.25	$35.00	—	68% above	25%
Albumin blood test inpatient CPT 82040 LABCORP ALB	$22.28	$29.70	—	—	25%
Albumin blood test inpatient CPT 82040 ALBUMIN	$26.25	$35.00	—	—	25%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM	$183.38	$244.50	—	90% above	25%
Aldosterone blood test CPT 82088 ALDOSTERONE URINE	$183.38	$244.50	—	90% above	25%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE	$183.38	$244.50	—	—	25%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM	$183.38	$244.50	—	—	25%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$26.25	$35.00	—	40% above	25%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$26.25	$35.00	—	—	25%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK, IGE	$9.78	$13.04	—	6% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF, IGE	$9.78	$13.04	—	6% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IGE MILK	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F004-IGE WHEAT	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F245-IGE EGG, WHOLE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED, GIANT	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F013-IGE PEANUT	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 G017-IGE BAHIA GRASS	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 M202-IGE ACREMONIUM KILIENSE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 M016-IGE CURVULARIA LUNATA	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F320-IgE CRAYFISH FRESHWATER	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 M009-IGE FUSARIUM PROLIFEERATUM	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F245-IGE EGG,WHOLE, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 M002-IGE CLADOSPORIUM HERBARUM	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 M001-IGE PENICILLIUM CHRYSOGEN	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 I006-IGE COCKROACH, GERMAN	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F049-IGE APPLE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 E004-IGE COW DANDER	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 E003-IGE HORSE DANDER	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 E070-IGE GOOSE FEATHERS	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCOLI, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 E085-IGE CHICKEN FEATHERS	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 W013-IGE COCKLEBUR	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 E089-IGE TURKEY FEATHERS	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IGE SOYBEAN	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALERNARIA ALTERNATA, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F025-IGE TOMATO	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F009-IGE RICE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F024-IGE SHRIMP	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 PHOMA BETAE, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS NIGER, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F020-IGE ALMOND	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 D PTERONYSSINUS, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SETOMELANOMMA ROSTRAT, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 GERMAN COCKROACH, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 T014-IGE COTTONWOOD	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 W046-IGE FENNEL, DOG	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 T001-IGE MAPLE/BOX ELDER	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 T002-IGE ALDER, GREY	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY PECAN, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM CHRYSOGEN, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 T015-IGE ASH, WHITE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F290-IGE OYSTER	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 T044-IGE HACKBERRY	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 KOCHIA, ALLERGEN	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 T210-IgE PRIVET, COMMON	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 G010-IGE JOHNSON GRASS	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 T022-IGE PECAN, HICKORY	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 WORMWOOD, ALLERGEN	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 W014-IGE PIGWEED, COMMON	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 W0010-IGE LAMB'S QUARTERS	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 W014-IGE PINE, WHITE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 W023-IGE DOCKWEED, YELLOW	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 T011-IgE MAPLE LEAF SYCAMORE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F008-IGE CORN	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON PIGWEED, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSHELDER, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F201-IGE PECAN NUT	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON SILVER BIRCH, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 W018-IGE SHEEP SORREL	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE OAK, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN ELM, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 T218-IGE OAK, LIVE/VIRGINIA	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 D. PTERONYSSINUS, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDI PULLULANS, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F023-IGE CRAB	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 W00I-IGE RAGWEED, SHORT, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLIUM HERBARUM, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 W009-IGE PLANTAIN, ENGLISH	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, AMERICAN, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN CHARGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE/CACAO, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR, MOUNTAIN, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 BIPOLARIS, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 EPIOCCUM PURPUR, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ONION, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASCARIS	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 