Hospital Jackson, MS

Magee Benevolent Association

Magee Benevolent Association in Magee, MS publishes cash prices for 252 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Mississippi median for 208 of 250 procedures and above it for 41. By typical cash price it ranks #2 of 36 Mississippi hospitals and #1 of 9 hospitals in the Jackson, MS area, cheapest first. Click a procedure to compare it with other hospitals nearby.

300 THIRD AVE SE, MAGEE, MS, 39111 Collected Sep 27, 2026 Source price file (601) 849-5070

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 250124 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE RT	$90.57	$261.00	$68.98–$95.76	25% below	65%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE LT COMPLETE MINIMUM 3 VIEWS	$90.57	$261.00	$68.98–$95.76	25% below	65%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE LT COMPLETE MINIMUM 3 VIEWS	$90.57	$261.00	$68.98–$95.76	—	65%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE RT	$90.57	$261.00	$68.98–$95.76	—	65%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR BA SW(ESOPH)	$210.28	$606.00	$143.18–$175.06	4% above	65%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR GASTRO SWALLOW	$210.28	$606.00	$143.18–$175.06	4% above	65%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR BA SW(ESOPH)	$210.28	$606.00	$143.18–$175.06	—	65%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR GASTRO SWALLOW	$210.28	$606.00	$143.18–$175.06	—	65%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY SCAN	$404.95	$1,167.00	$308.59–$392.97	37% below	65%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE WHOLE BODY SCAN	$404.95	$1,167.00	$308.59–$392.97	—	65%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT	$117.29	$338.00	$84.86–$145.02	37% below	65%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT	$117.29	$338.00	$84.86–$145.02	37% below	65%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LEFT	$117.29	$338.00	$84.86–$145.02	—	65%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RIGHT	$117.29	$338.00	$84.86–$145.02	—	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LEFT LIMITED	$90.57	$261.00	$68.98–$145.02	53% below	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RIGHT LIMITED	$90.57	$261.00	$68.98–$145.02	53% below	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LEFT LIMITED	$90.57	$261.00	$68.98–$145.02	—	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST RIGHT LIMITED	$90.57	$261.00	$68.98–$145.02	—	65%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography, Subclavin	$352.90	$1,017.00	$143.18–$373.05	69% below	65%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio, Chest, w cont w noncon imag	$352.90	$1,017.00	$143.18–$373.05	69% below	65%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST Pulmonary Embolus	$352.90	$1,017.00	$143.18–$373.05	69% below	65%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio, Chest, w cont w noncon imag	$352.90	$1,017.00	$143.18–$373.05	—	65%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography, Subclavin	$352.90	$1,017.00	$143.18–$373.05	—	65%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CHEST Pulmonary Embolus	$352.90	$1,017.00	$143.18–$373.05	—	65%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING WO CONTRAST	$90.57	$261.00	$20.00–$86.58	14% above	65%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING WO CONTRAST	$90.57	$261.00	$20.00–$86.58	—	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Renal Colic W KUB	$597.53	$1,722.00	$185.40–$302.36	57% below	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd and Pelvis without contrast	$597.53	$1,722.00	$185.40–$302.36	57% below	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Renal Colic WO KUB	$597.53	$1,722.00	$185.40–$302.36	57% below	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Renal Colic W KUB	$597.53	$1,722.00	$185.40–$302.36	—	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Renal Colic WO KUB	$597.53	$1,722.00	$185.40–$302.36	—	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd and Pelvis without contrast	$597.53	$1,722.00	$185.40–$302.36	—	65%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd and Pelvis with contrast	$672.49	$1,938.00	$292.51–$547.66	61% below	65%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd and Pelvis with contrast	$672.49	$1,938.00	$292.51–$547.66	—	65%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd w/wo and Pelvis with contrast	$692.96	$1,997.00	$292.51–$547.66	63% below	65%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd wo/w and Pelvis wo/w contrast	$692.96	$1,997.00	$292.51–$547.66	63% below	65%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd wo/w and Pelvis wo/w contrast	$692.96	$1,997.00	$292.51–$547.66	—	65%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd w/wo and Pelvis with contrast	$692.96	$1,997.00	$292.51–$547.66	—	65%
CT scan of the abdomen with contrast CPT 74160 CT ABD W CONTRAST	$321.15	$925.50	$143.18–$373.05	67% below	65%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W CONTRAST	$321.15	$925.50	$143.18–$373.05	—	65%
CT scan of the abdomen without contrast CPT 74150 CT ABD WO CONTRAST	$281.50	$811.25	$84.86–$177.18	67% below	65%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO CONTRAST	$281.50	$811.25	$84.86–$177.18	—	65%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES COMPLETE	$254.00	$732.00	$84.86–$177.18	64% below	65%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX/FAC WO CONTRAST	$254.00	$732.00	$84.86–$177.18	64% below	65%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX/FAC WO CONTRAST	$254.00	$732.00	$84.86–$177.18	—	65%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES COMPLETE	$254.00	$732.00	$84.86–$177.18	—	65%
CT scan of the head or brain, no contrast dye CPT 70450 CT STROKE PROTOCOL	$235.61	$679.00	$84.86–$177.18	69% below	65%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$235.61	$679.00	$84.86–$177.18	69% below	65%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT STROKE PROTOCOL	$235.61	$679.00	$84.86–$177.18	—	65%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST	$235.61	$679.00	$84.86–$177.18	—	65%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$275.26	$793.25	$143.18–$373.05	70% below	65%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$275.26	$793.25	$143.18–$373.05	—	65%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST	$304.58	$877.75	$143.18–$373.05	71% below	65%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRAST	$304.58	$877.75	$143.18–$373.05	—	65%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SP WO CONTRAST	$282.81	$815.00	$84.86–$177.18	68% below	65%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SP WO CONTRAST	$282.81	$815.00	$84.86–$177.18	—	65%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE WO CONTRAST	$281.07	$810.00	$84.86–$177.18	68% below	65%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE WO CONTRAST	$281.07	$810.00	$84.86–$177.18	—	65%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$305.62	$880.75	$143.18–$373.05	69% below	65%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$305.62	$880.75	$143.18–$373.05	—	65%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID ART DOP	$244.64	$705.00	$185.40–$233.47	50% below	65%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID ART DOP	$244.64	$705.00	$185.40–$233.47	—	65%
Chest X-ray, 2 views both sides CPT 71046 XR CHEST DECUBITUS BILATERAL	$90.57	$261.00	$68.98–$95.76	—	65%
Chest X-ray, 2 views CPT 71046 XR CHEST PA/LAT	$90.57	$261.00	$68.98–$95.76	32% below	65%
Chest X-ray, 2 views CPT 71046 XR CHEST INS/EXP	$90.57	$261.00	$68.98–$95.76	32% below	65%
Chest X-ray, 2 views inpatient both sides CPT 71046 XR CHEST DECUBITUS BILATERAL	$90.57	$261.00	$68.98–$95.76	—	65%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA/LAT	$90.57	$261.00	$68.98–$95.76	—	65%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST INS/EXP	$90.57	$261.00	$68.98–$95.76	—	65%
Chest X-ray, single view CPT 71045 XR CHEST PORTABLE SV	$90.57	$261.00	$68.98–$95.76	15% below	65%
Chest X-ray, single view CPT 71045 XR CHEST Special view(s)	$90.57	$261.00	$68.98–$95.76	15% below	65%
Chest X-ray, single view CPT 71045 XR CHEST AP OR PA Single View	$90.57	$261.00	$68.98–$95.76	15% below	65%
Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS RIGHT	$90.57	$261.00	$68.98–$95.76	15% below	65%
Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS LEFT	$90.57	$261.00	$68.98–$95.76	15% below	65%
Chest X-ray, single view inpatient CPT 71045 XR CHEST AP OR PA Single View	$90.57	$261.00	$68.98–$95.76	—	65%
Chest X-ray, single view inpatient CPT 71045 XR CHEST PORTABLE SV	$90.57	$261.00	$68.98–$95.76	—	65%
Chest X-ray, single view inpatient CPT 71045 XR CHEST Special view(s)	$90.57	$261.00	$68.98–$95.76	—	65%
Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUBITUS RIGHT	$90.57	$261.00	$68.98–$95.76	—	65%
Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUBITUS LEFT	$90.57	$261.00	$68.98–$95.76	—	65%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL BILAT	$117.29	$338.00	$84.86–$241.89	—	65%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 US RENAL BILAT	$117.29	$338.00	$84.86–$241.89	—	65%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density: Axial 1 or more sites	$117.29	$338.00	$84.86–$104.75	51% below	65%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density: Axial 1 or more sites	$117.29	$338.00	$84.86–$104.75	—	65%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density: Appendicular (Ext)	$90.57	$261.00	$68.98–$86.58	2% below	65%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density: Appendicular (Ext)	$90.57	$261.00	$68.98–$86.58	—	65%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$281.42	$811.00	$84.86–$177.18	66% below	65%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST	$281.42	$811.00	$84.86–$177.18	—	65%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$320.71	$924.25	$143.18–$373.05	68% below	65%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST	$320.71	$924.25	$143.18–$373.05	—	65%
Diagnostic mammogram, both breasts CPT 77066 MG Diagnostic Digital Breast Bila W CAD	$125.61	$362.00	$86.24–$127.21	30% below	65%
Diagnostic mammogram, both breasts inpatient CPT 77066 MG Diagnostic Digital Breast Bila W CAD	$125.61	$362.00	$86.24–$127.21	—	65%
Diagnostic mammogram, one breast one side CPT 77065 MG Diagnostic Digital Breast Lt with CAD	$118.67	$342.00	$67.64–$99.40	8% below	65%
