Hospital Montgomery, AL

Health Care Authority for Baptist Health, An Affiliate of Uabhs

Health Care Authority for Baptist Health, An Affiliate of Uabhs in Montgomery, AL publishes cash prices for 249 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 Alabama median for 174 of 246 procedures and above it for 62. By typical cash price it ranks #13 of 39 Alabama hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

2105 E South Blvd, Montgomery, AL 36111 Collected Sep 27, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ARTERAL DUPLEX W ABI\'S	$272.31	$453.85	$204.23–$434.79	27% above	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER EXTREMITY ARTERIAL STUDY	$272.31	$453.85	$204.23–$434.79	27% above	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-ARTERIAL DUPLEX W/ABI	$272.31	$453.85	$204.23–$434.79	27% above	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ARTERIAL DUPLEX W/ABI'S	$272.31	$453.85	$204.23–$434.79	27% above	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 DX ESOPHAGRAM	$276.42	$460.70	$207.32–$441.35	22% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$843.21	$1,405.35	$632.41–$1,346.33	36% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NM WBC/INFLAM PROC SCAN WHOLE BOD	$843.21	$1,405.35	$632.41–$1,346.33	36% below	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED-LEFT	$261.69	$436.15	$196.27–$417.83	at median	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST WO/W	$1,652.61	$2,754.35	$672.00–$1,095.00	7% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 XCT ANGIO CHEST W/0+W/	$1,652.61	$2,754.35	$672.00–$1,095.00	7% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/0+W/	$1,652.61	$2,754.35	$672.00–$1,095.00	7% above	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CA, W QUANT EVAL OF CCAL	$482.58	$804.30	$672.00–$1,095.00	67% below	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 IR-CTA CA,W QUANT EVAL OF CCAL	$482.58	$804.30	$672.00–$1,095.00	67% below	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT,HEART,WO CON,IMG PP,CCAL	$397.80	$663.00	$672.00–$1,095.00	69% above	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 XCT ABD/PELVIS WITHOUT CONTRAST	$2,085.00	$3,475.00	$672.00–$1,095.00	at median	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WITHOUT CONTRAST	$2,085.00	$3,475.00	$672.00–$1,095.00	at median	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS WITH CONTRAST	$2,329.62	$3,882.70	$672.00–$1,095.00	11% below	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 XCT ABD/PELVIS WITH CONTRAST	$2,329.62	$3,882.70	$672.00–$1,095.00	11% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD W/WO AND PELVIS W/CONTRAST	$2,436.03	$4,060.05	$672.00–$1,095.00	21% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 XCT ABD W/WO AND PELVIS W CONTRAS	$2,436.03	$4,060.05	$672.00–$1,095.00	21% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM W&W/O CONT	$2,648.13	$4,413.55	$672.00–$1,095.00	14% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 XCT ABD/PELVIS W/WO CONTRAST	$2,648.13	$4,413.55	$672.00–$1,095.00	14% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 XCT UROGRAM W&W/O CONT	$2,648.13	$4,413.55	$672.00–$1,095.00	14% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTRAST	$2,648.13	$4,413.55	$672.00–$1,095.00	14% below	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH IV CONTRAST	$1,265.31	$2,108.85	$672.00–$1,095.00	30% below	40%
CT scan of the abdomen with contrast CPT 74160 XCT-ABDOMEN WITH CONTRAST	$1,265.31	$2,108.85	$672.00–$1,095.00	30% below	40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O IV CONTRAST	$1,107.93	$1,846.55	$672.00–$1,095.00	24% below	40%
CT scan of the abdomen without contrast CPT 74150 XCT-ABDOMEN WO CONTRAST	$1,107.93	$1,846.55	$672.00–$1,095.00	24% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONT	$1,071.54	$1,785.90	$672.00–$1,095.00	35% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 XCT-FACIAL W/O CONTRAST	$1,071.54	$1,785.90	$672.00–$1,095.00	35% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-FACIAL W/O IV CONTRAST	$1,071.54	$1,785.90	$672.00–$1,095.00	35% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 XCT-HEAD W/O CONTRAST	$980.46	$1,634.10	$672.00–$1,095.00	26% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WITHOUT IV CONTRAST	$980.46	$1,634.10	$672.00–$1,095.00	26% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT CODE STROKE HEAD WO	$980.46	$1,634.10	$672.00–$1,095.00	26% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD/BRAIN WO IV CONTRAST	$980.46	$1,634.10	$672.00–$1,095.00	26% below	40%
CT scan of the head with contrast CPT 70460 XCT-HEAD WITH CONTRAST	$980.46	$1,634.10	$672.00–$1,095.00	32% below	40%
CT scan of the head with contrast CPT 70460 CT-HEAD WITH IV CONTRAST	$980.46	$1,634.10	$672.00–$1,095.00	32% below	40%
CT scan of the head without and with contrast CPT 70470 CT-HEAD/BRAIN WO/W IV CONTRAST	$1,316.76	$2,194.60	$672.00–$1,095.00	35% below	40%
CT scan of the head without and with contrast CPT 70470 XCT-HEAD W/WO CONTRAST	$1,316.76	$2,194.60	$672.00–$1,095.00	35% below	40%
CT scan of the head without and with contrast CPT 70470 CT-HEAD W&W/O IV CONTRAST	$1,316.76	$2,194.60	$672.00–$1,095.00	35% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 XCT-LUMBAR SPINE W/O CONTRAST	$1,182.78	$1,971.30	$672.00–$1,095.00	25% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O IV CONTRAS	$1,182.78	$1,971.30	$672.00–$1,095.00	25% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONTRAST	$1,182.78	$1,971.30	$672.00–$1,095.00	25% below	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O IV CONTR	$982.77	$1,637.95	$672.00–$1,095.00	44% below	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 XCT-CERVICAL SPINE W/O CONTRAS	$982.77	$1,637.95	$672.00–$1,095.00	44% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 XCT-PELVIS WITH CONTRAST	$1,064.31	$1,773.85	$672.00–$1,095.00	38% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS WITH IV CONTRAST	$1,064.31	$1,773.85	$672.00–$1,095.00	38% below	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILATERAL	$792.24	$1,320.40	$594.18–$1,264.94	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID ARTERIES BILAT	$792.24	$1,320.40	$594.18–$1,264.94	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILAT	$792.24	$1,320.40	$594.18–$1,264.94	—	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-COLOR CAROTID DOPPLER	$792.24	$1,320.40	$594.18–$1,264.94	84% above	40%
Chest X-ray, 2 views both sides CPT 71046 DX CHEST DECUBITUS BILATERAL	$170.40	$284.00	$127.80–$272.07	—	40%
Chest X-ray, 2 views both sides CPT 71046 DX-CHEST DECUBITUS BILATERAL	$170.40	$284.00	$127.80–$272.07	—	40%
Chest X-ray, 2 views CPT 71046 DX-CHEST ROUTINE PA & LAT 2 VIEWS	$170.40	$284.00	$127.80–$272.07	25% below	40%
Chest X-ray, 2 views CPT 71046 CHEST ROUTINE PA & LAT 2 VIEWS	$170.40	$284.00	$127.80–$272.07	25% below	40%
Chest X-ray, 2 views CPT 71046 DX-CHEST ROUTINE PA & LAT 2 VI	$170.40	$284.00	$127.80–$272.07	25% below	40%
Chest X-ray, 2 views CPT 71046 BT-CHEST ROUTINE PA & LAT 2 VIEWS	$170.40	$284.00	$127.80–$272.07	25% below	40%
Chest X-ray, single view CPT 71045 DX CHEST PA OR AP ONE VIEW	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view CPT 71045 DX CHEST EXPIRATION VIEW	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view CPT 71045 CHEST AP OR PA 1 VIEW	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view CPT 71045 DX CHEST PORTABLE	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view CPT 71045 DX-CHEST PA OR AP ONE VIEW	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view CPT 71045 BT-CHEST AP OR PA 1V	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view CPT 71045 BT-CHEST AP OR PA 1 VIEW	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view one side CPT 71045 DX-CHEST DECUBITUS RIGHT	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view one side CPT 71045 BT-CHEST DECUBITUS LEFT	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view one side CPT 71045 BT-CHEST DECUBITUS RIGHT	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view one side CPT 71045 DX-CHEST DECUBITUS LEFT	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view one side CPT 71045 DX CHEST DECUBITUS LT	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view one side CPT 71045 DX CHEST DECUBITUS RT	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view one side CPT 71045 CHEST DECUBITUS LEFT	$146.40	$244.00	$109.80–$233.75	13% below	40%