COD, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS, IGE	$23.49	$31.32	—	125% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHRIMP	$27.00	$36.00	—	159% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE, IGE	$27.00	$36.00	—	159% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS, IGE	$27.00	$36.00	—	159% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLIS NIGER	$30.75	$41.00	—	195% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS	$30.75	$41.00	—	195% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 T012-IGE WILLOW	$54.94	$73.25	—	426% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 PERCH, IGE	$66.64	$88.85	—	538% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - CHEMICAL	$79.13	$105.50	—	658% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST- DRUG	$101.63	$135.50	—	873% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, PROFILE FOOD	$108.00	$144.00	—	934% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLIS FLAVUS LABCORP	$109.50	$146.00	—	949% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, MOLD	$112.50	$150.00	—	978% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHELLFISH FOOD	$182.63	$243.50	—	1649% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGY PROFILE	$182.63	$243.50	—	1649% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-SEAFOOD/SHELLFISH	$236.63	$315.50	—	2167% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - BOTANICAL/ALLER	$264.75	$353.00	—	2436% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST -BASIC FOOD	$264.75	$353.00	—	2436% above	25%
Allergy blood test, specific IgE, per allergen one side CPT 86003 FREE K+L LT CHAINS, QN, UR	$94.46	$125.94	—	805% 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 CHICKEN, IGE	$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 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 W018-IGE SHEEP SORREL	$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 F020-IGE ALMOND	$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 T015-IGE ASH, WHITE	$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 T210-IgE PRIVET, 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 W014-IGE PIGWEED, COMMON	$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 W023-IGE DOCKWEED, YELLOW	$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 F008-IGE CORN	$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 F004-IGE WHEAT	$23.49	$31.32	—	—	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 F013-IGE PEANUT	$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 M016-IGE CURVULARIA LUNATA	$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 M002-IGE CLADOSPORIUM HERBARUM	$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 I006-IGE COCKROACH, GERMAN	$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 E003-IGE HORSE DANDER	$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 E085-IGE CHICKEN FEATHERS	$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 F014-IGE SOYBEAN	$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 F009-IGE RICE	$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 MUCOR RACEMOSUS, 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 SETOMELANOMMA ROSTRAT, 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 STEMPHYLIUM HERBARUM, IGE	$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 ASCARIS	$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 EGG WHITE, 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 BARLEY, 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 BIPOLARIS, IGE	$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 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 ASPERGILLIS NIGER	$30.75	$41.00	—	—	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 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 MILK ALLERGY PROFILE	$182.63	$243.50	—	—	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 RAST-SEAFOOD/SHELLFISH	$236.63	$315.50	—	—	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 CPT 86003 RAST -BASIC FOOD	$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%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER	$75.47	$100.62	—	40% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TETRA	$90.00	$120.00	—	67% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, SERUM, OPEN SPINA BIFIDA	$101.63	$135.50	—	88% above	25%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER	$75.47	$100.62	—	—	25%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TETRA	$90.00	$120.00	—	—	25%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, SERUM, OPEN SPINA BIFIDA	$101.63	$135.50	—	—	25%
Ammonia blood test CPT 82140 LABCORP AMMONIA	$65.57	$87.42	—	31% above	25%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$87.75	$117.00	—	76% above	25%
Ammonia blood test CPT 82140 LAB CORP AMMONIA LEVEL	$87.75	$117.00	—	76% above	25%
Ammonia blood test inpatient CPT 82140 LABCORP AMMONIA	$65.57	$87.42	—	—	25%
Ammonia blood test inpatient CPT 82140 LAB CORP AMMONIA LEVEL	$87.75	$117.00	—	—	25%
Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL	$87.75	$117.00	—	—	25%
Amylase blood test CPT 82150 LABCORP AMYLASE	$29.16	$38.88	—	30% above	25%
Amylase blood test CPT 82150 AMYLASE	$30.00	$40.00	—	34% above	25%
Amylase blood test inpatient CPT 82150 LABCORP AMYLASE	$29.16	$38.88	—	—	25%
Amylase blood test inpatient CPT 82150 AMYLASE	$30.00	$40.00	—	—	25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IGG/IGA	$58.28	$77.70	—	28% 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	$54.41	$72.54	—	22% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB, IFA	$54.41	$72.54	—	22% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX	$54.41	$72.54	—	22% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIB-ANA	$84.75	$113.00	—	90% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CONNECTIVE TISSUE DISEASE (CTD) CASCADE	$90.00	$120.00	—	102% 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 LAB CORP PRO BNP	$176.67	$235.56	—	165% above	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$176.67	$235.56	—	165% above	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-LABCORP	$247.88	$330.50	—	272% above	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 LAB CORP 