Noxubee General Hospital
Noxubee General Hospital in Macon, MS publishes cash prices for 303 common procedures listed here, from its own machine-readable price file updated Nov 1, 2024. Compared with other hospitals in the state, its outpatient cash prices are above the Mississippi median for 157 of 303 procedures and below it for 143. By typical cash price it ranks #32 of 60 Mississippi hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
78 Hospital Road Macon, MS 39341 Collected Sep 27, 2026 Source price file Check a bill from this hospital (662) 726-4231
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 251307 · CMS hospital register
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Noxubee General Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOM W/WO CONTRAST | $1,125.00 | $1,500.00 | $1,125.00–$1,500.00 | 1% below | 25% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOM W/WO CONTRAST | $1,125.00 | $1,500.00 | $1,125.00–$1,500.00 | — | 25% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN COMP ERECT/DECUB | $213.75 | $285.00 | $213.75–$285.00 | 30% above | 25% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN FLAT & ERECT | $213.75 | $285.00 | $213.75–$285.00 | 30% above | 25% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN COMP ERECT/DECUB | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN FLAT & ERECT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP LT | $213.75 | $285.00 | $213.75–$285.00 | 73% above | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP RT | $213.75 | $285.00 | $213.75–$285.00 | 73% above | 25% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP RT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP LT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI MEASUREMENTS TC | $213.75 | $285.00 | $213.75–$285.00 | 25% below | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI MEASUREMENTS TC | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPR EXTRM W/O CON | $637.50 | $850.00 | $637.50–$850.00 | 17% below | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPR EXTRM W/O CON | $637.50 | $850.00 | $637.50–$850.00 | — | 25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAG(BARIUM SW) | $225.00 | $300.00 | $225.00–$300.00 | 4% above | 25% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAG(BARIUM SW) | $225.00 | $300.00 | $225.00–$300.00 | — | 25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 TOTAL BODY BONE | $450.00 | $600.00 | $450.00–$600.00 | 31% below | 25% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 TOTAL BODY BONE | $450.00 | $600.00 | $450.00–$600.00 | — | 25% |
| Breast ultrasound, complete, one breast CPT 76641 BREAST ULTRASOUND COMPLETE | $225.00 | $300.00 | $225.00–$300.00 | 22% above | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL | $213.75 | $285.00 | $213.75–$285.00 | 16% above | 25% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 BREAST ULTRASOUND COMPLETE | $225.00 | $300.00 | $225.00–$300.00 | — | 25% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN AND PELVIS | $637.50 | $850.00 | $637.50–$850.00 | 61% below | 25% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN AND PELVIS | $637.50 | $850.00 | $637.50–$850.00 | — | 25% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $637.50 | $850.00 | $637.50–$850.00 | 40% below | 25% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD | $637.50 | $850.00 | $637.50–$850.00 | — | 25% |
| CT angiography (CTA) of the neck CPT 70498 CTA CAROTID ARTERIES | $637.50 | $850.00 | $637.50–$850.00 | 41% below | 25% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA CAROTID ARTERIES | $637.50 | $850.00 | $637.50–$850.00 | — | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $600.00 | $800.00 | $600.00–$800.00 | 47% below | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST | $600.00 | $800.00 | $600.00–$800.00 | — | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,875.00 | $2,500.00 | $1,875.00–$2,500.00 | 43% above | 25% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,875.00 | $2,500.00 | $1,875.00–$2,500.00 | — | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST | $2,025.00 | $2,700.00 | $2,025.00–$2,700.00 | 26% above | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST | $2,025.00 | $2,700.00 | $2,025.00–$2,700.00 | — | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS WWO CONTRAST | $2,250.00 | $3,000.00 | $2,250.00–$3,000.00 | 27% above | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS WWO CONTRAST | $2,250.00 | $3,000.00 | $2,250.00–$3,000.00 | — | 25% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOM W IV CONTRAST | $1,050.00 | $1,400.00 | $1,050.00–$1,400.00 | 8% above | 25% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOM W IV CONTRAST | $1,050.00 | $1,400.00 | $1,050.00–$1,400.00 | — | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOM WO IV CONTRAST | $975.00 | $1,300.00 | $975.00–$1,300.00 | 20% above | 25% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOM WO IV CONTRAST | $975.00 | $1,300.00 | $975.00–$1,300.00 | — | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACL W/O | $450.00 | $600.00 | $450.00–$600.00 | 31% below | 25% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACL W/O | $450.00 | $600.00 | $450.00–$600.00 | — | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $525.00 | $700.00 | $525.00–$700.00 | 30% below | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $525.00 | $700.00 | $525.00–$700.00 | — | 25% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST | $825.00 | $1,100.00 | $825.00–$1,100.00 | 12% below | 25% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ CONTRAST | $825.00 | $1,100.00 | $825.00–$1,100.00 | — | 25% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRA | $1,125.00 | $1,500.00 | $1,125.00–$1,500.00 | 5% above | 25% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRA | $1,125.00 | $1,500.00 | $1,125.00–$1,500.00 | — | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMB SP W/O CONTR | $562.50 | $750.00 | $562.50–$750.00 | 36% below | 25% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMB SP W/O CONTR | $562.50 | $750.00 | $562.50–$750.00 | — | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SP W/O CONTR | $600.00 | $800.00 | $600.00–$800.00 | 31% below | 25% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SP W/O CONTR | $600.00 | $800.00 | $600.00–$800.00 | — | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ IV CONTRAST | $975.00 | $1,300.00 | $975.00–$1,300.00 | 1% above | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ IV CONTRAST | $975.00 | $1,300.00 | $975.00–$1,300.00 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLX DOPPLR TC | $345.00 | $460.00 | $345.00–$460.00 | 15% below | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLX DOPPLR | $525.00 | $700.00 | $525.00–$700.00 | 29% above | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DUPLX DOPPLR TC | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DUPLX DOPPLR | $525.00 | $700.00 | $525.00–$700.00 | — | 25% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W W/O CONT | $1,125.00 | $1,500.00 | $1,125.00–$1,500.00 | 4% below | 25% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W W/O CONT | $1,125.00 | $1,500.00 | $1,125.00–$1,500.00 | — | 25% |
| Chest X-ray, 2 views CPT 71046 CHEST 2V (PA & LAT) | $135.00 | $180.00 | $135.00–$180.00 | 3% below | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V (PA & LAT) | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Chest X-ray, single view CPT 71045 CHEST 1V (PA OR AP) | $135.00 | $180.00 | $135.00–$180.00 | 28% above | 25% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1V (PA OR AP) | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICAL COMP RT | $135.00 | $180.00 | $135.00–$180.00 | 24% above | 25% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICAL COMP LT | $135.00 | $180.00 | $135.00–$180.00 | 24% above | 25% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICAL COMP LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICAL COMP RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL/BLADDER COMPLETE | $345.00 | $460.00 | $345.00–$460.00 | 1% above | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL/BLADDER COMPLETE | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRA | $862.50 | $1,150.00 | $862.50–$1,150.00 | 6% above | 25% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRA | $862.50 | $1,150.00 | $862.50–$1,150.00 | — | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $1,012.50 | $1,350.00 | $1,012.50–$1,350.00 | 1% above | 25% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST | $1,012.50 | $1,350.00 | $1,012.50–$1,350.00 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US LOWER EXT ARTERIAL COMPLETE/BIL TC | $345.00 | $460.00 | $345.00–$460.00 | 26% below | 25% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LEG ARTERIAL DUP DOP | $750.00 | $1,000.00 | $750.00–$1,000.00 | 61% above | 25% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US LOWER EXT ARTERIAL COMPLETE/BIL TC | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 LEG ARTERIAL DUP DOP | $750.00 | $1,000.00 | $750.00–$1,000.00 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLX SCAN EXTREM VEIN;COMPL BILAT STUDY | $375.00 | $500.00 | $375.00–$500.00 | — | 25% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS EXTREMITY COMPLETE/BIL TC | $345.00 | $460.00 | $345.00–$460.00 | 22% below | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLX SCAN EXTREM VEIN;COMPL BILAT STUDY | $375.00 | $500.00 | $375.00–$500.00 | — | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS EXTREMITY COMPLETE/BIL TC | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO TRANSTHORACIC COMPLETE TC | $937.50 | $1,250.00 | $937.50–$1,250.00 | 3% below | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO TRANSTHORACIC COMPLETE TC | $937.50 | $1,250.00 | $937.50–$1,250.00 | — | 25% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW AP & LAT LT | $135.00 | $180.00 | $135.00–$180.00 | 16% above | 25% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW AP & LAT RT | $135.00 | $180.00 | $135.00–$180.00 | 16% above | 25% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW AP & LAT LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW AP & LAT RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP 3V RT | $135.00 | $180.00 | $135.00–$180.00 | 21% above | 25% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP 3V LT | $135.00 | $180.00 | $135.00–$180.00 | 21% above | 25% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMP 3V RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMP 3V LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA W/O CO | $525.00 | $700.00 | $525.00–$700.00 | 25% below | 25% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/SELLA W/O CO | $525.00 | $700.00 | $525.00–$700.00 | — | 25% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP 3V | $213.75 | $285.00 | $213.75–$285.00 | 41% above | 25% |
| Facial bones X-ray, complete, 3 or more views one side CPT 70150 FACIAL BONES COMP 3V RT | $150.00 | $200.00 | $150.00–$200.00 | 1% below | 25% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP 3V | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Facial bones X-ray, complete, 3 or more views inpatient one side CPT 70150 FACIAL BONES COMP 3V RT | $150.00 | $200.00 | $150.00–$200.00 | — | 25% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM (RAD&ULNA)2V LT | $135.00 | $180.00 | $135.00–$180.00 | 20% above | 25% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM (RAD&ULNA)2V RT | $135.00 | $180.00 | $135.00–$180.00 | 20% above | 25% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM (RAD&ULNA)2V LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM (RAD&ULNA)2V RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Hand X-ray, 2 views one side CPT 73120 HAND AP & LAT RT | $213.75 | $285.00 | $213.75–$285.00 | 91% above | 25% |
| Hand X-ray, 2 views one side CPT 73120 HAND AP & LAT LT | $213.75 | $285.00 | $213.75–$285.00 | 91% above | 25% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND AP & LAT RT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND AP & LAT LT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS 2V (HEEL) LT | $135.00 | $180.00 | $135.00–$180.00 | 21% above | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS 2V (HEEL) RT | $135.00 | $180.00 | $135.00–$180.00 | 21% above | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CALCIS 2V (HEEL) RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CALCIS 2V (HEEL) LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Knee X-ray, 3 views one side CPT 73562 KNEE COMP-PATELLA-3V LT | $213.75 | $285.00 | $213.75–$285.00 | 62% above | 25% |
| Knee X-ray, 3 views one side CPT 73562 KNEE COMP-PATELLA-3V RT | $213.75 | $285.00 | $213.75–$285.00 | 62% above | 25% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE COMP-PATELLA-3V RT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE COMP-PATELLA-3V LT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LO EXTREM W/O CT | $900.00 | $1,200.00 | $900.00–$1,200.00 | 18% above | 25% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LO EXTREM W/O CT | $900.00 | $1,200.00 | $900.00–$1,200.00 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED (SNGLE ORGAN GB LIV | $345.00 | $460.00 | $345.00–$460.00 | 29% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED (SNGLE ORGAN GB LIV | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG(TIBIA&FIBULA)2V RT | $135.00 | $180.00 | $135.00–$180.00 | 8% above | 25% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG(TIBIA&FIBULA)2V LT | $135.00 | $180.00 | $135.00–$180.00 | 8% above | 25% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG(TIBIA&FIBULA)2V RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG(TIBIA&FIBULA)2V LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD, WITHOUT CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | 42% above | 25% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD, WITHOUT CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | — | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI, LOWER EXTR JOINT WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | 20% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI, LOWER EXTR JOINT WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | — | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI, LOWER EXTR JOINT W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | 1% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI, LOWER EXTR JOINT W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | — | 25% |
