Hospital

Ccmh

Listed in its price file as “Ccmh Corporation”.

Ccmh in Carrollton, KY publishes cash prices for 271 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 190 of 268 procedures and above it for 67. By typical cash price it ranks #20 of 59 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

309 11TH STREET, CARROLLTON, KY, 41008 Collected Sep 27, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE RT	$229.60	$382.67	$32.94–$273.76	35% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE LT	$229.60	$382.67	$32.94–$273.76	35% below	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE LT	$229.60	$382.67	$32.94–$273.76	—	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE RT	$229.60	$382.67	$32.94–$273.76	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 NPS BILAT UE ART LIMITED	$372.19	$620.31	$73.37–$518.02	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 NPS BILAT LE ART LIMITED	$372.19	$620.31	$73.37–$518.02	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI WITH TOE PRESSURE	$436.36	$727.26	$73.37–$607.33	16% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 NPS BILAT UE ART LIMITED	$372.19	$620.31	$73.37–$518.02	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 NPS BILAT LE ART LIMITED	$372.19	$620.31	$73.37–$518.02	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI WITH TOE PRESSURE	$436.36	$727.26	$73.37–$607.33	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW ESOPHAGUS	$270.12	$450.20	$84.24–$322.07	36% below	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW ESOPHAGUS	$270.12	$450.20	$84.24–$322.07	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NM WBC SCAN WB F/U	$1,052.48	$1,754.13	$228.93–$1,464.87	35% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NM WBC SCN WHOLEBODY	$1,105.17	$1,841.95	$228.93–$1,538.21	31% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NM TOTAL BODY BONE	$1,175.85	$1,959.75	$228.93–$1,636.59	27% below	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM WBC SCAN WB F/U	$1,052.48	$1,754.13	$228.93–$1,464.87	—	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM WBC SCN WHOLEBODY	$1,105.17	$1,841.95	$228.93–$1,538.21	—	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM TOTAL BODY BONE	$1,175.85	$1,959.75	$228.93–$1,636.59	—	40%
Breast ultrasound, complete, one breast CPT 76641 US BREAST BIL	$417.74	$696.24	$89.92–$581.43	7% above	40%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST BIL	$417.74	$696.24	$89.92–$581.43	—	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$290.69	$484.48	$75.19–$404.59	11% below	40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED	$290.69	$484.48	$75.19–$404.59	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST PE	$1,329.00	$2,215.00	$250.99–$795.00	11% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST DISSECT	$1,329.00	$2,215.00	$250.99–$795.00	11% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ABDOMEN W/W/O ADRENALS	$1,672.80	$2,788.00	$250.99–$892.16	12% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST PE	$1,329.00	$2,215.00	$250.99–$795.00	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST DISSECT	$1,329.00	$2,215.00	$250.99–$795.00	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ABDOMEN W/W/O ADRENALS	$1,672.80	$2,788.00	$250.99–$892.16	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT A/P W/O	$1,435.20	$2,392.00	$165.74–$795.00	30% below	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT A/P W/O	$1,435.20	$2,392.00	$165.74–$795.00	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT A/P W/	$1,866.00	$3,110.00	$268.15–$995.20	24% below	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT A/P W/	$1,866.00	$3,110.00	$268.15–$995.20	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT A/P W/W/O HEMATURIA	$1,937.40	$3,229.00	$301.73–$1,033.28	29% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT A/P W/W/O HEMATURIA	$1,937.40	$3,229.00	$301.73–$1,033.28	—	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/	$1,113.00	$1,855.00	$205.07–$795.00	14% below	40%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/	$1,113.00	$1,855.00	$205.07–$795.00	—	40%
CT scan of the abdomen without contrast CPT 74150 CT ABD W/O CONT	$1,227.00	$2,045.00	$123.01–$795.00	1% above	40%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD W/O CONT	$1,227.00	$2,045.00	$123.01–$795.00	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES W/O	$1,170.00	$1,950.00	$114.81–$795.00	1% above	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O CONTR	$1,170.00	$1,950.00	$114.81–$795.00	1% above	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES W/O CONTR	$1,170.00	$1,950.00	$114.81–$795.00	—	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES W/O	$1,170.00	$1,950.00	$114.81–$795.00	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O	$1,158.60	$1,931.00	$95.89–$795.00	at median	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O	$1,158.60	$1,931.00	$95.89–$795.00	—	40%
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAS	$1,072.20	$1,787.00	$133.28–$795.00	18% below	40%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAS	$1,072.20	$1,787.00	$133.28–$795.00	—	40%
CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/O CONT	$1,642.20	$2,737.00	$155.32–$875.84	10% above	40%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W & W/O CONT	$1,642.20	$2,737.00	$155.32–$875.84	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE W/O	$1,384.20	$2,307.00	$116.82–$795.00	at median	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE W/O	$1,384.20	$2,307.00	$116.82–$795.00	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE W/O CONT	$1,018.80	$1,698.00	$117.40–$795.00	25% below	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SPINE W/O CONT	$1,018.80	$1,698.00	$117.40–$795.00	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/	$1,315.80	$2,193.00	$200.90–$795.00	3% below	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/	$1,315.80	$2,193.00	$200.90–$795.00	—	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID	$1,015.17	$1,691.95	$167.62–$1,412.95	at median	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID	$1,015.17	$1,691.95	$167.62–$1,412.95	—	40%
Chest X-ray, 2 views CPT 71046 CHEST PA AND LAT	$210.95	$351.58	$29.59–$251.52	17% below	40%
Chest X-ray, 2 views CPT 71046 CHEST 2 VW W APICAL	$215.45	$359.09	$29.59–$256.89	15% below	40%
Chest X-ray, 2 views CPT 71046 DOW CORNING CHEST PA AND LAT	$236.68	$394.46	$29.59–$282.20	7% below	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA AND LAT	$210.95	$351.58	$29.59–$251.52	—	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VW W APICAL	$215.45	$359.09	$29.59–$256.89	—	40%
Chest X-ray, 2 views inpatient CPT 71046 DOW CORNING CHEST PA AND LAT	$236.68	$394.46	$29.59–$282.20	—	40%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$177.50	$295.84	$22.78–$211.64	5% below	40%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$177.50	$295.84	$22.78–$211.64	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMP	$484.48	$807.47	$95.20–$674.32	31% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL COMP	$484.48	$807.47	$95.20–$674.32	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA 1 OR MORE SITES AXIAL SKEL	$561.13	$935.22	$35.08–$669.06	66% above	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA 1 OR MORE SITES AXIAL SKEL	$561.13	$935.22	$35.08–$669.06	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O	$1,081.80	$1,803.00	$119.40–$795.00	at median	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O	$1,081.80	$1,803.00	$119.40–$795.00	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/	$1,377.00	$2,295.00	$149.39–$795.00	4% above	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/	$1,377.00	$2,295.00	$149.39–$795.00	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIG DIAGNOSTIC BILAT	$173.40	$289.00	$82.13–$170.00	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIG DIAGNOSTIC BILAT	$173.40	$289.00	$82.13–$170.00	—	40%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIG DIAGNOSTIC LT	$144.00	$240.00	$68.21–$170.00	38% below	40%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIG DIAGNOSTIC RT	$144.00	$240.00	$68.21–$170.00	38% below	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIG DIAGNOSTIC RT	$144.00	$240.00	$68.21–$170.00	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIG DIAGNOSTIC LT	$144.00	$240.00	$68.21–$170.00	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOWER BILATERAL	$626.30	$1,043.83	$209.83–$871.70	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL LOWER BILATERAL	$626.30	$1,043.83	$209.83–$871.70	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS UPPER BILATERAL	$821.38	$1,368.96	$162.89–$1,143.22	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LOWER BILATERAL	$821.38	$1,368.96	$162.89–$1,143.22	—	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VEIN MAP UE BL	$436.36	$727.26	$162.89–$607.33	55% below	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS UPPER BILATERAL	$821.38	$1,368.96	$162.89–$1,143.22	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS LOWER BILATERAL	$821.38	$1,368.96	$162.89–$1,143.22	—	40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEIN MAP UE BL	$436.36	$727.26	$162.89–$607.33	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMPLETE W/DOPPLER	$1,269.28	$2,115.47	$176.63–$1,766.63	26% below	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMPLETE W/DOPPLER	$1,269.28	$2,115.47	$176.63–$1,766.63	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,186.13	$1,976.88	$250.91–$1,650.89	at median	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,186.13	$1,976.88	$250.91–$1,650.89	—	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 AMBULATORY HOME STUDY TEST	$489.60	$816.00	$93.28–$681.44	13% above	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY TITRATIO	$3,247.20	$5,412.00	$626.08–$4,519.56	5% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US RUQ	$540.00	$900.00	$77.21–$751.59	9% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US RUQ	$540.00	$900.00	$77.21–$751.59	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LD CT LUNG SCAN	$540.00	$900.00	$122.61–$795.00	at median	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LD CT LUNG SCAN	$540.00	$900.00	$122.61–$795.00	—	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT	$1,806.60	$3,011.00	$174.01–$1,500.00	9% above	40%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONT	$1,806.60	$3,011.00	$174.01–$1,500.00	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & W/O	$2,276.40	$3,794.00	$300.69–$1,500.00	at median	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & W/O	$2,276.40	$3,794.00	$300.69–$1,500.00	—	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRA	$1,995.60	$3,326.00	$175.55–$1,500.00	21% above	40%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRA	$1,995.60	$3,326.00	$175.55–$1,500.00	—	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&W/O CONT	$2,002.20	$3,337.00	$284.40–$1,500.00	7% below	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&W/O CONT	$2,002.20	$3,337.00	$284.40–$1,500.00	—	40%