Chest X-ray, single view one side CPT 71045 CHEST DECUBITUS RIGHT	$146.40	$244.00	$109.80–$233.75	13% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL BILATERAL	$398.79	$664.65	$299.09–$636.73	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL BILAT	$398.79	$664.65	$299.09–$636.73	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DX BONE DEXA AXIAL SKELETON	$212.16	$353.60	$159.12–$338.75	38% below	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL DETAIL SURVEY SINGLE	$453.15	$755.25	$339.86–$723.53	31% above	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL DETAIL SURV SNGL GEST	$453.15	$755.25	$339.86–$723.53	31% above	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 XCT-THORAX WITHOUT CONTRAST	$1,015.41	$1,692.35	$672.00–$1,095.00	16% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O IV CONTRAST	$1,015.41	$1,692.35	$672.00–$1,095.00	16% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$1,015.41	$1,692.35	$672.00–$1,095.00	16% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO/SCREENING FU	$1,015.41	$1,692.35	$672.00–$1,095.00	16% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$1,163.49	$1,939.15	$672.00–$1,095.00	32% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 XCT-THORAX WITH CONTRAST	$1,163.49	$1,939.15	$672.00–$1,095.00	32% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W IV CONTRAST	$1,163.49	$1,939.15	$672.00–$1,095.00	32% below	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MA MAMMO DIGITAL SURV BILAT-W/CAD	$131.40	$219.00	$98.55–$209.80	—	40%
Diagnostic mammogram, both breasts CPT 77066 MAMMO DIGITAL SURV BIL W/CAD	$131.40	$219.00	$98.55–$209.80	44% below	40%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIGITAL DIAG,BIL W/CAD	$131.40	$219.00	$98.55–$209.80	44% below	40%
Diagnostic mammogram, both breasts CPT 77066 MAMMO DIGITAL DIAG, BIL W/CAD	$131.40	$219.00	$98.55–$209.80	44% below	40%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIGITAL DIAG, UNI W/CAD	$121.80	$203.00	$91.35–$194.47	48% below	40%
Diagnostic mammogram, one breast CPT 77065 MA MAMMO DIGITAL SURV UNI, W/CAD	$121.80	$203.00	$91.35–$194.47	48% below	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOWER EXT BILAT	$206.40	$344.00	$154.80–$329.55	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERAL LOWER EXT BILAT	$206.40	$344.00	$154.80–$329.55	—	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US ARTERIAL LOWER EXT BIL	$206.40	$344.00	$154.80–$329.55	36% below	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER BILAT EXTREMITY	$764.58	$1,274.30	$573.44–$1,220.78	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS EXT BILAT UPPER	$764.58	$1,274.30	$573.44–$1,220.78	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS EXT BILAT LOWER	$764.58	$1,274.30	$573.44–$1,220.78	—	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 US-VENOUS DOPPLER EXTREMITY BIL	$764.58	$1,274.30	$573.44–$1,220.78	11% above	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOPPLER EXTREMITY BIL	$764.58	$1,274.30	$573.44–$1,220.78	11% above	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TT ECHO 2D W/ SPEC DOPPL-COMPLETE	$709.20	$1,182.00	$531.90–$1,132.36	40% below	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TT ECHO W/ COLOR DOPPLER	$709.20	$1,182.00	$531.90–$1,132.36	40% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY(HIDA)SCAN WO CCK	$685.38	$1,142.30	$514.04–$1,094.32	39% below	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$200.40	$334.00	$150.30–$319.97	39% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 NPSG/CPAP > 6 YRS OLD	$2,280.00	$3,800.00	$1,710.00–$3,640.40	19% below	40%
Knee X-ray, 3 views one side CPT 73562 KNEE 3V RT	$49.80	$83.00	$37.35–$79.51	76% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LIMITED	$363.99	$606.65	$272.99–$581.17	at median	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED/RLQ	$363.99	$606.65	$272.99–$581.17	at median	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$363.99	$606.65	$272.99–$581.17	at median	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ER US ABDOMEN - LIMITED	$363.99	$606.65	$272.99–$581.17	at median	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL RUQ (LVR,GB,PANC)	$363.99	$606.65	$272.99–$581.17	at median	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED ONE ORGAN	$363.99	$606.65	$272.99–$581.17	at median	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$363.99	$606.65	$272.99–$581.17	at median	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US INFANT DUODENUM	$363.99	$606.65	$272.99–$581.17	at median	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US ABD LTD RT UP QUAD	$363.99	$606.65	$272.99–$581.17	at median	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREEN	$173.40	$289.00	$672.00–$1,095.00	19% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREEN	$173.40	$289.00	$672.00–$1,095.00	19% below	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W/WO CONT-W/CAD BILAT	$938.40	$1,564.00	$1,008.00–$1,777.00	—	40%
MRI of the abdomen without contrast CPT 74181 XMR ABDOMEN MRI W/O	$1,563.00	$2,605.00	$1,008.00–$1,777.00	3% above	40%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CONTRAST	$1,563.00	$2,605.00	$1,008.00–$1,777.00	3% above	40%
MRI of the abdomen without contrast CPT 74181 MR MRCP	$1,563.00	$2,605.00	$1,008.00–$1,777.00	3% above	40%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN MRI W/O	$1,563.00	$2,605.00	$1,008.00–$1,777.00	3% above	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN MRI W/O + W/	$2,149.29	$3,582.15	$1,008.00–$1,777.00	at median	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 XMR ABDOMEN MRI W/O + W/	$2,149.29	$3,582.15	$1,008.00–$1,777.00	at median	40%
MRI of the brain, no contrast dye CPT 70551 XMR PITUITARY W/O CON	$1,726.20	$2,877.00	$1,008.00–$1,777.00	7% below	40%
MRI of the brain, no contrast dye CPT 70551 XMR BRAIN W/O CONT 3 SEQ	$1,726.20	$2,877.00	$1,008.00–$1,777.00	7% below	40%
MRI of the brain, no contrast dye CPT 70551 XMR IAC(S) MRI W/O	$1,726.20	$2,877.00	$1,008.00–$1,777.00	7% below	40%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CONTRAST	$1,726.20	$2,877.00	$1,008.00–$1,777.00	7% below	40%
MRI of the brain, no contrast dye CPT 70551 MR IAC(S) MRI W/O	$1,726.20	$2,877.00	$1,008.00–$1,777.00	7% below	40%
MRI of the brain, no contrast dye CPT 70551 MR PITUITARY W/O CON	$1,726.20	$2,877.00	$1,008.00–$1,777.00	7% below	40%
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN W/O CONT 3 SEQ	$1,726.20	$2,877.00	$1,008.00–$1,777.00	7% below	40%
MRI of the brain, with and without contrast dye CPT 70553 XMR IAC(S) MRI W/O + W/	$504.60	$841.00	$1,008.00–$1,777.00	80% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MR IAC(S) MRI W/O + W/	$504.60	$841.00	$1,008.00–$1,777.00	80% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MR PITUITARY W/WO	$2,149.29	$3,582.15	$1,008.00–$1,777.00	13% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN MRI W/O + W/	$2,149.29	$3,582.15	$1,008.00–$1,777.00	13% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WWO CONTRAST	$2,149.29	$3,582.15	$1,008.00–$1,777.00	13% below	40%
MRI of the brain, with and without contrast dye CPT 70553 XMR BRAIN MRI W/O + W/	$2,149.29	$3,582.15	$1,008.00–$1,777.00	13% below	40%
MRI of the brain, with and without contrast dye CPT 70553 XMR PITUITARY W/WO	$2,149.29	$3,582.15	$1,008.00–$1,777.00	13% below	40%
MRI of the lower back, no contrast dye CPT 72148 XMR LUMBAR SAGITTAL W/O	$1,558.77	$2,597.95	$1,008.00–$1,777.00	14% below	40%
MRI of the lower back, no contrast dye CPT 72148 MR-LUMBAR CHORD W0 CONT. 3 SEQ	$1,558.77	$2,597.95	$1,008.00–$1,777.00	14% below	40%
MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR WO CONTRAST	$1,558.77	$2,597.95	$1,008.00–$1,777.00	14% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MR LUMBAR SPINE MRI W/O + W	$2,149.29	$3,582.15	$1,008.00–$1,777.00	16% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 XMR LUMBAR SPINE MRI W/O + W	$2,149.29	$3,582.15	$1,008.00–$1,777.00	16% below	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 XMR DORSAL CHORD WO CON 3S	$1,542.36	$2,570.60	$1,008.00–$1,777.00	at median	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR THORACIC WO CONTRAST	$1,542.36	$2,570.60	$1,008.00–$1,777.00	at median	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-DORSAL CHORD WO CON 3S	$1,542.36	$2,570.60	$1,008.00–$1,777.00	at median	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 XMR CERVICAL SPINE W/+W/O CONTRAS	$1,937.07	$3,228.45	$1,008.00–$1,777.00	24% below	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERVICAL SPINE W/+W/O CONTRAST	$1,937.07	$3,228.45	$1,008.00–$1,777.00	24% below	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERVICAL SPINE W/WO CONTRAST	$1,937.07	$3,228.45	$1,008.00–$1,777.00	24% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR CERVICAL SPINE W/O CONTRAST	$1,202.07	$2,003.45	$1,008.00–$1,777.00	36% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 XMR CERVICAL SPINE W/O CONTRAST	$1,202.07	$2,003.45	$1,008.00–$1,777.00	36% below	40%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W/WO CON	$1,618.11	$2,696.85	$1,008.00–$1,777.00	26% below	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS/VAGINAL W/WO CONTRAST	$1,618.11	$2,696.85	$1,008.00–$1,777.00	26% below	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE W/WO CONTRAST	$1,618.11	$2,696.85	$1,008.00–$1,777.00	26% below	40%
MRI of the pelvis without and with contrast CPT 72197 XMR PELVIS W/WO CON	$1,618.11	$2,696.85	$1,008.00–$1,777.00	26% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE WO CONTRAST	$1,404.12	$2,340.20	$1,008.00–$1,777.00	16% below	40%
MRI of the pelvis, no contrast dye CPT 72195 XMR PELVIS W/O CON	$1,404.12	$2,340.20	$1,008.00–$1,777.00	16% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI UFE PELVIS WO CONTRAST	$1,404.12	$2,340.20	$1,008.00–$1,777.00	16% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O CON	$1,404.12	$2,340.20	$1,008.00–$1,777.00	16% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS/VAGINAL W/O CONTRAST	$1,404.12	$2,340.20	$1,008.00–$1,777.00	16% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC REST AND/OR STRESS-MUL	$1,086.60	$1,811.00	$814.95–$1,734.94	51% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERFUSION IMAGING, TOMOGRAPHIC (SPECT) (INCLUDING ATT	$1,146.60	$1,911.00	$361.02–$1,509.08	49% below	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PETCT SKULL BASE TO MID THIGH	$4,272.87	$7,121.45	$3,204.65–$6,822.35	1% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED/FOLLOWUP	$438.42	$730.70	$328.82–$700.01	119% above	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER VOLUME	$438.42	$730.70	$328.82–$700.01	119% above	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIC FOLLOWUP/LIMITED	$438.42	$730.70	$328.82–$700.01	119% above	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$438.42	$730.70	$328.82–$700.01	14% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE	$438.42	$730.70	$328.82–$700.01	14% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB	$438.42	$730.70	$328.82–$700.01	14% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB TRANSABD >14WKS SGL GEST	$440.37	$733.95	$330.28–$703.12	at median	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-OB TRANSABD >14WKS SINGLE	$440.37	$733.95	$330.28–$703.12	at median	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB TRANSABD <14WKS SGL GEST	$440.37	$733.95	$330.28–$703.12	33% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB TRANSABD< 14 WEEKS SINGLE	$440.37	$733.95	$330.28–$703.12	33% above	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 BEDSIDE U/S BY OB MD	$122.85	$204.75	$92.14–$196.15	52% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB TRANSABD LIMITED	$122.85	$204.75	$92.14–$196.15	52% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-OB TRANSABD LIMITED	$122.85	$204.75	$92.14–$196.15	52% below	40%
Screening mammogram, both breasts both sides CPT 77067 MA MAMMO DIG SCREEN,BILAT W/CAD	$131.40	$219.00	$98.55–$209.80	—	40%
Screening mammogram, both breasts both sides CPT 77067 MAMMO-DIGITAL SCREEN,BILAT W/CAD	$131.40	$219.00	$98.55–$209.80	—	40%
Screening mammogram, both breasts both sides CPT 77067 MAMMO DIGITAL SCREEN,BILAT W/CAD	$131.40	$219.00	$98.55–$209.80	—	40%
Sleep study in a lab (polysomnography) CPT 95810 NOCTURNAL POLYSOMNOGRAM->6YR OLD	$2,100.00	$3,500.00	$1,575.00–$3,353.00	28% below	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 TT ECHO 2D STRESS W/EKG MONTRNG	$771.60	$1,286.00	$578.70–$1,231.99	12% below	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 DX ESOPHAGRAM MODIFIED/FUNCTION	$290.91	$484.85	$218.18–$464.49	25% below	40%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$414.63	$691.05	$310.97–$662.03	at median	40%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$414.63	$691.05	$310.97–$662.03	at median	40%
Transvaginal pelvic ultrasound CPT 76830 US PELVIS TRANSVAGINAL	$414.63	$691.05	$310.97–$662.03	at median	40%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$414.63	$691.05	$310.97–$662.03	13% above	40%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMINAL COMPLETE	$487.98	$813.30	$365.99–$779.14	4% below	40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPL	$487.98	$813.30	$365.99–$779.14	4% below	40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$487.98	$813.30	$365.99–$779.14	4% below	40%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$399.27	$665.45	$299.45–$637.50	6% below	40%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM/TESTICULAR	$399.27	$665.45	$299.45–$637.50	6% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-THYROID & NECK SOFT TISSUE	$460.68	$767.80	$345.51–$735.55	21% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/SOFT TISSUE NECK	$460.68	$767.80	$345.51–$735.55	21% above	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-GI SERIES-UPPER (STOMACH)	$284.01	$473.35	$213.01–$453.47	26% below	40%
X-ray of the abdomen, 1 view CPT 74018 DX ABD LATERAL ONLY	$169.62	$282.70	$127.22–$270.83	1% below	40%
X-ray of the abdomen, 1 view CPT 74018 DX ABD LATERAL DECUB	$169.62	$282.70	$127.22–$270.83	1% below	40%
X-ray of the abdomen, 1 view CPT 74018 DX ABDOMEN KUB	$169.62	$282.70	$127.22–$270.83	1% below	40%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW KUB	$169.62	$282.70	$127.22–$270.83	1% below	40%
X-ray of the abdomen, 1 view CPT 74018 BT-ABDOMEN 1 VIEW KUB	$169.62	$282.70	$127.22–$270.83	1% below	40%
X-ray of the abdomen, 1 view CPT 74018 DX-ABDOMEN 1 VIEW (KUB)	$169.62	$282.70	$127.22–$270.83	1% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 DX-LUMBAR SP AP & LAT 2 VIEWS	$175.05	$291.75	$131.29–$279.50	47% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 BT-LUMBAR SP AP&LAT 2 VIEWS	$175.05	$291.75	$131.29–$279.50	47% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SP AP&LAT 2 VIEWS	$175.05	$291.75	$131.29–$279.50	47% below	40%
X-ray of the lower back, 4 or more views CPT 72110 DX-LUMBAR SP W/OBL	$329.76	$549.60	$247.32–$526.52	2% above	40%
X-ray of the lower back, 4 or more views CPT 72110 BT-LUMBAR SP W/OBL	$329.76	$549.60	$247.32–$526.52	2% above	40%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SP W/OBL	$329.76	$549.60	$247.32–$526.52	2% above	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DX T- SPINE AP/LAT	$199.53	$332.55	$149.65–$318.58	8% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 BT-NASAL BONES COMP 3 OR > V	$172.77	$287.95	$129.58–$275.86	37% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 DX-NASAL BONES COMP 4 VIEWS	$172.77	$287.95	$129.58–$275.86	37% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP 3 OR > V	$172.77	$287.95	$129.58–$275.86	37% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 BT-CERV SP AP&LAT	$180.36	$300.60	$135.27–$287.97	18% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 DX-CERVICAL SPINE AP&LAT	$180.36	$300.60	$135.27–$287.97	18% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERV SP AP&LAT	$180.36	$300.60	$135.27–$287.97	18% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 AP PELVIS 1 VIEW	$163.32	$272.20	$122.49–$260.77	20% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 BT-AP PELVIS 1 VIEW	$163.32	$272.20	$122.49–$260.77	20% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 DX-PELVIS 1 VIEW	$163.32	$272.20	$122.49–$260.77	20% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 BT-COCCYX - SACRUM	$177.99	$296.65	$133.49–$284.19	24% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX - SACRUM	$177.99	$296.65	$133.49–$284.19	24% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 DX-COCCYX & SACRUM	$177.99	