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%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$38.79	$51.72	—	33% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC CULTURE	$38.79	$51.72	—	33% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ROUTINE CULTURE (GRP)	$38.79	$51.72	—	33% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$38.79	$51.72	—	33% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 STREP, REFLEX TO THROAT CX	$38.79	$51.72	—	33% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE UPPER RESPIRATORY	$38.79	$51.72	—	33% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE UPPER RESPIRATORY	$38.79	$51.72	—	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 STREP, REFLEX TO THROAT CX	$38.79	$51.72	—	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ROUTINE CULTURE (GRP)	$38.79	$51.72	—	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 AEROBIC CULTURE	$38.79	$51.72	—	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUID	$38.79	$51.72	—	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL	$38.79	$51.72	—	—	25%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$38.07	$50.76	—	8% above	25%
Basic metabolic panel (blood test) CPT 80048 LABCORP BMP	$38.07	$50.76	—	8% above	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%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$30.00	$40.00	—	77% above	25%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$30.00	$40.00	—	—	25%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$46.44	$61.92	—	2% above	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	—	381% 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	—	26% above	25%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$17.69	$23.58	—	—	25%
Blood lead test CPT 83655 LEAD, URINE	$54.50	$72.66	—	93% above	25%
Blood lead test CPT 83655 LEAD, BLOOD (PEDIATRIC)	$54.50	$72.66	—	93% above	25%
Blood lead test CPT 83655 LEAD, BLOOD (ADULT)	$54.50	$72.66	—	93% above	25%
Blood lead test inpatient CPT 83655 LEAD, BLOOD (ADULT)	$54.50	$72.66	—	—	25%
Blood lead test inpatient CPT 83655 LEAD, BLOOD (PEDIATRIC)	$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	—	68% below	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY SERUM TEST	$45.00	$60.00	—	40% above	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 CHARGE LIFESHARE ABO TYPE	$547.70	$730.26	—	1098% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE	$547.70	$730.26	—	1098% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB CHARGE BB ABO/RH	$547.70	$730.26	—	1098% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB CHARGE ABO TYPE	$547.70	$730.26	—	1098% 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	—	1098% above	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPE	$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 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 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 urea nitrogen (BUN) test CPT 84520 BUN	$26.25	$35.00	—	56% above	25%
Blood urea nitrogen (BUN) test CPT 84520 LABCORP BUN	$37.50	$50.00	—	123% above	25%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$26.25	$35.00	—	—	25%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LABCORP BUN	$37.50	$50.00	—	—	25%
C-peptide blood test CPT 84681 C-PEPTIDE URINE	$93.65	$124.86	—	69% above	25%
C-peptide blood test CPT 84681 C PEPTIDE	$93.65	$124.86	—	69% above	25%
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$93.65	$124.86	—	—	25%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE URINE	$93.65	$124.86	—	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN LABCORP	$23.31	$31.08	—	1% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP CQUANTIATIVE	$23.31	$31.08	—	1% 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	—	277% 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	—	129% 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	—	76% above	25%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$93.65	$124.86	—	—	25%
Calcium blood test, total CPT 82310 CALCIUM	$26.25	$35.00	—	32% above	25%
Calcium blood test, total CPT 82310 LABCORP CALCIUM	$37.50	$50.00	—	89% above	25%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$26.25	$35.00	—	—	25%
Calcium blood test, total inpatient CPT 82310 LABCORP CALCIUM	$37.50	$50.00	—	—	25%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$85.32	$113.76	—	44% above	25%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$85.32	$113.76	—	—	25%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTOR IGG AB	$57.96	$77.28	—	50% above	25%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ANTIBODY(VZV	$57.96	$77.28	—	50% above	25%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER TITER	$67.50	$90.00	—	75% above	25%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ANTIBODY(VZV	$57.96	$77.28	—	—	25%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTOR IGG AB	$57.96	$77.28	—	—	25%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER TITER	$67.50	$90.00	—	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMIATIS	$157.91	$210.54	—	160% 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	—	20% above	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LABCORP LIPID PANEL	$60.26	$80.34	—	20% above	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	—	30% above	25%
Complete blood count (CBC) with differential CPT 85025 LABCORP CBC	$34.97	$46.62	—	30% above	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	—	4% above	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	—	38% below	25%
Comprehensive metabolic panel (blood test) CPT 80053 LABCORP CMP	$47.52	$63.36	—	38% below	25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$47.52	$63.36	—	—	25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LABCORP CMP	$47.52	$63.36	—	—	25%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$73.35	$97.80	—	93% above	25%
Cortisol blood test, total CPT 82533 CORTISOL AM	$73.35	$97.80	—	93% above	25%
Cortisol blood test, total CPT 82533 CORTISOL PM	$73.35	$97.80	—	93% above	25%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$73.35	$97.80	—	—	25%
