Hospital Logan, UT-ID

Franklin County Medical Center

Franklin County Medical Center in Preston, ID publishes cash prices for 219 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 Idaho median for 171 of 216 procedures and below it for 38. By typical cash price it ranks #26 of 28 Idaho hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

44 North First East, Preston, ID 83263 Collected Sep 27, 2026 Source price file (208) 852-0137

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 131322 · CMS hospital register NPI 1548355811

The price file shows no self-pay discount

For 630 of the 630 prices listed here, the cash price in Franklin County Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Idaho	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE ROUTINE 3 V RT	$321.00	$321.00	$120.82–$321.00	8% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE ROUTINE 3 V LT	$321.00	$321.00	$120.82–$321.00	8% above	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE ROUTINE 3 V LT	$321.00	$321.00	$120.82–$321.00	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE ROUTINE 3 V RT	$321.00	$321.00	$120.82–$321.00	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US LIMITED ARTERIAL FLOW STUDY BILAT	$642.00	$642.00	$241.65	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ARTERIAL BILATERAL UPPER OR LOWER	$642.00	$642.00	$241.65	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI	$473.00	$473.00	$241.65	13% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US ARTERIAL BILATERAL UPPER OR LOWER	$642.00	$642.00	$241.65	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US LIMITED ARTERIAL FLOW STUDY BILAT	$642.00	$642.00	$241.65	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI	$473.00	$473.00	$241.65	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE	$265.00	$265.00	$265.00	34% below	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLETE	$265.00	$265.00	$265.00	34% below	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT COMPLETE	$265.00	$265.00	$265.00	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT COMPLETE	$265.00	$265.00	$265.00	—	—
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILAT LIMITED	$413.00	$413.00	$63.65–$413.00	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LIMITED	$413.00	$413.00	$63.65–$413.00	27% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RT LIMITED	$413.00	$413.00	$63.65–$413.00	27% above	—
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST BILAT LIMITED	$413.00	$413.00	$63.65–$413.00	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST RT LIMITED	$413.00	$413.00	$63.65–$413.00	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LT LIMITED	$413.00	$413.00	$63.65–$413.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT PULMONARY ANGIO	$1,877.00	$1,877.00	$683.82–$1,828.20	32% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT THORACIC ANGIO WITH	$1,877.00	$1,877.00	$706.50–$1,206.00	32% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT THORACIC ANGIO WITH	$1,877.00	$1,877.00	$706.50–$1,206.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT PULMONARY ANGIO	$1,877.00	$1,877.00	$683.82–$1,828.20	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT KUB	$1,202.00	$1,202.00	$747.91–$1,987.00	22% below	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WITHOUT	$1,987.00	$1,987.00	$747.91–$1,987.00	28% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT KUB	$1,202.00	$1,202.00	$747.91–$1,987.00	—	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WITHOUT	$1,987.00	$1,987.00	$747.91–$1,987.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS WITH	$2,684.00	$2,684.00	$1,010.26–$2,630.32	19% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS WITH	$2,684.00	$2,684.00	$1,010.26–$2,630.32	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT 3 PHASE LIVER	$3,565.00	$3,565.00	$1,284.45–$3,208.50	58% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WITHOUT AND WITH	$3,565.00	$3,565.00	$1,284.45–$3,208.50	58% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT 3 PHASE RENAL SCAN	$3,565.00	$3,565.00	$1,284.45–$3,208.50	58% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM	$3,565.00	$3,565.00	$1,284.45–$3,208.50	58% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT 3 PHASE LIVER	$3,565.00	$3,565.00	$1,284.45–$3,208.50	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAM	$3,565.00	$3,565.00	$1,284.45–$3,208.50	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT 3 PHASE RENAL SCAN	$3,565.00	$3,565.00	$1,284.45–$3,208.50	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WITHOUT AND WITH	$3,565.00	$3,565.00	$1,284.45–$3,208.50	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABD W/O	$1,330.00	$1,330.00	$410.47–$780.80	47% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD W/O	$1,330.00	$1,330.00	$410.47–$780.80	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O	$1,126.00	$1,126.00	$410.47–$1,096.72	35% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT PARANASAL	$1,126.00	$1,126.00	$410.47–$1,096.72	35% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/O	$1,126.00	$1,126.00	$410.47–$1,096.72	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT PARANASAL	$1,126.00	$1,126.00	$410.47–$1,096.72	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN	$1,066.00	$1,066.00	$401.24–$1,038.28	12% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN	$1,066.00	$1,066.00	$401.24–$1,038.28	—	—
CT scan of the head with contrast CPT 70460 CT BRAIN WITH CONTRAST	$1,173.00	$1,173.00	$1,060.25	7% above	—
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN WITH CONTRAST	$1,173.00	$1,173.00	$1,060.25	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE	$1,452.00	$1,452.00	$546.53–$1,414.25	67% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE	$1,452.00	$1,452.00	$546.53–$1,414.25	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE	$1,452.00	$1,452.00	$410.47–$1,414.25	67% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE	$1,452.00	$1,452.00	$410.47–$1,414.25	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$1,752.00	$1,752.00	$823.95–$1,706.45	53% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W	$1,752.00	$1,752.00	$823.95–$1,706.45	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID (BILATERAL)	$918.00	$918.00	$345.54–$695.98	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID (BILATERAL)	$918.00	$918.00	$345.54–$695.98	—	—
Chest X-ray, 2 views CPT 71046 RADIOLOGIC EXAM CHEST 2 VIEWS	$273.00	$273.00	$102.76–$267.54	9% above	—
Chest X-ray, 2 views inpatient CPT 71046 RADIOLOGIC EXAM CHEST 2 VIEWS	$273.00	$273.00	$102.76–$267.54	—	—
Chest X-ray, single view CPT 71045 XR CHEST X-RAY 1V	$244.00	$244.00	$91.84–$239.12	9% above	—
Chest X-ray, single view inpatient CPT 71045 XR CHEST X-RAY 1V	$244.00	$244.00	$91.84–$239.12	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETRO-PERITONEAL, RENAL	$562.00	$562.00	$211.54–$533.90	24% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETRO-PERITONEAL, RENAL	$562.00	$562.00	$211.54–$533.90	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA/BONE DENSITY	$371.00	$371.00	$138.16–$361.35	14% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA/BONE DENSITY	$371.00	$371.00	$138.16–$361.35	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O	$1,363.00	$1,363.00	$410.47–$1,327.56	59% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O	$1,363.00	$1,363.00	$410.47–$1,327.56	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH	$1,896.00	$1,896.00	$713.65–$1,846.70	72% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH	$1,896.00	$1,896.00	$713.65–$1,846.70	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAGNOSTIC BILAT	$478.00	$478.00	$239.57–$468.44	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAGNOSTIC BILAT	$478.00	$478.00	$239.57–$468.44	—	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC LT	$376.00	$376.00	$141.53–$376.00	20% above	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC RT	$376.00	$376.00	$141.53–$376.00	20% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC RT	$376.00	$376.00	$141.53–$376.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC LT	$376.00	$376.00	$141.53–$376.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS BILATERAL	$1,028.00	$1,028.00	$407.09–$919.60	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS BILATERAL	$1,028.00	$1,028.00	$407.09–$919.60	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM WITHOUT CONTRAST	$1,979.00	$1,979.00	$744.90–$1,939.42	14% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM - BUBBLE CONTRAST	$2,177.00	$2,177.00	$744.90–$1,939.42	25% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM WITHOUT CONTRAST	$1,979.00	$1,979.00	$744.90–$1,939.42	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM - BUBBLE CONTRAST	$2,177.00	$2,177.00	$744.90–$1,939.42	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED	$918.00	$918.00	$452.22–$899.64	29% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED	$918.00	$918.00	$452.22–$899.64	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W/CPAP ATTENDED BY TECH	$4,007.00	$4,007.00	$1,512.35–$3,902.82	26% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W/CPAP ATTENDED BY TECH	$4,007.00	$4,007.00	$1,512.35–$3,902.82	—	—
