Hospital

Baxter Health Fulton County Hospital

Baxter Health Fulton County Hospital in Salem, AR publishes cash prices for 273 common procedures listed here, from its own machine-readable price file updated Jun 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arkansas median for 151 of 270 procedures and above it for 114. By typical cash price it ranks #24 of 57 Arkansas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

679 N Main Street, Salem, AR, 725769998 Collected Sep 27, 2026 Source price file Check a bill from this hospital (870) 895-2691

Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 041322 · CMS hospital register NPI 1376391177

Financial assistance

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W & W/O CONTRAST	$1,148.78	$1,641.12	$174.94–$886.20	15% above	30%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W & W/O CONTRAST	$1,148.78	$1,641.12	$174.94–$886.20	—	30%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN FLAT UPRIGHT	$133.71	$191.02	$24.26–$107.60	1% below	30%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN FLAT UPRIGHT	$133.71	$191.02	$24.26–$107.60	—	30%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE BILATERAL 3 VIEWS	$93.46	$133.51	$18.00–$76.62	—	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLT MIN 3 VIEWS LT	$79.46	$113.51	$18.00–$76.62	40% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLT MIN 3 VIEWS LT,LEFT SIDE	$93.46	$133.51	$18.00–$76.62	29% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLT MIN 3 VIEWS RT,RIGHT SIDE	$93.46	$133.51	$18.00–$76.62	29% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLT MIN 3 VIEWS RT	$93.46	$133.51	$18.00–$76.62	29% below	30%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR ANKLE BILATERAL 3 VIEWS	$93.46	$133.51	$18.00–$76.62	—	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMPLT MIN 3 VIEWS LT	$79.46	$113.51	$18.00–$76.62	—	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMPLT MIN 3 VIEWS RT,RIGHT SIDE	$93.46	$133.51	$18.00–$76.62	—	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMPLT MIN 3 VIEWS LT,LEFT SIDE	$93.46	$133.51	$18.00–$76.62	—	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMPLT MIN 3 VIEWS RT	$93.46	$133.51	$18.00–$76.62	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE-BRACHIAL	$171.12	$244.45	$27.30–$132.00	1% above	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE-BRACHIAL	$171.12	$244.45	$27.30–$132.00	—	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT RT W/O CONT	$801.22	$1,144.60	$107.60–$618.08	25% above	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT WO CONTRAST LT,LEFT SIDE	$801.22	$1,144.60	$107.60–$618.08	25% above	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT WO CONTRAST LT	$801.22	$1,144.60	$107.60–$618.08	25% above	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT RT W/O CONT,RIGHT SIDE	$801.22	$1,144.60	$107.60–$618.08	25% above	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT RT W/O CONT	$801.22	$1,144.60	$107.60–$618.08	—	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT WO CONTRAST LT,LEFT SIDE	$801.22	$1,144.60	$107.60–$618.08	—	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT RT W/O CONT,RIGHT SIDE	$801.22	$1,144.60	$107.60–$618.08	—	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT WO CONTRAST LT	$801.22	$1,144.60	$107.60–$618.08	—	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD AND PELVIS W CONTRAST	$1,527.75	$2,182.50	$366.59–$1,178.55	23% above	30%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD AND PELVIS W CONTRAST	$1,527.75	$2,182.50	$366.59–$1,178.55	—	30%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/CON	$1,421.64	$2,030.92	$174.94–$1,096.70	43% above	30%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/CON	$1,421.64	$2,030.92	$174.94–$1,096.70	—	30%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W/CONTRAST	$1,052.11	$1,503.02	$174.94–$811.63	25% above	30%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/CONTRAST	$1,052.11	$1,503.02	$174.94–$811.63	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA PULMONARY ANGIOGRAM	$1,052.11	$1,503.02	$174.94–$811.63	51% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$1,052.11	$1,503.02	$174.94–$811.63	51% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA PULMONARY ANGIOGRAM	$1,052.11	$1,503.02	$174.94–$811.63	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$1,052.11	$1,503.02	$174.94–$811.63	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/ PELVIS WO	$1,017.91	$1,454.16	$108.30–$785.25	at median	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/ PELVIS WO	$1,017.91	$1,454.16	$108.30–$785.25	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST	$1,148.78	$1,641.12	$206.27–$886.20	19% below	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST	$1,148.78	$1,641.12	$206.27–$886.20	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT CHEST ABD/PELVIS W/WO	$959.79	$1,371.13	$272.95–$740.41	40% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W & WO CONTRAST	$1,423.80	$2,034.00	$272.95–$1,098.36	11% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT CHEST ABD/PELVIS W/WO	$959.79	$1,371.13	$272.95–$740.41	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W & WO CONTRAST	$1,423.80	$2,034.00	$272.95–$1,098.36	—	30%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$1,146.32	$1,637.60	$174.94–$884.30	24% above	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$1,146.32	$1,637.60	$174.94–$884.30	—	30%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$1,017.91	$1,454.16	$107.60–$785.25	68% above	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$1,017.91	$1,454.16	$107.60–$785.25	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL/SINUS W/O CONTRAST	$801.22	$1,144.60	$107.60–$618.08	15% above	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT PARANASAL SINUS W/O CONTRAST	$801.35	$1,144.79	$107.60–$618.19	15% above	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL/SINUS W/O CONTRAST	$801.22	$1,144.60	$107.60–$618.08	—	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT PARANASAL SINUS W/O CONTRAST	$801.35	$1,144.79	$107.60–$618.19	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST	$801.22	$1,144.60	$107.60–$618.08	22% above	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST	$801.22	$1,144.60	$107.60–$618.08	—	30%
CT scan of the head with contrast CPT 70460 CT HEAD BRAIN W CONTRAST	$855.33	$1,221.90	$174.94–$659.83	2% below	30%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD BRAIN W CONTRAST	$855.33	$1,221.90	$174.94–$659.83	—	30%
CT scan of the head without and with contrast CPT 70470 CT HEAD BRAIN W AND WO CONTRAST	$929.78	$1,328.25	$174.94–$717.26	3% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD BRAIN W AND WO CONTRAST	$929.78	$1,328.25	$174.94–$717.26	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$801.35	$1,144.79	$107.60–$618.19	10% above	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$801.35	$1,144.79	$107.60–$618.19	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$801.22	$1,144.60	$107.60–$618.08	19% above	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$801.22	$1,144.60	$107.60–$618.08	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$1,146.32	$1,637.60	$174.94–$884.30	34% above	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$1,146.32	$1,637.60	$174.94–$884.30	—	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID ARTERIES BILATERAL	$540.90	$772.71	$70.00–$417.26	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID ARTERIES BILATERAL	$540.90	$772.71	$70.00–$417.26	—	30%
Chest CT scan without and with contrast CPT 71270 CT CHEST W AND WO CONTRAST	$931.00	$1,330.00	$174.94–$718.20	3% above	30%
Chest CT scan without and with contrast CPT 71270 CT CHEST ABD/PELVIS W/WO	$959.79	$1,371.13	$174.94–$740.41	6% above	30%
Chest CT scan without and with contrast CPT 71270 CT ABDOMEN/PELVIS W & WO CONTRAST	$1,184.32	$1,691.88	$174.94–$913.62	31% above	30%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W AND WO CONTRAST	$931.00	$1,330.00	$174.94–$718.20	—	30%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST ABD/PELVIS W/WO	$959.79	$1,371.13	$174.94–$740.41	—	30%
Chest CT scan without and with contrast inpatient CPT 71270 CT ABDOMEN/PELVIS W & WO CONTRAST	$1,184.32	$1,691.88	$174.94–$913.62	—	30%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW	$142.80	$204.00	$21.87–$110.16	at median	30%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEW	$142.80	$204.00	$21.87–$110.16	—	30%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$130.90	$187.00	$11.86–$100.98	18% above	30%
Chest X-ray, single view CPT 71045 XR CHEST PORTABLE	$130.90	$187.00	$11.86–$100.98	18% above	30%
Chest X-ray, single view inpatient CPT 71045 XR CHEST PORTABLE	$130.90	$187.00	$11.86–$100.98	—	30%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$130.90	$187.00	$11.86–$100.98	—	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LT	$70.24	$100.34	$15.00–$76.62	34% below	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LT,LEFT SIDE	$77.24	$110.34	$15.00–$76.62	28% below	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RT	$77.24	$110.34	$15.00–$76.62	28% below	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RT,RIGHT SIDE	$77.24	$110.34	$15.00–$76.62	28% below	30%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE LT	$70.24	$100.34	$15.00–$76.62	—	30%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE LT,LEFT SIDE	$77.24	$110.34	$15.00–$76.62	—	30%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE RT	$77.24	$110.34	$15.00–$76.62	—	30%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE RT,RIGHT SIDE	$77.24	$110.34	$15.00–$76.62	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMPLETE	$149.95	$214.22	$44.00–$115.68	54% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL COMPLETE	$149.95	$214.22	$44.00–$115.68	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST THORAX WO CONTRAST	$801.22	$1,144.60	$107.60–$618.08	33% above	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST THORAX WO CONTRAST	$801.22	$1,144.60	$107.60–$618.08	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$861.83	$1,231.18	$174.94–$664.84	11% above	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST	$861.83	$1,231.18	$174.94–$664.84	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DUPLEX SCAN LOWER EXTREM ART BILAT	$377.97	$539.95	$73.00–$291.57	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DUPLEX SCAN LOWER EXTREM ART BILAT	$377.97	$539.95	$73.00–$291.57	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LOWER VENOUS BILATERAL	$377.97	$539.95	$42.00–$291.57	—	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VEIN MAPPING FOR WOUND CARE	$377.97	$539.95	$42.00–$291.57	23% below	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LOWER VENOUS BILATERAL	$377.97	$539.95	$42.00–$291.57	—	30%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEIN MAPPING FOR WOUND CARE	$377.97	$539.95	$42.00–$291.57	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE	$1,085.00	$1,550.00	$257.51–$837.00	8% above	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE	$1,085.00	$1,550.00	$257.51–$837.00	—	30%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT,LEFT SIDE	$83.42	$119.17	$18.00–$76.62	9% below	30%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT	$83.42	$119.17	$18.00–$76.62	9% below	30%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT	$83.42	$119.17	$18.00–$76.62	9% below	30%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT,RIGHT SIDE	$83.42	$119.17	$18.00–$76.62	9% below	30%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS RT,RIGHT SIDE	$83.42	$119.17	$18.00–$76.62	—	30%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS LT,LEFT SIDE	$83.42	$119.17	$18.00–$76.62	—	30%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS RT	$83.42	$119.17	$18.00–$76.62	—	30%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS LT	$83.42	$119.17	$18.00–$76.62	—	30%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR ELBOW BILATERAL 3 VIEWS	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR ELBOW BILATERAL 4 VIEWS	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW LEFT 4 VIEWS	$105.43	$150.62	$19.00–$81.33	2% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW RIGHT 4 VIEWS	$105.43	$150.62	$19.00–$81.33	2% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW LEFT 3 VIEWS,LEFT SIDE	$105.43	$150.62	$19.00–$81.33	2% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW LEFT 3 VIEWS	$105.43	$150.62	$19.00–$81.33	2% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW RIGHT 3 VIEWS,RIGHT SIDE	$105.43	$150.62	$19.00–$81.33	2% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW RIGHT 3 VIEWS	$105.43	$150.62	$19.00–$81.33	2% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW LEFT 4 VIEWS,LEFT SIDE	$105.43	$150.62	$19.00–$81.33	2% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW RIGHT 4 VIEWS,RIGHT SIDE	$105.43	$150.62	$19.00–$81.33	2% below	30%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XR ELBOW BILATERAL 3 VIEWS	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XR ELBOW BILATERAL 4 VIEWS	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW LEFT 4 VIEWS,LEFT SIDE	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW LEFT 3 VIEWS	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW LEFT 3 VIEWS,LEFT SIDE	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW RIGHT 4 VIEWS,RIGHT SIDE	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW LEFT 4 VIEWS	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW RIGHT 4 VIEWS	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW RIGHT 3 VIEWS	$105.43	$150.62	$19.00–$81.33	—	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW RIGHT 3 VIEWS,RIGHT SIDE	$105.43	$150.62	$19.00–$81.33	—	30%
