SelfPayRates
Hospital Tullahoma-Manchester, TN

Coffee Medical Group

Coffee Medical Group in Manchester, TN publishes cash prices for 265 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 200 of 264 procedures and below it for 62. By typical cash price it ranks #54 of 76 Tennessee hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

481 Interstate Dr., Manchester, TN, 37355 Collected Sep 27, 2026 Source price file (931) 728-6354

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 440007 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs TennesseeOff list
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMP 3V BIL $138.54 $173.18 $33.29–$120.00 12% above 20%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMP 3V BIL $138.54 $173.18 $33.29–$120.00 — 20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ARTERIAL PRES SGL LVL $311.20 $389.00 $74.20–$375.00 34% above 20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ARTERIAL PRES SGL LVL $311.20 $389.00 $74.20–$375.00 — 20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS $238.40 $298.00 $85.18–$157.16 14% above 20%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS $238.40 $298.00 $85.18–$157.16 — 20%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMG WHOLE $520.00 $650.00 $232.42–$485.00 17% below 20%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE IMG WHOLE $520.00 $650.00 $232.42–$485.00 — 20%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST, UNILATERAL COMPLETE $232.80 $291.00 $90.77–$175.00 34% above 20%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST, UNILATERAL COMPLETE $232.80 $291.00 $90.77–$175.00 — 20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST, UNILATERAL LIMITED $232.80 $291.00 $75.74–$175.00 42% above 20%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST, UNILATERAL LIMITED $232.80 $291.00 $75.74–$175.00 — 20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA THORAX $716.80 $896.00 $153.29–$426.33 29% below 20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA THORAX $716.80 $896.00 $153.29–$426.33 — 20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL WO CONTRAST $1,476.80 $1,846.00 $166.78–$400.00 5% above 20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL WO CONTRAST $1,476.80 $1,846.00 $166.78–$400.00 — 20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W CONTRAST $1,476.80 $1,846.00 $153.29–$400.00 18% below 20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PEL W CONTRAST $1,476.80 $1,846.00 $153.29–$400.00 — 20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W WO CONTRAST $1,476.80 $1,846.00 $153.29–$425.24 26% below 20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PEL W WO CONTRAST $1,476.80 $1,846.00 $153.29–$425.24 — 20%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT $1,476.80 $1,846.00 $153.29–$400.00 69% above 20%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONT $1,476.80 $1,846.00 $153.29–$400.00 — 20%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT $1,060.80 $1,326.00 $91.36–$400.00 37% above 20%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONT $1,060.80 $1,326.00 $91.36–$400.00 — 20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFAC W/O CO $1,139.20 $1,424.00 $91.36–$400.00 95% above 20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFAC W/O CO $1,139.20 $1,424.00 $91.36–$400.00 — 20%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONT $711.20 $889.00 $91.36–$400.00 3% above 20%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD STROKE PROTOCOL $711.20 $889.00 $91.36–$400.00 3% above 20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD STROKE PROTOCOL $711.20 $889.00 $91.36–$400.00 — 20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONT $711.20 $889.00 $91.36–$400.00 — 20%
CT scan of the head with contrast CPT 70460 CT HEAD W/CONT $1,114.40 $1,393.00 $134.29–$400.00 26% above 20%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONT $1,114.40 $1,393.00 $134.29–$400.00 — 20%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONT $1,238.40 $1,548.00 $153.29–$400.00 14% above 20%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONT $1,238.40 $1,548.00 $153.29–$400.00 — 20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMB SPINE W/O CONT $1,159.20 $1,449.00 $91.36–$400.00 55% above 20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMB SPINE W/O CONT $1,159.20 $1,449.00 $91.36–$400.00 — 20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE W/O CONT $1,125.60 $1,407.00 $91.36–$400.00 44% above 20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SPINE W/O CONT $1,125.60 $1,407.00 $91.36–$400.00 — 20%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONT $1,394.40 $1,743.00 $153.29–$400.00 66% above 20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONT $1,394.40 $1,743.00 $153.29–$400.00 — 20%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DUPLEX $878.40 $1,098.00 $169.51–$375.00 11% above 20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID DUPLEX $878.40 $1,098.00 $169.51–$375.00 — 20%
Chest X-ray, 2 views CPT 71046 *TMG* CHEST - 2 VIEWS (TMG) $45.78 $57.22 $29.84–$77.98 58% below 20%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS CR $168.00 $210.00 $29.84–$120.00 53% above 20%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS $168.00 $210.00 $29.84–$120.00 53% above 20%
Chest X-ray, 2 views inpatient CPT 71046 *TMG* CHEST - 2 VIEWS (TMG) $45.78 $57.22 $29.84–$77.98 — 20%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS CR $168.00 $210.00 $29.84–$120.00 — 20%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS $168.00 $210.00 $29.84–$120.00 — 20%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW $126.40 $158.00 $16.32–$120.00 31% above 20%
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW $126.40 $158.00 $16.32–$120.00 — 20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABD RETROPERITONEAL $394.40 $493.00 $91.36–$175.00 48% above 20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL $394.40 $493.00 $91.36–$175.00 48% above 20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL $394.40 $493.00 $91.36–$175.00 — 20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US ABD RETROPERITONEAL $394.40 $493.00 $91.36–$175.00 — 20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITOMETRY HIP/LSPINE RAD $150.40 $188.00 $35.47–$120.00 8% below 20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITOMETRY HIP OR L-SPINE $150.40 $188.00 $35.47–$120.00 8% below 20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITOMETRY HIP/LSPINE RAD $150.40 $188.00 $35.47–$120.00 — 20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITOMETRY HIP OR L-SPINE $150.40 $188.00 $35.47–$120.00 — 20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONT $1,190.40 $1,488.00 $91.36–$400.00 74% above 20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONT $1,190.40 $1,488.00 $91.36–$400.00 — 20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONT $1,297.60 $1,622.00 $150.74–$400.00 56% above 20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONT $1,297.60 $1,622.00 $150.74–$400.00 — 20%
Diagnostic mammogram, both breasts CPT 77066 MM MAMMO BIL--DIAG $121.60 $152.00 $93.43–$152.00 6% above 20%
Diagnostic mammogram, both breasts CPT 77066 MM MAMMO BIL--DIAG GG $148.00 $148.00 $93.43–$148.00 29% above —
Diagnostic mammogram, both breasts inpatient CPT 77066 MM MAMMO BIL--DIAG $121.60 $152.00 $93.43–$152.00 — 20%
Diagnostic mammogram, one breast one side CPT 77065 MM MAMMO UNIL DIAG LT $121.60 $152.00 $72.89–$145.28 15% below 20%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM MAMMO UNIL DIAG LT $121.60 $152.00 $72.89–$145.28 — 20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL DOPPLER BILAT LOWER $541.60 $677.00 $208.52–$446.28 — 20%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL DOPPLER BILAT LOWER $541.60 $677.00 $208.52–$446.28 — 20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS VALVE STUDY BILATERAL $520.80 $651.00 $164.88–$375.00 — 20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX EXT VENOUS BILAT $600.80 $751.00 $164.88–$375.00 — 20%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOP BIL UPPER DUPLEX $520.80 $651.00 $164.88–$375.00 18% below 20%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOP BIL LOWER DUPLEX $520.80 $651.00 $164.88–$375.00 18% below 20%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS VALVE STUDY BILATERAL $520.80 $651.00 $164.88–$375.00 — 20%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX EXT VENOUS BILAT $600.80 $751.00 $164.88–$375.00 — 20%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS DOP BIL LOWER DUPLEX $520.80 $651.00 $164.88–$375.00 — 20%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS DOP BIL UPPER DUPLEX $520.80 $651.00 $164.88–$375.00 — 20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US DOPPLER/ECHO $922.40 $1,153.00 $178.51–$489.61 16% below 20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US DOPPLER/ECHO MG $922.40 $1,153.00 $178.51–$489.61 16% below 20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US DOPPLER/ECHO MG $922.40 $1,153.00 $178.51–$489.61 — 20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US DOPPLER/ECHO $922.40 $1,153.00 $178.51–$489.61 — 20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SCAN $964.80 $1,206.00 $254.85–$485.00 50% above 20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SCAN $964.80 $1,206.00 $254.85–$485.00 — 20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 PSG HOME STUDY $588.80 $736.00 $93.92–$570.00 126% above 20%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 PSG HOME STUDY $588.80 $736.00 $93.92–$570.00 — 20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG 4+ SLEEP STUDY W/ CPAP $5,356.00 $6,695.00 $634.65–$1,166.00 268% above 20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG 4+ SLEEP STUDY W/ CPAP $5,356.00 $6,695.00 $634.65–$1,166.00 — 20%
Knee X-ray, 3 views CPT 73562 KNEE W/OBL 3+VIEWS $142.04 $177.55 $38.08–$120.00 17% above 20%
Knee X-ray, 3 views inpatient CPT 73562 KNEE W/OBL 3+VIEWS $142.04 $177.55 $38.08–$120.00 — 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER $345.60 $432.00 $78.01–$175.00 37% above 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US G B $345.60 $432.00 $78.01–$175.00 37% above 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS $394.40 $493.00 $78.01–$175.00 57% above 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL (LTD) $407.20 $509.00 $78.01–$175.00 62% above 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US G B $345.60 $432.00 $78.01–$175.00 — 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER $345.60 $432.00 $78.01–$175.00 — 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS $394.40 $493.00 $78.01–$175.00 — 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL (LTD) $407.20 $509.00 $78.01–$175.00 — 20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LUNG CANCER SCREENING $1,190.40 $1,488.00 $93.68–$400.00 564% above 20%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LUNG CANCER SCREENING $1,190.40 $1,488.00 $93.68–$400.00 — 20%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN W/O CONTRAST $1,520.00 $1,900.00 $175.70–$600.00 64% above 20%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN W/O CONTRAST $1,520.00 $1,900.00 $175.70–$600.00 — 20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/WO CONTRAST $2,055.20 $2,569.00 $303.78–$625.94 65% above 20%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN W/WO CONTRAST $2,055.20 $2,569.00 $303.78–$625.94 — 20%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/O CONTRAST $1,576.00 $1,970.00 $177.14–$600.00 61% above 20%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN W/O CONTRAST $1,576.00 $1,970.00 $177.14–$600.00 — 20%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/WO CONTRAST $2,242.40 $2,803.00 $287.06–$600.00 58% above 20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/WO CONTRAST $2,242.40 $2,803.00 $287.06–$600.00 — 20%