Knee X-ray, 3 views both sides CPT 73562 XR BILATERAL KNEE ROUTINE 3V	$580.00	$580.00	$120.45–$580.00	—	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE RT ROUTINE 3 V	$320.00	$320.00	$120.45–$580.00	13% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE LT ROUTINE 3 V	$320.00	$320.00	$120.45–$580.00	13% above	—
Knee X-ray, 3 views inpatient both sides CPT 73562 XR BILATERAL KNEE ROUTINE 3V	$580.00	$580.00	$120.45–$580.00	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE RT ROUTINE 3 V	$320.00	$320.00	$120.45–$580.00	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE LT ROUTINE 3 V	$320.00	$320.00	$120.45–$580.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED ONE ORGAN	$550.00	$550.00	$207.12–$535.70	25% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED ONE ORGAN	$550.00	$550.00	$207.12–$535.70	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE	$1,272.00	$1,272.00	$377.10–$1,246.56	56% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE	$1,272.00	$1,272.00	$377.10–$1,246.56	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RT HIP W/O	$1,771.00	$1,771.00	$666.60–$1,724.95	4% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LT ANKLE W/O	$1,771.00	$1,771.00	$666.60–$1,724.95	4% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RT ANKLE W/O	$1,771.00	$1,771.00	$666.60–$1,724.95	4% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LT HIP W/O	$1,771.00	$1,771.00	$666.60–$1,724.95	4% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RT KNEE W/O	$1,851.00	$1,851.00	$151.55–$1,802.87	8% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LT KNEE W/O	$1,851.00	$1,851.00	$151.55–$1,802.87	8% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT ANKLE W/O	$1,771.00	$1,771.00	$666.60–$1,724.95	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT ANKLE W/O	$1,771.00	$1,771.00	$666.60–$1,724.95	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT HIP W/O	$1,771.00	$1,771.00	$666.60–$1,724.95	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT HIP W/O	$1,771.00	$1,771.00	$666.60–$1,724.95	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT KNEE W/O	$1,851.00	$1,851.00	$151.55–$1,802.87	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT KNEE W/O	$1,851.00	$1,851.00	$151.55–$1,802.87	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O	$1,492.00	$1,492.00	$1,492.00	7% below	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O	$1,492.00	$1,492.00	$1,492.00	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO	$2,711.00	$2,711.00	$1,020.42–$2,711.00	20% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO	$2,711.00	$2,711.00	$1,020.42–$2,711.00	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WITHOUT CONTRAST	$2,082.00	$2,082.00	$783.66–$2,046.36	23% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WITHOUT CONTRAST	$2,082.00	$2,082.00	$783.66–$2,046.36	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WITH AND WITHOUT CONTRAST	$3,015.00	$3,015.00	$1,599.27–$2,936.61	33% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WITH AND WITHOUT CONTRAST	$3,015.00	$3,015.00	$1,599.27–$2,936.61	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE WITHOUT CONTRAST	$2,258.00	$2,258.00	$849.91–$2,199.29	40% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE WITHOUT CONTRAST	$2,258.00	$2,258.00	$849.91–$2,199.29	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE WITH AND WITH OUT	$3,288.00	$3,288.00	$1,237.60–$1,720.94	45% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE WITH AND WITH OUT	$3,288.00	$3,288.00	$1,237.60–$1,720.94	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE WITHOUT CONTRAST	$2,197.00	$2,197.00	$826.95–$2,139.88	34% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE WITHOUT CONTRAST	$2,197.00	$2,197.00	$826.95–$2,139.88	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE WITH AND WITHOUT CONTRAST	$3,230.00	$3,230.00	$1,981.90–$3,068.50	43% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE WITH AND WITHOUT CONTRAST	$3,230.00	$3,230.00	$1,981.90–$3,068.50	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE WITHOUT CONTRAST	$2,387.00	$2,387.00	$898.47–$2,324.94	48% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE WITHOUT CONTRAST	$2,387.00	$2,387.00	$898.47–$2,324.94	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W W/O	$2,501.00	$2,501.00	$941.38–$2,202.11	11% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W W/O	$2,501.00	$2,501.00	$941.38–$2,202.11	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$2,076.00	$2,076.00	$979.52–$1,820.65	26% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$2,076.00	$2,076.00	$979.52–$1,820.65	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY JOINT WO	$1,924.00	$1,924.00	$300.00–$1,873.98	9% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RT WRIST WO	$1,400.00	$1,400.00	$300.00–$1,873.98	20% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LT WRIST W/O	$1,400.00	$1,400.00	$300.00–$1,873.98	20% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RT ELBOW W/O	$1,600.00	$1,600.00	$300.00–$1,873.98	9% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LT ELBOW W/O	$1,924.00	$1,924.00	$300.00–$1,873.98	9% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RT SHOULDER W/O	$1,924.00	$1,924.00	$300.00–$1,873.98	9% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LT SHOULDER W/O	$1,924.00	$1,924.00	$300.00–$1,873.98	9% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREMITY JOINT WO	$1,924.00	$1,924.00	$300.00–$1,873.98	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LT WRIST W/O	$1,400.00	$1,400.00	$300.00–$1,873.98	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT WRIST WO	$1,400.00	$1,400.00	$300.00–$1,873.98	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT ELBOW W/O	$1,600.00	$1,600.00	$300.00–$1,873.98	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT SHOULDER W/O	$1,924.00	$1,924.00	$300.00–$1,873.98	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LT ELBOW W/O	$1,924.00	$1,924.00	$300.00–$1,873.98	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LT SHOULDER W/O	$1,924.00	$1,924.00	$300.00–$1,873.98	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM TREADMILL STRESS CARDIAC	$3,326.00	$3,326.00	$1,251.91–$3,326.00	12% below	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CHEMICAL STRESS CARDIAC EX	$3,326.00	$3,326.00	$1,251.91–$3,326.00	12% below	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM TREADMILL STRESS CARDIAC	$3,326.00	$3,326.00	$1,251.91–$3,326.00	—	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CHEMICAL STRESS CARDIAC EX	$3,326.00	$3,326.00	$1,251.91–$3,326.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC	$569.00	$569.00	$297.81–$569.00	21% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC	$569.00	$569.00	$297.81–$569.00	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE	$497.00	$497.00	$435.87–$484.08	13% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMPLETE	$497.00	$497.00	$435.87–$484.08	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LIMITED	$426.00	$426.00	$443.76–$506.00	2% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB LIMITED	$426.00	$426.00	$443.76–$506.00	—	—
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING DIGITAL BILAT	$264.00	$264.00	$79.59–$371.00	—	—
Screening mammogram, both breasts both sides CPT 77067 MAMMO DIGITAL SCREENING BILAT IMPLANT	$349.00	$349.00	$79.59–$371.00	—	—
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING BILAT	$371.00	$371.00	$79.59–$371.00	—	—
Screening mammogram, both breasts one side CPT 77067 MAMMO DIGITAL SCREENING RT IMPLANT	$156.00	$156.00	$79.59–$371.00	54% below	—