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE W/O CONT	$1,506.60	$2,511.00	$172.35–$1,500.00	7% below	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE W/O CONT	$1,506.60	$2,511.00	$172.35–$1,500.00	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W & W/O	$2,276.40	$3,794.00	$285.55–$1,500.00	at median	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W & W/O	$2,276.40	$3,794.00	$285.55–$1,500.00	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT	$1,994.40	$3,324.00	$171.19–$1,500.00	13% above	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE W/O CONT	$1,994.40	$3,324.00	$171.19–$1,500.00	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W & W/O	$2,276.40	$3,794.00	$285.27–$1,500.00	at median	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W & W/O	$2,276.40	$3,794.00	$285.27–$1,500.00	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE W/O CONT	$1,555.20	$2,592.00	$171.47–$1,500.00	2% below	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE W/O CONT	$1,555.20	$2,592.00	$171.47–$1,500.00	—	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&W/O CON	$2,038.80	$3,398.00	$299.23–$1,500.00	9% below	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W&W/O CON	$2,038.80	$3,398.00	$299.23–$1,500.00	—	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTR	$1,506.60	$2,511.00	$203.40–$1,500.00	12% below	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTR	$1,506.60	$2,511.00	$203.40–$1,500.00	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$2,637.62	$4,396.04	$378.61–$3,671.13	28% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT	$2,637.62	$4,396.04	$378.61–$3,671.13	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LTD	$360.00	$600.00	$46.33–$501.06	10% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON OB LTD	$360.00	$600.00	$46.33–$501.06	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB COM	$417.74	$696.24	$94.14–$581.43	37% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB COM	$417.74	$696.24	$94.14–$581.43	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 2ND/3RD TRIMESTER 1ST FETUS	$655.18	$1,091.96	$122.02–$911.90	52% above	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 2ND/3RD TRIMESTER 1ST FETUS	$655.18	$1,091.96	$122.02–$911.90	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIMESTER (<14 WEEKS) 1ST FETU	$634.00	$1,056.67	$105.43–$882.43	22% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US TRANSABDOMINAL OB	$634.00	$1,056.67	$105.43–$882.43	22% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US TRANSABDOMINAL OB	$634.00	$1,056.67	$105.43–$882.43	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIMESTER (<14 WEEKS) 1ST FETU	$634.00	$1,056.67	$105.43–$882.43	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB TRIMESTER 1 LIMITED	$561.49	$935.81	$73.33–$781.49	14% above	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB TRIMESTER 1 LIMITED	$561.49	$935.81	$73.33–$781.49	—	40%
Screening mammogram, both breasts both sides CPT 77067 MAMMO DIG SCREEN BILAT	$157.80	$263.00	$78.90–$170.00	—	40%
Screening mammogram, both breasts one side CPT 77067 MAMMO DIG SCREEN UNILATERAL	$78.90	$131.50	$39.45–$131.50	56% below	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO DIG SCREEN BILAT	$157.80	$263.00	$78.90–$170.00	—	40%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO DIG SCREEN UNILATERAL	$78.90	$131.50	$39.45–$131.50	—	40%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY BASELINE	$3,138.00	$5,230.00	$596.03–$4,367.57	4% below	40%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$433.79	$722.98	$104.92–$603.76	26% below	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$433.79	$722.98	$104.92–$603.76	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$517.80	$863.00	$83.59–$720.69	20% above	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$517.80	$863.00	$83.59–$720.69	—	40%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE	$526.84	$878.06	$102.44–$733.27	35% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE	$526.84	$878.06	$102.44–$733.27	—	40%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICLES SCROTUM	$437.00	$728.33	$88.14–$608.23	24% below	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLES SCROTUM	$437.00	$728.33	$88.14–$608.23	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$374.11	$623.52	$96.61–$520.70	33% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$374.11	$623.52	$96.61–$520.70	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER UNILAT RT	$517.85	$863.09	$102.91–$720.77	12% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER UNILAT LT	$517.85	$863.09	$102.91–$720.77	12% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPPER UNILATERAL RT	$517.85	$863.09	$102.91–$720.77	12% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPPER UNILATERAL LT	$517.85	$863.09	$102.91–$720.77	12% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UPPER UNILATERAL LT	$517.85	$863.09	$102.91–$720.77	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LOWER UNILAT LT	$517.85	$863.09	$102.91–$720.77	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LOWER UNILAT RT	$517.85	$863.09	$102.91–$720.77	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UPPER UNILATERAL RT	$517.85	$863.09	$102.91–$720.77	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PEL/HIP IN/CHILD 2V	$187.15	$311.92	$43.27–$223.15	21% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 PEL/HIP IN/CHILD 2V	$187.15	$311.92	$43.27–$223.15	—	40%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW	$184.58	$307.64	$26.57–$220.09	31% below	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW	$184.58	$307.64	$26.57–$220.09	—	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT	$182.65	$304.42	$28.82–$217.78	31% below	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT	$182.65	$304.42	$28.82–$217.78	31% below	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT	$182.65	$304.42	$28.82–$217.78	—	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT	$182.65	$304.42	$28.82–$217.78	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2 OR 3 VIEWS	$261.11	$435.19	$35.99–$311.33	26% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 3 VIEWS	$308.06	$513.44	$35.99–$367.31	13% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 2 OR 3 VIEWS	$261.11	$435.19	$35.99–$311.33	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 3 VIEWS	$308.06	$513.44	$35.99–$367.31	—	40%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR 4 VIEWS	$381.38	$635.64	$47.49–$454.74	27% below	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR 4 VIEWS	$381.38	$635.64	$47.49–$454.74	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEW	$301.63	$502.72	$29.56–$359.65	at median	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEW	$301.63	$502.72	$29.56–$359.65	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3 VW	$210.95	$351.58	$33.22–$251.52	30% below	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3 VW	$210.95	$351.58	$33.22–$251.52	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2 - 3 VIEWS	$261.11	$435.19	$35.41–$311.33	23% below	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 2 - 3 VIEWS	$261.11	$435.19	$35.41–$311.33	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS TWO VIEWS	$177.50	$295.84	$25.08–$211.64	29% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 / 2 VIEWS	$187.15	$311.92	$25.08–$223.15	25% below	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS TWO VIEWS	$177.50	$295.84	$25.08–$211.64	—	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 / 2 VIEWS	$187.15	$311.92	$25.08–$223.15	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN	$207.09	$345.15	$28.57–$246.92	30% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN	$207.09	$345.15	$28.57–$246.92	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT	$60.60	$101.00	$5.19–$72.26	9% below	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALT	$60.60	$101.00	$5.19–$72.26	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST	$60.60	$101.00	$5.08–$72.26	9% below	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST	$60.60	$101.00	$5.08–$72.26	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS A,B,C PROFILE	$115.20	$192.00	$46.68–$137.36	63% below	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$225.60	$376.00	$46.68–$268.99	27% below	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS A,B,C PROFILE	$115.20	$192.00	$46.68–$137.36	—	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$225.60	$376.00	$46.68–$268.99	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK IGE	$12.00	$20.00	$5.12–$14.31	3% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IGE	$12.00	$20.00	$5.12–$14.31	3% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ALLERGEN	$22.80	$38.00	$5.12–$27.19	84% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MOSQUITO	$22.80	$38.00	$5.12–$27.19	84% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN ALLERGEN	$22.80	$38.00	$5.12–$27.19	84% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE	$22.80	$38.00	$5.12–$27.19	84% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN	$22.80	$38.00	$5.12–$27.19	84% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HYMENOPTERA PROFILE	$45.00	$75.00	$5.12–$53.66	263% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN PROFILE	$135.60	$226.00	$5.12–$161.68	994% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TREE NUT	$218.40	$364.00	$5.12–$260.41	1661% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN 29 INHALANTS	$313.20	$522.00	$5.12–$373.44	2426% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT COMPONENT ALLERGEN PROFILE	$315.00	$525.00	$5.12–$375.58	2440% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MULTI INHALANT	$355.80	$593.00	$5.12–$424.23	2769% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL	$980.40	$1,634.00	$5.12–$1,168.96	7806% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN 56 FOODS	$2,566.62	$4,277.70	$5.12–$3,060.27	20599% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE IGE	$12.00	$20.00	$5.12–$14.31	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK IGE	$12.00	$20.00	$5.12–$14.31	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MOSQUITO	$22.80	$38.00	$5.12–$27.19	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE	$22.80	$38.00	$5.12–$27.19	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN	$22.80	$38.00	$5.12–$27.19	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX ALLERGEN	$22.80	$38.00	$5.12–$27.19	