Diagnostic mammogram, one breast one side CPT 77065 MG Diagnosti Digital Breast Rt with CAD	$118.67	$342.00	$67.64–$99.40	8% below	65%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Diagnostic Digital Breast Lt with CAD	$118.67	$342.00	$67.64–$99.40	—	65%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Diagnosti Digital Breast Rt with CAD	$118.67	$342.00	$67.64–$99.40	—	65%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US ART DOP BIL LOW	$244.64	$705.00	$185.40–$233.47	38% below	65%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US ART DOP BIL LOW	$244.64	$705.00	$185.40–$233.47	—	65%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VEN DOP BIL UP	$244.64	$705.00	$185.40–$233.47	52% below	65%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VEN REFLUX STUDY BIL LOW	$244.64	$705.00	$185.40–$233.47	52% below	65%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VEN DOP BIL LOW	$244.64	$705.00	$185.40–$233.47	52% below	65%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEN DOP BIL LOW	$244.64	$705.00	$185.40–$233.47	—	65%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEN REFLUX STUDY BIL LOW	$244.64	$705.00	$185.40–$233.47	—	65%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEN DOP BIL UP	$244.64	$705.00	$185.40–$233.47	—	65%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EC ECHO 2D W/CLR DOP	$538.89	$1,553.00	$399.46–$525.63	43% below	65%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EC ECHO 2D W/CLR DOP	$538.89	$1,553.00	$399.46–$525.63	—	65%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HIDA (GB) SCAN	$407.03	$1,173.00	$308.59–$392.97	37% below	65%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HIDA (GB) SCAN	$407.03	$1,173.00	$308.59–$392.97	—	65%
Knee X-ray, 3 views one side CPT 73562 XR KNEE LT 3V	$90.57	$261.00	$68.98–$95.76	24% below	65%
Knee X-ray, 3 views one side CPT 73562 XR KNEE RT 3V	$90.57	$261.00	$68.98–$95.76	24% below	65%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE LT 3V	$90.57	$261.00	$68.98–$95.76	—	65%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE RT 3V	$90.57	$261.00	$68.98–$95.76	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$176.45	$508.50	$84.86–$241.89	34% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abd Limited	$176.45	$508.50	$84.86–$241.89	34% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$176.45	$508.50	$84.86–$241.89	34% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US BILE DUCTS	$176.45	$508.50	$84.86–$241.89	34% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abd Pyloric Stenosis	$176.45	$508.50	$84.86–$241.89	34% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$176.45	$508.50	$84.86–$241.89	34% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$176.45	$508.50	$84.86–$241.89	34% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abd Limited	$176.45	$508.50	$84.86–$241.89	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US BILE DUCTS	$176.45	$508.50	$84.86–$241.89	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abd Pyloric Stenosis	$176.45	$508.50	$84.86–$241.89	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN	$176.45	$508.50	$84.86–$241.89	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS	$176.45	$508.50	$84.86–$241.89	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$176.45	$508.50	$84.86–$241.89	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$176.45	$508.50	$84.86–$241.89	—	65%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Lung Cancer Screenng	$115.90	$334.00	$84.86–$125.66	55% above	65%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Thorax Lung Cancer Screenng	$115.90	$334.00	$84.86–$125.66	—	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR HIP RT WO CONTRAST	$391.07	$1,127.00	$185.40–$430.83	68% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ANKLE LT	$391.07	$1,127.00	$185.40–$430.83	68% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR HIP LT WO CONTRAST	$391.07	$1,127.00	$185.40–$430.83	68% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR KNEE RT WO CONTRAST	$391.07	$1,127.00	$185.40–$430.83	68% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR KNEE LT WO CONTRAST	$391.07	$1,127.00	$185.40–$430.83	68% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ANKLE RT	$391.07	$1,127.00	$185.40–$430.83	68% below	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR HIP LT WO CONTRAST	$391.07	$1,127.00	$185.40–$430.83	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ANKLE RT	$391.07	$1,127.00	$185.40–$430.83	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ANKLE LT	$391.07	$1,127.00	$185.40–$430.83	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR KNEE RT WO CONTRAST	$391.07	$1,127.00	$185.40–$430.83	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR KNEE LT WO CONTRAST	$391.07	$1,127.00	$185.40–$430.83	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR HIP RT WO CONTRAST	$391.07	$1,127.00	$185.40–$430.83	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ANKLE RT W/WO	$764.09	$2,202.00	$292.51–$715.55	52% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR KNEE LT W WO CONTRAST	$764.09	$2,202.00	$292.51–$715.55	52% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ANKLE LT W/WO	$764.09	$2,202.00	$292.51–$715.55	52% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR HIP LT W WO CONTRAST	$764.09	$2,202.00	$292.51–$715.55	52% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR HIP RT W WO CONTRAST	$764.09	$2,202.00	$292.51–$715.55	52% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR KNEE RT W WO CONTRAST	$764.09	$2,202.00	$292.51–$715.55	52% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR HIP LT W WO CONTRAST	$764.09	$2,202.00	$292.51–$715.55	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR KNEE RT W WO CONTRAST	$764.09	$2,202.00	$292.51–$715.55	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR KNEE LT W WO CONTRAST	$764.09	$2,202.00	$292.51–$715.55	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR ANKLE RT W/WO	$764.09	$2,202.00	$292.51–$715.55	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR HIP RT W WO CONTRAST	$764.09	$2,202.00	$292.51–$715.55	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR ANKLE LT W/WO	$764.09	$2,202.00	$292.51–$715.55	—	65%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO	$506.97	$1,461.00	$185.40–$430.83	55% below	65%
MRI of the abdomen without contrast CPT 74181 MR MRCP	$506.97	$1,461.00	$185.40–$430.83	55% below	65%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO	$506.97	$1,461.00	$185.40–$430.83	—	65%
MRI of the abdomen without contrast inpatient CPT 74181 MR MRCP	$506.97	$1,461.00	$185.40–$430.83	—	65%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO/W	$881.47	$2,540.25	$292.51–$715.55	50% below	65%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO/W	$881.47	$2,540.25	$292.51–$715.55	—	65%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CONTRAST	$397.05	$1,144.25	$185.40–$430.83	60% below	65%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CONTRAST	$397.05	$1,144.25	$185.40–$430.83	—	65%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/WO CONTRAST	$839.83	$2,420.25	$292.51–$715.55	57% below	65%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/WO CONTRAST	$839.83	$2,420.25	$292.51–$715.55	—	65%
MRI of the lower back, no contrast dye CPT 72148 MR L SP WO CONTRAST	$433.32	$1,248.75	$185.40–$430.83	63% below	65%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SP WO CONTRAST	$433.32	$1,248.75	$185.40–$430.83	—	65%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SP W/WO CONTRAST	$839.74	$2,420.00	$292.51–$715.55	59% below	65%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SP W/WO CONTRAST	$839.74	$2,420.00	$292.51–$715.55	—	65%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SP WO CONTRAST	$439.39	$1,266.25	$185.40–$430.83	64% below	65%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SP WO CONTRAST	$439.39	$1,266.25	$185.40–$430.83	—	65%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SP W/WO CONTRAST	$847.72	$2,443.00	$292.51–$715.55	56% below	65%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SP W/WO CONTRAST	$847.72	$2,443.00	$292.51–$715.55	—	65%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SP WO CONTRAST	$417.44	$1,203.00	$185.40–$430.83	63% below	65%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SP WO CONTRAST	$417.44	$1,203.00	$185.40–$430.83	—	65%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO/W	$852.04	$2,455.44	$292.51–$715.55	51% below	65%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO/W	$852.04	$2,455.44	$292.51–$715.55	—	65%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CONTRAST	$397.75	$1,146.25	$185.40–$430.83	63% below	65%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CONTRAST	$397.75	$1,146.25	$185.40–$430.83	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR ELBOW LT	$433.06	$1,248.00	$185.40–$430.83	62% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR WRIST LT WO	$433.06	$1,248.00	$185.40–$430.83	62% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR WRIST RT WO	$433.06	$1,248.00	$185.40–$430.83	62% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR SHOULD RT WO CONTRAST	$433.06	$1,248.00	$185.40–$430.83	62% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR SHOULD LT WO CONTRAST	$433.06	$1,248.00	$185.40–$430.83	62% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR ELBOW RT	$433.06	$1,248.00	$185.40–$430.83	62% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR WRIST LT WO	$433.06	$1,248.00	$185.40–$430.83	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR SHOULD LT WO CONTRAST	$433.06	$1,248.00	$185.40–$430.83	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR WRIST RT WO	$433.06	$1,248.00	$185.40–$430.83	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR ELBOW RT	$433.06	$1,248.00	$185.40–$430.83	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR ELBOW LT	$433.06	$1,248.00	$185.40–$430.83	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR SHOULD RT WO CONTRAST	$433.06	$1,248.00	$185.40–$430.83	—	65%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYO RST/STR W/WM/QGC/EF	$1,389.39	$4,004.00	$1,053.78–$1,352.93	28% below	65%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYO RST/STR W/WM/QGC/EF	$1,389.39	$4,004.00	$1,053.78–$1,352.93	—	65%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER	$117.29	$338.00	$84.86–$145.02	44% below	65%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limited	$117.29	$338.00	$84.86–$145.02	44% below	65%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Limited	$117.29	$338.00	$84.86–$145.02	—	65%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER	$117.29	$338.00	$84.86–$145.02	—	65%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS	$117.29	$338.00	$84.86–$241.89	56% below	65%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS	$117.29	$338.00	$84.86–$241.89	—	65%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB AFTER 1ST TRIMESTER TRANSABDOMINAL	$141.23	$407.00	$84.86–$104.75	59% below	65%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB AFTER 1ST TRIMESTER TRANSABDOMINAL	$141.23	$407.00	$84.86–$104.75	—	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIMESTER	$141.23	$407.00	$84.86–$104.75	53% below	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIMESTER	$141.23	$407.00	$84.86–$104.75	—	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$117.29	$338.00	$84.86–$241.89	42% below	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 FETAL DOPPLER	$140.54	$405.00	$84.86–$241.89	30% below	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED	$117.29	$338.00	$84.86–$241.89	—	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 FETAL DOPPLER	$140.54	$405.00	$84.86–$241.89	—	65%
