Elbert Memorial Hospital
Listed in its price file as “Elberton-Elbert County Hospital Authority”.
Elbert Memorial Hospital in Elberton, GA publishes cash prices for 163 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 Georgia median for 143 of 158 procedures and above it for 15. By typical cash price it ranks #8 of 92 Georgia hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
4 Medical Drive, Elberton, GA 30635 Collected Sep 27, 2026 Source price file Check a bill from this hospital (706) 213-2535
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital No emergency department CCN 111337 · CMS hospital register NPI 1669488250
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Elbert Memorial Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABD W WO | $1,557.60 | $3,894.00 | $378.78–$1,709.55 | 18% below | 60% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W WO | $1,557.60 | $3,894.00 | $378.78–$1,709.55 | — | 60% |
| Abdominal X-ray, 2 views CPT 74019 ABD FLAT AND ERECT | $82.80 | $207.00 | $93.15 | 69% below | 60% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABD FLAT AND ERECT | $82.80 | $207.00 | $93.15 | — | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT 3V PORTABLE | $286.40 | $716.00 | $48.60–$271.00 | 6% above | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT 3V | $286.40 | $716.00 | $48.60–$271.00 | 6% above | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT 3V PORTABLE | $286.40 | $716.00 | $48.60–$271.00 | 6% above | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT 3V | $286.40 | $716.00 | $48.60–$271.00 | 6% above | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LT 3V PORTABLE | $286.40 | $716.00 | $48.60–$271.00 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RT 3V PORTABLE | $286.40 | $716.00 | $48.60–$271.00 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RT 3V | $286.40 | $716.00 | $48.60–$271.00 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LT 3V | $286.40 | $716.00 | $48.60–$271.00 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPPER WO RT | $766.80 | $1,917.00 | $750.00–$884.25 | 28% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPPER WO RT | $766.80 | $1,917.00 | $750.00–$884.25 | — | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE BODY WHOLE | $1,551.60 | $3,879.00 | $1,609.84–$2,648.80 | 22% above | 60% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE BODY WHOLE | $1,551.60 | $3,879.00 | $1,609.84–$2,648.80 | — | 60% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED | $106.00 | $265.00 | $112.92–$213.52 | 71% below | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED | $106.00 | $265.00 | $112.92–$213.52 | — | 60% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $891.60 | $2,229.00 | $395.65–$1,042.22 | 44% below | 60% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD | $891.60 | $2,229.00 | $395.65–$1,042.22 | — | 60% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK | $891.60 | $2,229.00 | $197.60–$978.30 | 47% below | 60% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK | $891.60 | $2,229.00 | $197.60–$978.30 | — | 60% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD WO CONTRAST | $1,026.80 | $2,567.00 | $750.00–$2,017.66 | 20% below | 60% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO CONTRAST | $1,026.80 | $2,567.00 | $750.00–$2,017.66 | — | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SALIVARY GLAND | $367.60 | $919.00 | $184.34–$750.00 | 64% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS | $376.80 | $942.00 | $184.34–$750.00 | 63% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACE WO CONTRAST | $564.80 | $1,412.00 | $184.34–$750.00 | 45% below | 60% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SALIVARY GLAND | $367.60 | $919.00 | $184.34–$750.00 | — | 60% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS | $376.80 | $942.00 | $184.34–$750.00 | — | 60% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACE WO CONTRAST | $564.80 | $1,412.00 | $184.34–$750.00 | — | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $732.80 | $1,832.00 | $153.24–$1,858.00 | 39% below | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $732.80 | $1,832.00 | $153.24–$1,858.00 | — | 60% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/O CONT | $1,309.20 | $3,273.00 | $750.00–$2,130.75 | 29% below | 60% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W WO CONT | $1,941.60 | $4,854.00 | $750.00–$2,130.75 | 5% above | 60% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W & W/O CONT | $1,309.20 | $3,273.00 | $750.00–$2,130.75 | — | 60% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W WO CONT | $1,941.60 | $4,854.00 | $750.00–$2,130.75 | — | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE | $458.00 | $1,145.00 | $251.33–$975.10 | 61% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE | $458.00 | $1,145.00 | $251.33–$975.10 | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DOPPLER BILATERAL | $533.20 | $1,333.00 | $261.45–$1,300.00 | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DOPPLER BILATERAL | $533.20 | $1,333.00 | $261.45–$1,300.00 | — | 60% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W WO CONTRAST | $381.20 | $953.00 | $143.16–$418.05 | 79% below | 60% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W WO CONTRAST | $381.20 | $953.00 | $143.16–$418.05 | — | 60% |
| Chest X-ray, 2 views CPT 71046 CHEST & LATERAL TB | $41.60 | $104.00 | $44.92–$81.74 | 82% below | 60% |
| Chest X-ray, 2 views CPT 71046 CHEST W LATERAL | $42.80 | $107.00 | $44.92–$81.74 | 81% below | 60% |
| Chest X-ray, 2 views CPT 71046 CHEST NE GEORGIA HEALTH | $62.40 | $156.00 | $44.92–$81.74 | 72% below | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST & LATERAL TB | $41.60 | $104.00 | $44.92–$81.74 | — | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST W LATERAL | $42.80 | $107.00 | $44.92–$81.74 | — | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST NE GEORGIA HEALTH | $62.40 | $156.00 | $44.92–$81.74 | — | 60% |
| Chest X-ray, single view CPT 71045 CXR GR ALLIED HEALTH | $20.80 | $52.00 | $34.45–$264.00 | 88% below | 60% |
| Chest X-ray, single view CPT 71045 CHEST SINGLE PORTABLE | $30.00 | $75.00 | $34.45–$264.00 | 83% below | 60% |
| Chest X-ray, single view CPT 71045 CXR BLUE STONE | $30.00 | $75.00 | $34.45–$264.00 | 83% below | 60% |
| Chest X-ray, single view CPT 71045 CHEST SINGLE | $108.40 | $271.00 | $34.45–$264.00 | 38% below | 60% |
| Chest X-ray, single view inpatient CPT 71045 CXR GR ALLIED HEALTH | $20.80 | $52.00 | $34.45–$264.00 | — | 60% |
| Chest X-ray, single view inpatient CPT 71045 CXR BLUE STONE | $30.00 | $75.00 | $34.45–$264.00 | — | 60% |
| Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE PORTABLE | $30.00 | $75.00 | $34.45–$264.00 | — | 60% |
| Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE | $108.40 | $271.00 | $34.45–$264.00 | — | 60% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE | $273.20 | $683.00 | $295.71 | 13% above | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT | $185.60 | $464.00 | $295.71 | 23% below | 60% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE | $273.20 | $683.00 | $295.71 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LEFT | $185.60 | $464.00 | $295.71 | — | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL / RENAL | $255.20 | $638.00 | $154.35–$435.40 | 49% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL / RENAL | $255.20 | $638.00 | $154.35–$435.40 | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST | $200.40 | $501.00 | $192.43–$488.00 | 80% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 LD CT SCREENING LUNG | $1,160.00 | $2,900.00 | $192.43–$488.00 | 13% above | 60% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST | $200.40 | $501.00 | $192.43–$488.00 | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 LD CT SCREENING LUNG | $1,160.00 | $2,900.00 | $192.43–$488.00 | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST | $266.80 | $667.00 | $242.24–$375.00 | 83% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST | $266.80 | $667.00 | $242.24–$375.00 | — | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAGNOSTIC BILATERAL DIGITAL IMAGE | $326.00 | $815.00 | $217.70–$448.80 | — | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAGNOSTIC BILATERAL DIGITAL IMAGE | $326.00 | $815.00 | $217.70–$448.80 | — | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 2D DIAG MAMMO LT BREAST INC CAD | $204.80 | $512.00 | $172.10–$422.04 | 17% below | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC RT DIGITAL IMAGE | $292.80 | $732.00 | $172.10–$422.04 | 19% above | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC LT DIGITAL IMAGE | $292.80 | $732.00 | $172.10–$422.04 | 19% above | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 2D DIAG MAMMO LT BREAST INC CAD | $204.80 | $512.00 | $172.10–$422.04 | — | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC RT DIGITAL IMAGE | $292.80 | $732.00 | $172.10–$422.04 | — | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC LT DIGITAL IMAGE | $292.80 | $732.00 | $172.10–$422.04 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOP BILATERAL | $601.60 | $1,504.00 | $247.54–$999.79 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOP BILATERAL LOWER EXT | $902.40 | $2,256.00 | $247.54–$999.79 | — | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOP BILATERAL | $601.60 | $1,504.00 | $247.54–$999.79 | — | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOP BILATERAL LOWER EXT | $902.40 | $2,256.00 | $247.54–$999.79 | — | 60% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW AP AND LAT RT | $156.40 | $391.00 | $145.58–$410.20 | 19% below | 60% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW AP AND LAT RT PORTABLE | $234.40 | $586.00 | $145.58–$410.20 | 21% above | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW AP AND LAT RT | $156.40 | $391.00 | $145.58–$410.20 | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW AP AND LAT RT PORTABLE | $234.40 | $586.00 | $145.58–$410.20 | — | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW W OBL LT 3 V | $108.40 | $271.00 | $179.05–$284.20 | 59% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW W OBL LT 3 V PORTABLE | $108.40 | $271.00 | $179.05–$284.20 | 59% below | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW W OBL LT 3 V PORTABLE | $108.40 | $271.00 | $179.05–$284.20 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW W OBL LT 3 V | $108.40 | $271.00 | $179.05–$284.20 | — | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT MASTOIDS | $489.20 | $1,223.00 | $507.50–$1,613.10 | 55% below | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT TEMP BONES POST FOSSA | $489.20 | $1,223.00 | $507.50–$1,613.10 | 55% below | 60% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT TEMP BONES POST FOSSA | $489.20 | $1,223.00 | $507.50–$1,613.10 | — | 60% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT MASTOIDS | $489.20 | $1,223.00 | $507.50–$1,613.10 | — | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3V | $36.00 | $90.00 | $184.20–$207.58 | 88% below | 60% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3V | $36.00 | $90.00 | $184.20–$207.58 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS | $175.20 | $438.00 | $181.65–$420.96 | 26% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT | $170.80 | $427.00 | $181.65–$420.96 | 28% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT PORTABLE | $256.00 | $640.00 | $181.65–$420.96 | 8% above | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEWS | $175.20 | $438.00 | $181.65–$420.96 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT | $170.80 | $427.00 | $181.65–$420.96 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT PORTABLE | $256.00 | $640.00 | $181.65–$420.96 | — | 60% |
| Hand X-ray, 2 views both sides CPT 73120 HAND BILATERAL TWO VIEWS | $114.80 | $287.00 | $41.44–$287.00 | — | 60% |
| Hand X-ray, 2 views inpatient both sides CPT 73120 HAND BILATERAL TWO VIEWS | $114.80 | $287.00 | $41.44–$287.00 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEOUS 2V LEFT | $138.00 | $345.00 | $159.30 | 32% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEOUS 2V RIGHT | $138.00 | $345.00 | $159.30 | 32% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEOUS 2V RIGHT | $138.00 | $345.00 | $159.30 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEOUS 2V LEFT | $138.00 | $345.00 | $159.30 | — | 60% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS | $206.80 | $517.00 | $53.56–$517.00 | 14% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE W PATELLA RT 3 V | $201.60 | $504.00 | $53.56–$517.00 | 16% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 PATELLA RT | $201.60 | $504.00 | $53.56–$517.00 | 16% below | 60% |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS | $206.80 | $517.00 | $53.56–$517.00 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 PATELLA RT | $201.60 | $504.00 | $53.56–$517.00 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE W PATELLA RT 3 V | $201.60 | $504.00 | $53.56–$517.00 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT EXT LOWER WO CONTRAST BILATERAL | $710.80 | $1,777.00 | $191.38–$1,777.00 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT EXT LOWER WO