Hospital Charleston-North Charleston, SC

Roper St Francis Hospital Berkeley

Roper St Francis Hospital Berkeley in Summerville, SC publishes cash prices for 389 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the South Carolina median for 196 of 385 procedures and below it for 149. By typical cash price it ranks #25 of 43 South Carolina hospitals and #4 of 7 hospitals in the Charleston, SC area, cheapest first. Select a procedure to compare it with other hospitals nearby.

100 Callen Blvd.,Summerville,SC 29486 Collected Sep 22, 2026 Source price file Check a bill from this hospital (854) 529-3002

Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 420110 · CMS hospital register NPI 1336603646

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Roper St Francis Hospital Berkeley is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abd W&W/O Cont	$1,282.45	$1,973.00	—	30% below	35%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abd W&W/O Cont	$1,282.45	$1,973.00	—	—	35%
Abdominal X-ray, 2 views CPT 74019 HC X-Ray Exam Abdomen 2 Views	$578.50	$890.00	—	56% above	35%
Abdominal X-ray, 2 views inpatient CPT 74019 HC X-Ray Exam Abdomen 2 Views	$578.50	$890.00	—	—	35%
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle Rout 3 Views	$362.70	$558.00	—	1% above	35%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-Ray Ankle Rout 3 Views	$362.70	$558.00	—	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Tcp02/Abi 1-2 Levels	$526.50	$810.00	—	at median	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Tcp02/Abi 1-2 Levels	$526.50	$810.00	—	—	35%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extremity W/O Contrast	$1,282.45	$1,973.00	—	16% below	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Upper Extremity W/O Contrast	$1,282.45	$1,973.00	—	—	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Fluro Esophagram	$609.05	$937.00	—	31% above	35%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Fluro Esophagram	$609.05	$937.00	—	—	35%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Bone Scan Whole Body	$1,828.45	$2,813.00	—	25% above	35%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM Bone Scan Whole Body	$1,828.45	$2,813.00	—	—	35%
Breast ultrasound, complete, one breast CPT 76641 HC US Breast Comp	$703.30	$1,082.00	—	41% above	35%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Comp	$703.30	$1,082.00	—	—	35%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breast Ltd	$793.65	$1,221.00	—	57% above	35%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US Breast Ltd	$793.65	$1,221.00	—	—	35%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Cta Abd & Pelvis W & W/O Cont	$1,794.00	$2,760.00	—	31% below	35%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC Cta Abd & Pelvis W & W/O Cont	$1,794.00	$2,760.00	—	—	35%
CT angiography (CTA) of the head CPT 70496 HC Cta Head W & W/O Cont	$2,069.60	$3,184.00	—	at median	35%
CT angiography (CTA) of the head inpatient CPT 70496 HC Cta Head W & W/O Cont	$2,069.60	$3,184.00	—	—	35%
CT angiography (CTA) of the neck CPT 70498 HC Cta Neck/Carotid W & W/O Cont	$1,709.50	$2,630.00	—	16% below	35%
CT angiography (CTA) of the neck inpatient CPT 70498 HC Cta Neck/Carotid W & W/O Cont	$1,709.50	$2,630.00	—	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio Chest W & W/O Cont	$2,172.95	$3,343.00	—	10% above	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angio Chest W & W/O Cont	$2,172.95	$3,343.00	—	—	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Heart W/WO Calcium	$1,552.20	$2,388.00	—	7% below	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cta Heart W/WO Calcium	$1,552.20	$2,388.00	—	—	35%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium	$362.00	$362.00	—	233% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium	$362.00	$362.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd/Pelvis W/O Contrast	$3,185.65	$4,901.00	—	8% above	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd/Pelvis W/O Contrast	$3,185.65	$4,901.00	—	—	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd/Pel W Cont	$3,185.65	$4,901.00	—	14% below	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd/Pel W Cont	$3,185.65	$4,901.00	—	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd/Pelvis W W/O Contrast	$2,442.05	$3,757.00	—	41% below	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd/Pelvis W W/O Contrast	$2,442.05	$3,757.00	—	—	35%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/ Cont	$1,282.45	$1,973.00	—	17% below	35%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/ Cont	$1,282.45	$1,973.00	—	—	35%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Cont	$1,282.45	$1,973.00	—	at median	35%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Cont	$1,282.45	$1,973.00	—	—	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Facial Bones W/O Contrast	$1,282.45	$1,973.00	—	1% above	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Facial Bones W/O Contrast	$1,282.45	$1,973.00	—	—	35%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain W/O Contrast	$1,795.30	$2,762.00	—	31% above	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain W/O Contrast	$1,795.30	$2,762.00	—	—	35%
CT scan of the head with contrast CPT 70460 HC CT Brain W/ Contrast	$1,709.50	$2,630.00	—	at median	35%
CT scan of the head with contrast inpatient CPT 70460 HC CT Brain W/ Contrast	$1,709.50	$2,630.00	—	—	35%
CT scan of the head without and with contrast CPT 70470 HC CT Brain W/WO Contrast	$1,282.45	$1,973.00	—	34% below	35%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Brain W/WO Contrast	$1,282.45	$1,973.00	—	—	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L-Spine W/O Contrast	$1,282.45	$1,973.00	—	26% below	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT L-Spine W/O Contrast	$1,282.45	$1,973.00	—	—	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-Spine W/O Contrast	$1,282.45	$1,973.00	—	13% below	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C-Spine W/O Contrast	$1,282.45	$1,973.00	—	—	35%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast	$1,709.50	$2,630.00	—	1% below	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/ Contrast	$1,709.50	$2,630.00	—	—	35%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Extracranial Bilat Study	$717.60	$1,104.00	—	—	35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Extracranial Bilat Study	$717.60	$1,104.00	—	—	35%
Chest CT scan without and with contrast CPT 71270 HC CT Chest W/WO Contrast	$1,709.50	$2,630.00	—	18% below	35%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT Chest W/WO Contrast	$1,709.50	$2,630.00	—	—	35%
Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views	$466.70	$718.00	—	84% above	35%
Chest X-ray, 2 views inpatient CPT 71046 HC X-Ray Exam Chest 2 Views	$466.70	$718.00	—	—	35%
Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View	$175.50	$270.00	—	16% below	35%
Chest X-ray, single view inpatient CPT 71045 HC X-Ray Exam Chest 1 View	$175.50	$270.00	—	—	35%
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Clavicle	$681.85	$1,049.00	—	115% above	35%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-Ray Clavicle	$681.85	$1,049.00	—	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneal Complete	$1,146.60	$1,764.00	—	104% above	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitoneal Complete	$1,146.60	$1,764.00	—	—	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Fetal Anatomic Eval	$887.90	$1,366.00	—	4% above	35%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US Fetal Anatomic Eval	$887.90	$1,366.00	—	—	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest W/O Contrast	$1,282.45	$1,973.00	—	at median	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Chest W/O Contrast	$1,282.45	$1,973.00	—	—	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest W/ Contrast	$1,282.45	$1,973.00	—	33% below	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Chest W/ Contrast	$1,282.45	$1,973.00	—	—	35%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf	$461.50	$710.00	—	—	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf	$461.50	$710.00	—	—	35%
Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf	$408.85	$629.00	—	21% above	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf	$408.85	$629.00	—	—	35%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Bil Niv Arterial Low Ext Duplex	$1,025.05	$1,577.00	—	at median	35%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC Bil Niv Arterial Low Ext Duplex	$1,025.05	$1,577.00	—	—	35%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Niv Venous Duplex Bilat Study	$1,502.80	$2,312.00	—	—	35%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Niv Venous Duplex Bilat Study	$1,502.80	$2,312.00	—	—	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2d Echo Without Contrast - With Dop/Color Flow	$2,187.25	$3,365.00	—	30% above	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2d Echo Without Contrast - With Dop/Color Flow	$2,187.25	$3,365.00	—	—	35%
Elbow X-ray, 2 views CPT 73070 HC Elbow 2 Views	$322.40	$496.00	—	25% above	35%
Elbow X-ray, 2 views inpatient CPT 73070 HC Elbow 2 Views	$322.40	$496.00	—	—	35%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Elbow Min 3 Views	$429.00	$660.00	—	19% above	35%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Elbow Min 3 Views	$429.00	$660.00	—	—	35%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit/Ear/Fossa W/O Contrast	$1,282.45	$1,973.00	—	17% below	35%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Orbit/Ear/Fossa W/O Contrast	$1,282.45	$1,973.00	—	—	35%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Facial Bones Min 3 Views	$358.80	$552.00	—	at median	35%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Facial Bones Min 3 Views	$358.80	$552.00	—	—	35%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Forearm 2 Views	$367.25	$565.00	—	13% above	35%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Forearm 2 Views	$367.25	$565.00	—	—	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Hepatobiliary Imaging WO Pharm	$2,237.30	$3,442.00	—	9% above	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM Hepatobiliary Imaging WO Pharm	$2,237.30	$3,442.00	—	—	35%
Hand X-ray, 2 views CPT 73120 HC Hand 2 Views	$226.20	$348.00	—	at median	35%
Hand X-ray, 2 views inpatient CPT 73120 HC Hand 2 Views	$226.20	$348.00	—	—	35%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Os Calcis Min 2 Views	$244.40	$376.00	—	at median	35%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-Ray Os Calcis Min 2 Views	$244.40	$376.00	—	—	35%
Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 Views	$243.10	$374.00	—	19% below	35%
Knee X-ray, 3 views inpatient CPT 73562 HC X-Ray Knee 3 Views	$243.10	$374.00	—	—	35%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Knee Rout Inc Tun Pat Min 4 View	$400.40	$616.00	—	at median	35%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-Ray Knee Rout Inc Tun Pat Min 4 View	$400.40	$616.00	—	—	35%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Ext W/O Cont	$1,350.05	$2,077.00	—	9% below	35%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Lower Ext W/O Cont	$1,350.05	$2,077.00	—	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdominal Limited	$868.40	$1,336.00	—	32% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdominal Limited	$868.40	$1,336.00	—	—	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Extrem Limited Nonvasc	$797.55	$1,227.00	—	35% above	35%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US Extrem Limited Nonvasc	$797.55	$1,227.00	—	—	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Chest Screening Low Dose Wout Cont	$343.85	$529.00	—	60% above	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Chest Screening Low Dose Wout Cont	$343.85	$529.00	—	—	35%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tibia/Fibula 2 Views	$398.45	$613.00	—	22% above	35%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-Ray Tibia/Fibula 2 Views	$398.45	$613.00	—	—	35%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRI-Angio Head WO Contrast	$2,085.85	$3,209.00	—	9% above	35%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRI-Angio Head WO Contrast	$2,085.85	$3,209.00	—	—	35%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast W Cont Bilateral	$3,262.35	$5,019.00	—	—	35%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI Breast W Cont Bilateral	$3,262.35	$5,019.00	—	—	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Jnt W/O Cont	$2,446.60	$3,764.00	—	at median	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Ext Jnt W/O Cont	$2,446.60	$3,764.00	—	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Ext Jnt W&W/O Cont	$2,743.00	$4,220.00	—	3% below	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Ext Jnt W&W/O Cont	$2,743.00	$4,220.00	—	—	35%
