Hospital

Hazard Arh Regional Medical Center

Listed in its price file as “Appalachian Regional Healthcare, Inc.”.

Hazard Arh Regional Medical Center in Hazard, KY publishes cash prices for 235 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 136 of 233 procedures and above it for 89. By typical cash price it ranks #21 of 59 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

100 Medical Center Drive Hazard KY 41701 Collected Sep 27, 2026 Source price file (606) 439-1331

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 180029 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE MIN 3 VIEWS BIL	$45.00	$75.00	$8.10–$22.31	87% below	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE MIN 3 VIEWS BIL	$45.00	$75.00	$8.10–$22.31	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS INC SCOUT 1 CONTR	$54.00	$90.00	$26.99–$72.21	87% below	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS INC SCOUT 1 CONTR	$54.00	$90.00	$26.99–$72.21	—	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMP RT	$82.80	$138.00	$32.82–$81.80	79% below	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMP RT	$82.80	$138.00	$32.82–$81.80	—	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL	$151.80	$253.00	$30.55–$67.64	54% below	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL	$394.20	$657.00	$71.56–$591.30	21% above	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIM LT	$76.20	$127.00	$30.55–$67.64	77% below	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIM RT	$76.20	$127.00	$30.55–$67.64	77% below	40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED BIL	$151.80	$253.00	$30.55–$67.64	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIM RT	$76.20	$127.00	$30.55–$67.64	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIM LT	$76.20	$127.00	$30.55–$67.64	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANG CHST W OR WO CONTR	$211.20	$352.00	$81.29–$282.81	86% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANG CHST W OR WO CONTR	$211.20	$352.00	$81.29–$282.81	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART ANGIO W/3D IMAGE	$235.20	$392.00	$107.60–$417.89	82% below	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT HEART ANGIO W/3D IMAGE	$235.20	$392.00	$107.60–$417.89	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD+PELVIS WO CONTRAST	$215.40	$359.00	$77.73–$189.00	90% below	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD+PELVIS WO CONTRAST	$215.40	$359.00	$77.73–$189.00	—	40%
CT scan of the abdomen without contrast CPT 74150 CT ABD WO ORAL+IV CONTRAST	$147.60	$246.00	$53.32–$203.88	88% below	40%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO ORAL+IV CONTRAST	$147.60	$246.00	$53.32–$203.88	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O CONTRAST	$135.60	$226.00	$38.65–$176.55	88% below	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL W/O CONTRAST	$135.60	$226.00	$38.65–$176.55	—	40%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$25.80	$43.00	$9.74–$23.03	90% below	40%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$25.80	$43.00	$9.74–$23.03	—	40%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$22.20	$37.00	$8.14–$15.09	88% below	40%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$22.20	$37.00	$8.14–$15.09	—	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB SURV W/DETAIL SNGL GEST	$205.80	$343.00	$84.62–$144.92	60% below	40%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB SURV W/DETAIL SNGL GEST	$205.80	$343.00	$84.62–$144.92	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$136.80	$228.00	$48.13–$209.42	87% below	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST	$136.80	$228.00	$48.13–$209.42	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MM DIGITAL DX BILAT	$166.20	$277.00	$45.18–$126.16	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$475.20	$792.00	$98.30–$712.80	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$475.20	$792.00	$98.30–$712.80	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM DIGITAL DX BILAT	$166.20	$277.00	$45.18–$126.16	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI	$475.20	$792.00	$98.30–$712.80	—	40%
Diagnostic mammogram, one breast one side CPT 77065 MM DIGITAL DX RT	$83.40	$139.00	$36.71–$101.11	64% below	40%
Diagnostic mammogram, one breast one side CPT 77065 MM DIGITAL DX LT	$83.40	$139.00	$36.71–$101.11	64% below	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM DIGITAL DX RT	$83.40	$139.00	$36.71–$101.11	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM DIGITAL DX LT	$83.40	$139.00	$36.71–$101.11	—	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY W/O TECH	$193.80	$323.00	$43.41–$246.64	55% below	40%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY W/O TECH	$193.80	$323.00	$43.41–$246.64	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY>3PRMT W/CP+TCH-INT	$360.00	$600.00	$120.27–$597.83	89% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY>3PRMT W/CP+TCH-INT	$360.00	$600.00	$120.27–$597.83	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED	$73.20	$122.00	$26.66–$63.92	88% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED	$73.20	$122.00	$26.66–$63.92	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LDCT FOR LUNG CA SCREENING	$33.60	$56.00	$48.13–$116.09	94% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LDCT FOR LUNG CA SCREENING	$1,919.40	$3,199.00	$86.42–$2,879.10	255% above	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LDCT FOR LUNG CA SCREENING	$33.60	$56.00	$48.13–$116.09	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MR BREAST BILAT W/WO CONTRAST	$3,243.60	$5,406.00	$760.00–$4,865.40	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MR BREAST BILAT W/WO CONTRAST	$3,243.60	$5,406.00	$760.00–$4,865.40	—	40%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MR BREAST BILAT W/WO CONTRAST	$3,243.60	$5,406.00	$760.00–$4,865.40	—	40%
MRI of the abdomen without contrast CPT 74181 MR ABD W/O CONTRAST	$191.40	$319.00	$64.74–$371.67	88% below	40%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABD W/O CONTRAST	$191.40	$319.00	$64.74–$371.67	—	40%
MRI of the brain, no contrast dye CPT 70551 MR HEAD W/O CONTRAST	$190.20	$317.00	$66.01–$366.30	88% below	40%
MRI of the brain, no contrast dye inpatient CPT 70551 MR HEAD W/O CONTRAST	$190.20	$317.00	$66.01–$366.30	—	40%
MRI of the brain, with and without contrast dye CPT 70553 MR HEAD W/WO CONTRAST	$280.80	$468.00	$102.42–$774.25	87% below	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR HEAD W/WO CONTRAST	$280.80	$468.00	$102.42–$774.25	—	40%
MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR SPINE W/O CONTRAST	$185.40	$309.00	$66.61–$399.65	89% below	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR LUMBAR SPINE W/O CONTRAST	$185.40	$309.00	$66.61–$399.65	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MR LUMBAR SPINE W/WO CONTRAST	$279.60	$466.00	$102.72–$774.25	88% below	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR LUMBAR SPINE W/WO CONTRAST	$279.60	$466.00	$102.72–$774.25	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR THORACIC W/O CONTRAST	$195.60	$326.00	$66.31–$405.02	89% below	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR THORACIC W/O CONTRAST	$195.60	$326.00	$66.31–$405.02	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C-SPINE W/WO CONTRAST	$282.00	$470.00	$102.72–$782.81	88% below	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C-SPINE W/WO CONTRAST	$282.00	$470.00	$102.72–$782.81	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C-SPINE W/O CONTRAST	$204.60	$341.00	$66.31–$371.67	87% below	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C-SPINE W/O CONTRAST	$204.60	$341.00	$66.31–$371.67	—	40%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O CONTRAST	$178.20	$297.00	$65.04–$357.63	90% below	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS W/O CONTRAST	$178.20	$297.00	$65.04–$357.63	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LIMITED	$53.40	$89.00	$23.03–$44.96	87% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LIMITED	$53.40	$89.00	$23.03–$44.96	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PLVC NON OB REAL TIME COMP	$85.80	$143.00	$31.48–$76.72	87% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PLVC NON OB REAL TIME COMP	$85.80	$143.00	$31.48–$76.72	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB SRV>1 TRIMEST SNGL GEST	$99.60	$166.00	$45.73–$99.62	77% below	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB SRV>1 TRIMEST SNGL GEST	$99.60	$166.00	$45.73–$99.62	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR MORE FETUS	$81.00	$135.00	$29.84–$66.49	83% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED 1 OR MORE FETUS	$81.00	$135.00	$29.84–$66.49	—	40%
Screening mammogram, both breasts CPT 77067 MM MAMMGM SPCL SCRN INCL CAD	$30.00	$50.00	$11.22–$120.00	83% below	40%
Screening mammogram, both breasts CPT 77067 MM MAMMGM SPCL SCRN INCL CAD	$30.00	$50.00	$11.22–$120.00	83% below	40%
Screening mammogram, both breasts CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD	$163.80	$273.00	$34.13–$103.33	8% below	40%
Screening mammogram, both breasts CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD	$198.60	$331.00	$74.28–$297.90	11% above	40%
Screening mammogram, both breasts inpatient CPT 77067 MM MAMMGM SPCL SCRN INCL CAD	$30.00	$50.00	$11.22–$120.00	—	40%