MRI of the lower back, no contrast dye CPT 72148 MR L-SPINE W/O CONTRAST $1,607.20 $2,009.00 $173.86–$600.00 65% above 20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L-SPINE W/O CONTRAST $1,607.20 $2,009.00 $173.86–$600.00 — 20%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L-SPINE W/WO CONTRAST $2,288.00 $2,860.00 $288.25–$600.00 70% above 20%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L-SPINE W/WO CONTRAST $2,288.00 $2,860.00 $288.25–$600.00 — 20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T-SPINE W/O CONTRAST $1,569.60 $1,962.00 $172.67–$600.00 61% above 20%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T-SPINE W/O CONTRAST $1,569.60 $1,962.00 $172.67–$600.00 — 20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C-SPINE W/WO CONTRAST $2,291.20 $2,864.00 $287.95–$600.00 73% above 20%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C-SPINE W/WO CONTRAST $2,291.20 $2,864.00 $287.95–$600.00 — 20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C-SPINE W/O CONTRAST $1,591.20 $1,989.00 $172.97–$600.00 63% above 20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C-SPINE W/O CONTRAST $1,591.20 $1,989.00 $172.97–$600.00 — 20%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W/WO CONTRAST $2,133.60 $2,667.00 $302.29–$623.20 72% above 20%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W/WO CONTRAST $2,133.60 $2,667.00 $302.29–$623.20 — 20%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O CONTRAST $1,436.00 $1,795.00 $205.76–$600.00 74% above 20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS W/O CONTRAST $1,436.00 $1,795.00 $205.76–$600.00 — 20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERF IMAGING MG $1,416.80 $1,771.00 $384.28–$1,160.06 25% below 20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERFUSION IMAGING $1,416.80 $1,771.00 $384.28–$1,160.06 25% below 20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARD PERF IMAGING MG $1,416.80 $1,771.00 $384.28–$1,160.06 — 20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARD PERFUSION IMAGING $1,416.80 $1,771.00 $384.28–$1,160.06 — 20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SKULL BASE TO MID THIGH $2,441.60 $3,052.00 $1,249.65–$3,052.00 26% above 20%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET SKULL BASE TO MID THIGH $2,441.60 $3,052.00 $1,249.65–$3,052.00 — 20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED $386.40 $483.00 $46.50–$175.00 142% above 20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIMITED $386.40 $483.00 $46.50–$175.00 — 20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS $386.40 $483.00 $91.36–$175.00 42% above 20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS $386.40 $483.00 $91.36–$175.00 — 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB U/S COMPLETE $407.20 $509.00 $91.36–$175.00 52% above 20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB U/S COMPLETE $407.20 $509.00 $91.36–$175.00 — 20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB FIRST TRIMESTER $230.40 $288.00 $91.36–$175.00 2% above 20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB FIRST TRIMESTER $230.40 $288.00 $91.36–$175.00 — 20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB U/S LIMITED $407.20 $509.00 $73.87–$175.00 168% above 20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB U/S LIMITED $407.20 $509.00 $73.87–$175.00 — 20%
Screening mammogram, both breasts both sides CPT 77067 MM MAMMO BILATERAL -SCRN $94.40 $118.00 $77.13–$118.00 — 20%
Screening mammogram, both breasts CPT 77067 MM MAMMO UNIL-SCRN $94.40 $118.00 $77.13–$118.00 22% above 20%
Screening mammogram, both breasts inpatient both sides CPT 77067 MM MAMMO BILATERAL -SCRN $94.40 $118.00 $77.13–$118.00 — 20%
Screening mammogram, both breasts inpatient CPT 77067 MM MAMMO UNIL-SCRN $94.40 $118.00 $77.13–$118.00 — 20%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE BIL $125.08 $156.35 $32.13–$120.00 7% above 20%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMP 2 VIEWS $144.38 $180.47 $32.13–$120.00 24% above 20%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE 2 VIEWS $180.47 $180.47 $32.13–$120.00 55% above —
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMPLETE BIL $125.08 $156.35 $32.13–$120.00 — 20%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMP 2 VIEWS $144.38 $180.47 $32.13–$120.00 — 20%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMPLETE 2 VIEWS $180.47 $180.47 $32.13–$120.00 — —
Sleep study in a lab (polysomnography) CPT 95810 PSG 4+ SLEEP STUDY INITIAL $4,944.00 $6,180.00 $604.25–$1,114.23 271% above 20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4+ SLEEP STUDY INITIAL $4,944.00 $6,180.00 $604.25–$1,114.23 — 20%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US DOP/ECHO STRESS $1,268.80 $1,586.00 $211.86–$489.61 183% above 20%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 US DOP/ECHO STRESS $1,268.80 $1,586.00 $211.86–$489.61 — 20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED ESOPHAGUS $244.80 $306.00 $91.36–$157.16 20% above 20%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MODIFIED ESOPHAGUS $244.80 $306.00 $91.36–$157.16 — 20%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $476.80 $596.00 $91.36–$175.00 78% above 20%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $476.80 $596.00 $91.36–$175.00 — 20%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL $230.40 $288.00 $84.28–$175.00 10% above 20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL $230.40 $288.00 $84.28–$175.00 — 20%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN $475.20 $594.00 $91.36–$175.00 49% above 20%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN $475.20 $594.00 $91.36–$175.00 — 20%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM $536.00 $670.00 $64.31–$175.00 103% above 20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM $536.00 $670.00 $64.31–$175.00 — 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK $443.20 $554.00 $91.36–$175.00 85% above 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID $443.20 $554.00 $91.36–$175.00 85% above 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID $443.20 $554.00 $91.36–$175.00 — 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK $443.20 $554.00 $91.36–$175.00 — 20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 G I W/O KUB $376.00 $470.00 $110.32–$157.16 52% above 20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 G I W/SM BOWEL $376.00 $470.00 $110.32–$157.16 52% above 20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 G I W/O KUB $376.00 $470.00 $110.32–$157.16 — 20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 G I W/SM BOWEL $376.00 $470.00 $110.32–$157.16 — 20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP COMP $160.81 $201.01 $43.83–$120.00 44% above 20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP COMP INTRAOPERATI $472.00 $590.00 $43.83–$120.00 322% above 20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP COMP $160.81 $201.01 $43.83–$120.00 — 20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP COMP INTRAOPERATI $472.00 $590.00 $43.83–$120.00 — 20%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SINGLE VIEW $218.40 $273.00 $26.77–$120.00 119% above 20%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN SINGLE VIEW $218.40 $273.00 $26.77–$120.00 — 20%
X-ray of the ankle, 2 views CPT 73600 *TMG* ANKLE (TMG) $23.35 $29.19 $28.61–$77.98 73% below 20%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEW BIL $124.77 $155.96 $29.10–$120.00 46% above 20%
X-ray of the ankle, 2 views inpatient CPT 73600 *TMG* ANKLE (TMG) $23.35 $29.19 $28.61–$77.98 — 20%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEW BIL $124.77 $155.96 $29.10–$120.00 — 20%
X-ray of the foot, 2 views CPT 73620 *TMG* FOOT (TMG) $23.35 $29.19 $25.82–$77.98 67% below 20%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS BIL $134.21 $167.76 $25.82–$120.00 91% above 20%
X-ray of the foot, 2 views inpatient CPT 73620 *TMG* FOOT (TMG) $23.35 $29.19 $25.82–$77.98 — 20%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS BIL $134.21 $167.76 $25.82–$120.00 — 20%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS BIL $134.21 $167.76 $30.62–$120.00 5% above 20%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VIEWS BIL $134.21 $167.76 $30.62–$120.00 — 20%
X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS $132.40 $165.50 $34.18–$120.00 11% above 20%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3 VIEWS $132.40 $165.50 $34.18–$120.00 — 20%
X-ray of the knee, 1 or 2 views CPT 73560 *TMG* KNEE (TMG) $28.02 $35.02 $30.88–$77.98 72% below 20%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 2V $118.19 $147.74 $30.88–$120.00 16% above 20%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 *TMG* KNEE (TMG) $28.02 $35.02 $30.88–$77.98 — 20%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 2V $118.19 $147.74 $30.88–$120.00 — 20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 *TMG* LUMBOSACRAL (TMG) $38.92 $48.65 $36.39–$93.68 72% below 20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMPA/ LA 2 OR 3 VIEW $196.80 $246.00 $36.39–$120.00 40% above 20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 *TMG* LUMBOSACRAL (TMG) $38.92 $48.65 $36.39–$93.68 — 20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMPA/ LA 2 OR 3 VIEW $196.80 $246.00 $36.39–$120.00 — 20%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUM CO 4VIEWS $267.20 $334.00 $47.99–$120.00 27% above 20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUM CO 4VIEWS $267.20 $334.00 $47.99–$120.00 — 20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC (2V) $177.60 $222.00 $29.81–$120.00 47% above 20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC (2V) $177.60 $222.00 $29.81–$120.00 — 20%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP 3 VIEWS $160.80 $201.00 $33.58–$120.00 65% above 20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP 3 VIEWS $160.80 $201.00 $33.58–$120.00 — 20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CER 2 OR 3 VIEWS $184.80 $231.00 $35.79–$120.00 45% above 20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CER 2 OR 3 VIEWS $184.80 $231.00 $35.79–$120.00 — 20%