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN ALLERGEN	$22.80	$38.00	$5.12–$27.19	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HYMENOPTERA PROFILE	$45.00	$75.00	$5.12–$53.66	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN PROFILE	$135.60	$226.00	$5.12–$161.68	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TREE NUT	$218.40	$364.00	$5.12–$260.41	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN 29 INHALANTS	$313.20	$522.00	$5.12–$373.44	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT COMPONENT ALLERGEN PROFILE	$315.00	$525.00	$5.12–$375.58	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MULTI INHALANT	$355.80	$593.00	$5.12–$424.23	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PANEL	$980.40	$1,634.00	$5.12–$1,168.96	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN 56 FOODS	$2,566.62	$4,277.70	$5.12–$3,060.27	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES, IGA, IGG	$277.80	$463.00	$12.69–$331.23	216% above	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES, IGA, IGG	$277.80	$463.00	$12.69–$331.23	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$98.40	$164.00	$11.85–$117.33	19% above	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$98.40	$164.00	$11.85–$117.33	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$192.00	$320.00	$38.47–$228.93	3% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO BNP	$245.40	$409.00	$38.47–$292.60	24% above	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$192.00	$320.00	$38.47–$228.93	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PRO BNP	$245.40	$409.00	$38.47–$292.60	—	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$105.00	$175.00	$8.29–$125.20	2% below	40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$105.00	$175.00	$8.29–$125.20	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LVL IV	$178.20	$297.00	$63.78–$212.47	at median	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LVL IV	$178.20	$297.00	$63.78–$212.47	—	40%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$148.80	$248.00	$10.11–$177.42	16% above	40%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$148.80	$248.00	$10.11–$177.42	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD COLLECT VPX	$7.05	$11.75	$3.00–$9.15	60% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE PHYS PRACTICE	$9.00	$15.00	$3.00–$10.73	49% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENOUS DRAW	$13.80	$23.00	$3.00–$16.45	21% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$13.80	$23.00	$3.00–$16.45	21% below	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD COLLECT VPX	$7.05	$11.75	$3.00–$9.15	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE PHYS PRACTICE	$9.00	$15.00	$3.00–$10.73	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$13.80	$23.00	$3.00–$16.45	—	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QUANT	$43.20	$72.00	$3.85–$51.51	29% below	40%
Blood glucose (sugar) test CPT 82947 FASTING BLOOD GLUCOSE	$43.20	$72.00	$3.85–$51.51	29% below	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLD QUANT	$43.20	$72.00	$3.85–$51.51	—	40%
Blood glucose (sugar) test inpatient CPT 82947 FASTING BLOOD GLUCOSE	$43.20	$72.00	$3.85–$51.51	—	40%
Blood lead test CPT 83655 LEAD ADULT	$92.40	$154.00	$11.87–$110.17	2% above	40%
Blood lead test CPT 83655 LEAD PEDIATRIC CAPILLARY	$92.40	$154.00	$11.87–$110.17	2% above	40%
Blood lead test CPT 83655 LEAD PEDIATRIC VENOUS	$92.40	$154.00	$11.87–$110.17	2% above	40%
Blood lead test inpatient CPT 83655 LEAD PEDIATRIC CAPILLARY	$92.40	$154.00	$11.87–$110.17	—	40%
Blood lead test inpatient CPT 83655 LEAD ADULT	$92.40	$154.00	$11.87–$110.17	—	40%
Blood lead test inpatient CPT 83655 LEAD PEDIATRIC VENOUS	$92.40	$154.00	$11.87–$110.17	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUAL	$86.40	$144.00	$7.37–$103.02	7% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM QUAL	$86.40	$144.00	$7.37–$103.02	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD TYPING ABO	$48.60	$81.00	$2.93–$57.95	12% below	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB BLOOD TYPING ABO	$48.60	$81.00	$2.93–$57.95	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$110.40	$184.00	$5.08–$131.63	67% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$110.40	$184.00	$5.08–$131.63	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN GENE PCR	$225.00	$375.00	$36.52–$268.28	117% above	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN GENE PCR	$225.00	$375.00	$36.52–$268.28	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$60.00	$100.00	$20.39–$71.54	62% below	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$60.00	$100.00	$20.39–$71.54	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$114.00	$190.00	$20.39–$135.93	34% below	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$114.00	$190.00	$20.39–$135.93	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 RAPID PCR IN-HOUSE	$60.00	$100.00	$28.42–$71.54	37% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 PCR	$180.00	$300.00	$50.28–$214.62	90% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 RAPID PCR IN-HOUSE	$60.00	$100.00	$28.42–$71.54	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 PCR	$180.00	$300.00	$50.28–$214.62	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CTGC AMP	$287.40	$479.00	$34.39–$342.68	142% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CTGC TRICH AMP	$362.40	$604.00	$34.39–$432.10	205% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 VAGINITIS PLUS, CT/GC	$471.60	$786.00	$34.39–$562.30	297% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 VAGINITIS PLUS, CT/GC, HSV	$651.60	$1,086.00	$34.39–$776.92	449% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CTGC AMP	$287.40	$479.00	$34.39–$342.68	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CTGC TRICH AMP	$362.40	$604.00	$34.39–$432.10	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 VAGINITIS PLUS, CT/GC	$471.60	$786.00	$34.39–$562.30	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 VAGINITIS PLUS, CT/GC, HSV	$651.60	$1,086.00	$34.39–$776.92	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID-LABCORP	$114.00	$190.00	$13.12–$135.93	20% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$114.00	$190.00	$13.12–$135.93	20% below	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID-LABCORP	$114.00	$190.00	$13.12–$135.93	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$114.00	$190.00	$13.12–$135.93	—	40%
Complete blood count (CBC) with differential CPT 85025 CBC W DIFF	$95.40	$159.00	$7.61–$113.75	47% above	40%
Complete blood count (CBC) with differential CPT 85025 CBC/PLT/AUTO DIFF	$95.40	$159.00	$7.61–$113.75	47% above	40%
Complete blood count (CBC) with differential CPT 85025 CBC/PLT/AUTO/CHG	$95.40	$159.00	$7.61–$113.75	47% above	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PLT/AUTO/CHG	$95.40	$159.00	$7.61–$113.75	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W DIFF	$95.40	$159.00	$7.61–$113.75	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PLT/AUTO DIFF	$95.40	$159.00	$7.61–$113.75	—	40%
Complete blood count (CBC), no differential CPT 85027 CBC/PLT/NO DIFF/CHG	$59.40	$99.00	$6.34–$70.82	6% below	40%
Complete blood count (CBC), no differential CPT 85027 CBC/PLT/NO DIFF	$59.40	$99.00	$6.34–$70.82	6% below	40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC/PLT/NO DIFF	$59.40	$99.00	$6.34–$70.82	—	40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC/PLT/NO DIFF/CHG	$59.40	$99.00	$6.34–$70.82	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$128.40	$214.00	$10.35–$153.10	11% below	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$128.40	$214.00	$10.35–$153.10	—	40%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANT	$118.20	$197.00	$9.98–$140.93	10% above	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANT	$118.20	$197.00	$9.98–$140.93	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$214.20	$357.00	$21.79–$255.40	36% above	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$214.20	$357.00	$21.79–$255.40	—	40%
Estradiol blood test CPT 82670 ESTRADIOL, FREE AND TOTAL	$135.00	$225.00	$27.38–$160.96	12% below	40%
Estradiol blood test CPT 82670 ESTRADIOL	$231.60	$386.00	$27.38–$276.14	51% above	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL, FREE AND TOTAL	$135.00	$225.00	$27.38–$160.96	—	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$231.60	$386.00	$27.38–$276.14	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$63.60	$106.00	$18.21–$75.83	74% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH, PEDIATRIC	$63.60	$106.00	$18.21–$75.83	74% below	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$63.60	$106.00	$18.21–$75.83	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH, PEDIATRIC	$63.60	$106.00	$18.21–$75.83	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$360.00	$600.00	$19.24–$429.24	46% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$360.00	$600.00	$19.24–$429.24	—	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$102.60	$171.00	$13.36–$122.33	32% below	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$102.60	$171.00	$13.36–$122.33	—	40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$96.00	$160.00	$14.41–$114.46	31% below	40%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$96.00	$160.00	$14.41–$114.46	—	40%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$144.60	$241.00	$16.60–$172.41	29% below	40%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$144.60	$241.00	$16.60–$172.41	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$92.40	$154.00	$8.84–$110.17	3% below	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$92.40	$154.00	$8.84–$110.17	—	40%
Free testosterone test CPT 84402 TESTOSTERONE FREE & TOTAL WOMEN/CHILD	$349.20	$582.00	$24.96–$416.36	329% above	40%
Free testosterone test CPT 84402 TESTOSTERONE FREE & TOTAL	$349.20	$582.00	$24.96–$416.36	329% above	40%
Free testosterone test CPT 84402 COMPLETE TESTOSTERONE EVALUATION	$1,024.80	$1,708.00	$24.96–$1,221.90	1160% above	40%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE & TOTAL WOMEN/CHILD	$349.20	$582.00	$24.96–$416.36	—	40%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE & TOTAL	$349.20	$582.00	$24.96–$416.36	—	40%
Free testosterone test inpatient CPT 84402 COMPLETE TESTOSTERONE EVALUATION	$1,024.80	$1,708.00	$24.96–$1,221.90	—	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 COMPREHENSIVE HEALTH PANEL	$335.40	$559.00	$39.42–$399.91	20% above	40%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 COMPREHENSIVE HEALTH PANEL	$335.40	$559.00	$39.42–$399.91	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$73.20	$122.00	$4.66–$87.28	30% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$73.20	$122.00	$4.66–$87.28	—	40%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC	$93.60	$156.00	$12.61–$111.60	38% below	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC	$93.60	$156.00	$12.61–$111.60	—	40%