| MRI of the abdomen without contrast CPT 74181 MRI, ABDOMEN WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | 1% below | 25% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI, ABDOMEN WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | — | 25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI, ABDOMEN W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | 14% below | 25% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI, ABDOMEN W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | — | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI, BRAIN WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | 5% above | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI, BRAIN WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | — | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI, BRAIN W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | 20% below | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI, BRAIN W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | — | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI, LMBR SPINE WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | 5% above | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI, LMBR SPINE WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | — | 25% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI, LMBR SPINE W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | 15% below | 25% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI, LMBR SPINE W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | — | 25% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI, THORACIC SPINE W/O CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | 2% above | 25% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI, THORACIC SPINE W/O CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | — | 25% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI, CERVICAL SPINE W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | 11% below | 25% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI, CERVICAL SPINE W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | — | 25% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI, CERVICAL SPINE WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | 6% above | 25% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI, CERVICAL SPINE WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | — | 25% |
| MRI of the pelvis without and with contrast CPT 72197 MRI, PELVIS W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | 6% below | 25% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI, PELVIS W/WO CONTRAST | $1,650.00 | $2,200.00 | $1,650.00–$2,200.00 | — | 25% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI, PELVIS W/O CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | 18% above | 25% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI, PELVIS W/O CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | — | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI, UPPER EXTR JOINT WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | 15% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI, UPPER EXTR JOINT WO CONTRAST | $1,350.00 | $1,800.00 | $1,350.00–$1,800.00 | — | 25% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERV SP COMP 5V | $213.75 | $285.00 | $213.75–$285.00 | 13% above | 25% |
| Neck (cervical spine) X-ray, 4 or 5 views one side CPT 72050 CERV SP COMP 5V RT | $150.00 | $200.00 | $150.00–$200.00 | 21% below | 25% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERV SP COMP 5V | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient one side CPT 72050 CERV SP COMP 5V RT | $150.00 | $200.00 | $150.00–$200.00 | — | 25% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TIS WITH | $506.25 | $675.00 | $506.25–$675.00 | 47% below | 25% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK SOFT TIS WITH | $506.25 | $675.00 | $506.25–$675.00 | — | 25% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TIS W/O | $731.25 | $975.00 | $731.25–$975.00 | 6% below | 25% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK SOFT TIS W/O | $731.25 | $975.00 | $731.25–$975.00 | — | 25% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TI 2V | $135.00 | $180.00 | $135.00–$180.00 | 25% above | 25% |
| Neck soft tissue X-ray one side CPT 70360 NECK SOFT TI 2V RT | $101.25 | $135.00 | $101.25–$135.00 | 6% below | 25% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TI 2V | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Neck soft tissue X-ray inpatient one side CPT 70360 NECK SOFT TI 2V RT | $101.25 | $135.00 | $101.25–$135.00 | — | 25% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O IV CONTRA | $900.00 | $1,200.00 | $900.00–$1,200.00 | 11% above | 25% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O IV CONTRA | $900.00 | $1,200.00 | $900.00–$1,200.00 | — | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US SOFT TISSUE (nv) PELVIS | $187.50 | $250.00 | $187.50–$250.00 | 38% below | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $345.00 | $460.00 | $345.00–$460.00 | 15% above | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US SOFT TISSUE (nv) PELVIS | $187.50 | $250.00 | $187.50–$250.00 | — | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB (> OR = 14 WEEKS) | $345.00 | $460.00 | $345.00–$460.00 | at median | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB (> OR = 14 WEEKS) | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB (< 14 WEEKS 0 DAYS) | $345.00 | $460.00 | $345.00–$460.00 | 14% above | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB (< 14 WEEKS 0 DAYS) | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2V LT | $135.00 | $180.00 | $135.00–$180.00 | 11% above | 25% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2V RT | $135.00 | $180.00 | $135.00–$180.00 | 11% above | 25% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2V LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2V RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL PA CHEST MIN 3 VIEWS RT | $213.75 | $285.00 | $213.75–$285.00 | 30% above | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL PA CHEST MIN 3 VIEWS LT | $213.75 | $285.00 | $213.75–$285.00 | 30% above | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL PA CHEST MIN 3 VIEWS RT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL PA CHEST MIN 3 VIEWS LT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP 2V MIN LT | $135.00 | $180.00 | $135.00–$180.00 | 1% below | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP 2V MIN RT | $135.00 | $180.00 | $135.00–$180.00 | 1% below | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP 2V MIN LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP 2V MIN RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Sinus X-ray, complete, 3 or more views CPT 70220 PARA SINUSES COMPLETE 3V | $213.75 | $285.00 | $213.75–$285.00 | 50% above | 25% |
| Sinus X-ray, complete, 3 or more views one side CPT 70220 PARA SINUSES 3V RT | $131.25 | $175.00 | $131.25–$175.00 | 8% below | 25% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 PARA SINUSES COMPLETE 3V | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Sinus X-ray, complete, 3 or more views inpatient one side CPT 70220 PARA SINUSES 3V RT | $131.25 | $175.00 | $131.25–$175.00 | — | 25% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL <4VWS MONO | $213.75 | $285.00 | $213.75–$285.00 | 55% above | 25% |
| Skull X-ray, fewer than 4 views one side CPT 70250 SKULL; <4VWS; MONO RT | $112.50 | $150.00 | $112.50–$150.00 | 18% below | 25% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL <4VWS MONO | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Skull X-ray, fewer than 4 views inpatient one side CPT 70250 SKULL; <4VWS; MONO RT | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MOD BA SWALLOW-ST | $225.00 | $300.00 | $225.00–$300.00 | 6% below | 25% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MOD BA SWALLOW-ST | $225.00 | $300.00 | $225.00–$300.00 | — | 25% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR AP & LAT-THIGH RT MIN 2 VIEW | $135.00 | $180.00 | $135.00–$180.00 | 12% above | 25% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR AP & LAT-THIGH LT MIN 2 VIEW | $135.00 | $180.00 | $135.00–$180.00 | 12% above | 25% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR AP & LAT-THIGH RT MIN 2 VIEW | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR AP & LAT-THIGH LT MIN 2 VIEW | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SP W/O C | $562.50 | $750.00 | $562.50–$750.00 | 36% below | 25% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SP W/O C | $562.50 | $750.00 | $562.50–$750.00 | — | 25% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE(S) 2V MIN LT | $135.00 | $180.00 | $135.00–$180.00 | 25% above | 25% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE(S) 2V MIN RT | $135.00 | $180.00 | $135.00–$180.00 | 25% above | 25% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) 2V MIN RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) 2V MIN LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $345.00 | $460.00 | $345.00–$460.00 | 14% above | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US SOFT TISSUE (nv) ABD | $187.50 | $250.00 | $187.50–$250.00 | 52% below | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $345.00 | $460.00 | $345.00–$460.00 | 11% below | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US SOFT TISSUE (nv) ABD | $187.50 | $250.00 | $187.50–$250.00 | — | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $213.75 | $285.00 | $213.75–$285.00 | 21% below | 25% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE (nv) NECK | $187.50 | $250.00 | $187.50–$250.00 | 31% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID ULTRASOUND | $262.50 | $350.00 | $262.50–$350.00 | 4% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK THYROID | $345.00 | $460.00 | $345.00–$460.00 | 27% above | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE (nv) NECK | $187.50 | $250.00 | $187.50–$250.00 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROID ULTRASOUND | $262.50 | $350.00 | $262.50–$350.00 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD NECK THYROID | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI TRACT GAST SERIES | $337.50 | $450.00 | $337.50–$450.00 | 18% above | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI TRACT GAST SERIES | $337.50 | $450.00 | $337.50–$450.00 | — | 25% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2V (UPR ARM) RT | $135.00 | $180.00 | $135.00–$180.00 | 12% above | 25% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2V (UPR ARM) LT | $135.00 | $180.00 | $135.00–$180.00 | 12% above | 25% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2V (UPR ARM) RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2V (UPR ARM) LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLX SCAN EXTREM VEIN;UNILAT OR LIMITED | $262.50 | $350.00 | $262.50–$350.00 | 21% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS EXTREMITY UNILATERAL/LIM TC | $345.00 | $460.00 | $345.00–$460.00 | 4% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLX SCAN EXTREM VEIN;UNILAT OR LIMITED | $262.50 | $350.00 | $262.50–$350.00 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS EXTREMITY UNILATERAL/LIM TC | $345.00 | $460.00 | $345.00–$460.00 | — | 25% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST AP & LAT RT | $135.00 | $180.00 | $135.00–$180.00 | 16% above | 25% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST AP & LAT LT | $135.00 | $180.00 | $135.00–$180.00 | 16% above | 25% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST AP & LAT RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST AP & LAT LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP 3V LT | $135.00 | $180.00 | $135.00–$180.00 | 10% above | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP 3V RT | $135.00 | $180.00 | $135.00–$180.00 | 10% above | 25% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP 3V LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP 3V RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILATERAL W PELVIS 2V LT | $135.00 | $180.00 | $135.00–$180.00 | 14% above | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILATERAL W PELVIS 2V RT | $135.00 | $180.00 | $135.00–$180.00 | 14% above | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILATERAL W PELVIS 2V LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILATERAL W PELVIS 2V RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the abdomen, 1 view CPT 74018 ABDO AP(KUB)FL PLATE | $135.00 | $180.00 | $135.00–$180.00 | 5% above | 25% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDO AP(KUB)FL PLATE | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE AP & LAT 2V RT | $213.75 | $285.00 | $213.75–$285.00 | 87% above | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE AP & LAT 2V LT | $213.75 | $285.00 | $213.75–$285.00 | 87% above | 25% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE AP & LAT 2V RT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE AP & LAT 2V LT | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 CLOSED RED INT IN OR RT | $127.50 | $170.00 | $127.50–$170.00 | 18% above | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 CLOSED RED INT IN OR LT | $127.50 | $170.00 | $127.50–$170.00 | 18% above | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) 2V MIN RT | $135.00 | $180.00 | $135.00–$180.00 | 25% above | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) 2V MIN LT | $135.00 | $180.00 | $135.00–$180.00 | 25% above | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CLOSED RED INT IN OR RT | $127.50 | $170.00 | $127.50–$170.00 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CLOSED RED INT IN OR LT | $127.50 | $170.00 | $127.50–$170.00 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) 2V MIN LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) 2V MIN RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2V RT | $135.00 | $180.00 | $135.00–$180.00 | 23% above | 25% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2V LT | $135.00 | $180.00 | $135.00–$180.00 | 23% above | 25% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2V LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2V RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMP 3V LT | $135.00 | $180.00 | $135.00–$180.00 | 10% above | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMP 3V RT | $135.00 | $180.00 | $135.00–$180.00 | 10% above | 25% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMP 3V RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMP 3V LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND COMP 3V RT | $135.00 | $180.00 | $135.00–$180.00 | 9% above | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND COMP 3V LT | $135.00 | $180.00 | $135.00–$180.00 | 9% above | 25% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND COMP 3V RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND COMP 3V LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP & LAT RT | $135.00 | $180.00 | $135.00–$180.00 | 11% above | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP & LAT LT | $135.00 | $180.00 | $135.00–$180.00 | 11% above | 25% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE AP & LAT RT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE AP & LAT LT | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP L-S LUMBAR MIN 3V | $213.75 | $285.00 | $213.75–$285.00 | 52% above | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views one side CPT 72100 SP L-S LUMBAR MIN 3V RT | $112.50 | $150.00 | $112.50–$150.00 | 20% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP L-S LUMBAR MIN 3V | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient one side CPT 72100 SP L-S LUMBAR MIN 3V RT | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 SP L-S COMP 5V | $213.75 | $285.00 | $213.75–$285.00 | 3% above | 25% |
