Paintsville Arh Hospital
Listed in its price file as “ARH Tug Valley Health Services, Inc.”.
Paintsville Arh Hospital in Paintsville, KY publishes cash prices for 173 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 78 of 172 procedures and above it for 75. By typical cash price it ranks #32 of 59 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
625 James S Trimble Blvd Paintsville KY 41240 Collected Sep 27, 2026 Source price file (606) 789-3511
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 180078 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL | $225.00 | $375.00 | $53.55–$327.86 | 31% below | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL | $225.00 | $375.00 | $53.55–$327.86 | 31% below | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED BIL | $225.00 | $375.00 | $53.55–$327.86 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $578.40 | $964.00 | $98.30–$723.00 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $578.40 | $964.00 | $98.30–$723.00 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $578.40 | $964.00 | $98.30–$723.00 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LDCT FOR LUNG CA SCREENING | $2,080.20 | $3,467.00 | $66.94–$2,600.25 | 285% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LDCT FOR LUNG CA SCREENING | $2,080.20 | $3,467.00 | $66.94–$2,600.25 | 285% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LDCT FOR LUNG CA SCREENING | $2,080.20 | $3,467.00 | $66.94–$2,600.25 | — | 40% |
| Screening mammogram, both breasts CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD | $238.80 | $398.00 | $56.83–$298.50 | 34% above | 40% |
| Screening mammogram, both breasts CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD | $238.80 | $398.00 | $56.83–$298.50 | 34% above | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD | $238.80 | $398.00 | $56.83–$298.50 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $118.80 | $198.00 | $4.50–$173.11 | 79% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $118.80 | $198.00 | $4.50–$173.11 | 79% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT | $118.80 | $198.00 | $4.50–$173.11 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $116.40 | $194.00 | $4.40–$169.61 | 75% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $116.40 | $194.00 | $4.40–$169.61 | 75% above | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT | $116.40 | $194.00 | $4.40–$169.61 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $331.80 | $553.00 | $40.48–$483.49 | 8% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $331.80 | $553.00 | $40.48–$483.49 | 8% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL | $331.80 | $553.00 | $40.48–$483.49 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH | $9.00 | $15.00 | $4.43–$14.86 | 27% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH | $9.00 | $15.00 | $4.43–$14.86 | 27% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD IGE II | $39.60 | $66.00 | $4.43–$57.70 | 219% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD IGE II | $39.60 | $66.00 | $4.43–$57.70 | 219% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EACH | $9.00 | $15.00 | $4.43–$14.86 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD IGE II | $39.60 | $66.00 | $4.43–$57.70 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS REF | $120.60 | $201.00 | $11.00–$175.73 | 37% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS | $120.60 | $201.00 | $11.00–$175.73 | 37% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS REF | $120.60 | $201.00 | $11.00–$175.73 | 37% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS | $120.60 | $201.00 | $11.00–$175.73 | 37% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ABS REF | $120.60 | $201.00 | $11.00–$175.73 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ABS | $120.60 | $201.00 | $11.00–$175.73 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $265.20 | $442.00 | $10.27–$386.44 | 221% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES REF | $265.20 | $442.00 | $10.27–$386.44 | 221% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES REF | $265.20 | $442.00 | $10.27–$386.44 | 221% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $265.20 | $442.00 | $10.27–$386.44 | 221% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES | $265.20 | $442.00 | $10.27–$386.44 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES REF | $265.20 | $442.00 | $10.27–$386.44 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $198.00 | $330.00 | $28.85–$288.52 | at median | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $198.00 | $330.00 | $28.85–$288.52 | at median | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $198.00 | $330.00 | $28.85–$288.52 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $144.00 | $240.00 | $5.69–$209.83 | 34% above | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $144.00 | $240.00 | $5.69–$209.83 | 34% above | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $144.00 | $240.00 | $5.69–$209.83 | — | 40% |
| Blood culture for bacteria CPT 87040 CULT BLOOD | $178.80 | $298.00 | $8.77–$260.54 | 39% above | 40% |
| Blood culture for bacteria CPT 87040 CULT BLOOD | $178.80 | $298.00 | $8.77–$260.54 | 39% above | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULT BLOOD | $178.80 | $298.00 | $8.77–$260.54 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $17.40 | $29.00 | $2.70–$25.35 | 1% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $17.40 | $29.00 | $2.70–$25.35 | 1% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $17.40 | $29.00 | $2.70–$25.35 | — | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $116.40 | $194.00 | $3.34–$169.61 | 91% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $116.40 | $194.00 | $3.34–$169.61 | 91% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD | $116.40 | $194.00 | $3.34–$169.61 | — | 40% |
| Blood lead test CPT 83655 LEAD | $161.40 | $269.00 | $10.29–$235.19 | 78% above | 40% |
| Blood lead test CPT 83655 LEAD | $161.40 | $269.00 | $10.29–$235.19 | 78% above | 40% |
| Blood lead test inpatient CPT 83655 LEAD | $161.40 | $269.00 | $10.29–$235.19 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QUAL | $112.80 | $188.00 | $6.38–$164.37 | 21% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QUAL | $112.80 | $188.00 | $6.38–$164.37 | 21% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM QUAL | $112.80 | $188.00 | $6.38–$164.37 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE | $54.60 | $91.00 | $2.54–$89.26 | 1% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE | $54.60 | $91.00 | $2.54–$89.26 | 1% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPE | $54.60 | $91.00 | $2.54–$89.26 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $97.80 | $163.00 | $3.25–$142.51 | 48% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $97.80 | $163.00 | $3.25–$142.51 | 48% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP | $97.80 | $163.00 | $3.25–$142.51 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 EPI STRAIN | $54.60 | $91.00 | $29.83–$79.56 | 47% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 EPI STRAIN | $54.60 | $91.00 | $29.83–$79.56 | 47% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMPLIFIED PROBE | $82.80 | $138.00 | $29.83–$120.65 | 20% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMPLIFIED PROBE | $82.80 | $138.00 | $29.83–$120.65 | 20% below | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 EPI STRAIN | $54.60 | $91.00 | $29.83–$79.56 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF AMPLIFIED PROBE | $82.80 | $138.00 | $29.83–$120.65 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER AG 19-9 | $180.00 | $300.00 | $17.69–$262.29 | 7% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER AG 19-9 | $180.00 | $300.00 | $17.69–$262.29 | 7% above | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER AG 19-9 | $180.00 | $300.00 | $17.69–$262.29 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (FLUID) | $640.80 | $1,068.00 | $17.69–$933.75 | 272% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (FLUID) | $640.80 | $1,068.00 | $17.69–$933.75 | 272% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 (FLUID) | $640.80 | $1,068.00 | $17.69–$933.75 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $210.60 | $351.00 | $9.68–$306.88 | 47% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $210.60 | $351.00 | $9.68–$306.88 | 47% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $210.60 | $351.00 | $9.68–$306.88 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W/DIFF | $72.00 | $120.00 | $6.61–$104.92 | 11% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W/DIFF | $72.00 | $120.00 | $6.61–$104.92 | 11% above | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED W/DIFF | $72.00 | $120.00 | $6.61–$104.92 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $55.20 | $92.00 | $5.50–$80.44 | 12% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $55.20 | $92.00 | $5.50–$80.44 | 12% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED | $55.20 | $92.00 | $5.50–$80.44 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $148.80 | $248.00 | $7.15–$216.83 | 3% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $148.80 | $248.00 | $7.15–$216.83 | 3% above | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $148.80 | $248.00 | $7.15–$216.83 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $275.40 | $459.00 | $18.89–$401.30 | 75% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $275.40 | $459.00 | $18.89–$401.30 | 75% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $275.40 | $459.00 | $18.89–$401.30 | — | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $192.00 | $320.00 | $23.75–$279.78 | 25% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $192.00 | $320.00 | $23.75–$279.78 | 25% above | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $192.00 | $320.00 | $23.75–$279.78 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $266.40 | $444.00 | $15.79–$388.19 | 9% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $266.40 | $444.00 | $15.79–$388.19 | 9% above | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $266.40 | $444.00 | $15.79–$388.19 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $498.60 | $831.00 | $16.68–$726.54 | 102% above | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $498.60 | $831.00 | $16.68–$726.54 | 102% above | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $498.60 | $831.00 | $16.68–$726.54 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $229.80 | $383.00 | $11.58–$334.86 | 52% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $229.80 | $383.00 | $11.58–$334.86 | 52% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $229.80 | $383.00 | $11.58–$334.86 | — | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $255.60 | $426.00 | $0.86–$372.45 | 84% above | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $255.60 | $426.00 | $0.86–$372.45 | 84% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $255.60 | $426.00 | $0.86–$372.45 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE WO TOTAL T3 | $331.80 | $553.00 | $14.40–$483.49 | 64% above | 40% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE WO TOTAL T3 | $331.80 | $553.00 | $14.40–$483.49 | 64% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE WO TOTAL T3 | $331.80 | $553.00 | $14.40–$483.49 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 REF | $39.00 | $65.00 | $7.66–$56.83 | 59% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 REF | $39.00 | $65.00 | $7.66–$56.83 | 59% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 | $175.20 | $292.00 | $7.66–$255.30 | 84% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 | $175.20 | $292.00 | $7.66–$255.30 | 84% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE WO TOTAL T4 REF | $39.00 | $65.00 | $7.66–$56.83 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE WO TOTAL T4 | $175.20 | $292.00 | $7.66–$255.30 | — | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $50.40 | $84.00 | $21.64–$73.44 | 38% below | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $50.40 | $84.00 | $21.64–$73.44 | 38% below | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $50.40 | $84.00 | $21.64–$73.44 | — | 40% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN ST | $179.40 | $299.00 | $12.22–$261.42 | at median | 40% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN ST | $179.40 | $299.00 | $12.22–$261.42 | at median | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI ANTIGEN ST | $179.40 | $299.00 | $12.22–$261.42 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR (NNGRPH) RFX/GENO | $703.80 | $1,173.00 | $72.31–$1,025.55 | 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–$1,025.55 | 169% above | 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–$1,025.55 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4TH GENERAT SERUM W/REFLX | $243.60 | $406.00 | $20.47–$354.97 | 135% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4TH GENERAT SERUM W/REFLX | $243.60 | $406.00 | $20.47–$354.97 | 135% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 4TH GENERAT SERUM W/REFLX | $243.60 | $406.00 | $20.47–$354.97 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C/GLYCOHEMOGLOBIN | $70.80 | $118.00 | $8.25–$103.17 | 3% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C/GLYCOHEMOGLOBIN | $70.80 | $118.00 | $8.25–$103.17 | 3% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C/GLYCOHEMOGLOBIN | $70.80 | $118.00 | $8.25–$103.17 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFAC AB QUAL/QUANT | $203.40 | $339.00 | $9.13–$296.39 | 78% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFAC AB QUAL/QUANT | $203.40 | $339.00 | $9.13–$296.39 | 78% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFAC AB QUAL/QUANT | $203.40 | $339.00 | $9.13–$296.39 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPAT B SURFACE ANTIGEN | $231.60 | $386.00 | $8.78–$337.48 | 127% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPAT B SURFACE ANTIGEN | $231.60 | $386.00 | $8.78–$337.48 | 127% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPAT B SURFACE ANTIGEN | $231.60 | $386.00 | $8.78–$337.48 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $139.20 | $232.00 | $12.13–$202.84 | 6% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $139.20 | $232.00 | $12.13–$202.84 | 6% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $139.20 | $232.00 | $12.13–$202.84 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSIS NAA | $174.00 | $290.00 | $36.40–$253.55 | 36% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSIS NAA | $174.00 | $290.00 | $36.40–$253.55 | 36% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANT S(PCR) | $180.60 | $301.00 | $36.40–$263.16 | 34% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANT S(PCR) | $180.60 | $301.00 | $36.40–$263.16 | 34% below | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DIAGNOSIS NAA | $174.00 | $290.00 | $36.40–$253.55 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DETECT/QUANT S(PCR) | $180.60 | $301.00 | $36.40–$263.16 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 | $126.60 | $211.00 | $11.21–$184.48 | 82% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 | $126.60 | $211.00 | $11.21–$184.48 | 82% above | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 | $126.60 | $211.00 | $11.21–$184.48 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $16.45–$160.00 | 37% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $16.45–$160.00 | 37% above | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $16.45–$160.00 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-CARDIAC | $96.00 | $160.00 | $11.00–$139.89 | at median | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-CARDIAC | $96.00 | $160.00 | $11.00–$139.89 | at median | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN-CARDIAC | $96.00 | $160.00 | $11.00–$139.89 | — | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL PLASMA | $220.80 | $368.00 | $14.33–$321.74 | 33% above | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL PLASMA | $220.80 | $368.00 | $14.33–$321.74 | 33% above | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE TOTAL PLASMA | $220.80 | $368.00 | $14.33–$321.74 | — | 40% |