X-ray of the pelvis, 1 or 2 views CPT 72170 *TMG* PELVIS (TGM) $24.13 $30.16 $25.25–$93.68 80% below 20%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP ONLY $133.60 $167.00 $25.25–$120.00 10% above 20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 *TMG* PELVIS (TGM) $24.13 $30.16 $25.25–$93.68 — 20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP ONLY $133.60 $167.00 $25.25–$120.00 — 20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX 2VIEWS $161.60 $202.00 $28.83–$120.00 29% above 20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX 2VIEWS $161.60 $202.00 $28.83–$120.00 — 20%

Lab tests

ProcedureCash price List priceInsurers payvs TennesseeOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT $104.80 $131.00 $2.38–$11.19 272% above 20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ..REF LAB SGPT $104.80 $131.00 $2.38–$11.19 272% above 20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ..REF LAB SGPT $104.80 $131.00 $2.38–$11.19 — 20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT $104.80 $131.00 $2.38–$11.19 — 20%
AST (aspartate aminotransferase) enzyme test CPT 84450 ..REF LAB SGOT $83.20 $104.00 $2.33–$10.93 186% above 20%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT $83.20 $104.00 $2.33–$10.93 186% above 20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT $83.20 $104.00 $2.33–$10.93 — 20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ..REF LAB SGOT $83.20 $104.00 $2.33–$10.93 — 20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PAN ACUTE #144000 $167.20 $209.00 $21.43–$100.57 13% above 20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PAN ACUTE #144000 $167.20 $209.00 $21.43–$100.57 — 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY $18.40 $23.00 $2.35–$11.02 71% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY NAPROXEN $33.60 $42.00 $2.35–$11.02 213% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HOUSE DUST HOLLI $33.60 $42.00 $2.35–$11.02 213% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HOUSE DUST (GREER $33.60 $42.00 $2.35–$11.02 213% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY EVALUATION $171.20 $214.00 $2.35–$11.02 1496% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SINGLE $249.60 $312.00 $2.35–$11.02 2226% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST PANEL $265.42 $331.78 $2.35–$11.02 2374% above 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY $18.40 $23.00 $2.35–$11.02 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY NAPROXEN $33.60 $42.00 $2.35–$11.02 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY HOUSE DUST HOLLI $33.60 $42.00 $2.35–$11.02 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY HOUSE DUST (GREER $33.60 $42.00 $2.35–$11.02 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY EVALUATION $171.20 $214.00 $2.35–$11.02 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SINGLE $249.60 $312.00 $2.35–$11.02 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PANEL $265.42 $331.78 $2.35–$11.02 — 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA #340897 $133.60 $167.00 $5.44–$25.52 291% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/ RFLX IF POS. #164863 $133.60 $167.00 $5.44–$25.52 291% above 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA #340897 $133.60 $167.00 $5.44–$25.52 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/ RFLX IF POS. #164863 $133.60 $167.00 $5.44–$25.52 — 20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP $176.00 $220.00 $17.67–$74.59 92% above 20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO BNP #143000 $176.00 $220.00 $17.67–$74.59 92% above 20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP $176.00 $220.00 $17.67–$74.59 — 20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PRO BNP #143000 $176.00 $220.00 $17.67–$74.59 — 20%
Basic metabolic panel (blood test) CPT 80048 ..REF LAB BASIC METABOLIC PANEL $116.00 $145.00 $3.81–$17.86 55% above 20%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $116.00 $145.00 $3.81–$17.86 55% above 20%
Basic metabolic panel (blood test) inpatient CPT 80048 ..REF LAB BASIC METABOLIC PANEL $116.00 $145.00 $3.81–$17.86 — 20%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $116.00 $145.00 $3.81–$17.86 — 20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST LEVEL VI $486.40 $608.00 $52.19–$64.42 545% above 20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST LEVEL VI $486.40 $608.00 $52.19–$64.42 — 20%
Blood culture for bacteria CPT 87040 CULTURE BLOOD #008300 $128.00 $160.00 $4.64–$21.79 119% above 20%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD #008300 $128.00 $160.00 $4.64–$21.79 — 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $14.40 $18.00 $2.70–$9.19 63% above 20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $14.40 $18.00 $2.70–$9.19 — 20%
Blood glucose (sugar) test CPT 82947 GLUCOSE $44.80 $56.00 $1.77–$8.30 91% above 20%
Blood glucose (sugar) test CPT 82947 ..REF LAB GLUCOSE $44.80 $56.00 $1.77–$8.30 91% above 20%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $44.80 $56.00 $1.77–$8.30 — 20%
Blood glucose (sugar) test inpatient CPT 82947 ..REF LAB GLUCOSE $44.80 $56.00 $1.77–$8.30 — 20%
Blood lead test CPT 83655 LEAD INDUSTRIAL $64.80 $81.00 $5.45–$25.56 76% above 20%
Blood lead test CPT 83655 LEAD WHOLE BLOOD $64.80 $81.00 $5.45–$25.56 76% above 20%
Blood lead test CPT 83655 LEAD URINE $64.80 $81.00 $5.45–$25.56 76% above 20%
Blood lead test CPT 83655 LEAD, BLOOD (PED) #717009 $64.80 $81.00 $5.45–$25.56 76% above 20%
Blood lead test inpatient CPT 83655 LEAD URINE $64.80 $81.00 $5.45–$25.56 — 20%
Blood lead test inpatient CPT 83655 LEAD INDUSTRIAL $64.80 $81.00 $5.45–$25.56 — 20%
Blood lead test inpatient CPT 83655 LEAD WHOLE BLOOD $64.80 $81.00 $5.45–$25.56 — 20%
Blood lead test inpatient CPT 83655 LEAD, BLOOD (PED) #717009 $64.80 $81.00 $5.45–$25.56 — 20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 ..DO NOT ORDER $120.80 $151.00 $3.38–$15.88 119% above 20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 ..PREGNANCY-SERUM $120.80 $151.00 $3.38–$15.88 119% above 20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 ..PREGNANCY-SERUM $120.80 $151.00 $3.38–$15.88 — 20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 ..DO NOT ORDER $120.80 $151.00 $3.38–$15.88 — 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE $34.40 $43.00 $1.35–$6.31 27% below 20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPE $34.40 $43.00 $1.35–$6.31 — 20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN $76.80 $96.00 $2.33–$10.93 261% above 20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN $76.80 $96.00 $2.33–$10.93 — 20%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE #183988 $106.40 $133.00 $16.77–$74.08 29% above 20%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE DNA AMPLIFICATION $116.00 $145.00 $16.77–$74.08 41% above 20%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE (TOXINS A B GENES) $116.00 $145.00 $16.77–$74.08 41% above 20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN GENE #183988 $106.40 $133.00 $16.77–$74.08 — 20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE DNA AMPLIFICATION $116.00 $145.00 $16.77–$74.08 — 20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE (TOXINS A B GENES) $116.00 $145.00 $16.77–$74.08 — 20%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 #002261 $107.20 $134.00 $9.36–$43.95 62% above 20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 #002261 $107.20 $134.00 $9.36–$43.95 — 20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 #002303 $146.40 $183.00 $9.36–$43.95 110% above 20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125 #002303 $146.40 $183.00 $9.36–$43.95 — 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR $124.00 $155.00 $23.09–$97.49 141% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR $124.00 $155.00 $23.09–$97.49 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY DNA PROBE $57.60 $72.00 $15.79–$72.00 3% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ..CHLAMYDIA BY DNA PCR $428.00 $535.00 $15.79–$74.08 624% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY DNA PROBE $57.60 $72.00 $15.79–$72.00 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 ..CHLAMYDIA BY DNA PCR $428.00 $535.00 $15.79–$74.08 — 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 ..REF LAB LIPID PROFILE $89.60 $112.00 $6.03–$28.27 120% above 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $89.60 $112.00 $6.03–$28.27 120% above 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $89.60 $112.00 $6.03–$28.27 — 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 ..REF LAB LIPID PROFILE $89.60 $112.00 $6.03–$28.27 — 20%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF $130.40 $163.00 $3.50–$16.40 224% above 20%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $130.40 $163.00 $3.50–$16.40 — 20%
Complete blood count (CBC), no differential CPT 85027 ..TEST DERMATOPATHOLOGY $121.60 $152.00 $2.91–$13.64 397% above 20%
Complete blood count (CBC), no differential CPT 85027 ..TEST PAP THIN PREP $121.60 $152.00 $2.91–$13.64 397% above 20%
Complete blood count (CBC), no differential CPT 85027 ..TEST NON GYN CYTO $121.60 $152.00 $2.91–$13.64 397% above 20%
Complete blood count (CBC), no differential CPT 85027 ..REF LAB CBC W/O AUTO DIFF $121.60 $152.00 $2.91–$13.64 397% above 20%
Complete blood count (CBC), no differential CPT 85027 ..TEST BLOOD TYPING $121.60 $152.00 $2.91–$13.64 397% above 20%
Complete blood count (CBC), no differential CPT 85027 CBC W/O AUTO DIFF $121.60 $152.00 $2.91–$13.64 397% above 20%
Complete blood count (CBC), no differential CPT 85027 ..TEST SURGICAL PATH $121.60 $152.00 $2.91–$13.64 397% above 20%
Complete blood count (CBC), no differential inpatient CPT 85027 ..TEST PAP THIN PREP $121.60 $152.00 $2.91–$13.64 — 20%
Complete blood count (CBC), no differential inpatient CPT 85027 ..TEST BLOOD TYPING $121.60 $152.00 $2.91–$13.64 — 20%
Complete blood count (CBC), no differential inpatient CPT 85027 ..TEST NON GYN CYTO $121.60 $152.00 $2.91–$13.64 — 20%
Complete blood count (CBC), no differential inpatient CPT 85027 ..TEST DERMATOPATHOLOGY $121.60 $152.00 $2.91–$13.64 — 20%
Complete blood count (CBC), no differential inpatient CPT 85027 ..TEST SURGICAL PATH $121.60 $152.00 $2.91–$13.64 — 20%
Complete blood count (CBC), no differential inpatient CPT 85027 ..REF LAB CBC W/O AUTO DIFF $121.60 $152.00 $2.91–$13.64 — 20%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O AUTO DIFF $121.60 $152.00 $2.91–$13.64 — 20%
Comprehensive metabolic panel (blood test) CPT 80053 ..REF LAB COMPREHENSIVE METABOLIC PANEL $183.20 $229.00 $4.75–$22.31 89% above 20%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $183.20 $229.00 $4.75–$22.31 89% above 20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 ..REF LAB COMPREHENSIVE METABOLIC PANEL $183.20 $229.00 $4.75–$22.31 — 20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $183.20 $229.00 $4.75–$22.31 — 20%