| X-ray of the lower back, 4 or more views one side CPT 72110 SP L-S COMP 5V RT | $262.50 | $350.00 | $262.50–$350.00 | 27% above | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SP L-S COMP 5V | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| X-ray of the lower back, 4 or more views inpatient one side CPT 72110 SP L-S COMP 5V RT | $262.50 | $350.00 | $262.50–$350.00 | — | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS | $213.75 | $285.00 | $213.75–$285.00 | 65% above | 25% |
| X-ray of the mid back (thoracic spine), 2 views one side CPT 72070 SPINE THORACIC 2 VIEWS RT | $112.50 | $150.00 | $112.50–$150.00 | 13% below | 25% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| X-ray of the mid back (thoracic spine), 2 views inpatient one side CPT 72070 SPINE THORACIC 2 VIEWS RT | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE COMP 3V | $135.00 | $180.00 | $135.00–$180.00 | 2% below | 25% |
| X-ray of the nasal bones, 3 or more views one side CPT 70160 NASAL BONE COMP 3V RT | $138.75 | $185.00 | $138.75–$185.00 | 1% above | 25% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE COMP 3V | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| X-ray of the nasal bones, 3 or more views inpatient one side CPT 70160 NASAL BONE COMP 3V RT | $138.75 | $185.00 | $138.75–$185.00 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2V | $213.75 | $285.00 | $213.75–$285.00 | 56% above | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views one side CPT 72040 CERVICAL SPINE 2V RT | $112.50 | $150.00 | $112.50–$150.00 | 18% below | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2V | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient one side CPT 72040 CERVICAL SPINE 2V RT | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP 1 VIEW | $213.75 | $285.00 | $213.75–$285.00 | 59% above | 25% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP 1 VIEW | $213.75 | $285.00 | $213.75–$285.00 | — | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX 2V | $135.00 | $180.00 | $135.00–$180.00 | 1% above | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX 2V | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) 4440 | $81.00 | $108.00 | $81.00–$108.00 | 42% below | 25% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) 4440 | $81.00 | $108.00 | $81.00–$108.00 | — | 25% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT(V) | $42.00 | $56.00 | $42.00–$56.00 | 54% above | 25% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT(V) | $42.00 | $56.00 | $42.00–$56.00 | — | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT AST | $38.25 | $51.00 | $38.25–$51.00 | 40% above | 25% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT AST | $38.25 | $51.00 | $38.25–$51.00 | — | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE ACUTE (322744) | $279.75 | $373.00 | $279.75–$373.00 | 96% above | 25% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE ACUTE (322744) | $279.75 | $373.00 | $279.75–$373.00 | — | 25% |
| Albumin blood test CPT 82040 ALBUMIN, SERUM | $27.00 | $36.00 | $27.00–$36.00 | 6% below | 25% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM | $27.00 | $36.00 | $27.00–$36.00 | — | 25% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM (004374) | $101.25 | $135.00 | $101.25–$135.00 | 6% below | 25% |
| Aldosterone blood test CPT 82088 ALDOSTERONE URINE RANDOM (289116) | $174.75 | $233.00 | $174.75–$233.00 | 62% above | 25% |
| Aldosterone blood test CPT 82088 ALDOSTERONE URINE 24 HR (004291) | $174.75 | $233.00 | $174.75–$233.00 | 62% above | 25% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, SERUM (004374) | $101.25 | $135.00 | $101.25–$135.00 | — | 25% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE 24 HR (004291) | $174.75 | $233.00 | $174.75–$233.00 | — | 25% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE RANDOM (289116) | $174.75 | $233.00 | $174.75–$233.00 | — | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE, ALKALINE | $33.00 | $44.00 | $33.00–$44.00 | 10% above | 25% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE, ALKALINE | $33.00 | $44.00 | $33.00–$44.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE D PTERONYSSINUS | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE OAK, WHITE | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE D FARINAE | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE PLANTAIN, ENGLISH | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE RAGWEED,SHORT | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE ELM,AMERICAN | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE DOG DANDER | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE MOUSE URINE | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALTERNARIA ALTERNATA | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE BERMUDA GRASS | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE BLUEGRASS,KENTUCKY | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE CAT DANDER | $10.50 | $14.00 | $10.50–$14.00 | 17% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE BEEF | $15.00 | $20.00 | $15.00–$20.00 | 19% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE PORK | $15.00 | $20.00 | $15.00–$20.00 | 19% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE CHICKEN | $16.50 | $22.00 | $16.50–$22.00 | 31% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP IgE(602478) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN IgE (602460) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB IgE (602493) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IgE (602459) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT IgE (602530) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAYFISH, FRESHWATER IgE (602840) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IgE (602452) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLAM IgE (602529) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN IgE (602457) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IgE (602473) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED IgE (602485) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Milk (602453) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IgE (602451) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER IgE (602495) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IgE (602465) | $27.75 | $37.00 | $27.75–$37.00 | 120% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BROCCALI IGE (602803) | $33.75 | $45.00 | $33.75–$45.00 | 168% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX SPECIFIC IGE (650390) | $33.75 | $45.00 | $33.75–$45.00 | 168% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE,FOOD-MEAT(602284) | $46.50 | $62.00 | $46.50–$62.00 | 269% above | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE PLANTAIN, ENGLISH | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ELM,AMERICAN | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE D FARINAE | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE BLUEGRASS,KENTUCKY | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE CAT DANDER | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE RAGWEED,SHORT | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE DOG DANDER | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE D PTERONYSSINUS | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE OAK, WHITE | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE MOUSE URINE | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALTERNARIA ALTERNATA | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE BERMUDA GRASS | $10.50 | $14.00 | $10.50–$14.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE PORK | $15.00 | $20.00 | $15.00–$20.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE BEEF | $15.00 | $20.00 | $15.00–$20.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE CHICKEN | $16.50 | $22.00 | $16.50–$22.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT IgE (602530) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP IgE (602473) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED IgE (602485) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE IgE (602452) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAYFISH, FRESHWATER IgE (602840) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP IgE(602478) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN IgE (602457) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM IgE (602529) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH IgE (602465) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT IgE (602459) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN IgE (602460) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Milk (602453) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB IgE (602493) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IgE (602451) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER IgE (602495) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCALI IGE (602803) | $33.75 | $45.00 | $33.75–$45.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX SPECIFIC IGE (650390) | $33.75 | $45.00 | $33.75–$45.00 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE,FOOD-MEAT(602284) | $46.50 | $62.00 | $46.50–$62.00 | — | 25% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN, TUMOR MARKER (2253) | $70.50 | $94.00 | $70.50–$94.00 | 40% above | 25% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN, TUMOR MARKER (2253) | $70.50 | $94.00 | $70.50–$94.00 | — | 25% |
| Ammonia blood test CPT 82140 AMMONIA (007054) | $71.25 | $95.00 | $71.25–$95.00 | 3% below | 25% |
| Ammonia blood test inpatient CPT 82140 AMMONIA (007054) | $71.25 | $95.00 | $71.25–$95.00 | — | 25% |
| Amylase blood test CPT 82150 BODY FLUID AMYLASE (088062) | $36.75 | $49.00 | $36.75–$49.00 | 9% below | 25% |
| Amylase blood test CPT 82150 AMYLASE | $45.00 | $60.00 | $45.00–$60.00 | 12% above | 25% |
| Amylase blood test inpatient CPT 82150 BODY FLUID AMYLASE (088062) | $36.75 | $49.00 | $36.75–$49.00 | — | 25% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $45.00 | $60.00 | $45.00–$60.00 | — | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY (164914) | $75.75 | $101.00 | $75.75–$101.00 | 63% above | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY (164914) | $75.75 | $101.00 | $75.75–$101.00 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX (164863) | $48.75 | $65.00 | $48.75–$65.00 | 19% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT (164855) | $48.75 | $65.00 | $48.75–$65.00 | 19% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES IFA(164947) | $75.00 | $100.00 | $75.00–$100.00 | 25% above | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/REFLEX (164863) | $48.75 | $65.00 | $48.75–$65.00 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT (164855) | $48.75 | $65.00 | $48.75–$65.00 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES IFA(164947) | $75.00 | $100.00 | $75.00–$100.00 | — | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT pro BNP 5600 | $133.50 | $178.00 | $133.50–$178.00 | 26% above | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 TRIAGE BNP | $133.50 | $178.00 | $133.50–$178.00 | 26% above | 25% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT pro BNP 5600 | $133.50 | $178.00 | $133.50–$178.00 | — | 25% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 TRIAGE BNP | $133.50 | $178.00 | $133.50–$178.00 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE, ROUTINE (008334) | $61.50 | $82.00 | $61.50–$82.00 | 16% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, LEGIONELLA SPECIES (086868) | $63.00 | $84.00 | $63.00–$84.00 | 19% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC; NOT URINE,BLOOD,STOOL | $63.00 | $84.00 | $63.00–$84.00 | 19% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE (180802) | $81.75 | $109.00 | $81.75–$109.00 | 54% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE, ROUTINE (008334) | $61.50 | $82.00 | $61.50–$82.00 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC; NOT URINE,BLOOD,STOOL | $63.00 | $84.00 | $63.00–$84.00 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, LEGIONELLA SPECIES (086868) | $63.00 | $84.00 | $63.00–$84.00 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF CULTURE (180802) | $81.75 | $109.00 | $81.75–$109.00 | — | 25% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $41.25 | $55.00 | $41.25–$55.00 | 28% below | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $41.25 | $55.00 | $41.25–$55.00 | — | 25% |
| Bilirubin blood test, total CPT 82247 TOTAL BILI | $26.25 | $35.00 | $26.25–$35.00 | 11% above | 25% |
| Bilirubin blood test, total CPT 82247 BILI TOTAL | $30.00 | $40.00 | $30.00–$40.00 | 27% above | 25% |
| Bilirubin blood test, total inpatient CPT 82247 TOTAL BILI | $26.25 | $35.00 | $26.25–$35.00 | — | 25% |
| Bilirubin blood test, total inpatient CPT 82247 BILI TOTAL | $30.00 | $40.00 | $30.00–$40.00 | — | 25% |
