Hospital

Franklin County Memorial Hospital

Franklin County Memorial Hospital in Meadville, MS publishes cash prices for 216 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Mississippi median for 130 of 214 procedures and below it for 79. By typical cash price it ranks #23 of 36 Mississippi hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

Hwy 84 Box 636, Meadville, MS 39653 Collected Sep 27, 2026 Source price file (601) 384-5801

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 251330 · CMS hospital register

The price file shows no self-pay discount

For 1263 of the 1263 prices listed here, the cash price in Franklin County Memorial Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Franklin County Memorial Hospital in Meadville, MS:

Oct 22, 2024 Warning notice
Nov 20, 2024 Case closed
Jul 10, 2026 Warning notice
Jul 31, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST ULTRASOUND, LIMITED	$221.00	$221.00	$67.09–$289.62	14% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST ULTRASOUND, LIMITED	$221.00	$221.00	$67.09–$289.62	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CTA CHEST	$1,495.00	$1,495.00	$135.66–$1,270.75	31% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT PULMONARY EMBOLIS W CONTR	$1,495.00	$1,495.00	$135.66–$1,270.75	31% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT PULMONARY EMBOLIS W CONTR	$1,495.00	$1,495.00	$135.66–$1,270.75	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CTA CHEST	$1,495.00	$1,495.00	$135.66–$1,270.75	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING	$173.00	$173.00	$67.09–$177.51	118% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING	$173.00	$173.00	$67.09–$177.51	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT KIDNEY STONE WO CONTR	$1,217.00	$1,217.00	$184.20–$1,034.45	12% below	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PEL WO CONTRAST	$1,217.00	$1,217.00	$184.20–$1,034.45	12% below	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT KIDNEY STONE WO CONTR	$1,217.00	$1,217.00	$184.20–$1,034.45	—	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PEL WO CONTRAST	$1,217.00	$1,217.00	$184.20–$1,034.45	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PEL W CONTRAST	$1,596.00	$1,596.00	$272.15–$1,356.60	8% below	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PEL W CONTRAST	$1,596.00	$1,596.00	$272.15–$1,356.60	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PEL WWO CONTRAST	$1,600.00	$1,600.00	$272.15–$1,360.00	15% below	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PEL WWO CONTRAST	$1,600.00	$1,600.00	$272.15–$1,360.00	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$1,596.00	$1,596.00	$135.66–$1,356.60	66% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$1,596.00	$1,596.00	$135.66–$1,356.60	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$1,217.00	$1,217.00	$81.04–$1,034.45	43% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST	$1,217.00	$1,217.00	$81.04–$1,034.45	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES	$1,217.00	$1,217.00	$81.04–$1,034.45	73% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES	$1,217.00	$1,217.00	$81.04–$1,034.45	73% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES	$1,217.00	$1,217.00	$81.04–$1,034.45	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES	$1,217.00	$1,217.00	$81.04–$1,034.45	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$1,217.00	$1,217.00	$81.04–$1,034.45	62% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST	$1,217.00	$1,217.00	$81.04–$1,034.45	—	—
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$1,596.00	$1,596.00	$135.66–$1,356.60	76% above	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$1,596.00	$1,596.00	$135.66–$1,356.60	—	—
CT scan of the head without and with contrast CPT 70470 CT HEAD WWO CONTRAST	$1,825.00	$1,825.00	$135.66–$1,551.25	75% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WWO CONTRAST	$1,825.00	$1,825.00	$135.66–$1,551.25	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE	$1,217.00	$1,217.00	$81.04–$1,034.45	37% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE	$1,217.00	$1,217.00	$81.04–$1,034.45	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$1,217.00	$1,217.00	$81.04–$1,034.45	37% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$1,217.00	$1,217.00	$81.04–$1,034.45	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$1,596.00	$1,596.00	$135.66–$1,356.60	64% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$1,596.00	$1,596.00	$135.66–$1,356.60	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US BILATERAL CAROTID	$529.00	$529.00	$184.20–$449.65	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US BILATERAL CAROTID	$529.00	$529.00	$184.20–$449.65	—	—
Chest X-ray, 2 views CPT 71046 CR LATERAL DECUBITUS CHEST	$132.00	$132.00	$67.09–$112.20	1% below	—
Chest X-ray, 2 views CPT 71046 CR CHEST PA LAT	$132.00	$132.00	$67.09–$112.20	1% below	—
Chest X-ray, 2 views CPT 71046 XR LATERAL DECUBITUS CHEST	$132.00	$132.00	$67.09–$112.20	1% below	—
Chest X-ray, 2 views CPT 71046 CHEST PA LAT	$132.00	$132.00	$67.09–$112.20	1% below	—
Chest X-ray, 2 views inpatient CPT 71046 XR LATERAL DECUBITUS CHEST	$132.00	$132.00	$67.09–$112.20	—	—
Chest X-ray, 2 views inpatient CPT 71046 CR LATERAL DECUBITUS CHEST	$132.00	$132.00	$67.09–$112.20	—	—
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA LAT	$132.00	$132.00	$67.09–$112.20	—	—
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST PA LAT	$132.00	$132.00	$67.09–$112.20	—	—
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$106.00	$106.00	$58.30–$90.10	at median	—
Chest X-ray, single view CPT 71045 CR CHEST XRAY 1 VIEW	$106.00	$106.00	$58.30–$90.10	at median	—
Chest X-ray, single view CPT 71045 XR LORDOTIC CHEST	$132.00	$132.00	$67.09–$112.20	24% above	—
Chest X-ray, single view CPT 71045 CR LORDOTIC CHEST	$132.00	$132.00	$67.09–$112.20	24% above	—
Chest X-ray, single view inpatient CPT 71045 CR CHEST XRAY 1 VIEW	$106.00	$106.00	$58.30–$90.10	—	—
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$106.00	$106.00	$58.30–$90.10	—	—
Chest X-ray, single view inpatient CPT 71045 XR LORDOTIC CHEST	$132.00	$132.00	$67.09–$112.20	—	—
Chest X-ray, single view inpatient CPT 71045 CR LORDOTIC CHEST	$132.00	$132.00	$67.09–$112.20	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM 2D	$416.00	$416.00	$81.04–$449.01	22% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM 2D	$416.00	$416.00	$81.04–$449.01	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY (HIPS PELVIS SPINE)	$550.00	$550.00	$81.04–$467.50	131% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY (HIPS PELVIS SPINE)	$550.00	$550.00	$81.04–$467.50	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY APPENDICULAR SKELETON	$550.00	$550.00	$67.09–$467.50	498% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY APPENDICULAR SKELETON	$550.00	$550.00	$67.09–$467.50	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$1,217.00	$1,217.00	$81.04–$1,034.45	45% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST	$1,217.00	$1,217.00	$81.04–$1,034.45	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$1,596.00	$1,596.00	$135.66–$1,356.60	60% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST	$1,596.00	$1,596.00	$135.66–$1,356.60	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 US BIL ARTERIAL LWR COMP	$529.00	$529.00	$184.20–$449.65	34% above	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US BIL ARTERIAL LWR COMP	$529.00	$529.00	$184.20–$449.65	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US BIL VENOUS COMP LOWER	$562.00	$562.00	$184.20–$477.70	10% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US BIL VENOUS COMP UPPER	$562.00	$562.00	$184.20–$477.70	10% above	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US BIL VENOUS COMP LOWER	$562.00	$562.00	$184.20–$477.70	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US BIL VENOUS COMP UPPER	$562.00	$562.00	$184.20–$477.70	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE	$1,725.00	$1,725.00	$417.82–$1,466.25	82% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE	$1,725.00	$1,725.00	$417.82–$1,466.25	—	—
Knee X-ray, 3 views one side CPT 73562 CR KNEE 3 VIEWS LEFT	$132.00	$132.00	$67.09–$230.90	10% above	—
Knee X-ray, 3 views one side CPT 73562 CR KNEE 3 VIEWS RIGHT	$132.00	$132.00	$67.09–$230.90	10% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 CR KNEE 3 VIEWS RIGHT	$132.00	$132.00	$67.09–$230.90	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 CR KNEE 3 VIEWS LEFT	$132.00	$132.00	$67.09–$230.90	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED, SINGLE ORGAN	$416.00	$416.00	$81.04–$449.01	55% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED, SINGLE ORGAN	$416.00	$416.00	$81.04–$449.01	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREEN LOW DOSE	$187.00	$187.00	$81.04–$158.95	149% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG CANCER SCREEN LOW DOSE	$187.00	$187.00	$81.04–$158.95	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC US LIMITED	$212.00	$212.00	$81.04–$289.62	2% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC US LIMITED	$212.00	$212.00	$81.04–$289.62	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB COMP	$463.00	$463.00	$81.04–$449.01	73% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB COMP	$463.00	$463.00	$81.04–$449.01	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 2/3 TRIM TA>OF=14 WKS	$463.00	$463.00	$81.04–$449.01	34% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 2/3 TRIM TA>OF=14 WKS	$463.00	$463.00	$81.04–$449.01	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIMESTER TA<14WKS	$463.00	$463.00	$81.04–$393.55	55% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIMESTER TA<14WKS	$463.00	$463.00	$81.04–$393.55	—	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL PELVIC SONO	$328.00	$328.00	$81.04–$327.69	9% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL PELVIC SONO	$328.00	$328.00	$81.04–$327.69	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US OB 1ST TRIMESTER TV	$328.00	$328.00	$81.04–$449.01	13% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB 1ST TRIMESTER TV	$328.00	$328.00	$81.04–$449.01	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$661.00	$661.00	$81.04–$590.60	84% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$661.00	$661.00	$81.04–$590.60	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$397.00	$397.00	$81.04–$449.01	48% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$397.00	$397.00	$81.04–$449.01	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$351.00	$351.00	$81.04–$449.01	31% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$351.00	$351.00	$81.04–$449.01	—	—
X-ray of the abdomen, 1 view CPT 74018 CR ABDOMEN KUB	$106.00	$106.00	$58.30–$90.10	10% below	—
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN KUB	$106.00	$106.00	$58.30–$90.10	10% below	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN KUB	$106.00	$106.00	$58.30–$90.10	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 CR ABDOMEN KUB	$106.00	$106.00	$58.30–$90.10	—	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT	$166.00	$166.00	$67.09–$289.62	36% above	—
X-ray of the hand, 3 or more views one side CPT 73130 CR HAND 3 VIEWS RIGHT	$166.00	$166.00	$67.09–$289.62	36% above	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS RT	$166.00	$166.00	$67.09–$289.62	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR HAND 3 VIEWS RIGHT	$166.00	$166.00	$67.09–$289.62	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR LUMBAR SPINE AP LAT	$132.00	$132.00	$72.60–$289.62	at median	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE AP LAT	$132.00	$132.00	$72.60–$289.62	at median	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE AP LAT	$132.00	$132.00	$72.60–$289.62	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR LUMBAR SPINE AP LAT	$132.00	$132.00	$72.60–$289.62	—	—
X-ray of the lower back, 4 or more views CPT 72110 CR LUMBAR SPINE 5 VIEW	$166.00	$166.00	$81.04–$449.01	10% below	—
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 5 VIEW	$166.00	$166.00	$81.04–$449.01	10% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE 5 VIEW	$166.00	$166.00	$81.04–$449.01	—	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 CR LUMBAR SPINE 5 VIEW	$166.00	$166.00	$81.04–$449.01	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE	$132.00	$132.00	$72.60–$316.98	6% above	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CR THORACIC SPINE	$132.00	$132.00	$72.60–$316.98	6% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CR THORACIC SPINE	$132.00	$132.00	$72.60–$316.98	—	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE	$132.00	$132.00	$72.60–$316.98	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 CR NASAL BONE	$132.00	$132.00	$67.09–$177.51	at median	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE	$132.00	$132.00	$67.09–$177.51	at median	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE	$132.00	$132.00	$67.09–$177.51	—	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CR NASAL BONE	$132.00	$132.00	$67.09–$177.51	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR CERVICAL SPINE AP LAT	$132.00	$132.00	$67.09–$230.90	at median	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP LAT	$132.00	$132.00	$67.09–$230.90	at median	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR CERVICAL SPINE AP LAT	$132.00	$132.00	$67.09–$230.90	—	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE AP LAT	$132.00	$132.00	$67.09–$230.90	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS	$132.00	$132.00	$72.60–$316.98	7% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 CR PELVIS	$132.00	$132.00	$72.60–$316.98	7% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS	$132.00	$132.00	$72.60–$316.98	—	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR PELVIS	$132.00	$132.00	$72.60–$316.98	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CR SACRUM AND COCCYX	$132.00	$132.00	$67.09–$177.51	7% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX	$132.00	$132.00	$67.09–$177.51	7% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX	$132.00	$132.00	$67.09–$177.51	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CR SACRUM AND COCCYX	$132.00	$132.00	$67.09–$177.51	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 FMG SGPT ALT	$28.00	$28.00	$4.77–$23.80	26% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 FMG SGPT ALT	$28.00	$28.00	$4.77–$23.80	26% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) - CL	$28.00	$28.00	$4.77–$23.80	26% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$40.00	$40.00	$4.77–$34.00	6% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) - CL	$28.00	$28.00	$4.77–$23.80	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FMG SGPT ALT	$28.00	$28.00	$4.77–$23.80	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$40.00	$40.00	$4.77–$34.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) - CL	$30.00	$30.00	$4.66–$25.50	18% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 FMG SGOT AST	$30.00	$30.00	$4.66–$25.50	18% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 FMG SGOT AST	$30.00	$30.00	$4.66–$25.50	18% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$40.00	$40.00	$4.66–$34.00	9% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) - CL	$30.00	$30.00	$4.66–$25.50	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FMG SGOT AST	$30.00	$30.00	$4.66–$25.50	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$40.00	$40.00	$4.66–$34.00	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 FMG ACUTE HEPATITIS PANEL	$164.00	$164.00	$42.87–$139.40	5% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE - CL	$164.00	$164.00	$42.87–$139.40	5% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 FMG ACUTE HEPATITIS PANEL	$164.00	$164.00	$42.87–$139.40	5% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$264.00	$264.00	$42.87–$224.40	69% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 FMG ACUTE HEPATITIS PANEL	$164.00	$164.00	$42.87–$139.40	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE - CL	$164.00	$164.00	$42.87–$139.40	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE	$264.00	$264.00	$42.87–$224.40	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE, IGG IGA	$60.00	$60.00	$11.66–$51.00	29% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE, IGG IGA	$60.00	$60.00	$11.66–$51.00	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 FMG ANA	$66.00	$66.00	$10.88–$56.10	9% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 FMG ANA	$66.00	$66.00	$10.88–$56.10	9% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTINUCLEAR ANTIBODIES), DIRECT - CL	$66.00	$66.00	$10.88–$56.10	9% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTINUCLEAR ANTIBODIES), DIRECT	$264.00	$264.00	$10.88–$224.40	265% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA, REFLEX TO TITER & PATTERN	$264.00	$264.00	$10.88–$224.40	265% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (ANTINUCLEAR ANTIBODIES), DIRECT - CL	$66.00	$66.00	$10.88–$56.10	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 FMG ANA	$66.00	$66.00	$10.88–$56.10	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (ANTINUCLEAR ANTIBODIES), DIRECT	$264.00	$264.00	$10.88–$224.40	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA, REFLEX TO TITER & PATTERN	$264.00	$264.00	$10.88–$224.40	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 pro BNP	$159.00	$159.00	$35.33–$135.15	14% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 pro BNP - CL	$168.00	$168.00	$35.33–$142.80	21% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 FMG BNP	$168.00	$168.00	$35.33–$142.80	21% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 FMG BNP	$168.00	$168.00	$35.33–$142.80	21% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 pro BNP	$159.00	$159.00	$35.33–$135.15	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 FMG BNP	$168.00	$168.00	$35.33–$142.80	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 pro BNP - CL	$168.00	$168.00	$35.33–$142.80	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$25.00	$25.00	$7.61–$21.25	66% below	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL - CL	$35.00	$35.00	$7.61–$29.75	53% below	—
