Appalachian Regional Healthcare
Appalachian Regional Healthcare in Beckley, WV publishes cash prices for 224 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 West Virginia median for 123 of 221 procedures and above it for 97. By typical cash price it ranks #1 of 27 West Virginia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
306 Standord Road Beckley WV 25801 Collected Sep 27, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE MIN 3 VIEWS BIL | $45.00 | $75.00 | $6.17–$8.10 | 76% below | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE MIN 3 VIEWS BIL | $45.00 | $75.00 | $6.17–$8.10 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS INC SCOUT 1 CONTR | $54.00 | $90.00 | $21.36–$26.99 | 85% below | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS INC SCOUT 1 CONTR | $54.00 | $90.00 | $21.36–$26.99 | — | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMP RT | $82.80 | $138.00 | $26.00–$32.82 | 71% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMP LT | $82.80 | $138.00 | $26.00–$32.82 | 71% below | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMP RT | $82.80 | $138.00 | $26.00–$32.82 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMP LT | $82.80 | $138.00 | $26.00–$32.82 | — | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL | $151.80 | $253.00 | $24.44–$30.55 | 44% below | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL | $394.20 | $657.00 | $75.93–$578.16 | 45% above | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED BIL | $151.80 | $253.00 | $24.44–$30.55 | — | 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 | $63.05–$81.29 | 84% 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 | $63.05–$81.29 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD+PELVIS WO CONTRAST | $215.40 | $359.00 | $61.51–$77.73 | 84% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD+PELVIS WO CONTRAST | $215.40 | $359.00 | $61.51–$77.73 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD WO ORAL+IV CONTRAST | $147.60 | $246.00 | $41.95–$53.32 | 81% below | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO ORAL+IV CONTRAST | $147.60 | $246.00 | $41.95–$53.32 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O CONTRAST | $135.60 | $226.00 | $30.37–$38.65 | 80% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL W/O CONTRAST | $135.60 | $226.00 | $30.37–$38.65 | — | 40% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $25.80 | $43.00 | $7.72–$9.74 | 86% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS | $25.80 | $43.00 | $7.72–$9.74 | — | 40% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $22.20 | $37.00 | $6.44–$8.14 | 84% below | 40% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $22.20 | $37.00 | $6.44–$8.14 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST | $136.80 | $228.00 | $38.35–$48.13 | 83% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST | $136.80 | $228.00 | $38.35–$48.13 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $475.20 | $792.00 | $98.30–$696.96 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $475.20 | $792.00 | $98.30–$696.96 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $475.20 | $792.00 | $98.30–$696.96 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MM DIGITAL DX RT | $83.40 | $139.00 | $28.57–$36.71 | 58% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MM DIGITAL DX LT | $83.40 | $139.00 | $28.57–$36.71 | 58% below | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM DIGITAL DX LT | $83.40 | $139.00 | $28.57–$36.71 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM DIGITAL DX RT | $83.40 | $139.00 | $28.57–$36.71 | — | 40% |
| Knee X-ray, 3 views CPT 73562 XR KNEE AP/LAT/1 OBL BIL | $46.20 | $77.00 | $6.69–$9.04 | 76% below | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE AP/LAT/1 OBL BIL | $46.20 | $77.00 | $6.69–$9.04 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED | $73.20 | $122.00 | $20.84–$26.66 | 82% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED | $73.20 | $122.00 | $20.84–$26.66 | — | 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 | $38.35–$48.13 | 72% 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 | $91.70–$2,815.12 | 1500% 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 | $38.35–$48.13 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 MR ABD W/O CONTRAST | $191.40 | $319.00 | $51.47–$64.74 | 85% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR ABD W/O CONTRAST | $191.40 | $319.00 | $51.47–$64.74 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 MR HEAD W/O CONTRAST | $190.20 | $317.00 | $52.25–$66.01 | 86% below | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR HEAD W/O CONTRAST | $190.20 | $317.00 | $52.25–$66.01 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MR HEAD W/WO CONTRAST | $280.80 | $468.00 | $81.59–$102.42 | 86% below | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR HEAD W/WO CONTRAST | $280.80 | $468.00 | $81.59–$102.42 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR SPINE W/O CONTRAST | $185.40 | $309.00 | $52.50–$66.61 | 86% below | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR LUMBAR SPINE W/O CONTRAST | $185.40 | $309.00 | $52.50–$66.61 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR LUMBAR SPINE W/WO CONTRAST | $279.60 | $466.00 | $81.84–$102.72 | 85% 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 | $81.84–$102.72 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C-SPINE W/WO CONTRAST | $282.00 | $470.00 | $81.84–$102.72 | 86% 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 | $81.84–$102.72 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C-SPINE W/O CONTRAST | $204.60 | $341.00 | $52.50–$66.31 | 86% below | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C-SPINE W/O CONTRAST | $204.60 | $341.00 | $52.50–$66.31 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O CONTRAST | $178.20 | $297.00 | $51.73–$65.04 | 87% below | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS W/O CONTRAST | $178.20 | $297.00 | $51.73–$65.04 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LIMITED | $53.40 | $89.00 | $17.76–$23.04 | 82% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LIMITED | $53.40 | $89.00 | $17.76–$23.04 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PLVC NON OB REAL TIME COMP | $85.80 | $143.00 | $24.44–$31.48 | 80% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PLVC NON OB REAL TIME COMP | $85.80 | $143.00 | $24.44–$31.48 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB SRV>1 TRIMEST SNGL GEST | $99.60 | $166.00 | $35.26–$45.73 | 77% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB SRV>1 TRIMEST SNGL GEST | $99.60 | $166.00 | $35.26–$45.73 | — | 40% |
| Screening mammogram, both breasts CPT 77067 MM MAMMGM SPCL SCRN INCL CAD | $30.00 | $50.00 | $39.50–$508.48 | 90% below | 40% |
| Screening mammogram, both breasts CPT 77067 MM MAMMGM SPCL SCRN INCL CAD | $30.00 | $50.00 | $39.50–$508.48 | 90% below | 40% |
| Screening mammogram, both breasts CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD | $163.80 | $273.00 | $27.03–$34.13 | 44% below | 40% |
| Screening mammogram, both breasts CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD | $198.60 | $331.00 | $81.07–$508.48 | 32% below | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MM MAMMGM SPCL SCRN INCL CAD | $30.00 | $50.00 | $39.50–$508.48 | — | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MM MAMMOGRAM SCRN BIL INCL CAD | $163.80 | $273.00 | $27.03–$34.13 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER COMP MIN 2 V BIL | $48.60 | $81.00 | $6.69–$8.74 | 73% below | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER COMP MIN 2 V BIL | $48.60 | $81.00 | $6.69–$8.74 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR ESOPHAGUS/MOD SWALLOW VIDEO | $63.60 | $106.00 | $18.78–$24.05 | 83% below | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR ESOPHAGUS/MOD SWALLOW VIDEO | $63.60 | $106.00 | $18.78–$24.05 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $98.40 | $164.00 | $28.57–$36.40 | 78% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $98.40 | $164.00 | $28.57–$36.40 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $81.00 | $135.00 | $22.65–$28.90 | 79% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $81.00 | $135.00 | $22.65–$28.90 | — | 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 | $20.08–$25.65 | 81% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK | $102.60 | $171.00 | $91.70–$1,029.60 | 72% 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 | $20.08–$25.65 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UP GI INC SCOUT+1 CONTRAST | $81.00 | $135.00 | $28.57–$36.66 | 78% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UP GI INC SCOUT+1 CONTRAST | $81.00 | $135.00 | $28.57–$36.66 | — | 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 | $7.98–$10.34 | 87% 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 | $7.98–$10.34 | 87% 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 | $7.98–$10.34 | — | 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 | $7.98–$10.34 | — | 40% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT 2 VIEWS BIL | $34.20 | $57.00 | $5.41–$7.47 | 79% below | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT 2 VIEWS BIL | $34.20 | $57.00 | $5.41–$7.47 | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT COMP MIN 3 VIEWS BIL | $46.20 | $77.00 | $5.92–$7.80 | 75% 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 | $5.92–$7.80 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND COMP MIN 3 VIEWS BIL | $45.00 | $75.00 | $6.17–$8.40 | 76% below | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND COMP MIN 3 VIEWS BIL | $45.00 | $75.00 | $6.17–$8.40 | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1-2 VIEWS BIL | $43.80 | $73.00 | $5.92–$7.77 | 76% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1-2 VIEWS BIL | $43.80 | $73.00 | $5.92–$7.77 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VIEWS | $25.80 | $43.00 | $6.17–$8.10 | 86% below | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VIEWS | $25.80 | $43.00 | $6.17–$8.10 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $133.80 | $223.00 | $4.77–$196.24 | 361% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $133.80 | $223.00 | $4.77–$196.24 | 361% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT | $133.80 | $223.00 | $4.77–$196.24 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $122.40 | $204.00 | $4.66–$179.52 | 255% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $122.40 | $204.00 | $4.66–$179.52 | 255% above | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT | $122.40 | $204.00 | $4.66–$179.52 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $348.60 | $581.00 | $42.87–$511.28 | 58% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $348.60 | $581.00 | $42.87–$511.28 | 58% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL | $348.60 | $581.00 | $42.87–$511.28 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT W/COMPONENT REFELX | $4.80 | $8.00 | $4.70–$32.74 | 76% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT W/COMPONENT REFELX | $4.80 | $8.00 | $4.70–$32.74 | 76% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH | $9.00 | $15.00 | $4.70–$32.74 | 55% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH | $9.00 | $15.00 | $4.70–$32.74 | 55% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRASSES | $37.20 | $62.00 | $4.70–$54.56 | 86% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRASSES | $37.20 | $62.00 | $4.70–$54.56 | 86% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD IGE II | $39.60 | $66.00 | $4.70–$58.08 | 98% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD IGE II | $39.60 | $66.00 | $4.70–$58.08 | 98% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE PEANUT W/COMPONENT REFELX | $4.80 | $8.00 | $4.70–$32.74 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EACH | $9.00 | $15.00 | $4.70–$32.74 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRASSES | $37.20 | $62.00 | $4.70–$54.56 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD IGE II | $39.60 | $66.00 | $4.70–$58.08 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS REF | $58.20 | $97.00 | $11.66–$85.36 | 46% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS REF | $58.20 | $97.00 | $11.66–$85.36 | 46% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS | $135.00 | $225.00 | $11.66–$198.00 | 238% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS | $135.00 | $225.00 | $11.66–$198.00 | 238% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ABS REF | $58.20 | $97.00 | $11.66–$85.36 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ABS | $135.00 | $225.00 | $11.66–$198.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES REF | $304.80 | $508.00 | $10.88–$447.04 | 369% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $304.80 | $508.00 | $10.88–$447.04 | 369% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES REF | $304.80 | $508.00 | $10.88–$447.04 | 369% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $304.80 | $508.00 | $10.88–$447.04 | 369% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES | $304.80 | $508.00 | $10.88–$447.04 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES REF | $304.80 | $508.00 | $10.88–$447.04 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $224.40 | $374.00 | $35.33–$329.12 | 87% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $224.40 | $374.00 | $35.33–$329.12 | 87% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $224.40 | $374.00 | $35.33–$329.12 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $144.00 | $240.00 | $7.61–$211.20 | 243% above | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $144.00 | $240.00 | $7.61–$211.20 | 243% above | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $144.00 | $240.00 | $7.61–$211.20 | — | 40% |
| Blood culture for bacteria CPT 87040 CULT BLOOD | $203.40 | $339.00 | $9.29–$298.32 | 157% above | 40% |
| Blood culture for bacteria CPT 87040 CULT BLOOD | $203.40 | $339.00 | $9.29–$298.32 | 157% above | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULT BLOOD | $203.40 | $339.00 | $9.29–$298.32 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $20.40 | $34.00 | $9.09–$58.58 | 94% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $20.40 | $34.00 | $9.09–$58.58 | 94% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $20.40 | $34.00 | $9.09–$58.58 | — | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $122.40 | $204.00 | $3.54–$179.52 | 432% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $122.40 | $204.00 | $3.54–$179.52 | 432% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD | $122.40 | $204.00 | $3.54–$179.52 | — | 40% |
| Blood lead test CPT 83655 LEAD | $170.40 | $284.00 | $10.90–$249.92 | 1773% above | 40% |
| Blood lead test CPT 83655 LEAD | $170.40 | $284.00 | $10.90–$249.92 | 1773% above | 40% |
| Blood lead test inpatient CPT 83655 LEAD | $170.40 | $284.00 | $10.90–$249.92 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QUAL | $118.20 | $197.00 | $6.77–$173.36 | 192% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QUAL | $118.20 | $197.00 | $6.77–$173.36 | 192% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM QUAL | $118.20 | $197.00 | $6.77–$173.36 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE | $55.80 | $93.00 | $2.69–$697.15 | 9% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE | $55.80 | $93.00 | $2.69–$697.15 | 9% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPE | $55.80 | $93.00 | $2.69–$697.15 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $102.60 | $171.00 | $4.66–$150.48 | 260% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $102.60 | $171.00 | $4.66–$150.48 | 260% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP | $102.60 | $171.00 | $4.66–$150.48 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 EPI STRAIN | $54.60 | $91.00 | $33.54–$233.76 | 53% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 EPI STRAIN | $54.60 | $91.00 | $33.54–$233.76 | 53% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMPLIFIED PROBE | $85.20 | $142.00 | $33.54–$233.76 | 26% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMPLIFIED PROBE | $85.20 | $142.00 | $33.54–$233.76 | 26% below | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 EPI STRAIN | $54.60 | $91.00 | $33.54–$233.76 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF AMPLIFIED PROBE | $85.20 | $142.00 | $33.54–$233.76 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER AG 19-9 | $188.40 | $314.00 | $18.73–$276.32 | 108% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER AG 19-9 | $188.40 | $314.00 | $18.73–$276.32 | 108% above | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER AG 19-9 | $188.40 | $314.00 | $18.73–$276.32 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (FLUID) | $658.80 | $1,098.00 | $18.73–$966.24 | 491% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (FLUID) | $658.80 | $1,098.00 | $18.73–$966.24 | 491% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 (FLUID) | $658.80 | $1,098.00 | $18.73–$966.24 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYD TRCH AMP PRB TCNQ | $60.00 | $100.00 | $31.58–$220.09 | 27% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYD TRCH AMP PRB TCNQ | $60.00 | $100.00 | $31.58–$220.09 | 27% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYD TRCH AMP PRB TCNQ | $60.00 | $100.00 | $31.58–$220.09 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $238.80 | $398.00 | $12.05–$350.24 | 282% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $238.80 | $398.00 | $12.05–$350.24 | 282% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $238.80 | $398.00 | $12.05–$350.24 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W/DIFF | $108.60 | $181.00 | $6.99–$159.28 | 147% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W/DIFF | $108.60 | $181.00 | $6.99–$159.28 | 147% above | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED W/DIFF | $108.60 | $181.00 | $6.99–$159.28 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $61.80 | $103.00 | $5.82–$90.64 | 49% above | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $61.80 | $103.00 | $5.82–$90.64 | 49% above | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED | $61.80 | $103.00 | $5.82–$90.64 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $171.00 | $285.00 | $9.50–$250.80 | 249% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $171.00 | $285.00 | $9.50–$250.80 | 249% above | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $171.00 | $285.00 | $9.50–$250.80 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $288.60 | $481.00 | $20.01–$423.28 | 210% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $288.60 | $481.00 | $20.01–$423.28 | 210% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $288.60 | $481.00 | $20.01–$423.28 | — | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $219.00 | $365.00 | $25.15–$321.20 | 155% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $219.00 | $365.00 | $25.15–$321.20 | 155% above | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $219.00 | $365.00 | $25.15–$321.20 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $280.20 | $467.00 | $16.72–$410.96 | 218% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $280.20 | $467.00 | $16.72–$410.96 | 218% above | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $280.20 | $467.00 | $16.72–$410.96 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $512.40 | $854.00 | $17.67–$751.52 | 541% above | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $512.40 | $854.00 | $17.67–$751.52 | 541% above | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $512.40 | $854.00 | $17.67–$751.52 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $240.60 | $401.00 | $12.27–$352.88 | 221% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $240.60 | $401.00 | $12.27–$352.88 | 221% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $240.60 | $401.00 | $12.27–$352.88 | — | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $266.40 | $444.00 | $4.74–$390.72 | 273% above | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $266.40 | $444.00 | $4.74–$390.72 | 273% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $266.40 | $444.00 | $4.74–$390.72 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE WO TOTAL T3 | $348.60 | $581.00 | $15.25–$511.28 | 301% above | 40% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE WO TOTAL T3 | $348.60 | $581.00 | $15.25–$511.28 | 301% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE WO TOTAL T3 | $348.60 | $581.00 | $15.25–$511.28 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 | $185.40 | $309.00 | $8.12–$271.92 | 250% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE WO TOTAL T4 | $185.40 | $309.00 | $8.12–$271.92 | 250% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE WO TOTAL T4 | $185.40 | $309.00 | $8.12–$271.92 | — | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $57.60 | $96.00 | $22.92–$159.75 | 1% below | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $57.60 | $96.00 | $22.92–$159.75 | 1% below | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $57.60 | $96.00 | $22.92–$159.75 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PP | $127.20 | $212.00 | $4.28–$186.56 | 285% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PP | $127.20 | $212.00 | $4.28–$186.56 | 285% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR PP | $127.20 | $212.00 | $4.28–$186.56 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPEC | $185.40 | $309.00 | $11.58–$271.92 | 166% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPEC | $185.40 | $309.00 | $11.58–$271.92 | 166% above | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 SPEC | $185.40 | $309.00 | $11.58–$271.92 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRH AMP PROB | $60.00 | $100.00 | $31.58–$220.09 | at median | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRH AMP PROB | $60.00 | $100.00 | $31.58–$220.09 | at median | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRH AMP PROB | $60.00 | $100.00 | $31.58–$220.09 | — | 40% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN ST | $205.20 | $342.00 | $12.94–$300.96 | 282% above | 40% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN ST | $205.20 | $342.00 | $12.94–$300.96 | 282% above | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI ANTIGEN ST | $205.20 | $342.00 | $12.94–$300.96 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT | $163.80 | $273.00 | $76.59–$533.76 | 39% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT | $163.80 | $273.00 | $76.59–$533.76 | 39% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR (NNGRPH) RFX/GENO | $703.80 | $1,173.00 | $76.59–$1,032.24 | 164% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR (NNGRPH) RFX/GENO | $703.80 | $1,173.00 | $76.59–$1,032.24 | 164% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV RNA RT-PCR (NON-GRAPH) | $127.80 | $213.00 | $76.59–$533.76 | 52% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV RNA RT-PCR (NON-GRAPH) | $127.80 | $213.00 | $76.59–$533.76 | 52% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QUANT | $163.80 | $273.00 | $76.59–$533.76 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA PCR (NNGRPH) RFX/GENO | $703.80 | $1,173.00 | $76.59–$1,032.24 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV RNA RT-PCR (NON-GRAPH) | $127.80 | $213.00 | $76.59–$533.76 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4TH GENERAT SERUM W/REFLX | $255.00 | $425.00 | $21.67–$374.00 | 431% 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 | $21.67–$374.00 | 431% 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 | $21.67–$374.00 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV APTIMA HIGH 16/18 45 | $44.40 | $74.00 | $31.58–$220.09 | 11% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV APTIMA HIGH 16/18 45 | $44.40 | $74.00 | $31.58–$220.09 | 11% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV COBAS HIGH-RISK/16/18 | $77.40 | $129.00 | $31.58–$220.09 | 55% above | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV COBAS HIGH-RISK/16/18 | $77.40 | $129.00 | $31.58–$220.09 | 55% above | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV APTIMA HIGH 16/18 45 | $44.40 | $74.00 | $31.58–$220.09 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV COBAS HIGH-RISK/16/18 | $77.40 | $129.00 | $31.58–$220.09 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C WITH EAG REF | $15.00 | $25.00 | $8.74–$60.90 | 71% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C WITH EAG REF | $15.00 | $25.00 | $8.74–$60.90 | 71% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C/GLYCOHEMOGLOBIN | $80.40 | $134.00 | $8.74–$117.92 | 55% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C/GLYCOHEMOGLOBIN | $80.40 | $134.00 | $8.74–$117.92 | 55% 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 | $8.74–$60.90 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C/GLYCOHEMOGLOBIN | $80.40 | $134.00 | $8.74–$117.92 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFAC AB QUAL/QUANT | $213.00 | $355.00 | $9.67–$312.40 | 312% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFAC AB QUAL/QUANT | $213.00 | $355.00 | $9.67–$312.40 | 312% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFAC AB QUAL/QUANT | $213.00 | $355.00 | $9.67–$312.40 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPAT B SURFACE ANTIGEN | $243.00 | $405.00 | $9.30–$356.40 | 326% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPAT B SURFACE ANTIGEN | $243.00 | $405.00 | $9.30–$356.40 | 326% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPAT B SURFACE ANTIGEN | $243.00 | $405.00 | $9.30–$356.40 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $147.00 | $245.00 | $12.84–$215.60 | 147% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $147.00 | $245.00 | $12.84–$215.60 | 147% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $147.00 | $245.00 | $12.84–$215.60 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSIS NAA | $174.00 | $290.00 | $38.56–$268.70 | 14% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSIS NAA | $174.00 | $290.00 | $38.56–$268.70 | 14% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANT S(PCR) | $208.20 | $347.00 | $38.56–$305.36 | 2% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANT S(PCR) | $208.20 | $347.00 | $38.56–$305.36 | 2% above | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DIAGNOSIS NAA | $174.00 | $290.00 | $38.56–$268.70 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DETECT/QUANT S(PCR) | $208.20 | $347.00 | $38.56–$305.36 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 | $133.80 | $223.00 | $11.87–$196.24 | 206% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 | $133.80 | $223.00 | $11.87–$196.24 | 206% above | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 | $133.80 | $223.00 | $11.87–$196.24 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $17.42–$161.04 | 136% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $17.42–$161.04 | 136% above | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $17.42–$161.04 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-CARDIAC | $108.60 | $181.00 | $11.66–$159.28 | 77% above | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN-CARDIAC | $108.60 | $181.00 | $11.66–$159.28 | 77% above | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN-CARDIAC | $108.60 | $181.00 | $11.66–$159.28 | — | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL PLASMA | $252.60 | $421.00 | $16.13–$370.48 | 187% above | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL PLASMA | $252.60 | $421.00 | $16.13–$370.48 | 187% above | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE TOTAL PLASMA | $252.60 | $421.00 | $16.13–$370.48 | — | 40% |