CONTRAST BILATERAL | $710.80 | $1,777.00 | $191.38–$1,777.00 | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $185.60 | $464.00 | $383.23–$427.15 | 62% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 (E) US ABD (LIMITED) | $347.60 | $869.00 | $122.32–$1,024.94 | 29% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD FU SINGLE ORGAN | $347.60 | $869.00 | $383.23–$427.15 | 29% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALL BLADDER | $356.40 | $891.00 | $383.23–$427.15 | 27% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER | $185.60 | $464.00 | $383.23–$427.15 | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD FU SINGLE ORGAN | $347.60 | $869.00 | $383.23–$427.15 | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 (E) US ABD (LIMITED) | $347.60 | $869.00 | $122.32–$1,024.94 | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALL BLADDER | $356.40 | $891.00 | $383.23–$427.15 | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY/JOINT NON VASCULAR LIMITED | $399.60 | $999.00 | $76.36–$681.80 | 13% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY/JOINT NON VASCULAR LIMITED | $399.60 | $999.00 | $76.36–$681.80 | — | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LD CHEST -LUNG | $200.40 | $501.00 | $198.65–$488.00 | 20% below | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LD CHEST -LUNG | $200.40 | $501.00 | $198.65–$488.00 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG LOWER RT 2V | $270.80 | $677.00 | $41.88–$706.00 | 21% above | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG LOWER LT 2V | $270.80 | $677.00 | $41.88–$706.00 | 21% above | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG LOWER LT 2V PORTABLE | $270.80 | $677.00 | $41.88–$706.00 | 21% above | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG LOWER RT 2V | $270.80 | $677.00 | $41.88–$706.00 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG LOWER LT 2V PORTABLE | $270.80 | $677.00 | $41.88–$706.00 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG LOWER LT 2V | $270.80 | $677.00 | $41.88–$706.00 | — | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN WO CONTRAST | $1,012.40 | $2,531.00 | $1,111.05 | 34% below | 60% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN WO CONTRAST | $1,012.40 | $2,531.00 | $1,111.05 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXT JOINT | $931.20 | $2,328.00 | $298.96–$1,785.01 | 39% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXT JOINT | $931.20 | $2,328.00 | $298.96–$1,785.01 | — | 60% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD WO CONTRAST | $496.80 | $1,242.00 | $558.90 | 73% below | 60% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD WO CONTRAST | $496.80 | $1,242.00 | $558.90 | — | 60% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $321.20 | $803.00 | $289.99–$783.00 | 77% below | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $321.20 | $803.00 | $289.99–$783.00 | — | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W WO CONTRAST | $984.00 | $2,460.00 | $475.86–$1,313.22 | 59% below | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W WO CONTRAST | $984.00 | $2,460.00 | $475.86–$1,313.22 | — | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE W O CONTRAST | $670.40 | $1,676.00 | $284.20–$1,533.00 | 62% below | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE W O CONTRAST | $670.40 | $1,676.00 | $284.20–$1,533.00 | — | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W WO CONTRAST | $1,053.20 | $2,633.00 | $239.61–$1,184.85 | 56% below | 60% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W WO CONTRAST | $1,053.20 | $2,633.00 | $239.61–$1,184.85 | — | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE WO CONTRAST | $746.80 | $1,867.00 | $289.64–$1,790.58 | 58% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE WO CONTRAST | $746.80 | $1,867.00 | $289.64–$1,790.58 | — | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W WO CONTRAST | $755.60 | $1,889.00 | $828.90 | 68% below | 60% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W WO CONTRAST | $755.60 | $1,889.00 | $828.90 | — | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE WO CONTRAST | $871.20 | $2,178.00 | $283.77–$1,162.22 | 51% below | 60% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE WO CONTRAST | $871.20 | $2,178.00 | $283.77–$1,162.22 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY JOINT | $908.40 | $2,271.00 | $299.85–$1,533.00 | 41% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREMITY JOINT | $908.40 | $2,271.00 | $299.85–$1,533.00 | — | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C SPINE 4 OR 5 V | $90.80 | $227.00 | $70.11–$178.42 | 78% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C SPINE 4 OR 5 V | $90.80 | $227.00 | $70.11–$178.42 | — | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O | $568.00 | $1,420.00 | $217.66–$769.59 | 41% below | 60% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O | $568.00 | $1,420.00 | $217.66–$769.59 | — | 60% |
| Neck soft tissue X-ray CPT 70360 PORT NECK SOFT TISSUE | $178.80 | $447.00 | $198.91–$312.90 | 11% below | 60% |
| Neck soft tissue X-ray inpatient CPT 70360 PORT NECK SOFT TISSUE | $178.80 | $447.00 | $198.91–$312.90 | — | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS | $434.00 | $1,085.00 | $147.36–$1,036.84 | 10% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS | $434.00 | $1,085.00 | $147.36–$1,036.84 | — | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL LT | $108.40 | $271.00 | $121.95–$189.70 | 53% below | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL LT | $108.40 | $271.00 | $121.95–$189.70 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL W CXR | $246.80 | $617.00 | $56.33–$604.66 | 18% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL W CXR | $246.80 | $617.00 | $56.33–$604.66 | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING BILAT DIGITAL IMAGE | $230.00 | $575.00 | $77.61–$204.00 | — | 60% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREENING LT DIGITAL IMAGE | $230.00 | $575.00 | $77.61–$204.00 | 18% below | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREENING BILAT DIGITAL IMAGE | $230.00 | $575.00 | $77.61–$204.00 | — | 60% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREENING LT DIGITAL IMAGE | $230.00 | $575.00 | $77.61–$204.00 | — | 60% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 - 3 VIEWS | $194.00 | $485.00 | $45.56–$473.00 | 11% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT 2V PORTABLE | $189.20 | $473.00 | $45.56–$473.00 | 13% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT 2V PORTABLE | $189.20 | $473.00 | $45.56–$473.00 | 13% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT 2V | $189.20 | $473.00 | $45.56–$473.00 | 13% below | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2 - 3 VIEWS | $194.00 | $485.00 | $45.56–$473.00 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LT 2V | $189.20 | $473.00 | $45.56–$473.00 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RT 2V PORTABLE | $189.20 | $473.00 | $45.56–$473.00 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LT 2V PORTABLE | $189.20 | $473.00 | $45.56–$473.00 | — | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES | $85.60 | $214.00 | $88.48–$93.60 | 75% below | 60% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES | $85.60 | $214.00 | $88.48–$93.60 | — | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 PORT SKULL (LIMITED) AP LAT | $36.00 | $90.00 | $152.22–$271.17 | 83% below | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL <4V | $141.60 | $354.00 | $152.22–$271.17 | 33% below | 60% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 PORT SKULL (LIMITED) AP LAT | $36.00 | $90.00 | $152.22–$271.17 | — | 60% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL <4V | $141.60 | $354.00 | $152.22–$271.17 | — | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SPEECH STUDY | $115.20 | $288.00 | $89.08–$90.90 | 69% below | 60% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SPEECH STUDY | $115.20 | $288.00 | $89.08–$90.90 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT 2 V | $188.40 | $471.00 | $46.89–$471.00 | 17% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT 2 V PORTABLE | $188.40 | $471.00 | $46.89–$471.00 | 17% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT 2 V | $266.80 | $667.00 | $46.89–$471.00 | 18% above | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT 2 V PORTABLE | $266.80 | $667.00 | $46.89–$471.00 | 18% above | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LT 2 V | $188.40 | $471.00 | $46.89–$471.00 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LT 2 V PORTABLE | $188.40 | $471.00 | $46.89–$471.00 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT 2 V | $266.80 | $667.00 | $46.89–$471.00 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT 2 V PORTABLE | $266.80 | $667.00 | $46.89–$471.00 | — | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US SPLEEN | $185.60 | $464.00 | $163.65–$1,219.11 | 75% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US BILIARY DUCTS | $185.60 | $464.00 | $163.65–$1,219.11 | 75% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US PANCREAS | $185.60 | $464.00 | $163.65–$1,219.11 | 75% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN | $621.20 | $1,553.00 | $163.65–$1,219.11 | 15% below | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US BILIARY DUCTS | $185.60 | $464.00 | $163.65–$1,219.11 | — | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US PANCREAS | $185.60 | $464.00 | $163.65–$1,219.11 | — | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US SPLEEN | $185.60 | $464.00 | $163.65–$1,219.11 | — | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN | $621.20 | $1,553.00 | $163.65–$1,219.11 | — | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICLES | $96.00 | $240.00 | $105.30–$183.92 | 84% below | 60% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLES | $96.00 | $240.00 | $105.30–$183.92 | — | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $387.60 | $969.00 | $155.44–$661.50 | 37% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID | $387.60 | $969.00 | $155.44–$661.50 | — | 60% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS 2V | $171.20 | $428.00 | $42.78–$428.00 | 27% below | 60% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS 2V | $175.60 | $439.00 | $42.78–$428.00 | 25% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RT 2V PORTABLE | $171.20 | $428.00 | $42.78–$428.00 | 27% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LT 2V | $171.20 | $428.00 | $42.78–$428.00 | 27% below | 60% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS 2V | $171.20 | $428.00 | $42.78–$428.00 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS 2V | $175.60 | $439.00 | $42.78–$428.00 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RT 2V PORTABLE | $171.20 | $428.00 | $42.78–$428.00 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LT 2V | $171.20 | $428.00 | $42.78–$428.00 | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOP UNILATERAL | $350.00 | $875.00 | $148.41–$687.75 | 41% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DOP UNILATERAL | $350.00 | $875.00 | $148.41–$687.75 | — | 60% |
| Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEW | $98.40 | $246.00 | $105.84–$240.00 | 49% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST RT 2 VIEW PORTABLE | $134.80 | $337.00 | $105.84–$240.00 | 30% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST LT 2 VIEW | $202.00 | $505.00 | $105.84–$240.00 | 4% above | 60% |
| Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEW | $98.40 | $246.00 | $105.84–$240.00 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RT 2 VIEW PORTABLE | $134.80 | $337.00 | $105.84–$240.00 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LT 2 VIEW | $202.00 | $505.00 | $105.84–$240.00 | — | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT 3 V PORTABLE | $66.40 | $166.00 | $105.50–$173.60 | 72% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT 3 V PORTABLE | $66.40 | $166.00 | $105.50–$173.60 | 72% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT 3 V | $99.20 | $248.00 | $105.50–$173.60 | 58% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT 3 V | $99.20 | $248.00 | $105.50–$173.60 | 58% below | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LT 3 V PORTABLE | $66.40 | $166.00 | $105.50–$173.60 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RT 3 V PORTABLE | $66.40 | $166.00 | $105.50–$173.60 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RT 3 V | $99.20 | $248.00 | $105.50–$173.60 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LT 3 V | $99.20 | $248.00 | $105.50–$173.60 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILATERAL W/PELVIS 2-3 VIEWS | $195.60 | $489.00 | $61.80–$489.00 | 5% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP AP AND LAT RT | $265.60 | $664.00 | $61.80–$489.00 | 30% above | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP AP AND LAT LT PORTABLE | $265.60 | $664.00 | $61.80–$489.00 | 30% above | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILATERAL W/PELVIS 2-3 VIEWS | $195.60 | $489.00 | $61.80–$489.00 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP AP AND LAT LT