Basic metabolic panel (blood test) CPT 80048 FMG BMP	$59.00	$59.00	$7.61–$50.15	20% below	—
Basic metabolic panel (blood test) CPT 80048 FMG BMP	$59.00	$59.00	$7.61–$50.15	20% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$25.00	$25.00	$7.61–$21.25	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL - CL	$35.00	$35.00	$7.61–$29.75	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 FMG BMP	$59.00	$59.00	$7.61–$50.15	—	—
Blood culture for bacteria CPT 87040 FMG CULTURE BACTERIAL BLOOD	$60.00	$60.00	$9.29–$51.00	32% below	—
Blood culture for bacteria CPT 87040 FMG CULTURE BACTERIAL BLOOD	$60.00	$60.00	$9.29–$51.00	32% below	—
Blood culture for bacteria CPT 87040 CULTURE, BLOOD	$60.00	$60.00	$9.29–$51.00	32% below	—
Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD	$60.00	$60.00	$9.29–$51.00	—	—
Blood culture for bacteria inpatient CPT 87040 FMG CULTURE BACTERIAL BLOOD	$60.00	$60.00	$9.29–$51.00	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 FMG VENIPUNCTURE	$10.00	$10.00	$4.00–$8.50	5% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BUDE VENIPUNCTURE	$10.00	$10.00	$4.00–$8.50	5% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 FMG VENIPUNCTURE	$10.00	$10.00	$4.00–$9.34	5% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$20.00	$20.00	$4.00–$17.00	111% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BUDE VENIPUNCTURE	$10.00	$10.00	$4.00–$8.50	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 FMG VENIPUNCTURE	$10.00	$10.00	$4.00–$8.50	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$20.00	$20.00	$4.00–$17.00	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE - CL	$22.00	$22.00	$3.54–$18.70	32% below	—
Blood glucose (sugar) test CPT 82947 FMG GLUCOSE SERUM	$22.00	$22.00	$3.54–$18.70	32% below	—
Blood glucose (sugar) test CPT 82947 FMG GLUCOSE SERUM	$22.00	$22.00	$3.54–$18.70	32% below	—
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE	$40.00	$40.00	$3.54–$34.00	24% above	—
Blood glucose (sugar) test inpatient CPT 82947 FMG GLUCOSE SERUM	$22.00	$22.00	$3.54–$18.70	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE - CL	$22.00	$22.00	$3.54–$18.70	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE	$40.00	$40.00	$3.54–$34.00	—	—
Blood lead test CPT 83655 LEAD, BLOOD PEDIATRIC VENOUS ONLY	$86.00	$86.00	$10.90–$73.10	71% above	—
Blood lead test CPT 83655 LEAD, BLOOD (ADULT)	$86.00	$86.00	$10.90–$73.10	71% above	—
Blood lead test CPT 83655 LEAD, BLOOD PEDIATRIC CAPILLARY ONLY	$86.00	$86.00	$10.90–$73.10	71% above	—
Blood lead test inpatient CPT 83655 LEAD, BLOOD (ADULT)	$86.00	$86.00	$10.90–$73.10	—	—
Blood lead test inpatient CPT 83655 LEAD, BLOOD PEDIATRIC CAPILLARY ONLY	$86.00	$86.00	$10.90–$73.10	—	—
Blood lead test inpatient CPT 83655 LEAD, BLOOD PEDIATRIC VENOUS ONLY	$86.00	$86.00	$10.90–$73.10	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 FMG SERUM PREGNANCY TEST	$46.00	$46.00	$6.77–$39.10	4% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 FMG SERUM PREGNANCY TEST	$46.00	$46.00	$6.77–$39.10	4% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM	$46.00	$46.00	$6.77–$39.10	4% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 FMG SERUM PREGNANCY TEST	$46.00	$46.00	$6.77–$39.10	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM	$46.00	$46.00	$6.77–$39.10	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 FMG BLOOD TYPING ABO	$16.00	$16.00	$8.80–$103.70	66% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO - CL	$16.00	$16.00	$8.80–$103.70	66% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 FMG BLOOD TYPING ABO	$16.00	$16.00	$2.69–$103.70	66% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO	$40.00	$40.00	$22.00–$103.70	15% below	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 FMG BLOOD TYPING ABO	$16.00	$16.00	$8.80–$103.70	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO - CL	$16.00	$16.00	$8.80–$103.70	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO	$40.00	$40.00	$22.00–$103.70	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP INFLAMMATORY	$33.00	$33.00	$4.66–$28.05	1% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 FMG CRP INFLAMMATORY	$36.00	$36.00	$4.66–$30.60	8% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP INFLAMMATORY - CL	$36.00	$36.00	$4.66–$30.60	8% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 FMG CRP INFLAMMATORY	$36.00	$36.00	$4.66–$30.60	8% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP INFLAMMATORY	$33.00	$33.00	$4.66–$28.05	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 FMG CRP INFLAMMATORY	$36.00	$36.00	$4.66–$30.60	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP INFLAMMATORY - CL	$36.00	$36.00	$4.66–$30.60	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 - CL	$100.00	$100.00	$18.73–$85.00	18% above	—
CA 19-9 blood test (tumor marker) CPT 86301 FMG CA 19-9	$100.00	$100.00	$18.73–$85.00	18% above	—
CA 19-9 blood test (tumor marker) CPT 86301 FMG CA 19-9	$100.00	$100.00	$18.73–$85.00	18% above	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$218.00	$218.00	$18.73–$185.30	157% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 - CL	$100.00	$100.00	$18.73–$85.00	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 FMG CA 19-9	$100.00	$100.00	$18.73–$85.00	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$218.00	$218.00	$18.73–$185.30	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 - CL	$100.00	$100.00	$18.73–$85.00	9% below	—
CA-125 blood test (ovarian cancer marker) CPT 86304 FMG CA 125	$100.00	$100.00	$18.73–$85.00	9% below	—
CA-125 blood test (ovarian cancer marker) CPT 86304 FMG CA 125	$100.00	$100.00	$18.73–$85.00	9% below	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$218.00	$218.00	$18.73–$185.30	97% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 FMG CA 125	$100.00	$100.00	$18.73–$85.00	—	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 - CL	$100.00	$100.00	$18.73–$85.00	—	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$218.00	$218.00	$18.73–$185.30	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 DETECTION/COLLECTION	$116.00	$116.00	$46.18–$98.60	86% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 DETECTION/COLLECTION	$116.00	$116.00	$46.18–$98.60	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA, NA AMPLIFICATION	$149.00	$149.00	$31.58–$126.65	93% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 FMG CHLAMYDIA URINE	$172.00	$172.00	$31.58–$146.20	123% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 FMG CHLAMYDIA URINE	$172.00	$172.00	$31.58–$146.20	123% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 FMG CHLAMYDIA SWAB	$172.00	$172.00	$31.58–$146.20	123% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA, NA AMPLIFICATION - CL	$172.00	$172.00	$31.58–$146.20	123% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 FMG CHLAMYDIA SWAB	$172.00	$172.00	$31.58–$146.20	123% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA, NA AMPLIFICATION	$149.00	$149.00	$31.58–$126.65	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA, NA AMPLIFICATION - CL	$172.00	$172.00	$31.58–$146.20	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 FMG CHLAMYDIA URINE	$172.00	$172.00	$31.58–$146.20	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 FMG CHLAMYDIA SWAB	$172.00	$172.00	$31.58–$146.20	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE - CL	$49.00	$49.00	$12.05–$41.65	34% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 FMG LIPID PANEL	$84.00	$84.00	$12.05–$71.40	14% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 FMG LIPID PANEL	$84.00	$84.00	$12.05–$71.40	14% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$264.00	$264.00	$12.05–$224.40	257% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE - CL	$49.00	$49.00	$12.05–$41.65	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 FMG LIPID PANEL	$84.00	$84.00	$12.05–$71.40	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$264.00	$264.00	$12.05–$224.40	—	—
Complete blood count (CBC) with differential CPT 85025 FMG CBC W/AUTO DIFFERENTIAL	$42.00	$42.00	$6.99–$35.70	1% above	—
Complete blood count (CBC) with differential CPT 85025 BUDE CBC W/AUTO DIFFERENTIAL	$42.00	$42.00	$6.99–$35.70	1% above	—
Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED DIFFERENTIAL CHARGE ONLY - CL	$42.00	$42.00	$6.99–$35.70	1% above	—
Complete blood count (CBC) with differential CPT 85025 FMG CBC W/AUTO DIFFERENTIAL	$42.00	$42.00	$6.99–$35.70	1% above	—
Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED DIFFERENTIAL CHARGE ONLY	$53.00	$53.00	$6.99–$45.05	28% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 BUDE CBC W/AUTO DIFFERENTIAL	$42.00	$42.00	$6.99–$35.70	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED DIFFERENTIAL CHARGE ONLY - CL	$42.00	$42.00	$6.99–$35.70	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 FMG CBC W/AUTO DIFFERENTIAL	$42.00	$42.00	$6.99–$35.70	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED DIFFERENTIAL CHARGE ONLY	$53.00	$53.00	$6.99–$45.05	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL - CL	$43.00	$43.00	$9.50–$36.55	59% below	—
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$74.00	$74.00	$9.50–$62.90	30% below	—
Comprehensive metabolic panel (blood test) CPT 80053 FMG CMP	$74.00	$74.00	$9.50–$62.90	30% below	—
Comprehensive metabolic panel (blood test) CPT 80053 FMG CMP	$74.00	$74.00	$9.50–$62.90	30% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL - CL	$43.00	$43.00	$9.50–$36.55	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$74.00	$74.00	$9.50–$62.90	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 FMG CMP	$74.00	$74.00	$9.50–$62.90	—	—
D-dimer blood test (blood clot marker) CPT 85379 FMG D DIMER	$50.00	$50.00	$9.16–$42.50	35% below	—
D-dimer blood test (blood clot marker) CPT 85379 D DIMER - CL	$50.00	$50.00	$9.16–$42.50	35% below	—
D-dimer blood test (blood clot marker) CPT 85379 FMG D DIMER	$50.00	$50.00	$9.16–$42.50	35% below	—
D-dimer blood test (blood clot marker) CPT 85379 D DIMER	$120.00	$120.00	$9.16–$102.00	55% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 FMG D DIMER	$50.00	$50.00	$9.16–$42.50	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER - CL	$50.00	$50.00	$9.16–$42.50	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER	$120.00	$120.00	$9.16–$102.00	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$121.00	$121.00	$20.01–$102.85	25% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S - CL	$132.00	$132.00	$20.01–$112.20	36% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 FMG DHEA-S	$132.00	$132.00	$20.01–$112.20	36% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 FMG DHEA-S	$132.00	$132.00	$20.01–$112.20	36% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$121.00	$121.00	$20.01–$102.85	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S - CL	$132.00	$132.00	$20.01–$112.20	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 FMG DHEA-S	$132.00	$132.00	$20.01–$112.20	—	—
Estradiol blood test CPT 82670 FMG ESTRADIOL	$36.00	$36.00	$19.80–$46.67	64% below	—
Estradiol blood test CPT 82670 FMG ESTRADIOL	$36.00	$36.00	$25.15–$51.13	64% below	—
Estradiol blood test CPT 82670 ESTRADIOL - CL	$36.00	$36.00	$19.80–$46.67	64% below	—
Estradiol blood test CPT 82670 ESTRADIOL	$152.00	$152.00	$25.15–$129.20	50% above	—
Estradiol blood test inpatient CPT 82670 FMG ESTRADIOL	$36.00	$36.00	$19.80–$46.67	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL - CL	$36.00	$36.00	$19.80–$46.67	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$152.00	$152.00	$25.15–$129.20	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$106.00	$106.00	$16.72–$90.10	2% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FMG F S H	$108.00	$108.00	$16.72–$91.80	4% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH - CL	$108.00	$108.00	$16.72–$91.80	4% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FMG F S H	$108.00	$108.00	$16.72–$91.80	4% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$106.00	$106.00	$16.72–$90.10	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH - CL	$108.00	$108.00	$16.72–$91.80	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FMG F S H	$108.00	$108.00	$16.72–$91.80	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$600.00	$600.00	$17.67–$510.00	278% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$600.00	$600.00	$17.67–$510.00	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$79.00	$79.00	$12.27–$67.15	2% above	—
Ferritin blood test (iron stores) CPT 82728 FMG FERRITIN	$82.00	$82.00	$12.27–$69.70	6% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN - CL	$82.00	$82.00	$12.27–$69.70	6% above	—
Ferritin blood test (iron stores) CPT 82728 FMG FERRITIN	$82.00	$82.00	$12.27–$69.70	6% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$79.00	$79.00	$12.27–$67.15	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 FMG FERRITIN	$82.00	$82.00	$12.27–$69.70	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN - CL	$82.00	$82.00	$12.27–$69.70	—	—
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$72.00	$72.00	$13.23–$61.20	at median	—
Folate (folic acid) blood test CPT 82746 FMG FOLATE	$80.00	$80.00	$13.23–$68.00	11% above	—
Folate (folic acid) blood test CPT 82746 FMG FOLATE	$80.00	$80.00	$13.23–$68.00	11% above	—
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM - CL	$80.00	$80.00	$13.23–$68.00	11% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$72.00	$72.00	$13.23–$61.20	—	—
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM - CL	$80.00	$80.00	$13.23–$68.00	—	—
Folate (folic acid) blood test inpatient CPT 82746 FMG FOLATE	$80.00	$80.00	$13.23–$68.00	—	—
Free T3 thyroid hormone test CPT 84481 FMG FREE T3	$104.00	$104.00	$15.25–$88.40	13% above	—
Free T3 thyroid hormone test CPT 84481 FMG FREE T3	$104.00	$104.00	$15.25–$88.40	13% above	—
Free T3 thyroid hormone test CPT 84481 T3, FREE - CL	$104.00	$104.00	$15.25–$88.40	13% above	—
