Knox County Hospital
Listed in its price file as “ARH Mary Breckinridge Health Services, Inc”.
Knox County Hospital in Barbourville, KY publishes cash prices for 131 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Kentucky median for 64 of 130 procedures and below it for 63. By typical cash price it ranks #34 of 59 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
80 Hospital Dr Barbourville KY 40906 Collected Sep 27, 2026 Source price file (606) 546-4175
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 181328 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL | $375.00 | $625.00 | $106.25–$550.00 | 15% above | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL | $375.00 | $625.00 | $106.25–$550.00 | 15% above | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED BIL | $375.00 | $625.00 | $106.25–$550.00 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $567.60 | $946.00 | $120.00–$832.48 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $567.60 | $946.00 | $120.00–$832.48 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $567.60 | $946.00 | $120.00–$832.48 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LDCT FOR LUNG CA SCREENING | $2,011.80 | $3,353.00 | $542.00–$2,950.64 | 273% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LDCT FOR LUNG CA SCREENING | $2,011.80 | $3,353.00 | $542.00–$2,950.64 | 273% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LDCT FOR LUNG CA SCREENING | $2,011.80 | $3,353.00 | $542.00–$2,950.64 | — | 40% |
| Screening mammogram, both breasts CPT 77067 MM MAMMGM SPCL SCRN INCL CAD | $30.00 | $50.00 | $8.50–$120.00 | 83% below | 40% |
| Screening mammogram, both breasts CPT 77067 MM MAMMGM SPCL SCRN INCL CAD | $30.00 | $50.00 | $8.50–$120.00 | 83% below | 40% |
| Screening mammogram, both breasts CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD | $380.40 | $634.00 | $107.78–$557.92 | 113% above | 40% |
| Screening mammogram, both breasts CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD | $380.40 | $634.00 | $107.78–$557.92 | 113% above | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MM MAMMGM SPCL SCRN INCL CAD | $30.00 | $50.00 | $8.50–$120.00 | — | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD | $380.40 | $634.00 | $107.78–$557.92 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $96.00 | $160.00 | $5.30–$140.80 | 45% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $96.00 | $160.00 | $5.30–$140.80 | 45% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT | $96.00 | $160.00 | $5.30–$140.80 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $97.80 | $163.00 | $5.18–$143.44 | 47% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $97.80 | $163.00 | $5.18–$143.44 | 47% above | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT | $97.80 | $163.00 | $5.18–$143.44 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $251.40 | $419.00 | $47.63–$368.72 | 18% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $251.40 | $419.00 | $47.63–$368.72 | 18% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL | $251.40 | $419.00 | $47.63–$368.72 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT W/COMPONENT REFELX | $4.80 | $8.00 | $1.36–$7.04 | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT W/COMPONENT REFELX | $4.80 | $8.00 | $1.36–$7.04 | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH | $9.00 | $15.00 | $2.55–$14.96 | 27% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH | $9.00 | $15.00 | $2.55–$14.96 | 27% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRASSES | $37.20 | $62.00 | $5.22–$54.56 | 200% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRASSES | $37.20 | $62.00 | $5.22–$54.56 | 200% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD IGE II | $39.60 | $66.00 | $5.22–$58.08 | 219% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD IGE II | $39.60 | $66.00 | $5.22–$58.08 | 219% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE PEANUT W/COMPONENT REFELX | $4.80 | $8.00 | $1.36–$7.04 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EACH | $9.00 | $15.00 | $2.55–$14.96 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRASSES | $37.20 | $62.00 | $5.22–$54.56 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD IGE II | $39.60 | $66.00 | $5.22–$58.08 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS | $98.40 | $164.00 | $12.95–$144.32 | 12% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS | $98.40 | $164.00 | $12.95–$144.32 | 12% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS REF | $98.40 | $164.00 | $12.95–$144.32 | 12% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS REF | $98.40 | $164.00 | $12.95–$144.32 | 12% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ABS | $98.40 | $164.00 | $12.95–$144.32 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ABS REF | $98.40 | $164.00 | $12.95–$144.32 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $220.80 | $368.00 | $12.09–$323.84 | 168% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES REF | $220.80 | $368.00 | $12.09–$323.84 | 168% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES REF | $220.80 | $368.00 | $12.09–$323.84 | 168% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $220.80 | $368.00 | $12.09–$323.84 | 168% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES REF | $220.80 | $368.00 | $12.09–$323.84 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES | $220.80 | $368.00 | $12.09–$323.84 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $163.80 | $273.00 | $39.26–$240.24 | 17% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $163.80 | $273.00 | $39.26–$240.24 | 17% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $163.80 | $273.00 | $39.26–$240.24 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $105.00 | $175.00 | $8.46–$154.00 | 2% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $105.00 | $175.00 | $8.46–$154.00 | 2% below | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $105.00 | $175.00 | $8.46–$154.00 | — | 40% |