| Insulin blood test CPT 83525 INSULIN FASTING CONTRACT | $151.20 | $252.00 | $10.29–$221.76 | 172% above | 40% |
| Insulin blood test CPT 83525 INSULIN FASTING CONTRACT | $151.20 | $252.00 | $10.29–$221.76 | 172% above | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN FASTING CONTRACT | $151.20 | $252.00 | $10.29–$221.76 | — | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $150.00 | $250.00 | $5.82–$220.00 | 255% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $150.00 | $250.00 | $5.82–$220.00 | 255% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $150.00 | $250.00 | $5.82–$220.00 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC DIRECT | $133.80 | $223.00 | $7.87–$196.24 | 224% above | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC DIRECT | $133.80 | $223.00 | $7.87–$196.24 | 224% above | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC DIRECT | $133.80 | $223.00 | $7.87–$196.24 | — | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $210.60 | $351.00 | $7.81–$308.88 | 426% above | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $210.60 | $351.00 | $7.81–$308.88 | 426% above | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $210.60 | $351.00 | $7.81–$308.88 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 LH | $280.20 | $467.00 | $16.67–$410.96 | 190% above | 40% |
| LH (luteinizing hormone) test CPT 83002 LH | $280.20 | $467.00 | $16.67–$410.96 | 190% above | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $280.20 | $467.00 | $16.67–$410.96 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $186.00 | $310.00 | $6.20–$272.80 | 323% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $186.00 | $310.00 | $6.20–$272.80 | 323% above | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $186.00 | $310.00 | $6.20–$272.80 | — | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $186.00 | $310.00 | $7.35–$272.80 | 389% above | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $186.00 | $310.00 | $7.35–$272.80 | 389% above | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $186.00 | $310.00 | $7.35–$272.80 | — | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB W RFLX | $24.60 | $41.00 | $15.33–$106.81 | 17% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB W RFLX | $24.60 | $41.00 | $15.33–$106.81 | 17% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TOTAL AB W RFLX | $24.60 | $41.00 | $15.33–$106.81 | — | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM REF | $7.50 | $12.50 | $6.03–$42.02 | 44% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM REF | $7.50 | $12.50 | $6.03–$42.02 | 44% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM RANDOM URINE REF | $9.60 | $16.00 | $6.03–$42.02 | 29% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM RANDOM URINE REF | $9.60 | $16.00 | $6.03–$42.02 | 29% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $205.20 | $342.00 | $6.03–$300.96 | 1420% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $205.20 | $342.00 | $6.03–$300.96 | 1420% above | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM REF | $7.50 | $12.50 | $6.03–$42.02 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RANDOM URINE REF | $9.60 | $16.00 | $6.03–$42.02 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $205.20 | $342.00 | $6.03–$300.96 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM LABCORP | $15.60 | $26.00 | $11.59–$80.78 | 51% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM LABCORP | $15.60 | $26.00 | $11.59–$80.78 | 51% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA | $289.20 | $482.00 | $11.59–$424.16 | 806% above | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA | $289.20 | $482.00 | $11.59–$424.16 | 806% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGM LABCORP | $15.60 | $26.00 | $11.59–$80.78 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA | $289.20 | $482.00 | $11.59–$424.16 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES | $45.00 | $75.00 | $4.66–$66.00 | 29% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES | $45.00 | $75.00 | $4.66–$66.00 | 29% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO | $102.00 | $170.00 | $4.66–$149.60 | 191% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO | $102.00 | $170.00 | $4.66–$149.60 | 191% above | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES | $45.00 | $75.00 | $4.66–$66.00 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO | $102.00 | $170.00 | $4.66–$149.60 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $168.60 | $281.00 | $16.55–$247.28 | 181% above | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $168.60 | $281.00 | $16.55–$247.28 | 181% above | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $168.60 | $281.00 | $16.55–$247.28 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $184.20 | $307.00 | $16.55–$270.16 | 183% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING | $184.20 | $307.00 | $16.55–$270.16 | 183% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $184.20 | $307.00 | $16.55–$270.16 | 183% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING | $184.20 | $307.00 | $16.55–$270.16 | 183% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING | $184.20 | $307.00 | $16.55–$270.16 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $184.20 | $307.00 | $16.55–$270.16 | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IMAGE GUIDED HPV REFLEX | $39.00 | $65.00 | $23.95–$166.90 | 53% below | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IMAGE GUIDED HPV REFLEX | $39.00 | $65.00 | $23.95–$166.90 | 53% below | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP IMAGE GUIDED HPV REFLEX | $39.00 | $65.00 | $23.95–$166.90 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR THIN LAYER | $118.20 | $197.00 | $18.23–$173.36 | 136% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR THIN LAYER | $118.20 | $197.00 | $18.23–$173.36 | 136% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR THIN LAYER | $118.20 | $197.00 | $18.23–$173.36 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH SERUM | $583.20 | $972.00 | $37.15–$855.36 | 285% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH SERUM | $583.20 | $972.00 | $37.15–$855.36 | 285% above | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH SERUM | $583.20 | $972.00 | $37.15–$855.36 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $293.40 | $489.00 | $5.41–$430.32 | 552% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $293.40 | $489.00 | $5.41–$430.32 | 552% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $293.40 | $489.00 | $5.41–$430.32 | — | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $208.80 | $348.00 | $18.77–$306.24 | 94% above | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $208.80 | $348.00 | $18.77–$306.24 | 94% above | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $208.80 | $348.00 | $18.77–$306.24 | — | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $219.00 | $365.00 | $17.44–$321.20 | 222% above | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $219.00 | $365.00 | $17.44–$321.20 | 222% above | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $219.00 | $365.00 | $17.44–$321.20 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $132.60 | $221.00 | $3.86–$194.48 | 391% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $132.60 | $221.00 | $3.86–$194.48 | 391% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $132.60 | $221.00 | $3.86–$194.48 | — | 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 | $11.34–$180.40 | 251% 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 | $11.34–$180.40 | 251% above | 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 | $11.34–$180.40 | — | 40% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST-AMB | $34.20 | $57.00 | $14.90–$103.80 | 26% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST-AMB | $34.20 | $57.00 | $14.90–$103.80 | 26% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST | $52.80 | $88.00 | $14.90–$103.80 | 14% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST | $52.80 | $88.00 | $14.90–$103.80 | 14% above | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA TEST-AMB | $34.20 | $57.00 | $14.90–$103.80 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA TEST | $52.80 | $88.00 | $14.90–$103.80 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W OPTIC | $19.20 | $32.00 | $14.88–$107.36 | 53% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W OPTIC | $19.20 | $32.00 | $14.88–$107.36 | 53% 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 | $14.88–$107.36 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN | $215.40 | $359.00 | $5.10–$315.92 | 486% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN | $215.40 | $359.00 | $5.10–$315.92 | 486% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUAN | $215.40 | $359.00 | $5.10–$315.92 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $77.40 | $129.00 | $12.95–$113.52 | 20% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $77.40 | $129.00 | $12.95–$113.52 | 20% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA | $77.40 | $129.00 | $12.95–$113.52 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE IN HOUSE | $66.00 | $110.00 | $2.43–$96.80 | 294% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE IN HOUSE | $66.00 | $110.00 | $2.43–$96.80 | 294% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE IN HOUSE | $66.00 | $110.00 | $2.43–$96.80 | — | 40% |
| Stool ova and parasites exam CPT 87177 PARASITE IDENTIFICATION | $163.80 | $273.00 | $8.01–$240.24 | 228% above | 40% |
| Stool ova and parasites exam CPT 87177 PARASITE IDENTIFICATION | $163.80 | $273.00 | $8.01–$240.24 | 228% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 PARASITE IDENTIFICATION | $163.80 | $273.00 | $8.01–$240.24 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOBT/FIT | $261.00 | $435.00 | $14.33–$382.80 | 625% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOBT/FIT | $261.00 | $435.00 | $14.33–$382.80 | 625% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IFOBT/FIT | $261.00 | $435.00 | $14.33–$382.80 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAl REF | $66.00 | $110.00 | $3.84–$96.80 | 136% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAl REF | $66.00 | $110.00 | $3.84–$96.80 | 136% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAl REF | $66.00 | $110.00 | $3.84–$96.80 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M.TUBERCULOSIS QUANTIFERON B | $132.60 | $221.00 | $55.78–$388.74 | 32% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M.TUBERCULOSIS QUANTIFERON B | $132.60 | $221.00 | $55.78–$388.74 | 32% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 M.TUBERCULOSIS QUANTIFERON B | $132.60 | $221.00 | $55.78–$388.74 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $47.40 | $79.00 | $23.23–$161.88 | 41% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $47.40 | $79.00 | $23.23–$161.88 | 41% below | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $47.40 | $79.00 | $23.23–$161.88 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB SERUM | $105.60 | $176.00 | $13.10–$154.88 | 35% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB SERUM | $105.60 | $176.00 | $13.10–$154.88 | 35% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 IMMUNASSY INF AGNT AB QUAN | $203.40 | $339.00 | $13.10–$298.32 | 161% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 IMMUNASSY INF AGNT AB QUAN | $203.40 | $339.00 | $13.10–$298.32 | 161% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB SERUM | $105.60 | $176.00 | $13.10–$154.88 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 IMMUNASSY INF AGNT AB QUAN | $203.40 | $339.00 | $13.10–$298.32 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $181.20 | $302.00 | $15.12–$265.76 | 181% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $181.20 | $302.00 | $15.12–$265.76 | 181% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $181.20 | $302.00 | $15.12–$265.76 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP | $60.00 | $100.00 | $31.58–$220.09 | 21% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP | $60.00 | $100.00 | $31.58–$220.09 | 21% below | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMP | $60.00 | $100.00 | $31.58–$220.09 | — | 40% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $66.00 | $110.00 | $4.07–$96.80 | 100% above | 40% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $66.00 | $110.00 | $4.07–$96.80 | 100% above | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $66.00 | $110.00 | $4.07–$96.80 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $60.00 | $100.00 | $2.85–$88.00 | 103% above | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $60.00 | $100.00 | $2.85–$88.00 | 103% above | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO | $60.00 | $100.00 | $2.85–$88.00 | — | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS PARTIAL DIPSTICK | $34.20 | $57.00 | $3.62–$50.16 | 122% above | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS PARTIAL DIPSTICK | $34.20 | $57.00 | $3.62–$50.16 | 122% above | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS PARTIAL DIPSTICK | $34.20 | $57.00 | $3.62–$50.16 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO | $13.20 | $22.00 | $2.03–$52.80 | 25% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO | $13.20 | $22.00 | $2.03–$52.80 | 25% below | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO MICRO | $13.20 | $22.00 | $2.03–$52.80 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TAB-AMB | $13.80 | $23.00 | $3.13–$21.83 | 10% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TAB-AMB | $13.80 | $23.00 | $3.13–$21.83 | 10% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TABLET | $36.00 | $60.00 | $3.13–$52.80 | 188% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY DIPSTICK/TABLET | $36.00 | $60.00 | $3.13–$52.80 | 188% above | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS BY DIPSTICK/TAB-AMB | $13.80 | $23.00 | $3.13–$21.83 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS BY DIPSTICK/TABLET | $36.00 | $60.00 | $3.13–$52.80 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE | $127.20 | $212.00 | $7.26–$186.56 | 105% above | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE | $127.20 | $212.00 | $7.26–$186.56 | 105% above | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE | $127.20 | $212.00 | $7.26–$186.56 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $139.80 | $233.00 | $7.75–$205.04 | 566% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $139.80 | $233.00 | $7.75–$205.04 | 566% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $139.80 | $233.00 | $7.75–$205.04 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 DEFICIENCY CASCADE | $19.20 | $32.00 | $13.57–$94.58 | 77% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 DEFICIENCY CASCADE | $19.20 | $32.00 | $13.57–$94.58 | 77% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $219.00 | $365.00 | $13.57–$321.20 | 158% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $219.00 | $365.00 | $13.57–$321.20 | 158% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 DEFICIENCY CASCADE | $19.20 | $32.00 | $13.57–$94.58 | — | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $219.00 | $365.00 | $13.57–$321.20 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) REF | $250.80 | $418.00 | $26.64–$367.84 | 251% 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 | $26.64–$367.84 | 251% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) | $250.80 | $418.00 | $26.64–$367.84 | 251% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(25-HYDROXY) | $250.80 | $418.00 | $26.64–$367.84 | 251% above | 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 | $26.64–$367.84 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D(25-HYDROXY) | $250.80 | $418.00 | $26.64–$367.84 | — | 40% |
| Zinc blood test CPT 84630 ZINC | $156.00 | $260.00 | $10.25–$228.80 | 333% above | 40% |
| Zinc blood test CPT 84630 ZINC | $156.00 | $260.00 | $10.25–$228.80 | 333% above | 40% |