| Insulin blood test CPT 83525 INSULIN FASTING CONTRACT | $143.40 | $239.00 | $9.71–$208.96 | 30% above | 40% |
| Insulin blood test CPT 83525 INSULIN FASTING CONTRACT | $143.40 | $239.00 | $9.71–$208.96 | 30% above | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN FASTING CONTRACT | $143.40 | $239.00 | $9.71–$208.96 | — | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $133.20 | $222.00 | $5.51–$194.09 | 84% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $133.20 | $222.00 | $5.51–$194.09 | 84% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $133.20 | $222.00 | $5.51–$194.09 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC DIRECT | $118.80 | $198.00 | $7.43–$173.11 | 19% above | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC DIRECT | $118.80 | $198.00 | $7.43–$173.11 | 19% above | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC DIRECT | $118.80 | $198.00 | $7.43–$173.11 | — | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $202.80 | $338.00 | $5.69–$295.51 | 95% above | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $202.80 | $338.00 | $5.69–$295.51 | 95% above | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $202.80 | $338.00 | $5.69–$295.51 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 LH | $266.40 | $444.00 | $15.74–$388.19 | 31% above | 40% |
| LH (luteinizing hormone) test CPT 83002 LH | $266.40 | $444.00 | $15.74–$388.19 | 31% above | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $266.40 | $444.00 | $15.74–$388.19 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $164.40 | $274.00 | $5.86–$239.56 | 96% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $164.40 | $274.00 | $5.86–$239.56 | 96% above | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $164.40 | $274.00 | $5.86–$239.56 | — | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $178.80 | $298.00 | $5.69–$260.54 | 48% above | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $178.80 | $298.00 | $5.69–$260.54 | 48% above | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $178.80 | $298.00 | $5.69–$260.54 | — | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB W RFLX | $24.60 | $41.00 | $14.47–$35.85 | 62% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB W RFLX | $24.60 | $41.00 | $14.47–$35.85 | 62% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TOTAL AB W RFLX | $24.60 | $41.00 | $14.47–$35.85 | — | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $473.40 | $789.00 | $5.69–$689.82 | 755% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $473.40 | $789.00 | $5.69–$689.82 | 755% above | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $473.40 | $789.00 | $5.69–$689.82 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM LABCORP | $15.60 | $26.00 | $10.95–$22.73 | 71% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM LABCORP | $15.60 | $26.00 | $10.95–$22.73 | 71% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA | $103.20 | $172.00 | $10.95–$150.38 | 90% above | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA | $103.20 | $172.00 | $10.95–$150.38 | 90% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGM LABCORP | $15.60 | $26.00 | $10.95–$22.73 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA | $103.20 | $172.00 | $10.95–$150.38 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES | $45.00 | $75.00 | $4.40–$65.57 | 28% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES | $45.00 | $75.00 | $4.40–$65.57 | 28% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO | $98.40 | $164.00 | $4.40–$143.39 | 57% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO | $98.40 | $164.00 | $4.40–$143.39 | 57% above | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES | $45.00 | $75.00 | $4.40–$65.57 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO | $98.40 | $164.00 | $4.40–$143.39 | — | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $205.80 | $343.00 | $47.81–$299.88 | 31% below | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $205.80 | $343.00 | $47.81–$299.88 | 31% below | 40% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $205.80 | $343.00 | $47.81–$299.88 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $159.00 | $265.00 | $15.64–$231.69 | 34% above | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $159.00 | $265.00 | $15.64–$231.69 | 34% above | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $159.00 | $265.00 | $15.64–$231.69 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING | $184.20 | $307.00 | $15.64–$268.41 | 24% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $184.20 | $307.00 | $15.64–$268.41 | 24% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING | $184.20 | $307.00 | $15.64–$268.41 | 24% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $184.20 | $307.00 | $15.64–$268.41 | 24% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $184.20 | $307.00 | $15.64–$268.41 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING | $184.20 | $307.00 | $15.64–$268.41 | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IMAGE GUIDED HPV REFLEX | $39.00 | $65.00 | $21.82–$56.83 | 40% below | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IMAGE GUIDED HPV REFLEX | $39.00 | $65.00 | $21.82–$56.83 | 40% below | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP IMAGE GUIDED HPV REFLEX | $39.00 | $65.00 | $21.82–$56.83 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH SERUM | $440.40 | $734.00 | $35.08–$641.74 | 86% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH SERUM | $440.40 | $734.00 | $35.08–$641.74 | 86% above | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH SERUM | $440.40 | $734.00 | $35.08–$641.74 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $256.80 | $428.00 | $5.10–$374.20 | 200% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $256.80 | $428.00 | $5.10–$374.20 | 200% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $256.80 | $428.00 | $5.10–$374.20 | — | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $199.20 | $332.00 | $17.73–$290.27 | 16% above | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $199.20 | $332.00 | $17.73–$290.27 | 16% above | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $199.20 | $332.00 | $17.73–$290.27 | — | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $208.80 | $348.00 | $16.47–$304.26 | 31% above | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $208.80 | $348.00 | $16.47–$304.26 | 31% above | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $208.80 | $348.00 | $16.47–$304.26 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME (LIPEMIC EVAL) | $10.80 | $18.00 | $3.34–$15.74 | 79% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME (LIPEMIC EVAL) | $10.80 | $18.00 | $3.34–$15.74 | 79% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $115.80 | $193.00 | $3.34–$168.74 | 120% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $115.80 | $193.00 | $3.34–$168.74 | 120% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME (LIPEMIC EVAL) | $10.80 | $18.00 | $3.34–$15.74 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $115.80 | $193.00 | $3.34–$168.74 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $120.60 | $201.00 | $6.43–$175.73 | 212% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $120.60 | $201.00 | $6.43–$175.73 | 212% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $120.60 | $201.00 | $6.43–$175.73 | — | 40% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST-AMB | $30.60 | $51.00 | $9.73–$44.59 | 38% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST-AMB | $30.60 | $51.00 | $9.73–$44.59 | 38% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST | $41.40 | $69.00 | $9.73–$60.33 | 16% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST | $41.40 | $69.00 | $9.73–$60.33 | 16% below | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA TEST-AMB | $30.60 | $51.00 | $9.73–$44.59 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA TEST | $41.40 | $69.00 | $9.73–$60.33 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W OPTIC | $19.20 | $32.00 | $9.73–$92.68 | 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 | $9.73–$92.68 | 70% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W OPTIC | $19.20 | $32.00 | $9.73–$92.68 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN | $203.40 | $339.00 | $4.82–$296.39 | 289% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN | $203.40 | $339.00 | $4.82–$296.39 | 289% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUAN | $203.40 | $339.00 | $4.82–$296.39 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $118.20 | $197.00 | $12.23–$172.24 | 19% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $118.20 | $197.00 | $12.23–$172.24 | 19% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA | $118.20 | $197.00 | $12.23–$172.24 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE IN HOUSE | $69.60 | $116.00 | $2.30–$101.42 | 72% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE IN HOUSE | $69.60 | $116.00 | $2.30–$101.42 | 72% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE IN HOUSE | $69.60 | $116.00 | $2.30–$101.42 | — | 40% |
| Stool ova and parasites exam CPT 87177 PARASITE IDENTIFICATION | $140.40 | $234.00 | $7.42–$204.59 | 50% above | 40% |
| Stool ova and parasites exam CPT 87177 PARASITE IDENTIFICATION | $140.40 | $234.00 | $7.42–$204.59 | 50% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 PARASITE IDENTIFICATION | $140.40 | $234.00 | $7.42–$204.59 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOBT/FIT | $252.60 | $421.00 | $13.52–$368.08 | 421% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOBT/FIT | $252.60 | $421.00 | $13.52–$368.08 | 421% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IFOBT/FIT | $252.60 | $421.00 | $13.52–$368.08 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAl REF | $69.60 | $116.00 | $3.63–$101.42 | 45% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAl REF | $69.60 | $116.00 | $3.63–$101.42 | 45% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAl REF | $69.60 | $116.00 | $3.63–$101.42 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M.TUBERCULOSIS QUANTIFERON B | $132.60 | $221.00 | $52.67–$193.22 | 15% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M.TUBERCULOSIS QUANTIFERON B | $132.60 | $221.00 | $52.67–$193.22 | 15% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 M.TUBERCULOSIS QUANTIFERON B | $132.60 | $221.00 | $52.67–$193.22 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $47.40 | $79.00 | $21.94–$69.07 | 57% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $47.40 | $79.00 | $21.94–$69.07 | 57% below | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $47.40 | $79.00 | $21.94–$69.07 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB SERUM | $92.40 | $154.00 | $12.37–$134.64 | at median | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB SERUM | $92.40 | $154.00 | $12.37–$134.64 | at median | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 IMMUNASSY INF AGNT AB QUAN | $194.40 | $324.00 | $12.37–$283.27 | 110% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 IMMUNASSY INF AGNT AB QUAN | $194.40 | $324.00 | $12.37–$283.27 | 110% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB SERUM | $92.40 | $154.00 | $12.37–$134.64 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 IMMUNASSY INF AGNT AB QUAN | $194.40 | $324.00 | $12.37–$283.27 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $159.00 | $265.00 | $14.28–$231.69 | 22% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $159.00 | $265.00 | $14.28–$231.69 | 22% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $159.00 | $265.00 | $14.28–$231.69 | — | 40% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $69.60 | $116.00 | $3.84–$101.42 | 22% above | 40% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $69.60 | $116.00 | $3.84–$101.42 | 22% above | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $69.60 | $116.00 | $3.84–$101.42 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $55.80 | $93.00 | $2.69–$81.31 | 1% above | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $55.80 | $93.00 | $2.69–$81.31 | 1% above | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO | $55.80 | $93.00 | $2.69–$81.31 | — | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS PARTIAL DIPSTICK | $52.80 | $88.00 | $2.69–$76.94 | 152% above | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS PARTIAL DIPSTICK | $52.80 | $88.00 | $2.69–$76.94 | 152% above | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS PARTIAL DIPSTICK | $52.80 | $88.00 | $2.69–$76.94 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO | $54.00 | $90.00 | $1.91–$78.69 | 101% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO | $54.00 | $90.00 | $1.91–$78.69 | 101% above | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO MICRO | $54.00 | $90.00 | $1.91–$78.69 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TAB-AMB | $12.60 | $21.00 | $2.05–$18.36 | 28% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TAB-AMB | $12.60 | $21.00 | $2.05–$18.36 | 28% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TABLET | $36.00 | $60.00 | $2.05–$52.46 | 107% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TABLET | $36.00 | $60.00 | $2.05–$52.46 | 107% above | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS BY DIPSTICK/TAB-AMB | $12.60 | $21.00 | $2.05–$18.36 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS BY DIPSTICK/TABLET | $36.00 | $60.00 | $2.05–$52.46 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE | $121.20 | $202.00 | $6.86–$176.61 | 21% above | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE | $121.20 | $202.00 | $6.86–$176.61 | 21% above | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE | $121.20 | $202.00 | $6.86–$176.61 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $170.40 | $284.00 | $1.02–$248.30 | 149% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $170.40 | $284.00 | $1.02–$248.30 | 149% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $170.40 | $284.00 | $1.02–$248.30 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 DEFICIENCY CASCADE | $19.20 | $32.00 | $12.81–$27.98 | 79% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 DEFICIENCY CASCADE | $19.20 | $32.00 | $12.81–$27.98 | 79% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $208.80 | $348.00 | $12.81–$304.26 | 125% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $208.80 | $348.00 | $12.81–$304.26 | 125% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 DEFICIENCY CASCADE | $19.20 | $32.00 | $12.81–$27.98 | — | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $208.80 | $348.00 | $12.81–$304.26 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) REF | $219.60 | $366.00 | $23.22–$319.99 | 62% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) | $219.60 | $366.00 | $23.22–$319.99 | 62% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) | $219.60 | $366.00 | $23.22–$319.99 | 62% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) REF | $219.60 | $366.00 | $23.22–$319.99 | 62% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D(25-HYDROXY) | $219.60 | $366.00 | $23.22–$319.99 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D(25-HYDROXY) REF | $219.60 | $366.00 | $23.22–$319.99 | — | 40% |