MRI of the abdomen without contrast CPT 74181 HC MRI-Abdomen WO Contrast	$2,446.60	$3,764.00	—	28% above	35%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI-Abdomen WO Contrast	$2,446.60	$3,764.00	—	—	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI-Abdomen W & WO Contrast	$2,743.00	$4,220.00	—	12% above	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI-Abdomen W & WO Contrast	$2,743.00	$4,220.00	—	—	35%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Ctrst	$3,288.35	$5,059.00	—	57% above	35%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Ctrst	$3,288.35	$5,059.00	—	—	35%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI-Brain WO & W Contrast	$2,265.90	$3,486.00	—	at median	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-Brain WO & W Contrast	$2,265.90	$3,486.00	—	—	35%
MRI of the lower back, no contrast dye CPT 72148 HC MRI-Spine Lumbar WO Contrast	$3,234.40	$4,976.00	—	47% above	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-Spine Lumbar WO Contrast	$3,234.40	$4,976.00	—	—	35%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI-Spine Lumbar WO & W Cont	$2,265.90	$3,486.00	—	20% below	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI-Spine Lumbar WO & W Cont	$2,265.90	$3,486.00	—	—	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI-Spine Thoracic WO Contrast	$3,396.25	$5,225.00	—	57% above	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI-Spine Thoracic WO Contrast	$3,396.25	$5,225.00	—	—	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI-Spine Cervical W & WO Cont	$2,265.90	$3,486.00	—	20% below	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI-Spine Cervical W & WO Cont	$2,265.90	$3,486.00	—	—	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI-Spine Cervical WO Contrast	$2,042.95	$3,143.00	—	at median	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI-Spine Cervical WO Contrast	$2,042.95	$3,143.00	—	—	35%
MRI of the pelvis without and with contrast CPT 72197 HC MRI-Pelvis WO & W Contrast	$3,371.55	$5,187.00	—	21% above	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI-Pelvis WO & W Contrast	$3,371.55	$5,187.00	—	—	35%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI-Pelvis WO Contrast	$3,006.90	$4,626.00	—	62% above	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI-Pelvis WO Contrast	$3,006.90	$4,626.00	—	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI-Upper Ext Jnt WO Cont	$2,446.60	$3,764.00	—	6% above	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI-Upper Ext Jnt WO Cont	$2,446.60	$3,764.00	—	—	35%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC C-Spine Min 4 Views	$479.05	$737.00	—	8% above	35%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC C-Spine Min 4 Views	$479.05	$737.00	—	—	35%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Soft Tissue Neck W/ Contrast	$1,552.20	$2,388.00	—	11% below	35%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Soft Tissue Neck W/ Contrast	$1,552.20	$2,388.00	—	—	35%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Soft Tissue Neck W/O Contrast	$1,552.20	$2,388.00	—	17% above	35%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Soft Tissue Neck W/O Contrast	$1,552.20	$2,388.00	—	—	35%
Neck soft tissue X-ray CPT 70360 HC Soft Tissue Lat Neck	$477.10	$734.00	—	78% above	35%
Neck soft tissue X-ray inpatient CPT 70360 HC Soft Tissue Lat Neck	$477.10	$734.00	—	—	35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Sest. Rest Stress Mult	$3,173.95	$4,883.00	—	17% below	35%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Sest. Rest Stress Mult	$3,173.95	$4,883.00	—	—	35%
Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast	$1,282.45	$1,973.00	—	at median	35%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis W/O Contrast	$1,282.45	$1,973.00	—	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Limited	$793.00	$1,220.00	—	45% above	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvis Limited	$793.00	$1,220.00	—	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Complete	$797.55	$1,227.00	—	23% above	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Complete	$797.55	$1,227.00	—	—	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest	$837.20	$1,288.00	—	14% above	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest	$837.20	$1,288.00	—	—	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC Fetal Eval 1st Tri Sgl Gest	$837.20	$1,288.00	—	59% above	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC Fetal Eval 1st Tri Sgl Gest	$837.20	$1,288.00	—	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Fetal Evaluation-Limited	$483.60	$744.00	—	9% above	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US Fetal Evaluation-Limited	$483.60	$744.00	—	—	35%
Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral 2 Views	$323.05	$497.00	—	8% above	35%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Ribs Unilateral 2 Views	$323.05	$497.00	—	—	35%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-Ray, Ribs, Pa Chest, 3	$354.90	$546.00	—	13% below	35%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC X-Ray, Ribs, Pa Chest, 3	$354.90	$546.00	—	—	35%
Screening mammogram, both breasts CPT 77067 HC Mammo Screening Incl Cad if Perf	$312.00	$480.00	—	13% above	35%
Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Screening Incl Cad if Perf	$312.00	$480.00	—	—	35%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Complete Min 2 Views	$276.25	$425.00	—	12% below	35%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Complete Min 2 Views	$276.25	$425.00	—	—	35%
Sinus X-ray, complete, 3 or more views CPT 70220 HC Sinuses Min 3 Views	$431.60	$664.00	—	16% above	35%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Sinuses Min 3 Views	$431.60	$664.00	—	—	35%
Skull X-ray, fewer than 4 views CPT 70250 HC Skull Less Than 4 Views	$176.80	$272.00	—	32% below	35%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Skull Less Than 4 Views	$176.80	$272.00	—	—	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Dysphagia/Swallowing Study	$557.05	$857.00	—	25% above	35%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Dysphagia/Swallowing Study	$557.05	$857.00	—	—	35%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-Ray Exam of Femur Min 2 Views	$327.60	$504.00	—	at median	35%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-Ray Exam of Femur Min 2 Views	$327.60	$504.00	—	—	35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT T-Spine W/O Contrast	$1,709.50	$2,630.00	—	11% above	35%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT T-Spine W/O Contrast	$1,709.50	$2,630.00	—	—	35%
Toe X-ray, 2 or more views CPT 73660 HC X-Ray Toes Min 2 Views	$269.10	$414.00	—	at median	35%
Toe X-ray, 2 or more views inpatient CPT 73660 HC X-Ray Toes Min 2 Views	$269.10	$414.00	—	—	35%
Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal, Non OB	$935.35	$1,439.00	—	28% above	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal, Non OB	$935.35	$1,439.00	—	—	35%
Transvaginal ultrasound during pregnancy CPT 76817 HC US Transvaginal Obsetrical	$820.95	$1,263.00	—	21% above	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US Transvaginal Obsetrical	$820.95	$1,263.00	—	—	35%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete	$930.80	$1,432.00	—	at median	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete	$930.80	$1,432.00	—	—	35%
Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum & Contents	$1,134.25	$1,745.00	—	89% above	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotum & Contents	$1,134.25	$1,745.00	—	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC Soft Tissue Neck US	$1,085.50	$1,670.00	—	67% above	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC Soft Tissue Neck US	$1,085.50	$1,670.00	—	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Rad Exam Upr GI Tract Single Contrast Study	$1,205.75	$1,855.00	—	53% above	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Rad Exam Upr GI Tract Single Contrast Study	$1,205.75	$1,855.00	—	—	35%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Humerus Min 2 View	$250.90	$386.00	—	3% below	35%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Humerus Min 2 View	$250.90	$386.00	—	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Niv Venous Duplex Uni/Ltd Study	$1,056.25	$1,625.00	—	at median	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Niv Venous Duplex Uni/Ltd Study	$1,056.25	$1,625.00	—	—	35%
Wrist X-ray, 2 views CPT 73100 HC Xr Wrist 2 Views	$186.55	$287.00	—	20% below	35%
Wrist X-ray, 2 views inpatient CPT 73100 HC Xr Wrist 2 Views	$186.55	$287.00	—	—	35%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist Min 3 Views	$365.30	$562.00	—	at median	35%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Wrist Min 3 Views	$365.30	$562.00	—	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views	$239.20	$368.00	—	4% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views	$239.20	$368.00	—	—	35%
X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View	$438.10	$674.00	—	30% above	35%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-Ray Exam Abdomen 1 View	$438.10	$674.00	—	—	35%
X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Views	$297.70	$458.00	—	1% above	35%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-Ray Ankle 2 Views	$297.70	$458.00	—	—	35%
X-ray of the finger(s), 2 or more views CPT 73140 HC Fingers Min 2 Views	$258.05	$397.00	—	at median	35%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Fingers Min 2 Views	$258.05	$397.00	—	—	35%
X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Views	$393.90	$606.00	—	46% above	35%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray Foot 2 Views	$393.90	$606.00	—	—	35%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot Min 3 Views Complete	$442.00	$680.00	—	5% above	35%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-Ray Foot Min 3 Views Complete	$442.00	$680.00	—	—	35%
X-ray of the hand, 3 or more views CPT 73130 HC Hand Routine Min 3 Views	$404.95	$623.00	—	17% above	35%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Routine Min 3 Views	$404.95	$623.00	—	—	35%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1-2 Views	$275.60	$424.00	—	3% above	35%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-Ray Knee 1-2 Views	$275.60	$424.00	—	—	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC L-Spine 2-3 Views	$306.15	$471.00	—	13% below	35%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC L-Spine 2-3 Views	$306.15	$471.00	—	—	35%
X-ray of the lower back, 4 or more views CPT 72110 HC L-Spine Min 4 Views	$536.25	$825.00	—	at median	35%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC L-Spine Min 4 Views	$536.25	$825.00	—	—	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC T-Spine 2 Views	$151.45	$233.00	—	45% below	35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC T-Spine 2 Views	$151.45	$233.00	—	—	35%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones Min 3 Views	$450.45	$693.00	—	36% above	35%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nasal Bones Min 3 Views	$450.45	$693.00	—	—	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC C-Spine 2-3 Views	$344.50	$530.00	—	at median	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC C-Spine 2-3 Views	$344.50	$530.00	—	—	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis Ap Only	$273.00	$420.00	—	12% above	35%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis Ap Only	$273.00	$420.00	—	—	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum and Coccyx Min 2 Views	$432.25	$665.00	—	58% above	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum and Coccyx Min 2 Views	$432.25	$665.00	—	—	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
ACTH blood test CPT 82024 HC So Acth	$187.20	$288.00	—	27% below	35%
ACTH blood test inpatient CPT 82024 HC So Acth	$187.20	$288.00	—	—	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC So1 Sgpt (Alt)	$9.75	$15.00	—	78% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC So Sgpt (Alt)	$24.05	$37.00	—	47% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Sgpt (Alt)	$98.80	$152.00	—	120% above	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC So1 Sgpt (Alt)	$9.75	$15.00	—	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC So Sgpt (Alt)	$24.05	$37.00	—	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Sgpt (Alt)	$98.80	$152.00	—	—	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC So1 Sgot (Ast)	$9.75	$15.00	—	78% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC So Sgot (Ast)	$24.05	$37.00	—	46% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino Ast Sgot	$79.30	$122.00	—	79% above	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC So1 Sgot (Ast)	$9.75	$15.00	—	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC So Sgot (Ast)	$24.05	$37.00	—	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino Ast Sgot	$79.30	$122.00	—	—	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel	$270.40	$416.00	—	2% below	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel	$270.40	$416.00	—	—	35%