PORTABLE | $265.60 | $664.00 | $61.80–$489.00 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP AP AND LAT RT | $265.60 | $664.00 | $61.80–$489.00 | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 KUB | $62.40 | $156.00 | $39.79–$148.96 | 71% below | 60% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 KUB | $62.40 | $156.00 | $39.79–$148.96 | — | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) MINIMUM 2 VIEW | $158.00 | $395.00 | $50.26–$385.00 | 18% below | 60% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) MINIMUM 2 VIEW | $158.00 | $395.00 | $50.26–$385.00 | — | 60% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEW PORTABLE | $57.60 | $144.00 | $96.12–$216.00 | 69% below | 60% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEW | $88.80 | $222.00 | $96.12–$216.00 | 52% below | 60% |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEW PORTABLE | $57.60 | $144.00 | $96.12–$216.00 | — | 60% |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEW | $88.80 | $222.00 | $96.12–$216.00 | — | 60% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE MINIMUM 3 VIEWS | $237.20 | $593.00 | $23.22–$284.28 | 1% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT 3 V PORTABLE | $64.80 | $162.00 | $23.22–$284.28 | 73% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT 3 V | $64.80 | $162.00 | $23.22–$284.28 | 73% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT 3 V PORTABLE | $96.80 | $242.00 | $23.22–$284.28 | 60% below | 60% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMPLETE MINIMUM 3 VIEWS | $237.20 | $593.00 | $23.22–$284.28 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LT 3 V | $64.80 | $162.00 | $23.22–$284.28 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RT 3 V PORTABLE | $64.80 | $162.00 | $23.22–$284.28 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LT 3 V PORTABLE | $96.80 | $242.00 | $23.22–$284.28 | — | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND LT 3 V PORTABLE | $186.00 | $465.00 | $48.17–$365.49 | 25% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND LT 3 V | $186.00 | $465.00 | $48.17–$365.49 | 25% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND RT 3 V | $186.00 | $465.00 | $48.17–$365.49 | 25% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND RT 3 V PORTABLE | $186.00 | $465.00 | $48.17–$365.49 | 25% below | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LT 3 V | $186.00 | $465.00 | $48.17–$365.49 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RT 3 V PORTABLE | $186.00 | $465.00 | $48.17–$365.49 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LT 3 V PORTABLE | $186.00 | $465.00 | $48.17–$365.49 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RT 3 V | $186.00 | $465.00 | $48.17–$365.49 | — | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW RT | $155.20 | $388.00 | $134.85–$388.00 | 17% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW RT PORTABLE | $155.20 | $388.00 | $134.85–$388.00 | 17% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW LT | $155.20 | $388.00 | $134.85–$388.00 | 17% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW LT PORTABLE | $232.40 | $581.00 | $134.85–$388.00 | 24% above | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW RT | $155.20 | $388.00 | $134.85–$388.00 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW LT | $155.20 | $388.00 | $134.85–$388.00 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW RT PORTABLE | $155.20 | $388.00 | $134.85–$388.00 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW LT PORTABLE | $232.40 | $581.00 | $134.85–$388.00 | — | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 L-SPINE 4 V | $316.40 | $791.00 | $67.38–$771.00 | 29% below | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 L-SPINE 4 V | $316.40 | $791.00 | $67.38–$771.00 | — | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2V | $237.20 | $593.00 | $44.36–$569.04 | 11% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-SPINE 2V | $237.20 | $593.00 | $44.36–$569.04 | — | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NOSE 3 VIEWS | $240.80 | $602.00 | $339.75–$755.00 | 2% above | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 PORT NASAL BONE | $240.80 | $602.00 | $339.75–$755.00 | 2% above | 60% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NOSE 3 VIEWS | $240.80 | $602.00 | $339.75–$755.00 | — | 60% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 PORT NASAL BONE | $240.80 | $602.00 | $339.75–$755.00 | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE 2 3V | $231.20 | $578.00 | $52.48–$404.60 | 19% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 PORT CERVICAL SPINE LIMITED | $231.20 | $578.00 | $52.48–$404.60 | 19% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 PORT CERVICAL SPINE LIMITED | $231.20 | $578.00 | $52.48–$404.60 | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C SPINE 2 3V | $231.20 | $578.00 | $52.48–$404.60 | — | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS PORTABLE | $251.20 | $628.00 | $37.06–$493.61 | 20% above | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS | $257.60 | $644.00 | $37.06–$493.61 | 23% above | 60% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS PORTABLE | $251.20 | $628.00 | $37.06–$493.61 | — | 60% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS | $257.60 | $644.00 | $37.06–$493.61 | — | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 2V | $116.40 | $291.00 | $42.83–$222.44 | 56% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX 2V | $116.40 | $291.00 | $42.83–$222.44 | — | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $120.80 | $302.00 | $135.90–$296.96 | 57% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL | $120.80 | $302.00 | $135.90–$296.96 | — | 60% |
| Aldosterone blood test CPT 82088 ALDOSTERONE URINE | $157.60 | $394.00 | $177.30 | 3% below | 60% |
| Aldosterone blood test CPT 82088 ALDOSTERONE (BLOOD) | $157.60 | $394.00 | $177.30 | 3% below | 60% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE (BLOOD) | $157.60 | $394.00 | $177.30 | — | 60% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE | $157.60 | $394.00 | $177.30 | — | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO-PROTEIN | $123.20 | $308.00 | $138.60 | 39% above | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO-PROTEIN TUMOR MARKER | $123.20 | $308.00 | $138.60 | 39% above | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO-PROTEIN TUMOR MARKER | $123.20 | $308.00 | $138.60 | — | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO-PROTEIN | $123.20 | $308.00 | $138.60 | — | 60% |