Screening mammogram, both breasts both sides CPT 77067 MG Screening Mammo Bilateral with CAD	$104.10	$300.00	$71.51–$105.04	—	65%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Screening Mammo Bilateral with CAD	$104.10	$300.00	$71.51–$105.04	—	65%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER RT	$90.57	$261.00	$68.98–$95.76	28% below	65%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER LT	$90.57	$261.00	$68.98–$95.76	28% below	65%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER RT	$90.57	$261.00	$68.98–$95.76	—	65%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER LT	$90.57	$261.00	$68.98–$95.76	—	65%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR MOD BA SWALLOW W/O RAD. INTERP.	$190.16	$548.00	$143.18–$175.06	18% below	65%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR MOD BA SWALLOW W/O RAD. INTERP.	$190.16	$548.00	$143.18–$175.06	—	65%
Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL	$117.29	$338.00	$84.86–$104.75	61% below	65%
Transvaginal pelvic ultrasound inpatient CPT 76830 US ENDOVAGINAL	$117.29	$338.00	$84.86–$104.75	—	65%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$117.29	$338.00	$84.86–$241.89	60% below	65%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$117.29	$338.00	$84.86–$241.89	—	65%
Ultrasound of the abdomen, complete CPT 76700 US ABD UPPER	$176.45	$508.50	$84.86–$241.89	51% below	65%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD UPPER	$176.45	$508.50	$84.86–$241.89	—	65%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR	$117.29	$338.00	$84.86–$241.89	56% below	65%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR	$117.29	$338.00	$84.86–$241.89	—	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$141.23	$407.00	$84.86–$241.89	47% below	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US ST NECK/HEAD	$141.23	$407.00	$84.86–$241.89	47% below	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$141.23	$407.00	$84.86–$241.89	—	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US ST NECK/HEAD	$141.23	$407.00	$84.86–$241.89	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DOP RT UP	$117.29	$338.00	$84.86–$104.75	60% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DOP RT LOW	$117.29	$338.00	$84.86–$104.75	60% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN REFLUX STUDY RIGHT LOWER	$117.29	$338.00	$84.86–$104.75	60% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DOP LT UP	$117.29	$338.00	$84.86–$104.75	60% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN REFLUX STUDY LEFT LOWER	$117.29	$338.00	$84.86–$104.75	60% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DOP LT LOW	$117.29	$338.00	$84.86–$104.75	60% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN DOP RT LOW	$117.29	$338.00	$84.86–$104.75	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN REFLUX STUDY RIGHT LOWER	$117.29	$338.00	$84.86–$104.75	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN REFLUX STUDY LEFT LOWER	$117.29	$338.00	$84.86–$104.75	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN DOP RT UP	$117.29	$338.00	$84.86–$104.75	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN DOP LT UP	$117.29	$338.00	$84.86–$104.75	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN DOP LT LOW	$117.29	$338.00	$84.86–$104.75	—	65%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RT	$90.57	$261.00	$68.98–$95.76	25% below	65%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LT	$90.57	$261.00	$68.98–$95.76	25% below	65%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST LT	$90.57	$261.00	$68.98–$95.76	—	65%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST RT	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP COMP RT	$90.57	$261.00	$68.98–$95.76	27% below	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP COMP LT	$90.57	$261.00	$68.98–$95.76	27% below	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP COMP RT	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP COMP LT	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the abdomen, 1 view CPT 74018 FETOGRAM 1VIEW	$90.57	$261.00	$68.98–$95.76	23% below	65%
X-ray of the abdomen, 1 view CPT 74018 XR ABD KUB 1V	$90.57	$261.00	$68.98–$95.76	23% below	65%
X-ray of the abdomen, 1 view inpatient CPT 74018 FETOGRAM 1VIEW	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD KUB 1V	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE LTD LT	$90.57	$261.00	$68.98–$95.76	3% below	65%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE LTD RT	$90.57	$261.00	$68.98–$95.76	3% below	65%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE LTD LT	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE LTD RT	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT 4TH	$86.06	$248.00	$68.98–$95.76	18% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT 2ND	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT 1ST(THUMB)	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT 3RD	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT 4TH	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT 5TH	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT 1ST	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT 2ND	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT 3RD	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT 5TH	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT 4TH	$86.06	$248.00	$68.98–$95.76	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT 1ST	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT 2ND	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT 1ST(THUMB)	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT 2ND	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT 3RD	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT 4TH	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT 5TH	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT 3RD	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT 5TH	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT LTD LT	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT LTD RT	$90.57	$261.00	$68.98–$95.76	14% below	65%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT LTD RT	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT LTD LT	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT RT	$90.57	$261.00	$68.98–$95.76	23% below	65%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LT	$90.57	$261.00	$68.98–$95.76	23% below	65%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT RT	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT LT	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND LT	$117.29	$338.00	$68.98–$95.76	4% below	65%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND RT	$117.29	$338.00	$68.98–$95.76	4% below	65%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND LT	$117.29	$338.00	$68.98–$95.76	—	65%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND RT	$117.29	$338.00	$68.98–$95.76	—	65%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE LT 1 OR 2 V(s)	$90.57	$261.00	$68.98–$95.76	25% below	65%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE RT 1 or 2 V(s)	$90.57	$261.00	$68.98–$95.76	25% below	65%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE RT 1 or 2 V(s)	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE LT 1 OR 2 V(s)	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L SP 3 VIEWS	$117.63	$339.00	$84.86–$158.59	11% below	65%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L SP 3 VIEWS	$117.63	$339.00	$84.86–$158.59	—	65%
X-ray of the lower back, 4 or more views CPT 72110 XR L SP W OBLIQUES	$117.29	$338.00	$84.86–$158.59	36% below	65%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L SP W OBLIQUES	$117.29	$338.00	$84.86–$158.59	—	65%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T SP (DORSAL)	$117.29	$338.00	$84.86–$158.59	6% below	65%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T SP (DORSAL)	$117.29	$338.00	$84.86–$158.59	—	65%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES	$90.57	$261.00	$68.98–$95.76	32% below	65%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES	$90.57	$261.00	$68.98–$95.76	—	65%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C SPINE	$90.57	$261.00	$68.98–$158.59	31% below	65%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C SPINE	$90.57	$261.00	$68.98–$158.59	—	65%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS AP or AP/FROG LAT	$123.88	$357.00	$84.86–$158.59	at median	65%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS AP or AP/FROG LAT	$123.88	$357.00	$84.86–$158.59	—	65%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX	$90.57	$261.00	$68.98–$95.76	26% below	65%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX	$90.57	$261.00	$68.98–$95.76	—	65%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/V	$10.06	$29.00	$4.77–$8.34	73% below	65%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 .ALT/SGPT	$15.62	$45.00	$4.77–$8.34	59% below	65%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/V	$10.06	$29.00	$4.77–$8.34	—	65%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 .ALT/SGPT	$15.62	$45.00	$4.77–$8.34	—	65%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$15.62	$45.00	$4.66–$8.15	57% below	65%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$15.62	$45.00	$4.66–$8.15	—	65%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$102.37	$295.00	$42.87–$64.77	34% below	65%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$102.37	$295.00	$42.87–$64.77	—	65%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL	$13.19	$38.00	$4.70–$8.21	16% below	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL	$13.19	$38.00	$4.70–$8.21	—	65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti CCP	$32.27	$93.00	$11.66–$20.36	30% below	65%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Anti CCP	$32.27	$93.00	$11.66–$20.36	—	65%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$24.64	$71.00	$10.88–$15.10	66% below	65%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$24.64	$71.00	$10.88–$15.10	—	65%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$84.67	$244.00	$35.33–$53.40	39% below	65%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$84.67	$244.00	$35.33–$53.40	—	65%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$21.51	$62.00	$7.61–$13.30	71% below	65%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$21.51	$62.00	$7.61–$13.30	—	65%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG. PATH IV	$78.77	$227.00	$39.81–$51.63	20% above	65%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG. PATH IV	$78.77	$227.00	$39.81–$51.63	—	65%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$25.68	$74.00	$9.29–$16.25	71% below	65%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$25.68	$74.00	$9.29–$16.25	—	65%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 .VENIPUNCTURE LAB USE ONLY	$14.92	$43.00	$4.20–$7.71	57% above	65%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 .VENIPUNCTURE LAB USE ONLY	$14.92	$43.00	$4.20–$7.71	—	65%