Free T3 thyroid hormone test CPT 84481 T3, FREE	$130.00	$130.00	$15.25–$110.50	41% above	—
Free T3 thyroid hormone test inpatient CPT 84481 FMG FREE T3	$104.00	$104.00	$15.25–$88.40	—	—
Free T3 thyroid hormone test inpatient CPT 84481 T3, FREE - CL	$104.00	$104.00	$15.25–$88.40	—	—
Free T3 thyroid hormone test inpatient CPT 84481 T3, FREE	$130.00	$130.00	$15.25–$110.50	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FMG T4 FREE	$50.00	$50.00	$8.12–$42.50	at median	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FMG T4 FREE	$50.00	$50.00	$8.12–$42.50	at median	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FMG TOTAL T4	$50.00	$50.00	$8.12–$42.50	at median	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FMG TOTAL T4	$50.00	$50.00	$8.12–$42.50	at median	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE - CL	$50.00	$50.00	$8.12–$42.50	at median	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE	$53.00	$53.00	$8.12–$45.05	6% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FMG TOTAL T4	$50.00	$50.00	$8.12–$42.50	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FMG T4 FREE	$50.00	$50.00	$8.12–$42.50	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE - CL	$50.00	$50.00	$8.12–$42.50	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE	$53.00	$53.00	$8.12–$45.05	—	—
Free testosterone test CPT 84402 TESTOSTERONE, FREE - CL	$144.00	$144.00	$22.92–$122.40	76% above	—
Free testosterone test CPT 84402 FMG TESTOSTERONE FREE	$144.00	$144.00	$22.92–$122.40	76% above	—
Free testosterone test CPT 84402 FMG TESTOSTERONE FREE	$144.00	$144.00	$22.92–$122.40	76% above	—
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$264.00	$264.00	$22.92–$224.40	222% above	—
Free testosterone test inpatient CPT 84402 FMG TESTOSTERONE FREE	$144.00	$144.00	$22.92–$122.40	—	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE - CL	$144.00	$144.00	$22.92–$122.40	—	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$264.00	$264.00	$22.92–$224.40	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$174.00	$174.00	$58.00–$147.90	14% below	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$174.00	$174.00	$58.00–$147.90	14% below	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 BUDE - GENERAL HEALTH PANEL	$174.00	$174.00	$58.00–$147.90	14% below	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$174.00	$174.00	$58.00–$147.90	—	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 BUDE - GENERAL HEALTH PANEL	$174.00	$174.00	$58.00–$147.90	—	—
Glucose tolerance test, 3 samples CPT 82951 TOLERANCE TEST GTT 3 SP	$72.00	$72.00	$11.58–$61.20	2% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE TEST GTT 3 SP	$72.00	$72.00	$11.58–$61.20	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONOCOCCUS NA AMPLIFICAT	$149.00	$149.00	$31.58–$126.65	169% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 FMG GC SWAB	$172.00	$172.00	$31.58–$146.20	211% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 FMG GC URINE	$172.00	$172.00	$31.58–$146.20	211% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONOCOCCUS NA AMPLIFICAT - CL	$172.00	$172.00	$31.58–$146.20	211% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 FMG GC URINE	$172.00	$172.00	$31.58–$146.20	211% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 FMG GC SWAB	$172.00	$172.00	$31.58–$146.20	211% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONOCOCCUS NA AMPLIFICAT	$149.00	$149.00	$31.58–$126.65	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 FMG GC SWAB	$172.00	$172.00	$31.58–$146.20	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONOCOCCUS NA AMPLIFICAT - CL	$172.00	$172.00	$31.58–$146.20	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 FMG GC URINE	$172.00	$172.00	$31.58–$146.20	—	—
H. pylori antibody blood test CPT 86677 H PYLORI	$72.00	$72.00	$15.17–$61.20	27% above	—
H. pylori antibody blood test CPT 86677 FMG H PYLORI	$114.00	$114.00	$15.17–$96.90	101% above	—
H. pylori antibody blood test CPT 86677 BUDE H PYLORI	$114.00	$114.00	$15.17–$96.90	101% above	—
H. pylori antibody blood test CPT 86677 FMG H PYLORI BLOOD	$114.00	$114.00	$15.17–$96.90	101% above	—
H. pylori antibody blood test CPT 86677 H PYLORI - CL	$114.00	$114.00	$15.17–$96.90	101% above	—
H. pylori antibody blood test inpatient CPT 86677 H PYLORI	$72.00	$72.00	$15.17–$61.20	—	—
H. pylori antibody blood test inpatient CPT 86677 H PYLORI - CL	$114.00	$114.00	$15.17–$96.90	—	—
H. pylori antibody blood test inpatient CPT 86677 BUDE H PYLORI	$114.00	$114.00	$15.17–$96.90	—	—
H. pylori antibody blood test inpatient CPT 86677 FMG H PYLORI BLOOD	$114.00	$114.00	$15.17–$96.90	—	—
H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG EIA	$60.00	$60.00	$12.94–$51.00	47% below	—
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL AG EIA	$60.00	$60.00	$12.94–$51.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB/AG WITH CONFIRMATION	$146.00	$146.00	$21.67–$124.10	192% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AB/AG WITH CONFIRMATION	$146.00	$146.00	$21.67–$124.10	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 FMG A1C	$58.00	$58.00	$8.74–$49.30	8% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 FMG A1C	$58.00	$58.00	$8.74–$49.30	8% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 BUDE A1C	$58.00	$58.00	$8.74–$49.30	8% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB GLYCOSYLATED A1C	$60.00	$60.00	$8.74–$51.00	12% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 FMG A1C	$58.00	$58.00	$8.74–$49.30	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 BUDE A1C	$58.00	$58.00	$8.74–$49.30	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB GLYCOSYLATED A1C	$60.00	$60.00	$8.74–$51.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB	$60.00	$60.00	$9.67–$51.00	6% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB QUALITATIVE	$60.00	$60.00	$9.67–$51.00	6% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB	$60.00	$60.00	$9.67–$51.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB QUALITATIVE	$60.00	$60.00	$9.67–$51.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG - CL	$28.00	$28.00	$9.30–$23.80	44% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 FMG HEPATITIS B SURF ANTIGEN	$28.00	$28.00	$9.30–$23.80	44% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 FMG HEPATITIS B SURF ANTIGEN	$28.00	$28.00	$9.30–$23.80	44% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG	$53.00	$53.00	$9.30–$45.05	5% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 FMG HEPATITIS B SURF ANTIGEN	$28.00	$28.00	$9.30–$23.80	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG - CL	$28.00	$28.00	$9.30–$23.80	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG	$53.00	$53.00	$9.30–$45.05	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB	$67.00	$67.00	$12.84–$56.95	3% below	—
Hepatitis C antibody blood test (screening) CPT 86803 FMG HEPATITIS C ANTIBODY	$80.00	$80.00	$12.84–$68.00	15% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB - CL	$80.00	$80.00	$12.84–$68.00	15% above	—
Hepatitis C antibody blood test (screening) CPT 86803 FMG HEPATITIS C ANTIBODY	$80.00	$80.00	$12.84–$68.00	15% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB	$67.00	$67.00	$12.84–$56.95	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB - CL	$80.00	$80.00	$12.84–$68.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 FMG HEPATITIS C ANTIBODY	$80.00	$80.00	$12.84–$68.00	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 FMG HCV RNA BY PCR	$306.00	$306.00	$38.56–$260.10	78% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 FMG HCV RNA BY PCR	$306.00	$306.00	$38.56–$260.10	78% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT RNA PCR W REFLEX TO GENOTYPE - CL	$306.00	$306.00	$38.56–$260.10	78% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT RNA PCR W REFLEX TO GENOTYPE	$423.00	$423.00	$38.56–$359.55	146% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 FMG HCV RNA BY PCR	$306.00	$306.00	$38.56–$260.10	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANT RNA PCR W REFLEX TO GENOTYPE - CL	$306.00	$306.00	$38.56–$260.10	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANT RNA PCR W REFLEX TO GENOTYPE	$423.00	$423.00	$38.56–$359.55	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 AB IGG	$37.50	$37.50	$11.87–$31.88	2% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 AB IGM	$37.50	$37.50	$11.87–$31.88	2% below	—
Herpes blood test, HSV-1 antibody CPT 86695 FMG HSV 1 SPECIFIC AB IGM	$85.00	$85.00	$11.87–$72.25	122% above	—
Herpes blood test, HSV-1 antibody CPT 86695 FMG HSV 1 SPECIFIC AB IGM	$85.00	$85.00	$11.87–$72.25	122% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 AB IGM - CL	$85.00	$85.00	$11.87–$72.25	122% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 AB IGG - CL	$86.00	$86.00	$11.87–$73.10	125% above	—
Herpes blood test, HSV-1 antibody CPT 86695 FMG HSV 1 SPECIFIC AB IGG	$86.00	$86.00	$11.87–$73.10	125% above	—
Herpes blood test, HSV-1 antibody CPT 86695 FMG HSV 1 SPECIFIC AB IGG	$86.00	$86.00	$11.87–$73.10	125% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 AB IGG	$37.50	$37.50	$11.87–$31.88	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 AB IGM	$37.50	$37.50	$11.87–$31.88	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 AB IGM - CL	$85.00	$85.00	$11.87–$72.25	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 FMG HSV 1 SPECIFIC AB IGM	$85.00	$85.00	$11.87–$72.25	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 FMG HSV 1 SPECIFIC AB IGG	$86.00	$86.00	$11.87–$73.10	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 AB IGG - CL	$86.00	$86.00	$11.87–$73.10	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 AB IGG	$37.50	$37.50	$17.42–$32.32	19% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 AB IGM	$37.50	$37.50	$17.42–$32.32	19% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE II	$86.00	$86.00	$17.42–$73.10	85% above	—
Herpes blood test, HSV-2 antibody CPT 86696 FMG HSV 2 SPECIFIC AB IGM	$96.00	$96.00	$17.42–$81.60	106% above	—
Herpes blood test, HSV-2 antibody CPT 86696 FMG HSV 2 SPECIFIC AB IGG	$96.00	$96.00	$17.42–$81.60	106% above	—
Herpes blood test, HSV-2 antibody CPT 86696 FMG HSV 2 SPECIFIC AB IGM	$96.00	$96.00	$17.42–$81.60	106% above	—
Herpes blood test, HSV-2 antibody CPT 86696 FMG HSV 2 SPECIFIC AB IGG	$96.00	$96.00	$17.42–$81.60	106% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 AB IGM - CL	$96.00	$96.00	$17.42–$81.60	106% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 AB IGG - CL	$96.00	$96.00	$17.42–$81.60	106% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 AB IGM	$37.50	$37.50	$17.42–$32.32	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 AB IGG	$37.50	$37.50	$17.42–$32.32	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE II	$86.00	$86.00	$17.42–$73.10	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 AB IGM - CL	$96.00	$96.00	$17.42–$81.60	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 AB IGG - CL	$96.00	$96.00	$17.42–$81.60	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 FMG HSV 2 SPECIFIC AB IGG	$96.00	$96.00	$17.42–$81.60	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 FMG HSV 2 SPECIFIC AB IGM	$96.00	$96.00	$17.42–$81.60	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIAC (HIGH SENSITIVITY)	$46.00	$46.00	$11.66–$39.10	16% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIAC (HIGH SENSITIVITY) - CL	$54.00	$54.00	$11.66–$45.90	36% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 FMG CRP CARDIAC	$54.00	$54.00	$11.66–$45.90	36% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 FMG CRP CARDIAC	$54.00	$54.00	$11.66–$45.90	36% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP CARDIAC (HIGH SENSITIVITY)	$46.00	$46.00	$11.66–$39.10	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 FMG CRP CARDIAC	$54.00	$54.00	$11.66–$45.90	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP CARDIAC (HIGH SENSITIVITY) - CL	$54.00	$54.00	$11.66–$45.90	—	—
Homocysteine blood test CPT 83090 FMG HOMOCYSTEINE	$46.00	$46.00	$16.13–$39.10	43% below	—
Homocysteine blood test CPT 83090 FMG HOMOCYSTEINE	$46.00	$46.00	$16.13–$39.10	43% below	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE, PLASMA - CL	$46.00	$46.00	$16.13–$39.10	43% below	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE, PLASMA	$178.00	$178.00	$16.13–$151.30	120% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, PLASMA - CL	$46.00	$46.00	$16.13–$39.10	—	—
Homocysteine blood test inpatient CPT 83090 FMG HOMOCYSTEINE	$46.00	$46.00	$16.13–$39.10	—	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, PLASMA	$178.00	$178.00	$16.13–$151.30	—	—
Insulin blood test CPT 83525 FMG INSULIN LEVEL TOTAL	$56.00	$56.00	$10.29–$47.60	3% above	—
Insulin blood test CPT 83525 INSULIN LEVEL, TOTAL - CL	$56.00	$56.00	$10.29–$47.60	3% above	—
Insulin blood test CPT 83525 FMG INSULIN LEVEL TOTAL	$56.00	$56.00	$10.29–$47.60	3% above	—
Insulin blood test CPT 83525 INSULIN LEVEL, TOTAL	$67.00	$67.00	$10.29–$56.95	23% above	—
Insulin blood test inpatient CPT 83525 INSULIN LEVEL, TOTAL - CL	$56.00	$56.00	$10.29–$47.60	—	—
Insulin blood test inpatient CPT 83525 FMG INSULIN LEVEL TOTAL	$56.00	$56.00	$10.29–$47.60	—	—
Insulin blood test inpatient CPT 83525 INSULIN LEVEL, TOTAL	$67.00	$67.00	$10.29–$56.95	—	—
Iron blood test (serum iron) CPT 83540 FMG IRON	$38.00	$38.00	$5.82–$32.30	1% above	—
Iron blood test (serum iron) CPT 83540 IRON - CL	$38.00	$38.00	$5.82–$32.30	1% above	—
Iron blood test (serum iron) CPT 83540 FMG IRON	$38.00	$38.00	$5.82–$32.30	1% above	—
Iron blood test (serum iron) CPT 83540 IRON	$40.00	$40.00	$5.82–$34.00	6% above	—
Iron blood test (serum iron) inpatient CPT 83540 FMG IRON	$38.00	$38.00	$5.82–$32.30	—	—
Iron blood test (serum iron) inpatient CPT 83540 IRON - CL	$38.00	$38.00	$5.82–$32.30	—	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$40.00	$40.00	$5.82–$34.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$53.00	$53.00	$7.87–$45.05	21% above	—
Iron-binding capacity (TIBC) test CPT 83550 FMG IRON BINDING CAPACITY	$56.00	$56.00	$7.87–$47.60	27% above	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY - CL	$56.00	$56.00	$7.87–$47.60	27% above	—
Iron-binding capacity (TIBC) test CPT 83550 FMG IRON BINDING CAPACITY	$56.00	$56.00	$7.87–$47.60	27% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$53.00	$53.00	$7.87–$45.05	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 FMG IRON BINDING CAPACITY	$56.00	$56.00	$7.87–$47.60	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY - CL	$56.00	$56.00	$7.87–$47.60	—	—
Kidney function blood test panel CPT 80069 FMG RENAL FUNCTION PANEL	$34.00	$34.00	$7.81–$28.90	57% below	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL - CL	$34.00	$34.00	$7.81–$28.90	57% below	—
Kidney function blood test panel CPT 80069 FMG RENAL FUNCTION PANEL	$34.00	$34.00	$7.81–$28.90	57% below	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$264.00	$264.00	$7.81–$224.40	237% above	—
Kidney function blood test panel inpatient CPT 80069 FMG RENAL FUNCTION PANEL	$34.00	$34.00	$7.81–$28.90	—	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL - CL	$34.00	$34.00	$7.81–$28.90	—	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$264.00	$264.00	$7.81–$224.40	—	—
LH (luteinizing hormone) test CPT 83002 LH (LUTIENIZING HORMONE)	$106.00	$106.00	$16.67–$90.10	13% above	—
LH (luteinizing hormone) test CPT 83002 FMG LH LEVEL	$106.00	$106.00	$16.67–$90.10	13% above	—
LH (luteinizing hormone) test CPT 83002 FMG LH LEVEL	$106.00	$106.00	$16.67–$90.10	13% above	—
LH (luteinizing hormone) test inpatient CPT 83002 FMG LH LEVEL	$106.00	$106.00	$16.67–$90.10	—	—
LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTIENIZING HORMONE)	$106.00	$106.00	$16.67–$90.10	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$40.00	$40.00	$6.20–$34.00	1% below	—
Lipase blood test (pancreas enzyme) CPT 83690 FMG LIPASE	$44.00	$44.00	$6.20–$37.40	9% above	—
Lipase blood test (pancreas enzyme) CPT 83690 FMG LIPASE	$44.00	$44.00	$6.20–$37.40	9% above	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE - CL	$44.00	$44.00	$6.20–$37.40	9% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$40.00	$40.00	$6.20–$34.00	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 FMG LIPASE	$44.00	$44.00	$6.20–$37.40	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE - CL	$44.00	$44.00	$6.20–$37.40	—	—
