Hospital

Baxter Health Fulton County Hospital

Baxter Health Fulton County Hospital in Salem, AR publishes cash prices for 229 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Arkansas median for 150 of 227 procedures and above it for 70. By typical cash price it ranks #9 of 28 Arkansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

679 N Main Street, Salem, AR, 725769998 Collected Sep 27, 2026 Source price file (870) 895-2691

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 041322 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
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	46% 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	37% 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	$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	18% below	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%
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	3% below	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	3% below	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	31% below	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	26% 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	51% 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	28% 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	1% 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	14% 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	2% 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	2% 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	6% below	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	3% 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	11% 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	14% below	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	14% below	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	9% 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 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 PORTABLE	$130.90	$187.00	$11.86–$100.98	22% above	30%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$130.90	$187.00	$11.86–$100.98	22% 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%
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	47% 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	3% 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	16% below	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	9% above	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	2% below	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%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT	$129.34	$184.77	$35.00–$99.78	16% below	30%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$129.34	$184.77	$35.00–$99.78	16% below	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, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LEFT	$129.34	$184.77	$35.00–$99.78	—	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	51% 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	51% 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	51% 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	51% 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	51% below	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	51% 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	51% below	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 ABDOMEN LIMITED	$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 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 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 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 SOFT TISSUE ABD	$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	at median	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%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED	$149.21	$213.16	$24.00–$115.11	7% above	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	63% 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	38% 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 OB >/= 14 WEEKS GESTATION	$97.39	$139.13	$26.00–$107.60	41% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1ST TRANSABDOMINAL FOLLOW-UP	$97.39	$139.13	$26.00–$107.60	41% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OF THE PELVIS OBSTETRICAL-DIAGNOSTIC	$97.39	$139.13	$26.00–$107.60	41% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITIED	$97.39	$139.13	$26.00–$107.60	41% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB >/= 14 WEEKS GESTATION	$97.39	$139.13	$26.00–$107.60	—	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%
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	24% 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	18% below	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	6% below	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	6% below	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	6% below	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	6% below	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 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 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 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 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 RT	$129.44	$184.91	$20.00–$99.85	—	30%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$172.23	$246.04	$56.00–$132.86	62% 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	52% 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	$140.30	$200.43	$54.00–$108.23	64% below	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	64% 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	64% 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 SOFT TISSUE HEAD NECK THYROID	$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%
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	1% 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	1% 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	1% 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	1% above	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 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 LE VEINS UNIL LT	$370.97	$529.95	$73.00–$286.17	—	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 RT 3V	$95.40	$136.28	$23.00–$76.62	34% below	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	34% 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	at median	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 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	6% 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	6% 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	6% 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 RT	$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	25% below	30%