Blood glucose (sugar) test CPT 82947 GLUCOSE PPBS	$9.72	$28.00	$3.54–$6.18	70% below	65%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$10.06	$29.00	$3.54–$6.18	69% below	65%
Blood glucose (sugar) test CPT 82947 CSF GLUCOSE	$12.84	$37.00	$3.54–$6.18	60% below	65%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE PPBS	$9.72	$28.00	$3.54–$6.18	—	65%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$10.06	$29.00	$3.54–$6.18	—	65%
Blood glucose (sugar) test inpatient CPT 82947 CSF GLUCOSE	$12.84	$37.00	$3.54–$6.18	—	65%
Blood lead test CPT 83655 LEAD	$30.19	$87.00	$10.90–$19.05	40% below	65%
Blood lead test inpatient CPT 83655 LEAD	$30.19	$87.00	$10.90–$19.05	—	65%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM PREGNANCY TEST	$18.74	$54.00	$6.77–$11.82	61% below	65%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM PREGNANCY TEST	$18.74	$54.00	$6.77–$11.82	—	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO GROUP	$17.35	$50.00	$62.98–$121.71	63% below	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO GROUP	$17.35	$50.00	$62.98–$121.71	—	65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$15.27	$44.00	$4.66–$7.31	54% below	65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$15.27	$44.00	$4.66–$7.31	—	65%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE REFLEX	$83.28	$240.00	$33.54–$55.21	11% above	65%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE REFLEX	$83.28	$240.00	$33.54–$55.21	—	65%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 CANCER AG	$39.21	$113.00	$18.73–$24.73	54% below	65%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 CANCER AG	$39.21	$113.00	$18.73–$24.73	—	65%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125	$43.72	$126.00	$18.73–$24.73	60% below	65%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125	$43.72	$126.00	$18.73–$24.73	—	65%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 PCR HUBCARE	$173.50	$500.00	$46.18–$53.88	178% above	65%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 PCR HUBCARE	$173.50	$500.00	$46.18–$53.88	—	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA PROBE	$87.44	$252.00	$31.58–$55.21	13% above	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA PROBE	$87.44	$252.00	$31.58–$55.21	—	65%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$43.72	$126.00	$12.05–$21.06	41% below	65%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$43.72	$126.00	$12.05–$21.06	—	65%
Complete blood count (CBC) with differential CPT 85025 CBC / AUTOMATED DIFF	$19.43	$56.00	$6.99–$12.23	53% below	65%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC / AUTOMATED DIFF	$19.43	$56.00	$6.99–$12.23	—	65%
Complete blood count (CBC), no differential CPT 85027 CBC W/ MANUAL DIFF	$18.74	$54.00	$5.82–$10.17	47% below	65%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/ MANUAL DIFF	$18.74	$54.00	$5.82–$10.17	—	65%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$32.44	$93.50	$9.50–$16.62	69% below	65%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$32.44	$93.50	$9.50–$16.62	—	65%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE	$17.70	$51.00	$9.16–$9.44	77% below	65%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE	$17.70	$51.00	$9.16–$9.44	—	65%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS	$55.52	$160.00	$20.01–$34.99	43% below	65%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS	$55.52	$160.00	$20.01–$34.99	—	65%
Estradiol blood test CPT 82670 ESTRADIOL	$70.79	$204.00	$25.15–$43.96	30% below	65%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$70.79	$204.00	$25.15–$43.96	—	65%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$46.50	$134.00	$16.72–$29.23	55% below	65%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$46.50	$134.00	$16.72–$29.23	—	65%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL	$46.50	$134.00	$17.67–$30.88	71% below	65%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL	$46.50	$134.00	$17.67–$30.88	—	65%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$34.01	$98.00	$12.27–$21.45	56% below	65%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$34.01	$98.00	$12.27–$21.45	—	65%
Folate (folic acid) blood test CPT 82746 FOLATE	$31.23	$90.00	$13.23–$19.67	56% below	65%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$31.23	$90.00	$13.23–$19.67	—	65%
Free T3 thyroid hormone test CPT 84481 T3, Free	$42.33	$122.00	$15.25–$26.65	54% below	65%
Free T3 thyroid hormone test inpatient CPT 84481 T3, Free	$42.33	$122.00	$15.25–$26.65	—	65%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4,FREE	$22.56	$65.00	$8.12–$14.19	55% below	65%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4,FREE	$22.56	$65.00	$8.12–$14.19	—	65%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$63.50	$183.00	$22.92–$40.07	23% below	65%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$63.50	$183.00	$22.92–$40.07	—	65%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 .GENERAL HEALTH PANEL	$92.65	$267.00	$65.10	54% below	65%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 .GENERAL HEALTH PANEL	$92.65	$267.00	$65.10	—	65%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE	$35.39	$102.00	$11.58–$20.24	52% below	65%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE - 3HR	$46.50	$134.00	$11.58–$20.24	37% below	65%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE - 2HR	$52.74	$152.00	$11.58–$20.24	28% below	65%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE	$35.39	$102.00	$11.58–$20.24	—	65%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE - 3HR	$46.50	$134.00	$11.58–$20.24	—	65%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE - 2HR	$52.74	$152.00	$11.58–$20.24	—	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA DNA PROBE	$87.44	$252.00	$31.58–$55.21	58% above	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA DNA PROBE	$87.44	$252.00	$31.58–$55.21	—	65%
H. pylori antibody blood test CPT 86677 H. PYLORI ANTIBODY	$52.74	$152.00	$15.17–$22.84	7% below	65%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI ANTIBODY	$52.74	$152.00	$15.17–$22.84	—	65%
H. pylori stool antigen test CPT 87338 STOOL, H.PYLORI	$35.74	$103.00	$12.94–$22.63	68% below	65%
H. pylori stool antigen test inpatient CPT 87338 STOOL, H.PYLORI	$35.74	$103.00	$12.94–$22.63	—	65%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA, QUANT PCR	$199.87	$576.00	$76.59–$126.46	5% below	65%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA, QUANT PCR	$199.87	$576.00	$76.59–$126.46	—	65%
HIV-1 and HIV-2 antibody test CPT 86703 .DO NOT USEHIV ANTIBODY I & II	$59.34	$171.00	$12.34–$21.57	17% below	65%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 .DO NOT USEHIV ANTIBODY I & II	$59.34	$171.00	$12.34–$21.57	—	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV COMBO Ag/Ab REF LAB	$46.50	$134.00	$21.67–$37.88	7% below	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV COMBO Ag/Ab REF LAB	$46.50	$134.00	$21.67–$37.88	—	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C	$24.29	$70.00	$8.74–$15.27	55% below	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C	$24.29	$70.00	$8.74–$15.27	—	65%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF Ab Quant	$26.72	$77.00	$9.67–$16.89	53% below	65%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF Ab Quant	$26.72	$77.00	$9.67–$16.89	—	65%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF Ag	$23.25	$67.00	$9.30–$14.60	54% below	65%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF Ag	$23.25	$67.00	$9.30–$14.60	—	65%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C Ab	$29.15	$84.00	$12.84–$18.35	58% below	65%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C Antibody	$29.15	$84.00	$12.84–$18.35	58% below	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C Antibody	$29.15	$84.00	$12.84–$18.35	—	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C Ab	$29.15	$84.00	$12.84–$18.35	—	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 .LUNG MATURITY L/S RATIO	$54.13	$156.00	$38.56–$55.22	69% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QUANT	$86.40	$249.00	$38.56–$55.22	50% below	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .LUNG MATURITY L/S RATIO	$54.13	$156.00	$38.56–$55.22	—	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA QUANT	$86.40	$249.00	$38.56–$55.22	—	65%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 IGG	$32.97	$95.00	$11.87–$20.76	14% below	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 IGG	$32.97	$95.00	$11.87–$20.76	—	65%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGG	$48.23	$139.00	$17.42–$30.46	4% above	65%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGG	$48.23	$139.00	$17.42–$30.46	—	65%
High-sensitivity CRP (hs-CRP) test CPT 86141 HS CRP	$32.27	$93.00	$11.66–$20.36	19% below	65%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HS CRP	$32.27	$93.00	$11.66–$20.36	—	65%
Homocysteine blood test CPT 83090 HOMOCYSTENE	$48.58	$140.00	$16.13–$26.54	40% below	65%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTENE	$48.58	$140.00	$16.13–$26.54	—	65%
Insulin blood test CPT 83525 INSULIN	$28.45	$82.00	$10.29–$17.99	48% below	65%
Insulin blood test inpatient CPT 83525 INSULIN	$28.45	$82.00	$10.29–$17.99	—	65%
Iron blood test (serum iron) CPT 83540 IRON	$16.31	$47.00	$5.82–$10.19	57% below	65%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$16.31	$47.00	$5.82–$10.19	—	65%
Iron-binding capacity (TIBC) test CPT 83550 IRON BIND CAPACITY	$21.86	$63.00	$7.87–$13.76	50% below	65%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BIND CAPACITY	$21.86	$63.00	$7.87–$13.76	—	65%