D-dimer blood test (blood clot marker) CPT 85379 ..REF LAB D DIMER QUANTITATIVE $131.20 $164.00 $4.58–$21.49 153% above 20%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE $131.20 $164.00 $4.58–$21.49 153% above 20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE $131.20 $164.00 $4.58–$21.49 — 20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 ..REF LAB D DIMER QUANTITATIVE $131.20 $164.00 $4.58–$21.49 — 20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS #004020 $140.00 $175.00 $10.00–$46.95 96% above 20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS #004020 $140.00 $175.00 $10.00–$46.95 — 20%
Estradiol blood test CPT 82670 ESTRADIOL #004515 $147.20 $184.00 $12.57–$58.98 73% above 20%
Estradiol blood test inpatient CPT 82670 ESTRADIOL #004515 $147.20 $184.00 $12.57–$58.98 — 20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM # 004309 $84.00 $105.00 $8.36–$39.24 35% above 20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM # 004309 $84.00 $105.00 $8.36–$39.24 — 20%
Fecal calprotectin (stool inflammation test) CPT 83993 FECAL CALPROTECTIN #123255 $66.40 $83.00 $8.83–$41.44 34% below 20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 FECAL CALPROTECTIN #123255 $66.40 $83.00 $8.83–$41.44 — 20%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $140.00 $175.00 $6.13–$28.79 211% above 20%
Ferritin blood test (iron stores) CPT 82728 ..REF LAB FERRITIN $140.00 $175.00 $6.13–$28.79 211% above 20%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $140.00 $175.00 $6.13–$28.79 — 20%
Ferritin blood test (iron stores) inpatient CPT 82728 ..REF LAB FERRITIN $140.00 $175.00 $6.13–$28.79 — 20%
Folate (folic acid) blood test CPT 82746 FOLATE $147.20 $184.00 $6.62–$31.05 198% above 20%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE $147.20 $184.00 $6.62–$31.05 — 20%
Free T3 thyroid hormone test CPT 84481 ..REF LAB T3 -FREE $191.20 $239.00 $7.62–$35.76 239% above 20%
Free T3 thyroid hormone test CPT 84481 T3 -FREE $191.20 $239.00 $7.62–$35.76 239% above 20%
Free T3 thyroid hormone test inpatient CPT 84481 ..REF LAB T3 -FREE $191.20 $239.00 $7.62–$35.76 — 20%
Free T3 thyroid hormone test inpatient CPT 84481 T3 -FREE $191.20 $239.00 $7.62–$35.76 — 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ..REF LAB T4 FREE $106.40 $133.00 $4.06–$19.04 216% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE $106.40 $133.00 $4.06–$19.04 216% above 20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE $106.40 $133.00 $4.06–$19.04 — 20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ..REF LAB T4 FREE $106.40 $133.00 $4.06–$19.04 — 20%
Free testosterone test CPT 84402 TESTOSTERONE FREE FEMALE.#144980 $314.40 $393.00 $11.46–$53.77 424% above 20%
Free testosterone test CPT 84402 TESTOSTERONE FREE #144980 $314.40 $393.00 $11.46–$53.77 424% above 20%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE #144980 $314.40 $393.00 $11.46–$53.77 — 20%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE FEMALE.#144980 $314.40 $393.00 $11.46–$53.77 — 20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 ..GENERAL HEALTH PANEL $337.60 $422.00 $41.51–$80.83 149% above 20%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 ..GENERAL HEALTH PANEL $337.60 $422.00 $41.51–$80.83 — 20%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE $111.20 $139.00 $5.79–$27.17 166% above 20%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE $111.20 $139.00 $5.79–$27.17 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY DNA PROBE $57.60 $72.00 $15.79–$72.00 5% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CPT 87591 $428.00 $535.00 $15.79–$74.08 608% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY DNA PROBE $57.60 $72.00 $15.79–$72.00 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CPT 87591 $428.00 $535.00 $15.79–$74.08 — 20%
H. pylori antibody blood test CPT 86677 ..H. PYLORI AB IGA $48.00 $60.00 $7.58–$32.02 at median 20%
H. pylori antibody blood test CPT 86677 ..H. PYLORI AB IGG $48.00 $60.00 $7.58–$32.02 at median 20%
H. pylori antibody blood test CPT 86677 ..H. PYLORI AB IGM $48.00 $60.00 $7.58–$32.02 at median 20%
H. pylori antibody blood test CPT 86677 ..REF LAB H. PYLORI AB $100.00 $125.00 $7.58–$32.02 108% above 20%
H. pylori antibody blood test inpatient CPT 86677 ..H. PYLORI AB IGG $48.00 $60.00 $7.58–$32.02 — 20%
H. pylori antibody blood test inpatient CPT 86677 ..H. PYLORI AB IGM $48.00 $60.00 $7.58–$32.02 — 20%
H. pylori antibody blood test inpatient CPT 86677 ..H. PYLORI AB IGA $48.00 $60.00 $7.58–$32.02 — 20%
H. pylori antibody blood test inpatient CPT 86677 ..REF LAB H. PYLORI AB $100.00 $125.00 $7.58–$32.02 — 20%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL #180764 $82.40 $103.00 $6.47–$30.36 39% above 20%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL #180764 $82.40 $103.00 $6.47–$30.36 — 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV PCR (VIRAL LOAD) $380.80 $476.00 $38.30–$179.65 156% above 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV ULTRASENSITIVE RNA $600.80 $751.00 $38.30–$179.65 303% above 20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV PCR (VIRAL LOAD) $380.80 $476.00 $38.30–$179.65 — 20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV ULTRASENSITIVE RNA $600.80 $751.00 $38.30–$179.65 — 20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RAPID HIV $98.40 $123.00 $10.84–$50.83 92% above 20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV TYPE 1 AND 2 $98.40 $123.00 $10.84–$50.83 92% above 20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV TYPE 1 AND 2 $98.40 $123.00 $10.84–$50.83 — 20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RAPID HIV $98.40 $123.00 $10.84–$50.83 — 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $47.86 $59.83 $4.37–$20.50 14% above 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 ..REF LAB HEMOGLOBIN A1C (HB1C) $54.40 $68.00 $4.37–$20.50 30% above 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (HB1C) $54.40 $68.00 $4.37–$20.50 30% above 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $47.86 $59.83 $4.37–$20.50 — 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 ..REF LAB HEMOGLOBIN A1C (HB1C) $54.40 $68.00 $4.37–$20.50 — 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C (HB1C) $54.40 $68.00 $4.37–$20.50 — 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 ..DO NOT USE $70.40 $88.00 $4.83–$22.67 42% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB #006395 $70.40 $88.00 $4.83–$22.67 42% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB #006395 $70.40 $88.00 $4.83–$22.67 — 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 ..DO NOT USE $70.40 $88.00 $4.83–$22.67 — 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG #006510 $69.60 $87.00 $4.65–$21.81 147% above 20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG #006510 $69.60 $87.00 $4.65–$21.81 — 20%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY #140659 $105.60 $132.00 $6.42–$30.12 140% above 20%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C VIRUS AB #144065 $105.60 $132.00 $6.42–$30.12 140% above 20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY #140659 $105.60 $132.00 $6.42–$30.12 — 20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C VIRUS AB #144065 $105.60 $132.00 $6.42–$30.12 — 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 ..HEP C RNA BY PCR $302.40 $378.00 $19.28–$90.44 131% above 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA NAA QUAL #550713 $302.40 $378.00 $19.28–$90.44 131% above 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY PCR RFX GENO #550090 $302.40 $378.00 $19.28–$90.44 131% above 20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 ..HEP C RNA BY PCR $302.40 $378.00 $19.28–$90.44 — 20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA BY PCR RFX GENO #550090 $302.40 $378.00 $19.28–$90.44 — 20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA NAA QUAL #550713 $302.40 $378.00 $19.28–$90.44 — 20%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IGM $56.80 $71.00 $5.94–$27.84 70% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IGG $56.80 $71.00 $5.94–$27.84 70% above 20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES 1 IGM $56.80 $71.00 $5.94–$27.84 — 20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES 1 IGG $56.80 $71.00 $5.94–$27.84 — 20%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 IGG $76.80 $96.00 $8.71–$40.87 78% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 IGM $94.40 $118.00 $8.71–$40.87 119% above 20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 2 IGG $76.80 $96.00 $8.71–$40.87 — 20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 2 IGM $94.40 $118.00 $8.71–$40.87 — 20%
High-sensitivity CRP (hs-CRP) test CPT 86141 HS CRP $120.00 $150.00 $5.83–$27.34 205% above 20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HS CRP $120.00 $150.00 $5.83–$27.34 — 20%
Homocysteine blood test CPT 83090 HOMOCYSTEINE LEVEL #706994 $136.00 $170.00 $8.06–$35.61 164% above 20%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE LEVEL #706994 $136.00 $170.00 $8.06–$35.61 — 20%
Insulin blood test CPT 83525 INSULIN LEVEL #004333 $74.40 $93.00 $5.14–$24.13 87% above 20%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL #004333 $74.40 $93.00 $5.14–$24.13 — 20%
Iron blood test (serum iron) CPT 83540 ..REF LAB IRON SERUM $44.00 $55.00 $2.91–$13.66 33% above 20%
Iron blood test (serum iron) CPT 83540 IRON SERUM $44.00 $55.00 $2.91–$13.66 33% above 20%
Iron blood test (serum iron) inpatient CPT 83540 ..REF LAB IRON SERUM $44.00 $55.00 $2.91–$13.66 — 20%
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM $44.00 $55.00 $2.91–$13.66 — 20%
Iron-binding capacity (TIBC) test CPT 83550 UIBC $62.40 $78.00 $3.93–$18.45 42% above 20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 UIBC $62.40 $78.00 $3.93–$18.45 — 20%
Kidney function blood test panel CPT 80069 ..REF LAB RENAL FUNCTION PANEL $177.60 $222.00 $3.91–$18.34 157% above 20%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $177.60 $222.00 $3.91–$18.34 157% above 20%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $177.60 $222.00 $3.91–$18.34 — 20%
Kidney function blood test panel inpatient CPT 80069 ..REF LAB RENAL FUNCTION PANEL $177.60 $222.00 $3.91–$18.34 — 20%
LH (luteinizing hormone) test CPT 83002 LH SERUM # 004283 $108.80 $136.00 $8.33–$39.08 75% above 20%
LH (luteinizing hormone) test inpatient CPT 83002 LH SERUM # 004283 $108.80 $136.00 $8.33–$39.08 — 20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE FLUID $23.20 $29.00 $3.10–$14.54 34% below 20%
Lipase blood test (pancreas enzyme) CPT 83690 ..REF LAB LIPASE $74.40 $93.00 $3.10–$14.54 112% above 20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $74.40 $93.00 $3.10–$14.54 112% above 20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE FLUID $23.20 $29.00 $3.10–$14.54 — 20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ..REF LAB LIPASE $74.40 $93.00 $3.10–$14.54 — 20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $74.40 $93.00 $3.10–$14.54 — 20%
Liver function blood test panel CPT 80076 LIVER PROFILE $106.40 $133.00 $3.68–$17.25 29% above 20%