Cortisol blood test, total inpatient CPT 82533 CORTISOL AM	$73.35	$97.80	—	—	25%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PM	$73.35	$97.80	—	—	25%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$33.00	$44.00	—	48% above	25%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE-CPK (O	$33.00	$44.00	—	48% above	25%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE CK-CPK	$37.50	$50.00	—	68% above	25%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE-CPK (O	$33.00	$44.00	—	—	25%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$33.00	$44.00	—	—	25%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE CK-CPK	$37.50	$50.00	—	—	25%
Creatinine blood test CPT 82565 CREATININE	$26.25	$35.00	—	50% above	25%
Creatinine blood test CPT 82565 LABCORP CREATININE	$37.50	$50.00	—	114% above	25%
Creatinine blood test CPT 82565 GFR	$178.13	$237.50	—	916% above	25%
Creatinine blood test inpatient CPT 82565 CREATININE	$26.25	$35.00	—	—	25%
Creatinine blood test inpatient CPT 82565 LABCORP CREATININE	$37.50	$50.00	—	—	25%
Creatinine blood test inpatient CPT 82565 GFR	$178.13	$237.50	—	—	25%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB IGG	$75.00	$100.00	—	90% above	25%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB IGG	$75.00	$100.00	—	—	25%
D-dimer blood test (blood clot marker) CPT 85379 LABCORP DDIMER	$45.81	$61.08	—	8% below	25%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER(INHOUSE TEST)	$187.50	$250.00	—	275% 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	—	72% above	25%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS	$100.04	$133.38	—	—	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN (SERUM)	$45.00	$60.00	—	43% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN (ANALYZER)	$75.00	$100.00	—	138% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHAIN OF CUSTODY DRUG SCREEN	$75.00	$100.00	—	138% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URI DR SC OLD TEST-MANUAL KIT	$75.00	$100.00	—	138% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 10 DRUG CLASS PANEL, URINE	$279.63	$372.84	—	788% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN, UR	$279.63	$372.84	—	788% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 13 W CONF, SERUM	$517.88	$690.50	—	1544% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN TOXASSURE SELECT	$551.74	$735.65	—	1652% above	25%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN (ANALYZER)	$75.00	$100.00	—	—	25%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHAIN OF CUSTODY DRUG SCREEN	$75.00	$100.00	—	—	25%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URI DR SC OLD TEST-MANUAL KIT	$75.00	$100.00	—	—	25%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 10 DRUG CLASS PANEL, URINE	$279.63	$372.84	—	—	25%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SCREEN, UR	$279.63	$372.84	—	—	25%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 13 W CONF, SERUM	$517.88	$690.50	—	—	25%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN TOXASSURE SELECT	$551.74	$735.65	—	—	25%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE	$31.55	$42.06	—	17% below	25%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE	$31.55	$42.06	—	—	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS VCA IGG	$81.63	$108.84	—	61% above	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS VCA IGM	$81.63	$108.84	—	61% above	25%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS VCA IGM	$81.63	$108.84	—	—	25%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS VCA IGG	$81.63	$108.84	—	—	25%
Estradiol blood test CPT 82670 ESTRADIOL	$125.73	$167.64	—	103% 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	—	46% 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	—	254% 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	—	33% above	25%
Ferritin blood test (iron stores) CPT 82728 SMITH ANTIBODY	$112.50	$150.00	—	144% 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	—	87% 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	—	94% 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 FREE T4	$40.59	$54.12	—	16% above	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LABCORP FREE T4	$40.59	$54.12	—	16% above	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4 FREE EQUILIBRIUM/A	$123.00	$164.00	—	252% above	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 LABCORP 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	—	84% above	25%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$114.62	$152.82	—	—	25%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT	$32.40	$43.20	—	30% above	25%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP	$32.40	$43.20	—	30% above	25%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GT	$32.40	$43.20	—	—	25%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP	$32.40	$43.20	—	—	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	—	31% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GCT - 1HR GLUCOSE	$21.38	$28.50	—	31% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GTT 1 HOUR	$21.38	$28.50	—	—	25%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GCT - 1HR GLUCOSE	$21.38	$28.50	—	—	25%
Glucose tolerance test, 3 samples CPT 82951 GTT 2 H0UR	$57.92	$77.22	—	29% 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	—	159% 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 HELICOBACTER PYLORI IG	$75.83	$101.10	—	66% above	25%
H. pylori antibody blood test CPT 86677 IGM ANTIBODIES	$75.83	$101.10	—	66% above	25%
H. pylori antibody blood test CPT 86677 IGA ANTIBODIES	$75.83	$101.10	—	66% above	25%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGM	$107.25	$143.00	—	135% above	25%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG	$107.25	$143.00	—	135% above	25%