| Blood culture for bacteria CPT 87040 CULT BLOOD | $149.40 | $249.00 | $10.32–$219.12 | 17% above | 40% |
| Blood culture for bacteria CPT 87040 CULT BLOOD | $149.40 | $249.00 | $10.32–$219.12 | 17% above | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULT BLOOD | $149.40 | $249.00 | $10.32–$219.12 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $22.80 | $38.00 | $6.46–$33.44 | 30% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $22.80 | $38.00 | $6.46–$33.44 | 30% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $22.80 | $38.00 | $6.46–$33.44 | — | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $97.80 | $163.00 | $3.93–$143.44 | 60% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $97.80 | $163.00 | $3.93–$143.44 | 60% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD | $97.80 | $163.00 | $3.93–$143.44 | — | 40% |
| Blood lead test CPT 83655 LEAD | $135.60 | $226.00 | $12.11–$198.88 | 49% above | 40% |
| Blood lead test CPT 83655 LEAD | $135.60 | $226.00 | $12.11–$198.88 | 49% above | 40% |
| Blood lead test inpatient CPT 83655 LEAD | $135.60 | $226.00 | $12.11–$198.88 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QUAL | $85.20 | $142.00 | $7.52–$124.96 | 9% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QUAL | $85.20 | $142.00 | $7.52–$124.96 | 9% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM QUAL | $85.20 | $142.00 | $7.52–$124.96 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE | $51.60 | $86.00 | $2.99–$75.68 | 6% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE | $51.60 | $86.00 | $2.99–$75.68 | 6% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPE | $51.60 | $86.00 | $2.99–$75.68 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $74.40 | $124.00 | $5.18–$109.12 | 13% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $74.40 | $124.00 | $5.18–$109.12 | 13% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP | $74.40 | $124.00 | $5.18–$109.12 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 EPI STRAIN | $54.60 | $91.00 | $15.47–$80.08 | 47% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 EPI STRAIN | $54.60 | $91.00 | $15.47–$80.08 | 47% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMPLIFIED PROBE | $80.40 | $134.00 | $22.78–$117.92 | 22% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMPLIFIED PROBE | $80.40 | $134.00 | $22.78–$117.92 | 22% below | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 EPI STRAIN | $54.60 | $91.00 | $15.47–$80.08 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF AMPLIFIED PROBE | $80.40 | $134.00 | $22.78–$117.92 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER AG 19-9 | $136.80 | $228.00 | $20.81–$200.64 | 19% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER AG 19-9 | $136.80 | $228.00 | $20.81–$200.64 | 19% below | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER AG 19-9 | $136.80 | $228.00 | $20.81–$200.64 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (FLUID) | $603.60 | $1,006.00 | $20.81–$885.28 | 251% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (FLUID) | $603.60 | $1,006.00 | $20.81–$885.28 | 251% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 (FLUID) | $603.60 | $1,006.00 | $20.81–$885.28 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYD TRCH AMP PRB TCNQ | $60.00 | $100.00 | $17.00–$88.00 | 49% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYD TRCH AMP PRB TCNQ | $60.00 | $100.00 | $17.00–$88.00 | 49% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYD TRCH AMP PRB TCNQ | $60.00 | $100.00 | $17.00–$88.00 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $175.20 | $292.00 | $13.39–$256.96 | 22% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $175.20 | $292.00 | $13.39–$256.96 | 22% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $175.20 | $292.00 | $13.39–$256.96 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W/DIFF | $57.60 | $96.00 | $7.77–$84.48 | 11% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W/DIFF | $57.60 | $96.00 | $7.77–$84.48 | 11% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED W/DIFF | $57.60 | $96.00 | $7.77–$84.48 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $45.60 | $76.00 | $6.47–$66.88 | 28% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $45.60 | $76.00 | $6.47–$66.88 | 28% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED | $45.60 | $76.00 | $6.47–$66.88 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $123.00 | $205.00 | $10.56–$180.40 | 15% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $123.00 | $205.00 | $10.56–$180.40 | 15% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $123.00 | $205.00 | $10.56–$180.40 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $208.80 | $348.00 | $22.23–$306.24 | 33% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $208.80 | $348.00 | $22.23–$306.24 | 33% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $208.80 | $348.00 | $22.23–$306.24 | — | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $158.40 | $264.00 | $27.94–$232.32 | 3% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $158.40 | $264.00 | $27.94–$232.32 | 3% above | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $158.40 | $264.00 | $27.94–$232.32 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $202.80 | $338.00 | $18.58–$297.44 | 17% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $202.80 | $338.00 | $18.58–$297.44 | 17% below | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $202.80 | $338.00 | $18.58–$297.44 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $469.80 | $783.00 | $19.63–$689.04 | 90% above | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $469.80 | $783.00 | $19.63–$689.04 | 90% above | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $469.80 | $783.00 | $19.63–$689.04 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $174.60 | $291.00 | $13.63–$256.08 | 16% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $174.60 | $291.00 | $13.63–$256.08 | 16% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $174.60 | $291.00 | $13.63–$256.08 | — | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $193.20 | $322.00 | $1.02–$283.36 | 39% above | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $193.20 | $322.00 | $1.02–$283.36 | 39% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $193.20 | $322.00 | $1.02–$283.36 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE WO TOTAL T3 | $251.40 | $419.00 | $16.94–$368.72 | 24% above | 40% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE WO TOTAL T3 | $251.40 | $419.00 | $16.94–$368.72 | 24% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE WO TOTAL T3 | $251.40 | $419.00 | $16.94–$368.72 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 | $135.00 | $225.00 | $9.02–$198.00 | 41% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 | $135.00 | $225.00 | $9.02–$198.00 | 41% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE WO TOTAL T4 | $135.00 | $225.00 | $9.02–$198.00 | — | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $41.40 | $69.00 | $11.73–$60.72 | 49% below | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $41.40 | $69.00 | $11.73–$60.72 | 49% below | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $41.40 | $69.00 | $11.73–$60.72 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPEC | $135.00 | $225.00 | $12.87–$198.00 | 11% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPEC | $135.00 | $225.00 | $12.87–$198.00 | 11% below | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 SPEC | $135.00 | $225.00 | $12.87–$198.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRH AMP PROB | $60.00 | $100.00 | $17.00–$88.00 | 47% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRH AMP PROB | $60.00 | $100.00 | $17.00–$88.00 | 47% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRH AMP PROB | $60.00 | $100.00 | $17.00–$88.00 | — | 40% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN ST | $148.80 | $248.00 | $14.38–$218.24 | 17% below | 40% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN ST | $148.80 | $248.00 | $14.38–$218.24 | 17% below | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI ANTIGEN ST | $148.80 | $248.00 | $14.38–$218.24 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA DETECT/QUANT PLASMA | $316.80 | $528.00 | $85.10–$464.64 | 21% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA DETECT/QUANT PLASMA | $316.80 | $528.00 | $85.10–$464.64 | 21% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR (NNGRPH) RFX/GENO | $703.80 | $1,173.00 | $85.10–$1,032.24 | 169% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR (NNGRPH) RFX/GENO | $703.80 | $1,173.00 | $85.10–$1,032.24 | 169% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV RNA RT-PCR (NON-GRAPH) | $127.80 | $213.00 | $36.21–$187.44 | 51% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV RNA RT-PCR (NON-GRAPH) | $127.80 | $213.00 | $36.21–$187.44 | 51% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA DETECT/QUANT PLASMA | $316.80 | $528.00 | $85.10–$464.64 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA PCR (NNGRPH) RFX/GENO | $703.80 | $1,173.00 | $85.10–$1,032.24 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV RNA RT-PCR (NON-GRAPH) | $127.80 | $213.00 | $36.21–$187.44 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4TH GENERAT SERUM W/REFLX | $184.80 | $308.00 | $24.08–$271.04 | 78% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4TH GENERAT SERUM W/REFLX | $184.80 | $308.00 | $24.08–$271.04 | 78% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 4TH GENERAT SERUM W/REFLX | $184.80 | $308.00 | $24.08–$271.04 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV COBAS HIGH-RISK/16/18 | $77.40 | $129.00 | $21.93–$113.52 | 26% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV COBAS HIGH-RISK/16/18 | $77.40 | $129.00 | $21.93–$113.52 | 26% below | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV COBAS HIGH-RISK/16/18 | $77.40 | $129.00 | $21.93–$113.52 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C WITH EAG REF | $15.00 | $25.00 | $4.29–$22.00 | 80% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C WITH EAG REF | $15.00 | $25.00 | $4.29–$22.00 | 80% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C/GLYCOHEMOGLOBIN | $57.00 | $95.00 | $9.71–$83.60 | 22% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C/GLYCOHEMOGLOBIN | $57.00 | $95.00 | $9.71–$83.60 | 22% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C WITH EAG REF | $15.00 | $25.00 | $4.29–$22.00 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C/GLYCOHEMOGLOBIN | $57.00 | $95.00 | $9.71–$83.60 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFAC AB QUAL/QUANT | $153.60 | $256.00 | $10.74–$225.28 | 35% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFAC AB QUAL/QUANT | $153.60 | $256.00 | $10.74–$225.28 | 35% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFAC AB QUAL/QUANT | $153.60 | $256.00 | $10.74–$225.28 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPAT B SURFACE ANTIGEN | $192.60 | $321.00 | $10.33–$282.48 | 89% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPAT B SURFACE ANTIGEN | $192.60 | $321.00 | $10.33–$282.48 | 89% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPAT B SURFACE ANTIGEN | $192.60 | $321.00 | $10.33–$282.48 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $105.60 | $176.00 | $14.27–$154.88 | 19% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $105.60 | $176.00 | $14.27–$154.88 | 19% below | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $105.60 | $176.00 | $14.27–$154.88 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANT S(PCR) | $150.00 | $250.00 | $42.50–$220.00 | 45% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANT S(PCR) | $150.00 | $250.00 | $42.50–$220.00 | 45% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSIS NAA | $174.00 | $290.00 | $42.84–$255.20 | 36% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSIS NAA | $174.00 | $290.00 | $42.84–$255.20 | 36% below | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DETECT/QUANT S(PCR) | $150.00 | $250.00 | $42.50–$220.00 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DIAGNOSIS NAA | $174.00 | $290.00 | $42.84–$255.20 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 | $96.00 | $160.00 | $13.19–$140.80 | 38% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 | $96.00 | $160.00 | $13.19–$140.80 | 38% above | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 | $96.00 | $160.00 | $13.19–$140.80 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $19.35–$161.04 | 37% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $19.35–$161.04 | 37% above | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $19.35–$161.04 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-CARDIAC | $80.40 | $134.00 | $12.95–$117.92 | 16% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-CARDIAC | $80.40 | $134.00 | $12.95–$117.92 | 16% below | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN-CARDIAC | $80.40 | $134.00 | $12.95–$117.92 | — | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL PLASMA | $183.60 | $306.00 | $17.92–$269.28 | 10% above | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL PLASMA | $183.60 | $306.00 | $17.92–$269.28 | 10% above | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE TOTAL PLASMA | $183.60 | $306.00 | $17.92–$269.28 | — | 40% |
| Insulin blood test CPT 83525 INSULIN FASTING CONTRACT | $110.40 | $184.00 | $11.43–$161.92 | at median | 40% |
| Insulin blood test CPT 83525 INSULIN FASTING CONTRACT | $110.40 | $184.00 | $11.43–$161.92 | at median | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN FASTING CONTRACT | $110.40 | $184.00 | $11.43–$161.92 | — | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $108.60 | $181.00 | $6.47–$159.28 | 50% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $108.60 | $181.00 | $6.47–$159.28 | 50% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $108.60 | $181.00 | $6.47–$159.28 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC DIRECT | $96.00 | $160.00 | $8.74–$140.80 | 4% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC DIRECT | $96.00 | $160.00 | $8.74–$140.80 | 4% below | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC DIRECT | $96.00 | $160.00 | $8.74–$140.80 | — | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $152.40 | $254.00 | $8.68–$223.52 | 46% above | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $152.40 | $254.00 | $8.68–$223.52 | 46% above | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $152.40 | $254.00 | $8.68–$223.52 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 LH | $202.80 | $338.00 | $18.52–$297.44 | at median | 40% |
| LH (luteinizing hormone) test CPT 83002 LH | $202.80 | $338.00 | $18.52–$297.44 | at median | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $202.80 | $338.00 | $18.52–$297.44 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $135.60 | $226.00 | $6.89–$198.88 | 61% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $135.60 | $226.00 | $6.89–$198.88 | 61% above | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $135.60 | $226.00 | $6.89–$198.88 | — | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $135.60 | $226.00 | $8.17–$198.88 | 12% above | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $135.60 | $226.00 | $8.17–$198.88 | 12% above | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $135.60 | $226.00 | $8.17–$198.88 | — | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB W RFLX | $24.60 | $41.00 | $7.04–$36.08 | 62% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB W RFLX | $24.60 | $41.00 | $7.04–$36.08 | 62% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TOTAL AB W RFLX | $24.60 | $41.00 | $7.04–$36.08 | — | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $148.80 | $248.00 | $6.70–$218.24 | 169% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $148.80 | $248.00 | $6.70–$218.24 | 169% above | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $148.80 | $248.00 | $6.70–$218.24 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM LABCORP | $15.60 | $26.00 | $4.42–$22.88 | 71% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM LABCORP | $15.60 | $26.00 | $4.42–$22.88 | 71% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA | $209.40 | $349.00 | $12.88–$307.12 | 285% above | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA | $209.40 | $349.00 | $12.88–$307.12 | 285% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGM LABCORP | $15.60 | $26.00 | $4.42–$22.88 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA | $209.40 | $349.00 | $12.88–$307.12 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES | $66.00 | $110.00 | $5.18–$96.80 | 5% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES | $66.00 | $110.00 | $5.18–$96.80 | 5% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO | $91.80 | $153.00 | $5.18–$134.64 | 46% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO | $91.80 | $153.00 | $5.18–$134.64 | 46% above | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES | $66.00 | $110.00 | $5.18–$96.80 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO | $91.80 | $153.00 | $5.18–$134.64 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $134.40 | $224.00 | $18.39–$197.12 | 13% above | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $134.40 | $224.00 | $18.39–$197.12 | 13% above | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $134.40 | $224.00 | $18.39–$197.12 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING | $184.20 | $307.00 | $18.39–$270.16 | 24% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $184.20 | $307.00 | $18.39–$270.16 | 24% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $184.20 | $307.00 | $18.39–$270.16 | 24% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING | $184.20 | $307.00 | $18.39–$270.16 | 24% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING | $184.20 | $307.00 | $18.39–$270.16 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $184.20 | $307.00 | $18.39–$270.16 | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IMAGE GUIDED HPV REFLEX | $39.00 | $65.00 | $11.05–$57.20 | 40% below | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IMAGE GUIDED HPV REFLEX | $39.00 | $65.00 | $11.05–$57.20 | 40% below | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP IMAGE GUIDED HPV REFLEX | $39.00 | $65.00 | $11.05–$57.20 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR THIN LAYER | $91.20 | $152.00 | $20.26–$133.76 | 45% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR THIN LAYER | $91.20 | $152.00 | $20.26–$133.76 | 45% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR THIN LAYER | $91.20 | $152.00 | $20.26–$133.76 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH SERUM | $423.00 | $705.00 | $41.28–$620.40 | 78% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH SERUM | $423.00 | $705.00 | $41.28–$620.40 | 78% above | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH SERUM | $423.00 | $705.00 | $41.28–$620.40 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $213.60 | $356.00 | $6.01–$313.28 | 150% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $213.60 | $356.00 | $6.01–$313.28 | 150% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $213.60 | $356.00 | $6.01–$313.28 | — | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $151.20 | $252.00 | $20.86–$221.76 | 12% below | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $151.20 | $252.00 | $20.86–$221.76 | 12% below | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $151.20 | $252.00 | $20.86–$221.76 | — | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $158.40 | $264.00 | $19.38–$232.32 | 1% below | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $158.40 | $264.00 | $19.38–$232.32 | 1% below | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $158.40 | $264.00 | $19.38–$232.32 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $93.60 | $156.00 | $4.29–$137.28 | 78% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $93.60 | $156.00 | $4.29–$137.28 | 78% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $93.60 | $156.00 | $4.29–$137.28 | — | 40% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST-AMB | $34.20 | $57.00 | $8.76–$50.16 | 30% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST-AMB | $34.20 | $57.00 | $8.76–$50.16 | 30% below | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA TEST-AMB | $34.20 | $57.00 | $8.76–$50.16 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W OPTIC | $19.20 | $32.00 | $5.49–$77.44 | 70% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W OPTIC | $19.20 | $32.00 | $5.49–$77.44 | 70% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W OPTIC | $19.20 | $32.00 | $5.49–$77.44 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN | $171.60 | $286.00 | $5.67–$251.68 | 228% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN | $171.60 | $286.00 | $5.67–$251.68 | 228% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUAN | $171.60 | $286.00 | $5.67–$251.68 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $87.00 | $145.00 | $14.39–$127.60 | 12% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $87.00 | $145.00 | $14.39–$127.60 | 12% below | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA | $87.00 | $145.00 | $14.39–$127.60 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE IN HOUSE | $48.00 | $80.00 | $2.70–$70.40 | 19% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE IN HOUSE | $48.00 | $80.00 | $2.70–$70.40 | 19% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE IN HOUSE | $48.00 | $80.00 | $2.70–$70.40 | — | 40% |
| Stool ova and parasites exam CPT 87177 PARASITE IDENTIFICATION | $118.20 | $197.00 | $8.90–$173.36 | 26% above | 40% |
| Stool ova and parasites exam CPT 87177 PARASITE IDENTIFICATION | $118.20 | $197.00 | $8.90–$173.36 | 26% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 PARASITE IDENTIFICATION | $118.20 | $197.00 | $8.90–$173.36 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOBT/FIT | $234.00 | $390.00 | $15.92–$343.20 | 383% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOBT/FIT | $234.00 | $390.00 | $15.92–$343.20 | 383% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IFOBT/FIT | $234.00 | $390.00 | $15.92–$343.20 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAl REF | $48.00 | $80.00 | $4.27–$70.40 | at median | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAl REF | $48.00 | $80.00 | $4.27–$70.40 | at median | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAl REF | $48.00 | $80.00 | $4.27–$70.40 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M.TUBERCULOSIS QUANTIFERON B | $132.60 | $221.00 | $37.57–$194.48 | 15% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M.TUBERCULOSIS QUANTIFERON B | $132.60 | $221.00 | $37.57–$194.48 | 15% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 M.TUBERCULOSIS QUANTIFERON B | $132.60 | $221.00 | $37.57–$194.48 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $47.40 | $79.00 | $13.43–$69.52 | 57% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $47.40 | $79.00 | $13.43–$69.52 | 57% below | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $47.40 | $79.00 | $13.43–$69.52 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB SERUM | $77.40 | $129.00 | $14.55–$113.52 | 16% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB SERUM | $77.40 | $129.00 | $14.55–$113.52 | 16% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 IMMUNASSY INF AGNT AB QUAN | $148.20 | $247.00 | $14.55–$217.36 | 60% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 IMMUNASSY INF AGNT AB QUAN | $148.20 | $247.00 | $14.55–$217.36 | 60% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB SERUM | $77.40 | $129.00 | $14.55–$113.52 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 IMMUNASSY INF AGNT AB QUAN | $148.20 | $247.00 | $14.55–$217.36 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $130.80 | $218.00 | $16.80–$191.84 | 1% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $130.80 | $218.00 | $16.80–$191.84 | 1% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $130.80 | $218.00 | $16.80–$191.84 | — | 40% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $48.00 | $80.00 | $4.52–$70.40 | 16% below | 40% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $48.00 | $80.00 | $4.52–$70.40 | 16% below | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $48.00 | $80.00 | $4.52–$70.40 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $48.00 | $80.00 | $3.17–$70.40 | 13% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $48.00 | $80.00 | $3.17–$70.40 | 13% below | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO | $48.00 | $80.00 | $3.17–$70.40 | — | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS PARTIAL DIPSTICK | $58.20 | $97.00 | $4.02–$85.36 | 178% above | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS PARTIAL DIPSTICK | $58.20 | $97.00 | $4.02–$85.36 | 178% above | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS PARTIAL DIPSTICK | $58.20 | $97.00 | $4.02–$85.36 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO | $13.20 | $22.00 | $2.25–$36.08 | 51% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO | $13.20 | $22.00 | $2.25–$36.08 | 51% below | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO MICRO | $13.20 | $22.00 | $2.25–$36.08 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TAB-AMB | $13.80 | $23.00 | $3.48–$20.24 | 21% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TAB-AMB | $13.80 | $23.00 | $3.48–$20.24 | 21% below | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS BY DIPSTICK/TAB-AMB | $13.80 | $23.00 | $3.48–$20.24 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE | $90.60 | $151.00 | $8.07–$132.88 | 10% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE | $90.60 | $151.00 | $8.07–$132.88 | 10% below | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE | $90.60 | $151.00 | $8.07–$132.88 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $102.00 | $170.00 | $8.61–$149.60 | 49% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $102.00 | $170.00 | $8.61–$149.60 | 49% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $102.00 | $170.00 | $8.61–$149.60 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 DEFICIENCY CASCADE | $19.20 | $32.00 | $5.44–$28.16 | 79% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 DEFICIENCY CASCADE | $19.20 | $32.00 | $5.44–$28.16 | 79% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $158.40 | $264.00 | $15.08–$232.32 | 71% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $158.40 | $264.00 | $15.08–$232.32 | 71% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 DEFICIENCY CASCADE | $19.20 | $32.00 | $5.44–$28.16 | — | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $158.40 | $264.00 | $15.08–$232.32 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) REF | $183.00 | $305.00 | $29.60–$268.40 | 35% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) | $183.00 | $305.00 | $29.60–$268.40 | 35% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) | $183.00 | $305.00 | $29.60–$268.40 | 35% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) REF | $183.00 | $305.00 | $29.60–$268.40 | 35% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D(25-HYDROXY) REF | $183.00 | $305.00 | $29.60–$268.40 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D(25-HYDROXY) | $183.00 | $305.00 | $29.60–$268.40 | — | 40% |
| Zinc blood test CPT 84630 ZINC | $114.00 | $190.00 | $11.39–$167.20 | 3% below | 40% |
| Zinc blood test CPT 84630 ZINC | $114.00 | $190.00 | $11.39–$167.20 | 3% below | 40% |
| Zinc blood test inpatient CPT 84630 ZINC | $114.00 | $190.00 | $11.39–$167.20 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG FREE/TOTAL | $135.00 | $225.00 | $15.05–$198.00 | 18% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG FREE/TOTAL | $135.00 | $225.00 | $15.05–$198.00 | 18% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG FREE/TOTAL | $135.00 | $225.00 | $15.05–$198.00 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT | $1,062.60 | $1,771.00 | $301.07–$1,558.48 | 13% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT | $1,062.60 | $1,771.00 | $301.07–$1,558.48 | 13% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXT | $1,062.60 | $1,771.00 | $301.07–$1,558.48 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE OR SINGLE | $316.20 | $527.00 | $89.59–$463.76 | 5% above | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE OR SINGLE | $316.20 | $527.00 | $89.59–$463.76 | 5% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE OR SINGLE | $316.20 | $527.00 | $89.59–$463.76 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JNT | $318.60 | $531.00 | $90.27–$467.28 | 32% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JNT | $318.60 | $531.00 | $90.27–$467.28 | 32% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JNT | $318.60 | $531.00 | $90.27–$467.28 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER WND SCLP ARM LEG<2.5CM | $255.60 | $426.00 | $72.42–$374.88 | 15% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER WND SCLP ARM LEG<2.5CM | $255.60 | $426.00 | $72.42–$374.88 | 15% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER WND SCLP ARM LEG<2.5CM | $255.60 | $426.00 | $72.42–$374.88 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $260.40 | $434.00 | $73.78–$381.92 | at median | 40% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $260.40 | $434.00 | $73.78–$381.92 | at median | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE | $260.40 | $434.00 | $73.78–$381.92 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE | $1,252.80 | $2,088.00 | $120.00–$1,837.44 | 9% above | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE | $1,252.80 | $2,088.00 | $120.00–$1,837.44 | 9% above | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGE | $1,252.80 | $2,088.00 | $120.00–$1,837.44 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FB SQ SIMPLE | $553.80 | $923.00 | $156.91–$812.24 | 31% above | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FB SQ SIMPLE | $553.80 | $923.00 | $156.91–$812.24 | 31% above | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION REMOVAL FB SQ SIMPLE | $553.80 | $923.00 | $156.91–$812.24 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP SUPER WOUND <2.5CM | $364.80 | $608.00 | $103.36–$535.04 | 32% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP SUPER WOUND <2.5CM | $364.80 | $608.00 | $103.36–$535.04 | 32% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMP SUPER WOUND <2.5CM | $364.80 | $608.00 | $103.36–$535.04 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $918.60 | $1,531.00 | $260.27–$1,347.28 | 12% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $918.60 | $1,531.00 | $260.27–$1,347.28 | 12% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $918.60 | $1,531.00 | $260.27–$1,347.28 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMP SUPER WOUND 2.6-7.5CM | $316.80 | $528.00 | $89.76–$464.64 | 5% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMP SUPER WOUND 2.6-7.5CM | $316.80 | $528.00 | $89.76–$464.64 | 5% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMP SUPER WOUND 2.6-7.5CM | $316.80 | $528.00 | $89.76–$464.64 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP LAC FACE <2.5CM | $364.80 | $608.00 | $103.36–$535.04 | 26% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP LAC FACE <2.5CM | $364.80 | $608.00 | $103.36–$535.04 | 26% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMP LAC FACE <2.5CM | $364.80 | $608.00 | $103.36–$535.04 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMG | $1,608.00 | $2,680.00 | $455.60–$2,358.40 | 24% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMG | $1,608.00 | $2,680.00 | $455.60–$2,358.40 | 24% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMG | $1,608.00 | $2,680.00 | $455.60–$2,358.40 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $1,074.60 | $1,791.00 | $304.47–$1,576.08 | 78% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $1,074.60 | $1,791.00 | $304.47–$1,576.08 | 78% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $1,074.60 | $1,791.00 | $304.47–$1,576.08 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX SUBS | $241.20 | $402.00 | $68.34–$353.76 | 56% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX SUBS | $241.20 | $402.00 | $68.34–$353.76 | 56% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX INIT | $241.20 | $402.00 | $68.34–$353.76 | 56% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX INIT | $241.20 | $402.00 | $68.34–$353.76 | 56% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TX INIT | $241.20 | $402.00 | $68.34–$353.76 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TX SUBS | $241.20 | $402.00 | $68.34–$353.76 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $238.20 | $397.00 | $67.49–$349.36 | 23% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $238.20 | $397.00 | $67.49–$349.36 | 23% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $238.20 | $397.00 | $67.49–$349.36 | 23% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $238.20 | $397.00 | $67.49–$349.36 | 23% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY | $238.20 | $397.00 | $67.49–$349.36 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING | $238.20 | $397.00 | $67.49–$349.36 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 | $141.60 | $236.00 | $40.12–$207.68 | 2% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 | $141.60 | $236.00 | $40.12–$207.68 | 2% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1 | $141.60 | $236.00 | $40.12–$207.68 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 | $279.00 | $465.00 | $79.05–$409.20 | 3% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 | $279.00 | $465.00 | $79.05–$409.20 | 3% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2 | $279.00 | $465.00 | $79.05–$409.20 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 | $378.00 | $630.00 | $107.10–$554.40 | 11% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 | $378.00 | $630.00 | $107.10–$554.40 | 11% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3 | $378.00 | $630.00 | $107.10–$554.40 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 | $1,745.40 | $2,909.00 | $494.53–$2,559.92 | 53% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 | $1,745.40 | $2,909.00 | $494.53–$2,559.92 | 53% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4 | $1,745.40 | $2,909.00 | $494.53–$2,559.92 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE EA ADD 30M | $1,109.40 | $1,849.00 | $314.33–$1,627.12 | 6% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE EA ADD 30M | $1,109.40 | $1,849.00 | $314.33–$1,627.12 | 6% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 | $2,259.60 | $3,766.00 | $640.22–$3,314.08 | 92% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 | $2,259.60 | $3,766.00 | $640.22–$3,314.08 | 92% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M | $2,976.00 | $4,960.00 | $843.20–$4,364.80 | 153% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M W/P | $2,976.00 | $4,960.00 | $843.20–$4,364.80 | 153% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M W/P | $2,976.00 | $4,960.00 | $843.20–$4,364.80 | 153% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M | $2,976.00 | $4,960.00 | $843.20–$4,364.80 | 153% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE EA ADD 30M | $1,109.40 | $1,849.00 | $314.33–$1,627.12 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5 | $2,259.60 | $3,766.00 | $640.22–$3,314.08 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE 1ST 30-74M | $2,976.00 | $4,960.00 | $843.20–$4,364.80 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE 1ST 30-74M W/P | $2,976.00 | $4,960.00 | $843.20–$4,364.80 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $655.80 | $1,093.00 | $185.81–$961.84 | 17% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $655.80 | $1,093.00 | $185.81–$961.84 | 17% below | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST | $655.80 | $1,093.00 | $185.81–$961.84 | — | 40% |