Liver function blood test panel CPT 80076 ..REF LAB LIVER PROFILE $106.40 $133.00 $3.68–$17.25 29% above 20%
Liver function blood test panel inpatient CPT 80076 ..REF LAB LIVER PROFILE $106.40 $133.00 $3.68–$17.25 — 20%
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE $106.40 $133.00 $3.68–$17.25 — 20%
Lyme disease antibody test CPT 86618 LYME, SEROLOGY W/REFLEX $35.20 $44.00 $7.66–$35.95 15% below 20%
Lyme disease antibody test CPT 86618 LYME, TOTAL AB/RFLX #160325 $104.00 $130.00 $7.66–$35.95 151% above 20%
Lyme disease antibody test CPT 86618 ..LYME DIS IGG CHARGE ONLY $104.00 $130.00 $7.66–$35.95 151% above 20%
Lyme disease antibody test CPT 86618 ..LYME DIS IGM CHARGE ONLY $104.00 $130.00 $7.66–$35.95 151% above 20%
Lyme disease antibody test inpatient CPT 86618 LYME, SEROLOGY W/REFLEX $35.20 $44.00 $7.66–$35.95 — 20%
Lyme disease antibody test inpatient CPT 86618 LYME, TOTAL AB/RFLX #160325 $104.00 $130.00 $7.66–$35.95 — 20%
Lyme disease antibody test inpatient CPT 86618 ..LYME DIS IGG CHARGE ONLY $104.00 $130.00 $7.66–$35.95 — 20%
Lyme disease antibody test inpatient CPT 86618 ..LYME DIS IGM CHARGE ONLY $104.00 $130.00 $7.66–$35.95 — 20%
Magnesium blood test CPT 83735 MAGNESIUM $56.80 $71.00 $3.02–$14.14 187% above 20%
Magnesium blood test CPT 83735 ..REF LAB MAGNESIUM $56.80 $71.00 $3.02–$14.14 187% above 20%
Magnesium blood test CPT 83735 URINE MAGNESIUM $80.00 $100.00 $3.02–$14.14 304% above 20%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $56.80 $71.00 $3.02–$14.14 — 20%
Magnesium blood test inpatient CPT 83735 ..REF LAB MAGNESIUM $56.80 $71.00 $3.02–$14.14 — 20%
Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM $80.00 $100.00 $3.02–$14.14 — 20%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG #096560 $131.20 $164.00 $5.80–$27.19 233% above 20%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM #160218 $131.20 $164.00 $5.80–$27.19 233% above 20%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG #096560 $131.20 $164.00 $5.80–$27.19 — 20%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGM #160218 $131.20 $164.00 $5.80–$27.19 — 20%
Mono test (heterophile antibody, Monospot) CPT 86308 ..REF LAB MONOTEST $95.20 $119.00 $2.33–$10.93 194% above 20%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST $95.20 $119.00 $2.33–$10.93 194% above 20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST $95.20 $119.00 $2.33–$10.93 — 20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 ..REF LAB MONOTEST $95.20 $119.00 $2.33–$10.93 — 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE #501920 $98.40 $123.00 $8.28–$38.84 113% above 20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE #501920 $98.40 $123.00 $8.28–$38.84 — 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG $96.80 $121.00 $8.28–$38.84 72% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 ..REF LAB PROSTATE SPECIFIC AG $96.80 $121.00 $8.28–$38.84 72% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 ..PSA TOTAL REF LAB $96.80 $121.00 $8.28–$38.84 72% above 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ..PSA TOTAL REF LAB $96.80 $121.00 $8.28–$38.84 — 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG $96.80 $121.00 $8.28–$38.84 — 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ..REF LAB PROSTATE SPECIFIC AG $96.80 $121.00 $8.28–$38.84 — 20%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH CV AUTO FLUID $80.80 $101.00 $11.97–$55.94 171% above 20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH CV AUTO FLUID $80.80 $101.00 $11.97–$55.94 — 20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CV THIN LAYER $62.40 $78.00 $9.12–$42.77 76% above 20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CV THIN LAYER $62.40 $78.00 $9.12–$42.77 — 20%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE # 015610 $187.20 $234.00 $18.58–$87.13 62% above 20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE # 015610 $187.20 $234.00 $18.58–$87.13 — 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF PTT $34.40 $43.00 $2.70–$12.67 55% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $82.40 $103.00 $2.70–$12.67 272% above 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF PTT $34.40 $43.00 $2.70–$12.67 — 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $82.40 $103.00 $2.70–$12.67 — 20%
Progesterone blood test CPT 84144 PROGESTERONE #004317 $177.60 $222.00 $9.39–$44.04 179% above 20%
Progesterone blood test inpatient CPT 84144 PROGESTERONE #004317 $177.60 $222.00 $9.39–$44.04 — 20%
Prolactin blood test CPT 84146 PROLACTIN #004465 $165.60 $207.00 $8.72–$40.91 101% above 20%
Prolactin blood test inpatient CPT 84146 PROLACTIN #004465 $165.60 $207.00 $8.72–$40.91 — 20%
Prothrombin time (PT/INR) clotting test CPT 85610 REF LAB PROTIME $34.40 $43.00 $1.93–$8.30 74% above 20%
Prothrombin time (PT/INR) clotting test CPT 85610 ..REF LAB PROTIME W/INR $76.80 $96.00 $1.93–$8.30 289% above 20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME W/INR $76.80 $96.00 $1.93–$8.30 289% above 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 REF LAB PROTIME $34.40 $43.00 $1.93–$8.30 — 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME W/INR $76.80 $96.00 $1.93–$8.30 — 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ..REF LAB PROTIME W/INR $76.80 $96.00 $1.93–$8.30 — 20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM #096537 $76.80 $96.00 $6.48–$30.38 142% above 20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG #006197 $76.80 $96.00 $6.48–$30.38 142% above 20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM #096537 $76.80 $96.00 $6.48–$30.38 — 20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG #006197 $76.80 $96.00 $6.48–$30.38 — 20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE $69.60 $87.00 $1.22–$5.70 266% above 20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ..REF LAB SED RATE $69.60 $87.00 $1.22–$5.70 266% above 20%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE $69.60 $87.00 $1.22–$5.70 — 20%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ..REF LAB SED RATE $69.60 $87.00 $1.22–$5.70 — 20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN MORPH $74.16 $92.70 $5.54–$25.44 18% above 20%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN MORPH $74.16 $92.70 $5.54–$25.44 — 20%
Stool ova and parasites exam CPT 87177 OVA & PARASITE #008623 $59.20 $74.00 $4.00–$18.79 97% above 20%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE #008623 $59.20 $74.00 $4.00–$18.79 — 20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD TEST SCREENING $25.60 $32.00 $1.97–$8.32 35% above 20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD TEST SCREENING $25.60 $32.00 $1.97–$8.32 — 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF #006445 $81.60 $102.00 $1.92–$9.03 218% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR REFLEX TO QUANT RPR AND CONFIRMATORY $81.60 $102.00 $1.92–$9.03 218% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF #006445 $81.60 $102.00 $1.92–$9.03 — 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR REFLEX TO QUANT RPR AND CONFIRMATORY $81.60 $102.00 $1.92–$9.03 — 20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLD TEST #182879 $204.00 $255.00 $27.89–$130.85 72% above 20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB GOLD TEST #182879 $204.00 $255.00 $27.89–$130.85 — 20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE # 004226 $158.40 $198.00 $11.61–$54.49 120% above 20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FEM/CHILD # 070001 $158.40 $198.00 $11.61–$54.49 120% above 20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE # 004226 $158.40 $198.00 $11.61–$54.49 — 20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE FEM/CHILD # 070001 $158.40 $198.00 $11.61–$54.49 — 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODY $48.00 $60.00 $6.55–$30.72 18% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL AB $93.60 $117.00 $6.55–$30.72 129% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB#006676 $118.40 $148.00 $6.55–$30.72 190% above 20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODY $48.00 $60.00 $6.55–$30.72 — 20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL AB $93.60 $117.00 $6.55–$30.72 — 20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB#006676 $118.40 $148.00 $6.55–$30.72 — 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ..REF LAB TSH $130.40 $163.00 $7.56–$35.47 155% above 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $130.40 $163.00 $7.56–$35.47 155% above 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $130.40 $163.00 $7.56–$35.47 — 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ..REF LAB TSH $130.40 $163.00 $7.56–$35.47 — 20%
Trichomonas test (NAAT) CPT 87661 URINE TRICHOMONAS $115.20 $144.00 $15.79–$74.08 86% above 20%
Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA #188052 $115.20 $144.00 $15.79–$74.08 86% above 20%
Trichomonas test (NAAT) inpatient CPT 87661 URINE TRICHOMONAS $115.20 $144.00 $15.79–$74.08 — 20%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG BY NAA #188052 $115.20 $144.00 $15.79–$74.08 — 20%
Uric acid blood test CPT 84550 ..REF LAB URIC ACID BLOOD $82.40 $103.00 $2.03–$9.54 180% above 20%
Uric acid blood test CPT 84550 URIC ACID BLOOD $82.40 $103.00 $2.03–$9.54 180% above 20%
Uric acid blood test inpatient CPT 84550 ..REF LAB URIC ACID BLOOD $82.40 $103.00 $2.03–$9.54 — 20%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD $82.40 $103.00 $2.03–$9.54 — 20%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/ SCOPE $61.80 $77.25 $1.43–$6.69 118% above 20%
Urinalysis with microscope exam, automated CPT 81001 ..REF LAB URINALYSIS AUTO W/ SCOPE $70.40 $88.00 $1.43–$6.69 148% above 20%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/ SCOPE $61.80 $77.25 $1.43–$6.69 — 20%
Urinalysis with microscope exam, automated inpatient CPT 81001 ..REF LAB URINALYSIS AUTO W/ SCOPE $70.40 $88.00 $1.43–$6.69 — 20%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W MIC $61.80 $77.25 $1.81–$7.64 324% above 20%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTO W MIC $61.80 $77.25 $1.81–$7.64 — 20%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE $30.86 $38.58 $1.01–$4.73 186% above 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE $30.86 $38.58 $1.01–$4.73 — 20%
Urinalysis without microscope exam, manual CPT 81002 URINALSYS NONAUTO W/O MIC $30.86 $38.58 $1.57–$6.61 271% above 20%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALSYS NONAUTO W/O MIC $30.86 $38.58 $1.57–$6.61 — 20%
Urine culture for bacteria, with colony count CPT 87086 REFLEX URINE CULTURE $114.40 $143.00 $3.63–$17.04 213% above 20%
Urine culture for bacteria, with colony count inpatient CPT 87086 REFLEX URINE CULTURE $114.40 $143.00 $3.63–$17.04 — 20%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE $88.80 $111.00 $3.87–$16.36 124% above 20%
Urine pregnancy test, read by color change CPT 81025 ..REF LAB PREGNANCY TEST URINE $88.80 $111.00 $3.87–$16.36 124% above 20%