$296.65	$133.49–$284.19	24% below	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 AMB-SGPT	$72.06	$120.10	$7.95–$8.17	85% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$72.06	$120.10	$7.95–$8.17	85% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 AMB-SGOT	$54.06	$90.10	$7.77–$7.99	46% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$54.06	$90.10	$7.77–$7.99	46% above	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 AMB-HEPATITIS ACUTE PROFILE	$163.83	$273.05	$71.45–$73.39	46% below	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PROFILE	$163.83	$273.05	$71.45–$73.39	46% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IGE QN SQ EA	$9.75	$16.25	$7.83–$8.04	59% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 AMB-RAST ALLERGEN IGE QN SQ EA	$9.75	$16.25	$7.83–$8.04	59% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 AMB-CYCLIC CITRULLINATED PEPTIDE	$13.46	$22.43	$19.43–$19.95	73% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$13.46	$22.43	$19.43–$19.95	73% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AMB-ANA	$22.83	$38.05	$18.14–$18.63	45% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$103.80	$173.00	$18.14–$18.63	150% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 AMB-BNP (B-TYPE NATRIUR PEPTIDE)	$98.70	$164.50	$58.89–$60.50	2% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (B-TYPE NATRIURETIC PEPTIDE)	$98.70	$164.50	$58.89–$60.50	2% below	40%
Basic metabolic panel (blood test) CPT 80048 AMB-BASIC METABOLIC	$121.14	$201.90	$12.69–$13.04	99% above	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC	$121.14	$201.90	$12.69–$13.04	99% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG DIAG EX LG-LEVEL IV	$211.20	$352.00	$47.37–$74.64	25% above	40%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$103.41	$172.35	$15.48–$15.91	at median	40%
Blood culture for bacteria CPT 87040 AMB-CULTURE BLOOD	$103.41	$172.35	$15.48–$15.91	at median	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE	$3.60	$6.00	$3.15–$8.83	51% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE CHARGE ONLY	$5.85	$9.75	$4.39–$9.34	21% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 AMB-VENIPUNCTURE FEE	$5.85	$9.75	$4.39–$9.34	21% below	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE,WHOLE BLOOD	$39.81	$66.35	$5.90–$6.06	36% above	40%
Blood glucose (sugar) test CPT 82947 AMB-GLUCOSE	$39.81	$66.35	$5.90–$6.06	36% above	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$39.81	$66.35	$5.90–$6.06	36% above	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE-POC	$39.81	$66.35	$5.90–$6.06	36% above	40%
Blood lead test CPT 83655 LEAD, BLOOD	$22.43	$37.38	$18.17–$18.67	40% below	40%
Blood lead test CPT 83655 AMB-LEAD, BLOOD	$22.43	$37.38	$18.17–$18.67	40% below	40%
Blood lead test CPT 83655 AMB-LEAD, URINE	$24.38	$40.63	$18.17–$18.67	35% below	40%
Blood lead test CPT 83655 LEAD, URINE	$24.38	$40.63	$18.17–$18.67	35% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST,URINE	$114.27	$190.45	$11.28–$11.59	79% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 AMB-PREGNANCY TEST,QUAL SERUM	$114.27	$190.45	$11.28–$11.59	79% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 AMB-PREGNANCY TEST,URINE	$114.27	$190.45	$11.28–$11.59	79% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST,QUAL SERUM	$114.27	$190.45	$11.28–$11.59	79% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 AMB-ABO	$65.40	$109.00	$4.49–$4.61	9% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$65.40	$109.00	$4.49–$4.61	9% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$57.00	$95.00	$7.77–$7.99	27% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 AMB-C REACTIVE PROTEIN	$57.00	$95.00	$7.77–$7.99	27% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 AMB-C-REACTIVE PROTEIN-IBD	$59.30	$98.84	$7.77–$7.99	32% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN-IBD	$59.30	$98.84	$7.77–$7.99	32% above	40%
C. difficile toxin gene test (stool PCR) CPT 87493 AMP PROBE CLOSTRIDIUM	$54.60	$91.00	$55.91–$57.43	46% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 AMB-AMP PROBE CLOSTRIDIUM	$54.60	$91.00	$55.91–$57.43	46% below	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 (CARBOHYDRATE ANTIGEN)	$29.84	$49.73	$31.22–$32.07	71% below	40%
CA 19-9 blood test (tumor marker) CPT 86301 AMB-CA 19-9 (CARBOHYD ANTIGEN)	$29.84	$49.73	$31.22–$32.07	71% below	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 (CANCER ANTIGEN)	$24.96	$41.60	$31.22–$32.07	75% below	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 AMB-CA-125 (CANCER ANTIGEN)	$24.96	$41.60	$31.22–$32.07	75% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMB-INF AGENT DETECT DNA COVID-19	$84.00	$140.00	$68.76–$76.97	53% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INF AGENT DETECT DNA COVID-19	$84.00	$140.00	$68.76–$76.97	53% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NUCLEIC ACID CHLAMYDIA TRACH	$23.65	$39.41	$39.41–$54.07	64% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 AMB-NUCLEIC ACID CHLAMYDIA TRACH	$23.65	$39.41	$39.41–$54.07	64% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 AMB-CHLAMYDIA AG-AMP PROBE	$68.79	$114.65	$52.64–$54.07	6% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AG-AMP PROBE	$68.79	$114.65	$52.64–$54.07	6% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPID PANEL	$52.65	$87.75	$20.09–$20.64	at median	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$128.67	$214.45	$20.09–$20.64	145% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 AMB-LIPID PROFILE	$128.67	$214.45	$20.09–$20.64	145% above	40%
Complete blood count (CBC) with differential CPT 85025 AMB-CBC WITH DIFF	$67.26	$112.10	$11.66–$11.98	75% above	40%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF	$67.26	$112.10	$11.66–$11.98	75% above	40%
Complete blood count (CBC), no differential CPT 85027 AMB-CBC AUTO W/O DIFF	$40.02	$66.70	$9.71–$9.97	24% above	40%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF	$40.02	$66.70	$9.71–$9.97	24% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 AMB-COMPREHENSIVE METAB PANEL	$150.09	$250.15	$15.84–$16.27	68% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$150.09	$250.15	$15.84–$16.27	68% above	40%
D-dimer blood test (blood clot marker) CPT 85379 DI-DIMER (ADVANCED)	$78.87	$131.45	$15.27–$15.69	14% above	40%
D-dimer blood test (blood clot marker) CPT 85379 AMB-DI-DIMER (ADVANCED)	$78.87	$131.45	$15.27–$15.69	14% above	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 AMB-DHEAS	$148.68	$247.80	$33.35–$34.25	28% above	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS	$148.68	$247.80	$33.35–$34.25	28% above	40%
Estradiol blood test CPT 82670 AMB-ESTRADIOL (E-2)	$77.31	$128.85	$41.91–$43.05	30% below	40%
Estradiol blood test CPT 82670 ESTRADIOL (E-2)	$77.31	$128.85	$41.91–$43.05	30% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$31.59	$52.65	$27.87–$28.64	68% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 AMB-FOLLICLE STIMULATING HORMONE	$31.59	$52.65	$27.87–$28.64	68% below	40%
Fecal calprotectin (stool inflammation test) CPT 83993 AMB-CALPROTECTIN	$273.00	$455.00	$29.45–$30.24	40% above	40%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$273.00	$455.00	$29.45–$30.24	40% above	40%
Ferritin blood test (iron stores) CPT 82728 AMB-FERRITIN	$72.15	$120.25	$20.45–$21.00	10% above	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$72.15	$120.25	$20.45–$21.00	10% above	40%
Folate (folic acid) blood test CPT 82746 AMB-FOLATE (FOLIC ACID)	$46.56	$77.60	$22.05–$22.66	29% below	40%
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID)	$46.56	$77.60	$22.05–$22.66	29% below	40%
Free T3 thyroid hormone test CPT 84481 AMB-FREE T3	$82.23	$137.05	$25.41–$26.10	at median	40%
Free T3 thyroid hormone test CPT 84481 FREE T3	$82.23	$137.05	$25.41–$26.10	at median	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 AMB-THYROXINE (T-4) FREE BY DIALY	$22.52	$37.54	$13.53–$13.90	64% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T-4) FREE BY DIALYSIS	$22.52	$37.54	$13.53–$13.90	64% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 AMB-FREE T4	$63.84	$106.40	$13.53–$13.90	3% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$63.84	$106.40	$13.53–$13.90	3% above	40%
Free testosterone test CPT 84402 TESTOSTERONE-FREE	$140.73	$234.55	$38.21–$39.25	90% above	40%