Screening mammogram, both breasts one side CPT 77067 MAMMO DIGITAL SCREENING LT IMPLANT	$156.00	$156.00	$79.59–$371.00	54% below	—
Screening mammogram, both breasts one side CPT 77067 MAMMO DIGITAL SCREENING LT	$156.00	$156.00	$79.59–$371.00	54% below	—
Screening mammogram, both breasts one side CPT 77067 MAMMO DIGITAL SCREENING RT	$305.00	$305.00	$79.59–$371.00	9% below	—
Screening mammogram, both breasts one side CPT 77067 MAMMO DIGITAL SCREENING LT	$305.00	$305.00	$79.59–$371.00	9% below	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREENING DIGITAL BILAT	$264.00	$264.00	$79.59–$371.00	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO DIGITAL SCREENING BILAT IMPLANT	$349.00	$349.00	$79.59–$371.00	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREENING BILAT	$371.00	$371.00	$79.59–$371.00	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO DIGITAL SCREENING LT IMPLANT	$156.00	$156.00	$79.59–$371.00	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO DIGITAL SCREENING LT	$156.00	$156.00	$79.59–$371.00	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO DIGITAL SCREENING RT IMPLANT	$156.00	$156.00	$79.59–$371.00	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO DIGITAL SCREENING RT	$305.00	$305.00	$79.59–$371.00	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO DIGITAL SCREENING LT	$305.00	$305.00	$79.59–$371.00	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER RT ROUTINE 2+	$324.00	$324.00	$121.95–$324.00	6% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER LT ROUTINE 2+	$324.00	$324.00	$121.95–$324.00	6% below	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER RT ROUTINE 2+	$324.00	$324.00	$121.95–$324.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER LT ROUTINE 2+	$324.00	$324.00	$121.95–$324.00	—	—
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY ATTENDED BY TECH	$3,673.00	$3,673.00	$1,382.52–$3,626.86	12% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY ATTENDED BY TECH	$3,673.00	$3,673.00	$1,382.52–$3,626.86	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOW STUDY	$480.00	$480.00	$180.67–$347.78	19% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWALLOW STUDY	$480.00	$480.00	$180.67–$347.78	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$649.00	$649.00	$245.64–$649.00	31% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$649.00	$649.00	$245.64–$649.00	—	—
Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE	$528.00	$528.00	$446.81–$514.27	20% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLE	$528.00	$528.00	$446.81–$514.27	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK/THYROID	$532.00	$532.00	$200.43–$518.17	21% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK/THYROID	$532.00	$532.00	$200.43–$518.17	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US RT VENOUS UNILATERAL	$768.00	$768.00	$289.08–$752.64	34% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LT VENOUS UNILATERAL	$768.00	$768.00	$289.08–$752.64	34% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US RT VENOUS UNILATERAL	$768.00	$768.00	$289.08–$752.64	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LT VENOUS UNILATERAL	$768.00	$768.00	$289.08–$752.64	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST ROUTINE 3V LT	$314.00	$314.00	$118.19–$305.84	14% below	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST ROUTINE 3V RT	$314.00	$314.00	$118.19–$305.84	14% below	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST ROUTINE 3V RT	$314.00	$314.00	$118.19–$305.84	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST ROUTINE 3V LT	$314.00	$314.00	$118.19–$305.84	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP LT ROUTINE UNITALERAL 2V	$484.00	$484.00	$182.18–$484.00	128% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP RT ROUTINE UNILATERAL 2V	$484.00	$484.00	$182.18–$484.00	128% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP LT ROUTINE UNITALERAL 2V	$484.00	$484.00	$182.18–$484.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP RT ROUTINE UNILATERAL 2V	$484.00	$484.00	$182.18–$484.00	—	—
X-ray of the abdomen, 1 view CPT 74018 XR ABD XRAY	$256.00	$256.00	$96.36–$256.00	25% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD XRAY	$256.00	$256.00	$96.36–$256.00	—	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE LIMITED LT	$208.00	$208.00	$197.60–$208.00	31% below	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE LIMITED RT	$208.00	$208.00	$197.60–$208.00	31% below	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE LIMITED LT	$208.00	$208.00	$197.60–$208.00	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE LIMITED RT	$208.00	$208.00	$197.60–$208.00	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS 3V RT	$240.00	$240.00	$203.05–$235.20	4% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS 3V LT	$240.00	$240.00	$203.05–$235.20	4% below	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS 3V RT	$240.00	$240.00	$203.05–$235.20	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS 3V LT	$240.00	$240.00	$203.05–$235.20	—	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT LIMITED LT	$203.00	$203.00	$79.20–$175.40	30% below	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT LIMITED RT	$203.00	$203.00	$79.20–$175.40	30% below	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT LIMITED LT	$203.00	$203.00	$79.20–$175.40	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT LIMITED RT	$203.00	$203.00	$79.20–$175.40	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT ROUTINE 3 V RT	$322.00	$322.00	$127.51–$322.00	at median	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT ROUTINE 3 V LT	$322.00	$322.00	$127.51–$322.00	at median	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT ROUTINE 3 V LT	$322.00	$322.00	$127.51–$322.00	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT ROUTINE 3 V RT	$322.00	$322.00	$127.51–$322.00	—	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND ROUTINE 3V LT	$314.00	$314.00	$118.19–$308.98	at median	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND ROUTINE 3 V RT	$314.00	$314.00	$118.19–$308.98	at median	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND ROUTINE 3V LT	$314.00	$314.00	$118.19–$308.98	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND ROUTINE 3 V RT	$314.00	$314.00	$118.19–$308.98	—	—
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1 OR 2 VIEWS	$257.00	$257.00	$134.51–$203.05	6% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE RT ROUTINE 2V	$257.00	$257.00	$134.51–$203.05	6% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE LT ROUTINE 2V	$257.00	$257.00	$134.51–$203.05	6% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1 OR 2 VIEWS	$257.00	$257.00	$134.51–$203.05	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE LT ROUTINE 2V	$257.00	$257.00	$134.51–$203.05	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE RT ROUTINE 2V	$257.00	$257.00	$134.51–$203.05	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LS SPINE ROUTINE 3V	$322.00	$322.00	$121.20–$322.00	9% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LS SPINE ROUTINE 3V	$322.00	$322.00	$121.20–$322.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 XR LS SPINE COMPLETE 5V	$508.00	$508.00	$191.21–$494.79	26% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LS SPINE COMPLETE 5V	$508.00	$508.00	$191.21–$494.79	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T SPINE ROUTINE 2V	$302.00	$302.00	$113.67–$302.00	6% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T SPINE ROUTINE 2V	$302.00	$302.00	$113.67–$302.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C SPINE ROUTINE 3V	$302.00	$302.00	$113.67–$302.00	16% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C SPINE ROUTINE 3V	$302.00	$302.00	$113.67–$302.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS AP 1 VIEW	$287.00	$287.00	$113.65–$287.00	19% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS AP W/ CAUD. & CEPH. 3V	$287.00	$287.00	$113.65–$287.00	19% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS AP W/ CAUD. & CEPH. 3V	$287.00	$287.00	$113.65–$287.00	—	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS AP 1 VIEW	$287.00	$287.00	$113.65–$287.