| Blood culture for bacteria CPT 87040 CULTURE, WOUND AEROBIC | $60.00 | $80.00 | $60.00–$80.00 | 33% below | 25% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD (008300) | $63.00 | $84.00 | $63.00–$84.00 | 29% below | 25% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, WOUND AEROBIC | $60.00 | $80.00 | $60.00–$80.00 | — | 25% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD (008300) | $63.00 | $84.00 | $63.00–$84.00 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE OR STICK FOR SPEC | $4.50 | $6.00 | $4.50–$6.00 | 50% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $7.50 | $10.00 | $7.50–$10.00 | 17% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENOUS SAMPLE | $60.00 | $80.00 | $60.00–$80.00 | 567% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE OR STICK FOR SPEC | $4.50 | $6.00 | $4.50–$6.00 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $7.50 | $10.00 | $7.50–$10.00 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENOUS SAMPLE | $60.00 | $80.00 | $60.00–$80.00 | — | 25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $27.00 | $36.00 | $27.00–$36.00 | 1% below | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $27.00 | $36.00 | $27.00–$36.00 | — | 25% |
| Blood lead test CPT 83655 LEAD | $38.25 | $51.00 | $38.25–$51.00 | 8% below | 25% |
| Blood lead test CPT 83655 LEAD (PEDIATRIC) (717009) | $55.50 | $74.00 | $55.50–$74.00 | 34% above | 25% |
| Blood lead test CPT 83655 LEAD, BLOOD (ADULT)(007625) | $55.50 | $74.00 | $55.50–$74.00 | 34% above | 25% |
| Blood lead test inpatient CPT 83655 LEAD | $38.25 | $51.00 | $38.25–$51.00 | — | 25% |
| Blood lead test inpatient CPT 83655 LEAD, BLOOD (ADULT)(007625) | $55.50 | $74.00 | $55.50–$74.00 | — | 25% |
| Blood lead test inpatient CPT 83655 LEAD (PEDIATRIC) (717009) | $55.50 | $74.00 | $55.50–$74.00 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM PREGNANCY TEST | $30.00 | $40.00 | $30.00–$40.00 | 35% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM PREGNANCY TEST | $30.00 | $40.00 | $30.00–$40.00 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CROSS MATCH ABO TYPE | $48.75 | $65.00 | $48.75–$65.00 | 10% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 MBS ABO GROUPING | $48.75 | $65.00 | $48.75–$65.00 | 10% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 MBS ABO GROUPING | $48.75 | $65.00 | $48.75–$65.00 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CROSS MATCH ABO TYPE | $48.75 | $65.00 | $48.75–$65.00 | — | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $27.00 | $36.00 | $27.00–$36.00 | 8% below | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $27.00 | $36.00 | $27.00–$36.00 | — | 25% |
| C-peptide blood test CPT 84681 C-PEPTIDE (010108) | $75.00 | $100.00 | $75.00–$100.00 | 1% above | 25% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE (010108) | $75.00 | $100.00 | $75.00–$100.00 | — | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN, QUANTITATIVE(006627) | $45.00 | $60.00 | $45.00–$60.00 | 40% above | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN, QUANTITATIVE(006627) | $45.00 | $60.00 | $45.00–$60.00 | — | 25% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR ANTIGEN,QUANT;CA 19-9 | $108.00 | $144.00 | $108.00–$144.00 | 51% above | 25% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR ANTIGEN,QUANT;CA 19-9 | $108.00 | $144.00 | $108.00–$144.00 | — | 25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125:IMMUNOASSAY TUMOR ANTIGEN,QUANT | $111.00 | $148.00 | $111.00–$148.00 | 39% above | 25% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125:IMMUNOASSAY TUMOR ANTIGEN,QUANT | $111.00 | $148.00 | $111.00–$148.00 | — | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS COVID-19 (IN-PATIENT ONLY) | $176.25 | $235.00 | $176.25–$235.00 | 295% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS COVID-19 (IN-PATIENT ONLY) | $176.25 | $235.00 | $176.25–$235.00 | — | 25% |
| Calcium blood test, total CPT 82310 CALCIUM | $27.00 | $36.00 | $27.00–$36.00 | 4% below | 25% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $27.00 | $36.00 | $27.00–$36.00 | — | 25% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA (002139) | $81.00 | $108.00 | $81.00–$108.00 | 17% below | 25% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCEIDERBRYONIC ANT | $81.00 | $108.00 | $81.00–$108.00 | 17% below | 25% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCEIDERBRYONIC ANT | $81.00 | $108.00 | $81.00–$108.00 | — | 25% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA (002139) | $81.00 | $108.00 | $81.00–$108.00 | — | 25% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIRUS ABS, IGG(096206) | $84.75 | $113.00 | $84.75–$113.00 | 62% above | 25% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIR AB IGM(096776) | $84.75 | $113.00 | $84.75–$113.00 | 62% above | 25% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER VIRUS ABS, IGG(096206) | $84.75 | $113.00 | $84.75–$113.00 | — | 25% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER VIR AB IGM(096776) | $84.75 | $113.00 | $84.75–$113.00 | — | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMYDIA | $92.25 | $123.00 | $92.25–$123.00 | 37% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH,PHARYNGEAL SWAB (188714) | $92.25 | $123.00 | $92.25–$123.00 | 37% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMYDIA URINE | $92.25 | $123.00 | $92.25–$123.00 | 37% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMYDIA NAAT | $92.25 | $123.00 | $92.25–$123.00 | 37% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH,PHARYNGEAL SWAB (188714) | $92.25 | $123.00 | $92.25–$123.00 | — | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 .CHLAMYDIA | $92.25 | $123.00 | $92.25–$123.00 | — | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 .CHLAMYDIA NAAT | $92.25 | $123.00 | $92.25–$123.00 | — | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 .CHLAMYDIA URINE | $92.25 | $123.00 | $92.25–$123.00 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE CONFIRM [LC] (303756) | $36.00 | $48.00 | $36.00–$48.00 | 34% below | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE 5600 | $75.00 | $100.00 | $75.00–$100.00 | 37% above | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHOLESTECH LIPID PROFILE | $186.75 | $249.00 | $186.75–$249.00 | 240% above | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE CONFIRM [LC] (303756) | $36.00 | $48.00 | $36.00–$48.00 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE 5600 | $75.00 | $100.00 | $75.00–$100.00 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHOLESTECH LIPID PROFILE | $186.75 | $249.00 | $186.75–$249.00 | — | 25% |
| Complete blood count (CBC) with differential CPT 85025 .CBC COMPLETE AUTO W/DIFF | $35.25 | $47.00 | $35.25–$47.00 | 10% below | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 .CBC COMPLETE AUTO W/DIFF | $35.25 | $47.00 | $35.25–$47.00 | — | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED WITHOUT DIFF | $30.00 | $40.00 | $30.00–$40.00 | 15% below | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED WITHOUT DIFF | $30.00 | $40.00 | $30.00–$40.00 | — | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $82.50 | $110.00 | $82.50–$110.00 | 1% above | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $82.50 | $110.00 | $82.50–$110.00 | — | 25% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA (500179) | $54.00 | $72.00 | $54.00–$72.00 | 2% above | 25% |
| Cortisol blood test, total CPT 82533 CORTISOL STIMULATED | $81.00 | $108.00 | $81.00–$108.00 | 53% above | 25% |
| Cortisol blood test, total CPT 82533 CORTISOL PM | $93.75 | $125.00 | $93.75–$125.00 | 77% above | 25% |
| Cortisol blood test, total CPT 82533 CORTISOL AM | $93.75 | $125.00 | $93.75–$125.00 | 77% above | 25% |
| Cortisol blood test, total CPT 82533 CORTISOL BASELINE | $93.75 | $125.00 | $93.75–$125.00 | 77% above | 25% |
| Cortisol blood test, total CPT 82533 CORTISOL SERUM TOTAL (004051) | $108.75 | $145.00 | $108.75–$145.00 | 105% above | 25% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA (500179) | $54.00 | $72.00 | $54.00–$72.00 | — | 25% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL STIMULATED | $81.00 | $108.00 | $81.00–$108.00 | — | 25% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL PM | $93.75 | $125.00 | $93.75–$125.00 | — | 25% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL AM | $93.75 | $125.00 | $93.75–$125.00 | — | 25% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL BASELINE | $93.75 | $125.00 | $93.75–$125.00 | — | 25% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SERUM TOTAL (004051) | $108.75 | $145.00 | $108.75–$145.00 | — | 25% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK | $36.75 | $49.00 | $36.75–$49.00 | 9% below | 25% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK | $36.75 | $49.00 | $36.75–$49.00 | — | 25% |
| Creatinine blood test CPT 82565 CREATININE;BLOOD - GLOMERULAR FILT RATE | $15.00 | $20.00 | $15.00–$20.00 | 47% below | 25% |
| Creatinine blood test CPT 82565 GLOMERULAR FILRATION RATE | $18.75 | $25.00 | $18.75–$25.00 | 34% below | 25% |
| Creatinine blood test CPT 82565 CREATININE SERUM | $31.50 | $42.00 | $31.50–$42.00 | 12% above | 25% |
| Creatinine blood test CPT 82565 BODY FLUID, CREATININE(100479) | $33.00 | $44.00 | $33.00–$44.00 | 17% above | 25% |
| Creatinine blood test inpatient CPT 82565 CREATININE;BLOOD - GLOMERULAR FILT RATE | $15.00 | $20.00 | $15.00–$20.00 | — | 25% |
| Creatinine blood test inpatient CPT 82565 GLOMERULAR FILRATION RATE | $18.75 | $25.00 | $18.75–$25.00 | — | 25% |
| Creatinine blood test inpatient CPT 82565 CREATININE SERUM | $31.50 | $42.00 | $31.50–$42.00 | — | 25% |
| Creatinine blood test inpatient CPT 82565 BODY FLUID, CREATININE(100479) | $33.00 | $44.00 | $33.00–$44.00 | — | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY, IGG (006494) | $84.00 | $112.00 | $84.00–$112.00 | 100% above | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY, IGG (006494) | $84.00 | $112.00 | $84.00–$112.00 | — | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER (115188) | $174.75 | $233.00 | $174.75–$233.00 | 179% above | 25% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER (115188) | $174.75 | $233.00 | $174.75–$233.00 | — | 25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S(004020) | $112.50 | $150.00 | $112.50–$150.00 | 33% above | 25% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S(004020) | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE, MATABOLITE, URINE (716555) | $15.00 | $20.00 | $15.00–$20.00 | 71% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MDMA SCREEN (722118) | $21.75 | $29.00 | $21.75–$29.00 | 58% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PROFILE, BLOOD (SINGLE DRUG) | $30.00 | $40.00 | $30.00–$40.00 | 42% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCRN CONFIRMATION-INDUSTRL PROFILE | $35.25 | $47.00 | $35.25–$47.00 | 32% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE, 9 DRUGS(794370) | $37.50 | $50.00 | $37.50–$50.00 | 28% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE, 7 DRUGS(794388) | $39.00 | $52.00 | $39.00–$52.00 | 25% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN ER/OP COC INDUST/ALC(789256) | $41.25 | $55.00 | $41.25–$55.00 | 21% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN DOT ER/OP COC INDUST | $45.00 | $60.00 | $45.00–$60.00 | 13% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN (HAIR STD) (806698) | $63.00 | $84.00 | $63.00–$84.00 | 21% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE PROFILE (789254) | $67.50 | $90.00 | $67.50–$90.00 | 30% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE PROFILE, URINE (726778) | $126.75 | $169.00 | $126.75–$169.00 | 144% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE PROFILE(074666) | $162.75 | $217.00 | $162.75–$217.00 | 213% above | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE, MATABOLITE, URINE (716555) | $15.00 | $20.00 | $15.00–$20.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MDMA SCREEN (722118) | $21.75 | $29.00 | $21.75–$29.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG PROFILE, BLOOD (SINGLE DRUG) | $30.00 | $40.00 | $30.00–$40.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCRN CONFIRMATION-INDUSTRL PROFILE | $35.25 | $47.00 | $35.25–$47.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE, 9 DRUGS(794370) | $37.50 | $50.00 | $37.50–$50.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE, 7 DRUGS(794388) | $39.00 | $52.00 | $39.00–$52.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN ER/OP COC INDUST/ALC(789256) | $41.25 | $55.00 | $41.25–$55.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN DOT ER/OP COC INDUST | $45.00 | $60.00 | $45.00–$60.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN (HAIR STD) (806698) | $63.00 | $84.00 | $63.00–$84.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ABUSE PROFILE (789254) | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ABUSE PROFILE, URINE (726778) | $126.75 | $169.00 | $126.75–$169.00 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ABUSE PROFILE(074666) | $162.75 | $217.00 | $162.75–$217.00 | — | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $168.75 | $225.00 | $168.75–$225.00 | 175% above | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $168.75 | $225.00 | $168.75–$225.00 | — | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS, IGM (096735) | $78.75 | $105.00 | $78.75–$105.00 | 41% above | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS, IGM (096735) | $78.75 | $105.00 | $78.75–$105.00 | — | 25% |
| Estradiol blood test CPT 82670 ESTRADIOL(004515) | $130.50 | $174.00 | $130.50–$174.00 | 53% above | 25% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL(004515) | $130.50 | $174.00 | $130.50–$174.00 | — | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH (004309) | $78.75 | $105.00 | $78.75–$105.00 | 4% above | 25% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (004309) | $78.75 | $105.00 | $78.75–$105.00 | — | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL (123255) | $225.00 | $300.00 | $225.00–$300.00 | 74% above | 25% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL (123255) | $225.00 | $300.00 | $225.00–$300.00 | — | 25% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN 5600 | $59.25 | $79.00 | $59.25–$79.00 | 13% below | 25% |
| Ferritin blood test (iron stores) CPT 82728 LABCORP FERRITIN (004598) | $59.25 | $79.00 | $59.25–$79.00 | 13% below | 25% |
| Ferritin blood test (iron stores) inpatient CPT 82728 LABCORP FERRITIN (004598) | $59.25 | $79.00 | $59.25–$79.00 | — | 25% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN 5600 | $59.25 | $79.00 | $59.25–$79.00 | — | 25% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY (001610) | $67.50 | $90.00 | $67.50–$90.00 | 27% above | 25% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY (001610) | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID (002014) | $54.00 | $72.00 | $54.00–$72.00 | 2% above | 25% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM 5600 | $67.50 | $90.00 | $67.50–$90.00 | 27% above | 25% |