H. pylori antibody blood test inpatient CPT 86677 IGM ANTIBODIES	$75.83	$101.10	—	—	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 HELICOBACTER PYLORI IGG	$107.25	$143.00	—	—	25%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGM	$107.25	$143.00	—	—	25%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL ANTIGEN	$285.56	$380.75	—	369% 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	—	117% 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	—	81% 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	—	32% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$43.70	$58.26	—	32% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LABCORP HGB A1C	$43.70	$58.26	—	32% above	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 HEMOGLOBIN A1C	$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%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$11.25	$15.00	—	2% above	25%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$11.25	$15.00	—	—	25%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE IGG	$54.23	$72.30	—	88% above	25%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB, TOTAL	$54.23	$72.30	—	88% above	25%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE IGG	$54.23	$72.30	—	—	25%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB, TOTAL	$54.23	$72.30	—	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB	$48.33	$64.44	—	66% above	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIB	$48.33	$64.44	—	66% above	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB	$48.33	$64.44	—	66% 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	—	27% above	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIG	$46.49	$61.98	—	27% 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	—	43% above	25%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB	$64.22	$85.62	—	43% above	25%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB REFLEX TO PCR	$64.22	$85.62	—	43% 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 REFLEX TO PCR	$64.22	$85.62	—	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB	$64.22	$85.62	—	—	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANTA SURE	$225.00	$300.00	—	83% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C-TITRE	$243.75	$325.00	—	98% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV, QN, RNA, PCR W/ REFLEX TO GENOTYPE	$266.96	$355.95	—	117% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QL, QN REFLEX GENOSURE	$868.88	$1,158.50	—	606% above	25%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, QUANT (NON-GRAPH)	$236.63	$315.50	—	92% 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	—	102% 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	—	97% above	25%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX WB	$338.25	$451.00	—	664% 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	—	329% 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	—	47% above	25%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL	$51.44	$68.58	—	—	25%
Iron blood test (serum iron) CPT 83540 IRON	$29.12	$38.82	—	34% above	25%
Iron blood test (serum iron) CPT 83540 IRON SERUM	$29.12	$38.82	—	34% above	25%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$29.12	$38.82	—	—	25%
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM	$29.12	$38.82	—	—	25%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPAC (TI	$39.33	$52.44	—	20% above	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 LABCORP RENAL PANEL	$39.06	$52.08	—	34% below	25%
Kidney function blood test panel CPT 80069 RENAL PANEL	$39.06	$52.08	—	34% 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	—	54% above	25%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$83.34	$111.12	—	—	25%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$52.07	$69.42	—	84% above	25%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$52.07	$69.42	—	—	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 LABCORP LDH	$33.00	$44.00	—	58% above	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$33.00	$44.00	—	58% above	25%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$33.00	$44.00	—	—	25%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LABCORP LDH	$33.00	$44.00	—	—	25%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM	$31.01	$41.34	—	14% above	25%
Lipase blood test (pancreas enzyme) CPT 83690 LABCORP LIPASE	$33.75	$45.00	—	24% above	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 HEPATIC FUNCTION	$37.50	$50.00	—	27% below	25%
Liver function blood test panel CPT 80076 LABCORP LIVER PANEL	$37.50	$50.00	—	27% 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	—	52% above	25%
Lyme disease antibody test inpatient CPT 86618 LYME IGG/IGM AB	$76.64	$102.18	—	—	25%
Magnesium blood test CPT 83735 MAGNESUIM 24 HR URINE	$30.15	$40.20	—	35% above	25%
Magnesium blood test CPT 83735 MAGNESIUM	$30.15	$40.20	—	35% above	25%
Magnesium blood test CPT 83735 MAGNESIUMRBC SERUM	$30.15	$40.20	—	35% above	25%
Magnesium blood test CPT 83735 LABCORP MAGNESIUM	$33.75	$45.00	—	51% above	25%
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$97.13	$129.50	—	334% above	25%
Magnesium blood test inpatient CPT 83735 MAGNESUIM 24 HR URINE	$30.15	$40.20	—	—	25%
Magnesium blood test inpatient CPT 83735 MAGNESIUMRBC SERUM	$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	—	79% above	25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES, IGM	$57.96	$77.28	—	79% 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	—	109% above	25%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREENING	$48.00	$64.00	—	109% 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%
Mumps immunity blood test CPT 86735 MUMPS ABs, IGG	$58.73	$78.30	—	90% above	25%
Mumps immunity blood test CPT 86735 MUMPS ABs, IGM	$58.73	$78.30	—	90% above	25%
Mumps immunity blood test inpatient CPT 86735 MUMPS ABs, IGG	$58.73	$78.30	—	—	25%
Mumps immunity blood test inpatient CPT 86735 MUMPS ABs, IGM	$58.73	$78.30	—	—	25%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFC AG FREE	$82.76	$110.34	—	70% 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 LABCORP PSA	$82.76	$110.34	—	87% above	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECI ANTIGEN	$82.76	$110.34	—	87% above	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN	$82.76	$110.34	—	87% above	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE:TOTAL RATIO (SERIAL MONITOR)	$82.76	$110.34	—	87% above	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 LABCORP PSA	$82.76	$110.34	—	—	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 PROSTATE SPECIFIC ANTIGEN	$82.76	$110.34	—	—	25%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE INTACT	$185.76	$247.68	—	102% 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	—	98% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$41.25	$55.00	—	98% 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%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$21.33	$28.44	—	27% above	25%