Eye socket (orbit) CT scan without contrast both sides CPT 70480 CT TEMPORAL BONE BILATERAL	$826.00	$1,180.00	$107.60–$637.20	—	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS WO CONTRAST	$801.22	$1,144.60	$107.60–$618.08	16% above	30%
Eye socket (orbit) CT scan without contrast inpatient both sides CPT 70480 CT TEMPORAL BONE BILATERAL	$826.00	$1,180.00	$107.60–$637.20	—	30%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS WO CONTRAST	$801.22	$1,144.60	$107.60–$618.08	—	30%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR FOREARM BILATERAL	$87.81	$125.44	$19.00–$76.62	—	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT	$92.20	$131.71	$19.00–$76.62	14% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT,LEFT SIDE	$92.20	$131.71	$19.00–$76.62	14% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT,RIGHT SIDE	$92.20	$131.71	$19.00–$76.62	14% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT	$92.20	$131.71	$19.00–$76.62	14% below	30%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR FOREARM BILATERAL	$87.81	$125.44	$19.00–$76.62	—	30%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS LT	$92.20	$131.71	$19.00–$76.62	—	30%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS RT,RIGHT SIDE	$92.20	$131.71	$19.00–$76.62	—	30%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS RT	$92.20	$131.71	$19.00–$76.62	—	30%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS LT,LEFT SIDE	$92.20	$131.71	$19.00–$76.62	—	30%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR CALCANEUS BILATERAL 2 V	$92.20	$131.71	$13.00–$76.62	—	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 VIEWS LT	$92.20	$131.71	$13.00–$76.62	8% below	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 VIEWS LT,LEFT SIDE	$92.20	$131.71	$13.00–$76.62	8% below	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 VIEWS RT	$92.20	$131.71	$13.00–$76.62	8% below	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 VIEWS RT,RIGHT SIDE	$92.20	$131.71	$13.00–$76.62	8% below	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 XR CALCANEUS BILATERAL 2 V	$92.20	$131.71	$13.00–$76.62	—	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2 VIEWS RT,RIGHT SIDE	$92.20	$131.71	$13.00–$76.62	—	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2 VIEWS LT,LEFT SIDE	$92.20	$131.71	$13.00–$76.62	—	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2 VIEWS RT	$92.20	$131.71	$13.00–$76.62	—	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2 VIEWS LT	$92.20	$131.71	$13.00–$76.62	—	30%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT	$129.34	$184.77	$35.00–$99.78	at median	30%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT,RIGHT SIDE	$129.34	$184.77	$35.00–$99.78	at median	30%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$129.34	$184.77	$35.00–$99.78	at median	30%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT,LEFT SIDE	$129.34	$184.77	$35.00–$99.78	at median	30%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LEFT	$129.34	$184.77	$35.00–$99.78	—	30%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RIGHT,RIGHT SIDE	$129.34	$184.77	$35.00–$99.78	—	30%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LEFT,LEFT SIDE	$129.34	$184.77	$35.00–$99.78	—	30%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$129.34	$184.77	$35.00–$99.78	—	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 VIEWS LT	$144.70	$206.72	$37.00–$111.63	at median	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 VIEWS LT,LEFT SIDE	$144.70	$206.72	$37.00–$111.63	at median	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 VIEWS RT	$144.70	$206.72	$37.00–$111.63	at median	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 VIEWS RT,RIGHT SIDE	$144.70	$206.72	$37.00–$111.63	at median	30%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE 4 VIEWS RT,RIGHT SIDE	$144.70	$206.72	$37.00–$111.63	—	30%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE 4 VIEWS LT,LEFT SIDE	$144.70	$206.72	$37.00–$111.63	—	30%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE 4 VIEWS LT	$144.70	$206.72	$37.00–$111.63	—	30%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE 4 VIEWS RT	$144.70	$206.72	$37.00–$111.63	—	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT LT W/O CONT,LEFT SIDE	$801.22	$1,144.60	$107.60–$618.08	32% above	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT RT W/O CONT	$801.22	$1,144.60	$107.60–$618.08	32% above	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT RT W/O CONT,RIGHT SIDE	$801.22	$1,144.60	$107.60–$618.08	32% above	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT LT W/O CONT	$801.22	$1,144.60	$107.60–$618.08	32% above	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT LT W/O CONT	$801.22	$1,144.60	$107.60–$618.08	—	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT RT W/O CONT,RIGHT SIDE	$801.22	$1,144.60	$107.60–$618.08	—	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT RT W/O CONT	$801.22	$1,144.60	$107.60–$618.08	—	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT LT W/O CONT,LEFT SIDE	$801.22	$1,144.60	$107.60–$618.08	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABD	$129.91	$185.59	$20.00–$107.60	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$129.91	$185.59	$20.00–$107.60	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE BACK	$129.91	$185.59	$20.00–$107.60	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$129.91	$185.59	$20.00–$107.60	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$129.91	$185.59	$20.00–$107.60	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$129.91	$185.59	$20.00–$107.60	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$129.91	$185.59	$20.00–$107.60	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE ABD	$129.91	$185.59	$20.00–$107.60	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN	$129.91	$185.59	$20.00–$107.60	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE BACK	$129.91	$185.59	$20.00–$107.60	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$129.91	$185.59	$20.00–$107.60	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS	$129.91	$185.59	$20.00–$107.60	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$129.91	$185.59	$20.00–$107.60	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$129.91	$185.59	$20.00–$107.60	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG	$152.01	$217.15	$78.83–$117.26	45% below	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG	$152.01	$217.15	$78.83–$117.26	—	30%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBIA FIBULA BIL	$105.43	$150.62	$25.00–$81.33	6% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA 2 VIEWS RT	$105.43	$150.62	$25.00–$81.33	6% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA 2 VIEWS RT,RIGHT SIDE	$105.43	$150.62	$25.00–$81.33	6% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA 2 VIEWS LT	$105.43	$150.62	$25.00–$81.33	6% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA 2 VIEWS LT,LEFT SIDE	$105.43	$150.62	$25.00–$81.33	6% below	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIBIA FIBULA BIL	$105.43	$150.62	$25.00–$81.33	—	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA 2 VIEWS RT	$105.43	$150.62	$25.00–$81.33	—	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA 2 VIEWS RT,RIGHT SIDE	$105.43	$150.62	$25.00–$81.33	—	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA 2 VIEWS LT	$105.43	$150.62	$25.00–$81.33	—	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA 2 VIEWS LT,LEFT SIDE	$105.43	$150.62	$25.00–$81.33	—	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CERVICAL SPINE COMPLETE VIEW	$87.06	$124.37	$32.00–$107.60	48% below	30%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR CERVICAL SPINE COMPLETE VIEW	$87.06	$124.37	$32.00–$107.60	—	30%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK WITH CONTRAST	$929.78	$1,328.25	$174.94–$717.26	16% above	30%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK WITH CONTRAST	$929.78	$1,328.25	$174.94–$717.26	—	30%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO CONTRAST	$801.22	$1,144.60	$107.60–$618.08	33% above	30%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO CONTRAST	$801.22	$1,144.60	$107.60–$618.08	—	30%
Neck soft tissue X-ray both sides CPT 70360 XR NECK SOFT TISSUE BILAT	$77.24	$110.34	$10.00–$76.62	—	30%
Neck soft tissue X-ray inpatient both sides CPT 70360 XR NECK SOFT TISSUE BILAT	$77.24	$110.34	$10.00–$76.62	—	30%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$1,017.91	$1,454.16	$107.60–$785.25	57% above	30%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$1,017.91	$1,454.16	$107.60–$785.25	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED	$149.21	$213.16	$24.00–$115.11	4% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIMITED	$149.21	$213.16	$24.00–$115.11	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS (NON-OBSTETRICAL)	$135.00	$192.86	$40.00–$107.60	53% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS (NON-OBSTETRICAL)	$135.00	$192.86	$40.00–$107.60	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB </= 14 WEEKS GESTATION	$177.14	$253.05	$42.75–$136.65	21% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB </= 14 WEEKS GESTATION	$177.14	$253.05	$42.75–$136.65	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OF THE PELVIS OBSTETRICAL-DIAGNOSTIC	$97.39	$139.13	$26.00–$107.60	37% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1ST TRANSABDOMINAL FOLLOW-UP	$97.39	$139.13	$26.00–$107.60	37% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITIED	$97.39	$139.13	$26.00–$107.60	37% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB >/= 14 WEEKS GESTATION	$97.39	$139.13	$26.00–$107.60	37% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1ST TRANSABDOMINAL FOLLOW-UP	$97.39	$139.13	$26.00–$107.60	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OF THE PELVIS OBSTETRICAL-DIAGNOSTIC	$97.39	$139.13	$26.00–$107.60	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITIED	$97.39	$139.13	$26.00–$107.60	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB >/= 14 WEEKS GESTATION	$97.39	$139.13	$26.00–$107.60	—	30%
Rib X-ray, one side, 2 views CPT 71100 XR RIBS 2 VIEWS	$60.06	$85.80	$17.00–$76.62	44% below	30%