Liver function blood test panel CPT 80076 FMG HEPATIC FUNCTION PANEL	$66.00	$66.00	$7.35–$56.10	20% below	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$264.00	$264.00	$7.35–$224.40	221% above	—
Liver function blood test panel inpatient CPT 80076 FMG HEPATIC FUNCTION PANEL	$66.00	$66.00	$7.35–$56.10	—	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$264.00	$264.00	$7.35–$224.40	—	—
Lyme disease antibody test CPT 86618 LYME DISEASE, TOTAL AB TEST W REFLEX	$52.00	$52.00	$15.33–$44.20	35% below	—
Lyme disease antibody test CPT 86618 LYMES TEST M2129	$52.00	$52.00	$15.33–$44.20	35% below	—
Lyme disease antibody test CPT 86618 LYME DISEASE, TOTAL AB TEST W REFLEX - CL	$132.00	$132.00	$15.33–$112.20	66% above	—
Lyme disease antibody test CPT 86618 FMG LYME DISEASE	$132.00	$132.00	$15.33–$112.20	66% above	—
Lyme disease antibody test CPT 86618 FMG LYME DISEASE	$132.00	$132.00	$15.33–$112.20	66% above	—
Lyme disease antibody test inpatient CPT 86618 LYMES TEST M2129	$52.00	$52.00	$15.33–$44.20	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE, TOTAL AB TEST W REFLEX	$52.00	$52.00	$15.33–$44.20	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE, TOTAL AB TEST W REFLEX - CL	$132.00	$132.00	$15.33–$112.20	—	—
Lyme disease antibody test inpatient CPT 86618 FMG LYME DISEASE	$132.00	$132.00	$15.33–$112.20	—	—
Magnesium blood test CPT 83735 FMG MAGNESIUM	$32.00	$32.00	$6.03–$27.20	6% below	—
Magnesium blood test CPT 83735 MAGNESIUM - CL	$32.00	$32.00	$6.03–$27.20	6% below	—
Magnesium blood test CPT 83735 FMG MAGNESIUM	$32.00	$32.00	$6.03–$27.20	6% below	—
Magnesium blood test CPT 83735 MAGNESIUM	$40.00	$40.00	$6.03–$34.00	18% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM - CL	$32.00	$32.00	$6.03–$27.20	—	—
Magnesium blood test inpatient CPT 83735 FMG MAGNESIUM	$32.00	$32.00	$6.03–$27.20	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$40.00	$40.00	$6.03–$34.00	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB, IgG (MEASLES)	$33.00	$33.00	$11.59–$28.05	21% below	—
Measles (rubeola) antibody test CPT 86765 FMG RUBEOLOA MEALSLES	$90.00	$90.00	$11.59–$76.50	116% above	—
Measles (rubeola) antibody test CPT 86765 FMG RUBEOLOA MEALSLES	$90.00	$90.00	$11.59–$76.50	116% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB, IgG (MEASLES)	$33.00	$33.00	$11.59–$28.05	—	—
Measles (rubeola) antibody test inpatient CPT 86765 FMG RUBEOLOA MEALSLES	$90.00	$90.00	$11.59–$76.50	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 FMG MONO	$32.00	$32.00	$4.66–$27.20	15% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 FMG MONO	$32.00	$32.00	$4.66–$27.20	15% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 BUDE MONO	$32.00	$32.00	$4.66–$27.20	15% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES S	$40.00	$40.00	$4.66–$34.00	7% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 BUDE MONO	$32.00	$32.00	$4.66–$27.20	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 FMG MONO	$32.00	$32.00	$4.66–$27.20	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES S	$40.00	$40.00	$4.66–$34.00	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$159.00	$159.00	$16.55–$135.15	152% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$159.00	$159.00	$16.55–$135.15	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$93.00	$93.00	$16.55–$79.05	8% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 FMG PSA DIAGNOSTIC	$100.00	$100.00	$16.55–$85.00	16% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 FMG PSA DIAGNOSTIC	$100.00	$100.00	$16.55–$85.00	16% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL - CL	$100.00	$100.00	$16.55–$85.00	16% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$93.00	$93.00	$16.55–$79.05	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 FMG PSA DIAGNOSTIC	$100.00	$100.00	$16.55–$85.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL - CL	$100.00	$100.00	$16.55–$85.00	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 FMG PAP SMEAR	$55.00	$55.00	$18.23–$46.75	83% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE(PTH), INTACT	$231.00	$231.00	$37.15–$196.35	44% above	—
Parathyroid hormone (PTH) blood test CPT 83970 FMG PARATHYROID HOROMONE LEV	$278.00	$278.00	$37.15–$236.30	74% above	—
Parathyroid hormone (PTH) blood test CPT 83970 FMG PARATHYROID HOROMONE LEV	$278.00	$278.00	$37.15–$236.30	74% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE(PTH), INTACT - CL	$278.00	$278.00	$37.15–$236.30	74% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE(PTH), INTACT	$231.00	$231.00	$37.15–$196.35	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE(PTH), INTACT - CL	$278.00	$278.00	$37.15–$236.30	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 FMG PARATHYROID HOROMONE LEV	$278.00	$278.00	$37.15–$236.30	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 FMG PTT	$38.00	$38.00	$5.41–$32.30	3% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT - CL	$38.00	$38.00	$5.41–$32.30	3% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 FMG PTT	$38.00	$38.00	$5.41–$32.30	3% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$40.00	$40.00	$5.41–$34.00	2% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT - CL	$38.00	$38.00	$5.41–$32.30	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 FMG PTT	$38.00	$38.00	$5.41–$32.30	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$40.00	$40.00	$5.41–$34.00	—	—
Progesterone blood test CPT 84144 FMG PROGESTERONE	$102.00	$102.00	$18.77–$86.70	11% above	—
Progesterone blood test CPT 84144 PROGESTERONE - CL	$102.00	$102.00	$18.77–$86.70	11% above	—
Progesterone blood test CPT 84144 FMG PROGESTERONE	$102.00	$102.00	$18.77–$86.70	11% above	—
Progesterone blood test CPT 84144 PROGESTERONE	$120.00	$120.00	$18.77–$102.00	31% above	—
Progesterone blood test inpatient CPT 84144 FMG PROGESTERONE	$102.00	$102.00	$18.77–$86.70	—	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE - CL	$102.00	$102.00	$18.77–$86.70	—	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$120.00	$120.00	$18.77–$102.00	—	—
Prolactin blood test CPT 84146 BETA 2 GLYCOPROTEIN AB IgG	$45.00	$45.00	$17.44–$38.25	59% below	—
Prolactin blood test CPT 84146 BETA 2 GLYCOPROTEIN AB IgM	$45.00	$45.00	$17.44–$38.25	59% below	—
Prolactin blood test CPT 84146 BETA 2 GLYCOPROTEIN AB IgA	$45.00	$45.00	$17.44–$38.25	59% below	—
Prolactin blood test CPT 84146 PROLACTIN	$113.00	$113.00	$17.44–$96.05	2% above	—
Prolactin blood test CPT 84146 PROLACTIN - CL	$118.00	$118.00	$17.44–$100.30	7% above	—
Prolactin blood test CPT 84146 FMG PROLACTIN	$118.00	$118.00	$17.44–$100.30	7% above	—
Prolactin blood test CPT 84146 FMG PROLACTIN	$118.00	$118.00	$17.44–$100.30	7% above	—
Prolactin blood test inpatient CPT 84146 BETA 2 GLYCOPROTEIN AB IgG	$45.00	$45.00	$17.44–$38.25	—	—
Prolactin blood test inpatient CPT 84146 BETA 2 GLYCOPROTEIN AB IgA	$45.00	$45.00	$17.44–$38.25	—	—
Prolactin blood test inpatient CPT 84146 BETA 2 GLYCOPROTEIN AB IgM	$45.00	$45.00	$17.44–$38.25	—	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$113.00	$113.00	$17.44–$96.05	—	—
Prolactin blood test inpatient CPT 84146 PROLACTIN - CL	$118.00	$118.00	$17.44–$100.30	—	—
Prolactin blood test inpatient CPT 84146 FMG PROLACTIN	$118.00	$118.00	$17.44–$100.30	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 FMG PROTIME	$28.00	$28.00	$3.86–$23.80	21% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 FMG PROTIME	$28.00	$28.00	$3.86–$23.80	21% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 BUDE PROTIME	$28.00	$28.00	$3.86–$23.80	21% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT PRO-TIME	$40.00	$40.00	$3.86–$34.00	13% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 BUDE PROTIME	$28.00	$28.00	$3.86–$23.80	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 FMG PROTIME	$28.00	$28.00	$3.86–$23.80	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT PRO-TIME	$40.00	$40.00	$3.86–$34.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BUDE DRUG SCREEN, 6 PANEL URINE	$15.00	$15.00	$8.25–$16.46	59% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FMG DRUG SCREEN 6 PANEL, URINE	$15.00	$15.00	$8.25–$16.46	59% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FMG DRUG SCREEN 6 PANEL, URINE	$15.00	$15.00	$11.34–$23.06	59% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BUDE DRUG SCREEN, 13 PANEL URINE	$30.00	$30.00	$11.34–$25.50	18% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FMG DRUG SCREEN 13 PANEL, URINE	$30.00	$30.00	$11.34–$25.50	18% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FMG DRUG SCREEN 13 PANEL, URINE	$30.00	$30.00	$11.34–$25.50	18% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN URINE - CL	$40.00	$40.00	$11.34–$34.00	10% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN URINE	$57.00	$57.00	$11.34–$48.45	56% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 FMG DRUG SCREEN 6 PANEL, URINE	$15.00	$15.00	$8.25–$16.46	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 BUDE DRUG SCREEN, 6 PANEL URINE	$15.00	$15.00	$8.25–$16.46	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 FMG DRUG SCREEN 13 PANEL, URINE	$30.00	$30.00	$11.34–$25.50	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 BUDE DRUG SCREEN, 13 PANEL URINE	$30.00	$30.00	$11.34–$25.50	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN URINE - CL	$40.00	$40.00	$11.34–$34.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN URINE	$57.00	$57.00	$11.34–$48.45	—	—
Rapid flu test (influenza antigen) CPT 87804 FMG FLU TEST A	$25.00	$25.00	$14.90–$30.29	42% below	—
Rapid flu test (influenza antigen) CPT 87804 BUDE FLU TEST A	$25.00	$25.00	$13.75–$21.25	42% below	—
Rapid flu test (influenza antigen) CPT 87804 FMG FLU TEST A	$25.00	$25.00	$13.75–$21.25	42% below	—
Rapid flu test (influenza antigen) CPT 87804 FLU TEST A	$33.00	$33.00	$14.90–$28.05	23% below	—
Rapid flu test (influenza antigen) inpatient CPT 87804 BUDE FLU TEST A	$25.00	$25.00	$13.75–$21.25	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 FMG FLU TEST A	$25.00	$25.00	$13.75–$21.25	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU TEST A	$33.00	$33.00	$14.90–$28.05	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 FMG STREP RAPID	$66.00	$66.00	$14.88–$56.10	28% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 BUDE STREP RAPID	$66.00	$66.00	$14.88–$56.10	28% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 FMG STREP RAPID	$66.00	$66.00	$14.88–$56.10	28% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS GROUP A	$67.00	$67.00	$14.88–$56.95	30% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 BUDE STREP RAPID	$66.00	$66.00	$14.88–$56.10	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 FMG STREP RAPID	$66.00	$66.00	$14.88–$56.10	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCOCCUS GROUP A	$67.00	$67.00	$14.88–$56.95	—	—
Rheumatoid factor (RF) test CPT 86431 FMG RA	$40.00	$40.00	$5.10–$34.00	2% above	—
Rheumatoid factor (RF) test CPT 86431 RA FACTOR	$40.00	$40.00	$5.10–$34.00	2% above	—
Rheumatoid factor (RF) test CPT 86431 FMG RA	$40.00	$40.00	$5.10–$34.00	2% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR	$40.00	$40.00	$5.10–$34.00	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 FMG RA	$40.00	$40.00	$5.10–$34.00	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES, IgG	$33.00	$33.00	$12.95–$28.05	35% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES, IgG - CL	$42.00	$42.00	$12.95–$35.70	17% below	—
Rubella antibody test (immunity check) CPT 86762 FMG RUBELLA SCREEN	$42.00	$42.00	$12.95–$35.70	17% below	—
Rubella antibody test (immunity check) CPT 86762 FMG RUBELLA SCREEN	$42.00	$42.00	$12.95–$35.70	17% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES, IgG	$33.00	$33.00	$12.95–$28.05	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES, IgG - CL	$42.00	$42.00	$12.95–$35.70	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 FMG RUBELLA SCREEN	$42.00	$42.00	$12.95–$35.70	—	—
Stool ova and parasites exam CPT 87177 OVA PARASITES, STOOL - CL	$52.00	$52.00	$8.01–$44.20	1% above	—
Stool ova and parasites exam CPT 87177 FMG OCP	$52.00	$52.00	$8.01–$44.20	1% above	—
Stool ova and parasites exam CPT 87177 FMG OCP	$52.00	$52.00	$8.01–$44.20	1% above	—
Stool ova and parasites exam CPT 87177 OVA PARASITES, STOOL	$53.00	$53.00	$8.01–$45.05	3% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA PARASITES, STOOL - CL	$52.00	$52.00	$8.01–$44.20	—	—
Stool ova and parasites exam inpatient CPT 87177 FMG OCP	$52.00	$52.00	$8.01–$44.20	—	—
Stool ova and parasites exam inpatient CPT 87177 OVA PARASITES, STOOL	$53.00	$53.00	$8.01–$45.05	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 FMG OCCULT BLOOD STOOL	$20.00	$20.00	$3.94–$17.00	11% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 FMG OCCULT BLOOD STOOL	$20.00	$20.00	$3.94–$17.00	11% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 BUDE OCCULT BLOOD STOOL	$20.00	$20.00	$3.94–$17.00	11% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL	$40.00	$40.00	$3.94–$34.00	122% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BUDE OCCULT BLOOD STOOL	$20.00	$20.00	$3.94–$17.00	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FMG OCCULT BLOOD STOOL	$20.00	$20.00	$3.94–$17.00	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL	$40.00	$40.00	$3.94–$34.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 FMG RPR	$14.00	$14.00	$3.84–$11.90	46% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS QUALITATIVE - CL	$14.00	$14.00	$3.84–$11.90	46% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 FMG RPR	$14.00	$14.00	$3.84–$11.90	46% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS QUALITATIVE	$40.00	$40.00	$3.84–$34.00	55% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS QUALITATIVE - CL	$14.00	$14.00	$3.84–$11.90	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 FMG RPR	$14.00	$14.00	$3.84–$11.90	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS QUALITATIVE	$40.00	$40.00	$3.84–$34.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$150.00	$150.00	$55.78–$127.50	11% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$150.00	$150.00	$55.78–$127.50	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL (WOMEN/CHILD) LC/MS	$38.00	$38.00	$20.90–$43.13	68% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 FMG TESTOSTERONE TOTAL	$140.00	$140.00	$23.23–$119.00	18% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 FMG TESTOSTERONE TOTAL	$140.00	$140.00	$23.23–$119.00	18% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL - CL	$140.00	$140.00	$23.23–$119.00	18% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$146.00	$146.00	$23.23–$124.10	23% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL (WOMEN/CHILD) LC/MS	$38.00	$38.00	$20.90–$43.13	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 FMG TESTOSTERONE TOTAL	$140.00	$140.00	$23.23–$119.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL - CL	$140.00	$140.00	$23.23–$119.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$146.00	$146.00	$23.23–$124.10	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB - CL	$14.00	$14.00	$7.70–$24.30	60% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 FMG ANTI-TPO	$16.00	$16.00	$8.80–$24.30	55% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 FMG ANTI-TPO	$16.00	$16.00	$13.10–$26.63	55% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB	$17.00	$17.00	$9.35–$24.30	52% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL (LKM) AB	$42.00	$42.00	$13.10–$35.70	19% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) AB - CL	$14.00	$14.00	$7.70–$24.30	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 FMG ANTI-TPO	$16.00	$16.00	$8.80–$24.30	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) AB	$17.00	$17.00	$9.35–$24.30	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL (LKM) AB	$42.00	$42.00	$13.10–$35.70	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - CL	$92.00	$92.00	$15.12–$78.20	28% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 FMG TSH	$92.00	$92.00	$15.12–$78.20	28% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 FMG TSH	$92.00	$92.00	$15.12–$78.20	28% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$93.00	$93.00	$15.12–$79.05	30% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH - CL	$92.00	$92.00	$15.12–$78.20	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 FMG TSH	$92.00	$92.00	$15.12–$78.20	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$93.00	$93.00	$15.12–$79.05	—	—