X-ray of the abdomen, 1 view CPT 74018 XR KUB 1 VIEW	$109.70	$156.72	$20.26–$84.63	25% 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 LT	$81.87	$116.96	$30.00–$76.62	27% 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	27% 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	$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	$92.20	$131.71	$16.00–$76.62	14% 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	14% 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	14% 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	14% below	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 LT	$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 RIGHT HAND 3 VIEWS	$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	$92.20	$131.71	$23.00–$76.62	14% below	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	14% below	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	$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	31% 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	31% 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 RT 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 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 2 VIEWS LT	$97.32	$139.03	$25.00–$76.62	46% 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	46% 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	46% 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	46% 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 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	$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 both sides CPT 73560 XR KNEE 1-2 VIEWS BILATERAL	$101.59	$145.13	$25.00–$78.37	—	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	639% above	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 2 VIEWS LT	$101.59	$145.13	$25.00–$78.37	13% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 2 VIEWS RT	$101.59	$145.13	$25.00–$78.37	13% below	30%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE 1-2 VIEWS BILATERAL	$101.59	$145.13	$25.00–$78.37	—	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 knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 2 VIEWS LT	$101.59	$145.13	$25.00–$78.37	—	30%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 2 VIEWS RT	$101.59	$145.13	$25.00–$78.37	—	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	47% 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	64% 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	33% 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	14% 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
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$18.48	$26.40	$6.04–$14.26	31% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT(SGPT)	$18.48	$26.40	$6.04–$14.26	31% 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 SGOT (AST)	$18.48	$26.40	$5.91–$14.26	39% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST(SGOT)	$18.48	$26.40	$5.91–$14.26	39% below	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST(SGOT)	$18.48	$26.40	$5.91–$14.26	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$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	36% below	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$135.66	$193.80	$54.30–$104.65	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 STACHYBOTRYS IGE	$19.45	$27.79	$5.95–$15.01	18% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$29.26	$41.80	$5.95–$22.57	78% 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%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG	$73.50	$105.00	$14.76–$56.70	19% 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	171% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN Q249	$134.75	$192.50	$13.78–$103.95	171% 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	1% below	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (NATRIURETIC PEPTIDE)	$112.42	$160.60	$44.76–$86.72	36% 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%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$35.42	$50.60	$9.64–$27.32	68% below	30%
Basic metabolic panel (blood test) CPT 80048 BMP	$57.40	$82.00	$9.64–$44.28	48% 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%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY GROSS	$164.50	$235.00	$28.00–$126.90	53% 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	32% 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	49% 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	$13.09	$18.70	$4.48–$10.10	55% below	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM	$13.09	$18.70	$4.48–$10.10	55% 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	406% 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%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$29.40	$42.00	$5.91–$22.68	26% below	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	28% 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	8% below	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 COVID SEND OUT	$95.55	$136.50	$51.31–$73.71	28% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV ANTIGEN	$95.55	$136.50	$51.31–$73.71	28% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID COVID	$95.55	$136.50	$51.31–$73.71	28% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RAPID COVID	$95.55	$136.50	$51.31–$73.71	—	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%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA	$94.82	$135.45	$40.00–$73.14	27% 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	56% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$42.35	$60.50	$15.26–$32.67	49% 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	19% above	30%
Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF	$58.10	$83.00	$8.86–$44.82	19% above	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) with differential inpatient CPT 85025 **CBC 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	25% below	30%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$22.79	$32.55	$7.38–$17.58	25% below	30%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$22.79	$32.55	$7.38–$17.58	—	30%
Complete blood count (CBC), no differential inpatient CPT 85027 ***CBC 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	38% below	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$79.10	$113.00	$12.04–$61.02	—	30%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$92.92	$132.74	$11.61–$71.68	49% above	30%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER PLASMA;QUANT	$92.92	$132.74	$11.61–$71.68	49% 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	5% below	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$66.50	$95.00	$25.34–$51.30	—	30%
Estradiol blood test CPT 82670 ESTRADIOL	$72.77	$103.95	$31.85–$56.13	30% below	30%
Estradiol blood test CPT 82670 ESTRADIOL SERUM	$91.63	$130.90	$31.85–$70.69	12% below	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	15% 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	142% 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	31% below	30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$46.97	$67.10	$15.54–$36.23	—	30%