| Group psychotherapy session CPT 90853 GROUP THERAPY SC | $144.00 | $240.00 | $40.80–$211.20 | 28% below | 40% |
| Group psychotherapy session CPT 90853 GROUP THERAPY SC | $144.00 | $240.00 | $40.80–$211.20 | 28% below | 40% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY SC | $144.00 | $240.00 | $40.80–$211.20 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION IV HYDRAT UP TO 1 HR | $289.20 | $482.00 | $81.94–$424.16 | at median | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION IV HYDRAT UP TO 1 HR | $289.20 | $482.00 | $81.94–$424.16 | at median | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION IV HYDRAT UP TO 1 HR | $289.20 | $482.00 | $81.94–$424.16 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV THERAP UP TO 1 HR | $366.00 | $610.00 | $103.70–$536.80 | 2% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV THERAP UP TO 1 HR | $366.00 | $610.00 | $103.70–$536.80 | 2% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION IV THERAP UP TO 1 HR | $366.00 | $610.00 | $103.70–$536.80 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) | $84.60 | $141.00 | $23.97–$124.08 | 12% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) | $84.60 | $141.00 | $23.97–$124.08 | 12% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION (SC) (IM) | $84.60 | $141.00 | $23.97–$124.08 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL SC | $156.00 | $260.00 | $44.20–$228.80 | 36% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL SC | $156.00 | $260.00 | $44.20–$228.80 | 36% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL SC | $156.00 | $260.00 | $44.20–$228.80 | — | 40% |
| Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DX EVAL W/MED SC | $162.00 | $270.00 | $45.90–$237.60 | 35% below | 40% |
| Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DX EVAL W/MED SC | $162.00 | $270.00 | $45.90–$237.60 | 35% below | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCHIATRIC DX EVAL W/MED SC | $162.00 | $270.00 | $45.90–$237.60 | — | 40% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30 MIN SC | $102.00 | $170.00 | $28.90–$149.60 | 41% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30 MIN SC | $102.00 | $170.00 | $28.90–$149.60 | 41% below | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY 30 MIN SC | $102.00 | $170.00 | $28.90–$149.60 | — | 40% |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45 MIN SC | $138.00 | $230.00 | $39.10–$202.40 | 34% below | 40% |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45 MIN SC | $138.00 | $230.00 | $39.10–$202.40 | 34% below | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL THERAPY 45 MIN SC | $138.00 | $230.00 | $39.10–$202.40 | — | 40% |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY 60 MIN SC | $186.00 | $310.00 | $52.70–$272.80 | 29% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY 60 MIN SC | $186.00 | $310.00 | $52.70–$272.80 | 29% below | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL THERAPY 60 MIN SC | $186.00 | $310.00 | $52.70–$272.80 | — | 40% |
| Speech and language evaluation CPT 92523 SPEECH EVAL LANG ONLY | $280.20 | $467.00 | $79.39–$410.96 | 18% below | 40% |
| Speech and language evaluation CPT 92523 SPEECH EVAL LANG ONLY | $280.20 | $467.00 | $79.39–$410.96 | 18% below | 40% |
| Speech and language evaluation inpatient CPT 92523 SPEECH EVAL LANG ONLY | $280.20 | $467.00 | $79.39–$410.96 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $156.00 | $260.00 | $44.20–$228.80 | 1% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $156.00 | $260.00 | $44.20–$228.80 | 1% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $156.00 | $260.00 | $44.20–$228.80 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 30 MCG/0.3 ML PFIZER | $589.50 | $982.50 | $164.49–$864.60 | 76% above | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 30 MCG/0.3 ML PFIZER | $589.50 | $982.50 | $164.49–$864.60 | 76% above | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 30 MCG/0.3 ML PFIZER | $589.50 | $982.50 | $164.49–$864.60 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TRIV PF 45 MCG/0.5 ML | $54.90 | $91.50 | $15.56–$80.52 | 30% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TRIV PF 45 MCG/0.5 ML | $54.90 | $91.50 | $15.56–$80.52 | 30% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TRIV PF 45 MCG/0.5 ML | $54.90 | $91.50 | $15.56–$80.52 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT | $189.00 | $315.00 | $53.55–$277.20 | 16% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT | $189.00 | $315.00 | $53.55–$277.20 | 16% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B ADULT | $189.00 | $315.00 | $53.55–$277.20 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE | $70.80 | $118.00 | $20.06–$103.84 | 5% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $70.80 | $118.00 | $20.06–$103.84 | 5% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE | $70.80 | $118.00 | $20.06–$103.84 | 5% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE | $70.80 | $118.00 | $20.06–$103.84 | 5% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $70.80 | $118.00 | $20.06–$103.84 | 5% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE | $70.80 | $118.00 | $20.06–$103.84 | 5% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE | $70.80 | $118.00 | $20.06–$103.84 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMONIA VACCINE | $70.80 | $118.00 | $20.06–$103.84 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $70.80 | $118.00 | $20.06–$103.84 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACCINE | $35.40 | $59.00 | $10.03–$51.92 | 12% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACCINE | $35.40 | $59.00 | $10.03–$51.92 | 12% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM EA ADDL VACCINE | $35.40 | $59.00 | $10.03–$51.92 | — | 40% |
Source file: https://www.arh.org/wp-content/uploads/2026/05/452696517_Barbourville-ARH-Hospital_standardcharges.csv