Uric acid blood test CPT 84550 FMG URIC ACID	$28.00	$28.00	$4.07–$23.80	20% below	—
Uric acid blood test CPT 84550 URIC ACID, SERUM - CL	$28.00	$28.00	$4.07–$23.80	20% below	—
Uric acid blood test CPT 84550 FMG URIC ACID	$28.00	$28.00	$4.07–$23.80	20% below	—
Uric acid blood test CPT 84550 URIC ACID, SERUM	$40.00	$40.00	$4.07–$34.00	15% above	—
Uric acid blood test inpatient CPT 84550 FMG URIC ACID	$28.00	$28.00	$4.07–$23.80	—	—
Uric acid blood test inpatient CPT 84550 URIC ACID, SERUM - CL	$28.00	$28.00	$4.07–$23.80	—	—
Uric acid blood test inpatient CPT 84550 URIC ACID, SERUM	$40.00	$40.00	$4.07–$34.00	—	—
Urinalysis with microscope exam, automated CPT 81001 BUDE UA W/O MICRO	$20.00	$20.00	$2.85–$17.00	40% below	—
Urinalysis with microscope exam, automated CPT 81001 BUDE UA W/ MICRO	$20.00	$20.00	$2.85–$17.00	40% below	—
Urinalysis with microscope exam, automated CPT 81001 FMG UA W/ MICRO	$20.00	$20.00	$2.85–$17.00	40% below	—
Urinalysis with microscope exam, automated CPT 81001 FMG UA W/O MICRO	$20.00	$20.00	$2.85–$17.00	40% below	—
Urinalysis with microscope exam, automated CPT 81001 FMG UA W/O MICRO	$20.00	$20.00	$2.85–$17.00	40% below	—
Urinalysis with microscope exam, automated CPT 81001 FMG UA W/ MICRO	$20.00	$20.00	$2.85–$17.00	40% below	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W MICROSCOPY	$40.00	$40.00	$2.85–$34.00	19% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 FMG UA W/ MICRO	$20.00	$20.00	$2.85–$17.00	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 FMG UA W/O MICRO	$20.00	$20.00	$2.85–$17.00	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 BUDE UA W/O MICRO	$20.00	$20.00	$2.85–$17.00	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 BUDE UA W/ MICRO	$20.00	$20.00	$2.85–$17.00	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W MICROSCOPY	$40.00	$40.00	$2.85–$34.00	—	—
Urinalysis without microscope exam, automated CPT 81003 FMG PROTEIN URINE	$16.00	$16.00	$2.03–$13.60	6% above	—
Urinalysis without microscope exam, automated CPT 81003 FMG PROTEIN URINE	$16.00	$16.00	$2.03–$13.60	6% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 FMG PROTEIN URINE	$16.00	$16.00	$2.03–$13.60	—	—
Urine culture for bacteria, with colony count CPT 87086 FMG URINE CULTURE QUANT	$46.00	$46.00	$7.26–$39.10	at median	—
Urine culture for bacteria, with colony count CPT 87086 FMG URINE CULTURE QUANT	$46.00	$46.00	$7.26–$39.10	at median	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE	$46.00	$46.00	$7.26–$39.10	at median	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, URINE	$46.00	$46.00	$7.26–$39.10	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 FMG URINE CULTURE QUANT	$46.00	$46.00	$7.26–$39.10	—	—
Urine pregnancy test, read by color change CPT 81025 FMG URINE PREG TEST	$28.00	$28.00	$7.75–$23.80	29% below	—
Urine pregnancy test, read by color change CPT 81025 FMG URINE PREG TEST	$28.00	$28.00	$7.75–$23.80	29% below	—
Urine pregnancy test, read by color change CPT 81025 BUDE URINE PREG TEST	$28.00	$28.00	$7.75–$23.80	29% below	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$46.00	$46.00	$7.75–$39.10	16% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 FMG URINE PREG TEST	$28.00	$28.00	$7.75–$23.80	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 BUDE URINE PREG TEST	$28.00	$28.00	$7.75–$23.80	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE	$46.00	$46.00	$7.75–$39.10	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 B-12 LEVEL	$86.00	$86.00	$13.57–$73.10	3% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 B-12 LEVEL - CL	$90.00	$90.00	$13.57–$76.50	8% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 FMG B-12 LEVEL	$90.00	$90.00	$13.57–$76.50	8% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 FMG B-12 LEVEL	$90.00	$90.00	$13.57–$76.50	8% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B-12 LEVEL	$86.00	$86.00	$13.57–$73.10	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 FMG B-12 LEVEL	$90.00	$90.00	$13.57–$76.50	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B-12 LEVEL - CL	$90.00	$90.00	$13.57–$76.50	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY - CL	$170.00	$170.00	$26.64–$144.50	83% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$170.00	$170.00	$26.64–$144.50	83% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$170.00	$170.00	$26.64–$144.50	83% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY	$291.00	$291.00	$26.64–$247.35	213% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$170.00	$170.00	$26.64–$144.50	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY - CL	$170.00	$170.00	$26.64–$144.50	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY	$291.00	$291.00	$26.64–$247.35	—	—
Zinc blood test CPT 84630 ZINC, PLASMA OR SERUM - CL	$12.00	$12.00	$6.60–$19.02	82% below	—
Zinc blood test CPT 84630 FMG ZINC SERUM	$12.00	$12.00	$10.20–$20.84	82% below	—
Zinc blood test CPT 84630 FMG ZINC SERUM	$12.00	$12.00	$6.60–$19.02	82% below	—
Zinc blood test CPT 84630 ZINC, PLASMA OR SERUM	$60.00	$60.00	$10.25–$51.00	12% below	—
Zinc blood test inpatient CPT 84630 ZINC, PLASMA OR SERUM - CL	$12.00	$12.00	$6.60–$19.02	—	—
Zinc blood test inpatient CPT 84630 FMG ZINC SERUM	$12.00	$12.00	$6.60–$19.02	—	—
Zinc blood test inpatient CPT 84630 ZINC, PLASMA OR SERUM	$60.00	$60.00	$10.25–$51.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 FMG HCG SERUM QUANT.	$68.00	$68.00	$13.55–$57.80	17% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 FMG HCG SERUM QUANT.	$68.00	$68.00	$13.55–$57.80	17% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANTITATIVE - CL	$68.00	$68.00	$13.55–$57.80	17% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANTITATIVE	$132.00	$132.00	$13.55–$112.20	62% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QUANTITATIVE - CL	$68.00	$68.00	$13.55–$57.80	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 FMG HCG SERUM QUANT.	$68.00	$68.00	$13.55–$57.80	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QUANTITATIVE	$132.00	$132.00	$13.55–$112.20	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE	$350.00	$350.00	$121.82–$297.50	8% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE	$564.00	$564.00	$103.64–$498.66	48% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, ELECTIVE	$564.00	$564.00	$103.64–$498.66	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 REDUCTION DISTAL RADIAL FX W/O MANIPULAT	$894.00	$894.00	$277.79–$759.90	290% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 REDUCTION DISTAL RADIAL FX W/O MANIPULAT	$936.00	$936.00	$182.80–$795.60	309% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 REDUCTION DISTAL RADIAL FX W/O MANIPULAT	$936.00	$936.00	$182.80–$795.60	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR BEN OR PREMAL LESIO	$125.00	$125.00	$53.35–$106.25	4% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR BEN OR PREMAL LESIO	$125.00	$125.00	$68.75–$125.00	4% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTR BEN OR PREMAL LESIO	$125.00	$125.00	$53.35–$106.25	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMP CERUMEN, IRRIGATION	$50.00	$50.00	$27.50–$45.26	13% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMP CERUMEN, IRRIGATION	$50.00	$50.00	$11.64–$42.50	13% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN, IRRIGATION	$55.00	$55.00	$30.25–$46.75	25% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN, IRRIGATION	$55.00	$55.00	$11.64–$46.75	25% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMP CERUMEN IRRIGATION/LAVAGE	$95.00	$95.00	$16.82–$80.75	115% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMP CERUMEN, IRRIGATION	$50.00	$50.00	$27.50–$45.26	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED CERUMEN, IRRIGATION	$55.00	$55.00	$11.64–$46.75	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMP CERUMEN IRRIGATION/LAVAGE	$95.00	$95.00	$16.82–$80.75	—	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMP CERUMEN REQ INSTRUM UNILATER	$95.00	$95.00	$29.61–$80.75	48% above	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL CERUMEN W/ INSTRUMENT	$125.00	$125.00	$45.26–$106.25	95% above	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL CERUMEN W/ INSTRUMENT	$125.00	$125.00	$38.18–$106.25	95% above	—
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMP CERUMEN REQ. INSTR. UNILAT	$85.00	$85.00	$38.18–$72.25	33% above	—
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMP CERUMEN REQ. INSTR. UNILAT	$85.00	$85.00	$45.26–$68.00	33% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMP CERUMEN REQ INSTRUM UNILATER	$95.00	$95.00	$29.61–$80.75	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL CERUMEN W/ INSTRUMENT	$125.00	$125.00	$38.18–$106.25	—	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVAL IMP CERUMEN REQ. INSTR. UNILAT	$85.00	$85.00	$45.26–$68.00	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D OF ABSCESS SING SIMP	$170.00	$170.00	$105.29–$151.42	28% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 ABS CARBUNCLE CYST	$195.00	$195.00	$100.18–$192.37	47% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 ABS CARBUNCLE CYST	$195.00	$195.00	$107.25–$156.00	47% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE	$220.00	$220.00	$121.00–$187.00	66% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE	$220.00	$220.00	$100.18–$192.37	66% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D, SIMPLE, FACILITY FEE	$273.00	$273.00	$150.15–$232.05	106% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D, SIMPLE, FACILITY FEE	$273.00	$273.00	$100.18–$232.05	106% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SINGLE SIMPL	$294.00	$294.00	$151.42–$249.90	121% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D, SIMPLE, PRO FEE	$327.00	$327.00	$105.29–$277.95	146% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D, SIMPLE, PRO FEE	$327.00	$327.00	$100.18–$277.95	146% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SINGLE SIMPLE	$489.00	$489.00	$105.29–$415.65	268% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D OF ABSCESS SING SIMP	$170.00	$170.00	$105.29–$151.42	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ABS CARBUNCLE CYST	$195.00	$195.00	$107.25–$156.00	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SIMPLE	$220.00	$220.00	$100.18–$192.37	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D, SIMPLE, FACILITY FEE	$273.00	$273.00	$150.15–$232.05	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SINGLE SIMPL	$294.00	$294.00	$151.42–$249.90	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D, SIMPLE, PRO FEE	$327.00	$327.00	$105.29–$277.95	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SINGLE SIMPLE	$489.00	$489.00	$105.29–$415.65	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR	$71.00	$71.00	$42.86–$71.00	55% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS S/H/K/SB	$135.00	$135.00	$74.25–$135.00	14% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS S/H/K/SB	$135.00	$135.00	$51.70–$114.75	14% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MJR JOINT ASPIRATE/INJECT - DR ZUMBRO	$175.00	$175.00	$42.86–$175.00	11% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MJR JOINT ASPIRATE/INJECT - DR ZUMBRO	$175.00	$175.00	$51.70–$148.75	11% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION / INJECTION MAJOR JOINT	$185.00	$185.00	$51.70–$157.25	17% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION / INJECTION MAJOR JOINT	$185.00	$185.00	$101.75–$185.00	17% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, MAJOR JOINT	$455.00	$455.00	$224.95–$386.75	188% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, MAJOR JOINT	$455.00	$455.00	$51.70–$386.75	188% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT PRO FEE	$462.00	$462.00	$51.70–$392.70	193% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT PRO FEE	$462.00	$462.00	$42.86–$392.70	193% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR	$71.00	$71.00	$42.86–$71.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS S/H/K/SB	$135.00	$135.00	$74.25–$135.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MJR JOINT ASPIRATE/INJECT - DR ZUMBRO	$175.00	$175.00	$42.86–$175.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATION / INJECTION MAJOR JOINT	$185.00	$185.00	$51.70–$157.25	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS, MAJOR JOINT	$455.00	$455.00	$224.95–$386.75	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT PRO FEE	$462.00	$462.00	$42.86–$392.70	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT INTEMED JOINT-ESTES SWING	$114.00	$114.00	$43.66–$96.90	12% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT INTEMED JOINT-SWING	$114.00	$114.00	$62.70–$114.00	12% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION JOINT - ELBOW	$250.00	$250.00	$137.50–$224.95	94% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION JOINT - ELBOW	$250.00	$250.00	$43.66–$212.50	94% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT INTEMED JOINT-SWING	$114.00	$114.00	$62.70–$114.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATION JOINT - ELBOW	$250.00	$250.00	$43.66–$212.50	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP INJ SMALL JOINT	$90.00	$90.00	$49.50–$90.00	25% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP INJ SMALL JOINT	$90.00	$90.00	$42.83–$79.13	25% below	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP INJ SMALL JOINT	$90.00	$90.00	$42.83–$79.13	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 S/A/T/E 2.5 CM OR LESS	$135.00	$135.00	$87.75–$277.88	41% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 S/A/T/E 2.5 CM OR LESS	$135.00	$135.00	$74.25–$135.00	41% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTER S/T/E 2.5	$189.00	$189.00	$122.85–$277.88	17% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTER S/T/E 2.5	$189.00	$189.00	$103.95–$189.00	17% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSE S/A/T/E 2.5 <	$280.00	$280.00	$141.29–$280.00	22% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 S/A/T/E 2.5 CM OR LESS	$135.00	$135.00	$74.25–$135.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTER S/T/E 2.5	$189.00	$189.00	$122.85–$277.88	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSE S/A/T/E 2.5 <	$280.00	$280.00	$141.29–$280.00	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL CYST BENIGN LES. <.5cm	$168.00	$168.00	$79.91–$168.00	19% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES T/A/L 0.5CM <	$210.00	$210.00	$79.91–$210.00	1% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION LESION .5 OR LES	$450.00	$450.00	$98.80–$382.50	116% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION LESION .5 OR LES	$450.00	$450.00	$247.50–$450.00	116% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION LESION 0.5 CM LES	$495.00	$495.00	$98.80–$420.75	137% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION LESION 0.5 CM LES	$495.00	$495.00	$272.25–$495.00	137% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL CYST, BENIGN LESION <.5CM	$1,054.00	$1,054.00	$536.16–$895.90	405% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 REMOVAL CYST BENIGN LES. <.5cm	$168.00	$168.00	$79.91–$168.00	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BEN LES T/A/L 0.5CM <	$210.00	$210.00	$79.91–$210.00	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION LESION .5 OR LES	$450.00	$450.00	$98.80–$382.50	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION LESION 0.5 CM LES	$495.00	$495.00	$272.25–$495.00	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 REMOVAL CYST, BENIGN LESION <.5CM	$1,054.00	$1,054.00	$536.16–$895.90	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCIS BEN LESION .5> FACE EARS EYELIDS N	$218.00	$218.00	$119.90–$218.00	12% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCIS BEN LESION .5> FACE EARS EYELIDS N	$218.00	$218.00	$110.14–$191.21	12% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC LES F/E/E/N/L/M 0.5<	$280.00	$280.00	$101.83–$280.00	13% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC LES F/E/E/N/L/M 0.5 L	$495.00	$495.00	$272.25–$495.00	99% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC LES F/E/E/N/L/M 0.5 L	$495.00	$495.00	$110.14–$420.75	99% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCIS BEN LESION .5> FACE EARS EYELIDS N	$218.00	$218.00	$110.14–$191.21	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC LES F/E/E/N/L/M 0.5<	$280.00	$280.00	$101.83–$280.00	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC LES F/E/E/N/L/M 0.5 L	$495.00	$495.00	$272.25–$495.00	—	—
Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PLT SIMPSING	$130.00	$130.00	$53.36–$130.00	1% below	—
Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PL EACH	$145.00	$145.00	$89.15–$123.25	10% above	—
Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PL EACH	$145.00	$145.00	$79.75–$145.00	10% above	—
Nail removal (partial or complete), one nail CPT 11730 REMOVAL NAIL EACH	$160.00	$160.00	$89.15–$136.00	21% above	—
Nail removal (partial or complete), one nail CPT 11730 REMOVAL NAIL EACH	$160.00	$160.00	$88.00–$151.42	21% above	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$368.00	$368.00	$53.36–$312.80	179% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULS NAIL PLT SIMPSING	$130.00	$130.00	$53.36–$130.00	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULS NAIL PL EACH	$145.00	$145.00	$79.75–$145.00	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL NAIL EACH	$160.00	$160.00	$89.15–$136.00	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE	$368.00	$368.00	$53.36–$312.80	—	—
Paracentesis with imaging guidance CPT 49083 PARACENTESIS WITH U/S - DR ZUMBRO	$756.00	$756.00	$101.37–$714.45	67% above	—
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/ US , FACILITY FEE	$2,589.00	$2,589.00	$714.45–$2,200.65	471% above	—
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS WITH U/S - DR ZUMBRO	$756.00	$756.00	$101.37–$714.45	—	—
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/ US , FACILITY FEE	$2,589.00	$2,589.00	$714.45–$2,200.65	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL FOR PERMANENT RE	$170.00	$170.00	$93.50–$170.00	42% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL FOR PERMANENT RE	$170.00	$170.00	$110.50–$208.78	42% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 TOENAIL REMOVAL - PRO FEE	$188.00	$188.00	$100.83–$188.00	36% below	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL FOR PERMANENT RE	$170.00	$170.00	$110.50–$208.78	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 TOENAIL REMOVAL - PRO FEE	$188.00	$188.00	$100.83–$188.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 I&D FB SUBQ SIMPLE	$107.00	$107.00	$69.55–$190.03	42% below	—
Removal of a foreign object under the skin, simple CPT 10120 I&D FB SUBQ SIMPLE	$107.00	$107.00	$58.85–$107.00	42% below	—
Removal of a foreign object under the skin, simple CPT 10120 INCISION & FB REMOVAL -SUBQ	$285.00	$285.00	$106.89–$285.00	54% above	—
Removal of a foreign object under the skin, simple CPT 10120 FB SUBQ SIMPLE I&D	$300.00	$300.00	$106.89–$300.00	62% above	—
Removal of a foreign object under the skin, simple CPT 10120 FB SUBQ SIMP I & D	$300.00	$300.00	$117.75–$255.00	62% above	—
Removal of a foreign object under the skin, simple CPT 10120 FB SUBQ SIMP I & D	$300.00	$300.00	$165.00–$300.00	62% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&D FB SUBQ SIMPLE	$107.00	$107.00	$69.55–$190.03	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & FB REMOVAL -SUBQ	$285.00	$285.00	$106.89–$285.00	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB SUBQ SIMP I & D	$300.00	$300.00	$165.00–$300.00	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB SUBQ SIMPLE I&D	$300.00	$300.00	$106.89–$300.00	—	—
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM	$125.00	$125.00	$42.87–$106.25	53% above	—
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM	$145.00	$145.00	$53.55–$123.25	77% above	—
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT	$246.00	$246.00	$98.23–$209.10	201% above	—
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT	$246.00	$246.00	$53.55–$209.10	201% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM	$125.00	$125.00	$42.87–$106.25	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT	$246.00	$246.00	$53.55–$209.10	—	—
Short leg cast (below the knee) CPT 29405 CAST - SHORT LEG	$174.00	$174.00	$58.79–$174.00	36% above	—
Short leg cast (below the knee) CPT 29405 CAST - SHORT LEG APPLICATION	$378.00	$378.00	$202.38–$302.40	196% above	—
Short leg cast (below the knee) CPT 29405 CAST - SHORT LEG APPLICATION	$378.00	$378.00	$65.13–$321.30	196% above	—
Short leg cast (below the knee) inpatient CPT 29405 CAST - SHORT LEG	$174.00	$174.00	$58.79–$174.00	—	—
Short leg cast (below the knee) inpatient CPT 29405 CAST - SHORT LEG APPLICATION	$378.00	$378.00	$202.38–$302.40	—	—
Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG	$125.00	$125.00	$52.51–$120.24	23% above	—
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT	$145.00	$145.00	$79.75–$120.24	42% above	—
Short leg splint (calf to foot) CPT 29515 APPLIC SHORT LEG SPLINT	$195.00	$195.00	$52.51–$165.75	91% above	—
Short leg splint (calf to foot) CPT 29515 APPLIC SHORT LEG SPLINT	$195.00	$195.00	$58.91–$165.75	91% above	—
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT	$252.00	$252.00	$120.24–$214.20	147% above	—
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT SHORT LEG	$125.00	$125.00	$52.51–$120.24	—	—
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT	$145.00	$145.00	$79.75–$120.24	—	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLIC SHORT LEG SPLINT	$195.00	$195.00	$52.51–$165.75	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURES <2.5 CM	$140.00	$140.00	$73.17–$119.00	14% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURES <2.5 CM	$140.00	$140.00	$77.00–$140.00	14% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 S/N/A/EG/T/E 2.5 OR LESS	$145.00	$145.00	$79.75–$145.00	10% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 S/N/A/EG/T/E 2.5 OR LESS	$145.00	$145.00	$73.17–$123.25	10% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR 2.5 OR LESS	$245.00	$245.00	$47.18–$208.25	51% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR, SIMPLE	$252.00	$252.00	$73.17–$214.20	56% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR, SIMPLE	$264.00	$264.00	$47.18–$224.40	63% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUTURES <2.5 CM	$140.00	$140.00	$73.17–$119.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 S/N/A/EG/T/E 2.5 OR LESS	$145.00	$145.00	$79.75–$145.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR 2.5 OR LESS	$245.00	$245.00	$47.18–$208.25	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION REPAIR, SIMPLE	$264.00	$264.00	$47.18–$224.40	—	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS	$160.00	$160.00	$72.54–$137.96	76% above	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS	$160.00	$160.00	$88.00–$151.42	76% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS	$160.00	$160.00	$72.54–$137.96	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - DR ZUMBRO	$360.00	$360.00	$113.21–$306.00	21% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - DR ZUMBRO	$360.00	$360.00	$63.20–$360.00	21% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$411.00	$411.00	$226.05–$411.00	38% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$411.00	$411.00	$113.21–$349.35	38% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCT	$900.00	$900.00	$63.20–$765.00	203% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSITIC-FACILITY FEE	$1,947.00	$1,947.00	$113.21–$1,654.95	555% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSITIC-FACILITY FEE	$1,947.00	$1,947.00	$527.73–$1,654.95	555% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE - DR ZUMBRO	$360.00	$360.00	$63.20–$360.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$411.00	$411.00	$226.05–$411.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCT	$900.00	$900.00	$63.20–$765.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSITIC-FACILITY FEE	$1,947.00	$1,947.00	$527.73–$1,654.95	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 2.6 TO 7.5 CM	$155.00	$155.00	$89.45–$131.75	5% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SUTURES 2.6 TO 7.5 CM	$180.00	$180.00	$99.00–$153.00	11% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SUTURES 2.6 TO 7.5 CM	$180.00	$180.00	$89.45–$153.00	11% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 2.6 TO 7.5 CM	$260.00	$260.00	$61.69–$221.00	60% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SUTURES 2.6 TO 7.5 CM	$180.00	$180.00	$89.45–$153.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 2.6 TO 7.5 CM	$260.00	$260.00	$61.69–$221.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 FACE EAR LID NOSE LIP 2.5	$154.00	$154.00	$87.69–$130.90	5% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 FACE EAR LID NOSE LIP 2.5	$154.00	$154.00	$84.70–$151.42	5% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 F/E/E/N/L/MM 2.5 CM OR LE	$156.00	$156.00	$87.69–$132.60	4% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 F/E/E/N/L/MM 2.5 CM OR LE	$156.00	$156.00	$85.80–$151.42	4% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE F/E/E/N/L/M 2.5 <	$260.00	$260.00	$58.39–$221.00	60% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 FACE EAR LID NOSE LIP 2.5	$154.00	$154.00	$87.69–$130.90	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 F/E/E/N/L/MM 2.5 CM OR LE	$156.00	$156.00	$85.80–$151.42	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE F/E/E/N/L/M 2.5 <	$260.00	$260.00	$58.39–$221.00	—	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS w/ IMAGING- OBS AC SWG OP	$150.00	$150.00	$97.50–$150.00	77% below	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS w/ IMAGING -MIDDLETON	$500.00	$500.00	$237.21–$425.00	22% below	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS with IMAGING FACILITY FEE	$650.00	$650.00	$357.50–$552.50	1% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS w/ IMAGING- OBS AC SWG OP	$150.00	$150.00	$97.50–$150.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS with IMAGING FACILITY FEE	$650.00	$650.00	$357.50–$552.50	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1/2 MUSC	$180.00	$180.00	$99.00–$180.00	12% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1/2 MUSC	$180.00	$180.00	$41.62–$153.00	12% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION 1-2 MUSCLES	$579.00	$579.00	$41.62–$492.15	261% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION 1-2 MUSCLES	$669.00	$669.00	$38.48–$568.65	317% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1/2 MUSC	$180.00	$180.00	$41.62–$153.00	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECTION 1-2 MUSCLES	$669.00	$669.00	$38.48–$568.65	—	—
Wart removal, up to 14 warts CPT 17110 DESTRUCTION FLAT WART	$74.00	$74.00	$48.10–$120.95	36% below	—
Wart removal, up to 14 warts CPT 17110 DESTRUCTION FLAT WART	$74.00	$74.00	$40.70–$74.00	36% below	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION FLAT WART	$74.00	$74.00	$48.10–$120.95	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOV DEBRID SKIN SUBCUT	$101.00	$101.00	$55.55–$101.00	52% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOV DEBRID SKIN SUBCUT	$101.00	$101.00	$65.65–$112.75	52% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN & SUBCUTAN	$220.00	$220.00	$59.86–$220.00	6% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBC	$355.00	$355.00	$100.03–$301.75	70% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBC	$355.00	$355.00	$195.25–$304.46	70% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SUBQ 1ST 20 SQ CM	$477.00	$477.00	$59.86–$405.45	129% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBCT 1ST 20 SQ CM	$540.00	$540.00	$297.00–$459.00	159% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 REMOV DEBRID SKIN SUBCUT	$101.00	$101.00	$65.65–$112.75	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN & SUBCUTAN	$220.00	$220.00	$59.86–$220.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUBC	$355.00	$355.00	$195.25–$304.46	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 SUBQ 1ST 20 SQ CM	$477.00	$477.00	$59.86–$405.45	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBCT 1ST 20 SQ CM	$540.00	$540.00	$297.00–$459.00	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BB TRANS CHARGE BLD	$522.00	$522.00	$287.10–$443.70	18% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB TRANS CHARGE BLD	$522.00	$522.00	$287.10–$443.70	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 FMG NEBULIZER TX	$45.00	$45.00	$24.75–$45.00	27% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 FMG NEBULIZER TX	$45.00	$45.00	$5.93–$38.25	27% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BUDE NEBULIZER Tx	$45.00	$45.00	$5.93–$38.25	27% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BUDE NEBULIZER Tx	$45.00	$45.00	$24.75–$45.00	27% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL	$67.00	$67.00	$36.85–$67.00	9% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL	$67.00	$67.00	$36.85–$67.00	9% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT-INITIAL	$67.00	$67.00	$36.85–$67.00	9% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BUDE NEBULIZER Tx	$45.00	$45.00	$5.93–$38.25	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 FMG NEBULIZER TX	$45.00	$45.00	$5.93–$38.25	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT-INITIAL	$67.00	$67.00	$36.85–$67.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL	$67.00	$67.00	$36.85–$67.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB INITIAL	$67.00	$67.00	$36.85–$67.00	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 ST COMPREHENSIVE AUDIOLOGY	$408.00	$408.00	$119.23–$346.80	269% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 ST COMPREHENSIVE AUDIOLOGY	$408.00	$408.00	$119.23–$346.80	—	—
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-70 MIN	$625.00	$625.00	$218.98–$787.09	4% above	—
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74 MIN	$1,162.00	$1,162.00	$639.10–$929.60	93% above	—