| Ammonia blood test CPT 82140 AMMONIA | $48.40 | $121.00 | $50.99–$95.11 | 45% below | 60% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $48.40 | $121.00 | $50.99–$95.11 | — | 60% |
| Amylase blood test CPT 82150 AMYLASE | $41.18 | $102.95 | $9.30–$100.89 | 46% below | 60% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $41.18 | $102.95 | $9.30–$100.89 | — | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $35.20 | $88.00 | $39.60–$69.17 | 62% below | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $35.20 | $88.00 | $39.60–$69.17 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CERVICAL | $28.70 | $71.75 | $8.62–$102.00 | 65% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $28.70 | $71.75 | $8.62–$102.00 | 65% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE URETHRAL | $28.70 | $71.75 | $8.62–$102.00 | 65% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE VAGINAL | $28.70 | $71.75 | $8.62–$102.00 | 65% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $28.70 | $71.75 | $8.62–$102.00 | 65% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $42.44 | $106.10 | $8.62–$102.00 | 49% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE MISCELLANEOUS | $42.44 | $106.10 | $8.62–$102.00 | 49% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE URETHRAL | $28.70 | $71.75 | $8.62–$102.00 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF | $28.70 | $71.75 | $8.62–$102.00 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM | $28.70 | $71.75 | $8.62–$102.00 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CERVICAL | $28.70 | $71.75 | $8.62–$102.00 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE VAGINAL | $28.70 | $71.75 | $8.62–$102.00 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND | $42.44 | $106.10 | $8.62–$102.00 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE MISCELLANEOUS | $42.44 | $106.10 | $8.62–$102.00 | — | 60% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $12.48 | $31.20 | $6.35–$23.58 | 73% below | 60% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $12.48 | $31.20 | $6.35–$23.58 | — | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $39.10 | $97.75 | $42.03 | 5% above | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $39.10 | $97.75 | $42.03 | — | 60% |
| Blood lead test CPT 83655 LEAD | $38.00 | $95.00 | $11.41–$12.11 | 44% below | 60% |
| Blood lead test inpatient CPT 83655 LEAD | $38.00 | $95.00 | $11.41–$12.11 | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO | $38.00 | $95.00 | $2.99–$93.10 | 31% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO | $38.00 | $95.00 | $2.99–$93.10 | — | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $21.64 | $54.10 | $21.91–$51.54 | 28% below | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $21.64 | $54.10 | $21.91–$51.54 | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $12.00 | $30.00 | $5.18–$30.00 | 86% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $12.00 | $30.00 | $5.18–$30.00 | — | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $53.20 | $133.00 | $58.65 | 46% below | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $53.20 | $133.00 | $58.65 | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL (DELETED) | $77.20 | $193.00 | $13.39–$237.16 | 2% above | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL (DELETED) | $77.20 | $193.00 | $13.39–$237.16 | — | 60% |
| Complete blood count (CBC) with differential CPT 85025 FIRST DAY CBC | $22.04 | $55.10 | $7.77–$69.00 | 64% below | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 FIRST DAY CBC | $22.04 | $55.10 | $7.77–$69.00 | — | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL (RANDOM) | $50.80 | $127.00 | $53.52–$99.82 | 50% below | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL PM | $50.80 | $127.00 | $53.52–$99.82 | 50% below | 60% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL (RANDOM) | $50.80 | $127.00 | $53.52–$99.82 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL PM | $50.80 | $127.00 | $53.52–$99.82 | — | 60% |
| Creatinine blood test CPT 82565 CREATININE | $24.96 | $62.40 | $25.28–$58.80 | 22% above | 60% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $24.96 | $62.40 | $25.28–$58.80 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MEDICAL | $207.58 | $518.95 | $62.14–$489.02 | 62% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN LEGAL | $221.32 | $553.30 | $62.14–$489.02 | 72% above | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN MEDICAL | $207.58 | $518.95 | $62.14–$489.02 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN LEGAL | $221.32 | $553.30 | $62.14–$489.02 | — | 60% |
| Estradiol blood test CPT 82670 ESTRADIOL | $59.60 | $149.00 | $65.71–$104.30 | 50% below | 60% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $59.60 | $149.00 | $65.71–$104.30 | — | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $52.80 | $132.00 | $59.40 | 58% below | 60% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $52.80 | $132.00 | $59.40 | — | 60% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $43.68 | $109.20 | $17.28–$41.00 | 51% below | 60% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $43.68 | $109.20 | $17.28–$41.00 | — | 60% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $16.40 | $41.00 | $17.28–$40.18 | 81% below | 60% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE | $16.40 | $41.00 | $17.28–$40.18 | — | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (FREE) | $52.00 | $130.00 | $12.95–$59.00 | 31% below | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (FREE) | $52.00 | $130.00 | $12.95–$59.00 | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP | $30.78 | $76.95 | $72.82 | 47% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP | $30.78 | $76.95 | $72.82 | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $50.80 | $127.00 | $9.71–$89.00 | 6% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $50.80 | $127.00 | $9.71–$89.00 | — | 60% |
| Hemoglobin blood test CPT 85018 HGB | $6.66 | $16.65 | $6.74–$15.68 | 71% below | 60% |
| Hemoglobin blood test inpatient CPT 85018 HGB | $6.66 | $16.65 | $6.74–$15.68 | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAb (COUNTY EMPLOYEE) | $79.88 | $199.70 | $86.40 | 4% above | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBSAb (COUNTY EMPLOYEE) | $79.88 | $199.70 | $86.40 | — | 60% |