Phosphorus (phosphate) blood test CPT 84100 LABCORP PHOSPHORUS	$21.33	$28.44	—	27% above	25%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$21.33	$28.44	—	—	25%
Phosphorus (phosphate) blood test inpatient CPT 84100 LABCORP PHOSPHORUS	$21.33	$28.44	—	—	25%
Potassium blood test CPT 84132 POTASSIUM	$21.42	$28.56	—	21% above	25%
Potassium blood test inpatient CPT 84132 POTASSIUM	$21.42	$28.56	—	—	25%
Progesterone blood test CPT 84144 PROGESTERONE	$93.87	$125.16	—	69% 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	—	33% above	25%
Prolactin blood test CPT 84146 ANTI-MULLERIAN HORMONE (AMH)	$96.00	$128.00	—	47% 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	—	76% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 LABCORP PT	$28.50	$38.00	—	97% 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	—	180% above	25%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP SCREEN	$74.39	$99.18	—	—	25%
Renin blood test CPT 84244 RENIN LEVEL, PLASMA	$98.96	$131.94	—	64% above	25%
Renin blood test inpatient CPT 84244 RENIN LEVEL, PLASMA	$98.96	$131.94	—	—	25%
Rh blood typing CPT 86901 RH	$171.95	$229.26	—	703% above	25%
Rh blood typing CPT 86901 TYPE & RH (D)	$171.95	$229.26	—	703% above	25%
Rh blood typing CPT 86901 CHARGE LIFESHARE RH TYPE	$171.95	$229.26	—	703% above	25%
Rh blood typing CPT 86901 BB RH	$171.95	$229.26	—	703% above	25%
Rh blood typing inpatient CPT 86901 RH	$171.95	$229.26	—	—	25%
Rh blood typing inpatient CPT 86901 CHARGE LIFESHARE RH TYPE	$171.95	$229.26	—	—	25%
Rh blood typing inpatient CPT 86901 BB RH	$171.95	$229.26	—	—	25%
Rh blood typing inpatient CPT 86901 TYPE & RH (D)	$171.95	$229.26	—	—	25%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE (GRP)	$25.52	$34.02	—	9% above	25%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LABCORP	$25.52	$34.02	—	9% above	25%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR LABCORP	$25.52	$34.02	—	—	25%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE (GRP)	$25.52	$34.02	—	—	25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGM	$64.76	$86.34	—	94% above	25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGG	$64.76	$86.34	—	94% above	25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN IGG	$64.76	$86.34	—	94% above	25%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA, IGM	$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 SCREEN IGG	$64.76	$86.34	—	—	25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 LABCORP SED RATE	$27.75	$37.00	—	53% above	25%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 LABCORP SED RATE	$27.75	$37.00	—	—	25%
Sodium blood test CPT 84295 SODIUM	$26.25	$35.00	—	47% above	25%
Sodium blood test inpatient CPT 84295 SODIUM	$26.25	$35.00	—	—	25%
Stool ova and parasites exam CPT 87177 OVA & PARASTIES, URINE	$40.05	$53.40	—	32% above	25%
Stool ova and parasites exam CPT 87177 OVA & PARASTIES, STOOL	$40.05	$53.40	—	32% above	25%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASTIES, URINE	$40.05	$53.40	—	—	25%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASTIES, STOOL	$40.05	$53.40	—	—	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 GUAIAC SCREENING TEST	$19.71	$26.28	—	37% above	25%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 GUAIAC SCREENING TEST	$19.71	$26.28	—	—	25%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-AB IGM	$59.58	$79.44	—	110% above	25%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS	$59.58	$79.44	—	110% above	25%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-AB IGM	$59.58	$79.44	—	—	25%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS	$59.58	$79.44	—	—	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	—	69% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR-QUALITATIVE	$23.06	$30.75	—	69% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM	$23.06	$30.75	—	69% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR-QUANTIATIVE	$23.06	$30.75	—	69% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM	$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 RPR-QUALITATIVE	$23.06	$30.75	—	—	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%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB	$278.91	$371.88	—	123% above	25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 PRE-EMPLOYMENT QUANTIFERON GOLD TB	$278.91	$371.88	—	123% above	25%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD TB	$278.91	$371.88	—	—	25%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 PRE-EMPLOYMENT QUANTIFERON GOLD TB	$278.91	$371.88	—	—	25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$116.15	$154.86	—	94% 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 ANTI-THYROID PEROXIDOASE	$65.48	$87.30	—	69% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB	$65.48	$87.30	—	69% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$65.48	$87.30	—	69% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIMICROSOMAL	$65.48	$87.30	—	69% 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 TSH	$75.60	$100.80	—	84% above	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LABCORP	$75.60	$100.80	—	84% above	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LABCORP TSH	$75.60	$100.80	—	84% above	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LABCORP	$75.60	$100.80	—	—	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%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E	$74.07	$98.76	—	93% above	25%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E	$74.07	$98.76	—	—	25%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$26.25	$35.00	—	71% above	25%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$26.25	$35.00	—	—	25%
Total thyroxine (T4) blood test CPT 84436 THYROXINE	$30.92	$41.22	—	20% above	25%
Total thyroxine (T4) blood test CPT 84436 LABCORP T4	$30.92	$41.22	—	20% above	25%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4-LABCORP	$30.92	$41.22	—	20% above	25%
Total thyroxine (T4) blood test CPT 84436 T4	$30.92	$41.22	—	20% above	25%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4-LABCORP	$30.92	$41.22	—	—	25%
Total thyroxine (T4) blood test inpatient CPT 84436 LABCORP T4	$30.92	$41.22	—	—	25%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE	$30.92	$41.22	—	—	25%