Albumin blood test CPT 82040 HC So Assay of Albumin	$11.05	$17.00	—	73% below	35%
Albumin blood test CPT 82040 HC Albumin	$64.35	$99.00	—	59% above	35%
Albumin blood test inpatient CPT 82040 HC So Assay of Albumin	$11.05	$17.00	—	—	35%
Albumin blood test inpatient CPT 82040 HC Albumin	$64.35	$99.00	—	—	35%
Aldosterone blood test CPT 82088 HC So Aldosterone, Serum	$221.65	$341.00	—	3% above	35%
Aldosterone blood test CPT 82088 HC So Aldosterone, Serum	$221.65	$341.00	—	3% above	35%
Aldosterone blood test inpatient CPT 82088 HC So Aldosterone, Serum	$221.65	$341.00	—	—	35%
Aldosterone blood test inpatient CPT 82088 HC So Aldosterone, Serum	$221.65	$341.00	—	—	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC So Alkaline Phosphatase	$22.10	$34.00	—	53% below	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Alkaline Phosphatase	$104.65	$161.00	—	123% above	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC So Alkaline Phosphatase	$22.10	$34.00	—	—	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Alkaline Phosphatase	$104.65	$161.00	—	—	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC So1 Allergen Specific	$11.05	$17.00	—	73% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each	$28.60	$44.00	—	29% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC So Allergen Specific	$104.65	$161.00	—	159% above	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC So1 Allergen Specific	$11.05	$17.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each	$28.60	$44.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC So Allergen Specific	$104.65	$161.00	—	—	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC So Alpha Fetoprotein	$37.70	$58.00	—	67% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC So1 Alpha Fetoprotein	$69.55	$107.00	—	39% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC So2 Alpha Fetoprotein	$105.95	$163.00	—	7% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Serum	$131.30	$202.00	—	15% above	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC So Alpha Fetoprotein	$37.70	$58.00	—	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC So1 Alpha Fetoprotein	$69.55	$107.00	—	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC So2 Alpha Fetoprotein	$105.95	$163.00	—	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein Serum	$131.30	$202.00	—	—	35%
Ammonia blood test CPT 82140 HC So Ammonia	$46.80	$72.00	—	55% below	35%
Ammonia blood test CPT 82140 HC Ammonia	$195.65	$301.00	—	87% above	35%
Ammonia blood test inpatient CPT 82140 HC So Ammonia	$46.80	$72.00	—	—	35%
Ammonia blood test inpatient CPT 82140 HC Ammonia	$195.65	$301.00	—	—	35%
Amylase blood test CPT 82150 HC Amylase	$125.45	$193.00	—	33% above	35%
Amylase blood test inpatient CPT 82150 HC Amylase	$125.45	$193.00	—	—	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide Antibody	$45.50	$70.00	—	45% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC So Cyclic Citrullinated Peptd,Ab	$134.55	$207.00	—	64% above	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Citrullinated Peptide Antibody	$45.50	$70.00	—	—	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC So Cyclic Citrullinated Peptd,Ab	$134.55	$207.00	—	—	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC So1 Anti Nuclear Antibody	$27.95	$43.00	—	59% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Ana	$150.80	$232.00	—	119% above	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC So Anti Nuclear Antibody	$328.25	$505.00	—	376% above	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC So1 Anti Nuclear Antibody	$27.95	$43.00	—	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies Ana	$150.80	$232.00	—	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC So Anti Nuclear Antibody	$328.25	$505.00	—	—	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide	$116.35	$179.00	—	37% below	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide	$116.35	$179.00	—	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC So Body Fluid Culture	$27.95	$43.00	—	74% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture, Aerobic	$134.55	$207.00	—	24% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC So Body Fluid Culture	$27.95	$43.00	—	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture, Aerobic	$134.55	$207.00	—	—	35%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total	$214.50	$330.00	—	at median	35%
Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Calcium Total	$214.50	$330.00	—	—	35%
Bilirubin blood test, total CPT 82247 HC So Bilirubin Total	$24.70	$38.00	—	41% below	35%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total	$163.80	$252.00	—	290% above	35%
Bilirubin blood test, total inpatient CPT 82247 HC So Bilirubin Total	$24.70	$38.00	—	—	35%
Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total	$163.80	$252.00	—	—	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC So1 Tissue Level IV	$66.95	$103.00	—	65% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Tissue Level IV	$228.80	$352.00	—	20% above	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC So Tissue Level IV	$629.20	$968.00	—	230% above	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC So1 Tissue Level IV	$66.95	$103.00	—	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Tissue Level IV	$228.80	$352.00	—	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC So Tissue Level IV	$629.20	$968.00	—	—	35%
Blood culture for bacteria CPT 87040 HC Culture Blood	$223.60	$344.00	—	46% above	35%
Blood culture for bacteria inpatient CPT 87040 HC Culture Blood	$223.60	$344.00	—	—	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture	$22.10	$34.00	—	3% below	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection Venous Blood Venipuncture	$22.10	$34.00	—	—	35%
Blood glucose (sugar) test CPT 82947 HC So Glucose	$24.70	$38.00	—	26% below	35%
Blood glucose (sugar) test CPT 82947 HC Glucose, Fasting	$81.25	$125.00	—	142% above	35%
Blood glucose (sugar) test inpatient CPT 82947 HC So Glucose	$24.70	$38.00	—	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose, Fasting	$81.25	$125.00	—	—	35%
Blood lead test CPT 83655 HC So Lead	$66.30	$102.00	—	16% below	35%
Blood lead test inpatient CPT 83655 HC So Lead	$66.30	$102.00	—	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin, Chorionic (Hcg) Qualitative	$295.75	$455.00	—	90% above	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Gonadotropin, Chorionic (Hcg) Qualitative	$295.75	$455.00	—	—	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC So Blood Typing, Abo	$115.05	$177.00	—	88% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing, Abo	$117.00	$180.00	—	92% above	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC So Blood Typing, Abo	$115.05	$177.00	—	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing, Abo	$117.00	$180.00	—	—	35%
Blood urea nitrogen (BUN) test CPT 84520 HC Assay of Urea Nitrogen Quantitative	$59.80	$92.00	—	33% above	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Assay of Urea Nitrogen Quantitative	$59.80	$92.00	—	—	35%
C-peptide blood test CPT 84681 HC So Peptide,C	$1,014.65	$1,561.00	—	809% above	35%
C-peptide blood test inpatient CPT 84681 HC So Peptide,C	$1,014.65	$1,561.00	—	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC So Crp	$11.05	$17.00	—	84% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein	$133.25	$205.00	—	98% above	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC So Crp	$11.05	$17.00	—	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein	$133.25	$205.00	—	—	35%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Probe	$111.15	$171.00	—	43% below	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Probe	$111.15	$171.00	—	—	35%
CA 19-9 blood test (tumor marker) CPT 86301 HC So Carbohydrate Antigen 19-9	$198.90	$306.00	—	37% above	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC So Carbohydrate Antigen 19-9	$198.90	$306.00	—	—	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125	$328.90	$506.00	—	97% above	35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125	$328.90	$506.00	—	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Iadna Sars-Cov-2-19 Amp Probe Tq	$71.50	$110.00	—	13% below	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC So Iadna Sars-Cov-2-19 Amp Probe Tq	$114.40	$176.00	—	40% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Iadna Sars-Cov-2-19 Amp Probe Tq	$71.50	$110.00	—	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC So Iadna Sars-Cov-2-19 Amp Probe Tq	$114.40	$176.00	—	—	35%
Calcium blood test, total CPT 82310 HC So Calcium,Serum	$50.70	$78.00	—	14% above	35%
Calcium blood test, total CPT 82310 HC Calcium Total	$65.65	$101.00	—	48% above	35%
Calcium blood test, total inpatient CPT 82310 HC So Calcium,Serum	$50.70	$78.00	—	—	35%
Calcium blood test, total inpatient CPT 82310 HC Calcium Total	$65.65	$101.00	—	—	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC So Cea	$43.55	$67.00	—	72% below	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen Cea	$217.10	$334.00	—	38% above	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC So Cea	$43.55	$67.00	—	—	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Antigen Cea	$217.10	$334.00	—	—	35%
Chickenpox (varicella) immunity blood test CPT 86787 HC So Varicella Igg Igm	$52.00	$80.00	—	36% below	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC So Varicella Igg Igm	$52.00	$80.00	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC So1 Chylmd Trach Dna Amp Probe	$28.60	$44.00	—	82% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Amp Probe Tech, 1	$135.20	$208.00	—	13% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC So Chylmd Trach Dna Amp Probe	$187.85	$289.00	—	20% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC So1 Chylmd Trach Dna Amp Probe	$28.60	$44.00	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia Amp Probe Tech, 1	$135.20	$208.00	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC So Chylmd Trach Dna Amp Probe	$187.85	$289.00	—	—	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC So Lipid Panel	$27.95	$43.00	—	70% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC So1 Lipid Panel	$35.75	$55.00	—	62% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC So Lipid Cascade	$42.90	$66.00	—	54% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel	$124.15	$191.00	—	33% above	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC So Lipid Panel	$27.95	$43.00	—	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC So1 Lipid Panel	$35.75	$55.00	—	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC So Lipid Cascade	$42.90	$66.00	—	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel	$124.15	$191.00	—	—	35%
Complete blood count (CBC) with differential CPT 85025 HC Cbc	$117.00	$180.00	—	at median	35%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc	$117.00	$180.00	—	—	35%
Complete blood count (CBC), no differential CPT 85027 HC So Cbc W/O Diff	$51.35	$79.00	—	40% below	35%
Complete blood count (CBC), no differential CPT 85027 HC Cbc (Hemogram)	$75.40	$116.00	—	12% below	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HC So Cbc W/O Diff	$51.35	$79.00	—	—	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc (Hemogram)	$75.40	$116.00	—	—	35%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel	$247.00	$380.00	—	at median	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel	$247.00	$380.00	—	—	35%
Cortisol blood test, total CPT 82533 HC So Cortisol,Serum	$137.80	$212.00	—	1% above	35%
Cortisol blood test, total CPT 82533 HC Cortisol Total	$137.80	$212.00	—	1% above	35%
Cortisol blood test, total inpatient CPT 82533 HC So Cortisol,Serum	$137.80	$212.00	—	—	35%
Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total	$137.80	$212.00	—	—	35%
Creatine kinase (CK) blood test, total CPT 82550 HC So Cpk (CK)	$16.90	$26.00	—	68% below	35%
Creatine kinase (CK) blood test, total CPT 82550 HC Creatine Kinase Total	$104.00	$160.00	—	100% above	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC So Cpk (CK)	$16.90	$26.00	—	—	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Creatine Kinase Total	$104.00	$160.00	—	—	35%
Creatinine blood test CPT 82565 HC Creatinine,Serum	$66.95	$103.00	—	49% above	35%
Creatinine blood test CPT 82565 HC So Creatinine	$103.35	$159.00	—	130% above	35%
Creatinine blood test inpatient CPT 82565 HC Creatinine,Serum	$66.95	$103.00	—	—	35%