Free testosterone test CPT 84402 AMB-TESTOSTERONE-FREE	$140.73	$234.55	$38.21–$39.25	90% above	40%
Free testosterone test CPT 84402 % OF FREE TESTOSTERONE	$386.37	$643.95	$38.21–$39.25	421% above	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$60.00	$100.00	$56.35–$68.04	49% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 2HR PP	$59.46	$99.10	$7.13–$7.32	2% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 AMB-GLUCOSE, 2HR PP	$59.46	$99.10	$7.13–$7.32	2% below	40%
Glucose tolerance test, 3 samples CPT 82951 AMB- *TOLERANCE TEST	$140.19	$233.65	$19.31–$19.83	130% above	40%
Glucose tolerance test, 3 samples CPT 82951 *TOLERANCE TEST	$140.19	$233.65	$19.31–$19.83	130% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 AMB-NUCLEIC ACID AMP NEISSERIA	$23.65	$39.41	$39.41–$54.07	64% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NUCLEIC ACID AMP NEISSERIA	$23.65	$39.41	$39.41–$54.07	64% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 AMB-N.GONORRHEA AG-AMP PROBE	$68.79	$114.65	$52.64–$54.07	6% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHEA AG-AMP PROBE	$68.79	$114.65	$52.64–$54.07	6% above	40%
H. pylori stool antigen test CPT 87338 AMB-H PYLORI STOOL ANTIGEN	$59.76	$99.60	$21.57–$22.16	23% below	40%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL ANTIGEN	$59.76	$99.60	$21.57–$22.16	23% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT	$126.55	$210.92	$127.65–$131.15	45% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 AMB-HIV-1 RNA QUANT	$126.55	$210.92	$127.65–$131.15	45% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV DIAGNOSTIC	$43.92	$73.20	$36.12–$37.10	34% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 AMB-HIV SCREEN	$43.92	$73.20	$36.12–$37.10	34% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV SCREEN	$43.92	$73.20	$36.12–$37.10	34% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 INFECT AGNT HPV HIGH_RISK TYPE	$29.25	$48.75	$48.75–$54.07	31% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 INFECT AGNT HPV HIGH-RISK TYPE	$29.25	$48.75	$48.75–$54.07	31% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 UAB-INFECT AGNT HPV HR TYPE	$83.17	$138.61	$52.64–$54.07	98% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 AMB-HEMOGLOB A1C (GLYCOHEMOGLOBI	$54.66	$91.10	$14.57–$14.97	82% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (GLYCOHEMOGLOBI	$54.66	$91.10	$14.57–$14.97	82% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 AMB-HEPATITIS B ANTIBODY TITER	$77.07	$128.45	$16.11–$16.55	10% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 AMB-HEPATITIS B SURFACE ANTIBODY	$77.07	$128.45	$16.11–$16.55	10% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$77.07	$128.45	$16.11–$16.55	10% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B ANTIBODY TITER	$77.07	$128.45	$16.11–$16.55	10% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 AMB-HEPATITIS B SURFACE ANTIGEN	$86.16	$143.60	$15.50–$15.92	190% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$86.16	$143.60	$15.50–$15.92	190% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$78.30	$130.50	$21.41–$21.99	13% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 AMB-HEPATITIS C ANTIBODY	$78.30	$130.50	$21.41–$21.99	13% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 AMB-HEPATITIS C,RNA QUANT	$134.55	$224.25	$64.26–$66.02	28% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA QUANT	$134.55	$224.25	$64.26–$66.02	28% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES M-1	$11.02	$18.36	$18.36–$20.33	81% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG	$15.41	$25.68	$19.79–$20.33	74% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG	$11.02	$18.36	$18.36–$29.82	85% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 AMB-HERPES SIMPLEX 2 AB IGG	$11.02	$18.36	$18.36–$29.82	85% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIAC	$58.80	$98.00	$19.43–$19.95	at median	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 AMB-CRP CARDIAC	$58.80	$98.00	$19.43–$19.95	at median	40%
Homocysteine blood test CPT 83090 AMB-HOMOCYSTEINE	$45.81	$76.35	$26.88–$27.62	66% below	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$45.81	$76.35	$26.88–$27.62	66% below	40%
Insulin blood test CPT 83525 RMSF, IGM	$32.17	$53.62	$17.15–$17.61	54% below	40%
Insulin blood test CPT 83525 INSULIN	$32.17	$53.62	$17.15–$17.61	54% below	40%
Iron blood test (serum iron) CPT 83540 AMB-*IRON	$31.38	$52.30	$9.71–$9.97	7% above	40%
Iron blood test (serum iron) CPT 83540 IRON	$31.38	$52.30	$9.71–$9.97	7% above	40%
Iron blood test (serum iron) CPT 83540 *IRON	$31.38	$52.30	$9.71–$9.97	7% above	40%
Iron-binding capacity (TIBC) test CPT 83550 *TIBC-	$15.73	$26.22	$13.11–$13.47	45% below	40%
Iron-binding capacity (TIBC) test CPT 83550 *TIBC	$48.21	$80.35	$13.11–$13.47	69% above	40%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$48.21	$80.35	$13.11–$13.47	69% above	40%
Iron-binding capacity (TIBC) test CPT 83550 *UIBC	$48.21	$80.35	$13.11–$13.47	69% above	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$135.00	$225.00	$13.02–$13.37	57% above	40%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$34.71	$57.85	$27.78–$28.54	69% below	40%
LH (luteinizing hormone) test CPT 83002 AMB-LUTEINIZING HORMONE	$34.71	$57.85	$27.78–$28.54	69% below	40%
Lipase blood test (pancreas enzyme) CPT 83690 AMB-LIPASE	$76.86	$128.10	$10.34–$10.61	35% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$76.86	$128.10	$10.34–$10.61	35% above	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$165.66	$276.10	$12.26–$12.60	108% above	40%
Liver function blood test panel CPT 80076 AMB-HEPATIC FUNCTION PANEL	$165.66	$276.10	$12.26–$12.60	108% above	40%
Lyme disease antibody test CPT 86618 AMB-LYMES DISEASE AB GROUP	$31.59	$52.65	$25.55–$26.24	72% below	40%
Lyme disease antibody test CPT 86618 LYMES DISEASE AB GROUP	$31.59	$52.65	$25.55–$26.24	72% below	40%
Lyme disease antibody test CPT 86618 AMB-LYME AB IGG	$124.08	$206.80	$25.55–$26.24	10% above	40%
Lyme disease antibody test CPT 86618 LYME AB IGM	$124.08	$206.80	$25.55–$26.24	10% above	40%
Lyme disease antibody test CPT 86618 LYME AB IGG	$124.08	$206.80	$25.55–$26.24	10% above	40%
Lyme disease antibody test CPT 86618 AMB-LYME AB IGM	$124.08	$206.80	$25.55–$26.24	10% above	40%
Magnesium blood test CPT 83735 MAGNESIUM-SO	$14.63	$24.38	$10.05–$10.33	56% below	40%
Magnesium blood test CPT 83735 AMB-MAGNESIUM	$52.74	$87.90	$10.05–$10.33	60% above	40%
Magnesium blood test CPT 83735 MAGNESIUM	$52.74	$87.90	$10.05–$10.33	60% above	40%
Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HOUR	$52.74	$87.90	$10.05–$10.33	60% above	40%
Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBOBY IGG	$33.72	$56.20	$19.32–$19.85	13% below	40%
Measles (rubeola) antibody test CPT 86765 AMB-MEASLES ANTIBOBY IGG	$33.72	$56.20	$19.32–$19.85	13% below	40%
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGM	$89.88	$149.80	$19.32–$19.85	132% above	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$93.84	$156.40	$7.77–$7.99	29% above	40%
Mono test (heterophile antibody, Monospot) CPT 86308 AMB-MONO TEST	$93.84	$156.40	$7.77–$7.99	29% above	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$46.02	$76.70	$27.59–$28.34	46% below	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 AMB-PSA, FREE	$46.02	$76.70	$27.59–$28.34	46% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 AMB-PSA TOTAL	$46.02	$76.70	$27.59–$28.34	50% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$46.02	$76.70	$27.59–$28.34	50% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA	$158.73	$264.55	$27.59–$28.34	73% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 AMB-PSA	$158.73	$264.55	$27.59–$28.34	73% above	40%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH PAP TLP AUTO/MAN	$27.94	$46.56	$39.92–$41.00	22% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 UAB-CYTO PAP TLP AUTO/MAN/REV	$60.60	$101.00	$39.92–$41.00	70% above	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 BILL CYTO GYN LIQUID PREP	$30.39	$50.65	$30.39–$31.22	32% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$26.72	$44.53	$44.53–$63.61	80% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 AMB-PTH INTACT	$26.72	$44.53	$44.53–$63.61	80% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 AMB-PTT (WARDE)	$19.11	$31.85	$9.02–$9.26	53% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (WARDE)	$19.11	$31.85	$9.02–$9.26	53% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 AMB-PTT	$58.65	$97.75	$9.02–$9.26	44% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$58.65	$97.75	$9.02–$9.26	44% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME (PTT)	$64.91	$108.18	$9.02–$9.26	60% above	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FTL CHRMOML ANEUPLOIDY GENOMIC	$511.88	$853.13	$853.13–$1,169.70	48% below	40%