| Iron blood test (serum iron) CPT 83540 IRON | $26.00 | $65.00 | $9.30–$63.70 | 49% below | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $26.00 | $65.00 | $9.30–$63.70 | — | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $33.20 | $83.00 | $34.98–$81.34 | 42% below | 60% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $33.20 | $83.00 | $34.98–$81.34 | — | 60% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HOROMONE | $49.60 | $124.00 | $55.80 | 30% below | 60% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HOROMONE | $49.60 | $124.00 | $55.80 | — | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $20.38 | $50.95 | $11.57–$49.00 | 79% below | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $20.38 | $50.95 | $11.57–$49.00 | — | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $28.70 | $71.75 | $32.29 | 43% below | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $28.70 | $71.75 | $32.29 | — | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $104.40 | $261.00 | $6.89–$261.00 | 20% above | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $104.40 | $261.00 | $6.89–$261.00 | — | 60% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY | $22.80 | $57.00 | $24.51 | 77% below | 60% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SEROLOGY | $22.80 | $57.00 | $24.51 | — | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM | $12.90 | $32.25 | $6.70–$31.00 | 71% below | 60% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $12.90 | $32.25 | $6.70–$31.00 | — | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID ASSAY PTH | $38.00 | $95.00 | $41.89–$95.00 | 76% below | 60% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID ASSAY PTH | $38.00 | $95.00 | $41.89–$95.00 | — | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $14.98 | $37.45 | $15.17–$36.70 | 69% below | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $14.98 | $37.45 | $15.17–$36.70 | — | 60% |
| Potassium blood test CPT 84132 POTASSIUM | $9.16 | $22.90 | $9.90–$22.90 | 72% below | 60% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $9.16 | $22.90 | $9.90–$22.90 | — | 60% |
| Progesterone blood test CPT 84144 PROGESTERONE | $32.80 | $82.00 | $82.00 | 66% below | 60% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $32.80 | $82.00 | $82.00 | — | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $9.98 | $24.95 | $4.20–$24.00 | 74% below | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $9.98 | $24.95 | $4.20–$24.00 | — | 60% |
| Renin blood test CPT 84244 RENIN | $50.00 | $125.00 | $56.25 | 51% below | 60% |
| Renin blood test inpatient CPT 84244 RENIN | $50.00 | $125.00 | $56.25 | — | 60% |
| Rh blood typing CPT 86901 RH | $28.40 | $71.00 | $2.99–$69.58 | 44% below | 60% |
| Rh blood typing inpatient CPT 86901 RH | $28.40 | $71.00 | $2.99–$69.58 | — | 60% |
| Stool ova and parasites exam CPT 87177 O & P | $38.00 | $95.00 | $41.89–$66.50 | 53% below | 60% |
| Stool ova and parasites exam inpatient CPT 87177 O & P | $38.00 | $95.00 | $41.89–$66.50 | — | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $63.20 | $158.00 | $71.10–$124.19 | 52% below | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $63.20 | $158.00 | $71.10–$124.19 | — | 60% |
| Total thyroxine (T4) blood test CPT 84436 T4 | $26.00 | $65.00 | $6.87–$65.00 | 51% below | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 | $26.00 | $65.00 | $6.87–$65.00 | — | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $86.40 | $216.00 | $18.30 | 3% above | 60% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $86.40 | $216.00 | $18.30 | — | 60% |
| Troponin test, quantitative CPT 84484 CARDIAC PROFILE 12 HOUR | $111.08 | $277.70 | $12.47–$394.00 | 12% below | 60% |
| Troponin test, quantitative CPT 84484 TROPONIN I | $157.60 | $394.00 | $12.47–$394.00 | 25% above | 60% |
| Troponin test, quantitative CPT 84484 CARDIAC PROFILE 3 HOUR | $163.90 | $409.75 | $12.47–$394.00 | 30% above | 60% |
| Troponin test, quantitative inpatient CPT 84484 CARDIAC PROFILE 12 HOUR | $111.08 | $277.70 | $12.47–$394.00 | — | 60% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I | $157.60 | $394.00 | $12.47–$394.00 | — | 60% |
| Troponin test, quantitative inpatient CPT 84484 CARDIAC PROFILE 3 HOUR | $163.90 | $409.75 | $12.47–$394.00 | — | 60% |
| Uric acid blood test CPT 84550 URIC ACID | $27.04 | $67.60 | $27.39–$63.70 | 48% below | 60% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $27.04 | $67.60 | $27.39–$63.70 | — | 60% |
| Urinalysis with microscope exam, automated CPT 81001 UR-DIP STICK WITH MICRO | $11.24 | $28.10 | $3.17–$27.00 | 81% below | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UR-DIP STICK WITH MICRO | $11.24 | $28.10 | $3.17–$27.00 | — | 60% |
| Urinalysis without microscope exam, automated CPT 81003 UR-DIP STICK ONLY | $32.04 | $80.10 | $2.25–$77.00 | 11% below | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UR-DIP STICK ONLY | $32.04 | $80.10 | $2.25–$77.00 | — | 60% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $17.88 | $44.70 | $8.07–$43.00 | 79% below | 60% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $17.88 | $44.70 | $8.07–$43.00 | — | 60% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $32.44 | $81.10 | $8.15–$78.00 | 59% below | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $32.44 | $81.10 | $8.15–$78.00 | — | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B12 | $46.00 | $115.00 | $48.46–$112.70 | 43% below | 60% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 | $46.00 | $115.00 | $48.46–$112.70 | — | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $39.94 | $99.85 | $40.45–$96.00 | 60% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $39.94 | $99.85 | $40.45–$96.00 | — | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Fx/Disloc. toes- metatarsal -w/o manipul | $108.00 | $270.00 | $116.20 | 87% below | 60% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Fx/Disloc. toes- metatarsal -w/o manipul | $108.00 | $270.00 | $116.20 | — | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX CARE- HAND-REDUCTION OF DISLOCATION | $108.00 | $270.00 | $121.50–$264.60 | 82% below | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 FX CARE- HAND-REDUCTION OF DISLOCATION | $108.00 | $270.00 | $121.50–$264.60 | — | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE | $162.40 | $406.00 | $182.70–$509.31 | 75% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE OF LEG OR ANKLE | $280.00 | $700.00 | $182.70–$509.31 | 57% below | 60% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE | $162.40 | $406.00 | $182.70–$509.31 | — | 60% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE OF LEG OR ANKLE | $280.00 | $700.00 | $182.70–$509.31 | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT/ ASPIRATE JOINT- LARGE | $186.00 | $465.00 | $209.25 | 79% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT/ ASPIRATE JOINT- LARGE | $186.00 | $465.00 | $209.25 | — | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FOREIGN BODY | $801.60 | $2,004.00 | $901.80–$960.72 | 28% below | 60% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION REMOVAL FOREIGN BODY | $801.60 | $2,004.00 | $901.80–$960.72 | — | 60% |