Rib X-ray, one side, 2 views inpatient CPT 71100 XR RIBS 2 VIEWS	$60.06	$85.80	$17.00–$76.62	—	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT LT,LEFT SIDE	$98.61	$140.87	$17.00–$107.60	21% below	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT LT	$98.61	$140.87	$17.00–$107.60	21% below	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT RT,RIGHT SIDE	$98.61	$140.87	$17.00–$107.60	21% below	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT RT	$98.61	$140.87	$17.00–$107.60	21% below	30%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT RT,RIGHT SIDE	$98.61	$140.87	$17.00–$107.60	—	30%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT LT,LEFT SIDE	$98.61	$140.87	$17.00–$107.60	—	30%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT LT	$98.61	$140.87	$17.00–$107.60	—	30%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT RT	$98.61	$140.87	$17.00–$107.60	—	30%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER 2 VIEWS BILATERAL	$114.04	$162.91	$20.00–$87.97	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER MIN 2-3V BIL	$105.43	$150.62	$20.00–$81.33	7% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS RT	$114.04	$162.91	$20.00–$87.97	at median	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS RT,RIGHT SIDE	$114.04	$162.91	$20.00–$87.97	at median	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS LT,LEFT SIDE	$114.04	$162.91	$20.00–$87.97	at median	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER MIN 2-3V LT,LEFT SIDE	$129.44	$184.91	$20.00–$99.85	14% above	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER MIN 2-3V RT	$129.44	$184.91	$20.00–$99.85	14% above	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER MIN 4V LT,LEFT SIDE	$129.44	$184.91	$20.00–$99.85	14% above	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLT MINI 2 LT	$129.44	$184.91	$20.00–$99.85	14% above	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLT MINI 2 LT,LEFT SIDE	$129.44	$184.91	$20.00–$99.85	14% above	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER MIN 4V RT	$129.44	$184.91	$20.00–$99.85	14% above	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER MIN 2-3V LT	$129.44	$184.91	$20.00–$99.85	14% above	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER MIN 4V RT,RIGHT SIDE	$129.44	$184.91	$20.00–$99.85	14% above	30%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULDER 2 VIEWS BILATERAL	$114.04	$162.91	$20.00–$87.97	—	30%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER MIN 2-3V BIL	$105.43	$150.62	$20.00–$81.33	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS LT,LEFT SIDE	$114.04	$162.91	$20.00–$87.97	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS RT	$114.04	$162.91	$20.00–$87.97	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS RT,RIGHT SIDE	$114.04	$162.91	$20.00–$87.97	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER MIN 2-3V LT	$129.44	$184.91	$20.00–$99.85	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER MIN 4V RT,RIGHT SIDE	$129.44	$184.91	$20.00–$99.85	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER MIN 4V RT	$129.44	$184.91	$20.00–$99.85	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMPLT MINI 2 LT,LEFT SIDE	$129.44	$184.91	$20.00–$99.85	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMPLT MINI 2 LT	$129.44	$184.91	$20.00–$99.85	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER MIN 4V LT,LEFT SIDE	$129.44	$184.91	$20.00–$99.85	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER MIN 2-3V RT	$129.44	$184.91	$20.00–$99.85	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER MIN 2-3V LT,LEFT SIDE	$129.44	$184.91	$20.00–$99.85	—	30%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 VW	$126.56	$180.80	$30.00–$97.63	4% below	30%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES 3 VW	$126.56	$180.80	$30.00–$97.63	—	30%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULLS LESS THAN 4 VIEWS	$89.22	$127.45	$22.00–$107.60	23% below	30%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULLS LESS THAN 4 VIEWS	$89.22	$127.45	$22.00–$107.60	—	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS LT,LEFT SIDE	$105.43	$150.62	$21.18–$81.33	7% below	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS RT,RIGHT SIDE	$105.43	$150.62	$21.18–$81.33	7% below	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS LT	$105.43	$150.62	$21.18–$81.33	7% below	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS RT	$105.43	$150.62	$21.18–$81.33	7% below	30%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 VIEWS RT	$105.43	$150.62	$21.18–$81.33	—	30%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 VIEWS RT,RIGHT SIDE	$105.43	$150.62	$21.18–$81.33	—	30%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 VIEWS LT,LEFT SIDE	$105.43	$150.62	$21.18–$81.33	—	30%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 VIEWS LT	$105.43	$150.62	$21.18–$81.33	—	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CONTRAST	$801.22	$1,144.60	$107.60–$618.08	16% above	30%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O CONTRAST	$801.22	$1,144.60	$107.60–$618.08	—	30%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 2 TO 3 VIEWS RT	$92.20	$131.71	$13.00–$76.62	14% below	30%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 2 TO 3 VIEWS LT,LEFT SIDE	$92.20	$131.71	$13.00–$76.62	14% below	30%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 2 TO 3 VIEWS LT	$92.20	$131.71	$13.00–$76.62	14% below	30%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 2 TO 3 VIEWS RT,RIGHT SIDE	$92.20	$131.71	$13.00–$76.62	14% below	30%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 2 TO 3 VIEWS LT,LEFT SIDE	$92.20	$131.71	$13.00–$76.62	—	30%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 2 TO 3 VIEWS RT	$92.20	$131.71	$13.00–$76.62	—	30%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 2 TO 3 VIEWS RT,RIGHT SIDE	$92.20	$131.71	$13.00–$76.62	—	30%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 2 TO 3 VIEWS LT	$92.20	$131.71	$13.00–$76.62	—	30%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$172.23	$246.04	$56.00–$132.86	54% below	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$172.23	$246.04	$56.00–$132.86	—	30%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS	$167.99	$239.98	$31.00–$129.59	33% below	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS	$167.99	$239.98	$31.00–$129.59	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK THYROID	$140.30	$200.43	$54.00–$108.23	40% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID COMPLETE	$140.30	$200.43	$54.00–$108.23	40% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK	$140.30	$200.43	$54.00–$108.23	40% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK	$140.30	$200.43	$54.00–$108.23	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID COMPLETE	$140.30	$200.43	$54.00–$108.23	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD NECK THYROID	$140.30	$200.43	$54.00–$108.23	—	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 VIEWS RT,Right side	$80.50	$115.00	$22.00–$76.62	34% below	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 VIEWS LT	$88.55	$126.50	$22.00–$76.62	27% below	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 VIEWS LT,LEFT SIDE	$88.55	$126.50	$22.00–$76.62	27% below	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 VIEWS LT,RIGHT SIDE	$88.55	$126.50	$22.00–$76.62	27% below	30%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2 VIEWS RT,Right side	$80.50	$115.00	$22.00–$76.62	—	30%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2 VIEWS LT,LEFT SIDE	$88.55	$126.50	$22.00–$76.62	—	30%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2 VIEWS LT	$88.55	$126.50	$22.00–$76.62	—	30%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2 VIEWS LT,RIGHT SIDE	$88.55	$126.50	$22.00–$76.62	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP UE VEINS UNIL LT,LEFT SIDE	$370.97	$529.95	$73.00–$286.17	53% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP LE VEINS UNIL LT,LEFT SIDE	$370.97	$529.95	$73.00–$286.17	53% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP LE VEINS UNIL LT	$370.97	$529.95	$73.00–$286.17	53% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP LE VEINS UNIL RT,RIGHT SIDE	$370.97	$529.95	$73.00–$286.17	53% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP LE VEINS UNIL RT	$370.97	$529.95	$73.00–$286.17	53% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP UE VEINS UNIL RT,RIGHT SIDE	$370.97	$529.95	$73.00–$286.17	53% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP UE VEINS UNIL RT	$370.97	$529.95	$73.00–$286.17	53% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP UE VEINS UNIL LT	$370.97	$529.95	$73.00–$286.17	53% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP UE VEINS UNIL LT	$370.97	$529.95	$73.00–$286.17	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP LE VEINS UNIL LT,LEFT SIDE	$370.97	$529.95	$73.00–$286.17	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP UE VEINS UNIL RT	$370.97	$529.95	$73.00–$286.17	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP UE VEINS UNIL RT,RIGHT SIDE	$370.97	$529.95	$73.00–$286.17	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP LE VEINS UNIL RT,RIGHT SIDE	$370.97	$529.95	$73.00–$286.17	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP LE VEINS UNIL LT	$370.97	$529.95	$73.00–$286.17	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP LE VEINS UNIL RT	$370.97	$529.95	$73.00–$286.17	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP UE VEINS UNIL LT,LEFT SIDE	$370.97	$529.95	$73.00–$286.17	—	30%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST RT 2 VIEWS	$89.22	$127.45	$19.00–$76.62	17% below	30%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST LT 2 VIEWS	$89.22	$127.45	$19.00–$76.62	17% below	30%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST RT 2 VIEWS,RIGHT SIDE	$89.22	$127.45	$19.00–$76.62	17% below	30%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST LT 2 VIEWS,LEFT SIDE	$89.22	$127.45	$19.00–$76.62	17% below	30%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST RT 2 VIEWS	$89.22	$127.45	$19.00–$76.62	—	30%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST LT 2 VIEWS,LEFT SIDE	$89.22	$127.45	$19.00–$76.62	—	30%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST LT 2 VIEWS	$89.22	$127.45	$19.00–$76.62	—	30%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST RT 2 VIEWS,RIGHT SIDE	$89.22	$127.45	$19.00–$76.62	—	30%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST BILAT 3V	$95.40	$136.28	$23.00–$76.62	—	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LT 3V	$95.40	$136.28	$23.00–$76.62	24% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RT 3V	$95.40	$136.28	$23.00–$76.62	24% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RT 3V,RIGHT SIDE	$95.40	$136.28	$23.00–$76.62	24% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LT 3V,LEFT SIDE	$95.40	$136.28	$23.00–$76.62	24% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR KNEE 4 VIEWS LT	$144.70	$206.72	$23.00–$111.63	15% above	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR KNEE 4 VIEWS LT,LEFT SIDE	$144.70	$206.72	$23.00–$111.63	15% above	30%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR WRIST BILAT 3V	$95.40	$136.28	$23.00–$76.62	—	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST LT 3V	$95.40	$136.28	$23.00–$76.62	—	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST RT 3V	$95.40	$136.28	$23.00–$76.62	—	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST RT 3V,RIGHT SIDE	$95.40	$136.28	$23.00–$76.62	—	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST LT 3V,LEFT SIDE	$95.40	$136.28	$23.00–$76.62	—	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR KNEE 4 VIEWS LT,LEFT SIDE	$144.70	$206.72	$23.00–$111.63	—	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR KNEE 4 VIEWS LT	$144.70	$206.72	$23.00–$111.63	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP/PELVIS COMPLT MINI 2 VIEWS LT	$135.50	$193.57	$27.84–$104.53	16% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR LT HIP/PELVIS COMPLT MINI 2 VIEWS,LEFT SIDE	$135.50	$193.57	$27.84–$104.53	16% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP/PELVIS COMPLT MINI 2 VIEWS RT	$135.50	$193.57	$27.84–$104.53	16% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP/PELVIS COMPLT MINI 2 VIEWS RT,RIGHT SIDE	$135.50	$193.57	$27.84–$104.53	16% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP/PELVIS COMPLT MINI 2 VIEWS LT,RIGHT SIDE	$135.50	$193.57	$27.84–$104.53	16% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR LT HIP/PELVIS COMPLT MINI 2 VIEWS	$135.50	$193.57	$27.84–$104.53	16% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR LT HIP/PELVIS COMPLT MINI 2 VIEWS	$135.50	$193.57	$27.84–$104.53	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP/PELVIS COMPLT MINI 2 VIEWS LT	$135.50	$193.57	$27.84–$104.53	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP/PELVIS COMPLT MINI 2 VIEWS LT,RIGHT SIDE	$135.50	$193.57	$27.84–$104.53	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP/PELVIS COMPLT MINI 2 VIEWS RT	$135.50	$193.57	$27.84–$104.53	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP/PELVIS COMPLT MINI 2 VIEWS RT,RIGHT SIDE	$135.50	$193.57	$27.84–$104.53	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR LT HIP/PELVIS COMPLT MINI 2 VIEWS,LEFT SIDE	$135.50	$193.57	$27.84–$104.53	—	30%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$109.70	$156.72	$20.26–$84.63	3% below	30%