Screening mammogram, both breasts inpatient CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD	$163.80	$273.00	$34.13–$103.33	—	40%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY>3PARMTRS W/T-INT	$330.00	$550.00	$116.02–$542.42	90% below	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY>3PARMTRS W/T-INT	$330.00	$550.00	$116.02–$542.42	—	40%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$78.00	$130.00	$31.48–$88.61	87% below	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$78.00	$130.00	$31.48–$88.61	—	40%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE	$98.40	$164.00	$36.40–$88.25	88% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE	$98.40	$164.00	$36.40–$88.25	—	40%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$81.00	$135.00	$28.90–$68.85	86% below	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$81.00	$135.00	$28.90–$68.85	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK	$68.40	$114.00	$25.65–$89.69	88% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK	$68.40	$114.00	$25.65–$89.69	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2-3V W/PELVIS LT	$25.20	$42.00	$10.34–$30.80	89% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2-3V W PLVS RT	$25.20	$42.00	$10.34–$30.80	89% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI 2-3V W/PELVIS LT	$25.20	$42.00	$10.34–$30.80	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI 2-3V W PLVS RT	$25.20	$42.00	$10.34–$30.80	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT COMP MIN 3 VIEWS BIL	$46.20	$77.00	$7.80–$21.79	86% below	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT COMP MIN 3 VIEWS BIL	$46.20	$77.00	$7.80–$21.79	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1-2 VIEWS BIL	$43.80	$73.00	$7.77–$21.25	84% below	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1-2 VIEWS BIL	$43.80	$73.00	$7.77–$21.25	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VIEWS	$25.80	$43.00	$8.10–$21.25	90% below	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VIEWS	$25.80	$43.00	$8.10–$21.25	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT AMB	$115.20	$192.00	$4.50–$172.80	73% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT AMB	$115.20	$192.00	$4.50–$172.80	73% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$133.80	$223.00	$4.50–$200.70	101% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$133.80	$223.00	$4.50–$200.70	101% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT AMB	$115.20	$192.00	$4.50–$172.80	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$133.80	$223.00	$4.50–$200.70	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT AMB	$105.60	$176.00	$4.40–$158.40	59% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT AMB	$105.60	$176.00	$4.40–$158.40	59% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$122.40	$204.00	$4.40–$183.60	84% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$122.40	$204.00	$4.40–$183.60	84% above	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT AMB	$105.60	$176.00	$4.40–$158.40	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$122.40	$204.00	$4.40–$183.60	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL	$348.60	$581.00	$40.48–$522.90	13% above	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL	$348.60	$581.00	$40.48–$522.90	13% above	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL	$348.60	$581.00	$40.48–$522.90	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT W/COMPONENT REFELX	$4.80	$8.00	$1.80–$7.20	61% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT W/COMPONENT REFELX	$4.80	$8.00	$1.80–$7.20	61% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH	$9.00	$15.00	$3.37–$15.30	27% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH	$9.00	$15.00	$3.37–$15.30	27% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 GRASSES	$37.20	$62.00	$4.43–$55.80	200% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 GRASSES	$37.20	$62.00	$4.43–$55.80	200% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD IGE II	$39.60	$66.00	$4.43–$59.40	219% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD IGE II	$39.60	$66.00	$4.43–$59.40	219% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE PEANUT W/COMPONENT REFELX	$4.80	$8.00	$1.80–$7.20	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EACH	$9.00	$15.00	$3.37–$15.30	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRASSES	$37.20	$62.00	$4.43–$55.80	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD IGE II	$39.60	$66.00	$4.43–$59.40	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS REF	$58.20	$97.00	$11.00–$87.30	34% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS REF	$58.20	$97.00	$11.00–$87.30	34% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS	$135.00	$225.00	$11.00–$202.50	54% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS	$135.00	$225.00	$11.00–$202.50	54% above	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ABS REF	$58.20	$97.00	$11.00–$87.30	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ABS	$135.00	$225.00	$11.00–$202.50	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX	$15.60	$26.00	$5.83–$23.40	81% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX	$15.60	$26.00	$5.83–$23.40	81% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$304.80	$508.00	$10.27–$457.20	269% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$304.80	$508.00	$10.27–$457.20	269% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES REF	$304.80	$508.00	$10.27–$457.20	269% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES REF	$304.80	$508.00	$10.27–$457.20	269% above	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/REFLEX	$15.60	$26.00	$5.83–$23.40	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES REF	$304.80	$508.00	$10.27–$457.20	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES	$304.80	$508.00	$10.27–$457.20	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$224.40	$374.00	$28.85–$336.60	13% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$224.40	$374.00	$28.85–$336.60	13% above	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$224.40	$374.00	$28.85–$336.60	—	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL-AMB	$124.80	$208.00	$5.69–$187.20	16% above	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL-AMB	$124.80	$208.00	$5.69–$187.20	16% above	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$144.00	$240.00	$5.69–$216.00	34% above	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$144.00	$240.00	$5.69–$216.00	34% above	40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL-AMB	$124.80	$208.00	$5.69–$187.20	—	40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$144.00	$240.00	$5.69–$216.00	—	40%
Blood culture for bacteria CPT 87040 CULT BLOOD	$203.40	$339.00	$8.77–$305.10	59% above	40%
Blood culture for bacteria CPT 87040 CULT BLOOD	$203.40	$339.00	$8.77–$305.10	59% above	40%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD	$203.40	$339.00	$8.77–$305.10	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$12.00	$20.00	$4.49–$30.60	31% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$20.40	$34.00	$4.49–$30.60	17% above	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$20.40	$34.00	$4.49–$30.60	—	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD AMB	$105.60	$176.00	$3.34–$158.40	73% above	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD AMB	$105.60	$176.00	$3.34–$158.40	73% above	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD	$122.40	$204.00	$3.34–$183.60	100% above	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD	$122.40	$204.00	$3.34–$183.60	100% above	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD AMB	$105.60	$176.00	$3.34–$158.40	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD	$122.40	$204.00	$3.34–$183.60	—	40%
Blood lead test CPT 83655 LEAD	$170.40	$284.00	$10.29–$255.60	88% above	40%
Blood lead test CPT 83655 LEAD	$170.40	$284.00	$10.29–$255.60	88% above	40%
Blood lead test inpatient CPT 83655 LEAD	$170.40	$284.00	$10.29–$255.60	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QUAL	$118.20	$197.00	$6.38–$177.30	27% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QUAL	$118.20	$197.00	$6.38–$177.30	27% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM QUAL	$118.20	$197.00	$6.38–$177.30	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE	$55.80	$93.00	$2.54–$104.76	1% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE	$55.80	$93.00	$2.54–$104.76	1% above	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPE	$55.80	$93.00	$2.54–$104.76	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$102.60	$171.00	$3.25–$153.90	55% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$102.60	$171.00	$3.25–$153.90	55% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$102.60	$171.00	$3.25–$153.90	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 EPI STRAIN	$54.60	$91.00	$20.42–$81.90	47% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 EPI STRAIN	$54.60	$91.00	$20.42–$81.90	47% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMPLIFIED PROBE	$85.20	$142.00	$29.83–$127.80	18% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMPLIFIED PROBE	$85.20	$142.00	$29.83–$127.80	18% below	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 EPI STRAIN	$54.60	$91.00	$20.42–$81.90	—	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF AMPLIFIED PROBE	$85.20	$142.00	$29.83–$127.80	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER AG 19-9	$188.40	$314.00	$17.69–$282.60	20% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER AG 19-9	$188.40	$314.00	$17.69–$282.60	20% above	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER AG 19-9	$188.40	$314.00	$17.69–$282.60	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (FLUID)	$658.80	$1,098.00	$17.69–$988.20	283% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (FLUID)	$658.80	$1,098.00	$17.69–$988.20	283% above	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 (FLUID)	$658.80	$1,098.00	$17.69–$988.20	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYD TRCH AMP PRB TCNQ	$60.00	$100.00	$22.44–$90.00	49% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYD TRCH AMP PRB TCNQ	$60.00	$100.00	$22.44–$90.00	49% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYD TRCH AMP PRB TCNQ	$60.00	$100.00	$22.44–$90.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL AMB	$206.40	$344.00	$9.68–$309.60	44% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL AMB	$206.40	$344.00	$9.68–$309.60	44% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$238.80	$398.00	$9.68–$358.20	67% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$238.80	$398.00	$9.68–$358.20	67% above	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL AMB	$206.40	$344.00	$9.68–$309.60	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$238.80	$398.00	$9.68–$358.20	—	40%
Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W/DIFF AMB	$93.60	$156.00	$6.61–$140.40	44% above	40%
Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W/DIFF AMB	$93.60	$156.00	$6.61–$140.40	44% above	40%
Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W/DIFF	$108.60	$181.00	$6.61–$162.90	67% above	40%
Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W/DIFF	$108.60	$181.00	$6.61–$162.90	67% above	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED W/DIFF AMB	$93.60	$156.00	$6.61–$140.40	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED W/DIFF	$108.60	$181.00	$6.61–$162.90	—	40%
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED	$61.80	$103.00	$5.50–$92.70	2% below	40%
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED	$61.80	$103.00	$5.50–$92.70	2% below	40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED	$61.80	$103.00	$5.50–$92.70	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PA AMB	$147.60	$246.00	$7.15–$221.40	2% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PA AMB	$147.60	$246.00	$7.15–$221.40	2% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$171.00	$285.00	$7.15–$256.50	18% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$171.00	$285.00	$7.15–$256.50	18% above	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PA AMB	$147.60	$246.00	$7.15–$221.40	—	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$171.00	$285.00	$7.15–$256.50	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$288.60	$481.00	$18.89–$432.90	83% above	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$288.60	$481.00	$18.89–$432.90	83% above	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$288.60	$481.00	$18.89–$432.90	—	40%
Estradiol blood test CPT 82670 ESTRADIOL	$219.00	$365.00	$23.75–$328.50	43% above	40%
Estradiol blood test CPT 82670 ESTRADIOL	$219.00	$365.00	$23.75–$328.50	43% above	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$219.00	$365.00	$23.75–$328.50	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$280.20	$467.00	$15.79–$420.30	14% above	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$280.20	$467.00	$15.79–$420.30	14% above	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$280.20	$467.00	$15.79–$420.30	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$512.40	$854.00	$16.68–$768.60	107% above	40%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$512.40	$854.00	$16.68–$768.60	107% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$512.40	$854.00	$16.68–$768.60	—	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$240.60	$401.00	$11.58–$360.90	60% above	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$240.60	$401.00	$11.58–$360.90	60% above	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$240.60	$401.00	$11.58–$360.90	—	40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$266.40	$444.00	$1.35–$399.60	91% above	40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$266.40	$444.00	$1.35–$399.60	91% above	40%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$266.40	$444.00	$1.35–$399.60	—	40%
Free T3 thyroid hormone test CPT 84481 T3 FREE WO TOTAL T3	$348.60	$581.00	$14.40–$522.90	72% above	40%
Free T3 thyroid hormone test CPT 84481 T3 FREE WO TOTAL T3	$348.60	$581.00	$14.40–$522.90	72% above	40%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE WO TOTAL T3	$348.60	$581.00	$14.40–$522.90	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 REF	$39.00	$65.00	$7.66–$58.50	59% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 REF	$39.00	$65.00	$7.66–$58.50	59% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 AMB	$160.20	$267.00	$7.66–$240.30	68% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 AMB	$160.20	$267.00	$7.66–$240.30	68% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4	$185.40	$309.00	$7.66–$278.10	94% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4	$185.40	$309.00	$7.66–$278.10	94% above	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE WO TOTAL T4 REF	$39.00	$65.00	$7.66–$58.50	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE WO TOTAL T4 AMB	$160.20	$267.00	$7.66–$240.30	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE WO TOTAL T4	$185.40	$309.00	$7.66–$278.10	—	40%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$57.60	$96.00	$21.54–$86.40	29% below	40%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$57.60	$96.00	$21.54–$86.40	29% below	40%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$57.60	$96.00	$21.54–$86.40	—	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$274.20	$457.00	$10.26–$411.30	2% below	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$274.20	$457.00	$10.26–$411.30	2% below	40%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$274.20	$457.00	$10.26–$411.30	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE	$26.40	$44.00	$4.04–$39.60	53% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE	$26.40	$44.00	$4.04–$39.60	53% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PP	$127.20	$212.00	$4.04–$190.80	126% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PP	$127.20	$212.00	$4.04–$190.80	126% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE	$26.40	$44.00	$4.04–$39.60	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR PP	$127.20	$212.00	$4.04–$190.80	—	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPEC	$185.40	$309.00	$10.94–$278.10	22% above	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPEC	$185.40	$309.00	$10.94–$278.10	22% above	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 SPEC	$185.40	$309.00	$10.94–$278.10	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRH AMP PROB	$60.00	$100.00	$22.44–$90.00	47% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRH AMP PROB	$60.00	$100.00	$22.44–$90.00	47% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRH AMP PROB	$60.00	$100.00	$22.44–$90.00	—	40%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN ST	$205.20	$342.00	$12.22–$307.80	14% above	40%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN ST	$205.20	$342.00	$12.22–$307.80	14% above	40%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI ANTIGEN ST	$205.20	$342.00	$12.22–$307.80	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT	$163.80	$273.00	$61.26–$245.70	37% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT	$163.80	$273.00	$61.26–$245.70	37% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR (NNGRPH) RFX/GENO	$703.80	$1,173.00	$72.31–$1,055.70	169% above	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR (NNGRPH) RFX/GENO	$703.80	$1,173.00	$72.31–$1,055.70	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	$47.80–$191.70	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	$47.80–$191.70	51% below	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QUANT	$163.80	$273.00	$61.26–$245.70	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA PCR (NNGRPH) RFX/GENO	$703.80	$1,173.00	$72.31–$1,055.70	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV RNA RT-PCR (NON-GRAPH)	$127.80	$213.00	$47.80–$191.70	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4TH GENERAT SERUM W/REFLX	$255.00	$425.00	$20.47–$382.50	146% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4TH GENERAT SERUM W/REFLX	$255.00	$425.00	$20.47–$382.50	146% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 4TH GENERAT SERUM W/REFLX	$255.00	$425.00	$20.47–$382.50	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV APTIMA HIGH 16/18 45	$44.40	$74.00	$16.61–$66.60	57% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV APTIMA HIGH 16/18 45	$44.40	$74.00	$16.61–$66.60	57% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV COBAS HIGH-RISK/16/18	$77.40	$129.00	$16.76–$116.10	25% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV COBAS HIGH-RISK/16/18	$77.40	$129.00	$16.76–$116.10	25% below	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV APTIMA HIGH 16/18 45	$44.40	$74.00	$16.61–$66.60	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV COBAS HIGH-RISK/16/18	$77.40	$129.00	$16.76–$116.10	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C WITH EAG REF	$15.00	$25.00	$5.61–$22.50	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	$5.61–$22.50	80% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C AMB	$16.80	$28.00	$6.28–$25.20	77% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C AMB	$16.80	$28.00	$6.28–$25.20	77% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C/GLYCOHEMOGLOBIN	$80.40	$134.00	$8.25–$120.60	10% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C/GLYCOHEMOGLOBIN	$80.40	$134.00	$8.25–$120.60	10% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C WITH EAG REF	$15.00	$25.00	$5.61–$22.50	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C AMB	$16.80	$28.00	$6.28–$25.20	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C/GLYCOHEMOGLOBIN	$80.40	$134.00	$8.25–$120.60	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFAC AB QUAL/QUANT	$213.00	$355.00	$9.13–$319.50	87% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFAC AB QUAL/QUANT	$213.00	$355.00	$9.13–$319.50	87% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFAC AB QUAL/QUANT	$213.00	$355.00	$9.13–$319.50	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPAT B SURFACE ANTIGEN	$243.00	$405.00	$8.78–$364.50	138% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPAT B SURFACE ANTIGEN	$243.00	$405.00	$8.78–$364.50	138% above	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPAT B SURFACE ANTIGEN	$243.00	$405.00	$8.78–$364.50	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$147.00	$245.00	$12.13–$220.50	12% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$147.00	$245.00	$12.13–$220.50	12% above	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$147.00	$245.00	$12.13–$220.50	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSIS NAA	$174.00	$290.00	$36.40–$261.00	36% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSIS NAA	$174.00	$290.00	$36.40–$261.00	36% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANT S(PCR)	$208.20	$347.00	$36.40–$312.30	24% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANT S(PCR)	$208.20	$347.00	$36.40–$312.30	24% below	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DIAGNOSIS NAA	$174.00	$290.00	$36.40–$261.00	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DETECT/QUANT S(PCR)	$208.20	$347.00	$36.40–$312.30	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$133.80	$223.00	$11.21–$200.70	92% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$133.80	$223.00	$11.21–$200.70	92% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1	$133.80	$223.00	$11.21–$200.70	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$109.80	$183.00	$16.45–$164.70	37% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$109.80	$183.00	$16.45–$164.70	37% above	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$109.80	$183.00	$16.45–$164.70	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-CARDIAC	$108.60	$181.00	$11.00–$162.90	13% above	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-CARDIAC	$108.60	$181.00	$11.00–$162.90	13% above	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN-CARDIAC	$108.60	$181.00	$11.00–$162.90	—	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL PLASMA	$252.60	$421.00	$14.33–$378.90	52% above	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL PLASMA	$252.60	$421.00	$14.33–$378.90	52% above	40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE TOTAL PLASMA	$252.60	$421.00	$14.33–$378.90	—	40%