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SP SACRUM/COCCYX 2V	$299.00	$299.00	$118.40–$291.23	19% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SP SACRUM/COCCYX 2V	$299.00	$299.00	$118.40–$291.23	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Idaho	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT ALT	$32.00	$32.00	$16.00–$31.17	19% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT ALT	$32.00	$32.00	$16.00–$31.17	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT AST	$32.00	$32.00	$23.02–$31.17	5% below	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT AST	$32.00	$32.00	$23.02–$31.17	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE A,B,C, PANEL	$255.00	$255.00	$211.99–$255.00	17% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE A,B,C, PANEL	$255.00	$255.00	$211.99–$255.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE AB	$110.00	$110.00	$57.62–$107.14	76% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE AB	$110.00	$110.00	$57.62–$107.14	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$106.00	$106.00	$41.55–$103.24	94% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$106.00	$106.00	$41.55–$103.24	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$101.00	$101.00	$87.50–$175.00	39% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP	$175.00	$175.00	$87.50–$175.00	6% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (B-TYPE NATRIURETIC PEPTIDE)	$179.00	$179.00	$59.21–$159.00	9% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ATRIAL NATRIUETIC FACTOR	$191.00	$191.00	$87.50–$175.00	16% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$101.00	$101.00	$87.50–$175.00	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP	$175.00	$175.00	$87.50–$175.00	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (B-TYPE NATRIURETIC PEPTIDE)	$179.00	$179.00	$59.21–$159.00	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ATRIAL NATRIUETIC FACTOR	$191.00	$191.00	$87.50–$175.00	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$90.00	$90.00	$33.52–$90.00	106% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$90.00	$90.00	$33.52–$90.00	—	—
Blood culture for bacteria CPT 87040 PLEURAL FLUID CULTURE	$92.00	$92.00	$37.61–$101.00	17% below	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE FIRST SET	$101.00	$101.00	$37.61–$101.00	9% below	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE SECOND SET	$101.00	$101.00	$37.61–$101.00	9% below	—
Blood culture for bacteria inpatient CPT 87040 PLEURAL FLUID CULTURE	$92.00	$92.00	$37.61–$101.00	—	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE SECOND SET	$101.00	$101.00	$37.61–$101.00	—	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FIRST SET	$101.00	$101.00	$37.61–$101.00	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY (BLOOD COLLECTION)	$10.00	$10.00	$3.92–$36.26	56% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE (COLLECTION OF VENOUS OR CAPILLARY BLOOD)	$21.00	$21.00	$3.92–$36.26	7% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY (CLINIC VENIPUNCTURE)	$21.00	$21.00	$3.92–$36.26	7% below	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PHLEBOTOMY (BLOOD COLLECTION)	$10.00	$10.00	$3.92–$36.26	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PHLEBOTOMY (CLINIC VENIPUNCTURE)	$21.00	$21.00	$3.92–$36.26	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE (COLLECTION OF VENOUS OR CAPILLARY BLOOD)	$21.00	$21.00	$3.92–$36.26	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE, 2 HOUR	$27.00	$27.00	$17.46–$75.00	7% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE, 1 HOUR	$77.00	$77.00	$17.46–$75.00	204% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE, FASTING	$77.00	$77.00	$17.46–$75.00	204% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE, RANDOM NON FASTING	$77.00	$77.00	$17.46–$75.00	204% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE, 1 HOUR SCREEN	$77.00	$77.00	$17.46–$75.00	204% above	—
Blood glucose (sugar) test CPT 82947 BODY FLUID GLUCOSE	$100.00	$100.00	$17.46–$75.00	294% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, 2 HOUR	$27.00	$27.00	$17.46–$75.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, FASTING	$77.00	$77.00	$17.46–$75.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, 1 HOUR SCREEN	$77.00	$77.00	$17.46–$75.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, RANDOM NON FASTING	$77.00	$77.00	$17.46–$75.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, 1 HOUR	$77.00	$77.00	$17.46–$75.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 BODY FLUID GLUCOSE	$100.00	$100.00	$17.46–$75.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, SERUM PREGNANCY TEST	$75.00	$75.00	$33.45–$73.50	22% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, URINE PREGNANCY TEST	$75.00	$75.00	$33.45–$73.50	22% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, URINE PREGNANCY TEST	$75.00	$75.00	$33.45–$73.50	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, SERUM PREGNANCY TEST	$75.00	$75.00	$33.45–$73.50	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE WITH A SUBTYPE	$62.00	$62.00	$31.36–$80.00	33% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE ABO	$96.00	$96.00	$31.36–$80.00	105% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPE WITH A SUBTYPE	$62.00	$62.00	$31.36–$80.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE ABO	$96.00	$96.00	$31.36–$80.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$85.00	$85.00	$23.02–$83.64	43% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$85.00	$85.00	$23.02–$83.64	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19-9	$80.00	$80.00	$80.00	14% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN 19-9	$80.00	$80.00	$80.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY PCR	$133.00	$133.00	$116.64–$133.00	14% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY PCR	$133.00	$133.00	$116.64–$133.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$96.00	$96.00	$35.75–$96.00	62% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$96.00	$96.00	$35.75–$96.00	—	—
Complete blood count (CBC) with differential CPT 85025 CBC 5 PART AUTO DIFF	$85.00	$85.00	$6.34–$83.30	98% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC 5 PART AUTO DIFF	$85.00	$85.00	$6.34–$83.30	—	—
Comprehensive metabolic panel (blood test) CPT 80053 FCMC WELLNESS CMP	$75.00	$75.00	$37.61–$98.98	33% above	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$108.00	$108.00	$37.61–$98.98	92% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 FCMC WELLNESS CMP	$75.00	$75.00	$37.61–$98.98	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$108.00	$108.00	$37.61–$98.98	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$175.00	$175.00	$45.29–$171.50	87% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$175.00	$175.00	$45.29–$171.50	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$106.00	$106.00	$81.59–$103.24	10% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$106.00	$106.00	$81.59–$103.24	—	—
Estradiol blood test CPT 82670 ESTRADIOL	$134.00	$134.00	$117.52–$134.00	16% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$134.00	$134.00	$117.52–$134.00	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$143.00	$143.00	$82.70–$139.28	37% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$143.00	$143.00	$82.70–$139.28	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$186.00	$186.00	$69.27–$105.08	12% below	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$186.00	$186.00	$69.27–$105.08	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$90.00	$90.00	$33.52–$88.56	26% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$90.00	$90.00	$33.52–$88.56	—	—
Folate (folic acid) blood test CPT 82746 FOLATE	$96.00	$96.00	$35.75–$96.00	32% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$96.00	$96.00	$35.75–$96.00	—	—
Free T3 thyroid hormone test CPT 84481 T3 FREE TRIIODOTHYRONINE CASH PAY	$30.00	$30.00	$44.15–$90.00	57% below	—
Free T3 thyroid hormone test CPT 84481 T3 FREE TRIIODOTHYRONINE	$90.00	$90.00	$44.15–$90.00	29% above	—
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE TRIIODOTHYRONINE CASH PAY	$30.00	$30.00	$44.15–$90.00	—	—
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE TRIIODOTHYRONINE	$90.00	$90.00	$44.15–$90.00	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 CASH PAY	$25.00	$25.00	$33.52–$90.00	42% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE; FREE	$25.00	$25.00	$33.52–$90.00	42% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 (FREE THYROXINE)	$90.00	$90.00	$33.52–$90.00	108% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4 CASH PAY	$25.00	$25.00	$33.52–$90.00	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE; FREE	$25.00	$25.00	$33.52–$90.00	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4 (FREE THYROXINE)	$90.00	$90.00	$33.52–$90.00	—	—