Kidney function blood test panel CPT 80069 RENAL PROFILE	$21.86	$63.00	$7.81–$13.66	72% below	65%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE	$21.86	$63.00	$7.81–$13.66	—	65%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE	$46.15	$133.00	$16.67–$29.13	51% below	65%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE	$46.15	$133.00	$16.67–$29.13	—	65%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$17.35	$50.00	$6.20–$10.84	57% below	65%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$17.35	$50.00	$6.20–$10.84	—	65%
Liver function blood test panel CPT 80076 LIVER PROFILE	$35.31	$101.75	$7.35–$12.85	57% below	65%
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$35.31	$101.75	$7.35–$12.85	—	65%
Lyme disease antibody test CPT 86618 LYME DISEASE	$51.01	$147.00	$15.33–$24.73	36% below	65%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE	$51.01	$147.00	$15.33–$24.73	—	65%
Magnesium blood test CPT 83735 MAGNESIUM	$18.74	$54.00	$6.03–$10.53	45% below	65%
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$18.74	$54.00	$6.03–$10.53	45% below	65%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$18.74	$54.00	$6.03–$10.53	—	65%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC	$18.74	$54.00	$6.03–$10.53	—	65%
Measles (rubeola) antibody test CPT 86765 RUBEOLA MEASELS AB IgM OR IgG	$24.98	$72.00	$11.59–$20.28	40% below	65%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA MEASELS AB IgM OR IgG	$24.98	$72.00	$11.59–$20.28	—	65%
Obstetric blood test panel CPT 80055 OBSTETRIC SCREENING PANEL	$82.93	$239.00	$43.03–$75.21	47% below	65%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC SCREENING PANEL	$82.93	$239.00	$43.03–$75.21	—	65%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA SCN, FREE	$39.21	$113.00	$16.55–$24.73	38% below	65%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA SCN, FREE	$39.21	$113.00	$16.55–$24.73	—	65%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC TOTAL	$39.21	$113.00	$16.55–$24.73	54% below	65%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC TOTAL	$39.21	$113.00	$16.55–$24.73	—	65%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$62.81	$181.00	$23.95–$41.69	108% above	65%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$62.81	$181.00	$23.95–$41.69	—	65%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID INTACT	$102.71	$296.00	$37.15–$64.94	36% below	65%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID C-TERMINAL	$102.71	$296.00	$37.15–$64.94	36% below	65%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID MID-MOLECULE	$102.71	$296.00	$37.15–$64.94	36% below	65%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID C-TERMINAL	$102.71	$296.00	$37.15–$64.94	—	65%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID INTACT	$102.71	$296.00	$37.15–$64.94	—	65%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID MID-MOLECULE	$102.71	$296.00	$37.15–$64.94	—	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA	$14.92	$43.00	$5.41–$9.45	62% below	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$15.62	$45.00	$5.41–$9.45	60% below	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT LA	$14.92	$43.00	$5.41–$9.45	—	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$15.62	$45.00	$5.41–$9.45	—	65%
Progesterone blood test CPT 84144 PROGESTERONE	$52.05	$150.00	$18.77–$32.82	43% below	65%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$52.05	$150.00	$18.77–$32.82	—	65%
Prolactin blood test CPT 84146 PROLACTIN	$48.23	$139.00	$17.44–$30.49	56% below	65%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$48.23	$139.00	$17.44–$30.49	—	65%
Prothrombin time (PT/INR) clotting test CPT 85610 PT / INR	$12.15	$35.00	$3.86–$6.20	66% below	65%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT / INR	$12.15	$35.00	$3.86–$6.20	—	65%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN 7-PANEL & ALC	$36.44	$105.00	$11.34–$17.28	at median	65%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN 5-PANEL	$36.44	$105.00	$11.34–$17.28	at median	65%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN 5-PANEL	$36.44	$105.00	$11.34–$17.28	—	65%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN 7-PANEL & ALC	$36.44	$105.00	$11.34–$17.28	—	65%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR	$17.70	$51.00	$5.10–$8.93	55% below	65%
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR	$17.70	$51.00	$5.10–$8.93	—	65%
Rubella antibody test (immunity check) CPT 86762 MEASLES ANTIBODY	$36.09	$104.00	$12.95–$22.65	28% below	65%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$36.09	$104.00	$12.95–$22.65	28% below	65%
Rubella antibody test (immunity check) inpatient CPT 86762 MEASLES ANTIBODY	$36.09	$104.00	$12.95–$22.65	—	65%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$36.09	$104.00	$12.95–$22.65	—	65%
Stool ova and parasites exam CPT 87177 OCP	$22.56	$65.00	$8.01–$14.00	56% below	65%
Stool ova and parasites exam inpatient CPT 87177 OCP	$22.56	$65.00	$8.01–$14.00	—	65%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ..OCCULT BLOOD do not use	$27.76	$80.00	$14.18–$14.33	73% above	65%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ..OCCULT BLOOD do not use	$27.76	$80.00	$14.18–$14.33	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$14.31	$41.25	$3.84–$6.72	44% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, PREMARITAL	$15.27	$44.00	$3.84–$6.72	41% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$14.31	$41.25	$3.84–$6.72	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, PREMARITAL	$15.27	$44.00	$3.84–$6.72	—	65%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$151.64	$437.00	$55.78–$97.51	13% above	65%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$151.64	$437.00	$55.78–$97.51	—	65%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$64.20	$185.00	$23.23–$40.62	46% below	65%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$64.20	$185.00	$23.23–$40.62	—	65%
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM-1 IGG	$27.41	$79.00	$13.10–$17.35	22% below	65%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID AUTOANTIBODY	$27.41	$79.00	$13.10–$17.35	22% below	65%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE Ab	$27.41	$79.00	$13.10–$17.35	22% below	65%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM-1 IGG	$27.41	$79.00	$13.10–$17.35	—	65%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID AUTOANTIBODY	$27.41	$79.00	$13.10–$17.35	—	65%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE Ab	$27.41	$79.00	$13.10–$17.35	—	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 .NEWBORN HYPOTHYROIDISM	$40.60	$117.00	$15.12–$25.59	43% below	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$40.60	$117.00	$15.12–$25.59	43% below	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$40.60	$117.00	$15.12–$25.59	—	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 .NEWBORN HYPOTHYROIDISM	$40.60	$117.00	$15.12–$25.59	—	65%
Uric acid blood test CPT 84550 URIC ACID	$11.45	$33.00	$4.07–$7.12	67% below	65%
Uric acid blood test inpatient CPT 84550 URIC ACID	$11.45	$33.00	$4.07–$7.12	—	65%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUTINE	$9.28	$26.75	$2.85–$4.99	72% below	65%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS ROUTINE	$9.28	$26.75	$2.85–$4.99	—	65%
Urine culture for bacteria, with colony count CPT 87086 Urine Quantitative Colony Ct	$20.47	$59.00	$7.26–$12.71	56% below	65%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Quantitative Colony Ct	$20.47	$59.00	$7.26–$12.71	—	65%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$37.48	$108.00	$13.57–$23.72	55% below	65%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$37.48	$108.00	$13.57–$23.72	—	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25-HYDROXY	$73.56	$212.00	$26.64–$46.58	21% below	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25-HYDROXY	$73.56	$212.00	$26.64–$46.58	—	65%
Zinc blood test CPT 84630 ZINC	$28.45	$82.00	$10.25–$17.91	58% below	65%
Zinc blood test inpatient CPT 84630 ZINC	$28.45	$82.00	$10.25–$17.91	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT	$31.23	$90.00	$13.55–$13.74	62% below	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT	$31.23	$90.00	$13.55–$13.74	—	65%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Cataract surgery with lens implant CPT 66984 OR66984	$2,915.35	$8,401.59	$1,329.20–$2,220.35	14% below	65%
Cataract surgery with lens implant inpatient CPT 66984 OR66984	$2,915.35	$8,401.59	$1,329.20–$2,220.35	—	65%
Colonoscopy with polyp removal CPT 45385 OR45385	$2,857.86	$8,235.90	$665.99–$1,124.36	71% above	65%
Colonoscopy with polyp removal inpatient CPT 45385 OR45385	$2,857.86	$8,235.90	$665.99–$1,124.36	—	65%
Colonoscopy with tissue sample CPT 45380 OR45380	$2,352.51	$6,779.56	$665.99–$1,124.36	67% above	65%
Colonoscopy with tissue sample inpatient CPT 45380 OR45380	$2,352.51	$6,779.56	$665.99–$1,124.36	—	65%
Colonoscopy, diagnostic CPT 45378 OR45378	$1,585.75	$4,569.88	$506.60–$870.81	34% above	65%
Colonoscopy, diagnostic inpatient CPT 45378 OR45378	$1,585.75	$4,569.88	$506.60–$870.81	—	65%
Complex cataract surgery with lens implant CPT 66982 OR66982	$2,964.93	$8,544.47	$1,329.20–$2,220.35	16% below	65%
Complex cataract surgery with lens implant inpatient CPT 66982 OR66982	$2,964.93	$8,544.47	$1,329.20–$2,220.35	—	65%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 OR52000	$688.40	$1,983.85	$496.48–$650.86	20% above	65%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 OR52000	$688.40	$1,983.85	$496.48–$650.86	—	65%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 CAUTERY BENIGN LESION	$38.86	$112.00	$143.37–$241.06	68% below	65%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 CAUTERY BENIGN LESION	$38.86	$112.00	$143.37–$241.06	—	65%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN EAR	$60.03	$173.00	$45.64–$85.89	6% below	65%
Earwax removal with instruments, one ear one side CPT 69210 EDP REMOVAL IMPACTED CERUMEN UNILATERAL	$32.62	$94.00	$45.64–$85.89	49% below	65%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN EAR	$60.03	$173.00	$45.64–$85.89	—	65%
Earwax removal with instruments, one ear inpatient one side CPT 69210 EDP REMOVAL IMPACTED CERUMEN UNILATERAL	$32.62	$94.00	$45.64–$85.89	—	65%
Eye injection into the vitreous (intravitreal injection) CPT 67028 OR 5694 LEVEL 4 DRUG ADMINISTRATION	$323.75	$933.00	$264.08–$322.68	62% above	65%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 OR 5694 LEVEL 4 DRUG ADMINISTRATION	$323.75	$933.00	$264.08–$322.68	—	65%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 OR64493	$920.32	$2,652.22	$538.55–$868.45	42% above	65%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 OR64493	$920.32	$2,652.22	$538.55–$868.45	—	65%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 OR45330	$1,246.84	$3,593.19	$659.80–$870.81	58% above	65%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 OR45330	$1,246.84	$3,593.19	$659.80–$870.81	—	65%