Insulin blood test CPT 83525 INSULIN FASTING CONTRACT	$151.20	$252.00	$9.71–$226.80	37% above	40%
Insulin blood test CPT 83525 INSULIN FASTING CONTRACT	$151.20	$252.00	$9.71–$226.80	37% above	40%
Insulin blood test inpatient CPT 83525 INSULIN FASTING CONTRACT	$151.20	$252.00	$9.71–$226.80	—	40%
Iron blood test (serum iron) CPT 83540 IRON	$150.00	$250.00	$5.51–$225.00	108% above	40%
Iron blood test (serum iron) CPT 83540 IRON	$150.00	$250.00	$5.51–$225.00	108% above	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$150.00	$250.00	$5.51–$225.00	—	40%
Iron-binding capacity (TIBC) test CPT 83550 TIBC DIRECT	$133.80	$223.00	$7.43–$200.70	34% above	40%
Iron-binding capacity (TIBC) test CPT 83550 TIBC DIRECT	$133.80	$223.00	$7.43–$200.70	34% above	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC DIRECT	$133.80	$223.00	$7.43–$200.70	—	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$210.60	$351.00	$5.69–$315.90	102% above	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$210.60	$351.00	$5.69–$315.90	102% above	40%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$210.60	$351.00	$5.69–$315.90	—	40%
LH (luteinizing hormone) test CPT 83002 LH	$280.20	$467.00	$15.74–$420.30	38% above	40%
LH (luteinizing hormone) test CPT 83002 LH	$280.20	$467.00	$15.74–$420.30	38% above	40%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$280.20	$467.00	$15.74–$420.30	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$48.00	$80.00	$5.86–$72.00	43% below	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$48.00	$80.00	$5.86–$72.00	43% below	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$186.00	$310.00	$5.86–$279.00	121% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$186.00	$310.00	$5.86–$279.00	121% above	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID	$48.00	$80.00	$5.86–$72.00	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$186.00	$310.00	$5.86–$279.00	—	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL AMB	$160.80	$268.00	$5.69–$241.20	33% above	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL AMB	$160.80	$268.00	$5.69–$241.20	33% above	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$186.00	$310.00	$5.69–$279.00	53% above	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$186.00	$310.00	$5.69–$279.00	53% above	40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL AMB	$160.80	$268.00	$5.69–$241.20	—	40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$186.00	$310.00	$5.69–$279.00	—	40%
Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB W RFLX	$24.60	$41.00	$9.20–$36.90	62% below	40%
Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB W RFLX	$24.60	$41.00	$9.20–$36.90	62% below	40%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TOTAL AB W RFLX	$24.60	$41.00	$9.20–$36.90	—	40%
Magnesium blood test CPT 83735 MAGNESIUM 24HR URINE REF	$4.80	$8.00	$1.80–$7.20	91% below	40%
Magnesium blood test CPT 83735 MAGNESIUM 24HR URINE REF	$4.80	$8.00	$1.80–$7.20	91% below	40%
Magnesium blood test CPT 83735 MAGNESIUM REF	$7.50	$12.50	$2.81–$11.25	86% below	40%
Magnesium blood test CPT 83735 MAGNESIUM REF	$7.50	$12.50	$2.81–$11.25	86% below	40%
Magnesium blood test CPT 83735 MAGNESIUM RANDOM URINE REF	$9.60	$16.00	$3.59–$14.40	83% below	40%
Magnesium blood test CPT 83735 MAGNESIUM RANDOM URINE REF	$9.60	$16.00	$3.59–$14.40	83% below	40%
Magnesium blood test CPT 83735 MAGNESIUM AMB	$177.00	$295.00	$5.69–$265.50	220% above	40%
Magnesium blood test CPT 83735 MAGNESIUM AMB	$177.00	$295.00	$5.69–$265.50	220% above	40%
Magnesium blood test CPT 83735 MAGNESIUM	$205.20	$342.00	$5.69–$307.80	271% above	40%
Magnesium blood test CPT 83735 MAGNESIUM	$205.20	$342.00	$5.69–$307.80	271% above	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM 24HR URINE REF	$4.80	$8.00	$1.80–$7.20	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM REF	$7.50	$12.50	$2.81–$11.25	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RANDOM URINE REF	$9.60	$16.00	$3.59–$14.40	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM AMB	$177.00	$295.00	$5.69–$265.50	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$205.20	$342.00	$5.69–$307.80	—	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM LABCORP	$15.60	$26.00	$5.83–$23.40	71% below	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM LABCORP	$15.60	$26.00	$5.83–$23.40	71% below	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$289.20	$482.00	$10.95–$433.80	432% above	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$289.20	$482.00	$10.95–$433.80	432% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGM LABCORP	$15.60	$26.00	$5.83–$23.40	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA	$289.20	$482.00	$10.95–$433.80	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES	$45.00	$75.00	$4.40–$67.50	28% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES	$45.00	$75.00	$4.40–$67.50	28% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO	$102.00	$170.00	$4.40–$153.00	62% above	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO	$102.00	$170.00	$4.40–$153.00	62% above	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES	$45.00	$75.00	$4.40–$67.50	—	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO	$102.00	$170.00	$4.40–$153.00	—	40%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$235.20	$392.00	$47.81–$352.80	21% below	40%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$235.20	$392.00	$47.81–$352.80	21% below	40%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$235.20	$392.00	$47.81–$352.80	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$168.60	$281.00	$15.64–$252.90	42% above	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$168.60	$281.00	$15.64–$252.90	42% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$168.60	$281.00	$15.64–$252.90	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING	$184.20	$307.00	$15.64–$276.30	24% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$184.20	$307.00	$15.64–$276.30	24% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING	$184.20	$307.00	$15.64–$276.30	24% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$184.20	$307.00	$15.64–$276.30	24% above	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$184.20	$307.00	$15.64–$276.30	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING	$184.20	$307.00	$15.64–$276.30	—	40%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP IMAGE GUIDED HPV REFLEX	$39.00	$65.00	$14.59–$58.50	27% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP IMAGE GUIDED HPV REFLEX	$39.00	$65.00	$14.59–$58.50	27% below	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP IMAGE GUIDED HPV REFLEX	$39.00	$65.00	$14.59–$58.50	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR THIN LAYER	$118.20	$197.00	$17.22–$177.30	94% above	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR THIN LAYER	$118.20	$197.00	$17.22–$177.30	94% above	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR THIN LAYER	$118.20	$197.00	$17.22–$177.30	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH SERUM	$583.20	$972.00	$35.08–$874.80	146% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH SERUM	$583.20	$972.00	$35.08–$874.80	146% above	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH SERUM	$583.20	$972.00	$35.08–$874.80	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT AMB	$253.80	$423.00	$5.10–$380.70	197% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT AMB	$253.80	$423.00	$5.10–$380.70	197% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$293.40	$489.00	$5.10–$440.10	243% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$293.40	$489.00	$5.10–$440.10	243% above	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT AMB	$253.80	$423.00	$5.10–$380.70	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$293.40	$489.00	$5.10–$440.10	—	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 CELL FREE DNA PRENATAL SCREEN	$2,294.40	$3,824.00	$759.05–$3,441.60	78% above	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 CELL FREE DNA PRENATAL SCREEN	$2,294.40	$3,824.00	$759.05–$3,441.60	78% above	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 CELL FREE DNA PRENATAL SCREEN	$2,294.40	$3,824.00	$759.05–$3,441.60	—	40%
Progesterone blood test CPT 84144 PROGESTERONE	$208.80	$348.00	$17.73–$313.20	21% above	40%
Progesterone blood test CPT 84144 PROGESTERONE	$208.80	$348.00	$17.73–$313.20	21% above	40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$208.80	$348.00	$17.73–$313.20	—	40%
Prolactin blood test CPT 84146 PROLACTIN	$219.00	$365.00	$16.47–$328.50	37% above	40%