H. pylori antibody blood test CPT 86677 H PYLORI IGM	$73.20	$122.00	$16.51–$87.28	36% below	40%
H. pylori antibody blood test CPT 86677 H PYLORI IGG	$73.20	$122.00	$16.51–$87.28	36% below	40%
H. pylori antibody blood test CPT 86677 H PYLORI IGA	$73.20	$122.00	$16.51–$87.28	36% below	40%
H. pylori antibody blood test CPT 86677 H PYLORI ABS	$100.80	$168.00	$16.51–$120.19	12% below	40%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA	$73.20	$122.00	$16.51–$87.28	—	40%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM	$73.20	$122.00	$16.51–$87.28	—	40%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG	$73.20	$122.00	$16.51–$87.28	—	40%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ABS	$100.80	$168.00	$16.51–$120.19	—	40%
H. pylori stool antigen test CPT 87338 H PYLORI AG-STOOL	$118.20	$197.00	$14.09–$140.93	34% below	40%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG-STOOL	$118.20	$197.00	$14.09–$140.93	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD	$365.40	$609.00	$83.40–$435.68	40% above	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD	$365.40	$609.00	$83.40–$435.68	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 ANTIGEN/ANTIBODY	$103.80	$173.00	$23.60–$123.76	at median	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 ANTIGEN/ANTIBODY	$103.80	$173.00	$23.60–$123.76	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK 16/18	$221.40	$369.00	$34.39–$263.98	114% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV AMP	$221.40	$369.00	$34.39–$263.98	114% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV RECTAL SOURCE	$225.00	$375.00	$34.39–$268.28	118% above	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK 16/18	$221.40	$369.00	$34.39–$263.98	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV AMP	$221.40	$369.00	$34.39–$263.98	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV RECTAL SOURCE	$225.00	$375.00	$34.39–$268.28	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB/A1C	$73.20	$122.00	$9.52–$87.28	at median	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C - IN-PATIENT	$73.20	$122.00	$9.52–$87.28	at median	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C - IN-PATIENT	$73.20	$122.00	$9.52–$87.28	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB/A1C	$73.20	$122.00	$9.52–$87.28	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUALITATIVE	$109.20	$182.00	$10.53–$130.20	4% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB QUALITATIVE	$109.20	$182.00	$10.53–$130.20	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SCREEN PROFILE	$25.20	$42.00	$10.12–$30.05	75% below	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG	$96.00	$160.00	$10.12–$114.46	6% below	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SCREEN PROFILE	$25.20	$42.00	$10.12–$30.05	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG	$96.00	$160.00	$10.12–$114.46	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY WITH REFLEX TO QUANT	$121.20	$202.00	$13.98–$144.51	7% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C QUAL/GENO	$121.20	$202.00	$13.98–$144.51	7% below	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY WITH REFLEX TO QUANT	$121.20	$202.00	$13.98–$144.51	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C QUAL/GENO	$121.20	$202.00	$13.98–$144.51	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD	$252.00	$420.00	$41.98–$300.47	8% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD REFLEX TO GENOTYPING	$252.00	$420.00	$41.98–$300.47	8% below	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL LOAD REFLEX TO GENOTYPING	$252.00	$420.00	$41.98–$300.47	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL LOAD	$252.00	$420.00	$41.98–$300.47	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV AB TYPE 1 IGG	$60.60	$101.00	$12.93–$72.26	13% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1&2 IGG	$120.00	$200.00	$12.93–$143.08	72% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV AB TYPE 1 IGG	$60.60	$101.00	$12.93–$72.26	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1&2 IGG	$120.00	$200.00	$12.93–$143.08	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV AB TYPE 2 IGG	$60.60	$101.00	$18.96–$72.26	24% below	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV AB TYPE 2 IGG	$60.60	$101.00	$18.96–$72.26	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HS	$110.40	$184.00	$12.69–$131.63	15% above	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HS	$110.40	$184.00	$12.69–$131.63	—	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA	$116.40	$194.00	$17.56–$138.79	30% below	40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE PLASMA	$116.40	$194.00	$17.56–$138.79	—	40%
Insulin blood test CPT 83525 INSULIN TOTAL	$85.20	$142.00	$11.20–$101.59	23% below	40%
Insulin blood test CPT 83525 INSULIN, THREE SPECIMENS	$255.60	$426.00	$11.20–$304.76	132% above	40%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$85.20	$142.00	$11.20–$101.59	—	40%
Insulin blood test inpatient CPT 83525 INSULIN, THREE SPECIMENS	$255.60	$426.00	$11.20–$304.76	—	40%
Iron blood test (serum iron) CPT 83540 IRON	$93.60	$156.00	$6.34–$111.60	30% above	40%
Iron blood test (serum iron) CPT 83540 IRON PROFILE	$157.80	$263.00	$6.34–$188.15	118% above	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$93.60	$156.00	$6.34–$111.60	—	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON PROFILE	$157.80	$263.00	$6.34–$188.15	—	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$72.60	$121.00	$8.57–$86.56	27% below	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$72.60	$121.00	$8.57–$86.56	—	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$100.80	$168.00	$8.51–$120.19	3% below	40%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$100.80	$168.00	$8.51–$120.19	—	40%
LH (luteinizing hormone) test CPT 83002 LH	$89.40	$149.00	$18.15–$106.59	56% below	40%
LH (luteinizing hormone) test CPT 83002 LH PEDIATRIC	$89.40	$149.00	$18.15–$106.59	56% below	40%
LH (luteinizing hormone) test inpatient CPT 83002 LH PEDIATRIC	$89.40	$149.00	$18.15–$106.59	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$89.40	$149.00	$18.15–$106.59	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$82.80	$138.00	$6.75–$98.73	1% below	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$82.80	$138.00	$6.75–$98.73	1% below	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$82.80	$138.00	$6.75–$98.73	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID	$82.80	$138.00	$6.75–$98.73	—	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$46.20	$77.00	$8.01–$55.09	62% below	40%
Liver function blood test panel CPT 80076 LIVER FIBROSIS RISK PROFILE	$100.20	$167.00	$8.01–$119.47	17% below	40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$46.20	$77.00	$8.01–$55.09	—	40%
Liver function blood test panel inpatient CPT 80076 LIVER FIBROSIS RISK PROFILE	$100.20	$167.00	$8.01–$119.47	—	40%
Lyme disease antibody test CPT 86618 LYME DISEASE IGM	$37.20	$62.00	$16.69–$44.35	43% below	40%
Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB	$203.40	$339.00	$16.69–$242.52	211% above	40%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE IGM	$37.20	$62.00	$16.69–$44.35	—	40%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TOTAL AB	$203.40	$339.00	$16.69–$242.52	—	40%
Magnesium blood test CPT 83735 OSS S/U MAGNESIUM	$30.60	$51.00	$6.57–$36.49	45% below	40%
Magnesium blood test CPT 83735 MAGNESIUM, URINE	$49.80	$83.00	$6.57–$59.38	10% below	40%
Magnesium blood test CPT 83735 MAGNESIUM	$73.20	$122.00	$6.57–$87.28	32% above	40%
Magnesium blood test inpatient CPT 83735 OSS S/U MAGNESIUM	$30.60	$51.00	$6.57–$36.49	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE	$49.80	$83.00	$6.57–$59.38	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$73.20	$122.00	$6.57–$87.28	—	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$61.80	$103.00	$12.62–$73.69	14% above	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$61.80	$103.00	$12.62–$73.69	14% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG	$61.80	$103.00	$12.62–$73.69	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM	$61.80	$103.00	$12.62–$73.69	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$59.40	$99.00	$5.08–$70.82	6% below	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$59.40	$99.00	$5.08–$70.82	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL	$135.60	$226.00	$18.02–$161.68	14% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE AND TOTAL	$135.60	$226.00	$18.02–$161.68	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$114.00	$190.00	$18.02–$135.93	23% below	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$114.00	$190.00	$18.02–$135.93	—	40%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR	$69.00	$115.00	$26.08–$82.27	30% above	40%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP W/ REFLEX TO HPV HR	$69.00	$115.00	$26.08–$82.27	30% above	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP W/ REFLEX TO HPV HR	$69.00	$115.00	$26.08–$82.27	—	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP SMEAR	$69.00	$115.00	$26.08–$82.27	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$190.20	$317.00	$40.45–$226.78	20% below	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$190.20	$317.00	$40.45–$226.78	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT ACTIVATED	$73.20	$122.00	$5.89–$87.28	14% below	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT ACTIVATED	$73.20	$122.00	$5.89–$87.28	—	40%
Progesterone blood test CPT 84144 PROGESTERONE	$138.60	$231.00	$20.44–$165.26	19% below	40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$138.60	$231.00	$20.44–$165.26	—	40%
Prolactin blood test CPT 84146 MACROPROLACTIN	$160.20	$267.00	$18.99–$191.01	1% above	40%
Prolactin blood test CPT 84146 PROLACTIN	$174.60	$291.00	$18.99–$208.18	10% above	40%
Prolactin blood test inpatient CPT 84146 MACROPROLACTIN	$160.20	$267.00	$18.99–$191.01	—	40%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$174.60	$291.00	$18.99–$208.18	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME PHYSICIAN PRACTICE	$18.60	$31.00	$4.20–$22.18	65% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$59.40	$99.00	$4.20–$70.82	13% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/PTT	$132.00	$220.00	$4.20–$157.39	151% above	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME PHYSICIAN PRACTICE	$18.60	$31.00	$4.20–$22.18	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$59.40	$99.00	$4.20–$70.82	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/PTT	$132.00	$220.00	$4.20–$157.39	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RAPID DRUG SCREEN -	$31.20	$52.00	$12.35–$37.20	19% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG CLASS EA URINE	$324.60	$541.00	$12.35–$387.03	740% above	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG CLASS EA URINE	$324.60	$541.00	$12.35–$387.03	—	40%