Folate (folic acid) blood test CPT 82746 FOLATE- SERUM	$55.13	$78.75	$16.76–$42.52	13% below	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	16% 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	40% 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	at median	30%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$83.93	$119.90	$29.04–$64.75	—	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	49% 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	43% 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	24% 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	27% 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	41% 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	194% 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	19% below	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	at median	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	62% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$30.10	$43.00	$11.07–$23.22	23% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C	$64.83	$92.62	$11.07–$50.01	66% 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%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP BSAB	$26.60	$38.00	$12.24–$20.52	57% 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	33% 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	20% 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	53% 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	14% 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	25% 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	29% below	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	33% 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	28% 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	at median	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	65% 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	8% below	30%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH)	$60.83	$86.90	$21.11–$46.93	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$16.17	$23.10	$7.85–$12.47	47% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$30.87	$44.10	$7.85–$23.81	2% 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	52% below	30%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$43.12	$61.60	$9.31–$33.26	52% below	30%
Liver function blood test panel inpatient CPT 80076 LIVER	$43.12	$61.60	$9.31–$33.26	—	30%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$43.12	$61.60	$9.31–$33.26	—	30%
Lyme disease antibody test CPT 86618 LYMES	$43.74	$62.48	$19.41–$33.74	43% 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	1% below	30%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$129.94	$185.63	$7.64–$100.24	306% 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	67% below	30%
Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA Q34166	$42.00	$60.00	$14.68–$32.40	9% below	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	52% below	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT	$14.63	$20.90	$5.91–$11.29	—	30%
Obstetric blood test panel CPT 80055 OB PANEL	$156.45	$223.50	$36.52–$120.69	25% 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	at median	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	13% 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	20% 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	28% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 PTH	$317.50	$453.57	$47.06–$244.93	101% 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	38% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME	$32.55	$46.50	$6.85–$25.11	7% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$43.86	$62.65	$6.85–$33.83	26% 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%
Progesterone blood test CPT 84144 PROGESTERONE	$68.53	$97.90	$23.78–$52.87	14% 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	12% below	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	20% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$40.05	$57.21	$4.89–$30.89	43% 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	137% 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	35% 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	35% 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	32% below	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 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 CULTURE STREPTOCOCCUS	$23.80	$34.00	$12.87–$18.84	—	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATIOD FACTOR QUANT	$16.17	$23.10	$6.46–$12.47	56% below	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE	$24.15	$34.50	$6.46–$18.63	34% 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	15% below	30%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY TITERS	$37.10	$53.00	$16.40–$28.62	—	30%
Stool ova and parasites exam CPT 87177 OVA & PARASITES	$23.10	$33.00	$10.15–$17.82	42% 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	47% 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 screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$42.35	$60.50	$4.87–$32.67	146% 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	58% 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	8% 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	6% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$58.52	$83.60	$16.59–$45.14	45% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM-1 ANTIBODY	$105.11	$150.15	$16.59–$81.08	161% 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	25% below	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$45.50	$65.00	$19.15–$35.10	—	30%
Uric acid blood test CPT 84550 URIC ACID;BLOOD	$22.33	$31.90	$5.15–$17.23	38% 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	at median	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 URINALYSIS	$15.40	$22.00	$4.52–$11.88	39% below	30%
Urinalysis with microscope exam, manual CPT 81000 UA	$15.40	$22.00	$4.52–$11.88	39% below	30%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS	$15.40	$22.00	$4.52–$11.88	—	30%
Urinalysis with microscope exam, manual inpatient CPT 81000 UA	$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	at median	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 URINALYSIS (DIPSTICK)NO M	$10.50	$15.00	$3.66–$8.10	42% below	30%
Urinalysis without microscope exam, manual CPT 81002 ***UA NO MICRO (DIPSTICK)	$10.50	$15.00	$3.66–$8.10	42% 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	53% below	30%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL QUANTITATIVE CHARGE	$34.65	$49.50	$9.20–$26.73	22% below	30%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$44.66	$63.80	$9.20–$34.45	at median	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 pregnancy test, read by color change CPT 81025 UCG	$17.50	$25.00	$9.03–$13.50	71% below	30%