Prolactin blood test CPT 84146 PROLACTIN	$219.00	$365.00	$16.47–$328.50	37% above	40%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$219.00	$365.00	$16.47–$328.50	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PT	$132.60	$221.00	$3.34–$198.90	152% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PT	$132.60	$221.00	$3.34–$198.90	152% above	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT	$132.60	$221.00	$3.34–$198.90	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSM DIR OPT OBS AMB	$26.40	$44.00	$6.43–$39.60	32% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSM DIR OPT OBS AMB	$26.40	$44.00	$6.43–$39.60	32% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$123.00	$205.00	$6.43–$184.50	218% above	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$123.00	$205.00	$6.43–$184.50	218% above	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSM DIR OPT OBS AMB	$26.40	$44.00	$6.43–$39.60	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$123.00	$205.00	$6.43–$184.50	—	40%
Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST-AMB	$34.20	$57.00	$9.73–$51.30	30% below	40%
Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST-AMB	$34.20	$57.00	$9.73–$51.30	30% below	40%
Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST	$52.80	$88.00	$9.73–$79.20	7% above	40%
Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST	$52.80	$88.00	$9.73–$79.20	7% above	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA TEST-AMB	$34.20	$57.00	$9.73–$51.30	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA TEST	$52.80	$88.00	$9.73–$79.20	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W OPTIC	$19.20	$32.00	$7.18–$109.80	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	$7.18–$109.80	70% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W OPTIC AMB	$63.00	$105.00	$9.73–$94.50	1% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W OPTIC AMB	$63.00	$105.00	$9.73–$94.50	1% 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	$7.18–$109.80	—	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W OPTIC AMB	$63.00	$105.00	$9.73–$94.50	—	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN	$215.40	$359.00	$4.82–$323.10	312% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN	$215.40	$359.00	$4.82–$323.10	312% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUAN	$215.40	$359.00	$4.82–$323.10	—	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$77.40	$129.00	$12.23–$116.10	22% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$77.40	$129.00	$12.23–$116.10	22% below	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$77.40	$129.00	$12.23–$116.10	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE IN HOUSE	$66.00	$110.00	$2.30–$99.00	63% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE IN HOUSE	$66.00	$110.00	$2.30–$99.00	63% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE IN HOUSE	$66.00	$110.00	$2.30–$99.00	—	40%
Stool ova and parasites exam CPT 87177 PARASITE IDENTIFICATION	$163.80	$273.00	$7.42–$245.70	75% above	40%
Stool ova and parasites exam CPT 87177 PARASITE IDENTIFICATION	$163.80	$273.00	$7.42–$245.70	75% above	40%
Stool ova and parasites exam inpatient CPT 87177 PARASITE IDENTIFICATION	$163.80	$273.00	$7.42–$245.70	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOBT/FIT	$261.00	$435.00	$13.52–$391.50	439% above	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOBT/FIT	$261.00	$435.00	$13.52–$391.50	439% above	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IFOBT/FIT	$261.00	$435.00	$13.52–$391.50	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUANTITATIVE REF	$4.80	$8.00	$1.80–$7.20	90% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUANTITATIVE REF	$4.80	$8.00	$1.80–$7.20	90% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAl REF	$66.00	$110.00	$3.63–$99.00	38% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAl REF	$66.00	$110.00	$3.63–$99.00	38% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUANTITATIVE REF	$4.80	$8.00	$1.80–$7.20	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAl REF	$66.00	$110.00	$3.63–$99.00	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M.TUBERCULOSIS QUANTIFERON B	$132.60	$221.00	$49.59–$198.90	15% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M.TUBERCULOSIS QUANTIFERON B	$132.60	$221.00	$49.59–$198.90	15% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 M.TUBERCULOSIS QUANTIFERON B	$132.60	$221.00	$49.59–$198.90	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$47.40	$79.00	$17.73–$71.10	57% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$47.40	$79.00	$17.73–$71.10	57% below	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$47.40	$79.00	$17.73–$71.10	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES	$13.80	$23.00	$5.16–$20.70	85% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES	$13.80	$23.00	$5.16–$20.70	85% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB SERUM	$105.60	$176.00	$12.37–$158.40	14% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB SERUM	$105.60	$176.00	$12.37–$158.40	14% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 IMMUNASSY INF AGNT AB QUAN	$203.40	$339.00	$12.37–$305.10	120% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 IMMUNASSY INF AGNT AB QUAN	$203.40	$339.00	$12.37–$305.10	120% above	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES	$13.80	$23.00	$5.16–$20.70	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB SERUM	$105.60	$176.00	$12.37–$158.40	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 IMMUNASSY INF AGNT AB QUAN	$203.40	$339.00	$12.37–$305.10	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH AMB	$156.60	$261.00	$14.28–$234.90	21% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH AMB	$156.60	$261.00	$14.28–$234.90	21% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$181.20	$302.00	$14.28–$271.80	39% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$181.20	$302.00	$14.28–$271.80	39% above	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH AMB	$156.60	$261.00	$14.28–$234.90	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$181.20	$302.00	$14.28–$271.80	—	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP	$60.00	$100.00	$22.44–$90.00	21% below	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP	$60.00	$100.00	$22.44–$90.00	21% below	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMP	$60.00	$100.00	$22.44–$90.00	—	40%
Uric acid blood test CPT 84550 URIC ACID BLOOD AMB	$57.00	$95.00	$3.84–$85.50	at median	40%
Uric acid blood test CPT 84550 URIC ACID BLOOD AMB	$57.00	$95.00	$3.84–$85.50	at median	40%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$66.00	$110.00	$3.84–$99.00	16% above	40%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$66.00	$110.00	$3.84–$99.00	16% above	40%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD AMB	$57.00	$95.00	$3.84–$85.50	—	40%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$66.00	$110.00	$3.84–$99.00	—	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO AMB	$51.60	$86.00	$2.69–$77.40	7% below	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO AMB	$51.60	$86.00	$2.69–$77.40	7% below	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO	$60.00	$100.00	$2.69–$90.00	9% above	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO	$60.00	$100.00	$2.69–$90.00	9% above	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO AMB	$51.60	$86.00	$2.69–$77.40	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO	$60.00	$100.00	$2.69–$90.00	—	40%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS PARTIAL DIPSTICK	$34.20	$57.00	$2.69–$51.30	63% above	40%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS PARTIAL DIPSTICK	$34.20	$57.00	$2.69–$51.30	63% above	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS PARTIAL DIPSTICK	$34.20	$57.00	$2.69–$51.30	—	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO AMB	$30.60	$51.00	$1.91–$45.90	14% above	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO AMB	$30.60	$51.00	$1.91–$45.90	14% above	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO	$36.00	$60.00	$1.91–$54.00	34% above	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO	$36.00	$60.00	$1.91–$54.00	34% above	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO MICRO AMB	$30.60	$51.00	$1.91–$45.90	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO MICRO	$36.00	$60.00	$1.91–$54.00	—	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TABLET	$36.00	$60.00	$2.05–$54.00	110% above	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TABLET	$36.00	$60.00	$2.05–$54.00	110% above	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS BY DIPSTICK/TABLET	$36.00	$60.00	$2.05–$54.00	—	40%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE	$127.20	$212.00	$6.86–$190.80	27% above	40%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE	$127.20	$212.00	$6.86–$190.80	27% above	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE	$127.20	$212.00	$6.86–$190.80	—	40%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$139.80	$233.00	$1.02–$209.70	119% above	40%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$139.80	$233.00	$1.02–$209.70	119% above	40%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE	$139.80	$233.00	$1.02–$209.70	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 DEFICIENCY CASCADE	$19.20	$32.00	$7.18–$28.80	79% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 DEFICIENCY CASCADE	$19.20	$32.00	$7.18–$28.80	79% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$219.00	$365.00	$12.81–$328.50	136% above	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$219.00	$365.00	$12.81–$328.50	136% above	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 DEFICIENCY CASCADE	$19.20	$32.00	$7.18–$28.80	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$219.00	$365.00	$12.81–$328.50	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY)	$250.80	$418.00	$23.22–$376.20	85% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY)	$250.80	$418.00	$23.22–$376.20	85% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) REF	$250.80	$418.00	$23.22–$376.20	85% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) REF	$250.80	$418.00	$23.22–$376.20	85% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D(25-HYDROXY)	$250.80	$418.00	$23.22–$376.20	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D(25-HYDROXY) REF	$250.80	$418.00	$23.22–$376.20	—	40%