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$96.00	$96.00	$84.48–$96.00	5% below	—
Free testosterone test CPT 84402 TESTOSTERONE, FREE (FEMALES & CHILDREN)	$96.00	$96.00	$93.50–$96.00	5% below	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE (FEMALES & CHILDREN)	$96.00	$96.00	$93.50–$96.00	—	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$96.00	$96.00	$84.48–$96.00	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 HR	$200.00	$200.00	$57.29–$194.80	172% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 HR	$200.00	$200.00	$57.29–$194.80	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY PCR	$125.00	$125.00	$116.64–$133.00	7% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA BY PCR	$133.00	$133.00	$116.64–$133.00	14% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY PCR	$125.00	$125.00	$116.64–$133.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA BY PCR	$133.00	$133.00	$116.64–$133.00	—	—
H. pylori antibody blood test CPT 86677 HELICOBACTOR PYLORI IGG ANTIBODY	$85.00	$85.00	$31.65–$80.75	7% below	—
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTOR PYLORI IGG ANTIBODY	$85.00	$85.00	$31.65–$80.75	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 BY QUANTITATIVE PCR	$478.00	$478.00	$465.57	26% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 BY QUANTITATIVE PCR	$478.00	$478.00	$465.57	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV	$101.00	$101.00	$88.58–$101.00	9% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV	$101.00	$101.00	$88.58–$101.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$90.00	$90.00	$31.13–$90.00	103% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN	$90.00	$90.00	$31.13–$90.00	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANTITATIVE RNA BY PCR	$531.00	$531.00	$515.55	143% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT W/ REFLEX TO GENOTYPE	$531.00	$531.00	$515.55	143% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANT W/ REFLEX TO GENOTYPE	$531.00	$531.00	$515.55	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANTITATIVE RNA BY PCR	$531.00	$531.00	$515.55	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY (CARDIAC RISK)	$105.00	$105.00	$45.97	61% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY (CARDIAC RISK)	$105.00	$105.00	$45.97	—	—
Homocysteine blood test CPT 83090 HOMOCYSTINE LEVEL	$106.00	$106.00	$75.05	32% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE LEVEL	$106.00	$106.00	$75.05	—	—
Insulin blood test CPT 83525 INSULIN, 1 HOUR	$58.00	$58.00	$50.85–$82.79	7% below	—
Insulin blood test CPT 83525 INSULIN, 2 HOUR	$58.00	$58.00	$50.85–$82.79	7% below	—
Insulin blood test CPT 83525 INSULIN	$85.00	$85.00	$50.85–$82.79	36% above	—
Insulin blood test inpatient CPT 83525 INSULIN, 1 HOUR	$58.00	$58.00	$50.85–$82.79	—	—
Insulin blood test inpatient CPT 83525 INSULIN, 2 HOUR	$58.00	$58.00	$50.85–$82.79	—	—
Insulin blood test inpatient CPT 83525 INSULIN	$85.00	$85.00	$50.85–$82.79	—	—
Iron blood test (serum iron) CPT 83540 IRON SERUM	$80.00	$80.00	$28.81–$78.72	107% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM	$80.00	$80.00	$28.81–$78.72	—	—
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$80.00	$80.00	$29.79–$78.72	69% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$80.00	$80.00	$29.79–$78.72	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$90.00	$90.00	$30.81–$88.20	41% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$90.00	$90.00	$30.81–$88.20	—	—
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$106.00	$106.00	$60.89–$103.24	29% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$106.00	$106.00	$60.89–$103.24	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$80.00	$80.00	$29.79–$78.40	15% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$80.00	$80.00	$29.79–$78.40	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$90.00	$90.00	$36.33–$88.56	69% above	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$90.00	$90.00	$36.33–$88.56	—	—
Magnesium blood test CPT 83735 MAGNESIUM	$80.00	$80.00	$29.79–$78.40	81% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$80.00	$80.00	$29.79–$78.40	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG TITER	$85.00	$85.00	$57.32	35% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM TITER	$85.00	$85.00	$57.32	35% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG TITER	$85.00	$85.00	$57.32	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM TITER	$85.00	$85.00	$57.32	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS	$50.00	$50.00	$23.02–$47.50	8% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS	$50.00	$50.00	$23.02–$47.50	—	—
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: BLOOD COUNT, COMPLETE (CBC), AUTOMATED AND AUTOMATED DIFFERENTIAL WBC COUNT (85025 OR 85027 AND 85004) OR BLOOD COUNT, COMPLETE (CBC), AUTOMATED (85027) AND APPROPRIATE MANUAL DIFFERENT	$124.00	$124.00	$266.07–$567.42	44% below	—
Obstetric blood test panel CPT 80055 PRENATAL LAB CHARGES	$579.00	$579.00	$266.07–$567.42	160% above	—
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: BLOOD COUNT, COMPLETE (CBC), AUTOMATED AND AUTOMATED DIFFERENTIAL WBC COUNT (85025 OR 85027 AND 85004) OR BLOOD COUNT, COMPLETE (CBC), AUTOMATED (85027) AND APPROPRIATE MANUAL DIFFERENT	$124.00	$124.00	$266.07–$567.42	—	—
Obstetric blood test panel inpatient CPT 80055 PRENATAL LAB CHARGES	$579.00	$579.00	$266.07–$567.42	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE % - PROSTATE SPECIFIC ANTIGEN	$133.00	$133.00	$65.28	51% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE % - PROSTATE SPECIFIC ANTIGEN	$133.00	$133.00	$65.28	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL	$61.00	$61.00	$48.85–$81.85	28% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, ULTRASENSITIVE	$96.00	$96.00	$48.85–$81.85	13% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA	$106.00	$106.00	$39.47–$106.00	25% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL	$61.00	$61.00	$48.85–$81.85	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, ULTRASENSITIVE	$96.00	$96.00	$48.85–$81.85	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA	$106.00	$106.00	$39.47–$106.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT MOLECULE	$196.00	$196.00	$72.99–$196.00	14% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT MOLECULE	$196.00	$196.00	$72.99–$196.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (APTT)	$74.00	$74.00	$26.72–$74.00	43% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (APTT)	$74.00	$74.00	$26.72–$74.00	—	—
Progesterone blood test CPT 84144 PROGESTERONE	$138.00	$138.00	$92.84–$138.00	53% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$138.00	$138.00	$92.84–$138.00	—	—
Prolactin blood test CPT 84146 PROLACTIN	$138.00	$138.00	$86.23–$134.41	46% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$138.00	$138.00	$86.23–$134.41	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT PROTHROMBIN TIME	$75.00	$75.00	$17.49–$75.00	112% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT PROTHROMBIN TIME	$75.00	$75.00	$17.49–$75.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUGS OF ABUSE - URINE CASH PAY	$60.00	$60.00	$72.43–$125.00	at median	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUGS OF ABUSE - URINE TOX SCREEN	$125.00	$125.00	$72.43–$125.00	108% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUGS OF ABUSE - URINE CASH PAY	$60.00	$60.00	$72.43–$125.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUGS OF ABUSE - URINE TOX SCREEN	$125.00	$125.00	$72.43–$125.00	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$39.00	$39.00	$34.20–$39.00	29% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$39.00	$39.00	$34.20–$39.00	—	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$212.00	$212.00	$39.60–$206.49	355% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$212.00	$212.00	$39.60–$206.49	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL OCCULT BLD #2	$45.00	$45.00	$15.55	108% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL OCCULT BLD #3	$45.00	$45.00	$15.55	108% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL OCCULT BLD #1	$48.00	$48.00	$14.49–$45.60	122% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 STOOL OCCULT BLD #2	$45.00	$45.00	$15.55	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 STOOL OCCULT BLD #3	$45.00	$45.00	$15.55	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 STOOL OCCULT BLD #1	$48.00	$48.00	$14.49–$45.60	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$96.00	$96.00	$19.00–$96.00	183% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$96.00	$96.00	$19.00–$96.