Urine pregnancy test, read by color change CPT 81025 HCG URINE	$17.96	$25.65	$9.03–$13.85	70% 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	8% 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	57% 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	17% 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	60% 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	—	—
Zinc blood test CPT 84630 ZINC	$37.73	$53.90	$12.98–$29.11	14% below	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	90% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$70.00	$100.00	$11.54–$54.00	97% 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
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$268.10	$383.00	$76.00–$383.00	42% below	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$268.10	$383.00	$76.00–$383.00	—	30%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY WITH REMOVAL OF TUMOR ETC	$471.10	$673.00	$233.39–$673.00	53% 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 CONTROL OF BLEEDING	$446.60	$638.00	$184.99–$638.00	46% below	30%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY	$446.60	$638.00	$184.99–$638.00	46% below	30%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH SUBMUCOSAL INJECTION	$973.00	$1,390.00	$184.99–$1,101.35	17% above	30%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY	$446.60	$638.00	$184.99–$638.00	—	30%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH CONTROL OF BLEEDING	$446.60	$638.00	$184.99–$638.00	—	30%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH SUBMUCOSAL INJECTION	$973.00	$1,390.00	$184.99–$1,101.35	—	30%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC	$362.60	$518.00	$170.98–$518.00	46% below	30%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC	$362.60	$518.00	$170.98–$518.00	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PREMALIGNANT LESION 1ST	$85.79	$122.55	$48.60–$122.55	14% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION PREMALIGNANT LESION 1ST	$85.79	$122.55	$48.60–$122.55	—	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL CERUMEN IMPACT-IRRIGATION	$33.39	$47.70	$16.37–$47.70	34% below	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATIO	$56.00	$80.00	$16.37–$80.00	11% above	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL CERUMEN IMPACT-IRRIGATION	$33.39	$47.70	$16.37–$47.70	—	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATIO	$56.00	$80.00	$16.37–$80.00	—	30%
Earwax removal with instruments, one ear CPT 69210 REM IMPACTED CERUMEN	$56.00	$80.00	$28.41–$80.00	7% below	30%
Earwax removal with instruments, one ear CPT 69210 REMOVAL CERUMEN IMPACT-INSTRUMENT	$72.77	$103.95	$28.41–$103.95	21% above	30%
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACTED CERUMEN	$56.00	$80.00	$28.41–$80.00	—	30%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL CERUMEN IMPACT-INSTRUMENT	$72.77	$103.95	$28.41–$103.95	—	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC	$418.60	$598.00	$54.86–$598.00	2% above	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC	$418.60	$598.00	$54.86–$598.00	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE	$157.40	$224.85	$101.96–$224.85	16% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D SKIN ABSCESS SIMPLE WOUND CARE	$157.40	$224.85	$101.96–$224.85	16% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE	$157.40	$224.85	$101.96–$224.85	16% below	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE	$157.40	$224.85	$101.96–$224.85	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D SKIN ABSCESS SIMPLE WOUND CARE	$157.40	$224.85	$101.96–$224.85	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE	$157.40	$224.85	$101.96–$224.85	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$88.30	$126.14	$35.05–$126.14	22% below	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON SHEATH	$116.12	$165.88	$35.05–$165.88	2% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT	$88.30	$126.14	$35.05–$126.14	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SINGLE TENDON SHEATH	$116.12	$165.88	$35.05–$165.88	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS/ASPIRATION ER PHYS	$83.30	$119.00	$40.89–$119.00	52% below	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT	$83.30	$119.00	$40.89–$119.00	52% below	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	82% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS/ASPIRATION ER PHYS	$83.30	$119.00	$40.89–$119.00	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT	$83.30	$119.00	$40.89–$119.00	—	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%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS/INTER JT	$68.60	$98.00	$33.51–$98.00	60% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS/INTER JT	$68.60	$98.00	$33.51–$98.00	—	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JOINT W/O US	$117.55	$167.93	$32.75–$167.93	3% below	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SMALL JOINT W/O US	$117.55	$167.93	$32.75–$167.93	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INT SCALP/TRUNK	$267.40	$382.00	$136.39–$379.42	17% below	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INT SCALP/TRUNK	$267.40	$382.00	$136.39–$379.42	—	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LESION MRGN XCP	$207.06	$295.80	$77.29–$295.80	30% below	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC B9 LESION MRGN XCP	$207.06	$295.80	$77.29–$295.80	—	30%
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PL SIMP SINGLE	$91.00	$130.00	$51.59–$130.00	35% below	30%
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL SIMPLE OR PARTIAL	$91.00	$130.00	$51.59–$130.00	35% below	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL SIMPLE OR PARTIAL	$91.00	$130.00	$51.59–$130.00	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PL SIMP SINGLE	$91.00	$130.00	$51.59–$130.00	—	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL	$285.60	$408.00	$97.54–$379.42	18% below	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL	$285.60	$408.00	$97.54–$379.42	—	30%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL INC F B SUBCUT	$225.75	$322.50	$103.45–$322.50	4% below	30%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FB SKIN	$232.16	$331.66	$103.45–$331.66	1% below	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL INC F B SUBCUT	$225.75	$322.50	$103.45–$322.50	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FB SKIN	$232.16	$331.66	$103.45–$331.66	—	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	83% 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	$361.90	$517.00	$170.98–$517.00	42% below	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	83% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCREENING HIGH RISK	$361.90	$517.00	$170.98–$517.00	—	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 arm cast (elbow to hand) CPT 29075 APP SHORT ARM CAST	$100.10	$143.00	$59.07–$143.00	1% above	30%