Zinc blood test CPT 84630 ZINC	$156.00	$260.00	$9.67–$234.00	32% above	40%
Zinc blood test CPT 84630 ZINC	$156.00	$260.00	$9.67–$234.00	32% above	40%
Zinc blood test inpatient CPT 84630 ZINC	$156.00	$260.00	$9.67–$234.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG FREE/TOTAL	$185.40	$309.00	$12.80–$278.10	13% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG FREE/TOTAL	$185.40	$309.00	$12.80–$278.10	13% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG FREE/TOTAL	$185.40	$309.00	$12.80–$278.10	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSCLE MIGRAINE	$144.00	$240.00	$53.86–$239.90	75% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREOTAC BRST BX 1ST LES LT	$729.60	$1,216.00	$135.81–$224.09	66% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREOTAC BRST BX 1ST LES RT	$729.60	$1,216.00	$135.81–$224.09	66% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 STEREOTAC BRST BX 1ST LES LT	$729.60	$1,216.00	$135.81–$224.09	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 STEREOTAC BRST BX 1ST LES RT	$729.60	$1,216.00	$135.81–$224.09	—	40%
Cardiac catheterization with coronary angiogram CPT 93458 LT HEART CATH	$16,723.80	$27,873.00	$2,613.94–$25,085.70	20% above	40%
Cardiac catheterization with coronary angiogram CPT 93458 LT HEART CATH	$16,723.80	$27,873.00	$2,613.94–$25,085.70	20% above	40%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HEART CATH	$16,723.80	$27,873.00	$2,613.94–$25,085.70	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT	$821.40	$1,369.00	$307.20–$1,232.10	12% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT	$821.40	$1,369.00	$307.20–$1,232.10	12% below	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXT	$821.40	$1,369.00	$307.20–$1,232.10	—	40%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRL FIB PUL VEIN I	$26,674.80	$44,458.00	$9,976.38–$40,012.20	3% below	40%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRL FIB PUL VEIN I	$26,674.80	$44,458.00	$9,976.38–$40,012.20	3% below	40%
Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRL FIB PUL VEIN I	$26,674.80	$44,458.00	$9,976.38–$40,012.20	—	40%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$90.60	$151.00	$33.88–$707.64	90% below	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION AGE >28 DAYS	$452.40	$754.00	$158.28–$287.40	79% below	40%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION AGE >28 DAYS	$452.40	$754.00	$158.28–$287.40	—	40%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION AGE 28 DAYS OR <	$366.00	$610.00	$136.88–$549.00	at median	40%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION AGE 28 DAYS OR <	$366.00	$610.00	$136.88–$549.00	at median	40%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION AGE 28 DAYS OR <	$366.00	$610.00	$136.88–$549.00	—	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$148.20	$247.00	$55.43–$247.21	57% below	40%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$673.80	$1,123.00	$135.30–$223.25	77% below	40%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY AND TREATMENT	$673.80	$1,123.00	$135.30–$223.25	—	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$293.40	$489.00	$69.29–$160.26	69% below	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY	$293.40	$489.00	$69.29–$160.26	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALIG LESION 1ST	$50.40	$84.00	$18.85–$161.48	64% below	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMV IMPACTED CERUMEN-LAVAGE	$24.60	$41.00	$9.29–$25.13	78% below	40%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$34.80	$58.00	$21.47–$43.61	77% below	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$89.40	$149.00	$33.44–$163.49	59% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ DX OR TX SUBS W/IMAGING	$534.60	$891.00	$89.07–$152.76	49% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ DX OR TX SUBS W/IMAGING	$934.80	$1,558.00	$349.62–$1,402.20	11% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ DX OR TX SUBS W/IMAGING	$534.60	$891.00	$89.07–$152.76	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ LUMBAR/SACRAL FACET SINGLE	$655.80	$1,093.00	$68.79–$129.44	47% below	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ LUMBAR/SACRAL FACET SINGLE	$655.80	$1,093.00	$68.79–$129.44	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ PROC HYSTERO	$445.80	$743.00	$166.73–$668.70	36% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ PROC HYSTERO	$445.80	$743.00	$166.73–$668.70	36% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ PROC HYSTERO	$445.80	$743.00	$166.73–$668.70	—	40%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD	$110.40	$184.00	$41.29–$136.16	93% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE OR SINGLE	$458.40	$764.00	$30.29–$687.60	55% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE OR SINGLE	$458.40	$764.00	$30.29–$687.60	55% above	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE OR SINGLE	$458.40	$764.00	$30.29–$687.60	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON LIGAMENT	$67.80	$113.00	$25.36–$239.90	85% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JNT	$470.40	$784.00	$175.93–$1,421.10	at median	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JNT	$470.40	$784.00	$175.93–$1,421.10	at median	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JNT	$470.40	$784.00	$175.93–$1,421.10	—	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE	$135.00	$225.00	$50.49–$166.50	7% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ INTERMED JNT/BURSA	$956.40	$1,594.00	$239.90–$1,434.60	142% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ INTERMED JNT/BURSA	$956.40	$1,594.00	$239.90–$1,434.60	142% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP/INJ INTERMED JNT/BURSA	$956.40	$1,594.00	$239.90–$1,434.60	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SM JNT/BURSA	$496.20	$827.00	$185.58–$744.30	33% above	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SM JNT/BURSA	$496.20	$827.00	$185.58–$744.30	33% above	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SM JNT/BURSA	$496.20	$827.00	$185.58–$744.30	—	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	$304.80	$508.00	$114.00–$457.20	1% above	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	$304.80	$508.00	$114.00–$457.20	1% above	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	$304.80	$508.00	$114.00–$457.20	—	40%
Left heart catheterization, diagnostic CPT 93452 LT HEART CATH W/VENTRICULOGRAP	$3,725.40	$6,209.00	$1,393.30–$7,303.08	46% below	40%
Left heart catheterization, diagnostic CPT 93452 LT HEART CATH W/VENTRICULOGRAP	$3,725.40	$6,209.00	$1,393.30–$7,303.08	46% below	40%
Left heart catheterization, diagnostic inpatient CPT 93452 LT HEART CATH W/VENTRICULOGRAP	$3,725.40	$6,209.00	$1,393.30–$7,303.08	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL W/IMAGING	$498.60	$831.00	$81.33–$142.53	56% below	40%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL W/IMAGING	$934.80	$1,558.00	$349.62–$1,402.20	18% below	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMBAR/SACRAL W/IMAGING	$498.60	$831.00	$81.33–$142.53	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES AGNT/STEROID W/IMG	$640.80	$1,068.00	$95.97–$158.35	46% below	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANES AGNT/STEROID W/IMG	$640.80	$1,068.00	$95.97–$158.35	—	40%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$279.60	$466.00	$26.70–$419.40	7% above	40%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$279.60	$466.00	$26.70–$419.40	7% above	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$279.60	$466.00	$26.70–$419.40	—	40%
Occipital nerve block (injection for headaches) CPT 64405 INJ GREATER OCCIPITAL NERVE	$96.00	$160.00	$42.97–$82.11	83% below	40%
Pacemaker implant (dual chamber) CPT 33208 INS/RPLC PCMKR ATRL&VNT	$24,754.20	$41,257.00	$8,505.04–$37,131.30	33% above	40%
Pacemaker implant (dual chamber) CPT 33208 INS/RPLC PCMKR ATRL&VNT	$24,754.20	$41,257.00	$8,505.04–$37,131.30	33% above	40%
Pacemaker implant (dual chamber) inpatient CPT 33208 INS/RPLC PCMKR ATRL&VNT	$24,754.20	$41,257.00	$8,505.04–$37,131.30	—	40%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE	$1,428.00	$2,380.00	$534.07–$2,142.00	25% above	40%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE	$1,428.00	$2,380.00	$534.07–$2,142.00	25% above	40%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGE	$1,428.00	$2,380.00	$534.07–$2,142.00	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 RMVL NAIL PART/COMP PERM	$600.00	$1,000.00	$75.62–$900.00	20% above	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 RMVL NAIL PART/COMP PERM	$600.00	$1,000.00	$75.62–$900.00	20% above	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 RMVL NAIL PART/COMP PERM	$600.00	$1,000.00	$75.62–$900.00	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DEST PARAVERTEBRL FCT L/S SING	$932.40	$1,554.00	$166.90–$295.15	60% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DEST PARAVERTEBRL FCT L/S SING	$2,589.60	$4,316.00	$968.51–$3,884.40	11% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DEST PARAVERTEBRL FCT L/S SING	$932.40	$1,554.00	$166.90–$295.15	—	40%
Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FB SQ SIMPLE	$67.20	$112.00	$42.30–$158.19	84% below	40%
Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FB SQ SIMPLE	$387.60	$646.00	$37.47–$581.40	9% below	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION REMOVAL FB SQ SIMPLE	$387.60	$646.00	$37.47–$581.40	—	40%
Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW TO FINGER	$42.60	$71.00	$33.21–$91.48	73% below	40%
Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SPLINT/ST	$50.64	$84.40	$23.49–$63.71	73% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP SUPER WOUND <2.5CM	$96.60	$161.00	$36.13–$490.50	65% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP SUPER WOUND <2.5CM	$327.00	$545.00	$36.13–$490.50	18% 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	$327.00	$545.00	$36.13–$490.50	—	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$490.20	$817.00	$95.15–$735.30	93% above	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$490.20	$817.00	$95.15–$735.30	93% above	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$490.20	$817.00	$95.15–$735.30	—	40%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS TO 15 LESIONS	$61.20	$102.00	$22.89–$189.00	58% below	40%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS TO 15 LESIONS	$126.00	$210.00	$22.89–$189.00	13% below	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL SKIN TAGS TO 15 LESIONS	$126.00	$210.00	$22.89–$189.00	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC	$918.60	$1,531.00	$343.56–$1,377.90	12% above	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC	$918.60	$1,531.00	$343.56–$1,377.90	12% above	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE DIAGNOSTIC	$918.60	$1,531.00	$343.56–$1,377.90	—	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	$304.80	$508.00	$37.25–$457.20	1% 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	$304.80	$508.00	$37.25–$457.20	1% 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	$304.80	$508.00	$37.25–$457.20	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP LAC FACE <2.5CM	$62.40	$104.00	$51.31–$86.99	78% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP LAC FACE <2.5CM	$304.80	$508.00	$35.23–$457.20	6% 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	$304.80	$508.00	$35.23–$457.20	—	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SINGLE LES	$204.00	$340.00	$76.30–$306.00	20% below	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SINGLE LES	$204.00	$340.00	$76.30–$306.00	20% below	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX SKIN SINGLE LES	$204.00	$340.00	$76.30–$306.00	—	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMG	$1,250.40	$2,084.00	$467.65–$1,875.60	4% below	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMG	$1,250.40	$2,084.00	$467.65–$1,875.60	4% below	40%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMG	$1,250.40	$2,084.00	$467.65–$1,875.60	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1-2 MUSCLES	$370.80	$618.00	$24.46–$556.20	37% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1-2 MUSCLES	$370.80	$618.00	$24.46–$556.20	37% below	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PT INJ 1-2 MUSCLES	$370.80	$618.00	$24.46–$556.20	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BX BREAST 1ST LES LT	$729.60	$1,216.00	$128.23–$211.58	65% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BX BREAST 1ST LES LT	$729.60	$1,216.00	$128.23–$211.58	—	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESIONS TO 14	$39.00	$65.00	$22.23–$96.36	67% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ TISSUE 1ST 20 SQ CM	$145.80	$243.00	$54.53–$1,258.20	71% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ TISSUE 1ST 20 SQ CM	$838.80	$1,398.00	$54.53–$1,258.20	66% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SQ TISSUE 1ST 20 SQ CM	$838.80	$1,398.00	$54.53–$1,258.20	—	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	$574.80	$958.00	$214.98–$862.20	5% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$574.80	$958.00	$214.98–$862.20	5% below	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$574.80	$958.00	$214.98–$862.20	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX SUBS	$261.00	$435.00	$97.61–$391.50	68% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX INIT	$261.00	$435.00	$97.61–$391.50	68% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX SUBS	$261.00	$435.00	$97.61–$391.50	68% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX INIT	$261.00	$435.00	$97.61–$391.50	68% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB COUGH ASSIST	$266.40	$444.00	$99.63–$399.60	72% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB COUGH ASSIST	$266.40	$444.00	$99.63–$399.60	72% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TX INIT	$261.00	$435.00	$97.61–$391.50	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TX SUBS	$261.00	$435.00	$97.61–$391.50	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB COUGH ASSIST	$266.40	$444.00	$99.63–$399.60	—	40%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INITIAL HR	$477.00	$795.00	$178.40–$715.50	5% below	40%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INITIAL HR	$477.00	$795.00	$178.40–$715.50	5% below	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN IV INITIAL HR	$477.00	$795.00	$178.40–$715.50	—	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST 30-74M	$280.20	$467.00	$157.68–$321.78	86% below	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST 30-74M	$280.20	$467.00	$157.68–$321.78	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AWAKE & DROWSY 20-40M	$78.60	$131.00	$54.39–$297.54	90% below	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG REC AWAKE & DROWSY 20-40M	$78.60	$131.00	$54.39–$297.54	—	40%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE	$143.40	$239.00	$53.63–$215.10	5% above	40%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE	$143.40	$239.00	$53.63–$215.10	5% above	40%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE	$143.40	$239.00	$53.63–$215.10	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$64.20	$107.00	$24.01–$351.90	67% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$234.60	$391.00	$48.27–$351.90	22% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$234.60	$391.00	$24.01–$351.90	22% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$234.60	$391.00	$48.27–$351.90	22% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$234.60	$391.00	$48.27–$351.90	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY	$234.60	$391.00	$24.01–$351.90	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1	$67.20	$112.00	$25.13–$100.80	53% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1	$67.20	$112.00	$25.13–$100.80	53% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1	$67.20	$112.00	$25.13–$100.80	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2	$158.40	$264.00	$59.24–$237.60	45% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2	$158.40	$264.00	$59.24–$237.60	45% below	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2	$158.40	$264.00	$59.24–$237.60	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3	$304.80	$508.00	$114.00–$457.20	28% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3	$304.80	$508.00	$114.00–$457.20	28% below	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3	$304.80	$508.00	$114.00–$457.20	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4	$1,917.00	$3,195.00	$346.06–$2,875.50	68% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4	$1,917.00	$3,195.00	$346.06–$2,875.50	68% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4	$1,917.00	$3,195.00	$346.06–$2,875.50	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE EA ADD 30M	$1,219.80	$2,033.00	$365.94–$1,829.70	4% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE EA ADD 30M	$1,219.80	$2,033.00	$365.94–$1,829.70	4% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5	$2,482.20	$4,137.00	$498.26–$3,723.30	111% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5	$2,482.20	$4,137.00	$498.26–$3,723.30	111% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M W/P	$3,270.60	$5,451.00	$498.26–$4,905.90	178% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M	$3,270.60	$5,451.00	$498.26–$4,905.90	178% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M W/P	$3,270.60	$5,451.00	$498.26–$4,905.90	178% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M	$3,270.60	$5,451.00	$498.26–$4,905.90	178% above	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE EA ADD 30M	$1,219.80	$2,033.00	$365.94–$1,829.70	—	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5	$2,482.20	$4,137.00	$498.26–$3,723.30	—	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE 1ST 30-74M	$3,270.60	$5,451.00	$498.26–$4,905.90	—	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE 1ST 30-74M W/P	$3,270.60	$5,451.00	$498.26–$4,905.90	—	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$540.00	$900.00	$201.96–$810.00	32% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$540.00	$900.00	$201.96–$810.00	32% below	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST	$540.00	$900.00	$201.96–$810.00	—	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	$108.16–$433.80	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	$108.16–$433.80	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	$108.16–$433.80	—	40%
IV infusion of a medicine, first hour CPT 96365 INFUSION IV THER UP TO 1HR AMB	$99.60	$166.00	$37.25–$171.23	72% below	40%
IV infusion of a medicine, first hour CPT 96365 INFUSION IV THERAP UP TO 1 HR	$362.40	$604.00	$135.54–$543.60	1% above	40%