Total thyroxine (T4) blood test inpatient CPT 84436 T4	$30.92	$41.22	—	—	25%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$63.81	$85.08	—	45% above	25%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$63.81	$85.08	—	—	25%
Transferrin blood test CPT 84466 TRANSFERRIN SATURATION	$57.42	$76.56	—	41% above	25%
Transferrin blood test CPT 84466 TRANSFERRIN LABCORP	$60.00	$80.00	—	48% above	25%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN SATURATION	$57.42	$76.56	—	—	25%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN LABCORP	$60.00	$80.00	—	—	25%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS BY NAA	$192.26	$256.34	—	249% above	25%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS BY NAA	$192.26	$256.34	—	—	25%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$26.25	$35.00	—	10% above	25%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$26.25	$35.00	—	—	25%
Troponin test, quantitative CPT 84484 TROPONIN HS	$200.25	$267.00	—	376% above	25%
Troponin test, quantitative inpatient CPT 84484 TROPONIN HS	$200.25	$267.00	—	—	25%
Uric acid blood test CPT 84550 URIC ACID	$26.25	$35.00	—	50% above	25%
Uric acid blood test CPT 84550 LABCORP URIC ACID	$37.50	$50.00	—	114% 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 UA AUTO W/ MICRO	$18.75	$25.00	—	23% below	25%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS MICRO	$18.75	$25.00	—	23% 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	—	70% above	25%
Urinalysis without microscope exam, automated CPT 81003 UA AND CULTURE IF INDICATED	$18.75	$25.00	—	112% 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	—	122% 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	—	1% below	25%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$37.50	$50.00	—	2% above	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 microalbumin (albumin) test CPT 82043 MICROALB RANDOM URINE	$26.01	$34.68	—	32% above	25%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN URINE RANDOM	$26.01	$34.68	—	32% above	25%
Urine microalbumin (albumin) test CPT 82043 MICROALB 24HR URINE LABCORP	$26.01	$34.68	—	32% above	25%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB 24HR URINE LABCORP	$26.01	$34.68	—	—	25%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB RANDOM URINE	$26.01	$34.68	—	—	25%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN URINE RANDOM	$26.01	$34.68	—	—	25%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE TEST	$38.75	$51.66	—	90% 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	—	69% 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 3	$133.20	$177.60	—	72% above	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH	$133.20	$177.60	—	72% 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%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL	$239.44	$319.25	—	134% above	25%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CALCITRIOL	$239.44	$319.25	—	—	25%
Zinc blood test CPT 84630 ZINC SERUM	$51.26	$68.34	—	56% 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	—	36% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LABCORP BETA HCG QUANT LABCORP	$75.00	$100.00	—	51% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE	$75.00	$100.00	—	51% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHRONIC	$125.63	$167.50	—	153% 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

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY	$1,237.50	$1,650.00	—	43% above	25%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPS	$2,529.81	$3,373.08	—	192% 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	—	51% above	25%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY	$1,959.32	$2,612.43	—	139% 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%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY WITHOUT BIOPSY	$750.00	$1,000.00	—	49% 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 ABSCESSES, SIMPLE OR SINGLE	$715.31	$953.75	—	227% 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%
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	22% below	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL	$1,424.70	$1,899.60	—	244% 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%
Short leg splint (calf to foot) CPT 29515 PT APPLICATION-SHORT LEG	$337.79	$450.39	$65.00–$150.00	118% above	25%
Short leg splint (calf to foot) inpatient CPT 29515 PT APPLICATION-SHORT LEG	$337.79	$450.39	$65.00–$150.00	—	25%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY, SINGLE LESION PHYS FEE	$244.53	$326.04	$250.00	21% below	25%
Skin biopsy, punch, one lesion CPT 11104 PUNCH SINGLE LESION BIOPSY	$1,424.70	$1,899.60	—	360% 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	456% 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%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential(shave)SKIN BIOPSY,SINGLE LESI	$67.28	$89.71	$250.00	65% below	25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY, SKIN, ONE LESION	$715.31	$953.75	—	270% above	25%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BIOPSY, SKIN, ONE LESION	$715.31	$953.75	—	—	25%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY	$1,200.00	$1,600.00	—	55% above	25%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITHOUT BIOPSY	$1,200.00	$1,600.00	—	55% above	25%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITHOUT BIOPSY	$1,200.00	$1,600.00	—	—	25%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITH BIOPSY	$1,200.00	$1,600.00	—	—	25%
Wart removal, up to 14 warts CPT 17110 Destruction of benign lesions, up to 14	$224.51	$299.34	$250.00	60% above	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	126% 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