| Zinc blood test inpatient CPT 84630 ZINC | $156.00 | $260.00 | $10.25–$228.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER | $22.80 | $38.00 | $13.55–$94.40 | 73% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER | $22.80 | $38.00 | $13.55–$94.40 | 73% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG FREE/TOTAL | $185.40 | $309.00 | $13.55–$271.92 | 117% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG FREE/TOTAL | $185.40 | $309.00 | $13.55–$271.92 | 117% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER | $22.80 | $38.00 | $13.55–$94.40 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG FREE/TOTAL | $185.40 | $309.00 | $13.55–$271.92 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $403.20 | $672.00 | $159.04–$184.52 | 89% below | 40% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 REMOVAL OF ADENOIDS | $403.20 | $672.00 | $159.04–$184.52 | — | 40% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NASAL ENDO MAXILLARY DILATION | $3,157.20 | $5,262.00 | $119.42–$130.70 | — | 40% |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 NASAL ENDO MAXILLARY DILATION | $3,157.20 | $5,262.00 | $119.42–$130.70 | — | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 LT HEART CATH | $16,723.80 | $27,873.00 | $2,773.52–$24,528.24 | 139% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT | $273.60 | $456.00 | $80.29–$92.15 | 74% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT | $821.40 | $1,369.00 | $564.27–$3,539.19 | 21% below | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXT | $273.60 | $456.00 | $80.29–$92.15 | — | 40% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $211.80 | $353.00 | $57.13–$65.72 | 80% below | 40% |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX | $211.80 | $353.00 | $57.13–$65.72 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLS TX DISTAL RADIAL FX WO MAN | $288.00 | $480.00 | $125.00–$422.40 | 23% 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 | $125.00–$422.40 | 23% below | 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 | $125.00–$422.40 | — | 40% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE (D&C) | $534.60 | $891.00 | $176.55–$201.01 | 85% below | 40% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE (D&C) | $534.60 | $891.00 | $176.55–$201.01 | — | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALIG LESION 1ST | $33.60 | $56.00 | $39.64–$44.92 | 85% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALIG LESION 1ST | $50.40 | $84.00 | $66.36–$3,136.00 | 77% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALIG LESION 1ST | $50.40 | $84.00 | $66.36–$3,136.00 | — | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $384.60 | $641.00 | $97.53–$136.76 | 79% below | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 CREATE EARDRUM OPENING | $384.60 | $641.00 | $97.53–$136.76 | — | 40% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $110.40 | $184.00 | $97.53–$136.76 | 82% below | 40% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $301.80 | $503.00 | $97.53–$136.76 | 51% below | 40% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 CREATE EARDRUM OPENING | $301.80 | $503.00 | $97.53–$136.76 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMV IMPACTED CERUMEN-LAVAGE | $24.60 | $41.00 | $10.55–$15.23 | 70% below | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMV IMPACTED CERUMEN-LAVAGE | $25.20 | $42.00 | $10.55–$15.23 | 69% below | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMV IMPACTED CERUMEN-LAVAGE | $25.20 | $42.00 | $10.55–$15.23 | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN | $51.60 | $86.00 | $51.22–$3,136.00 | 24% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN | $86.40 | $144.00 | $24.19–$26.43 | 27% above | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN | $86.40 | $144.00 | $24.19–$26.43 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $60.00 | $100.00 | $48.64–$53.82 | 70% below | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $89.40 | $149.00 | $100.00–$173.47 | 56% below | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING | $89.40 | $149.00 | $100.00–$173.47 | — | 40% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 REMOVAL ETHMOID SINUS | $1,434.60 | $2,391.00 | $244.49–$265.72 | 74% below | 40% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 REMOVAL ETHMOID SINUS | $1,434.60 | $2,391.00 | $244.49–$265.72 | — | 40% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 SINUS SURGICAL ENDOSCOPY | $1,226.40 | $2,044.00 | $286.69–$309.45 | 80% below | 40% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 SINUS SURGICAL ENDOSCOPY | $1,226.40 | $2,044.00 | $286.69–$309.45 | — | 40% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $871.20 | $1,452.00 | $137.42–$148.04 | 77% below | 40% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 EXPLORATION MAXILLARY SINUS | $871.20 | $1,452.00 | $137.42–$148.04 | — | 40% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $1,114.20 | $1,857.00 | $200.48–$217.80 | 69% below | 40% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 ENDOSCOPY MAXILLARY SINUS | $1,114.20 | $1,857.00 | $200.48–$217.80 | — | 40% |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $1,974.00 | $3,290.00 | $777.72–$899.64 | 72% below | 40% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL HYSTERECTOMY | $1,974.00 | $3,290.00 | $777.72–$899.64 | — | 40% |
| Hysteroscopy with endometrial ablation CPT 58563 ENDOMETRIAL ABLATION | $1,642.20 | $2,737.00 | $174.23–$210.90 | 64% below | 40% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 ENDOMETRIAL ABLATION | $1,642.20 | $2,737.00 | $174.23–$210.90 | — | 40% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY DIAGNOSTIC | $927.00 | $1,545.00 | $177.58–$198.42 | 76% below | 40% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY DIAGNOSTIC | $927.00 | $1,545.00 | $177.58–$198.42 | — | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD | $110.40 | $184.00 | $100.00–$161.92 | 33% below | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD | $110.40 | $184.00 | $100.00–$161.92 | 33% below | 40% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF IUD | $110.40 | $184.00 | $100.00–$161.92 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE OR SINGLE | $135.00 | $225.00 | $77.72–$94.37 | 42% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE OR SINGLE | $458.40 | $764.00 | $100.00–$1,074.66 | 97% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE OR SINGLE | $135.00 | $225.00 | $77.72–$94.37 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON LIGAMENT | $45.60 | $76.00 | $29.85–$32.64 | 87% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON LIGAMENT | $67.80 | $113.00 | $89.27–$254.54 | 81% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON LIGAMENT | $67.80 | $113.00 | $89.27–$254.54 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JNT | $947.40 | $1,579.00 | $100.00–$1,596.52 | 169% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JNT | $947.40 | $1,579.00 | $100.00–$1,596.52 | 169% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JNT | $947.40 | $1,579.00 | $100.00–$1,596.52 | — | 40% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAPAROSCOPY W/TOTAL HYSTRCTMY | $2,334.00 | $3,890.00 | $615.08–$700.36 | 83% below | 40% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 LAPAROSCOPY W/TOTAL HYSTRCTMY | $2,334.00 | $3,890.00 | $615.08–$700.36 | — | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAP REMOVAL ADNEXAL STRUCTURES | $1,513.80 | $2,523.00 | $282.06–$566.82 | 73% below | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAP REMOVAL ADNEXAL STRUCTURES | $1,513.80 | $2,523.00 | $282.06–$566.82 | — | 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 | $100.00–$2,160.84 | 24% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER WND SCLP ARM LEG<2.5CM | $480.00 | $800.00 | $111.44–$126.53 | 19% 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 | $480.00 | $800.00 | $111.44–$126.53 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES TRNK ARM LEG<.5CM | $112.80 | $188.00 | $148.52–$606.71 | 83% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES TRNK ARM LEG<.5CM | $112.80 | $188.00 | $148.52–$606.71 | 83% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BEN LES TRNK ARM LEG<.5CM | $112.80 | $188.00 | $148.52–$606.71 | — | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES FEENL <=0.5CM | $87.00 | $145.00 | $77.47–$91.33 | 87% below | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES FEENL <=0.5CM | $87.00 | $145.00 | $77.47–$91.33 | 87% below | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BEN LES FEENL <=0.5CM | $87.00 | $145.00 | $77.47–$91.33 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $279.60 | $466.00 | $94.01–$1,074.66 | 11% above | 40% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $279.60 | $466.00 | $94.01–$1,074.66 | 11% above | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE | $279.60 | $466.00 | $94.01–$1,074.66 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE | $1,428.00 | $2,380.00 | $100.00–$5,070.75 | 1% above | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE | $1,428.00 | $2,380.00 | $100.00–$5,070.75 | 1% above | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGE | $1,428.00 | $2,380.00 | $100.00–$5,070.75 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 RMVL NAIL PART/COMP PERM | $336.60 | $561.00 | $75.15–$90.01 | 22% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 RMVL NAIL PART/COMP PERM | $336.60 | $561.00 | $75.15–$90.01 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FB SQ SIMPLE | $387.60 | $646.00 | $100.00–$2,160.84 | 1% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FB SQ SIMPLE | $387.60 | $646.00 | $100.00–$2,160.84 | 1% below | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION REMOVAL FB SQ SIMPLE | $387.60 | $646.00 | $100.00–$2,160.84 | — | 40% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $1,673.40 | $2,789.00 | $540.18–$815.13 | 81% below | 40% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PARTIAL REMOVAL OF THYROID | $1,673.40 | $2,789.00 | $540.18–$815.13 | — | 40% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $1,656.00 | $2,760.00 | $485.63–$574.22 | 45% below | 40% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 REPAIR OF NASAL SEPTUM | $1,656.00 | $2,760.00 | $485.63–$574.22 | — | 40% |
| Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW TO FINGER | $64.20 | $107.00 | $84.53–$3,136.00 | 77% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW TO FINGER | $64.20 | $107.00 | $84.53–$3,136.00 | 77% below | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY CAST ELBOW TO FINGER | $64.20 | $107.00 | $84.53–$3,136.00 | — | 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 | $100.00–$1,074.66 | 20% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP SUPER WOUND <2.5CM | $327.00 | $545.00 | $100.00–$1,074.66 | 20% 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 | $100.00–$1,074.66 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $254.40 | $424.00 | $334.96–$588.00 | 35% below | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $254.40 | $424.00 | $334.96–$588.00 | 35% below | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $254.40 | $424.00 | $334.96–$588.00 | — | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LES TRN ARM LEG<=0.5CM | $154.20 | $257.00 | $196.00–$606.71 | 81% below | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LES TRN ARM LEG<=0.5CM | $154.20 | $257.00 | $196.00–$606.71 | 81% below | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MAL LES TRN ARM LEG<=0.5CM | $154.20 | $257.00 | $196.00–$606.71 | — | 40% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS TO 15 LESIONS | $61.20 | $102.00 | $80.58–$171.34 | 68% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS TO 15 LESIONS | $104.40 | $174.00 | $55.59–$64.82 | 46% below | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL SKIN TAGS TO 15 LESIONS | $61.20 | $102.00 | $80.58–$171.34 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $269.40 | $449.00 | $50.44–$57.21 | 73% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $918.60 | $1,531.00 | $597.16–$3,745.47 | 7% below | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $269.40 | $449.00 | $50.44–$57.21 | — | 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 | $66.00 | $110.00 | $45.55–$55.67 | 74% below | 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 | $100.00–$1,074.66 | 18% 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 | $100.00–$1,074.66 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP LAC FACE <2.5CM | $94.20 | $157.00 | $100.00–$1,074.66 | 66% 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 | $273.00 | $455.00 | $43.49–$52.72 | 1% below | 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 | $273.00 | $455.00 | $43.49–$52.72 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SINGLE LES | $61.20 | $102.00 | $27.79–$29.29 | 81% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMG | $1,250.40 | $2,084.00 | $533.13–$3,343.83 | 9% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMG | $1,250.40 | $2,084.00 | $533.13–$3,343.83 | 9% below | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMG | $1,250.40 | $2,084.00 | $533.13–$3,343.83 | — | 40% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $651.00 | $1,085.00 | $219.52–$259.58 | 84% below | 40% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 REMOVE TONSILS AND ADENOIDS | $651.00 | $1,085.00 | $219.52–$259.58 | — | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $571.20 | $952.00 | $219.52–$259.58 | 89% below | 40% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 REMOVE TONSILS AND ADENOIDS | $571.20 | $952.00 | $219.52–$259.58 | — | 40% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $570.60 | $951.00 | $191.98–$230.71 | 86% below | 40% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 REMOVAL OF TONSILS | $570.60 | $951.00 | $191.98–$230.71 | — | 40% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $526.80 | $878.00 | $191.98–$230.71 | 81% below | 40% |
| Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 REMOVAL OF TONSILS | $526.80 | $878.00 | $191.98–$230.71 | — | 40% |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $2,283.60 | $3,806.00 | $704.38–$798.53 | 79% below | 40% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 REMOVAL OF THYROID | $2,283.60 | $3,806.00 | $704.38–$798.53 | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1-2 MUSCLES | $43.80 | $73.00 | $27.28–$34.38 | 85% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1-2 MUSCLES | $65.40 | $109.00 | $86.11–$254.54 | 78% below | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PT INJ 1-2 MUSCLES | $65.40 | $109.00 | $86.11–$254.54 | — | 40% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) both sides CPT 58670 BILATERAL TUBAL LIGATION | $1,158.00 | $1,930.00 | $282.06–$319.87 | — | 40% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient both sides CPT 58670 BILATERAL TUBAL LIGATION | $1,158.00 | $1,930.00 | $282.06–$319.87 | — | 40% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $2,926.20 | $4,877.00 | $213.60–$240.50 | 2% above | 40% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $3,830.40 | $6,384.00 | $2,714.10–$17,023.12 | 34% above | 40% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN | $2,926.20 | $4,877.00 | $213.60–$240.50 | — | 40% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESIONS TO 14 | $58.20 | $97.00 | $76.63–$3,136.00 | 72% below | 40% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESIONS TO 14 | $58.20 | $97.00 | $76.63–$3,136.00 | 72% below | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESIONS TO 14 | $58.20 | $97.00 | $76.63–$3,136.00 | — | 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 | $191.97–$3,136.00 | 61% 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 | $191.97–$3,136.00 | 61% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SQ TISSUE 1ST 20 SQ CM | $145.80 | $243.00 | $191.97–$3,136.00 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $574.80 | $958.00 | $376.98–$3,136.00 | 10% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $574.80 | $958.00 | $376.98–$3,136.00 | 10% below | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $574.80 | $958.00 | $376.98–$3,136.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX INIT | $261.00 | $435.00 | $175.38–$1,100.03 | 24% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX INIT | $261.00 | $435.00 | $175.38–$1,100.03 | 24% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX SUBS | $261.00 | $435.00 | $175.38–$1,100.03 | 24% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX SUBS | $261.00 | $435.00 | $175.38–$1,100.03 | 24% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TX SUBS | $261.00 | $435.00 | $175.38–$1,100.03 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TX INIT | $261.00 | $435.00 | $175.38–$1,100.03 | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INITIAL HR | $477.00 | $795.00 | $286.02–$1,793.93 | 23% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INITIAL HR | $477.00 | $795.00 | $286.02–$1,793.93 | 23% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN IV INITIAL HR | $477.00 | $795.00 | $286.02–$1,793.93 | — | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $67.20 | $112.00 | $23.42–$25.22 | 51% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $100.80 | $168.00 | $132.72–$147.84 | 26% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE HEARING TEST | $100.80 | $168.00 | $132.72–$147.84 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST 30-74M | $280.20 | $467.00 | $162.39–$195.02 | 79% below | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST 30-74M | $280.20 | $467.00 | $162.39–$195.02 | — | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $143.40 | $239.00 | $188.81–$210.32 | 1% below | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $143.40 | $239.00 | $188.81–$210.32 | 1% below | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE | $143.40 | $239.00 | $188.81–$210.32 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $64.20 | $107.00 | $51.22–$344.08 | 47% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $64.20 | $107.00 | $51.22–$344.08 | 47% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY | $64.20 | $107.00 | $51.22–$344.08 | — | 40% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $993.60 | $1,656.00 | $196.00–$2,869.73 | 23% above | 40% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $993.60 | $1,656.00 | $196.00–$2,869.73 | 23% above | 40% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY | $993.60 | $1,656.00 | $196.00–$2,869.73 | — | 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 | $20.00–$476.21 | 54% 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 | $20.00–$476.21 | 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 | $67.20 | $112.00 | $20.00–$476.21 