Creatinine blood test inpatient CPT 82565 HC So Creatinine	$103.35	$159.00	—	—	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC So1 Cytomegalovirus, Igg Antibody	$31.85	$49.00	—	66% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC So Cytomegalovirus, Igg Antibody	$116.35	$179.00	—	26% above	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC So1 Cytomegalovirus, Igg Antibody	$31.85	$49.00	—	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC So Cytomegalovirus, Igg Antibody	$116.35	$179.00	—	—	35%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative	$221.00	$340.00	—	54% above	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative	$221.00	$340.00	—	—	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC So Dhea Sulfate	$212.55	$327.00	—	19% above	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC So Dhea Sulfate	$212.55	$327.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC So Drg Scrn Class List A	$51.35	$79.00	—	56% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC So1 Drg Scrn Class List A	$95.55	$147.00	—	19% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Tst Prsmv Instrmnt Chem Analyzers PR Date	$260.00	$400.00	—	121% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC So2 Drg Scrn Class List A	$293.80	$452.00	—	150% above	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC So Drg Scrn Class List A	$51.35	$79.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC So1 Drg Scrn Class List A	$95.55	$147.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Tst Prsmv Instrmnt Chem Analyzers PR Date	$260.00	$400.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC So2 Drg Scrn Class List A	$293.80	$452.00	—	—	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel	$206.05	$317.00	—	99% above	35%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolyte Panel	$206.05	$317.00	—	—	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC So Epstein-Barr Virus Vca	$105.95	$163.00	—	at median	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC So Epstein-Barr Virus Vca	$105.95	$163.00	—	—	35%
Estradiol blood test CPT 82670 HC So Estradiol	$27.95	$43.00	—	77% below	35%
Estradiol blood test CPT 82670 HC Assay of Total Estradiol	$414.70	$638.00	—	242% above	35%
Estradiol blood test inpatient CPT 82670 HC So Estradiol	$27.95	$43.00	—	—	35%
Estradiol blood test inpatient CPT 82670 HC Assay of Total Estradiol	$414.70	$638.00	—	—	35%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Hormone	$417.95	$643.00	—	206% above	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin Follicle Stimulating Hormone	$417.95	$643.00	—	—	35%
Fecal calprotectin (stool inflammation test) CPT 83993 HC So Calprotectin Fecal	$312.00	$480.00	—	66% above	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC So Calprotectin Fecal	$312.00	$480.00	—	—	35%
Ferritin blood test (iron stores) CPT 82728 HC So Ferritin	$51.35	$79.00	—	54% below	35%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin	$165.75	$255.00	—	48% above	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HC So Ferritin	$51.35	$79.00	—	—	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HC Assay of Ferritin	$165.75	$255.00	—	—	35%
Fibrinogen blood test CPT 85384 HC Fibrinogen Activity	$176.80	$272.00	—	36% above	35%
Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen Activity	$176.80	$272.00	—	—	35%
Folate (folic acid) blood test CPT 82746 HC Assay of Folic Acid Serum	$136.50	$210.00	—	15% above	35%
Folate (folic acid) blood test inpatient CPT 82746 HC Assay of Folic Acid Serum	$136.50	$210.00	—	—	35%
Free T3 thyroid hormone test CPT 84481 HC Assay of Triiodothyronine T3 Free	$117.65	$181.00	—	at median	35%
Free T3 thyroid hormone test inpatient CPT 84481 HC Assay of Triiodothyronine T3 Free	$117.65	$181.00	—	—	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine	$226.20	$348.00	—	124% above	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Assay of Free Thyroxine	$226.20	$348.00	—	—	35%
Free testosterone test CPT 84402 HC So Testosterone Free	$63.70	$98.00	—	41% below	35%
Free testosterone test CPT 84402 HC So1 Testosterone Free	$202.80	$312.00	—	87% above	35%
Free testosterone test inpatient CPT 84402 HC So Testosterone Free	$63.70	$98.00	—	—	35%
Free testosterone test inpatient CPT 84402 HC So1 Testosterone Free	$202.80	$312.00	—	—	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC So Ggtp	$26.00	$40.00	—	56% below	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Glutamyltrase Gamma	$91.00	$140.00	—	54% above	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC So Ggtp	$26.00	$40.00	—	—	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Assay of Glutamyltrase Gamma	$91.00	$140.00	—	—	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Post Glucose Dose	$178.10	$274.00	—	194% above	35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose Post Glucose Dose	$178.10	$274.00	—	—	35%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test	$289.25	$445.00	—	126% above	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test	$289.25	$445.00	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC So1 N.Gonorrhea, Dna, Amp Probe	$28.60	$44.00	—	81% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhea, Dna, Amp Probe	$150.80	$232.00	—	at median	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC So N Gonorrhoeae Dna Amp Prob	$187.85	$289.00	—	25% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC So1 N.Gonorrhea, Dna, Amp Probe	$28.60	$44.00	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.Gonorrhea, Dna, Amp Probe	$150.80	$232.00	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC So N Gonorrhoeae Dna Amp Prob	$187.85	$289.00	—	—	35%
H. pylori antibody blood test CPT 86677 HC So H.Pylori. Serum	$38.35	$59.00	—	67% below	35%
H. pylori antibody blood test CPT 86677 HC So1 H.Pylori. Serum	$124.80	$192.00	—	7% above	35%
H. pylori antibody blood test inpatient CPT 86677 HC So H.Pylori. Serum	$38.35	$59.00	—	—	35%
H. pylori antibody blood test inpatient CPT 86677 HC So1 H.Pylori. Serum	$124.80	$192.00	—	—	35%
H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool	$215.80	$332.00	—	5% above	35%
H. pylori stool antigen test inpatient CPT 87338 HC Iaad Ia Hpylori Stool	$215.80	$332.00	—	—	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC So1 Hiv-1 Quantification	$102.70	$158.00	—	77% below	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC So Hiv-1, Quantification	$403.65	$621.00	—	8% below	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC So1 Hiv-1 Quantification	$102.70	$158.00	—	—	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC So Hiv-1, Quantification	$403.65	$621.00	—	—	35%
HIV-1 and HIV-2 antibody test CPT 86703 HC So Antibody,Hiv 1 & Hiv 2, Assay	$121.55	$187.00	—	at median	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC So Antibody,Hiv 1 & Hiv 2, Assay	$121.55	$187.00	—	—	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC So Hiv-1 & Hiv-2 Ab	$78.65	$121.00	—	19% below	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$313.30	$482.00	—	222% above	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC So Hiv-1 & Hiv-2 Ab	$78.65	$121.00	—	—	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$313.30	$482.00	—	—	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC So Hpv Dna Amp Probe	$28.60	$44.00	—	76% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus Hi-Rsk Typ Poold Rslt	$146.90	$226.00	—	22% above	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC So Hpv Dna Amp Probe	$28.60	$44.00	—	—	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Iadna Human Papillomavirus Hi-Rsk Typ Poold Rslt	$146.90	$226.00	—	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c	$91.65	$141.00	—	6% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated A1c	$91.65	$141.00	—	—	35%
Hemoglobin blood test CPT 85018 HC So Hemoglobin	$22.10	$34.00	—	31% below	35%
Hemoglobin blood test CPT 85018 HC Blood Count Hemoglobin	$38.35	$59.00	—	20% above	35%
Hemoglobin blood test inpatient CPT 85018 HC So Hemoglobin	$22.10	$34.00	—	—	35%
Hemoglobin blood test inpatient CPT 85018 HC Blood Count Hemoglobin	$38.35	$59.00	—	—	35%
Hepatitis B core antibody test (total) CPT 86704 HC So Hep B Core Ab - Ref	$13.65	$21.00	—	80% below	35%
Hepatitis B core antibody test (total) CPT 86704 HC So Hepatitis B Core Antibody	$38.35	$59.00	—	45% below	35%
Hepatitis B core antibody test (total) CPT 86704 HC So1 Hepatitis B Core Antibody	$477.10	$734.00	—	586% above	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC So Hep B Core Ab - Ref	$13.65	$21.00	—	—	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC So Hepatitis B Core Antibody	$38.35	$59.00	—	—	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC So1 Hepatitis B Core Antibody	$477.10	$734.00	—	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC So Anti-Hbs	$13.65	$21.00	—	84% below	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surf Antibody Hbsab	$358.15	$551.00	—	326% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC So Anti-Hbs	$13.65	$21.00	—	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surf Antibody Hbsab	$358.15	$551.00	—	—	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC So Hepatitis B Surface Ag - Ref	$13.65	$21.00	—	84% below	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC So Hepatitis B Surface Ag	$37.05	$57.00	—	56% below	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen	$360.10	$554.00	—	324% above	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC So Hepatitis B Surface Ag - Ref	$13.65	$21.00	—	—	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC So Hepatitis B Surface Ag	$37.05	$57.00	—	—	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen	$360.10	$554.00	—	—	35%
Hepatitis C antibody blood test (screening) CPT 86803 HC So Hepatitis C Virus Antibody	$41.60	$64.00	—	49% below	35%
Hepatitis C antibody blood test (screening) CPT 86803 HC So1 Hepatitis C Virus Antibody	$94.25	$145.00	—	16% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 HC So2 Hepatitis C Virus Antibody	$268.45	$413.00	—	231% above	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC So Hepatitis C Virus Antibody	$41.60	$64.00	—	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC So1 Hepatitis C Virus Antibody	$94.25	$145.00	—	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC So2 Hepatitis C Virus Antibody	$268.45	$413.00	—	—	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC So Hcv Ultraquant	$120.90	$186.00	—	69% below	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC So1 Hcv Ultraquant	$367.25	$565.00	—	7% below	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC So Hcv Ultraquant	$120.90	$186.00	—	—	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC So1 Hcv Ultraquant	$367.25	$565.00	—	—	35%
Herpes blood test, HSV-1 antibody CPT 86695 HC So1 Herpes Simplex Type 1	$18.20	$28.00	—	75% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 HC So Herpes Simplex, Type 1	$70.20	$108.00	—	4% below	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC So1 Herpes Simplex Type 1	$18.20	$28.00	—	—	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC So Herpes Simplex, Type 1	$70.20	$108.00	—	—	35%
Herpes blood test, HSV-2 antibody CPT 86696 HC So1 Herpes Simplex, Type 2	$22.75	$35.00	—	72% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HC So Herpes Simplex, Type 2	$70.85	$109.00	—	13% below	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC So1 Herpes Simplex, Type 2	$22.75	$35.00	—	—	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC So Herpes Simplex, Type 2	$70.85	$109.00	—	—	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity	$124.80	$192.00	—	27% above	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein High Sensitivity	$124.80	$192.00	—	—	35%
Homocysteine blood test CPT 83090 HC So Homocystine	$261.30	$402.00	—	1% above	35%
Homocysteine blood test inpatient CPT 83090 HC So Homocystine	$261.30	$402.00	—	—	35%
Insulin blood test CPT 83525 HC So Insulin	$261.30	$402.00	—	170% above	35%
Insulin blood test inpatient CPT 83525 HC So Insulin	$261.30	$402.00	—	—	35%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron	$68.25	$105.00	—	16% above	35%
Iron blood test (serum iron) CPT 83540 HC So Iron	$338.65	$521.00	—	474% above	35%
Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron	$68.25	$105.00	—	—	35%
Iron blood test (serum iron) inpatient CPT 83540 HC So Iron	$338.65	$521.00	—	—	35%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity	$83.20	$128.00	—	9% above	35%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity	$83.20	$128.00	—	—	35%
Kidney function blood test panel CPT 80069 HC Renal Function Panel	$70.85	$109.00	—	48% below	35%
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel	$70.85	$109.00	—	—	35%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone	$287.95	$443.00	—	82% above	35%
LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin Luteinizing Hormone	$287.95	$443.00	—	—	35%