X-ray of the abdomen, 1 view CPT 74018 XR KUB 1 VIEW	$109.70	$156.72	$20.26–$84.63	3% below	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$109.70	$156.72	$20.26–$84.63	—	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR KUB 1 VIEW	$109.70	$156.72	$20.26–$84.63	—	30%
X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE BILATERAL 2 VIEWS	$86.18	$123.12	$30.00–$76.62	—	30%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT,RIGHT SIDE	$81.87	$116.96	$30.00–$76.62	23% below	30%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT	$81.87	$116.96	$30.00–$76.62	23% below	30%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT,LEFT SIDE	$81.87	$116.96	$30.00–$76.62	23% below	30%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$81.87	$116.96	$30.00–$76.62	23% below	30%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR ANKLE BILATERAL 2 VIEWS	$86.18	$123.12	$30.00–$76.62	—	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT	$81.87	$116.96	$30.00–$76.62	—	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RT,RIGHT SIDE	$81.87	$116.96	$30.00–$76.62	—	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RT	$81.87	$116.96	$30.00–$76.62	—	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT,LEFT SIDE	$81.87	$116.96	$30.00–$76.62	—	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 VIEWS RT,RIGHT SIDE	$92.20	$131.71	$16.00–$76.62	4% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS RIGHT HAND 3 VIEWS,RIGHT SIDE	$92.20	$131.71	$16.00–$76.62	4% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS LEFT HAND 3 VIEWS,LEFT SIDE	$92.20	$131.71	$16.00–$76.62	4% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 VIEWS LT,LEFT SIDE	$92.20	$131.71	$16.00–$76.62	4% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS LEFT HAND 3 VIEWS	$92.20	$131.71	$16.00–$76.62	4% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS RIGHT HAND 3 VIEWS	$92.20	$131.71	$16.00–$76.62	4% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 VIEWS LT	$92.20	$131.71	$16.00–$76.62	4% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 VIEWS RT	$92.20	$131.71	$16.00–$76.62	4% below	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS RIGHT HAND 3 VIEWS,RIGHT SIDE	$92.20	$131.71	$16.00–$76.62	—	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS LEFT HAND 3 VIEWS	$92.20	$131.71	$16.00–$76.62	—	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2 VIEWS RT	$92.20	$131.71	$16.00–$76.62	—	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS LEFT HAND 3 VIEWS,LEFT SIDE	$92.20	$131.71	$16.00–$76.62	—	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2 VIEWS RT,RIGHT SIDE	$92.20	$131.71	$16.00–$76.62	—	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS RIGHT HAND 3 VIEWS	$92.20	$131.71	$16.00–$76.62	—	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2 VIEWS LT,LEFT SIDE	$92.20	$131.71	$16.00–$76.62	—	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2 VIEWS LT	$92.20	$131.71	$16.00–$76.62	—	30%
X-ray of the foot, 2 views both sides CPT 73620 XR FOOT BILATERAL 2 VIEWS	$92.20	$131.71	$23.00–$76.62	—	30%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT RT 2 VIEWS,RIGHT SIDE	$92.20	$131.71	$23.00–$76.62	2% above	30%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT RT 2 VIEWS	$92.20	$131.71	$23.00–$76.62	2% above	30%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT LT 2 VIEWS	$92.20	$131.71	$23.00–$76.62	2% above	30%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT LT 2 VIEWS,LEFT SIDE	$92.20	$131.71	$23.00–$76.62	2% above	30%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR FOOT BILATERAL 2 VIEWS	$92.20	$131.71	$23.00–$76.62	—	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT RT 2 VIEWS	$92.20	$131.71	$23.00–$76.62	—	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT LT 2 VIEWS,LEFT SIDE	$92.20	$131.71	$23.00–$76.62	—	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT LT 2 VIEWS	$92.20	$131.71	$23.00–$76.62	—	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT RT 2 VIEWS,RIGHT SIDE	$92.20	$131.71	$23.00–$76.62	—	30%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT BILATERAL 3 VIEWS	$98.61	$140.87	$28.00–$76.62	—	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LT 3 VIEWS	$98.61	$140.87	$28.00–$76.62	25% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LT 3 VIEWS,LEFT SIDE	$98.61	$140.87	$28.00–$76.62	25% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT RT 3 VIEWS	$98.61	$140.87	$28.00–$76.62	25% below	30%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT BILATERAL 3 VIEWS	$98.61	$140.87	$28.00–$76.62	—	30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT LT 3 VIEWS	$98.61	$140.87	$28.00–$76.62	—	30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT LT 3 VIEWS,LEFT SIDE	$98.61	$140.87	$28.00–$76.62	—	30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT RT 3 VIEWS	$98.61	$140.87	$28.00–$76.62	—	30%
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND BILATERAL 3 VIEWS	$97.32	$139.03	$25.00–$76.62	—	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS RT,RIGHT SIDE	$97.32	$139.03	$25.00–$76.62	21% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS RT	$97.32	$139.03	$25.00–$76.62	21% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 2 VIEWS RT	$97.32	$139.03	$25.00–$76.62	21% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS LT,LEFT SIDE	$97.32	$139.03	$25.00–$76.62	21% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS LT	$97.32	$139.03	$25.00–$76.62	21% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 2 VIEWS RT,RIGHT SIDE	$97.32	$139.03	$25.00–$76.62	21% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 2 VIEWS LT,LEFT SIDE	$97.32	$139.03	$25.00–$76.62	21% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 2 VIEWS LT	$97.32	$139.03	$25.00–$76.62	21% below	30%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR HAND BILATERAL 3 VIEWS	$97.32	$139.03	$25.00–$76.62	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS LT,LEFT SIDE	$97.32	$139.03	$25.00–$76.62	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS RT,RIGHT SIDE	$97.32	$139.03	$25.00–$76.62	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS RT	$97.32	$139.03	$25.00–$76.62	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS LT	$97.32	$139.03	$25.00–$76.62	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 2 VIEWS LT,LEFT SIDE	$97.32	$139.03	$25.00–$76.62	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 2 VIEWS LT	$97.32	$139.03	$25.00–$76.62	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 2 VIEWS RT,RIGHT SIDE	$97.32	$139.03	$25.00–$76.62	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 2 VIEWS RT	$97.32	$139.03	$25.00–$76.62	—	30%
X-ray of the knee, 1 or 2 views CPT 73560 CT CHEST/ THORAX WITH CONTRAST	$861.88	$1,231.25	$25.00–$664.88	622% above	30%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 CT CHEST/ THORAX WITH CONTRAST	$861.88	$1,231.25	$25.00–$664.88	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L SPINE 2 OR 3 VIEWS	$101.43	$144.90	$28.00–$107.60	20% below	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L SPINE 2 OR 3 VIEWS	$101.43	$144.90	$28.00–$107.60	—	30%
X-ray of the lower back, 4 or more views CPT 72110 XR L SPINE MIN 4 VIEWS	$103.61	$148.01	$40.00–$107.60	37% below	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L SPINE MIN 4 VIEWS	$103.61	$148.01	$40.00–$107.60	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE MINIMUM OF 3 VIE	$89.22	$127.45	$23.00–$76.62	17% below	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPLETE MINIMUM OF 3 VIE	$89.22	$127.45	$23.00–$76.62	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C SPINE 2 OR 3 VIEW	$101.43	$144.90	$28.00–$78.25	16% below	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C SPINE 2 OR 3 VIEW	$101.43	$144.90	$28.00–$78.25	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$103.30	$147.57	$21.00–$107.60	9% below	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$103.30	$147.57	$21.00–$107.60	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX	$105.43	$150.62	$17.00–$81.33	8% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX	$105.43	$150.62	$17.00–$81.33	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ACTH blood test CPT 82024 ACTH LEVEL Q211	$47.22	$67.45	$23.66–$44.03	49% below	30%
ACTH blood test inpatient CPT 82024 ACTH LEVEL Q211	$47.22	$67.45	$23.66–$44.03	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$18.48	$26.40	$6.04–$14.26	12% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT(SGPT)	$18.48	$26.40	$6.04–$14.26	12% below	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT(SGPT)	$18.48	$26.40	$6.04–$14.26	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$18.48	$26.40	$6.04–$14.26	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST(SGOT)	$18.48	$26.40	$5.91–$14.26	at median	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$18.48	$26.40	$5.91–$14.26	at median	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$18.48	$26.40	$5.91–$14.26	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST(SGOT)	$18.48	$26.40	$5.91–$14.26	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$135.66	$193.80	$54.30–$104.65	29% below	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$135.66	$193.80	$54.30–$104.65	—	30%
Albumin blood test CPT 82040 ALBUMIN	$11.90	$17.00	$5.64–$9.18	46% below	30%
Albumin blood test inpatient CPT 82040 ALBUMIN	$11.90	$17.00	$5.64–$9.18	—	30%
Aldosterone blood test CPT 82088 ALDOSTERONE Q17181	$109.52	$156.45	$46.46–$84.48	9% above	30%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE Q17181	$109.52	$156.45	$46.46–$84.48	—	30%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE ISOENZYME Q231	$11.59	$16.55	$5.91–$8.94	45% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 ALP	$12.60	$18.00	$5.91–$9.72	40% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$16.94	$24.20	$5.91–$13.07	20% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE BONE SPECIFIC Q29498	$69.30	$99.00	$5.91–$53.46	229% above	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOSPHATASE ISOENZYME Q231	$11.59	$16.55	$5.91–$8.94	—	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALP	$12.60	$18.00	$5.91–$9.72	—	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$16.94	$24.20	$5.91–$13.07	—	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOSPHATASE BONE SPECIFIC Q29498	$69.30	$99.00	$5.91–$53.46	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 STACHYBOTRYS IGE	$19.45	$27.79	$5.95–$15.01	30% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$29.26	$41.80	$5.95–$22.57	95% above	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STACHYBOTRYS IGE	$19.45	$27.79	$5.95–$15.01	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$29.26	$41.80	$5.95–$22.57	—	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERUM Q237	$47.88	$68.40	$19.12–$36.94	42% below	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SERUM Q237	$47.88	$68.40	$19.12–$36.94	—	30%
Ammonia blood test CPT 82140 AMMONIA (SERUM OR URINE)	$51.45	$73.50	$12.49–$39.69	5% below	30%
Ammonia blood test inpatient CPT 82140 AMMONIA (SERUM OR URINE)	$51.45	$73.50	$12.49–$39.69	—	30%
Amylase blood test CPT 82150 AMYLASE	$17.64	$25.20	$7.39–$13.61	39% below	30%
Amylase blood test CPT 82150 AMYLASE ANY SOURCE	$29.40	$42.00	$7.39–$22.68	1% above	30%
Amylase blood test inpatient CPT 82150 AMYLASE	$17.64	$25.20	$7.39–$13.61	—	30%