Urine pregnancy test, read by color change inpatient CPT 81025 ..REF LAB PREGNANCY TEST URINE $88.80 $111.00 $3.87–$16.36 — 20%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE $88.80 $111.00 $3.87–$16.36 — 20%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 $133.60 $167.00 $6.79–$31.83 166% above 20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 $133.60 $167.00 $6.79–$31.83 — 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25H $436.80 $546.00 $13.32–$62.49 505% above 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D-25H $436.80 $546.00 $13.32–$62.49 — 20%
Zinc blood test CPT 84630 ZINC-URINE 24/RAN #003434 $90.40 $113.00 $5.13–$24.04 163% above 20%
Zinc blood test CPT 84630 ZINC - PLASMA #001800 $91.20 $114.00 $5.13–$24.04 166% above 20%
Zinc blood test inpatient CPT 84630 ZINC-URINE 24/RAN #003434 $90.40 $113.00 $5.13–$24.04 — 20%
Zinc blood test inpatient CPT 84630 ZINC - PLASMA #001800 $91.20 $114.00 $5.13–$24.04 — 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 ..REF LAB HCG QUANTITATIVE $108.00 $135.00 $6.77–$31.79 97% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE $108.00 $135.00 $6.77–$31.79 97% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 ..REF LAB HCG QUANTITATIVE $108.00 $135.00 $6.77–$31.79 — 20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE $108.00 $135.00 $6.77–$31.79 — 20%

Surgery and procedures

ProcedureCash price List priceInsurers payvs TennesseeOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL $288.80 $361.00 $141.75–$592.23 44% below 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT $511.20 $639.00 $141.75–$639.00 1% below 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXT $786.40 $983.00 $141.75–$592.23 53% above 20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL $288.80 $361.00 $141.75–$592.23 — 20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT $511.20 $639.00 $141.75–$639.00 — 20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXT $786.40 $983.00 $141.75–$592.23 — 20%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL $927.20 $1,159.00 $452.50–$1,159.00 26% below 20%
Colonoscopy with polyp removal CPT 45385 COLON W/SNARE POLYPECTOMY $927.20 $1,159.00 $452.50–$1,159.00 26% below 20%
Colonoscopy with polyp removal inpatient CPT 45385 COLON W/SNARE POLYPECTOMY $927.20 $1,159.00 $452.50–$1,159.00 — 20%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REMOVAL $927.20 $1,159.00 $452.50–$1,159.00 — 20%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY $927.20 $1,159.00 $432.79–$1,159.00 2% below 20%
Colonoscopy with tissue sample CPT 45380 COLON W/BIOPSY SINGLE OR MULTIPLE $927.20 $1,159.00 $432.79–$1,159.00 2% below 20%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY $927.20 $1,159.00 $432.79–$1,159.00 — 20%
Colonoscopy with tissue sample inpatient CPT 45380 COLON W/BIOPSY SINGLE OR MULTIPLE $927.20 $1,159.00 $432.79–$1,159.00 — 20%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAG (BRUSHING/WASH) $717.60 $897.00 $341.29–$897.00 43% below 20%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY $721.60 $902.00 $341.29–$902.00 43% below 20%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAG (BRUSHING/WASH) $717.60 $897.00 $341.29–$897.00 — 20%
Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY $721.60 $902.00 $341.29–$902.00 — 20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY $536.00 $670.00 $194.22–$670.00 40% above 20%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY $536.00 $670.00 $194.22–$670.00 — 20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 SPINAL BLOCK ESI CERV THOR ESI $544.00 $680.00 $249.83–$680.00 11% above 20%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 SPINAL BLOCK ESI CERV THOR ESI $544.00 $680.00 $249.83–$680.00 — 20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV $717.60 $897.00 $172.30–$897.00 5% above 20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION VERT.FACET LUMBAR, SINGLE $717.60 $897.00 $172.30–$897.00 5% above 20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION LUMBAR SINGLE LEVEL $717.60 $897.00 $172.30–$897.00 5% above 20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJECTION VERT.FACET LUMBAR, SINGLE $717.60 $897.00 $172.30–$897.00 — 20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJECTION LUMBAR SINGLE LEVEL $717.60 $897.00 $172.30–$897.00 — 20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV $717.60 $897.00 $172.30–$897.00 — 20%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC $2,719.20 $3,399.00 $465.74–$5,800.79 30% below 20%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HRN 1ST 3-10 RDC $2,719.20 $3,399.00 $465.74–$5,800.79 — 20%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 NCR/STRN $2,719.20 $3,399.00 $625.74–$5,800.79 67% below 20%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR AA HRN 1ST > 10 NCR/STRN $2,719.20 $3,399.00 $625.74–$5,800.79 — 20%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC $2,719.20 $3,399.00 $280.34–$3,399.00 1% above 20%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC $2,719.20 $3,399.00 $280.34–$3,399.00 — 20%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIGMOIDOSCOPY PROFEE $144.00 $180.00 $176.40–$833.27 63% below 20%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIGMOIDOSCOPY $719.20 $899.00 $192.60–$899.00 83% above 20%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEX SIGMOIDOSCOPY PROFEE $144.00 $180.00 $176.40–$833.27 — 20%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEX SIGMOIDOSCOPY $719.20 $899.00 $192.60–$899.00 — 20%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH $4,532.00 $5,665.00 $607.17–$5,665.00 24% below 20%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH $4,532.00 $5,665.00 $607.17–$5,665.00 — 20%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP $2,204.80 $2,756.00 $520.76–$2,756.00 49% below 20%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REMOVE INT/EXT HEM 1 GROUP $2,204.80 $2,756.00 $520.76–$2,756.00 — 20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJECTION HYSTEROSALPINGOGRAM $192.00 $240.00 $120.00–$211.82 25% above 20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJECTION HYSTEROSALPINGOGRAM $192.00 $240.00 $120.00–$211.82 — 20%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION $3,906.40 $4,883.00 $1,793.20–$4,883.00 4% below 20%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY, ABLATION $3,906.40 $4,883.00 $1,793.20–$4,883.00 — 20%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, BIOPSY $2,456.00 $3,070.00 $1,134.61–$3,070.00 34% below 20%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY, BIOPSY $2,456.00 $3,070.00 $1,134.61–$3,070.00 — 20%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION DRAINAGE SIMPLE IN OFFICE $148.00 $185.00 $116.51–$179.77 8% below 20%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS $156.80 $196.00 $116.51–$196.00 3% below 20%
Incision and drainage of a simple or single skin abscess CPT 10060 BEDSIDE ABSCESS DRAINAGE $378.40 $473.00 $116.51–$473.00 134% above 20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION DRAINAGE SIMPLE IN OFFICE $148.00 $185.00 $116.51–$179.77 — 20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS $156.80 $196.00 $116.51–$196.00 — 20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 BEDSIDE ABSCESS DRAINAGE $378.40 $473.00 $116.51–$473.00 — 20%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR $2,719.20 $3,399.00 $450.71–$3,399.00 at median 20%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR $2,719.20 $3,399.00 $450.71–$3,399.00 — 20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTIONS SINGLE TENDON SHEATH $86.40 $108.00 $54.93–$275.04 62% below 20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTIONS SINGLE TENDON SHEATH $86.40 $108.00 $54.93–$275.04 — 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION MAJOR JOINT/BURSA(SACROILIAC) $235.20 $294.00 $62.00–$294.00 24% below 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $235.20 $294.00 $62.00–$294.00 24% below 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, MAJOR JOINT OR BURSA $552.80 $691.00 $62.00–$691.00 79% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION MAJOR JOINT/BURSA(SACROILIAC) $235.20 $294.00 $62.00–$294.00 — 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $235.20 $294.00 $62.00–$294.00 — 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS, MAJOR JOINT OR BURSA $552.80 $691.00 $62.00–$691.00 — 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS, INTERMEDIATE JOINT $355.20 $444.00 $51.87–$430.00 27% above 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMEDIATE JOINT $394.40 $493.00 $51.87–$493.00 41% above 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS, INTERMEDIATE JOINT $355.20 $444.00 $51.87–$430.00 — 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTERMEDIATE JOINT $394.40 $493.00 $51.87–$493.00 — 20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESES, BLOCK SMALL $85.60 $107.00 $50.92–$275.04 65% below 20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESES, BLOCK SMALL $85.60 $107.00 $50.92–$275.04 — 20%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY $907.20 $1,134.00 $513.50–$5,417.02 74% below 20%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY, APPENDECTOMY $907.20 $1,134.00 $513.50–$5,417.02 — 20%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY $8,084.00 $10,105.00 $898.11–$9,524.73 30% below 20%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAPAROSCOPY FUNDOPLASTY $8,084.00 $10,105.00 $898.11–$9,524.73 — 20%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS $8,084.00 $10,105.00 $745.61–$9,524.73 23% below 20%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 TLH W/T/O 250 G OR LESS $8,084.00 $10,105.00 $745.61–$9,524.73 — 20%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA $4,532.00 $5,665.00 $529.22–$5,665.00 at median 20%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY, REMOVE ADNEXA $4,532.00 $5,665.00 $529.22–$5,665.00 — 20%
Lower-back epidural injection, with imaging guidance CPT 62323 SPINAL BLOCK EPIDURAL LUMBAR SACRAL SNGL $544.00 $680.00 $246.56–$680.00 21% above 20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SPINAL BLOCK EPIDURAL LUMBAR SACRAL SNGL $544.00 $680.00 $246.56–$680.00 — 20%
Lower-back epidural injection, without imaging guidance CPT 62322 SPINAL BLOCK EPIDURAL LUMBAR SACRAL SNGL 2 $717.60 $897.00 $132.40–$897.00 46% above 20%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC $717.60 $897.00 $132.40–$897.00 46% above 20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 SPINAL BLOCK EPIDURAL LUMBAR SACRAL SNGL 2 $717.60 $897.00 $132.40–$897.00 — 20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC $717.60 $897.00 $132.40–$897.00 — 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 $708.80 $886.00 $239.39–$886.00 35% above 20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 $708.80 $886.00 $239.39–$886.00 — 20%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY $2,996.00 $3,745.00 $562.05–$3,745.00 53% below 20%