Lactate (lactic acid) blood test CPT 83605 HC So Lactic Acid	$80.60	$124.00	—	13% below	35%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactate	$150.15	$231.00	—	61% above	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HC So Lactic Acid	$80.60	$124.00	—	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Assay of Lactate	$150.15	$231.00	—	—	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC So Ldh	$16.25	$25.00	—	72% below	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase Ldh	$72.80	$112.00	—	24% above	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC So Ldh	$16.25	$25.00	—	—	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate Dehydrogenase Ldh	$72.80	$112.00	—	—	35%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase	$171.60	$264.00	—	99% above	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase	$171.60	$264.00	—	—	35%
Liver function blood test panel CPT 80076 HC So Hepatic Function Panel	$19.50	$30.00	—	87% below	35%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel	$206.05	$317.00	—	33% above	35%
Liver function blood test panel inpatient CPT 80076 HC So Hepatic Function Panel	$19.50	$30.00	—	—	35%
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel	$206.05	$317.00	—	—	35%
Lyme disease antibody test CPT 86618 HC So Lyme Disease Total Anitbodies	$130.00	$200.00	—	at median	35%
Lyme disease antibody test inpatient CPT 86618 HC So Lyme Disease Total Anitbodies	$130.00	$200.00	—	—	35%
Magnesium blood test CPT 83735 HC So Magnesium	$37.70	$58.00	—	30% below	35%
Magnesium blood test CPT 83735 HC Assay of Magnesium	$79.30	$122.00	—	47% above	35%
Magnesium blood test inpatient CPT 83735 HC So Magnesium	$37.70	$58.00	—	—	35%
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium	$79.30	$122.00	—	—	35%
Measles (rubeola) antibody test CPT 86765 HC So Rubeola Igg / Igm	$78.65	$121.00	—	at median	35%
Measles (rubeola) antibody test inpatient CPT 86765 HC So Rubeola Igg / Igm	$78.65	$121.00	—	—	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Mono Spot Test,Agglutination	$235.95	$363.00	—	275% above	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Mono Spot Test,Agglutination	$235.95	$363.00	—	—	35%
Mumps immunity blood test CPT 86735 HC So Antibody; Mumps	$67.60	$104.00	—	21% below	35%
Mumps immunity blood test inpatient CPT 86735 HC So Antibody; Mumps	$67.60	$104.00	—	—	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free	$173.55	$267.00	—	47% above	35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Assay of Prostate Specific Antigen Free	$173.55	$267.00	—	—	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC So1 Assay of Psa Total	$37.05	$57.00	—	66% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total	$157.30	$242.00	—	44% above	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC So Assay of Psa Total	$219.70	$338.00	—	101% above	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC So1 Assay of Psa Total	$37.05	$57.00	—	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Prostate Specific Antigen Total	$157.30	$242.00	—	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC So Assay of Psa Total	$219.70	$338.00	—	—	35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC So Cytopath C/V Auto Fluid Redo	$23.40	$36.00	—	71% below	35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC So Cytopath C/V Auto Fluid Redo	$23.40	$36.00	—	—	35%
Parathyroid hormone (PTH) blood test CPT 83970 HC So Parathyroid Hormone	$200.20	$308.00	—	at median	35%
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone	$200.20	$308.00	—	at median	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC So Parathyroid Hormone	$200.20	$308.00	—	—	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone	$200.20	$308.00	—	—	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC So2 Ptt	$5.85	$9.00	—	89% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC So1 Ptt	$23.40	$36.00	—	57% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC So Ptt	$30.55	$47.00	—	43% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt	$78.00	$120.00	—	44% above	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC So2 Ptt	$5.85	$9.00	—	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC So1 Ptt	$23.40	$36.00	—	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC So Ptt	$30.55	$47.00	—	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt	$78.00	$120.00	—	—	35%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Phosphorus Inorganic	$53.95	$83.00	—	21% above	35%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Assay of Phosphorus Inorganic	$53.95	$83.00	—	—	35%
Potassium blood test CPT 84132 HC Potassium Serum Plasma/Whole Blood	$52.00	$80.00	—	16% above	35%
Potassium blood test inpatient CPT 84132 HC Potassium Serum Plasma/Whole Blood	$52.00	$80.00	—	—	35%
Progesterone blood test CPT 84144 HC Assay of Progesterone	$215.80	$332.00	—	49% above	35%
Progesterone blood test inpatient CPT 84144 HC Assay of Progesterone	$215.80	$332.00	—	—	35%
Prolactin blood test CPT 84146 HC So Prolactin	$41.60	$64.00	—	70% below	35%
Prolactin blood test CPT 84146 HC Assay of Prolactin	$126.10	$194.00	—	8% below	35%
Prolactin blood test inpatient CPT 84146 HC So Prolactin	$41.60	$64.00	—	—	35%
Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin	$126.10	$194.00	—	—	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC So1 Prothrombin Time	$4.55	$7.00	—	88% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC So Prothrombin Time	$23.40	$36.00	—	39% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time	$68.90	$106.00	—	79% above	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC So1 Prothrombin Time	$4.55	$7.00	—	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC So Prothrombin Time	$23.40	$36.00	—	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time	$68.90	$106.00	—	—	35%
Rapid flu test (influenza antigen) CPT 87804 HC Iaadiadoo Influenza	$146.25	$225.00	—	71% above	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Iaadiadoo Influenza	$146.25	$225.00	—	—	35%
Renin blood test CPT 84244 HC So Renin	$391.30	$602.00	—	152% above	35%
Renin blood test inpatient CPT 84244 HC So Renin	$391.30	$602.00	—	—	35%
Rh blood typing CPT 86901 HC So Blood Typing, Rh(D)	$104.65	$161.00	—	112% above	35%
Rh blood typing CPT 86901 HC Blood Typing, Rh(D)	$122.85	$189.00	—	149% above	35%
Rh blood typing inpatient CPT 86901 HC So Blood Typing, Rh(D)	$104.65	$161.00	—	—	35%
Rh blood typing inpatient CPT 86901 HC Blood Typing, Rh(D)	$122.85	$189.00	—	—	35%
Rheumatoid factor (RF) test CPT 86431 HC So Ra Titer, Quantitative	$13.65	$21.00	—	80% below	35%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative	$225.55	$347.00	—	228% above	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC So Ra Titer, Quantitative	$13.65	$21.00	—	—	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quantitative	$225.55	$347.00	—	—	35%
Rubella antibody test (immunity check) CPT 86762 HC Antibody Rubella	$89.05	$137.00	—	37% above	35%
Rubella antibody test (immunity check) CPT 86762 HC So Rubella Latex Test	$107.25	$165.00	—	65% above	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Antibody Rubella	$89.05	$137.00	—	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC So Rubella Latex Test	$107.25	$165.00	—	—	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate	$104.65	$161.00	—	92% above	35%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sed Rate	$104.65	$161.00	—	—	35%
Sodium blood test CPT 84295 HC Sodium Serum Plasma or Whole Blood	$87.10	$134.00	—	103% above	35%
Sodium blood test inpatient CPT 84295 HC Sodium Serum Plasma or Whole Blood	$87.10	$134.00	—	—	35%
Stool ova and parasites exam CPT 87177 HC So Ova and Parasites	$66.95	$103.00	—	37% below	35%
Stool ova and parasites exam inpatient CPT 87177 HC So Ova and Parasites	$66.95	$103.00	—	—	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult Peroxidase Actv Qual Feces 1 Deter	$56.55	$87.00	—	88% above	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult Peroxidase Actv Qual Feces 1 Deter	$56.55	$87.00	—	—	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC So1 Fta-Abs	$46.80	$72.00	—	31% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC So Fta-Abs	$75.40	$116.00	—	12% above	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC So1 Fta-Abs	$46.80	$72.00	—	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC So Fta-Abs	$75.40	$116.00	—	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qual	$46.80	$72.00	—	at median	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC So Vdrl / Rpr	$46.80	$72.00	—	at median	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC So1 Vdrl / Rpr	$167.70	$258.00	—	258% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qual	$46.80	$72.00	—	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC So Vdrl / Rpr	$46.80	$72.00	—	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC So1 Vdrl / Rpr	$167.70	$258.00	—	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC So TB Test, Cell Immun Measure	$260.00	$400.00	—	25% above	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC So TB Test, Cell Immun Measure	$260.00	$400.00	—	—	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC So Testosterone Total	$76.70	$118.00	—	32% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Testosterone Total	$233.35	$359.00	—	107% above	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC So Testosterone Total	$76.70	$118.00	—	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Assay of Testosterone Total	$233.35	$359.00	—	—	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC So Microsomal Ab Ea	$20.80	$32.00	—	80% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibodies Each	$51.35	$79.00	—	52% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC So Microsomal Antibody	$154.05	$237.00	—	45% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC So1 Microsomal Antibody	$321.75	$495.00	—	202% above	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC So Microsomal Ab Ea	$20.80	$32.00	—	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibodies Each	$51.35	$79.00	—	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC So Microsomal Antibody	$154.05	$237.00	—	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC So1 Microsomal Antibody	$321.75	$495.00	—	—	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC So Tsh 3rd Generation	$16.90	$26.00	—	88% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone	$190.45	$293.00	—	36% above	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC So Tsh 3rd Generation	$16.90	$26.00	—	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone	$190.45	$293.00	—	—	35%
Total IgE blood test CPT 82785 HC So1 Immunoglobulinige	$31.20	$48.00	—	77% below	35%
Total IgE blood test CPT 82785 HC So Immunoglobulin,Ige	$92.95	$143.00	—	31% below	35%
Total IgE blood test CPT 82785 HC Assay of Gammaglobulin Ige	$418.60	$644.00	—	209% above	35%
Total IgE blood test inpatient CPT 82785 HC So1 Immunoglobulinige	$31.20	$48.00	—	—	35%
Total IgE blood test inpatient CPT 82785 HC So Immunoglobulin,Ige	$92.95	$143.00	—	—	35%
Total IgE blood test inpatient CPT 82785 HC Assay of Gammaglobulin Ige	$418.60	$644.00	—	—	35%
Total cholesterol blood test CPT 82465 HC So Cholesterol	$34.45	$53.00	—	13% below	35%
Total cholesterol blood test CPT 82465 HC Cholesterol Serum/Whole Blood Total	$50.70	$78.00	—	29% above	35%
Total cholesterol blood test inpatient CPT 82465 HC So Cholesterol	$34.45	$53.00	—	—	35%
Total cholesterol blood test inpatient CPT 82465 HC Cholesterol Serum/Whole Blood Total	$50.70	$78.00	—	—	35%
Total thyroxine (T4) blood test CPT 84436 HC So1 Thyroxine Total	$16.90	$26.00	—	75% below	35%
Total thyroxine (T4) blood test CPT 84436 HC So Thyroxine Total	$24.70	$38.00	—	63% below	35%
Total thyroxine (T4) blood test CPT 84436 HC Assay of Thyroxine Total	$96.85	$149.00	—	45% above	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HC So1 Thyroxine Total	$16.90	$26.00	—	—	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HC So Thyroxine Total	$24.70	$38.00	—	—	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HC Assay of Thyroxine Total	$96.85	$149.00	—	—	35%
Total triiodothyronine (T3) blood test CPT 84480 HC Assay of Triiodothyronine T3 Total Tt3	$215.15	$331.00	—	79% above	35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Assay of Triiodothyronine T3 Total Tt3	$215.15	$331.00	—	—	35%
Transferrin blood test CPT 84466 HC Assay of L7383transferrin	$227.50	$350.00	—	97% above	35%
Transferrin blood test inpatient CPT 84466 HC Assay of L7383transferrin	$227.50	$350.00	—	—	35%
Trichomonas test (NAAT) CPT 87661 HC So1 Trichomonas Vaginalis Amplif	$28.60	$44.00	—	79% below	35%
Trichomonas test (NAAT) CPT 87661 HC So Trichomonas Vaginalis Amplif	$78.00	$120.00	—	43% below	35%