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 | $91.80 | $153.00 | $32.17–$39.67 | 66% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 | $158.40 | $264.00 | $50.00–$856.48 | 42% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2 | $91.80 | $153.00 | $32.17–$39.67 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 | $304.80 | $508.00 | $97.75–$1,497.55 | 36% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 | $304.80 | $508.00 | $97.75–$1,497.55 | 36% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3 | $304.80 | $508.00 | $97.75–$1,497.55 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 | $171.60 | $286.00 | $93.17–$116.15 | 73% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 | $1,917.00 | $3,195.00 | $191.80–$2,811.60 | 201% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4 | $171.60 | $286.00 | $93.17–$116.15 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 | $222.60 | $371.00 | $135.11–$168.41 | 77% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE EA ADD 30M | $1,219.80 | $2,033.00 | $528.68–$3,315.93 | 29% 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 | $528.68–$3,315.93 | 29% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 | $2,482.20 | $4,137.00 | $528.68–$3,640.56 | 162% 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 | $528.68–$4,796.88 | 245% 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 | $528.68–$4,796.88 | 245% 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 | $528.68–$4,796.88 | 245% 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 | $528.68–$4,796.88 | 245% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5 | $222.60 | $371.00 | $135.11–$168.41 | — | 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 | $528.68–$3,315.93 | — | 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 | $528.68–$4,796.88 | — | 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 | $528.68–$4,796.88 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $540.00 | $900.00 | $134.30–$1,684.19 | 12% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $540.00 | $900.00 | $134.30–$1,684.19 | 12% below | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST | $540.00 | $900.00 | $134.30–$1,684.19 | — | 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 | $181.68–$1,139.51 | 22% above | 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 | $181.68–$1,139.51 | 22% above | 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 | $181.68–$1,139.51 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV THERAP UP TO 1 HR | $362.40 | $604.00 | $181.68–$1,139.51 | 36% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV THERAP UP TO 1 HR | $362.40 | $604.00 | $181.68–$1,139.51 | 36% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION IV THERAP UP TO 1 HR | $362.40 | $604.00 | $181.68–$1,139.51 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) AMB | $24.60 | $41.00 | $32.39–$384.92 | 65% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) AMB | $24.60 | $41.00 | $32.39–$384.92 | 65% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) | $95.40 | $159.00 | $61.37–$384.92 | 36% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) | $95.40 | $159.00 | $61.37–$384.92 | 36% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION (SC) (IM) AMB | $24.60 | $41.00 | $32.39–$384.92 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION (SC) (IM) | $95.40 | $159.00 | $61.37–$384.92 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 NEW | $64.20 | $107.00 | $84.53–$262.24 | 9% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 NEW | $134.40 | $224.00 | $61.76–$69.96 | 91% above | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT LEVEL 3 NEW | $134.40 | $224.00 | $61.76–$69.96 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4 NEW | $109.20 | $182.00 | $143.78–$160.16 | 55% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4 NEW | $204.60 | $341.00 | $100.62–$114.34 | 190% above | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT LEVEL 4 NEW | $204.60 | $341.00 | $100.62–$114.34 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT LEVEL 5 NEW | $140.40 | $234.00 | $184.86–$205.92 | 15% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT LEVEL 5 NEW | $234.60 | $391.00 | $136.91–$156.59 | 92% above | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT LEVEL 5 NEW | $234.60 | $391.00 | $136.91–$156.59 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2 NEW | $29.40 | $49.00 | $35.00–$40.23 | 55% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2 NEW | $90.60 | $151.00 | $35.00–$40.23 | 39% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT LEVEL 2 NEW | $90.60 | $151.00 | $35.00–$40.23 | — | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VISIT NEW 18-39 | $115.80 | $193.00 | $70.52 | 40% above | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE VISIT NEW 40-64 | $139.80 | $233.00 | $85.19 | 55% above | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PREVENTIVE VISIT NEW 65+ | $141.00 | $235.00 | $91.36 | 31% above | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PRVNT VISIT EST 18-39YRS OLD | $118.80 | $198.00 | $64.34 | 81% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE COUNSEL 3-10 MIN | $24.00 | $40.00 | $9.01–$10.46 | 33% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE COUNSEL 3-10 MIN | $24.00 | $40.00 | $9.01–$10.46 | 33% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE COUNSEL 3-10 MIN | $24.00 | $40.00 | $9.01–$10.46 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT LEVEL 5 EST | $154.20 | $257.00 | $107.57–$122.82 | 113% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT LEVEL 5 EST | $199.80 | $333.00 | $107.57–$122.82 | 176% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT LEVEL 5 EST | $154.20 | $257.00 | $107.57–$122.82 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST | $87.00 | $145.00 | $56.25–$65.14 | 24% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST | $136.20 | $227.00 | $58.46–$199.76 | 95% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT LEVEL 3 EST | $87.00 | $145.00 | $56.25–$65.14 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 EST | $109.20 | $182.00 | $73.09–$82.78 | 31% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 EST | $135.60 | $226.00 | $73.09–$82.78 | 63% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT LEVEL 4 EST | $109.20 | $182.00 | $73.09–$82.78 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT LEVEL 2 EST | $46.80 | $78.00 | $58.46–$68.64 | 26% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT LEVEL 2 EST | $73.80 | $123.00 | $26.51–$30.41 | 17% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT LEVEL 2 EST | $73.80 | $123.00 | $26.51–$30.41 | — | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CONSULT >=30MI | $75.00 | $125.00 | $66.14 | 29% below | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFF/OP CONSULT >=30MI | $75.00 | $125.00 | $66.14 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $159.00 | $265.00 | $111.15–$697.15 | 6% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $159.00 | $265.00 | $111.15–$697.15 | 6% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $159.00 | $265.00 | $111.15–$697.15 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | 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 | $168.37–$864.60 | 292% 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 | $168.37–$864.60 | 292% 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 | $168.37–$864.60 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TRIV PF 45 MCG/0.5 ML | $54.90 | $91.50 | $23.22–$80.52 | 182% 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 | $23.22–$80.52 | 182% 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 | $23.22–$80.52 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE | $77.40 | $129.00 | $61.37–$384.92 | 34% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE | $77.40 | $129.00 | $61.37–$384.92 | 34% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $77.40 | $129.00 | $61.37–$384.92 | 34% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE | $77.40 | $129.00 | $61.37–$384.92 | 34% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE | $77.40 | $129.00 | $61.37–$384.92 | 34% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $77.40 | $129.00 | $61.37–$384.92 | 34% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $77.40 | $129.00 | $61.37–$384.92 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMONIA VACCINE | $77.40 | $129.00 | $61.37–$384.92 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE | $77.40 | $129.00 | $61.37–$384.92 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACCINE | $37.80 | $63.00 | $49.77–$55.44 | 44% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACCINE | $37.80 | $63.00 | $49.77–$55.44 | 44% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM EA ADDL VACCINE | $37.80 | $63.00 | $49.77–$55.44 | — | 40% |
Source file: https://www.arh.org/wp-content/uploads/2026/06/520795508_Beckley-ARH-Hospital_standardcharges.csv