Amylase blood test inpatient CPT 82150 AMYLASE ANY SOURCE	$29.40	$42.00	$7.39–$22.68	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG	$73.50	$105.00	$14.76–$56.70	78% above	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IGG	$73.50	$105.00	$14.76–$56.70	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$134.75	$192.50	$13.78–$103.95	199% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN Q249	$134.75	$192.50	$13.78–$103.95	199% above	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN Q249	$134.75	$192.50	$13.78–$103.95	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$134.75	$192.50	$13.78–$103.95	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$81.90	$117.00	$44.76–$63.18	28% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (NATRIURETIC PEPTIDE)	$112.42	$160.60	$44.76–$86.72	76% above	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$81.90	$117.00	$44.76–$63.18	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (NATRIURETIC PEPTIDE)	$112.42	$160.60	$44.76–$86.72	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE FLUID Q4446	$27.20	$38.85	$9.83–$20.98	29% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE;NOT UA/BLOD/STOOL	$62.26	$88.94	$9.83–$48.03	62% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$62.26	$88.94	$9.83–$48.03	62% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE FLUID Q4446	$27.20	$38.85	$9.83–$20.98	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE;NOT UA/BLOD/STOOL	$62.26	$88.94	$9.83–$48.03	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND	$62.26	$88.94	$9.83–$48.03	—	30%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$35.42	$50.60	$9.64–$27.32	62% below	30%
Basic metabolic panel (blood test) CPT 80048 BMP	$57.40	$82.00	$9.64–$44.28	39% below	30%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$35.42	$50.60	$9.64–$27.32	—	30%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$57.40	$82.00	$9.64–$44.28	—	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$11.97	$17.10	$5.72–$9.23	70% below	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL (TBIL)	$11.97	$17.10	$5.72–$9.23	70% below	30%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL (TBIL)	$11.97	$17.10	$5.72–$9.23	—	30%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$11.97	$17.10	$5.72–$9.23	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY GROSS	$164.50	$235.00	$28.00–$126.90	113% above	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY GROSS	$164.50	$235.00	$28.00–$126.90	—	30%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$45.43	$64.90	$11.76–$35.05	8% below	30%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$45.43	$64.90	$11.76–$35.05	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ***VENIPUNCTURE FEE	$6.16	$8.80	$4.49–$4.75	31% below	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ***VENIPUNCTURE FEE	$6.16	$8.80	$4.49–$4.75	—	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM	$13.09	$18.70	$4.48–$10.10	29% below	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$13.09	$18.70	$4.48–$10.10	29% below	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM	$13.09	$18.70	$4.48–$10.10	—	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$13.09	$18.70	$4.48–$10.10	—	30%
Blood lead test CPT 83655 LEAD BLOOD	$182.70	$261.00	$13.81–$140.94	515% above	30%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$182.70	$261.00	$13.81–$140.94	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM	$42.90	$61.28	$8.57–$33.09	14% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM	$42.90	$61.28	$8.57–$33.09	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$70.00	$100.00	$4.26–$100.00	20% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO	$90.09	$128.70	$4.26–$119.67	54% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$70.00	$100.00	$4.26–$100.00	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO	$90.09	$128.70	$4.26–$119.67	—	30%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$17.64	$25.20	$4.50–$13.61	30% below	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$17.64	$25.20	$4.50–$13.61	—	30%
C-peptide blood test CPT 84681 C-PEPTIDE	$68.53	$97.90	$23.72–$52.87	10% above	30%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$68.53	$97.90	$23.72–$52.87	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$29.40	$42.00	$5.91–$22.68	2% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$29.40	$42.00	$5.91–$22.68	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFF PCR SEND OUT	$77.79	$111.13	$42.49–$60.01	12% below	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFF PCR SEND OUT	$77.79	$111.13	$42.49–$60.01	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$76.14	$108.77	$23.72–$58.74	22% above	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$76.14	$108.77	$23.72–$58.74	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$62.30	$89.00	$23.72–$48.06	9% below	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$62.30	$89.00	$23.72–$48.06	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID COVID	$95.55	$136.50	$51.31–$73.71	2% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV ANTIGEN	$95.55	$136.50	$51.31–$73.71	2% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID SEND OUT	$95.55	$136.50	$51.31–$73.71	2% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID SEND OUT	$95.55	$136.50	$51.31–$73.71	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV ANTIGEN	$95.55	$136.50	$51.31–$73.71	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RAPID COVID	$95.55	$136.50	$51.31–$73.71	—	30%
Calcium blood test, total CPT 82310 CA	$21.56	$30.80	$5.88–$16.63	9% above	30%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$21.56	$30.80	$5.88–$16.63	9% above	30%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$21.56	$30.80	$5.88–$16.63	—	30%
Calcium blood test, total inpatient CPT 82310 CA	$21.56	$30.80	$5.88–$16.63	—	30%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$30.80	$44.00	$21.61–$27.09	49% below	30%
Carcinoembryonic antigen (CEA) test CPT 82378 HEALTH FAIR CEA	$62.37	$89.10	$21.61–$48.11	3% above	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$30.80	$44.00	$21.61–$27.09	—	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HEALTH FAIR CEA	$62.37	$89.10	$21.61–$48.11	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG	$130.71	$186.73	$14.68–$100.83	279% above	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG	$130.71	$186.73	$14.68–$100.83	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA	$94.82	$135.45	$40.00–$73.14	51% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA	$94.82	$135.45	$40.00–$73.14	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPIDS	$36.40	$52.00	$15.26–$28.08	49% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$42.35	$60.50	$15.26–$32.67	41% below	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPIDS	$36.40	$52.00	$15.26–$28.08	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$42.35	$60.50	$15.26–$32.67	—	30%
Complete blood count (CBC) with differential CPT 85025 **CBC AUTO DIFF	$58.10	$83.00	$8.86–$44.82	89% above	30%
Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF	$58.10	$83.00	$8.86–$44.82	89% above	30%
Complete blood count (CBC) with differential inpatient CPT 85025 **CBC AUTO DIFF	$58.10	$83.00	$8.86–$44.82	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DIFF	$58.10	$83.00	$8.86–$44.82	—	30%
Complete blood count (CBC), no differential CPT 85027 ***CBC HEMOGRAM	$22.79	$32.55	$7.38–$17.58	5% below	30%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$22.79	$32.55	$7.38–$17.58	5% below	30%
Complete blood count (CBC), no differential inpatient CPT 85027 ***CBC HEMOGRAM	$22.79	$32.55	$7.38–$17.58	—	30%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$22.79	$32.55	$7.38–$17.58	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$79.10	$113.00	$12.04–$61.02	41% below	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$79.10	$113.00	$12.04–$61.02	—	30%
Cortisol blood test, total CPT 82533 CORTISOL;TOTAL	$53.90	$77.00	$18.58–$41.58	7% below	30%
Cortisol blood test, total CPT 82533 SALIVA CORTISOL LEVEL	$210.00	$300.00	$18.58–$162.00	262% above	30%
Cortisol blood test, total inpatient CPT 82533 CORTISOL;TOTAL	$53.90	$77.00	$18.58–$41.58	—	30%
Cortisol blood test, total inpatient CPT 82533 SALIVA CORTISOL LEVEL	$210.00	$300.00	$18.58–$162.00	—	30%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$23.87	$34.10	$7.42–$18.41	32% below	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$23.87	$34.10	$7.42–$18.41	—	30%
Creatinine blood test CPT 82565 CREA	$13.30	$19.00	$5.84–$10.26	35% below	30%
Creatinine blood test CPT 82565 CREATININE;BLOOD	$16.94	$24.20	$5.84–$13.07	17% below	30%
Creatinine blood test inpatient CPT 82565 CREA	$13.30	$19.00	$5.84–$10.26	—	30%
Creatinine blood test inpatient CPT 82565 CREATININE;BLOOD	$16.94	$24.20	$5.84–$13.07	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS	$35.70	$51.00	$16.40–$27.54	31% below	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS	$35.70	$51.00	$16.40–$27.54	—	30%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$92.92	$132.74	$11.61–$71.68	89% above	30%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER PLASMA;QUANT	$92.92	$132.74	$11.61–$71.68	89% above	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER PLASMA;QUANT	$92.92	$132.74	$11.61–$71.68	—	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$92.92	$132.74	$11.61–$71.68	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$66.50	$95.00	$25.34–$51.30	at median	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$66.50	$95.00	$25.34–$51.30	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST ANY NUMBER OF CLASSES	$293.30	$419.00	$69.91–$226.26	420% above	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST ANY NUMBER OF CLASSES	$293.30	$419.00	$69.91–$226.26	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$36.75	$52.50	$7.99–$28.35	37% below	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LYTES	$36.75	$52.50	$7.99–$28.35	37% below	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$36.75	$52.50	$7.99–$28.35	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LYTES	$36.75	$52.50	$7.99–$28.35	—	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS (VCA)	$51.87	$74.10	$20.68–$40.01	9% above	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS ANTIBODY TO VIRAL CAP	$54.60	$78.00	$20.68–$42.12	15% above	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS ANTIBODY IGG	$82.46	$117.80	$20.68–$63.61	74% above	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VIRUS (VCA)	$51.87	$74.10	$20.68–$40.01	—	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VIRUS ANTIBODY TO VIRAL CAP	$54.60	$78.00	$20.68–$42.12	—	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VIRUS ANTIBODY IGG	$82.46	$117.80	$20.68–$63.61	—	30%
Estradiol blood test CPT 82670 ESTRADIOL	$72.77	$103.95	$31.85–$56.13	17% below	30%
Estradiol blood test CPT 82670 ESTRADIOL SERUM	$91.63	$130.90	$31.85–$70.69	4% above	30%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$72.77	$103.95	$31.85–$56.13	—	30%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM	$91.63	$130.90	$31.85–$70.69	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$61.60	$88.00	$21.18–$47.52	7% below	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$61.60	$88.00	$21.18–$47.52	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$319.20	$456.00	$22.38–$246.24	238% above	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$319.20	$456.00	$22.38–$246.24	—	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$46.97	$67.10	$15.54–$36.23	7% below	30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$46.97	$67.10	$15.54–$36.23	—	30%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$25.20	$36.00	$11.08–$19.44	14% below	30%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$25.20	$36.00	$11.08–$19.44	—	30%