Short arm splint (forearm and hand) CPT 29125 APP SPLINT FOREARM-WRIST	$70.70	$101.00	$41.20–$101.00	38% below	30%
Short leg splint (calf to foot) CPT 29515 APP SPLINT SHORT LEG	$81.20	$116.00	$50.40–$116.00	36% below	30%
Short leg splint (calf to foot) CPT 29515 APP SPLINT (SHORT LEG)	$136.29	$194.70	$99.22–$194.70	7% above	30%
Short leg splint (calf to foot) inpatient CPT 29515 APP SPLINT (SHORT LEG)	$136.29	$194.70	$99.22–$194.70	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR TO 2.5 CM	$92.40	$132.00	$44.71–$132.00	61% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR TO 2.5 CM	$92.40	$132.00	$44.71–$132.00	—	30%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION	$224.70	$321.00	$163.58–$321.00	19% above	30%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY- 1ST LESION	$280.00	$400.00	$39.99–$379.42	48% above	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION	$224.70	$321.00	$163.58–$321.00	—	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY- 1ST LESION	$280.00	$400.00	$39.99–$379.42	—	30%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS	$98.00	$140.00	$70.15–$140.00	36% below	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS	$98.00	$140.00	$70.15–$140.00	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE/DX	$124.60	$178.00	$59.48–$178.00	67% below	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DX	$470.47	$672.10	$250.00–$655.31	23% above	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE/DX	$124.60	$178.00	$59.48–$178.00	—	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DX	$470.47	$672.10	$250.00–$655.31	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PHYS SIMPLE REP.2.6CM	$119.00	$170.00	$58.40–$170.00	64% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PHYS SIMPLE REP.2.6CM	$119.00	$170.00	$58.40–$170.00	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR UP TO 2.5 CM	$110.60	$158.00	$55.24–$158.00	33% below	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR UP TO 2.5 CM	$110.60	$158.00	$55.24–$158.00	—	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANG BX SKIN SINGLE LESION	$221.95	$317.07	$31.72–$250.00	40% above	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANG BX SKIN SINGLE LESION	$221.95	$317.07	$31.72–$250.00	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SINGLE OR MULT TRIGGE	$182.35	$260.50	$37.09–$260.50	20% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1-2	$182.35	$260.50	$37.09–$260.50	20% above	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 1-2	$182.35	$260.50	$37.09–$260.50	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SINGLE OR MULT TRIGGE	$182.35	$260.50	$37.09–$260.50	—	30%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY	$376.60	$538.00	$128.51–$538.00	45% 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	26% 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	57% below	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC	$296.10	$423.00	$114.75–$423.00	—	30%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF BENIGN LESIONS	$112.06	$160.08	$63.17–$160.08	27% below	30%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION OF BENIGN LESIONS	$112.06	$160.08	$63.17–$160.08	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 CLINIC PHY DEBRIDEMENT SUB TISSUE	$102.06	$145.80	$57.53–$145.80	61% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBQ.T	$102.06	$145.80	$57.53–$145.80	61% below	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	152% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUBQ.T	$102.06	$145.80	$57.53–$145.80	—	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	17% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT SWINGBED	$64.68	$92.40	$6.00–$92.40	17% 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	115% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT OBSERVATION	$206.36	$294.80	$6.00–$181.78	165% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT INPATIENT	$226.38	$323.40	$6.00–$181.78	190% 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	28% below	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	13% 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	61% 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	61% 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	48% 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	48% 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	45% 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	45% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E R PHYSICIAN FEE	$185.22	$264.60	$73.17–$264.60	33% 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	52% 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	52% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E R PHYSICIAN FEE	$260.82	$372.60	$124.48–$372.60	42% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E R PHYSICIAN FEE	$336.42	$480.60	$180.90–$480.60	52% 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	52% 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	52% below	30%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PATIENT	$192.50	$275.00	$138.31–$140.14	21% above	30%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PATIENT	$140.00	$200.00	$110.19–$138.31	12% below	30%
Group psychotherapy session CPT 90853 GROUP THERAPY	$227.50	$325.00	$72.00–$165.62	101% above	30%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 REPORT REVIEW AND INTERPRETATION	$227.50	$325.00	$69.85–$308.75	45% above	30%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 REPORT REVIEW AND INTERPRETATION	$227.50	$325.00	$69.85–$308.75	—	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	8% 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	22% 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%
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	59% 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	57% 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	7% below	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%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 ADMIT W/NO MEDICAL SERVICES	$175.00	$250.00	$138.31–$153.03	19% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 OT BALANCE/NEURO/COORD OT	$63.91	$91.30	$34.72–$49.30	6% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 PT APPLIC 1/> AREAS MECHANICAL (97012GP	$63.91	$91.30	$34.72–$49.30	6% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEURO RE-ED (97112GP)	$63.91	$91.30	$34.72–$49.30	6% below	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEURO RE-ED (97112GP)	$63.91	$91.30	$34.72–$49.30	—	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%