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BB BLOOD ADMINISTRATION	$1,240.83	$1,654.44	—	161% 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 3RD 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 AEROSOL 2ND NEB TREATMENT MED	$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 4TH NEB TREATMENT MED	$457.25	$609.66	—	387% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INCENT SPIR TREATMENT	$457.25	$609.66	$150.00	—	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 AEROSOL SUBSEQUENT NEB TREATMENT	$457.25	$609.66	—	—	25%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74	$2,536.44	$3,381.92	$200.00	202% above	25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE / DROWSY	$438.75	$585.00	—	43% above	25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ELECTROENCEPHALOGRAPHIC EXAM	$1,121.48	$1,495.30	—	265% 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	—	29% above	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 (AMA)	$131.13	$174.84	—	—	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ROUTINE	$131.13	$174.84	—	—	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	91% above	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER HOLDING-1-8 HRS	$467.49	$623.32	$200.00	174% 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	174% 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 HOLDING-9-18 HRS	$815.55	$1,087.40	$200.00	202% above	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	198% 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	244% above	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CPR	$1,835.97	$2,447.96	$200.00	244% above	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	244% above	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST/TELEHEALT	$300.00	$400.00	—	12% below	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE STRESS TEST	$672.89	$897.18	—	98% 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 FAMILY THERAPY WITH PA	$341.80	$455.73	—	174% above	25%
Family therapy with the patient, 50 minutes CPT 90847 CONJOINT THER. GROUP	$341.80	$455.73	—	174% above	25%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W	$341.80	$455.73	—	159% above	25%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY (I	$191.09	$254.79	—	96% above	25%
IV push of a medicine, first drug CPT 96374 FLUSHING MEDIPORT	$143.19	$190.92	—	30% above	25%
IV push of a medicine, first drug inpatient CPT 96374 FLUSHING MEDIPORT	$143.19	$190.92	—	—	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Administration of Injection IOP	$28.50	$38.00	—	49% below	25%
New patient office visit, about 30 minutes CPT 99203 New patient MDM 30-44 min	$79.36	$105.81	$250.00	4% above	25%
New patient office visit, about 45 minutes CPT 99204 New patient MDM 45-59 min	$119.51	$159.35	$250.00	29% 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	503% 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	38% 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	15% below	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	119% above	25%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THER 45-50	$341.80	$455.73	—	159% above	25%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45-	$341.80	$455.73	—	159% 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	70% 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	439% 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	538% 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	637% 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	735% 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	14% 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	484% 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	38% 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	515% 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%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION	$334.87	$446.49	—	163% 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 INITIAL	$193.02	$257.36	$150.00	13% below	25%
Spirometry before and after a bronchodilator CPT 94060 PEAK FLOW SUBSEQUENT	$193.02	$257.36	—	13% 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	—	251% above	25%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAP	$365.13	$486.84	—	—	25%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE	$230.62	$307.49	—	10% above	25%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE	$230.62	$307.49	—	—	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX (DTaP) VACCINE 0.5ML	$46.39	$61.85	—	31% above	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INFANRIX (DTaP) VACCINE 0.5ML	$46.39	$61.85	—	—	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	—	25% 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	—	79% below	25%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 IM VACCINE	$57.96	$77.28	—	—	25%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX IM VACCINE 1440EL UNITS/ 1ML	$175.40	$233.86	—	318% above	25%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX IM VACCINE 1440EL UNITS/ 1ML	$175.40	$233.86	—	—	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULTVACC(Engerix)20MCG	$108.98	$145.31	—	52% 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	—	78% 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	—	63% above	25%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL GROUPS A,C,Y,& W-135	$256.85	$342.47	—	—	25%
Meningococcal B vaccine (Trumenba) CPT 90621 MENINGOCOCCAL GROUP B VACCINE VIAL	$256.85	$342.47	—	6% above	25%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENINGOCOCCAL GROUP B VACCINE VIAL	$256.85	$342.47	—	—	25%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL (PREVNAR-13) VACCINE	$354.28	$472.37	—	67% above	25%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL (PREVNAR-13) VACCINE	$354.28	$472.37	—	—	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 VACCINE	$546.80	$729.07	—	70% 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 PNEUMOVAX 23 VACCINE	$164.90	$219.86	—	22% above	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	—	233% 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	—	54% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP	$98.52	$131.36	—	54% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP	$98.52	$131.36	—	—	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%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADM-TREATMENT	$201.36	$268.48	$250.00	399% above	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CARDIOLIPIN IGG AB	$302.04	$402.72	—	648% above	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CARDIOLIPIN IGG AB	$302.04	$402.72	—	—	25%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

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