Hammertoe correction surgery CPT 28285 OR28285	$4,505.90	$12,985.29	$2,363.31–$3,084.03	26% below	65%
Hammertoe correction surgery inpatient CPT 28285 OR28285	$4,505.90	$12,985.29	$2,363.31–$3,084.03	—	65%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheterization for Hystersalpingography	$56.91	$164.00	—	83% below	65%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheterization for Hystersalpingography	$56.91	$164.00	—	—	65%
IUD insertion (the device itself billed separately) CPT 58300 OR INSERTION OF IUD	$46.50	$134.00	$43.07–$61.40	84% below	65%
IUD insertion (the device itself billed separately) inpatient CPT 58300 OR INSERTION OF IUD	$46.50	$134.00	$43.07–$61.40	—	65%
Incision and drainage of a simple or single skin abscess CPT 10060 EDP I & D ABSCESS SIMPLE OR SINGLE	$95.43	$275.00	$143.37–$190.75	28% below	65%
Incision and drainage of a simple or single skin abscess CPT 10060 ER I&D ABSCESS SIMPLE SINGLE	$188.07	$542.00	$143.37–$190.75	42% above	65%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 EDP I & D ABSCESS SIMPLE OR SINGLE	$95.43	$275.00	$143.37–$190.75	—	65%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ER I&D ABSCESS SIMPLE SINGLE	$188.07	$542.00	$143.37–$190.75	—	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 EDP ARTHROCENTESIS/ASPIRATION MAJOR JT	$44.76	$129.00	$215.87–$282.20	72% below	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION AND/OR ASPIRATION MAJOR JOINT	$283.15	$816.00	$215.87–$282.20	79% above	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT	$283.15	$816.00	$215.87–$282.20	79% above	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OR20610	$552.35	$1,591.80	$215.87–$282.20	250% above	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 EDP ARTHROCENTESIS/ASPIRATION MAJOR JT	$44.76	$129.00	$215.87–$282.20	—	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION AND/OR ASPIRATION MAJOR JOINT	$283.15	$816.00	$215.87–$282.20	—	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT	$283.15	$816.00	$215.87–$282.20	—	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 OR20610	$552.35	$1,591.80	$215.87–$282.20	—	65%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMEDIATE JOINT	$283.15	$816.00	$215.87–$282.20	119% above	65%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTERMEDIATE JOINT	$283.15	$816.00	$215.87–$282.20	—	65%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 EDP ARTHROCENTESIS/ASPIRATION SMALL JT	$35.39	$102.00	$215.87–$282.20	71% below	65%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 EDP ARTHROCENTESIS/ASPIRATION SMALL JT	$35.39	$102.00	$215.87–$282.20	—	65%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 EDP INT REP SCLP/AXLLA/TRNK/EXTRM <=2.5	$147.82	$426.00	$296.19–$379.92	35% below	65%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMED REPAIR 1-2.5 CM SCAL.NECK.TRUNK	$388.64	$1,120.00	$296.19–$379.92	70% above	65%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 EDP INT REP SCLP/AXLLA/TRNK/EXTRM <=2.5	$147.82	$426.00	$296.19–$379.92	—	65%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTERMED REPAIR 1-2.5 CM SCAL.NECK.TRUNK	$388.64	$1,120.00	$296.19–$379.92	—	65%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 OR64483	$1,377.24	$3,968.99	$538.55–$868.45	156% above	65%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 OR64483	$1,377.24	$3,968.99	$538.55–$868.45	—	65%
Nail removal (partial or complete), one nail CPT 11730 EDP AVULATION NAIL PLATE SIMPLE SINGLE	$55.52	$160.00	$143.37–$241.06	58% below	65%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL/COMP Single	$188.07	$542.00	$143.37–$241.06	43% above	65%
Nail removal (partial or complete), one nail inpatient CPT 11730 EDP AVULATION NAIL PLATE SIMPLE SINGLE	$55.52	$160.00	$143.37–$241.06	—	65%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PARTIAL/COMP Single	$188.07	$542.00	$143.37–$241.06	—	65%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS	$860.56	$2,480.00	$655.41–$863.69	90% above	65%
Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS	$860.56	$2,480.00	$655.41–$863.69	—	65%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REPAIR OF NAILBED	$132.21	$381.00	$296.19–$379.92	55% below	65%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF FINGERNAIL PARTIAL OR COMPLET	$132.21	$381.00	$296.19–$379.92	55% below	65%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL	$132.21	$381.00	$296.19–$379.92	55% below	65%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REPAIR OF NAILBED	$132.21	$381.00	$296.19–$379.92	—	65%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL	$132.21	$381.00	$296.19–$379.92	—	65%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF FINGERNAIL PARTIAL OR COMPLET	$132.21	$381.00	$296.19–$379.92	—	65%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL & DEBRIDEMENT	$98.55	$284.00	$296.19–$379.92	47% below	65%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL & DEBRIDEMENT	$98.55	$284.00	$296.19–$379.92	—	65%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 ORG0121	$1,132.86	$3,264.73	$506.60–$659.80	3% above	65%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 ORG0121	$1,132.86	$3,264.73	$506.60–$659.80	—	65%
Short arm cast (elbow to hand) CPT 29075 ERP CAST SHORT ARM	$46.85	$135.00	$190.48–$255.88	66% below	65%
Short arm cast (elbow to hand) CPT 29075 CAST SHORT ARM	$249.84	$720.00	$190.48–$255.88	80% above	65%
Short arm cast (elbow to hand) inpatient CPT 29075 ERP CAST SHORT ARM	$46.85	$135.00	$190.48–$255.88	—	65%
Short arm cast (elbow to hand) inpatient CPT 29075 CAST SHORT ARM	$249.84	$720.00	$190.48–$255.88	—	65%
Short arm splint (forearm and hand) CPT 29125 ERP SPLINT SHORT ARM STATIC	$36.78	$106.00	$92.19–$157.47	55% below	65%
Short arm splint (forearm and hand) CPT 29125 EDP SPLINT SHORT ARM STATIC	$38.17	$110.00	$92.19–$157.47	53% below	65%
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM STATIC	$121.10	$349.00	$92.19–$157.47	48% above	65%
Short arm splint (forearm and hand) inpatient CPT 29125 ERP SPLINT SHORT ARM STATIC	$36.78	$106.00	$92.19–$157.47	—	65%
Short arm splint (forearm and hand) inpatient CPT 29125 EDP SPLINT SHORT ARM STATIC	$38.17	$110.00	$92.19–$157.47	—	65%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM STATIC	$121.10	$349.00	$92.19–$157.47	—	65%
Short leg cast (below the knee) CPT 29405 ERP CAST SHORT LEG	$49.97	$144.00	$190.48–$255.88	61% below	65%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST	$49.97	$144.00	$190.48–$255.88	61% below	65%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST	$49.97	$144.00	$190.48–$255.88	—	65%
Short leg cast (below the knee) inpatient CPT 29405 ERP CAST SHORT LEG	$49.97	$144.00	$190.48–$255.88	—	65%
Short leg splint (calf to foot) CPT 29515 EDP SPLINT SHORT LEG STATIC	$48.23	$139.00	$115.73–$150.13	53% below	65%
Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG	$151.99	$438.00	$115.73–$150.13	49% above	65%
Short leg splint (calf to foot) inpatient CPT 29515 EDP SPLINT SHORT LEG STATIC	$48.23	$139.00	$115.73–$150.13	—	65%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT SHORT LEG	$151.99	$438.00	$115.73–$150.13	—	65%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 EDP SIMPL REP =<2.5 SCLP/NCK/TRNK/EXT	$43.72	$126.00	$143.37–$241.06	73% below	65%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR 1-2.5 SCALP/NECK/TRUNK,EXT	$188.07	$542.00	$143.37–$241.06	16% above	65%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 EDP SIMPL REP =<2.5 SCLP/NCK/TRNK/EXT	$43.72	$126.00	$143.37–$241.06	—	65%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR 1-2.5 SCALP/NECK/TRUNK,EXT	$188.07	$542.00	$143.37–$241.06	—	65%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS MULT FIBROCUTANEOUS	$71.48	$206.00	$143.37–$241.06	21% below	65%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS MULT FIBROCUTANEOUS	$71.48	$206.00	$143.37–$241.06	—	65%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 EDP SIMPL REP 2.6-7.5 SCLP/NCK/TRNK/EXT	$57.26	$165.00	$143.37–$241.06	65% below	65%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR 2.6-7.5 CM SCALP/NECK/TRUN	$188.07	$542.00	$143.37–$241.06	16% above	65%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 EDP SIMPL REP 2.6-7.5 SCLP/NCK/TRNK/EXT	$57.26	$165.00	$143.37–$241.06	—	65%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR 2.6-7.5 CM SCALP/NECK/TRUN	$188.07	$542.00	$143.37–$241.06	—	65%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EDP SIMPL REPAIR =< 2.5 FACE, EAR, ETC	$54.13	$156.00	$143.37–$241.06	67% below	65%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER SMPL REPAIR 1-2.5CM FACE EAR EYELID N	$188.07	$542.00	$143.37–$241.06	16% above	65%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 EDP SIMPL REPAIR =< 2.5 FACE, EAR, ETC	$54.13	$156.00	$143.37–$241.06	—	65%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ER SMPL REPAIR 1-2.5CM FACE EAR EYELID N	$188.07	$542.00	$143.37–$241.06	—	65%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS	$645.42	$1,860.00	$459.30–$598.55	at median	65%
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS	$645.42	$1,860.00	$459.30–$598.55	—	65%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Breast Needle Core Biopsy	$1,561.15	$4,499.00	$185.18–$1,544.75	5% below	65%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US Breast Needle Core Biopsy	$1,561.15	$4,499.00	$185.18–$1,544.75	—	65%
Upper endoscopy (EGD) with biopsy CPT 43239 OR43239	$2,353.86	$6,783.46	$521.22–$863.69	97% above	65%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 OR43239	$2,353.86	$6,783.46	$521.22–$863.69	—	65%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 OR43248	$2,216.93	$6,388.84	$521.22–$863.69	89% above	65%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 OR43248	$2,216.93	$6,388.84	$521.22–$863.69	—	65%
Upper endoscopy (EGD), diagnostic CPT 43235 OR43235	$1,722.27	$4,963.31	$521.22–$863.69	77% above	65%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 OR43235	$1,722.27	$4,963.31	$521.22–$863.69	—	65%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC DEBRIDE SKIN, AND SUBQ TIS 1ST 20SCM	$446.24	$1,286.00	$296.19–$379.92	114% above	65%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WC DEBRIDE SKIN, AND SUBQ TIS 1ST 20SCM	$446.24	$1,286.00	$296.19–$379.92	—	65%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Blood transfusion (giving blood or blood components) CPT 36430 .BB COMP/AUTO.TRAN FEE RBC	$452.14	$1,303.00	$323.73–$413.61	2% above	65%
Blood transfusion (giving blood or blood components) CPT 36430 .BB COMP/DIR DONOR IRRADIATED RBC	$452.14	$1,303.00	$323.73–$413.61	2% above	65%