Folate (folic acid) blood test CPT 82746 FOLATE- SERUM	$55.13	$78.75	$16.76–$42.52	3% above	30%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE- SERUM	$55.13	$78.75	$16.76–$42.52	—	30%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$53.66	$76.65	$19.31–$41.39	11% below	30%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$53.66	$76.65	$19.31–$41.39	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$28.67	$40.95	$10.28–$22.11	10% below	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$28.67	$40.95	$10.28–$22.11	—	30%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$83.93	$119.90	$29.04–$64.75	16% above	30%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$83.93	$119.90	$29.04–$64.75	—	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$22.79	$32.55	$8.21–$17.58	40% below	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$22.79	$32.55	$8.21–$17.58	—	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$215.95	$308.50	$23.56–$166.59	63% above	30%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$215.95	$308.50	$23.56–$166.59	—	30%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 2H	$36.58	$52.25	$14.67–$28.22	21% below	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST 2H	$36.58	$52.25	$14.67–$28.22	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA	$94.82	$135.45	$40.00–$73.14	38% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA	$94.82	$135.45	$40.00–$73.14	—	30%
H. pylori antibody blood test CPT 86677 H PYLORI QUANT	$50.82	$72.60	$19.21–$39.20	28% below	30%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI QUANT	$50.82	$72.60	$19.21–$39.20	—	30%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN	$99.75	$142.50	$6.12–$76.95	86% above	30%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI ANTIGEN	$99.75	$142.50	$6.12–$76.95	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT	$660.28	$943.25	$97.01–$509.36	292% above	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT	$660.28	$943.25	$97.01–$509.36	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV1 & HIV2 ANTIBODY	$59.54	$85.05	$15.63–$45.93	at median	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV1 & HIV2 ANTIBODY	$59.54	$85.05	$15.63–$45.93	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 AEL HIV SCREENING	$80.15	$114.50	$27.45–$61.83	64% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 AEL HIV SCREENING	$80.15	$114.50	$27.45–$61.83	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$14.70	$21.00	$10.70–$13.87	57% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$30.10	$43.00	$11.07–$23.22	13% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C	$64.83	$92.62	$11.07–$50.01	88% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$14.70	$21.00	$10.70–$13.87	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN	$30.10	$43.00	$11.07–$23.22	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C	$64.83	$92.62	$11.07–$50.01	—	30%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$12.32	$17.60	$2.70–$9.50	4% above	30%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$12.32	$17.60	$2.70–$9.50	—	30%
Hepatitis B core antibody test (total) CPT 86704 HEP B ANTIBODY	$48.51	$69.30	$13.74–$37.42	45% above	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B ANTIBODY	$48.51	$69.30	$13.74–$37.42	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP BSAB	$26.60	$38.00	$12.24–$20.52	46% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP BSAB	$26.60	$38.00	$12.24–$20.52	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGEN	$27.93	$39.90	$11.78–$21.55	25% below	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF ANTIGEN	$27.93	$39.90	$11.78–$21.55	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$40.81	$58.30	$16.27–$31.48	22% below	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$40.81	$58.30	$16.27–$31.48	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL RNA	$153.78	$219.69	$48.84–$118.63	17% above	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL RNA	$153.78	$219.69	$48.84–$118.63	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS IgG	$24.50	$35.00	$13.55–$18.90	38% below	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS IgG	$24.50	$35.00	$13.55–$18.90	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$49.70	$71.00	$22.06–$38.34	7% below	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$49.70	$71.00	$22.06–$38.34	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HIGH SENSITIVITY	$38.86	$55.52	$14.76–$29.98	11% below	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HIGH SENSITIVITY	$38.86	$55.52	$14.76–$29.98	—	30%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$68.25	$97.50	$20.43–$52.65	14% above	30%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$68.25	$97.50	$20.43–$52.65	—	30%
Insulin blood test CPT 83525 INSULIN TOTAL	$30.87	$44.10	$13.03–$23.81	21% below	30%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$30.87	$44.10	$13.03–$23.81	—	30%
Iron blood test (serum iron) CPT 83540 IRON	$22.05	$31.50	$7.38–$17.01	11% below	30%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$22.05	$31.50	$7.38–$17.01	—	30%
Iron-binding capacity (TIBC) test CPT 83550 TIBC WITH IRON	$28.49	$40.70	$9.96–$21.98	7% above	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC WITH IRON	$28.49	$40.70	$9.96–$21.98	—	30%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$28.49	$40.70	$9.90–$21.98	63% below	30%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$28.49	$40.70	$9.90–$21.98	—	30%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH)	$60.83	$86.90	$21.11–$46.93	3% below	30%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH)	$60.83	$86.90	$21.11–$46.93	—	30%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$35.42	$50.60	$13.19–$27.32	17% below	30%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$35.42	$50.60	$13.19–$27.32	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, BODY FLUID	$6.65	$9.50	$4.84–$8.63	68% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$82.58	$117.97	$6.89–$63.70	297% above	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, BODY FLUID	$6.65	$9.50	$4.84–$8.63	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$82.58	$117.97	$6.89–$63.70	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$16.17	$23.10	$7.85–$12.47	40% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$30.87	$44.10	$7.85–$23.81	14% above	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID	$16.17	$23.10	$7.85–$12.47	—	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$30.87	$44.10	$7.85–$23.81	—	30%
Liver function blood test panel CPT 80076 LIVER	$43.12	$61.60	$9.31–$33.26	33% below	30%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$43.12	$61.60	$9.31–$33.26	33% below	30%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$43.12	$61.60	$9.31–$33.26	—	30%
Liver function blood test panel inpatient CPT 80076 LIVER	$43.12	$61.60	$9.31–$33.26	—	30%
Lyme disease antibody test CPT 86618 LYMES	$43.74	$62.48	$19.41–$33.74	23% below	30%
Lyme disease antibody test inpatient CPT 86618 LYMES	$43.74	$62.48	$19.41–$33.74	—	30%
Magnesium blood test CPT 83735 MAGNESIUM	$31.57	$45.10	$7.64–$24.35	15% above	30%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$129.94	$185.63	$7.64–$100.24	374% above	30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$31.57	$45.10	$7.64–$24.35	—	30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$129.94	$185.63	$7.64–$100.24	—	30%
Measles (rubeola) antibody test CPT 86765 MEASLES Ab IgG IMMUNE STATUS	$15.40	$22.00	$11.21–$18.40	55% below	30%
Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA Q34166	$42.00	$60.00	$14.68–$32.40	22% above	30%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES Ab IgG IMMUNE STATUS	$15.40	$22.00	$11.21–$18.40	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA Q34166	$42.00	$60.00	$14.68–$32.40	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT	$14.63	$20.90	$5.91–$11.29	24% below	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT	$14.63	$20.90	$5.91–$11.29	—	30%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGM	$43.75	$62.50	$14.88–$33.75	19% above	30%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGG	$43.75	$62.50	$14.88–$33.75	19% above	30%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY IGM	$43.75	$62.50	$14.88–$33.75	—	30%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY IGG	$43.75	$62.50	$14.88–$33.75	—	30%
Obstetric blood test panel CPT 80055 OB PANEL	$156.45	$223.50	$36.52–$120.69	14% above	30%
Obstetric blood test panel inpatient CPT 80055 OB PANEL	$156.45	$223.50	$36.52–$120.69	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$55.30	$79.00	$20.96–$42.66	1% above	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$55.30	$79.00	$20.96–$42.66	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$58.07	$82.95	$20.96–$44.79	1% below	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$58.07	$82.95	$20.96–$44.79	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATHOLGOY CERVICAL OR VAGINAL	$40.80	$58.28	$19.00–$31.47	16% below	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATHOLGOY CERVICAL OR VAGINAL	$40.80	$58.28	$19.00–$31.47	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$202.90	$289.85	$47.06–$156.52	84% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 PTH	$317.50	$453.57	$47.06–$244.93	187% above	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$202.90	$289.85	$47.06–$156.52	—	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH	$317.50	$453.57	$47.06–$244.93	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS A	$21.70	$31.00	$6.85–$16.74	19% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME	$32.55	$46.50	$6.85–$25.11	22% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$43.86	$62.65	$6.85–$33.83	65% above	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS A	$21.70	$31.00	$6.85–$16.74	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME	$32.55	$46.50	$6.85–$25.11	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$43.86	$62.65	$6.85–$33.83	—	30%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$15.40	$22.00	$5.40–$11.88	44% below	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$15.40	$22.00	$5.40–$11.88	—	30%
Potassium blood test CPT 84132 POTASSIUM	$16.94	$24.20	$5.43–$13.07	19% below	30%
Potassium blood test inpatient CPT 84132 POTASSIUM	$16.94	$24.20	$5.43–$13.07	—	30%
Progesterone blood test CPT 84144 PROGESTERONE	$68.53	$97.90	$23.78–$52.87	23% above	30%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$68.53	$97.90	$23.78–$52.87	—	30%
Prolactin blood test CPT 84146 PROLACTIN	$61.01	$87.15	$22.09–$47.06	5% above	30%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$61.01	$87.15	$22.09–$47.06	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME FOR LUPUS SCREEN	$33.60	$48.00	$4.89–$25.92	68% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$40.05	$57.21	$4.89–$30.89	101% above	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME FOR LUPUS SCREEN	$33.60	$48.00	$4.89–$25.92	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME	$40.05	$57.21	$4.89–$30.89	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST ANY NUMBER OF CLASSES	$54.99	$78.55	$14.36–$42.42	103% above	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST ANY NUMBER OF CLASSES	$54.99	$78.55	$14.36–$42.42	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 TEST KIT STREP A DIPSTICK WAIVED	$22.61	$32.30	$12.87–$18.84	15% below	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP:RAPID SCREEN	$22.61	$32.30	$12.87–$18.84	15% below	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 CULTURE STREPTOCOCCUS	$23.80	$34.00	$12.87–$18.84	11% below	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 TEST KIT STREP A DIPSTICK WAIVED	$22.61	$32.30	$12.87–$18.84	—	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP:RAPID SCREEN	$22.61	$32.30	$12.87–$18.84	—	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CULTURE STREPTOCOCCUS	$23.80	$34.00	$12.87–$18.84	—	30%
Renin blood test CPT 84244 RENIN	$72.38	$103.40	$25.07–$55.84	4% below	30%
Renin blood test inpatient CPT 84244 RENIN	$72.38	$103.40	$25.07–$55.84	—	30%
Rh blood typing CPT 86901 RH	$23.80	$34.00	$17.33–$34.00	21% below	30%
Rh blood typing CPT 86901 BB RH	$90.09	$128.70	$35.00–$69.50	201% above	30%
Rh blood typing inpatient CPT 86901 RH	$23.80	$34.00	$17.33–$34.00	—	30%
Rh blood typing inpatient CPT 86901 BB RH	$90.09	$128.70	$35.00–$69.50	—	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATIOD FACTOR QUANT	$16.17	$23.10	$6.46–$12.47	44% below	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE	$24.15	$34.50	$6.46–$18.63	16% below	30%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATIOD FACTOR QUANT	$16.17	$23.10	$6.46–$12.47	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITATIVE	$24.15	$34.50	$6.46–$18.63	—	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY TITERS	$37.10	$53.00	$16.40–$28.62	at median	30%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY TITERS	$37.10	$53.00	$16.40–$28.62	—	30%