| Folate (folic acid) blood test CPT 82746 LABCORP FOLIC ACID; SERUM (002014) | $67.50 | $90.00 | $67.50–$90.00 | 27% above | 25% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID (002014) | $54.00 | $72.00 | $54.00–$72.00 | — | 25% |
| Folate (folic acid) blood test inpatient CPT 82746 LABCORP FOLIC ACID; SERUM (002014) | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID; SERUM 5600 | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE 5600 | $139.50 | $186.00 | $139.50–$186.00 | 163% above | 25% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE [LC] (010389) | $139.50 | $186.00 | $139.50–$186.00 | 163% above | 25% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE 5600 | $139.50 | $186.00 | $139.50–$186.00 | — | 25% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE [LC] (010389) | $139.50 | $186.00 | $139.50–$186.00 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T4), FREE [LC] (001974) | $75.75 | $101.00 | $75.75–$101.00 | 114% above | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T4), FREE 5600 | $75.75 | $101.00 | $75.75–$101.00 | 114% above | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (T4), FREE [LC] (001974) | $75.75 | $101.00 | $75.75–$101.00 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (T4), FREE 5600 | $75.75 | $101.00 | $75.75–$101.00 | — | 25% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE (144980) | $143.25 | $191.00 | $143.25–$191.00 | 88% above | 25% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE (144980) | $143.25 | $191.00 | $143.25–$191.00 | — | 25% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT (001958) | $27.00 | $36.00 | $27.00–$36.00 | 8% below | 25% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GT (001958) | $27.00 | $36.00 | $27.00–$36.00 | — | 25% |
| Glucose tolerance test, 3 samples CPT 82951 GTT/LTT (3 SPEC) | $102.75 | $137.00 | $102.75–$137.00 | 57% above | 25% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT/LTT (3 SPEC) | $102.75 | $137.00 | $102.75–$137.00 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .GONORRHEA | $92.25 | $123.00 | $92.25–$123.00 | 60% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC NAA, PHARYNGEAL (188748) | $92.25 | $123.00 | $92.25–$123.00 | 60% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .GONORRHEA NAAT | $92.25 | $123.00 | $92.25–$123.00 | 60% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC NAA, PHARYNGEAL (188748) | $92.25 | $123.00 | $92.25–$123.00 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 .GONORRHEA | $92.25 | $123.00 | $92.25–$123.00 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 .GONORRHEA NAAT | $92.25 | $123.00 | $92.25–$123.00 | — | 25% |
| H. pylori antibody blood test CPT 86677 H-PYLORI; IGG ABS (162289) | $87.75 | $117.00 | $87.75–$117.00 | 78% above | 25% |
| H. pylori antibody blood test CPT 86677 H-PYLORI; IGM AB (163204) | $87.75 | $117.00 | $87.75–$117.00 | 78% above | 25% |
| H. pylori antibody blood test inpatient CPT 86677 H-PYLORI; IGG ABS (162289) | $87.75 | $117.00 | $87.75–$117.00 | — | 25% |
| H. pylori antibody blood test inpatient CPT 86677 H-PYLORI; IGM AB (163204) | $87.75 | $117.00 | $87.75–$117.00 | — | 25% |
| H. pylori stool antigen test CPT 87338 H-PYLORI STOOL ANTIGEN, EIA (180764) | $159.00 | $212.00 | $159.00–$212.00 | 129% above | 25% |
| H. pylori stool antigen test inpatient CPT 87338 H-PYLORI STOOL ANTIGEN, EIA (180764) | $159.00 | $212.00 | $159.00–$212.00 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA REAL TIME PCR--HIV-1, QTY (550430) | $352.50 | $470.00 | $352.50–$470.00 | 78% above | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA REAL TIME PCR--HIV-1, QTY (550430) | $352.50 | $470.00 | $352.50–$470.00 | — | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 & HIV 2 5600 | $126.00 | $168.00 | $126.00–$168.00 | 212% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 & HIV 2, 4TH GENERATION(083935) | $126.00 | $168.00 | $126.00–$168.00 | 212% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 ANTIGEN/ANTIBODY (083935) | $126.00 | $168.00 | $126.00–$168.00 | 212% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 REFLEX CHARGE HIV 1/2 AB DIFF 083940 | $234.00 | $312.00 | $234.00–$312.00 | 479% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 & HIV 2, 4TH GENERATION(083935) | $126.00 | $168.00 | $126.00–$168.00 | — | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 & HIV 2 5600 | $126.00 | $168.00 | $126.00–$168.00 | — | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 ANTIGEN/ANTIBODY (083935) | $126.00 | $168.00 | $126.00–$168.00 | — | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 REFLEX CHARGE HIV 1/2 AB DIFF 083940 | $234.00 | $312.00 | $234.00–$312.00 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LABCORP HGB A1C (001453)(SENDOUT) | $49.50 | $66.00 | $49.50–$66.00 | 8% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C HEMOGLOBIN | $49.50 | $66.00 | $49.50–$66.00 | 8% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C HEMOGLOBIN 5600 | $49.50 | $66.00 | $49.50–$66.00 | 8% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LABCORP HGB A1C (001453)(SENDOUT) | $49.50 | $66.00 | $49.50–$66.00 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C HEMOGLOBIN 5600 | $49.50 | $66.00 | $49.50–$66.00 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C HEMOGLOBIN | $49.50 | $66.00 | $49.50–$66.00 | — | 25% |
| Hemoglobin blood test CPT 85018 HGB | $13.50 | $18.00 | $13.50–$18.00 | 16% below | 25% |
| Hemoglobin blood test inpatient CPT 85018 HGB | $13.50 | $18.00 | $13.50–$18.00 | — | 25% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY; TOTAL(006718) | $72.00 | $96.00 | $72.00–$96.00 | 63% above | 25% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY; TOTAL(006718) | $72.00 | $96.00 | $72.00–$96.00 | — | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBV VACCINE FOLLOW-UP (265389) | $65.25 | $87.00 | $65.25–$87.00 | 50% above | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (006395) | $65.25 | $87.00 | $65.25–$87.00 | 50% above | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (006395) | $65.25 | $87.00 | $65.25–$87.00 | — | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBV VACCINE FOLLOW-UP (265389) | $65.25 | $87.00 | $65.25–$87.00 | — | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN (006510) | $55.50 | $74.00 | $55.50–$74.00 | 24% above | 25% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN (006510) | $55.50 | $74.00 | $55.50–$74.00 | — | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY CASCADE (PCR/GENO)(144127) | $80.25 | $107.00 | $80.25–$107.00 | 34% above | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV ANTIBODY CASCADE (PCR/GENO)(144127) | $80.25 | $107.00 | $80.25–$107.00 | — | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV REALTIME ABBOTT (551300) | $583.50 | $778.00 | $583.50–$778.00 | 269% above | 25% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEPATITIS C, RT-PCR QNT (550080) NON GPH | $382.50 | $510.00 | $382.50–$510.00 | 142% above | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV REALTIME ABBOTT (551300) | $583.50 | $778.00 | $583.50–$778.00 | — | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HEPATITIS C, RT-PCR QNT (550080) NON GPH | $382.50 | $510.00 | $382.50–$510.00 | — | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1&2 IGG (164922) | $48.75 | $65.00 | $48.75–$65.00 | 57% above | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX, TYPE I (164897) | $81.75 | $109.00 | $81.75–$109.00 | 164% above | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1&2 IGM (165180) | $108.75 | $145.00 | $108.75–$145.00 | 251% above | 25% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS 1&2 IGG (164922) | $48.75 | $65.00 | $48.75–$65.00 | — | 25% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX, TYPE I (164897) | $81.75 | $109.00 | $81.75–$109.00 | — | 25% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS 1&2 IGM (165180) | $108.75 | $145.00 | $108.75–$145.00 | — | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX, TYPE 2 W/REFLEX (163033) | $96.75 | $129.00 | $96.75–$129.00 | 152% above | 25% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX, TYPE 2 W/REFLEX (163033) | $96.75 | $129.00 | $96.75–$129.00 | — | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN;HI SENSIVITY(120766) | $53.25 | $71.00 | $53.25–$71.00 | 68% above | 25% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN;HI SENSIVITY(120766) | $53.25 | $71.00 | $53.25–$71.00 | — | 25% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE(501701) | $79.50 | $106.00 | $79.50–$106.00 | 14% below | 25% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE, PLASMA (706994) | $93.75 | $125.00 | $93.75–$125.00 | 2% above | 25% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE(501701) | $79.50 | $106.00 | $79.50–$106.00 | — | 25% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE, PLASMA (706994) | $93.75 | $125.00 | $93.75–$125.00 | — | 25% |
| Insulin blood test CPT 83525 INSULIN (004333) | $49.50 | $66.00 | $49.50–$66.00 | 7% above | 25% |
| Insulin blood test inpatient CPT 83525 INSULIN (004333) | $49.50 | $66.00 | $49.50–$66.00 | — | 25% |
| Iron blood test (serum iron) CPT 83540 IRON - TOTAL 5600 | $37.50 | $50.00 | $37.50–$50.00 | 7% above | 25% |
| Iron blood test (serum iron) CPT 83540 LABCORP IRON - TOTAL (001339) | $37.50 | $50.00 | $37.50–$50.00 | 7% above | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON - TOTAL 5600 | $37.50 | $50.00 | $37.50–$50.00 | — | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 LABCORP IRON - TOTAL (001339) | $37.50 | $50.00 | $37.50–$50.00 | — | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC 5600 IRON BINDING CAPACITY | $28.50 | $38.00 | $28.50–$38.00 | 30% below | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 LABCORP TIBC (IRON BINDING CAPACITY) | $28.50 | $38.00 | $28.50–$38.00 | 30% below | 25% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 LABCORP TIBC (IRON BINDING CAPACITY) | $28.50 | $38.00 | $28.50–$38.00 | — | 25% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC 5600 IRON BINDING CAPACITY | $28.50 | $38.00 | $28.50–$38.00 | — | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $71.25 | $95.00 | $71.25–$95.00 | 7% below | 25% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $71.25 | $95.00 | $71.25–$95.00 | — | 25% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (004283) | $78.75 | $105.00 | $78.75–$105.00 | 6% below | 25% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (004283) | $78.75 | $105.00 | $78.75–$105.00 | — | 25% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID, PLASMA (004770) | $74.25 | $99.00 | $74.25–$99.00 | 35% above | 25% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID, PLASMA (004770) | $74.25 | $99.00 | $74.25–$99.00 | — | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $37.50 | $50.00 | $37.50–$50.00 | 17% above | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH LC (001115) | $37.50 | $50.00 | $37.50–$50.00 | 17% above | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, BODY FLUID (100156) | $37.50 | $50.00 | $37.50–$50.00 | 17% above | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH, BODY FLUID (100156) | $37.50 | $50.00 | $37.50–$50.00 | — | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $37.50 | $50.00 | $37.50–$50.00 | — | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH LC (001115) | $37.50 | $50.00 | $37.50–$50.00 | — | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE 5600 | $40.50 | $54.00 | $40.50–$54.00 | 5% above | 25% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE 5600 | $40.50 | $54.00 | $40.50–$54.00 | — | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $84.75 | $113.00 | $84.75–$113.00 | 24% above | 25% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $84.75 | $113.00 | $84.75–$113.00 | — | 25% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI, TOTAL AB 160325 | $102.00 | $136.00 | $102.00–$136.00 | 94% above | 25% |
| Lyme disease antibody test CPT 86618 LYME, IGM, EARLY TEST/REFLEX (160333) | $102.00 | $136.00 | $102.00–$136.00 | 94% above | 25% |
| Lyme disease antibody test CPT 86618 LYME, C6 AG, B. BURGDORFERI (015400) | $150.00 | $200.00 | $150.00–$200.00 | 186% above | 25% |
| Lyme disease antibody test inpatient CPT 86618 LYME, IGM, EARLY TEST/REFLEX (160333) | $102.00 | $136.00 | $102.00–$136.00 | — | 25% |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI, TOTAL AB 160325 | $102.00 | $136.00 | $102.00–$136.00 | — | 25% |
| Lyme disease antibody test inpatient CPT 86618 LYME, C6 AG, B. BURGDORFERI (015400) | $150.00 | $200.00 | $150.00–$200.00 | — | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM, URINE RANDOM (013730) | $33.75 | $45.00 | $33.75–$45.00 | 5% below | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM | $40.50 | $54.00 | $40.50–$54.00 | 13% above | 25% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE RANDOM (013730) | $33.75 | $45.00 | $33.75–$45.00 | — | 25% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $40.50 | $54.00 | $40.50–$54.00 | — | 25% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY, IGM (160218) | $70.50 | $94.00 | $70.50–$94.00 | 86% above | 25% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY, IGG (096560) | $70.50 | $94.00 | $70.50–$94.00 | 86% above | 25% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY, IGM (160218) | $70.50 | $94.00 | $70.50–$94.00 | — | 25% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY, IGG (096560) | $70.50 | $94.00 | $70.50–$94.00 | — | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST (006189) | $48.00 | $64.00 | $48.00–$64.00 | 50% above | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO, QUAL W/RFLX TO TITER (006536) | $48.00 | $64.00 | $48.00–$64.00 | 50% above | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST IN-HOUSE | $48.00 | $64.00 | $48.00–$64.00 | 50% above | 25% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST IN-HOUSE | $48.00 | $64.00 | $48.00–$64.00 | — | 25% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO, QUAL W/RFLX TO TITER (006536) | $48.00 | $64.00 | $48.00–$64.00 | — | 25% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST (006189) | $48.00 | $64.00 | $48.00–$64.00 | — | 25% |
| Mumps immunity blood test CPT 86735 ANTIBODY; MUMPS IGG (096552) | $66.75 | $89.00 | $66.75–$89.00 | 32% above | 25% |