Lumpectomy (partial mastectomy) inpatient CPT 19301 PARTIAL MASTECTOMY $2,996.00 $3,745.00 $562.05–$3,745.00 — 20%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL NAIL BED $352.80 $441.00 $101.44–$430.00 262% above 20%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL NAIL BED $352.80 $441.00 $101.44–$430.00 — 20%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION ANEST.AGENT OCCIPITAL NERVE $129.60 $162.00 $70.40–$275.04 38% below 20%
Occipital nerve block (injection for headaches) CPT 64405 INJECT ANEST. AGENT OCCIPITAL NERVE $574.40 $718.00 $70.40–$430.00 175% above 20%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION ANEST AGENT OCCIPITAL NERVE $608.00 $760.00 $70.40–$480.00 191% above 20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION ANEST.AGENT OCCIPITAL NERVE $129.60 $162.00 $70.40–$275.04 — 20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECT ANEST. AGENT OCCIPITAL NERVE $574.40 $718.00 $70.40–$430.00 — 20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION ANEST AGENT OCCIPITAL NERVE $608.00 $760.00 $70.40–$480.00 — 20%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS PUNCTURE $534.40 $668.00 $256.46–$812.69 at median 20%
Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS PUNCTURE $534.40 $668.00 $256.46–$812.69 — 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EVACUATION SUBUNGUAL HEMATOMA $61.60 $77.00 $75.46–$364.26 77% below 20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EVACUATION SUBUNGUAL HEMATOMA $61.60 $77.00 $75.46–$364.26 — 20%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE $1,599.20 $1,999.00 $209.79–$1,999.00 181% above 20%
Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE $1,599.20 $1,999.00 $209.79–$1,999.00 — 20%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION $2,996.00 $3,745.00 $510.11–$3,745.00 31% below 20%
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION $2,996.00 $3,745.00 $510.11–$3,745.00 — 20%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND $377.60 $472.00 $341.47–$833.27 65% below 20%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON SCREEN NON HI RISK $717.60 $897.00 $341.47–$897.00 34% below 20%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCRN NOT HI RSK IND $377.60 $472.00 $341.47–$833.27 — 20%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON SCREEN NON HI RISK $717.60 $897.00 $341.47–$897.00 — 20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLON SCREEN HI RISK $717.60 $897.00 $341.29–$897.00 34% below 20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLON SCREEN HI RISK $717.60 $897.00 $341.29–$897.00 — 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPR SIMPLE SCLP AXIL TRNK EXT 0-2.5CM $211.20 $264.00 $101.71–$264.00 4% above 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPR SIMPLE SCLP AXIL TRNK EXT 0-2.5CM $211.20 $264.00 $101.71–$264.00 — 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP LUMBAR $160.80 $201.00 $147.00–$632.49 56% below 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE $477.60 $597.00 $120.00–$632.49 31% above 20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP LUMBAR $160.80 $201.00 $147.00–$632.49 — 20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE $477.60 $597.00 $120.00–$632.49 — 20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPR SIMPLE SCLP AXIL TRNK EXT 2.6-7.5CM $235.20 $294.00 $124.46–$294.00 3% above 20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPR SIMPLE SCLP AXIL TRNK EXT 2.6-7.5CM $235.20 $294.00 $124.46–$294.00 — 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SMPL FAC EAR 2.5CM OR LESS $217.60 $272.00 $124.67–$272.00 6% above 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SMPL FAC EAR NOSE 0-2.5CM $272.80 $341.00 $124.67–$341.00 33% above 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SMPL FAC EAR 2.5CM OR LESS $217.60 $272.00 $124.67–$272.00 — 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SMPL FAC EAR NOSE 0-2.5CM $272.80 $341.00 $124.67–$341.00 — 20%
Thoracentesis with imaging guidance CPT 32555 US SC THORACENTESIS PUNCTURE $817.60 $1,022.00 $280.92–$1,022.00 61% above 20%
Thoracentesis with imaging guidance inpatient CPT 32555 US SC THORACENTESIS PUNCTURE $817.60 $1,022.00 $280.92–$1,022.00 — 20%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ ONE OR TWO MUSCLE $73.60 $92.00 $47.18–$275.04 70% below 20%
Trigger point injections, 1 or 2 muscles CPT 20552 SINGLE OR MULT TRIGGER POINTS $129.60 $162.00 $47.18–$275.04 47% below 20%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION ONE OR TWO MUSCL $129.60 $162.00 $47.18–$275.04 47% below 20%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINTS SINGLE OR MULT $296.80 $371.00 $47.18–$371.00 21% above 20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PT INJ ONE OR TWO MUSCLE $73.60 $92.00 $47.18–$275.04 — 20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SINGLE OR MULT TRIGGER POINTS $129.60 $162.00 $47.18–$275.04 — 20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECTION ONE OR TWO MUSCL $129.60 $162.00 $47.18–$275.04 — 20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINTS SINGLE OR MULT $296.80 $371.00 $47.18–$371.00 — 20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST CORE BIOPSY $793.60 $992.00 $428.55–$1,479.89 20% below 20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG $1,273.60 $1,592.00 $428.55–$1,592.00 29% above 20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BREAST CORE BIOPSY $793.60 $992.00 $428.55–$1,479.89 — 20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG $1,273.60 $1,592.00 $428.55–$1,592.00 — 20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BALLOON DILATION (30 $1,496.00 $1,870.00 $1,055.61–$1,870.00 37% above 20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM $1,496.00 $1,870.00 $1,055.61–$1,870.00 37% above 20%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH EGD DILATION <30 MM $1,496.00 $1,870.00 $1,055.61–$1,870.00 — 20%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/BALLOON DILATION (30 $1,496.00 $1,870.00 $1,055.61–$1,870.00 — 20%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD-W/BIOPSY(IES) $712.80 $891.00 $376.77–$891.00 24% below 20%
Upper endoscopy (EGD) with biopsy CPT 43239 Upper GI endoscopy, biopsy $826.00 $3,471.00 $376.77–$2,415.00 12% below 76%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD-W/BIOPSY(IES) $712.80 $891.00 $376.77–$891.00 — 20%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper GI endoscopy, biopsy $826.00 $3,471.00 $376.77–$2,415.00 — 76%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE $1,496.00 $1,870.00 $491.50–$1,870.00 37% above 20%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/SNARE POLYPECTOMY $1,496.00 $1,870.00 $491.50–$1,870.00 37% above 20%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD REMOVE LESION SNARE $1,496.00 $1,870.00 $491.50–$1,870.00 — 20%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W/SNARE POLYPECTOMY $1,496.00 $1,870.00 $491.50–$1,870.00 — 20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD-W/DILATAT OVER GUIDEW $712.80 $891.00 $412.25–$891.00 24% below 20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD-W/DILATAT OVER GUIDEW $712.80 $891.00 $412.25–$891.00 — 20%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD-DIAG (BRUSHING/WASHI) $623.20 $779.00 $290.58–$812.69 34% below 20%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH $712.80 $891.00 $290.58–$891.00 24% below 20%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD-DIAG (BRUSHING/WASHI) $623.20 $779.00 $290.58–$812.69 — 20%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH $712.80 $891.00 $290.58–$891.00 — 20%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY $4,062.40 $5,078.00 $336.02–$5,078.00 13% below 20%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY $4,062.40 $5,078.00 $336.02–$5,078.00 — 20%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) $1,599.20 $1,999.00 $313.53–$1,999.00 78% above 20%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 REMOVAL OF SPERM DUCT(S) $1,599.20 $1,999.00 $313.53–$1,999.00 — 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE $313.60 $392.00 $119.46–$392.00 21% below 20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/TISSUE $313.60 $392.00 $119.46–$392.00 — 20%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs TennesseeOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION > 2HR $456.80 $571.00 $41.89–$395.31 22% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 BB BLD / PROD ADM $486.40 $608.00 $41.89–$395.31 30% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 1-2 HOURS $504.80 $631.00 $41.89–$395.31 35% above 20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION > 2HR $456.80 $571.00 $41.89–$395.31 — 20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB BLD / PROD ADM $486.40 $608.00 $41.89–$395.31 — 20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 1-2 HOURS $504.80 $631.00 $41.89–$395.31 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT SUBSEQUENT $25.60 $32.00 $7.61–$196.22 74% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL TREATMENT $49.60 $62.00 $7.61–$196.22 49% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL HV CONT SUBSEQ $64.00 $80.00 $7.61–$196.22 35% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT SUBSEQUENT $73.60 $92.00 $7.61–$196.22 25% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT SUBSEQUENT SECOND $73.60 $92.00 $7.61–$196.22 25% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT SUBSEQUENT THIRD $73.60 $92.00 $7.61–$196.22 25% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT INITIAL $100.00 $125.00 $7.61–$196.22 2% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HW BRONCHODILATOR TREATMENT $395.20 $494.00 $7.61–$196.22 303% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT SUBSEQUENT $25.60 $32.00 $7.61–$196.22 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL TREATMENT $49.60 $62.00 $7.61–$196.22 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL HV CONT SUBSEQ $64.00 $80.00 $7.61–$196.22 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT SUBSEQUENT $73.60 $92.00 $7.61–$196.22 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT SUBSEQUENT SECOND $73.60 $92.00 $7.61–$196.22 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT SUBSEQUENT THIRD $73.60 $92.00 $7.61–$196.22 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT INITIAL $100.00 $125.00 $7.61–$196.22 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HW BRONCHODILATOR TREATMENT $395.20 $494.00 $7.61–$196.22 — 20%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE PRO CHG 1-74 MINS $480.00 $600.00 $228.00–$740.15 53% below 20%
Critical care, first 30 to 74 minutes CPT 99291 HOSP CRITICAL CARE 30 TO 74 MINUTES $584.80 $731.00 $283.03–$740.15 43% below 20%