Blood transfusion (giving blood or blood components) CPT 36430 .BB BLOOD ADMINISTRATION	$452.14	$1,303.00	$323.73–$413.61	2% above	65%
Blood transfusion (giving blood or blood components) CPT 36430 .BB COMP/DIRECT/IRRAD UNIT	$452.14	$1,303.00	$323.73–$413.61	2% above	65%
Blood transfusion (giving blood or blood components) CPT 36430 .BB COMP/DIRECT TRANS FEE	$452.14	$1,303.00	$323.73–$413.61	2% above	65%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 .BB COMP/DIRECT/IRRAD UNIT	$452.14	$1,303.00	$323.73–$413.61	—	65%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 .BB BLOOD ADMINISTRATION	$452.14	$1,303.00	$323.73–$413.61	—	65%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 .BB COMP/DIRECT TRANS FEE	$452.14	$1,303.00	$323.73–$413.61	—	65%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 .BB COMP/AUTO.TRAN FEE RBC	$452.14	$1,303.00	$323.73–$413.61	—	65%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 .BB COMP/DIR DONOR IRRADIATED RBC	$452.14	$1,303.00	$323.73–$413.61	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction by Neb	$199.87	$576.00	$152.04–$255.18	225% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUBSEQUENT HEATED AEROSO	$199.87	$576.00	$152.04–$255.18	225% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HEATED AEROSOL	$199.87	$576.00	$152.04–$255.18	225% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUBSEQUENT HHN 2nd Med	$199.87	$576.00	$152.04–$255.18	225% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUBSEQUENT EZPAP	$199.87	$576.00	$152.04–$255.18	225% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EzPAP	$199.87	$576.00	$152.04–$255.18	225% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ER NEBULIZER TX EACH	$199.87	$576.00	$152.04–$255.18	225% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUBSEQUENT HHN	$199.87	$576.00	$152.04–$255.18	225% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB	$199.87	$576.00	$152.04–$255.18	225% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction by Neb	$199.87	$576.00	$152.04–$255.18	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SUBSEQUENT HHN 2nd Med	$199.87	$576.00	$152.04–$255.18	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SUBSEQUENT HEATED AEROSO	$199.87	$576.00	$152.04–$255.18	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SUBSEQUENT HHN	$199.87	$576.00	$152.04–$255.18	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ER NEBULIZER TX EACH	$199.87	$576.00	$152.04–$255.18	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HEATED AEROSOL	$199.87	$576.00	$152.04–$255.18	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB	$199.87	$576.00	$152.04–$255.18	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EzPAP	$199.87	$576.00	$152.04–$255.18	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SUBSEQUENT EZPAP	$199.87	$576.00	$152.04–$255.18	—	65%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 SLP COMP AUDIO EVAL AND SPEECH RECOGNIT	$35.74	$103.00	$115.46–$204.36	68% below	65%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 SLP COMP AUDIO EVAL AND SPEECH RECOGNIT	$35.74	$103.00	$115.46–$204.36	—	65%
Critical care, first 30 to 74 minutes CPT 99291 EDP CRITICAL CARE 30 - 74 MIN W PROCEDUR	$219.65	$633.00	$609.53–$845.48	64% below	65%
Critical care, first 30 to 74 minutes CPT 99291 EDP CRITICAL CARE 30-74 MINUTES	$219.65	$633.00	$609.53–$845.48	64% below	65%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MINUTES	$799.49	$2,304.00	$609.53–$845.48	33% above	65%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 W/PX	$799.49	$2,304.00	$609.53–$845.48	33% above	65%
Critical care, first 30 to 74 minutes inpatient CPT 99291 EDP CRITICAL CARE 30 - 74 MIN W PROCEDUR	$219.65	$633.00	$609.53–$845.48	—	65%
Critical care, first 30 to 74 minutes inpatient CPT 99291 EDP CRITICAL CARE 30-74 MINUTES	$219.65	$633.00	$609.53–$845.48	—	65%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 W/PX	$799.49	$2,304.00	$609.53–$845.48	—	65%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 MINUTES	$799.49	$2,304.00	$609.53–$845.48	—	65%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ER	$94.73	$273.00	$45.64–$85.89	21% above	65%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$94.73	$273.00	$45.64–$85.89	21% above	65%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ER	$94.73	$273.00	$45.64–$85.89	—	65%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$94.73	$273.00	$45.64–$85.89	—	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EDP LEVEL 1 W PX	$21.17	$61.00	$59.62–$84.59	76% below	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EDP LEVEL 1	$21.86	$63.00	$59.62–$84.59	76% below	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 W/PX	$78.08	$225.00	$59.62–$84.59	13% below	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$78.42	$226.00	$59.62–$84.59	13% below	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EDP LEVEL 1 W PX	$21.17	$61.00	$59.62–$84.59	—	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EDP LEVEL 1	$21.86	$63.00	$59.62–$84.59	—	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 W/PX	$78.08	$225.00	$59.62–$84.59	—	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1	$78.42	$226.00	$59.62–$84.59	—	65%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EDP LEVEL 2	$41.29	$119.00	$110.91–$155.83	66% below	65%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EDP LEVEL 2 W PX	$41.29	$119.00	$110.91–$155.83	66% below	65%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$137.07	$395.00	$110.91–$155.83	12% above	65%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 W/PX	$145.74	$420.00	$110.91–$155.83	19% above	65%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EDP LEVEL 2 W PX	$41.29	$119.00	$110.91–$155.83	—	65%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EDP LEVEL 2	$41.29	$119.00	$110.91–$155.83	—	65%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2	$137.07	$395.00	$110.91–$155.83	—	65%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 W/PX	$145.74	$420.00	$110.91–$155.83	—	65%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EDP LEVEL 3 W PX	$61.42	$177.00	$194.54–$271.85	70% below	65%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EDP LEVEL 3	$61.42	$177.00	$194.54–$271.85	70% below	65%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 W/PX	$255.39	$736.00	$194.54–$271.85	26% above	65%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$255.39	$736.00	$194.54–$271.85	26% above	65%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EDP LEVEL 3	$61.42	$177.00	$194.54–$271.85	—	65%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EDP LEVEL 3 W PX	$61.42	$177.00	$194.54–$271.85	—	65%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 W/PX	$255.39	$736.00	$194.54–$271.85	—	65%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3	$255.39	$736.00	$194.54–$271.85	—	65%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EDP LEVEL 4	$116.59	$336.00	$302.98–$422.00	60% below	65%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EDP LEVEL 4 W PX	$116.59	$336.00	$302.98–$422.00	60% below	65%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 W/PX	$397.32	$1,145.00	$302.98–$422.00	36% above	65%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$397.32	$1,145.00	$302.98–$422.00	36% above	65%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EDP LEVEL 4	$116.59	$336.00	$302.98–$422.00	—	65%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EDP LEVEL 4 W PX	$116.59	$336.00	$302.98–$422.00	—	65%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4	$397.32	$1,145.00	$302.98–$422.00	—	65%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 W/PX	$397.32	$1,145.00	$302.98–$422.00	—	65%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EDP LEVEL 5 W PX	$171.77	$495.00	$435.17–$611.99	67% below	65%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EDP LEVEL 5	$171.77	$495.00	$435.17–$611.99	67% below	65%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 W/PX	$570.82	$1,645.00	$435.17–$611.99	11% above	65%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$570.82	$1,645.00	$435.17–$611.99	11% above	65%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EDP LEVEL 5 W PX	$171.77	$495.00	$435.17–$611.99	—	65%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EDP LEVEL 5	$171.77	$495.00	$435.17–$611.99	—	65%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 W/PX	$570.82	$1,645.00	$435.17–$611.99	—	65%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5	$570.82	$1,645.00	$435.17–$611.99	—	65%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING	$291.83	$841.00	$222.35–$347.06	22% below	65%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST TRACING	$291.83	$841.00	$222.35–$347.06	—	65%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL	$215.14	$620.00	$164.00–$204.22	11% above	65%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION INITIAL	$215.14	$620.00	$164.00–$204.22	—	65%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THER/PROPH/DX INITIAL	$215.14	$620.00	$164.00–$204.22	4% below	65%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THER/PROPH/DX INITIAL	$215.14	$620.00	$164.00–$204.22	—	65%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ	$70.44	$203.00	$53.56–$67.12	20% above	65%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ	$70.44	$203.00	$53.56–$67.12	—	65%
Neuromuscular re-education, 15 minutes CPT 97112 OTA NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$32.27	$93.00	$28.39–$35.70	38% below	65%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$32.27	$93.00	$28.39–$35.70	38% below	65%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$32.62	$94.00	$28.39–$35.70	38% below	65%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$32.62	$94.00	$28.39–$35.70	38% below	65%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$32.27	$93.00	$28.39–$35.70	—	65%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$32.27	$93.00	$28.39–$35.70	—	65%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$32.62	$94.00	$28.39–$35.70	—	65%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$32.62	$94.00	$28.39–$35.70	—	65%
New patient office visit, about 30 minutes CPT 99203 WC PFS NEW PATIENT VISIT LEVEL 3	$78.77	$227.00	$70.09–$122.15	19% below	65%
New patient office visit, about 30 minutes CPT 99203 WC NEW PATIENT VISIT LEVEL 3	$120.76	$348.00	$70.09–$122.15	24% above	65%
New patient office visit, about 30 minutes inpatient CPT 99203 WC PFS NEW PATIENT VISIT LEVEL 3	$78.77	$227.00	$70.09–$122.15	—	65%
New patient office visit, about 30 minutes inpatient CPT 99203 WC NEW PATIENT VISIT LEVEL 3	$120.76	$348.00	$70.09–$122.15	—	65%
New patient office visit, about 45 minutes CPT 99204 WC NEW PATIENT VISIT LEVEL 4	$120.76	$348.00	$113.02–$122.15	16% below	65%