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74 MIN	$1,162.00	$1,162.00	$206.62–$987.70	93% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-70 MIN	$625.00	$625.00	$218.98–$787.09	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74 MIN	$1,162.00	$1,162.00	$639.10–$929.60	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/O INTERPRETATION-FMG	$54.00	$54.00	$29.70–$45.90	31% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/O INTERPRETATION-FMG	$54.00	$54.00	$4.69–$45.90	31% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 BUDE EKG	$54.00	$54.00	$4.69–$45.90	31% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 BUDE EKG	$54.00	$54.00	$29.70–$45.90	31% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/O INTERPRETATION - SUB40	$54.00	$54.00	$29.70–$45.90	31% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/O INTERPRETATION	$115.00	$115.00	$45.26–$97.75	47% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/O INTERPRETATION-FMG	$54.00	$54.00	$4.69–$45.90	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 BUDE EKG	$54.00	$54.00	$4.69–$45.90	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/O INTERPRETATION - SUB40	$54.00	$54.00	$29.70–$45.90	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/O INTERPRETATION	$115.00	$115.00	$45.26–$97.75	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I	$95.00	$95.00	$12.11–$80.75	6% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I	$95.00	$95.00	$9.44–$80.75	6% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LV I	$123.00	$123.00	$67.10–$98.40	37% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LV I	$123.00	$123.00	$9.44–$104.55	37% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL I	$95.00	$95.00	$12.11–$80.75	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY ROOM LV I	$123.00	$123.00	$67.10–$98.40	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT PROF. - STRAIGHTFORWARD MDM	$120.00	$120.00	$44.47–$141.83	2% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT PROF. - STRAIGHTFORWARD MDM	$120.00	$120.00	$34.77–$141.83	2% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT - FACILITY, STRAIGHTFORWARD MDM	$223.00	$223.00	$34.77–$189.55	83% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT - FACILITY, STRAIGHTFORWARD MDM	$223.00	$223.00	$120.67–$178.40	83% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT PROF. - STRAIGHTFORWARD MDM	$120.00	$120.00	$34.77–$141.83	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT - FACILITY, STRAIGHTFORWARD MDM	$223.00	$223.00	$120.67–$178.40	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III	$207.00	$207.00	$58.83–$235.41	2% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III	$207.00	$207.00	$76.39–$235.41	2% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LV 3	$402.00	$402.00	$211.00–$321.60	99% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LV 3	$402.00	$402.00	$58.83–$341.70	99% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL III	$207.00	$207.00	$76.39–$235.41	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM LV 3	$402.00	$402.00	$211.00–$321.60	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV	$348.00	$348.00	$100.39–$381.04	20% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV	$348.00	$348.00	$130.07–$381.04	20% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LV 4	$665.00	$665.00	$324.49–$532.00	128% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LV 4	$665.00	$665.00	$100.39–$565.25	128% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV	$348.00	$348.00	$130.07–$381.04	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM LV 4	$665.00	$665.00	$324.49–$532.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V	$504.00	$504.00	$145.66–$556.44	2% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V	$504.00	$504.00	$188.76–$556.44	2% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LV 5	$976.00	$976.00	$467.20–$780.80	89% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LV 5	$976.00	$976.00	$145.66–$829.60	89% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL V	$504.00	$504.00	$188.76–$556.44	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM LV 5	$976.00	$976.00	$467.20–$780.80	—	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W PATIENT	$550.00	$550.00	$87.35–$467.50	175% above	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W PATIENT	$550.00	$550.00	$122.44–$467.50	175% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY W PATIENT	$550.00	$550.00	$122.44–$467.50	—	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY WO PATIENT	$500.00	$500.00	$122.44–$425.00	284% above	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY WO PATIENT	$500.00	$500.00	$83.77–$425.00	284% above	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY WO PATIENT	$500.00	$500.00	$122.44–$425.00	—	—
Group psychotherapy session CPT 90853 GROUP THERAPY	$300.00	$300.00	$70.49–$255.00	197% above	—
Group psychotherapy session CPT 90853 GROUP THERAPY	$300.00	$300.00	$23.09–$255.00	197% above	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY	$300.00	$300.00	$70.49–$255.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV FLUIDS, INITIAL HOUR	$80.00	$80.00	$44.00–$80.00	59% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV FLUIDS, INITIAL HOUR	$80.00	$80.00	$23.78–$68.00	59% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION	$200.00	$200.00	$110.00–$160.55	3% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYRDRATION INITIAL HR	$200.00	$200.00	$110.00–$170.00	3% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYRDRATION INITIAL HR	$200.00	$200.00	$23.78–$170.00	3% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION	$200.00	$200.00	$23.78–$170.00	3% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL	$224.00	$224.00	$23.78–$190.40	16% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL	$224.00	$224.00	$123.20–$190.40	16% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV FLUIDS, INITIAL HOUR	$80.00	$80.00	$23.78–$68.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION	$200.00	$200.00	$110.00–$160.55	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYRDRATION INITIAL HR	$200.00	$200.00	$110.00–$170.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL	$224.00	$224.00	$123.20–$190.40	—	—
IV infusion of a medicine, first hour CPT 96365 IVPB	$300.00	$300.00	$160.55–$255.00	34% above	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 16MIN - 1HR	$320.00	$320.00	$160.55–$256.00	43% above	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 16MIN - 1HR	$320.00	$320.00	$45.21–$272.00	43% above	—
IV infusion of a medicine, first hour CPT 96365 IVPB ADMINISTRATION, 1st HOUR	$368.00	$368.00	$160.55–$312.80	64% above	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL	$368.00	$368.00	$160.55–$312.80	64% above	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL	$368.00	$368.00	$45.21–$312.80	64% above	—
IV infusion of a medicine, first hour CPT 96365 IVPB UP TO 1 HR	$369.00	$369.00	$160.55–$313.65	64% above	—
IV infusion of a medicine, first hour CPT 96365 IVPB UP TO 1 HR	$369.00	$369.00	$45.21–$313.65	64% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IVPB	$300.00	$300.00	$160.55–$255.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 16MIN - 1HR	$320.00	$320.00	$160.55–$256.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IVPB ADMINISTRATION, 1st HOUR	$368.00	$368.00	$160.55–$312.80	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL	$368.00	$368.00	$160.55–$312.80	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IVPB UP TO 1 HR	$369.00	$369.00	$160.55–$313.65	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION	$51.00	$51.00	$28.05–$51.00	13% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION	$54.00	$54.00	$29.70–$54.00	8% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION	$54.00	$54.00	$11.38–$45.90	8% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SC INJECTION EACH	$55.00	$55.00	$30.25–$54.24	7% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ IM INJECTION	$55.00	$55.00	$30.25–$54.24	7% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION EACH	$55.00	$55.00	$30.25–$54.24	7% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ IM INJECTION	$55.00	$55.00	$11.38–$46.75	7% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SC INJECTION EACH	$55.00	$55.00	$11.38–$46.75	7% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION EACH	$55.00	$55.00	$11.38–$46.75	7% below	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION	$51.00	$51.00	$28.05–$51.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION	$54.00	$54.00	$11.38–$45.90	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBQ IM INJECTION	$55.00	$55.00	$30.25–$54.24	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SC INJECTION EACH	$55.00	$55.00	$30.25–$54.24	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION EACH	$55.00	$55.00	$30.25–$54.24	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH EVAL, DIAGNOSTIC	$210.00	$210.00	$115.50–$178.50	13% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH EVAL, DIAGNOSTIC	$210.00	$210.00	$136.50–$228.66	13% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH EVALUATION, PROFESSIONAL FEE	$247.00	$247.00	$122.44–$209.95	33% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH EVALUATION, PROFESSIONAL FEE	$247.00	$247.00	$150.82–$228.66	33% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX INTVW BIOPS EVAL	$275.00	$275.00	$150.82–$233.75	48% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX INTVW BIOPS EVAL	$275.00	$275.00	$122.44–$233.75	48% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH EVAL, DIAGNOSTIC	$210.00	$210.00	$136.50–$228.66	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH EVALUATION, PROFESSIONAL FEE	$247.00	$247.00	$122.44–$209.95	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX INTVW BIOPS EVAL	$275.00	$275.00	$122.44–$233.75	—	—
New patient office visit, about 30 minutes CPT 99203 OV NEW INTERMEDIATE	$144.00	$144.00	$67.27–$122.40	48% above	—
New patient office visit, about 30 minutes CPT 99203 OV NEW PATIENT, LOW LEVEL MDM or 30-44	$145.00	$145.00	$78.84–$123.25	49% above	—
New patient office visit, about 30 minutes CPT 99203 OV NEW PATIENT, LOW LEVEL MDM or 30-44	$145.00	$145.00	$67.27–$123.25	49% above	—
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3	$249.00	$249.00	$67.27–$211.65	156% above	—
New patient office visit, about 30 minutes CPT 99203 HBO NEW PT LEVEL 3	$282.00	$282.00	$67.27–$239.70	190% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 OV NEW INTERMEDIATE	$144.00	$144.00	$67.27–$122.40	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OV NEW PATIENT, LOW LEVEL MDM or 30-44	$145.00	$145.00	$78.84–$123.25	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3	$249.00	$249.00	$67.27–$211.65	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 HBO NEW PT LEVEL 3	$282.00	$282.00	$67.27–$239.70	—	—
New patient office visit, about 45 minutes CPT 99204 OV NEW PATIENT, MODERATE MDM or 45-59	$220.00	$220.00	$109.58–$187.00	54% above	—
New patient office visit, about 45 minutes CPT 99204 OV NEW PATIENT, MODERATE MDM or 45-59	$220.00	$220.00	$127.89–$187.00	54% above	—
New patient office visit, about 45 minutes CPT 99204 OV NEW MODERATE	$244.00	$244.00	$109.58–$207.40	70% above	—
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4	$321.00	$321.00	$109.58–$272.85	124% above	—
New patient office visit, about 45 minutes CPT 99204 HBO NEW PT LEVEL 4	$435.00	$435.00	$109.58–$369.75	204% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 OV NEW PATIENT, MODERATE MDM or 45-59	$220.00	$220.00	$127.89–$187.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OV NEW MODERATE	$244.00	$244.00	$109.58–$207.40	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4	$321.00	$321.00	$109.58–$272.85	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 HBO NEW PT LEVEL 4	$435.00	$435.00	$109.58–$369.75	—	—
New patient office visit, about 60 minutes CPT 99205 OV NEW PATIENT, HIGH LEVEL MDM or 60-74	$275.00	$275.00	$148.93–$233.75	55% above	—
New patient office visit, about 60 minutes CPT 99205 OV NEW PATIENT, HIGH LEVEL MDM or 60-74	$275.00	$275.00	$173.43–$233.75	55% above	—
New patient office visit, about 60 minutes CPT 99205 OV NEW COMPLEX	$314.00	$314.00	$148.93–$266.90	77% above	—
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5	$422.00	$422.00	$148.93–$358.70	138% above	—
New patient office visit, about 60 minutes CPT 99205 HBO NEW PT LEVEL 5	$542.00	$542.00	$148.93–$460.70	205% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 OV NEW PATIENT, HIGH LEVEL MDM or 60-74	$275.00	$275.00	$173.43–$233.75	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OV NEW COMPLEX	$314.00	$314.00	$148.93–$266.90	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5	$422.00	$422.00	$148.93–$358.70	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 HBO NEW PT LEVEL 5	$542.00	$542.00	$148.93–$460.70	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OV NEW LIMITED	$94.00	$94.00	$38.56–$79.90	38% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OV NEW PATIENT, STRAIGHTFORWARD OR 15-29	$100.00	$100.00	$46.22–$85.00	47% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OV NEW PATIENT, STRAIGHTFORWARD OR 15-29	$100.00	$100.00	$38.56–$85.00	47% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2	$187.00	$187.00	$38.56–$158.95	175% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HBO NEW PT LEVEL 2	$195.00	$195.00	$38.56–$165.75	187% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OV NEW LIMITED	$94.00	$94.00	$38.56–$79.90	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OV NEW PATIENT, STRAIGHTFORWARD OR 15-29	$100.00	$100.00	$46.22–$85.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LEVEL 2	$187.00	$187.00	$38.56–$158.95	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HBO NEW PT LEVEL 2	$195.00	$195.00	$38.56–$165.75	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 NEW PHYS 18-39	$170.00	$170.00	$104.69–$144.50	20% above	—
Preventive checkup, new patient aged 18–39 CPT 99385 ANN.WELLNESS/EPSDT AGE 18-39, NEW	$170.00	$170.00	$104.69–$144.50	20% above	—
Preventive checkup, new patient aged 18–39 CPT 99385 ANN.WELLNESS/EPSDT AGE 18-39, NEW	$170.00	$170.00	$93.50–$144.50	20% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 ANN.WELLNESS/EPSDT AGE 18-39, NEW	$170.00	$170.00	$104.69–$144.50	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PHYS 40-64	$195.00	$195.00	$121.04–$165.75	26% above	—
Preventive checkup, new patient aged 40–64 CPT 99386 ANN.WELLNESS/EPSDT AGE 40-64, NEW	$195.00	$195.00	$121.04–$165.75	26% above	—
Preventive checkup, new patient aged 40–64 CPT 99386 ANN.WELLNESS/EPSDT AGE 40-64, NEW	$195.00	$195.00	$107.25–$165.75	26% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 ANN.WELLNESS/EPSDT AGE 40-64, NEW	$195.00	$195.00	$121.04–$165.75	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 ANN.WELLNESS/EPSDT AGE 65>, NEW	$210.00	$210.00	$115.50–$178.50	35% above	—
Preventive checkup, new patient aged 65 or older CPT 99387 NEW PHYS 65>	$210.00	$210.00	$131.42–$178.50	35% above	—
Preventive checkup, new patient aged 65 or older CPT 99387 ANN.WELLNESS/EPSDT AGE 65>, NEW	$210.00	$210.00	$131.42–$178.50	35% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 ANN.WELLNESS/EPSDT AGE 65>, NEW	$210.00	$210.00	$131.42–$178.50	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 ANN.WELLNESS/EPSDT AGE 18-39, ESTAB.	$145.00	$145.00	$79.75–$123.25	32% above	—
Preventive checkup, returning patient aged 18–39 CPT 99395 ANN.WELLNESS/EPSDT AGE 18-39, ESTAB.	$145.00	$145.00	$94.55–$123.25	32% above	—
Preventive checkup, returning patient aged 18–39 CPT 99395 EST PHYS 18-39	$145.00	$145.00	$94.55–$123.25	32% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 ANN.WELLNESS/EPSDT AGE 18-39, ESTAB.	$145.00	$145.00	$94.55–$123.25	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 ANN.WELLNESS/EPSDT AGE 40-64, ESTAB.	$150.00	$150.00	$100.63–$127.50	24% above	—
Preventive checkup, returning patient aged 40–64 CPT 99396 ANN.WELLNESS/EPSDT AGE 40-64, ESTAB.	$150.00	$150.00	$82.50–$127.50	24% above	—
Preventive checkup, returning patient aged 40–64 CPT 99396 EST PHYS 40-64	$150.00	$150.00	$100.63–$127.50	24% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 ANN.WELLNESS/EPSDT AGE 40-64, ESTAB.	$150.00	$150.00	$100.63–$127.50	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PHYS 65>	$195.00	$195.00	$108.26–$165.75	35% above	—
Preventive checkup, returning patient aged 65 or older CPT 99397 ANN.WELLNESS/EPSDT AGE 65>, ESTAB.	$195.00	$195.00	$108.26–$165.75	35% above	—
Preventive checkup, returning patient aged 65 or older CPT 99397 ANN.WELLNESS/EPSDT AGE 65>, ESTAB.	$195.00	$195.00	$107.25–$165.75	35% above	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 ANN.WELLNESS/EPSDT AGE 65>, ESTAB.	$195.00	$195.00	$108.26–$165.75	—	—
Psychiatric evaluation with medical services CPT 90792 PSYCH EVAL, WITH MEDICAL SERVICES	$223.00	$223.00	$122.44–$189.55	at median	—
Psychiatric evaluation with medical services CPT 90792 PSYCH EVAL, WITH MEDICAL SERVICES	$223.00	$223.00	$144.95–$213.21	at median	—
Psychiatric evaluation with medical services CPT 90792 PSYCH EVAL w/ MEDICAL, PRO FEE	$276.00	$276.00	$168.54–$234.60	24% above	—
Psychiatric evaluation with medical services CPT 90792 PSYCH EVAL w/ MEDICAL, PRO FEE	$276.00	$276.00	$122.44–$234.60	24% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH EVAL, WITH MEDICAL SERVICES	$223.00	$223.00	$144.95–$213.21	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH EVAL w/ MEDICAL, PRO FEE	$276.00	$276.00	$122.44–$234.60	—	—