Trichomonas test (NAAT) CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech	$78.00	$120.00	—	43% below	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC So1 Trichomonas Vaginalis Amplif	$28.60	$44.00	—	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech	$78.00	$120.00	—	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC So Trichomonas Vaginalis Amplif	$78.00	$120.00	—	—	35%
Triglycerides blood test CPT 84478 HC So Triglycerides	$24.70	$38.00	—	44% below	35%
Triglycerides blood test CPT 84478 HC Assay of Triglycerides	$94.90	$146.00	—	113% above	35%
Triglycerides blood test inpatient CPT 84478 HC So Triglycerides	$24.70	$38.00	—	—	35%
Triglycerides blood test inpatient CPT 84478 HC Assay of Triglycerides	$94.90	$146.00	—	—	35%
Troponin test, quantitative CPT 84484 HC Assay of Troponin Quantitative	$139.10	$214.00	—	at median	35%
Troponin test, quantitative inpatient CPT 84484 HC Assay of Troponin Quantitative	$139.10	$214.00	—	—	35%
Uric acid blood test CPT 84550 HC Assay of Blood/Uric Acid	$91.00	$140.00	—	54% above	35%
Uric acid blood test inpatient CPT 84550 HC Assay of Blood/Uric Acid	$91.00	$140.00	—	—	35%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis W/ Microscopy	$116.35	$179.00	—	78% above	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis W/ Microscopy	$116.35	$179.00	—	—	35%
Urinalysis without microscope exam, automated CPT 81003 HC Ua Auto W/O Micro-Ref Lab	$7.15	$11.00	—	82% below	35%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope	$62.40	$96.00	—	58% above	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Ua Auto W/O Micro-Ref Lab	$7.15	$11.00	—	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope	$62.40	$96.00	—	—	35%
Urine culture for bacteria, with colony count CPT 87086 HC So Urine Cult/Colony Count	$65.65	$101.00	—	36% below	35%
Urine culture for bacteria, with colony count CPT 87086 HC Urine Cult./Colony Count	$97.50	$150.00	—	5% below	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC So Urine Cult/Colony Count	$65.65	$101.00	—	—	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Urine Cult./Colony Count	$97.50	$150.00	—	—	35%
Urine microalbumin (albumin) test CPT 82043 HC Urine,Microalbumin,Quantitativ	$83.85	$129.00	—	16% above	35%
Urine microalbumin (albumin) test CPT 82043 HC So Urine,Microalbumin,Quantitativ	$127.40	$196.00	—	76% above	35%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Urine,Microalbumin,Quantitativ	$83.85	$129.00	—	—	35%
Urine microalbumin (albumin) test inpatient CPT 82043 HC So Urine,Microalbumin,Quantitativ	$127.40	$196.00	—	—	35%
Urine pregnancy test, read by color change CPT 81025 HC Hcg (Urine) Pregnancy Test	$169.00	$260.00	—	105% above	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Hcg (Urine) Pregnancy Test	$169.00	$260.00	—	—	35%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin Vitamin B-12	$60.45	$93.00	—	45% below	35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Cyanocobalamin Vitamin B-12	$60.45	$93.00	—	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 Hydroxy Includes Fractions if Performed	$151.45	$233.00	—	1% below	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 Hydroxy Includes Fractions if Performed	$151.45	$233.00	—	—	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC So Dihydroxyvitamin D, 1 25	$148.85	$229.00	—	6% below	35%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC So Dihydroxyvitamin D, 1 25	$148.85	$229.00	—	—	35%
Zinc blood test CPT 84630 HC So Zinc, Serum	$191.75	$295.00	—	35% above	35%
Zinc blood test inpatient CPT 84630 HC So Zinc, Serum	$191.75	$295.00	—	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC So Hcg Quantitative	$41.60	$64.00	—	53% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Quantitative	$255.45	$393.00	—	190% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC So Hcg Quantitative	$41.60	$64.00	—	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Quantitative	$255.45	$393.00	—	—	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj\|RIGHT SIDE	$36,022.48	$60,037.47	$12,125.13–$12,731.39	31% above	40%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj\|LEFT SIDE	$36,690.51	$61,150.85	$12,125.13–$12,731.39	33% above	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr\|LEFT SIDE	$29,459.92	$49,099.87	$6,852.93–$7,195.57	1% below	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr\|RIGHT SIDE	$31,950.39	$53,250.65	$6,852.93–$7,195.57	7% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast 1st Lesion Strtctc	$4,023.50	$6,190.00	—	18% above	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast 1st Lesion Strtctc	$4,023.50	$6,190.00	—	—	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Treat Ankle Fx	$288.60	$444.00	—	4% below	35%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Treat Ankle Fx	$288.60	$444.00	—	—	35%
Cardiac catheterization with coronary angiogram CPT 93458 HC L Heart W Lv & Coronary	$9,722.05	$14,957.00	—	14% below	35%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L Heart W Lv & Coronary	$9,722.05	$14,957.00	—	—	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion	$910.65	$1,401.00	—	34% below	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion	$4,727.38	$7,878.97	$624.21–$655.42	241% above	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion	$910.65	$1,401.00	—	—	35%
Carpal tunnel release, open surgery one side CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne\|LEFT SIDE	$6,628.40	$11,047.33	$1,844.20–$1,936.41	13% above	40%
Carpal tunnel release, open surgery one side CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne\|RIGHT SIDE	$6,631.33	$11,052.22	$1,844.20–$1,936.41	13% above	40%
Cervical biopsy CPT 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx	$19,199.63	$31,999.38	$5,709.53–$5,995.01	1335% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block	$585.00	$900.00	—	55% below	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block	$585.00	$900.00	—	—	35%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$8,487.89	$14,146.48	$1,130.13–$1,186.64	265% above	40%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$6,792.11	$11,320.18	$1,130.13–$1,186.64	63% above	40%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$5,910.12	$9,850.20	$878.27–$922.19	98% above	40%
Cystoscopy with ureteral stent placement one side CPT 52332 Cysto W/Insert Ureteral Stent\|LEFT SIDE	$9,296.80	$15,494.67	$5,063.80–$5,316.99	28% above	40%
Cystoscopy with ureteral stent placement one side CPT 52332 Cysto W/Insert Ureteral Stent\|RIGHT SIDE	$11,755.87	$19,593.12	$3,329.07–$3,495.52	62% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy (Separate Procedure)	$458.90	$706.00	—	7% below	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$6,546.12	$10,910.20	$658.54–$691.47	1222% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy (Separate Procedure)	$458.90	$706.00	—	—	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Rem Impact Cerumen Irrigat Uni	$70.85	$109.00	—	40% below	35%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Rem Impact Cerumen Irrigat Uni	$70.85	$109.00	—	—	35%
Earwax removal with instruments, one ear CPT 69210 HC Remove Impacted Cerumen	$126.75	$195.00	—	at median	35%
Earwax removal with instruments, one ear inpatient CPT 69210 HC Remove Impacted Cerumen	$126.75	$195.00	—	—	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$1,449.50	$2,230.00	—	1% above	35%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$1,449.50	$2,230.00	—	—	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC N Block Paravert Lumbar 1st	$3,161.60	$4,864.00	—	38% above	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC N Block Paravert Lumbar 1st	$3,161.60	$4,864.00	—	—	35%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$31,345.11	$52,241.85	$6,114.02–$6,419.72	18% above	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$10,602.67	$17,671.12	$3,381.41–$3,550.48	35% below	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$5,920.39	$9,867.32	$878.27–$922.19	227% above	40%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$18,157.39	$30,262.32	$5,709.53–$5,995.01	4% below	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$19,338.36	$32,230.60	$5,709.53–$5,995.01	9% above	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC Ligation of Hemorrhoid(S)	$686.40	$1,056.00	—	56% below	35%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC Ligation of Hemorrhoid(S)	$686.40	$1,056.00	—	—	35%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$8,198.06	$13,663.43	$2,621.40–$2,752.46	10% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Intro Sal Cont Hyst	$289.25	$445.00	—	12% below	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Cath/Intro Sal Cont Hyst	$289.25	$445.00	—	—	35%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$16,523.49	$27,539.15	$4,724.42–$4,960.64	51% above	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$14,565.72	$24,276.20	$3,057.21–$3,210.07	88% above	40%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud	$12,869.80	$21,449.67	$3,057.21–$3,210.07	4328% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Simple	$410.80	$632.00	—	13% above	35%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D Simple	$410.80	$632.00	$196.12	13% above	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D Simple	$410.80	$632.00	—	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Simple	$410.80	$632.00	—	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inject Tendon Sheath Ligament	$965.25	$1,485.00	—	97% above	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Inject Tendon Sheath Ligament	$965.25	$1,485.00	—	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Inj/Asp Maj Jnt or Bursa	$709.80	$1,092.00	—	10% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Asp Injection Major Joint	$709.80	$1,092.00	—	10% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocent/Aspiration Maj Jnt	$809.25	$1,245.00	—	25% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Joint Injection/Aspir Large WO US	$1,550.70	$2,584.50	$289.89–$304.39	140% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Joint Injection/Aspir Large WO US\|LEFT SIDE	$1,523.14	$2,538.57	$289.89–$304.39	136% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Joint Injection/Aspir Large WO US\|RIGHT SIDE	$1,523.34	$2,538.90	$289.89	136% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Inj/Asp Maj Jnt or Bursa	$709.80	$1,092.00	—	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Asp Injection Major Joint	$709.80	$1,092.00	—	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocent/Aspiration Maj Jnt	$809.25	$1,245.00	—	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Asp Inj Intermediate Joint	$232.70	$358.00	—	47% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Joint Bursa Inj Med Arm	$232.70	$358.00	—	47% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Asp Inj Intermediate Joint	$232.70	$358.00	—	47% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Asp Inj Intermediate Joint	$232.70	$358.00	—	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Joint Bursa Inj Med Arm	$232.70	$358.00	—	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Asp Inj Intermediate Joint	$232.70	$358.00	—	—	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Injection Small Joint/Bursa	$232.70	$358.00	—	38% below	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Drain/Inject Joint/Bursa	$232.70	$358.00	—	38% below	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Joint Bursa Inj Small Joint	$232.70	$358.00	—	38% below	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Injection Small Joint/Bursa	$232.70	$358.00	—	—	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Joint Bursa Inj Small Joint	$232.70	$358.00	—	—	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Drain/Inject Joint/Bursa	$232.70	$358.00	—	—	35%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral\|LEFT SIDE	$33,901.62	$56,502.70	$12,125.13–$12,731.39	41% above	40%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral\|RIGHT SIDE	$34,035.29	$56,725.48	$3,198.30–$3,244.66	42% above	40%
Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg\|LEFT SIDE	$13,394.22	$22,323.70	$3,090.15–$3,244.66	12% above	40%
Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg\|RIGHT SIDE	$13,691.34	$22,818.90	$3,090.15–$3,244.66	15% above	40%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving\|LEFT SIDE	$13,158.40	$21,930.67	$3,090.15–$3,244.66	8% above	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Arthrs Knee Debridement/Shaving Artclr Crtlg\|RIGHT SIDE	$16,388.41	$27,314.02	$3,090.15–$3,244.66	51% above	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Arthrs Knee Debridement/Shaving Artclr Crtlg\|LEFT SIDE	$37,270.80	$62,118.00	$6,852.93–$7,195.57	242% above	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$18,643.74	$31,072.90	$5,709.53–$5,995.01	at median	40%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/<	$37,574.69	$62,624.48	$10,039.05–$10,541.00	21% above	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$41,556.95	$69,261.58	$10,039.05–$10,541.00	5% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia\|LEFT SIDE	$26,408.72	$44,014.53	$5,709.53–$5,995.01	5% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia\|RIGHT SIDE	$28,460.12	$47,433.53	$5,709.53–$5,995.01	13% above	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia\|RIGHT SIDE	$26,690.49	$44,484.15	$5,709.53–$5,995.01	13% above	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia\|LEFT SIDE	$31,949.70	$53,249.50	$10,039.05–$10,541.00	36% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$31,696.86	$52,828.10	$5,709.53–$5,995.01	92% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Laparoscopy W/Rmvl Adnexal Structures\|RIGHT SIDE	$19,343.64	$32,239.40	$5,709.53–$5,995.01	17% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Lyr Clos Sc Tk Ext <2.5 Cm	$526.50	$810.00	—	at median	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Lyr Clos Sc Tk Ext <2.5 Cm	$526.50	$810.00	—	—	35%
Left heart catheterization, diagnostic CPT 93452 HC L Heart W Lvgram	$4,854.85	$7,469.00	—	37% below	35%
Left heart catheterization, diagnostic inpatient CPT 93452 HC L Heart W Lvgram	$4,854.85	$7,469.00	—	—	35%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,449.50	$2,230.00	—	at median	35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,449.50	$2,230.00	—	—	35%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$1,449.50	$2,230.00	—	8% below	35%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$1,449.50	$2,230.00	—	—	35%
Lumpectomy (partial mastectomy) one side CPT 19301 Mastectomy Partial\|RIGHT SIDE	$17,436.21	$29,060.35	$3,697.82–$3,882.71	7% below	40%
Lumpectomy (partial mastectomy) one side CPT 19301 Mastectomy Partial\|LEFT SIDE	$21,108.52	$35,180.87	$3,697.82–$3,882.71	13% above	40%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete	$38,823.28	$64,705.47	$6,584.68	43% above	40%
Mastectomy (total removal of the breast) one side CPT 19303 Mastectomy Simple Complete\|LEFT SIDE	$38,823.28	$64,705.47	$6,271.12–$6,584.68	43% above	40%
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical	$11,842.67	$19,737.78	$3,057.21–$3,210.07	164% above	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Tr-Ext B9+Marg 0.5 Cm<	$1,422.20	$2,188.00	—	67% above	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc Tr-Ext B9+Marg 0.5 Cm<	$1,422.20	$2,188.00	—	—	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Face-Mm B9+Marg 0.5 Cm/<	$1,422.20	$2,188.00	—	15% above	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC Exc Face-Mm B9+Marg 0.5 Cm/<	$1,422.20	$2,188.00	—	—	35%
Nail removal (partial or complete), one nail CPT 11730 HC ED Avulsion Nail Plate Single	$410.80	$632.00	—	70% above	35%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion of Nail Plate	$410.80	$632.00	—	70% above	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion of Nail Plate	$410.80	$632.00	—	—	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED Avulsion Nail Plate Single	$410.80	$632.00	—	—	35%
Occipital nerve block (injection for headaches) CPT 64405 HC Inj Aa&/Strd Greater Occipital Nerve	$248.95	$383.00	—	66% below	35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inj Aa&/Strd Greater Occipital Nerve	$248.95	$383.00	—	—	35%
Pacemaker implant (dual chamber) CPT 33208 HC Ins/Repl of Dual Cham Ppm Lead	$15,005.25	$23,085.00	—	3% above	35%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC Ins/Repl of Dual Cham Ppm Lead	$15,005.25	$23,085.00	—	—	35%
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance	$2,409.55	$3,707.00	—	62% above	35%
Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W Guide	$2,409.55	$3,707.00	—	62% above	35%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance	$2,409.55	$3,707.00	—	—	35%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W Guide	$2,409.55	$3,707.00	—	—	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision of Nail & Nail Matrix	$790.40	$1,216.00	—	16% above	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excis Nail Matrix Perm Rmvl	$790.40	$1,216.00	—	16% above	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excis Nail Matrix Perm Rmvl	$790.40	$1,216.00	—	—	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excision of Nail & Nail Matrix	$790.40	$1,216.00	—	—	35%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$13,585.81	$22,643.02	$3,697.82–$3,882.71	20% above	40%
Removal of a breast lump, open surgery one side CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion\|LEFT SIDE	$11,504.25	$19,173.75	$3,697.82–$3,882.71	1% above	40%
Removal of a breast lump, open surgery one side CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion\|RIGHT SIDE	$12,282.23	$20,470.38	$3,697.82–$3,882.71	8% above	40%
Removal of a foreign object under the skin, simple CPT 10120 HC Removal FB Skin	$2,409.55	$3,707.00	—	325% above	35%
Removal of a foreign object under the skin, simple CPT 10120 HC Removal FB Skin	$6,179.68	$10,299.47	$383.92–$403.12	989% above	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Removal FB Skin	$2,409.55	$3,707.00	—	—	35%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind	$5,955.56	$9,925.93	$878.27–$922.19	3% above	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind	$5,920.39	$9,867.32	$878.27–$922.19	3% above	40%
Short arm cast (elbow to hand) CPT 29075 HC Cast - Short Arm	$521.30	$802.00	—	18% above	35%
Short arm cast (elbow to hand) inpatient CPT 29075 HC Cast - Short Arm	$521.30	$802.00	—	—	35%
Short arm splint (forearm and hand) CPT 29125 HC Splint - Short Arm	$455.00	$700.00	—	70% above	35%
Short arm splint (forearm and hand) CPT 29125 HC Splint App Short Arm Stat	$455.00	$700.00	—	70% above	35%
Short arm splint (forearm and hand) inpatient CPT 29125 HC Splint App Short Arm Stat	$455.00	$700.00	—	—	35%
Short arm splint (forearm and hand) inpatient CPT 29125 HC Splint - Short Arm	$455.00	$700.00	—	—	35%
Short leg cast (below the knee) CPT 29405 HC Cast Short Leg	$551.20	$848.00	—	32% above	35%
Short leg cast (below the knee) inpatient CPT 29405 HC Cast Short Leg	$551.20	$848.00	—	—	35%
Short leg splint (calf to foot) CPT 29515 HC Splint App/Short Leg	$323.05	$497.00	—	18% above	35%
Short leg splint (calf to foot) inpatient CPT 29515 HC Splint App/Short Leg	$323.05	$497.00	—	—	35%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc\|LEFT SIDE	$22,251.94	$37,086.57	$3,090.15–$3,244.66	1% below	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc\|RIGHT SIDE	$24,634.61	$41,057.68	$6,852.93–$7,195.57	9% above	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls\|RIGHT SIDE	$27,671.83	$46,119.72	$6,852.93–$7,195.57	2% above	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls\|LEFT SIDE	$27,675.40	$46,125.67	$6,852.93–$7,195.57	2% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Rep Lac Smp Not Face <2.5cm	$273.65	$421.00	—	15% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Rep Lac Smp Not Face <2.5cm	$273.65	$421.00	—	15% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Rep Lac Smp Not Face <2.5cm	$273.65	$421.00	—	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Rep Lac Smp Not Face <2.5cm	$273.65	$421.00	—	—	35%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion	$790.40	$1,216.00	—	34% above	35%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion	$790.40	$1,216.00	—	—	35%
Skin tag removal, up to 15 tags CPT 11200 HC Excision Up to 15 Skin Tags	$411.45	$633.00	—	46% above	35%
Skin tag removal, up to 15 tags CPT 11200 Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$12,683.51	$21,139.18	$2,743.28	4411% above	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC Excision Up to 15 Skin Tags	$411.45	$633.00	—	—	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture, Lumbar, Diagnostic	$1,450.80	$2,232.00	—	43% above	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagnos	$1,450.80	$2,232.00	—	43% above	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Diagnostic Lumbar Puncture	$1,450.80	$2,232.00	—	43% above	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Diagnostic Lumbar Puncture	$1,450.80	$2,232.00	—	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture Lumbar Diagnos	$1,450.80	$2,232.00	—	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture, Lumbar, Diagnostic	$1,450.80	$2,232.00	—	—	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Rpr Lac Smp Scalp 2.6-7.5	$410.80	$632.00	—	1% above	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Repr Smp Not Face 2.6-7.5cm	$410.80	$632.00	—	1% above	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Repr Smp Not Face 2.6-7.5cm	$410.80	$632.00	—	—	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Rpr Lac Smp Scalp 2.6-7.5	$410.80	$632.00	—	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Rep Wnd Face <2.5 Cm	$273.65	$421.00	—	13% below	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Simple Rep Wnd Face <2.5 Cm	$273.65	$421.00	—	—	35%
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$16,337.49	$27,229.15	$5,063.80–$5,316.99	2% above	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion	$339.30	$522.00	—	22% above	35%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy Skin Single Lesion	$339.30	$522.00	—	—	35%
Thoracentesis with imaging guidance CPT 32555 HC Aspirate Pleura W/ Imaging	$2,338.70	$3,598.00	—	67% above	35%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Aspirate Pleura W/ Imaging	$2,338.70	$3,598.00	—	—	35%
Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft\|RIGHT SIDE	$38,452.37	$64,087.28	$12,125.13	9% above	40%
Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft\|LEFT SIDE	$38,625.08	$64,375.13	$12,125.13–$12,731.39	9% above	40%
Total knee replacement one side CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments\|RIGHT SIDE	$42,375.68	$70,626.13	$12,549.51–$12,731.39	25% above	40%
Total knee replacement one side CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments\|LEFT SIDE	$42,879.59	$71,465.98	$12,125.13	27% above	40%
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder	$45,091.98	$75,153.30	$16,559.32–$17,387.29	16% below	40%
Total shoulder replacement one side CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder\|LEFT SIDE	$47,929.91	$79,883.18	$17,387.29	11% below	40%
Total shoulder replacement one side CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder\|RIGHT SIDE	$50,996.89	$84,994.82	—	5% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Trigger Points 1-2 Musc	$398.45	$613.00	—	9% below	35%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point 1/2 Muscle	$398.45	$613.00	—	9% below	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj Trigger Points 1-2 Musc	$398.45	$613.00	—	—	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inject Trigger Point 1/2 Muscle	$398.45	$613.00	—	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast 1st Lesion US Img	$4,722.25	$7,265.00	—	80% above	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast 1st Lesion US Img	$4,722.25	$7,265.00	—	—	35%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$7,134.20	$11,890.33	$1,812.26–$1,902.87	40% above	40%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$6,604.65	$11,007.75	$856.58–$899.41	141% above	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$7,047.04	$11,745.07	$1,812.26–$1,902.87	81% above	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$6,582.91	$10,971.52	$856.58–$899.41	38% above	40%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic Brush Wash	$1,590.55	$2,447.00	—	19% below	35%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$5,779.80	$9,633.00	$856.58–$899.41	196% above	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Egd Diagnostic Brush Wash	$1,590.55	$2,447.00	—	—	35%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt\|RIGHT SIDE	$18,413.27	$30,688.78	$5,063.80–$5,316.99	73% above	40%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt\|LEFT SIDE	$19,953.38	$33,255.63	$5,063.80–$5,316.99	88% above	40%
Vein ablation, radiofrequency, first vein CPT 36475 HC Endovenous Rf 1st Vein	$6,704.10	$10,314.00	—	7% above	35%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Endovenous Rf 1st Vein	$6,704.10	$10,314.00	—	—	35%