Sodium blood test CPT 84295 SODIUM	$16.94	$24.20	$5.48–$13.07	20% below	30%
Sodium blood test inpatient CPT 84295 SODIUM	$16.94	$24.20	$5.48–$13.07	—	30%
Stool ova and parasites exam CPT 87177 OVA & PARASITES	$23.10	$33.00	$10.15–$17.82	27% below	30%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES	$23.10	$33.00	$10.15–$17.82	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD;SCREEN;INS	$11.90	$17.00	$4.64–$9.18	43% below	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD;SCREEN;INS	$11.90	$17.00	$4.64–$9.18	—	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABS	$24.56	$35.09	$15.09–$19.55	3% below	30%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA ABS	$24.56	$35.09	$15.09–$19.55	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$42.35	$60.50	$4.87–$32.67	142% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$42.35	$60.50	$4.87–$32.67	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB	$129.36	$184.80	$70.66–$99.79	60% above	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB	$129.36	$184.80	$70.66–$99.79	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$85.47	$122.10	$29.42–$65.93	10% above	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$85.47	$122.10	$29.42–$65.93	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID PEROXIDASE Q5081	$37.80	$54.00	$16.59–$29.16	3% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$58.52	$83.60	$16.59–$45.14	50% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM-1 ANTIBODY	$105.11	$150.15	$16.59–$81.08	169% above	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID PEROXIDASE Q5081	$37.80	$54.00	$16.59–$29.16	—	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$58.52	$83.60	$16.59–$45.14	—	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM-1 ANTIBODY	$105.11	$150.15	$16.59–$81.08	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$45.50	$65.00	$19.15–$35.10	5% below	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$45.50	$65.00	$19.15–$35.10	—	30%
Total IgE blood test CPT 82785 IGE GAMMAGLOBULIN;EACH	$53.13	$75.90	$18.76–$40.99	23% above	30%
Total IgE blood test inpatient CPT 82785 IGE GAMMAGLOBULIN;EACH	$53.13	$75.90	$18.76–$40.99	—	30%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$10.50	$15.00	$4.96–$8.10	62% below	30%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$10.50	$15.00	$4.96–$8.10	—	30%
Total thyroxine (T4) blood test CPT 84436 THYROXINE	$19.85	$28.35	$7.83–$15.31	22% below	30%
Total thyroxine (T4) blood test CPT 84436 T4	$19.85	$28.35	$7.83–$15.31	22% below	30%
Total thyroxine (T4) blood test inpatient CPT 84436 T4	$19.85	$28.35	$7.83–$15.31	—	30%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE	$19.85	$28.35	$7.83–$15.31	—	30%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$44.84	$64.05	$16.17–$34.59	1% below	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$44.84	$64.05	$16.17–$34.59	—	30%
Transferrin blood test CPT 84466 TRANSFERRIN	$36.19	$51.70	$14.55–$27.92	1% above	30%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$36.19	$51.70	$14.55–$27.92	—	30%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$14.00	$20.00	$6.54–$10.80	40% below	30%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$19.25	$27.50	$6.54–$14.85	18% below	30%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$14.00	$20.00	$6.54–$10.80	—	30%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$19.25	$27.50	$6.54–$14.85	—	30%
Troponin test, quantitative CPT 84484 TROPONIN	$53.13	$75.90	$14.05–$40.99	14% below	30%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$53.13	$75.90	$14.05–$40.99	—	30%
Uric acid blood test CPT 84550 URIC ACID;BLOOD	$22.33	$31.90	$5.15–$17.23	14% below	30%
Uric acid blood test inpatient CPT 84550 URIC ACID;BLOOD	$22.33	$31.90	$5.15–$17.23	—	30%
Urinalysis with microscope exam, automated CPT 81001 ***URINALYSIS MICROSCOPIC	$29.40	$42.00	$3.61–$22.68	66% above	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 ***URINALYSIS MICROSCOPIC	$29.40	$42.00	$3.61–$22.68	—	30%
Urinalysis with microscope exam, manual CPT 81000 UA	$15.40	$22.00	$4.52–$11.88	12% below	30%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS	$15.40	$22.00	$4.52–$11.88	12% below	30%
Urinalysis with microscope exam, manual inpatient CPT 81000 UA	$15.40	$22.00	$4.52–$11.88	—	30%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS	$15.40	$22.00	$4.52–$11.88	—	30%
Urinalysis without microscope exam, automated CPT 81003 URINE DIP AUTOMATED	$20.30	$29.00	$2.57–$15.66	45% above	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE DIP AUTOMATED	$20.30	$29.00	$2.57–$15.66	—	30%
Urinalysis without microscope exam, manual CPT 81002 ***UA NO MICRO (DIPSTICK)	$10.50	$15.00	$3.66–$8.10	10% below	30%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS (DIPSTICK)NO M	$10.50	$15.00	$3.66–$8.10	10% below	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 ***UA NO MICRO (DIPSTICK)	$10.50	$15.00	$3.66–$8.10	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS (DIPSTICK)NO M	$10.50	$15.00	$3.66–$8.10	—	30%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE SENS CHARGE	$21.00	$30.00	$9.20–$16.20	27% below	30%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL QUANTITATIVE CHARGE	$34.65	$49.50	$9.20–$26.73	21% above	30%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$44.66	$63.80	$9.20–$34.45	56% above	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE SENS CHARGE	$21.00	$30.00	$9.20–$16.20	—	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 BACTERIAL QUANTITATIVE CHARGE	$34.65	$49.50	$9.20–$26.73	—	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$44.66	$63.80	$9.20–$34.45	—	30%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUAN	$35.42	$50.60	$6.59–$27.32	70% above	30%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE	$35.42	$50.60	$6.59–$27.32	70% above	30%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUAN	$35.42	$50.60	$6.59–$27.32	—	30%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE	$35.42	$50.60	$6.59–$27.32	—	30%
Urine pregnancy test, read by color change CPT 81025 UCG	$17.50	$25.00	$9.03–$13.50	39% below	30%
Urine pregnancy test, read by color change CPT 81025 HCG URINE	$17.96	$25.65	$9.03–$13.85	37% below	30%
Urine pregnancy test, read by color change inpatient CPT 81025 UCG	$17.50	$25.00	$9.03–$13.50	—	30%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG URINE	$17.96	$25.65	$9.03–$13.85	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$50.05	$71.50	$17.19–$38.61	7% below	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$50.05	$71.50	$17.19–$38.61	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25-HYDROXYVITAMIN D21 D3	$33.08	$47.25	$24.08–$42.27	55% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROXY	$90.41	$129.15	$33.74–$69.74	22% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D	$123.00	$123.00	$33.74–$66.42	66% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25-HYDROXYVITAMIN D21 D3	$33.08	$47.25	$24.08–$42.27	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25 HYDROXY	$90.41	$129.15	$33.74–$69.74	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D	$123.00	$123.00	$33.74–$66.42	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D1 25 HYDROXY	$99.96	$142.80	$43.89–$77.11	1% below	30%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D1 25 HYDROXY	$99.96	$142.80	$43.89–$77.11	—	30%
Zinc blood test CPT 84630 ZINC	$37.73	$53.90	$12.98–$29.11	at median	30%
Zinc blood test inpatient CPT 84630 ZINC	$37.73	$53.90	$12.98–$29.11	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$67.38	$96.25	$11.54–$51.98	69% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$70.00	$100.00	$11.54–$54.00	76% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$67.38	$96.25	$11.54–$51.98	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER	$70.00	$100.00	$11.54–$54.00	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY WITH REMOVAL OF TUMOR ETC	$471.10	$673.00	$233.39–$673.00	38% below	30%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY WITH REMOVAL OF TUMOR ETC	$471.10	$673.00	$233.39–$673.00	—	30%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY	$446.60	$638.00	$184.99–$638.00	41% below	30%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY	$446.60	$638.00	$184.99–$638.00	—	30%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC	$362.60	$518.00	$170.98–$518.00	69% below	30%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC	$362.60	$518.00	$170.98–$518.00	—	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC	$418.60	$598.00	$54.86–$598.00	38% below	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC	$418.60	$598.00	$54.86–$598.00	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTE/ASP/MAJ JOINT	$314.93	$449.90	$229.27–$276.53	21% below	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTE/ASP/MAJ JOINT	$314.93	$449.90	$229.27–$276.53	—	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING	$1,146.60	$1,638.00	$834.72–$884.52	73% above	30%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCREENING	$1,146.60	$1,638.00	$834.72–$884.52	—	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCREENING; HIGH RISK	$1,146.60	$1,638.00	$834.72–$884.52	78% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCREENING; HIGH RISK	$1,146.60	$1,638.00	$834.72–$884.52	—	30%
Short leg splint (calf to foot) CPT 29515 APP SPLINT (SHORT LEG)	$136.29	$194.70	$99.22–$194.70	at median	30%
Short leg splint (calf to foot) inpatient CPT 29515 APP SPLINT (SHORT LEG)	$136.29	$194.70	$99.22–$194.70	—	30%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION	$224.70	$321.00	$163.58–$321.00	14% below	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION	$224.70	$321.00	$163.58–$321.00	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DX	$470.47	$672.10	$250.00–$655.31	31% below	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DX	$470.47	$672.10	$250.00–$655.31	—	30%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY	$376.60	$538.00	$128.51–$538.00	68% below	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITH BIOPSY	$376.60	$538.00	$128.51–$538.00	—	30%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPER GI SCOPE W/SUBMUC INJ	$1,232.00	$1,760.00	$250.00–$950.40	35% below	30%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPER GI SCOPE W/SUBMUC INJ	$1,232.00	$1,760.00	$250.00–$950.40	—	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD WITH REMOVAL OF TUMOR ETC	$791.00	$1,130.00	$180.39–$1,130.00	1% below	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD WITH REMOVAL OF TUMOR ETC	$791.00	$1,130.00	$180.39–$1,130.00	—	30%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC	$296.10	$423.00	$114.75–$423.00	80% below	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC	$296.10	$423.00	$114.75–$423.00	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE/SKIN SUBC TISSUE	$660.45	$943.50	$250.00–$509.49	8% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE/SKIN SUBC TISSUE	$660.45	$943.50	$250.00–$509.49	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AC SET UP	$46.20	$66.00	$6.00–$66.00	41% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT (RETIRED CODE)	$58.80	$84.00	$6.00–$84.00	25% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT ER/ CLINIC	$64.68	$92.40	$6.00–$92.40	18% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT SWINGBED	$64.68	$92.40	$6.00–$92.40	18% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT BACK TO BACK	$167.58	$239.40	$6.00–$181.78	113% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT OBSERVATION	$206.36	$294.80	$6.00–$181.78	163% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT INPATIENT	$226.38	$323.40	$6.00–$181.78	188% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT AC SET UP	$46.20	$66.00	$6.00–$66.00	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT (RETIRED CODE)	$58.80	$84.00	$6.00–$84.00	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT SWINGBED	$64.68	$92.40	$6.00–$92.40	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT ER/ CLINIC	$64.68	$92.40	$6.00–$92.40	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT BACK TO BACK	$167.58	$239.40	