| Mumps immunity blood test inpatient CPT 86735 ANTIBODY; MUMPS IGG (096552) | $66.75 | $89.00 | $66.75–$89.00 | — | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE(CANNOT BE ORDERED ALONE) | $46.50 | $62.00 | $46.50–$62.00 | 18% below | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE(CANNOT BE ORDERED ALONE) | $46.50 | $62.00 | $46.50–$62.00 | — | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG (DIAGNOSTIC)5600 | $67.50 | $90.00 | $67.50–$90.00 | 9% below | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LABCOR PROSTATE SPEC AG (DIAG)(10322) | $67.50 | $90.00 | $67.50–$90.00 | 9% below | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE(140731) | $125.25 | $167.00 | $125.25–$167.00 | 68% above | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LABCOR PROSTATE SPEC AG (DIAG)(10322) | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG (DIAGNOSTIC)5600 | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE(140731) | $125.25 | $167.00 | $125.25–$167.00 | — | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARA-THYROID HORMONE(015610) | $123.00 | $164.00 | $123.00–$164.00 | 2% below | 25% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARA-THYROID HORMONE(015610) | $123.00 | $164.00 | $123.00–$164.00 | — | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $44.25 | $59.00 | $44.25–$59.00 | 12% above | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT [HC PANEL] (500513) | $79.50 | $106.00 | $79.50–$106.00 | 102% above | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 aPTT ,PHOSPHOLIPID PANEL(109009) | $108.75 | $145.00 | $108.75–$145.00 | 176% above | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $44.25 | $59.00 | $44.25–$59.00 | — | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT [HC PANEL] (500513) | $79.50 | $106.00 | $79.50–$106.00 | — | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 aPTT ,PHOSPHOLIPID PANEL(109009) | $108.75 | $145.00 | $108.75–$145.00 | — | 25% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS | $27.00 | $36.00 | $27.00–$36.00 | at median | 25% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS | $27.00 | $36.00 | $27.00–$36.00 | — | 25% |
| Potassium blood test CPT 84132 POTASSIUM | $27.00 | $36.00 | $27.00–$36.00 | 1% below | 25% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $27.00 | $36.00 | $27.00–$36.00 | — | 25% |
| Progesterone blood test CPT 84144 PROGESTERONE (004317) | $99.75 | $133.00 | $99.75–$133.00 | 20% above | 25% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE (004317) | $99.75 | $133.00 | $99.75–$133.00 | — | 25% |
| Prolactin blood test CPT 84146 PROLACTIN (004465) | $93.75 | $125.00 | $93.75–$125.00 | 1% above | 25% |
| Prolactin blood test CPT 84146 PROLACTIN,TWO SPECIMENS (026872) | $131.25 | $175.00 | $131.25–$175.00 | 41% above | 25% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN (004465) | $93.75 | $125.00 | $93.75–$125.00 | — | 25% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN,TWO SPECIMENS (026872) | $131.25 | $175.00 | $131.25–$175.00 | — | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $35.25 | $47.00 | $35.25–$47.00 | 33% above | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT,PHOSPHOLIPID PANEL(117030) | $108.75 | $145.00 | $108.75–$145.00 | 310% above | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $35.25 | $47.00 | $35.25–$47.00 | — | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT,PHOSPHOLIPID PANEL(117030) | $108.75 | $145.00 | $108.75–$145.00 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG TEST (12 PANEL) | $67.50 | $90.00 | $67.50–$90.00 | 87% above | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE TOXICOLOGY SCREEN (6 PANEL) | $86.25 | $115.00 | $86.25–$115.00 | 139% above | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE TOXICOLOGY SCREEN (12 PANEL) | $86.25 | $115.00 | $86.25–$115.00 | 139% above | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EE WORKER'S COMP DRUG TEST (IN HOUSE) | $86.25 | $115.00 | $86.25–$115.00 | 139% above | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUG TEST (12 PANEL) | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 EE WORKER'S COMP DRUG TEST (IN HOUSE) | $86.25 | $115.00 | $86.25–$115.00 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE TOXICOLOGY SCREEN (12 PANEL) | $86.25 | $115.00 | $86.25–$115.00 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE TOXICOLOGY SCREEN (6 PANEL) | $86.25 | $115.00 | $86.25–$115.00 | — | 25% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $48.75 | $65.00 | $48.75–$65.00 | 67% above | 25% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $48.75 | $65.00 | $48.75–$65.00 | 67% above | 25% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B | $48.75 | $65.00 | $48.75–$65.00 | — | 25% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A | $48.75 | $65.00 | $48.75–$65.00 | — | 25% |
| Renin blood test CPT 84244 RENIN ACTIVITY PLASMA (002006) | $103.50 | $138.00 | $103.50–$138.00 | 70% above | 25% |
| Renin blood test inpatient CPT 84244 RENIN ACTIVITY PLASMA (002006) | $103.50 | $138.00 | $103.50–$138.00 | — | 25% |
| Rh blood typing CPT 86901 RH FACTOR (INHOUSE) | $45.00 | $60.00 | $45.00–$60.00 | 20% above | 25% |
| Rh blood typing CPT 86901 MBS RH GROUP | $48.75 | $65.00 | $48.75–$65.00 | 30% above | 25% |
| Rh blood typing CPT 86901 CROSS MATCH RH GROUP | $48.75 | $65.00 | $48.75–$65.00 | 30% above | 25% |
| Rh blood typing inpatient CPT 86901 RH FACTOR (INHOUSE) | $45.00 | $60.00 | $45.00–$60.00 | — | 25% |
| Rh blood typing inpatient CPT 86901 MBS RH GROUP | $48.75 | $65.00 | $48.75–$65.00 | — | 25% |
| Rh blood typing inpatient CPT 86901 CROSS MATCH RH GROUP | $48.75 | $65.00 | $48.75–$65.00 | — | 25% |
| Rheumatoid factor (RF) test CPT 86431 RA TEST (006502) | $34.50 | $46.00 | $34.50–$46.00 | 3% above | 25% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA TEST (006502) | $34.50 | $46.00 | $34.50–$46.00 | — | 25% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES, IGG (006197) | $52.50 | $70.00 | $52.50–$70.00 | 29% above | 25% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES, IGG (006197) | $52.50 | $70.00 | $52.50–$70.00 | — | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE | $26.25 | $35.00 | $26.25–$35.00 | 33% below | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE | $26.25 | $35.00 | $26.25–$35.00 | — | 25% |
| Sodium blood test CPT 84295 SODIUM | $27.00 | $36.00 | $27.00–$36.00 | 18% below | 25% |
| Sodium blood test inpatient CPT 84295 SODIUM | $27.00 | $36.00 | $27.00–$36.00 | — | 25% |
| Stool ova and parasites exam CPT 87177 STOOL OVA & PARASITE(008623) | $51.00 | $68.00 | $51.00–$68.00 | 27% above | 25% |
| Stool ova and parasites exam CPT 87177 OVA+PARASITE EXAM, URINE | $69.75 | $93.00 | $69.75–$93.00 | 73% above | 25% |
| Stool ova and parasites exam inpatient CPT 87177 STOOL OVA & PARASITE(008623) | $51.00 | $68.00 | $51.00–$68.00 | — | 25% |
| Stool ova and parasites exam inpatient CPT 87177 OVA+PARASITE EXAM, URINE | $69.75 | $93.00 | $69.75–$93.00 | — | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 I/P&ER STOOL -OCCULT BLOOD (1 SAMPLE) | $7.50 | $10.00 | $7.50–$10.00 | 57% below | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OP STOOL FOR OCCULT BLOOD (3 SAMPLES) | $22.50 | $30.00 | $22.50–$30.00 | 29% above | 25% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 I/P&ER STOOL -OCCULT BLOOD (1 SAMPLE) | $7.50 | $10.00 | $7.50–$10.00 | — | 25% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OP STOOL FOR OCCULT BLOOD (3 SAMPLES) | $22.50 | $30.00 | $22.50–$30.00 | — | 25% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG ELISA (816704) | $56.25 | $75.00 | $56.25–$75.00 | 36% above | 25% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGM ELISA (816696) | $56.25 | $75.00 | $56.25–$75.00 | 36% above | 25% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB QUAL (006379) | $73.50 | $98.00 | $73.50–$98.00 | 77% above | 25% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGG ELISA (816704) | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGM ELISA (816696) | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB QUAL (006379) | $73.50 | $98.00 | $73.50–$98.00 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (006072) | $29.25 | $39.00 | $29.25–$39.00 | 16% above | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (006072) | $29.25 | $39.00 | $29.25–$39.00 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD (IN TUBE)(182879) | $67.50 | $90.00 | $67.50–$90.00 | 36% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD (IN TUBE)(182879) | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL 5600 | $116.25 | $155.00 | $116.25–$155.00 | 48% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL [LC] (004226) | $116.25 | $155.00 | $116.25–$155.00 | 48% above | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL 5600 | $116.25 | $155.00 | $116.25–$155.00 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL [LC] (004226) | $116.25 | $155.00 | $116.25–$155.00 | — | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB-(006676) | $71.25 | $95.00 | $71.25–$95.00 | 152% above | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES, EACH (163980) | $73.50 | $98.00 | $73.50–$98.00 | 160% above | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) AB-(006676) | $71.25 | $95.00 | $71.25–$95.00 | — | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES, EACH (163980) | $73.50 | $98.00 | $73.50–$98.00 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LABCORP TSH (004259) | $74.25 | $99.00 | $74.25–$99.00 | 43% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH REFLEX TO T4 (322454) | $74.25 | $99.00 | $74.25–$99.00 | 43% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 5600 | $74.25 | $99.00 | $74.25–$99.00 | 43% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH REFLEX TO T4 (322454) | $74.25 | $99.00 | $74.25–$99.00 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LABCORP TSH (004259) | $74.25 | $99.00 | $74.25–$99.00 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 5600 | $74.25 | $99.00 | $74.25–$99.00 | — | 25% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E, TOTAL (002170) | $78.00 | $104.00 | $78.00–$104.00 | 61% above | 25% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E, TOTAL (002170) | $78.00 | $104.00 | $78.00–$104.00 | — | 25% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $36.00 | $48.00 | $36.00–$48.00 | 30% above | 25% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $36.00 | $48.00 | $36.00–$48.00 | — | 25% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL [LC] (001149) | $37.50 | $50.00 | $37.50–$50.00 | at median | 25% |
| Total thyroxine (T4) blood test CPT 84436 T4-THYROXINE TOTAL 5600 | $37.50 | $50.00 | $37.50–$50.00 | at median | 25% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL [LC] (001149) | $37.50 | $50.00 | $37.50–$50.00 | — | 25% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4-THYROXINE TOTAL 5600 | $37.50 | $50.00 | $37.50–$50.00 | — | 25% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TRI IODOTHYONINE 5600 | $84.75 | $113.00 | $84.75–$113.00 | 79% above | 25% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL [LC] (002188) | $139.50 | $186.00 | $139.50–$186.00 | 195% above | 25% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TRI IODOTHYONINE 5600 | $84.75 | $113.00 | $84.75–$113.00 | — | 25% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL [LC] (002188) | $139.50 | $186.00 | $139.50–$186.00 | — | 25% |
| Transferrin blood test CPT 84466 TRANSFERRIN (004937) | $63.00 | $84.00 | $63.00–$84.00 | 25% above | 25% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN (004937) | $63.00 | $84.00 | $63.00–$84.00 | — | 25% |
| Triglycerides blood test CPT 84478 BODY FLUID, TRIGLYCERIDES (101170) | $27.75 | $37.00 | $27.75–$37.00 | 16% below | 25% |
| Triglycerides blood test CPT 84478 LABCORP TRIGLYCERIDES (001172) | $36.00 | $48.00 | $36.00–$48.00 | 8% above | 25% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES 5600 | $36.00 | $48.00 | $36.00–$48.00 | 8% above | 25% |
| Triglycerides blood test inpatient CPT 84478 BODY FLUID, TRIGLYCERIDES (101170) | $27.75 | $37.00 | $27.75–$37.00 | — | 25% |
| Triglycerides blood test inpatient CPT 84478 LABCORP TRIGLYCERIDES (001172) | $36.00 | $48.00 | $36.00–$48.00 | — | 25% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES 5600 | $36.00 | $48.00 | $36.00–$48.00 | — | 25% |
| Troponin test, quantitative CPT 84484 TRIAGE TROPONIN, QUANTITATIVE | $81.75 | $109.00 | $81.75–$109.00 | 5% above | 25% |
| Troponin test, quantitative CPT 84484 TROPONIN ES 5600 | $81.75 | $109.00 | $81.75–$109.00 | 5% above | 25% |
| Troponin test, quantitative inpatient CPT 84484 TRIAGE TROPONIN, QUANTITATIVE | $81.75 | $109.00 | $81.75–$109.00 | — | 25% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN ES 5600 | $81.75 | $109.00 | $81.75–$109.00 | — | 25% |
| Uric acid blood test CPT 84550 URIC ACID; BLOOD | $35.25 | $47.00 | $35.25–$47.00 | 13% above | 25% |
| Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD | $35.25 | $47.00 | $35.25–$47.00 | — | 25% |
| Urinalysis with microscope exam, automated CPT 81001 .URINALYSIS, AUTOMATED, W/ MICROSCOPY | $39.00 | $52.00 | $39.00–$52.00 | 38% above | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .URINALYSIS, AUTOMATED, W/ MICROSCOPY | $39.00 | $52.00 | $39.00–$52.00 | — | 25% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS | $27.00 | $36.00 | $27.00–$36.00 | 35% above | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS | $27.00 | $36.00 | $27.00–$36.00 | — | 25% |
| Urinalysis without microscope exam, automated CPT 81003 .URINALYSIS, AUTO W/O MICRO | $24.00 | $32.00 | $24.00–$32.00 | 59% above | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICROSCOPY | $24.00 | $32.00 | $24.00–$32.00 | 59% above | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .URINALYSIS, AUTO W/O MICRO | $24.00 | $32.00 | $24.00–$32.00 | — | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICROSCOPY | $24.00 | $32.00 | $24.00–$32.00 | — | 25% |
| Urine culture for bacteria, with colony count CPT 87086 COLONY COUNT URINE | $35.25 | $47.00 | $35.25–$47.00 | 15% below | 25% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 COLONY COUNT URINE | $35.25 | $47.00 | $35.25–$47.00 | — | 25% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN, 24 HR (140050) | $60.75 | $81.00 | $60.75–$81.00 | 98% above | 25% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN, RANDOM(149997) | $60.75 | $81.00 | $60.75–$81.00 | 98% above | 25% |
| Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN, 24 HR (140050) | $60.75 | $81.00 | $60.75–$81.00 | — | 25% |
| Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN, RANDOM(149997) | $60.75 | $81.00 | $60.75–$81.00 | — | 25% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $30.00 | $40.00 | $30.00–$40.00 | 25% below | 25% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $30.00 | $40.00 | $30.00–$40.00 | — | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 LABCORP VITAMIN B-12 (001503) | $67.50 | $90.00 | $67.50–$90.00 | 7% above | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 5600 | $67.50 | $90.00 | $67.50–$90.00 | 7% above | 25% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 5600 | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LABCORP VITAMIN B-12 (001503) | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY VITAMIN D- D2+D3 (504115) | $130.05 | $173.40 | $130.05–$173.40 | 88% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $221.25 | $295.00 | $221.25–$295.00 | 220% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LABCORP VITAMIN D 25 HYDROXY (081950) | $221.25 | $295.00 | $221.25–$295.00 | 220% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY 5600 | $221.25 | $295.00 | $221.25–$295.00 | 220% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL (25-OH VITAMIN D-3) | $221.25 | $295.00 | $221.25–$295.00 | 220% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXY VITAMIN D- D2+D3 (504115) | $130.05 | $173.40 | $130.05–$173.40 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $221.25 | $295.00 | $221.25–$295.00 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LABCORP VITAMIN D 25 HYDROXY (081950) | $221.25 | $295.00 | $221.25–$295.00 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL (25-OH VITAMIN D-3) | $221.25 | $295.00 | $221.25–$295.00 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY 5600 | $221.25 | $295.00 | $221.25–$295.00 | — | 25% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D,1,25 DIHYDROXY(081091) | $221.25 | $295.00 | $221.25–$295.00 | 79% above | 25% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D,1,25 DIHYDROXY(081091) | $221.25 | $295.00 | $221.25–$295.00 | — | 25% |
| Zinc blood test CPT 84630 ZINC (001800) | $68.25 | $91.00 | $68.25–$91.00 | 20% above | 25% |
| Zinc blood test CPT 84630 ZINC, RBC (070029) | $104.25 | $139.00 | $104.25–$139.00 | 83% above | 25% |
| Zinc blood test inpatient CPT 84630 ZINC (001800) | $68.25 | $91.00 | $68.25–$91.00 | — | 25% |
| Zinc blood test inpatient CPT 84630 ZINC, RBC (070029) | $104.25 | $139.00 | $104.25–$139.00 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT (004416) | $75.75 | $101.00 | $75.75–$101.00 | 7% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT (004416) | $75.75 | $101.00 | $75.75–$101.00 | — | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX DISTAL FIBULAR FX W/O MANIPULATION | $150.00 | $200.00 | $150.00–$200.00 | 20% below | 25% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TX DISTAL FIBULAR FX W/O MANIPULATION | $150.00 | $200.00 | $150.00–$200.00 | — | 25% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL METATARSAL FX W/O MANIP, EACH | $225.00 | $300.00 | $225.00–$300.00 | 2% above | 25% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL METATARSAL FX W/O MANIP, EACH | $225.00 | $300.00 | $225.00–$300.00 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $262.50 | $350.00 | $262.50–$350.00 | 56% below | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $262.50 | $350.00 | $262.50–$350.00 | — | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TX DISTAL RAD FX W/O MANIP | $243.75 | $325.00 | $243.75–$325.00 | 18% above | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TX DISTAL RAD FX W/O MANIP | $243.75 | $325.00 | $243.75–$325.00 | — | 25% |
| Earwax removal with instruments, one ear CPT 69210 REMOV IMPACT CERUMEN | $78.75 | $105.00 | $78.75–$105.00 | 2% below | 25% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOV IMPACT CERUMEN | $78.75 | $105.00 | $78.75–$105.00 | — | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS | $135.00 | $180.00 | $135.00–$180.00 | 38% below | 25% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION; TENDON SHEATH, LIGAMENT, GANG | $100.50 | $134.00 | $100.50–$134.00 | 47% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION; TENDON SHEATH, LIGAMENT, GANG | $100.50 | $134.00 | $100.50–$134.00 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JT SHLDR,HIP,KNEE | $117.00 | $156.00 | $117.00–$156.00 | 53% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JT KNEE HIP SHOULDE | $117.00 | $156.00 | $117.00–$156.00 | 53% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JT KNEE HIP SHOULDE | $117.00 | $156.00 | $117.00–$156.00 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JT SHLDR,HIP,KNEE | $117.00 | $156.00 | $117.00–$156.00 | — | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTER JT ELBOW,WRIST,ANK | $96.75 | $129.00 | $96.75–$129.00 | 56% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMED JT ELBOW | $96.75 | $129.00 | $96.75–$129.00 | 56% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTERMED JT ELBOW | $96.75 | $129.00 | $96.75–$129.00 | — | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTER JT ELBOW,WRIST,ANK | $96.75 | $129.00 | $96.75–$129.00 | — | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT FINGER, TOE | $89.25 | $119.00 | $89.25–$119.00 | 59% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SMALL JOINT FINGER, TOE | $89.25 | $119.00 | $89.25–$119.00 | — | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTM <=2.5CM SCLP,AX,TRNK,EXT-HNDS,FT | $219.75 | $293.00 | $219.75–$293.00 | 14% below | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTM <=2.5CM SCLP,AX,TRNK,EXT-HNDS,FT | $219.75 | $293.00 | $219.75–$293.00 | — | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EX BEN LESION,-.5CM | $82.50 | $110.00 | $82.50–$110.00 | 78% below | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EX BEN LESION,-.5CM | $82.50 | $110.00 | $82.50–$110.00 | — | 25% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION,NAIL PLATE, SIMPLE, SINGLE | $101.25 | $135.00 | $101.25–$135.00 | 39% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE,SIMPLE,SINGLE,PT/CMP | $101.25 | $135.00 | $101.25–$135.00 | 39% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE,SIMPLE,SINGLE | $221.25 | $295.00 | $221.25–$295.00 | 33% above | 25% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE,SIMPLE,SINGLE,PT/CMP | $101.25 | $135.00 | $101.25–$135.00 | — | 25% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION,NAIL PLATE, SIMPLE, SINGLE | $101.25 | $135.00 | $101.25–$135.00 | — | 25% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE,SIMPLE,SINGLE | $221.25 | $295.00 | $221.25–$295.00 | — | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCIS NAIL & MATRIX | $206.25 | $275.00 | $206.25–$275.00 | 47% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL & MATRIX PERMANENT REM | $708.75 | $945.00 | $708.75–$945.00 | 81% above | 25% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCIS NAIL & MATRIX | $206.25 | $275.00 | $206.25–$275.00 | — | 25% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL & MATRIX PERMANENT REM | $708.75 | $945.00 | $708.75–$945.00 | — | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 I&R FORN BODY,SIMPLE | $142.50 | $190.00 | $142.50–$190.00 | 49% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 I&R FOREIGN BODY, SUB-Q; SIMPLE | $420.00 | $560.00 | $420.00–$560.00 | 51% above | 25% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R FORN BODY,SIMPLE | $142.50 | $190.00 | $142.50–$190.00 | — | 25% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R FOREIGN BODY, SUB-Q; SIMPLE | $420.00 | $560.00 | $420.00–$560.00 | — | 25% |
| Short arm cast (elbow to hand) CPT 29075 CAST, FOREARM | $157.50 | $210.00 | $157.50–$210.00 | at median | 25% |
| Short arm cast (elbow to hand) inpatient CPT 29075 CAST, FOREARM | $157.50 | $210.00 | $157.50–$210.00 | — | 25% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT FOREARM-HAND; STATIC | $56.25 | $75.00 | $56.25–$75.00 | 56% below | 25% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT FOREARM-HAND; STATIC | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Short leg cast (below the knee) CPT 29405 CAST, SHORT LEG | $120.00 | $160.00 | $120.00–$160.00 | 35% below | 25% |
| Short leg cast (below the knee) inpatient CPT 29405 CAST, SHORT LEG | $120.00 | $160.00 | $120.00–$160.00 | — | 25% |
| Short leg splint (calf to foot) CPT 29515 SPLINT, LEG SHORT | $102.00 | $136.00 | $102.00–$136.00 | 30% below | 25% |
| Short leg splint (calf to foot) CPT 29515 APPL LOWER LEG SPLINT | $112.50 | $150.00 | $112.50–$150.00 | 22% below | 25% |
| Short leg splint (calf to foot) inpatient CPT 29515 SPLINT, LEG SHORT | $102.00 | $136.00 | $102.00–$136.00 | — | 25% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPL LOWER LEG SPLINT | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMP <=2.5CM SCLP,NK,AX,GNT,EXT+HDS,FT,TR | $139.50 | $186.00 | $139.50–$186.00 | 24% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMP <=2.5CM SCLP,NK,AX,NT,EXT+HDS,FT,TR | $183.75 | $245.00 | $183.75–$245.00 | at median | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMP <=2.5CM SCLP,NK,AX,GNT,EXT+HDS,FT,TR | $139.50 | $186.00 | $139.50–$186.00 | — | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMP <=2.5CM SCLP,NK,AX,NT,EXT+HDS,FT,TR | $183.75 | $245.00 | $183.75–$245.00 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC,LUMB,DIA | $227.25 | $303.00 | $227.25–$303.00 | 47% below | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNC,LUMB,DIA | $227.25 | $303.00 | $227.25–$303.00 | — | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMP 02.6-07.5CM SCLP,NK,AX,GNT,EXT+H,F,T | $162.75 | $217.00 | $162.75–$217.00 | 13% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMP 02.6-07.5CM SCLP,NK,AX,GNT,EXT+H,F,T | $162.75 | $217.00 | $162.75–$217.00 | — | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL <=2.5CM FACE,EARS,LIDS,NOSE,LIPS | $162.75 | $217.00 | $162.75–$217.00 | 11% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL <=2.5CM FACE,EARS,LIDS,NOSE,LIPS | $162.75 | $217.00 | $162.75–$217.00 | — | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SNG/MTPL TRIG PT(S) 1-2 MUSCLES | $89.25 | $119.00 | $89.25–$119.00 | 64% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ(S) TRIGGER PT(S) 1-2 MUSCLES | $89.25 | $119.00 | $89.25–$119.00 | 64% below | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SNG/MTPL TRIG PT(S) 1-2 MUSCLES | $89.25 | $119.00 | $89.25–$119.00 | — | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ(S) TRIGGER PT(S) 1-2 MUSCLES | $89.25 | $119.00 | $89.25–$119.00 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID PART THICKNES | $56.25 | $75.00 | $56.25–$75.00 | 84% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBC TISSUE | $131.25 | $175.00 | $131.25–$175.00 | 63% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SUBC TISSUE | $131.25 | $175.00 | $131.25–$175.00 | 63% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 EXC DEBRIDEMENT SUBCU <EQ 20 SQ CM | $311.25 | $415.00 | $311.25–$415.00 | 13% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE PARTIAL THICKNESS | $771.00 | $1,028.00 | $771.00–$1,028.00 | 116% above | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE, SUBQ 20 SQ CM OR LESS | $1,031.25 | $1,375.00 | $1,031.25–$1,375.00 | 189% above | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID PART THICKNES | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBC TISSUE | $131.25 | $175.00 | $131.25–$175.00 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SUBC TISSUE | $131.25 | $175.00 | $131.25–$175.00 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 EXC DEBRIDEMENT SUBCU <EQ 20 SQ CM | $311.25 | $415.00 | $311.25–$415.00 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE PARTIAL THICKNESS | $771.00 | $1,028.00 | $771.00–$1,028.00 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE, SUBQ 20 SQ CM OR LESS | $1,031.25 | $1,375.00 | $1,031.25–$1,375.00 | — | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION CHRG | $506.25 | $675.00 | $506.25–$675.00 | 28% above | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION ADMIN CHRG | $506.25 | $675.00 | $506.25–$675.00 | 28% above | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION CHRG | $506.25 | $675.00 | $506.25–$675.00 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION ADMIN CHRG | $506.25 | $675.00 | $506.25–$675.00 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED/NONPRESSUREIZED IHALATION TX | $27.00 | $36.00 | $27.00–$36.00 | 59% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHNEB SUBSEQUENT | $123.75 | $165.00 | $123.75–$165.00 | 86% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL TX | $123.75 | $165.00 | $123.75–$165.00 | 86% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHNEB INITIAL | $123.75 | $165.00 | $123.75–$165.00 | 86% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSURIZED/NONPRESSUREIZED IHALATION TX | $27.00 | $36.00 | $27.00–$36.00 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB INITIAL TX | $123.75 | $165.00 | $123.75–$165.00 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHNEB INITIAL | $123.75 | $165.00 | $123.75–$165.00 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHNEB SUBSEQUENT | $123.75 | $165.00 | $123.75–$165.00 | — | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN, IV INFUSION; UP TO 1 HR | $393.75 | $525.00 | $393.75–$525.00 | 10% above | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN, IV INF ; UP TO 1 HR | $393.75 | $525.00 | $393.75–$525.00 | 10% above | 25% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN, IV INF ; UP TO 1 HR | $393.75 | $525.00 | $393.75–$525.00 | — | 25% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN, IV INFUSION; UP TO 1 HR | $393.75 | $525.00 | $393.75–$525.00 | — | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MINUTES | $300.00 | $400.00 | $300.00–$400.00 | 72% below | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL | $993.75 | $1,325.00 | $993.75–$1,325.00 | 7% below | 25% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 MINUTES | $300.00 | $400.00 | $300.00–$400.00 | — | 25% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL | $993.75 | $1,325.00 | $993.75–$1,325.00 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING | $37.50 | $50.00 | $37.50–$50.00 | 59% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG BASIC | $108.75 | $145.00 | $108.75–$145.00 | 18% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING | $37.50 | $50.00 | $37.50–$50.00 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG BASIC | $108.75 | $145.00 | $108.75–$145.00 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MINIMAL | $63.75 | $85.00 | $63.75–$85.00 | 39% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I | $135.00 | $180.00 | $135.00–$180.00 | 30% above | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MINIMAL | $63.75 | $85.00 | $63.75–$85.00 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL I | $135.00 | $180.00 | $135.00–$180.00 | — | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED | $78.75 | $105.00 | $78.75–$105.00 | 60% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II | $210.00 | $280.00 | $210.00–$280.00 | 8% above | 25% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED | $78.75 | $105.00 | $78.75–$105.00 | — | 25% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL II | $210.00 | $280.00 | $210.00–$280.00 | — | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III | $360.00 | $480.00 | $360.00–$480.00 | at median | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL III | $360.00 | $480.00 | $360.00–$480.00 | — | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV | $510.00 | $680.00 | $510.00–$680.00 | 6% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV | $510.00 | $680.00 | $510.00–$680.00 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V | $735.00 | $980.00 | $735.00–$980.00 | 9% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL V | $735.00 | $980.00 | $735.00–$980.00 | — | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOHERAPY W/PT PRESENT | $184.75 | $246.33 | $184.75–$246.33 | 16% above | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOHERAPY W/PT PRESENT | $184.75 | $246.33 | $184.75–$246.33 | — | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/O PT PRESENT | $184.75 | $246.33 | $184.75–$246.33 | 35% above | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/O PT PRESENT | $184.75 | $246.33 | $184.75–$246.33 | — | 25% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $121.39 | $161.85 | $121.39–$161.85 | 3% above | 25% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $121.39 | $161.85 | $121.39–$161.85 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS, HYDRATION; INIT, 31 min to 1HR | $112.50 | $150.00 | $112.50–$150.00 | 39% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION; INITIAL, 31 MIN - 1 HR | $168.75 | $225.00 | $168.75–$225.00 | 8% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION; INITIAL, 31 MIN TO 1 HR | $168.75 | $225.00 | $168.75–$225.00 | 8% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS, HYDRATION; INIT, 31 min to 1HR | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION; INITIAL, 31 MIN TO 1 HR | $168.75 | $225.00 | $168.75–$225.00 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION; INITIAL, 31 MIN - 1 HR | $168.75 | $225.00 | $168.75–$225.00 | — | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY,PROPHYLAXIS OR DX;UP TO 1HR | $112.50 | $150.00 | $112.50–$150.00 | 49% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY,UP TO 1HR (INFUSION) | $262.50 | $350.00 | $262.50–$350.00 | 19% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY, INITIALUP TO 1HR (INFUSION) | $262.50 | $350.00 | $262.50–$350.00 | 19% above | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY,PROPHYLAXIS OR DX;UP TO 1HR | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY,UP TO 1HR (INFUSION) | $262.50 | $350.00 | $262.50–$350.00 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY, INITIALUP TO 1HR (INFUSION) | $262.50 | $350.00 | $262.50–$350.00 | — | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH; INITIAL | $86.25 | $115.00 | $86.25–$115.00 | 37% below | 25% |
| IV push of a medicine, first drug CPT 96374 THERA,PROPH,DIAG INJ;IV PUSH,INITIAL | $86.25 | $115.00 | $86.25–$115.00 | 37% below | 25% |
| IV push of a medicine, first drug CPT 96374 THERA,PROPHY,DIAG INJ;IV PUSH,SNGL/INIT | $112.50 | $150.00 | $112.50–$150.00 | 17% below | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH; INITIAL | $86.25 | $115.00 | $86.25–$115.00 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 THERA,PROPH,DIAG INJ;IV PUSH,INITIAL | $86.25 | $115.00 | $86.25–$115.00 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 THERA,PROPHY,DIAG INJ;IV PUSH,SNGL/INIT | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER,PROPHYLAC OR DX INJ;SUB-Q/INTRAMUSC | $56.25 | $75.00 | $56.25–$75.00 | 5% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER,PROPH OR DX INJ; SUB-Q/IM | $56.25 | $75.00 | $56.25–$75.00 | 5% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER, PROPHY OR DIAG INJECTION; SQ/IM | $112.50 | $150.00 | $112.50–$150.00 | 90% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER,PROPH OR DX INJ; SUB-Q/IM | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER,PROPHYLAC OR DX INJ;SUB-Q/INTRAMUSC | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER, PROPHY OR DIAG INJECTION; SQ/IM | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAM | $121.27 | $161.69 | $121.27–$161.69 | 25% below | 25% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAM | $121.27 | $161.69 | $121.27–$161.69 | — | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-ED | $56.25 | $75.00 | $56.25–$75.00 | 6% above | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-ED | $56.25 | $75.00 | $56.25–$75.00 | 6% above | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-ED | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-ED | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| New patient office visit, about 30 minutes CPT 99203 NEW CLINIC WOUND - DETAILED | $93.75 | $125.00 | $93.75–$125.00 | 18% below | 25% |
| New patient office visit, about 30 minutes CPT 99203 DETAILED NEW OP VISIT | $93.75 | $125.00 | $93.75–$125.00 | 18% below | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 DETAILED NEW OP VISIT | $93.75 | $125.00 | $93.75–$125.00 | — | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW CLINIC WOUND - DETAILED | $93.75 | $125.00 | $93.75–$125.00 | — | 25% |
| New patient office visit, about 45 minutes CPT 99204 NEW CLINIC WOUND -COMPLEX | $131.25 | $175.00 | $131.25–$175.00 | 17% below | 25% |
| New patient office visit, about 45 minutes CPT 99204 MOD COMPREHENSIVE NEW OP VISIT | $131.25 | $175.00 | $131.25–$175.00 | 17% below | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 MOD COMPREHENSIVE NEW OP VISIT | $131.25 | $175.00 | $131.25–$175.00 | — | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW CLINIC WOUND -COMPLEX | $131.25 | $175.00 | $131.25–$175.00 | — | 25% |
| New patient office visit, about 60 minutes CPT 99205 HIGH COMPREHENSIVE NEW OP VISIT | $138.75 | $185.00 | $138.75–$185.00 | 29% below | 25% |
| New patient office visit, about 60 minutes CPT 99205 NEW CLINIC WOUND-HIGH | $150.00 | $200.00 | $150.00–$200.00 | 24% below | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HIGH COMPREHENSIVE NEW OP VISIT | $138.75 | $185.00 | $138.75–$185.00 | — | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW CLINIC WOUND-HIGH | $150.00 | $200.00 | $150.00–$200.00 | — | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 EXPANDED PF NEW OP VISIT | $67.50 | $90.00 | $67.50–$90.00 | 20% below | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW CLINIC WOUND - EXPANDED | $67.50 | $90.00 | $67.50–$90.00 | 20% below | 25% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW CLINIC WOUND - EXPANDED | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 EXPANDED PF NEW OP VISIT | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $112.50 | $150.00 | $112.50–$150.00 | 10% below | 25% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $112.50 | $150.00 | $112.50–$150.00 | 25% below | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $112.50 | $150.00 | $112.50–$150.00 | 4% below | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $112.50 | $150.00 | $112.50–$150.00 | 11% below | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MIN | $56.25 | $75.00 | $56.25–$75.00 | 4% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15 MIN | $56.25 | $75.00 | $56.25–$75.00 | 4% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY 15 MIN | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY 15 MIN | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC PROCEDURE | $56.25 | $75.00 | $56.25–$75.00 | 5% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC PROCEDURE 15 MIN | $56.25 | $75.00 | $56.25–$75.00 | 5% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC PROCEDURE 15 MIN | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC PROCEDURE | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN W PATIENT&/OR FAMIL | $153.75 | $205.00 | $153.75–$205.00 | 62% above | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN W PATIENT&/OR FAMIL | $153.75 | $205.00 | $153.75–$205.00 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST CLINIC WOUND- HIGH | $112.50 | $150.00 | $112.50–$150.00 | 40% below | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 COMPREHENSIVE EST OP VISIT | $112.50 | $150.00 | $112.50–$150.00 | 40% below | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST CLINIC WOUND- HIGH | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 COMPREHENSIVE EST OP VISIT | $112.50 | $150.00 | $112.50–$150.00 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST CLINIC WOUND- DETAILED | $67.50 | $90.00 | $67.50–$90.00 | 38% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EXPANDED PF EST OP VISIT | $67.50 | $90.00 | $67.50–$90.00 | 38% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EXPANDED PF EST OP VISIT | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST CLINIC WOUND- DETAILED | $67.50 | $90.00 | $67.50–$90.00 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST CLINIC WOUND- COMPLEX | $90.00 | $120.00 | $90.00–$120.00 | 32% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 DETAILED OP EST VISIT | $90.00 | $120.00 | $90.00–$120.00 | 32% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 DETAILED EST OP VISIT | $90.00 | $120.00 | $90.00–$120.00 | 32% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST CLINIC WOUND- COMPLEX | $90.00 | $120.00 | $90.00–$120.00 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 DETAILED OP EST VISIT | $90.00 | $120.00 | $90.00–$120.00 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 DETAILED EST OP VISIT | $90.00 | $120.00 | $90.00–$120.00 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST CLINIC WOUND- EXPANDED | $45.00 | $60.00 | $45.00–$60.00 | 42% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PROBLEM FOCUSED EST OP VISIT | $45.00 | $60.00 | $45.00–$60.00 | 42% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PROBLEM FOCUSED OP VISIT | $45.00 | $60.00 | $45.00–$60.00 | 42% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST CLINIC WOUND- EXPANDED | $45.00 | $60.00 | $45.00–$60.00 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PROBLEM FOCUSED EST OP VISIT | $45.00 | $60.00 | $45.00–$60.00 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PROBLEM FOCUSED OP VISIT | $45.00 | $60.00 | $45.00–$60.00 | — | 25% |
| Speech and language evaluation CPT 92523 ST SPEECH SOUND & LANGUAGE EVALUATION | $202.50 | $270.00 | $202.50–$270.00 | 8% above | 25% |
| Speech and language evaluation inpatient CPT 92523 ST SPEECH SOUND & LANGUAGE EVALUATION | $202.50 | $270.00 | $202.50–$270.00 | — | 25% |
| Speech therapy session, individual CPT 92507 ST SPEECH LANGUAGE THERAPY | $75.00 | $100.00 | $75.00–$100.00 | 40% below | 25% |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH LANGUAGE THERAPY | $75.00 | $100.00 | $75.00–$100.00 | — | 25% |
| Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION-BASIC | $120.00 | $160.00 | $120.00–$160.00 | 10% below | 25% |
| Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION-BASIC | $120.00 | $160.00 | $120.00–$160.00 | — | 25% |
| Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION-COMPLETE | $187.50 | $250.00 | $187.50–$250.00 | 25% below | 25% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PULMONARY FUNCTION-COMPLETE | $187.50 | $250.00 | $187.50–$250.00 | — | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES 15 MIN | $56.25 | $75.00 | $56.25–$75.00 | 5% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES 15 MIN | $56.25 | $75.00 | $56.25–$75.00 | 5% above | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITIES 15 MIN | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITIES 15 MIN | $56.25 | $75.00 | $56.25–$75.00 | — | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE | $87.75 | $117.00 | $87.75–$117.00 | 53% below | 25% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE | $87.75 | $117.00 | $87.75–$117.00 | — | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE 0.5ML HIGH DOSE | $76.62 | $102.16 | $76.62–$102.16 | 82% above | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE 0.5ML HIGH DOSE | $76.62 | $102.16 | $76.62–$102.16 | — | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA VACCINE 0.5ML | $188.25 | $251.00 | $188.25–$251.00 | 5% below | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA VACCINE 0.5ML | $188.25 | $251.00 | $188.25–$251.00 | — | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS VACCINE (TENIVAC) - Td | $42.75 | $57.00 | $42.75–$57.00 | 35% below | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS VACCINE (TENIVAC) - Td | $42.75 | $57.00 | $42.75–$57.00 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap-ADACEL (ADOLESCENT TO 64YR) | $71.57 | $95.42 | $71.57–$95.42 | 21% below | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TETANUS VACCINE - Tdap | $76.50 | $102.00 | $76.50–$102.00 | 16% below | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap-ADACEL (ADOLESCENT TO 64YR) | $71.57 | $95.42 | $71.57–$95.42 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TETANUS VACCINE - Tdap | $76.50 | $102.00 | $76.50–$102.00 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $34.50 | $46.00 | $34.50–$46.00 | 36% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION (FLU) VACCINE | $94.50 | $126.00 | $94.50–$126.00 | 76% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION PNEUMONIA VACCINE | $94.50 | $126.00 | $94.50–$126.00 | 76% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION | $34.50 | $46.00 | $34.50–$46.00 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION (FLU) VACCINE | $94.50 | $126.00 | $94.50–$126.00 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION PNEUMONIA VACCINE | $94.50 | $126.00 | $94.50–$126.00 | — | 25% |
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://a27d8bef-da4e-4fa0-9e3b-83c28b7fb454.usrfiles.com/ugd/a27d8b_9d82b0e8a9ae4bb59d292b04e35ec2f1.csv