Critical care, first 30 to 74 minutes CPT 99291 EMER ROOM CRITICAL CARE $1,313.60 $1,642.00 $228.00–$1,642.00 28% above 20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE PRO CHG 1-74 MINS $480.00 $600.00 $228.00–$740.15 — 20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HOSP CRITICAL CARE 30 TO 74 MINUTES $584.80 $731.00 $283.03–$740.15 — 20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 EMER ROOM CRITICAL CARE $1,313.60 $1,642.00 $228.00–$1,642.00 — 20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG RCRDNG AWAKE/DROWSY $325.60 $407.00 $188.70–$407.00 9% above 20%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG RCRDNG AWAKE/DROWSY $325.60 $407.00 $188.70–$407.00 — 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-REGULAR 12LEAD $109.09 $136.36 $6.12–$75.00 2% above 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-REGULAR 12LEAD $109.09 $136.36 $6.12–$75.00 — 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMER ROOM LEVEL 1 $314.40 $393.00 $10.20–$393.00 130% above 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMER ROOM LEVEL 1 $314.40 $393.00 $10.20–$393.00 — 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMER ROOM -NON EM ER LEV2 $102.40 $128.00 $37.44–$137.58 51% below 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMER ROOM LEVEL II $416.80 $521.00 $37.44–$521.00 101% above 20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMER ROOM -NON EM ER LEV2 $102.40 $128.00 $37.44–$137.58 — 20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMER ROOM LEVEL II $416.80 $521.00 $37.44–$521.00 — 20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMER ROOM NON EM LEV 3 $159.20 $199.00 $64.22–$244.60 58% below 20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMER ROOM NON EM LEV 3 $159.20 $199.00 $64.22–$244.60 — 20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMER ROOM NON EM LEV 4 $222.40 $278.00 $109.23–$373.88 65% below 20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMER ROOM NON EM LEV 4 $222.40 $278.00 $109.23–$373.88 — 20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMER ROOM NON EM LEV 5 $331.20 $414.00 $158.71–$533.62 64% below 20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMER ROOM NON EM LEV 5 $331.20 $414.00 $158.71–$533.62 — 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 HW 12 LEAD ECG STRESS TEST $500.00 $625.00 $34.56–$425.00 48% above 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST $500.00 $625.00 $34.56–$425.00 48% above 20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST $500.00 $625.00 $34.56–$425.00 — 20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HW 12 LEAD ECG STRESS TEST $500.00 $625.00 $34.56–$425.00 — 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION THERAPY FIRST HOUR $153.60 $192.00 $30.14–$190.59 43% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION THERAPY FIRST HOUR $153.60 $192.00 $30.14–$190.59 — 20%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION UPTO 1 HR $267.20 $334.00 $59.95–$210.00 80% above 20%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION UPTO 1 HR $267.20 $334.00 $59.95–$210.00 — 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ IM/SC THERAPEUTIC/DIAGNOSTIC $49.60 $62.00 $14.07–$64.51 11% below 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SUBCUTANEOUS $73.60 $92.00 $14.07–$92.00 32% above 20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IM/SC THERAPEUTIC/DIAGNOSTIC $49.60 $62.00 $14.07–$64.51 — 20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM OR SUBCUTANEOUS $73.60 $92.00 $14.07–$92.00 — 20%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW PATIENT LEVEL 3 $355.20 $444.00 $107.56 317% above 20%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT NEW PATIENT LEVEL 3 $355.20 $444.00 $107.56 — 20%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW PATIENT LEVEL 4 $303.00 $303.00 $162.82 221% above —
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW PATIENT LEVEL 4 $461.60 $577.00 $162.82 389% above 20%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT NEW PATIENT LEVEL 4 $461.60 $577.00 $162.82 — 20%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW PATIENT LEVEL 5 $576.80 $721.00 $217.00 350% above 20%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT NEW PATIENT LEVEL 5 $576.80 $721.00 $217.00 — 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW PATIENT LEVEL 2 $255.20 $319.00 $68.86 306% above 20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT NEW PATIENT LEVEL 2 $255.20 $319.00 $68.86 — 20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INDIVIDUAL INITITIAL ASSESS 15 MIN $70.00 $70.00 $34.18–$70.00 163% above —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INDIVIDUAL INITITIAL ASSESS 15 MIN $70.00 $70.00 $34.18–$70.00 — —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT ESTABLISHED PATIENT LEVEL 5 $384.00 $480.00 $177.16 327% above 20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT ESTABLISHED PATIENT LEVEL 5 $384.00 $480.00 $177.16 — 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT ESTABLISHED PATIENT LEVEL 3 $223.20 $279.00 $87.57 261% above 20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT ESTABLISHED PATIENT LEVEL 3 $223.20 $279.00 $87.57 — 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT ESTABLISHED PATIENT LEVEL 4 $317.60 $397.00 $124.81 325% above 20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT ESTABLISHED PATIENT LEVEL 4 $317.60 $397.00 $124.81 — 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT ESTABLISHED PATIENT LEVEL 2 $183.20 $229.00 $54.32 231% above 20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT ESTABLISHED PATIENT LEVEL 2 $183.20 $229.00 $54.32 — 20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULTATION LEVEL 3 $219.20 $274.00 — 143% above 20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HOSP LEVEL 3 OUTPATIENT CONSULT $231.20 $289.00 — 156% above 20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULTATION OFFICE LEVEL 3 $411.20 $514.00 — 355% above 20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULTATION LEVEL 3 $219.20 $274.00 — — 20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HOSP LEVEL 3 OUTPATIENT CONSULT $231.20 $289.00 — — 20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULTATION OFFICE LEVEL 3 $411.20 $514.00 — — 20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HOSP LEVEL 4 OUTPATIENT CONSULT $285.60 $357.00 — 163% above 20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULTATION LEVEL 4 $324.00 $405.00 — 199% above 20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULTATION OFFICE LEVEL 4 $564.00 $705.00 — 420% above 20%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HOSP LEVEL 4 OUTPATIENT CONSULT $285.60 $357.00 — — 20%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULTATION LEVEL 4 $324.00 $405.00 — — 20%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULTATION OFFICE LEVEL 4 $564.00 $705.00 — — 20%
Spirometry (breathing test) CPT 94010 INDUST PULMONARY FUNCT $81.51 $101.89 $26.74–$193.47 25% below 20%
Spirometry (breathing test) CPT 94010 PFT DISABILITY $81.51 $101.89 $26.74–$193.47 25% below 20%
Spirometry (breathing test) CPT 94010 PFT-PRE TEST ONLY $357.60 $447.00 $26.74–$193.47 227% above 20%
Spirometry (breathing test) inpatient CPT 94010 PFT DISABILITY $81.51 $101.89 $26.74–$193.47 — 20%
Spirometry (breathing test) inpatient CPT 94010 INDUST PULMONARY FUNCT $81.51 $101.89 $26.74–$193.47 — 20%
Spirometry (breathing test) inpatient CPT 94010 PFT-PRE TEST ONLY $357.60 $447.00 $26.74–$193.47 — 20%
Spirometry before and after a bronchodilator CPT 94060 PFT-PRE & POST $488.00 $610.00 $39.06–$334.37 99% above 20%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT-PRE & POST $488.00 $610.00 $39.06–$334.37 — 20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC-PHLEBOTOMY $93.60 $117.00 $86.87–$117.00 24% above 20%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC-PHLEBOTOMY $93.60 $117.00 $86.87–$117.00 — 20%

Vaccines

ProcedureCash price List priceInsurers payvs TennesseeOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD HIGH DOSE (65+) 2024/2025 $119.20 $149.00 $74.50–$96.20 74% above 20%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD HIGH DOSE (65+) 2024/2025 $119.20 $149.00 $74.50–$96.20 — 20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE 0.5 ML(AFLURIA) TRIVAL $57.60 $72.00 $12.99–$22.76 89% above 20%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE 0.5 ML(AFLURIA) TRIVAL $57.60 $72.00 $12.99–$22.76 — 20%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE $150.74 $188.42 $72.07 121% above 20%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE $150.74 $188.42 $72.07 — 20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS & RUBELLA VAC 0.5ML $151.20 $189.00 — 33% above 20%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS & RUBELLA VAC 0.5ML $151.20 $189.00 — — 20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA 4MCG/0.5ML VACC (MENINGITIS VAC $266.40 $333.00 — 39% above 20%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA 4MCG/0.5ML VACC (MENINGITIS VAC $266.40 $333.00 — — 20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 PNEUMOCOCCAL VACCINE $501.60 $627.00 $298.04–$306.64 63% above 20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 PNEUMOCOCCAL VACCINE $501.60 $627.00 $298.04–$306.64 — 20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUOMOVAX 23 (PNEUMOCOCCAL VACCINE) $156.00 $195.00 $130.80–$133.47 11% above 20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUOMOVAX 23 (PNEUMOCOCCAL VACCINE) $156.00 $195.00 $130.80–$133.47 — 20%
Rabies vaccine, one dose CPT 90675 RABAVERT (RABIES VACCINE) 1 ML KIT $702.40 $878.00 $313.36–$454.77 30% above 20%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT (RABIES VACCINE) 1 ML KIT $702.40 $878.00 $313.36–$454.77 — 20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS W/DIP (ADULT) TENIVAC 0.5ML SYR $81.60 $102.00 $38.19 42% above 20%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS W/DIP (ADULT) TENIVAC 0.5ML SYR $81.60 $102.00 $38.19 — 20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPTHERIA/PERTUSSIS VACCINE $116.00 $145.00 $38.90 38% above 20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPTHERIA/PERTUSSIS VACCINE $116.00 $145.00 $38.90 — 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACCINE $56.00 $70.00 $15.00–$64.51 70% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN VACCINE/ TOXOID $73.60 $92.00 $15.00–$64.51 124% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCAL VACCINE $132.00 $165.00 $15.00–$64.51 301% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE $132.00 $165.00 $15.00–$64.51 301% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU VACCINE $56.00 $70.00 $15.00–$64.51 — 20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN VACCINE/ TOXOID $73.60 $92.00 $15.00–$64.51 — 20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOCOCCAL VACCINE $132.00 $165.00 $15.00–$64.51 — 20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE $132.00 $165.00 $15.00–$64.51 — 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 SEQ/ADDITIO IMMUNIZ ADMIN VACCINE/TOXOID $67.20 $84.00 $14.61–$33.25 117% above 20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 SEQ/ADDITIO IMMUNIZ ADMIN VACCINE/TOXOID $67.20 $84.00 $14.61–$33.25 — 20%

Source file: https://cea75026-66bc-472a-a0d7-7ec217c282dd.usrfiles.com/ugd/cea750_447d3b2a93704da191d140732b3a870b.csv?dn=460485169_coffee-medical-group_standardcharges.csv