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14	$10,385.31	$17,308.85	$698.00–$732.90	2545% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Subq First 20 Sq Cm	$810.55	$1,247.00	$383.92–$403.12	2% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Skin and Subcu	$810.55	$1,247.00	—	2% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 HC Debride Skin and Subcu\|LEFT SIDE	$810.55	$1,247.00	—	2% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 HC Debride Subq First 20 Sq Cm\|RIGHT SIDE	$1,189.50	$1,982.50	$383.92–$403.12	50% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 HC Debride Subq First 20 Sq Cm\|LEFT SIDE	$1,189.50	$1,982.50	$383.92–$403.12	50% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Subq First 20 Sq Cm	$810.55	$1,247.00	—	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Skin and Subcu	$810.55	$1,247.00	—	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient one side CPT 11042 HC Debride Skin and Subcu\|LEFT SIDE	$810.55	$1,247.00	—	—	35%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep\|LEFT SIDE	$19,217.98	$32,029.97	$6,852.93–$7,195.57	12% above	40%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep\|RIGHT SIDE	$19,899.98	$33,166.63	$7,092.78–$7,195.57	16% above	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Administration	$1,023.10	$1,574.00	—	at median	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Administration	$1,023.10	$1,574.00	—	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerosol, Hhn, Mdi, Ippb	$120.90	$186.00	—	23% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerosol, Hhn, Mdi, Ippb	$40,788.70	$67,981.17	$12,125.13–$12,731.39	25998% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Aerosol, Hhn, Mdi, Ippb	$120.90	$186.00	—	—	35%
Critical care, first 30 to 74 minutes CPT 99291 HC E/M Crit Care,ER, 1st 30-74min	$3,214.90	$4,946.00	—	14% above	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC E/M Crit Care,ER, 1st 30-74min	$3,214.90	$4,946.00	—	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC >= 12 Lead Ekg	$336.05	$517.00	—	31% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC >= 12 Lead Ekg	$1,476.15	$2,460.25	$82.19–$86.30	474% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC >= 12 Lead Ekg	$336.05	$517.00	—	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Level 1	$429.00	$660.00	—	43% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC OB ER Level 1	$429.00	$660.00	—	43% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER Level 1	$429.00	$660.00	—	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC OB ER Level 1	$429.00	$660.00	—	—	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER Level 2	$641.55	$987.00	—	23% above	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC OB ER Level 2	$641.55	$987.00	—	23% above	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER Level 2	$641.55	$987.00	—	—	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC OB ER Level 2	$641.55	$987.00	—	—	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC OB ER Level 3	$1,011.40	$1,556.00	—	15% above	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Level 3	$1,011.40	$1,556.00	—	15% above	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER Level 3	$1,011.40	$1,556.00	—	—	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC OB ER Level 3	$1,011.40	$1,556.00	—	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC OB ER Level 4	$1,517.10	$2,334.00	—	2% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Level 4	$1,517.10	$2,334.00	—	2% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER Level 4	$1,517.10	$2,334.00	—	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC OB ER Level 4	$1,517.10	$2,334.00	—	—	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC OB ER Level 5	$2,542.15	$3,911.00	—	17% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Level 5	$2,542.15	$3,911.00	—	17% above	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER Level 5	$2,542.15	$3,911.00	—	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC OB ER Level 5	$2,542.15	$3,911.00	—	—	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Test	$958.10	$1,474.00	—	7% below	35%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiac Stress Test	$958.10	$1,474.00	—	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Inf 1st Hour Hyd	$240.50	$370.00	—	45% below	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Inf 1st Hour Hyd	$240.50	$370.00	—	—	35%
IV infusion of a medicine, first hour CPT 96365 HC IV 1st Hour Init Drug	$240.50	$370.00	—	51% below	35%
IV infusion of a medicine, first hour CPT 96365 HC IV 1st Hour Init Drug	$32,008.99	$53,348.32	$5,709.53–$5,995.01	6366% above	40%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV 1st Hour Init Drug	$240.50	$370.00	—	—	35%
IV push of a medicine, first drug CPT 96374 HC IV Push Initial Drug	$208.00	$320.00	—	11% below	35%
IV push of a medicine, first drug inpatient CPT 96374 HC IV Push Initial Drug	$208.00	$320.00	—	—	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Im Sub Q	$66.30	$102.00	—	49% below	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Im Sub Q	$66.30	$102.00	—	—	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuro Facilitation Ea 15 Min	$103.35	$159.00	—	3% above	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Re-Education, Ot	$103.35	$159.00	—	3% above	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Re-Education, Ot	$103.35	$159.00	—	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuro Facilitation Ea 15 Min	$103.35	$159.00	—	—	35%
New patient office visit, about 30 minutes CPT 99203 HC New Pt, Outpt Visit Level 3	$208.65	$321.00	—	at median	35%
New patient office visit, about 30 minutes CPT 99203 HC New Pt, E/M Level 3	$208.65	$321.00	—	at median	35%
New patient office visit, about 30 minutes inpatient CPT 99203 HC New Pt, Outpt Visit Level 3	$208.65	$321.00	—	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 HC New Pt, E/M Level 3	$208.65	$321.00	—	—	35%
New patient office visit, about 45 minutes CPT 99204 HC New Pt, Outpt Visit Level 4	$223.60	$344.00	—	at median	35%
New patient office visit, about 45 minutes CPT 99204 HC New Pt, E/M Level 4	$223.60	$344.00	—	at median	35%
New patient office visit, about 45 minutes inpatient CPT 99204 HC New Pt, Outpt Visit Level 4	$223.60	$344.00	—	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 HC New Pt, E/M Level 4	$223.60	$344.00	—	—	35%
New patient office visit, about 60 minutes CPT 99205 HC New Pt, Outpt Visit Level 5	$251.55	$387.00	—	21% below	35%
New patient office visit, about 60 minutes CPT 99205 HC New Pt, E/M Level 5	$251.55	$387.00	—	21% below	35%
New patient office visit, about 60 minutes inpatient CPT 99205 HC New Pt, Outpt Visit Level 5	$251.55	$387.00	—	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 HC New Pt, E/M Level 5	$251.55	$387.00	—	—	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC New Pt, E/M Level 2	$192.40	$296.00	—	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC New Pt, Outpt Visit Level 2	$235.95	$363.00	—	23% above	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC New Pt, E/M Level 2	$192.40	$296.00	—	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC New Pt, Outpt Visit Level 2	$235.95	$363.00	—	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Med Nut Therapy Ind Init 15 Min	$61.75	$95.00	—	29% above	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Med Nut Therapy Ind Init 15 Min	$61.75	$95.00	—	—	35%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complex	$119.60	$184.00	—	36% below	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complex	$119.60	$184.00	—	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complex	$211.90	$326.00	—	15% below	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complex	$211.90	$326.00	—	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complex	$113.10	$174.00	—	41% below	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complex	$113.10	$174.00	—	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Mod Complex	$147.55	$227.00	—	32% below	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Mod Complex	$147.55	$227.00	—	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therapy Ea 15	$126.10	$194.00	—	at median	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy per 15 Min.	$126.10	$194.00	—	at median	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therapy Ea 15	$126.10	$194.00	—	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy per 15 Min.	$126.10	$194.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Ther Ex per 15 Min	$126.75	$195.00	—	14% above	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min	$126.75	$195.00	—	14% above	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Ther Ex per 15 Min	$126.75	$195.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min	$126.75	$195.00	—	—	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Est Pt, E/M Level 5	$239.85	$369.00	—	11% below	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Est Pt, Outpt Visit Level 5	$239.85	$369.00	—	11% below	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Est Pt, Outpt Visit Level 5	$239.85	$369.00	—	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Est Pt, E/M Level 5	$239.85	$369.00	—	—	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Est Pt, E/M Level 3	$167.05	$257.00	—	54% above	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Est Pt, Outpt Visit Level 3	$167.05	$257.00	—	54% above	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Est Pt, E/M Level 3	$167.05	$257.00	—	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Est Pt, Outpt Visit Level 3	$167.05	$257.00	—	—	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Est Pt, E/M Level 4	$203.45	$313.00	—	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Est Pt, Outpt Visit Level 4	$203.45	$313.00	—	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Est Pt, E/M Level 4	$203.45	$313.00	—	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Est Pt, Outpt Visit Level 4	$203.45	$313.00	—	—	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Est Pt, E/M Level 2	$131.30	$202.00	—	3% below	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Est Pt, Outpt Visit Level 2	$196.30	$302.00	—	45% above	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Est Pt, E/M Level 2	$131.30	$202.00	—	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Est Pt, Outpt Visit Level 2	$196.30	$302.00	—	—	35%
Speech and language evaluation CPT 92523 HC Eval Speech Sound Lang Comprhension	$314.60	$484.00	—	at median	35%
Speech and language evaluation inpatient CPT 92523 HC Eval Speech Sound Lang Comprhension	$314.60	$484.00	—	—	35%
Speech therapy session, individual CPT 92507 HC Speech/Language Therapy	$287.95	$443.00	—	19% above	35%
Speech therapy session, individual inpatient CPT 92507 HC Speech/Language Therapy	$287.95	$443.00	—	—	35%
Spirometry (breathing test) CPT 94010 HC Spirometry / Tvc / Mvv	$225.55	$347.00	—	3% below	35%
Spirometry (breathing test) inpatient CPT 94010 HC Spirometry / Tvc / Mvv	$225.55	$347.00	—	—	35%
Spirometry before and after a bronchodilator CPT 94060 HC Before / After Bronchodilator	$369.85	$569.00	—	16% below	35%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Before / After Bronchodilator	$369.85	$569.00	—	—	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activities 15 Min	$93.60	$144.00	—	6% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activities 15 Min	$93.60	$144.00	—	6% below	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Activities 15 Min	$93.60	$144.00	—	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activities 15 Min	$93.60	$144.00	—	—	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic	$214.50	$330.00	—	21% below	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy,Tx	$214.50	$330.00	—	21% below	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy,Tx	$214.50	$330.00	—	—	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy Therapeutic	$214.50	$330.00	—	—	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$39.26	$60.40	—	23% below	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$39.26	$60.40	—	—	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$286.65	$441.00	—	98% above	35%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$286.65	$441.00	—	—	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$803.27	$1,235.80	—	46% above	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$803.27	$1,235.80	—	—	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$123.63	$190.20	—	45% above	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$123.63	$190.20	—	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$142.61	$219.40	—	20% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$142.61	$219.40	—	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Administration	$55.25	$85.00	—	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Administration	$55.25	$85.00	—	—	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Subsequent Immun Admin	$42.25	$65.00	—	at median	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Subsequent Immun Admin	$42.25	$65.00	—	—	35%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://rsfh.com/getContentAsset/62eca532-26ae-4371-b089-72ff70df5b06/7ac1fecb-c286-4874-bc71-62e245e8a59a/263710229_roper-st-francis-hospital-berkeley-inc_standardcharges.csv?language=en