| Short leg splint (calf to foot) CPT 29515 PRE-FORM SPLINT- LOWER LEG | $90.00 | $225.00 | $157.50 | 77% below | 60% |
| Short leg splint (calf to foot) inpatient CPT 29515 PRE-FORM SPLINT- LOWER LEG | $90.00 | $225.00 | $157.50 | — | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR WOUND 2.5 CM OR LESS | $104.40 | $261.00 | $116.14–$261.00 | 69% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR WOUND 2.5 CM OR LESS | $104.40 | $261.00 | $116.14–$261.00 | — | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR WOUND 2.6 CM TO 7.5 CM | $311.60 | $779.00 | $331.39–$545.30 | 22% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR WOUND 2.6 CM TO 7.5 CM | $311.60 | $779.00 | $331.39–$545.30 | — | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR WOUND 2.5 CM OR LESS | $292.80 | $732.00 | $329.40–$2,814.23 | 17% below | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR WOUND 2.5 CM OR LESS | $292.80 | $732.00 | $329.40–$2,814.23 | — | 60% |
| Total knee replacement CPT 27447 TOTAL KNEE IMPLANTS | $5,378.80 | $13,447.00 | $5,314.10–$12,477.50 | 58% below | 60% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE IMPLANTS | $5,378.80 | $13,447.00 | $5,314.10–$12,477.50 | — | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 0-74 MIN W/ MODIFIER | $504.80 | $1,262.00 | $523.67–$1,208.58 | 72% below | 60% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 0-74 MIN W/ MODIFIER | $504.80 | $1,262.00 | $523.67–$1,208.58 | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 .EKG TORRINGTON | $159.60 | $399.00 | $169.73–$399.00 | 16% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 .EKG INDUSTRIAL | $159.60 | $399.00 | $169.73–$399.00 | 16% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 .EKG TORRINGTON | $159.60 | $399.00 | $169.73–$399.00 | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 .EKG INDUSTRIAL | $159.60 | $399.00 | $169.73–$399.00 | — | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER FEE INMATES ELBERT COUNTY | $40.00 | $100.00 | $67.50–$150.00 | 84% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I W/MODIFIER | $60.00 | $150.00 | $67.50–$150.00 | 76% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER FEE INMATES ELBERT COUNTY | $40.00 | $100.00 | $67.50–$150.00 | — | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL I W/MODIFIER | $60.00 | $150.00 | $67.50–$150.00 | — | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II W/MODIFIER | $95.60 | $239.00 | $106.35–$239.00 | 75% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL II W/MODIFIER | $95.60 | $239.00 | $106.35–$239.00 | — | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III W / MODIFIER | $162.40 | $406.00 | $172.71–$406.00 | 74% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL III W / MODIFIER | $162.40 | $406.00 | $172.71–$406.00 | — | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV W / MODIFIER | $256.40 | $641.00 | $214.85–$1,088.18 | 68% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV W / MODIFIER | $256.40 | $641.00 | $214.85–$1,088.18 | — | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V W / MODIFIER | $460.40 | $1,151.00 | $214.85–$1,242.87 | 59% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL V W / MODIFIER | $460.40 | $1,151.00 | $214.85–$1,242.87 | — | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST CARDIAC | $377.20 | $943.00 | $616.83–$1,111.40 | 55% below | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST CARDIAC | $377.20 | $943.00 | $616.83–$1,111.40 | — | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $49.50 | $123.75 | $53.55–$116.62 | 71% below | 60% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $49.50 | $123.75 | $53.55–$116.62 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY (EACH 15 MIN) | $106.08 | $265.20 | $112.45–$178.50 | 9% above | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY (EACH 15 MIN) | $106.08 | $265.20 | $112.45–$178.50 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE (EACH 15 MIN) | $101.50 | $253.75 | $107.86–$191.79 | 34% above | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE (EACH 15 MIN) | $101.50 | $253.75 | $107.86–$191.79 | — | 60% |
| Speech and language evaluation CPT 92523 ST SPEECH EVAL | $113.56 | $283.90 | $149.39 | 52% below | 60% |
| Speech and language evaluation inpatient CPT 92523 ST SPEECH EVAL | $113.56 | $283.90 | $149.39 | — | 60% |
| Speech therapy session, individual CPT 92507 ST 45 MINUTES DISC 060104 | $33.60 | $84.00 | $56.70–$126.00 | 76% below | 60% |
| Speech therapy session, individual CPT 92507 ST 60 MIN DISC 060104 | $33.60 | $84.00 | $56.70–$126.00 | 76% below | 60% |
| Speech therapy session, individual CPT 92507 ST 15 MIN DISC 060104 | $33.60 | $84.00 | $56.70–$126.00 | 76% below | 60% |
| Speech therapy session, individual CPT 92507 ST SPEECH TREATMENT | $52.42 | $131.05 | $56.70–$126.00 | 63% below | 60% |
| Speech therapy session, individual inpatient CPT 92507 ST 45 MINUTES DISC 060104 | $33.60 | $84.00 | $56.70–$126.00 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 ST 60 MIN DISC 060104 | $33.60 | $84.00 | $56.70–$126.00 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 ST 15 MIN DISC 060104 | $33.60 | $84.00 | $56.70–$126.00 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH TREATMENT | $52.42 | $131.05 | $56.70–$126.00 | — | 60% |
| Spirometry before and after a bronchodilator CPT 94060 BEDSIDE PULMONARY FUNCTION | $349.20 | $873.00 | $378.00–$392.85 | 17% below | 60% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BEDSIDE PULMONARY FUNCTION | $349.20 | $873.00 | $378.00–$392.85 | — | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES (EACH 15 MIN) | $43.26 | $108.15 | $44.24–$81.75 | 40% below | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITIES (EACH 15 MIN) | $43.26 | $108.15 | $44.24–$81.75 | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $104.80 | $262.00 | $116.01–$262.00 | 41% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $104.80 | $262.00 | $116.01–$262.00 | — | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 RABAVERT (RABIES VACCINE): 1ML | $427.24 | $1,068.10 | $1,027.00 | 46% below | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 RABAVERT (RABIES VACCINE): 1ML | $427.24 | $1,068.10 | $1,027.00 | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE | $70.72 | $176.80 | $38.63–$170.00 | 33% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE | $70.72 | $176.80 | $38.63–$170.00 | — | 60% |