Rapid flu test (influenza antigen) CPT 87804 FLU A & B PHYSICIAN PRACTICE	$15.60	$26.00	$7.39–$18.60	68% below	40%
Rapid flu test (influenza antigen) CPT 87804 FLU A ANTIGEN	$64.80	$108.00	$16.22–$77.26	32% above	40%
Rapid flu test (influenza antigen) CPT 87804 FLU B ANTIGEN	$64.80	$108.00	$16.22–$77.26	32% above	40%
Rapid flu test (influenza antigen) CPT 87804 FLU A & B ANTIGEN	$129.60	$216.00	$16.22–$154.53	164% above	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU A & B PHYSICIAN PRACTICE	$15.60	$26.00	$7.39–$18.60	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU B ANTIGEN	$64.80	$108.00	$16.22–$77.26	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU A ANTIGEN	$64.80	$108.00	$16.22–$77.26	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU A & B ANTIGEN	$129.60	$216.00	$16.22–$154.53	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN PHYSICIAN PRACTICE	$18.00	$30.00	$8.53–$21.46	72% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN	$82.80	$138.00	$16.20–$98.73	30% above	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN PHYSICIAN PRACTICE	$18.00	$30.00	$8.53–$21.46	—	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN	$82.80	$138.00	$16.20–$98.73	—	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT TITER	$22.80	$38.00	$5.56–$27.19	56% below	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$63.60	$106.00	$5.56–$75.83	22% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT TITER	$22.80	$38.00	$5.56–$27.19	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$63.60	$106.00	$5.56–$75.83	—	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGM	$75.00	$125.00	$14.10–$89.42	24% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG	$75.00	$125.00	$14.10–$89.42	24% below	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGM	$75.00	$125.00	$14.10–$89.42	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGG	$75.00	$125.00	$14.10–$89.42	—	40%
Stool ova and parasites exam CPT 87177 OVA & PARASITE	$63.60	$106.00	$8.72–$75.83	32% below	40%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE	$63.60	$106.00	$8.72–$75.83	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREENING PHY PRAC	$9.60	$16.00	$4.29–$11.45	64% below	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREENING PHY PRAC	$9.60	$16.00	$4.29–$11.45	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF	$78.00	$130.00	$4.18–$93.00	63% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL	$78.00	$130.00	$4.18–$93.00	63% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUAL	$78.00	$130.00	$4.18–$93.00	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF	$78.00	$130.00	$4.18–$93.00	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Q FERON TB	$427.20	$712.00	$60.74–$509.36	175% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Q FERON TB	$427.20	$712.00	$60.74–$509.36	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, WOMEN/CHILDREN	$167.40	$279.00	$25.29–$199.60	51% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$167.40	$279.00	$25.29–$199.60	51% above	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$167.40	$279.00	$25.29–$199.60	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, WOMEN/CHILDREN	$167.40	$279.00	$25.29–$199.60	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL ABS	$27.00	$45.00	$12.79–$32.19	71% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$46.20	$77.00	$14.26–$55.09	50% below	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL ABS	$27.00	$45.00	$12.79–$32.19	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB	$46.20	$77.00	$14.26–$55.09	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$111.60	$186.00	$16.46–$133.06	14% below	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$111.60	$186.00	$16.46–$133.06	—	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP	$75.00	$125.00	$34.39–$89.42	1% below	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMP	$75.00	$125.00	$34.39–$89.42	—	40%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$42.60	$71.00	$4.43–$50.79	25% below	40%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$42.60	$71.00	$4.43–$50.79	—	40%
Urinalysis with microscope exam, manual CPT 81000 U/A DIP STICK	$13.20	$22.00	$3.94–$15.74	37% below	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O PHYSICIAN PRACTICES	$18.60	$31.00	$2.20–$22.18	31% below	40%
Urinalysis without microscope exam, automated CPT 81003 OSS URINALYSIS	$30.60	$51.00	$2.20–$36.49	14% above	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O PHYSICIAN PRACTICES	$18.60	$31.00	$2.20–$22.18	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 OSS URINALYSIS	$30.60	$51.00	$2.20–$36.49	—	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON-AUTOMATED W/O PHY PRAC	$16.20	$27.00	$3.41–$19.32	5% below	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NON-AUTOMATED W/O PHY PRAC	$16.20	$27.00	$3.41–$19.32	—	40%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY	$126.60	$211.00	$7.91–$150.95	26% above	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE COLONY	$126.60	$211.00	$7.91–$150.95	—	40%
Urine pregnancy test, read by color change CPT 81025 HCG URINE QUAL PHYS PRACTICE	$24.60	$41.00	$8.44–$29.33	61% below	40%
Urine pregnancy test, read by color change CPT 81025 HCG URINE QUAL SURGERY	$76.20	$127.00	$8.44–$90.86	19% above	40%
Urine pregnancy test, read by color change CPT 81025 HCG URINE QUAL	$76.20	$127.00	$8.44–$90.86	19% above	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG URINE QUAL PHYS PRACTICE	$24.60	$41.00	$8.44–$29.33	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG URINE QUAL SURGERY	$76.20	$127.00	$8.44–$90.86	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG URINE QUAL	$76.20	$127.00	$8.44–$90.86	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12	$96.00	$160.00	$14.78–$114.46	3% above	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12	$96.00	$160.00	$14.78–$114.46	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3/25 HYDROXY	$174.60	$291.00	$29.01–$208.18	29% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2/D3 FRACTIONATED	$306.00	$510.00	$29.01–$364.85	125% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D3/25 HYDROXY	$174.60	$291.00	$29.01–$208.18	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2/D3 FRACTIONATED	$306.00	$510.00	$29.01–$364.85	—	40%
Zinc blood test CPT 84630 ZINC WHOLE BLOOD	$109.20	$182.00	$11.16–$130.20	8% below	40%
Zinc blood test inpatient CPT 84630 ZINC WHOLE BLOOD	$109.20	$182.00	$11.16–$130.20	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG (TUMOR SERIAL MONITOR)	$164.40	$274.00	$14.75–$196.02	at median	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANT	$164.40	$274.00	$14.75–$196.02	at median	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QUANT	$164.40	$274.00	$14.75–$196.02	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG (TUMOR SERIAL MONITOR)	$164.40	$274.00	$14.75–$196.02	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$697.80	$1,163.00	$141.94–$971.22	25% below	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$697.80	$1,163.00	$141.94–$971.22	—	40%
Colonoscopy with polyp removal CPT 45385 COLSC FLX PROX	$543.60	$906.00	$257.49–$906.00	55% below	40%
Colonoscopy with polyp removal CPT 45385 COLON W/PLY SNARE	$1,920.00	$3,200.00	$452.26–$1,863.55	59% above	40%
Colonoscopy with polyp removal inpatient CPT 45385 COLON W/PLY SNARE	$1,920.00	$3,200.00	$452.26–$1,863.55	—	40%
Colonoscopy with tissue sample CPT 45380 SCOPE OF COLON	$480.60	$801.00	$227.64–$801.00	71% below	40%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/ BX	$1,860.00	$3,100.00	$431.12–$1,863.55	14% above	40%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/ BX	$1,860.00	$3,100.00	$431.12–$1,863.55	—	40%
Colonoscopy, diagnostic CPT 45378 SCOPE OF COLON	$202.20	$337.00	$95.78–$337.00	91% below	40%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC	$1,800.00	$3,000.00	$341.31–$1,863.55	24% below	40%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY	$1,800.00	$3,000.00	$341.31–$1,863.55	24% below	40%
Colonoscopy, diagnostic CPT 45378 COLON BRUSH/WASHING	$1,980.00	$3,300.00	$341.31–$1,863.55	16% below	40%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY W/ C-ARM	$1,980.00	$3,300.00	$341.31–$1,863.55	16% below	40%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC	$1,800.00	$3,000.00	$341.31–$1,863.55	—	40%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY	$1,800.00	$3,000.00	$341.31–$1,863.55	—	40%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY W/ C-ARM	$1,980.00	$3,300.00	$341.31–$1,863.55	—	40%
Colonoscopy, diagnostic inpatient CPT 45378 COLON BRUSH/WASHING	$1,980.00	$3,300.00	$341.31–$1,863.55	—	40%
Complex cataract surgery with lens implant CPT 66982 PHACO/ IOL/ COMP	$5,583.60	$9,306.00	$586.37–$6,657.51	21% above	40%
Complex cataract surgery with lens implant inpatient CPT 66982 PHACO/ IOL/ COMP	$5,583.60	$9,306.00	$586.37–$6,657.51	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION LES	$63.00	$105.00	$29.84–$87.69	55% below	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACTED CER USING IRR/LAVA UNIL	$16.20	$27.00	$7.67–$19.32	85% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDURAL (CESI) W/GUIDANCE	$1,440.00	$2,400.00	$248.00–$1,716.96	37% above	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERV/THORAC CAUDAL INTERLAMI ESI W/GUID	$1,440.00	$2,400.00	$248.00–$1,716.96	37% above	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CERV/THORAC CAUDAL INTERLAMI ESI W/GUID	$1,440.00	$2,400.00	$248.00–$1,716.96	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPIDURAL (CESI) W/GUIDANCE	$1,440.00	$2,400.00	$248.00–$1,716.96	—	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SCOPE OF SIGMOI	$132.00	$220.00	$62.52–$190.48	88% below	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOID FLEXIBLE	$1,920.00	$3,200.00	$190.48–$2,289.28	80% above	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOID FLEXIBLE	$1,920.00	$3,200.00	$190.48–$2,289.28	—	40%
Gallbladder removal, laparoscopic CPT 47562 LAP SURG CHOLE	$7,500.00	$12,500.00	$589.93–$5,232.00	23% above	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPS SURG CHOLE	$696.00	$1,160.00	$329.67–$1,160.00	66% below	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLE WITH GRAPH	$7,800.00	$13,000.00	$639.37–$5,232.00	286% above	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP CHOLE WITH GRAPH	$7,800.00	$13,000.00	$639.37–$5,232.00	—	40%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECSTC	$945.00	$1,575.00	$447.62–$1,315.28	39% below	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 HRHC SMPL	$417.60	$696.00	$197.80–$581.23	50% below	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMROIDECTO I/E SIMP	$1,003.20	$1,672.00	$475.18–$1,672.00	19% above	40%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMROIDECTO I/E SIMP	$1,003.20	$1,672.00	$475.18–$1,672.00	—	40%