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$212.00	$212.00	$185.92–$212.00	7% below	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$212.00	$212.00	$185.92–$212.00	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$106.00	$106.00	$41.55–$106.00	8% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL (FEMALES AND CHILDREN)	$106.00	$106.00	$41.55–$106.00	8% below	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL (FEMALES AND CHILDREN)	$106.00	$106.00	$41.55–$106.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$106.00	$106.00	$41.55–$106.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$106.00	$106.00	$64.75–$103.24	48% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME - I ANTIBODY	$106.00	$106.00	$64.75–$103.24	48% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$106.00	$106.00	$64.75–$103.24	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME - I ANTIBODY	$106.00	$106.00	$64.75–$103.24	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH)	$73.00	$73.00	$33.52–$90.00	7% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH / W REFLEX TO FT4	$90.00	$90.00	$33.52–$90.00	15% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$102.00	$102.00	$33.52–$90.00	30% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH)	$73.00	$73.00	$33.52–$90.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH / W REFLEX TO FT4	$90.00	$90.00	$33.52–$90.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$102.00	$102.00	$33.52–$90.00	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS BY NAAT, URINE	$239.00	$239.00	$234.22	137% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS BY NAAT, URINE	$239.00	$239.00	$234.22	—	—
Uric acid blood test CPT 84550 URIC ACID	$75.00	$75.00	$20.11–$73.50	129% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$75.00	$75.00	$20.11–$73.50	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE	$64.00	$64.00	$14.09–$62.72	294% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE	$64.00	$64.00	$14.09–$62.72	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS CHEM ONLY	$50.00	$50.00	$10.01–$25.97	289% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS CHEM ONLY	$50.00	$50.00	$10.01–$25.97	—	—
Urine culture for bacteria, with colony count CPT 87086 ID OF ISOLATE, URINE	$90.00	$90.00	$33.52–$90.00	71% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 ID OF ISOLATE, URINE	$90.00	$90.00	$33.52–$90.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN C	$92.00	$92.00	$38.42–$95.45	24% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12	$98.00	$98.00	$38.42–$95.45	32% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN C	$92.00	$92.00	$38.42–$95.45	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12	$98.00	$98.00	$38.42–$95.45	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY CASH PAY	$68.00	$68.00	$49.53–$133.00	37% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY	$133.00	$133.00	$49.53–$133.00	23% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY CASH PAY	$68.00	$68.00	$49.53–$133.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY	$133.00	$133.00	$49.53–$133.00	—	—
Zinc blood test CPT 84630 ZINC LEVEL	$80.00	$80.00	$50.69–$77.92	18% above	—
Zinc blood test inpatient CPT 84630 ZINC LEVEL	$80.00	$80.00	$50.69–$77.92	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, BETA QUANTITATIVE	$90.00	$90.00	$67.00–$90.00	10% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, BETA QUANTITATIVE	$90.00	$90.00	$67.00–$90.00	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Idaho	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY PRIMARY <AGE 12	$7,459.00	$7,459.00	$6,216.80–$6,413.12	56% above	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 ADENOIDECTOMY PRIMARY <AGE 12	$7,459.00	$7,459.00	$6,216.80–$6,413.12	—	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	$14,750.00	$14,750.00	$12,046.16	48% above	—
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	$14,750.00	$14,750.00	$12,046.16	—	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR	$13,946.00	$13,946.00	$7,980.43–$11,389.56	36% above	—
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR	$13,946.00	$13,946.00	$7,980.43–$11,389.56	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITHOUT MANIPULATION	$654.00	$654.00	$622.30	69% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITHOUT MANIPULATION	$654.00	$654.00	$622.30	—	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT	$7,463.00	$7,463.00	$6,416.30	64% above	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT	$7,463.00	$7,463.00	$6,416.30	—	—
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$4,572.00	$4,572.00	$2,286.00–$4,480.56	71% above	—
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$4,572.00	$4,572.00	$2,286.00–$4,480.56	—	—
Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$5,393.00	$5,393.00	$2,029.93–$5,285.14	25% above	—
Cataract surgery with lens implant inpatient CPT 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$5,393.00	$5,393.00	$2,029.93–$5,285.14	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION AGE >28 DAYS	$5,354.00	$5,354.00	$4,711.52–$5,086.30	13% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION AGE >28 DAYS	$5,354.00	$5,354.00	$4,711.52–$5,086.30	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS/UNLA	$552.00	$552.00	$465.30–$506.66	62% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS/UNLA	$552.00	$552.00	$465.30–$506.66	—	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE	$3,083.00	$3,083.00	$1,157.36–$3,021.34	36% above	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE	$3,083.00	$3,083.00	$1,157.36–$3,021.34	—	—
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY; DIAGNOSTIC	$2,766.00	$2,766.00	$1,447.72–$2,710.68	17% above	—
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY; DIAGNOSTIC	$2,766.00	$2,766.00	$1,447.72–$2,710.68	—	—
Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE)	$7,933.00	$7,933.00	$6,547.38	14% above	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE)	$7,933.00	$7,933.00	$6,547.38	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE)	$828.00	$828.00	$259.72	9% below	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE)	$828.00	$828.00	$259.72	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY GENERAL ANESTHESIA	$3,540.00	$3,540.00	$1,681.50–$3,469.20	50% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 TYMPANOSTOMY GENERAL ANESTHESIA	$3,540.00	$3,540.00	$1,681.50–$3,469.20	—	—
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY	$11,453.00	$11,453.00	$9,066.80	12% above	—
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY	$11,453.00	$11,453.00	$9,066.80	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO SPINAL CANAL OF UPPER OR MIDDLE BACK USING IMAGE GUIDANCE	$2,022.00	$2,022.00	$419.07–$1,981.56	17% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJECTION OF SUBSTANCE INTO SPINAL CANAL OF UPPER OR MIDDLE BACK USING IMAGE GUIDANCE	$2,022.00	$2,022.00	$419.07–$1,981.56	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET DIAG-LUMBAR OR SACRAL	$2,307.00	$2,307.00	$456.79–$2,191.65	61% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET DIAG-LUMBAR OR SACRAL	$2,307.00	$2,307.00	$456.79–$2,191.65	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$8,117.00	$8,117.00	$774.06–$7,430.36	57% above	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$8,117.00	$8,117.00	$774.06–$7,430.36	—	—
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY SURG CHOLECYSTECTOMY	$13,419.00	$13,419.00	$12,333.30	62% above	—
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPY SURG CHOLECYSTECTOMY	$13,419.00	$13,419.00	$12,333.30	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$13,419.00	$13,419.00	$6,497.49–$12,932.08	118% above	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$13,419.00	$13,419.00	$6,497.49–$12,932.08	—	—
Hammertoe correction surgery CPT 28285 CORRECTION HAMMERTOE	$4,821.00	$4,821.00	$3,993.40–$4,100.00	134% above	—