$6.00–$181.78	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT OBSERVATION	$206.36	$294.80	$6.00–$181.78	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT INPATIENT	$226.38	$323.40	$6.00–$181.78	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RT EKG FLOOR	$75.83	$108.33	$17.00–$58.50	at median	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RT EKG ER (EXCLUDES ECG MONITOR)	$118.78	$169.68	$17.00–$91.63	56% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RT EKG FLOOR	$75.83	$108.33	$17.00–$58.50	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RT EKG ER (EXCLUDES ECG MONITOR)	$118.78	$169.68	$17.00–$91.63	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 AR MCD EMERG FAC LV 1	$42.27	$60.38	$15.00–$60.38	76% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 AR MCD NON EMERG FAC LV 1	$42.27	$60.38	$15.00–$60.38	76% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 AR MCD NON EMERG FAC LV 2	$79.53	$113.61	$15.00–$113.61	73% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 AR MCD EMERG FAC LV 2	$79.53	$113.61	$15.00–$113.61	73% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 AR MCD NON EMERG FAC LV 3	$150.63	$215.18	$15.00–$215.18	69% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 AR MCD EMERG FAC LV 3	$150.63	$215.18	$15.00–$215.18	69% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 AR MCD EMERG FAC LV 4	$217.46	$310.65	$15.00–$310.65	67% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 AR MCD NON EMERG FAC LV 4	$217.46	$310.65	$15.00–$310.65	67% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 AR MCD NON EMERG FAC LV 5	$338.98	$484.25	$15.00–$484.25	68% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 AR MCD EMERG FAC LV 5	$338.98	$484.25	$15.00–$484.25	68% below	30%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PATIENT	$192.50	$275.00	$138.31–$140.14	18% above	30%
Group psychotherapy session CPT 90853 GROUP THERAPY	$227.50	$325.00	$72.00–$165.62	117% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INJ/IV INFUSION HYDRATION 31M TO 1HR ER	$193.62	$276.60	$51.00–$196.08	35% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INJ/IV INFUSION HYDRATION 31M TO 1HR ER	$193.62	$276.60	$51.00–$196.08	—	30%
IV infusion of a medicine, first hour CPT 96365 INJ/IV INFUSION TX INT UP TO 1HR ER	$225.61	$322.30	$90.58–$209.50	31% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 INJ/IV INFUSION TX INT UP TO 1HR ER	$225.61	$322.30	$90.58–$209.50	—	30%
IV push of a medicine, first drug CPT 96374 INJ/IV PUSH INGLE/INITIAL ER	$177.10	$253.00	$51.00–$196.08	46% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ALLERGEN IMMUNOTHERAPY INJ SINGLE	$31.50	$45.00	$22.93–$45.00	35% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IN/IM SUBCUTANEOUS INFUSION TX	$33.08	$47.25	$24.08–$47.25	32% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ/IM SUBCUTANEOUS ER	$70.84	$101.20	$51.00–$65.78	47% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ALLERGEN IMMUNOTHERAPY INJ SINGLE	$31.50	$45.00	$22.93–$45.00	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IN/IM SUBCUTANEOUS INFUSION TX	$33.08	$47.25	$24.08–$47.25	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 PT APPLIC 1/> AREAS MECHANICAL (97012GP	$63.91	$91.30	$34.72–$49.30	39% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 OT BALANCE/NEURO/COORD OT	$63.91	$91.30	$34.72–$49.30	39% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEURO RE-ED (97112GP)	$63.91	$91.30	$34.72–$49.30	39% above	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT BALANCE/NEURO/COORD OT	$63.91	$91.30	$34.72–$49.30	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT APPLIC 1/> AREAS MECHANICAL (97012GP	$63.91	$91.30	$34.72–$49.30	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEURO RE-ED (97112GP)	$63.91	$91.30	$34.72–$49.30	—	30%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 WOUND CARE	$182.43	$260.62	$132.81–$147.16	83% above	30%
New patient office visit, about 30 minutes CPT 99203 CLINIC NEW PATIENT VISIT LEVEL 3	$182.43	$260.62	$132.81–$147.16	83% above	30%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 WOUND CARE	$182.43	$260.62	$132.81–$147.16	—	30%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 WOUND CARE	$199.93	$285.62	$145.55–$251.76	34% above	30%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT LEVEL 4	$199.93	$285.62	$145.55–$251.76	34% above	30%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT VISIT LEVEL 4	$199.93	$285.62	$145.55–$251.76	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 WOUND CARE	$199.93	$285.62	$145.55–$251.76	—	30%
New patient office visit, about 60 minutes CPT 99205 NEW PT VISIT LEVEL 5 WOUND CARE	$217.43	$310.62	$12.00–$310.62	16% above	30%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT VISIT LEVEL 5 WOUND CARE	$217.43	$310.62	$12.00–$310.62	—	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT VISIT LEVEL 2 WOUND CARE	$164.50	$235.00	$98.10–$126.90	103% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC NEW PATIENT VISIT LEVEL 2	$164.50	$235.00	$98.10–$126.90	103% above	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT VISIT LEVEL 2 WOUND CARE	$164.50	$235.00	$98.10–$126.90	—	30%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY	$153.62	$219.45	$98.88–$118.50	47% above	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY	$153.62	$219.45	$98.88–$118.50	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL; HIGH COMPLEXITY (97163GP)	$153.62	$219.45	$103.29–$197.76	8% above	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL; HIGH COMPLEXITY (97163GP)	$153.62	$219.45	$103.29–$197.76	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL; LOW COMPLEXITY (97161GP)	$153.62	$219.45	$98.88–$118.50	46% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL; LOW COMPLEXITY (97161GP)	$153.62	$219.45	$98.88–$118.50	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Y EVAL; MODERATE COMPLEXITY (97162GP)	$153.62	$219.45	$103.29–$148.32	22% above	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Y EVAL; MODERATE COMPLEXITY (97162GP)	$153.62	$219.45	$103.29–$148.32	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL TX (97140GP)	$51.59	$73.70	$27.97–$39.80	24% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL TX OT	$51.59	$73.70	$27.97–$39.80	24% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MAN THER TECK-1/> REGIONS (97140GP)	$51.59	$73.70	$27.97–$39.80	24% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL TX OT	$51.59	$73.70	$27.97–$39.80	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MAN THER TECK-1/> REGIONS (97140GP)	$51.59	$73.70	$27.97–$39.80	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL TX (97140GP)	$51.59	$73.70	$27.97–$39.80	—	30%
Preventive checkup, new patient aged 40–64 CPT 99386 CLINIC INTIAL PREVENTIVE MED EVAL	$196.00	$280.00	$142.69–$280.00	57% above	30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 CLINIC INTIAL PREVENTIVE MED EVAL	$196.00	$280.00	$142.69–$280.00	—	30%
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL PYSCHOTHERAPY 20-30MIN	$157.50	$225.00	$114.66–$138.31	17% above	30%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL PYSCHOTHERAPY 45-50MIN	$175.00	$250.00	$127.40–$138.31	13% above	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBACCO CESSATION COUNSEL 3-10MI	$35.28	$50.40	$25.69–$50.40	12% above	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBACCO CESSATION COUNSEL 3-10MI	$35.28	$50.40	$25.69–$50.40	—	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC ESTABLISHED PATIENT LEVEL 5	$216.30	$309.00	$157.47–$290.94	30% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT LEVEL 5 WOUND CARE	$553.70	$791.00	$290.94–$427.14	232% above	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT LEVEL 5 WOUND CARE	$553.70	$791.00	$290.94–$427.14	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT LEVEL 3 WOUND CARE	$164.93	$235.62	$120.07–$148.24	65% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC ESTABLISHED PATIENT LEVEL 3	$164.93	$235.62	$120.07–$148.24	65% above	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT LEVEL 3 WOUND CARE	$164.93	$235.62	$120.07–$148.24	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC ESTABLISHED PATIENT LEVEL 4	$199.93	$285.62	$145.55–$216.00	50% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT LEVEL 4	$199.93	$285.62	$145.55–$216.00	50% above	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT LEVEL 4	$199.93	$285.62	$145.55–$216.00	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC ESTABLISHED PATIENT LEVEL 2	$147.43	$210.62	$88.90–$113.73	101% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LEVEL 2 WOUND CARE	$147.43	$210.62	$88.90–$113.73	101% above	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT LEVEL 2 WOUND CARE	$147.43	$210.62	$88.90–$113.73	—	30%
Speech and language evaluation CPT 92523 ST EVAL SPEECH SOUND W/ LANG COMP EXPRES	$313.22	$447.45	$228.02–$241.62	82% above	30%
Speech and language evaluation CPT 92523 ST SP w/Lang Comp EV 92523 -ST SPEECH	$313.22	$447.45	$228.02–$241.62	82% above	30%
Speech and language evaluation inpatient CPT 92523 ST SP w/Lang Comp EV 92523 -ST SPEECH	$313.22	$447.45	$228.02–$241.62	—	30%
Speech and language evaluation inpatient CPT 92523 ST EVAL SPEECH SOUND W/ LANG COMP EXPRES	$313.22	$447.45	$228.02–$241.62	—	30%
Speech therapy session, individual CPT 92507 ST Aud TX 92507 - TX FOR AUDITORY REHAB	$125.69	$179.55	$21.76–$96.96	3% above	30%
Speech therapy session, individual inpatient CPT 92507 ST Aud TX 92507 - TX FOR AUDITORY REHAB	$125.69	$179.55	$21.76–$96.96	—	30%
Spirometry (breathing test) CPT 94010 RT PFT PRE BRONCHO	$87.78	$125.40	$24.00–$125.40	44% below	30%
Spirometry (breathing test) inpatient CPT 94010 RT PFT PRE BRONCHO	$87.78	$125.40	$24.00–$125.40	—	30%
Spirometry before and after a bronchodilator CPT 94060 RT PFT PRE/POST BRNOCHODILATOR	$141.86	$202.65	$39.00–$202.65	44% below	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 RT PFT PRE/POST BRNOCHODILATOR	$141.86	$202.65	$39.00–$202.65	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAP ACTIVITIES 1/1 (97530GP)	$73.15	$104.50	$21.76–$56.43	17% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCTIONAL ACT OT	$73.15	$104.50	$21.76–$56.43	17% above	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT FUNCTIONAL ACT OT	$73.15	$104.50	$21.76–$56.43	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAP ACTIVITIES 1/1 (97530GP)	$73.15	$104.50	$21.76–$56.43	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$57.40	$82.00	$41.79–$82.00	45% below	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$57.40	$82.00	$41.79–$82.00	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEP B ADULT 3DOSE SCHEDULE	$67.49	$96.41	$49.13–$80.33	38% below	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEP B ADULT 3DOSE SCHEDULE	$67.49	$96.41	$49.13–$80.33	—	30%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 VAC PREVNAR 13	$522.20	$746.00	$257.99–$402.84	35% above	30%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 VAC PREVNAR 13	$522.20	$746.00	$257.99–$402.84	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 COM FLU ADMIN	$33.08	$47.25	$13.14–$47.25	25% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADM PRQ ID SUBQ/IM VACCINE	$33.08	$47.25	$13.14–$47.25	25% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECTION:TOXOID ADM	$33.08	$47.25	$13.14–$47.25	25% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 COM FLU ADMIN	$33.08	$47.25	$13.14–$47.25	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM ADM PRQ ID SUBQ/IM VACCINE	$33.08	$47.25	$13.14–$47.25	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJECTION:TOXOID ADM	$33.08	$47.25	$13.14–$47.25	—	30%

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

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

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

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

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

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

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

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

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

Source file: https://www.fultoncountyhospital.org/plugins/show_image.php?id=68