Progesterone blood test CPT 84144 AMB-PROGESTERONE	$118.02	$196.70	$31.29–$32.15	6% above	40%
Progesterone blood test CPT 84144 PROGESTERONE	$118.02	$196.70	$31.29–$32.15	6% above	40%
Prolactin blood test CPT 84146 PROLACTIN	$27.93	$46.55	$29.07–$29.87	74% below	40%
Prolactin blood test CPT 84146 AMB-PROLACTIN DILUTION 1/100	$27.93	$46.55	$29.07–$29.87	74% below	40%
Prolactin blood test CPT 84146 AMB-PROLACTIN	$27.93	$46.55	$29.07–$29.87	74% below	40%
Prolactin blood test CPT 84146 PROLACTIN DILUTION 1/100	$27.93	$46.55	$29.07–$29.87	74% below	40%
Prolactin blood test CPT 84146 MACROPROLACTIN	$70.20	$117.00	$29.07–$29.87	34% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME POC	$17.33	$28.89	$6.44–$6.61	24% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$44.94	$74.90	$6.44–$6.61	96% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 AMB-PROTIME	$44.94	$74.90	$6.44–$6.61	96% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (FACTOR VII)	$64.91	$108.18	$6.44–$6.61	184% above	40%
Rapid flu test (influenza antigen) CPT 87804 AMB-IMMUNO OPTICAL INFLUENZA	$29.25	$48.75	$24.83–$25.50	27% above	40%
Rapid flu test (influenza antigen) CPT 87804 IMMUNO OPTICAL INFLUENZA	$29.25	$48.75	$24.83–$25.50	27% above	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A QUICK	$77.22	$128.70	$24.80–$25.47	76% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR TEST	$47.52	$79.20	$8.51–$8.74	4% above	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM	$16.58	$27.63	$21.59–$22.18	56% below	40%
Rubella antibody test (immunity check) CPT 86762 AMB-RUBELLA IGM	$16.58	$27.63	$21.59–$22.18	56% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN	$63.63	$106.05	$21.59–$22.18	67% above	40%
Rubella antibody test (immunity check) CPT 86762 AMB-RUBELLA SCREEN	$63.63	$106.05	$21.59–$22.18	67% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE	$51.60	$86.00	$4.05–$4.17	172% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 AMB-SED RATE	$51.60	$86.00	$4.05–$4.17	172% above	40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN QUALITY ANALYSIS	$93.30	$155.50	$18.47–$18.97	7% above	40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 AMB-SEMEN QUALITY ANALYSIS	$93.30	$155.50	$18.47–$18.97	7% above	40%
Stool ova and parasites exam CPT 87177 AMB-O&P SMEAR, CONC AND ID	$8.00	$13.33	$13.33–$13.72	86% below	40%
Stool ova and parasites exam CPT 87177 O&P SMEAR, CONC AND ID	$8.00	$13.33	$13.33–$13.72	86% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$24.66	$41.10	$6.41–$6.58	10% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 AMB-RPR	$24.66	$41.10	$6.41–$6.58	10% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$24.66	$41.10	$6.41–$6.58	10% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMM AG MEAS GAMMA	$87.75	$146.25	$92.97–$95.52	19% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 AMB-TB TEST CELL IMM AG MEAS GAM	$87.75	$146.25	$92.97–$95.52	19% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$16.42	$27.36	$27.36–$39.77	81% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 AMB-TESTOSTERONE TOTAL	$16.42	$27.36	$27.36–$39.77	81% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 AMB-TESTOSTERONE,TOTAL	$54.39	$90.65	$38.72–$39.77	36% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL	$54.39	$90.65	$38.72–$39.77	36% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL (TPO)	$25.74	$42.90	$21.83–$22.42	63% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 AMB-ANTI-MICROSOMAL (TPO)	$25.74	$42.90	$21.83–$22.42	63% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 L-K MICRO AUTOAB	$63.57	$105.95	$21.83–$22.42	9% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 AMB-L-K MICRO AUTOAB	$63.57	$105.95	$21.83–$22.42	9% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 AMB-TSH ULTRASENS	$84.06	$140.10	$25.20–$25.89	at median	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRASENS	$84.06	$140.10	$25.20–$25.89	at median	40%
Trichomonas test (NAAT) CPT 87661 NUCLEIC ACID TRICHOMON AMP	$66.60	$111.00	$52.64–$54.07	8% below	40%
Trichomonas test (NAAT) CPT 87661 AMB-NUCLEIC ACID TRICHOMON AMP	$66.60	$111.00	$52.64–$54.07	8% below	40%
Trichomonas test (NAAT) CPT 87661 AMB-NUCLEIC ACID TRICH AMP, MALE	$218.40	$364.00	$52.64–$54.07	203% above	40%
Uric acid blood test CPT 84550 URIC ACID	$63.24	$105.40	$6.78–$6.97	76% above	40%
Uric acid blood test CPT 84550 AMB-URIC ACID	$63.24	$105.40	$6.78–$6.97	76% above	40%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/ MICROSCOPIC	$53.22	$88.70	$4.76–$4.89	66% above	40%
Urinalysis with microscope exam, automated CPT 81001 AMB-UA AUTO W/ MICROSCOPIC	$53.22	$88.70	$4.76–$4.89	66% above	40%
Urinalysis without microscope exam, automated CPT 81003 GLUCOSE URINE QUAL	$27.60	$46.00	$3.38–$3.47	15% above	40%
Urinalysis without microscope exam, automated CPT 81003 AMB-URINALYSIS, DIPSTICK (AUTO)	$27.60	$46.00	$3.38–$3.47	15% above	40%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE	$27.60	$46.00	$3.38–$3.47	15% above	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, DIPSTICK (AUTOMATED)	$27.60	$46.00	$3.38–$3.47	15% above	40%
Urinalysis without microscope exam, automated CPT 81003 BLOOD URINE	$27.60	$46.00	$3.38–$3.47	15% above	40%
Urinalysis without microscope exam, automated CPT 81003 KETONES UA	$27.60	$46.00	$3.38–$3.47	15% above	40%
Urine culture for bacteria, with colony count CPT 87086 AMB-CULTURE URINE	$94.83	$158.05	$12.11–$12.44	53% above	40%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$94.83	$158.05	$12.11–$12.44	53% above	40%
Vitamin B12 (cobalamin) blood test CPT 82607 AMB-VITAMIN B 12	$40.80	$68.00	$22.62–$23.24	28% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12	$40.80	$68.00	$22.62–$23.24	28% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXY VITAMIN D (D3)	$29.64	$49.40	$44.40–$45.61	70% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 AMB-25 HYDROXY VITAMIN D (D3)	$29.64	$49.40	$44.40–$45.61	70% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 AMB-VITAMIN D (CALCIFEROL)	$399.84	$666.40	$44.40–$45.61	310% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (CALCIFEROL)	$399.84	$666.40	$44.40–$45.61	310% above	40%
Zinc blood test CPT 84630 ZINC	$45.87	$76.45	$17.09–$17.55	38% below	40%
Zinc blood test CPT 84630 AMB-ZINC	$45.87	$76.45	$17.09–$17.55	38% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QN SERUM QUAD	$21.65	$36.08	$22.58–$23.20	64% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 AMB-HCG QN SERUM QUAD	$21.65	$36.08	$22.58–$23.20	64% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 AMB-BETA HCG,QUANT	$30.00	$50.00	$22.58–$23.20	50% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG,QUANT	$30.00	$50.00	$22.58–$23.20	50% below	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLTX METATARSAL FX W/O MANIP EA	$162.18	$270.30	$220.64–$480.58	26% below	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLTX METAR FX W/O MANIP EA	$162.18	$270.30	$220.64–$7,071.98	26% below	40%
Cardiac catheterization with coronary angiogram CPT 93458 LHC + CORONARIES W/WO LVGRAM	$4,800.00	$8,000.00	$2,729.00–$5,005.00	27% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC,EXT	$374.58	$624.30	$470.00–$842.64	55% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$374.58	$624.30	$280.94–$598.08	55% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CVR CARDIOVERSION	$374.58	$624.30	$280.94–$598.08	55% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION CHARGE PACU	$374.58	$624.30	$280.94–$598.08	55% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION-ELECTIVE	$374.58	$624.30	$280.94–$598.08	55% below	40%
Catheter ablation for atrial fibrillation CPT 93656 EP EVL TRSPTL TX AFIB ISOL PUL VE	$13,494.60	$22,491.00	$2,729.00–$31,590.05	53% below	40%
Coronary stent placement, one artery CPT 92928 PTCA WITH STENT-LM	$5,632.20	$9,387.00	$2,827.00–$14,603.16	60% below	40%