New patient office visit, about 45 minutes CPT 99204 WC PFS NEW PATIENT VISIT LEVEL 4	$128.04	$369.00	$113.02–$122.15	11% below	65%
New patient office visit, about 45 minutes inpatient CPT 99204 WC NEW PATIENT VISIT LEVEL 4	$120.76	$348.00	$113.02–$122.15	—	65%
New patient office visit, about 45 minutes inpatient CPT 99204 WC PFS NEW PATIENT VISIT LEVEL 4	$128.04	$369.00	$113.02–$122.15	—	65%
New patient office visit, about 60 minutes CPT 99205 WC NEW PATIENT VISIT LEVEL 5	$120.76	$348.00	$122.15–$153.33	32% below	65%
New patient office visit, about 60 minutes CPT 99205 WC PFS NEW PATIENT VISIT LEVEL 5	$173.85	$501.00	$122.15–$153.33	2% below	65%
New patient office visit, about 60 minutes inpatient CPT 99205 WC NEW PATIENT VISIT LEVEL 5	$120.76	$348.00	$122.15–$153.33	—	65%
New patient office visit, about 60 minutes inpatient CPT 99205 WC PFS NEW PATIENT VISIT LEVEL 5	$173.85	$501.00	$122.15–$153.33	—	65%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC PFS NEW PATIENT VISIT LEVEL 2	$45.46	$131.00	$40.72–$122.15	33% below	65%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC NEW PATIENT VISIT LEVEL 2	$120.76	$348.00	$40.72–$122.15	77% above	65%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WC PFS NEW PATIENT VISIT LEVEL 2	$45.46	$131.00	$40.72–$122.15	—	65%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WC NEW PATIENT VISIT LEVEL 2	$120.76	$348.00	$40.72–$122.15	—	65%
Occupational therapy evaluation, low complexity CPT 97165 OT Eval Low Complex 30 min	$95.43	$275.00	$84.53–$88.33	31% below	65%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Eval Low Complex 30 min	$95.43	$275.00	$84.53–$88.33	—	65%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 min	$95.43	$275.00	$84.53–$90.95	35% below	65%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complex 45 min	$95.43	$275.00	$84.53–$90.95	—	65%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20 min	$95.43	$275.00	$84.53–$90.95	25% below	65%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complex 20 min	$95.43	$275.00	$84.53–$90.95	—	65%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 min	$95.43	$275.00	$84.53–$90.95	31% below	65%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complex 30 min	$95.43	$275.00	$84.53–$90.95	—	65%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY/JNT MOBILIZTN EA15 MIN	$29.15	$84.00	$22.90–$33.60	49% below	65%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTA MANUAL THERAPY/JNT MOBILIZTN EA15 M	$29.15	$84.00	$22.90–$33.60	49% below	65%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY/JNT MOBILIZTN EA15 M	$29.50	$85.00	$22.90–$33.60	48% below	65%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY/JNT MOBILIZTN EA15 MIN	$29.50	$85.00	$22.90–$33.60	48% below	65%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY/JNT MOBILIZTN EA15 MIN	$29.15	$84.00	$22.90–$33.60	—	65%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTA MANUAL THERAPY/JNT MOBILIZTN EA15 M	$29.15	$84.00	$22.90–$33.60	—	65%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY/JNT MOBILIZTN EA15 M	$29.50	$85.00	$22.90–$33.60	—	65%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY/JNT MOBILIZTN EA15 MIN	$29.50	$85.00	$22.90–$33.60	—	65%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPEUTIC EXERCISE EA 15 MINUTES	$31.23	$90.00	$24.80–$35.70	43% below	65%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE EA 15 MINUTES	$31.23	$90.00	$24.80–$35.70	43% below	65%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXERCISES EACH 15 MINUTE	$31.58	$91.00	$24.80–$35.70	43% below	65%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISES EACH 15 MINUTES	$31.58	$91.00	$24.80–$35.70	43% below	65%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC EXERCISE EA 15 MINUTES	$31.23	$90.00	$24.80–$35.70	—	65%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE EA 15 MINUTES	$31.23	$90.00	$24.80–$35.70	—	65%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EXERCISES EACH 15 MINUTE	$31.58	$91.00	$24.80–$35.70	—	65%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISES EACH 15 MINUTES	$31.58	$91.00	$24.80–$35.70	—	65%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC PFS ESTABLISHED PATIENT VISIT LEVEL 5	$138.11	$398.00	$121.56–$122.15	7% above	65%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WC PFS ESTABLISHED PATIENT VISIT LEVEL 5	$138.11	$398.00	$121.56–$122.15	—	65%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CPSI CONV FACTOR TEST	$34.70	$100.00	$56.05–$122.15	58% below	65%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC PFS ESTABLISHED PATIENT VISIT LEVEL 3	$63.50	$183.00	$56.05–$122.15	22% below	65%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC ESTABLISHED PATIENT VISIT LEVEL 3	$120.76	$348.00	$56.05–$122.15	48% above	65%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP TREATMENT ROOM III	$158.58	$457.00	$56.05–$122.15	94% above	65%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CPSI CONV FACTOR TEST	$34.70	$100.00	$56.05–$122.15	—	65%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WC PFS ESTABLISHED PATIENT VISIT LEVEL 3	$63.50	$183.00	$56.05–$122.15	—	65%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WC ESTABLISHED PATIENT VISIT LEVEL 3	$120.76	$348.00	$56.05–$122.15	—	65%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP TREATMENT ROOM III	$158.58	$457.00	$56.05–$122.15	—	65%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC PFS ESTABLISHED PATIENT VISIT LEVEL 4	$93.34	$269.00	$82.82–$122.15	6% below	65%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC ESTABLISHED PATIENT VISIT LEVEL 4	$120.76	$348.00	$82.82–$122.15	21% above	65%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP TREATMENT ROOM IV	$309.87	$893.00	$82.82–$122.15	211% above	65%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WC PFS ESTABLISHED PATIENT VISIT LEVEL 4	$93.34	$269.00	$82.82–$122.15	—	65%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WC ESTABLISHED PATIENT VISIT LEVEL 4	$120.76	$348.00	$82.82–$122.15	—	65%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP TREATMENT ROOM IV	$309.87	$893.00	$82.82–$122.15	—	65%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP TREATMENT ROOM II	$696.78	$2,008.00	$30.16–$122.15	875% above	65%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP TREATMENT ROOM II	$696.78	$2,008.00	$30.16–$122.15	—	65%
Speech and language evaluation CPT 92523 SLP Speech Sound Prod Language Comprehen	$217.92	$628.00	$192.93–$223.86	23% above	65%
Speech and language evaluation inpatient CPT 92523 SLP Speech Sound Prod Language Comprehen	$217.92	$628.00	$192.93–$223.86	—	65%
Speech therapy session, individual CPT 92507 SLP THERAPY, INDIVIDUAL	$78.77	$227.00	$64.81–$85.05	50% below	65%
Speech therapy session, individual inpatient CPT 92507 SLP THERAPY, INDIVIDUAL	$78.77	$227.00	$64.81–$85.05	—	65%
Spirometry (breathing test) CPT 94010 PFT BASIC SPIROMETRY	$167.95	$484.00	$115.46–$204.36	33% above	65%
Spirometry (breathing test) inpatient CPT 94010 PFT BASIC SPIROMETRY	$167.95	$484.00	$115.46–$204.36	—	65%
Spirometry before and after a bronchodilator CPT 94060 PFT W/ BRONCHODILATOR	$291.83	$841.00	$222.35–$299.06	9% above	65%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT W/ BRONCHODILATOR	$291.83	$841.00	$222.35–$299.06	—	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPEUTIC ACTIVITIES EACH 15 MINUT	$34.70	$100.00	$30.69–$35.70	31% below	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 OTA THERAPEUTIC ACTIVITY EACH 15 MIN	$34.70	$100.00	$30.69–$35.70	31% below	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES EACH 15 MINUTE	$34.70	$100.00	$30.69–$35.70	31% below	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY EACH 15 MIN	$34.70	$100.00	$30.69–$35.70	31% below	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY EACH 15 MIN	$34.70	$100.00	$30.69–$35.70	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITIES EACH 15 MINUTE	$34.70	$100.00	$30.69–$35.70	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPEUTIC ACTIVITIES EACH 15 MINUT	$34.70	$100.00	$30.69–$35.70	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTA THERAPEUTIC ACTIVITY EACH 15 MIN	$34.70	$100.00	$30.69–$35.70	—	65%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THEURAPETIC (SEPARATE PROCED	$90.91	$262.00	$85.89–$121.71	10% below	65%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$140.54	$405.00	$85.89–$121.71	39% above	65%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THEURAPETIC (SEPARATE PROCED	$90.91	$262.00	$85.89–$121.71	—	65%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$140.54	$405.00	$85.89–$121.71	—	65%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX VACCINE	$139.32	$401.49	$133.47	26% below	65%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX VACCINE	$139.32	$401.49	$133.47	—	65%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX	$26.82	$77.28	—	64% below	65%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TDVAX	$26.82	$77.28	—	—	65%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE (TDP) 0.5ML	$47.12	$135.80	—	51% below	65%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE (TDP) 0.5ML	$47.12	$135.80	—	—	65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION 1 VACCINE	$70.44	$203.00	$53.56–$67.12	48% above	65%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION 1 VACCINE	$70.44	$203.00	$53.56–$67.12	—	65%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATION EACH ADDT'L	$27.07	$78.00	—	10% below	65%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMINISTRATION EACH ADDT'L	$27.07	$78.00	—	—	65%

Dental

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 D PERIODONT SCAL & ROOT PLAN-4+TEETH/QUA	$115.20	$332.00	$110.54–$187.95	83% below	65%
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 D PERIODONT SCAL & ROOT PLAN-4+TEETH/QUA	$115.20	$332.00	$110.54–$187.95	—	65%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 D SX REMOVAL OF IMPACTED TOOTH-SOFT TISS	$255.74	$737.00	$1,367.52	at median	65%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 D SX REMOVAL OF IMPACTED TOOTH-SOFT TISS	$255.74	$737.00	$1,367.52	—	65%
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 D ENDODONTIC THERAPY, MOLAR	$589.21	$1,698.00	$565.95–$824.25	1% below	65%
Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 D ENDODONTIC THERAPY, MOLAR	$589.21	$1,698.00	$565.95–$824.25	—	65%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 D EXTRACTION, ERUPTED TOOTH/EXPOSED ROOT	$86.40	$249.00	$1,367.52	98% below	65%
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 D EXTRACTION, ERUPTED TOOTH/EXPOSED ROOT	$86.40	$249.00	$1,367.52	—	65%

Source file: https://mghosp.org/wp-content/uploads/2025/01/640324402_magee-benevolent-association_standardcharges.csv