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THER 20-30 MIN	$250.00	$250.00	$65.39–$212.50	79% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY, 30 MINUTES	$250.00	$250.00	$122.44–$212.50	79% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY, 30 MINUTES	$250.00	$250.00	$65.39–$212.50	79% above	—
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30 MINUTES	$250.00	$250.00	$122.44–$212.50	79% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY 30 MINUTES	$250.00	$250.00	$122.44–$212.50	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY, 30 MINUTES	$250.00	$250.00	$122.44–$212.50	—	—
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY, 45 MINUTES	$164.00	$164.00	$86.43–$139.40	2% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY, 45 MINUTES	$164.00	$164.00	$90.20–$139.40	2% above	—
Psychotherapy session, 45 minutes CPT 90834 IND THERAPY 45-50 MINS	$375.00	$375.00	$86.43–$318.75	132% above	—
Psychotherapy session, 45 minutes CPT 90834 IND THERAPY 45-50 MINS	$375.00	$375.00	$122.44–$318.75	132% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY, 45 MINUTES	$164.00	$164.00	$90.20–$139.40	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 IND THERAPY 45-50 MINS	$375.00	$375.00	$122.44–$318.75	—	—
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, 60 MINUTES	$246.00	$246.00	$127.25–$209.10	95% above	—
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, 60 MINUTES	$246.00	$246.00	$122.44–$209.10	95% above	—
Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY 60 MINUTES	$400.00	$400.00	$122.44–$340.00	217% above	—
Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY 60 MINUTES	$400.00	$400.00	$127.25–$340.00	217% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY, 60 MINUTES	$246.00	$246.00	$122.44–$209.10	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL THERAPY 60 MINUTES	$400.00	$400.00	$122.44–$340.00	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CESSATION 3-10 MINUTE	$60.00	$60.00	$11.66–$51.00	83% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CESSATION 3-10 MINUTE - SUB95	$60.00	$60.00	$13.53–$51.00	83% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CESSATION 3-10 MINUTE	$75.00	$75.00	$13.53–$63.75	128% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO CESSATION 3-10 MINUTE	$60.00	$60.00	$11.66–$51.00	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OV ESTB., HIGH LEVEL MDM or 40-54 MIN.	$195.00	$195.00	$107.25–$165.75	51% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OV ESTB., HIGH LEVEL MDM or 40-54 MIN.	$195.00	$195.00	$137.91–$177.79	51% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT LEVEL 4	$321.00	$321.00	$117.95–$272.85	148% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HBO EST PT LEVEL 4	$380.00	$380.00	$117.95–$323.00	194% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV ESTB., HIGH LEVEL MDM or 40-54 MIN.	$195.00	$195.00	$137.91–$177.79	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT LEVEL 4	$321.00	$321.00	$117.95–$272.85	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HBO EST PT LEVEL 4	$380.00	$380.00	$117.95–$323.00	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV ESTB INTERMEDIATE	$94.00	$94.00	$51.70–$79.90	15% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 AOP LEVEL 3 PROFEE	$94.00	$94.00	$54.22–$79.90	15% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 AOP LEVEL 3 PROFEE	$94.00	$94.00	$63.34–$87.63	15% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV ESTB., LOW LEVEL MDM or 20-29 MIN.	$95.00	$95.00	$52.25–$80.75	16% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV ESTB., LOW LEVEL MDM or 20-29 MIN.	$95.00	$95.00	$63.34–$87.63	16% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HBO EST PT LEVEL 2	$187.00	$187.00	$54.22–$158.95	129% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT LEVEL 2	$187.00	$187.00	$54.22–$158.95	129% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 AOP LEVEL 3 PROFEE	$94.00	$94.00	$54.22–$79.90	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV ESTB INTERMEDIATE	$94.00	$94.00	$51.70–$79.90	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV ESTB., LOW LEVEL MDM or 20-29 MIN.	$95.00	$95.00	$63.34–$87.63	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT LEVEL 2	$187.00	$187.00	$54.22–$158.95	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HBO EST PT LEVEL 2	$187.00	$187.00	$54.22–$158.95	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV ESTB., MOD. LEVEL MDM or 30-39 MIN.	$140.00	$140.00	$77.00–$119.00	40% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV ESTB., MOD. LEVEL MDM or 30-39 MIN.	$140.00	$140.00	$93.12–$125.10	40% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV ESTB COMPLEX	$202.00	$202.00	$79.84–$171.70	103% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV ESTB COMPLEX	$202.00	$202.00	$93.12–$171.70	103% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT LEVEL 3	$249.00	$249.00	$79.84–$211.65	150% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HBO EST PT LEVEL 3	$280.00	$280.00	$79.84–$238.00	181% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OV ESTB., MOD. LEVEL MDM or 30-39 MIN.	$140.00	$140.00	$93.12–$125.10	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OV ESTB COMPLEX	$202.00	$202.00	$79.84–$171.70	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT LEVEL 3	$249.00	$249.00	$79.84–$211.65	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HBO EST PT LEVEL 3	$280.00	$280.00	$79.84–$238.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OV ESTB LIMITED	$48.00	$48.00	$26.40–$45.00	33% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OV ESTB., STRAIGTHFORW MDM or 10-19 MIN.	$60.00	$60.00	$28.94–$51.00	16% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OV ESTB., STRAIGTHFORW MDM or 10-19 MIN.	$60.00	$60.00	$34.30–$54.19	16% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HBO EST PT LEVEL 1	$112.00	$112.00	$28.94–$95.20	57% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 AOP LEVEL 2 PROFEE	$112.00	$112.00	$28.94–$95.20	57% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT LEVEL 1	$187.00	$187.00	$28.94–$158.95	162% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OV ESTB LIMITED	$48.00	$48.00	$26.40–$45.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OV ESTB., STRAIGTHFORW MDM or 10-19 MIN.	$60.00	$60.00	$34.30–$54.19	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HBO EST PT LEVEL 1	$112.00	$112.00	$28.94–$95.20	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 AOP LEVEL 2 PROFEE	$112.00	$112.00	$28.94–$95.20	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENT LEVEL 1	$187.00	$187.00	$28.94–$158.95	—	—
Spirometry (breathing test) CPT 94010 SPIROMETRY	$54.00	$54.00	$29.70–$54.00	57% below	—
Spirometry (breathing test) CPT 94010 SPIROMETRY	$54.00	$54.00	$21.02–$45.90	57% below	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$54.00	$54.00	$29.70–$54.00	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$105.00	$105.00	$57.75–$98.23	4% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$105.00	$105.00	$57.75–$98.23	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE 0.5ML	$357.00	$357.00	$115.16–$303.45	135% above	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX (VARICELLA VAC) LIVE 0.5ML CLIN	$608.12	$608.12	$115.16–$516.90	300% above	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX (VARICELLA VAC) LIVE 0.5ML CLIN	$608.12	$608.12	$115.16–$516.90	300% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE 0.5ML	$357.00	$357.00	$115.16–$303.45	—	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX (VARICELLA VAC) LIVE 0.5ML CLIN	$608.12	$608.12	$115.16–$516.90	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE, FLUZONE QUAD 2025-2026	$74.48	$74.48	$15.67–$63.31	27% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE, FLUZONE QUAD 2025-26 CLIN	$74.48	$74.48	$15.67–$63.31	27% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE, FLUZONE QUAD 2025-26 CLIN	$74.48	$74.48	$15.67–$63.31	27% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE, FLUZONE QUAD 2025-26 CLIN	$74.48	$74.48	$15.67–$63.31	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE, FLUZONE QUAD 2025-2026	$74.48	$74.48	$15.67–$63.31	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 (HPV9) 0.5ML CLINIC	$1,056.12	$1,056.12	$227.93–$897.70	523% above	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 (HPV9) 0.5ML CLINIC	$1,056.12	$1,056.12	$227.93–$897.70	523% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 (HPV9) 0.5ML CLINIC	$1,056.12	$1,056.12	$227.93–$897.70	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE, HIGH-DOSE 2025-26 CLIN	$269.36	$269.36	$49.03–$228.96	506% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE, HIGH-DOSE 2025-26 CLIN	$269.36	$269.36	$49.03–$228.96	506% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE, 65+ HIGH-DOSE 2025-2026	$269.36	$269.36	$49.03–$228.96	506% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE, HIGH-DOSE 2025-26 CLIN	$269.36	$269.36	$49.03–$228.96	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE, 65+ HIGH-DOSE 2025-2026	$269.36	$269.36	$49.03–$228.96	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II (MMR) 0.5ML CLINIC	$346.16	$346.16	$67.03–$294.24	228% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II (MMR) 0.5ML CLINIC	$346.16	$346.16	$67.03–$294.24	228% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II (MMR) 0.5ML CLINIC	$346.16	$346.16	$67.03–$294.24	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO (MENINGOCOCCAL MCV40) CLINIC	$595.44	$595.44	$134.01–$506.12	174% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO (MENINGOCOCCAL MCV40) CLINIC	$595.44	$595.44	$134.01–$506.12	174% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO (MENINGOCOCCAL MCV40) CLINIC	$595.44	$595.44	$134.01–$506.12	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO (MENINGOCOCCAL B OMV) CLINIC	$813.32	$813.32	$179.25–$691.32	143% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO (MENINGOCOCCAL B OMV) CLINIC	$813.32	$813.32	$179.25–$691.32	143% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO (MENINGOCOCCAL B OMV) CLINIC	$813.32	$813.32	$179.25–$691.32	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 (PCV 20) 0.5ML SYRINGE	$1,022.40	$1,022.40	$562.32–$869.04	127% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 (PCV 20) 0.5ML SYRINGE	$1,022.40	$1,022.40	$283.72–$869.04	127% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 (PCV20) 0.5ML SYRN	$1,033.56	$1,033.56	$568.46–$878.53	130% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR-20 (PCV 20) 0.5ML SYRINGE	$1,022.40	$1,022.40	$283.72–$869.04	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR-20 (PCV20) 0.5ML SYRN	$1,033.56	$1,033.56	$568.46–$878.53	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 CLINIC 25 MCG INJ	$374.00	$374.00	$86.71–$317.90	100% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE 23 25MCG/0.5ML SYR	$374.00	$374.00	$86.71–$317.90	100% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 CLINIC 25 MCG INJ	$374.00	$374.00	$86.71–$317.90	100% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE 23 25MCG/0.5ML SYR	$374.00	$374.00	$86.71–$317.90	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 CLINIC 25 MCG INJ	$374.00	$374.00	$86.71–$317.90	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPH TOX ADULT INJ CLINIC	$108.00	$108.00	$32.27–$91.80	44% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPH TOX ADULT INJ CLINIC	$108.00	$108.00	$27.78–$91.80	44% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPH TOX (Td) ADULT INJ	$130.00	$130.00	$32.27–$110.50	73% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPH TOX ADULT INJ CLINIC	$108.00	$108.00	$27.78–$91.80	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPH TOX (Td) ADULT INJ	$130.00	$130.00	$32.27–$110.50	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPTH/PERTUSSIS TDAP INJ CLINI	$126.00	$126.00	$48.33–$107.10	32% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPTH/PERTUSSIS TDAP INJ CLINI	$126.00	$126.00	$37.50–$107.10	32% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPTH/PERTUSSIS (TDaP) INJ	$149.80	$149.80	$48.33–$127.33	57% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPTH/PERTUSSIS TDAP INJ CLINI	$126.00	$126.00	$37.50–$107.10	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPTH/PERTUSSIS (TDaP) INJ	$149.80	$149.80	$48.33–$127.33	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN OBS	$55.00	$55.00	$16.25–$46.75	15% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION, FIRST	$55.00	$55.00	$16.25–$46.75	15% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN OBS	$55.00	$55.00	$30.00–$54.24	15% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN 1 VACCINE	$55.00	$55.00	$16.25–$46.75	15% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION, FIRST	$55.00	$55.00	$30.00–$54.24	15% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRAT IMMUNIZATION	$55.00	$55.00	$16.25–$46.75	15% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRAT IMMUNIZATION	$55.00	$55.00	$30.00–$54.24	15% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN 1 VACCINE	$55.00	$55.00	$30.00–$54.24	15% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRAT IMMUNIZATION	$55.00	$55.00	$30.00–$54.24	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION, FIRST	$55.00	$55.00	$16.25–$46.75	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN OBS	$55.00	$55.00	$30.00–$54.24	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZ ADMIN 1 VACCINE	$55.00	$55.00	$30.00–$54.24	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMINISTRATION, EA ADDITIONAL VA	$25.00	$25.00	$13.75–$21.25	17% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMINISTRATION, EA ADDITIONAL VA	$25.00	$25.00	$11.77–$21.25	17% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION, EA ADDITIONAL	$30.00	$30.00	$16.50–$25.50	1% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDL	$30.00	$30.00	$16.50–$25.50	1% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION, EA ADDITIONAL	$30.00	$30.00	$11.77–$25.50	1% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDL	$30.00	$30.00	$11.77–$25.50	1% below	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMINISTRATION, EA ADDITIONAL VA	$25.00	$25.00	$11.77–$21.25	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZ ADMIN EA ADDL	$30.00	$30.00	$16.50–$25.50	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION, EA ADDITIONAL	$30.00	$30.00	$16.50–$25.50	—	—

Dental

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Dental implant, surgical placement CDT D6010 DENTAL IMPLANT 1st PHASE	$550.00	$550.00	$302.50–$467.50	—	—
Dental implant, surgical placement CDT D6010 IMPLANT SURGEON FEE	$572.00	$572.00	$371.80–$486.20	—	—
Dental implant, surgical placement inpatient CDT D6010 DENTAL IMPLANT 1st PHASE	$550.00	$550.00	$302.50–$467.50	—	—
Dental implant, surgical placement inpatient CDT D6010 IMPLANT SURGEON FEE	$572.00	$572.00	$371.80–$486.20	—	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 SURGICAL EXTRACTION, FB, subsequent	$164.00	$164.00	$90.20–$164.00	36% below	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 SURGICAL EXTRACTION, FULL BONY	$270.00	$270.00	$175.50–$270.00	6% above	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 SURGICAL EXTRACTION, FB, subsequent	$164.00	$164.00	$90.20–$164.00	—	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 SURGICAL EXTRACTION, FULL BONY	$270.00	$270.00	$175.50–$270.00	—	—
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 ROOT CANAL, MOLAR	$595.00	$595.00	$386.75–$595.00	at median	—
Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 ROOT CANAL, MOLAR	$595.00	$595.00	$386.75–$595.00	—	—
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION, NON SURGICAL	$105.00	$105.00	$68.25–$105.00	98% below	—
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 ELEVATED EXTRACTION, subsequent	$284.00	$284.00	$156.20–$284.00	94% below	—
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 EXTRACTION, NON SURGICAL	$105.00	$105.00	$68.25–$105.00	—	—
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 ELEVATED EXTRACTION, subsequent	$284.00	$284.00	$156.20–$284.00	—	—

Source file: https://www.fcmh.net/price-transparency/646001390_franklin-county-memorial-hospital_standardcharges.csv