Coronary stent placement, one artery CPT 92928 PTCA WITH STENT-RI	$5,632.20	$9,387.00	$2,827.00–$14,603.16	60% below	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY BENIGN/PREMLG LESION	$343.80	$573.00	$182.76–$7,071.98	35% above	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJ LUM/SACR SINGL LEV UNI*	$629.52	$1,049.20	$818.87–$2,472.00	44% below	40%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$1,924.20	$3,207.00	$1,399.00–$4,178.06	55% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 FL-HYSTEROSALPINGOGRAM*	$882.96	$1,471.60	$927.00–$7,071.98	156% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS	$150.00	$250.00	$182.76–$480.58	56% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 ABSC I&D CUTANEOUS/SUBCUT.*	$150.00	$250.00	$182.76–$7,071.98	56% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE,SKIN ABSCELL, SNGL/SIMPL	$150.00	$250.00	$182.76–$7,071.98	56% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 INC ABSC SOFT TISS SUPERFICIAL	$150.00	$250.00	$182.76–$7,071.98	56% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON SHEATH/LIGAMENT	$221.40	$369.00	$271.51–$480.58	46% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$221.40	$369.00	$271.51–$1,821.04	46% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT/ASPIRATE JOINT - LARGE	$209.11	$348.52	$271.51–$480.58	47% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT/BURSA INJECT/ASPIR*	$209.11	$348.52	$271.51–$1,821.04	47% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT ASP/INJ	$209.11	$348.52	$156.83–$333.88	47% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHROCENT ASP/INJ JT MAJOR LT	$209.11	$348.52	$271.51–$1,821.04	47% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECT/ASPIRATE JOINT - MEDIUM	$274.80	$458.00	$271.51–$480.58	29% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECT/ASPIRATE JOINT-INTERMEDIAT	$274.80	$458.00	$271.51–$1,821.04	29% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ,JOINT/BURSA-INTER	$274.80	$458.00	$271.51–$1,821.04	29% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 MINOR JOINT/BURSA INJ/ASPIRATE*	$274.80	$458.00	$271.51–$1,821.04	29% below	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT/ASPIRATE JOINT - SMALL	$213.75	$356.25	$271.51–$480.58	45% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR INTERM S/A/T/E 2.5 CM/<	$216.00	$360.00	$367.48–$514.47	47% below	40%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH	$4,200.00	$7,000.00	$2,729.00–$5,005.00	10% below	40%
Left heart catheterization, diagnostic one side CPT 93452 P-LEFT HEART CATH	$4,200.00	$7,000.00	$2,729.00–$5,005.00	10% below	40%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH CUTDOWN	$4,200.00	$7,000.00	$2,729.00–$5,005.00	10% below	40%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL LUMBAR/SACRAL, UNI*	$642.00	$1,070.00	$818.87–$2,472.00	43% below	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES/STEROID EPIDURAL L/S	$660.60	$1,101.00	$818.87–$2,472.00	50% below	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5CM OR <	$548.61	$914.35	$647.15–$2,472.00	38% below	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5CM OR <	$548.61	$914.35	$470.00–$906.01	33% below	40%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE	$140.40	$234.00	$182.76–$480.58	40% below	40%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$140.40	$234.00	$182.76–$7,071.98	40% below	40%
Pacemaker implant (dual chamber) CPT 33208 I/R PERM PACER W A/V TVE	$6,769.80	$11,283.00	$1,672.90–$14,441.00	49% below	40%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS INITIAL W/IMG*	$795.15	$1,325.25	$862.35–$3,362.00	6% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL	$398.40	$664.00	$367.48–$514.47	30% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$398.40	$664.00	$367.48–$1,821.04	30% below	40%
Prostate biopsy CPT 55700 BX PROSTATE*	$1,170.00	$1,950.00	$1,223.00–$3,362.00	58% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 IN RF ABLTN LUM/SAC-FCT JT W/IMG	$1,227.60	$2,046.00	$927.00–$3,865.00	28% below	40%
Removal of a breast lump, open surgery CPT 19120 EXC CYST/LESN BREAST	$2,425.20	$4,042.00	$1,399.00–$4,930.93	38% below	40%
Removal of a foreign object under the skin, simple CPT 10120 INC&REMOVAL FB SUBQ TISS SMPL	$216.00	$360.00	$367.48–$514.47	58% below	40%
Short arm cast (elbow to hand) CPT 29075 APPL CAST-SHORT ARM	$209.31	$348.85	$244.28–$480.58	18% below	40%
Short arm splint (forearm and hand) CPT 29125 APPL SPLINT-SHORT ARM-STATIC	$101.88	$169.80	$118.56–$480.58	35% below	40%
Short leg cast (below the knee) CPT 29405 APPL CAST-SHORT LEG	$216.31	$360.51	$244.28–$480.58	2% below	40%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$216.31	$360.51	$244.28–$7,071.98	2% below	40%
Short leg splint (calf to foot) CPT 29515 APPL SPLINT-SHORT LEG	$101.88	$169.80	$145.13–$480.58	30% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR SMPL SUPF S/N/AX/G/T 2.5CM/<	$146.40	$244.00	$182.76–$480.58	43% below	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$224.40	$374.00	$367.48–$7,071.98	38% below	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MLG+MARG 0.5CM OR <	$548.61	$914.35	$647.15–$2,472.00	at median	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS 1-14	$102.60	$171.00	$182.76–$480.58	68% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$354.60	$591.00	$636.97–$2,472.00	52% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE PROC	$528.12	$880.20	$636.97–$2,472.00	29% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$528.12	$880.20	$470.00–$891.75	29% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SMPL S/N/AX/G/T 2.6-7.5CM	$180.00	$300.00	$182.76–$480.58	20% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR SMPL SUPF F/E/E/N/L/M 2.5CM<	$146.40	$244.00	$182.76–$480.58	34% below	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$224.40	$374.00	$182.76–$7,071.98	29% below	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS VIA DRAINTUBE W/IMG	$647.49	$1,079.15	$568.66–$2,472.00	42% below	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS VIA NEEDLE/SYRINGE*	$647.49	$1,079.15	$568.66–$2,472.00	42% below	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS VIA DRAINAGE TUBE*	$647.49	$1,079.15	$568.66–$2,472.00	42% below	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS VIA NEEDLE W/IMG	$647.49	$1,079.15	$568.66–$2,472.00	42% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT, 1 OR 2 MUSCLES	$221.40	$369.00	$271.51–$1,821.04	28% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ 1/MLT TRIGGER PNT 1/2 MUSC	$221.40	$369.00	$271.51–$480.58	28% below	40%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF ABLATION, 1ST VEIN	$3,936.00	$6,560.00	$1,399.00–$7,071.98	31% below	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION, 1-14	$102.60	$171.00	$182.76–$7,071.98	72% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$516.00	$860.00	$367.48–$2,366.94	8% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT-SKIN AND SC TISSUE	$516.00	$860.00	$367.48–$514.47	8% below	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$468.78	$781.30	$351.59–$748.49	22% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT TREATMENT-PRN	$97.80	$163.00	$73.35–$156.15	11% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT TREATMENT-PRN(MANUAL CHG)	$97.80	$163.00	$73.35–$156.15	11% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ER-UPDRAFT TREATMENT	$97.80	$163.00	$73.35–$156.15	11% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT TREATMENT	$99.00	$165.00	$74.25–$158.07	10% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCT F/SPEC	$109.20	$182.00	$81.90–$174.36	at median	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB/IPV TREATMENT	$109.20	$182.00	$81.90–$174.36	at median	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT	$109.20	$182.00	$81.90–$174.36	at median	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONTINUOUS BRONCHODILATOR THERAPY	$109.20	$182.00	$81.90–$174.36	at median	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI ADMINISTRATION	$109.80	$183.00	$82.35–$175.31	at median	40%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO, IV INFUSION, 1 HR	$230.13	$383.55	$172.60–$367.44	49% below	40%