| Zinc blood test CPT 84630 ZINC | $148.80 | $248.00 | $9.67–$216.83 | 26% above | 40% |
| Zinc blood test CPT 84630 ZINC | $148.80 | $248.00 | $9.67–$216.83 | 26% above | 40% |
| Zinc blood test inpatient CPT 84630 ZINC | $148.80 | $248.00 | $9.67–$216.83 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG FREE/TOTAL | $175.20 | $292.00 | $12.80–$255.30 | 7% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG FREE/TOTAL | $175.20 | $292.00 | $12.80–$255.30 | 7% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG FREE/TOTAL | $175.20 | $292.00 | $12.80–$255.30 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPICALLY AIDED REPAIR | $3,287.40 | $5,479.00 | $849.01–$1,137.77 | 35% below | 40% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHROSCOPICALLY AIDED REPAIR | $3,287.40 | $5,479.00 | $849.01–$1,137.77 | — | 40% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHOULDER ARTHROSCOPY W ROTATOR | $2,064.00 | $3,440.00 | $787.23–$1,218.18 | 14% below | 40% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 SHOULDER ARTHROSCOPY W ROTATOR | $2,064.00 | $3,440.00 | $787.23–$1,218.18 | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $182.40 | $304.00 | $43.41–$443.27 | 31% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $182.40 | $304.00 | $43.41–$443.27 | 31% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE | $182.40 | $304.00 | $43.41–$443.27 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT | $780.60 | $1,301.00 | $185.78–$1,137.46 | 17% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT | $780.60 | $1,301.00 | $185.78–$1,137.46 | 17% below | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXT | $780.60 | $1,301.00 | $185.78–$1,137.46 | — | 40% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $1,185.00 | $1,975.00 | $284.77–$544.78 | at median | 40% |
| Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL SURGERY | $1,185.00 | $1,975.00 | $284.77–$544.78 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLS TX DISTAL RADIAL FX WO MAN | $192.00 | $320.00 | $194.55–$345.32 | 33% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLS TX DISTAL RADIAL FX WO MAN | $288.00 | $480.00 | $68.54–$419.66 | at median | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLS TX DISTAL RADIAL FX WO MAN | $288.00 | $480.00 | $68.54–$419.66 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMV IMPACTED CERUMEN-LAVAGE | $37.20 | $62.00 | $8.85–$54.21 | 66% below | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMV IMPACTED CERUMEN-LAVAGE | $37.20 | $62.00 | $8.85–$54.21 | 66% below | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMV IMPACTED CERUMEN-LAVAGE | $37.20 | $62.00 | $8.85–$54.21 | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN | $61.80 | $103.00 | $12.28–$90.05 | 59% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN | $61.80 | $103.00 | $12.28–$90.05 | 59% below | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN | $61.80 | $103.00 | $12.28–$90.05 | — | 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–$145.45 | 49% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ DX OR TX SUBS W/IMAGING | $881.40 | $1,469.00 | $209.77–$1,284.35 | 16% 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–$145.45 | — | 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–$120.17 | 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–$120.17 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE OR SINGLE | $135.00 | $225.00 | $39.74–$94.37 | 55% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE OR SINGLE | $321.60 | $536.00 | $76.54–$468.62 | 7% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE OR SINGLE | $135.00 | $225.00 | $39.74–$94.37 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON LIGAMENT | $45.60 | $76.00 | $31.93–$48.96 | 90% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON LIGAMENT | $91.80 | $153.00 | $31.93–$48.96 | 80% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON LIGAMENT | $91.80 | $153.00 | $31.93–$48.96 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JNT | $318.60 | $531.00 | $75.83–$464.25 | 32% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JNT | $318.60 | $531.00 | $75.83–$464.25 | 32% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JNT | $318.60 | $531.00 | $75.83–$464.25 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ INTERMED JNT/BURSA | $394.80 | $658.00 | $93.96–$575.29 | at median | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ INTERMED JNT/BURSA | $394.80 | $658.00 | $93.96–$575.29 | at median | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP/INJ INTERMED JNT/BURSA | $394.80 | $658.00 | $93.96–$575.29 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SM JNT/BURSA | $373.20 | $622.00 | $88.82–$543.81 | at median | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SM JNT/BURSA | $373.20 | $622.00 | $88.82–$543.81 | at median | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SM JNT/BURSA | $373.20 | $622.00 | $88.82–$543.81 | — | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY KNEE W/MENISTMY | $1,960.80 | $3,268.00 | $487.50–$620.42 | 70% below | 40% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY KNEE W/MENISTMY | $1,960.80 | $3,268.00 | $487.50–$620.42 | — | 40% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY SURGERY | $2,224.80 | $3,708.00 | $469.26–$714.48 | 63% below | 40% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 KNEE ARTHROSCOPY SURGERY | $2,224.80 | $3,708.00 | $469.26–$714.48 | — | 40% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY SURGERY | $1,685.40 | $2,809.00 | $469.26–$714.48 | 60% below | 40% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 KNEE ARTHROSCOPY SURGERY | $1,685.40 | $2,809.00 | $469.26–$714.48 | — | 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 | $466.80 | $778.00 | $71.69–$680.21 | 55% 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 | $466.80 | $778.00 | $71.69–$680.21 | 55% 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 | $466.80 | $778.00 | $71.69–$680.21 | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL W/IMAGING | $498.60 | $831.00 | $81.33–$132.80 | 56% below | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL W/IMAGING | $881.40 | $1,469.00 | $209.77–$1,284.35 | 23% below | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMBAR/SACRAL W/IMAGING | $498.60 | $831.00 | $81.33–$132.80 | — | 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–$149.91 | 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–$149.91 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $260.40 | $434.00 | $16.99–$379.45 | at median | 40% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $260.40 | $434.00 | $16.99–$379.45 | at median | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE | $260.40 | $434.00 | $16.99–$379.45 | — | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ GREATER OCCIPITAL NERVE | $144.00 | $240.00 | $34.27–$209.83 | 74% below | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ GREATER OCCIPITAL NERVE | $144.00 | $240.00 | $34.27–$209.83 | 74% below | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ GREATER OCCIPITAL NERVE | $144.00 | $240.00 | $34.27–$209.83 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE | $1,124.40 | $1,874.00 | $267.61–$1,638.44 | 2% below | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE | $1,124.40 | $1,874.00 | $267.61–$1,638.44 | 2% below | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGE | $1,124.40 | $1,874.00 | $267.61–$1,638.44 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 RMVL NAIL PART/COMP PERM | $551.40 | $919.00 | $131.23–$803.48 | 10% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 RMVL NAIL PART/COMP PERM | $551.40 | $919.00 | $131.23–$803.48 | 10% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 RMVL NAIL PART/COMP PERM | $551.40 | $919.00 | $131.23–$803.48 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FB SQ SIMPLE | $67.20 | $112.00 | $42.30–$95.87 | 84% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FB SQ SIMPLE | $204.00 | $340.00 | $42.30–$95.87 | 52% below | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION REMOVAL FB SQ SIMPLE | $204.00 | $340.00 | $42.30–$95.87 | — | 40% |
| Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW TO FINGER | $64.20 | $107.00 | $15.28–$183.91 | 60% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW TO FINGER | $64.20 | $107.00 | $15.28–$183.91 | 60% below | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY CAST ELBOW TO FINGER | $64.20 | $107.00 | $15.28–$183.91 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SPLINT/ST | $126.60 | $211.00 | $18.08–$184.48 | 33% below | 40% |
| Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SPLINT/ST | $126.60 | $211.00 | $18.08–$184.48 | 33% below | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APP SHORT ARM SPLINT/ST | $126.60 | $211.00 | $18.08–$184.48 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT | $60.00 | $100.00 | $29.18–$57.12 | 72% below | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT | $90.60 | $151.00 | $21.56–$132.02 | 58% below | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT | $90.60 | $151.00 | $21.56–$132.02 | — | 40% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHOULDER ARTHROSCOPY MUMFORD | $1,543.80 | $2,573.00 | $459.49–$764.77 | 51% below | 40% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SHOULDER ARTHROSCOPY MUMFORD | $1,543.80 | $2,573.00 | $459.49–$764.77 | — | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHRSCPY DECOMPRESSN | $1,894.80 | $3,158.00 | $143.32–$610.22 | 25% below | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHOULDER ARTHRSCPY DECOMPRESSN | $1,894.80 | $3,158.00 | $143.32–$610.22 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP SUPER WOUND <2.5CM | $64.20 | $107.00 | $41.19–$64.92 | 77% 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 | $301.20 | $502.00 | $71.69–$438.90 | 9% 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 | $64.20 | $107.00 | $41.19–$64.92 | — | 40% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS TO 15 LESIONS | $61.20 | $102.00 | $14.57–$137.60 | 59% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS TO 15 LESIONS | $105.60 | $176.00 | $26.99–$65.53 | 29% below | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL SKIN TAGS TO 15 LESIONS | $105.60 | $176.00 | $26.99–$65.53 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $881.40 | $1,469.00 | $209.77–$1,284.35 | 8% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $881.40 | $1,469.00 | $209.77–$1,284.35 | 8% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $881.40 | $1,469.00 | $209.77–$1,284.35 | — | 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 | $301.20 | $502.00 | $71.69–$438.90 | at median | 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 | $301.20 | $502.00 | $71.69–$438.90 | at median | 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 | $301.20 | $502.00 | $71.69–$438.90 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP LAC FACE <2.5CM | $301.20 | $502.00 | $71.69–$438.90 | 4% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP LAC FACE <2.5CM | $301.20 | $502.00 | $71.69–$438.90 | 4% 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 | $301.20 | $502.00 | $71.69–$438.90 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMG | $752.40 | $1,254.00 | $179.07–$1,096.37 | 42% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMG | $752.40 | $1,254.00 | $179.07–$1,096.37 | 42% below | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMG | $752.40 | $1,254.00 | $179.07–$1,096.37 | — | 40% |
| Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT | $4,007.40 | $6,679.00 | $1,112.92–$1,573.95 | 74% below | 40% |
| Total hip replacement inpatient CPT 27130 TOTAL HIP REPLACEMENT | $4,007.40 | $6,679.00 | $1,112.92–$1,573.95 | — | 40% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $3,774.60 | $6,291.00 | $1,110.51–$1,573.57 | 75% below | 40% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE REPLACEMENT | $3,774.60 | $6,291.00 | $1,110.51–$1,573.57 | — | 40% |
| Total shoulder replacement CPT 23472 ARTHROPLASTY TOTAL SHOULDER | $3,492.60 | $5,821.00 | $1,143.49–$1,688.91 | 66% below | 40% |
| Total shoulder replacement inpatient CPT 23472 ARTHROPLASTY TOTAL SHOULDER | $3,492.60 | $5,821.00 | $1,143.49–$1,688.91 | — | 40% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $661.20 | $1,102.00 | $176.70–$347.97 | 62% below | 40% |
| Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TENDON SHEATH | $661.20 | $1,102.00 | $176.70–$347.97 | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1-2 MUSCLES | $43.80 | $73.00 | $34.38–$44.05 | 93% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1-2 MUSCLES | $97.80 | $163.00 | $34.38–$44.05 | 83% below | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PT INJ 1-2 MUSCLES | $97.80 | $163.00 | $34.38–$44.05 | — | 40% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESIONS TO 14 | $97.20 | $162.00 | $13.85–$141.64 | 18% below | 40% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESIONS TO 14 | $97.20 | $162.00 | $13.85–$141.64 | 18% below | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESIONS TO 14 | $97.20 | $162.00 | $13.85–$141.64 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ TISSUE 1ST 20 SQ CM | $480.60 | $801.00 | $57.83–$700.31 | 5% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ TISSUE 1ST 20 SQ CM | $480.60 | $801.00 | $57.83–$700.31 | 5% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SQ TISSUE 1ST 20 SQ CM | $480.60 | $801.00 | $57.83–$700.31 | — | 40% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPN TX DIST RAD FX W INT FIX | $1,179.60 | $1,966.00 | $487.92–$839.21 | at median | 40% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPN TX DIST RAD FX W INT FIX | $1,179.60 | $1,966.00 | $487.92–$839.21 | — | 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 | $511.20 | $852.00 | $121.67–$744.90 | 15% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $511.20 | $852.00 | $121.67–$744.90 | 15% below | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $511.20 | $852.00 | $121.67–$744.90 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX SUBS | $253.20 | $422.00 | $60.26–$368.95 | 63% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX INIT | $253.20 | $422.00 | $21.42–$368.95 | 63% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX SUBS | $253.20 | $422.00 | $60.26–$368.95 | 63% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX INIT | $253.20 | $422.00 | $21.42–$368.95 | 63% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TX INIT | $253.20 | $422.00 | $21.42–$368.95 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TX SUBS | $253.20 | $422.00 | $60.26–$368.95 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST 30-74M | $280.20 | $467.00 | $157.68–$222.29 | 86% below | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST 30-74M | $280.20 | $467.00 | $157.68–$222.29 | — | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $136.80 | $228.00 | $32.56–$199.34 | at median | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $136.80 | $228.00 | $32.56–$199.34 | at median | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE | $136.80 | $228.00 | $32.56–$199.34 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $64.20 | $107.00 | $15.28–$341.85 | 67% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $64.20 | $107.00 | $15.28–$341.85 | 67% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY | $64.20 | $107.00 | $15.28–$341.85 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 | $66.60 | $111.00 | $15.85–$97.05 | 54% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 | $66.60 | $111.00 | $15.85–$97.05 | 54% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1 | $66.60 | $111.00 | $15.85–$97.05 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 | $152.40 | $254.00 | $36.27–$222.07 | 47% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 | $152.40 | $254.00 | $36.27–$222.07 | 47% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2 | $152.40 | $254.00 | $36.27–$222.07 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 | $292.80 | $488.00 | $69.69–$426.66 | 31% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 | $292.80 | $488.00 | $69.69–$426.66 | 31% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3 | $292.80 | $488.00 | $69.69–$426.66 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 | $1,847.40 | $3,079.00 | $268.07–$2,691.97 | 62% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 | $1,847.40 | $3,079.00 | $268.07–$2,691.97 | 62% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4 | $1,847.40 | $3,079.00 | $268.07–$2,691.97 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE EA ADD 30M | $1,174.80 | $1,958.00 | $279.60–$1,711.88 | at median | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE EA ADD 30M | $1,174.80 | $1,958.00 | $279.60–$1,711.88 | at median | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 | $2,389.80 | $3,983.00 | $385.97–$3,482.34 | 103% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 | $2,389.80 | $3,983.00 | $385.97–$3,482.34 | 103% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M W/P | $3,148.80 | $5,248.00 | $385.97–$4,588.33 | 168% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M | $3,148.80 | $5,248.00 | $385.97–$4,588.33 | 168% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M | $3,148.80 | $5,248.00 | $385.97–$4,588.33 | 168% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M W/P | $3,148.80 | $5,248.00 | $385.97–$4,588.33 | 168% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE EA ADD 30M | $1,174.80 | $1,958.00 | $279.60–$1,711.88 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5 | $2,389.80 | $3,983.00 | $385.97–$3,482.34 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE 1ST 30-74M W/P | $3,148.80 | $5,248.00 | $385.97–$4,588.33 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE 1ST 30-74M | $3,148.80 | $5,248.00 | $385.97–$4,588.33 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $768.60 | $1,281.00 | $182.93–$1,119.98 | 3% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $768.60 | $1,281.00 | $182.93–$1,119.98 | 3% below | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST | $768.60 | $1,281.00 | $182.93–$1,119.98 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION IV HYDRAT UP TO 1 HR | $282.00 | $470.00 | $67.12–$410.92 | 2% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION IV HYDRAT UP TO 1 HR | $282.00 | $470.00 | $67.12–$410.92 | 2% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION IV HYDRAT UP TO 1 HR | $282.00 | $470.00 | $67.12–$410.92 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV THER UP TO 1HR AMB | $99.60 | $166.00 | $23.70–$145.90 | 72% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV THER UP TO 1HR AMB | $99.60 | $166.00 | $23.70–$145.90 | 72% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV THERAP UP TO 1 HR | $363.00 | $605.00 | $86.39–$528.95 | 1% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV THERAP UP TO 1 HR | $363.00 | $605.00 | $86.39–$528.95 | 1% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION IV THER UP TO 1HR AMB | $99.60 | $166.00 | $23.70–$145.90 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION IV THERAP UP TO 1 HR | $363.00 | $605.00 | $86.39–$528.95 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) AMB | $24.60 | $41.00 | $5.85–$49.28 | 74% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) AMB | $24.60 | $41.00 | $5.85–$49.28 | 74% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) | $86.40 | $144.00 | $20.56–$125.90 | 10% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) | $86.40 | $144.00 | $20.56–$125.90 | 10% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION (SC) (IM) AMB | $24.60 | $41.00 | $5.85–$49.28 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION (SC) (IM) | $86.40 | $144.00 | $20.56–$125.90 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL | $113.40 | $189.00 | $26.99–$165.24 | 54% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL | $113.40 | $189.00 | $26.99–$165.24 | 54% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL | $113.40 | $189.00 | $26.99–$165.24 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 NEW | $64.20 | $107.00 | $15.28–$749.28 | 52% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 NEW | $134.40 | $224.00 | $60.57–$75.59 | at median | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 NEW W/PRC | $514.20 | $857.00 | $122.38–$749.28 | 283% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 NEW W/PRC | $514.20 | $857.00 | $122.38–$749.28 | 283% above | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT LEVEL 3 NEW | $134.40 | $224.00 | $60.57–$75.59 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT LEVEL 3 NEW W/PRC | $514.20 | $857.00 | $122.38–$749.28 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4 NEW | $204.60 | $341.00 | $102.79–$128.08 | at median | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4 NEW W/PRC | $662.40 | $1,104.00 | $157.65–$965.23 | 224% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4 NEW | $662.40 | $1,104.00 | $25.99–$965.23 | 224% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4 NEW W/PRC | $662.40 | $1,104.00 | $157.65–$965.23 | 224% above | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT LEVEL 4 NEW | $204.60 | $341.00 | $102.79–$128.08 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT LEVEL 4 NEW W/PRC | $662.40 | $1,104.00 | $157.65–$965.23 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT LEVEL 5 NEW | $234.60 | $391.00 | $131.98–$166.51 | at median | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT LEVEL 5 NEW | $872.40 | $1,454.00 | $33.42–$1,271.23 | 272% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT LEVEL 5 NEW W/PRC | $872.40 | $1,454.00 | $207.63–$1,271.23 | 272% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT LEVEL 5 NEW W/PRC | $872.40 | $1,454.00 | $207.63–$1,271.23 | 272% above | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT LEVEL 5 NEW | $234.60 | $391.00 | $131.98–$166.51 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT LEVEL 5 NEW W/PRC | $872.40 | $1,454.00 | $207.63–$1,271.23 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2 NEW | $29.40 | $49.00 | $39.73–$49.23 | 72% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2 NEW | $90.60 | $151.00 | $39.73–$49.23 | 12% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2 NEW W/PRC | $387.60 | $646.00 | $92.25–$564.80 | 274% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2 NEW W/PRC | $387.60 | $646.00 | $92.25–$564.80 | 274% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT LEVEL 2 NEW | $90.60 | $151.00 | $39.73–$49.23 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT LEVEL 2 NEW W/PRC | $387.60 | $646.00 | $92.25–$564.80 | — | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VISIT NEW 18-39 | $115.80 | $193.00 | $27.56–$168.74 | at median | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VISIT NEW 18-39 | $115.80 | $193.00 | $27.56–$168.74 | at median | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENTIVE VISIT NEW 18-39 | $115.80 | $193.00 | $27.56–$168.74 | — | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE VISIT NEW 40-64 | $139.80 | $233.00 | $33.27–$203.71 | at median | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE VISIT NEW 40-64 | $139.80 | $233.00 | $33.27–$203.71 | at median | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREVENTIVE VISIT NEW 40-64 | $139.80 | $233.00 | $33.27–$203.71 | — | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PRVNT VISIT EST 18-39YRS OLD | $118.80 | $198.00 | $28.27–$173.11 | at median | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PRVNT VISIT EST 18-39YRS OLD | $118.80 | $198.00 | $28.27–$173.11 | at median | 40% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PRVNT VISIT EST 18-39YRS OLD | $118.80 | $198.00 | $28.27–$173.11 | — | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PRVNT VISIT EST 40-64 YRS OLD | $121.20 | $202.00 | $28.85–$176.61 | at median | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PRVNT VISIT EST 40-64 YRS OLD | $121.20 | $202.00 | $28.85–$176.61 | at median | 40% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PRVNT VISIT EST 40-64 YRS OLD | $121.20 | $202.00 | $28.85–$176.61 | — | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PRVNT VISIT EST 65 & OVER | $131.40 | $219.00 | $31.27–$191.47 | at median | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PRVNT VISIT EST 65 & OVER | $131.40 | $219.00 | $31.27–$191.47 | at median | 40% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PRVNT VISIT EST 65 & OVER | $131.40 | $219.00 | $31.27–$191.47 | — | 40% |
| Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DX EVAL W/MED SVC | $127.80 | $213.00 | $30.42–$186.23 | 49% below | 40% |
| Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DX EVAL W/MED SVC | $127.80 | $213.00 | $30.42–$186.23 | 49% below | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCHIATRIC DX EVAL W/MED SVC | $127.80 | $213.00 | $30.42–$186.23 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE COUNSEL 3-10 MIN | $24.00 | $40.00 | $5.71–$78.69 | 26% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE COUNSEL 3-10 MIN | $24.00 | $40.00 | $5.71–$78.69 | 26% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE COUNSEL 3-10 MIN | $24.00 | $40.00 | $5.71–$78.69 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT LEVEL 5 EST | $154.20 | $257.00 | $87.17–$122.82 | 9% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT LEVEL 5 EST | $292.20 | $487.00 | $21.99–$1,271.23 | 72% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT LEVEL 5 EST W/PRC | $872.40 | $1,454.00 | $207.63–$1,271.23 | 412% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT LEVEL 5 EST W/PRC | $872.40 | $1,454.00 | $207.63–$1,271.23 | 412% 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–$122.82 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT LEVEL 5 EST W/PRC | $872.40 | $1,454.00 | $207.63–$1,271.23 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST | $87.00 | $145.00 | $40.36–$56.25 | 2% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST W/PRC | $514.20 | $857.00 | $122.38–$749.28 | 482% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST | $514.20 | $857.00 | $10.57–$749.28 | 482% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST W/PRC | $514.20 | $857.00 | $122.38–$749.28 | 482% 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–$56.25 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT LEVEL 3 EST W/PRC | $514.20 | $857.00 | $122.38–$749.28 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 EST | $109.20 | $182.00 | $61.98–$82.78 | 10% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 EST | $135.60 | $226.00 | $61.98–$82.78 | 12% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 EST W/PRC | $662.40 | $1,104.00 | $157.65–$965.23 | 445% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 EST W/PRC | $662.40 | $1,104.00 | $157.65–$965.23 | 445% 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–$82.78 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT LEVEL 4 EST W/PRC | $662.40 | $1,104.00 | $157.65–$965.23 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT LEVEL 2 EST | $29.40 | $49.00 | $20.41–$30.41 | 60% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT LEVEL 2 EST | $73.80 | $123.00 | $20.41–$30.41 | at median | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP E&M VISIT LEVEL 2 EST W/PR | $387.60 | $646.00 | $92.25–$564.80 | 424% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP E&M VISIT LEVEL 2 EST | $387.60 | $646.00 | $92.25–$564.80 | 424% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP E&M VISIT LEVEL 2 EST W/PR | $387.60 | $646.00 | $92.25–$564.80 | 424% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP E&M VISIT LEVEL 2 EST | $387.60 | $646.00 | $92.25–$564.80 | 424% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT LEVEL 2 EST | $73.80 | $123.00 | $20.41–$30.41 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP E&M VISIT LEVEL 2 EST | $387.60 | $646.00 | $92.25–$564.80 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP E&M VISIT LEVEL 2 EST W/PR | $387.60 | $646.00 | $92.25–$564.80 | — | 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 inpatient CPT 99243 OFF/OP CONSULT >=30MI | $75.00 | $125.00 | $76.53–$96.55 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $156.00 | $260.00 | $37.13–$227.32 | 1% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $156.00 | $260.00 | $37.13–$227.32 | 1% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $156.00 | $260.00 | $37.13–$227.32 | — | 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 | $140.25–$736.88 | 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 | $140.25–$736.88 | 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 | $140.25–$736.88 | — | 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 | $13.07–$68.63 | 30% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TRIV PF 45 MCG/0.5 ML | $54.90 | $91.50 | $13.07–$68.63 | 30% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TRIV PF 45 MCG/0.5 ML | $54.90 | $91.50 | $13.07–$68.63 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT | $189.00 | $315.00 | $44.98–$236.25 | 16% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT | $189.00 | $315.00 | $44.98–$236.25 | 16% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B ADULT | $189.00 | $315.00 | $44.98–$236.25 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE | $86.40 | $144.00 | $20.56–$125.90 | 16% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $86.40 | $144.00 | $20.56–$125.90 | 16% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE | $86.40 | $144.00 | $20.56–$125.90 | 16% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE | $86.40 | $144.00 | $20.56–$125.90 | 16% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $86.40 | $144.00 | $20.56–$125.90 | 16% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE | $86.40 | $144.00 | $20.56–$125.90 | 16% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE | $86.40 | $144.00 | $20.56–$125.90 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMONIA VACCINE | $86.40 | $144.00 | $20.56–$125.90 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $86.40 | $144.00 | $20.56–$125.90 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACCINE | $33.60 | $56.00 | $8.00–$48.96 | 16% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACCINE | $33.60 | $56.00 | $8.00–$48.96 | 16% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM EA ADDL VACCINE | $33.60 | $56.00 | $8.00–$48.96 | — | 40% |
Source file: https://www.arh.org/wp-content/uploads/2026/05/822577178_Paintsville-ARH-Hospital_standardcharges.csv