Hammertoe correction surgery inpatient CPT 28285 CORRECTION HAMMERTOE	$4,821.00	$4,821.00	$3,993.40–$4,100.00	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$8,872.00	$8,872.00	$2,243.96–$8,694.56	176% above	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$8,872.00	$8,872.00	$2,243.96–$8,694.56	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$190.00	$190.00	$148.30–$572.09	50% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT/BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); W/O ULTRASOUND	$679.00	$679.00	$246.34–$602.70	79% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPERATION AND/OR INJECTION OF LARGE JOINT OR JOINT CAPSULE WITHOUT ULTRASONIC GUIDANCE	$679.00	$679.00	$148.30–$572.09	79% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION/INJECTION MAJOR JOINT, KNEE/SHOULDER/HIP WITHOUT ULTRASONIC GUIDANCE	$770.00	$770.00	$408.06	103% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$190.00	$190.00	$148.30–$572.09	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT/BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); W/O ULTRASOUND	$679.00	$679.00	$246.34–$602.70	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPERATION AND/OR INJECTION OF LARGE JOINT OR JOINT CAPSULE WITHOUT ULTRASONIC GUIDANCE	$679.00	$679.00	$148.30–$572.09	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATION/INJECTION MAJOR JOINT, KNEE/SHOULDER/HIP WITHOUT ULTRASONIC GUIDANCE	$770.00	$770.00	$408.06	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT OR BURSA	$648.00	$648.00	$475.20	108% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT OR BURSA	$648.00	$648.00	$475.20	—	—
Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$7,463.00	$7,463.00	$7,026.60	9% above	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$7,463.00	$7,463.00	$7,026.60	—	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING	$7,463.00	$7,463.00	$7,136.36	20% above	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING	$7,463.00	$7,463.00	$7,136.36	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY	$13,419.00	$13,419.00	$10,278.00–$11,896.22	106% above	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPIC APPENDECTOMY	$13,419.00	$13,419.00	$10,278.00–$11,896.22	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 ESI LUMBAR OR SACRAL WITH FLUOROSCOPY	$1,995.00	$1,995.00	$419.07–$1,955.10	57% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$1,995.00	$1,995.00	$419.07–$1,995.00	57% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 ESI LUMBAR OR SACRAL WITH FLUOROSCOPY	$1,995.00	$1,995.00	$419.07–$1,955.10	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$1,995.00	$1,995.00	$419.07–$1,995.00	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL ESI-LUMBAR OR SACRIAL WITH FLUOROSCOPY	$2,379.00	$2,379.00	$2,141.10	36% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAMINAL ESI-LUMBAR OR SACRIAL WITH FLUOROSCOPY	$2,379.00	$2,379.00	$2,141.10	—	—
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR	$25,935.00	$25,935.00	$23,105.46	52% above	—
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR	$25,935.00	$25,935.00	$23,105.46	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$1,429.00	$1,429.00	$1,167.18	339% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$1,429.00	$1,429.00	$1,167.18	—	—
Prostate biopsy CPT 55700 BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH	$3,593.00	$3,593.00	$479.12–$2,934.12	at median	—
Prostate biopsy inpatient CPT 55700 BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH	$3,593.00	$3,593.00	$479.12–$2,934.12	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$4,491.00	$4,491.00	$1,991.50–$3,903.34	43% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$4,491.00	$4,491.00	$1,991.50–$3,903.34	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,653.00	$2,653.00	$1,039.98–$2,609.54	6% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,653.00	$2,653.00	$1,039.98–$2,609.54	—	—
Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF	$6,130.00	$6,130.00	$2,502.92–$5,108.00	at median	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF	$6,130.00	$6,130.00	$2,502.92–$5,108.00	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE	$3,691.00	$3,691.00	$4,013.63–$20,629.98	58% below	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY AND ABLATION PROCEDURES ON THE KIDNEY (FLUOROSCOPY LOCALIZATION AND SHOCKWAVE LITHOTRIPSY BUNDLED)	$15,301.00	$15,301.00	$4,013.63–$20,629.98	74% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE	$3,691.00	$3,691.00	$4,013.63–$20,629.98	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY AND ABLATION PROCEDURES ON THE KIDNEY (FLUOROSCOPY LOCALIZATION AND SHOCKWAVE LITHOTRIPSY BUNDLED)	$15,301.00	$15,301.00	$4,013.63–$20,629.98	—	—
Short arm splint (forearm and hand) CPT 29125 SPLINT APPLICATION (SHORT ARM)	$371.00	$371.00	$171.01–$363.58	120% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLICATION (SHORT ARM)	$371.00	$371.00	$171.01–$363.58	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC	$6,396.00	$6,396.00	$5,223.40–$8,395.99	45% above	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC	$6,396.00	$6,396.00	$5,223.40–$8,395.99	—	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$4,250.00	$4,250.00	$3,798.10–$4,165.00	49% above	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$4,250.00	$4,250.00	$3,798.10–$4,165.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<	$498.00	$498.00	$482.06	118% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<	$498.00	$498.00	$482.06	—	—
TURP (transurethral resection of the prostate) CPT 52601 TRANSURETHRAL ELECTROSURGICAL RESECTION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL URETHROTOMY ARE INCLUDED)	$4,001.00	$4,001.00	$8,037.51–$10,876.04	44% below	—
TURP (transurethral resection of the prostate) CPT 52601 TRANSURETHRAL ELECTROSURGICAL RESECTION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLET	$11,692.00	$11,692.00	$8,037.51–$10,876.04	63% above	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 TRANSURETHRAL ELECTROSURGICAL RESECTION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL URETHROTOMY ARE INCLUDED)	$4,001.00	$4,001.00	$8,037.51–$10,876.04	—	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 TRANSURETHRAL ELECTROSURGICAL RESECTION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLET	$11,692.00	$11,692.00	$8,037.51–$10,876.04	—	—
Tonsil and adenoid removal, age 12 or older CPT 42821 TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER	$3,584.00	$3,584.00	$2,837.65–$2,927.26	at median	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER	$3,584.00	$3,584.00	$2,837.65–$2,927.26	—	—
Tonsil and adenoid removal, child under 12 CPT 42820 TONSILLECTOMY AND ADENOIDECTOMY; UNDER AGE 12	$3,584.00	$3,584.00	$2,619.60–$2,927.26	40% below	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 TONSILLECTOMY AND ADENOIDECTOMY; UNDER AGE 12	$3,584.00	$3,584.00	$2,619.60–$2,927.26	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY, PRIMARY OR SECONDARY, AGE 12 OR OVER	$3,386.00	$3,386.00	$2,603.00–$2,765.56	26% below	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 TONSILLECTOMY, PRIMARY OR SECONDARY, AGE 12 OR OVER	$3,386.00	$3,386.00	$2,603.00–$2,765.56	—	—
Total hip replacement CPT 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$25,320.00	$25,320.00	$8,663.98–$23,018.00	59% above	—
Total hip replacement inpatient CPT 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$25,320.00	$25,320.00	$8,663.98–$23,018.00	—	—
Total knee replacement CPT 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$25,460.00	$25,460.00	$15,883.62–$29,745.96	79% above	—
Total knee replacement inpatient CPT 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$25,460.00	$25,460.00	$15,883.62–$29,745.96	—	—
Total shoulder replacement CPT 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	$21,573.00	$21,573.00	$10,149.00	57% above	—
Total shoulder replacement inpatient CPT 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	$21,573.00	$21,573.00	$10,149.00	—	—
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION	$3,681.00	$3,681.00	$1,313.26–$3,419.22	106% above	—
Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION	$3,681.00	$3,681.00	$1,313.26–$3,419.22	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM	$4,213.00	$4,213.00	$1,321.54–$1,390.36	81% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM	$4,213.00	$4,213.00	$1,321.54–$1,390.36	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$2,050.00	$2,050.00	$642.89–$1,798.54	8% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$2,050.00	$2,050.00	$642.89–$1,798.54	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS	$2,257.00	$2,257.00	$849.53–$2,211.86	47% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS	$2,257.00	$2,257.00	$849.53–$2,211.86	—	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY (URETERAL CATHETERIZATION IS INCLUDED)	$4,001.00	$4,001.00	$1,676.27–$4,148.34	32% below	—
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY (URETERAL CATHETERIZATION IS INCLUDED)	$4,001.00	$4,001.00	$1,676.27–$4,148.34	—	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY INCLUDING INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE)	$5,390.00	$5,390.00	$4,402.16–$4,679.50	54% below	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY INCLUDING INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE)	$5,390.00	$5,390.00	$4,402.16–$4,679.50	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Idaho	Off list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN/MDI FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$356.00	$356.00	$186.33–$487.29	82% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN/MDI FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$356.00	$356.00	$186.33–$487.29	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SUBCUTANEOUS INJECTION	$151.00	$151.00	$47.43–$233.64	26% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SUBCUTANEOUS INJECTION	$151.00	$151.00	$47.43–$233.64	—	—
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR REEDUCATION	$105.00	$105.00	$39.52–$102.90	30% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR REEDUCATION	$105.00	$105.00	$39.52–$102.90	—	—
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$209.00	$209.00	$203.91–$237.82	32% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$209.00	$209.00	$203.91–$237.82	—	—
New patient office visit, about 45 minutes CPT 99204 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A COMPREHENSIVE HISTORY; A COMPREHENSIVE EXAMINATION; MEDICAL DECISION MAKING OF MODERATE COMPLEXITY. COUNSELING AND	$313.00	$313.00	$210.98–$246.82	24% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A COMPREHENSIVE HISTORY; A COMPREHENSIVE EXAMINATION; MEDICAL DECISION MAKING OF MODERATE COMPLEXITY. COUNSELING AND	$313.00	$313.00	$210.98–$246.82	—	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY	$263.00	$263.00	$98.99–$257.74	11% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY	$263.00	$263.00	$98.99–$257.74	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY	$226.00	$226.00	$82.81–$215.60	12% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY	$226.00	$226.00	$82.81–$215.60	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEXITY	$274.00	$274.00	$108.50–$274.00	11% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MODERATE COMPLEXITY	$274.00	$274.00	$108.50–$274.00	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY BILATERIAL (15 MIN)	$104.00	$104.00	$39.15–$101.92	53% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY BILATERIAL 15 MIN	$104.00	$104.00	$39.15–$101.92	53% above	—
Physical therapy, hands-on manual therapy (15-minute unit) one side CPT 97140 PT MANUAL THERAPY RIGHT (15 MIN)	$104.00	$104.00	$39.15–$101.92	53% above	—
Physical therapy, hands-on manual therapy (15-minute unit) one side CPT 97140 OT MANUAL THERAPY RIGHT	$104.00	$104.00	$39.15–$101.92	53% above	—
Physical therapy, hands-on manual therapy (15-minute unit) one side CPT 97140 OT MANUAL THERAPY LEFT	$104.00	$104.00	$39.15–$101.92	53% above	—
Physical therapy, hands-on manual therapy (15-minute unit) one side CPT 97140 PT MANUAL THERAPY LEFT (15 MIN)	$104.00	$104.00	$39.15–$101.92	53% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY BILATERIAL 15 MIN	$104.00	$104.00	$39.15–$101.92	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY BILATERIAL (15 MIN)	$104.00	$104.00	$39.15–$101.92	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient one side CPT 97140 PT MANUAL THERAPY LEFT (15 MIN)	$104.00	$104.00	$39.15–$101.92	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient one side CPT 97140 OT MANUAL THERAPY LEFT	$104.00	$104.00	$39.15–$101.92	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient one side CPT 97140 OT MANUAL THERAPY RIGHT	$104.00	$104.00	$39.15–$101.92	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient one side CPT 97140 PT MANUAL THERAPY RIGHT (15 MIN)	$104.00	$104.00	$39.15–$101.92	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXERCISE 15 MIN EA	$102.00	$102.00	$18.22–$718.04	37% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXECISE (15 MINUTES)	$106.00	$106.00	$31.99–$235.20	43% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THER EXERCISE 15 MIN EA	$102.00	$102.00	$18.22–$718.04	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXECISE (15 MINUTES)	$106.00	$106.00	$31.99–$235.20	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: AN EXPANDED PROBLEM FOCUSED HISTORY; AN EXPANDED PROBLEM FOCUSED EXAMINATION; MEDICAL DECISIO	$155.00	$155.00	$135.95–$288.71	at median	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: AN EXPANDED PROBLEM FOCUSED HISTORY; AN EXPANDED PROBLEM FOCUSED EXAMINATION; MEDICAL DECISIO	$155.00	$155.00	$135.95–$288.71	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A DETAILED HISTORY; A DETAILED EXAMINATION; MEDICAL DECISION MAKING OF MODERATE COMPLEXITY. C	$230.00	$230.00	$201.71–$202.62	14% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A DETAILED HISTORY; A DETAILED EXAMINATION; MEDICAL DECISION MAKING OF MODERATE COMPLEXITY. C	$230.00	$230.00	$201.71–$202.62	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A PROBLEM FOCUSED HISTORY; A PROBLEM FOCUSED EXAMINATION; STRAIGHTFORWARD MEDICAL DECISION MA	$83.00	$83.00	$202.49–$210.91	7% below	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A PROBLEM FOCUSED HISTORY; A PROBLEM FOCUSED EXAMINATION; STRAIGHTFORWARD MEDICAL DECISION MA	$83.00	$83.00	$202.49–$210.91	—	—
Speech and language evaluation CPT 92523 ST EVAL OF SPEECH SOUND PRODUCTION	$496.00	$496.00	$186.69–$486.08	16% above	—
Speech and language evaluation inpatient CPT 92523 ST EVAL OF SPEECH SOUND PRODUCTION	$496.00	$496.00	$186.69–$486.08	—	—
Speech therapy session, individual CPT 92507 ST SPEECH TREATMENT	$322.00	$322.00	$70.42–$322.00	69% above	—
Speech therapy session, individual inpatient CPT 92507 ST SPEECH TREATMENT	$322.00	$322.00	$70.42–$322.00	—	—
Spirometry before and after a bronchodilator CPT 94060 PRE AND POST PFT	$610.00	$610.00	$191.21–$201.17	34% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE AND POST PFT	$610.00	$610.00	$191.21–$201.17	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THER ACTIVITIES (15 MIN)	$87.00	$87.00	$32.75–$87.00	1% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THER ACTVITIES 15 MIN EA	$87.00	$87.00	$32.75–$174.00	1% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THER ACTIVITIES (15 MIN)	$87.00	$87.00	$32.75–$87.00	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THER ACTVITIES 15 MIN EA	$87.00	$87.00	$32.75–$174.00	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY	$345.00	$345.00	$137.98–$338.10	46% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY	$345.00	$345.00	$137.98–$338.10	—	—
Treadmill or drug stress test with ECG, supervision and report CPT 93015 NM STRESS TEST	$719.00	$719.00	$683.05–$695.99	98% above	—
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 NM STRESS TEST	$719.00	$719.00	$683.05–$695.99	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Idaho	Off list
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone HIGH-DOSE 2025-26 SYR	$113.70	$113.70	$91.14	14% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone HIGH-DOSE 2025-26 SYR	$113.70	$113.70	$91.14	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPTH/PERTUS TOX ADULT [ADACEL]	$113.90	$113.90	$42.87–$122.00	20% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPTH/PERTUS TOX ADULT [ADACEL]	$113.90	$113.90	$42.87–$122.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION; 1 VACCINE	$124.00	$124.00	$38.77–$100.94	115% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION; 1 VACCINE	$124.00	$124.00	$38.77–$100.94	—	—

Source file: https://hospitalpricetransparencyfiles.com/franklin-county-medical-center/826003449_Franklin-County-Medical-Center_standardcharges.csv