New patient office visit, about 30 minutes CPT 99203 CLINIC PHY NEW PATIENT LEVEL 3	$126.60	$180.85	$75.63–$147.16	57% above	30%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT LEVEL 3 WOUND CARE	$126.60	$180.85	$75.63–$147.16	57% above	30%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 WOUND CARE	$182.43	$260.62	$132.81–$147.16	127% 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	127% above	30%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT VISIT LEVEL 3 WOUND CARE	$126.60	$180.85	$75.63–$147.16	—	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	96% above	30%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT LEVEL 4	$199.93	$285.62	$145.55–$251.76	96% above	30%
New patient office visit, about 45 minutes CPT 99204 CLINIC PHY NEW PATIENT LEVEL 4	$215.03	$307.18	$123.87–$251.76	111% above	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 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 CLINIC PHY NEW PATIENT LEVEL 4	$215.03	$307.18	$123.87–$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	14% above	30%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT LEVEL 5 WOUND CARE	$279.50	$399.28	$12.00–$328.96	46% above	30%
New patient office visit, about 60 minutes CPT 99205 CLINIC PHY NEW PATIENT LEVEL 5	$412.31	$589.02	$12.00–$328.96	115% 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, about 60 minutes inpatient CPT 99205 NEW PATIENT VISIT LEVEL 5 WOUND CARE	$279.50	$399.28	$12.00–$328.96	—	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC PHY NEW PATIENT LEVEL 2	$83.22	$118.88	$43.81–$98.10	40% 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	176% above	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	176% 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	42% 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	at median	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	37% 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	18% 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	19% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL TX OT	$51.59	$73.70	$27.97–$39.80	19% below	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	19% below	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%
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 OT MANUAL TX OT	$51.59	$73.70	$27.97–$39.80	—	30%
Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL PREVENATIVE MEDICINE NEW 18-39	$169.40	$242.00	$242.00	72% above	30%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 INITIAL PREVENATIVE MEDICINE NEW 18-39	$169.40	$242.00	$242.00	—	30%
Preventive checkup, new patient aged 40–64 CPT 99386 CLINIC PHY INTIAL PREVENTIVE MED EVAL	$158.90	$227.00	$227.00	46% above	30%
Preventive checkup, new patient aged 40–64 CPT 99386 CLINIC INTIAL PREVENTIVE MED EVAL	$196.00	$280.00	$142.69–$280.00	80% above	30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 CLINIC PHY INTIAL PREVENTIVE MED EVAL	$158.90	$227.00	$227.00	—	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%
Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL PREVENTIVE MEDICINE	$228.55	$326.50	$326.50	141% above	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 CLINIC PHY COMP PREV RE-EVAL	$119.00	$170.00	$170.00	31% above	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 CLINIC PHY PREVENTATIVE MED EST PATIENT	$166.60	$238.00	$238.00	85% above	30%
Preventive checkup, returning patient aged 65 or older CPT 99397 ESTABLISHED PT PREVENATIVE MED	$226.80	$324.00	$324.00	127% above	30%
Psychiatric evaluation with medical services CPT 90792 ADMIT W/ MEDICAL SERVICES	$192.50	$275.00	$138.31–$174.13	5% above	30%
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL PYSCHOTHERAPY 20-30MIN	$157.50	$225.00	$114.66–$138.31	60% above	30%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL PYSCHOTHERAPY 45-50MIN	$175.00	$250.00	$127.40–$138.31	42% 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	1% below	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 PHY LEVEL 5	$195.30	$279.00	$133.72–$279.00	52% above	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	68% 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	331% 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	$84.86	$121.23	$61.36–$121.23	1% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC PHY EST PATIENT LEVEL 3	$84.86	$121.23	$61.36–$121.23	1% above	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	96% 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	96% above	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT LEVEL 3	$84.86	$121.23	$61.36–$121.23	—	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 ESTABLISHED PT LEVEL 4 WOUND CARE	$130.47	$186.38	$90.18–$186.38	34% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC PHY EST PATIENT LEVEL 4	$130.47	$186.38	$90.18–$186.38	34% above	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	105% 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	105% above	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PT LEVEL 4 WOUND CARE	$130.47	$186.38	$90.18–$186.38	—	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 PHY EST LEVEL 2	$41.74	$59.63	$33.01–$59.63	34% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PSYCHIATRIC MEDS 10 MIN	$52.50	$75.00	$33.01–$75.00	16% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PSYCHIATRIC MEDS 15 MIN	$70.00	$100.00	$33.01–$88.90	11% above	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	134% 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	134% 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	72% 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	72% 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	8% below	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	57% 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	48% 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	7% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCTIONAL ACT OT	$73.15	$104.50	$21.76–$56.43	7% above	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 activities (functional training), 15 minutes inpatient CPT 97530 OT FUNCTIONAL ACT OT	$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	57% 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	39% 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%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 COM FLU ADMIN	$33.08	$47.25	$13.14–$47.25	38% 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	38% 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	38% above	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%
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%

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