Critical care, first 30 to 74 minutes CPT 99291 E/R CRITICAL CARE 1ST 30-74 MIN	$496.20	$827.00	$470.00–$3,168.00	55% below	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EG EEG ROUTINE	$493.08	$821.80	$369.81–$787.28	23% below	40%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM	$45.00	$75.00	$12.62–$42.00	114% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-ROUTINE	$104.07	$173.45	$78.05–$166.17	18% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG BY NURSING	$104.07	$173.45	$78.05–$166.17	18% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG BY TECH	$104.07	$173.45	$78.05–$166.17	18% below	40%
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY	$1,470.00	$2,450.00	$1,715.00–$2,347.10	50% above	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY	$1,470.00	$2,450.00	$1,715.00–$2,347.10	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R LEVEL I VISIT	$87.30	$145.50	$80.99–$480.58	36% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R LEVEL II VISIT	$113.70	$189.50	$145.66–$480.58	43% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R LEVEL III VISIT	$184.50	$307.50	$254.68–$658.00	40% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R LEVEL IV VISIT	$257.70	$429.50	$391.66–$1,393.00	50% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R LEVEL V VISIT	$372.90	$621.50	$470.00–$1,393.00	43% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM GXT TREADMILL	$422.88	$704.80	$317.16–$675.20	31% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 EC GXT PHARM (TREADMILL)	$422.88	$704.80	$317.16–$675.20	31% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 EC GXT REG (TREADMILL)	$422.88	$704.80	$317.16–$675.20	31% below	40%
Family therapy with the patient, 50 minutes CPT 90847 PSYCHOTHERAPY FAMILY W/PT	$173.40	$289.00	$202.30–$276.86	at median	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MOB IV INFUSION HYDRATION, 1ST HR	$191.37	$318.95	$143.53–$305.55	39% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION FOR HYDRATION FRST HR	$191.37	$318.95	$193.79–$480.58	39% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION, 1ST HR	$191.37	$318.95	$143.53–$305.55	39% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION-INIT,1ST HR	$191.37	$318.95	$143.53–$305.55	39% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP IV INFUSION HYDRATION, 1ST HR	$191.37	$318.95	$143.53–$305.55	39% below	40%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY 1ST HOUR	$109.80	$183.00	$82.35–$175.31	66% below	40%
IV infusion of a medicine, first hour CPT 96365 OP INFUSION THERAPY(IV)1ST HOUR	$114.00	$190.00	$85.50–$182.02	65% below	40%
IV infusion of a medicine, first hour CPT 96365 OP INFUSION THERAPY(IV) 1ST HOUR	$114.00	$190.00	$85.50–$182.02	65% below	40%
IV infusion of a medicine, first hour CPT 96365 OP CARD INFUSION THERAPY(IV)1STHR	$114.00	$190.00	$85.50–$182.02	65% below	40%
IV infusion of a medicine, first hour CPT 96365 OP INFUSION THERAPY (IV) 1ST HOUR	$114.00	$190.00	$85.50–$182.02	65% below	40%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY-INIT,1ST HR	$114.00	$190.00	$85.50–$182.02	65% below	40%
IV infusion of a medicine, first hour CPT 96365 MOB IV INFUSION THERAPY 1ST HOUR	$114.00	$190.00	$85.50–$182.02	65% below	40%
IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY (IV) 1ST HOUR	$114.00	$190.00	$85.50–$182.02	65% below	40%
IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY (IV) 1ST HR	$191.37	$318.95	$193.79–$480.58	41% below	40%
IV infusion of a medicine, first hour CPT 96365 OP INFUSION THERAPY 1ST HOUR	$191.37	$318.95	$143.53–$305.55	41% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJECTION THERAPEUTIC SC/IM	$53.52	$89.20	$40.14–$85.45	36% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (ANTIBIOTIC), IM	$53.52	$89.20	$65.46–$480.58	36% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJECTION(ANTIBIOTIC),IM EACH	$53.52	$89.20	$40.14–$85.45	36% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION(THERAPEUTIC),SC/IM	$53.52	$89.20	$40.14–$85.45	36% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION(THERAPEUTIC), SC/IM	$53.52	$89.20	$40.14–$85.45	36% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MOB INJECTION THERAPEUTIC SC/IM	$53.52	$89.20	$40.14–$85.45	36% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC,SC/IM EA	$53.52	$89.20	$40.14–$85.45	36% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJECTION THERAPEUTIC,SC/IM EA	$53.52	$89.20	$40.14–$85.45	36% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THERAPEUTIC, SC/IM	$53.52	$89.20	$40.14–$85.45	36% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC SC/IM	$53.52	$89.20	$40.14–$85.45	36% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RETRAINING EA 15MIN	$69.69	$116.15	$43.34	28% below	40%
New patient office visit, about 30 minutes CPT 99203 SWC LEVEL 3 VISIT - NEW PT	$86.82	$144.70	$65.12–$138.62	61% below	40%
Psychotherapy session, 30 minutes CPT 90832 IND PSYCHOTHERAPY 30 MINUTES	$82.20	$137.00	$95.90–$131.25	48% below	40%
Psychotherapy session, 45 minutes CPT 90834 IND PSYCHOTHERAPY 45 MIN	$82.20	$137.00	$95.90–$131.25	48% below	40%
Psychotherapy session, 60 minutes CPT 90837 IND PSYCHOTHERAPY 60 MIN	$144.00	$240.00	$168.00–$229.92	37% below	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 SWC LEVEL 3 VISIT - EST PT	$42.87	$71.45	$32.15–$68.45	76% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SWC LEVEL 2 VISIT - EST PT	$29.10	$48.50	$21.83–$46.46	65% below	40%
Spirometry (breathing test) CPT 94010 PULMONARY MECHANICS TEST	$177.12	$295.20	$132.84–$282.80	11% below	40%
Spirometry (breathing test) CPT 94010 SPIROMETRY/PULMONARY FUNCTION	$177.12	$295.20	$132.84–$282.80	11% below	40%
Spirometry (breathing test) CPT 94010 BEDSIDE SPIROMETRY	$177.12	$295.20	$132.84–$282.80	11% below	40%
Spirometry before and after a bronchodilator CPT 94060 PULMONARY MECH POST BRONCO	$409.53	$682.55	$307.15–$653.88	7% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$90.00	$150.00	$67.50–$143.70	26% below	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Vaccine (Fluad 65yrs-up PFS Tri 2025-20265) 0.5mL Syringe	$432.42	$720.70	$324.32–$690.43	at median	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Vaccine (Fluad 65yrs-up PFS Tri 2025-20265) 0.5mL Syringe	$432.42	$720.70	$324.32–$690.43	at median	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Influenza Vaccine (Fluad 65yrs-up PFS Tri 2025-20265) 0.5mL Syringe	$432.42	$720.70	$324.32–$690.43	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vaccine (Afluria PF Tri 3yrs-up 2024-2025) 0.5mL Syringe	$265.92	$443.20	$199.44–$424.59	392% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vaccine (Afluria PF Tri 3yrs-up 2024-2025) 0.5mL Syringe	$265.92	$443.20	$199.44–$424.59	392% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Vaccine (Afluria PF Tri 3yrs-up 2024-2025) 0.5mL Syringe	$265.92	$443.20	$199.44–$424.59	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine ADULT 20mcg/ml INJ 1ml	$380.82	$634.70	$285.62–$608.04	193% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine ADULT 20mcg/ml INJ 1ml	$380.82	$634.70	$285.62–$608.04	193% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B vaccine ADULT 20mcg/ml INJ 1ml	$380.82	$634.70	$285.62–$608.04	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-valent Vaccine (Prevnar-20) IM INJ 0.5mL	$2,060.70	$3,434.50	$1,545.53–$3,290.25	153% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-valent Vaccine (Prevnar-20) IM INJ 0.5mL	$2,060.70	$3,434.50	$1,545.53–$3,290.25	153% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20-valent Vaccine (Prevnar-20) IM INJ 0.5mL	$2,060.70	$3,434.50	$1,545.53–$3,290.25	—	40%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine purified chick embryo cell Pwd 2.5 units/1ml INJ	$1,647.72	$2,746.20	$1,235.79–$2,630.86	154% above	40%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine purified chick embryo cell Pwd 2.5 units/1ml INJ	$1,647.72	$2,746.20	$1,235.79–$2,630.86	154% above	40%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine purified chick embryo cell Pwd 2.5 units/1ml INJ	$1,647.72	$2,746.20	$1,235.79–$2,630.86	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OP VACCINE ADMINISTRATION	$53.52	$89.20	$40.14–$85.45	16% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION	$53.52	$89.20	$40.14–$85.45	16% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMINISTRATION, ADDL	$36.96	$61.60	$27.72–$59.01	31% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OP VACCINE ADMINISTRATION, ADDL	$36.96	$61.60	$27.72–$59.01	31% below	40%

Source file: https://baptistfirst.pt.panaceainc.com/MRFDownload/baptistfirst/bmc-south