Hysterectomy through an abdominal incision (total) CPT 58150 TAH RMVL TUBE	$972.00	$1,620.00	$460.40–$1,352.86	6% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS	$95.40	$159.00	$45.19–$132.78	68% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE	$197.40	$329.00	$93.50–$274.75	33% below	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE	$197.40	$329.00	$93.50–$274.75	—	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR 1ST INGU H	$468.00	$780.00	$221.68–$651.38	68% below	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR 1ST INGUN H	$510.00	$850.00	$241.57–$709.84	65% below	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR I/HERN INIT REDUC>5 YR	$6,840.00	$11,400.00	$472.55–$8,155.56	368% above	40%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR I/HERN INIT REDUC>5 YR	$6,840.00	$11,400.00	$472.55–$8,155.56	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION SINGLE TENDON, LIGAMENT	$270.00	$450.00	$55.40–$450.00	40% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION SINGLE TENDON, LIGAMENT	$270.00	$450.00	$55.40–$450.00	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 BURSA DRAINAGE MJ	$186.60	$311.00	$62.86–$259.72	60% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JOINT	$186.60	$311.00	$62.86–$259.72	60% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 BURSA DRAINAGE MJ	$186.60	$311.00	$62.86–$259.72	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JOINT	$186.60	$311.00	$62.86–$259.72	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 BURSA DRAINAGE IJ	$125.40	$209.00	$52.22–$174.54	68% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ INTER JOINT	$125.40	$209.00	$52.22–$174.54	68% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 BURSA DRAINAGE IJ	$125.40	$209.00	$52.22–$174.54	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP/INJ INTER JOINT	$125.40	$209.00	$52.22–$174.54	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 BURSA DRAINAGE SJ	$87.60	$146.00	$41.49–$121.92	77% below	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SMALL JOINT	$87.60	$146.00	$41.49–$121.92	77% below	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 BURSA DRAINAGE SJ	$87.60	$146.00	$41.49–$121.92	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SMALL JOINT	$87.60	$146.00	$41.49–$121.92	—	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY	$7,311.00	$12,185.00	$539.21–$8,717.15	16% above	40%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPIC APPENDECTOMY	$7,311.00	$12,185.00	$539.21–$8,717.15	—	40%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$12,240.00	$20,400.00	$949.76–$14,594.16	451% above	40%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAPAROSCOPY FUNDOPLASTY	$12,240.00	$20,400.00	$949.76–$14,594.16	—	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP INGUINAL HERNIA REPAIR INITIAL	$13,800.00	$23,000.00	$393.48–$16,454.20	385% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP INGUINAL HERNIA REPAIR INITIAL	$13,800.00	$23,000.00	$393.48–$16,454.20	—	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$11,166.00	$18,610.00	$510.79–$13,313.59	826% above	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAP ING HERNIA REPAIR RECUR	$11,166.00	$18,610.00	$510.79–$13,313.59	—	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPS RMVL ADNEX	$583.80	$973.00	$276.53–$812.55	94% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTER UPP BOD	$252.00	$420.00	$119.36–$350.74	16% below	40%
Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL (LESI) W/GUIDANCE	$735.00	$1,225.00	$244.57–$1,225.00	36% below	40%
Lower-back epidural injection, with imaging guidance CPT 62323 LUM SACRAL CAUDAL INTERLAMI ESI W/GUID	$2,173.20	$3,622.00	$244.57–$2,591.18	90% above	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL (LESI) W/GUIDANCE	$735.00	$1,225.00	$244.57–$1,225.00	—	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LUM SACRAL CAUDAL INTERLAMI ESI W/GUID	$2,173.20	$3,622.00	$244.57–$2,591.18	—	40%
Lower-back epidural injection, without imaging guidance CPT 62322 LUM SACRAL CAUDAL INTERLAMINAR ESI	$801.97	$1,336.61	$132.49–$1,331.84	8% below	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 LUM SACRAL CAUDAL INTERLAMINAR ESI	$801.97	$1,336.61	$132.49–$1,331.84	—	40%
Lumpectomy (partial mastectomy) CPT 19301 MAST PRTL	$720.00	$1,200.00	$341.04–$1,002.12	36% below	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LES MARGN	$104.40	$174.00	$49.45–$145.31	72% below	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BL, TRK/ARM/LG; 0.5 OR <	$144.60	$241.00	$68.49–$172.41	61% below	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9 LES MARGN	$117.60	$196.00	$55.70–$163.68	75% below	40%
Nail removal (partial or complete), one nail CPT 11730 REMOVE INGROWN TOENAIL	$72.00	$120.00	$34.10–$100.97	72% below	40%
Nail removal (partial or complete), one nail CPT 11730 NAIL REMOVAL PA	$86.40	$144.00	$40.92–$120.25	67% below	40%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL SINGLE	$126.00	$210.00	$59.68–$150.23	52% below	40%
Occipital nerve block (injection for headaches) CPT 64405 GREATER OCCIPITAL NERVE (OCC NERVE BL)	$1,330.85	$2,218.09	$72.20–$1,586.82	139% above	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 GREATER OCCIPITAL NERVE (OCC NERVE BL)	$1,330.85	$2,218.09	$72.20–$1,586.82	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL REMOVAL	$91.20	$152.00	$43.20–$143.06	82% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL MATRIX	$183.00	$305.00	$86.68–$254.71	63% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL	$718.80	$1,198.00	$143.06–$1,198.00	43% above	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$1,314.00	$2,190.00	$143.06–$1,566.73	162% above	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NAIL REMOVAL	$91.20	$152.00	$43.20–$143.06	—	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL	$718.80	$1,198.00	$143.06–$1,198.00	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 RFA LUMBAR	$3,043.80	$5,073.00	$417.09–$3,629.22	30% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 RFA LUMBAR	$3,043.80	$5,073.00	$417.09–$3,629.22	—	40%
Removal of a breast lump, open surgery CPT 19120 EXC CYST/ABERRA	$412.80	$688.00	$195.53–$574.55	73% below	40%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FB SIMPLE SUB Q	$48.60	$81.00	$23.02–$79.38	89% below	40%
Removal of a foreign object under the skin, simple CPT 10120 FB REMOVAL SKIN SIMP	$105.60	$176.00	$50.02–$146.98	75% below	40%
Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY SKIN	$126.60	$211.00	$59.97–$176.21	70% below	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB REMOVAL SKIN SIMP	$105.60	$176.00	$50.02–$146.98	—	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLON CA SCREEN	$404.40	$674.00	$191.55–$562.86	85% below	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREENING COLONOSCOPY HIGH RISK	$1,800.00	$3,000.00	$341.31–$2,146.20	35% below	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 SCREENING COLONOSCOPY HIGH RISK	$1,800.00	$3,000.00	$341.31–$2,146.20	—	40%
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT FOREARM TO HAND	$27.00	$45.00	$12.79–$44.10	86% below	40%
Short leg splint (calf to foot) CPT 29515 APPL OF SHORT LEG SPLINT CALF TO FOOT	$27.00	$45.00	$12.79–$44.10	88% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIM RE OF SUP 2.5CM OR < SCA/NECK/ARM	$31.80	$53.00	$15.06–$51.94	89% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURE TO 2.5CM	$222.00	$370.00	$102.36–$308.99	20% below	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXE MAL LES W/M	$158.40	$264.00	$75.03–$220.47	23% below	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAG MLT	$70.20	$117.00	$33.25–$97.71	51% below	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAG: UP TO 15	$97.20	$162.00	$46.04–$115.89	33% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIM RE OF SUP 2.6-7.5CM SCA/NECK/ARM	$39.00	$65.00	$18.47–$63.70	87% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SUTURE 2.5 TO 7.5CM	$238.80	$398.00	$113.11–$332.37	21% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIM RE SUP WD F/E/E/N/L/MM 2.5 OR LESS	$31.80	$53.00	$15.06–$51.94	89% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 ER INJ TRIGGER POINT 1/2 MUSC	$708.00	$1,180.00	$47.49–$844.17	20% above	40%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPS FULG OVIDU	$220.80	$368.00	$104.59–$311.91	—	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/ BLN DIL <30MM	$1,800.00	$3,000.00	$852.60–$2,146.20	7% above	40%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/ BLN DIL <30MM	$1,800.00	$3,000.00	$852.60–$2,146.20	—	40%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER STOMACH-I	$327.00	$545.00	$154.89–$545.00	77% below	40%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/ BX	$1,680.00	$2,800.00	$373.61–$2,217.00	21% above	40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/ BX	$1,680.00	$2,800.00	$373.61–$2,217.00	—	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPER GI SCOPE W/SUBMUC INJ	$1,839.60	$3,066.00	$397.47–$2,217.00	4% below	40%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPER GI SCOPE W/SUBMUC INJ	$1,839.60	$3,066.00	$397.47–$2,217.00	—	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UPPER GI NDSC RMV	$252.00	$420.00	$119.36–$411.60	80% below	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/PLYPCTMY SNARE	$1,860.00	$3,100.00	$488.10–$2,217.74	49% above	40%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W/PLYPCTMY SNARE	$1,860.00	$3,100.00	$488.10–$2,217.74	—	40%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER STOMACH-I	$307.20	$512.00	$145.51–$512.00	70% below	40%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD	$1,740.00	$2,900.00	$288.72–$2,217.00	67% above	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD	$1,740.00	$2,900.00	$288.72–$2,217.00	—	40%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 ESOPH ENDOSCOPE W/DRAIN CYST	$3,765.00	$6,275.00	$323.98–$2,217.00	37% above	40%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 ESOPH ENDOSCOPE W/DRAIN CYST	$3,765.00	$6,275.00	$323.98–$2,217.00	—	40%