IV infusion of a medicine, first hour CPT 96365 INFUSION IV THERAP UP TO 1 HR	$362.40	$604.00	$135.54–$543.60	1% above	40%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION IV THERAP UP TO 1 HR	$362.40	$604.00	$135.54–$543.60	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) AMB	$24.60	$41.00	$9.20–$57.84	74% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM)	$95.40	$159.00	$35.68–$143.10	at median	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM)	$95.40	$159.00	$35.68–$143.10	at median	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION (SC) (IM)	$95.40	$159.00	$35.68–$143.10	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL SC	$208.80	$348.00	$78.09–$313.20	14% below	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL SC	$208.80	$348.00	$78.09–$313.20	14% below	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL SC	$208.80	$348.00	$78.09–$313.20	—	40%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 NEW	$64.20	$107.00	$24.01–$667.80	50% below	40%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 NEW	$134.40	$224.00	$60.57–$115.43	4% above	40%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 NEW W/PRC	$445.20	$742.00	$166.50–$667.80	244% above	40%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 NEW W/PRC	$445.20	$742.00	$166.50–$667.80	244% above	40%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT LEVEL 3 NEW	$134.40	$224.00	$60.57–$115.43	—	40%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT LEVEL 3 NEW W/PRC	$445.20	$742.00	$166.50–$667.80	—	40%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4 NEW	$204.60	$341.00	$102.79–$188.66	at median	40%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4 NEW W/PRC	$571.20	$952.00	$213.63–$856.80	180% above	40%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4 NEW	$571.20	$952.00	$40.84–$856.80	180% above	40%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4 NEW W/PRC	$571.20	$952.00	$213.63–$856.80	180% above	40%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT LEVEL 4 NEW	$204.60	$341.00	$102.79–$188.66	—	40%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT LEVEL 4 NEW W/PRC	$571.20	$952.00	$213.63–$856.80	—	40%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT LEVEL 5 NEW	$234.60	$391.00	$131.98–$258.37	at median	40%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT LEVEL 5 NEW	$755.40	$1,259.00	$52.51–$1,133.10	222% above	40%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT LEVEL 5 NEW	$234.60	$391.00	$131.98–$258.37	—	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2 NEW	$335.40	$559.00	$16.61–$503.10	245% above	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2 NEW	$335.40	$559.00	$16.61–$503.10	245% above	40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT LEVEL 2 NEW	$335.40	$559.00	$16.61–$503.10	—	40%
Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VISIT NEW 18-39	$115.80	$193.00	$77.60–$88.20	at median	40%
Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE VISIT NEW 40-64	$139.80	$233.00	$93.99–$106.89	at median	40%
Preventive checkup, new patient aged 65 or older CPT 99387 PREVENTIVE VISIT NEW 65+	$141.00	$235.00	$101.40–$114.79	20% below	40%
Preventive checkup, returning patient aged 18–39 CPT 99395 PRVNT VISIT EST 18-39YRS OLD	$118.80	$198.00	$70.22–$80.32	at median	40%
Preventive checkup, returning patient aged 40–64 CPT 99396 PRVNT VISIT EST 40-64 YRS OLD	$121.20	$202.00	$76.54–$87.54	at median	40%
Preventive checkup, returning patient aged 65 or older CPT 99397 PRVNT VISIT EST 65 & OVER	$131.40	$219.00	$81.19–$91.99	at median	40%
Psychiatric evaluation with medical services CPT 90792 PSYCH DX EVAL W/MED SVC	$213.00	$355.00	$102.49–$260.68	13% below	40%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DX EVAL W/MED SVC	$213.00	$355.00	$102.49–$260.68	—	40%
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30 MIN	$74.40	$124.00	$27.83–$130.57	53% below	40%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45 MIN	$81.00	$135.00	$30.29–$130.57	58% below	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE COUNSEL 3-10 MIN	$24.00	$40.00	$9.77–$17.26	26% below	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE COUNSEL 3-10 MIN	$54.00	$90.00	$20.20–$81.00	67% above	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE COUNSEL 3-10 MIN	$54.00	$90.00	$20.20–$81.00	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT LEVEL 5 EST	$154.20	$257.00	$87.17–$202.65	8% below	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT LEVEL 5 EST	$755.40	$1,259.00	$34.56–$1,133.10	348% above	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT LEVEL 5 EST W/PRC	$755.40	$1,259.00	$282.52–$1,133.10	348% above	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT LEVEL 5 EST W/PRC	$755.40	$1,259.00	$282.52–$1,133.10	348% above	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT LEVEL 5 EST	$154.20	$257.00	$87.17–$202.65	—	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT LEVEL 5 EST W/PRC	$755.40	$1,259.00	$282.52–$1,133.10	—	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST	$87.00	$145.00	$40.36–$92.81	at median	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB ASSESSMENT UP TO 4 HRS	$406.80	$678.00	$152.14–$610.20	367% above	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB ASSESSMENT UP TO 4 HRS	$406.80	$678.00	$152.14–$610.20	367% above	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST	$445.20	$742.00	$16.61–$667.80	411% above	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST W/PRC	$445.20	$742.00	$166.50–$667.80	411% above	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST W/PRC	$445.20	$742.00	$166.50–$667.80	411% above	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT LEVEL 3 EST	$87.00	$145.00	$40.36–$92.81	—	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB ASSESSMENT UP TO 4 HRS	$406.80	$678.00	$152.14–$610.20	—	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT LEVEL 3 EST W/PRC	$445.20	$742.00	$166.50–$667.80	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 EST	$109.20	$182.00	$61.98–$136.59	9% below	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 EST	$135.60	$226.00	$61.98–$136.59	13% above	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 EST W/PRC	$571.20	$952.00	$213.63–$856.80	375% above	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 EST W/PRC	$571.20	$952.00	$213.63–$856.80	375% above	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT LEVEL 4 EST	$109.20	$182.00	$61.98–$136.59	—	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT LEVEL 4 EST W/PRC	$571.20	$952.00	$213.63–$856.80	—	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT LEVEL 2 EST	$29.40	$49.00	$20.41–$50.18	59% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT LEVEL 2 EST	$46.80	$78.00	$16.61–$70.20	34% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP E&M VISIT LEVEL 2 EST W/PR	$335.40	$559.00	$125.44–$503.10	370% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP E&M VISIT LEVEL 2 EST	$335.40	$559.00	$125.44–$503.10	370% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP E&M VISIT LEVEL 2 EST W/PR	$335.40	$559.00	$125.44–$503.10	370% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP E&M VISIT LEVEL 2 EST	$335.40	$559.00	$125.44–$503.10	370% above	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT LEVEL 2 EST	$46.80	$78.00	$16.61–$70.20	—	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP E&M VISIT LEVEL 2 EST	$335.40	$559.00	$125.44–$503.10	—	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP E&M VISIT LEVEL 2 EST W/PR	$335.40	$559.00	$125.44–$503.10	—	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CONSULT >=30MI	$75.00	$125.00	$76.53–$96.55	at median	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CONSULT >=30MI	$154.80	$258.00	$76.53–$96.55	106% above	40%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFF/OP CONSULT >=30MI	$75.00	$125.00	$76.53–$96.55	—	40%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CONSULT >=40MI	$90.00	$150.00	$121.37–$153.24	17% below	40%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CONSULT >=40MI	$221.40	$369.00	$121.37–$153.24	104% above	40%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFF/OP CONSULT >=40MI	$90.00	$150.00	$121.37–$153.24	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$159.00	$265.00	$59.47–$238.50	1% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$159.00	$265.00	$59.47–$238.50	1% above	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$159.00	$265.00	$59.47–$238.50	—	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–$884.25	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–$884.25	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–$884.25	—	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	$20.53–$82.35	38% 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	$20.53–$82.35	38% 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	$20.53–$82.35	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT	$189.00	$315.00	$70.69–$283.50	17% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT	$189.00	$315.00	$70.69–$283.50	17% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B ADULT	$189.00	$315.00	$70.69–$283.50	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II VACCINE	$243.60	$406.00	$91.11–$365.40	44% above	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II VACCINE	$243.60	$406.00	$91.11–$365.40	44% above	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II VACCINE	$243.60	$406.00	$91.11–$365.40	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VACCINE SDV	$594.60	$991.00	$200.58–$891.90	121% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VACCINE SDV	$594.60	$991.00	$200.58–$891.90	121% above	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO VACCINE SDV	$594.60	$991.00	$200.58–$891.90	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA-TETANUS TOXOIDS-PED	$178.20	$297.00	$48.49–$267.30	181% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA-TETANUS TOXOIDS-PED	$178.20	$297.00	$48.49–$267.30	181% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTHERIA-TETANUS TOXOIDS-PED	$178.20	$297.00	$48.49–$267.30	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE	$77.40	$129.00	$28.95–$116.10	4% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE	$77.40	$129.00	$28.95–$116.10	4% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE	$77.40	$129.00	$28.95–$116.10	4% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE	$77.40	$129.00	$28.95–$116.10	4% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE	$77.40	$129.00	$28.95–$116.10	4% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE	$77.40	$129.00	$28.95–$116.10	4% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE	$77.40	$129.00	$28.95–$116.10	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMONIA VACCINE	$77.40	$129.00	$28.95–$116.10	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE	$77.40	$129.00	$28.95–$116.10	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACCINE	$37.80	$63.00	$14.14–$56.70	6% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACCINE	$37.80	$63.00	$14.14–$56.70	6% below	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM EA ADDL VACCINE	$37.80	$63.00	$14.14–$56.70	—	40%

Source file: https://www.arh.org/wp-content/uploads/2026/05/520795508_Hazard-ARH-Regional-Medical-Center_standardcharges.csv