Wart removal, up to 14 warts CPT 17110 WART FLAT 1-14	$1,278.00	$2,130.00	$99.43–$1,523.80	995% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM OR LESS	$870.00	$1,450.00	$119.20–$1,450.00	72% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM OR LESS	$870.00	$1,450.00	$119.20–$1,450.00	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCTS ADMIN	$356.40	$594.00	$41.35–$496.05	41% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR COMPONENTS	$891.60	$1,486.00	$41.35–$1,240.96	48% above	40%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, TWO/DAY	$1,783.20	$2,972.00	$41.35–$2,481.92	196% above	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD PRODUCTS ADMIN	$356.40	$594.00	$41.35–$496.05	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR COMPONENTS	$891.60	$1,486.00	$41.35–$1,240.96	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, TWO/DAY	$1,783.20	$2,972.00	$41.35–$2,481.92	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL SUBSEQ	$41.34	$68.90	$7.58–$57.54	73% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MINI NEB TIER 1	$45.00	$75.00	$7.58–$62.63	71% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONTINUOUS AEROSOL	$49.20	$82.00	$7.58–$68.48	68% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INITIAL	$54.06	$90.10	$7.58–$75.24	65% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$58.80	$98.00	$7.58–$81.84	62% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONT MINI NEB	$69.00	$115.00	$7.58–$96.04	55% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQ TIER 1	$69.60	$116.00	$7.58–$96.87	55% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQ	$69.60	$116.00	$7.58–$96.87	55% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MINI NEB TIER 2	$90.00	$150.00	$7.58–$125.26	42% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MINI NEB TIER 3	$135.00	$225.00	$7.58–$187.90	13% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQ TIER 2	$139.20	$232.00	$7.58–$193.74	10% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MINI NEB TIER 4	$180.00	$300.00	$7.58–$250.53	16% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - MINI NEB TIER 1	$180.00	$300.00	$7.58–$250.53	16% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQ TIER 3	$208.80	$348.00	$7.58–$290.61	35% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQ TIER 4	$278.40	$464.00	$7.58–$387.49	80% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - MINI NEB TIER 2	$360.00	$600.00	$7.58–$501.06	132% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - MINI NEB TIER 3	$540.00	$900.00	$7.58–$751.59	249% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - MINI NEB TIER 4	$720.00	$1,200.00	$7.58–$1,002.12	365% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - MINI NEB TIER 5	$900.00	$1,500.00	$7.58–$1,252.65	481% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - MINI NEB TIER 6	$1,080.00	$1,800.00	$7.58–$1,503.18	597% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - MINI NEB TIER 7	$1,260.00	$2,100.00	$7.58–$1,753.71	713% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - MINI NEB TIER 8	$1,440.00	$2,400.00	$7.58–$2,004.24	829% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL SUBSEQ	$41.34	$68.90	$7.58–$57.54	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MINI NEB TIER 1	$45.00	$75.00	$7.58–$62.63	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CONTINUOUS AEROSOL	$49.20	$82.00	$7.58–$68.48	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL INITIAL	$54.06	$90.10	$7.58–$75.24	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION	$58.80	$98.00	$7.58–$81.84	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CONT MINI NEB	$69.00	$115.00	$7.58–$96.04	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQ TIER 1	$69.60	$116.00	$7.58–$96.87	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQ	$69.60	$116.00	$7.58–$96.87	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MINI NEB TIER 2	$90.00	$150.00	$7.58–$125.26	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MINI NEB TIER 3	$135.00	$225.00	$7.58–$187.90	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQ TIER 2	$139.20	$232.00	$7.58–$193.74	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI - MINI NEB TIER 1	$180.00	$300.00	$7.58–$250.53	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MINI NEB TIER 4	$180.00	$300.00	$7.58–$250.53	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQ TIER 3	$208.80	$348.00	$7.58–$290.61	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQ TIER 4	$278.40	$464.00	$7.58–$387.49	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI - MINI NEB TIER 2	$360.00	$600.00	$7.58–$501.06	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI - MINI NEB TIER 3	$540.00	$900.00	$7.58–$751.59	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI - MINI NEB TIER 4	$720.00	$1,200.00	$7.58–$1,002.12	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI - MINI NEB TIER 5	$900.00	$1,500.00	$7.58–$1,252.65	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI - MINI NEB TIER 6	$1,080.00	$1,800.00	$7.58–$1,503.18	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI - MINI NEB TIER 7	$1,260.00	$2,100.00	$7.58–$1,753.71	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI - MINI NEB TIER 8	$1,440.00	$2,400.00	$7.58–$2,004.24	—	40%
Chemotherapy IV infusion, first hour CPT 96413 HIGH COMPLEX INFUSION 1ST HR	$226.20	$377.00	$107.14–$314.83	55% below	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HIGH COMPLEX INFUSION 1ST HR	$226.20	$377.00	$107.14–$314.83	—	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE, 1ST 30-74 MIN	$2,305.20	$3,842.00	$285.92–$2,748.57	16% above	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$763.41	$1,272.35	$361.60–$1,062.54	at median	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG - AWAKE DROWSY - 20-40 MINS	$838.80	$1,398.00	$364.15–$1,167.47	10% above	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$763.41	$1,272.35	$361.60–$1,062.54	—	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG - AWAKE DROWSY - 20-40 MINS	$838.80	$1,398.00	$364.15–$1,167.47	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG CHRG OCCMED	$85.20	$142.00	$6.12–$118.58	56% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG MED/SURG	$105.60	$176.00	$6.12–$146.98	45% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD, TRACING ONLY	$108.60	$181.00	$6.12–$151.15	44% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD REPEAT	$108.60	$181.00	$6.12–$151.15	44% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD	$108.60	$181.00	$6.12–$151.15	44% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG CHRG OCCMED	$85.20	$142.00	$6.12–$118.58	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG MED/SURG	$105.60	$176.00	$6.12–$146.98	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD, TRACING ONLY	$108.60	$181.00	$6.12–$151.15	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD	$108.60	$181.00	$6.12–$151.15	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD REPEAT	$108.60	$181.00	$6.12–$151.15	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT LEVEL 1	$21.00	$35.00	$9.95–$29.23	85% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT, LEVEL 1	$69.60	$116.00	$10.54–$116.00	52% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT, LEVEL 1	$225.60	$376.00	$10.54–$268.99	57% above	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT LEVEL 2	$39.60	$66.00	$18.76–$55.12	86% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT, LEVEL 2	$260.40	$434.00	$38.68–$434.00	10% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT LEVEL 3	$64.20	$107.00	$30.41–$89.36	85% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT, LEVEL 3	$345.00	$575.00	$66.51–$575.00	18% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT LEVEL 4	$117.60	$196.00	$55.70–$163.68	90% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT, LEVEL 4	$582.60	$971.00	$113.27–$971.00	49% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT, LEVEL 5	$821.40	$1,369.00	$164.22–$1,164.57	30% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMOCOL STRESS	$729.00	$1,215.00	$34.06–$1,014.65	8% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 LEXISCAN NUC STRESS TEST	$1,099.80	$1,833.00	$34.06–$1,530.74	39% above	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 DOBUTAMINE NUC STRESS TEST	$1,099.80	$1,833.00	$34.06–$1,530.74	39% above	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$1,099.80	$1,833.00	$34.06–$1,530.74	39% above	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 NUCLEAR STRESS TEST WALKING	$1,099.80	$1,833.00	$34.06–$1,530.74	39% above	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PHARMOCOL STRESS	$729.00	$1,215.00	$34.06–$1,014.65	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NUCLEAR STRESS TEST WALKING	$1,099.80	$1,833.00	$34.06–$1,530.74	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST	$1,099.80	$1,833.00	$34.06–$1,530.74	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 DOBUTAMINE NUC STRESS TEST	$1,099.80	$1,833.00	$34.06–$1,530.74	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 LEXISCAN NUC STRESS TEST	$1,099.80	$1,833.00	$34.06–$1,530.74	—	40%
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYCHOTHER W/PT 50 MINS	$205.20	$342.00	$97.20–$285.60	44% below	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYCHOTHER W/PT 50 MINS	$205.20	$342.00	$97.20–$285.60	—	40%
Family therapy without the patient, 50 minutes CPT 90846 FAM PSYCOTHRP W/O PT 50 MINS	$190.80	$318.00	$90.38–$265.56	38% below	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYCOTHRP W/O PT 50 MINS	$190.80	$318.00	$90.38–$265.56	—	40%
Group psychotherapy session CPT 90853 GROUP THERAPY 1 HR	$205.20	$342.00	$28.92–$285.60	7% above	40%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY 1 HR	$205.20	$342.00	$28.92–$285.60	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION, INIT, 31 MIN TO 1 HR	$151.80	$253.00	$29.72–$211.28	48% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRA INTIAL	$152.40	$254.00	$29.72–$212.12	47% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRA INTIAL	$152.40	$254.00	$29.72–$212.12	—	40%
IV infusion of a medicine, first hour CPT 96365 IV INF THERA INITAL	$208.80	$348.00	$59.29–$290.61	42% below	40%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION, INIT, UP TO 1 HR	$209.40	$349.00	$59.29–$291.45	42% below	40%
IV infusion of a medicine, first hour CPT 96365 BUBBLE STUDY	$248.40	$414.00	$59.29–$345.73	31% below	40%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION PHARM/ST	$281.40	$469.00	$59.29–$391.66	22% below	40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THERA INITAL	$208.80	$348.00	$59.29–$290.61	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 BUBBLE STUDY	$248.40	$414.00	$59.29–$345.73	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION PHARM/ST	$281.40	$469.00	$59.29–$391.66	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ MEDICATION INT	$49.20	$82.00	$14.01–$68.48	49% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ MEDICATION INJ	$50.40	$84.00	$14.01–$70.15	47% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CALCIUM GLUCONATE IN	$177.00	$295.00	$14.01–$246.35	85% above	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ MEDICATION INT	$49.20	$82.00	$14.01–$68.48	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CALCIUM GLUCONATE IN	$177.00	$295.00	$14.01–$246.35	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL	$304.20	$507.00	$138.00–$423.40	25% above	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL	$304.20	$507.00	$138.00–$423.40	—	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 EMG NCS 7-8	$1,206.00	$2,010.00	$168.07–$1,678.55	39% above	40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 EMG NCS 7-8	$1,206.00	$2,010.00	$168.07–$1,678.55	—	40%
New patient office visit, about 30 minutes CPT 99203 OFFICE OUTPATIENT	$102.00	$170.00	$48.31–$141.97	21% below	40%
New patient office visit, about 30 minutes CPT 99203 NP DETAILED	$163.20	$272.00	$77.30–$227.15	26% above	40%
New patient office visit, about 30 minutes inpatient CPT 99203 NP DETAILED	$163.20	$272.00	$77.30–$227.15	—	40%
New patient office visit, about 45 minutes CPT 99204 OFFICE OUTPATIENT	$152.40	$254.00	$72.19–$212.12	25% below	40%
New patient office visit, about 45 minutes CPT 99204 NP COMPREHENSIVE	$195.60	$326.00	$92.65–$272.24	4% below	40%
New patient office visit, about 45 minutes inpatient CPT 99204 NP COMPREHENSIVE	$195.60	$326.00	$92.65–$272.24	—	40%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT	$189.60	$316.00	$89.81–$263.89	19% below	40%
New patient office visit, about 60 minutes CPT 99205 NP COMPREHENSIVE INT	$228.60	$381.00	$108.28–$318.17	3% below	40%
New patient office visit, about 60 minutes inpatient CPT 99205 NP COMPREHENSIVE INT	$228.60	$381.00	$108.28–$318.17	—	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OUTPATIENT	$72.00	$120.00	$34.10–$100.21	26% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTR THERA INIT PER INDI PER 15 MIN	$75.00	$125.00	$33.95–$104.39	139% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THRPY INT	$84.00	$140.00	$33.95–$116.91	168% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THRPY INT	$84.00	$140.00	$33.95–$116.91	—	40%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAGNOSTIC EVAL W/MED SRVC	$252.00	$420.00	$119.36–$350.74	3% above	40%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAGNOSTIC EVAL W/MED SRVC	$252.00	$420.00	$119.36–$350.74	—	40%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHRPY FOR CRISIS FIRST 30-74 MIN	$190.80	$318.00	$90.38–$265.56	25% below	40%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCHOTHRPY FOR CRISIS FIRST 30-74 MIN	$190.80	$318.00	$90.38–$265.56	—	40%
Psychotherapy session, 30 minutes CPT 90832 PSYCOTHRPY 16-37 MINS W/PT	$114.00	$190.00	$54.00–$158.67	29% below	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCOTHRPY 16-37 MINS W/PT	$114.00	$190.00	$54.00–$158.67	—	40%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHRPY 38-52 MINS W/PT	$190.80	$318.00	$90.38–$265.56	2% below	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHRPY 38-52 MINS W/PT	$190.80	$318.00	$90.38–$265.56	—	40%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHRPY 53 + MINS W/PT	$266.40	$444.00	$126.18–$370.78	2% above	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHRPY 53 + MINS W/PT	$266.40	$444.00	$126.18–$370.78	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TABACCO COUN	$13.20	$22.00	$6.25–$18.37	59% below	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT	$134.40	$224.00	$63.66–$187.06	20% below	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPREHENSIVE	$195.60	$326.00	$92.65–$272.24	16% above	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT COMPREHENSIVE	$195.60	$326.00	$92.65–$272.24	—	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OUTPATIENT	$69.60	$116.00	$32.97–$96.87	20% below	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT EXPANDED	$130.20	$217.00	$61.67–$181.22	49% above	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT EXPANDED	$130.20	$217.00	$61.67–$181.22	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OUTPATIENT	$100.80	$168.00	$47.75–$140.30	16% below	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT DETAILED	$163.20	$272.00	$77.30–$227.15	36% above	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT DETAILED	$163.20	$272.00	$77.30–$227.15	—	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OUTPATIENT	$45.60	$76.00	$21.60–$63.47	36% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT FOCUSED	$98.40	$164.00	$46.61–$136.96	38% above	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT FOCUSED	$98.40	$164.00	$46.61–$136.96	—	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PMC CUSTOM EXAM	$24.00	$40.00	$11.37–$33.40	68% below	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NAS CUSTOM EXAM	$24.00	$40.00	$11.37–$33.40	68% below	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CUSTOM EXAM	$54.00	$90.00	$25.58–$75.16	28% below	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION	$136.80	$228.00	$64.80–$190.40	82% above	40%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CUSTOM EXAM	$54.00	$90.00	$25.58–$75.16	—	40%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION	$186.00	$310.00	$88.10–$258.88	72% above	40%
Spirometry (breathing test) CPT 94010 PFT	$46.20	$77.00	$21.88–$64.30	84% below	40%
Spirometry (breathing test) CPT 94010 PMC RESP EXAM USER W/PFT	$48.00	$80.00	$22.74–$66.81	84% below	40%
Spirometry (breathing test) CPT 94010 NAS RESP EXAM USER W/PFT	$48.00	$80.00	$22.74–$66.81	84% below	40%
Spirometry (breathing test) CPT 94010 RESP EXAM USER W/PFT	$70.80	$118.00	$26.53–$98.54	76% below	40%
Spirometry (breathing test) CPT 94010 SPIROMETRY BASIC	$206.40	$344.00	$26.53–$287.27	29% below	40%
Spirometry (breathing test) inpatient CPT 94010 PFT	$46.20	$77.00	$21.88–$64.30	—	40%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY BASIC	$206.40	$344.00	$26.53–$287.27	—	40%
Spirometry before and after a bronchodilator CPT 94060 PRE/POST FLOW VOL LO	$234.68	$391.14	$38.61–$326.64	49% below	40%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE/POST	$393.60	$656.00	$38.61–$547.83	14% below	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE/POST FLOW VOL LO	$234.68	$391.14	$38.61–$326.64	—	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE/POST	$393.60	$656.00	$38.61–$547.83	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD HIGH DOSE 2025-2026	$108.00	$180.00	$51.16–$150.32	109% above	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD HIGH DOSE 2025-2026	$108.00	$180.00	$51.16–$150.32	—	40%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY 24/25 COVID VACC (12YRS+	$204.00	$340.00	$96.63–$283.93	39% below	40%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COMIRNATY 24/25 COVID VACC (12YRS+	$204.00	$340.00	$96.63–$283.93	—	40%
Hepatitis A vaccine, adult dose CPT 90632 NAS HEPATITIS A VAC	$66.00	$110.00	$31.26–$91.86	41% below	40%
Hepatitis A vaccine, adult dose CPT 90632 HAVRIX (ADULT) 1440 UN/ML SDV	$111.00	$185.00	$52.58–$154.49	1% below	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX (ADULT) 1440 UN/ML SDV	$111.00	$185.00	$52.58–$154.49	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 0.5ML PREFILLED SYR	$246.00	$410.00	$116.52–$342.39	64% below	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO 0.5ML PREFILLED SYR	$246.00	$410.00	$116.52–$342.39	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCO (PREVNAR 20) VL (18 yrs+) 0.5ML	$284.40	$474.00	$134.71–$395.84	50% below	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCO (PREVNAR 20) VL (18 yrs+) 0.5ML	$284.40	$474.00	$134.71–$395.84	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNUEMONIA VAC	$93.60	$156.00	$44.34–$130.80	63% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 0.5 ML VIAL	$129.60	$216.00	$61.39–$180.38	49% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNUEMONIA VAC	$93.60	$156.00	$44.34–$130.80	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 0.5 ML VIAL	$129.60	$216.00	$61.39–$180.38	—	40%
Rabies vaccine, one dose CPT 90675 RABIES (IMOVAX) VACCINE	$438.00	$730.00	$207.47–$609.62	34% below	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES (IMOVAX) VACCINE	$438.00	$730.00	$207.47–$609.62	—	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VACC (ZOSTER)	$270.00	$450.00	$127.89–$375.80	5% below	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX VACC (ZOSTER)	$270.00	$450.00	$127.89–$375.80	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTH TOXOID (TENIVAC (AGE 7+)	$32.40	$54.00	$15.35–$45.10	49% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPTH/TETANU (DECAVAC) SDV 0.5 ML	$55.80	$93.00	$26.43–$77.66	12% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTH TOXOID (TENIVAC (AGE 7+)	$32.40	$54.00	$15.35–$45.10	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPTH/TETANU (DECAVAC) SDV 0.5 ML	$55.80	$93.00	$26.43–$77.66	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (BOOSTRIX) VACCINE	$50.40	$84.00	$23.87–$70.15	53% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TDAP) 10 yrs and older	$69.60	$116.00	$32.97–$96.87	35% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (BOOSTRIX) VACCINE	$50.40	$84.00	$23.87–$70.15	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (TDAP) 10 yrs and older	$69.60	$116.00	$32.97–$96.87	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACC ADMIN 2020-2021	$8.40	$14.00	$3.98–$13.72	89% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VAC 3 YEARS & OLDER ADMIN CHARGE	$12.60	$21.00	$5.97–$19.84	83% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATI	$18.60	$31.00	$8.81–$25.89	75% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM PNEUMO VAC ADMIN	$25.20	$42.00	$11.94–$35.07	66% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN; 1 VACCINE	$25.20	$42.00	$11.94–$35.07	66% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACC ADMIN 2023-2024	$49.48	$82.47	$19.84–$68.87	33% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU VACC ADMIN 2020-2021	$8.40	$14.00	$3.98–$13.72	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU VAC 3 YEARS & OLDER ADMIN CHARGE	$12.60	$21.00	$5.97–$19.84	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM PNEUMO VAC ADMIN	$25.20	$42.00	$11.94–$35.07	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU VACC ADMIN 2023-2024	$49.48	$82.47	$19.84–$68.87	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADD IMMUN ADMIN	$3.60	$6.00	$1.71–$5.88	91% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADDITIONAL VACCINE ADMINISTRATION	$12.60	$21.00	$5.97–$17.54	69% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN; EACH ADDITIONL VACCINE	$25.20	$42.00	$11.94–$35.07	37% below	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADD IMMUN ADMIN	$3.60	$6.00	$1.71–$5.88	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADDITIONAL VACCINE ADMINISTRATION	$12.60	$21.00	$5.97–$17.54	—	40%

Source file: https://www.ccmhosp.com/wp-content/uploads/611297707_CCMH-CORPORATION_standardcharges-7.zip